PWS W81K04-22-R-0018 Final (17May22).docx

Performance Work Statement (PWS)

United States Army Reserve Command Safety Office Physical Examination Services

Part 1 General Information

1. General: This is a non-personal services contract, The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contracted Medical 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 non-personal services necessary to establish a network of qualified Occupational Health Medical Services Providers, as defined in this Performance Work Statement. The contractor shall perform to the standards in this contract.

1.2 Background: The United States Army Reserve Command (USARC) employs various DA Civilians (Fire Fighters, Police/Guards, Maintenance Personnel, and Emergency Essential Occupational Health & Safety Specialist in Deployable positions) requiring approximately 4,000 physical exams. USARC coordinates efforts for performance of occupational medical (physical) examination to Fire Fighter, Police and Guards, Maintenance Personnel, and Emergency Essential Occupational Health and Safety Specialist in Deployable positions with the purpose of determining their ability to execute the essential functions and fitness for duty.

1.3 Objective: Provide a comprehensive physical examination to Fire Fighters, Police/Guards, Maintenance Personnel, and Emergency Essential Occupational Health & Safety Specialist in Deployable positions (maintenance Shop workers), in order to determine if worker is medically and physically able to perform the assigned duties without substantial risk of harm to themselves, others, or the mission and whether the workplace is causing the worker’s injury or illness due to an occupational exposure.

1.4 Scope: The Contractor shall provide comprehensive physical examinations to include laboratory results and a Medical Doctor recommendation for each exam. The Contractor shall provide four (4) Full Time Equivalent (FTE) Administrative Registered Nurse’s services physically located at USARC HQ. The contractor shall provide facilities to conduct the physical exams services at each location within the continental United States (CONUS) and Puerto Rico for all identified employees who require examinations.

1.5 Period of Performance: This will be a five-year ordering period.

1.6 General Information

1.6.1 Quality Control: The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of deficient services. The contractor’s quality control program is the means by which they assure themselves that the work complies with the requirements in the contract. The contractor shall submit their quality control plan with fourteen (14) business days of award to the Contracting Officer. Any changes to the quality control plan shall be submitted in writing within five (5) business days to the Contracting Officer.

1.6.2 Quality Assurance: The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP)(See attachment 1). 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 the minimum acceptable defect rate(s).

1.6.3 Recognized Holidays: The contractor is not required to perform service on holidays

Independence Day

1.6.4 Hours of Operation: The contractor is responsible for conducting business, between the hours of 8:00 a.m. to 5:00 p.m. Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

1.6.5 Place of Performance: Physical exams shall be provided at the contractor’s facilities throughout CONUS and Puerto Rico.

1.6.5.1 Fire Fighter’s locations are in Exhibit E.

1.6.5.2 Police and guards locations are in Exhibit G.

1.6.5.3 The Maintenance personnel locations are in Exhibit J.

1.6.5.4 The Occupational Health & Safety Specialist (emergency essential) in deployable positions locations are in Exhibit K.

1.6.5.5 The Provider Clinics shall not exceed 60 miles from the employee duty location. Except Fort Hunter Liggett, CA, the Provider Clinic shall not exceed 120 miles from the installation. If outlined in the task order PWS, performance may take place within the Contractor’s facility.

1.6.6 Type of Contract: The government will award an Indefinite Delivery/Indefinite Quantity contract.

1.6.7 Security Requirements: Contractor personnel performing work under administrative nursing services for this contract must have a completed Form DD254 and a Secret Security Clearance or an interim Secret Security Clearance granted by appropriate U.S. Government security department prior to their first day of work. The contractor employee must maintain the level of security required for the life of the contract. The Contractor is responsible for all Administrative Registered Nurse (RN) to obtain and maintain a secret clearance. The contractor shall provide the completed Form DD254 to the appropriate U.S. Government security department who will complete the final approval/disapproval of the DD254.

1.6.7.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, the contractor shall secure government facilities, equipment, and materials.

1.6.7.2 Key Control (If applicable). 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 accessible to 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 the 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.

1.6.7.2.1 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.

1.6.7.2.2 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.

1.6.8. Special Qualifications:

1.6.8.1 Administrative Registered Nurse must have passed the National Council Licensure Examination (NCLEX). In addition, possess a current, active, full, and unrestricted license or registration as a professional RN from a State, the District of Columbia, Commonwealth of Puerto Rico, or a territory of the United States. In addition, the RN must have a minimum of 5 years nursing experience, may include a combination of work experience as a License Practical Nurse (LPN) or RN.

