W50S8Y-20-R-5002_0001 (2) PWS OHWS.pdf

PERFORMANCE WORK STATEMENT

For

Optimizing the Human Weapon System Services Revision Dated 4 February 2020

1.0 General:

1.1 Scope: The contractor shall provide all services, personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform injury prevention and mitigation, rehabilitation exercise services, and human performance optimization services to rated personnel assigned to the 142d Fighter Wing (142FW), Portland, OR, USA, as part of the Optimizing the Human Weapons System (OHWS) initiative. The Contractor shall furnish consultation and reports, similar to the range of services found in a commercial facility, as well as services specialized to meet the specific spinal health needs of fighter pilots. Contractor shall adhere to professional standards of the Accreditation Association for Ambulatory Health Care (AAAHC), and as defined in this PWS.

1.2 Background: Up to 85% of fighter aircrew surveyed reported some type of spine discomfort during their career. According to a study performed by the Unites States Air Force School of Aerospace Medicine, neck pain is a significant factor impacting fighter pilot performance and quality of life, and rates of injury have increased over the years. The Optimizing Human Weapon System, OHWS initiative is designed to improve quality of life and readiness by decreasing injury rates, most notably for the high rate of spine injuries incurred by fighter pilots. OHWS is designed to meet the unique physical needs of fighter jet pilots. Fitness and conditioning is accomplished through a comprehensive, coordinated, multi-disciplinary physical training program focused on the movement and strengthening of the spinal musculoskeletal system. The purpose of providing the services of an OHWS specialist to our rated pilots is to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance/ readiness, avoid injury prior to occurrence, increase pilot production, and support pilot retention.

1.3 Period of Performance (PoP): The Period of Performance shall be 1 base year, twelve (12) months, and four (4) 12-month option periods.

1.4 General Information:

1.4.1 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 calendar days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.2 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the specified performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality level as well as the rate of deviation from the performance standards. See Technical Exhibit 1.

1.4.3 Recognized Holidays: The following are recognized US holidays. The contractor shall not perform services on these days:

New Year’s Day: January 1st Martin Luther King, Jr.’s Birthday President’s Day Memorial Day Independence Day: July 4th Labor Day Columbus Day Veteran’s Day: November 11th Thanksgiving Day Christmas Day

1.4.4 Place and Performance of Services: Services will be provided by the contractor in government facilities located at the 142 FW. Space has been designated for the contractor’s use (see Technical Exhibit 3). The contractor shall provide services between the hours of 6:00AM and 3:00PM Monday through Friday. During Regularly Scheduled Drills (RSDs) services will be provided from 7:00AM to 4:30PM on Saturday and 7:00AM to 2:30PM on Sunday. RSDs occur approximately 11 times per year.

Exception to these days and times may occur on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. On scheduled night flying weeks, which typically occur 10 times throughout the year, the standard times will fluctuate based on the flying schedule, but will not be in excess of a 9 hour day. During the summer months, the schedule could be as late as 3:00PM- 12:00AM. The 142FW will provide at least two weeks’ notice requiring a change to the standard operating hours. The scheduled days and hours of the Contractor employees providing the majority of the services must mirror those as described above.

1.4.4.1 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented.

Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.4.2 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

1.4.5 Contractor Workforce: The contractor shall, at all times, maintain an adequate work force to cover scheduled appointments and make equipment available that can service the throughput of operators requiring access to the program. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. The contractor shall ensure an adequate workforce is available to ensure service continues during employee absences, scheduled or unscheduled. The Government’s preference is that the same individual within each specialty is assigned to perform the bulk of the services for that specialty in order to gain a familiarity with the treatments being provided for each operator. Within 10 calendar days of the contract award, the Contractor must produce a staffing and startup operations plan. The COR and KO must approve the staffing and startup operations plan, and the associated dates, to ensure contractor personnel are trained and ready to service the program. The approved plan must deliver trained personnel within 15 calendar days after contract award. Telecommuting is not authorized.

1.4.6 Security Requirements: The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Contracting Officer’s Representative (COR). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.6.1 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised that any time contractor place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DOD information. The government will provide each contractor employee with an unclassified electronic mail account and computer access for record keeping and secured communication. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.6.2 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

a. Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

b. Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training.

c. In the event a contractor employee is exposed to classified information, they must mark and safeguard files, output products, and storage media per classification level and disseminate encounter to Government POC or other authorized individuals immediately. The government will provide each contractor employee with in- person training on the proper response for an unauthorized exposure to classified information.

d. Protect IS and IS peripherals located in the irrespective areas in accordance with physical security and data protection requirements.

e. Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.6.3 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS

224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

a. Since the contract workers under this contract have access to and/or process information requiring protection under the privacy act of 1974, compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31-501 and AFI 33-202 is mandatory. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. The Contractor shall fully adhere to the provisions of referenced publications by having each of their employees who are performing under this contract make an appointment (through the GOVERNMENT POC) with the appropriate security organization at the installation where service is provided. Each individual will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The contractor shall advise their employees that a favorable report is a required condition of employment under this contract. The Contractor shall apply for the NACI prior to the start of performance for each contract worker.

