P01 Critical Care Nurses PWS LR.doc

PERFORMANCE WORK STATEMENT

Agency Nurse Locum Tenens

1. SERVICES: This is a NON_PERSONAL services agreement to for 20 Registered Nurses (RNs) supplement staffing for the Intensive Care Unit (ICU) and other critical areas at the John L. McClellan Veterans Affairs Medical Center (VAMC),4300 West 7th street , Little Rock, Arkansas. Contractor’s personnel shall perform on-site nursing services for varying periods of time and in addition to the ICU in other various areas of the Medical Center and, based on their qualifications, may be required to work in areas of the highest need on the date of their scheduled shifts. Contractor’s personnel shall be subject to the quality assurance standards established by the Joint Commission and shall perform in accordance with ethical, professional and technical standards of the healthcare industry consistent with VA policy, regulations, procedures and protocol.

The parties agree that contract personnel shall not be considered VA employees for any purpose and Contractor’s personnel will not perform any supervisory duties during the term of the contract. Only those services specified herein are authorized. Changes to the contract are not authorized unless in writing by the Contracting Officer.

The contractor shall provide a point of contact to which the Contracting Officer’s Representative (COR), Associate Director, Patient Care Services (ADPCS) or designee Clinical Administrative Supervisor (House Supervisor) can coordinate and report problems 7 days a week, 24 hours a day. During normal administrative hours, 8:00 AM to 4:30 PM Monday through Friday excluding holidays, the contractor shall coordinate and report any problems with the COR. The contractor shall report any problems that occur outside normal administrative hours to the House Supervisor.

2.

POSITION DUTIES AND RESPONSIBILITIES:

a. Registered Nurse: The RN will utilize their broad based clinical knowledge to effectively assess, implement health promotion and prevention interventions, manage acute and chronic illness states, assist patient/residents in the attainment of optimal levels of functioning rehabilitation, evaluate patient/resident response to actual or potential health problems, and provide supportive measures for the dying patient/resident and their significant others. Nursing care is performed in accordance with the Mississippi Registered Nurses Practice Act and within the individual nurse’s scope of license. The VA Nurse Manager(s), or appropriate nursing leadership delegate (i.e. Assistant Nurse Manager), will provide the RN with clinical oversight during their tour of duty. More specific duties and responsibilities of the Registered Nurse are described below and shall be assessed by the VAMC ICU prior to provider acceptance.

(1) Maintain patient/resident confidentiality and a safe patient/resident care environment, including familiarity with requirements such as medication administration, patient/resident/family education, discharge process, restraint usage, hazardous waste disposal, etc., as defined by The Joint Commission and all other VA regulatory bodies (i.e. Long Term Care Institute and Office of Inspector General).

(2) Provide patient/resident-centered care by performing the following tasks:

· assess the health care needs of the patient/resident and maintain or develop a plan of care to meet interdisciplinary goals

· assess and act on significant changes in the patient’s/resident’s health condition

· carry out the plan of care by performing/assigning delegated tasks

· collect and document pertinent data into the electronic patient/resident medical record

· complete nursing assessments within required time frames, and in accordance with policy and procedure.

· identify and act on predictable needs of the patient/resident

· meet the health care needs of patient/resident by assessing and assisting the patient/resident to meet expressed needs

· meet the emotional and spiritual needs of patients/residents and/or families

· prioritize and complete tasks within the RN’s assigned shift

· update patient/resident care plans

· notify assigned physician of any changes in condition

· report incidents of verbal or physical abuse immediately to the Nurse Manager of the unit they are assigned; or designated off-shift nursing leadership

(3) Perform the following tasks:

· perform head-to-toe assessment

· insert IV lines

· care and management of peripheral and central lines, including PICC lines

· administer medication including IVs

· coordinate and participate in admission and discharge of patient

· measure vital signs/hemodynamic monitoring including Pain (the 5th Vital Sign), pulse oximetry, etc.

· perform wound care including dressing changes (sterile and non-sterile), and obtaining wound cultures as necessary

· obtain and deliver specimens to lab

· perform tracheostomy care

· perform non-acute and/or acute ventilator care, if needed

· perform suctioning including oral, nasogastric, and tracheostomy

· perform deep suctioning, which may include obtaining specimens

· assess for and administer tube feedings

· assist with routine urinary and bowel elimination including catheters, colostomies, and digital stimulation

· educate patients/residents and/or families regarding health and diagnoses and medication administration including indications for the medication.

