OHWS_-_138FW_PWS_3.0.pdf

Oklahoma ANG

138 Fighter Wing

Performance Work Statement (PWS) for

138 Operations Group

Optimizing the Human Weapon System-Local v3.0 (OHWS) Services

Final Date:

1. DESCRIPTION OF SERVICES.

1.1 Introduction/Background. This is a new requirement which supports the 138th Fighter Wing, Tulsa Air National Guard. The Chief of Staff of the Air Force, noting a shortage of fighter aircrew due to suboptimal retention, directed a task force to look into the reasons behind the premature departure of fighter aircrew. One of the retention issues noted by fighter aircrew is pain and disability from neck and back issues resulting from the extremely challenging physical demands of flight in Air Force fighters. Surveys indicate up to 85% of fighter aircrew have some type of spine discomfort during their career. This includes issues in the neck, upper back, and lower back (cervical, thoracic, and lumbar spine). The OHWS program is intended to address this pressing concern and better prepare fighter aircrew to meet the unique physical needs of fighter operations.

Previous efforts in some fighter units have demonstrated success in decreasing pain and disability while improving performance of fighter crew through a comprehensive program to prepare aircrew for the extremely challenging demands of fighter maneuvering. This OHWS program is intended to reproduce this success on a system-wide basis and is described as prehabilitation. Prehabilitation involves prevention of disability and pain experienced as a result of fighter operations through a program specifically designed to train and otherwise prepare aircrew for the rigorous demands of fighters. This program will target specific neck and back strength and conditioning training which will best prepare the aircrew. In addition, overall conditioning and health education, designed to bring aircrew to the peak of fitness, will further decrease the incidence and severity of neck and back problems. Further, through a program of data collection, to include objective and subjective information, the program will evolve as needed to ensure all efforts for improving the quality of life for aircrew are flexible and continue to be optimized.

1.2 Scope. The mission is accomplished by increasing the physical capacity of fighter aircrew, decreasing the rate of injuries, and accelerating return to duty. Contractor personnel will work with 138 FW fighter aircrew to optimize physical performance targeting neck and back pain prevention while monitoring, analyzing, and resolving physical readiness concerns.

1.2.1 Place and Performance of Services. The contractor shall perform scheduled physical therapy services between the hours of 0800 - 1730 on Monday through Thursday, except on recognized US holidays (see Table 5) and scheduled down days.

Performance shall be at Contractor’s facilities, which must be located within 15 miles of the Tulsa Air National Guard Base (9100 E 46th St N, Tulsa OK 74115).

The Contractor’s facility must possess private treatment rooms and a rehabilitation gym appropriate for treating neck and spine injuries.

The Contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. The Contractor shall keep in mind that the stability and continuity of the work force are essential.

This is a non-personal services contract. The Government shall neither supervise Contractor employees nor control the method by which the Contractor performs the required tasks. The Contractor shall manage its employees and guard against any actions that are of the nature of personal services, or give the perception of personal services. The Contractor shall notify the Contracting Officer (CO) immediately if they perceive any actions that constitute personal services. These services shall not be used to perform any Inherently Governmental Functions. State licenses and certification for each Contractor must be from the state in which the services are provided.

1.2.2 Period of Performance. The Period of Performance shall be one Base Period of 12 months and two 12-month Option Periods.

1.2.3 Licensure and Credentialing. For all tasks under this PWS which require licensure and credentials for the position, the Contractor shall provide the COR and 138 Medical Group (MG) an electronic copy of all license and credentialing documents for each employee with all primary sources verification (PSV) having been completed by the Contractor. PSV is the responsibility of the Contractor and must be complete before the Contract employee begins services under the contract.

1.2.4 The Contractor, at no cost to the Government, shall ensure that Contractor personnel complete any mandatory annual training requirements required as part of licensure or credentialing renewal.

2. OBJECTIVE. The purpose of the OHWS program is to reduce the frequency and severity of neck and back pain injuries, reduce duty time lost, improve quality of life, enhance readiness, and support fighter aircrew retention. The contract services must, at a minimum, deliver the services identified in Section

4.0 of this PWS and provide the appropriate facilities so personnel will have convenient access to the Contract specialists. The Contractor goal is to reduce injury rates and to increase the rate of fighter aircrew fully mission capable status.