1.4.6.4 CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

a. HSPD-12 Background Investigation Requirements: The contractor will ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM- 08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at attachment (TBD), at the earliest possible date and that this form is forwarded to the Government POC immediately. The Government POC will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a

b. Trusted Associate Sponsorship System (TASS): The contractor is responsible for processing applications for Common Access Cards (CAC) for every contractor employee who deploys with the military force OR who has need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel."

1.4.6.5 AT Level 1 Awareness Training (AT): All contractor employees, including subcontractor employees, requiring access to DOD installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 10 calendar days after completion of training. Level 1 AT is available at http://jko.jten.mil/courses/atl1/launch.html.

1.4.6.6 OPSEC Training: New contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 10 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

In accordance with AFI 10-701, Operations Security, OPSEC PMs / SMO / SMNCOs / Coordinators will provide OPSEC training or training materials to contract employees within 90 days of employees’ initial assignment to the contract and annually thereafter. General organizational orientations may need to be supplemented by duty-related orientations in the work center targeted toward specific critical information and vulnerabilities associated with the work. Initial training (OPSE 1301 - OPSEC Fundamentals) and refresher training (Protecting Sensitive Information) are both available on the ADLS website.

1.4.7 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7.1 Key Control. NOTE: All references to keys include key cards. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.7.1.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the monthly payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system, and will deduct the total cost from the monthly payment due the contractor.

1.4.7.1.2 The contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.7.2 Lock Combinations: The contractor shall establish and implement methods of ensuring that no lock combinations are revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the contractor’s QCP.

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with Federal Acquisition Regulations Subpart 42.5. The KO, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the Contacting Officer will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): Within 5 calendar days of contract award, if not sooner, the contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO.

The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM or alternate shall not be a service provider. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non- Government entities/ Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

The contractor shall retrieve all identification media (including vehicle passes) from their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the KO within 14 days of an employee’s departure.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

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

This right does not abrogate any other Government rights.

1.4.13 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.14 Project Safety. Contractors are required to use the U.S. Army Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1.

1.4.14.1 Accident/Incident Reporting and Investigation. The Contractor shall record and report all available facts relating to each instance of injury to either Contractor or Government personnel to the Base Safety Office unless otherwise stated in the PWS. The Contractor shall secure the scene of any accident and wreckage until released by the accident investigative authority through the Base Safety Office. If the Government elects to conduct an investigation of the incident, the Contractor shall cooperate fully and assist Government personnel until completion of the investigation.

1.4.14.2 Cell Phone Use. Per Air Force policy Contractor employees are prohibited from dialing, talking or texting on cellular devices or similar equipment while walking or driving on base.

1.4.15 ENVIROMENTAL REQUIREMENTS. Contractor shall provide all items MSDS required for Hazardous Material Identification.

2.0 Definitions and Acronyms:

2.1 Definitions

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

2.1.2 CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

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

2.1.5 DELIVERABLE. Anything that can be physically delivered and includes non- manufactured things such as meeting minutes or reports.

2.1.6 KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS.

When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

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

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

2.1.9 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

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

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

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

2.1.13 WORK WEEK. Monday through Friday, RSDs, unless specified otherwise. HPP Specialists will follow the published work schedule.

2.2 ACRONYMS:

ACSM American College of Sports Medicine

ADA Americans with Disabilities Act

AFARS Army Federal Acquisition Regulation Supplement

AFI Air Force Instruction

AHLTA Armed Forces Longitudinal Technology Application

ANG Air National Guard

APTA American Physical Therapy Association

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security

ATC Certified Athletic Trainer

CFR Code of Federal Regulations

CHCS Composite Heath Care System

CONUS Continental United States (excludes Alaska and Hawaii)

COR Contracting Officer Representative

COTS Commercial-Off-the-Shelf

CSCS Certified Strength and Conditioning Specialist

DA Department of the Army

DD250 Department of Defense Form 250 (Receiving Report)

DD254 Department of Defense Contract Security Requirement List

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

EEOC Equal Employment Opportunity Commission

FAR Federal Acquisition Regulation

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

HIPAA Health Insurance Portability and Accountability Act

HPP Human Performance Program

IA Information Assurance

IS Information System(s)

KO Contracting Officer

MTF Military Treatment Facility

NATA National Athletic Trainers Association

NSCA National Strength & Conditioning Association

OCI Organizational Conflict of Interest

ODC Other Direct Costs

OMS Occupational Medical Services

ORANG Oregon Air National Guard

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRS Performance Requirements Summary

PT Licensed Physical Therapist

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

TE Technical Exhibit

USAF United States Air Force

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment. This Government property is incidental to the place of performance and remains accountable to the Government. The contractor may be held financially liable for damage or loss.

