Amendment_0003.pdf

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

This amendment is issued as follow s:

1. To provide answ ers to Vendor questions.

2. Clause 52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997) has been deleted and supersedes response in Amendment 0002 regarding this clause.

3. Paragraphs 1.14I Investigation Requirements and 1.18 Government Computer Access Requirements have been changed.

All offerors shall acknow ledge this amendment and return it w ith their offer.

1. CONTRACT ID CODE PAGE OF PAGES

S 1 153

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

16C. DATE SIGNED

BY 27-Feb-2018

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 W81K00-18-R-0005

X 9B. DATED (SEE ITEM 11)

07-Feb-2018

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

27-Feb-2018

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

JBSA FT SAM HOUSTON TX 78234-0000

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

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K00-18-R-0005

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:

AMENDMENT 0003- Q&A

Responses to Vendors Questions_ Amendment 0003 Solicitation W81K00-18-R-0005- Administrative Support Services

1. Can the govt. provide a minimum or estimated time for government background /security processing for a person with no investigative issues?

Response: Procurement of a security clearance is a phased process affected by a variety of factors;

therefore, it is difficult to cite a specific time period as requested. However, in general 30-45 days, per BAMC Security Manager, are involved for completion of a fingerprint validation check prior to issuance of a Common Access Card (CAC) allowing an individual to start employment.

2. What is the historical turnover rate?

Response: 15% to 18%

3. Being this is an Indefinite Delivery Indefinite Quantity (IDIQ)/ Firm Fixed Price (FFP) contract, will the Government consider adding a CLIN for management?

Response: The solicitation requirement will not be changed.

4. Based upon, Executive Order (EO) 13706, Establishing Paid Sick Leave for Federal Contractors, shouldn’t the Productive Hours be 1864, instead of 1920?

Response: No. The hours will remain as is on the solicitation.

5. Can IDIQ contracts be treated as one reference, although they may contain multiple task orders?

Response: An IDIQ contract is one contract which task orders are issued against, so an IDIQ contract would be considered one contract. We will not accept combined IDIQ contracts (different contract numbers) and consider it as one reference.

6. Please clarify the following two (2) positions and their appropriate Wage Determination (WD) classification:

1). Management Analysts (p. 16) and 2). Project Management Analyst, p. 17.

Question: If these positions are intended to be Exempt Level positions, will the Government please provide a complete position description which includes minimum education and experience requirements?

Response: These are the only labor categories that are not directly listed on WD and based on the task of these positions we crossed them with related labor categories.

Education Technician – Educational Technologist on the Wage Determination.

Medical Clerk II and III- General Clerk II and III on the Wage Determination.

Case Management Assistant has been changed to Case Manager Administrative Assistant–

Administrative Assistant on the Wage Determination Project Management Analyst has been changed to Project Administrative Assistant –

Administrative Assistant on the Wage Determination

Management Program Analyst- Secretary III on the Wage Determination

7. Is the position title, Management Program Analysts (Addendum-Y, p. 260) one and the same as the Project Management Analysts, listed in the Bid Schedule?

Response: Reference response to question #6.

8. Can you please clarify if the Project Management Analyst listed in the CLIN Supplies and Services is the same position as the Contract/Program Manager identified in PWS Section 4.2.4. If not, what are the qualifications of the Project Management Analyst position?

Response: Project Management Analyst the CLINs is now changed to READ Project Administrative Assistant.

Response: PWS Section 4.2.4- Contractor shall provide Contract/Program Manager and or Alternate.

These are people the offeror will provide to manage the contract.

9. Will the positions in CLINs 0009 and 0010 be supporting the function in Addendum-Y, p.260, the Resource & Governance Branch-Information Management Division Joint Base San Antonio (JBSA), Fort Sam Houston, Texas?

Response: Reference the PWS Addendum descriptions.

10. Regarding Attachment 5- Immunization Requirements:

Question/Clarification:

Question 1. Please clarify which of the following immunizations are required for this contract as we believe Hepatitis B (employees participating in direct patient care or invasive procedures) and Hepatitis A (food service personnel) are not applicable to this procurement.

