PWS TCMC Instructor_v11 11.8.2021.docx

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Tactical Combat Medical Care Course - Physician Assistant Instructor Services
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W9124J-22-R-PAIS
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This document is a performance work statement (PWS) for a non-personal services contract to provide Physician Assistant instructor services in support of the U.S. Army Medical Center of Excellence located at Joint Base San Antonio Fort Sam Houston, Texas. The PWS requires the contractor to provide all personnel, equipment, facilities, transportation, and other items necessary to support curriculum delivery, review, evaluation, coordination, and execution of course support services for the Department of Operational Medicine. The contractor shall provide instructor services to support the Tactical Combat Medical Care course, including classroom instruction, testing, and practical exercises in tactical combat casualty care concepts, deployment medicine, role 1 and 2 operations, and point of injury care. The period of performance is a 6-month base period and two 12-month option periods. The PWS specifies instructor certification requirements, training requirements, deliverables, and applicable publications. Questions regarding this PWS are due by November 12, 2021 and responses to the sources sought notice are due by November 30, 2021.

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PERFORMANCE WORK STATEMENT (PWS)

Tactical Combat Medical Care Course (TCMC) Physician Assistant (PA) Instructor Services

Part 1

General Information

1. GENERAL: This is a non-personal services contract to provide instructional design services at Fort Sam Houston, Texas, in support of the U.S. Army Medical Center of Excellence (MEDCoE)/Department of Operational Medicine (DoOM). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to support curriculum delivery review and evaluation, coordination, and execution of course support services for the DoOM as defined in this Performance Work Statement and section 5 except for those items specified as government-furnished property and services in Part 3. The contractor shall perform to the standards in this contract. MEDCOE taskings for DoOM training programs, external to TCMC curriculum listed in Part 1.4.1, shall be submitted to COR for MEDCoE Mission Budget Branch, Program and Budget Division, G8-ACSRM, and Contracting Officer (KO) assessment and approval 45-60 days in advance. Tasks shall not be performed outside of the scope of this PWS.

1.2 Background: MEDCOE/DoOM is responsible for training and educating medical personnel. To accomplish this mission, MEDCOE/DoOM must provide trained and ready medical personnel to support worldwide contingency operations; produce concepts, doctrine and organizational structure that meets current and future force requirements; create integrated and relevant training strategies, products and programs and make them available for use; and support the Readiness and Managed Care missions of the Military Health System.

1.2.1 Based on FY21 student through-put data, this requirement is historically fulfilled by providing instructor service support of 7 core instructors to 12 maximum Physician Assistant Instructors. Number of PA Instructors required based on student throughput and instructor to student ratio.

1.2.2 Course length is forty hours/5 days (30 to up to 50 course iterations annually). The TCMC course is based upon the injury patterns of combat casualties and the constraints to deliver medical care on the modern battlefield. Students will train on the concepts of Tactical Combat Casualty Care Concepts and Deployment Medicine given realistic scenarios to include Army equipment, supplies and evacuation capabilities during combat. The course includes didactic instructional support in casualty care at the point of injury, triage, primary and secondary survey of combat casualties to include, airway management, extremity trauma, chest trauma, thermal burns, blood transfusions, wound management, antibiotics and pain control in the combat environment, splinting and dressing workshop, and fluid maintenance. Practical exercises are conducted in airway management, treatment of extremity trauma, treatment of chest wounds, packing of medical treatment bags, treatment of a combat casualty in a Battalion Aid Station, life-saving emergency surgical skills, and the evaluation and management of mass casualties utilizing simulated combat casualty scenarios.

1.2.3 Contractor is primarily assigned to the DoOM Director to fulfill the training mission and then further assigned to one of the Department’s teaching divisions during defined times of student training rotations, or will be required to meet with the Director, DoOM or his/her designee. These divisions may include the Tactical Medicine Readiness Division and Combat Medic Division. Contractor must be able to report and be accountable directly to the TCMC OIC (or NCOIC) and the COR and/or designated contract program manager. Contract resource support will be provided at Fort Sam Houston, Texas, in support of DoOM and the MEDCoE.

1.3 Objectives: To provide Physician Assistant (PA) Technical Instructor Writer/SME III instructor services for the TCMC training program.

