Solicitation - HT001425QE005.pdf

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1. REQUISITION NUMBER PAGE 1 OF

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4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

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8. OFFER DUE DATE/

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9. ISSUED BY

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OFFEROR

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17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

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REQUEST

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REQUEST

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SEE ADDENDUM

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ITEM NUMBER

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SCHEDULE OF SUPPLIES/SERVICES

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QUANTITY

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UNIT

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UNIT PRICE

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AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

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AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

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DATED . . YOUR OFFER ON SOLICITATION

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AUTHORIZED FOR LOCAL REPRODUCTION

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Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

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13a. THIS CONTRACT IS A

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AND ALLOCATIONS

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SET ASIDE: % FOR:

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ARE ARE NOT ATTACHED

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AND 52.212-5 ARE ATTACHED. ADDENDA

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8(A)

ECONOMICALLY

DISADVANTAGED

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SERVICE-DISABLED

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NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Created On:

25 Aug 2025, 08:31 AM Eastern Daylight Time

Solicitation/Contract Form

Part-time Diagnostic Medical Sonographer

Product Service Code: Q522 Date: 20 Aug 2025

HT001425QE005

Supplies or Services & Prices or Costs

Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

Certified Diagnostic Medical Sonographer (ADMS/ARRT)

Project Code: S10 Pricing Arrangement: Firm Fixed Price

1,040 Hours

Description/Specifications/Statement of Work

Diagnostic Medical Sonographer (ARDMS/ARRT)

NOTE 1: The use of Commanding Officer means: Commanding Officer, or a designated representative, e.g., Contracting Officer's Representative (COR) or Department Head.

NOTE 2: The terms "contractor" and "health care worker" are synonymous

NOTE 3: The term "MTF" refers to the Military Treatment Facility at which services are performed.

1. STATEMENT OF WORK

1.1. The health care worker (HCW) shall provide, in accordance with this statement of work, comprehensive Sonographer Ultrasound Technologist services in the Radiology Department in support of U.S. Naval Hospital Sigonella, Italy.

1.2. During the term of the Contract the HCW agrees to provide, on behalf of the Government, the services of a Sonograph Ultrasound Technologist for treatment of active duty military personnel, their dependents, eligible Navy civilian employees, and other eligible beneficiaries, in accordance with the terms and conditions of the Contract.

1.3. While on duty, the HCW shall not advise, recommend or suggest to individuals authorized to receive services at Government expense that such individuals should receive services from the HCW when he or she is not on duty, or from a partner or group associated in practice with the HCW, except with the express written consent of the Commanding Officer. The HCW shall not bill individuals entitled to those services rendered pursuant to the Contract.

1.4. The HCW shall be physically capable of standing for extended periods of time and capable of normal ambulation.

1.5. The HCW shall comply with Executive Order 12731,October 17, 1990, (55 Fed. Reg. 42547), "Principles of Ethical Conduct for Government Officers and Employees" and shall also comply with Department of Defense (DoD) and Department of the Navy (DON) regulations implementing this Executive Order.

1.6. Suits arising out of Medical Malpractice. The HCW is serving at the military treatment facility under a personal services contract entered into under the authority of section 1091 of Title 10, United States Code. The HCW is not required to maintain medical malpractice liability insurance. In the event of a claim or lawsuit relating to the HCW's performance of duties under the contract, the parties shall follow the procedures established in SECNAVINST 6300 .3A, a copy of which can be viewed at http://doni.daps.dla.mil/default.aspx.

1.6.1. The HCW providing services under the Contract shall be rendering personal services to the Government and shall be subject today-to-day supervision and controlled by Government personnel. Supervision is the process by which the individual HCW receives technical guidance, direction, and approval with regard to a task(s) within the requirements of the Contract.

1.7.Except as provided in this clause, the HCW is not prohibited from conducting a private practice of their professions or from engaging in other employment. However, the HCW shall not, simultaneously with performance under the Contract, engage in other employment that creates a conflict of interest, violates federal law or potentially compromises the quality of their work under the Contract. Further, such private practice or other employment shall not be conducted during those hours in which the HCW is required to render services under the Contract. The HCW shall make no use of the Government facilities or property provided under the Contract in connection with other employment. (NAVMED P-117, Chapter 1, Article 1-22applies (http://www.med.navy.mil/directives/Pages/NAVMEDP-MANMED.aspx).

1.8. The HCW shall be neat, clean, well-groomed and in appropriate clothing when in patient care and public areas. All clothing shall be free of visible dirt and stains and shall fit correctly. Fingernails shall be clean and free from dirt, and hair shall be neatly trimmed and combed. HCWs shall display an identification badge, which includes the HCW's full name and professional status (furnished by the Government) on the right breast of the outer clothing. Security badges provided by the Government shall be worn when on duty. In addition to the identification badge, the HCW shall self-identify as a Contractor in all meetings, telephone conversations, and formal and informal written correspondence with Government personnel.

