N6883619R001401.pdf

N6051419RC007CH

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

1. To extend the due date from 9/19/19 at Noon to 9/20/19 at Noon.

2. To provide answ ers to the submitted questions. See Questions and Answ ers section at the end of the Solicitation. New questions start from number 41.

3. Revise sections 1.5, 20.3 and 20.9 of the PWS.

4. Update the Addendum to 52.212-1 to reflect the new due date.

1. CONTRACT ID CODE PAGE OF PAGES

1 24

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 18-Sep-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X N6883619R0014

X 9B. DATED (SEE ITEM 11)

12-Sep-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

18-Sep-2019

CODE

NAVSUP FLC JACKSONVILLE CONTRACTS DIV

KATHLEEN M. MOORMAN

110 YORKTOWN AVE., 3RD FL

JACKSONVILLE FL 32212-00097

N68836 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

N6883619R0014

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

52.212-1 ADDENDUM

CLARIFICATIONS

All questions/clarification requests shall be submitted via email by 14 September 2019.

It is the Government’s intention that questions and responses will be distributed electronically to the Offeror via email and/or amendments to the Request For Quote (RFQ).

SUBMITTAL INSTRUCTIONS

Quote is due on 20 September 2019 at 12:00 PM Eastern.

Quotes shall remain effective for one-hundred-and-twenty (120) days from the closing date of the RFQ. Emailed quotes are to be sent to Kat Moorman, Contract Specialist at Kathleen.m.moorman@navy.mil and cannot be larger than 5MB. Email files over 5MB and .zip files may be rejected by the Navy’s server. The electronic files shall be submitted in Microsoft Office/Adobe compatible application software. Separation of required documents for submission is acceptable due to the file size constraints. Submission of “late” quotes will not be accepted. All quotes sent in response to this solicitation shall reflect the following information in the Subject line of the e-mail:

1. N6883619R0014 Personal Care and Support Services

The Offeror shall submit a cover letter, responsibility determination documentation, pricing spreadsheet and signed quote (Standard Form (SF) 1449) via email by the solicitation closing.

Cover Letter:

The Cover Letter shall contain the following information:

RFQ number and title Offeror’s POC information for contractual questions/discussions Cage Code, DUNS, Tax ID number and business size Name, title, e-mail address, and telephone number of the individual(s) with authority to bind the company Statement of affirmation (if applicable) that the Contractor has completed all representations and certifications in System of Award Management (SAM) Statement of taking no exception to solicitation terms and conditions

Responsibility Determination Documentation:

Offerors shall submit the following documents to be evaluated for the sole purpose of determining Contractor Responsibility in accordance with FAR 9.1, “Responsible Prospective Contractors”:

A letter from the Offeror’s financial institution that indicates that the Offeror has adequate financial resources to perform the contract:

i. Bank References

ii. Current Balance Sheet

iii. Other financial information

A description of previous and current contracts with the Government (previous three (3) years), including the name of the agency, the type of supply or service that was/is being provided, contract value, and duration (base period + options).

A description of the Offeror’s organization, accounting and operational controls, technical skills, and facilities.

Key Personnel resumes and a detailed staffing plan that describes how the Offeror will successfully accomplish the requirements set forth in the PWS. The proposed labor categories and resumes shall be evaluated to determine sufficiency in meeting the minimum certification/training/licenses/skills specified in the solicitation.

Proof of certification/licensure.

Documentation detailing how the proposed vehicles’ specifications meet the requirements stated in the

PWS and will be available for purchase in a timely manner near the anticipated award date.

A quote from the Offeror’s insurance agency demonstrating appropriate coverage of employees, vehicles and other industry specific coverages will be available upon award.

Pricing:

The Offeror shall submit pricing utilizing the “Pricing for N6883619R0014” spreadsheet attached to the solicitation for CLINs 0001 through 4004. The Offeror shall follow the instructions provided in the spreadsheet.

Pricing shall be firm-fixed pricing and include all labor, travel, material, and consumables required to perform the work listed in the performance work statement and shall be structured in accordance with the Contract Line Items CLIN structure in this solicitation.

Standard Form of Contract (SF 1449):

SF 1449: Blocks 17a, 30a, b, c, of page 1 of the SF 1449 shall be completed by the Offeror and Block 30b shall be signed to show the Offeror has read and agrees to comply with all terms, conditions, and instructions provided in the solicitation document. Any representations and certifications not completed in SAM shall be filled out in the 1449.

Amendments (If Applicable): Amendments will be provided through the Government Point of Entry. The

Offeror should be aware that if a submission is made PRIOR to an amendment they must RESUBMIT their Quote with the signed amendments included in the new submission. It is the Offeror’s responsibility to ensure their Quotes are submitted in a timely manner to the Contracting Officer.

After the solicitation closing date, the Contracting Officer may require an Offeror to promptly submit pricing information to assist with price reasonableness and/or information to demonstrate the Offeror is responsible. (See 52.212-2).

