Solicitation - HT941026QE021.pdf

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SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

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DATE

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

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7. FOR SOLICITATION

INFORMATION CALL:

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8. OFFER DUE DATE/

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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

24.

AMOUNT

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

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SPECIFIED

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DATED . . YOUR OFFER ON SOLICITATION

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AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

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AND ALLOCATIONS

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8(A)

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

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Solicitation/Contract Form Sterrad 100NX Plasma Sterilizer Maintenance Service at 51 Medical Group at Osan Air Base

Product Service Code: J065

HT941026QE021

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

Non-personal services for the annual maintenance for the Government owned Sterrad 100NX Plasma Sterilizer in accordance with the Performance Work Statement.

BASE PERIOD: 1 October 2026 - 30 September 2027

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Non-personal services for the annual maintenance for the Government owned Sterrad 100NX Plasma Sterilizer in accordance with the Performance Work Statement.

OPTION I: 1 October 2027 - 30 September 2028

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Non-personal services for the annual maintenance for the Government owned Sterrad 100NX Plasma Sterilizer in accordance with the Performance Work Statement.

OPTION II: 1 October 2028 - 30 September 2029

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Non-personal services for the annual maintenance for the Government owned Sterrad 100NX Plasma Sterilizer in accordance with the Performance Work Statement.

OPTION III: 1 October 2029 - 30 September 2030

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Non-personal services for the annual maintenance for the Government owned Sterrad 100NX Plasma Sterilizer in accordance with the Performance Work Statement.

OPTION III: 1 October 2030 - 30 September 2031

Pricing Arrangement: Firm Fixed Price

12 Months

Description/Specifications/Statement of Work

PERFORMANCE WORK STATEMENT

for Sterrad 100NX Plasma Sterilizer Maintenance Services at the 51st Medical Group at Osan Air Base

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 ADMINISTRATIVE INFORMATION SECURITY REQUIREMENTS

3.0 SCOPE OF WORK

4.0 QUALITY MANAGEMENT

5.0 SAFETY / SECURITY REQUIREMENTS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. This requirement is for a semi-annual maintenance service contract (non-personal service) for the Government owned Sterrad 100NX Plasma Sterilizer described in paragraph 5.1. The Contractor shall provide all trained personnel, labor, travel, tools, diagnostic test equipment, software, hardware, firmware, materials, supplies, and parts necessary to maintain the equipment listed in a fully functional state in accordance with (IAW) Original Equipment Manufacturers (OEM) specifications.

1.2 This contract is a non-personal services contract which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

1.3. The Sterrad 100NX is located at Osan Air Base, Bldg 777 the Osan Medical Group.

1.2. The Contractor shall provide end-user training for two government technicians at the Medical Facility Treatment (MTF) on the operation of the 100NX Plasma Sterilizer once per year.

1.3. The contractor shall provide troubleshooting assistance by telephone, 24 hours a day, 7 days per week and on site service support as needed Monday to Friday, 0800 - 1700. Additionally, the contractor shall provide and install all hardware and software updates as they become available and provide new or updated user manuals when changes occur. New repair parts from the OEM must be used to conduct repairs on the equipment. Refurbished parts must meet OEM standards and be pre-approved by the Healthcare Technology Management (HTM) Manager or representative prior to installation. All completed work will be certified to meet OEM specifications.

2. ADMINISTRATIVE INFORMATION.

2.1 Hours of Operation. 51 MDG provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays. Normal open hours for patient care is from 0700 to 1700 Monday to Friday excluding US Federal Holidays

2.1.1 Normal business hours for Healthcare Technology Management are 0730 - 1630. Available 24 hours 7 days a week including holidays for emergencies.

2.1.2 The contractor shall make every practical effort to provide services during normal business hours, excluding Federal holidays. However, in certain cases, permission may be granted to the contractor to provide services outside of normal operating hours if during these hours (1) access to the equipment being serviced is limited or unavailable, (2) servicing the equipment would cause impactful impedance to patient care, or (3) the contractor provides any other justified reasoning for unavailability that is accepted by the Healthcare Technology Manager. Approval to perform services outside of normal business hours will be given by the Government's Representative.

2.1.3 Osan Medical Group provides emergency services after-hours by means of an on-call technician. In the event any contractor is performing services outside normal business hours, the on-call technician will be available to perform duties of the Healthcare Technology Manager (i.e. periodically checking on the progress of contractor personnel to ensure the security of the hospital, verifying the quality of services rendered meets or exceeds the standards set forth in the PWS, and assist the contractor personnel in signing out with Healthcare Technology Management in room LH05 with badge return).