1.4 Scope: Services include instructors to augment 6H-F35/300-F38 TCMC course personnel in the delivery and execution of standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Dentists, Nurses, and Nurse Practitioners) and 68W20-40 Combat Medics in Tactical Combat Casualty Care Concepts and Deployment Medicine and Role 1 and 2 operations. Instructors must have Physician Assistant Certification from NCCPA or higher. Number of instructors must meet the 1:4 instructor to student ratio requirement to support established minimum 28-student class size. In the event ATRRS TRAP is increased, the 1:4 instructor to student ratio requirement will be maintained through surge support up to maximum 48- student class size.

1.4.1 Contract personnel will adhere to the instructional strategies, techniques, processes, plans of instructions, and activities in accordance with the current, established TCMC program of instruction. Government (program civilian and military staff) will provide program/curriculum-specific training, assign tasks, assign activities, define training objectives, sets priorities and deadlines, and assist with unusual situations that do not have clear precedents within the instructional program. Contract Instructor Staff shall be able to complete the required instructional tasks to deliver high quality instruction in accordance with TCMC standards and protocols. Refer to Section 5.0 for description of instructional tasks.

1.5 Period of Performance: The period of performance of this award shall be for a 6-month base period and two 12-month option periods.

1.6 General Information

1.6.1 Recognized Holidays: The contractor is not required to perform services on the following Federal holidays, unless otherwise required by exception to standard. A list of the designated U.S. Federal holidays, as of the date of this document, is as follows:

New Year’s DayLabor Day
Martin Luther King Jr.’s BirthdayColumbus Day
President’s DayVeteran’s Day
Memorial DayThanksgiving Day
Independence DayChristmas Day

Juneteenth

1.6.1.1 Training activities on Federal holidays are anticipated under this contract. Prior to exception to standard requirement, the Government Program Manager/NCOIC/OIC/COR, will notify KO and G8 for appropriate processing and communication to the contractor. Requests for work during Federal Holidays must be provided with as much advance notice of the requirement as practicable, and must be approved by KO and G8 prior to execution. Absent such requirements, holiday activities will not be permitted without prior authorization from the KO and G8.

1.6.2 Hours of Operation: The contractor is responsible for conducting business, between the hours of 0600 – 1700, Monday thru Friday and Federal holidays or when the Government facility is OPEN unless the facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. Course iterations may require personnel to work varying hours depending on the instructional needs and surges in training requirements. The Contractor shall have the flexibility to schedule individuals within those hours of operation in accordance with program requirements. The Contractor shall also have the flexibility to schedule individuals outside the normal hours, with prior approval of the Contracting Officer in support of the course mission. Additional hours and/or overtime compensation must receive Contracting Officer approval. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential. Any services performed by contractor personnel outside the normal duty hours shall be coordinated in advance with the Government Officer/COR.

1.6.3 Place of Performance: Services for this contract shall be provided at government facilities to include a classroom, office, hospital, field setting, and in a simulation laboratory setting that are adequately lighted, heated, and ventilated. The day-to-day supervision and direct control over the work performed by all Contractor personnel shall be the sole responsibility of the Contractor.

1.6.3.1 There are certain instances when the Government will approve the contractor to telework. The Government will inform the COR when the contractor will be approved to telework. The contractor will be allowed to take the Government furnished equipment (GFE) and will protect the equipment to ensure proper functioning. During telework, the contractor will use VPN to connect to SharePoint and other share drives necessary to complete their projects/tasks. No classified material will be taken, or created during telework.

1.6.3.2 The Government will not be responsible for the maintenance, operating or any other costs (e.g., utilities) while using the GFE at the Contractor’s residence while teleworking. The Government is not liable for damages to the Contractor’s personal property while teleworking. During telework, the Government will not reimburse for expenses incurred while the Contractor teleworks (e.g., internet)

1.6.4 Quality Control Program: The Contractor shall develop and maintain an effective Quality Control Plan (QCP) to ensure services are performed in accordance with (IAW) the requirements of FAR 52.246-1 and FAR 46.105. The QCP must be forwarded to and accepted by the KO. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of deficiencies. The Contractor’s QCP is the means by which the Contractor assures that the work complies with the requirement of the contract. The QCP shall be delivered NLT 30 days after contract award and/or submitted to the KO and COR within 5 working days when changes are made thereafter.