3. REFERENCE. N/A.

4. TASK REQUIREMENTS. Services provided by the Contractor have the primary purpose of preventing the incidence and severity of neck and back pain. The services begin with an assessment of each aircrew member to determine the current level of conditioning with regards to neck and back strength. The Contractor shall devise a program individualized for the aircrew member to increase conditioning to prevent neck and back pain. This assessment, training, and conditioning to prevent neck and back pain is referred to as pre-habilitation. Also, the Contractor shall educate each aircrew member on injury prevention. Ongoing assessment will be provided with formal assessments quarterly and as needed with remedial training as needed. The Contractor shall provide the functional support required to fulfill this PWS as described in the following tasks. The Period of Performance (PoP) is detailed in Paragraph 1.2.2. The Contractor shall identify a single point of contact (POC) who has full authority to act for the Contractor on all matters relating to daily operations of the contract; ensure all personnel receive and maintain documentation of their duties and responsibilities and orientation in these duties and responsibilities prior to performance start. This Contractor POC will communicate directly with the CO/COR on matters pertaining to the execution of this PWS.

4.1 The Contractor shall develop and provide a strength and conditioning program for neck and back as well as an overall fitness program (NBFP). The NBFP will enhance human performance and resistance to injury through a tailored program of strength and conditioning and overall fitness designed for the members being served with the goal of preventing neck and back pain. The NBFP will specifically target neck and back injury but will also strive to assist the member toward overall health and fitness. The NBFP will include physical training and conditioning utilizing all available assets for fighter aircrew.

4.1.1 The Contractor shall collect, analyze, resolve, disseminate, and archive information resulting from products created under this support and provide to the Government. This support is as follows:

4.1.2 Collect. The Contractor shall execute and collect information through direct observations, interviews, surveys, and strength and conditioning testing for fighter aircrew in the unit. The Contractor shall then perform the initial analysis of the collected data and provide direct feedback to the COR. This requires strength and conditioning testing, evaluating, identifying physical performance trends, and providing feedback for physical performance improvement, injury avoidance, and injury recovery. Other data will be required as the program evolves, such data may include injury rates, duration of recovery period, impact of neck and back pain on flying operations, and other data as needs are realized.

4.1.3 Analyze. Data collection and analyses shall be conducted on an ongoing basis with quarterly reporting to the COR, OHWS PM, and other reporting as requested.

Where applicable, the results of these analyses should identify and prioritize physical training and rehabilitation gaps with recommendations so that the final product will be able to be disseminated to the correct audience for resolution in accordance with the Government’s guidance. This includes providing any recommended performance training guidance necessary to enhance the aircrew member’s capabilities.

4.1.4 Resolve. The Contractor shall recommend corrective actions and report findings characterized as issues or deficiencies that negatively impact the unit’s performance, readiness, training or procedures to the unit commander in monthly status reports. The report will include recommendations on future mitigation techniques and preventative measures for each deficiency.

4.1.5 Disseminate. The Contractor shall prepare a monthly status report to be included in the staff meeting highlighting the status and progress of the unit; the specific content of the report can be tailored at the site COR’s request. Additionally, findings will be packaged to be incorporated into future training.

4.1.6 Archive. All work products, whether electronic, hard copy, or notes, including any information, reports, and products, are the property of the Government. All equipment that is Government furnished will be accounted for using Government procedures.

4.2 Task: Physical Therapist (PT). PTs must possess and maintain an active, current, and unrestricted license from the state of Oklahoma. PTs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide physical therapy to fighter aircrew personnel as part of a pre-habilitation program. Pre-habilitation is intended to strengthen core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Also, healthy lifestyle education is addressed as part of an overall health maintenance program to enhance injury resistance. Such physical therapy as part of an overall program, focusing on neck and back pain, will improve the overall quality of life for fighter aircrew.

4.2.1 Subtasks. The Contractor shall:

4.2.1.1 Provide initial evaluation. Evaluate and provide pre-habilitation for all assigned fighter aircrew. Follow-up appointments will be based on need, pre-habilitative plans, and any potential coordination with members’ military and/or civilian healthcare team.