Failure to complete and submit all required documentation shall be considered taking exception to the terms and conditions and deem your quote unacceptable.

(End of provision)

PERFORMANCE WORK STATEMENT

Performance Work Statement (PWS) Personal Care and Support Services

For the Home Health Care Program at Guantanamo Bay, Cuba

1. Introduction:

1.1. In 1958 when relations between the United States and Cuba were degraded as to limit access to and from the Naval Station Guantanamo Bay (NSGB), special consideration was given to Cuban employees on NSGB. The individuals who became base residents are the individuals later defined as “Special Category Residents” (SCRs) under the 2006 National Defense Authorization Act (NDAA).

1.2. There are currently 25 SCRs located on NSGB, who are of advanced age and require increasing assistance with daily activities of life. The average SCR age is 79 years (not including SCR children). Most of the SCRs currently live independently in government housing on base, with their health care being provided at US Naval Hospital Guantanamo Bay (NHGB). For those that require additional geriatric assistance, the Home Health Care Program is available. This program is a collaborative effort by NSGB, NHGB and the Cuban Community Assistance Program (CCAP).

1.3. The Home Health Care Program consists of two divisions: (1) Home Health Nursing Care and (2) Personal

Care and Support Services.

1.4. NHGB staff will provide Home Health Nursing Care for SCRs residing in the Home Health Facility (Building H4) and out in the community. Personal Care and Support Services will be provided by this contract for the residents of H4 and for those enrolled in the Home Health Care Program that still live out in the community.

Currently, 10 residents are enrolled in the Home Health Care Program with 6 residing in H4 and 4 residing in their homes on NSGB. NSGB has the only on-base assisted living facility (H4) within the DoD. This facility was created solely for the aging SCR population and is unique in its personnel, administrative and financial composition.

1.5. Due to NSGB housing constraints, it is anticipated that this requirement will be staffed by a mix of unaccompanied US Citizens and Jamaican Foreign Nationals. The US Citizens will share a two (2) bedroom housing unit. The Foreign Nationals can be either gender, but females are limited to a maximum of three (3) and males to a maximum of seven (7). These maximum values do not represent the Government’s estimated need, only the maximum possible to be housed under this contract. See section 20.9 of the PWS for details.

2. General:

2.1. The Contractor will provide Personal Care and Support Services for the SCRs residing in H4 on NSGB (building floorplan provided in Attachment 1) and those enrolled in the Home Health Care Program that still reside in their personal residences. The Home Health Care Program provides housing (if needed), meals, personal care and support, 24-hour supervision, end of life preparation and help with activities of daily living (ADLs) such as resident movement, feeding, bathing, dressing, grooming, and elimination. Nursing care will not be provided via this contract. As SCRs age, it is anticipated that the number of SCRs participating in the Home Health Care Program that will require assistance with ADLs will increase. These numbers can change at any time, but are not currently expected to deviate by more than + or – 2 from the current Home Health Care Program roster for some time.

2.2. General Condition of Residents As of September 2019:

2.2.1. H4 Residents: Two (2) are in wheelchairs, three (3) need assistance bathing, all have limited mobility.

2.2.2. At Home Residents: Generally healthy for their age and various conditions, mobile to limited mobility.

2.2.3. No further Resident information will be shared due to Health Insurance Portability and Accountability Act

(HIPAA) restrictions.

2.3. Due to possible increases and decreases in the number of SCRs requiring services, task orders are planned to be placed for each employee. This will allow for each task order in the base year to have 12 months of performance, including transition to NSGB. Billing against Contract Line Items (CLINs) 00001 through 00004 shall not occur until the person/vehicle is on base and operational under the confines of the contract at a maximum of 45 days after award of task order. Task Orders may include multiple CLINs or multiple quantities of ADL support.

2.4. Monthly rates shall be all inclusive as this is a Firm Fixed Price Service Requirements Contract. The contractor shall provide all necessary vehicles, personnel, supervision, and management to support the operation.

2.5. The CLIN structure uses months as the unit of measure. For CLINs XXX3AA and XXX3AB, the number of months is 84 and 36 respectively. These months are not representative of Government staffing expectations.

They were calculated using the maximum personnel that NSGB is able to house multiplied by 12 months.

Quotes should reflect the Contractor’s staffing plan to meet the needs defined in this PWS.

3. Personal Care and Support Services Requirements Overview:

3.1 A Program Manager will monitor and supervise the staff hired for this requirement. They will be the primary point of contact for the Contracting Officer’s Representative (COR) and other stakeholders.

3.2 A Licensed Clinical Social Worker will be assigned to this program to assist the SCRs and their families with geriatric needs assessment, advocacy, counseling and end-of-life preparation.

3.3 Assistance with ADL will be rendered by a certified Home Health Aide/Health Care Assistant (HHA) or equivalent in H4 to SCRs who are no longer able to safely live on their own and to SCRs enrolled in the program who still live at their own residence.