1.9. The HCW shall read, write, speak and understand the English language fluently.

1.10. The HCW shall arrive for each scheduled shift in a well-rested condition and shall have had at least 6 hours of rest immediately prior to reporting for the shift.

1.11. The HCW shall become acquainted with and obey all station regulations; shall perform in a manner to preclude the waste of utilities, and shall not use Government property for personal business. All motor vehicles operated on these installations by the HCW shall be registered with the base security service according to applicable directives. Eating by the HCW is prohibited in patient care areas and is restricted to designated areas.

Smoking is prohibited in all facilities; the HCW shall comply with the rules and regulations of the MTF.

1.12. The HCW shall comply with all MTF checkout processes. These processes include returning Government property, i.e., identification badges, pagers, cellular phones, etc., to the MTF upon the HCW's last day of service. Failure to do so promptly may result in delay of payment of the final invoice.

1.13. All financial, statistical, personnel and technical data which is furnished, produced or otherwise available to the Contractor during the performance of the Contract are considered confidential business information and shall not be used for purposes other than performance of work under the Contract. Such data shall not be released by the Contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by the Contract, will be subject to review and approval by the COR before publication or dissemination.

1.14. The Secretary of the Navy has determined that the illegal possession or use of drugs and paraphernalia in a military setting contributes directly to military drug abuse and undermines Command efforts to eliminate drug abuse among military personnel. The policy of the Department of the Navy (including the Marine Corps) is to deter and detect drug offenses on military installations. Measures to be taken to identify drug offenses on military installations, and to prevent introduction of illegal drugs and paraphernalia, include routine random inspection of vehicles while entering or leaving with drug detection dogs when available, and random inspection of personal possessions on entry or exit. If there is probable cause to believe that a HCW has been engaged in use, possession, or trafficking of drugs, the HCW may be detained for a limited period of time until he or she can be removed from the installation or turned over to local law enforcement personnel having jurisdiction. When illegal drugs are discovered in the course of an inspection or search of a vehicle operated by a HCW, the HCW and vehicle may be detained for a reasonable period of time necessary to surrender the individual and vehicle to appropriate civil law enforcement personnel. Action may be taken to suspend, revoke, or deny installation driving privileges. Implicit with the acceptance of the Contract is the agreement by the HCW to comply with all Federal and State laws as well as regulations issued by the Commanding Officer of the military installation concerning illegal drugs and paraphernalia.

1.15. Due to the nature of medical personal services which require Government supervision, there is a need for HCW access to MHS Genesis for patients that present only at the MTF, the Contract does not lend itself to allow the HCW to telecommute.

1.16. Comply with the standards of the Joint Commission, applicable provisions of law and the rules and regulations of any and all Governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the hospital's medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and Surgery and local Clinic instructions and notices that may be in effect during the term of the Contract.

2. DUTY HOURS

2.1.The HCW shall be on duty in the assigned clinical area for 40 hours withing a 2week period between the hours of 0730 and 1800. Specific hours shall bescheduled one month in advance by the Commanding Officer. Any changes in theschedule shall be coordinated between the HCW and the Government.

2.2. When required, to ensure completion of services that extend beyond the normal close of business ,the HCW shall remain on duty in excess of the scheduled shift. The HCW will be given an equal amount of compensatory time to be scheduled upon mutual agreement of the HCW and the Commanding Officer. The HCW shall use all compensatory time within a two week period. All unused compensatory leave will be forfeited, if not used at the end of the period of performance. If the Contract is terminated, there will be no reimbursement for any accrued compensatory time balance. In the event the HCW gives notice, all compensatory time must be used with the notice period or forfeited. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the shift.

2.3. The HCW's services shall not be required on federally observed holidays.

2.4. The Commanding Officer or designated Government representative will supervise the HCW.

3. ABSENCES ANDLEAVE.

3.1. Planned absences from assigned duties shall be requested with 15 working days advance notice, in writing, to the Department Head. Eight (8) hours of personal leave are accrued by the HCW at the end of every two-week period worked. The HCW shall be compensated by the government for these periods of authorized planned absence. This leave shall be used for both planned(vacation) and unplanned (sickness) absences.

3.2. Unless otherwise negotiated between the Contracting Officer, the Supervisor and the HCW, the MTF will administer the HCW's leave in accordance with the guidelines for Federal civil service employees. These guidelines relate to, among other topics, annual leave, administrative leave, Leave Without Pay (LWOP) and holidays.

3.3. If the HCW is absent for three or more consecutive days due to illness, he or she may be required by the Commanding Officer to provide written documentation from a qualified health care provider that he or she is free from communicable disease and the cause of the HCW's current illness. The Government reserves the right to examine and/or re-examine any HCW who meets this criterion.