1.6.8.2 Physician must be a licensed doctor of medicine (MD) or osteopathy (DO) who has completed residency training in an accredited medical training program and/or American Boards of Medical Specialties (ABMS) or American Osteopathic Association (AOA) board certified or international equivalent. Physicians must possess a current, full and unrestricted license to practice medicine or surgery in a state, territory, or Commonwealth of the United States, or in the District of Columbia. The physician must possess a Federal Motor Carrier Safety Administration (FMCSA) Certification to perform Commercial Driver’s License (CDL) physical examinations. The physician must maintain current registration in the state of licensure if this is a requirement for continuing active, current licensure.

1.6.8.3 Physician Assistant (PA) must have a master's degree and patient care experience. Have a National Commission on Certification of Physician Assistants (NCCPA) certification and meet any additional state-specific requirements for licensure to practice. PA’s must maintain status as a certified physician assistant, including completion of all requirements for Continuing Medical Education (CME) and re-certification. PA’s must possess a current license in a state, territory, or Commonwealth of the United States, or in the District of Columbia. The PA must possess a FMCSA Certification to perform CDL physical examinations. The PA must maintain current registration in the state of licensure if this is a requirement for continuing active, current licensure.

1.6.8.4 Nurse Practitioner (NP), one must be a registered nurse (RN), hold a Bachelor of Science in Nursing (BSN), complete an NP-focused graduate master's or doctoral nursing program and successfully pass a national NP board certification exam. The NP must possess a FMCSA Certification to perform CDL physical examinations. The NP must possess current, full, active, and unrestricted registration as a graduate professional RN in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.

1.6.9. Post Award Conference/Periodic Progress Meetings: The Contractor shall attend the post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, will meet periodically with the contractor to review the contractor's performance. At these meetings, the contracting officer 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. The meetings may occur more or less as the discretion of the Contracting Officer. These meetings shall be at no additional cost to the government.

1.6.10. Contracting Officer 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: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies, and provide 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.

1.6.11 Key Personnel. The Program Manager and the Alternate Program Manager are considered key personnel. 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 program manager or alternate shall be available between 8:00 a.m. to 5:00 p.m., Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.11.1 The Program Manager shall respond to telephone calls from the KO and COR within sixty minutes.

1.6.11.2 The Program Manager shall meet with the COR via monthly teleconference during the contract period to discuss any concerns regarding the contract/task order execution.

1.6.11.3 The contractor’s Program Manager shall be available to discuss any problems that the contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the contractor’s performance will be discussed and resolved between the contractor’s program manager and the COR. Any unresolved problems will be referred by the contractor or COR to the KO for resolution.

1.6.12 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 and disclosed appropriately. Administrative Registered Nursing Representatives will be located at the USAR HQ building. To enter the building the contractor personnel will be required to obtain and wear badges in the performance of this service.

1.6.13. Data Rights. All medical and other records, including DOD MIS data, and all records/data added by the contractor shall remain the property of the Federal government. Any medical record, original or copies cannot be removed by the contractor; and may not be used for any purpose not intended by this contract. Contractor must assure all staff understand the Privacy Act, rules of confidentiality, and related requirements, provide assurance privacy and confidentiality of medical, and maintain fitness records according to DOD policy and the Privacy Act.

1.6.14. Conflict of Interest. The contractor or Healthcare Providers (HCPs) shall not bill the patient for services rendered under this contract. The contractor or HCPs shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

1.6.14.1. The contractor or HCPs shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the contractor or HCPs or from any third party at any place other than as designated under this contract.

1.6.14.2. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of health care services under this contract. The contractor shall not release any of the above information without prior written consent of the KO. The contractor/HCPs shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The HCPs shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

1.6.14.3. The contractor HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the HCP as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the government.

1.6.15 Common Access Card (CAC):

1.6.15.1. 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.

1.6.15.2. The Contractor shall ensure that all users on the Local Area Network (LAN) have obtained a CAC, and have the appropriate Army Knowledge Online (AKO) account required for the issuance of personal digital security certificates. The Government person whose operations are supported by the contracted services will provide sponsorship for the AKO account and provide for access to the Contractor Verification System (CVS) for the issuance of a CAC.