1.6.5 Type of Contract: The Government will award a Firm Fixed Price Contract.

1.6.6 Security Requirements: The Work under this PWS is UNCLASSIFIED but sensitive in nature and a security clearance will not be required. Contractor personnel shall comply with all applicable Department of Defense (DoD) security regulations and procedures during the performance of work. Contractor personnel shall not disclose and must safeguard computer systems and data, Privacy Act data, and other Government documents and work products that are obtained or generated in the performance of this PWS. This includes dissemination of protocols and papers not generally available through the public literature. Should contractor personnel come into contact with classified material, the contractor shall notify the Contracting Officer or COR immediately. The Contractor shall not disclose or disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions. .

1.6.6.1 PHYSICAL1.6.6.1 PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. Contractor shall maintain a physical security checklist/log which will be forwarded to the COR on a monthly basis. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.6.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in their Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.6.6.2.1. Lost keys shall be reported to the COR and the KO. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.6.6.2.2 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer (KO).

1.6.8 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation (FAR) Subpart 42.5. The KO and Contracting Officer’s Representative (COR) shall meet periodically, quarterly as a minimum, with the contractor to review the contractor's performance. At these meetings the KO will apprise the Contractor of how the Government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.

1.6.9 Contracting Officer’s Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: Assure that the Contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the Contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, and specifications; monitor Contractor's performance and notifies both the KO and Contractor of any deficiencies; coordinate availability of government furnished property, and facilitate site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.10 Key Personnel: All contract personnel are considered key personnel by the government. The contractor shall provide a program manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The program manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 07:00 a.m. to 4:30p.m. Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.11 Identification of Contractor Employees: All contract 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 in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by Contractors are suitably marked as Contractor products or that Contractor participation is appropriately disclosed.

1.6.12 Contractor Travel: Travel within the local vicinity is required. Travel reimbursements for local travel are not authorized. Contractor may be required to travel CONUS during the performance of this contract to attend meetings, conferences, and training. The contractor may be required to travel to off-site training locations. 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 contract. Travel will be limited to mission-critical activities. All travel requires Government approval/authorization and notification to the COR 45-60 days in advance.

1.6.13 Contractor Personnel Conduct: Contractor personnel’s conduct shall not reflect discredit upon the Government. The Contractor shall ensure that personnel present a professional appearance. The Contractor’s employees shall observe and comply with all local policies and procedures concerning fire, safety, environmental protection, sanitation, security, and possession of firearms or other lethal or illegal weapons or substance. The Contractor is responsible for ensuring that any contractor employees providing services under this contract conduct themselves and perform services in a professional, safe, and responsible manner. The Contractor shall remove from the job site any employee for reasons of misconduct or security. In accordance with DOD Directive 5500.7-R, “Joint Ethics Regulation”, Contractor employees must avoid improper influence in the execution of their duties under the contract. Particular attention should be paid to acceptance of gifts/ gratuities, and on non-disclosure of sensitive or classified information. The Contractor shall ensure employee conduct complies with 41 U.S. C 423 relative to release of acquisition related information or actions or discussions which may prejudice future competitions. The Contractor shall ensure no contractor employees conduct political related activities or events on DoD installations.

1.6.14 Other Direct Costs: Other direct costs are not required in support of this PWS.

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

1.6.16 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to, or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.), or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) 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.

1.6.16.1. Purpose of OCI clause.

1.6.16.1.1. The Contractor does not obtain an unfair competitive advantage by establishing the ground rules for a future competition.

1.6.16.1.2. The Contractor's objectivity and judgment are not biased because of its present or future interests (financial, contractual, organizational, or otherwise), which relate to work performed under this contract.

1.6.16.1.3. The Contractor does not obtain an unfair competitive advantage by virtue of its access to non-public or proprietary information belonging to others.

1.6.16.2. Definitions.

1.6.16.2.1. The term “Contractor” herein used means: (a) the organization (hereinafter referred to as "it" or "its") entering into this agreement with the Government; (b) all business organizations with which it may merge, join or affiliate now or in the future and in any manner whatsoever, or which hold or may obtain, by purchase or otherwise, direct or indirect control of it; (c) its parent organization if any and any of its present or future subsidiaries, associates, affiliates, or holding companies, and; (d) any organization or enterprise over which it has direct or indirect control now or in the future.

