PWS-1st QTR_EVENTSFY22.pdf

Ver. June 2021

PERFORMANCE WORK STATEMENT (PWS)

FOR PROVIDING ANNUAL MEDICAL AND DENTAL SCREENINGS TO INCLUDE

DENTAL TREATMENT OF DENTAL CLASS III CONDITIONS

GENERAL INFORMATION

1.0 General: This is a non-personal services contract to complete annual and deployment medical requirements. The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform annual medical and dental readiness services, as defined in this PWS.

1.1 Scope: The main objective of this contract is to conduct and complete annual medical requirements for FLARNG Service Members in accordance with Army Regulations 40-501, 502, 40-3, DA PAM 40-502, DoDI 1322.24, 6490.03

1.2 Background: Individual Medical Readiness (IMR) and Fully Medically Ready (FMR) Service Members are the foundation of force-sustainment for Army National Guard (ARNG) forces. Medical and Dental health is vital for force health protection, and failure to achieve a standard of level of medical and dental health could preclude a Soldier from deploying. Medical and Dental Readiness is a command responsibility. The purpose of this PWS is to cover the various components of IMR/FMR, to include, but not be limited to: Medical: Blood Pressure, height & weight, and questionnaire screening, Periodic Health Assessments (PHAs); Specialty Physical Exams such as Chapter 2 (schools), 'Over-40,' Flight, etc., in accordance with AR (Army Regulations) 40-501 (Standards of Medical Fitness), AR 40-502 Medical Readiness, and Department of the Army Pamphlet 40-502; laboratory / phlebotomy work such as specimen collection for HIV testing, urine pregnancy testing, DNA testing, and G6PD and RPR testing;

Immunizations required for IMR/FMR compliance such as Hepatitis A/B, Influenza, PPD (vaccines will be supplied by FLARNG), visual acuity and Optometry exams, mobile facility audiometry exams, comprehensive audio evaluations, and SPRINT testing, MODS/MEDPROS entry of all applicable and appropriate IMR/FMR functions including completion of the electronic DoD-PHA in the MODS online module during an event by providers trained in completing the DoD-PHA online, and Post Deployment Health Reassessments (PDHRA).

Dental: annual dental exams, digital bitewings radiographs, digital panoramic radiographs, DENCLASS data entry of all radiographs and dental records, identification and treatment of all Class 3 Soldiers who are eligible to be treated in a remote treatment setting and are not projected to require follow up dental treatment procedures.

1.3 Period of Performance (PoP): The PoP for this contract shall be 3 months.

1.4 General Information

1.4.1 Place of Performance: The contractor shall provide pre-event coordination of requirements with government personnel between the hours of 0900-1700EST Monday thru Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Performance of services shall be as outlined in each Technical

Exhibit 3 per event. The work to be performed under this contract shall be performed at government facilities throughout the state of FL. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Teleworking is not authorized.

1.4.1.1 Telework: NA

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation.

Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance.

The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized US holidays. The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective Quality Control Plan (QCP) to ensure services are performed in accordance with 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 itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): 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 acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity Verification (PIV) credential. Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 or an equivalent or higher investigation in accordance with Army Directive 2014-05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on-site or remotely; (2) remote access, via logon, to a DoD network using DoD-approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple nonDoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled Tier 1 investigation at the Office of Personnel Management.

Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real-Time Automated Personnel ID System (RAPIDS) using the DD Form 1172-2 or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 Homeland Security Presidential Directive (HSPD)-12 Background Investigation Requirements: The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them, and shall process all CAC card applications. The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at Attachment TBD at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward it to the National Guard Bureau (NGB) Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the investigative service provider has received the request, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the background investigation (BI) will be initiated. The contractor shall ensure immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below. Although there is no requirement for the contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security-related matters, such designation facilitates these processes. If a Corporate FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1. The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be: TBD

2. The Government will establish a TASS application account for each CAC Request and will provide each contractor employee a user ID and password, via email, to the contractor’s FSO or contractor employee. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at:

https://tass.dmdc.osd.mil/tass/. The contractor’s FSO or contractor employee shall follow up to ensure that the TA is processing the request.