· respond and assist in an emergency situation

· provide clinical oversight to Licensed Practical Nurses, Nursing Assistants and Health Technicians

e. For All Positions:

(1) The contract nursing staff shall complete and document all assessments accurately and within assigned timeframes.

(2) The contract staff assigned shall be physically able to carry out measures under the “Prevention and Management of Disruptive Behavior (PMDB),” which includes prevention techniques, basic self-defense, and the ability to perform a therapeutic containment to provide care in the Acute Medical/Mental Health units.

(3) The contract nursing staff shall, at all times, conduct themselves in a professional manner treating patient/residents, visitors, and staff in a courteous manner. Sustained allegations of patient/resident or coworker abuse, both verbally or physically, will result in immediate removal from the VAMC, and will also be reported to the Contracting Officer. These incidents may result in that contractor employee not being eligible for continued contract performance with the VAMC.

(4) Dress apparel: Contractor personnel shall be required to dress in a professional manner and in accordance with VA Handbook 1850.4 Employee Uniforms. VHA Handbook 1850.04

d. Contract RNs: Bar Code Medication Administration (BCMA) with a 100% accuracy rate shall be used in the applicable areas for medication administration. BCMA is designed to provide electronic validation and documentation of medication administration, reduce medication misadventures, provide an online patient/resident medication record, and promote a safer inpatient/resident care environment. Spot check (use random review) of patient/resident charts or review of incident reports will be conducted. If issues are found, remedial training of contractor employee will be given. If remedial training is unsuccessful, the contractor employee may be removed from providing services under the Contract.

3.

SCHEDULING: The following entities/positions are authorized by the Contracting Officer to place requests with the contractor for services required under this contract: ADPCS or designee, Clinical Administrative Nurse (House Supervisor) or COR. The VA shall provide Contractor with the names, titles and telephone numbers of individuals authorized to request staffing. Contractor’s personnel will be scheduled for shifts (Day, Evening, Night, Weekend, etc.) based on the needs of VAMC providing maximum flexibility to the appropriate VA authority in scheduling.

VAMC does not guarantee a set contract or number of hours for any agency personnel. Contractor shall maintain sufficient VA credentialed staff to meet service requests for uncovered shifts. Contractor shall confirm with VA the ability to meet all scheduled coverage requirements upon award of the contract.

The VA reserves the right to cancel or change any scheduled shift of any contract personnel with at least a two-hour notice to the contractor prior to cancellation of a shift, at no cost to the VA. If the VA fails to provide two-hour advance notice, the contractor may charge the VA for two (2) hours from the beginning of the cancelled shift. The VA retains the right to change the scheduled shift and/or work location within VAMC, provided the nurse is clinically qualified to work in the area.

Contract nursing staff must contact their agency regarding cancellations, changes in scheduling, etc. The contractor will, in turn, contact the VAMC of employee cancellation and advise the name of the replacement provider. The Contractor will provide notification of cancellations at least two (2) hours prior to the beginning of a scheduled shift. If the Contractor fails to provide required notification and/or provide replacement personnel to perform the services within the time specified in this contract, the Contractor shall, in place of actual damages, pay to the Government liquidated damages in the amount of two (2) hours salary for the particular position. Contractor shall be responsible for any overtime costs to the government to provide coverage for any “no call/no show” shift. A short notice cancellation of less than four hours shall become the vendor’s responsibility to provide a replacement provider. Notification of, or the inability to provide, a replacement provider must be made to the HCS VAMC at least two hours prior to the start of the scheduled shift. Contractor shall be responsible for any overtime costs incurred by the VAMC in providing internal coverage for any short notice cancellation of scheduled vendor shifts.

4.

TOUR OF DUTY: The contract resulting from this requirement shall provide maximum flexibility to the VA scheduling authority. The VA Medical Center provides nursing services 24 hours a day, 7 days a week. Temporary contract nursing services shall supplement full time VAMC VA staff on an as needed basis as staffing needs arise depending on vacancies, vacations, resignations, and illnesses to ensure required staffing levels are maintained. Notification of required needs may be between 24-48 hours. Coverage may include weekends, federal holidays, days, evenings, or overnights, and are variable within a 24 hour period. Contractor’s personnel shall be required to work any regular or irregular tour, with 8 hour and 12 hour tours typically being:

8 Hour Tour:

Day 0730-1600;

Evening 1530-2400;

Night 2330-0800; and 12 Hour Tour:

Day 0700-1930;

Night 1900-0730 (12 hour short shift – 8 hours – 0700-1530; 1500-2330; and 2300-0730).

