PWS.OH Medical Exams BPA-1.pdf

Ver. October 2022

PERFORMANCE WORK STATEMENT (PWS)

FOR

Occupational Health Medical Exams Single-Award Blanket Purchase Agreement (BPA)

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 Occupational Health Medical Exam Services, as defined in this PWS.

1.1.1 Reserved.

1.2 Background: The Virginia Army National Guard (VAARNG) Mobile Occupational Health Medical Surveillance Examination Program provides job-related medical surveillance examinations to full-time and temporary employees who are or could potentially be exposed to health hazards in the work environment on an annual basis. The number of employees to be tested may change due to military-related obligations.

1.3 Period of Performance (PoP): The Period of Performance of this Single-Award BPA shall be 60 months, from 1 Nov 2026 to 31 Oct 2031, revalidated annually. Specific performance dates will be indicated on individual call orders. One “event” on a call order can include one (1) to six (6) service locations, with only one location scheduled per day. An event with multiple service locations will be scheduled in successive order.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 7:30 AM to 4:30 PM EST at BLDG 134, Fort Pickett, Blackstone, VA 23824; 3100 Alcott Rd, North Chesterfield, VA 23297; 3777 E VA Beach Blvd, Virginia Beach, VA 23452; 201 State Drive, Troutville, VA 24175;

700 Portugee Rd, Sandston, VA 23824; or 312 Harry Fry Dr, Gate City, VA 24251.

The contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the workforce are essential. Teleworking is not authorized.

1.4.1.1 Telework: The Government does not permit the contractor to telework in support of this requirement.

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 the total performance of this Single-Award BPA.

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 Reserved.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this Single-Award BPA 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 Contracting Officer Representative (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 the 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 the 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 Reserved.

1.4.5.1.1 Reserved.

1.4.5.1.2 Reserved.

1.4.5.1.3 Reserved.

1.4.5.1.4 Reserved.

1.4.5.1.5 Reserved.

1.4.5.1.5.1 Reserved.

1.4.5.1.6 Reserved.

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 the 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 the 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.

1.4.5.4 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 locally developed training shall be used to inform employees of the types of behavior to watch 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 Reserved.

1.4.5.6.1 Reserved.

https://jko.jten.mil/courses/AT-level1/launch.html

1.4.5.6.2 Reserved.

1.4.5.6.3 Reserved.

1.4.5.6.4 Reserved.

1.4.5.6.5 Reserved.

1.4.5.7 Reserved.

1.4.5.8 Reserved.

1.4.5.9 Reserved.

1.4.5.10 Protection of Personally Identifiable Information (PII) and Health Information Portability and Accountability Act (HIPAA). The contractor shall protect all PII/HIPPA 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.

1.4.5.11 Reserved.

1.4.5.12 Reserved.

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.

1.4.6.1 Reserved.

1.4.6.1.1 Reserved.

1.4.6.1.2 Reserved.

1.4.6.1.3 Reserved.

1.4.6.2 Reserved.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required licenses for operating medical exam services used in the performance of this Single-Award BPA. 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 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.

1.4.9 Contract Manager (CM): The contractor shall designate a CM who shall ensure performance under this Single-Award BPA and subsequent call orders. 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 the daily operation of this Single-Award BPA and subsequent call orders. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure the adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the Single-Award BPA without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the Single-Award BPA are performed wholly at the expense of the contractor.

1.4.10 Reserved.

1.4.10.1 Reserved.

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 Single- Award BPA, procure commercial sex acts during the period of performance of the Single-Award BPA, or use forced labor in the performance of the Single-Award BPA. The Contractor shall notify its employees of the United States Government’s zero-tolerance policy and 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 in FAR 22.17.

1.4.12 Contractor Travel: The contractor shall travel to BLDG 134, Fort Pickett, Blackstone, VA 23824; 3100 Alcott Rd, North Chesterfield, VA 23297; 3777 E VA Beach Blvd, Virginia Beach, VA 23452; 201 State Drive, Troutville, VA 24175; 700 Portugee Rd, Sandston, VA 23824; or 312 Harry Fry Dr, Gate City, VA 24251 during the performance of this Single-Award BPA to perform occupational health medical exam services.