Contractors should be prepared to work in a 192 sq. ft. facility (see Technical Exhibit 3). The Government may increase the work area at their discretion should space become available.

3.1.1 If space becomes an issue and the Government cannot provide the additional space needed, the Government can require the Contractor to be responsible for providing and maintaining an adequately sized and equipped mobile trailer facility equipped with HVAC to be kept on base at the 142FW. The maintenance, delivery, and removal of this mobile trailer would be the financial and logistical responsibility of the Contractor; however, in the event this becomes a requirement any additional cost associated with this change would be negotiated with the KO and processed via a bi-lateral modification.

3.1.2 If the Contractor provides a mobile unit, the Government will provide all necessary space on base at a minimum of 800 sq. ft. and in a location that is readily accessible to all pilots.

3.2 Materials: None.

3.3 Equipment: None except as stated in section 3.1.

3.4 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in this PWS.

4.1.1 HIPAA compliant software to perform all functions and communication of Electronic Medical Records.

4.1.2 Equipment to meet the technical needs of the program. At a minimum, the Contractor must have treatment surfaces and specific exercise equipment to test the strength of the muscles attached to the spinal column and strengthen the spine in a preventative and safe manner and to perform the post-flight treatments as described below. The requirement includes medical strengthening equipment that can effectively isolate the muscles of the neck and back and strengthen both the lumbar and cervical areas of the spine.

5.0 Requirements: Services provided by the contractor shall include the following: initial assessment of personnel, care for personnel who individually seek the services of an OHWS specialist; subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, optimized performance physical training (e.g. strength and conditioning for fighter aircrew), and post mission treatments. The contractor shall provide the following resources under this contract to accomplish the requirements listed above: Oregon State licensed Physical Therapist and/ or Athletic Trainer and/or Oregon State licensed Strength and Conditioning coach and/or Oregon State licensed Massage Therapist.

5.1 Ultimate control of members’ medical referral activity is retained by the member, with oversight and management by squadron medical personnel, if required, and only at the discretion of the military member. Information pertaining to a referred patient, from flight physician or personal physician will be kept in Personally Identifiable Information (PII) compliant Electronic Record (ER). No medical information documented on the client is available to outside sources, to include the government, unless explicitly released by the client or required by law or regulation.

5.2 Initial Evaluation and Assessment: Each rated pilot shall receive an initial appointment as soon as practical. The Contractor will provide an evaluation and assessment in order to recognize the structural pathology and severity of acute injury. A confidential report of evaluations will be provided to the Flight Medicine Physician or other valid military medical provider within 15 calendar days following the initial appointment. Follow up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ military and/or civilian healthcare team.

5.3 Primary Pre-habilitation Services: A contractor employee shall be available to perform preventative exercise measures and pre-habilitation services to personnel of the 142 FW during the hours of operations as described in section 1.4.4. Contractor will provide specific non-invasive biometric and physiological evaluations to all pilots who participate in the OHWS program. Following biometric and physiological evaluations, contractor will provide strength, conditioning and flexibility services, specific to the spinalmusculature. The Contractor will not provide services to injured pilots.

5.4 Post-flight Treatments: A Contractor employee in one of the four fields of service shall be available to perform just-in-time post-flight treatments to aircrew returning from daily flying exercises. Acceptable treatment methods must be pre-approved by the Flight Medicine Physician and designed for the specific needs of each customer with the ultimate goal of speeding up recovery times and enhancing the benefits received from the other forms of treatment they are being prescribed. Most days there will be two flights (GOs). After the First and/or Second Go, the Contractor shall provide a Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, that will allow for members to be seen after flying to tend to any immediate flying related muscle strain or problems. Typically there are eight pilots flying in the first Go and six in the second GO. Post- Flight Flex Time shall be based off of the scheduled land time of each flying Go per day. The Post- Flight Flex Time shall begin 30 minutes after the scheduled land time of each go. These scheduled times will allow and account for “Walk-ins” if there is a low demand for immediate triage during the Post-Flight Flex Time. A contractor employee will be available during these times to provide post-flight treatments to pilots returning from flight.