1.6.16.2.2. The term "proprietary information" for purposes of this clause means any information considered so valuable that the owners classify the information and licenses as secret. The Government can furnish non-proprietary information without limitations on its use, or which is available without restrictions from other sources.

1.6.16.2.3. Organizational Conflicts of Interest Examples. The following examples illustrate situations in which organizational conflicts of interest may arise. These examples are not all inclusive.

1.6.16.2.3.1. Biased Ground Rules. This type of conflict may arise in situations where a company sets the ground rules for a future competition. For example, when a Contractor develops requirements then competes to provide products or services to satisfy those requirements, thus obtaining a competitive advantage.

1.6.16.2.3.2. Impaired Objectivity. This type of conflict may exist where a Contractor’s obligations under a contract require objectivity, but another role of the Contractor casts doubt on its ability to be truly objective. An example of this type of conflict is where a Contractor’s work under one contract entails evaluating itself, its affiliates, or its competitors under a separate contract.

1.6.16.2.3.3. Unequal Access to Information. This type of conflict may arise when a Contractor has access to nonpublic or proprietary information as part of its performance under a contract that gives it an unfair advantage in a competition for a later contract.

1.6.16.2.3.4. General Constraints. The provisions of FAR Subpart 9.5, Organizational and Consultant Conflicts of Interest, concerning organizational conflicts of interest govern this contract. Potential conflicts may exist in accordance with FAR 9.505-1, Providing Systems Engineering and Technical Direction, through 9.505-4, Obtaining Access to Proprietary Information. In this regard, the Contractor is responsible for identifying any actual or potential organizational conflicts of interest to the KO that arise as the result of performance under this contract. To avoid or mitigate a potential conflict related to performance under this contract, the KO will impose appropriate constraints such as the constraints discussed below. Since it is impossible to foresee all of the circumstances that might give rise to organizational conflicts of interest, the constraints discussed below are not all inclusive and the KO may impose constraints other than, or in addition to, the constraints listed below.

(1) The Contractor agrees that if it provides, under a contract or contract/task order or delivery order, systems engineering and technical guidance for systems and programs, but does not have overall contractual responsibility, it will not be allowed to be awarded a contract or task or delivery order to supply the system or any of its major components or be a Subcontractor or consultant to a supplier of the system or any of its major components. (FAR 9.505-1).

(2) The Contractor agrees that if it prepares complete specifications for non-developmental items or assists in the preparation of work statements for a system or services under a contract or contract/task order or delivery order, cannot furnish these items, either as a prime Contractor, a Subcontractor or as a consultant. (FAR 9.505-2).

(3) The Contractor agrees that it will neither evaluate nor advise the Government with regard to its own products or activities. The Contractor will objectively evaluate or advise the Government concerning products or activities of any prospective competitors. (FAR 9.505-3).

(4) The Contractor agrees that if it gains access to proprietary information of other companies, it will exercise diligent effort to protect such proprietary information from unauthorized use or disclosure (FAR 9.505-4). In addition, the Contractor agrees to protect the proprietary information of other organizations disclosed to the Contractor during performance of this contract with the same caution that a reasonably prudent Contractor would use to safeguard highly valuable property. The Contractor also agrees that if it gains access to the proprietary information of other companies it will enter into written agreements with the other companies to protect their information from unauthorized use or disclosure for as long as it remains proprietary and to refrain from using the information for any purpose other than that for which it was furnished. The Contractor shall provide copies of such agreements to the KO.

(5) If the Contractor, in the performance of this contract, obtains access to plans, policies, reports, studies, financial plans, data or other information of any nature which has not been released or otherwise made available to the public, the Contractor agrees that without prior written approval of the KO, it shall not: (a) use such information for any private purpose unless the information has been released or otherwise made available to the public, or (b) release such information unless release is otherwise authorized under the contract or such information has previously been released or otherwise made available to the public by the Government.

