W81K00-22-Q-0163-U00001.pdf

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: GERALDINE I. HERNANDEZ

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

0011623030

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

1. The purpose of this Amendment is to provide responses to questions received regarding this solicitation.

2. NO OTHER QUESTIONS WILL BE ADDRESSED.

3. The Quotation due date remains unchanged.

4. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

1 25

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 12-Aug-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0022Q0163

X 9B. DATED (SEE ITEM 11)

01-Aug-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

12-Aug-2022

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K0022Q0163

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

REPLY TO QUESTIONS RECEIVED

W81K00-22-Q-0163 Reply to Questions Received by the Government

Question:

A. I’m reading through the RFP and on page 3 – 10 reads: Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10.

Some of those ITEMS has a quantity, but others don’t. Can this be clarified?

Response:

CLIN 0001, 2001, 3001 and 4001 are informational CLIN’s and will not have quantities associated with them. The following CLIN’s have the quantity of the Contract Management Employees (CME) associated and the number of CME’s required.

CLIN 0001’s descriptions will be changed to reflect the following:

From: 0001 - Environmental Specialist (2CME) To: 0001 - Environmental Specialist

B. 7.0 -7.11 is not in the RFP – was this missing?

Response: The reference to 7.0 -7.11 will be revised as follows:

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs

5.1 – 5.12.3.

Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 – 5.1.22 Only hours performed will be invoiced and paid.

Question: Should 0001 be 3 CME because 0001AA is 2 CME and 0001AB is 1 CME?

Response: See response to questions 1.

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from Environmental Specialist (2CME) to Environmental Specialist.

The CLIN extended description has changed from:

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2022 - 30 September 2023

To:

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 5.1 - 5.12.3. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 - 5.1.22. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2022 - 30 September 2023

CLIN 1001

The CLIN extended description has changed from:

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2023 - 30 September 2024

“Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 5.1 – 5.12.3. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 – 5.1.22. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2023 - 30 September 2024

CLIN 2001

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2024 - 30 September 2025

“Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 5.1 – 5.12.3. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 – 5.1.22. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2024 - 30 September 2025

CLIN 3001

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2025 - 30 September 2026

“Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 5.1 – 5.12.3. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 – 5.1.22. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2025 - 30 September 2026

CLIN 4001

Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 7.0 - 7.11. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 8.0-8.10. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2026 - 30 September 2027

S“Specific duties of the Industrial Hygienist will be performed IAW PWS Paragraphs 5.1 – 5.12.3. Specific duties of the Environmental Specialist will be performed IAW PWS Paragraphs 5.1.1 – 5.1.22. Only hours performed will be invoiced and paid.Period of Performance: 01 October 2026 - 30 September 2027

The following have been modified:

PERFORMANCE WORK STATEMENT

Department of Preventive Medicine

Environmental and Industrial Services Performance Work Statement (PWS)

19 May 2022

1. GENERAL: This is a non-personnel services contract to provide administrative support services to Brooke Army Medical Center (BAMC). The Government shall not exercise any supervision or control over the contract employees hereafter referred to as Contract Service Providers (CSP) performing services under this contract Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1 Description of Services/Introduction:

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform Administrative Support Services as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2 Background: Brooke Army Medical Center (BAMC) is the largest Medical Facility Treatment (MTF) in the Department of Defense, and houses the only verified Level I Trauma Center and accredited Burn Center in the DoD.

1.3 Objectives:

Scope: Industrial Hygienists and Environmental Specialists will assist the Chief, Preventative Medicine Division in providing general administrative support, training, education, surveillance, and reporting services to BAMC to meet regulatory requirements for the Texas Commission of Environmental Quality, the Joint Commission, The Health Administration, the American College of Pathology, the U.S. Pharmacopeia, and the Occupational Safety and Health Administration.

1.4 Period of Performance:

The period of performance shall be for one (1) Base Year of six months and 4 (four) 12-month option years. The Period of Performance reads as follows:

Base Year (FY23, 1 Oct 2022 – 30 Sept 2023) Option Year I (FY24, 1 Oct 2023 – 30 Sept 2024) Option Year II (FY25, 1 Oct 2024 – 30 Sept 2025) Option Year III (FY26, 1 Oct 2025 – 30 Sept 2026) Option Year IV (FY27, 1 Oct 2026 – 30 Sept 2027)

1.5 General Information

1.6.1 Quality Control Plan (QCP):

The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract. After acceptance of the Quality Control Plan (QCP) is to be furnished within 30 days after contract award or with the contractors proposal if it is an evaluation factor, three copies of comprehensive written QCP shall be submitted to the KO and COR within 5 working days when changes are made thereafter. After acceptance of the quality control plan the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his QC system.