The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this Single-Award BPA. All travel requires COR recommendation for approval and/or authorization by the KO prior to travel arrangements being made.

1.4.13 Reserved.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this Single-Award BPA 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 subsequently contracted requirements which may be affected by the OCI.

1.4.15 Reserved.

1.4.16 eMS Contract Language: The Agency has implemented an Environmental Management System (eMS), in accordance with Army Regulation 200-1, Executive Order 13990 and Code of Virginia 10.1- 1187.1, to guide its operations in an environmentally sound manner. The Agency is and will continue to be a leader in protecting the environment.

The Agency has implemented and is maintaining an eMS to ensure continuity of environmental protection while maintaining and enhancing mission readiness. The Contractor shall perform work under this contract consistent with the relevant policy and objectives identified in the eMS.

Contractors shall refer to the Virginia National Guard website at Environmental Program (ng.mil) to read and understand the eMS policy.

In addition, the Contractor shall ensure that its employees and subcontractors are aware of the roles and responsibilities identified by the eMS and how these requirements affect the work performed under this contract. If the services supplied have the potential to cause negative environmental impacts, the Contractor is responsible to develop and implement steps to prevent the potential event. In the event an environmental nonconformance or noncompliance associated with the contracted service is identified, the Contractor is responsible to take corrective action immediately. Contractors are liable for any enforcement actions, fines, and/or penalties resulting from their failure to comply with applicable environmental requirements.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Blanket Purchase Agreement: A simplified method of filling anticipated repetitive needs for supplies or services by establishing “charge accounts” with qualified sources of supply.

2.1.2 Call Order: An order placed by an authorized government representative against a Blanket Purchase Agreement.

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

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

2.1.5 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.

2.1.6 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:

AR Army Regulation BPA Blanket Purchase Agreement CM Contract Manager COR Contracting Officer Representative DA Department of the Army DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished

Property/Material/Equipment/Services HSPD Homeland Security Presidential Directive KO Contracting Officer PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan

3.0 Government Furnished Property, Material, Equipment, and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and services listed 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, including desk space, Office and other items necessary agreed upon by vendor and Government.

Per FAR 45.000 (b)(5), the above Government-furnished items ARE NOT considered GFP.

“Government property that is incidental to the place of performance, when the contract requires contractor personnel to be located on a Government site or installation, and when the property used by the contractor within the location remains accountable to the Government.

Items considered to be incidental to the place of performance include, for example, office space, desks, chairs, telephones, computers, and fax machines.”

The Government is responsible for maintenance and repair costs and the conditions by which the contractor could be liable for loss for the above-listed property unless the COR and/or KO determine that the loss was due to negligence on behalf of the contractor. In this case, the contractor shall be solely responsible for the maintenance and/or repair cost(s).

3.2 Materials: None.

3.3 Equipment: None.

3.4 Services: None.

3.5 Utilities: All utilities in the facility will be available for the contractor’s use in the performance of this contract. The contractor shall instruct employees in utility 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.

5.0 Requirements.

5.1 Event Requirements.

5.1.1 Mobile Unit: The contractor must provide the fully equipped mobile clinic as an "all-inclusive" service element.

5.1.2 Exam Documentation: The contractor shall provide two copies of all medical surveillance tests and exams in hard copy format to the Government COR within 30 business days after event. Board-eligible or Certified Occupational Medicine Physician or Nurse Practitioner that holds Doctorate degree shall develop/provide a written statement to notify the Soldier of abnormal results identified in the medical surveillance physical examination results.

5.1.3 Event Summary Reporting (Master Summary Report): Provide a final report for all services provided to include the below information regarding all employees receiving services. Submit a report to the Government COR as designated for event within 3 business days of event.

Needed Topics and Data on Report:

1. Date of examinations.

2. Location of examinations.

3. Total number of patients scheduled.

4. Total number of patients examined.

5. A by-name listing of all employees examined.

5.1.4 Medical Liability Insurance: Maintain medical liability insurance in a coverage amount acceptable to the Contracting Officer, which is not less than the amount usually prevailing within the local community for the medical specialty concerned. The Contractor is required to ensure that its subcontractors, if any, for provisions of health care services, contain the requirements of clause 52.237-7, Indemnification and Medical Liability Insurance, including the maintenance of medical liability insurance.

