PWS-OHWS-FY20 _MSC Rev 7-30-20.pdf

Oklahoma Air National Guard (OKANG)

138th Fighter Wing (138FW)

Performance Work Statement (PWS)

Optimizing the Human Weapon System-Local (OHWS) Services

PERFORMANCE WORK STATEMENT (PWS)

for

Optimizing Human Weapon System (OHWS) Services

1.0 General:

1.1 Scope: The contractor shall provide all services, personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform on-base or off-base injury prevention and mitigation, rehabilitation exercise services, and human performance optimization services to rated personnel assigned to the 138th Fighter Wing (138FW), Tulsa, OK, USA, as part of the Optimizing the Human Weapons System (OHWS) initiative. The Contractor shall furnish consultation and reports, similar to the range of services found in a commercial facility, as well as services specialized to meet the specific spinal health needs of fighter pilots. Contractor shall adhere to professional standards of the Accreditation Association for Ambulatory Health Care (AAAHC), and as defined in this PWS.

1.2 Background: Up to 85% of fighter aircrew surveyed reported some type of spine discomfort during their career. According to a study performed by the Unites States Air Force School of Aerospace Medicine, neck pain is a significant factor impacting fighter pilot performance and quality of life, and rates of injury have increased over the years. The Optimizing Human Weapon System, OHWS initiative is designed to improve quality of life and readiness by decreasing injury rates, most notably for the high rate of spine injuries incurred by fighter pilots. OHWS is designed to meet the unique physical needs of fighter jet pilots. Fitness and conditioning is accomplished through a comprehensive, coordinated, multi-disciplinary physical training program focused on the movement and strengthening of the spinal musculoskeletal system. The purpose of providing the services of an OHWS specialist to our rated pilots is to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance/ readiness, avoid injury prior to occurrence, increase pilot production, and support pilot retention.

1.3 Period of Performance (PoP): The Period of Performance shall be one Base Year of 12 months and two 12-month option periods.

1.4 General Information:

1.4.1 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 must do to ensure that the contractor performs all services in accordance with specified performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality level as well as rate of deviation from the performance standards. See Technical Exhibit 1.

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

New Year’s Day: January 1st Martin Luther King, Jr.’s Birthday President’s Day Memorial Day Independence Day: July 4th Labor Day

Columbus Day Veteran’s Day: November 11th Thanksgiving Day Christmas Day

1.4.3 Place and Performance of Services: Services will be provided by the contractor on government facilities located at the 138FW, at the contractor’s place of business, or a combination of both.

The Government’s perceived preference is that all services be performed on the 138FW base at a facility located in close proximity to the aircrew in order to increase the overall utilization and effectiveness of the program. Any contractor or government facility where services are to be performed must possess rehabilitation equipment appropriate for treating neck and spine conditions. Rated pilots must also have access to a facility to execute the physical training plan set forth by the contractor, preferably during normal duty hours and Regularly Scheduled Drills (RSD). Any services to be performed off base must be located within a short driving distance from Tulsa Air National Guard Base (TANGB), with the Government’s perceived preference being within a 15-mile radius of TANGB. Normal duty hours for rated pilots are between the hours of 6:45AM-5:30PM Monday through Thursday and 7:00AM-4:30PM on Saturday and 7:00AM-3:30PM on Sunday during RSDs, 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. On scheduled night flying weeks, the standard work week changes to Monday through Thursday and the times will fluctuate based on the flying schedule, but will not be in excess of a 9 hour day. During the summer months the schedule could be as late as 3:00PM- 12:00AM. The 138FW will provide at least two weeks’ notice requiring a change to the standard operating hours.

1.4.4 Contractor Workforce: The contractor shall, at all times, maintain an adequate work force to cover scheduled appointments and make equipment available that can service the throughput of pilots requiring access to the program. The Government’s preference is that the same individual within each specialty is assigned to perform the bulk of the services for that specialty in order to gain a familiarity with the treatments being provided for each pilot. Within 5 business days of the contract award, the Contractor must produce a staffing and startup operations plan. The Government Point of Contact (POC) must approve the staffing and startup operations plan, and the associated dates, to ensure contractor personnel are trained and ready to service the program. The Government POC approved plan must deliver trained personnel within 60 days after contract award. Telecommuting is not authorized. Reference paragraph CONTRACT OPTIONS to see potential applications of this contract.