1.6.2 Quality Assurance: The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This Government-only plan is primarily focused on what the Government will do to ensure that the Contractor has performed IAW contract performance standards.

The QASP provides a systematic method to evaluate performance to include how the performance standards will be applied, the frequency of surveillance, and the acceptable quality levels for each of the metrics identified in Exhibit 1, Performance Requirements Summary. The QASP is created with the premise that the Contractor is responsible for management and quality control actions to meet the terms of the PWS while the Government is responsible for quality assurance actions.

1.6.3 Recognized Holidays: The following is a list of legal Federal Holidays observed by the MTF. Any of the following holidays falling on Saturday will be observed on the preceding Friday and holidays falling on a Sunday will be observed on the following Monday.

New Year’s Day Labor Day Juneteenth Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.6.4 Hours of Operation: The contractor shall be responsible for conducting business, between the hours of 0600 - 1600 with one-hour nonworking, non-paid lunch break Monday thru Friday, not to exceed (40) hours per week excluding Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The contractor’s work hours shall be within the scheduled time frames at the site where the work is being performed. Some late or early hours may be required as specific wards, intensive care units, operating rooms, emergency rooms or other twenty-four operation facilities are open. Specific times shall be coordinated on a monthly basis between the COR and the contractor so as not to interfere with patient care. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor shall at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5 Place of Performance: The work to be performed under this contract shall be performed at Brooke Army Medical Center (BAMC) 3551 Roger Brooke Drive, JBSA Fort Sam Houston, Texas 78234-4505 and surrounding footprint.

1.6.6 Closures: During a planned closure of the facility due to training, holiday or unplanned closure due to unusual and compelling circumstances (e.g., natural disaster, military emergencies, severe weather), the Contractor shall only be compensated for the actual hours provided of services.

1.6.7 Periodic Progress Meetings: Contractor shall be required to attend periodic progress meetings at no additional cost to the Government. The terms at which the periodic meeting shall be conducted include quarterly meetings and within 10 business days of notification.

1.6.8 Security Requirements: Contractor personnel performing work under this contract shall have a background check at time of the proposal submission, and must maintain the level of security required for the life of the contract.

Work under this contract is UNCLASSIFIED. The Contractor shall comply with all applicable DoD security regulation and procedures during the performance of this contract. The Contractor shall not disclose and must safeguard procuring sensitive information, computer systems and data, Privacy Act data, and Government personnel work products obtained or generated in the performance of this contract.

1.6.9.1 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. The Contractor shall ensure all government facilities, equipment, and materials shall be secured at the close of each duty day.

1.6.9.2 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons.

NOTE: All references to keys include key cards. No keys issued to the Contractor by the Government shall be duplicated. The Contractor shall develop procedures covering key control that shall be included in the Quality Control Plan. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The Contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the Contracting Officer.

1.6.9.3 In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost shall be deducted from the monthly payment due the Contractor.

1.6.9.4 The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.9.5 Lock Combinations: The Contractor shall establish and implement methods of ensuring that all lock combinations are not 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 Quality Control Plan (QCP).

1.6.9.6 All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the COR and Contracting Officer (KO).

1.6.10 Special Qualification: The contractor shall be licensed by Texas as an Asbestos Consulting Agency, Lead Firm, and Mold Assessment Consultant Agency employing licensed personnel in the respective disciplines.

1.6.11 Post Award Conference/Periodic Progress Meetings: The Contractor shall agree to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.12 Contracting Officer Representative (COR): The (COR) shall be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.13 Key Personnel: The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 0700 – 1700 hours, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons.

1.6.14 Identification of Contractor Employees: All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties shall be required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They shall ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed. Contract personnel shall wear a badge that clearly identifies them as a contract employee. The badge will contain a personal picture, name of the employee, and Contractor’s name. Badges shall be worn on the outer garment in full view at all times, attached to the outer shirt or jacket pocket by a button or clip or worn around the neck secured by an appropriate identification card lanyard.