3.4.At the discretion of the Commanding Officer, up to 80 hours of accrued leave may be carried over from one performance period to the next, as long as the balance carried over is used within 90 days of the new performance period. This contingency for leave carry over does not apply if the following option period is not exercised by the Government or during the last option year of the Contract. This position is for a period beginning from

The Contract will be renewable each year at the option of the Navy. If the Contract is the start date 25-September 2025 through 24-September2026.

terminated, there will be no reimbursement for any accrued leave balance. In the event that the HCW gives notice of employment termination, all accrued annual leave must be used within that notice period, or forfeited. Unplanned leave (i.e. leave taken for sickness) taken during this period shall be supported by a physician's statement of illness upon request.

3.5.The HCW will also receive a paid holiday benefit. If additional holidays are created as a result of an Executive Order, the benefit will also be extended to the HCW. The Government will compensate the Contractor for the number of hours the HCW is normally scheduled to work on the day on which the holiday is observed. If the HCW is not normally scheduled for duty on the day a holiday is observed, the HCW will not be compensated for the holiday. For example, if the HCW works 8 or 12 hours per day, Tuesday through Friday, the HCW will not receive compensation for a Monday holiday, since the HCW is not normally scheduled to work on Mondays.

3.6. The HCW with a bona fide medical emergency occurring while on duty or with an on-the-job injury will be provided stabilizing medical care according to the procedures of the MTF. The HCW will reimburse the Government for all medical services provided unless the HCW is otherwise entitled to Government medical services

3.7. Continuing Education. The Commanding Officer may also grant authorization for planned absences to allow the HCW to attend continuing education courses. This is in addition to the planned and unplanned absences specified above. The Government may compensate the HCW for these periods of authorized absence if the continuing education course(s) are determined to be a necessary expense by the government. This determination will be made on a case by case basis, weighing the costs associated with the training of Contractor personnel against the benefit gained by the Government in support of the appropriation that will incur the expense. This compensation will not exceed 40 hours per Contract period, equivalently apportioned for part-time services and/or partial year performance periods. The Commanding Officer may also advance leave for continuing education.

3.7.1. Unless authorized in advance, the Government will not reimburse the HCW for the cost of any training and/or other related expenses (travel).

If authorized, the Contractor shall be compensated for those expenses deemed reasonable using a Travel/Training Contract Line Item Number (CLIN) in Section B. The HCW shall provide proof of attendance and successful completion of continuing education to the Commanding Officer upon request.

3.7.1.1. The HCW shall submit an invoice in accordance with Wide Area Work Flow (WAWF) instructions itemizing expenses in amounts allowable by the COR. (See Section G.)

3.7.1.2. All reimbursements will be retrospective and payable only upon presentation of a properly prepared invoice (as specified by the facility) to the COR. The Government shall reimburse the HCW only for actual training costs incurred and any authorized travel expenses deemed reasonable.

3.7.1.3. The Government reserves the right to require additional documentation, including memoranda from the HCW obtaining the training.

3.7.1.4. Such training shall not be conducted prior to the appropriate funding being applied to the Contract.

3.8. Military Reserve Duty. During MTF check-in processing, the HCW shall report their reserve status to the MTF COR. Documented military leave for military reservists may be allowed, not to exceed 15 days per fiscal year, in accordance with 5 U.S.C. 6323(a). This leave may be taken intermittently, i.e.,1 day at a time, and may be carried over into the next fiscal year provided an additional option period under the Contract has been exercised. Military reservists who perform full-time military service as a result of a call or order to active duty in support of a contingency operation may take up to 22 days per calendar year of military leave, in accordance with 5 U.S.C. 6323(b). If leave is approved, it will be provided on a prorated basis for periods of performance less than 12 months in the fiscal year. Documented military leave taken in accordance with 5 U.S.C. 6323(a) and (b) is compensated leave. HCWs shall follow the policy of the MTF with respect to notification of scheduled military duties to the Commanding Officer.

3.9. For unusual and compelling circumstances (e.g., weather emergencies) in which the Commanding Officer either excuses all facility personnel from reporting to work or dismisses all personnel early, the Commanding Officer is authorized to grant administrative leave to the HCW. This administrative leave may be compensated leave.

3.10. Furlough. Except as otherwise provided in this paragraph or unless specifically authorized in a DoD Appropriations Act or a continuing resolution, the obligation of the Contractor to perform services under the Contract, and the Government's obligation to pay for such services, shall be suspended during a Government furlough. In the event of a Government furlough, the Commanding Officer will determine which Contractor employees are considered "essential" and therefore must report to work. Only Contractor employees deemed "essential" by the Government shall be compensated for services rendered during a furlough. All other Contractor employees will be furloughed until the Government shutdown ends or the COR notifies them that they have become "essential" employees.

4.DUTIES AND RESPONSIBILITIES.

The HCW shall perform a full range of duties consistent with their labor category, education, training, experience, clinical privileges (as applicable), and assigned position.