2.1.4 This contract is NOT a time and materials effort. It is not to be billed hourly and does not cover over-time, after-hours emergencies or Federal holiday coverage.

2.1.5 Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday. Any holidays falling on a Sunday will be observed the following Monday.

New year's Day, January 1st Martin Luther King's Birthday, 3rd Monday in January President's Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth Independent Day, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran's Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

NOTE: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours.

Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

2.2. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

2.3. The Government's Representative will be the KO's authorized representative in administering the contract at the MTF level. The Contractor's representative 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. Unresolved problems will be referred to the KO for resolution.

2.4 Combatting Human Trafficking. Combating Trafficking in persons (awareness program) shall be 100% compliance (zero tolerance) regarding trafficking in persons policy in accordance with FAR 52.222-50 and FAR 22.1703.

3. SCOPE OF WORK.

3.1 Equipment to be Serviced.

3.1.1

ECN Serial Number Manufacturer Repairs PM

014926 1045191283 ADVANCED STERILIZATION PRODUCTS (ASP) Y 2

Location Model Tech Support CAL

Central Sterile Supply Y 2

GENERIC NOMENCLATURE MODEL NUMBER SERIAL NUMBER

Sterilizing Unit, Plasma Sterrad 100NX 1045191283

3.2 Specific Tasks and Deliverables. The contractor, or contractor representative, shall report to the Government Representative or HTM Office (room LH05, telephone 0505-784-2009, e-mail_ 51HTMBMETs@groups.health.mil prior to commencing all on-site services (Preventive Maintenance Checks and Services (PMCS), software updates, and/or repairs).

3.2.1 All service visits shall be coordinated between the contractor, the HTM office, and the Government Representative.

3.2.2 Any deliverables, (i.e. replacement parts, supplies, tools) if required, shall be shipped to Medical Logistics at the address below and will be provided to the contractor upon initial check-in with Healthcare Technology Management.

51st MDG/SGSM Bldg. 777 Unit 2060 Headquarters Road Osan Air Base Pyeongtaek-Si,Gyeonggi-Do 17759 Republic of Korea

3.2.3 The Contractor shall provide end-user training for two government technicians at the Medical Facility Treatment (MTF) on the operation of the 100NX Plasma Sterilizer once per year.

3.2.4. The contractor shall provide troubleshooting assistance by telephone, 24 hours a day, 7 days per week and on site service support as needed Monday to Friday, 0800 - 1700. Additionally, the contractor shall provide and install all hardware and software updates as they become available and provide new or updated user manuals when changes occur. New repair parts from the OEM must be used to conduct repairs on the equipment. Refurbished parts must meet OEM standards and be pre-approved by the Healthcare Technology Management (HTM) Manager or representative prior to installation. All completed work will be certified to meet OEM specifications.

3.3 General Work Requirements. The contractor shall provide trained personnel for on-site support, to include labor, travel, tools, hardware, firmware, materials, supplies, parts and test, measurement, & diagnostic equipment (TMDE) necessary to perform all operations in connection with scheduled preventative maintenance (PM) and/or calibration (CAL) procedures as well as unscheduled repair visits as needed in order to maintain the listed equipment and/or its components if any, in a fully functional state, in accordance with (IAW) the Original Equipment Manufacturer (OEM) specifications. Any software updates provided by the OEM for covered equipment that enhances equipment functions and operations without hardware changes shall be installed. All equipment must be in compliance with Joint Commission (JC), HIPAA,, and the NFPA 99 Standard for Health Care Facilities.

3.4 The contractor shall adhere to all DHA cyber security measures when accessing the equipment remotely. The contractor shall not remotely access the equipment from locations outside of the United States. The contractor shall ensure that all appropriate approvals are granted prior to accessing the network and that a service report is generated and delivered to the Government Representative once completed.

3.5 Response Time. The time frame, within which the contractor's representative must respond, is measured from the time of verbal notification that service is required. Acceptable response times are as follows:

(1) Contractor shall acknowledge receipt of notification of service call request within two hours.

(2) Contractor shall arrive on-site within 48 hours for Unscheduled Repairs (Para 5.8). Regardless of response time, 98% uptime still needs to be met.

(3) Deficiencies shall be corrected within a period of five days from on-site visit when parts are available. If parts cannot be acquired within five days after arrival on site, the contractor shall contact the Government Representative and Healthcare Technology Management to communicate the reason for the delay.

If any deficiencies cannot be corrected within 5 days, the Contractor's service technician shall provide a report that includes, as a minimum, the explanation for any maintenance delays and the estimated time to complete the repair.