1.6.15 Contractor Travel: N/A

1.6.16 Other Direct Costs: N/A

1.6.17 Data Rights: The Government shall 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 shall not be used or sold by the contractor without written permission from the contracting Officer. 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.

1.6.18 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract shall 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 Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer 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 Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan shall be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer 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.

1.6.19 Computer Skill Competency: (CSPs) shall demonstrate competency as required in the contract and as follows:

(CSPs) shall demonstrate Computer competency to operate independently by utilizing and understanding of Microsoft Office applications, including Word, Excel and PowerPoint.

1.6.21. MTF Training: CSP shall remain current on all hospital required training within the specified timelines throughout the life of the contract

1.6.22. Immunization: The CSP shall be required to obtain immunization IAW the BAMC Memo 40-235 Immunization Requirements for Hospital Employees.

1.6.23.PHASE IN /PHASE OUT PERIOD : To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board, during the thirty (30) day phase in/ phase out periods. During the phase in period, the Contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

PART 2

DEFINITIONS & ACRONYMS

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

2.1.3. CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as 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 CONTRACT SERVICE PROVIDER (CSP). The term as used in this contract refers to the contract employee.

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

2.1.6. DELIVERABLE. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.7 DEFENSE MEDICAL HUMAN RESOURCE SYSTEM INTERNET (DMHRSi). DMHRSi is a system that consolidates military medical personnel information and provides enhanced reporting capabilities. It manages human resources for all medical personnel for the services entire military and civilian workforce using the Oracle 11iE-Business Suite to integrate processes for the Army, Navy and Air Force medical communities.

2.1.8. 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.

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

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

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

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

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

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

2.1.15. WORK WEEK. Monday through Friday, unless specified otherwise.

2.2. ACRONYMS: [List all acronyms used in the PWS and what they represent. At a minimum, insert the acronyms provided below].

ACOR Alternate Contracting Officer's Representative AFARS Army Federal Acquisition Regulation Supplement AFMOA Air Force Medical Operations Agency AHLTA Armed Forces Health Longitudinal Technology Application AR Army Regulation AT Antiterrorism ATCTS Army Training Certification Tracking System BAMC Brooke Army Medical Center CAC Common Access Card CCE Contracting Center of Excellence CE Computing Environment CFR Code of Federal Regulations CHCS Composite Healthcare System CME Contract Manpower Equivalent CMR Contracting Management Reporting COMPTIA Computing Technology Industry Association CONUS Continental United States (excludes Alaska and Hawaii) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative COTS Commercial-Off-the-Shelf CPARS Contractor Performance Assessment Reporting System 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 DMDC Defense Manpower Data Center DMHRSi Defense Medical Human Resources System-Internet DOD Department of Defense DSN Defense Switching Network EAS IV Expense Assignment System Ver IV e-QIP Electronic-Questionnaires for Investigations Processing FAR Federal Acquisition Regulation FCON Force Protection Condition FOIA Freedom of Information Act FSC Federal Service Code GME Graduate Medical Education HEDIS Healthcare Effectiveness Data and Information Set HIPAA Health Insurance Portability and Accountability Act of 1996 IA Information Assurance ICDB Integrated Clinical Database IM/IT Information Management-Information Technology JPAS Joint Personnel Adjudication System JTR Joint Travel Regulation KO Contracting Officer M2 MHS Mart MCDBA Microsoft Certified Database Administrator MCITP Microsoft Certified Information Technology Professional

MEDCOM Medical Command MEPRS Medical Expense Performance Reporting System MODS Medical Occupational Data System MS Microsoft MSR Monthly Status Report MTF Military Treatment Facility NAC National Agency Check OCI Organizational Conflict of Interest OCONUS Outside Continental United States (includes Alaska and Hawaii) ODC Other Direct Costs OPSEC Operations Security PIPO Phase In/Phase Out PMO Provost Marshall Office POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAMS Random Antiterrorism Measures SAPM Strategic Acquisition Program Management UIC Unit Identification Code QA Quality Assurance QAP Quality Assurance Program QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program TB Tuberculosis TE Technical Exhibit UIC Unit Identification Code WAWF Wide Area Workflow

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. GOVERNMENT FURNISHED ITEMS AND SERVICES:

3.1. Services: N/A

3.2 Facilities: The Government shall provide the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computer, and other items necessary to maintain an office environment.