4.2.1.2 Develop Individualized Program (IP) for each member served. The PT, working with other team members will develop an IP for each assigned aircrew member requesting services of the PT. The goals of this IP are to increase neck and back conditioning and overall health to minimize the risk of neck and back injury and to minimize the severity of any injury experienced by the member by addressing neck and back strain encountered by aircrew members.

4.2.1.3 Provide ongoing physical therapy. Every fighter crewmember will have varying degrees of need with regard to physical therapy. The PT will optimize scheduling to maximize the benefit to the fighter aircrew involved. The PT will determine the optimal time for each therapy visit and ensure as many of the fighter crew as practical receive therapy. This will involve assessing the greatest needs and implementing a schedule strategy to best meet the needs for physical therapy focusing on neck and back pain.

4.2.1.4 Advise unit commanders on matters related to injury prevention. Identify opportunities for improvement.

4.2.1.5 Advise unit commanders of administrative matters, purchasing of supplies and equipment, and supplemental fiscal requests related to interventions and professional services provided.

4.2.1.6 Conduct equipment, product, and literature reviews to ensure that the

OHWS program continues to improve as our understanding of injury prevention evolves.

4.2.1.7 Advise the aircrew member to seek medical care if they have an injury or medical condition.

4.2.1.8 Ensure safe and effective operation of equipment and contribute to a safe working environment.

4.2.1.9 Assist in providing Human Performance and pre-habilitative trending metrics report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, and trends of musculoskeletal pain over periods of time. Human Performance metrics shall also be gathered to assess the OHWS program. Other metrics may be requested as the program matures and new information is available to guide new measures to improve aircrew performance and to improve the OHWS program.

4.2.2 Knowledge, Skills, and Abilities (KSAs).

4.2.2.1 PT must be a current Licensed Physical Therapist and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy.” No other degree will be accepted for this position. The Physical Therapist must have experience working with professional and/or collegiate athletes, or equivalent. A minimum of four

(4) years’ experience is desired. The Physical Therapist must have experience working in an orthopedic out-patient physical therapy clinic or sports medicine clinic. A minimum of five (5) years’ experience is desired.

4.2.2.2 Possess oral and written communication skills in order to meaningfully interact with peers, outside agencies, vendors, providers, and Military Health System (MHS) stakeholders to exchange information, provide briefings and presentations, participate in research, and develop metrics to demonstrate or advance effective and efficient aircrew neck and back pain prevention.

4.2.2.3 Knowledge of local, state, and federal laws and regulations, professional code of ethics, and practice standards in order to ensure adherence within legal and professional parameters.

4.2.2.4 Skill in use of research tools in order to critically evaluate existing practices, opportunities, and outcomes.

4.2.2.5 Knowledge of computers and software applications in order to conduct data collection, tracking, trending, and analysis.

4.2.2.6 Ability to design and present computer-generated outcome analysis information in order to provide timely and effective peer and higher level educational programs or project briefings.

4.2.2.7 Possess current certification in basic Cardiopulmonary Resuscitation

(CPR) to include Automated External Defibrillator (AED) training.

5. CONTRACT DATA REQUIREMENTS LISTS (CDRL) AND OTHER DELIVERABLES.

General Deliverables. The Contractor shall provide PWS deliverable(s) in a format mutually agreed upon by the Government and the Contractor. All deliverables will be reviewed for timeliness, accuracy, and format. If a deliverable due date falls on a weekend or holiday, the Contractor shall submit the deliverable on the last work day prior to the due date.