3.6 Uptime. Uptime is defined as the time during which a piece of equipment is functioning or able to function. The contractor shall provide both scheduled (PMCS) and unscheduled services to repair and/or maintain the equipment listed in paragraph 5.1., and components if any, to a fully functional condition with a ninety-eight percent (98%) uptime guarantee (calculated on quarterly basis).

3.7 PREVENTATIVE MAINTENANCE CHECKS AND SERVICES (PMCS).

As stated in 3.2.1, all service visits, to include PMCS, shall be coordinated between the contractor, HTM office, and the Government Representative.

3.7.1 Contracted PMCS services are required to be performed at an interval IAW the OEM service literature for preventive maintenance but no less than twice per year (semi-annually, 6 months apart). Currently the semi annual maintenance is performed in April and October and the contracted PMCS should adhere to this established cycle unless the OEM interval is more stringent in which case the schedule would need to be developed by the contractor to conform to OEM standards.

3.7.2 The minimum required services schedule will be outlined in the PWS by designating a period of time in which the contractor shall perform the PMCS services.

These are safety measures set forth to prevent any lapse in coverage of equipment as tracked in the Accountable Property System of Record (APSR) database utilized by the 51st Medical Group, hence preventing possible complications hindering the 51st Medical's ability to provide patient care.

3.7.3 Requests for the contractor to perform PMCS services outside the defined window allotted to complete services must be routed through the designated Government Representative.

3.7.4 The contractor shall make every reasonable effort to complete PMCS services within the first 15 calendar days of the month to minimize burdens of time constraints and allow time to correct any unexpected discrepancies and perform any repairs that may be required as identified during PMCS services.

3.7.5 If the contractor for any reason will not meet the PMCS requirement, they need to submit a request to the Government Representative with a reason for the delay in PMCS service and a proposed alternative schedule by the 15th calendar day of the month the PMCS is due.

3.7.6 For all equipment outlined in the PWS to receive semi-annual and/or annual PMCS, the contractor shall ensure coverage is provided for the full length of the contract regardless of when the actual PMCS is performed, i.e. all units shall remain fully functional and certified for the entire 12 month period of performance.

3.7.7 The contractor shall provide all tools, parts, TMDE, and necessary items to fully complete all PMCS for the equipment listed in paragraph 5.1. The scheduled service shall include labor, travel, inspection, replacement of parts and modules, calibration, and software to maintain the government owned equipment and associated components under this contract in a continuous working state. All completed work shall be certified to meet OEM specifications.

3.8 REPAIRS (Unscheduled Services).

Upon request by the Government Representative, the contractor shall perform unscheduled services to repair the equipment and associated components to a fully functional condition. The contractor shall remain in compliance of the response time parameters set forth in the PWS as stated in 3.5.

3.8.1 All repair parts, whether new or refurbished, shall meet OEM standards, in order to be used to conduct repairs on the equipment. If new parts are not available, refurbished parts may be used but must be pre-approved by the Healthcare Technology Manager prior to installation. All completed work shall be certified to meet OEM specifications.

3.8.2 All parts supplied shall be compatible with the existing system.

3.8.3 The contractor shall have ready access to unique and/or high mortality replacement parts.

3.8.4 The contractor shall provide for all replacements of worn or defective parts (excluding consumables) necessary to restore the equipment to 100% operational condition as specified by the OEM.

3.8.5 All replacement parts shall become the property of the government and the replaced malfunctioning part shall become the property of the contractor to be disposed of IAW local environmental regulations as required.

3.8.6 Freight, postage and storage charges associated with shipment, receipt of replacement parts and the return of worn or defective parts shall be the responsibility of the contractor.

3.8.7 In any event the contractor is found to have used replacement parts considered by the OEM to be substandard, any resulting costs and liability will be the obligation and responsibility of the contractor. In the event of any such circumstance, the Contracting Officer will make the final determination about whether a replacement part is of equal or better quality.

3.9 Upon Completion of Service Calls.

3.9.1 Upon completion of work, the technical POC shall coordinate with Healthcare Technology Management to ensure that the work performed is acceptable to the Government and meets manufacturer's specifications.

3.9.2 After performing Calibration/Verification/Certification (CVC) services, the contractor's representative shall affix a DD Form 2163 (Medical Equipment Verification/Certification) label provided by the government representative by entering the initials of the servicing technician and the next due date for preventive maintenance services in a MM/YY format.

3.9.2.1 Required forms and extracts from pertinent directives will be furnished to the contractor's service representative by the government upon request.

3.9.3 The contractor personnel shall sign into and out of the Medical Treatment Facility with Healthcare Technology Management (Room LH05).

3.9.4 The contractor shall submit a full Field Service Report (FSR) to the Government Representative for review within 72 hours of completion of services in

English. The FSR may be submitted in person upon completion, via email or physical mail (address stated in PWS 5.2.2).