5.5 Temporary Duty (TDY) Support: The contractor will be required to provide a contract employee, in one of the four fields of service, to travel to various locations within the United States throughout the period of this contract. It is anticipated that one or more contract employees may need to travel for up to 30 days a year. The contract employee possessing the most familiarity with the pilots should be the Contractor’s first choice to travel. The primary purpose of this travel will be to provide post-flight treatments to aircrew returning from daily flying exercises; however, other types of services, as described in section 5, may be requested. A separate Not To Exceed (NTE) Contract Line Item Number (CLIN) will be added to the contract to pay for expenses.

5.5.1 Upon receipt of a TDY support request from the COR, the contractor shall submit their travel plans and cost breakdown to the COR. Travel shall not occur without concurrence from the COR. The contract employee’s travel shall be in accordance with the Joint Travel Regulation (JTR) and shall be invoiced for the established unit price. The Contractor shall invoice for actual costs and in the event that the contractor incurs costs in excess of the established unit price, the contractor may submit a request for equitable adjustment with supporting documentation to the contracting officer for evaluation. Paid receipts will be required for all travel expenses and will be reimbursed up to the allowable per diem rate.

5.5.3 The contractor will not be authorized travel expenses for training requirements necessary for professional certifications.

5.5.5 The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires COR recommendation for approval and/or authorization by the contracting officer prior to travel arrangements being made.

5.5.6 The contractor may be required to ship equipment or materials in conjunction with TDY support.

The cost of shipping shall be borne by the Government. The cost for shipments shall be submitted in conjunction with travel plans and subject to the same terms as travel.

5.6 The Contractor shall establish relationships with flight medicine physicians, and attempt to coordinate with local-area physicians who accept Tri-Care and other forms of medical coverage subject to any challenges in transferring information, to facilitate full-spectrum treatment, continuity of care, and coordinated case management. Establishment and maintenance of such relationships shall include in-person and telephone communication. OHWS contracted services cannot make referrals to medical specialists in any way that would obligate the Government to pay for medical services which the Government is not otherwise obligated to pay for. Medical referral activity will support the member, with oversight and management by squadron medical personnel as required. Medical information documented on the member is available to outside sources through coordination with the member and the military medical personnel.

5.7 The contractor will be given a list of 123d FS members authorized for pre-habilitation services. The contractor will only provide pre-habilitation services for individuals in a flying status and authorized in writing.

5.8 The contractor shall manage client appointment schedule and respond to appointment requests NLT 24 hours after receipt. The Contractor shall also report all personnel who fail to attend their scheduled appointments in writing or e-mail to the COR within 24 hours of the missed appointment.

5.9 The contractor shall provide an Oregon State Licensed – athletic trainer or physical therapist, to deliver preventative exercise and standard rehabilitation services. An athletic trainer is preferred to be certified through the NSCA to provide preventative strength and conditioning services, provided to pilots as an exercise or workout plan.

5.10 Reporting

5.10.1 Preventative Exercise Report: The contractor shall provide confidential reporting to the COR and 142FW Medical Personnel with the strength and conditioning and pre-habilitation results. The contractor shall track data points of all personnel who are currently being followed in the preventative program. Due no later than the final business day of each month, the Contractor shall provide the COR a status report which shall include an aggregate number and status/metrics. Reporting should provide participation, strength and conditioning progress, new preventative exercise measures, normative data and any other pertinent data. The preventative exercise data will be demonstrated anonymously.

5.10.2 Client Status Report. The contractor shall track the status of all personnel who are currently being followed in the OHWS program. NLT the last business day of each month, the contractor shall produce a status report, marked FOUO, to the COR which shall include an aggregate number (1) “new clients” (in the program since last report), (2) “progressing clients” (whose progress is on track to recover by the RFDD), and (3) “prolonged clients” (who are not expected to recover by the RFDD). In conjunction with the written report to the COR, the contractor shall brief squadron-assigned military medical personnel on the status of each “prolonged aircrew”, in order to establish or adjust additional plans and/or referrals. Briefing date(s) shall be coordinated with unit medial staff.

