Final_Amendment_0001.pdf

W40M USA HLTH CONTRACTING ACT

SOUTHERN REG CONTR OFC

POC: ROBYN A. VILLAFRANCO

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

0010850402

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

The purpose of this Amendment (0001) is to incorporate Questions & Answ ers related to the solicitation.

In addition, there w ere PWS revisions and a Sample Compensation Plan template w as attached for your guidance and optional use.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 15

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

16C. DATE SIGNED

BY 24-Aug-2016

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 W81K00-16-T-0230

X 9B. DATED (SEE ITEM 11)

15-Aug-2016

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

23-Aug-2016

CODE

W40M USA HLTH CONTRACTING ACT

SOUTHERN REG CONTR OFC

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K00-16-T-0230

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been added by full text:

QUESTIONS & ANSWERS

Q1. Is the preferred delivery of the proposal via the FBO.gov portal or electronically via email?

A1. Please reference Addendum to 52.212-1 for submission instructions.

Q2. Who is the incumbent(s) on this project? If more than one, how many are there?

A2. Please reference Presolicitation Notice W81K00-16-T-0230 on FedBizOpps.Gov. (FBO)

Q3. If there is an incumbent, what is contact value of their contract?

A3. $154,881.00 (W81K00-14-F-0266) & $34,561.556 (W81K00-16-F-0034)

Q4. How many awards will there be?

A4. Please Reference Addendum to 52.212-2 Paragraph (a).

Q5. With regard to the subject acquisition for Industrial Hygienist, can you please clarify the number of full time employees requested for this contract? Is it for one Industrial Hygienist or multiple?

A5. The Industrial Hygienist requirement is for 1,920 hours.

Q6. How many full time and/or part time do you anticipate needing on this contract?

A6. Please reference the Schedule of Supplies/Services for the number of hours required per FTE on this solicitation.

Q7. Do you anticipate the contractor to be on site during JBSA hours of operation?

A7. The Industrial Hygienist and Environmental Specialist are expected to be onsite while performing the required hours as listed in Schedule B of the solicitation.

Q8. For costing purpose, is the contractor need to be present for the duration of the contract? For example, if the contractor’s employee takes a vacation, do you require another employee need to be present during that time?

A8. The Contractor shall be required to fill the required hours for the Industrial Hygienist and Environmental Specialist.

(End Q & A)

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT

1.0. GENERAL.

Non-personal services: The contractor shall furnish all necessary labor, supervision, personnel, and transportation necessary to complete the required tasks as described herein in direct support of Brooke Army Medical Center (BAMC) facilities. The quality of service provided must meet or exceed the standards of The Joint Commission, the Occupational Safety and Health Administration, the American College of Pathology, and the U.S. Pharmacopeia.

The contractor shall provide environmental services to support one or more of the following programs: environmental health and compliance, industrial hygiene and occupational health programs in direct support of BAMC, as needed/regulated by the Texas Commission on Environmental Quality (TCEQ), U.S. Environmental Protection Agency (EPA), and/or other federal, state and local regulatory agencies: Hazardous Waste (HW) Program, Hazardous Materials (HM) Program, Air Program, Storm Water Program, Drinking Water Program, Industrial Hygiene and Occupational Health surveys and assessments, Natural Resources Management Program, Environmental Management System (EMS) Program, Sustainability/Pollution Prevention (P2) and other public health programs as necessary. The Department of Preventive Medicine works in tandem with multiple Divisions and Departments within BAMC and with Joint Base San Antonio. This PWS outlines the current known requirements and deliverables as identified by BAMC DPM, federal, state and local regulatory agencies, centers, standards and guidelines.

1.1. Identification Badges. Contractor personnel shall at all times, while in any BAMC owned or occupied facility, wear contractor furnished badges clearly identifying the name and company of the firm they work for or the BAMC badge identifying them as a contractor.

2.0. POLICY AND REQUIREMENTS

It is Department of Defense (DoD) policy to use innovative and sustainable approaches to environmental management and technology to accomplish its mission. Sustainable projects may reduce the burden of compliance for BAMC and are intended to not deplete resources, degrade the environment, nor impact human health. The contractor shall incorporate pollution prevention (P2) and sustainability initiatives into all aspects of this contract. The contractor shall operate in a manner that promotes energy management to include energy efficiency, use of renewable energy, and water conservation. The contractor shall comply with BAMC and Joint Base San Antonio’s Environmental Management System. The contractor, as directed by C, EH will participate in JBSA’s Environmental Compliance Assessment Program (ECAMP) and any DA and AF sustainability operations and requirements.