3.4 Vehicles capable of transporting multiple SCR, including those that are mobility impaired.

4 Activities of Daily Living:

4.1 The Home Health Care Program will be staffed by HHA/equivalents who will provide all personal care and support services to the eligible SCRs. For resident safety purposes, at a minimum, H4 requires at least 1 HHA to be present during core hours to assist residents and 1 HHA to handle the home visits.

Preponderance of services will consist of, but not be limited to, providing 12-hour a day, 7 days a week assistance of SCRs with the following:

4.2 Tasks associated with activities of daily living (ADL):

4.2.1 Assisting SCR residents with nutrition and hydration as needed to minimize dehydration.

4.2.2 Retrieving resident’s meals from the Hospital Galley twice daily.

4.2.3 Feeding and assisting SCR residents with eating at least three meals a day; ensure proper positioning of residents to optimize nutritional and fluid intake and prevent choking and aspiration.

4.2.4 Assisting with, or dressing and undressing of SCR residents as needed.

4.2.5 Assisting with and encouraging the use of self-help devices for eating, grooming and other personal care tasks.

4.2.6 Assist with, or provide:

4.2.6.1 Bathing a minimum of once a day.

4.2.6.2 Daily shampooing and caring for hair.

4.2.6.3 Daily shaving of men’s facial hair and weekly shaving of women’s leg hair as needed.

4.2.6.4 Weekly nail care for fingernails and toenails of persons with uncompromised circulation.

4.2.6.5 Oral hygiene at least twice a day, and clean dentures daily and as needed.

4.2.6.6 Skin care to include: application of non-prescription pediculicides; application of topical barrier creams and ointments for skin care; maintenance of skin integrity; prevention of pressure, friction, and shearing;

and use of anti-pressure devices.

4.2.7 Make residents beds daily and clean common areas and residents rooms.

4.2.8 Change the bed linens with clean linens weekly. Change bed linens more frequently as needed.

4.2.9 Daily washing, drying, folding, and putting away SCR resident’s clothes.

4.2.10 Daily cleaning of dishes and galley area to include resident refrigerator.

4.2.11 Assisting SCR residents, and or moving and transferring with proper lifting/transfer techniques or resident lifts that prevent resident falls and injury.

4.2.12 Transporting clients in wheelchairs and specialized chairs as needed.

4.2.13 Turning and positioning SCR residents who are unable to move at a minimum every 2 hours and as needed to prevent pressure ulcers.

4.2.14 Performing range of motion exercises with residents who need assistance a minimum twice a day.

4.2.15 Encourage and assist residents to utilize exercise facilities within the facility.

4.2.16 Transporting and/or escorting SCR residents to and from medical appointments, shopping, and other activities as requested by the SCR resident.

4.2.17 Assist SCR residents with taking of medications as prescribed by a licensed, independent provider.

4.3 Tasks associated with communication and interpersonal skills:

4.3.1 Provide daily written and/or verbal updates (in English) to the COR and NHGB medical and nursing staff on SCR resident’s status.

4.3.2 Report immediately to NHGB medical/nursing staff any changes of abnormal resident findings, signs or symptoms that require medical attention.

4.3.3 Participate in monthly Multidisciplinary Care planning meetings as needed.

4.3.4 Answering and placing call signals for residents so that they may contact staff for assistance.

4.3.5 Communicating regularly with SCR residents and providing support as needed to meet their needs or requests.

4.3.6 Assist SCR residents in developing and utilizing their maximum potential for self-care.

4.3.7 Immediately report to NHGB medical and nursing staff any suspected or actual abuse, mistreatment, and neglect of SCRs.

4.3.8 Maintain resident confidentiality.

4.3.9 Demonstrate respect for the rights, dignity, and property of residents and coworkers.

4.3.10 Document care provided, to include end of life care, at least daily and as needed in the resident’s record.

4.3.11 Assist NHGB and NSGB staff with the collection of height and weight, vital signs, daily blood glucose readings and documenting in resident’s record.

4.4 Tasks associated with elimination:

4.4.1 Assist SCR residents with toileting as needed.

4.4.2 Assisting with the use of the bedpan, urinal, and bedside commode as needed.

4.4.3 Changing soiled bed linens as they occur.

4.4.4 Provide catheter care including the application of and removal of external urinary catheters as needed.

Provide daily assessment of catheter and report any issues or concerns to nursing staff.

4.4.5 Providing ostomy care for established, healthy ostomy including cleaning the ostomy site and emptying the ostomy bag or changing the dressing or ostomy appliance or bag.

4.4.6 Administering bowel evacuation suppositories that are available without a prescription

4.4.7 Administering enemas as needed or prescribed.

4.4.8 Providing perineal and incontinence care.

4.5 Tasks associated with infection control and Standard or Transmission Based Precautions:

4.5.1 Follow standard precautions, including the use of personal protective equipment, to reduce the risk of infection.

4.5.2 Properly dispose of hazardous wastes and contaminated materials.

4.5.3 Clean and perform low-level disinfection of common areas, medical equipment, devices, or supplies as needed.

4.6 Tasks associated with safety and emergency procedures:

4.6.1 Staff shall promote a safe, functional, and supportive environment within the facility that is arranged and managed to protect residents, visitors, and staff.