1.6.16.2.3.5. Non-Disclosure Agreements. The Contractor shall obtain from each employee who has access to proprietary information under this contract, a written agreement which shall in substance provide that such employee shall not, during his/her employment by the Contractor or thereafter, disclose to others or use for their benefit, proprietary information received in connection with the work under this contract. The Contractor shall educate its employees regarding the restrictions imposed by FAR 9.505-4 so that they will not use or disclose proprietary information or data generated or acquired in the performance of this contract except as provided herein. Contractor personnel shall sign a nondisclosure agreement before starting work under the contract. Failure to comply with this clause shall is an adequate cause for removal of a Contactor employee from employment. The Contractor’s employment contracts with their employees shall include a provision to provide for the removal under these conditions.

1.6.16.2.3.6. Training. The Contractor shall effectively educate its employees, through formal training, company policy, information directives and procedures, in an awareness of the legal provisions of FAR Subpart 9.5 and its underlying policy and principles so that each employee will know and understand the provisions of that Subpart and the absolute necessity of safeguarding information from anyone other than the Contractor's employees who have a need to know, and the US Government.

1.6.16.2.3.7. Subcontracts. The Contractor agrees that it will include the provisions in paragraphs d., e., and f. above and this paragraph in consulting agreements, teaming agreements, and subcontracts of all tiers which involve access to information or the performance of services described in paragraph d. above. The use of this clause in such agreements shall substitute the word "Consultant" or "Subcontractor" for the word "Contractor" whenever the latter appears.

1.6.16.2.3.8. Additional Constraints. If this contract provides for the issuance of task or delivery orders, such orders may impose additional requirements and restrictions relating to this clause to include the requirement for the Contractor and its subcontractors and employees to furnish the Government with written non-disclosure agreements or statements of no conflict of interest. With regard to any proposal submitted by the Contractor in response to a Request for Task or Delivery Order Proposal, by submitting its proposal the Contractor represents that it has disclosed to the KO, prior to the issuance of the task or delivery order, all facts relevant to the existence or potential existence of organizational conflict of interest as that term is used in FAR Subpart 9.5.

1.6.16.2.3.9. Conflicts Involving Future Procurements. The award of this contract, task or delivery orders shall not constitute or be interpreted as a determination that the Contractor is eligible to participate in future procurements, developmental efforts, implementation efforts, or related activities. Only the KO for such efforts, applying the rules, principles, and procedures of FAR Subpart 9.5 has the authority to determine whether a conflict exists in connection with such procurements.

1.6.16.2.3.10. Representations and Disclosures.

(1) The Contractor shall disclose all relevant facts to the KO, prior to contract award, related to existence or potential existence of organizational conflict of interest as noted in FAR Subpart 9.5.

(2) The Contractor shall make a prompt and full disclosure in writing to the KO if they discover an organizational conflict of interest or potential conflict of interest after award of this contract. The disclosure shall include a description of the action the Contractor has taken or proposes to take in order to avoid or mitigate such conflict.

1.6.16.2.3.11. Remedies and Waiver.

(1) For breach of any of the above restrictions or for non-disclosure or misrepresentation of any relevant facts required to be disclosed concerning this contract, the Government may terminate this contract for default, disqualify the Contractor for subsequent related contractual efforts, and pursue such other remedies as may be permitted by law or this contract. If, however, in compliance with this clause, the Contractor discovers and promptly reports an organizational conflict of interest (or the potential thereof) subsequent to contract award, the KO may terminate this Contract or any task or delivery order issued under this Contract for convenience if such termination is deemed to be in the best interest of the Government.

(2) The parties recognize that this clause has potential effects which survive the performance of this contract and that it is impossible to foresee each all future circumstances. Accordingly, the Contractor may at any time seek a waiver from the cognizant KO by submitting a full written description of the requested waiver and the reasons in support thereof. (FAR 9.503).

1.6.17 PHASE IN /PHASE OUT PERIOD: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, upon award. To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the 30-60 day phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

1.6.18 Antiterrorism (AT) and Operations Security (OPSEC):.:

1.6.18.1 AT Level I Training: All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR within 15 calendar days after completion of training by all employees and subcontractor personnel.

1.6.18.2 Access and General Protection/Security Policy and Procedures: Contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services, or Security Office. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.6.18.3 For contractors requiring Common Access Card (CAC). Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated National Agency Check with Inquiries (NACI) 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 NACI at the Office of Personnel Management.

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

1.6.18.4 Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

1.6.18.5 For Contracts that Require OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.6.18.6 For Information Assurance (IA)/Information Technology (IT) Training: All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD 8570.01, DoD 8570.01-M and AR 25-2 within six months of employment.