3. The Government will inform the contractor's applicant, via email, of one of the following:

a. Approval.* Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

b. Rejection.* The Government, in separate correspondence, will provide reason(s) for rejection.

c. Return. Additional information or correction to the application required by the contractor employee.

*The contractor shall maintain records of all approved and rejected applications.

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by Social Security Number (SSN) and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No.

1615-0047, "Employment Eligibility Verification". Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture ID. The Identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS, and will then issue a CAC. Issued CACs will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 The contractor shall return issued CACs to the DEERS office upon departure or dismissal of each contractor employee, and shall obtain a receipt for each card and provide it to the TA/COR.

1.4.5.1.5 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract. The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

1.4.5.1.5.1 Failure to comply with these requirements may result in withholding of final payment.

1.4.5.1.6 The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a government computer network. This can be done by going to: http://www.us.army.mil and registering as an "Army Guest," with the sponsor being the COR or a COR- designated individual if the COR is ineligible to Serve as an AKO Sponsor. Note: If employees of a contractor lose the privilege to access AKO, they lose the ability to renew their CAC. Therefore, it is critical that contractor employees maintain their AKO accounts.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.4 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO.

This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. 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 personnel 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.

1.4.5.6 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infostructure (AEI).Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.6.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://atc.us.army.mil/iastar/docs/Training_BBP.pdf).

1.4.5.6.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.6.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.6.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.7 Army Training Certification Tracking System (ATCTS): All contractor employees with access to a Government information system shall be registered in ATCTS (https://atc.us.army.mil/iastar/index.php) at commencement of services, and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://iatraining.us.army.mil/).

1.4.5.8 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

1.4.5.9 RESERVED

1.4.5.10 The contractor shall protect all PII/HIPAA encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R.; PHI encountered IAW 45 CFR 160.130, Section 13400 of HITECH Act; and HIPAA encountered IAW 45 CFR 160 and 164. If a PII/PHI/HIPAA 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/PHI/HIPAA has been compromised. Complete HIPAA training at http://www.health.mil/Training-Center/Joint-Knowledge-Online-JKO (https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf).

1.4.5.11 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.5.12 OPSEC SOP/Plan. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan and provide it to the COR within 90 calendar days of contract award to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan shall include a process to identify the Government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. The contractor shall implement OPSEC measures as required by the Government.

In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified within 90 days of appointment as OPSEC coordinator in accordance with AR 530-1. Contractor shall provide a copy of the certification to the COR NLT 15 days after completion.

1.4.5.13 RESERVED

1.4.5.14 RESERVED

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required licenses for operating MODS, MEDCHART, DOEHRS, and HIPAA training used in the performance of this contract. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information.

(NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR Subpart 42.5. The KO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO 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. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.8.1 Contractors shall review services required per event by SM and be prepared to discuss services required during pre-event meetings/conference calls to ensure all resources are synchronized to convert SMs attending events to a MRC 1 or 2.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the COR within 14 days of an employee’s departure.

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles passes) to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract;

procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Reserved

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government.

These documents and materials may not be used or sold by the contractor without written permission from the KO. 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.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services 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 OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO 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 KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose 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.

1.4.15 RESEVED

1.5 Key Personnel: Personnel providing deliverables for this contract shall be experienced and qualified in all aspects of their respective functional areas. Contactor personnel shall not perform inherently governmental functions (i.e., representation of government, decision authority, etc.).

The follow personnel are considered key personnel by the Government:

1.5.1 Contract Manager: The Contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the Contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the Contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between the dates/times specified in Technical Exhibit 3.

1.5.2 Physician (General and Family Practice): years of experience in specialty: minimum 1 year practice experience, minimum education: Possess MD or DO from accredited school, certification/license: active unrestricted state medical license, ACLS: preferred, and BCLS:

preferred

1.5.3 Optometrist: Years of experience in specialty: minimum 1 year practice experience, minimum education: Possess OD from accredited school, certification/license:

active/unrestricted state licensure required, ACLS: preferred, and BCLS: preferred.