3.9.4.1 The Field Service Report shall provide a detailed account of the service call to include the initial fault or cause for service call, a detailed account of services performed, and corrective action taken, labor cost information (hours and labor rate), and TMDE used (serial numbers where applicable and calibration dates). The contractor shall include all parts used/replaced and their prices. The information provided by the contractor shall be used by the customer and/or the Government Representative throughout the term of the contract to perform quality assurance and cost analysis.

3.10. Licensure/Certification/Qualifications

5.10.1 Experience: Services under this contract shall be performed by individuals who have demonstrated knowledge and competence in servicing and maintaining the specified equipment under this contract. The Contractor shall ensure repair technicians have been fully trained and experienced in testing and repairing the equipment and components on contract. This training shall be demonstrated by providing certifications held by service technicians demonstrating their ability to work on the equipment specified in this contract from the OEM or other accredited trainers. The chosen representative(s) by the contractor shall have a minimum of 12 months in the last 18 months of experience maintaining the equipment specified in this PWS or other similar equipment from the same equipment manufacturer as the equipment listed in this contract.

3.10.2. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.10.3 Compliance. The Contractor and contract personnel shall abide by all Osan Medical Group standards, rules and procedurals. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives. The contractor shall ensure all personnel performing services under this contract shall be informed of the guidelines and contractual requirements set forth in the PWS and contract, including but not limited to, all safety/security protocol and credential verification procedures.

3.11 AT/OPSEC REQUIREMENTS

3.11.1. The contractor and all associated sub-contractors will practice Operations Security. The contractor shall not talk about work outside of the work area nor discuss the work being performed on social media. The contractor shall not take pictures/video (to include operation of dashcams or other recording devices in contractor operated vehicles) inside sensitive locations without prior coordination with the organization's OPSEC representative and contracting officer representative. It will be the responsibility of the contractor to safeguard all documents provided. Documents will be stored away from view when not being used.

Documents, media, drawings, and other associated material that are no longer needed must be destroyed via approved methods.

3.11.2. For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant director to exercise oversight to ensure the contractor's compliance with combatant director and subordinate task force director policies and directives.

4. QUALITY MANAGEMENT

4.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

4.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.3 Quality Assurance

4.3.1 Inspection. The inspection and acceptance point for all services rendered under this contract will be the Government's Representative. The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or Government Representative. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO may be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing services not meeting the minimum qualification standard; contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedure.

5. SAFETY / SECURITY REQUIREMENTS

5.1 Equipment Safety Procedures. The contractor shall furnish and install all manufacturers' mandatory modifications and apply recalls by FDA. The contractor must comply with specified lubrications, cleaning (other than operators), calibrations, parts, and replacements IAW OEM specifications.

5.1.1 When required, the contractor's service representative shall comply with the Office of Safety and Health Administration (OSHA) lockout/tag-out standards while performing maintenance on equipment.

5.2 Hazardous Items. The government and the contractor's service representative shall exchange hazard communication information (i.e. MSDS, etc.) before the commencement of any service for the safety of all parties.

5.3 MTF Security. Contractor personnel and/or any representative of the contractor entering the MTF shall abide by all security regulations and be subject to security checks. The contractor and/or his representative shall report to the Healthcare Technology Management Office room LH05 in Building 777to sign-in and receive a temporary access badge; the badge shall be returned to the front desk clerk and the representative shall sign out before departing the installation.

5.3.1 The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site. Due to the infrequency of services provided, access to the installation will be by escort only, escort will be coordinated with the Government Representative and/or the HTM office.

5.3.2 Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicles registration and operation on the military installation. A valid driver's license, Government-furnished civilian identification, proof of insurance and current registration must be presented when being escorted in order to obtain a vehicle pass to drive on base.

6.0. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

Following is a list of basic publications applicable to this performance based statement of work. The Contractor is obligated to follow these publications.

Applicable Publications

Public Law:

Public Law 91-596 Occupational Safety and Health Act of 1970 Public Law 104-191 Health Insurance Portability and Accountability Act of 1996

Accreditation Manuals:

The Joint Commission (TJC) Manual (Current Edition)

Defense Health Agency:

DHA-AI 001 Telework Program DHA-AI 003 Physical Security Program DHA-AI 034 Drug-Free Workplace Program DHA-AI 050 Accounting of Disclosures of Personally Identifiable Information (PII) and Protected Health Information (PHI) DHA-AI 5015.01 Records Management DHA-AI 5200.02 Information Security Program DHA-AI 5200.03 Operations Security (OPSEC) Program

