Attachment 1 - Performance Work Statement.docx

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Occupational Health Services at DLA Distribution San Joaquin, CA
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SP3300-24-Q-0081
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This document is a Performance Work Statement (PWS) for providing occupational health services at the DLA Distribution San Joaquin, California (DDJC) facility. The PWS requires the contractor to provide all management, personnel, supplies, equipment, and other services to operate the DDJC Health Clinic, which provides occupational health services such as physicals, fit for duty evaluations, immunizations, and treatment of work-related injuries and illnesses for approximately 1,200 DLA civilian and 10 active-duty military personnel, with 200 on the medical surveillance program. The contractor must provide an Occupational Health Physician, Nurse Practitioner, or other licensed clinician to be physically present at the clinic during all operating hours. The PWS details the scope of medical services, personnel qualifications, security requirements, environmental and safety standards, and documentation and reporting requirements. It also outlines specific medical examinations, surveillance programs, and ancillary services the contractor must provide.

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INTRODUCTION

A. The Defense Logistics Agency (DLA) is a United States (U.S.) Department of Defense (DoD) agency that provides worldwide logistics support for the missions of the Military Departments and the Unified Combatant Commands under conditions of peace and war.

B. DLA Distribution San Joaquin, California (DDJC) receives, stores and ships material in support of America's Armed Forces. Government personnel conduct typical material handling, transportation, and warehousing functions. Mission functions also include preservation, abrasive blasting, welding, and repair of material/equipment. DLA Installation Management DDJC is responsible for providing medical services to DLA personnel at DDJC. As a result, DLA Installation Management has a requirement to obtain medical services to augment existing Government provided support.

C. The DDJC Health Clinic is not a primary care facility. The clinic's primary function is to provide occupational health services such as job related physical, fit for duty evaluation, immunizations in accordance with DOD/DLA Regulation/Instructions, OPM Classification and Qualification Standards and Occupational Safety and Health Administration (OSHA) standards, as well as minor work-related medical care for workplace injuries and illnesses.

SECTION C-1 GENERAL CONDITIONS AND REQUIREMENTS

A. This Section provides general information relating to the conditions of operation and general requirements relating to the medical services performed at DDJC.

1.1 SCOPE OF WORK

A. The Contractor shall provide all management, personnel, supervision, materials, tools, equipment, and any other items and services not government as specified at Section C-3 Government Property (GP), Systems, Training and Support Services to operate the Tracy Occupational Health Clinic, hereinafter referred to as the “Clinic". The Contractor shall provide medical personnel at the Clinic to perform the medical service requirements set forth in this PWS. At all times when services are being performed at the Clinic, the Contractor shall ensure an Occupational Health Physician (OHP), Nurse Practitioner (NP), or other Clinician, who are medically licensed and qualified in accordance with paragraphs 1.4.1 C and 1.4.1 E below, is physically present at the Clinic. The Contractor shall also provide all labor, materials, transportation, and personnel to perform the medical service requirements set forth in this PWS. The Contractor shall perform all required audits, checks, tests, evaluations, and shall submit to the Contracting Officer's Representative (COR) all documentation generated as a result of these medical services.

B. The Contractor shall provide medical services for approximately 1,200 DLA civilian personnel and approximately 10 active-duty military personnel. Within these numbers, approximately 200 are on the medical surveillance program. Periodically, the COR may request medical services be performed for Federal personnel other than DLA personnel located at San Joaquin (e.g., pre-hire exam for a DoD agency not located in California).

C. This is a non-personal services contract to provide medical services at DLA Distribution San Joaquin. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government. The Government and the Contractor understand that the services to be provided under this contract by the Contractor are non-personal services and that no employer-employee relationship exists between the Government and the Contractor. The Government may provide technical direction which will assist the Contractor in accomplishing the PWS; however, the Government will not control the methods used by the Contractor to perform the service requirements set forth in the PWS.

1.2 GENERAL OPERATING CONDITIONS

1.2.1 PLACE OF PERFORMANCE

A. Performance of medical services shall be at DDJC, located in Tracy, CA.

B. The Contractor shall operate the occupational health clinic at this location. However, the Contractor shall NOT respond to emergency medical calls at DDJC, which occur outside the Clinic.

C. All medical services must be provided at the Clinic with the exception of x-rays or any specialized services, which cannot be performed onsite. Medical services that are required by the Contract, but cannot be performed at the onsite Clinic, must be provided by the Contractor at a medical facility located within 25 miles of DDJC.

1.2.2 PERIOD OF PERFORMANCE

A. The period of performance for this contract action will be a one (1) year base period with four (4) one-year option periods.

1.2.3 FEDERAL HOLIDAYS

A. Federal holidays generally observed by government personnel include:

Observed Federal Holidays

New Year’s Day
Martin Luther King Day
Presidents Day
Memorial Day
Juneteenth Day
Independence Day
Labor Day
Columbus Day
Veterans Day
Thanksgiving Day

Christmas Day

B. If the holiday falls on a Saturday, it will be observed on the preceding Friday. If the holiday falls on a Sunday, it will be observed on the following Monday. The Contractor shall not be required to perform services on these days.

