Draft PWS for Sources Sought Notice 04.28.2026.pdf

DRAFT

PERFORMANCE WORK STATEMENT (PWS)

GROUND AMBULANCE SERVICES

WEED ARMY COMMUNITY HOSPITAL

U.S. ARMY MEDICAL DEPARTMENT ACTIVITY (MEDDAC)

FORT IRWIN OPERATIONAL AREA – RANGES, FORT IRWIN, CALIFORNIA

28 April 2026

Part 1 General Information

1. General: This is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, it is expressly agreed and understood that the services rendered by a contract service provider are rendered in their capacity as an independent Contractor or employee of any independent company that may be a party to this contract. The Government may evaluate the quality of services provided but retains no control over the professional aspects of the services rendered. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its personnel or agents. This contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated. Contract personnel rendering services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationship between the Government and its employees.

1.1 Description of Services/Introduction: The Contractor shall include all functions, tasks and responsibilities normally performed by a ground ambulance emergency response and transport organization for (2) ground ambulances 24 hours a day, 7 days a week, 365 or 366 days a year providing Emergency Medical Technicians (EMT), Paramedics, and a Senior Level Paramedic that shall serve as an On-Site Program Manager in support of U.S. Army Medical Department Activity (MEDDAC) Fort Irwin Operational Area-Ranges, NASA Goldstone Deep Space Communications Complex, Fort Irwin, California as outlined in the Performance Work Statement (PWS).

1.2 Background: The Ground Ambulance Services shall include but are not limited to:

advanced life support emergency medical service, transports to and from aero-medical evacuation sites, and field ambulance services as defined in Army Regulation (AR) 40-3, Chapter 13 - Emergency Medical Services. The AR can be found at http://www.apd.army.mil.

The Contractor shall provide personnel who are competent, qualified, and adequately trained to perform the assigned duties.

1.3 Scope: The Contractor shall provide non-personal service(s). This contract includes all functions, tasks and responsibilities normally performed by a ground ambulance emergency response and transport organization. The Contractor shall operationally staff two (2) ground ambulances 24 hours a day, 7 days a week, 365 days a year. In addition to responding to emergencies, Contractor Health Care Provider (HCP) shall be tasked to train and respond to emergency exercises in support of Fort Irwin and Range operations and NASA Goldstone Deep Space Communications Complex. The Contractor shall comply with all applicable laws and regulations, including but not limited to Federal Law and California State Law(s), Occupational Safety and Health Administration (OSHA) regulations, US Army, and installation regulations.

1.4 Objectives: Provide Ground Ambulance Staffing services to support U.S/ Army Medical Department Activity (MEDDAC) and Fort Irwin Operational Area-Ranges. The Government provided Emergency Medical Services (EMS) Medical Director is responsible for providing medical oversight to the EMT, Paramedic and Senior Level Paramedic regarding aspects of patient care including scope of practice, us of Army EMS protocols, standing orders, quality assurance, and improvement. The Contractor shall provide all personnel with daily supervision and other items as defined in this Performance Work Statement except for those items specified as Government Furnished Property (GFP). The Contractor shall perform and adhere to the standards in this contract and accordance with all applicable law and policies. See the standards in Technical Exhibit B for healthcare worker standards.

1.5 General Information:

1.5.1 Quality Control Plan (QCP): The Contractor shall develop and maintain a QCP to ensure services are performed in accordance with (IAW) this PWS. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The Contractor's QCP is the means by which it assures that the work provided complies with the requirements of the contract.

The Contractor’s Proposed comprehensive QCP shall be submitted electronically within thirty

(30) calendar days after date of contract award to the Contracting Officer (KO) through the Contracting Officer Representative (COR) and within five (5) working days when changes are made.