4.1. Administrative duties: The HCW shall perform limited administrative duties which include maintaining clinical workload, participating in educational programs and participating in clinical staff quality assurance functions and process action team, as prescribed by the Commanding Officer.

Administrative duties shall include, but are not limited to, the following:

4.1.1. Maintain a level of productivity comparable with that of other individuals performing similar services.

4.1.2. Comply with the standards of the Joint Commission, applicable provisions of law, and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of health care personnel and medical treatment facilities, the regulations and standards of medical practice of the MTF and the bylaws of the MTF's medical staff. Adhere to and comply with all Department of the Navy, Bureau of Medicine and Surgery and local instructions and notices which may be in effect during the term of the contract.

4.1.3. Participate in peer review and performance improvement activities. Actively participate in the command's performance improvement program by participating in meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.

4.1.4. Practice aseptic techniques as necessary. Comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes, the use of universal precautions to prevent the spread of infections.

4.1.5. Function with an awareness and application of safety procedures.

4.1.6. Perform efficiently in emergency patient situations following established protocols, remaining calm, informing appropriate persons, and documenting events. Anticipate potential problems/emergencies and make appropriate interventions. Notify supervisor, director, or other designated person regarding problems that the HCW is unable to manage.

4.1.7. Apply an awareness of legal issues in all aspects of patient care and strive to manage situations in a reduced risk manner.

4.1.8. Participate in the implementation of the Family Advocacy Program as directed. Participation shall include, but not be limited to, appropriate medical examination, documentation, and reporting.

4.1.9. Exercise awareness and sensitivity to patient/significant others' rights, as identified within the institution.

4.1.10. Maintain an awareness of responsibility and accountability for own professional practice.

4.1.11. Participate in continuing education to meet own professional growth.

4.1.12. Attend and/or comply with all annual training classes required by the Command, to include but not limited to online annual training provided by the MTF: disaster training, infection control, maintaining Joint Commission compliance, Sexual Harassment, Bloodborne Pathogens, Fire and Safety, Chemical, Biological, Radiological, Nuclear and Explosives (CBRNE), and all other required training.

4.1.13. Participate in the provision of in-service training to clinic staff members. Provide training and/or direction as applicable to supporting Government employees (e.g., hospital corpsmen, students, etc.).

4.1.14. Attend and participate in various meetings as directed.

4.1.15. Perform timely, accurate, and concise documentation of patient care. Maintain documentation of all treatment provided in accordance with clinic directives, and prepare such records and reports as may be required. All records and reports must be legible. Abbreviations must be only those listed in local instructions.

4.1.16. Operate and manipulate automated systems such as MHSGenesis, CHCS, AHLTA, and Clinical Information System (CIS), participate inclinical staff Performance Improvement (PI) and Risk Management (RM) functions,as prescribed by the Commanding Officer. Maintain DoD email account as directed. The HCW shall be responsive to all email and voicemail communications.

4.1.17. As commensurate with the position, exercise appropriate delegation of tasks and duties in the direction and coordination of health care team members, patient care, and clinic activities.

4.1.18. Comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility.

Providers shall obtain/maintain a National Provider Identifier (NPI) in accordance with DOD and MTF policy/instruction, as applicable. https://nppes.

cms.hhs.gov/

4.1.19. Be officially evaluated at least semi-annually on performance and adherence to requirements of this contract.

4.1.20. Participate in executing the Emergency Preparedness Plan(drills and actual emergencies) as scheduled by the MTF (typically semiannually).

The MTF shall prepare a personnel re-call list with personal contact information for all military, civil service and contract employees in advance for an actual emergency. The HCW shall provide personal contact information to the designated supervisor upon commencement of services. Should an emergency occur, the HCW shall be contacted with shift information and for accountability purposes.

4.1.21. Possess and maintain current certification in American Heart Association Basic Life Support(BLS) for Health care Providers; American Heart Association Health care Provider course; American Red Cross CPR (Cardio Pulmonary Resuscitation) for the Professional Rescuer; or an equivalent MTF course. HCWs, not currently in possession of current certification, must acquire certification prior to initiating contract performance.

Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World Wide Web at: http://navymedicine.

med.navy.mil/Files/Media/directives/1500-15c.pdf.

4.2. CLINICAL DUTIES:

4.2.1. Perform a full range of Diagnostic medical Sonographer(ARDMS/ARRT) duties in accordance with assignment including triage; patient assessment and monitoring; use of patient monitoring and treatment equipment; appropriate nursing care, procedures, and treatments; execution of physicians' orders within the guidelines of standard nursing practice; documentation of patient care and observations; and patient education and emotional support.

4.2.2. Correlate the patient'sclinical history with the requested examination to be performed and obtain theresults from previous pertinent diagnostic test to correlate with theultrasound study.

4.2.3. Consult with staff physicians from a variety of specialties suchas obstetrics, gynecology, cardiology and surgery regarding the patient'spertinent past medical history, preliminary diagnosis, and condition so itcorrelates with the ultrasound examination.