1.6.15.3. Contractor will return all issued United States Government CACs, installation badges, and/or access passes to the COR when the contract is completed or when a contractor employee no longer requires access to the installation or facility.

1.6.15.4. The Contractor shall possess and maintain a NACI facility clearance from the Defense Security Service. The Contractor’s employees, performing work in support of this contract shall have been granted a NACI security clearance from the Defense Industrial Security Clearance Office. The DD 254 will be completed in the event that the Government requires contractors to possess and maintain a Secret clearance for contracts that require handling or access to classified information. Contractor shall comply with FAR 52.204-2, Security Requirements. This clause involves access to information classified “Confidential,” “Secret,” or “Top Secret” and requires contractors to comply with (1) the Security Agreement (DD Form 441), including the National Industrial Security Program Operating Manual (DoD 5220.22-M); (2) any revisions to DoD 5220.22-M, notice of which has been furnished to the Contractor. 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. Contractor workforce must comply with all personal identity verification requirements (CFR clause 52.204-9, Personal Identity Verification of Contract Personnel) 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.

1.6.15.5 Access and general protection/security policy and procedures: Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) 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.

1.6.16 General Requirements Overview – PHI/PII and Federal Information Laws

1.6.16.1 This section addresses the Contractor’s requirements under The Privacy Act of 1974 (Privacy Act), The Freedom of Information Act (FOIA), and The Health Insurance Portability and Accountability Act (HIPAA) as set forth in applicable statutes, implementing regulations and DoD issuances. In general, the Contractor shall comply with the specific requirements set forth in this section and elsewhere in this contract. The Contractor shall also comply with requirements relating to records management as described herein.

1.6.16.2. This contract incorporates by reference the Federal regulations and DoD issuances referred to in this section. If any authority is amended or replaced, the changed requirement is effective when it is incorporated under contract change procedures. Where a Federal regulation and any DoD issuance govern the same subject matter, the Contractor shall first follow the more specific DoD implementation unless the DoD issuance does not address, or is unclear on that matter. DoD issuances are available at http://www.dtic.mil/whs/directives.

1.6.16.3. DoD Privacy Act Issuances refers to the DoD issuances implementing the Privacy Act, which are DoDI 5400.11, DoD Privacy and Civil Liberties Programs, January 29, 2019 and DoDI 5400.11-R, Department of Defense Privacy Program, May 14, 2007.

1.6.16.4. HIPAA Rules refers, collectively, to the HIPAA Privacy, Security, Breach and Enforcement Rules, issued by the U.S. Department of Health and Human Services (HHS) and codified at 45 Code of Federal Regulations (CFR) Part 160 and Part 164, Subpart E (Privacy), Subpart C (Security), Subpart D (Breach) and Part 160, Subparts C-E (Enforcement), as amended. Additional HIPAA rules regarding electronic transactions and code sets (45 CFR Part 162) are not addressed in this section and are not included in the term HIPAA Rules.

1.6.16.5. DoD HIPAA Issuances refers to the DoD issuances implementing the HIPAA Rules in the DoD Military Health System (MHS). These issuances are DoDM 6025.18, “Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule in DoD Health Care Programs,” March 13, 2019, DoDI 6025.18, Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care Programs, March 13, 2019, and DoDI 8580.02, Security of Individually Identifiable Health Information in DoD Health Care Programs, August. 12, 2015.

1.6.16.6. MEDCOM Privacy Office is the MEDCOM Privacy and Civil Liberties Office. The MEDCOM Privacy Office Chief is the HIPAA Privacy and Security Officer for MEDCOM.

1.7. Sexual Harassment/Assault Response and Prevention (SHARP).

1.7 1. The Contractor shall require all Contract Service Providers (CSPs) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government-leased facility, where the Contractor is providing services under this contract, to report the incident to the Contractor who shall immediately (within 24 hours of gaining knowledge of the incident) report the incident in writing to the Government's COR. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the Contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve Contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government-leased facility.

1.7 2. The Contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government-leased facility, where the Contractor is providing services under this contract, to report the incident to the Contractor who shall immediately (within 24 hours of gaining knowledge of the incident) report the incident in writing to the Government's COR. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the Contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve Contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government-leased facility.