The Government will review and either notify the Contractor in writing of acceptance of the plan or return their comments to the Contractor within (5) calendar days. If the Government has provided comments, the Contractor shall then have (5) calendar days to submit a Final QCP. After receipt of the Final QCP, the Contractor may receive the Contracting Officer’s acceptance in writing. Any proposed changes to the accepted QCP are required to be resubmitted for acceptance by the Contracting Officer no later than (5) calendar days prior to the anticipated change and before implementation by the Contractor. The timeline noted above will apply for review and acceptance for proposed changes. At a minimum, the QCP shall include and answer the following to be acceptable:

(a) A chart showing the organizational structure and lines of authority, the names, qualifications, duties, responsibilities, and classification of each member of the Contractor's Quality Control Team;

(b) How the Contractor shall monitor work to ensure performance complies with all deliverables (etc. timelines, deadlines, and goals);

(c) How the Contractor shall monitor work to ensure performance complies with all specifications and requirements of the contract, including the contract’s clauses;

(d) How the Contractor shall monitor and ensure staff qualifications remain current and valid including Department of Defense (DoD) Contractor Personnel Office (DOCPER) processes/approvals throughout contract performance;

(e) How the Contractor shall ensure all keys issued will remain controlled items

(Paragraph 1.7 Key Control);

(f) How the Contractor shall inventory and track maintenance of all Government

Provided Equipment / Materials;

(g) How the Contractor shall identify, investigate, and correct any non-conforming performance and prevent similar deficiencies in the future; and

(h) How the Contractor shall file and save all Quality Control related documents for the life of the contract plus 5 years.

(i) Shall possess an unrestricted paramedic license from the State of California

ICEMA and be in full compliance at the start and for the duration of the contract.

1.5.1.2 The Contractor shall inform the COR of issues or potential issues that might affect the performance immediately of identifying those issues. Verbal reports shall be followed up by written reports within two (2) calendar days.

1.5.1.3 The Contractor shall provide management and operation plans (safety procedures, staff training plans, etc.) to include start up time needed between notice of award and start of service.

1.5.1.4 The Contractor shall provide a Contingency Plan detailing provisions for inclement weather, breakdown, insufficient drivers and emergency evacuation.

1.5.2 Quality Assurance: The Government will evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the Contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels (performance thresholds).

1.5.3 Recognized Holidays: The following provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g. deliverables, submittals, etc.)

deadlines fall on a holiday, the closest work day prior to the holiday will apply as the deadline for submittal.

1.5.3.1 U.S. Holidays: Work shall be performed on U.S. federally recognized holidays occurring during the normal work week unless otherwise directed by the Contracting Officer.

NOTE: U.S. holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday; holidays falling on a Sunday shall be observed on the following Monday.

New Year’s Day (Observed 1 January) Martin Luther King Jr’s Birthday (Observed the third Monday in January) Presidents' Day (Observed the third Monday in February) Memorial Day (Observed the last Monday in May) Juneteenth (Observed 19 June) Independence Day (Observed 4 July) Labor Day (Observed the first Monday in September) Columbus Day (Observed the second Monday in October) Veterans Day (Observed 11 November) Thanksgiving Day (Observed the fourth Thursday in November) Christmas Day (Observed 25 December)

1.5.4 Operating Hours: The contractor shall provide services 24 hours a day, 7 days a week, 365 days a year, to include Federal holidays, regardless of national emergencies.

The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS. When hiring or terminating personnel, the contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.5.4.1 Government Facility Office Hours: The Government facility office hours are 0730 to 1630, and days Monday through Friday except U.S. Holidays identified in paragraph 1.5.3.1 above or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. .

1.5.4.2 Government Facility Operating Hours: The Government facility operating hours is 24/7 operations. The Government facility is may be opened during local or national emergencies, administrative closings, or similar Government directed facility closings.The Government facility is open for operations during the recognized U.S. Holidays identified in paragraph 1.6.3.1 above. The Government facility may close due to local or national emergencies, administrative closings, or similar Government directed facility closings and will be communicated by the Contracting Officer to the Contractor.

1.5.4.3 Contractor Support Hours: The Contractor shall provide support to accommodate the 24/7operations (including Federal Holidays and Government Designated training holidays).

1.5.4.3.1 Contractor Work Plan: The duty schedules will be such as to staff the two-ambulance unit(s) at United States Army Medical Activity (MEDDAC). Coverage for two (2) stations will be a 24 hours per day, 7 days per week, and 365/366 days per year.

1.5.5 Place of Performance: The work to be performed under this contract will be performed at U.S. Army Medical Department Activity (MEDDAC), Fort Irwin, and Fort Irwin Operational Area

– Ranges and NASA Goldstone Deep Space Communications Complex, Fort Irwin, CA, as outlined in this Performance Work Statement (PWS).