C. In the event an Executive Order issued by the President of the United States declares Agencies of the Federal Government closed for a regularly scheduled workday, the COR will determine and advise the Contractor on whether services are required for that day or services should be rescheduled.

1.2.4 HOURS OF OPERATION AND ACCESS TO THE INSTALLATION

A. The clinic hours of operation are Monday through Friday, 0700-1530, excluding Federal Holidays. The clinic shall be staffed during all routine hours of operation by the OHP/NP and/or Clinician. However, DDJC is a 24-hour operation and some medical services may be required outside the routine hours of operation. (e.g., Flu clinics, health promotion events or evaluating blood borne pathogen incidents which occur during non-routine hours of operation). Services performed outside the normal hours of operation shall be coordinated with the COR and clinician. Historically, medical services that are required outside the normal hours of operation have been provided by adjusting the work schedule for medical support personnel in lieu of providing additional medical support personnel or using overtime.

B. Force Protection Conditions (FPCONs) may affect access to installations. The FPCON is established by the host installation or higher national command authorities, and the Installation Commander is responsible for implementing the proper response to progressive levels of terrorist threats. FPCONs are normally displayed at most entrance gates, building entrances and office entrances. The Contractor shall adhere to and operate IAW any restrictions imposed as a result of a FPCON. Measures implemented under the various levels of terrorist threat may impact the Contractor's normal operational approach to services. The Contractor shall ensure that services are sustained during heightened security measures.

SP3300-24-Q-0081

Attachment 1 Performance Work Statement

Occupational Health Services at DLA Distribution San Joaquin, CA

C. Due to changing traffic requirements brought on by construction, changing missions, and security concerns within the installation, access to the installation is subject to change, sometimes with little or no warning. Inbound and outbound traffic restrictions exist.

1.3 CO-EXISTENCE OF GOVERNMENT AND CONTRACTOR PERSONNEL

A. The Contractor shall augment the Government workforce. The Government and the Contractor will have personnel working in the same area. The Government will provide general instructions on limitations and deadlines. Additional instructions will be provided for any unusual assignments or those that vary from established procedures. Contractor personnel will independently carry out the tasks identified in this PWS. Completed work will be spot-checked by the Government for adherence to procedures, accuracy, and completeness.

1.4 KEY PERSONNEL

A. The Contractor shall provide a labor mix that meets the certification and knowledge requirements necessary to perform the medical tasks set forth in this PWS. Contractor medical services personnel shall be under the direct supervision of an Occupational Health Physician (OHP), or Nurse Practitioner (NP) who shall be present in the Clinic a minimum of sixteen (16) hours every month. Standing orders and Standard Operating Procedures for Clinic medical matters shall be the responsibility of the OHP or NP. Any substitution of personnel following contract award shall also meet the qualification requirements of the PWS. Any permanent substitution of Contractor personnel at time of award or any time, thereafter, must be approved by the Contracting Officer (KO) and requires the submission of resumes and letters-of-intent for this purpose.

B. Occupational Health Physician (OHP) or Nurse Practitioner (NP): The Contractor shall provide an Occupational Health Physician or Nurse Practitioner who shall function as the supervisor for the medical support personnel. The OHP or Nurse Practitioner is responsible for overseeing the medical surveillance program, which shall include the review, assessment, and signature on all exam forms and test results for medical services performed under this contract. Additional responsibilities include, but are not limited to, the following tasks: consultation on medical and medical-legal issues pertaining to the health and safety of Government personnel; and meetings with the COR. When not present in the Clinic, the OHP or NP shall be readily accessible on short notice (within 24 hours) to the DDJC site management for medical advice.

C. Public Health Advisor (PHA): The Contractor shall provide a PHA who shall perform the public health medical services identified in this PWS. PHA responsibilities shall include, but are not limited, to the following tasks: ascertaining the existence of cases suggesting a public health emergency, investigating all such cases for sources of infection, recommending implementation of proper control measures, and defining the distribution of the illness or health condition. The

PHA shall be readily accessible on short notice (within 24 hours) to the DDJC site management for medical advice.

D. Clinician: The Contractor shall provide a Licensed Healthcare Professional who will perform clinical medical services identified in this PWS. The Contractor shall ensure the OHP, Nurse Practitioner, or Clinician, who are medically licensed and qualified, are physically present at the clinic when services are being performed. Responsibilities shall include, but are not limited to, the following tasks: supervision of ancillary personnel; conducting medical examinations; assessments of the workplace; consultation on medical issues; diagnosis and treatment of injuries; written reports/evaluations; weekly meetings with the COR; evaluating potential exposure incidents; supporting health and wellness programs; tracking trends and epidemiology using a database system.

E. Medical Support Personnel: The Contractor shall provide medical support personnel who will assist with performing the medical services identified in this PWS. Historically two (2) medical support personnel have been required to perform all of the required tasks. Responsibilities include, but are not limited to, supporting the Clinician with the following tasks: scheduling exams, rooming patients, conducting routine tests and procedures, phlebotomy, providing minor first aid, dispensing medications, administering immunizations, maintaining medical records, participating in health and wellness programs, fitting Government personnel with earplugs, instructing Government personnel on use of hearing protection, inputting work related injury/illness information into Government-provided database, maintaining Government-provided statistical database, inputting and maintaining Government-provided medical surveillance database, and performing clerical duties.