3.3 Utilities: The Government shall provide all utilities in the facility will be available for the contractor’s use in performance of tasks outlined in this PWS. If utilities are furnished, the following is required: The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities.

3.4 Equipment: The Government shall provide contractor with access to equipment needed to perform tasks outlined in this PWS but is not limited to personal computers, copying machines, scanners, fax machines, class-A telephone lines and defense switching network (DSN) lines, as well as office space. These support items will be used only for government official business.

3.5 Materials: The Government shall provide materials required to adhere to the Standard Operating Procedures and Policies at the MTF.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. CONTRACTOR FURNISHED ITEMS AND RESPONSIBILITIES:

4.1 General: The following Contractor furnished items and services are required for this contract.

4.2 Secret Facility Clearance: N/A

4.3 Materials: N/A

4.4 Equipment: N/A

4.5 Certifications Required:

(1). Certified Industrial Hygienist (2). Certified Safety Executive (3). Registered Environmental Manager (4). Certified Environmental and Safety Compliance Officer (5). Certified Health Care Safety Professional (6). Asbestos Consultant for Texas (7). Asbestos Inspector for Texas (8). Lead Risk Assessor for Texas (9). Lead Project Assessor for Texas (10). Mold Assessor for Texas (11). Mold Technician for Texas (12). Texas Department Services Certified Training Provider for: Asbestos, Lead, and Mold (13). HAZWOPER Certified and Trainer Certified (14). OSHA Certified Trainer

PART 5

SPECIFIC TASKS

5. Specific Tasks: Industrial Hygienist

5.1 Shall complete all work and services as specified by the schedule in strict accordance with the specifications described below and shall be overseen by a Certified Industrial Hygienist by the American Board of Industrial Hygiene.

5.2 Shall conduct monthly Inspections of the BSL-3 Laboratory and quarter pressure ventilation inspections of operating suites. These inspections will include assessment of ventilation systems using a quantitative method approved by the BAMC IH. Contractor will enter results of the ventilation survey into the DOEHRS-IH database.

Deliverable: Inspection Checklist - BAMC IH, Deficiency report to O&M, Ventilation Assessment - record measurement data for supply and exhaust in each room representative of each ventilation system. Provide data in DOEHRS-IH database QA of data entry by BAMC IH.

5.3 Shall assist Facilities and Infection Control concerning ventilation and pressure issues.

5.4 Shall provide data to populate DOEHRS-IH local program office with existing ventilation systems that are designed to protect employee health. BAMC IH will develop baseline list of ventilation systems.

5.5 Document Preparation. Contractor shall assist in the preparation of the Environmental, Health, and Safety (EHS) Compliance memorandums, regulations, and guidance documents for BAMC.

5.6 Upon request from BAMC IH or BAMC EH collect samples for analysis of mold by a Texas Department of State Health service (TDSHS) licensed Mold Assessment Consultant.

5.7 Upon request from BAMC IH or BAMC EH collect samples to determine the presence of lead from painted surfaces by a TDSHS licensed Lead Risk Inspector/Assessor.

5.8 Upon request from BAMC IH or BAMC EH collect samples for determination of asbestos containing material by a TDSHS licensed Asbestos Inspector/Consultant.

5.9 U.S. Pharmacopeia, General Chapter 797, Pharmaceutical Compounding – Sterile Preparations. All Pharmaceutical Compounding locations (hoods and rooms) must be evaluated every six months in accordance with Chapter 797 of the U.S. Pharmacopeia. This includes particulate measurements for the ISO Classifications of particulates and flow directional measurements by a Certified Industrial Hygienist (CIH). (6 compounding laboratories)

5.10 Ventilation systems data shall be provided to BAMC-IH for entry into the DOEHRS-IH. Results will have quality assessment performed by BAMC IH.

5.11 Negative Pressure Rooms. The negative pressure rooms shall be smoke tested monthly with a resulting spread sheet distributed to Facilities, Infection Control, Preventive Medicine, and the O&M Contractor. (140+ negative and positive, 50 clean and soiled utility rooms, laboratories, and operating rooms.)