Table 1 – General Deliverables Deliverables PWS

Reference Deliver To Due Date

Organizational Conflict of Interest Mitigation Plan

5.1.1 COR Within 30 calendar days of

award

Personnel Roster 5.1.2 COR Within 30 calendar days of award

Monthly Status Reports 5.1.3 COR First work day after the 10th day of each month

Quality Control Plan 5.1.4 COR Within 30 days of contract award

Continuity Folders 5.1.5 COR Within 60 calendar days after contract start; Final version 10 calendar days prior to contract end date

Meeting Reports 5.1.6 COR or designated representative

Within 5 days of meeting conclusion when tasked

Licenses/Credentials 5.1.7 COR and MG Prior to contract start OHWS Program Report 5.1.8 COR Quarterly

5.1.1 Organizational Conflict of Interest (OCI) Mitigation Plan. The Contractor shall provide a plan that describes the processes and procedures they will implement to avoid or mitigate any actual or perceived OCI. The plan shall outline how the Contractor evaluates, mitigates (where necessary), and reevaluates any potential or perceived conflicts between this PWS and other work performed by the Contractor or team members.

5.1.2 Personnel Roster. The Contractor shall provide a personnel roster within 30 days of award. The roster shall contain, as a minimum, the name and licenses/credentials for each personnel assigned to the contract.

5.1.2.1 The Contractor shall utilize encrypted email or password protected files to protect Personally Identifiable Information (PII) in accordance with the Privacy Act.

5.1.3 Monthly Status Report (MSR). The Contractor shall provide status reports for the duration of the effort. The report shall summarize accomplishments during the reporting period. The report shall also include planned versus actual task completion, anticipated activity (including anticipated Contract Data Requirements List (CDRL) deliveries) for the next reporting period, lessons learned, risks, significant accomplishments, training completed, licenses/certifications expiring, pending, or lapsed (including a mitigation plan), and outstanding issues and recommendations.

5.1.4 Quality Control Plan (QCP). The Contractor shall develop and maintain an effective quality control program to ensure the services of this PWS are being met.

The Contractor shall develop a QCP that includes quality control processes and procedures and apply them to meet this requirement. The QCP shall be submitted to the CO for acceptance no later than 30 calendar days after award. Updated versions of QCP shall be submitted to the CO for acceptance no later than 10 calendar days of implementation by the Contractor.

5.1.5 Continuity Folders. The Contractor shall develop and maintain continuity folders

IAW task requirements defined in this PWS (Section 4.0). Continuity folders will be made available to CORs upon request. Final versions of continuity folders shall be submitted to the COR for acceptance no later than 10 calendar days before the contract end date.

5.1.6 Meeting Reports. Meeting Reports (Contractor format) shall be submitted within five (5) working days of the meeting when tasked by the COR (or designated representative) in support of this PWS. These reports must include, at a minimum, the purpose of the meeting, attendees, date, issues discussed, decisions/recommendations made, and a list of action items with associated assignments.

5.1.7 Licenses/Credentials. The Contractor shall provide the COR an electronic copy of all license and credentialing documents, to include documentation of the Contractor accomplished primary source verification of all licenses and credentials, for each employee prior to the employee starting performance. The Contractor shall notify the COR and CO immediately for any issues related to the licenses. State licenses and certification for each Contractor must be from the state in which the services are provided.

5.1.8 OHWS Program Report. The Contractor shall provide the Government with quarterly reports identifying progress.

5.2 Physical Therapist Deliverables.

Table 3 – PT Deliverables

Deliverables PWS Reference

Deliver To Due Date

Data Collection and Analyses Report

5.3.1 COR Quarterly

Human Performance and Pre-habilitative Trending metrics

5.3.2 COR NLT the last business

day of each month

Individualized Physical Training Program

5.3.3 Fighter

Aircrew

As needed

5.3 Task Deliverable Descriptions.

5.3.1 Data Collection and Analyses Report. The Contractor will evaluate, test, identify physical performance and provide feedback for physical performance improvement, injury avoidance, and injury recovery. Data collection and analyses will be conducted on an ongoing basis with quarterly reporting as requested. Data collection will include aircrew satisfaction survey information, information obtained from medical personnel, and other information as directed by the OHWS

PM.

5.3.2 Human Performance and Pre-habilitative Trending Metrics. The Contractor shall produce a written report to include: musculoskeletal pain, duration of pain, origin of pain, types of pain, pain that may require surgery, and trends of musculoskeletal pain over periods of time. Human Performance metrics shall also be gathered to assess the preventative maintenance program. The factors for the Human Performance metrics will be low back strength, neck strength, and spine strength. These metrics will evolve as the program is implemented and different measures of success are found to be beneficial. As long as the level of effort required, for any specific request for data, is consistent with the level of effort for other measures the Contractor will provide the requested information.