1.8. Trusted Associate Sponsorship System (TASS):

1.8.1. The Contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS) PUB 201-3.

1.8.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.8.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of Federal Acquisition Regulation (FAR) 52.204-9, the Government will designate a Trusted Agent (TA) for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the changes clause in the contract.

1.8.4. The Contractor is responsible for absences of contract employees. Furthermore, the Contractor shall seek appropriate guidance on how to resolve issues that may arise due to expired identification, or denial of access to documents. Such absences shall not relieve the Contractor of its obligation to perform the services required under this contract.

1.8.5. The Government will sponsor the contract employees for an Army Knowledge Online (AKO) account. All contract employee’s email addresses will identify them as a contractor and use the format firstname.lastname.ctr@mail.mil. The Government will discontinue AKO accounts when personnel no longer require access.

1.8.6. The Government TA will send a notice through TASS to the AKO e-mail address provided. The contract employee’s user ID and password will be provided in the email and shall require a change at first login. In the event the e-mail message is not received, the Contractor may request the username and password from the TA and proceed to the website https://www.dmdc.osd.mil/tass to complete the process.

1.8.7. The contract employee’s agents shall log into TASS and complete the verification process by submitting the application to the TA for approval.

1.8.8. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned, or rejected will be provided to the individual's e-mail address within 48 hours after submission. If the application is returned or rejected, the contract employee shall contact the TA and comply with the TA's guidance to attempt to correct and resolve the issues.

1.8.9. Upon approval of the application, the contract employee shall receive an e-mail sent to the address provided stating the CAC application was approved. The applicant must then go to a Real-Time Automated Personnel Identification System (RAPIDS) Issuing Facility to have the Government credential issued. The contract employee must present two acceptable forms of ID, which may include Driver’s License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

1.8.10. Revalidation Requirements. The TA is required to revalidate all contract employees through TASS every 180 days. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be usable to login.

1.8.11. Out-processing Requirements. When a contract employee‘s performance under this contract ceases, each agents shall personally bring the CAC to the TA and complete the Department of the Army (DA) Form 2962. The TA will revoke the CAC from TASS.

1.8.12. The contract employee shall immediately report any lost or stolen badges to the COR within 24 hours or the next business day.

Part 2

DEFINITIONS & ACRONYMS

2.1. DEFINITIONS:

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

2.1.2. CONTRACTING OFFICER. 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 it 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, which does not meet the standard of performance associated with the Performance Work Statement.

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

2.1.6. KEY PERSONNEL. Key personnel consist of the program manager.

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

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

2.1.9. QUALITY ASSURANCE Surveillance Plan (QASP). An organized written document specifying the surveillance methodology used for surveillance of contractor performance.

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

2.1.11 RESPIRATOR. A device designed to protect an individual’s respiratory system against harmful, irritating and/or nuisance materials present in the environment at concentrations exceeding those established by OSHA or for protection against.

2.1.12. SUBCONTRACTOR. One, which enters into a contract with a prime contractor. .

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

2.1.14. WORK WEEK. Monday through Friday,

2.2. ACRONYMS:

Part 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1 Fort Bragg Facilities: The Government will provide the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an administrative environment.

3.2 Fort Bragg Utilities: The Government will provide all utilities in the facility will be available for the contractor’s use in performance of tasks outlined in this PWS. If utilities are furnished, the following is required: 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.

3.3 Fort Bragg Equipment: The Government will provide office equipment (scanners, fax machines and printers) to include Government laptops.

3.4 Fort Bragg Materials: The Government will provide materials required to adhere to the Standard Operating Procedures and Policies at the USARC. The Government will provide all forms, and regulatory materials and required office machines. The Government will not be responsible for contractor owned property.

3.5. The Government will provide badges.

3.6. Government Training required for Fort Bragg location.

3.6.1. Antiterrorism (AT) and Operation Security (OPSEC):

3.6.1.2. AT Level I Training: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled-access areas shall complete AT Level I awareness training within five calendar days after the 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, if a COR is not assigned, five within calendar days after completion of training by all employees and subcontractor personnel. AT Level I Training is required annually and is available at the following website: http://jko.jten.mil.

3.6.2: 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 10 calendar days of contract award and within10 calendar days of new employees commencing performance with the results reported to the COR NLT 10 calendar days after contract award.

3.6.3:. 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.