Select units/areas may have tour starts that vary from these standard times.

Contractor’s personnel must be present at the VA Medical Center during scheduled work hours and actually be performing required services identified herein or the Contractor’s payment will decrease accordingly. Contractor will be notified and required to have back-up plan to provide needed staff in the event of a no-show. A no-show is defined as the contract employee not being in place at the scheduled start time. Contractor will be notified within two (2) hours of the contract employee reporting for duty if their services are not needed due to a decrease in workload.

The scheduling, tracking and compensation of personnel in accordance with State or Federal Law is the sole responsibility of the Contractor. Overtime may be necessary and is applicable for anything over 40 hours per week worked at the VAMC. Overtime must be pre-approved by the Staffing Office for the Contract and will not be allowed for contractor staff to complete charting in the medical record. All patient/resident documentation must be completed prior to leaving for the day. Day and evening eight hour (8) tours include a ½ hour non-paid lunch break as well as all twelve (12) hour shifts. If patient/resident care needs prevent the ability to take a 30 minute lunch, the Nurse Manager or Staffing Office must be notified during the said shift to provide coverage or authorize no lunch. Contractor will notify COR or House Supervisor if staffing needs can only be met through overtime. Hours worked by contractor’s employees at a facility other than those covered by this contract, shall not be included in the calculation for overtime compensation under this contract.

Contractor’s personnel must present a legible “service ticket” to the appropriate VA authority (Nurse Manager, Assistant Nurse Manager, Associate Nurse Executive or House Supervisor) for each shift worked, showing the individual’s name, date, work unit and hours worked to include meal breaks. The appropriate authority will initial and retain a copy for verification and payment purposes. Timecards signed by other than those listed above will not be accepted with invoices for payment.

5.

BASIC QUALIFICATION/KNOWLEDGE SKILLS: Contractor shall ensure that all contract personnel have met the qualifying criteria outlined in this section. Personnel assigned by the contractor to perform the services covered by this contract shall have a current unrestricted license from a State, Territory or Commonwealth of the United States or the District of Columbia. The qualifications of such personnel shall also be subject to review/approval by the VA Nurse Executive or designee. Personnel shall be proficient in spoken and written English. Personnel shall be graduates of a professional, accredited nursing school approved by the appropriate State at the time the program was completed, or in the case of graduates from foreign schools of professional nursing, possession of current, unrestricted license as described herein will also meet the basic education requirement.

Individuals will be required to provide and maintain current license, applicable certifications, proof of a negative TB test within the past 12 months, proof of flu vaccine within the past 12 months, pre-employment drug screening, and BLS certification and ACLS Certification. Contractor will provide proof of updated licenses and certifications to the COR or designated individual prior to being scheduled for required training. Contractor will also provide proof of updated licenses and certifications to the COR or designated individual as they expire. Contractor will be responsible for completing initial competency evaluations based on VA-provided competency list and will provide completed assessment to COR. Individuals must meet physical requirements to perform a full range of duties without physical restrictions. Personnel must also have a working knowledge and basic skills in the use of personal computers (PC). Contract personnel are required to be credentialed through VetPro.

Evidence of completion of required licensure, credentials, required training, current competencies and initiation of background investigations must be validated for all contractor personnel referred to perform services under this contract prior to providing direct patient care.

Ultimately, the decision to accept or reject contract staff rests with the VA. Contractor shall not have any personnel report to duty until written notification is received from the Contracting Officer advising that the candidate(s) presented has met all requirements for contract performance.

6.

SPECIFIC QUALIFICATIONS/KNOWLEDGE/SKILLS: This contract requires the services of Registered Nurses in various areas of the Medical Center. In addition to the basic qualifications mentioned above, each area requires specific knowledge/qualifications, which are identified below. The experience required should be within the past 5 years:

RN (Specialty Care – ICU/PACU/Cath Lab/Bronch, Emergency Department)

· Current ACLS Certification

· Current BLS Certification

· One (1) year experience in Critical Care Nursing

NA

· Current BLS Certification

· Three (3) years experience

Three (3) years experience

· Three (3) years experience

7.