4.6.2 Follow proper procedures for calling emergency medical assistance.

4.6.3 Apply safety concepts in the workplace.

5 Key Personnel and Specific Skills Sets Required:

5.1 Program Manager:

5.1.1 An on-site Program Manager will be designated in writing to be the primary POC to the COR and NSGB/CCAP staff for all contracted support. The Program Manager will be responsible for maintaining daily HHA staffing levels that support the requirements of this PWS. The Program Manager will also be responsible for deliverables required by this PWS (see section 10 for details) and will be available during business hours Monday through Friday and on call as needed. Historically, on calls average about 10 times a month outside of regular business hours.

5.1.2 Language Capabilities: Required fluency in English . Prefer that the candidate also demonstrate the ability to speak, write, interpret and translate between Spanish and English languages.

5.1.3 Education: Bachelor’s degree with minimum 24 business credit hours.

5.1.4 Experience: 1 year administrator experience in the geriatric field. 3 years of general managerial experience.

5.1.5 Responsibilities

5.1.5.1 Monitor assignments for aides for proper work flow.

5.1.5.2 Investigate all resident incidents/falls and give summary to NHGB and to the COR - CCAP

Manager.

5.1.5.3 Handle all personnel issues (employee behavior, dereliction of duty, complaints) and report to

Nurses and to the COR - CCAP program Manager.

5.1.5.4 Communicate all pertinent shift activity to NHGB.

5.1.5.5 Assure that all important issues are reported to NHGB and the COR.

5.1.5.6 Manages all emergencies and records all details for COR – CCAP Manager Review.

5.1.5.7 Input daily records in the Electronic Health Records (EHR)

5.1.5.8 Provide documentation that HHAs have completed all required trainings and all other trainings required by NHGB.

5.1.5.9 Participate in the Multidisciplinary Care planning meetings.

5.1.5.10 The program manager will be in charge of the Home Health Aides’ work schedule, and all shift working hours decisions will be made by the Program Manager and a copy of the schedule will be provided to the COR.

5.1.5.11 The Program Manger will work in conjunction with the COR to gauge the staffing needs and make timely recommendations for increases or reductions.

5.1.5.12 Managing Human Resources: Evaluates work performance of subordinates to find ways to improve production or increase work quality

5.1.5.13 Managing Human Resources: Reviews and analyzes Department of the Navy, and other governing organizations, policies that impact the program. Utilizes expertise and sound judgment to interpret and implement existing policies, procedures and regulatory guidance which enhance effectiveness and efficiency of the Contractor’s personnel.

5.2 Licensed Clinical Social Worker (LCSW):

5.2.1 Plans and carries out assignments directed by the Program Manager. Works independently and resolves problems. Keep the CCAP Manager informed on progress of assignments and any controversial issues.

5.2.2 Language Capabilities: Required fluency in English. Shall demonstrate the ability to speak, write, interpret and translate between Spanish and English languages.

5.2.3 Education: Master's degree. Specialization in clinical social work is preferred

5.2.4 Experience: 3 years of geriatric experience

5.2.5 Clinical interventions: They may provide counseling for SCRs in the Home Health Care Program who feel lonely or who are suffering from mental health disorders. They are the first line of defense in mental health monitoring, they will work in conjunction with the mental health care professionals in NSGB. Will encourage the clients to pursue stimulating activities, helping to arrange group outings.

The LCSW can help the SCR’s to cope with aging by recording “life stories” and help people say their goodbyes through writing letters, phone calls, and videos.

5.2.6 Service interventions: Acting as a link between the residents and the numerous public and private activities on the NSGB appropriate for the aging population. The Social worker will help the SCR’s apply for appropriate services if needed. They help sort out any problems in the delivery of these services. They will also assist with individual resident budgets, including purchasing items.

5.2.7 Advocacy: With the assistance of the CCAP Manager, and the services of the Legal Assistant Office NSGB, provide; if needed, assistance in the Advance Directive form and explain how to correctly complete it. They are also a frontline defense for stopping elder abuse: a geriatric social worker is mandated by law to report to any suspected elder abuse to Adult Protective Services or to NSGB Authorities.

5.2.8 Offer counseling services, which often deal with end-of-life issues, bereavement, and other concerns common to senior citizens. They can help guide families through the transition from the home environment to long term care, assist with filing necessary paperwork, and help with access to end-of-life care planning (living wills, advance directives, DNR orders).

5.2.9 Acts as a liaison between the patient, family members, and health care staff and can make sure the family stays informed about their loved one’s condition through quarterly updates via phone/email or face-to-face communications. They will help develop comprehensive care plans individually suited to the needs of the SCR.