3.6.4. 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 appointment to IA/IT functions

3.6.5. OPSEC Training: Per AR 530-1 Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter. OPSEC Awareness for Military Members, DoD Employees and Contractors is available at the following website: https://securityawareness.usalearning.gov/opsec/.

3.6.6: 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.

Part 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

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

4.2. Secret Clearance/ Facility Access Requirements: The contractor shall possess and maintain all necessary clearances background investigation and access requirements as outlined in paragraph 1.6.7 of the PWS Secret Security Clearance for each Nursing position including completed validated Form DD 254.

4.3. The contractor shall possess and maintain a SECRET facility clearance from the Defense Security Service. The Contractor’s employees, performing work in support of this contract shall have been granted a SECRET security clearance from the Defense Industrial Security Clearance Office. The DD 254 is provided as Attachment 3.

4.3 Materials. The Contractor shall furnish materials, supplies, and equipment necessary to perform work under this contract that are not directly expressly provided by the Government under Section 3 of the PWS.

Part 5

SPECIFIC TASKS

5. Specific Tasks:

5.1 Basic Services.

The contractor shall provide physical exams and nursing services to include laboratory work, assess exam results; if necessary issue a referral and make recommendations for duty performance. The contractor shall maintain medical records including records arising from any provider recommended follow-up exams to complete the assessment. The contractor shall provide physicals exams services to support U. S. Army Reserve, and enter the data into their Electronic Medical Record system, transmitting the entire results (lab results and testing results) to the Administrative RN Representative in a secure via direct messaging in the Continuity of Care Document format within five (5) business days of appointment. Any pending follow up exams and lab results shall be forwarded to regional representative Administrative RN within five (5) business days of receiving results. For the first year, everyone will require all physicals.

5.2 Administrative Registered Nurse Services. The contractor shall provide Administrative RN services at Fort Bragg. Services shall consists of collecting, reviewing, and evaluate/audit exams performed including the input of medical data for employees in the Electronic Heath Records (EHR) portals. Additionally provide occupational health nursing guidance, counseling, and education to employees and supervisors on examinations, screening, medical documentation and follow-up examination requirements. Duties require application of sound judgment and extensive knowledge of occupational health principles and practices. Administrative RN’s shall retrieve physical exam results from the contractors EHR portal, review to ensure all require documents, test and lab results are properly documented on correct forms. They will evaluate/audit and input medical data of employees in the USAR EHR portal within three (3) business days of receiving documents.

5.3 Scheduling an Examination:

5.3.1 The USARC will provide an initial list of civilian personnel, annually thereafter, and on an as-needed basis with new employees and employees leaving the agency to the contractor. USARC will provide the supervisors’ name for each of the civilian personnel. The contractor shall contact USARC supervisors for all personnel identified to receive physical examinations telephonically and via email to schedule appointment date for physical examinations no less than 10 working days before each examination date.

5.3.2 Missed appointments. A missed appointment, is considered the employee cancelling 24 hours prior to appointment. The contractor clinics shall notify the contractor RN of each appointment canceled, missed appointments to include no show. The contractor RN shall contact employee’s supervisor and reschedule the appointment within five (5) business days of missed appointment.

5.3.3 Cancelled Appointment. For canceled appointments, the contractor clinics shall notify the contractor RN of each appointment canceled. The contractor RN shall contact employee’s supervisor and reschedule the appointment within five (5) business days of missed appointment.

5.3.4 No Show Appointments. A no show, is considered the employee not showing up at all or cancelling within 24 hours of appointment. The contractor shall provide the COR with the name of the individual for each no show. The contractor will be reimbursed for no show appointments.

5.3.5 Forms needed prior to exam: Contractor shall email USAR medical forms within ten (10) business days prior to appointment to the USARC personnel’s supervisors. The USARC supervisors will ensure that the personnel pre-fill medical forms and provide the forms to clinical staff for completion during physical examination. For the list of required documents to be completed, reference Attachments 1 through 28 covering Fire fighters, Police Offices/Guards, Maintenance and Essential Workers. (Attachments 1 through 28 will be provide the contractors as separate documents)

5.3.6 Abnormalities in lab or test results should be notated by the provider and appropriate referrals made if needed. Examples are abnormalities in Blood work, Blood pressure, etc. If the provider requires further documentation from the patient's medical provider or makes a referral to a specialty in order to make a disposition, the civilian personnel must return to the contracted provider with requested information for a follow-up exam to have a completed disposition.