4.2.4. Recognize normal anatomic variants. Also, recognize anatomicchanges created by medical and surgical procedures.

4.2.5. Document arrival, departure, and completed test as required byMTF policy. Send appropriate imageseries to the radiologist for reading according to MTF protocol.

4.2.6. Performs system warmups, calibrations and quality control tasksaccording to manufacturer and MTF policy. Recognize artifacts and equipment errors and notify designatedGovernment personnel of outlying values.

4.2.7. Explain process to patient and instructs and assists patient inassuming physical position for examination.

4.2.8. Explain process to patient and instructs andassists patient in assuming physical position for examination.

4.2.9. Assist in the compiling and archiving of records for proceduresperformed.

4.2.10. Observe and report to the radiologist any symptoms which havedirect bearing on the patient's condition as a result of adverse reaction tocontrast media and inform the radiologist of any condition requiring his/herattention. Recognize the need for andinitiate emergency measures for critical situations such as respiratory orcardiac arrest.

4.2.11. Identify abnormalities during testing and determine need foradditional scans of affected area.

4.2.12. Perform a full range of diagnostic ultrasonic examinations as appropriate to the discipline.

4.2.13. Seek validation of knowledge base, skill level, and decision making as necessary and assertively seek guidance in areas of question.

4.2.14. Implement care in a knowledgeable, skillful, consistent, and continuous manner.

4.2.15. Establish priorities of patient care based on essential patient needs and available unit, command, and community resources including time, personnel, equipment, and supplies.

4.2.16. Demonstrate competency in medication and intravenous (IV) administration to include blood products and Total Parental Nutrition (TPN) intramuscular (IM) and subcutaneous (SQ)administration and demonstrate competency in phlebotomy as specific to the position.

4.2.17. Safely administer prescribed medications to include intravenous drips and intravenous push drugs.

4.2.18. Identify patient/significant other learning needs and implement appropriate measures to meet identified needs.

4.2.19. Perform documentation(manually and/or by use of computer) duties on unit and in-patient record which are timely, accurate, and concise.

4.2.20.Participate actively in multifaceted staff development activities at the unit, Director, and command level, such as teaching formal and informal classes, acting as a role model, educator and mentor to new paraprofessional personnel with the goal of helping them successfully complete competency based skills list and weekly goal setting, assisting in the Command's Basic Cardiac Life Support classes and promoting staff competency and efficiency in emergent situations, and by participating in cross-training initiatives.

4.2.21. Demonstrate self-directed learning.

4.2.22. Participate in development and attainment of unit and Nursing Directorate goals.

4.2.23. Demonstrate effective and professional communication methods, and skills, using lines of authority appropriately.

4.2.24. Formulate and use effective working relationships with all health care team members, patients, and significant others. Refer unsolved complaints or infractions to the Division Head with recommendations for appropriate action

4.2.25. Practice effective problem identification and resolution skills as a method of sound decision making.

4.2.26. Remain flexible in staffing patterns and resolution of staffing conflicts; participate in temporary assignment measures.

4.2.27. Provide individual, group, and family/significant other counseling and health teaching in relation to the patient's condition and his/her ability for self-care. Provide for accessibility to various literature resources dealing with subjects related to specific patient health problems. Provide physical and psychological support to patients and significant others, explain procedures and treatments, and promote cooperation among staff, patients, and significant others.

4.2.28. Participate in theorientation and training of newly assigned unit personnel. Participate incross-training initiatives.

4.2.29. Provide input intocompetency assessments of newly assigned unit personnel.

4.2.30. Collaborate in thereview of clinic standing operating procedures.

4.2.31. If directed, performphone triage based on accepted protocols and assist as needed in accessingappropriate ambulatory /emergency care for beneficiaries.

4.2.32. Provide training and/ortechnical guidance as applicable to supporting Government employees (i.e.hospital corpsmen, technicians, students) assigned to the HCW during theperformance of clinical procedures. Such guidance and interaction will adhereto Government and professional clinical standards and accepted clinicalprotocols.

4.3.2. PERFORMANCEIMPROVEMENT/QUALITY ASSURANCE. The HCW shall:

4.3.2.1. Participate with theirsupervisor in departmental and hospital performance improvement activities/riskmanagement programs as prescribed and make recommendations on improvement ofwork methods and organizational features.

4.3.2.2. Participate in staff quality assurance functions to include peer review and clinic performance improvement. Attend and contribute to scheduled meetings to review and evaluate the care provided to patients, identify opportunities to improve the care delivered, and recommend corrective action when problems exist.

4.4. ORIENTATION

4.4.1. Undergo an orientation and shall complete mandatory Navy and DoD on-line training as required. Orientation may be waived for personnel who have previously provided service at the treatment facility. DoD on-line training may require that the HCW enter their Social Security Number to document and track compliance with training requirements. Orientation shall include familiarization with the facility, introduction to the Quality Improvement Program, introduction to MTF rules and regulations, introduction to military protocols such as military structure, time and rank, acquisition of parking permits, proper infection control protocols and clarification of rights and responsibilities.