1.4.5 General Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Government POC. The contractor shall also 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 DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 The contractor’s employees shall be become familiar with and adhere to the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor will make employees available for any mandatory training for traffic safety, fire safety, general safety or security. The form of training is at the discretion of the government but could include in-person briefings, computer-based training, or review of service specific or installation specific regulations.

1.4.5.2 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (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 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.

1.4.5.3 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and 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 who’s PII has been compromised.

Since the workers under this contract have access to and/or process information requiring protection under the privacy act of 1974, compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31-501 and AFI 33-202 is mandatory. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. The Contractor shall fully adhere to the provisions of referenced publications by having each of their employees who are performing under this contract make an appointment (through the GOVERNMENT POC) with the appropriate security organization at the installation where service is provided. Each individual will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The contractor shall advise their employees that a favorable report is a required condition of employment under this contract. The Contractor shall apply for the NACI prior to the start of performance for each health care worker.

1.4.5.4 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 affected contractor employee to the Government POC within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.5 Advanced Distributed Learning Service (ADLS). All contractor employees and associated sub-contractor employees assigned to work on a government site and/or requiring access to a DoD network will be required to register with ADLS at commencement of services in order to complete the necessary training required of them initially and annually for the duration of the contract (i.e., DoD Information Assurance, OPSEC, Protecting Sensitive Information). ADLS website:

https://golearn.csd.disa.mil/kc/rso/login/ADLS_login.asp

1.4.5.6 Gate Closures: Unscheduled gate closures by the Security Forces may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. 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.

1.4.6 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 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the Contracting Officer (KO) in accordance with Federal Acquisition http://cdsetrain.dtic.mil/opsec/

Regulations Subpart 42.5. The KO, Government POC, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the Contacting Officer will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. 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 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 Government POC, 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. It is preferred that the Contractor Manager have two (2) years or more of management experience with similar types of human performance optimization programs and have experience working in a military setting.

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 their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the KO or Security Forces within 14 days of an employee’s departure.

1.4.9 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 any 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. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. 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.

1.4.10 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 and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions (see paragraph ACRONYMS for a list of Acronyms):

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 (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

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

2.1.5 GOVERNMENT POC. An employee of the U.S. Government designated by the KO to monitor contractor performance. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract. This individual is not empowered to award, agree to, or sign any contract, contract modification or in any other way obligate the payment of money by the Government.

2.1.6 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 Key Personnel listed in 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.

2.1.7 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property.

2.1.8 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

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: If services are to be provided at the 138FW the Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, and other items necessary to maintain an office environment. Depending on the level of services provided at the 138FW the Government will provide a workspace for the Contractor ranging from 150-300

sq. ft. The Government may increase the work area at their discretion should space become available.

3.1.1 If space is limited, the Government can require the Contractor to be responsible for providing and maintaining a mobile trailer facility with minimum space requirements of 300 sq. ft., to be kept on base at the 138 FW, which includes HVAC to support full utilization and logistical needs to perform the program.

Maintenance of this mobile trailer, delivery, and removal are the financial and logistical responsibility of the Contractor. In the event this becomes a requirement any additional cost associated with this change would be negotiated with and processed by the KO via a bi-lateral modification.

3.1.2 If the Contractor provides a mobile unit, the Government will provide all necessary space on base at a minimum of 800 sq. ft. and in a location that is readily accessible to all pilots.

3.1.3 Contractor is responsible for all cleaning materials, surface sanitation supplies, infection control and prevention supplies, personal protective equipment and upkeep of the room/facility.

3.2 Materials: None.

3.3 Equipment: None other than that stated in section 3.1.

3.4 Utilities: The facility currently contains conventional 120v outlets. These outlets and associated electrical power shall be available for the contactor’s use in the performance of this contract.

The contractor shall specify if any of contractor’s equipment shall require additional electrical capability.

The facility also contains nearby restrooms that shall be available to contractor. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include powering off electrical devices when not in use for an extended period and turning off the water faucets or valves after using the required amount.

3.4.1 If a contractor provided mobile facility is requested by the Government then access to the necessary electrical power and water connections, to operate the mobile facility, are the responsibility of the Government.

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.

4.1.1 HIPAA compliant software to perform all functions and communication of Electronic Medical Records (EMR).

4.1.2 Computer Equipment and Wi-Fi: Contractor will provide all computer equipment necessary to perform the services and a commercial, 47 CFR Part 15 compliant, Wi-Fi access point. The Wi-Fi access point transmitter model and location will be coordinated with Communications Flight to ensure compliance with FCC regulations and proper separation from secured areas.