DHAPI 6000.03 Life Support Training Certification Requirements and Guidance DHAPI 6010.02 MHS Prescription Drug Monitoring Program DHAPI 6015.02 Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection Assistance Officer (DCAO) DHAPI 6025.04 Pain Management and Opioid Safety in the MHS DHAPI 6025.06 Standardized Templates for Primary Care Clinical Encounter Documentation DHAPI 6025.10 Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and Responsibilities in the Military Health System (MHS) Military Medical Treatment Facilities (MTFs) DHAPI 6025.20 Medical Management (MM) Program within the Military Health System (MHS) DHAPI 6025.26 Standard Processes for the Military Health System (MHS) Nurse Advice Line (NAL) DHAPI 6025.27 Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical Home (PCMH) and Other Primary Care Service Settings within the Military Health System (MHS) DHAPI 6025.28 Standard Processes and Procedures for Communication of Laboratory and Radiology Results DHAPI 6025.29 Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection DHAPI 6025.33 Acupuncture Practice in Military Treatment Facilities DHAPI 6025.39 Medical Ethics in the Military Health System DHAPI 6025.42 Routine Adult Transthoracic Echocardiogram (TTE) Standards for all Military Medical Treatment Facilities (MTFs) DHAPI 6040.07 Medical Coding of the DOD Health Record DHAPI 6401.01 Dental Sedation Medical Management DHAPI 6490.02 Behavioral Health (BH) Treatment and Outcomes Monitoring DHAPM 6025.01 Primary Care Behavioral Health (PCBH) Standards DHAPM 6025.13, Volumes 1-7 Clinical Quality Management in the Military Health System www.health.mil/Reference-Center/DHA-publications

Department of Defense (DoD):

DoD 5200.1-R Information Security Program DoD 5200.2 Personnel Security Program DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card DoD 5210.42-R Nuclear Weapons Personnel Reliability Program (PRP) Regulation DoD 5400.7-R DoD Freedom of Information Act DoD 5400.11-R Department of Defense Privacy Program DoD 6010.13-M Medical Expense and Performance reporting System for Fixed Military Medical And Dental Treatment Facilities Manual DoD 6010.15-M Military Treatment Facility Uniform Business Office (UBO) Manual DoD 6015.1-M Glossary of Healthcare Terminology DoD 6025.18-R DoD Health Information Privacy Regulation DoD 6055.5-M Occupational Medical Examinations and Surveillance Manual DoD 8580.02-R HIPAA Security Rule DoDD 5144.02 Information Technology Standards in the DoD DoDD 5205.2 DoD Operations Security (OPSEC) Program DoDD 5400.11 DoD Privacy Program DoDD 5500.07 Standards of Conduct DoDD 6000.14 Patient Bill of Rights and Responsibilities in the Military Health System (MHS) DODM 6025.13 Medical Quality Assurance (MQA) in the Military Health System (MHS) DoDD 6040.41 Medical Records Retention and Coding at Military Treatment Facilities DoDD 6205.02E Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries DoDD 8190.3 Smart Card Technology DoDD 8500.01E Information Assurance DoDI 1100.22 Policy and Procedures for Determining Workforce Mix DoDI 1402.5 Criminal History Background Checks on Individuals in Child Care Services DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crises DoDI 5200.02 DoD Personnel Security Program (PSP) DoDI 6000.11 Patient Movement DoDI 6015.23 Delivery of Healthcare at Military Treatment Facilities: Foreign Service Care; Third Party Collection; Beneficiary Counseling and Assistance Coordinators (BCACs) DoDI 6025.8 Ambulatory Procedure Visit (APV) DoDI 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System DoDM 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS) DoDI 6025.18 Privacy of Individual Identifiable Health Information in DoD Health Care Programs DoDI 6040.40 Military Health System Data Quality Management Control Procedures DoDI 6040.42 Medical Encounter and Coding at Military Treatment Facilities DoDI 6040.43 Custody and Control of Outpatient Medical Records DoDI 6205.2 Immunization Requirements DoDD 6459.01 Sexual Assault and Response (SAPR) Program

