PWS Dental Examination Services.pdf

Maryland Army National Guard

Medical Readiness: Dental Examinations

Performance Work Statement

Ver. October 2022

PERFORMANCE WORK STATEMENT (PWS)

FOR

Medical Readiness: Dental Examinations

1.0 General:

1.1 Scope. 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 medical readiness examinations and assessments, as defined in this PWS.

1.2 Background. The purpose of this requirement is to provide dental examination services in support of individual Soldier dental readiness as prescribed by AR 40-501.

This requirement is designed to be flexible, responsive, and meets the ever-evolving needs of the government. DoDI 6025.19 establishes aggressive quarterly and annual metric goals for separate individual medial readiness (IMR) elements and for the overall IMR category of fully medically ready (FMR) Soldiers. The goal is to maintain and improve dental readiness with an ideal goal of 100%. DoD established a uniform dental classification in HA policy 02-11, Policy on Standardization of Oral Health and Readiness Classification. Department of Defense (DoD) policy requires dental screening examination and remediation to be accomplished and documented on at least 90% of Soldiers. Members will receive an annual dental screening exam that will be entered in DENCLASS for documentation and tracking purposes. No dental treatment is authorized in this contact. The Maryland Army National Guard (MDARNG) Surgeon's Office requires a highly responsive process whereby the government can quickly obtain needed support and services.

1.3 Period of Performance (PoP). The Period of Performance shall be 1 Base Year of 12 months.

1.4 General Information:

1.4.1 Place and Performance of Services. The contractor shall provide a licensed dentist between the hours of 0800-1630 on Tuesday through 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 shall be at Camp Fretterd Military Reservation (CFMR), 5555 Rue Saint Lo Drive, BLDG 205, Reisterstown Maryland, 21136 and at The Flight Surgeon's Clinic 2624 Fairview Point Road, Building E-6814, Edgewood Maryland 21040. Typically, three days will be at CFMR and one day will be at Edgewood. Alternate work locations, workdays and hours may be authorized. The contractor shall at all times maintain an adequate workforce 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.

The Government does not permit the contractor to telework in support of this requirement. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance.

Telework shall be at no additional cost to the Government.

1.4.1.2 Unscheduled gate closures by the security 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 United States (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 QC 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.

Homeland Security Presidential Directive 12 (HSPD-12), Policy for a Common Identification Standard for Federal Employees and Contractors directs the implementation of a standardized badging process, which is designed to enhance security, reduce identity fraud, and protect the personal privacy of those issued government identification. Only those who have been officially appointed as Sponsors-and have completed the required training-can initiate this process.

Within the Department of Commerce, Personal Identity Verification (PIV) card sponsors are comprised of HR personnel, Contracting Officers/Contracting Officer Representatives, and Foreign National Guest Sponsors for PIV-lnteroperable (PIV-I) card issuance. All staff members issued a PIV card must have a favorable background investigation, including an FBI fingerprint check; for most people, this will mean a Tier I investigation [formerly the National Agency Check with Inquiries (NACI)]. Personnel meeting the criteria for PIV-I card issuance must have a minimum of a Department of Commerce Special Agreement Check (SAC) background investigation and a favorable fingerprint check. Refer to DAO-207-12 for more information related to foreign visitors and guests. If an investigation does not meet the minimum requirements and/or employment is less than 180 days, the applicant is eligible for a local Facility Access Card (FAC) or PIV-I card if necessary.

All personnel must be "identity-proofed" through authentication of two forms of government-issued identification. No one person can be the sole official that requests, authorizes and issues a badge.

1.4.5.1 Common Access Card (CAC). 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 non DoD 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 must ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at Attachment TBD, as soon as possible and that this form is forwarded to 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 (Bl) 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 submitting the PSIP form to return of the FBI fingerprint check may routinely take from two to six weeks and shall factor this Leadtime 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 Bl, 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 RAPIDS. 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 1-9, 0MB No. 1615-0047, "Employment Eligibility Verification". Consistent with applicable law, at least one document from the Form 1-9 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 https://tass.dmdc.osd.mil/tass/ http://www.dmdc.osd.mil/rsl/) 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 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 CORorKO.

1.4.5.1.5 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.

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

1.4.5.1.6 N/A

1.4.5.2 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/AT-level1/launch.html.