The contractor shall function as an integral team member in support of BAMC, as part of the Department of Preventive. Contractor will provide assigned deliverables to the DPM section chiefs as applicable for review, approval, and distribution to appropriate entities.

Requirements include efficient management of this contract, and are not limited to, the submission of accurate, on-time, quality deliverables and timely identification and solutions of impediments to successful execution. Technical requirements include, but are not limited to, early involvement in the process to allow for the development of the most cost-effective, technically sound, environmentally sustainable approach or solution. Chief, Department of Preventive Medicine and subordinate section chiefs will elicit and consider the contractor’s inputs when recognizing and addressing problematic issues, providing recommendations, reports and follow-ups for successful execution of this PWS.

The contractor shall perform all work outlined in the PWS and cannot operate in contradiction to applicable federal, state, and local statutes and regulations, Executive Orders (EOs), DoD policies and instructions, BAMC policies and JBSA 502 Air Base Wing, and 502d Civil Engineering Squadron programs, plans, policies and requirements. The contractor shall be immediately capable of understanding and addressing environmental laws and regulations as they pertain to work performance under this contract.

2.1. Continuation of Essential DOD Contractor Services during Crisis. The performance of these services are not normally expected to be mission essential during time of crisis (e.g., FPCON level is elevated to a point where installation access becomes limited) unless otherwise stated by C, DPM.

3.0. GOVERNMENT FURNISHED PROPERTY AND SUPPLIES.

The government will provide office space at the San Antonio Military Medical Center, Bldg 3600/3608, and furnish all equipment and supplies required for the performance of tasks described herein.

3.1. The contractor shall not utilize the property provided by the government for any purpose other than in the performance of this contract.

4.0. ADMINISTRATIVE AND MANAGERIAL REQUIREMENTS

4.1. Coordination with BAMC or other Government Offices

The contractor is responsible for completing specific tasks as assigned and completing those tasks to the satisfaction of authorized BAMC officials in the Department of Preventive Medicine: C, DPM, C, EH, C, IH and C, OH. In the event of an exercise at BAMC/JBSA, the contractor will assist in the contracted areas of subject-matter-expertise. The contractor will provide RMW/HM/HW/P2 data and regulatory guidance/consultation, as requested, to support the exercise. The contractor, at the discretion of the DPM and section chiefs, may also be required to interface with other BAMC Departments, JBSA or other Department of Defense staff components on certain tasks to include, but not be limited to, legal and public affairs. The types of tasks that the contractor may be asked to perform include, but are not limited to, environmental compliance, public, occupational health and safety.

4.2. Regulatory Interface

The contractor shall assist in the application of general and site-specific regulatory requirements that pertain to BAMC and remain current with changing DoD and federal, state, and local statutes and regulations.

Contractor will identify self as contractor when communicating, to include in person, email, reports and other documents. The contractor is not an employee of the Government and shall not represent the Government in an official or unofficial capacity without the express prior written permission from the C, DPM and/or the C, EH. This notwithstanding, in the event that any regulatory representative approaches the contractor with a stated intent to inspect the activities of the contractor without the previous direction of the C, EH, the contractor shall respectfully inform the regulatory representative that inspection must be delayed until the C, EH or designated representative is properly notified. If this is not possible, due to constraints, the contractor shall notify the C, DPM, and/or the DPM Administrative Officer (AO) at the earliest possible time following the inspection.

All communication of concern to BAMC or from an outside Command, agency or entity including: planned or unplanned inspections, assistance requests, or visits or response to public health/preventive medicine emergencies must be reported to the C, DPM and/or the applicable section chief as soon as possible. Contractor will not contact regulatory agency on behalf of BAMC, DPM, or JBSA without the prior consent of Chief, JBSA Environmental Compliance (502

CES/CEIEC).

4.3. Document Preparation.

Any document preparation accomplished by the contractor that has legal consequence to BAMC and the DPM must be submitted to the appropriate section chief for review and routing.

Documents of legal consequence include, but are not limited to:

• Any document requiring affirmative certification by an BAMC official that the contents of the document are true and correct to the best of his or her knowledge (e.g., Resource Conservation and Recovery Act [RCRA] permit applications);

• Any document that could lead to administrative or criminal sanctions against BAMC if the information is determined to be incorrect, misleading, or inaccurate; or

• Any document providing information about internal BAMC operations being requested by an external agency as part of an inspection, investigation or inquiry.