1.4.1 PERSONNEL QUALIFICATIONS AND CERTIFICATIONS

A. Contractor personnel or representatives will not be admitted to the site of work unless he/she furnishes satisfactory proof that he/she is a citizen of the United States, or, if an alien, his residence within the United States is legal. All Contractor personnel working under this contract shall be identified by a distinctive nameplate, emblem, or patch attached in a prominent place on an outer garment. Contractor personnel identification shall not be substituted for DoD required passes or badges.

B. Contractor personnel shall wear required Government furnished badge and be easily recognized. This may be accomplished by Contractor personnel wearing distinctive clothing bearing the name of the company and/or by wearing appropriate badges which contain the company name and Contractor personnel name. During performance of the service requirements set forth in this PWS, all Contractor personnel shall introduce themselves or shall ensure they are introduced as Contractor personnel. Contractor personnel shall also appropriately identify themselves as Contractor personnel in telephone conversations and in formal and informal written correspondence.

C. The OHP shall have a Doctor of Medicine (MD) degree or Doctor of Osteopathy Degree

(DO) and be licensed in the State of California or shall be a certified Nurse Practitioner from a national or state organization acknowledged by the California Board of Registered Nursing. The OHP shall be certified by The American Board of Preventive Medicine in Occupational Medicine and maintain current certification at all times. The OHP or NP shall have a minimum of five (5) years documented work experience in the following:

1. Developing and managing a comprehensive organized occupational health program (e.g., medical surveillance, hearing conservation, respirator use, asbestos, hazardous chemicals, blood borne pathogens and radiation).

2. On-site management of an occupational health facility at the employer's work site.

3. Managing cases for Federal Worker's Compensation Program.

4. Requirements/standards governing worldwide deployment criteria.

5. Assessing Government personnel for deployment in accordance with DoD standards of fitness.

6. Conducting medical - legal evaluations and testifying at various legal proceedings.

D. The PHA shall have a Doctor of Medicine (MD) degree or Doctor of Osteopathy Degree (DO) and be licensed in the State of California or shall be a certified Nurse Practitioner. The PHA shall be conversant in the following:

1. Investigating circumstances suggesting a public health emergency

2. Identifying all individuals thought to have been exposed to an illness or health condition.

3. Counseling and interviewing such individuals, as appropriate, to assist in positively identifying exposed individuals and developing information relating to the source and spread of the illness or health condition.

4. Examining facilities or materials that may endanger the public health. If necessary for examination purposes, closing, evacuating, or decontaminating any facility or decontaminating or destroying any material contributing to the public health emergency.

5. Sharing information developed during activities, including personally identifiable health information, with Federal, State, or local officials responsible for public health and public safety to the extent necessary to protect the public health and safety.

6. Notifying, directly or through applicable military channels, appropriate law enforcement authorities concerning information indicating a possible terrorist incident or other crime.

E. The Clinician shall have and maintain a current medical license in good standing with the State of California and have a minimum of 3 years work experience in occupational medicine. The Clinician shall demonstrate autonomy in a clinical setting to evaluate, diagnose, and treat work related injuries/illnesses, minor non-work related medical conditions, evaluate potential exposure incidents, and provide medical advice. The Clinician shall also possess a working knowledge of federal OSHA Code of Federal Regulations. The Clinician should have experience and knowledge working with the Federal Worker’s Compensation system, assisting with health and wellness programs for the workplace, and tracking trends and epidemiology using relational database systems. The Clinician should possess knowledge of medical requirements/standards governing DoD worldwide deployment criteria, have the ability to assess Government personnel for deployment in accordance with DoD standards of fitness, and work with the Theater Surgeon to evaluate medical suitability of the individual. The Clinician shall maintain current certification in Cardiopulmonary Resuscitation for Healthcare Providers. The Clinician must be one of the following types of licensed healthcare providers:

1. Physician: The physician shall have a Doctor of Medicine (MD) degree or Doctor of Osteopathy Degree (DO) and be licensed in the State of California.

2. Physician Assistant (PA-C): The PA-C shall be certified by the National Commission on Certification of Physician Assistants, licensed in the State of California, and possess a bachelor’s degree or higher.

3. Nurse Practitioner (NP): The NP shall be licensed in the state of California and hold a national certification as an Adult Nurse Practitioner and possess a bachelor’s degree or higher.

F. The medical support personnel shall possess a minimum of 3 years work experience in occupational medicine (e.g., assisting clinician with exams, taking medical histories, minor first aid, deployable and emergency services required immunizations, medical screenings, participating in wellness programs). Medical support personnel shall have a working knowledge of Federal OSHA Code pf Federal and be proficient in database systems such as Microsoft Access. Medical support personnel shall maintain the following certifications current at all times:

1. Cardiopulmonary Resuscitation for Healthcare Providers.

2. Audiometry from the Council of Accreditation in Occupational Hearing Conservation

3. Pulmonary Function from a National Institute for Occupational Safety and Health (NIOSH) approved training course.

4. Phlebotomy from Department of Health Services of California (CDHS)

Medical support personnel shall possess one of the following licenses or certifications:

1. Registered Nurse (RN): The registered nurse shall be licensed in the state of California.

2. Vocational Nurse (LVN): The vocational nurse shall be licensed in the state of California.

3. Medical Assistant (MA): The medical assistant shall be certified or eligible for certification by the American Association of Medical Assistants and certified in phlebotomy by the Department of Health Services of California.