1.5.6 Field Hours: This is aside from the normal duty schedules of providing ground ambulance support and is additional coverage in support of Fort Irwin events. The field hours are designated for providing ground ambulance services for (1) ambulance to include all functions, tasks and responsibilities outlined in this PWS however on an hourly basis depending on how long the events are and will be scheduled with advance notice to the vendor. The additional ambulances required for these field hours will be provided for these events by the government when scheduled and are separate ambulance units from the (2) ambulance units provided for the normal 24 hours, 7 days a week schedule. The ground ambulance services shall be available to ensure the safety of the Service Members, Civilians, and Families in case an emergency arises during such events. These events may include, but not limited to: MASCAL Exercises, Garrison sponsored MWR and community events, etc. The contractor may not use this contract to provide services to the Department of Veteran Affairs for the purpose of IFTs, the Department of Health and Human Services, the Department of Homeland Security immigration requirements or State Department refugee requirements.

1.6 Security Requirements: The following information is provided on security related matters.

1.6.1 Security Program The MTFs are on restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the COR or Contracting Officer will notify the Contractor and the Contractor personnel shall not be granted access to the facility, will not be allowed to perform services at the facility, and shall return identification badges, CAC cards, and other items previously issued by the government in accordance with DoDM 1000.13-M-V1.

a. Upon award of the contract, the Contractor shall immediately contact the COR for processing procedures to meet the security requirements, for information needed to access the installation/MTF initially, as well as in-processing forms.

1.6.2 Personnel Security Clearance Requirements: IAW DHA Policies, Installation Security Office will submit all background investigations on prospective contract HCPs requiring Common Access Cards (CAC), network access.

a. Upon notification, the Provost Marshal Office will conduct background checks on all other contract HCP personnel when there isn't a requirement for CAC and/or IT requirements in the contract.

b. Complete disclosure of any past incidents in the contract HCP professional duties or of incidents which might be considered to impact his/her professional standing, such as charges (unless acquitted) involving felonies or misdemeanors (other than minor traffic violations), is a necessary part of the competency process. This disclosure shall also specifically include reports of any actions, claims, charges, of malpractice ever brought against the contract HCP (either individually or as a part of a group), as well as the outcome (or current status) of any such case. The governing policy is DHAPM 6025.13, volume 4 in regard to healthcare provider credentialing and privileging.

c. Contract HCP is advised to make full disclosure under this paragraph as a condition of employment. Failure to make a full disclosure will result in a determination that the provider's services were unsatisfactory.

d. List of Excluded Individuals and Entities (LEIE). For any provider (privileged and non-privileged) within the DoD, the List of Excluded Individuals and Entities (LEIE) on the Health and Human Services website (http://oig.hhs.gov/exclusions/exclusions_list.asp) must be queried to determine if the provider has been excluded from participation in Federal Health Programs. If the provider’s name appears on this list, the provider is disqualified from working for the DoD, in any capacity.

e. Criminal History Background Check (CHBC). Contract workers involved in the delivery of health care to patients under the age of 18 must undergo a Child Care National Agency Check and Inquiries (CNACI) as part of a CHBC as stated in Procedures, Enclosure 3 of DoDI 1402.05.

1.6.3 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings and controlled areas. The Contractor shall ensure that any subcontractors used in performance of this contract complies with these requirements and that all personnel, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

a. The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements.

b. The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a Contractor personnel no longer requires access.

1.6.3.4 Common Access Cards (CAC) and CAC Log: The Contractor shall provide the following information: Last, First and Middle Names, government issued personal identifier (e.g. Social Security Number, Federal Identification Number, or Tax Identification Number), date of birth, primary email address (this email address will be used to contact the individual) and any other necessary information required to obtain a CAC or installation access card, to the COR after the personnel is cleared to provide services. The Contractor shall ensure safeguarding of Personally Identifiable Information (PII).

1.6.4 Background Checks: In accordance with (JAW) Army Regulation 525-13, paragraph 5- 19, all prospective contract HCPs will undergo a verification process to determine the trustworthiness and suitability prior to being granted access to federal property. Limited access with escort may be granted (at the installation's discretion) for an interim period while investigations are being conducted.