Question 2. Would the Government also please clarify which immunizations are required per Labor Category?

Question 3. Would the Government consider the employee’s medical records as adequate documentation if the employee had previously been vaccinated for the specified appropriate immunization?

Response: Reference Responses to Amendment 0001 and Solicitation.

11. Paragraph 2.B mentions, “For the Government to consider the present and past performance relevant, the offeror should have managed over 100 full time equivalent positions disbursed across multiple Federal Government departments/clinics for at least one of the offerors present or past performance reference list.”

Question: Will the Government accept the offeror’s team member’s past performance that meets the 100 FTE requirement for positions that are included in a government contract with the department of the Navy on a military base OCONUS?

Response: Yes, the prime/subcontractor relationship will be evaluated for present and past performance.

This prime/subcontractor relationship must be clear to the Government.

12. This PWS paragraph states the transition period is at no cost to the Government and spans a 2 week period prior to commencing full performance on the contract start date, which is assumed to be 1 Jul 2018 as specified for the 000X series of CLINs. It also states the Contractor shall have personnel on board during the transition period. Please clarify the Government’s expectations for the personnel to be on board during transition. Are we correct to assume these are Contractor management personnel becoming familiar with requirements rather than direct support staff from the predecessor contract (or any needed replacements), as there will be no contract coverage for direct staff prior to 1 Jul?

Response: The transition period will take place from the date of contract award until full performance begins 1 July 2018. The contractor will have this time to orient themselves to the contract requirement and getting their Contract/Program Manager and or Alternate up to speed. There will be no break in service from the incumbent contract to the awardee.

13. Please clarify 4.2.4.5 Certifications. There is no indication within the PWS that requires any one of the positions to operate or maintain a government vehicle. Does the government intend for contract personnel to drive, operate, and/or oversee a government vehicle transportation section?

Response: According to solicitation requirement.

14. Past Performance Questionnaire: In this section, it states that the PPQs shall be received by the specified due date (March 7, 2018) for receipt of offers. However, the PPQ file states the questionnaires are due March 6, 2018. Please clarify which is the correct date.

Response: The solicitation states PPQ is due by 6 March 2018. Solicitation closes 7 March 2018 at 10:00a.m., Central Standard Time.

15. Administrative: SF1449. Please confirm that the Administrative section is a separate file submission from the three proposal volumes (Technical and Management Capability; Past Performance; and Price).

Response: Administrative Information is a stand alone document and is not included in the count.

16. Administrative: Regarding the title page – please confirm that the title page and table of contents should be included within each volume.

Response: Reference response to question 15.

17. Addendum P and P1 appear in the RFP twice. Are these two additional positions or was this mistakenly included in the RFP?

Response: As stated in the solicitation.

18. States that the candidate should possess 2 years of experience as an administrative assistant. Will the Educational Technician be engaged in the same activities as an Administrative Assistant?

Response: As stated in the solicitation PWS/and PWS Addendums.

19. States that the candidate should possess 1 year of experience in the application of drafting techniques.

Reading statistical tables and making arithmetical computations. Would the Government please expand on what is meant by “application of drafting techniques?”

Response: Addendum F1: Education Technician-The drafting techniques are for the department webpage.

20. Which labor categories referenced in the PWS are subject to SCA wage determination?

Response: Reference question 6.

21. The requirement states that a Contract/Program Manager and/or Alternate must be provided as Key Personnel.

Since this is a required position of the contract, will the Government provide pricing instructions or a designated CLIN for the reimbursement of the two individuals time associated with managing the contract?

Response: There is no CLIN for these key personnel. The Government will not instruct offerors on how to include these costs in your proposal, but the requirement stands as it is listed in the solicitation.

22. There is a job description for a Management Program Analyst however that job title is not listed within the CLINs.

Is this the job description for the Project Management Analyst or the Management Analyst?

Response: Reference response to question 6.

Where are the position descriptions for the Management Analyst and the Project Management Analyst?

Response: Reference PWS Amendment 0002.

Was the job description for the Management Analyst and the Project Management Analyst accidentally left out?