1.5 SECURITY

A. The Contractor or any representative of the Contractor entering DoD locations to perform contract requirements shall abide by all security regulations and may be subject to security checks. Contractor personnel and property shall be subject to search and seizure upon entering, while on, and upon leaving the DoD locations pursuant to installation regulations.

B. Contractor personnel shall conduct themselves in accordance with (IAW) acceptable business decorum at all times. The Contractor shall remove any individual from the site whose continued presence or employment on this contract is deemed to be contrary to the public interest, deemed to adversely affect health, morale, welfare, or good order and discipline on the installation, or inconsistent with the best interests of national security. IAW USC Title 18, Crimes and Criminal Procedure, Part I, Crimes, Chapter 67, Military and Navy, Section 1382, the Installation Commander has the authority to bar individuals from the installation.

C. In the event of a strike by Contractor personnel, the Contractor shall be responsible for the cost of any increased security as determined necessary by the Installation Commander.

D. The Contractor shall ensure the physical security of all Government property to assure that any accountable property or information in this contract is secured and protected against theft, sabotage, or other acts constituting illegal destruction. The Contractor and its personnel shall comply with the following security-related regulatory guidance:

· DLAM 5200.08 DLA Physical Security Manual

· DLAR 4145.11, Safeguarding of DLA Sensitive Inventory Items, Controlled Substances, and Pilferable Items of Supply.

· DLAI 6304, Information Security Program

· DLAI 6305, Operations Security (OPSEC)

· DoD 5200.1-R, (Volumes 1-4) Information Security Program

· DoD 5200.2-R, Personnel Security Program

· DoD 5200.8-R, Physical Security Program

· DoD 5205.02-M, DoD Operational Security (OPSEC) Program Manual

· DoD 5220.22-M, National Industrial Security Program Operating Manual (NISPOM)

· DoD 5220.22-R, Industrial Security Regulation

· DoD 2000.12, DoD Antiterrorism Program

· DoD 2000.16, DoD Antiterrorism Standards

· DoD O-2000.12-H, DoD Antiterrorism Handbook

· DoDI 5240.6, Counterintelligence (Cl) Awareness and Briefing Program

1.5.1 FACILITY AND PHYSICAL SECURITY

A. The Contractor shall control access by locking or unlocking the areas or facilities provided for the Contractor's use in the performance of the contract requirements. The Contractor shall lock all internal overheads, cages, vaults, doors, and other areas for reasons of internal security before leaving an area unattended and prior to the conclusion of any working day. The Contractor shall lock all external cargo and personnel doors when not in use.

B. The Contractor shall enact operational procedures IAW DoD and DLA regulatory guidance that will control movement of authorized personnel into and out of secure facilities. The Contractor shall safeguard combinations and provide them to only authorized personnel. The Contractor shall change combinations when any personnel having access to the combination are reassigned, separated, or no longer have a need for this information, or the combinations have been subjected to compromise.

C. In the event a Contractor area is found unsecured or there is a response to an alarm during non-duty hours, the Contractor's Point of Contact (POC) will be contacted to secure the area. The Contractor shall inform the COR of the results of the alarm response. The Contractor shall immediately report any facility security violations to the COR.

D. The Contractor shall participate in the host installation Commander's Physical Security Council, if requested.

E. For more information, see DLAR 4145.11, Safeguarding of DLA Sensitive Inventory Items, Controlled Substances, and Pilferable Items of Supply.

F. Compliant with DoD and DLA regulatory guidance, the Contractor shall ensure the physical security of all Government property, equipment, or information, in this contract is secured and protected against theft, sabotage or other acts constituting illegal destruction.

G. The Government will not be responsible in any way for damage to the Contractor's supplies, materials, equipment, and property or to Contractor personnel's personal belongings that are damaged or destroyed by fire, theft, accident, or other disaster.

1.5.2 REPORTING OF CRIMINAL VIOLATIONS

A. The Contractor shall report any security violations to the COR within one (1) hour of discovery. A security violation is any knowing, willful, or negligent action that could reasonably be expected to result in an unauthorized disclosure of classified information; to include a loss or gain of classified material.

B. The Contractor shall report to the COR any suspected, alleged, or actual criminal incidents IAW DLAI 5105, Reporting of Criminal Incidents.

1.5.3 AUTHORIZED VISITOR CONTROL

A. Authorized visitors on official business related to the contract shall obtain approval from the installation Law Enforcement and Security Office and the COR for entrance to the installation. The Contractor shall submit a DLA Form 1818, Visitor Request Form, or equivalent form to the COR at least one (1) week in advance for all planned off-base visitors and at least twenty-four (24) hours in advance for all unplanned visitors.

B. The Contractor shall not allow visits from foreign nationals to the distribution center without the written approval from the KO or COR. A foreign national is defined as a person who is not a citizen or national of the United States. If approval is obtained, the Contractor shall follow the instructions for coordinating the visit IAW DLAI 4303, Foreign Visits and Disclosure Program.