5.3.7 Scheduling of follow-up appointments due to the results of examinations: The contractor clinics shall notify the administrative RN for each appointment required. The administrative RN will maintain contact with the employee’s supervisor requiring follow-up and once appropriate follow-up has been completed. Upon follow-up completion and the receipt of results, the administrative RN (Contractor representative) shall contact the contractor clinic within five (5) business days and then the contractor clinic shall complete and sign the physical exam documentation within ten (10) business days.

5.3.8 Physical Exams: A licensed medical doctor shall complete all Fire Fighter, Security Guard, and Police Officer physicals including documentation for any visits related to worker’s compensation. A licensed Medical Doctor, Physician Assistant, or Nurse Practitioner may complete Mechanics and Emergency Essential Occupational Safety personnel examinations. All physical examinations shall include a legible signature block to include name and signature.

5.3.8.1 Physician Recommendations: The examining physician shall recommend in writing on the forms provided the government employee is clear, requires further testing to complete exam, or employee is medically disqualified for duty.

5.3.8.2 The Contractor Clinics shall send the signed full physical examination report to include the laboratory results and signed physician recommendation to the Administrative RN within 10 business days of performing the exam.

5.3.8.2.1. A signed medical certificate will be issued for each physical examination with disposition and any follow-up requirements.

5.3.8.3 Various Types of Examinations

(1) The various types of exams are as follows: Pre-Deployment, Post Deployment, and Retirement/Termination.

(2) The various examinations are requested from the government supervisor in conjunction with Civilian Personnel Advisory Center (CPAC). In most cases, an employee must meet essential functions of the job and a determination needs to be made if the employee can meet these requirements.

5.4 Physical Exams to DOD Fire Fighters/Emergency Medical Services (EMS):

5.4.1 Perform DOD Fire Fighters/EMS physical exams to using the forms listed in “Attachments”.

5.4.2 The contract provider shall complete physical examinations (pre-employment, annual, and termination). The physical exams to DOD Fire Fighters shall be performed in accordance with the Physical Examinations based on National Fire Protection Association (NFPA) 1582, Standard on Comprehensive Occupational Medical Program for Fire Department and DOD 6055.05-M, Occupational Medical Examinations and Surveillance Manual, satisfy the basic medical surveillance requirements in DODI 6055.05, Occupational and Environmental Health. Occupational physical examinations are required to determine if: workers are medically and physically able to perform the assigned duties without substantial risk of harm to themselves, others, or the mission and whether the workplace is causing workers injury or illness due to an occupational exposure (medical surveillance examinations).

5.4.3 The breakdown of Fire Fighters requiring physical exams and the installation are listed in Exhibit D DOD Fire Fighters/Emergency Medical Services (EMS) Requiring Physicals.

NFPA 1582 Standards on Comprehensive Physical Exams for Fire Fighters

Divers: Baseline and Annually

Divers: Baseline and every 3 years

5.5 Physical Exams to DOD Police and Guards

5.5.1 Perform physical exams for DOD Police and Guards completing forms is in Exhibit F and The DOD Police and Guards Requiring Physicals is in Exhibit G.

5.5.2. The physical exams to DOD Police and Guards shall be performed IAW guidelines listed by AR 190-56, DoDI 6055.05-M Occupational Medical Examinations and Surveillance Manual, May 2, 2007 (Incorporating Change 3, August 31, 2018), Chapter 3, Exams for Specific Groups, Paragraph C3.4. “Police Officers and Security Guards.” state physical examinations guidelines to determine if workers are medically and physically able to perform assigned duties without substantial risk of harm to themselves, others, or the mission. In addition, whether the workplace is causing workers injury or illness due to an occupational exposure (medical surveillance examinations). Level A and B evaluations: guidance on cardiac testing and evaluation can be found in DoD 6055.05-M and in the AR 190-56 Addendum (Cardiovascular Evaluation of Army Civilian Police and Security Guards).

5.5.2.1 The Contract provider shall conduct Medical evaluations for the Department of the Army Civilian Police (DACP)/Department of the Army Security Guards (DASG) new hires and current employees per prescribed OPM medical evaluation standards, appendix C, and MEDCOM cardiovascular evaluation guidelines. (Excerpt from AR190-56). The Physician must sign or cosign all DACP and DASG exams.

5.5.2.2 Police Officer’s and Guards over 40 years old:

Framingham…