4.4.2. Orientation shall consist of Command Orientation and Information Systems Orientation. Command orientation of up to 40 hours includes annual online training requirements for topics such as but not limited to fire, safety, infection control, family advocacy, Chemical, Biological, Radiological, Nuclear, and Explosive Events (CBRNE) Basic Awareness, and various Navy required on-line trainings. Information Systems Orientation of approximately 24 hours includes the MHS Genesis, CHCS/AHLTA, and the Ambulatory Data System (ADS). In addition, HCWs identified as MHS Genesis, CHCS and/or AHLTA Super-users shall undergo an additional 8 hours of information systems orientation.

4.5. CREDENTIALING REQUIREMENTS.

N/A

4.6. Background Investigations. By fulfillment of this position, the HCW will have access to Department of Navy (DON) Information Technology (IT) systems and/or perform IT-related duties with varying degrees of independence, privilege and/or ability to access and/or impact sensitive data and information. Therefore, the HCW shall be subject to Information Technology(IT)/Sensitive Information (SI) security requirements which include national and local background checks and a credit check in accordance with Secretary of Navy (SECNAV) Manual 5510.30, as well as a criminal background check in accordance with the Crime Control Act of 1990. It should be noted that in order to receive access to the DON IT system(s) and the sensitive data necessary to perform the duties for this position, the HCW must be a U.S. citizen. The HCW shall be required to complete the paperwork necessary for the Government to complete the background investigations.

5. FAILURE AND/OR INABILITY TO PERFORM.

5.1. This contract may be found voidable at the option of the Government if the contractor fails to provide the requested physical certification.

5.2. Should the HCW be unable to perform duties under the contract due to medical or physical disability for more than 13 consecutive days, performance under the contract may be suspended by the Contracting Officer until such medical or physical disability is resolved. If performance under the contract is so suspended, no reimbursement shall be made and no other compensation, including annual/sick leave, shall accrue to the HCW so long as performance is suspended.

5.3. Any HCW demonstrating a health or safety risk to patients or staff may be immediately removed from service. In the event of sucha removal, the Contracting Officer may issue a stop work order until thesituation is resolved,

5.4. Any HCW demonstrating impaired judgment shall be removed fromproviding health care services. The

Government reserves the right to remove any employee who, in thejudgment of a licensed physician, is impaired by drugs or alcohol.

5.4.1. Any HCW with alcohol or drug abuse problems may be allowed to return to work under the terms of the contract only with prior Government approval.

PERSONNEL QUALIFICATIONS6. .

The HCW is required to possess the following minimum levels of professional and technical experience. The specialized experience included as part of the required qualifications shall have been obtained in the fields of endeavor indicated by the following applicable labor category:

Diagnostic Medical Sonographer (ARDMS/ARRT)

6.1. SPECIAL REQUIREMENTS. The HCW shall:

6.1.1. Posses a Certificate of Degree.

6.1.2. Graduate from an academic program accredited by the Commission on Accreditation for Allied Health Education Programs

(CAAHEP).

6.1.3. Certified by the American Registry for Diagnostic Medical Sonography (ARDMS) in the specialty identified.

6.1.4. Posses one year of experience within the last two years as a sonographer in the specialty requested.

6.1.5 Provide two letters of recommendation written within the last two years attesting to clinical skills .A minimum of one of the letters must be from a supervisor. Reference letters shall attest to the quality and quantity of experience. Recommendation letters must include name, title, phone number, date of reference, address and signature of the individual providing reference.

6.1.6 Possess basic computer skills competency.

6.1.7. Represent an acceptable malpractice risk to the Navy.

6.1.8. Be in good standing and under no sanction or suspension listing by the Federal Government.

6.1.9. Possess U.S. citizenship which is necessary to gain access to DON IT systems and sensitive information.

6.2. REGULATORY COMPLIANCE REQUIREMENTS.

6.2.1. Within 60 days prior to performance of services by the HCW, the HCW shall obtain, at their own expense, documentation of required immunizations and physical testing, and a statement from the HCW's licensed medical practitioner or a report of a physical examination. The physical examination and immunization documentation shall indicate that the HCW is free from mental or physical impairments that would restrict the HCW from providing the services described herein. The requirements are provided on the HEALTH EXAMINATION AND IMMUNIZATION /SCREENING REQUIREMENT FORM, the current version of which is available at:http://www.nmlc.med.navy.mil/handbooks/Physical%20Exam% 20and%20Immunization%20Form.pdf. The Contractor shall always obtain the current version from the web page and shall have the form completed in its entirety in accordance with its instructions. The facility shall identify any incumbent HCWs who are not required to complete this documentation after Contract award. Declinations shall only be permitted based on either the HCW's religious convictions or medical contraindications (as documented by a qualified health care provider). The Hepatitis B vaccine declination can be found on the World Wide Web at http://www.osha.gov/SLTC/etools/hospital/hazards/bbp/declination.html.