5.3.3 Physical Training Program. The Contractor will develop an individual physical training plan that will specifically address the neck and back pain associated with the stresses of flying in high-performance aircraft. The plan will also incorporate training preparation, strength development, and cardiovascular health.

6. GOVERNMENT FURNISHED PROPERTY.

6.1 Government Provided Documentation. The Government will provide access to relevant

Government organizations’ information, documentation, manuals, texts, briefs and other materials as required and available.

6.2 Government Provided Equipment / Office. There is no designated Government Provided Equipment.

7. DATA. The Government has unlimited rights to all deliverables of this PWS to include intellectual property rights.

8. OTHER DIRECT COSTS (ODC).

8.1 Travel. This contract does not require travel.

8.2 Materials. N/A.

9. SECURITY. The Contractor and all Contractor personnel shall abide by all AF and local rules, procedures, and standards of conduct. The Contractor shall also perform in compliance with National Industrial Security Program Operating Manual (NISPOM--DoD 5220.22M).

9.1 Security Clearances. All tasks in this PWS will be conducted at the UNCLASSIFIED level.

9.2 Clearance Documentation. Prior to contract start, and as changes occur, the Contractor shall provide the Primary COR a list of all company employees assigned to this PWS.

9.3 For Official Use Only (FOUO). The Contractor shall comply with DoD 5400.7-R, Chapter 4, DoD Freedom of Information Act (FOIA) Program, requirements. This regulation sets policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding FOUO material.

9.4 Reporting Requirements. Contractor personnel shall report to an appropriate authority any information or circumstances of which they are aware may pose a threat to the security of DoD personnel, Contractor personnel, resources, and classified or unclassified defense information.

Contractor employees shall be briefed by their immediate supervisor upon initial on-base assignment.

9.5 Physical Security. The Contractor shall be responsible for safeguarding all government property and controlled forms provided for Contractor use.

9.6 Communications Security (COMSEC). All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the Contractor is advised that any time Contractor place or receive a call they are subject to COMSEC procedures. The Contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The Contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

9.7 Protection of Personally Identifiable Information (PII). The Contractor shall protect all PII encountered in the performance of services IAW DFARS 224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the Contractor’s violation of the aforementioned policies, the Contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

10. TRANSITION PLAN.

10.1 Transition In. The transition period will be 30 calendar days for Project Lead (reference

4.0 of this PWS).

10.1.1 Contractor personnel must be in place NLT 30 calendar days after the Project Lead begins transition services. The Quality Assurance Surveillance Plan as stated in the Services Summary (Reference Attachment A) will begin 30 calendar days after the Project Lead transition begins.

10.2 Transition Out. Prior to the end of the PoP, the incumbent Contractor shall support a 30 business day transition period with the incoming Contractor. During this period, all programs, information, data, etc., will be passed from the incumbent Contractor to the incoming Contractor so that there is no break in Customer or mission support. The Contractor shall maintain continuity folders for each contract position. Folders shall detail the routine duties performed, status of current projects, and a point of contact list for both routine duties and project coordination. Folders shall be maintained, and be available, for Government review throughout the performance of the contract and be provided to the incoming Contractor during the transition period. Reference deliverable 5.1.6.

11. ADMINISTRATION CONSIDERATIONS.

11.1 Performance Schedule. The Contractor shall perform tasks in support of this PWS as detailed below. Transition is described in Section 10.1. Base Performance is the period when all Contractor personnel are at their respective locations performing tasks during the Base Period.

Table 4 – Period of Performance

Base Period 15 Sep 19 14 Sep 20 Transition 15 Sep 19 14 Oct 19 Base Performance 15 Oct 19 14 Sep 20 Option Period 1 15 Sep 20 14 Sep 21 Option Period 2 15 Sep 21 14 Sep 22

11.2 Contract Assumptions. Contractor shall assume the following when bidding:

11.2.1 Number of aircrew: Baseline of 35 pilots.

11.2.2 Average of 1.5 Physical Therapy sessions per month per pilot

11.2.3 Contractor shall provide cost for 630 annual hours of Physical Therapy services provided for each Period of Performance.