VAMC CONDUCTED TRAINING REQUIREMENTS: The Government requires that personnel attend the following training classes provided by VAMC prior to reporting for duty.

- Nursing Service Basic Orientation (est. 4 hrs.)*

- In-service/validation of competency for specific work area (est. 4 hrs.)

- CPRS (Computerized Patient Record System) (est. 4 hrs.)

BCMA (Bar Code Medication Administration) (est. 4 hrs.)

- All mandatory VA Training Topics

VAMC CONDUCTED TRAINING REQUIREMENTS WILL BE AT THE CONTRACTOR’S EXPENSE, WITH THE EXCEPTION OF NURSING SERVICE BASIC ORIENTATION.

*VAMC WILL REIMBURSE THE CONTRACTOR FOR THE NURSING SERVICE BASIC ORIENTATION CLASSES ONLY AT THE RATES SPECIFIED IN THE PURSUANT CONTRACT PAYMENT WILL BE MADE ONLY AFTER PERSONNEL HAVE COMPLETED A MINIMUM OF TWO (2) SHIFTS OF SERVICE AT THE MEDICAL CENTER. Failure to attend a class due to Illness will be excused only if Contractor provides telephonic notice to COR or House Supervisor 2 hours prior to class scheduled start time. This contract shall provide maximum flexibility to the VA authority in scheduling.

a. All personnel performing services must complete orientation prior to beginning work on contract shifts:

(1) 8 hours of computer based pre-orientation work (off-site by contract nursing staff)

(2) 3 day new employee orientation (on-site at VAMC)

(3) 1 day competency Assessment (on-site at VAMC) **Competency Assessment will be pass/fail. Contract Staff must pass the assessment in order to begin working on the units.

b. In addition, licensed nursing staff (RNs/LPNs) will undergo orientation consisting of one, eight hour shift in each unit area the professional intends to work; up to 32 hours (Acute Medicine, Acute Psychiatry, CLC, Ambulatory Care).

c. Former VAMC employees who have separated from the facility within the previous 6 months will not be required to complete the orientation process prior to being eligible for scheduled shifts.

8.

CONTRACTOR’S RESPONSIBILITY: The contractor shall designate a Point of Contact (POC) who shall be responsible for overall performance of the work under this contract and shall have full authority to act for the Contractor on all matters relating to daily operation. The POC’s name and contact information shall be provided to both the Contracting Officer and the COR. The POC or designated alternate shall respond to calls from the COR or House Supervisor within thirty (30) minutes on a twenty-four (24) hour a day, seven (7) days a week basis for calls concerning personnel staffing problems or other issues requiring immediate attention.

Contractor shall provide scheduled services throughout the agreement period. In the event of the absence of Contractor’s personnel for any reason, the Contractor shall bear the responsibility of providing replacement personnel to fulfill the requirement. During normal administrative hours, 8:00 AM to 4:30 PM Monday through Friday excluding holidays, the contractor shall coordinate and report any problems with the COR. The Contractor shall report any problems that occur outside normal administrative hours to the House Supervisor. The Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

The Contractor shall assume full responsibility for the protection of its personnel furnishing services under this contract. To carry out this responsibility, the Contractor shall provide the following to their employees: Worker’s Compensation, Professional Liability Insurance, Health Examinations, Income Tax Withholdings, Social Security Payments and Pre-employment Drug Testing. Payments for any leave (sick, holiday, vacation, etc.) are considered the sole responsibility of the Contractor. The Contractor shall comply with all existing local, state and federal laws and regulations relevant to fringe benefits and premium pay for their employees. Contractor’s personnel shall not be considered VA employees for any purpose.

The Contractor shall be responsible for providing the following to the VAMC: immediate notification of any pending or previous actions filed against an individual with the State Board, inquiry to the National Practitioner Data Bank, and the VA required Background Investigations (See #17). The contractor is responsible for providing to VAMC the information for agency nurse 6-part folders that will include an Annual Appraisal form from the Contractor, licensure verification, proof of negative Tuberculosis (TB) and pre-employment drug screen within the past 12 months, current Basic Life Support (BLS), current Advanced Cardiovascular Life Support (ACLS) if appropriate, initial competency/skills checklist assessment, and training/education information.