5.12 Perform inspection using a checklist to identify key indicators, requirements and deficiencies. Conduct visual qualitative assessment using air current tube. If results with air current tube are not conclusive, a manometer or similar device will be used. All results shall be recorded on checklist. Provide a copy of the report to facilities, Infection Control, Prev. Med and the O&M Contractor. Results shall be entered into a database. On the date designated by Infection Control, a summary of the surveys completed in the past month will be provided. Deliverable: Checklist - Facilities, Infection Control, Prev. Med, and the O&M Contractor. Checklist with deficiencies to O&M, Database Access Includes Contractor, Infection Control, Prev. Med (IH/EH), Monthly Summary Report Infection Control.

5.12.1 Upon request from BAMC IH or BAMC EH contractor shall perform testing 2 times per year for Hyperbaric Chamber compressed air IAW the Compressed Gas Association Grade E air.

5.12.2 Upon request from BAMC IH or BAMC EH contractor shall perform a monthly inspection of the BSL-3 Laboratory for compliance with the Army and CDC guidelines for the Laboratory Response Network.

5.12.3 Task Break Down for Industrial Hygiene:

Item Number Frequency Other Comments

Respond to Emergencies 75 24/7 Water intrusion, ventilation, ORs – average 2 per month after hours

Pressure Measurements:

Waste Pharmaceutical Rooms

100 Qtr. Training POC Physical Pressure (Pa) Mgmt.

Clean Utility Rooms 100 Qtr.

Physical Pressure (Pa) Mgmt.

Soiled Utility Rooms 100 Qtr.

Physical Pressure (Pa) Mgmt.

Laboratories 26 Qtr.

Physical Pressure (Pa) Mgmt.

Operating Rooms 35 Qtr.

All Surrounding Rooms

Physical Pressure (Pa) Mgmt.

Pressure Rooms 325 Monthly Smoke monthly pressure Mgmt. Qtrly

BSL-3 Inspection 1 Monthly Smoke, Pressure Mgmt., Smoke candle & Particle Dosimetry Annual

Lighting As requested Noise As requested Mold As requested Asbestos As requested Lead As requested Ventilation As requested additional Pressure Mgmts. As requested Odors As requested

Compounding Pharmacies 7 Semi- Annual

Each AQ over Certification

HMHW TJC Mgmt. Plan 1 Continuously Updated

Annual Evaluation and Annual Plan

Hyperbaric Air Testing 2 Semi- Annual

Test air for grade E from 2 tansk

Asbestos Sampling Upon Request Must be asbestos licensed in Texas

Lead paint testing Upon Request Must be asbestos licensed in Texas

Mold Sampling Upon Request Must be asbestos licensed in Texas

Respirator Fit Testing Assistance

Upon Request Assist and available

Other support within expertise

Upon Request

Meetings attended:

Environment of Care 6 Bi- Monthly

Prepare slides for EOC

Infection Control 100 Bi-Weekly Discuss Inf diseases and sources

Facilities/O&M Contractor

100 Bi-Weekly Discuss Vent or other issues

Energy Savings As Required

Reduction of vent on IC and TJC Standards

Water Mgmt. 6 Bi- Monthly

Misc. Ad Hoc 24

OR vent, pressure rooms, IC concerns

Training: (Provided to employees)

MHE (Fork Lift) 12

Required

Fork lift operators

Compressed Gas 2 Laboratories that use compressed gas cylinders

Oxygen Cylinder Testing 4 How to test oxygen cylinders and tanks for oxygen content

Warehouse HAZCOM and Spill

2 What do warehouse personnel do if they see a spill

HAZWOPER 1 Year 90 day hazardous waste operators

Lead, Asbestos, Mold Upon Request Per GSA contract training rates

Misc. (Scissors Lift, Ladder, Blue Print Reading, IAQ, etc.)

5.1.1 Specific Tasks: Environmental Specialists

5.1.2 Maintain a current hazardous materials inventory of activities using hazardous materials within BAMC facilities and supported organizations. Contractor shall ensure inventories are tracked as changes occur. The contractor shall use the Enterprise-Environmental, Safety, and Occupational Health Management Information System (EESOH-MIS) to track, monitor, and assist C, EH and IH with BAMC approvals concerning environmental compliance considerations, processes, personal protective equipment, and hazardous waste disposal.