5.10.3 “Human Performance” and “Pre-habilitative Trending” Metrics. NLT the last business day of each month, the contractor shall produce an “Pre-habilitative Trending” metrics written report to include but not limited to: musculoskeletal pain within the local unit aircrew populace, duration of pain, origin of pain, types of pain, deployed vs. non- deployed pain, cost analysis of pain pre-habilitation sessions, comparative billing of each pre-habilitation session, cancellation/no-show rates, pain that requires surgery, and trends of musculoskeletal pain over periods of time. Metrics will also capture lost duty time due to aeromedical disposition of Duties Not Including Flying (DNIF) as well as personal removal from flying schedule (i.e. # days and/or sorties). “Human Performance” metrics shall be gathered bi-yearly (NLT 31 March & 30 September) to assess aircrew compliance with the OHWS program. The factors for the “Human Performance” metrics will be low back strength, neck strength, and spine strength measured at varying weights and angles as well as number of missions able to execute at a subjective 100% (i.e. not limited by pain). However, these metrics may be adjusted with concurrence of the contractor and Government.

5.10.4 Strength / Conditioning and Pre- habilitation Status Report: Contractor shall continually record all members’ attended sessions and progress using standard commercial methods/practices and documentation on PII compliant ER. Contractor shall provide chart notes, for program services provided, at the flight medicine practitioner’s discretion. NLT the last business day of each month, the contractor shall produce a status report, marked FOUO, to the COR.

5.11 Scheduling shall be flexible enough to allow for client rescheduling /substitution as needed with little or no notice.

5.12 Housekeeping services will be provided by the Contractor in the immediate work area. The Contractor is responsible for all cleaning materials, surface sanitation supplies, infection control and prevention supplies, personal protective equipment and upkeep of the room/facility. The Contractor will comply with the infection prevention policy found in AFI 48-149.

5.13 Contractor shall obtain appropriate malpractice/professional liability insurance IAW FAR 28.306.

Before commencing work under this contract, the Contractor shall certify to the Contracting Officer, in writing, that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government’s interest shall not be effective (1) for such period as the laws of the state in which this contract is to be performed prescribe or (2) until 30 days after the Insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer. The Contractor shall maintain a copy of all subcontractors’ proofs in required insurance and shall make copies available to the Contracting Officer upon request.

6.0 Special Qualifications: Within 10 calendar days of the contract award or new hire, the Contractor must provide personnel resumes, to include degrees, Oregon State licenses, credentials and board certifications to the COR. The contractor is responsible for any expenses related to maintaining professional training, licensing, or certifications in order to meet the requirements of the contract. New personnel hired during the term of contract must have equivalent or better qualifications than the current personnel or the personnel they are hired to replace.

6.1 Contractor employed Physical Therapists, Athletic Trainers, Strength and Conditioning Specialists, and Massage Therapists shall be physically proficient to demonstrate all prescribed exercises / techniques and be able to lift and manipulate loads and plates up to 25 kilograms.

6.2 Physical Therapists must be current Oregon State Licensed Physical Therapists by a state sponsored Physical Therapy Association and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy”. Physical Therapists must have at least one year of clinical experience. Spine focused clinical work is preferred. Physical Therapist shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External

Defibrillator (AED) training. Physical Therapist is recommended to have a NSCA or USAWA certification for strength and conditioning.

6.3 Athletic Trainers must be current Oregon State Licensed Athletic Trainers by a state sponsored association, have a current Athletic Trainer (AT) Certification from the National Athletic Trainers’ Association (NATA), and hold a degree from an NATA accredited institution specifically for “Athletic Trainer”. Athletic Trainers must have at least one year of clinical experience. Spine focused clinical work is preferred. Athletic Trainer shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training. Contractor Athletic Trainer is recommended to have a NSCA or USAWA certification for strength and conditioning.

6.4 Strength and Conditioning Specialist must possess a Bachelor’s Degree (Master’s preferred) in an accredited exercise science, health science, or physical education-related discipline. A minimum of five

(5) years of experience is desired. The contractor shall possess and maintain current certification by the National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS). Maintenance of this certification shall be an enduring element of the requirement.

Demonstrated sustained experience working with elite athlete populations is highly desired. Creditable specialized experience includes: developing long and short- range planning and coordination of sport/mission specific performance programs resulting in attributable results with elite athletes (e.g., Division I collegiate, Olympic, professional level athletes or SOF - specific tactical professionals).

6.5 Massage Therapists (MT) must possess and maintain an active, current, and unrestricted Oregon State licenses or certifications from the US jurisdiction where the services are to be provided. MTs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide massage therapy to fighter aircrew personnel as part of a pre-habilitation program.

Pre-habilitation is intended to strengthen the core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Healthy lifestyle education is also addressed as part of an overall health maintenance program to enhance injury resistance. Such massage therapy as part of an overall program, focusing on neck and back pain, will improve the overall quality of life for fighter aircrew.

7.0 Contractor Manpower Reporting Application (CMRA): The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for both ARMY and AIR FORCE collection site. The contractor is required to completely fill in all required data fields using the following web ad-dress: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30.