11.2.4 Contractor shall schedule initial evaluation within 1 week of request from aircrew new to the program. Contractor shall schedule physical therapy sessions within 2 weeks of scheduling request.

11.3 Contractor / Facility Availability. Contractor’s personnel and facilities shall be available

0800-1730, Monday through Thursday, hours may be flexible to meet mission requirements as pre-approved by COR. Personnel and facilities are not required to be available during Federal Holidays as listed below.

Table 5 – Federal Holidays

Holiday Date New Year's Day 1 January Martin Luther King's Birthday Third Monday in January President's Day Third Monday in February Memorial Day Last Monday in May Independence Day 4 July Labor Day First Monday in September Columbus Day Second Monday in October Veteran's Day 11 November Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

11.4 Kickoff Meeting. Contractor shall attend a kickoff meeting specific to this requirement with the COR and the CO within thirty (30) days of contract award.

11.5 Contractor Inventory. In accordance with Section 8108 of Public Law 112-10 of the Department of Defense and Full-Year Continuing Appropriations Action, 2011.

11.6 Reporting. The Contractor shall report ALL labor hours required for performance of services provided under this PWS via the secure Contractor Manpower Reporting Application (CMRA) data collection site. The Contractor is required to completely fill in all required data fields at: http://www.ecmra.mil. Reporting inputs shall be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported anytime during the FY, all data shall be reported not later than 31 October of each calendar year. The Contractor may direct questions to the CMRA help desk. The prime Contractor is responsible to ensure all sub-Contractor data is reported.

11.7 Uses and Safeguarding of Information. Information from the secure web site is considered to be proprietary in nature when the Contractor number and the Contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the Contractor name and contract number associated with the data.

11.8 User Manual. Data for the AF services requirements must be input at the AF CMRA link.

However, user manuals for Government personnel and Contractors are available at the U.S.

Army CMRA link at http://www.ecmra.mil.

11.9 Sub-Contractor Input in CMRA. Prime Contractors are responsible to ensure all sub-http://www.ecmra.mil/

Contractor data is reported. Contact the AF CMRA helpdesk for further guidance and assistance.

12. COR DESIGNATION. The CO will provide the Contractor with a COR Designation Memorandum to inform the Contractor of the designated COR on the contract.

12.1 Performance Evaluation. Contractor performance is subject to Government COR surveillance to ensure PWS compliance. The Contractor shall comply with the following:

12.1.1 Access. The Contractor shall permit the CO or COR access to all work areas, records, and data used in the performance of the contracted services. The Contractor shall provide support, and not interfere with the CO, CORs, state, federal, and other designated personnel in the performance of their official duties.

Access shall be provided as soon as possible, but not to exceed one (1) workday after the request.

12.1.2 Non-conformances. Identify and control non-conformances through root cause analysis, corrective actions, and preventive actions. Focus on eliminating the cause to prevent reoccurrence. Maintain records of non-conformities and actions taken.

Correct and provide response to all Government-identified non-conformances IAW time frames specified by the CO. This contract identifies two types of non-conformances: Minor and Major.

12.1.3 Minor Non-conformance. A minor non-conformance is a non-conformance, which by itself does not adversely impact mission, safety of personnel and/or equipment, performance (quality), schedule (delivery), or cost. It normally does not increase risk to the Government. Minor non-conformances are typically low risk and are communicated through notices; first notices are issued for any identified non-conformance, second notices are issued for repeat non-conformances or failing to correct issues within a reasonable amount of time. Upon receipt of a non-conformance notification (first or second notice), the Contractor shall complete applicable sections and return it to the CO within time constraints directed by the CO in the notice. A formal corrective action plan is not required for notices.