7.0. ACRONYMS AND DEFINITIONS.

ADM - Ambulatory Data Module ADS - Ambulatory Data System AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AMA - American Medical Association AOD - Administrative Officer of the Day CAC - Common Access Card CAMH - Comprehensive Accreditation Manual for Hospitals CFR - Code of Federal Regulations CHCS - Composite Health Care System CLIN - Contract Line Item Number COR - Contracting Officer's Representative CPT - Current Physicians Terminology DA - Department of the Army DoD - Department of Defense DODI - Department of Defense Instruction EFT - Electronic Funds Transfer FAR - Federal Acquisition Regulation FSO - Facility Security Officer FTE - Full Time Equivalent HCP - Healthcare Provider HIPAA - Health Insurance Portability & Accountability Act of 1996 HRP - Health Readiness Platform, i.e. Military Treatment Facility JC - The Joint Commission KO - Contracting Officer LADS - Labor and Delivery Statistics System MEDCENs - Army Medical Centers MEDCOM - Medical Command MHS - Military Healthcare System MTF - Military Treatment Facility OIC - Officer in Charge OSHA - Occupational Safety and Health Administration PAM - Pamphlet PAR - Performance Assessment Report POC - Point of Contact PWS - Performance Work Statement PL - Public Law QASP - Quality Assurance Surveillance Plan QC - Quality Control RVU - Relative Value Units SF - Standard Form TA - Trusted Agent UCAPERS - Uniform Charts of Accounts Personnel System

END OF PERFORMANCE WORK STATEMENT

Supplement to the PWS

(A) For reporting purposes, FAR Clause 52.204-10 Reporting Executive Compensation and First Tier Subcontract Awards, the Treasury Account Symbol (TAS) is 97 0130.

(B) HEALTH REQUIREMENTS FOR CONTRACT EMPLOYEES AT 51MDG

In accordance with Integrated Health Organization Policy #18-59, the 51MDG COR will ensure that all their contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical exam, and termination evaluation. The COR will send a list of current contract employees to OHS quarterly.

(C) SOFA CLAUSE

INVITED CONTRACTOR OR TECHNICAL REPRESENTATIVE STATUS UNDER U.S. - REPUBLIC OF KOREA (ROK) STATUS OF FORCES AGREEMENT

(SOFA)

Invited Contractor (IC) and Technical Representative (TR) status shall be governed by the U.S.-ROK Status of Forces Agreement (SOFA) as implemented by United States Forces Korea (USFK) USFKI 4901.01, which can be found under the "publications" tab on the U.S. Forces Korea homepage at http://www.usfk.mil.

(a) Definitions. As used in this clause--

"U.S. - ROK Status of Forces Agreement" (SOFA) means the Mutual Defense Treaty between the Republic of Korea and the U.S. of America, Regarding Facilities and Areas and the Status of U.S. Armed Forces in the Republic of Korea, as amended "Combatant Commander" means the commander of a unified or specified combatant command established in accordance with 10 U.S.C. 161. In Korea, the Combatant Commander is the Commander, United States Pacific Command.

"United States Forces Korea" (USFK) means the subordinate unified command through which U.S. forces would be sent to the Combined Forces Command fighting components.

"Commander, United States Forces Korea" (COMUSK) means the commander of all U.S. forces present in Korea. In the Republic of Korea, COMUSK also serves as Commander, Combined Forces Command (CDR CFC) and Commander, United Nations Command (CDR UNC).

"USFK, Office of Acquisition Management" (USFK/FKAQ) means the principal staff office to USFK for all acquisition matters and administrator of the U.S.-ROK SOFA as applied to US and Third-Country contractors under the (IC) and (TR) Program (USFKI 4901.01).

"Responsible Officer (RO)" means a DoD employee (such as a military E5 and above or civilian GS-7/KGS-07 and above), appointed by the USFK Sponsoring Agency (SA), who is directly responsible for determining and administering appropriate logistics support for IC/TRs during contract performance in the ROK.

(b) IC or TR status under the SOFA is subject to the written approval from the Office of Acquisition Management, USFK (FKAQ), Unit #15289, APO AP 96271-5289.

(c) The contracting officer will coordinate with HQ USFK/FKAQ, IAW FAR 25.8, and USFKI 4901.01. FKAQ will determine the appropriate contractor status under the SOFA and notify the contracting officer of that determination.

(d) Subject to the above determination, the contractor, including its employees and lawful dependents, may be accorded such privileges and exemptions under conditions and limitations as specified in the SOFA and USFKI 4901.01. These privileges and exemptions may be furnished during the performance period of the contract, subject to their availability and continued SOFA status. Logistics support privileges are provided on an as-available basis to properly authorized individuals. Some logistics support may be issued as Government Furnished Property (GFP) or transferred on a reimbursable basis.

(e) The contractor warrants and shall ensure that collectively, and individually, its officials and employees performing under this contract will not perform any contract, service, or other business activity in the ROK, except under U.S. Government contracts IAW the SOFA.

(f) The contractor's direct employment of any Korean-National labor for performance of this contract shall be governed by ROK labor law and USFK instruction(s) pertaining to the direct employment and personnel administration of Korean National personnel.