1.5.4 PERSONNEL CLEARANC E

A. The Homeland Security Presidential Directive 12 (HSPD-12) dated 27 September 2012 has established criteria for Contractors who require a Common Access Card (CAC) for either physical access to an Installation or access to Government information technology (IT) systems. The Government requires Personnel Security Investigations (PSI) to establish that applicants or incumbents either employed by the Government or working for the Government under contract are suitable for the job and are eligible for a public trust or sensitive position. Upon favorable review and initiation of the PSI, Contractor personnel may be granted temporary access pending final adjudication of the PSI. The Contractor shall request personnel clearances IAW instructions found in TE 1.1 Contractor Personnel Security.

B. A Contractor Investigative Request (CIR) form annotating the appropriate designation shall be submitted for each contract employee.

C. All Contractor employees issued a security clearance under this contract shall complete a SF 312, Nondisclosure Agreement and DLA Form 1834, DLA Security Brief/Debrief Certificate and receive a briefing from the KO or COR or the Contractor's Facilities Security Officer (FSO) prior to starting work on the contract and/or handling classified information or sensitive material. The Contractor shall direct any employee having a security clearance who ends employment with the Contractor to the KO or COR or the Contractor’s FSO to receive a debriefing and sign the DLA Form 1834. The Contractor shall provide a copy of all briefings and/or debriefings to the KO or COR.

D. Not later than 15 calendar days prior to contract full performance start date, the Contractor shall provide the COR a roster of all personnel requiring access to restricted or controlled access areas. The roster shall include each employee's full name, Social Security number, identification card number (if assigned), branch or section (if applicable), and security clearance (level of clearance and last investigation date, if applicable). The Contractor shall make all modifications to the rosters and provide an update to the COR within one (1) working day for employees whose employment has been terminated and for employees who no longer require access to restricted or controlled access areas.

1.5.5 KEY AND LOCK CONTROL OF CONTRACTOR OPERATED F A CI LI T I ES

A. The Contractor shall establish and maintain a Key and Lock Control Program as part of their Physical Security SOP, IAW DLAM 5200.08 DLA Physical Security Manual. The Contractor shall safeguard keys provided by the Government. The Contractor shall utilize the automated key control system or an equivalent substitute as a means of key control. The Contractor shall designate in writing to the KO or designee a key custodian to manage the key control program by the start of full performance.

B. The Contractor shall submit a roster of employees with key or lock access requirements for key control boxes to the COR at least one (1) week prior to the date when access is needed and notify the COR within 24 hours when an employee no longer requires access or is no longer employed by the Contractor. The Contractor shall provide the COR updated rosters as information changes. The Contractor shall keep all keys within the Key and Lock Control Program under continuous accountability at all times and shall limit the number of individuals authorized to draw keys to a minimum commensurate with security and operational requirements. The Contractor shall not remove keys to warehouses and storage or industrial areas from the work area or issue them as personal possession keys.

C. The Contractor shall not duplicate keys or allow their use by unauthorized Contractor personnel. The Contractor shall report any deviation from these rules or lost keys within two

(2) hours after discovery of occurrence and submit a detailed written report by close of business (COB) the same working day. If lost keys are discovered at the end of the day and it is not possible to submit a written report to the COR by COB the same working day, the Contractor shall submit the report within two (2) hours of the beginning of business on the next working day. The Contractor shall reimburse the Government for all costs associated with replacing locks or re-keying required as a result of keys being duplicated or lost by the Contractor.

D. The Government will provide the Contractor access to key control boxes and will maintain the programming of key control boxes. The Government will furnish Personal Identification Numbers (PIN) to Contractor employees for access to key control boxes as required. Each Contractor employee shall safeguard his or her PIN by committing it to memory. Contractor employees shall not share assigned PINs.

1.5.6 DOD COMMON ACCESS CARD (CAC)/ACCESS IDENTIFICATION BADGE (ID BADGE)

A. Every Contractor employee shall obtain and possess a DoD CAC and an Access ID Badge, as required. Upon favorable review and initiation of the PSI to establish the suitability of an employee for the job and the approval for temporary Automated Information Systems (AIS) access pending final adjudication of the PSI, the Contractor shall submit to the COR a request for the DoD CAC (see paragraph 1.5.4, Personnel Clearance) and ID Badge.

B. The Contractor shall safeguard CAC and ID Badges furnished to them. Contractor employees shall not share CAC and ID Badges. Each Contractor employee shall wear the ID Badge conspicuously on his or her outer clothing above the waist at all times while working on the installation. Contractor personnel may be challenged and removed from the work area or denied access to the installation if the ID Badge is not worn. Contractor personnel will not display any badge or use as a means of personal identification outside the installation.

C. In the event that a Contractor employee damages or loses his or her CAC and ID Badge, the Contractor shall report the lost or damaged CAC and ID Badge within two (2) working hours of damage or loss to the COR who will arrange for a replacement CAC or ID Badge. The Government will issue the Contractor employee a temporary ID Badge to be used for an eight to ten (8-10) working day waiting period until a new permanent ID Badge is issued. The Contractor shall return all government CAC or ID Badges to the Government either within one (1) working day of the completion of the contract or upon termination of an individual's employment, whichever comes first. Contractor personnel failing to return their Government CAC or ID Badge are subject to criminal charges under USC Title 18, Chapter 1, Section 499 and 701.