5.2.10 Participate in the Multidisciplinary Care planning meetings.

5.2.11 Recognize normal and abnormal aging patterns. They can suggest when an elderly client needs to see a doctor and can arrange for a visit.

6 Patient Cultural Background:

6.1 Some of the patients receiving services under this contract may only speak Spanish or may have limited comprehension of the English language, and/or may reside at their home on NSGB. The Contractor is expected to demonstrate sensitivity to cross-cultural and language difference and have the ability to work in the absence of government provided interpreters as necessary. Consideration shall be given to potentially limited transportation and/or home environment facilities

7 Physical Demands and Work Environment:

7.1 The Contractor employees shall be able to lift 40 pounds and shall be able to bend, lift and pull. The Contractor employee shall not have any work or health restrictions, which could directly or indirectly interfere with the performance of providing services as there will be some moderate lifting with regard to boxes of office supplies, boxes of medication, equipment, patients, etc.

7.2 The work environment will be a mix between H4 and patient homes.

7.3 The Contractor employees may be exposed to hazardous materials, such as chemicals and blood and blood-borne pathogens and will be exposed to infectious diseases and mentally and physically impaired patients.

7.4 The Contractor shall inform the COR, Contracting Officer (CO) or Program Manager or their designated representative of any problems encountered or which may be encountered in connection with meeting the needs of the Contractor’s duties.

7.5 The Contractor is responsible for maintaining satisfactory standard of competence, conduct, appearance and integrity. The quality of work performance of the Contractor shall be subject to review.

7.6 The Contractor shall comply with all food handling, facility infection control, and safety procedures and standards.

7.7 The Contractor shall request government pre-approval to substitute or replace any of the Contractor’s employee of which it has provided qualifications and resumes under this contract. All Contractor-requested substitutes or replacements’ qualifications, experience and professional certifications shall be at least equal to or greater than the original Contractor’s employee provided by the Contractor under this contract.

7.8 The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the COR or designee show documented clinical problems or continual unprofessional behavior/actions with any Contracted personnel, s/he may request, without cause, immediate replacement of said Contracted personnel. The CO and COR shall deal with issues raised concerning Contracted personnel’s conduct. The final arbiter on questions of acceptability is the CO.

7.9 T-Mobile is currently the only cell phone carrier for Guantanamo Bay. All housing and facilities will have landlines. During working hours, while on duty, all personnel under this contract need to be accessible. Whether by personal or work phone.

8 Certification, Licensing and Insurance:

8.1 The Home Health Aides shall possess and maintain an active and current certification in their field.

8.2 The LCSW shall possess and maintain an active and current licensure.

8.3 Current certification is required in Basic Life Support (BLS) for all employees under this contract.

Additional training (if required) will be scheduled/provided by NHGB. It is the Contractor’s responsibility to attend and pass NHBG required trainings.

8.4 For the Program Manager and LCSW: The Contractor employees shall complete a required Computer Security Awareness Training (CSAT) course before computer access is provided or within a few days after receiving their access and annually after that. Within NHGB, there is a requirement for this training to be completed annually by all employees, and that includes the Contractor.

8.5 Once the Contract is awarded, Contractor(s) shall complete all credentialing and privileging paperwork in accordance with The Joint Commission (TJC), the Centers for Medicare and Medicaid Services (CMS), Home Health Standard Operating Procedures (SOP) - available by request after award, NHGB, Bureau of Medicine and Surgery (BUMED) and other applicable regulations. The Contractor’s foreign national employees shall – at a minimum- meet the same/equivalent licensing/certification requirements as US Certified Nursing Assistants before being allowed to provide services in this facility. NOTE: The Government understands there are several Certifications available from the Jamaican Ministry of Health and Wellness, and is amenable to any certification meeting at a minimum, the equivalent certifications granted by the United States for a Certified Nursing Assistant.

8.6 In accordance with Federal Acquisition Regulation (FAR) 37.401:

8.6.1 This contract is a Non-Personal health care services contract, as defined in FAR 37.101, under which the contractor is an independent contractor (further defined in section 18 of this PWS).

8.6.2 The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered.

8.6.3 Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the

Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees during performance of the contract.

8.6.4 The Contractor shall maintain medical liability insurance for the duration of the contract.

8.6.5 The Contractor shall provide both the COR and CO copies of its certificates of insurance and its subcontractors’ certificates of insurance prior to performing services under this contract in accordance with FAR 52.237-7.

8.6.6 All Contractor and subcontractor certificates of insurance shall name the NHGB Home Health Care Program as an additional insured.