1.6.18.7 For Information Assurance (IA)/Information Technology (IT) Certification: Per DoD 8570.01-M, DFARS 252.239.7001, and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

1.6.18.8 Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

1.6.19 Installation Passes: The COR, will coordinate the issue of required installation passes to contractor personnel. Contract personnel shall wear a badge that clearly identifies them as a contract employee. The badge will contain a personal picture, name of employee, and contractor's name. Contractor personnel will obtain the required vehicle pass for access to Fort Sam Houston during the performance of required work. The issued vehicle access authorization will only be used for the intended purposes and will be relinquished immediately following completion of the required services.

1.6.20 Instructor/Facilitator Training: Contract instructors/facilitators shall meet the certifications identified in TRADOC Pamphlet 350-70-3, Table 4.1.

1.6.20.1 The student instructor/facilitator shall attend the current foundational, CAC-T, ATSC-provided instructor/facilitator course or CAC-T, ATSC-approved equivalent course as required by TR 350-18, TR 350-70, and the AR 600 series.

1.6.20.1.1 Common Faculty Development - Instructor Course, 9E-SI5K/920-SQI8 Excerpt from Text Prerequisites: Students enrolled in CFDP-IC must be military E6 or above (Active Component/Reserve Component/National Guard Bureau) assigned or pending assignment as an instructor or Department of the Army civilian or authorized contract personnel assigned as training/education instructors, developers, training managers, and writers.

1.6.20.1.2 Common Faculty Development - Developer Course, 7B-SI7Q/570-SQI2 Excerpt from Course Scope and Special Information: The Course (CFD-DC) is relevant to all Army developers including ... authorized contractors who are assigned to development curriculum for training and education in Initial Military Training, the Noncommissioned Officer, Warrant Officer, Officer, and Civilian Education Systems and functional courses.

(1) During course, the student instructor/facilitator uses materials from the course he or she will be presenting.

(2) The student instructor/facilitator completes instruction on any special equipment or devices he or she will use during implementation of the course.

(3) The student instructor/facilitator observes an expert instructor/facilitator delivering course.

(4) The student instructor/facilitator completes instruction on how to minimize the learning product's impact on the environment, covering environmental issues in AARs, and identifying environmental lessons learned.

(5) The student instructor/facilitator adequately uses the risk management process to identify and assess potential hazards, properly implements adequate controls to reduce or eliminate those hazards, and completes instruction on significant safety concerns. AR 385-10, paragraph 1-6 directs all personnel to apply composite risk management procedures in each phase of the training management cycle to identify hazardous conditions and correct shortcomings responsible for these conditions.

(6) The student instructor/facilitator will be able to analyze the elements of the operational environment and incorporate them into the course.

(7) The student instructor/facilitator is provided a reasonable time based upon the institution's guidelines (normally less than 90 days) to rehearse, using actual materials and equipment (or mockups), until the student feels confident and prepared.

1.6.21 Emergency Services

1.6.21.1 The Contractor shall have competent personnel trained and capable of dealing with minor personnel injuries. The Contractor or their employees shall immediately notify their supervisor of any accident requiring emergency medical treatment. The Contractor will, in turn, notify the KO or COR within 30 minutes of the incident.

1.6.21.2 Emergency medical treatment and services for Contractor personnel is the responsibility of the Contractor.

PART 2

DEFINITIONS, ACRONYMS, AND ABBREVIATIONS

2. DEFINITIONS AND ACRONYMS: There are no changes from the Base PWS.

2.1. DEFINITIONS AND ACRONYMS: There are no changes from the Base PWS

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. 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 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. 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.

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

2.1.5 DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

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.

2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12 WORK WEEK. Monday through Friday, and as specified in paragraph 1.6.2.