The COR will provide and maintain electronic key cards for the security access system. The electronic key card allows access to specific controlled areas of the facilities. The COR will approve and provide the electronic key cards to the Contractor for access to the facilities. The COR will approve and provide the electronic key cards to the Contractor for access to the facilities.

D. Reference TE 1.2 Common Access Card (CAC) Procedures for the Standard Operating Procedures (SOP) for Contractor CAC issuance and accountability.

1.5.7 VEHICLE REGISTRATION

A. Contractor employees shall maintain current registration and proof of insurance on all privately-owned vehicles (POVs) brought on the installation. The Contractor shall maintain current registration and proof of insurance on all Contractor-owned vehicles brought on the installation. Evidence of a valid driver’s license, vehicle registration card, and insurance are required for registration upon request. The Government will not permit access to the installation without proper vehicle identification and registration.

1.5.8 PARKING AND TRAFFIC CONTROL

A. The Contractor and its employees shall abide by installation parking and traffic regulations. All vehicles shall be parked in designated parking areas only. The Contractor and its employees shall conform to Federal, State and installation driving regulations. Parking within the secure area will require the appropriate placard, which the Contractor shall request through the COR and is issued by the installation.

1.5.9 INFORMATION SYSTEM SECURITY

A. Upon favorable review and initiation of the PSI to establish the suitability of an employee for the job and the approval for temporary IT access pending final adjudication, but not less than fourteen (14) working days prior to the employee’s start date, the Contractor shall request Information Technology (IT) eligibility for an employee requiring access and passwords to the Government data systems. All positions involving computer activities require a minimum IT II category eligibility. The Contractor shall submit a Contractor Investigative Request (CIR) and a DD Form 2875 for temporary IT II eligibility, with final IT II eligibility contingent upon receiving a favorably adjudicated NACLC (See paragraph 1.5.4, Personnel Clearance). The Government will notify the Contractor if and when a request is approved.

B. All Contractor personnel provided with access to Government computers and systems shall observe IT security policies and procedures as provided by the COR. The Contractor shall notify the COR within 12 hours when, for reasons of personnel resignation, reassignment, termination, or completion of portions of the contract, Contractor personnel no longer require access to Government systems.

C. The Contractor shall observe all copyright agreements. In the interest of protecting government systems from computer viruses, the Contractor shall not use public domain software nor shall Contractor personnel download software from public bulletin boards or Internet websites. The Contractor shall use only Government software in performance of the contract requirements. Should the introduction of a computer virus or malicious destruction of computer software, stored information, or hardware result from the use of public domain software or from software taken from a public bulletin board or Internet website, the Contractor shall be required to repair the damage and incur all costs at no expense to the Government and without impact on delivery schedules.

1.5.10 CONTACT OF A SUSPICIOUS NATURE

A. Contractor personnel who have been contacted under suspicious circumstances shall report that contact immediately, either verbally or in writing, to their supervisor who shall report it within two

(2) hours to the KO or COR for action. Key contacts for reporting purposes are defined as:

1. Contact with an individual (regardless of nationality) that suggests to the Contractor employee that an intelligence gathering or terrorist organization may have targeted him or her for possible intelligence exploitation.

2. A request by anyone (regardless of nationality) for illegal or unauthorized access to classified or unclassified sensitive information.

3. Contact with a known or suspected intelligence officer from any country.

4. Contact with a foreign diplomatic establishment, whether in the U.S. or abroad, for personal or official reasons. Certain Contractor personnel in positions designated as "sensitive" by the Government may also be required to inform their chain of command in advance of the nature and reason for contacting a foreign diplomatic establishment or travel to countries on the State Department list whose interests may be averse to the United States.

B. Additionally, Contractor personnel who have information about activities pertaining to espionage, terrorism, unauthorized technology transfer, sabotage, sedition, subversion, spying, treason, unauthorized release of classified or unclassified controlled information, or unauthorized intrusions into automated information systems shall report that information immediately to the KO or COR for action.

1.5.11 SAFEGUARDING INFORMATION

A. The Contractor shall not allow access or disclosure of classified information or information regarding the operations of DLA to any government agency, non-government agency, or individual unless specifically authorized by the KO or COR. The Contractor shall provide documents and files requested by such parties to the KO or COR within one (1) hour of receipt of the authorized request. All files are the property of the Government and the Contractor shall turn all files over to the KO or COR at the completion or termination of this contract.

B. The Contractor may be required to access data and information that is proprietary to a government agency or Contractor or that is of such nature that its dissemination and use other than as specified in this contract would be averse to the interests of the Government or others. The Contractor and its personnel shall not divulge or release data or information developed or obtained under performance of this contract except to government personnel who are authorized to receive the information or upon written approval of the KO or COR. The Contractor shall not use, disclose, or reproduce proprietary data that bears a restrictive legend other than as specified in this contract.