5.1.3 Provide assistance to C, EH or designated DPM personnel escorting inspectors to satellite accumulation sites (SAP), hazardous pharmaceutical collection sites, the 90-day storage facility and other BAMC supported facilities, etc., associated with the hazardous waste program, this includes regulated medical waste and other environmental compliance inspections, assessments, assistance visits, or program reviews. Post audit, provide guidance on concerns or findings, attend in and out-briefs, and develop necessary reports and corrective actions

5.1.4 Maintain a waste stream inventory and request characterizations as appropriate. Assist C, EH in updating waste stream characterization process, and creation of waste characterization standard operating procedures for BAMC and supported organizations.

5.1.5 Satellite Accumulation Points (SAPS) and 90 Day Storage Facility Monitoring: Identify developing trends from the results of the monitoring and inspections and include in the monthly status report. Collect and lab pack required (approximately 10 per month) turn-ins after coordination with the Environmental Office, JBSA.

5.1.6 Inspect Satellite Accumulation Points (SAPs) quarterly on a 12 month basis using appropriate forms and special reports as needed. Provide to SAP Manager or Alternate SAP Manager, Logistics, and C, EH. Maintain a current SAP inventory, and maintain historical records of SAP sites, and inspections. Contractor will provide a monthly status report to the C, EH. Collect samples from SAP, sample strategy should include sample methodology, chain of custody, shipment, and receipt of results. Laboratory analysis shall be provided to Facilities and BAMC Prev. Med/EH. Deliverable: Checklist with results of inspection. The oversight shall be provided by a Registered Environmental Manager (REM).

5.1.7 Provide SAP training to ensure compliance with all rules, laws, regulations and standards. Provide training that is specific to the BAMC division, department, section, clinic or supported facility. The training shall be a minimum of one hour, and customer support must be provided to SAP managers, alternates, BAMC staff, and supported organizations as necessary. Maintain records of training; rosters, certificates, and develop a list of SAP managers/alternates, and their required dates for annual refresher training. Provide records to C, EH as requested and/or JBSA, or outside entity/agencies. This training shall be provided by a REM.

5.1.8 90-day storage facilities will be inspected monthly by the contractor. Document findings in writing and provide to Logistics Division, and C, EH. The inspection shall be used to ensure constant compliance with all rules, laws, and regulations, and JBSA HWMP. Organize, and maintain records for 90-day storage facility inspections and historical records.

5.1.9 Collect the hazardous waste from Histology, Cytology, Parasitology, and Core Lab and deliver it to Logistics for transport to the 90 day facility and provide Hazardous Waste Operations and Emergency Response refresher training for logistics personnel who transport/collect/store the hazardous waste and operate the 90-day storage facility.

5.1.10 Inspect pharmaceutical waste sites quarterly. Maintain an inventory of all pharmaceutical waste sites, indicating the specific types/steams of waste pharmaceuticals. Train pharmacy and clinical staff, providing site-specific instruction, and guidance, concerning safe, pharmaceutical waste management. Identify and train pharmaceutical hazardous waste SAP managers and alternates. Maintain training records of pharmacy/clinical staff trained, SAP manager and alternate, and track requirements for necessary refresher training. Ensure records are available to C, EH, JBSA and other external agencies. Collect black boxes (40+) from wards, ICUs, etc. and sort into DOT containers for proper disposal.

5.1.11 Contractor shall provide a monthly status report on all assigned PWS tasks to appropriate section chief by the 5th of the following month.

5.1.12 The annual review/evaluation of the plan shall be prepared by the contractor and submitted to the Proponent, C, DPM and through appropriate EOCC channels.

5.1.13 Contractor shall be prepared to collect water samples for compliance with 40 Code of Federal Regulations, EPA Safe Drinking Water Act, and TCEQ regulations for use of chlorine dioxide treated water in BAMC Central Energy Plant 2 entering the COTO tower for distribution. Monthly, a 3 sample set, will be collected, and sent to a TCEQ certified laboratory for ensuring compliance limits of the disinfection by-product chlorite. Contractor shall collect additional water samples as necessary. Contractor shall be able to test chlorine dioxide, chlorite, free, total, and combined available chlorine, pH and sample for bacteriological analysis and send to a TCEQ certified laboratory. DELIVERABLES: All data or laboratory results, quality assurance data obtained by contractor, and/or all documentation of sampling events, chains-of-custody, and results from certified lab shall be provided to the C, EH, not later than the 25th of month.

5.1.14 Attend all appropriate section meetings as requested to include providing input to the Water Manage Program meetings.