2.2. ACRONYMS: There are no changes from the Base PWS

AFARSArmy Federal Acquisition Regulation Supplement
ARArmy Regulation
CCEContracting Center of Excellence
CFRCode of Federal Regulations
CONUSContinental United States (excludes Alaska and Hawaii)
CORContracting Officer Representative
COTSCommercial-Off-the-Shelf
DADepartment of the Army
DD250Department of Defense Form 250 (Receiving Report)
DD254Department of Defense Contract Security Requirement List
DFARSDefense Federal Acquisition Regulation Supplement
DMDCDefense Manpower Data Center
DODDepartment of Defense
DoOMDepartment of Operational Medicine
FARFederal Acquisition Regulation
HIPAAHealth Insurance Portability and Accountability Act of 1996
JFCTMCJOINT Forces Combat Trauma Management Course
KOContracting Officer
MEDCoEMedical Center of Excellence
OCIOrganizational Conflict of Interest
OCONUSOutside Continental United States (includes Alaska and Hawaii)
ODCOther Direct Costs
PIPOPhase In/Phase Out
POCPoint of Contact
PRSPerformance Requirements Summary
PWSPerformance Work Statement
QAQuality Assurance
QAPQuality Assurance Program
QASPQuality Assurance Surveillance Plan
QCQuality Control
QCPQuality Control Plan
TETechnical Exhibit

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: Not applicable.

3.2 Facilities: The Government will provide adequate physical work-space and office equipment and supplies when the work is performed at Government facilities.

3.3 Utilities: The Government will provide all facility utilities necessary for the contractor’s use in performance of tasks outlined in this PWS. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount to accomplish cleaning vehicles and equipment.

3.4 Equipment: The Government will provide equipment and software to include: desk, computer equipment (to include all necessary hardware & software), an electronic mail (e-mail) account, use of the government telephone, facsimile machine, copier, and office supplies such as paper, pens, etc. as required for the performance of work under the task order.

3.5 Materials: The Government will provide all relevant field manuals, technical manuals, student handouts, and all other reference materials necessary to support the required services.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Part 3 of this PWS.

4.2 Secret Facility Clearance: Work under this PWS is UNCLASSIFIED and a security clearance will not be required. Contractor personnel shall comply with all applicable Department of Defense (DoD) security regulations and procedures during the performance of work. Contractor personnel shall not disclose and must safeguard computer systems and data, Privacy Act data, and other Government documents and work products that are obtained or generated in the performance of this PWS. Should contractor personnel come into contact with classified material, the contractor shall notify the Contracting Officer or COR immediately.

4.3. Materials: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Part 3 of this PWS.

4.4. Equipment: The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract that are not listed under Part 3 of this PWS.

PART 5

SPECIFIC TASKS

5. SPECIFIC TASKS:

5.0 Basic Services: All tasks must be completed in accordance with government approved, unit specific processes and standards and Army-wide training development and support task standards in accordance with applicable policies and regulations as listed in Part 6, Applicable Publications. The contractor shall provide instructors as indicated in Part 1.4 of this PWS to augment TCMC program personnel in the delivery and execution of standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Dentists, Nurses, and Nurse Practitioners) and 68W20-40 Combat Medics in Tactical Combat Casualty Care and Role 1 and 2 operations. Approved lesson plans are reviewed prior to presentation to students. Contractor shall provide the following services and deliverables:

5.1 Technical Instruction/ Subject Matter Expert support (PA, M.D./. /D.O.): The Contractor shall provide the following services:

5.1.1 Decision-making, problem solving, priority setting (many of which must be carried on simultaneously), analyzing data, developing plans of action, evaluating results, and adapting various methods to improve patient care within current program operational guidelines.

5.1.2 Standardized instruction and testing for Health Care Providers (Physicians, Physician Assistants, Dentist, Nurses, and Nurse Practitioners) and 68W20-40 Combat Medics in Tactical Combat Casualty Care and Role 1 and 2 operations, and Point of Injury Care (POI).

5.1.2.1 Collection of Post-Course Surveys/Student Evaluations.

5.1.3 Conduct instruction in a variety of environments, which include classroom, laboratory, clinical, or field instruction outdoors on Fort Sam Houston, Camp Bullis, or other DoD installations. Instructor Actions include, but not limited to (TP350-70-14):

5.1.3.1 Classroom setup and breakdown

5.1.3.2 Conduct of remedial instruction and assessments

5.1.3.3 Grading assessments (written and/or skill demonstration/performance)

5.1.3.4 Student counseling

5.1.3.5 Evaluating student assignments (written and/or skill demonstration/performance)

5.1.4 Maintains current lesson plans with handbooks, study guides, and tests while ensuring content is current.

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