C. Disclosure of information regarding operations and services of DLA to persons not entitled to receive it, or failure to safeguard any classified information that may come into the Contractor's control in connection with work under this contract, may subject the Contractor, its agent, or its employees to criminal liability under USC Title 18, Crimes and Criminal Procedure, Part I, Crimes, Chapter 37, Espionage and Censorship, Sections 793, Gathering, Transmitting or Losing Defense Information, and Section 798, Disclosure of Classified Information. Neither the Contractor nor its employees shall disclose or cause to be disseminated any information concerning the operations of the activity which could result in, or increase the likelihood of, the possibility of a breach of DLA's security or interrupt the continuity of DLA's operation.

1.6 ENVIRONMENTAL, SAFETY, AND OCCUPATIONAL HEALTH (ESOH)

A. The Contractor shall formulate and maintain a written safety and health plan and make available to the Government upon request. The written plan shall include the details of the Contractor's responsibilities, method of program implementation, and how hazards and deficiencies shall be identified and corrected. It shall detail Contractor personnel responsibilities for: protection of Government property and safety of others, personnel responsibilities for reporting all mishaps, and establish procedures for reporting to correcting unsafe conditions, hazards, or practices. The Contractor shall have a central POC for safety and health related issues. The POC shall be identified in writing to the KO or COR.

B. The Contractor shall ensure employees have safety education when engaged in activities involving Government facilities, personnel, or equipment.

C. The Contractor shall notify the KO or COR immediately after the occurrence of all accidents and incidents resulting in either personal injury, loss of life, impact to the environment or property damage to a government facility or equipment. The Contractor shall submit a completed copy of DLA Form 1591 and supplemental information within four (4) working days of the accident or incidents.

D. The Contractor shall require their personnel to wear personal protection equipment (PPE) (i.e., safety shoes or safety boots, hearing protection, eye protection, gloves, safety harnesses) when required during the performance of this contract IAW OSHA standards. The Government will not be responsible for furnishing or paying for the cost of PPE.

E. The Contractor shall comply with all federal, state, DLA, and local environmental, safety, and health law and regulations.

1.7 DOCUMENTATION AND RECORDS

A. All documentation, records, and schedules produced by the Contractor in performance of this contract are the property of the Government and shall remain so upon termination or completion of the contract. The Contractor shall keep these items current. Documentation, records, and schedules shall be turned over to the Government upon termination or completion of the contract. All documentation, records, and schedules are subject to the Freedom of Information Act and Privacy Act.

1.8 CONTRACTOR PERSONNEL

A. The Government retains the right to request the removal of Contractor personnel whose performance and/or actions, while assigned to this contract, negatively impact the mission of DLA operations. The KO will clearly document the reason for removal. When and if such removal occurs, the Contractor shall within three (3) working days assign qualified personnel to fill any vacancy(ies) thus created.

1.9 COMPLIANCE

A. Any final interpretation of standards involving compliance with any applicable regulatory standard, other pertinent Federal/state laws, or codified regulations (e.g., OSHA, DLA Issuances) will rest with the DLA Installation Management Environmental and Occupational Health Division

SECTION C-2 DEFINITIONS AND ACRONYMS

2.1 DOD DICTIONARY

A. The DoD Dictionary of definitions and terms is available on the Internet at http://www.dtic.mil/doctrine/dod_dictionary/.

2.2 REFERENCES

· Department of Health Services of California (CDHS) http://www.dhcs.ca.gov/Pages/default.aspx

· National Institute for Occupational Safety and Health (NIOSH) http://www.cdc.gov/niosh/

· American Association of Medical Assistants – http://www.aama-ntl.org/index

· National Commission on Certification of Physician Assistants - http://www.nccpa.net

· National Certification as an Adult Nurse Practitioner http:// - https://www.aanpcert.org/

· American Board of Preventive Medicine in Occupational Medicine - https://www.theabpm.org/certification.cfm

· Council of Accreditation in Occupational Hearing Conservation - http://www.caohc.org

· Occupational Safety and Health Administration (OSHA) - http://www.osha.gov

· Office of Personnel Management Memorandum titled “OPM Adjudication of Psychiatric/Psychological Objections”, December 1st, 2008.

· Defense Logistics Agency Manual - Defense Logistics Agency Instructions DLAM 4302.10.009 (Physical and Medical Qualifications).

· DLAI 4302 “Force Protection and Security Operations”

· DoD 6055.05-M, Occupational Medical Examinations and Surveillance Manuel

· Federal Worker's Compensation Program - http://www.dol.gov/owcp

· US Department of Defense - http://www.defense.gov

SECTION C-3 GOVERNMENT PROPERTY, SYSTEMS, TRAINING AND SUPPORT SERVICES

3.1 GENERAL INFORMATION

A. The Government will furnish the following: Information Technology (IT) equipment that includes network equipment, desktop hardware, software, printers, and wireless devices; IT data systems in the performance of the contract requirements. The Government is responsible for the upgrade and maintenance of Government systems.