4.4. Reporting Noncompliance.

The contractor shall immediately report any non-compliance with applicable federal, state, or local laws rules, or regulations to the C, EH, or directly to the C, DPM , other DPM Section Chief, or DPM NCOIC if the C, of EH is not immediately available.

4.5. Coordination with Other Contractors.

The contractor shall cooperate fully with other contractors and Government employees. The contractor shall not commit any act that will interfere with the performance of work by any other contractor or Government employee. The C, EH will resolve work schedule conflicts between this contract and other contracts. The C, EH will provide written direction to the contractor to reschedule work when required.

4.6. Health Risks.

The contractor must immediately report to the appropriate section chief verbally, telephonically or electronically, any issues or incidents which may indicate potential imminent risk to contracted, federal, or local personnel, the public at large, or the environment. Following the verbal or e-mail notification, a written notice with supporting documentation, to include photographic documentation whenever appropriate, will be prepared and delivered to the C, EH.

Upon request of the CO, or the COR, the contractor shall provide pertinent raw laboratory data immediately (not to exceed two [2] weeks) via e-mail, and then provide final results and laboratory quality data via standard mail as soon as possible.

4.7. Identification and Change of Critical Contractor Personnel.

The contractor shall submit an organizational chart displaying key personnel involved in the effort, their organization, and their roles and responsibilities. The contractor shall immediately notify the CO and COR, in writing or email, of any changes in key contractor personnel. The contractor shall obtain CO and COR approval of any proposed changes in contract personnel along with the steps taken/proposed to ensure there are no impacts to the schedule or costs associated with individual tasks. The contractor shall identify to the CO and COR all sub-contractors to be used under this contract, issued pursuant to this PWS, prior to signing any subcontract or initiating any work. The contractor shall provide sub-contractor written documentation of qualifications and defined roles and responsibilities to the CO and COR prior to sub-contractor utilization.

5.0. SCHEDULING OF WORK.

5.1. 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 are to be coordinated on a monthly basis between the COR and the contractor so as not to interfere with patient care.

5.1.a. When the contracted employees take vacation, these positions must be backfilled.

5.2. The time required traveling roundtrip from the contractor’s facility/office to the site where performance will occur shall not be considered time spent in performance.

6.0. INVOICING. Contractor shall bill monthly for the services using the WAWF/iRAPT system.

7.0 Industrial Hygienist Tasks.

Contractor shall complete all work and services as specified by the schedule in strict accordance with the specifications described below:

7.1. Contractor will conduct Semiannual Inspections of laboratories, central material supply, morgue, 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. Input data in DOEHRS-IH database QA of data entry by BAMC IH

7.2. Contractor will attend training on the DOD DOEHRS-IH database. The BAMC IH will grant access to the local program office. All work entered by the contractor will undergo a quality assessment (QA) per the DA Pam 40-501 requirements. Deliverable: Training certificate for training. Travel and expenses for training are at cost of contractor. There is no cost associated with training course.

7.3. Contractor will 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.

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

7.5. Upon request from BAMC IH or BAMC EH collect samples for analysis of mold.

7.6. Upon request from BAMC IH or BAMC EH collect samples to determine the presence of lead from painted surfaces.

7.7. Upon request from BAMC IH or BAMC EH collect samples for determination of asbestos containing material.

7.8. 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. (6 compounding laboratories)

7.9. Ventilation systems will be entered in DOEHRS-IH. Results will have quality assessment performed by BAMC IH.

7.10. Negative Pressure Rooms. The negative pressure rooms will be smoke tested monthly with a resulting spread sheet distributed to Facilities, Infection Control, Preventive Medicine, and the O&M Contractor. (140+ rooms).

7.11. 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 will be recorded on checklist. Provide a copy of the report to the ward inspected, Infection Control, and Prev Med. Results will 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 - ward, Infection Control, Prev Med, Checklist with deficiencies to O&M, Database Access Includes Contractor, Infection Control, Prev Med (IH/EH), Monthly Summary Report Infection Control

8.0. Environmental Compliance (Hazardous Waste Hazardous Materials) Specialist Tasks.

Contractor shall complete all work and services as specified by the schedule in strict accordance with the specifications described below:

8.1. Maintain a current hazardous materials inventory of activities using hazardous materials within BAMC facilities and supported organizations. Contractor must ensure inventories are tracked as changes occur. The contractor will use the Enterprise- Environmental, Safety, and Occupational Health Management Information System (E- ESOH-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.