Response: Reference PWS Addendums Amendment 0002.

23. If we cannot get a Contracting Officer to respond to a PPQ because past performance in done at the task order level, will a CPARS report be acceptable to demonstrate 100+ employees?

Response: No. Reference 52.212-1 paragraph 2(b)

24. The transition period is two weeks. Can we expect a full 14 days to include weekends?

Response: Yes.

25. What is the estimated award date?

Response: Approximately 14 June 2018

26. Does the Accounting III Team Lead need to possess one year experience with insurance billing, collecting, and/or basic understanding of inpatient, outpatient, and observation coding just as the Accounting III must have? If so, it is not listed in the qualifications.

Response: Reference the solicitation PWS and PWS Addendums

27. Please identify the labor categories that are exempt from the Service Contract Act (SCA).

Response: Reference response to question 6.

28. With the award based on the best value, LPTA continuum, we anticipate that pricing will be very competitive. This potentially leads to bidders proposing prices where the cost elements do not meet Service Contract Act (SCA) requirements, resulting in risk against contract performance and service continuity. As such, we request that the government perform a cost realism analysis of bidder prices to ensure that cost elements comply with SCA requirements.

Response: Reference solicitation Clause 52.212-2

29. We understand that incumbent anniversary dates will be provided after contract award. This information is, however, essential to bidders to prepare compliant and competitive bids. If anniversary dates will not be provided now, will the government please provide the number of employees that have more than five years of service on this contract, and the number of employees that have more than fifteen years of service on this contract?

Response: Reference Amendment 0002 posted 26 February 2018, Attachment E Anniversary Dates.

30. Please advise which positions at which locations will require handling of pathogenic specimens, bloodborne pathogens or other body fluids.

Response: Reference the solicitation PWS and PWS Addendums.

31. Please provide the number of Medical Clerks supporting Department of Pathology and Laboratory Services.

Response: This is an IDIQ contract and the minimum guarantee is $2,500.

32. Please provide a breakdown of the 241 current positions. We like to know the number of current positions in each department.

Response: This solicitation is for an IDIQ contract. Each task order issued will contain the required information. The minimum guarantee on this contract is $2,500.

33. How many of the 241 positions are currently vacant?

Response: This solicitation is for an IDIQ contract. Each task order issued will contain the required information. The minimum guarantee on this contract is $2,500.

34. Please confirm that we do not need to insert a unit price for items where quantity is undefined, such as Item No. 0001 (Accounting Clerk Services).

Response: That is correct.

35. Do meeting with the COR, per 4.2.4, need to be onsite, or can the meetings be conducted by telephone?

Response: Face to face because somethings will require attention and onsite contract management due to size of this contract and number of FTEs that will be providing the services.

36. The synopsis on FBO indicates a start date of July 1, 2018, while the RFP indicates a start date of April 1, 2018. Which is correct?

Response: 1 July 2018

37. This PWS paragraph states the transition period is at no cost to the Government and spans a 2 week period prior to commencing full performance on the contract start date, which is assumed to be 1 Jul 2018 as specified for the 000X series of CLINs. It also states the Contractor shall have personnel on board during the transition period. Please clarify the Government’s expectations for the personnel to be on board during transition. Are we correct to assume these are Contractor management personnel becoming familiar with requirements rather than direct support staff from the predecessor contract (or any needed replacements), as there will be no contract coverage for direct staff prior to 1 Jul?

Response: Reference response to question 12.

38. Please confirm who the key personnel are for this requirement.

Response: As required listed in the solicitation.

39. Will the government provide a workspace for the key personnel?

Response: No.

40. Please clarify if the Contract/Program Manager, as stated in 4.2.4, will required to be on-site.

Response: The requirement stands as is on the solicitation.

41. Please clarify if the Contract/Program Manager, as stated in 4.2.4, is a full-time position.

Response: The Government will not instruct offerors on how to meet the requirements of the contract, but the requirement stands as it is listed in the solicitation.

42. If we submit a past performance reference for work that comprises over 100 FTEs, but for services that are dissimilar for this requirement, will the past performance be considered “relevant”?