1.4.5.3 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.

1.4.5.4 COMSEC/IT. 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 https://jko.jten.mil/courses/AT https://jko.jten.mil/courses/AT 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.

1.4.5.5 Information System. 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 lnfostructure (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:

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

1.4.5.5.2 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).

1.4.5.5.3 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.

1.4.5.6 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/).

1.4.5.7 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.

1.4.5.8 Information Assurance (IA)/lnformation Technology (IT) certification. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01-M and https://atc.us.army.mil/iastar/docs/Training https://atc.us.army.mil/iastar/index.php) https://iatraining.us.army.mil/)

AR 25-2 within six months of the start of contract performance or appointment to IA/IT functions. In accordance with DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, contractor employees supporting or performing IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.9 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII 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. If a PII breach results from the contractor's violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.10 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.

1.4.5.11 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.

1.4.6 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 a current and active license to practice as a dentist in the State of Maryland.

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 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 https://securityawareness.usalearning.gov/opsec/index.htm 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.

1.4.9 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.

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 pass) 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 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 OCls, 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.

2.0 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 CONTRACTING OFFICER'S REPRESENTATIVE (COR): An employee of the US Government designated by the KO to monitor contractor performance. Such appointment shall be in writing and shall state the scope of authority and limitations.

This individual has the authority to provide technical direction to the contractor as long as the direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does not have the authority to change the terms and conditions of the contract.

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

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

2.1.5 HIPPA: acronym that stands for the Health Insurance Portability and Accountability Act, as US law designed to provide privacy standards to protect patients' medical records and other health information provided to health plans, doctors, hospitals and other health care providers.

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

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

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

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

2.1.10 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

AR

AT/OPSEC

Bl

CAC

CM

COR

DA

DD254

DFARS

DoD

DSCA

FAR

FMR

FPCON

GFP/M/E/S

HQDA

HSPD

IA

IS

KO

NGB

OCI

PII

PIPO

POC

PRS

PWS

QA

QASP

QC

QCP

SCR

SSN

Army Enterprise lnfostructure Army Regulation Antiterrorism/Operational Security Background Investigation Common Access Card Contract Manager Contracting Officer Representative Department of the Army Department of Defense Contract Security Classification Specification Defense Federal Acquisition Regulation Supplement Department of Defense Defense Counterintelligence and Security Agency Federal Acquisition Regulation Fully Medically Ready Force Protection Condition Government Furnished Property/Material/Equipment/Services Headquarters, Department of the Army Homeland Security Presidential Directive Information Assurance Information System(s) Contracting Officer National Guard Bureau Organizational Conflict of Interest Personally Identifiable Information Phase In/Phase Out Point of Contact Performance Requirements Summary Performance Work Statement Quality Assurance Quality Assurance Surveillance Plan Quality Control Quality Control Program Service Contract Reporting Social Security Number

TE

USD(I)

Technical Exhibit Under Secretary of Defense for Intelligence

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: Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include a dental suite consisting of a dental chair, panograph machine, desk space, telephones, computers and other items necessary to maintain an office environment.

3.2 Materials: Basic office supplies will be provided.

3.3 Equipment: The government will provide computer, desk phone and necessary dental tools to perform dental examinations.

3.4 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.

5.0 Requirements: The contractor shall provide the following:

5.1 Dentist. The Contractor shall provide a licensed dentist to perform dental examination readiness support services to the MDARNG as required in the PWS, and comply with all military, legal (HIPPA and Privacy Act), and regulatory policies and procedures concerning these duties and responsibilities of a licensed dentist. Personnel assigned to this requirement shall possess the required technical skills and expertise to perform the functions with minimal guidance.

5.1.1 Dental Examination Standard. The contractor is responsible for ensuring the contractor employees are performing comprehensive dental examinations, assess current oral health and determine risk of future oral disease in accordance with Army standards that are outlined in AR 40-35.

5.1.2 Licensing Requirements. The licensed dentist who will have and maintain a valid, unrestricted Maryland Dental License. The license and certificates must be renewed and maintained during the life of the contract.

5.1.3 Special Qualifications. Current Basic Life Support (BLS) certification is required and a minimum of three years of experience as a dentist with the military population.

The dentist also needs to have a common access card prior to reporting to the clinic to conduct annual dental examinations.