4.1.3 Equipment to meet the technical needs of the program. At a minimum, the Contractor must have treatment surfaces and specific exercise equipment to test the strength of the muscles attached to the spinal column and strengthen the spine in a preventative and safe manner. Physical strengthening machines that can effectively isolate, strengthen, and provide computerized isometric testing and plotting of cervical and lumbar strength, are the Government’s perceived preference.

5.0 Specific Requirements: Services provided by the contractor shall include the following: initial assessment of each aircrew, care for aircrew who individually seek the services of OHWS specialist; subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, optimized performance physical training (e.g. strength and conditioning for fighter aircrew), and post-flight treatments. The contractor shall provide the following resources under this contract to accomplish the requirements listed above: Physical Therapist licensed to practice in the State of Oklahoma.

5.1 Ultimate control of members’ medical referral activity is retained by the member, with oversight and management by squadron medical personnel, if required, and only at the discretion of the military member. Medical information pertaining to a referred patient, from flight physician or personal physician will be kept in HIPAA compliant EMR.

5.2 Each rated pilot shall receive an initial appointment as soon as practical. The Contractor will provide a confidential evaluation and assessment to the Government POC and Flight Medicine Physician or other valid military medical provider within 15 calendar days following the initial appointment. Follow up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ military and/or civilian healthcare team.

5.3 Primary Pre-habilitation or Primary Injury Prevention Services: The Contractor shall perform preventative exercise measures and pre-habilitation services to rated pilots of the 138FW. Contractor will provide specific non-invasive biometric and physiological evaluations to all pilots who participate in the exercise services. Following biometric and physiological evaluations, contractor will provide strength, conditioning and flexibility services, specific to the spinal musculature. The Contractor will not provide services to injured pilots.

5.4 Post-flight Treatments: A Contractor employee shall be available to perform just-in-time post-flight treatments to aircrew returning from daily flying exercises. Acceptable treatment methods must be pre-approved by the Flight Medicine Physician and designed for the specific needs of each customer with the ultimate goal of speeding up recovery times and enhancing the benefits received from the other forms of treatment they are being prescribed. Most days there will be two flights (GOs); after the First and/or Second Go, the Contractor shall provide a Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, that will allow for members to be seen after flying. Post- Flight Flex Time shall be based off of the scheduled land time of each flying go per day. The Post- Flight Flex Time shall begin 30 minutes after the scheduled land time of each go. This will allow and account for “Walk-ins” if there is a low demand for services during the Post-Flight Flex Time.

5.5 Contractor shall provide confidential reporting to the Government POC and 138FW Medical Personnel with strength and conditioning and pre-habilitation results. The Contractor shall track data points of all pilots who are currently being followed in the preventative program. Due no later than the final business day of each month, the Contractor shall provide the Government POC a status report which shall include an aggregate number and status/metrics. Reporting should provide normative data, utilization and any other pertinent data.

5.6 Initiate and maintain medical records in accordance with Air Force Instruction (AFI) 41-210 “Patient Administration Functions” and AFI 41-211 “Management of Medical Information Services”, and any governing Air Force or Air National Guard Instructions which may supersede those AFIs.

5.7 Contractor shall continually record all members’ attended sessions and progress using standard commercial methods/practices and documentation on HIPAA compliant EMR. Contractor shall provide chart notes, for program services provided, upon the request of the flight medicine practitioner or the client’s medical practitioner within 3 business days.

5.8 The contractor will be given a list of 138FW rated members authorized for pre-habilitation services. The Contractor will only provide pre-habilitation services for these individuals.

5.9 The Contractor shall manage client appointment schedules and respond to appointment requests within 1 business day. The Contractor shall also report all patients who fail to attend their scheduled appointments in attendance records and applicable chart notes.

5.10 The Contractor shall provide an Oklahoma-licensed physical therapist to deliver preventative exercise and standard rehabilitation services.

5.11 Monthly Metrics. NLT the last business day of each month, the contractor shall produce a Preventative Exercise report, marked FOUO, to the Government POC, squadron leadership and flight medicine.

5.12 Preventative Exercise Reporting will include; participation, strength and conditioning progress, new preventative exercise measures and normative data. The preventative exercise data will be presented anonymously.

5.13 Scheduling shall be flexible enough to allow for client rescheduling/substitution as needed with little or no notice.