8.7 The Contractor shall be responsible for protecting Contracted personnel furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

8.7.1 Workers’ compensation

8.7.2 Professional liability insurance

8.7.3 Health examinations

8.7.4 Income tax withholding (as required)

8.7.5 Social security payments (as required)

9 Medical Records:

9.1 NHGB will provide training for the Contractor’s US employees on their EHR system. The Contractor shall complete medical records in the EHR and/or via hand written notes within 24 hours, barring technical difficulties. If the EHR system is unavailable, the Contractor has 24 hours to update the records once the system comes back online. Failure to abide by this requirement is basis for cancellation of this contract. After given access the EHR, the Contractor(s) shall be required to scan patient ADL information into the electronic health record. Medical Records will be the property of the U.S.

Government and will be placed in each patient’s chart.

9.2 The Medical Records shall not leave the premises.

9.3 Medical records used for patients assisted by the Contractor’s employees shall conform to the Privacy Act and Standards for Patient Confidentiality. An unauthorized disclosure from a Person’s record, protected by the Privacy Act, may be subject to a penalty of up to $5,000 per incident.

9.4 The Contractor shall complete in a timely fashion, the medical and other required records for patients he/she in any way provides service to. Chart notes are to be completed on the day services are rendered.

The Contractor shall abide by the applicable rules and regulations of NHGB.

10 Performance Requirements Summary:

10.1 Contractor shall provide outputs associated with the taskings listed below to include, but not limited to, MS power point briefings, MS Word documents and reports, MS Excel spreadsheets, MS Access databases, emails and talking points. The Contractor is required to provide the following deliverables under this task order:

11 Personnel Security Requirements:

No Description Performance Threshold

Method of Surveillence

Addressees Due Date

1. Documentation of health care provided in the resident’s record (Tasks

4.3 and 5.2.10)

98% 100% Inspection

SCR’s record Daily and as needed for any health care out of the daily routine

2. Provide documentation that personnel have completed all required training prior to expiration

98% 100% Inspection

COR/NHGB

and NSGB staff

Required as stated in 8.3 and 8.4

3. Participate in and document the Multidisciplinary Care planning meetings (Tasks 4.3.3, 5.1.1, 5.1.5.9, 5.2.10)

95% delivered on-time

100% Inspection

COR/NHGB

Medical and Nursing Staff

Monthly as coordinated.

11.1 Work under this contract is considered UNCLASSIFIED and no extra security clearances are required beyond those necessary to access NSGB.

12 Hours of Operations:

12.1 HHA coverage will be 12 hours a day from 0800 to 2000. Individual scheduling decisions will be made by the Program Manager and a copy of the schedule will be provided to the COR.

12.2 The Program Manager and the Social Worker will be available during business hours (0800 to 1630) and on call as needed.

13 Government Furnished Property, Material and Services:

The Government will furnish necessary workspace for Contractor staff providing direct support to the requirements outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment.

14 Contractor Furnished Property, Material and Services:

14.1 The Contractor will furnish and maintain a total of two (2) vehicles for SCR transportation and general use pertaining to carrying out the duties specified in this PWS for the duration of the contract.

14.2 Vehicle 1 minimum specifications:

14.2.1 American made vehicle

14.2.2 2017 Model year or newer

14.2.3 10 - 14 Passengers, 2 Tiedowns for wheelchairs

14.2.4 AM/FM/CD Player

14.2.5 Mid-High Back Rigid Seats

14.2.6 Level 4 Seat Fabric

14.2.7 Low floor bus

14.2.8 Overhead Handrails

14.2.9 Power Ramp/Lift (Easy access for wheelchair and non-wheelchair)

14.2.10 Rear Back up Camera

14.2.11 Back Up Alarm

14.2.12 Gasoline

14.2.13 Seat Belts

14.2.14 Automatic Transmission

14.2.15 A/C System

14.2.16 Hydraulic Brakes

14.2.17 Perimeter seating

14.2.18 Odometer: 40k Miles or less

14.3 Vehicle 2 minimum specifications:

14.3.1 American made vehicle

14.3.2 2017 Model year or newer

14.3.3 4-5 passengers (including driver)

14.3.4 1 Tiedown for wheelchair

14.3.5 Entry Foldout Power Step for non- wheel chair or Low floor minivan.

14.3.6 Gasoline

14.3.7 AM/FM/CD radio/player

14.3.8 Remote Key/Keyless-Entry with 2 Key Fobs

14.3.9 Automatic Transmission

14.3.10 Seatbelts

14.3.11 Sliding doors on both sides

14.3.12 Odometer: 40k Miles or less

14.3.13 Rear ramp for Wheelchair Access

14.4 The Autoport NSGB supports repairs and maintenance for the vehicles on the base. As a general rule, they can work on all cars but Mercedes and BMW parts are very expensive to get. A Government vehicle maintenance Contractor on base is willing to work on Contractor vehicles. They charge parts and labor with rates comparable to mainland fees.

14.5 Use of DLA Energy Fuel for Contractor vehicles required for this contract is authorized under NAVSUP Deviation No. 19-CL-907. This deviation is approved for use of Government supply sources in other than cost-reimbursement contracts in support of the procurement of fuel through DLA Energy Fuel Purchase Agreements (FPA) at NSGB. It is effective immediately and will remain in effect until March 31, 2020.