Indemnify the Government for any liability-producing act or omission by the Contractor, its employees, and agents occurring during contract performance. The contractor shall furnish to the COR prior to the contract award evidence of its insurability concerning the medical liability insurance required by this clause.

5.1.5 Occupational Health Specific Exams: Ensure all procedures are conducted in accordance with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH) Standards.

5.1.6 Laboratory Services: Ensure all clinical laboratory services are performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration, pursuant to the terms of the Clinical Laboratories Improvement Act of

1967 (42 U.S.C. 263a) and the College of American Pathologies.

Laboratory services shall be performed by personnel certified under the American Society of Clinical Pathology. Chemistry panel/CBC/Urinalysis:

The number of labs historically is 95% or more of the total number of employees tested. Blood Lead/ZPP: The number of labs historically is 15% or more of the total number of employees tested. There may be more or less; however, these are unknown factors at this time.

5.1.7 Bloodborne Pathogens Compliance: Ensure each healthcare worker complies with 29 CFR 1910.1030 Bloodborne Pathogens Standard requirements.

5.1.8 Hazardous Waste: Ensure disposal of all infectious waste is in accordance with local, state, and federal regulations and disposed of by the contractor unless other accommodations have been coordinated in writing.

5.1.9 Equipment: Ensure instrumentation must meet or exceed

appropriate performance standards and calibration accuracy in accordance with local, state, and federal regulations, and calibration accuracy must be verified in accordance with current Occupational Medicine Certification standards. Supporting documentation indicating equipment compliance shall be provided as requested.

5.1.10 Scheduling of events: Scheduling/coordination shall be a joint effort between the Government and the contractor and will begin when each event's dates/attendees/locations become known. The Government will notify the contractor of a call order service requirement a minimum of 20 calendar days prior to each event.

5.1.11 Phlebotomy Service for Occupational Health events: Perform all phlebotomy services as needed including:

a.) Bilirubin, total.

b.) Blood urea nitrogen (BUN).

c.) Complete Blood Count (CBC), including differential and blood platelet counts (actual).

d.) Creatinine, serum.

e.) Eosinophil count.

f.) Hemoglobin and hematocrit.

g.) Peripheral smear morphology.

h.) Red cell indices.

i.) Reticulocyte count.

j.) Triglycerides, Total Cholesterol to include HDL and LDL.

k.) Urinalysis (UA), screening, and microscopic.

l.) Alkaline phosphatase (Alk PO4), Gamma Glutamyl Transpeptidase (GGTP), Serum Glutamic Oxalacetic Transaminase (SGOT), and Serum Glutamic Pyruvic Transaminase (SGPT) either individually or as part of a Liver Profile.

m.) Zinc Protoporphyrin (ZPP) and Serum Lead must be processed by laboratory meeting standards set forth in 29 CFR 1910.1025.

Only selected individuals.

Note: Other labs may be required based on exposure, i.e., cadmium, chromium, copper, formaldehyde, benzene, etc.

5.1.12 Eye Exam Testing: Conduct visual acuity testing in accordance with DA PAM 40-506 using multiphasic vision screening equipment to measure the following primary visual skills:

a.) Visual acuity for distance and near.

b.) Lateral phorias for distance and near.

c.) Vertical phorias for distance and near.

d.) Depth perception.

e.) Color perception.

f.) Peripheral vision.

5.1.13 Pulmonary Screening: Performed in accordance with AR11-34.

Examinations shall include a minimum Forced Expiratory Volume in one second (FEV1), Forced Vital Capacity (FVC), comparison with recognized regular for the individual's height and weight, sex, race, age, and a documented interpretation by a pulmonologist or certified Occupational Health physician. Written Respirator Clearance documentation shall be provided by the Physician and included in Exam Documentation specified in 5.1.2.