5.1.4 Credentialing. The Contractor shall, without additional expense to the government, be responsible for obtaining any necessary licenses and permits and for complying with any applicable state and federal laws, codes and regulations in connection with the performance of the type of services required by this contract.

5.1.5 Disclosure. Complete disclosure of any past incidents in contract employee's professional duties or of incidents which might be considered to impact on their professional standing, such as charges (unless acquitted) involving either felonies or misdemeanors (other than minor traffic violations) is a necessary part of competency process. The disclosure must also specifically include reports of any actions, claims, charges of malpractice ever brought against the contract employee (either individually or as a part of a group), as well as the outcome (or current status) of any such case.

The State Surgeon Office will evaluate any such incident and determine whether it should be disqualifying. If at any time during the contract period it is discovered through a medical center investigation or any investigation, that the dentist is currently pending charges, or has previously been convicted of any of the incidents, that contract dentist may be terminated for default. Contractors are advised to make full disclosure under this paragraph as condition of employment. Failure of full disclosure will result in a determination that the dentist's services were unsatisfactory.

5.1.6 Clinical Knowledge and Skills. Required technical skills and expertise to perform the functions with minimal guidance: The dentist needs to be able to conduct a basic dental examination, read and properly interpret dental x-rays, identify dental issues/concerns, establish a recommended treatment plan and provide dental health education. Additionally, the dentist must know the Army criteria (AR 40-35) of dental classification. The classification is using the dentist best judgement if that Soldier is at risk for a dental emergency within a year. The government reserves the right to test the contract dentist prior to performing services, and at any time during the contact, to ensure that they possess the necessary and required knowledge and skills. Should the contract employee be found to perform unsatisfactorily or be unfit for duty, they will be asked not to perform services. At any time during the contract performance, the contract employee may be asked to leave if it is deemed to be in the best interest of the clinic.

5.1.7 Education. The contractor is responsible for ensuring that contractor employees educate Soldiers on resources available to improve oral health and dental readiness.

5.1.8 HIPPA. The contractor is responsible for ensuring all contractor employees complete HIPPA training annually and comply with the federal regulation.

5.1.9 OSHA. The contractor is responsible for compliance with OSHA guidelines regarding the use of disposable examination instruments and medical waste.

5.1.10 Universal Precautions. The contractor is responsible for the proper implementation of standard universal precautions and infection control measures.

5.1.11 Mass Medical Readiness Events. The contractor shall ensure that contractor employees attend mass medical readiness events to complete dental examinations as determined by the needs of the state and the individual units.

5.1.12 Polices and Regulations. The contractor will ensure the contractor employees will follow the regulations and policies applicable to individual medical readiness (IMR) and deployment with respect to dental readiness, to include AR 40-35, AR 40-501, AR 40-502 and other applicable guidance.

5.1.13 Dental Treatment. Dental treatment is not required or authorized by the contractor employees.

5.1.14 Litigation. In the event of litigation/ investigation of a claim of liability or malpractice the contract employee shall cooperate fully with government authorities and designated officials in the investigation of the claim or preparation of litigation. Contract personnel shall immediately notify the contracting office and promptly furnish copies of all pertinent papers receives; cooperate with the government in the processing, review, settlement, or defense of the suit, action or claim; and authorize government representatives to settle or defend the claims and to present the dentist in, or take charge of, any litigation involved in such action.

5.1.15 Misconduct/ Disruption of Services. At any time during the performance of this contract, the contracting officer, COR or Chief of Department may immediately remove any contract employee whose actions, or impaired state, results in the clear disruption to the work force.

5.1.16 Confidentiality. The contractor shall abide by AR 40-66 concerning the nature of limited privileged communication between the Soldier and dentist for security and personnel reliability programs. The contractor shall abide by AR 40-66 concerning confidentiality of patient records, as embodied in federal statues including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129. The contractor shall not release any medical or personal information on a patient without first receiving written approval from the COR. Government will provide the regulation upon request by the contractor. See addendum to FAR 52.212-4, Privacy of Protected Health Information, Dec 2002, HIPPA.