1.6.4.1 U.S. Citizen: Contractors that work with or teach youth under the age of 18 years are subject to U.S background checks. The Requiring Activity Manager will determine the extent of background checks required. The Contractor personnel may begin performance of the contract after receiving a favorable local background check. The Contractor agrees to replace the personnel should results of the background check, if required, be unfavorable as determined by the Requiring Activity Manager. The Contractor’s replacement of the personnel with the unfavorable background check shall be within a timeframe provided by the Requiring Activity Manager. The Contractor shall also replace personnel whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the Requiring Activity Manager. The Contractor shall forward a copy to the the COR and the Requiring Activity Manager of each favorable background check within 48 hours of receipt by the Contractor, identifying such with the appropriate contract number. The Contractor shall forward a copy to the COR and the Requiring Activity Manager of each unfavorable background check within 48 hours of receipt by the Contractor, identifying such with the appropriate contract number. When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.5 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use. At the close of each work period, Government facilities, equipment, and materials shall be secured IAW AR 190-5- Physical Security Program.

1.6.6 Operations Security (OPSEC) Requirements: Contractor personnel shall adhere to facility security policies and restrictions. The Contractor shall immediately report suspicious activities to security personnel. Government issued access badges shall not be worn outside designated facilities where visible to the general public.

1.7 Key Control: The Contractor shall establish and implement methods of making sure all keys issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall immediately report any incidents of lost or duplicate keys to the COR. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Provost Marshall, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from payment due to the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the payment due to the Contractor. The Contractor shall prohibit the use of Government issued keys by any persons other than the Contractor’s personnel. The Contractor shall prohibit the opening of locked areas by Contractor personnel to permit entrance of persons other than Contractor personnel engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Department Chief and/or Supervisor. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Quality Control Plan.

1.8 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with FAR Subpart 42.5. The Contracting Officer, COR, and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the Contracting Officer will apprise the Contractor of how the Government views the Contractor's performance and the Contractor shall apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.8.1 The Contractor shall attend, participate in, and furnish input to scheduled and unscheduled meetings, conferences, and briefings that relate to the functions and services herein as required by the Government to provide effective communication and impart necessary information. The Contract Manager or designated representative shall attend meetings as requested by the Government. Meeting attendees shall at times include Contractor managerial, supervisory, and other personnel knowledgeable of the subject matter.

Meetings may start or end outside of regular duty hours.

1.9 Contracting Officer’s Representative (COR): Refer to Part 2 of this PWS for the definition of a COR. As determined by the Contracting Officer, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the Contracting Officer. The designation letter states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary in connection with contract performance, maintain written and oral communications with the Contractor concerning technical aspects of the contract, issue written interpretations of technical requirements, including Government drawings, designs, specifications, monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies, coordinate availability of Government property, and coordinate site entry of Contractor personnel.

1.10 Key Personnel: All Contractor personnel attending meetings, answering Government telephones, and working in other situations where their Contractor status is not obvious to third parties shall identify themselves, to include proper marking of signature blocks in correspondence, to avoid creating an impression in the minds of members of the public that they are Government officials. The Contractor shall ensure that all documents or reports, produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.11 Identification of Contractor Personnel: Contractor personnel shall be easily identifiable through the display of badges. The Contractor (to include subcontractors) shall provide each of their personnel an easily readable identification badge. The badge shall include the personnel’s name, the Contractor’s company name, the functional area of assignment, and a recent color photograph of the personnel. Companies with U.S.

Government contracts will require their personnel to wear these badges visibly when performing work at Government workplaces unless this would be impractical because of mission or safety considerations. The Contractor shall collect all ID Badges upon completion of the contract or termination of personnel. A listing of issued ID cards shall be furnished to the COR prior to the contract performance date and updated as needed to reflect Contractor personnel changes.

1.11.1 Contractor Identification Badges: Contractor personnel shall be easily identifiable through the display of badges and must clearly reflect the level of provider EMT or Paramedic.

(For services at Child, Youth, and School Services where children are present, recommend personnel wear identification when children are present.)