5.1.15 Provide technical consultation for the review, update, and preparation of Hazardous Material Hazardous Waste Plan for the TJC Environment of Care Committee. Deliverable:

Provide documentation to support the methodology and time (hour) required for all aspects of this consultation.

Provide reviewed document to BAMC Prev. Med.

5.1.15.1 Provide MHE (Forklift), Compressed Gas, and Oxygen Cylinder Testing as requested from BAMC logistics personnel.

5.1.16 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP).

The following minimum Quality Assurance Surveillance Plan (QASP) applies. The Government may modify assessment methods as deemed necessary through the term of the contract.

5.1.17 Industrial Hygiene PERFORMANCE OBJECTIVE PERFORMANCE STANDARD REF PBWS METHOD

ASSESSMENT.

5.1.18 Comply with the monthly pressure measurements of pressure rooms. Comply with performing the inspections 95% of the time

5.1.19 Completed checklist and comply with quarterly inspections of BSL-3. Comply with performing the inspections 95% of the time.

5.1.20 Provide Semi-annual USP 797 Inspections of the six compounding pharmacies with reports by end of the following month. Comply with performing the inspection 95% of the time.

5.1.21 Comply with monthly inspections of the SAPS. Comply with performing the inspections 95% of the time

5.1.22 Legal Authorization to Work in the United States: CSPs performing under this contract must either be a U.S. Citizen, or as defined by the department of Homeland Security, U.S. Citizenship and Immigration Services, either a noncitizen national of the United States, lawful permanent resident of the United States, or alien authorized to work in the United States.

5.3 CSPs shall be subject to the following additional security investigative processes, to include appointments with Security Managers:

a. The contractor providing service under this contract is required to initiate and document the new employee’s Electronic-Questionnaires for Investigations Processing (e-QIP) and coordinate, or validate through the BAMC Security Manager’s Office all background investigation requirements needed for employment at BAMC, or in BAMC organizations. Clearances will be validated using the Joint Personnel Adjudication System (JPAS) when a new employee begins in-processing after contract is awarded. The SF 85P Questionnaire for Public Trust Positions is to be completed and printed and electronic copies (downloaded from internet program) are to be hand carried to the BAMC Security Manager prior to performance. The Contractor shall have proof of U.S. citizenship (certified copy of birth certificate or naturalization papers) or a valid U.S. Immigration Form 1-151. As a minimum, the contractor providing service requiring operating government-furnished workstations that have access to Department of Defense e-mail and requiring unescorted entry to a restricted area/Controlled Areas, must successfully complete a National Agency Check (NAC). The contractor shall coordinate and schedule appointments with the BAMC Security Manager prior to performance. The BAMC security manager will initiate the Request for Personnel Security Action, review the security questionnaire and request a Local File Check from the Provost Marshall prior to scheduling an appointment with the Security Specialists to submit the e-QIP for processing. This security questionnaire must be completed and processed by the BAMC Personnel Security Office prior to contract performance. The contractor is responsible for monitoring the coordination and completion of the scheduled appointment date and time with the Security Manager.

b. Freedom of Information Act Program (FOIA and Privacy Act). The contractor shall comply with DOD Regulation 5400.7-R, DOD Freedom of Information Act Program requirements. The Freedom of Information Act sets policy and procedures for the disclosure of records to the public and for marking handling transmitting and safeguarding For Official Use Only materials.

c. Reporting Requirements. The contractor shall comply with DoD 5200.2-R, January 1987, Personnel Security Program and AR 380-67, 9 September 1988, Department of the Army Personnel Security Program Regulation.

Contractor shall report to the BAMC Security Manager any information or circumstances which may pose a threat to DOD or contractor personnel, resources, or DOD information.

5.3.1 CSPs shall be subject to the following security processes for fingerprints: Collection of fingerprints, either electronically or by ink and paper.

5.3.2 The CSP shall complete either a SF-86 Questionnaire for National Security Positions (or equivalent Office Personnel Management (OPM) investigative product).

5.4 Overage Hours: CSPs shall not accrue compensatory time. The make-up of lost time is not allowed.

5.5. Billing for Services: The Contractor shall only be paid for the actual hours the CSP provides services.

5.6. Fill Rate: The minimum level of metrics maintained level include CSP overall fill rate, on-time fill…