1.5.4 Audiologist: Years of experience in specialty: minimum 1-year practice experience, minimum education: possess MA or AuD from accredited school certification/license:

active/unrestricted state licensure required, ACLS: preferred, and BCLS: preferred.

1.5.5 Physician’s Assistant: Years of Experience in Specialty: minimum 1 year experience, minimum education: master’s level degree and accredited PA program, certification/license:

licensure required for state employment, BCLS: preferred

1.5.6 Behavioral Health Counselor: Years of experience in specialty: minimum 1 year experience, minimum education: master’s level degree, certification/license: licensure required for state employment, BCLS: preferred

1.5.7 Nurse Practitioner: Years of Experience in Specialty: minimum 1 year experience, minimum education: MSN or Advanced Certification, certification/license: required for state employment, ACLS: preferred, BCLS: required for state employment.

1.5.8 Registered Nurse: General years of experience in specialty: minimum 1 year experience, minimum education: RN-AD or diploma, BSN preferred, certification/license: certification preferred, licensed required for state employment, ACLS: preferred, BCLS: required for state employment.

1.5.9 Medical Assistant (Certified/Registered): Years of experience in specialty: minimum 1 year experience, minimum education: state license and graduate of accredited MA program, certification/license: required

1.5.10 Hearing Technician: Years of experience in specialty: minimum 1-year experience, minimum education: Council for Accreditation in Occupational Hearing Conservation (CAOHC) certification required

1.5.11 Optometry Technician: 2 years of experience in specialty: NA, minimum education: High School Diploma

1.5.12 Immunization Station Personnel: Years of experience: minimum 1-year experience, minimum education: Medical Assistant or a person holding a higher medical degree (LPN/LVN, RN, PA, APRN, MD/DO) and having completed formal Cold Chain Management Training along with vaccines/immunizations training within 12 months of administering vaccinations.

2. DEFINITIONS AND ACRONYMS:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2. ACRONYMS:

AEI Army Enterprise Info structure ADCS Army Dental Care System ADA American Dental Association ADDR Active Duty Dental Repository ALARACTS All Army Activities ACOR Alternate Contracting Officer's Representative AFARS Army Federal Acquisition Regulation Supplement AKO Army Knowledge Online AMEDD Army Medical Department AR Army Regulation ARNG Army National Guard ATCTS Army Training Certificate Tracking System AT/OPSEC Antiterrorism/Operational Security AUP Acceptable Use Policy BBP Best Business Practices BH Behavioral Healthcare BHDP Behavioral Health Data Portal BI Background Investigation CAC Common Access Card CCE Contracting Center of Excellence CFP/M/E Contractor Furnished Property, Materials, and Equipment CFR Code of Federal Regulations CLIA Clinical Laboratory Improvement Amendments CM Contract Manager COMSEC Communications Security CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf DA Department of the Army DD250 Department of Defense Form 250 (Receiving Report) DD254 Department of Defense Contract Security Requirement List DENCLASS Dental Classification Application DENCOM Dental Command DFARS Defense Federal Acquisition Regulation Supplement DMDC Defense Manpower Data Center DNA Deoxyribonucleic Acid DOD Department of Defense DODAAC Department of Defense Activity Address Code DODI Department of Defense Instruction DODM Department of Defense Manual DOEHRS Defense Occupations and Environmental Health Readiness System DRC Dental Readiness Classification DTR Dental Treatment Record eCASE Electronic Case Management EHR Electronic Health Record ePROFILE Electronic Profile System eQIP Electronic Questionnaires for Investigations Processing FAR Federal Acquisition Regulation FLARNG Florida Army National Guard FMR Fully Medically Ready FOUO For Official Use Only FPCON Force Protection Condition GFP/M/E/S Government Furnished Property/Material/Equipment/Services G6PD Glucose - 6 - Phosphate Dehydrogenate HCG Human Chorionic Gonadotropin HIPAA Health Insurance Portability and Accountability Act of 1996 HIV Human Immunodeficiency Virus HQDA Headquarters Department of Army IA Information Assurance IAW In Accordance With IMR Individual Medical Readiness IS Information System(s) ISO Isolation IT Information Technology KO Contracting Officer MAR2 MOS Administration Retention Review Board MEB Medical Evaluation Board MEDCOM U.S. Army Medical Command MEDCHART Medical Electronic Data (for) Care History and Readiness Tracking MEDPROS Medical Protection System MND Medical Non-deployment Module MWDE MEDPROS Wed Data Entry MODS Medical Operational Data System MOS Military Occupational Specialty MRC Medical Readiness Classification NGB National Guard Bureau OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPSEC Operations Security OSArS Office of the State Army Surgeon OSHA Occupational Safety and Health Administration PDHRA Post Deployment Health Reassessment PEB Physical Evaluation Board PHA Periodic Health Assessment PHI Protected Health Information PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact

PPD Tuberculosis/Tuberculin Skin Test PPE Personal Protective Equipment PRS Performance Requirements Summary PSIP Personnel Security Investigation Portal PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAPIDS Real-Time Automated Personnel ID System RDA Registered Dental Assistant RPR Rapid Plasma Reagin SM Service Member SPRINT Speech in Noise Recognition Test SRC Soldier Readiness Check SRP Soldier Readiness Processing STR Soldier Treatment Record SOW Statement of Work TA Trusted Agent TASS Trusted Associate Sponsorship System TE Technical Exhibit TITMUS Vision Testing Equipment Manufacturer’s Name TMC Troop Medical Clinic

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, computers and other items necessary.

3.2. Materials: The government shall supply:

3.2.1 Routine adult immunizations, HIV tubes, shipping labels, and shipping packaging to include box, clear plastic bag, and FedEx bag

3.2.2 DNA supplies, shipping supplies, and shipping guidance.

3.3. Equipment: The Government will not provide equipment unless .mil domain access is required. When .mil domain access is required, the government will provide computers to designated contracted personnel after the FLARNG network access requirements are complete 14 days or 10 working days prior to the first date the .mil domain needs to be accessed.

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.2. Reserved

4.3. Reserved

4.3.1 The Contractor shall provide computer kiosks with CAC card readers and internet access for Soldiers to complete DoD-PHA screening through MODS. The Contractor shall identify the number of computers needed to provide deliverables if MODS is on a .mil domain. Government information system network access procedures not outlined in this PWS, will be provide upon award. The contractor shall supply their own computer access for military medical database input to all applicable databases, not on a .mil domain.

4.3.2 The Contractor shall provide and maintain documentation for properly calibrated and certified vaccination refrigerator and vaccination freezer complete with thermometers that meet the requirements set forth in the DHA Vaccine Storage and Handling guide dated Dec 2019. The Contractor shall provide all Soldiers receiving an immunization a screening form and a Vaccine Information Sheet (VIS) as required under the National Childhood Vaccine Injury Act (42 U.S.C. §300aa-26). The screening form will be reviewed and signed off by a Medical Assistant or higher degree medical professional

4.4 Facilities. The contractor shall conduct dental treatment in a mobile dental practice with dental suction equipment installed. The contractor shall conduct hearing screenings in a soundproof mobile hearing practice. When Exhibit 3 indicates additional mobile facilities are required, for the contractor to provide services the contractor shall provide OSHA-Compliant Mobile Health Practices. Compliance with OSHA, State, & Federal Regulations is mandatory.

4.5 Utilities. Contractor shall provide utilities for all mobile facilities providing services as required in this contract.

5. SPECIFIC TASKS & REQUIREMENTS: Section 5 describes each service in detail.

Services required per event and event locations will be indicated on Technical Exhibit 3 per event.

5.1 DoD Periodic Health Assessments (DoD-PHA): The contractor shall conduct DoD-PHAs in accordance with the DoD-PHA guidance set forth by AR 40-501, AR 40-502, DA PAM 40-502, and the DoD-PHA Fact Sheet. Contractors shall have the capability to provide all annual screening services to complete the DoD-PHA and complete the DoD-PHA on site in the applicable MODs module. Any counseling conducted during the DoD-PHA provider interview will be documented in the electronic DoD-PHA survey and on Government forms, such as a SF 600.