1.12 Reserved

1.13 Data Rights: The Government has unlimited rights to all documents and materials produced under this contract. All documents and materials, to include the source codes of software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership and copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the Contracting Officer. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.14 Non-Disclosure Requirements: Performance under this contract may require the Contractor to access data and information proprietary to a Government agency, another Government Contractor, or of such nature that its dissemination or use other than as specified in this work statement would be adverse to the interests of the Government or others. The Contractor and Contractor personnel, shall not divulge or release data or information developed, or obtained under performance of this PWS, except to authorized Government personnel or upon written approval of the Contracting Officer. The Contractor shall not use, disclose, or reproduce proprietary data, which bears a restrictive legend, other than as specified in this PWS. All documentation showing individual names or other personal information shall be controlled and protected under the provisions of the Privacy Act of 1974, Public Law 93-579, 5 United States Code (U.S.C.) Section 552a.

1.15 Protection of Government and Contract Information: Per Public Use Notice of Limitations stated by Defense imagery Management operations Center and contained at www.dimoc.mil/resources/limitations/ , the Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.16 Organizational Conflict of Interest (OCI): Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The Contractor’s OCI Mitigation Plan will be determined to be acceptable solely at the discretion of the Contracting Officer. In the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the Contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.17 Reserved

1.18 Reserved

1.19 Reserved

1.20 Phase In /Phase Out Period: To minimize decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the thirty (30) day phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date. Phase In/Phase Out Period are at no cost to the Government.

1.21 Safety: The Contractor personnel shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

http://www.dimoc.mil/resources/limitations/

1.23 Required Training: The following provides information on training requirements.

1.23.1 Anti-Terrorism (AT) Level I Training: All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I Awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all employees and subcontractor personnel. AT level I Awareness training is available at the following website:

http://jko.jten.mil.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR who will contact the local AT Officer at their assigned location for classroom training.

Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the AT Officer. Verification of the training shall be provided to the COR within 30 days after completion of the training.

1.23.2 OPSEC Training: All Contractor , including subcontractors, shall complete Level I OPSEC training within 30 days of employment under this contract. Verification of the training shall be provided to the COR within 30 days after completion of the training. OPSEC Level I training is available at http://www.cdse.edu/catalog/elearning/GS130.html. Contractor personnel shall complete refresher training every 12 months. Verification of the training shall be provided to the COR within 30 days after completion of the training.

If training cannot be conducted on the website, the Contractor shall coordinate with the COR, who will contact the local OPSEC Officer at their assigned location for classroom training.

Contractor personnel completing training in the classroom will receive a certificate or the training attendance roster signed by the OPSEC Officer. Verification of the training shall be provided to the COR within 30 after completion of the training.

1.23.3 iWATCH Training: The contractor and all associated sub‐contractors shall brief all employees on the local iWATCH Army program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 15 calendar days after contract award.

1.23.4 Information Assurance (IA) Training

1.23.4.1 All Contractor healther care personnel, including subcontractors, requiring access to Government information systems shall complete the DoD IA Cyber Awareness Training within 30 days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies, or 30 days after employment of new personnel. Verification of the training shall be provided to the COR within 30 days after completion of the training.

http://www.cdse.edu/catalog/elearning/GS130.html

1.23.4.2 All Contractor health care personnel, including subcontractors, working information technology (IT)/IA functions shall comply with DoD and Army training requirements per Information Assurance Training Certification and Workforce Management DoD Directive (DoDD) 8570.01, Information Assurance Workforce Improvement Program DoD 8570.01-M, and Information Assurance AR 25-2 within thirty (30) calendar days of employment. Training is available at https://ia.signal.army.mil/DoDIAA/default.asp .

1.23.5 Personally Identifiable Information (PII): Contractor personnel, including subcontractors, performing services under this contract with access to PII and Government information shall complete “Identifying and Safeguarding PII” within 30 calendar days of employment. Contractor personnel shall complete refresher training every twelve (12) months from initial completion. The Contractor shall provide the COR a copy of the training certificates for its health care personnel no later than five (5) days after completion. Training is available at http://iatraining.disa.mil/eta/piiv2/launchPage.html

1.24 Government Property and Services: Government Furnished Property will be provided under this contract however, the Government will provide the use of all available MEDDAC and support services, materials, publications and forms, and equipment required for contract performance (except as designated). Contractor shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition.

Contractor shall notify the Government whenever maintenance of equipment is required.

Contractor shall abide by all MEDDAC and DHA requirements for physical security of DHA property and equipment.