When a contract uses this deviation to authorize use of Government supply sources, the contract authorization is effective for the life of the contract, including options, unless the Contracting Officer rescinds the authorization.

15 Place of Performance:

15.1 Work under this contract and subsequent task orders will only be performed within NSGB, primarily in H4 and housing.

16 Period of Performance:

16.1 See Delivery Information.

17 Federal Holidays:

17.1 The following holidays are observed by NHGB: NHGB does not pay Contractors differentials for Federal

Holidays. If Contractor works on a Federal Holiday, they will be paid the regular contracted rate.

17.1.1 New Year’s Day

17.1.2 Martin Luther King Jr’s Birthday

17.1.3 President’s Day

17.1.4 Memorial Day

17.1.5 Independence Day

17.1.6 Labor Day

17.1.7 Columbus Day

17.1.8 Veterans Day

17.1.9 Thanksgiving

17.1.10 Christmas

17.1.11 Any day specifically declared by the President of the United States to be a national holiday.

17.2 Unless a state of emergency has been declared by NHGB, the Contractor shall be responsible for providing services.

18 Non-Personal Services:

18.1 The parties agree that the Contractor and all Contracted personnel shall not be considered NHGB employees for any purpose.

18.2 The Contractor shall work under the general direction of the Home Health Department Head or designee and shall follow established guidelines, Policies and Procedures.

18.3 Typically, Contractors work independently with assigned duties and report urgent or unusual problems to the nurse and/or physician in charge of the care of the patient.

18.4 Contractor personnel shall identify themselves as “Contractors” when attending meetings, answering Government telephones, or working in situations where their actions could be construed as official government acts. The Contractor shall ensure that their employee(s) display(s) his or her name and the name of the company while in the work area, and include “CTR” as part of their email address.

19 Inherent Government Functions:

19.1 Contractor and Contracted personnel shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

20 Special Conditions for Naval Station Guantanamo Bay (NSGB):

20.1 Entry Approval for employees: No employee or representative of the Contractor will be admitted to the U.S. Naval Base, Guantanamo Bay, Cuba without prior entry approval. There are multiple approval processes that shall be done concurrently. The Contractor shall work with the Contracting Officer to create and complete a Synchronized Predeployment and Operational Tracker – Enterprise Suite (SPOT-ES) registration (See Attachment 2 for information and instructions). The background of Contractor personnel will be screened prior to entry to the U.S. Naval Base, Guantanamo Bay, Cuba. The Contractor shall submit to the Contracting Officer the full name, date and place of birth, Social Security number, and addresses of such persons. This information shall be received by the Contracting Officer 45 calendar days prior to the scheduled or desired arrival at the Naval Base. In addition to the security access requirements, the Contractor shall provide the following for each employee to the COR:

20.1.1 TUBERCULOSIS TESTING: Contractor shall provide proof of a negative reaction to purified protein derivative (PPD) testing for all Contracted personnel. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

20.1.2 RUBELLA TESTING: Contractor shall provide proof of immunization for all Contracted personnel for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

20.1.3 INFLUENZA VACCINE: Contractor shall provide proof of influenza vaccine for current year’s flu season to the COR, per DHA-IPM-17-005 effective August 3, 2017.

20.1.4 PHYSICAL EXAMINATION: Proof of a recent physical with results indicating no medical conditions that would impede the employee’s ability to work with the SCRs or conditions that would negatively impact the health of the SCRs from daily contact with the employee.

20.2 Medical and Dental services: NHGB is a small community hospital that provides high quality health care in a remote setting. Health care is provided on a fee-for-service basis to contract employees, with prices set annually by the Office of Secretary of Defense. The employee shall be aware that most medical and dental specialties that typically are available at a CONUS military treatment facility cannot be provided due to limited resources. In addition, urgent and emergent medical and dental cases that exceed the hospital’s capability will be referred to tertiary care facility at the expense of the employee and/or Contractor. The Contractor is responsible for providing the appropriate level of medical screening for their employees that is in compliance with the Force Health Protection Guidance for Deployment in USSOUTHCOM AOR as of 31 July 2017, and all other applicable instructions. Advise prospective employees of the limited medical and dental services available in Guantanamo Bay; and explain the Contractor's policy concerning the extent of liability and insurance coverage for required treatment. Every reasonable attempt shall be made to prevent personnel with chronic disorders that USNH GB cannot provide medical care from being sent to U.S. Naval Base Guantanamo Bay. For more information on: Medical and Dental services, 757-458-2998, extension 72235.

20.3 Identification of Employees: The Contractor shall be responsible for furnishing to each employee, and for requiring each employee to display, such identification as may be approved and directed by the Contracting Officer. Employees may be fingerprinted prior to employment as a condition of entry onto the Naval Base.

Contractors (U.S. Citizens) shall meet personnel security requirements to obtain a U.S. Government Common Access Card (CAC). Prescribed Government identification cards shall be immediately delivered to the Contracting Officer for cancellation upon release of any employee.