B. The DDJC Occupational Health Clinic at Tracy, CA: Approximately 2,71O square feet of office/medical facility space (reference Attachment 3) which include: a Lektriever (medical record storage), reception/waiting area furniture/equipment, break area with sink, microwave, refrigerator, table, chairs, and ice machine; a treatment room with a stretcher, sink, small refrigerator, blood draw chair, mayo stand; clinician office with furniture; audio room with audio booth, counter and storage cabinets; two restrooms; two examination rooms with exam table, sink, exam stool, exam light, wall mounted blood pressure cuffs, and footstool; physical therapy room with a treadmill, stationary bike, Hi Low table, massage table, wall weight pulley, total gym therapy system, adjustable exam stool, step stool with handle, folding walker, thermo heat unit with various sizes of heat pads, paraffin bath, Baps board, and set of free weights with wall rack; muscular endurance/aerobic capacity testing steps, soft weights for lift testing.

C. The Government will provide security and antiterrorism training to all Contractor employees IAW applicable DoD regulatory requirements and as deemed appropriate by the KO or COR. At a minimum, security training requirements as required by DLA issuances and other applicable DoD guidance will be completed annually for: Anti-terrorism/Force Protection (AT/FP); Operational Security (OPSEC), Counterintelligence, Security Awareness, and Information Security (INFOSEC), Information Assurance (IA), and Records Management. The Contractor shall maintain on file a record of training for each employee and shall make the records available to the COR when requested. The Contractor shall retain these records for at least one review cycle or as designated by the Contracting Officer (KO).

D. At no cost to the Contractor, the Government will furnish the services to be used exclusively to perform the requirements of this contract that include custodial services, refuse and recycling collection, emergency medical services, police and fire protection, telephone, utilities, and pre-printed government forms (downloadable/printable government forms not included).

E. The Government will provide restrictive administrative telephone service and instrument for the Clinic. Restrictive telephone service can only be used to call on the Tracy Site. The Contractor may use this service and instrument to conduct official business for the support of this contract.

F. The Government will provide limited custodial service to the Clinic in support of this contract. This service includes emptying trash, dusting, vacuuming carpets, and sweeping/mopping floors. The Government provided custodial service does not include cleaning medical equipment, work surfaces, medical waste, and personal use items. Contractor personnel shall be responsible for all other clean up in the Clinic.

G. The Government will furnish all utility services to the Clinic required in support of this contract. The Contractor shall use conservative practices which will be monitored by the COR.

SECTION C-4 CONTRACTOR TRAINING, EQUIPMENT, SUPPLIES, AND MATERIAL

4.1 GENERAL INFORMATION

A. For medical services, the Contractor shall provide all training, supplies, materials, and equipment required for contract performance as specified in the PWS, except those items as identified as Government. See Attachment 5 for a sample list of services/supplies to be provided by the Contractor.

B. Green Procurement: In order to comply with federally mandated environmental preference programs, the DoD Green Procurement Program (GPP) policy and DLA's Affirmative Procurement Program (APP), the Contractor shall purchase and use environmentally preferable products in the performance of work under this contract. The following mandatory components comprise the APP:

· Recycled content products, also known as Comprehensive Procurement Guideline (CPG) Items www.epa.gov/cpg

· Energy Star® and energy-efficient products; energy efficient standby power devices www.energystar.gov and www.eere.energy.gov/femp/

· Alternative fuel vehicles/alternative fuels

· Biobased products www.cataloq.biopreferred.gov/bioPreferredCatalog/faces/jsp/catalogLandinq.jsp

· Non-ozone depleting substances

SECTION C-5 SPECIFIC TASKS/PROGRAMS

5.1 MEDICAL SUPPORT SERVICES AND PERFORMANCE REQUIREMENTS

A. Scheduling Routine Services: The COR will provide the clinic personnel with employee names, a means of contact and all pertinent information for scheduling annual or pre-placement exams. The clinic personnel shall be responsible for contacting the supervisor/point of contact/employee to schedule the examinations/tests and follow up appointments.

B. Meetings: The OHP/NP and Clinician shall meet with the COR during Clinic hours of operation as needed. The meetings shall be used for, but not limited to, review of medical examinations, the discussion of workplace deficiencies, work restriction parameters, work injuries/illnesses, and medical problems involving employees. The Government and the Contractor shall establish a schedule with specific dates and times generally on a weekly basis for these meetings. The Government reserves the right to include other Government and Contractor personnel in these meetings.

C. If the Clinician scheduled to be in the Clinic is absent during the routine hours of operation (e.g., illness, unforeseen event), the Contractor must provide an alternate Clinician as soon as possible on the day of absence, and in no event, later than the following day.

5.1.1 GENERAL MEDICAL SERVICES

A. Medical Examinations: All medical examinations shall be performed at the clinic by the Clinician or OHP/NP. Prior to the medical examination, all required tests and procedures shall be completed. The physical exam and all test results shall be documented on a Government medical examination form and the Clinician shall review all pertinent findings in detail with the employee at the time of the medical examination.

1. Prior to the physical examination being conducted by the Clinician/OHP/NP, the following vital signs and screening tests must be completed by qualified personnel:

(a) Vital signs (Blood Pressure, Temperature, Respirations, Pulse Height, Weight, Body Mass Index).

(b) A vision screening performed on the left eye and right eye individually, both eyes together, including near and far visual acuity, color blindness, depth perception, and peripheral vision.

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