1.25 SAFEGUARDING MATERIAL AND CONFIDENTIALITY INFORMATION: The contractor shall be responsible for safeguarding all Government property provided or obtained in connection with this contract. The Contractor shall safeguard information of a confidential or sensitive nature. Neither the Contractor nor any of its contract HCPs shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breaches the requirements of the Federal Privacy Act of 1974. However, the Contractor and/or Contractor HCPs may be required to provide testimony in legal or administrative procedures. Such participation shall be consistent with the disclosure requirements imposed in this contract and coordinated with the contracting officer.

a. The contract HCP under this contract shall have access to and/or process information requiring protection under the Privacy Act of 1974. These positions are considered "Automated Data Processing (ADP) Sensitive" positions. Compliance with applicable regulations is mandatory for ADP Sensitive positions.

b. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor and/or Contractor HCPs during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of health care services under this contract. The contractor and/or contractor HCPs shall https://ia.signal.army.mil/DoDIAA/default.asp http://iatraining.disa.mil/eta/piiv2/launchPage.html not release any of the above information without prior written consent of the KO. The contractor and contract HCPs shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract and those established by the MTF Director.

c. The Contractor and contract HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of privileged communication between patients and the HCP as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, to include but not limited to the Privacy Act of 1974 and the Health Insurance Portability & Accountability Act (HIPAA) of 1996. All regulations referenced are available for review from the COR, MTF, or the KO. All medical records and reports will remain the property of the Government.

1.26 STANDARDS OF PERFORMANCE: The Government requires that the Contractor shall provide technically competent certified personnel requirements identified in Technical Exhibit B.

a. The Contractor shall follow the State of California EMS requirements and remain in good standing throughout the life of this contract.

b. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider relationship with consultants; and Contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

c. Performance Reports will be provided by the COR monthly to the Contracting Officer to ensure acceptable performance of the contract. The Contractor can request copies also be forwarded to the assigned Contractor POC. The Contractor POC will receive notice of UNACCEPTABLE PERFORMANCE within 7 days of the COR becoming aware of any unacceptable performance and will report it to the Contracting Officer.

d. The Contractor shall be responsible for the security of all patient information.

e. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

f. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

g. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period. The Contractor shall designate the point of contact prior to the start of contract performance.

h. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government. These files/results shall be surrendered to the COR.

i. Outcome: The Government requires that the Contractor provide qualified personnel who shall fulfill the performance requirements at a standard that meet DoD benchmarks for the MEDDAC to provide a high level of quality health care.

1.27 Government Quality Assessment and Improvement (QA&I): The Government will monitor the Contractor's performance under this contract using the quality improvement/assessment procedures established by MTF. Additionally, the Contractor's performance is subject to scheduled and unscheduled review by a Quality Assurance Evaluator as defined by the DHAPM 6025.13 and contract QASP specifics.

1.28 PRODUCTIVITY STANDARDS: Acceptable measures include:

a. A maximum of 2 substantiated patient complaints per year per contract healthcare personnel, but if a complaint is particularly offensive the contract healthcare personnel may be removed immediately.

b. EMS Coordinator shall monitor Contractor and contract personnel performance through Government information systems, records, patient records, customer service information, Contractor reports.

c. Contractor shall maintain a fill rate of 98% for all scheduled hours.

1.29 CREDENTIALED PERSONNEL DOCUMENTATION.

SUBMITTING CREDENTIALS PACKAGES. .

a. Submit Credentials Package on Credentialed Contract Workers. The Contractor shall provide a complete and accurate credentials package on credentialed contract workers as outlined DHAPM 6025.13, Volume 4. No start date will be established until credentials are verified by the credentials department. For healthcare providers on this contract that are privileged providers, privileges will be granted to meet the contract requirements by the commencement date. The credentials packages will be given to the COR to be routed to the MTF Quality team. Concurrently, the Contractor will ensure that Army EMS receives a copy of the credentials of the EMT/Paramedic healthcare providers.

b. Primary Source Verification. The Contractor shall perform all primary source verifications and include all verifications with the credentials package or competency assessment folder information for non-privileged staff IAW DHAPM 6025.13, volume 4.

c. All educational items, current professional licenses, certifications or registrations, including those the healthcare provider previously held that are now inactive, expired, or suspended, must undergo initial Prime Source Verification (PSV). The Contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the MTF credentialing verification processes. The MTF staff will not assist the Contractor in obtaining any needed information for initial credentialing. The Contractor is responsible for submission of evidence of current competency for the healthcare provider that is used to provide health care services under the PWS. Contractors will ensure that credentials are provided to the MTF each year after the initial credentialing. Healthcare workers that do not maintain the professionals certifications and licensures to remained credentialed and/or privileged, will not remain on the contract.

d. Primary Source Verification by one of the following accepted methods:

-Written confirmation directly from the issuing authority.