5.1.17 Referrals and Billing. The contractor shall not recommend or suggest to persons authorized to receive medical care at Army expense that such persons should receive medical care form the contractor or any other source other than the Army hospital. The contractor shall not bill the Soldier, an insurer, or anyone else for services rendered. The only compensation the contractor is entitled to for performance of the contract is payment from the Government as specified by the contract. The contractor is not prohibited, by reason of their employment under this contract, from conducting private medical practice if there is not conflict with the performance of duties under this contract and the contractor does not use government facilities or other government property in connection therewith.

5.1.18 The contract employee shall not be an employee of the United States government if the employment would create a conflict of interest. The contract employee who is an employee of the Department of Defense (DoD), either military or civilian shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R.

5.1.19 Safety. The contractor and/or contract employee shall be responsible for complying with all installation safety prevention regulations. Such regulations include, but not all limited to, general safety, fire prevention and waste disposal.

5.1.20 Training. Contract employee will complete all training required to get and maintain access to military database, websites, and network access.

5.1.21 Education. The contractor is responsible for ensuring that contractor employees educate Soldiers on resources available to improve oral health and dental readiness.

5.2 Communication.

5.2.1 Documentation. The contractor will perform and document Soldier's annual dental examination IAW AR 40-35 and will be documented on paper forms (DD 2813, SF 603) and electronically in DENCLASS. There may be additional requirements for documentation to meet policy and regulation changes.

5.2.2 Communication. The contract employee shall be able to read, write and understand, and speak English well enough to effectively communicate with all Soldiers and other healthcare team.

5.2.3 Email. The contractor is responsible for ensuring that the contractor employees regularly check emails throughout the business day and respond in a timely fashion. An out of office response is required anytime the employee is not working on a scheduled day.

5.2.4 Voicemail. The contractor is responsible for ensuring the contractor employee check voicemail throughout the business day and respond within 24 hours. An out of office response is required anytime the employee is not working on a scheduled day.

5.2.5 Retention Standards and Documentation. Contractor employee will document all dental concerns and findings as Soldier report them and found during examination.

Any dental problems that fall below retention standards IAW AR 40-35 will be documented. Soldiers who fall below retention standards will be issued a temporary profile as appropriate. Any questions regarding what actions should be taken for a Soldier will be directed to the Deputy State Surgeon or designee.

5.2.6 Report Concerns. The contractor will ensure that they report significant or concerning findings to the Deputy State Surgeon or their designee.

5.2.7 Civilian Documentation. Contractor employee will review civilian documentation (DD 2813) and document findings accordingly. All civilian documentation will be uploaded into DENCLASS.

5.2.8 Dental Treatment Plan. The contractor is responsible for ensuring that contractor employees coordinate dental treatment plan with appropriate medical or dental facilities.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or

Advisory

Website

Federal Acquisition Regulation https://www.acquisition.gov

Defense Federal Acquisition

Regulation Supplement https://www.acquisition.gov/dfars

Joint Travel Regulation (JTR) www.defensetravel.dod.mil

DoDM 1000.13-M-V1

DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020) httg://www.esd.whs.mil/Directives/issuan ces/dodm

Federal Information Processing Standards (FIPS) Publication

201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9)

August httg://nvlgubs.nist.gov/nistgubs/FIPS/NIS T.FIPS.201-2.gdf

DoDM 5200.2 Procedures for the DoD Personnel Security

Program (PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuan ces/dodd/ https://www.acquisition.gov/ https://www.acquisition.gov/dfars http://www.defensetravel.dod.mil/ http://www.esd.whs.mil/Directives/issuan https://www.esd.whs.mil/Directives/issuances/dodd/

DoDI 5200.46 DoD Investigative and

Adjudicative Guidance for Issuing the Common Access

Card (CAC)

09/09/14 (Change 1:

05/04/2018) https://www.esd.whs.mil/Directives/issuances/ dodd/

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common

Identification Standard for Federal Employees and

Contractors

08/27/2004 httgs://www.dhs.gov/homeland-security-gresidential-directive-12 http://www.dhs.gov/homeland-security-

DoDI 5400.11 Department of Defense Privacy and Civil Liberties ProQrams

01/29/2019 https://www.esd.whs.mil/Directives/issuanc es/dodd/

DoD 5400.11-R

Department of Defense Privacy Program

05/14/2007

DoDD 8140.01 Cyberspace Workforce

Management

10/05/2020

DoD 8570.01-M

Information Assurance Workforce Improvement

Program

12/19/2005 (Change 4:

11/10/2015) https://www.esd.whs.mil/Directives/issuanc es/dodd/

DoD 5220.22-M National Industrial Security Program Operating Manual

(NISPOM)

02/28/2006 (Change 2:

05/18/2016)

Army Directive 2014-05 Policy and Implementation Procedures for Common

Access Card Credentialing and Installation Access for Uncleared Contractors

03/07/2014 https://armypubs.army.mil/

AR 25-2

Information Assurance

04/04/2019 httg://armygubs.army.mil/ProductMags/P

AR 530-1

Operations Security

09/26/2014 https://armypubs.army.mil/

AR 525-13

Antiterrorism

12/09/2019 https://armypubs.army.mil/

AR 381-12

Threat Awareness and

Reporting Program (TARP) (Section 11, 1J 2-4.b)

06/01/2016 https://armypubs.army.mil/ https://armypubs.army.mil/

AR 40-68, Clinical Quality Management

20040226, RAR

20090522

Mandatory https://armypubs.army.mil/

AR 40-35, Preventive Dentistry and Dental Readiness

20160721 Mandatory https://armypubs.army.mil/

AR 40-502, Medical Readiness 20190627 Mandatory https://armypubs.army.mil/

DoDI 6025.19, Individual Medical Readiness Program

20220713 Mandatory https://armypubs.army.mil/

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/ https://armypubs.army.mil/

Form Date Website

DD 1172-2

Application for Identification Card/DEERS Enrollment

Mar 2017 httr2://www.dtic.mil/whs/directives/forms/index.htm

1-9 Employment Eligibility

Verification

10/21/201 httr2s://www.uscis.gov/sites/default/files/files/form/i- 9.[2df

DD441

Department of Defense

Security Agreement

Feb 2020 httr2://www.dtic.mil/whs/directives/forms/dd/ddforms 0001-0499.htm

DD 250

Material Inspection and

Receiving Report

Aug 2000 httr2s://www.esd.whs.mil/Directives/forms/dd0001 0 499/ http://www.dtic.mil/whs/directives/forms/index.htm http://www.uscis.gov/sites/default/files/files/form/i-http://www.dtic.mil/whs/directives/forms/dd/ddforms http://www.esd.whs.mil/Directives/forms/dd0001

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance

Objective Performance Standard Acceptable

Quality Levels

(AQL)

Surveillance Method / By Whom

5.1.1 Perform comprehensive

dental examinations, assess current oral health and determine risk of future oral disease in accordance with AR 40-35.

95% Accurate Periodic Inspection- COR will monitor compliance

5.2.5 Contractor employee will

document all dental concerns and findings as Soldier report them and found during examination.

Any dental problems that fall below retention standards IAW AR 40-35 will be documented.

95% Accurate Periodic Inspection- COR will monitor compliance

5.2.7 Contractor employee will

review civilian documentation (DD 2813) and document findings accordingly. All civilian documentation will be uploaded into DENCLASS.

95% Accurate Periodic Inspection- COR will monitor compliance

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS

Reference I

Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.5.1.5 Receipt for each CAC card returned to the DEERS office

Within 15 calendar days of returning issued CACs to the DEERS office upon departure or dismissal of each contractor employee

1 Electronic Submission

TA/COR

1.4.5.3 AT Level

1 Awareness

Training Certificates

Provide within 15 calendar days after employee completes traininq.

1 Electronic Submission

COR

1.4.5.4 iWATCH Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.11

OPSEC

Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.12 OPSEC Level II Certification for

OPSEC

Coordinator

Provide NLT 15 days after employees completed certification

1 Electronic Submission

COR

1.4.5.12 TARP

Training

Certificates

Provide within 15 calendar days after training completion.

1 Electronic Submission

COR

1.4.10 Identification

Media

Return within 14 days of employee's departure from contract performance.

Original(s) Hard Copy KO

3.1 Property Timeframe identified

in 3.1

1 Electronic Submission

TA/COR

TECHNICAL EXHIBIT 3

Estimated Workload Data

This information is provided for historical background only. It is not a guarantee of workload quantities.

ITEM NAME ANNUAL ESTIMATED

QUANTITY

1 Perform and document medical readiness, deployment or specialty examination

2000 (2022)

2 Service Members to be monitored 4,300