6.2.1.1. Except for a HCW who declines the Hepatitis B vaccine as given above, the Hepatitis B requirements given in the HEALTH EXAMINATION AND IMMUNIZATION/SCREENING REQUIREMENT FORM, provide that the HCW must either show a positive titer or demonstrate persistent non-response to the vaccine. The HCW may be approved for service at the MTF prior to achieving a Hepatitis B positive titer or demonstrating a persistent non-response according to the following provisions:

6.2.1.1.1. The HCW must receivethe first vaccination of his/her initial vaccination series prior to commencing service under the Contract and must complete the series not later than 6 months after commencing service and, if a negative titer is obtained, must complete the second series within another 6 months; or

6.2.1.1.2. The HCW who has completed his/her initial series and obtained a negative titer must commence his/her second vaccine series prior to commencing service and must complete the second series not later than 6 months after commencing service.

6.2.1.1.3. The HCW approved according to the provisions above will be considered persistent non-responders until there is evidence to the contrary and will be counseled by a licensed practitioner regarding the implications of non-response.

6.2.1.1.4.If the HCW fails to comply with the applicable schedule above, the Contract maybe terminated if so directed by the Contracting Officer.

6.2.2. Except as provided in paragraph 6.5.3 or 6.5.4below, or unless the HCW is otherwise entitled to Government medical services(e.g., an eligible beneficiary), no medical tests or procedures required by the Contract may be performed in the MTF. Expenses for all required tests and/or procedures shall be borne by the Contractor at no additional expense to the Government.

6.2.3. The HCW shall agree to undergo personal health examinations and such other medical and dental examinations at any time during the term of the Contract, as the Commanding Officer may deem necessary for preventive medicine, medical surveillance, performance improvement, or privileging purposes. These examinations will be provided by the Government. If the Contractor chooses, these examinations may be provided by a private physician or dentist, at no expense to the Government.

6.2.4. It is essential that the HCW be vaccinated annually against influenza according to Bureau of Medicine and Surgery, (BUMED) and Centers for Disease Control (CDC) guidelines aimed at reducing the impact of influenza disease in health care settings. The Government will provide the influenza vaccine free of charge. If the HCW chooses to be immunized by the Government, the HCW shall sign a waiver releasing the Government from legal liability in accordance with local procedures and policies. Alternately, the HCW may obtain the vaccine at another facility, with the HCW bearing the total cost, and provide proof of vaccination to the Government. If the HCW declines vaccination, a signed declination form shall be provided to the Government in accordance with CDC recommendations and MTF policies.

6.2.5. The HCW who does not show a positive antibody titer after immunization and appears to have a "non-immune" status must report varicella exposure to the COR. In accordance with CDC Recommendations, the HCW may be removed from patient care duties beginning on the tenth day following exposure and remain away from work for the maximum incubation period of varicella (21 days). In this instance, the HCW will be considered to be in a leave status.

6.2.6. Prior to reporting for service at an MTF, each contract HCW shall be screened at Contractor expense for risk of exposure to tuberculosis (TB) as part of the Health Examination and Immunization/Screening Requirement Form in 6.2.1. If the HCW is determined to have a low risk of exposure, no further screening or testing is required under this Contract. The initial screening may be waived, at the discretion of the MTF, if the Contractor provides evidence of a prior low risk assessment by a licensed physician. If the initial screening results in a determination that the HCW has an increased risk of exposure to TB, the Contractor is responsible for ensuring that the HCW receives targeted screening and testing in accordance with CDC Guidelines for Health-Care Settings and submitting timely records of subsequent screening or testing to the COR.

6.2.7. BLOODBORNE PATHOGEN ORIENTATION PROGRAM. The HCW shall participate in the Command's Blood borne Pathogen Orientation Program. The HCW shall also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to blood borne pathogens.

6.2.8. MANAGEMENT OF HIV POSITIVE HCWs. The h positive HCW will be managed in accordance with uman immunodeficiency virus (HIV) the current CDC guidelines and Section 503 of the Rehabilitation Act (29U.S.C. 793) and its implementing regulations (41 CFR Part 60-741).

6.2.9. PREVENTION OF THE TRANSMISSION OF HIV. The HCW shall comply with the CDC's "Universal Precautions" for the prevention of the transmission of the HIV virus.

6.2.10. MANAGING THE CLINICAL RISK IN THE WORKENVIRONMENT. The work environment inherently involves risks typically associated with the performance of clinical procedures. The HCW may be exposed to contagious disease, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

Requirements Part-Time Certified Diagnostic Medical Sonographer (ARDMS/ARRT)

Product Service Code: Q522

Packaging and Marking

Inspection and Acceptance

DFARS Clauses Incorporated by Full Text

252.229-7003 Tax Exemptions (Italy). (Mar 2012)

TAX EXEMPTIONS ( ITALY ) (MAR 2012)

(a) As the Contractor represented in its offer, the contract price, including the prices in subcontracts awarded under this contract, does not include taxes from which the United States Government is exempt.