5.1.14 Hearing Screening: Perform audiograms in accordance with Standard Testing Procedures for Army Hearing Conservation and Hearing Readiness IAW AR 40-501 and DA-PAM 40-501. Hearing exams must conform to the audiogram data listed on Department of Defense (DD) Form 2216.

5.2 Key Personnel

5.2.1 Board-eligible or Certified Occupational Medicine Physician or Nurse Practitioner that holds Doctorate degree.

5.2.2 Medical Technicians: Shall be credentialed but will work under the auspices of the licensed provider. The contractor shall be held liable and is responsible for ensuring and verifying the appropriate level of Credentialing / Privileging (Licensure, Diploma, background checks, etc.)

for all contract providers in support of any V–event.

5.2.3 Certified Pulmonary Function Technologist: Pulmonary Function Tests (PFTs) shall be performed by licensed physicians or personnel certified through a program approved by the National Institute for Occupational Safety and Health (NIOSH) in accordance with 29 CFR 1910.1001.

5.2.4 Audiogram Screening Technicians: Shall be certified by the Council for Accreditation in Occupational Hearing Conservation (CAOHC).

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

Publication (Chapter/Page)

Date of Publicatio n

Mandator y or

Advisory

Website

Federal Acquisition Regulation

(FAR 31.204-46)

12/30/202

Advisory https://www.acquisition.gov/far/part-

31#FAR_31_205_46

Joint Travel Regulation (JTR) (See above reference)

2/1/2023 Advisory https://www.travel.dod.mil/Support/A LL-FAQs/Article/2893564/contractor-travel-regulations/

AR 525-13

Antiterrorism

(Chapter 3, section 6, page 12)

12/03/201

Advisory http://armypubs.army.mil/ProductMa ps/PubForm/AR.aspx

Army Regulation 40-5, Preventive Medicine

5/12/2020 Advisory https://armypubs.army.mil/epubs/DR_ pubs/DR_a/pdf/web/ARN16450_R40

_5_FINAL.pdf

Department of Defense 6055.05M, Occupational

Medical Surveillance

7/27/2022 Advisory https://www.esd.whs.mil/Portals/54/Doc uments/DD/issuances/dodm/60550

5m.PDF?ver=3u-UoR7v7wydz- RIKQkI_Q%3D%3D https://www.acquisition.gov/far/part-31#FAR_31_205_46 https://www.acquisition.gov/far/part-31#FAR_31_205_46 https://www.travel.dod.mil/Support/ALL-FAQs/Article/2893564/contractor-travel-regulations/ https://www.travel.dod.mil/Support/ALL-FAQs/Article/2893564/contractor-travel-regulations/ https://www.travel.dod.mil/Support/ALL-FAQs/Article/2893564/contractor-travel-regulations/ http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16450_R40_5_FINAL.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16450_R40_5_FINAL.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/ARN16450_R40_5_FINAL.pdf https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505m.PDF?ver=3u-UoR7v7wydz-RIKQkI_Q%3D%3D https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505m.PDF?ver=3u-UoR7v7wydz-RIKQkI_Q%3D%3D https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505m.PDF?ver=3u-UoR7v7wydz-RIKQkI_Q%3D%3D https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodm/605505m.PDF?ver=3u-UoR7v7wydz-RIKQkI_Q%3D%3D

Army Regulation 11-34, The Army Respiratory Protection

Program

7/25/2013 Advisory https://armypubs.army.mil/epubs/DR_ pubs/DR_a/pdf/web/r11_34.pdf

Department of the Army Pamphlet 40-506, The Army

Vision Conservation and Readiness Program

7/15/2009 Advisory https://armypubs.army.mil/epubs/DR_ pubs/DR_a/pdf/web/p40_506.pdf

Homeland Security Presidential Directive

(HSPD)-12

Policy for a Common

Identification Standard for Federal Employees and

Contractors

08/27/200

Advisory https://www.dhs.gov/homeland-security-presidential-directive-12

AR 530-1,

Operations Security

09/26/201

Advisory https://armypubs.army.mil/epubs/DR _pubs/DR_a/pdf/web/r530_1.pdf

Title 29, Code of Federal Regulations, Part 1910:

Occupational Safety and

Health Standards

Current Advisory https://www.osha.gov/laws-regs/regulations/standardnumber/19

Title 29, Code of Federal Regulations, Part 1960:

Safety and Health Provisions for Federal Employees

Current Advisory https://www.osha.gov/laws-regs/regulations/standardnumber/19

Threshold Limit Values (TLV’s) and Biological Exposure Indices

(BEI) of the American Conference of Governmental Industrial

Hygienists (ACGIH)

Current Advisory https://www.acgih.org/science/tlv-bei-guidelines/

6.1 Reserved.

TECHNICAL EXHIBIT 1

https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r11_34.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r11_34.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_506.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/p40_506.pdf https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r530_1.pdf https://armypubs.army.mil/epubs/DR_pubs/DR_a/pdf/web/r530_1.pdf https://www.osha.gov/laws-regs/regulations/standardnumber/1910 https://www.osha.gov/laws-regs/regulations/standardnumber/1910 https://www.osha.gov/laws-regs/regulations/standardnumber/1910 https://www.osha.gov/laws-regs/regulations/standardnumber/1960 https://www.osha.gov/laws-regs/regulations/standardnumber/1960 https://www.osha.gov/laws-regs/regulations/standardnumber/1960 https://www.acgih.org/science/tlv-bei-guidelines/ https://www.acgih.org/science/tlv-bei-guidelines/

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

5.1.2 Exam

Documentation

The contractor shall provide two copies of all medical surveillance tests and exams for the VA ARNG in hard copy format to the Government COR within 30 business days after event.

The report is received no later than 30 days after event.

Periodic inspection /

COR

5.1.2 Exam

Documentation

Board-eligible or Certified Occupational Medicine

Physician or Nurse Practitioner that holds Doctorate degree shall develop/provide a written statement to notify the

Soldier of abnormal results identified in the medical surveillance physical examination results.

Written statement is developed/provided to notify the Soldier of abnormal results identified in the medical surveillance physical examination results.

Periodic inspection /

COR

5.1.3 Event

Summary Reporting (Master

Summary Report)

The contractor shall provide a report consisting of the event date, location(s), patients scheduled, patients examined, and by name listing of employees examined for the VA

ARNG NLT three business days after event.

The report is received no later than three business days after event.

Periodic inspection /

COR

5.1.11 Phlebotomy

Services

The contractor shall provide all phlebotomy services requested in accordance with (IAW) the PWS and BPA terms.

90% of scheduled services per task order are completed IAW the

PWS and BPA terms at event.

Periodic Inspection /

COR

5.1.12 Optometry

Exams

The contractor shall provide all optometry exam services requested in accordance with (IAW) the PWS and BPA terms.

90% of scheduled services per task order are completed IAW the

PWS and BPA terms at event.

Periodic Inspection /

COR

5.1.13 Pulmonary

Exams

The contractor shall provide all pulmonary exam services requested in accordance with (IAW) the PWS and BPA terms.

90% of scheduled services are completed IAW the PWS and BPA terms at event.

Periodic Inspection /

COR

5.1.14 Hearing Exams

The contractor shall provide all hearing exam services requested in accordance with (IAW) the PWS and BPA terms.

90% of scheduled services are completed IAW the PWS and BPA terms at event.

Periodic Inspection /

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS

Reference / Deliverable

Title

Frequency Number of Copies

Medium/Format Submit To

1.4.5.3 AT

Level 1

Awareness Training

Certificates

The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after the completion of training by each employee or subcontractor personnel.

1 Electronic Submission

1.4.5.4 iWATCH Training

Certificates

The contractor shall report completion for each contractor employee and subcontractor employee to the COR within 15 calendar days after completion of training.

1 Electronic Submission

COR

5.1.2 Exam

Documentation

The contractor shall provide two copies of all medical surveillance tests and exams in hard copy format to the Government COR within 30 business days after event.

2 Electronic Submission

COR

5.1.3 Event

Summary Reporting (Master

Summary Report)

Submit a report to the Government

COR as designated for event within 3 business days of event.

1 Electronic Submission