(g) The authorities of the ROK have the right to exercise jurisdiction over invited contractors and technical representatives, including contractor officials, employees and their dependents, for offenses committed in the ROK and punishable by the laws of the ROK. In recognition of the role of such persons in the defense of the ROK, they will be subject to the provisions of Article XXII, SOFA, related Agreed Minutes and Understandings. In those cases, in which the authorities of the ROK decide not to exercise jurisdiction, they shall notify the U.S. military authorities as soon as possible. Upon such notification, the military authorities will have the right to exercise jurisdiction as is conferred by the laws of the U.S.

(h) Invited contractors and technical representatives agree to cooperate fully with the USFK SA and RO on all matters pertaining to logistics support and theater training requirements. Contractors will provide the assigned SA prompt and accurate reports of changes in employee status as required by USFKI 4901.01.

(i) Theater Specific Training. Training Requirements for IC/TR personnel shall be conducted in accordance with USFK Reg 350-2 Theater Specific Required Training for all Arriving Personnel and Units Assigned to, Rotating to, or in Temporary Duty Status to USFK. IC/TR personnel shall comply with requirements of USFK Reg 350-2.

(j) Except for contractor air crews flying Air Mobility Command missions, all U.S. contractors performing work on USAF classified contracts will report to the nearest Security Forces Information Security Section for the geographical area where the contract is to be performed to receive information concerning local security requirements.

(k) IC/TR status may be withdrawn by USFK/FKAQ upon:

(1) Completion or termination of the contract.

(2) Determination that the contractor or its employees are engaged in business activities in the ROK other than those pertaining to U.S. armed forces.

(3) Determination that the contractor or its employees are engaged in practices in contravention to Korean law or USFK instructions.

(l) It is agreed that the withdrawal of IC or TR status, or the withdrawal of, or failure to provide any of the privileges associated therewith by the U.S. and USFK, shall not constitute grounds for excusable delay by the contractor in the performance of the contract and will not justify or excuse the contractor defaulting in the performance of this contract. Furthermore, it is agreed that withdrawal of SOFA status for reasons outlined in USFKI 4901.01, Enclosure A, paragraph 4 shall not serve as a basis for the contractor filing any claims against the U.S. or USFK. Under no circumstance shall the withdrawal of SOFA Status or privileges be considered or construed as a breach of contract by the U.S. Government.

(m) Support.

(1) Unless the terms and conditions of this contract place the responsibility with another party, the COMUSK will develop a security plan to provide protection, through military means, of Contractor personnel engaged in the theater of operations when sufficient or legitimate civilian authority does not exist.

(2)(i) All Contractor personnel engaged in the theater of operations are authorized resuscitative care, stabilization, hospitalization at level III military treatment facilities, and assistance with patient movement in emergencies where loss of life, limb, or eyesight could occur. Hospitalization will be limited to stabilization and short-term medical treatment with an emphasis on return to duty or placement in the patient movement system.

(ii) When the Government provides medical or emergency dental treatment or transportation of Contractor personnel to a selected civilian facility, the Contractor shall ensure that the Government is reimbursed for any costs associated with such treatment or transportation.

(iii) Medical or dental care beyond this standard is not authorized unless specified elsewhere in this contract.

(3) Unless specified elsewhere in this contract, the Contractor is responsible for all other support required for its personnel engaged in the theater of operations under this contract.

(n) Compliance with laws and directives. The Contractor shall comply with, and shall ensure that, its personnel supporting U.S Armed Forces in the Republic of Korea as specified in paragraph (b)(1) of this clause are familiar with and comply with, all applicable -

(1) United States, host country, and third-country national laws;

(2) Treaties and international agreements;

(3) United States regulations, directives, instructions, policies, and procedures; and

(4) Orders, directives, and instructions issued by the COMUSK relating to force protection, security, health, safety, or relations and interaction with local nationals.

Included in this list are force protection advisories, health advisories, area (i.e., "off-limits"), prostitution and human trafficking and curfew restrictions.

(o) Vehicle or equipment licenses. IAW USFK Regulation 190-1, Contractor personnel shall possess the required licenses to operate all vehicles or equipment necessary to perform the contract in the theater of operations. All contractor employees/dependents must have either a Korean driver's license or a valid international driver's license to legally drive on Korean roads, and must have a USFK driver's license to legally drive on USFK installations. Contractor employees/ dependents will first obtain a Korean driver's license or a valid international driver's license then obtain a USFK driver's license.

(p) Evacuation.

(1) If the COMUSK orders a non-mandatory or mandatory evacuation of some or all personnel, the Government will provide assistance, to the extent available, to United States and third-country national contractor personnel.

(2) Non-combatant Evacuation Operations (NEO).