5.14 Housekeeping services will be provided by the Contractor in the immediate work area.

5.15 Contractor Manpower Reporting Application (CMRA): The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract. The contractor is required to completely fill in all required data fields using the following web ad-dress: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September

30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at http://www.ecmra.mil.

6.0 Special Qualifications: Contractor employed Physical Therapists shall be physically proficient to demonstrate all prescribed exercises / techniques and be able to lift and manipulate loads and plates up to 25 kilograms. Preference will be given to Contractors who can demonstrate past experience working with elite athletes or military members in spine specific systems. Preferred experience may include: working with Special Operation Forces (SOF) specific performance programs and developing sport/mission specific performance programs resulting in attributable results with elite athletes (i.e. Division I collegiate, Olympic, professional level athletes or military combat professionals).

6.1 Physical Therapists must be current Licensed Physical Therapists by a state sponsored Physical Therapy Association and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy”. Physical Therapists must have at least one year of clinical experience. Spine focused clinical work is preferred. Physical Therapist shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training.

Physical Therapist is recommended to have a NSCA or USAWA certification for strength and conditioning.

7.0 CONTRACT OPTIONS. Assumptions: up to 35 customers.

http://www.ecmra.mil/ http://www.ecmra.mil/

Option #1:

• 100% Execution of contract at Government Facility with equipment provided by the contractor.

• Include the fully loaded cost for a full-time employee (FTE), or combination of part-time employees (PTE), to provide all services as described in paragraphs 5 and 6 for either employee type.

• Space available on Government Facility would be a minimum of 150 square feet (see TECHNICAL

EXHIBIT 3).

Option #2:

• Execution of contract using a combination of Government and Contractor Facilities with equipment provided by the Contractor and no more than 25% of services provided at the Contractor Facility (i.e., Contract Employee on Government Facility for post-flight treatments with other appointments conducted at the Contractor’s Facility).

• Include the fully loaded cost of an FTE or PTE to provide each type of service as described in paragraphs 5 and 6 at the Government’s Facility and at the Contractor’s Facility. Specify employee type (FTE or PTE).

8.0 ANTITERRORISM / OPERATIONS SECURITY / INFORMATION PROTECTION

REQUIREMENTS.

8.1 Access and General Protection/Security Policy and Procedures - The Contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Government Point of Contact (POC). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services or local Security Office. The Contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, HAF and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in Contractor security matters or processes.

8.2 For Contractors that do not require Common Access Card (CAC) issuance, but require access to a DoD Facility and/or Installation - Contractor and all associated sub‐Contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC‐III) and Terrorist Screening Database (TSDB) (AFI 31‐101 and AFI 10‐245), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

8.3 Contractor shall provide the information requested on the "Consent for Background Check" form for each employee accessing Tulsa Air National Guard Base. For the purposes of this offering, it is implied that, any and all parties agree to a Criminal History Background Check once entered into any contract/task order. Any documents that are provided and found fraudulent to include, but not limited to driver’s licenses, contracting licenses, etc., will result in an arrest and potential termination for default from the contract. All Contractors are subject to search in order to obtain entry onto the installation and while working on the installation. Any refusal to submit to a search of their person or vehicle will be deemed as a violent act of aggression against the installation and will be cause for dismissal from the installation and revocation of future privileges and installation access.

8.4 There will be sensitive areas on base which will require additional security measures. In these areas Cellular telephones, pagers, two-way radios, disguised USB devices or other portable wireless/personal electronic devices (laptops, iPod, iPad, etc.) are not allowed. Anyone found in possession of a camera phone within these areas or exiting these areas will have camera phones confiscated and delivered to Security Forces for disposition. These areas will be identified upon the initiation of the project.

9.0 ENVIROMENTAL REQUIREMENTS. Contractor shall provide all items MSDS required for Hazardous Material Identification.

10.0 PROJECT SAFETY. Contractors are required to use the U.S. Army Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1 to access the manual use the following link:

http://www.usace.army.mil/SafetyandOccupationalHealth/SafetyandHealthRequirementsManual.aspx

10.1 Accident/Incident Reporting and Investigation. The Contractor shall record and report all available facts relating to each instance of injury to either Contractor or Government personnel to the Base Safety Office. The Contractor shall secure the scene of any accident and wreckage until released by the accident investigative authority through the Base Safety Office. If the Government elects to conduct an investigation of the incident, the Contractor shall cooperate fully and assist Government personnel until completion of the investigation.