-Verbal telephone confirmation from the issuing authority. A detailed record of the telephone interaction will be documented, which will include the names of the organization and the individual contacted, date/time, phone number, signature, and title of the person responsible for verification.

-Via the internet. Such verification is acceptable if the information is obtained directly from the professional organization's website. Identification of the individual making the website contact, and the date will be annotated on the web page printout

-If the contractor adds additional or replacement healthcare providers during the contract period, the replacement shall meet the same qualification and credentialing/privileging standards as outlined in the DHAPM 6025.13, vol. 4 as well as the health requirements as stated in this PWS.

e. When there are concerns for suspected misconduct, impairment, incompetence, or any conduct which adversely affects, or could adversely affect, the health or welfare of a patient, or staff member, this will be reported immediately to the COR/KO. If there is a imminent concern for patient, staff or contract worker safety, a stop work will be immediately directed, involving the KO, COR and Contractor. The Contractor will cooperate with the USG if further investigation is required.

1.30 PERSONAL APPEARANCE:

a. The Contractor shall present a neat and clean appearance.

b. All outer clothing shall be laundered or dry cleaned as appropriate, well-fitting and fresh each workday.

c. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

d. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips.

Acrylic nails or overlays are prohibited.

e. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt, or of extreme appearance.

f. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. In all cases, Contractor health care personnel shall conform to the established personal appearance policy of MTF.

1.31 HEALTH AND IMMUNIZATION REQUIREMENTS:

All Contractor HCP performing health care services under this contract assigned to a medical treatment facility are required to be screened for applicable immunizations or pre-existing immunity based on occupational risk, regardless of job series. The expense for all physical examinations to comply with the health requirements shall be borne by the contractor at no additional cost to the Government. All HCP shall comply with the Health and Immunization requirements identified below at the time of initial request for clinical privileges and annually thereafter.

a. All Contractor service performing direct health care services under this contract shall receive a general physical examination prior to commencement of services. The Contractor shall provide the Contracting Officer's Representative, 10 calendar days before beginning services under this contract, a physical examination certificate for each individual direct health care provider who will provide services. The certification shall state the date on which the physical examination was completed and the name of the physician who performed the examination. This certification shall be signed by the physician performing the examination. For the purposes of this paragraph, a physical examination administered more than 45 days prior to performance of the contract will not be considered adequate. The physical examination shall include the following:

(1) A history to show that Direct Health Care provider has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose containing tetanus, diphtheria and pertussis is current (within the past 10 years).

(2) A test for the hepatitis (Type B) virus with documentation of the results.

A profile shall be established to show immune status to hepatitis. Non-immune Health Care Workers (lacking anti- HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis-B vaccine (e.g., Recombivax, Engerix).

(3) The physical examination shall also document serologic evidence of immunity to measles and rubella or to provide documentation of immunization with measles, mumps and rubella (MMR) vaccine using the following guidelines:

(a) Health care personnel born before 1957 without documentation of previous vaccination with MMR should receive one dose.

(b) Health care personnel born in or after 1957 who have received one dose of MMR previously shall receive one booster dose.

(c) Health care personnel born in or after 1957, without documentation of any previous vaccination with MMR, should receive two doses of vaccine, separated by no less than one month.

(4) Contractor's health care providers shall be screened for tuberculosis by a tuberculin skin test using the Mantoux technique. A skin test result of 10 mm of induration or more shall be required to have a chest roentgenogram and an evaluation performed. A tuberculin skin test of 10 mm of induration or more will require documentation providing an assessment of the patient (status of infection- active, inactive; need for preventive treatment or not as determined by age, history of BCG (Bacillus Calmette-Guerin) vaccination; duration of skin test positively, etc.).

(a) If all of the immunizations and tests set forth in the preceding paragraphs have not been completed, the Contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the Contractor shall provide an updated and complete certificate.

(b) All Contractor personnel performing direct health care services under this contract, who experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g., splash to the eye or mouth)…