(b) The United States Government is exempt from payment of ( ) tax in accordance with Article 72 of the Imposta Valore Aggiunto IVA IVA implementing decree on all supplies and services sold to United States Military Commands in Italy .

(1) The Contractor shall include the following information on invoices submitted to the United States Government:

( ) The contract number.i

(ii) The tax exemption claimed pursuant to Article 72 of Decree Law 633, dated October 26, 1972 . IVA

(iii) The following fiscal code(s): [Contracting Officer must insert the applicable fiscal code(s) for military activities within N/A Italy :

80028250241 for Army, 80156020630 for Navy, or 91000190933 for Air Force].

(2)( ) Upon receipt of the invoice, the paying office will include the following certification on one copy of the invoice:i

"I certify that this invoice is true and correct and reflects expenditures made in Italy for the Common Defense by the United States Government pursuant to international agreements. The amount to be paid does not include the tax, because this transaction is IVA not subject to the tax in accordance with Article 72 of Decree Law 633, dated October 26, 1972 ."

An authorized United States Government official will sign the copy of the invoice containing this certification.

(ii) The paying office will return the certified copy together with payment to the Contractor. The payment will not include the amount of the tax.IVA

(iii) The Contractor shall retain the certified copy to substantiate non-payment of the tax. IVA

(3) The Contractor may address questions regarding the tax to the Ministry of Finance, Office, Rome (06) 520741. IVA IVA

(c) In addition to the tax, purchases by the United States Forces in Italy are exempt from the following taxes: IVA

(1) (Production Tax for Petroleum Products). Imposta di Fabbricazione

(2) (Consumption Tax for Electrical Power). Imposta di Consumo

(3) (Customs Duties). Dazi Doganali

(4) e Merci per Via e per Via (Port Fees). Tassa di Sbarco d'Imbarco sulle Transportate Aerea Maritima

(5) de (Vehicle Circulation Tax). Tassa Circolazione sui Veicoli

(6) (Registration Tax). Imposta di Registro

(7) (Stamp Tax). Imposta di Bollo

(End of clause)

Overall Contract Inspection/Acceptance Locations

Inspection and Acceptance Location

Both

Destination Instructions: See Statement of Work (SOW) or Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0488 CountryCode: ITA

NAV HSPTL SIGONELLA ITALY - MM

USNH SIGONELLA ITALY, SS 192 KM 76 NAS1

SICILY 95100

ITALY

Agostina Randazzo Email: agostina.randazzo.ln@health.mil

Deliveries or Performance

From 25 Sep 2025 to 24 Sep 2026

Contractor Destination

Line Item Delivery Schedule Quantity Address and POC

Delivery Period From 25 Sep 2025 to 24 Sep 2026

1,040 Hours Service Performance Site DoDAAC: HT0488 CountryCode: ITA

NAV HSPTL SIGONELLA ITALY - MM

USNH SIGONELLA ITALY, SS 192 KM 76 NAS1

SICILY 95100

ITALY

Agostina Randazzo Email: agostina.randazzo.ln@health.mil

Period of Performance From 25 Sep 2025 To 24 Sep 2026

Contract Administration Data

DFARS Clauses Incorporated by Reference

Number Title Effective Date

Alternate/ Deviation

Variation Effective Date

252.201-7000 Contracting Officer's Representative. Dec 1991 252.232-7003 Electronic Submission of Payment Requests and Receiving Reports. Dec 2018 252.232-7008 Assignment of Claims (Overseas). Jun 1997

DFARS Clauses Incorporated by Full Text

252.232-7006 Wide Area WorkFlow Payment Instructions. (Jan 2023)

WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (JAN 2023)

(a) As used in this clause- Definitions.

"Department of Defense Activity Address Code (DoDAAC)" is a six position code that uniquely identifies a unit, activity, or organization.

"Document type" means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

"Local processing office (LPO)" is the office responsible for payment certification when payment certification is done external to the entitlement system.

"Payment request" and "receiving report" are defined in the clause at 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(b) The WAWF system provides the method to electronically process vendor payment requests and receiving reports, as Electronic invoicing.

authorized by Defense Federal Acquisition Regulation Supplement (DFARS) 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) To access WAWF, the Contractor shall- WAWF access.

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.sam.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this web site.

(d) The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice WAWF training.

Training Site before submitting payment requests through WAWF. Both can be accessed by selecting the "Web Based Training" link on the WAWF home page at https://wawf.eb.mil/

(e) Document submissions may be via web entry, Electronic Data Interchange, or File Transfer WAWF methods of document submission.

Protocol.

(f) The…