10.2 Cell Phone Use. Per Air Force policy Contractor employees are prohibited from dialing, talking or texting on cellular devices or similar equipment while walking or driving on base.

11.0 INSURANCE – Minimum Amounts

Reference Contract Clause titled “Insurance – Work on a Government Installation (FAR 52.228-5). Kinds and minimum amounts are as follows:

KIND AMOUNTS (FAR 28.307-2)

Workmen’s Compensation $100,000 (1) Comprehensive General Liability $500,000 per occurrence for bodily injury Comprehensive Automobile Liability $200,000 per person; $500,000 per occurrence for bodily injury; $20,000 for property damage

11.1 Contractor will comply with Oklahoma state Worker’s Compensation Insurance requirements.

11.2 Before commencing work under this contract, the Contractor shall certify to the Contracting Officer, in writing, that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government’s interest shall not be effective (1) for such period as the laws of the state in which this contract is to be performed prescribe or (2) until 30 days after the Insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer. The Contractor shall maintain a copy of all subcontractors’ proofs in required insurance and shall make copies available to the Contracting Officer upon request.

12.0 ATTACHMENTS. The following to be provided at time of award (if applicable):

Attachment 1 – Consent for Background Check.

Attachment 2a – OKANG Environmental Management Program.

Attachment 2b – Contractor Hazardous Materials Approval Form Attachment 2c – Contractor Hazardous Materials Tracking Form Attachment 3 – Fire Plan Review Checklist for Contractors.

Attachment 4 – Contractor Anti-Terrorism Awareness Pamphlet.

Attachment 5 – OPSEC Contractor Brochure.

Attachment 6 – Contractor Tool and FOD Control Brochure.

Attachment 7 – Safety Guide for Civilian Contractors.

13.0 ACRONYMS:

AFI Air Force Instruction

ANG Air National Guard

APTA American Physical Therapy Association

AT/OPSEC Antiterrorism/Operational Security

AQL Acceptable Quality Level

CMRA Contractor Manpower Reporting Application

CONUS Continental United States (excludes Alaska and Hawaii)

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

GOVERNMENT

POC

Government Point of Contact

HIPAA Health Insurance Portability and Accountability Act

OHWS Optimizing Human Weapon System

IA Information Assurance

IS Information System(s)

KO Contracting Officer

NSCA National Strength & Conditioning Association

OCI Organizational Conflict of Interest

OCONUS Outside the Continental United States

PII Personally Identifiable Information

POC Point of Contact

PRS Performance Requirements Summary

PT Licensed Physical Therapist

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

OKANG Oklahoma Air National Guard

TE Technical Exhibit

USAF United States Air Force

TECHNICAL EXHIBIT 1 – Service Delivery Summary

This Service Delivery Summary includes performance standards. The Government will use these standards to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

PWS Reference

Task Performance

Standard

Acceptable Quality Levels

(AQL)

Surveillance Method / By Whom

Paragraph 5.2

Initial Evaluation and Assessment

Complete an initial evaluation of 100% of rated pilots within 1 week of request

5% failure to initially evaluate rated pilots within 1 week of request

Quarterly Report Review. Government POC will review report to ensure assessment standards are met.

Paragraph 5.3

Primary Pre-habilitation Services

Complete biometric and physiological assessment of 90% of participating pilots every 12 months

10% failure to complete assessment and prescribed services on participating pilots

POC will review report

Paragraph 5.4

Post-Flight Treatments

Perform a post-flight treatment on 95% of rated pilots on days assigned to the base

5% failure to perform post-flight treatments on pilots returning from flying exercises

POC will review report

TECHNICAL EXHIBIT 2 – Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of

Copies

Medium / Format

Submit To

1.4.5.6 AT

Level 1 Awareness Training Certificates

Provide within 15 calendar days after employee completes training.

Electronic Submission

Government POC

1.4.5.8 OPSEC

Training Certificates after employee completes training.

5.2 Initial

Evaluation and Assessment Report after the initial evaluation and assessment is completed.

and Flight Medicine Physician

5.6 Strength /

Conditioning and Pre-habilitation Status Report

Provide by last business day of every month

5.13 and 5.14 Preventative Exercise Report

Provide by last business day of every month and Flight Medicine Physician

TECHNICAL EXHIBIT 3 – Space currently available for OHWS program

12’

15’

Door