5.2 Post Deployment Health Re-Assessments (PDHRA): the contractor shall conduct PDHRAs in accordance with DoDI 6490.03. The contractor shall complete a PDHRA in conjunction with a DoD-PHA when required.

5.3 Physical Exams: the contractor shall have the capability to conduct other physical exams in accordance with AR 40-501, AR 40-502, DA PAM 40-502, and the DoD-PHA Fact Sheet.

5.4 Vision Services

5.4.1 Visual Acuity Testing (Snellan/near vision): The contractor shall conduct visual acuity testing in accordance with AR 40-501, DA PAM 40-502, and DA PAM 40-506.

5.4.2 Eyewear Prescriptions: The contractor shall provide DD Form 771s with bridge and frame size in accordance with DA PAM 40-502.

5.5 Hearing Exams. The contractor shall conduct audiometry in accordance with AR 40-501, AR 40-502, and DA PAM 502. Hearing exams will be conducted using the DOEHRS-HC compatible audiometers (Benson) with DOEHRS software. Adherence to all requirements of OSHA, State & Federal Regulations is mandatory. Audiology evaluations and Speech Recognition in Noise Test (SPRINT) testing will be performed IAW all applicable Federal, DOD, MEDCOM, NGB, and State guidelines. The contractor shall complete all hearing exams with a DOEHRS Compatible Audiometer Testing with capability to upload results into ANCI certified and DOEHRS compatible audiometer computer. Hearing Conservation and Hearing Readiness tests shall be completed in a sound booth. The noise levels within the hearing test environment shall not exceed those shown in DA PAM 40-501, Table 7-1. Stationary audiometric test booths shall be evaluated on an annual basis using sound level meter equipment conforming to: a. At least the Type 1 requirements of the ANSI Standard S1.4-1983 (R 1997) and S1.4A-1985 Amendment (or latest approved standard).b. The band filter sets shall conform to requirements for Order 3, Type 3-D, extended range as specified by the latest ANSI Standard S1.11. Soldiers will be tested in a sound booth that meets the American National Standards Institute (ANSI) Maximum Permissible Ambient Noise Levels (MPANL) S3.1, 1999 (R 2008) as measured using a Type 1 Sound Level Meter (SLM) IAW DA Pam 40-501 and will ensure that the USAPHC Audiometric Test Booth Certification Form is posted on the audiometric test booth(s). Noise level measurements must be recorded on the U.S. Army Public Health Command Audiometric Test Booth Certification Form with a copy furnished to the Hearing Program Manager or their representative. The USAPHC Audiometric Test Booth Certification Form is available at:

http://phc.amedd.army.mil/PHC%20Resource%20Library/AudiometricTestBoothCertification.p

df. Noise level measurements for mobile audiometric test booths shall be evaluated each time they are moved to a new location or at a minimum, annually, if they are never moved and are used as stationary audiometric test booths. Ventilation systems in audiometric test booths shall provide adequate air exchange for patient comfort and acceptable sound levels for valid audiometric testing.

5.5.1 Comprehensive Audio Evaluation (CAE) Testing for ARNG, the Contractor shall perform CAE testing and diagnostic audio testing, including Pure Tone Air and Pure Tone Bone Tests, and SPRINT testing as indicated by initial screening results and after appropriate unit authorization is obtained. These CAE services may include emittance testing, tympanometry, acoustic reflex, speech reception thresholds, word recognition testing, and otoacoustic emissions.

The Contractor shall upload all pure tone audio test results into the DOEHRS-HC database within three (3) working days of completion and shall verify upload.

5.5.2 SPRINT testing shall be available at all events when requested and the results shall be available immediately. The contractor shall check that member has DD Form 2215 (baseline Audiogram) recorded in the medical information system (DOERS-HC) and medical record; and if no DD Form 2215 is in the medical record, perform DOEHRS-HC approved audiograms, and all service members with a DD Form 2215 on file have a DD Form 2216 completed. Contractor shall provide a list of personnel who require audiograms.