8.2. 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.

8.3. 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.

8.4. 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.

8.4.1. 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 will be provided to Facilities and BAMC Prev Med/EH. Deliverable: Checklist with results of inspection

8.4.2. 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 will 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.

8.4.3. 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 will 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.

8.4.4. 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.

8.5. 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.

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

8.7. The contractor will assist the C, EH with the annual HMHW Management Plan to meet The Joint Commission requirements for Environment of Care Standards. The annual review/evaluation of the plan will be prepared by the C, EH and submitted to the Proponent, C, DPM and through appropriate EOCC channels.

8.8. Contractor will 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 will collect additional water samples as necessary. Contractor must 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 will be provided to the C, EH, not later than the 25th of month.

8.9. Attend all appropriate section meetings as requested

8.10. 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.

9.0. 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.

9.1. Industrial

Hygiene

PERFORMANCE

OBJECTIVE

PERFORMANCE

STANDARD

REF PBWS

METHOD

ASSESSMENT

Comply with Semiannual Inspections of laboratories, central material supply, morgue, operating suites.

Comply with performing the inspections 95% of the time

7.1

Completed checklist ventilation survey form and DOEHRS- IH data input

Comply with quarterly inspections of BSL-3

Comply with performing the inspections 95% of the time

7.12 Completed checklist

ventilation survey form and DOEHRS- IH data input

Comply with semi-annual inspections of

BSL2

Comply with performing the inspections 95% of the time

7.13 Completed checklist

ventilation survey form and DOEHRS-

IH data input

10. Contractor Manpower Reporting.

10.1 Contractor Manpower Reporting. The Office of the Assistant Secretary of the Army (Manpower &

Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report

ALL Contractor manpower (including subcontractor manpower) required for performance of this contract.

The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/. The required information includes:

(1) Contracting Office, KO, COR;

(2) Contract number, including task and delivery order number;

(3) Beginning and ending dates covered by reporting period;

(4) Contractor name, address, phone number, email address, identity of Contractor employee entering data;

(5) Estimated direct labor hours (including sub-Contractor);

(6) Estimated direct labor dollars paid this reporting period (including sub-Contractor);

(7) Total payments (including sub-Contractor);

(8) Predominant Federal Service Code (FSC) reflecting Services provided by Contractor (and separate predominant FSC for each sub-Contractor if different);

(9) Contractor title associated with the Unit Identification Code (UIC) for the Army Requiring

Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information);

(10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the

United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website);

(11) Presence of deployment or contingency contract language; and,

(12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country).

10.2. Periods to Report:

CLIN 0002: 1 October 2016 – 30 September 2017

CLIN 1002: 1 October 2017 – 30 September 2018

CLIN 2002: 1 October 2018 - 30 September 2019

CLIN 3002: 1 October 2019 – 30 September 2020

CLIN 4002: 1 October 2020 – 30 September 2021

10.3 The reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the COR by the 5th working day of November of each government fiscal year whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the KO.

11. Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP)

11.1. Reporting requirements required by OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), dated 12 November 2013.

11.2. The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

11.3. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a

Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or

Government personnel, or other individuals.

11.4. The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and

Prevention (SHARP) training not later than 60 calendar days after contractor personnel begin performance under this contract. Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by MEDCOM on an every other month basis by contacting (210) 221-6118 for class date/time and availability. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning

Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp.

12. Local Clause 5008

Exclusion from Participation in Federal Health Care Programs (October 2015)

12.1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector

General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The

Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, whether or not such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-

Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

12.2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the

Lists and no such names appear on either of the Lists.

12.3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter “new persons”) providing services or items under the contract, the

Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

12.4. The Contractor is advised that during performance of the contract, MTF personnel will perform a recurrent recheck of the names of contractor personnel working in the MTF against the Lists, as specified in

OTSG/MEDCOM Policy Memo 15-037. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

12.5. Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall (a) in cases where the Contractor identified the person, notify the

Contracting Officer, and (b) promptly remove that person from the contract.

12.6. Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

http://www.atsc.army.mil/tadlp/delivery/alms.asp http://oig.hhs.gov/fraud/exclusions.asp http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers

12.7. The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42

USC § 1320a-7a):

a. There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services.

b. Billing under the contract for provision of items or services by a person on either List may also result in exclusion of the person that employs or contracts with such person.

12.8. HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal

Health Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf.

(End of Clause)

(End of Summary of Changes) http://oig.hhs.gov/exclusions/files/sab-05092013.pdf