12.1.4 Major Non-conformance. A major non-conformance is a non-conformance that adversely impacts (or has the potential to impact) mission, safety of personnel and/or equipment, performance (quality), schedule (delivery), or cost. This type of nonconformance increases risk to the Government and therefore has a risk assessment rating of moderate or high. An example of increasing risk would be a significant number of recurring non-conformances, which is an indication of inadequate preventive measures/actions and lowers the Government’s confidence that the Contractor can provide quality services on time and within costs. The CO will communicate major non-conformances on a Corrective Action Request (CAR) form with a suspense date for the Contractor’s corrective action plan. As a minimum, the Contractor’s corrective action plan will address:

• Action taken to fix the immediate problem

• Root cause analysis of the problem to determine cause

• Corrective action on the cause of the problem

• Actions taken to prevent recurrence

13. ENVIRONMENTAL SAFETY AND HEALTH.

13.1 Environmental Requirements. The Contractor shall comply with all applicable federal, state and local environmental statutes, instructions, manuals, handbooks, regulations, guidance, policy letters and rules (including all changes and amendments), and all Presidential Executive Orders in effect on the date of issuance of this contract. The Contractor shall comply with the highest degree of environmental protection where any disagreements exist. For OCONUS work, the Contractor shall also comply with all applicable host nation statutes and agreements.

In addition, the Contractor shall comply with the following publications: the DoD Overseas Environmental Baseline Guidance Document (OEBGD) or the Final Governing Standards (FGS), if adopted for a particular location.

13.2 Safety and Health Requirements. The Contractor shall comply with all applicable Occupational Safety and Health Administration (OSHA) and Air Force Occupational Safety and Health (AFOSH) standards, technical orders, regulations and referenced publications both within and outside of the United States. The Contractor shall comply with the highest degree of safety protection where any disagreements exist.

14. HUMAN RESOURCE MANAGEMENT.

14.1 Personnel Qualifications. Provide qualified personnel at contract start that meet or exceed the stated Knowledge, Skills, and Abilities (KSA) qualification requirements in the contract, or as stated in the proposal when considered as an evaluation factor relevant to an award decision and incorporated into the resulting contract award. The Government reserves the right to provide waivers for proposed Contractor personnel who do not meet the tasks identified in Section 4.0. Waivers are only granted at the written acceptance of the CO.

14.2 Removal of Personnel at Government Request. The Government may request removal (permanent or temporary) of personnel on this contract for security, safety, performance, or health reasons, upon discovery of fraudulent resume documentation, or when Contractor personnel behave in an unprofessional manner that would be considered unacceptable by a reasonable person. The Contractor shall provide a sufficiently detailed qualification summary/resume of proposed personnel for Government coordination prior to replacing/substituting personnel under these circumstances.

14.3 Patient Lists. Patient lists, no matter how developed, shall be treated as confidential information IAW the Privacy Act and the Health Insurance Portability and Accountability Act (HIPAA). Lists and/or names of patients shall not be disclosed to or revealed in any way, except under the direction of the 138 Medical Group.

Attachment A: Services Summary The following Services Summary establishes threshold performance requirements in the execution of this contract at the contract level. The Government will utilize a Quality Assurance Surveillance Plan (QASP) in managing, providing oversight, and assessing performance for this PWS. All reported non-conformances will be validated by the COR. Meeting or not meeting the below thresholds will be the basis of that performance evaluation. The government reserves the right to inspect or test services that have been tendered for acceptance. The government may require performance of any nonconforming services at no increase in contract price. If performance will not correct the nonconforming performance issue or is not possible, the government may seek an equitable price reduction or contractual processes will begin to terminate the contract. Past performance history will be reported in Contractor Performance Assessment Reporting System (CPARS) to reflect satisfactory or unsatisfactory performance.

Table 7 – Services Summary

Performance Objective PWS Paragraph Performance Threshold Develop and submit all required deliverables

5.0 Performance is acceptable

when

a) Deliverable requirements are met and received on time

AND

b) Critical information is accurate

Provide qualified people at performance start

14.0 Performance is acceptable

when:

a) qualified personnel are available at contract start

AND

b) the mission is not impacted due to position vacancies or personnel qualifications

Provide initial aircrew evaluation

11.2 Performance is acceptable

when initial aircrew evaluation appointment is within 1 week of request

Provide ongoing physical therapy services

11.2 Performance is acceptable

when ongoing appointments are made within 2 weeks of request