5.6 Immunizations: The contractor shall conduct immunizations in accordance with AR 40-562, DA PAM 40-502, and AR 40-502, DHA-IHD Vaccine Storage and Handling Guide.

Immunizations shall include routine adult profile immunizations.

5.6.1 The contractor shall provide and follow a vaccine-handling plan.

5.6.2 Typical vaccines include Hepatitis A, Hepatitis B, Influenza, meningococcal, MMR, TDAP, TD, varicella.

5.7 Phlebotomy/Lab: the contractor shall conduct all laboratory / phlebotomy services such as HIV, and G6PD blood draws, Sickle cell testing, pregnancy testing, and lipid profiles, as well as flight physical or Special Forces unique blood draws IAW AR 40-501, AR 40-502, and DA PAM 40-502. All HIV specimens shall be shipped by the contractor to the laboratory that is currently under contract with the ARNG or NGB for testing.

5.7.1 Human Immunodeficiency Virus HIV testing AR 40-502 and DA PAM 40-502: With information provided by the FLARNG the contractor shall upload the HIV spreadsheet to the HIV lab using the FLARNG site code and provide a copy of the spreadsheet to the COR upon completion of each event.

5.8 DNA Collection: The contractor shall conduct DNA collection in accordance with the AR 40-502 and DA PAM 40-502.

5.9 Cardiovascular Screening Program (CVSP): The contractor shall conduct the CVSP as outlined in AR 40-502, DA PAM 40-502, and AR 40-501. The contractor shall review event attendee’s records prior to events and provide a list of proposed SMs who require EKGs and/or cholesterol tests.

5.10 Dental Examinations: Army Directive 2019-07, AR 40-35, AR 40-3, AR 40-502, DA PAM

40-502, TB MED 250.

5.10.1 X-rays: Digital Bitewings, Digital Panoramic Radiographs: The contractor shall perform required dental examinations to include digital bitewings and digital panoramic radiographs if clinically indicated in support of the annual dental screenings IAW AR 40-501. The contractor shall have experience in and capability to upload all exam and digital radiographs into the DENCLASS system. The contractor shall ensure all Soldiers have a current digital Panoramic Radiograph on file in DENCLASS and if missing, the contractor shall perform new radiographs.

Adherence to all OSHA requirements, State and Federal Regulations are mandatory. Film or 'digitized' radiographs are not acceptable.

5.10.2 Dental Diagnostic Services:

5.10.2.1 DOl20-Periodic Oral Evaluation

5.10.2.2 DOl50-Comprehensive Oral Evaluation

5.10.2.3 D0330-Panorarnic Film

5.10.2.4 D0272-Bitewings-Two Films

5.10.2.5 D0274-Bitewings-Four Films

5.10.2.6 D02201D0230- Periapical (limited)

5.10.3 Exam/periodic oral evaluation. A periodic oral evaluation shall assess the current state of oral health and risk for future dental disease, as well as assessing general health factors that relate to the treatment of the patient. The following measures are required for each periodic oral evaluation:

5.10.3.1 Caries risk assessment - Classify Soldiers as low, moderate or high risk for caries as outlined by the American Dental Association's 1995 Special Supplement. This assessment will allow the ADCS to identify those at high risk for future disease and appropriately manage their care.

5.10.3.2 Periodontal assessment - Periodontal Screening and Recording (PSR), a screening procedure endorsed by the American Dental Association and the American Academy of Periodontology, should be utilized to determine the need for periodontal treatment.

5.10.3.3 Tobacco risk assessment - Classify Soldiers as a smoker, user of smokeless tobacco or as both.

5.10.3.4 Oral cancer screening - Perform a thorough oral cancer screening on all SMs as part of all annual examinations.

5.10.4 Each exam shall be entered into the DENCLASS reporting system and annotated on the SF 603 (Health Record - Dental) and…