(i) The contractor shall designate a representative to provide contractor personnel and dependents information to the servicing NEO warden as required by direction of the Responsible Officer.

(ii) If contract period of performance in the Republic of Korea is greater than six months, non-emergency essential contractor personnel and all IC/TR dependents shall participate in at least one USFK sponsored NEO exercise per year.

(q) Next of kin notification and personnel recovery.

(1) The Contractor shall be responsible for notification of the employee-designated next of kin in the event an employee dies, requires evacuation due to an injury, or is missing, captured, or abducted.

(2) In the case of missing, captured, or abducted contractor personnel, the Government will assist in personnel recovery actions in accordance with DoD Directive 2310.2, Personnel Recovery.

(3) IC/TR personnel shall accomplish Personnel Recovery/Survival, Evasion, Resistance and Escape (PR/SERE) training in accordance with USFK Reg 525-40, Personnel Recovery Procedures and USFK Reg 350-2 Theater Specific Required Training for all Arriving Personnel and Units Assigned to, Rotating to, or in Temporary Duty Status to USFK.

(r) Mortuary affairs. Mortuary affairs for contractor personnel who die while providing support in the theater of operations to U.S. Armed Forces will be handled in accordance with DoD Directive 1300.22, Mortuary Affairs Policy and Army Regulation 638-2, Care and Disposition of Remains and Disposition of Personal Effects.

(s) USFK Responsible Officer (RO). The USFK appointed RO will ensure all IC/TR personnel complete all applicable training as outlined in this clause.

(End of Clause)

(D) CONTINGENCY CONDITIONS CLAUSE

252.225-7040 Contractor Personnel Supporting U.S. Armed Forces Deployed Outside the United States.

CONTRACTOR PERSONNEL SUPPORTING U.S. ARMED FORCES DEPLOYED OUTSIDE THE UNITED STATES (OCT 2015)

(a) Definitions. As used in this clause--

"Combatant Commander" means the commander of a unified or specified combatant command established in accordance with 10 U.S.C. 161.

"Contractors authorized to accompany the Force," or "CAAF," means contractor personnel, including all tiers of subcontractor personnel, who are authorized to accompany U.S. Armed Forces in applicable operations and have been afforded CAAF status through a letter of authorization. CAAF generally include all U.S.

citizen n and third-country national employees not normally residing within the operational area whose area of performance is in the direct vicinity of U.S. Armed Forces and who routinely are collocated with the U.S. Armed Forces (especially in non-permissive environments). Personnel collocated with U.S. Armed Forces shall be afforded CAAF status through a letter of authorization. In some cases, Combatant Commander subordinate commanders may designate mission-essential host nation or local national contractor employees (e.g., interpreters) as CAAF. CAAF includes contractors previously identified as contractors deploying with the U.S. Armed Forces. CAAF status does not apply to contractor personnel in support of applicable operations within the boundaries and territories of the United States.

"Designated operational area" means a geographic area designated by the combatant commander or subordinate joint force commander for the conduct or support of specified military operations.

"Designated reception site" means the designated place for the reception, staging, integration, and onward movement of contractors deploying during a contingency. The designated reception site includes assigned joint reception centers and other Service or private reception sites.

"Law of war" means that part of international law that regulates the conduct of armed hostilities. The law of war encompasses all international law for the conduct of hostilities binding on the United States or its individual citizens, including treaties and international agreements to which the United States is a party, and applicable customary international law.

"Non-CAAF" means personnel who are not designated as CAAF, such as local national (LN) employees and non-LN employees who are permanent residents in the operational area or third-country nationals not routinely residing with U.S. Armed Forces (and third-country national expatriates who are permanent residents in the operational area) who perform support functions away from the close proximity of, and do not reside with, U.S. Armed Forces. Government-furnished support to non-CAAF is typically limited to force protection, emergency medical care, and basic human needs (e.g., bottled water, latrine facilities, security, and food when necessary) when performing their jobs in the direct vicinity of U.S. Armed Forces. Non-CAAF status does not apply to contractor personnel in support of applicable operations within the boundaries and territories of the United States.

"Subordinate joint force commander" means a sub-unified commander or joint task force commander.

(b) General.

(1) This clause applies to both CAAF and non-CAAF when performing in a designated operational area outside the United States to support U.S. Armed Forces deployed outside the United States in--

(i) Contingency operations;

(ii) Peace operations, consistent with Joint Publication 3-07.3; or

(iii) Other military operations or military exercises, when designated by the Combatant Commander or as directed by the Secretary of Defense.

(2) Contract performance in support of U.S. Armed Forces deployed outside the United States may require work in dangerous or austere conditions.