The Contractor shall ensure the agency nurse completes the following online education courses, “TMS Privacy and HIPPA Focused Training” and “VA Privacy and Information Security Awareness and Rules of Behavior”.

The Contractor shall ensure the agency nurse completes the following online documents, eQUIP, Credentialing & Privileging worksheet, and VETPro.

All contractor employees shall be held to the same performance and conduct standards as employees. Agency nurses shall demonstrate proficiency in all elements of nursing process, assessment, planning, implementation and evaluation for the appropriate Criteria Based Functional Statement.

9. TERM OF THE CONTRACT: The performance period will be for 6 months from the award of the contract. And an optional performance period of 6 months if required.

10. FEDERAL HOLIDAYS: The ten (10) holidays observed by the Federal Government are:

· New Year’s Day,

· Martin Luther King Jr.’s Birthday,

· President’s Day,

· Memorial Day,

· Independence Day,

· Labor Day,

· Columbus Day,

· Veterans Day,

· Thanksgiving Day,

· Christmas Day, and any other day designated by the President as a National Holiday. An administrative closure of Federal offices by Executive Order is not a Federal holiday for the purpose of holiday pay. Contractor will receive holiday pay for work performed only on the official holiday as designated by the Office of Personnel Management (OPM).

11.

CONTRACT MONITORING PROCEDURES: The contracting Officer will appoint a Contracting Officer’s Representative (COR) to assist with monitoring compliance with technical requirements of the contract. The Contractor will be provided with a copy of the COR’s authority and limitation of authority.

The COR will be responsible for handling service related documentation such as time and attendance logs, sign in/sign out sheets and service tickets that verify services called for under the contract have been received by the VAMC. The COR shall ensure that proper invoices are certified for payment in a timely fashion.

COR will notify the Contracting Officer (CO) of any contract non-compliance immediately upon gaining knowledge of any such incident. The COR will use the Contract Discrepancy Report (CDR) form to document any problems that may arise during the term of the contract. The CDR along with any other backup documentation will be forwarded to the CO. The CO will then notify the contractor. Further, the COR will maintain copies of all the above-mentioned documents.

The COR cannot make changes to the agreement, direct Contractor’s work, or obligate the Government in any way.

12.

CONFLICT OF INTEREST:

a. Under the performance of this contract, a Government employee who is employed by the Contractor is prohibited from participating personally and substantially on behalf of the Government through decision, approval, disapproval, recommendation, rendering of advice, certifying for payment or otherwise in that contract. No VA employee who is an employee, director or trustee of an affiliated university or who has a financial interest in the contract may lawfully participate in a VA contract or any other Government contract with the contractor.

b. In relation to the contract monitoring procedures a Government employee who is also employed by the contractor may not certify bills for payment. An employee who is not an employee, officer, director or trustee of the contractor and who does not have a financial interest in the contract shall perform this duty. The agency grants the VA the right to hire agency staff with a 30 day notice and at no additional fee. Contract personnel cannot work for the VA under the Fee Basis Program and through the Agency.

13.

LIABILITY INSURANCE REQUIREMENTS: The Contractor will be required to carry the following types and amount of insurance through the contract period:

· Worker’s Compensation and Employers Liability

$100,000 per person

· General Liability

$500,000 per occurrence

· Automobile Liability

$250,000 per person

· Bodily Injury

$500,000 per occurrence

· Property Damage

$100,000 per occurrence 14.

BADGES AND PARKING: All contractor personnel must by sponsored by an official VA Personal Identity Verification (PIV) sponsor (HR Representative, Contracting Officer Representative, or Program Director) to be issued a VA PIV credential for access to the VA network. All contractor personnel are required to wear their PIV card during the entire time they are on the VA grounds.

Contractor personnel are responsible for parking in appropriately designated parking areas and must use their PIV card for access into the parking lot/garage. Parking information is available from the VAMC Police. The VAMC will not invalidate or make reimbursement for parking violations issued to Contractor’s personnel under any circumstances.

15.