20.4 On-Base Transportation: Bus service is available throughout NSGB however the Contractor may provide company vehicles for use by its employees on a non-reimbursable basis. Vehicles may be purchased at Guantanamo Bay, but the government makes no representation as to suitability, availability, or pricing.

Vehicles may be shipped to Guantanamo Bay. For prices and schedules to ship vehicles, contact the company listed at the end of this paragraph. They are under contract to the Government for shipping to Guantanamo Bay. Vehicle registration is mandatory, and shall be provided by the Government at no cost.

Contractor shall provide motor vehicle liability insurance to cover bodily injury and property damage to protect the Contractor and the Government against third-party claims. Drivers shall possess a valid motor vehicle operator’s identification card and shall comply with traffic safety program set forth in OPNAV Instruction 5100.12. The Contractor shall bear the cost of required fuel, oil, lubricants, insurance, and vehicle maintenance.

Logan Hearn Dome - USA As agents for Schuyler Line (SYLF)

Dome Chartering & Trading Corp 130 Severn Ave, Ste 200 Annapolis, MD 21403 Office Phone: +1(410) 216-6020 Office Direct: +1(443) 321-4546 Cell Phone: +1(443) 254-3671 Email: logan.hearn@domechartering.com www.domechartering.com

20.5 Transportation of Personnel: Air travel to and from the base is limited, with demand often far in excess of supply.

20.5.1 Travel to and from Jacksonville, Florida; Norfolk, Virginia; and Kingston, Jamaica is provided by the

Air Mobility Command (AMC) at the Contractor’s expense. Passage will be in reserved seats.

20.5.2 Plane Fares to Guantanamo Bay, Cuba as of 1 October 2016. Rates are subject to change and are only presented in this document to assist interested Contractors with price quote preparation.

From Norfolk, Virginia $413.00 one-way From Jacksonville, Florida $288.00 one-way From Kingston, Jamaica $ 60.00 one-way

20.5.3 Emergency leave travel for verified personal emergencies such as death or serious illness of a family member will be authorized to any of the above destinations on the next available flight, also chargeable to the Contractor at the international tariff rate.

20.6 Food Facilities: Contractor personnel may eat at the Navy Exchange food outlets, galleys, or at other open food service facilities on a cash basis at current prices.

20.7 Contractor Debts: The Contractor shall be liable for debts to the Government incurred by his employees for personal services at Guantanamo Bay, Cuba, including but not limited to private telephone service, medical and dental services, and W.T. Sampson School expenses. If an employee departs the Guantanamo Bay Naval Base without liquidating his debts, sufficient funds to cover this type of obligation will be withheld from Contractor payments until the debts are paid.

20.8 Drug Abuse by Contract Employees: The Secretary of the Navy has determined that the illegal possession and use of drugs and paraphernalia by civilian and contract employees in the military setting contributes directly to military drug abuse and undermines command efforts to eliminate drug abuse among military personnel. The policy of the Department of the Navy, including the Marine Corps, is to deter and detect drug offenses by civilian and contract employees on military installations. Measures to be taken to identify drug offenses on military installations, and to prevent introduction of illegal drugs and paraphernalia include routine, random inspections of vehicles and personnel possessions on entry or exit, with drug detection dog teams, when available. Where there is probable cause to believe that a civilian or contract employee on board a Naval or Marine Corps Installation has been engaged in use, possession, or trafficking of drugs, that employee may be restricted or detained for the period necessary until that employee can be removed from the installation or can be turned over to local law enforcement authorities having jurisdiction, as appropriate. When illegal drugs are discovered during an inspection or search of a vehicle operated by a civilian or contract employee, the employee and vehicle may be detained for a reasonable period of time necessary to turn the employee and the vehicle over to appropriate civil law enforcement officials; action may be taken to suspend, revoke, or deny installation driving privileges. Implicit with the acceptance of this contract is the Contractor's agreement to comply with Federal statutes, laws, and regulations, including those regulations issued by the commander of the military installation.

20.9 Available Living Quarters:

20.9.1 US Citizens: For this contract, the Government will provide two (2) unaccompanied

(unfurnished) housing units (One unit for 2 US Citizens and one unit for 3 female Foreign Nationals) for the Contractor’s use. These units are reserved for use by unaccompanied personnel and typically each unit houses a single gender. Mixed gender housing is usually not allowed on NSGB for unaccompanied personnel. If mixed gender housing is required, the Contractor shall notify the CO so that locks may be placed on the bedroom doors. The Contractor’s employees shall verify they understand they will be sharing a 2 bedroom house with a person of a different gender. Currently housing is at a premium and there are not enough houses ready for move in. This may change in the future.

20.9.2 If accompanied housing becomes available at a later date, housing will be assigned as follows:

accompanied personnel with maximum family size of three (3) dependents; unaccompanied personnel assignment will be made based on a minimum of one…