PAYMENT: Payment will be made for actual hours worked and at the rates shown in “Schedule of Services”. A Contract employee must be present at the VA facility and must be performing the services required of an RN/LPN to be eligible for payment. A record keeping system of Contract hours worked shall be established which shall include at a minimum sign-in/out sheets. Failure to sign-in, sign-out and provide signed service tickets shall result in nonpayment for those hours claimed. The Contractor will not be paid for any overtime not approved in advance by the Contracting Officer. Contract personnel must present a “service ticket” to the appropriate VA authority (Nurse Manager, Assistant Nurse Manager, Associate Nurse Executive or House Supervisor) for each tour of duty showing the individual name, date, work unit and hours worked including meal breaks. The appropriate supervisor will sign and retain a copy for verification and payment purposes.

Invoices must be itemized to include the following information:

Time period being invoiced

Description of services

Unit cost billed

Extended amount due

Invoice number, date and

Order and obligation numbers.

Payment shall be made after the COR certifies that services identified within the billing period have been performed.

16.

PROCEDURES FOR OIM/COMPUTER ACCESS:

Access requirements to VA information systems by Contract personnel shall meet or exceed those requirements established for personnel as described in VHA Directives. A written and signed request for user access by VHA Management, or designee(s), constitutes management approval (sponsorship) to initiate a request for access to any sensitive automated information system. Access shall be granted to non-VA users only if the purpose for access meets criteria of the Privacy Act and VA Confidentiality regulations and transfer. To obtain access, the contractor must submit a written request with an original signature to VA Nursing Service Office fourteen (14) days prior to the orientation assignment. VAMC will provide the VA form, ADP Security Notice & Request for Access. Contract personnel must complete VetPro process, be fingerprinted, and Background Investigation forms submitted as part of the Background Investigation requirement.

Contract personnel will be required to sign-on before starting work under this contract and abide by the VA Computer Access Security Agreement and Confidentiality Agreement.

In the performance of official duties, the Contract personnel has regular access to printed and electronic files containing sensitive information, which must be protected under the provisions of the Privacy Act of 1974, HIPAA, and other applicable laws and regulations. The employee is responsible for (1) protecting that information from unauthorized release or from loss, alteration or unauthorized deletion, and (2) following applicable regulations and instructions regarding access to computerized files, release of access codes, etc. and (3) completing mandatory education regarding privacy and security as required by VA. Talent Management System (TMS) courses “Privacy and HIPPA Focused Training” and “VA Privacy and Information Security Awareness and Rules of Behavior” are required prior to agency nurse orientation. Courses will be accessed via the internet. Certificates of completion shall be sent to the COR.

Inappropriate usage of VA computer systems (as defined in the user access agreement) will constitute grounds for (at the least) terminating access for that person and (at the most) termination of the entire contract.

Inactive accounts for 90 days are automatically flagged by VistA and require action by OIT to remove the flag before the user can log back into the system. Accounts that are inactive for 6 months are “terminated.” If this occurs, one must go through the process of requesting access as described above before access will be reinstated.

17.

CONFIDENTIALITY/PRIVACY ACT: The Contractor understands and agrees that the information in the medical records of all patients is confidential. Strict confidentiality is to be maintained, Rules of Confidentiality expected to be conformed with are delineated in 38 U.S.C. 3301, 38 U.S.C. 4132, 5 U.S.C. 552(a) et.seq. The Contractor and its personnel shall be held liable in the event of breach of confidentiality. The Contractor is required to sign the attached BAA (Business Associates Agreement). Any person, who knowingly or willingly discloses confidential information from the authorizing VA Medical Centers, may be subject to fines.

SPECIAL CONTRACT REQUIREMENTS --

18. BACKGROUND INVESTIGATION REQUIREMENT:

CONTRACTOR PERSONNEL SECURITY REQUIREMENTS: All contract employees who require access to the Department of Veterans Affairs computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. The contractor is responsible for obtaining the background investigation. If the investigation is not completed prior to the start date of the contract, the contractor will be responsible for the actions of those individuals they provide to perform work for VA.

a. Position Sensitivity – The position sensitivity/risk level has been designated as Non-sensitive/Low Risk.

b. Background investigation – The level of background investigation commensurate with the required level of access is National Agency Check with Inquiry (NACI).

c. Contractor Responsibilities

(1) The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a U.S. citizenship and are able to read, write, speak and understand the English language.

(2) The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

(3) Failure to comply with contractor personnel security requirements may result in termination of the contract for default.