Response: Reference 52.212-1 paragraph 2b.

43. Further, PWS paragraph 1.14 states, "The Contractor providing service under this contract is required to initiate and document the new employee's Electronic Questionnaires for Investigations Processing (e-QIP).

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 SAMMC Security Manager prior to performance." These referenced security requirements are both confusing and contradictory, as Contractors do not have the ability to initiate SF85Ps or NACIs through JPAS. We believe that the true requirements, as set forth, are that the Government will request the SF85P, then route and perform the necessary due diligence to meet the requirements of this contract and that we (Contractor) will be responsible to ensure the individual responds to information requests in a timely manner and that the process moves forward.

Will the Government please concur with our determination or provide sufficient clarification as to the security requirements?

Response: Paragraph 1.14. Investigation Requirements now READS as follow: The Contractor shall ensure all personnel performing under the contract are required to maintain a minimum of a favorably adjudicated Tier 1 (T1) formerly known as National Agency Check with written Inquires (NACI) for IT Level III access or Tier 3 formerly known as a National Agency Credit and Law Check (NACLC) for IT-II access. The contractor must coordinate with the Contracting Officer Representative (COR) to initiate the Request for Personnel Security Action prior to performance start date. U.S. Citizenship will be verified by presenting original or certified copy of birth certificate, certificate of citizenship/naturalization issued by Immigration Naturalization Service (INS), or born aboard certificate (Form FS-240 or DS-1350) or a valid U.S. Immigration Form 1-151 and Alien Registration Card ("Green Card") to the BAMC Personnel Security Office at the time of in processing for all contract personnel assigned to the contract. In order to maintain the security eligibility any derogatory information, to include law enforcement issues, mental health issues, or alcohol/drug related issues must be reported to the COR and to the BAMC Personnel Security Office.

Response: Paragraph 1.18. Government Computer Access Requirements now READS as follow: Contract Service Providers, required by this contract, to have access to government computers, shall successfully complete the "Tier 1 (T1) formerly known as National Agency Check with written Inquires (NACI). These investigations shall be submitted by the government at no additional cost to the Contractor. Common Access Cards (CACS) for Contract Service Providers are required which is hereby incorporated by reference if not otherwise included. The Contractor shall comply with Homeland Security Policy Directive (HSPD) - 12, Policy for Common Identification Standard for Federal Employees and Contractors and Federal Information Processing Standard 201.

44. Can the govt. provide a minimum or estimated time for govt.

background/security processing for a person with no investigative issues:

For new employees?

For incumbent staff?

Response: Procurement of a security clearance is a phased process affected by a variety of factors;

therefore, it is difficult to cite a specific time period as requested. However, in general 30-45 days, per BAMC Security Manager, are involved for completion of a fingerprint validation check prior to issuance of a Common Access Card (CAC) allowing an individual to start employment.

45. Page 127 -52.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 1997) What are the minimum liability limits for the indemnification and medical liability insurance? In accordance with sub-paragraph (a) stating "Contractor's professional medical judgment, diagnosis, or specific medical treatments;" which categories have historically exercised medical judgement, diagnosis, or specific medical treatments? The sub-paragraph (d) mentions health care providers; which categories/functions are considered health care providers?

Response: Clause 52.237-7 was deleted. This answer supersedes questions 99 and 101 in Amendment 0002.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

(PWS) FOR NON-PERSONAL

SERVICES

SAN ANTONIO MILITARY MEDICAL CENTER

(CONTRACTOR SHALL)

ADMINISTRATIVE SUPPORT SERVICES

JOINT BASE SAN ANTONIO FORT SAM HOUSTON,

TEXAS

PART 1

GENERAL INFORMATION

1. General. It is expressly agreed and understood that this contract is a non-personal services contract, as defined in Federal Acquisition Regulation (FAR) 37.101, under which the professional services rendered by a contract service provider are rendered in their capacity as an independent Contractor or employee of any independent company that may be a party to this contract. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the professional aspects of the services rendered. The Contractor shall be solely liable for and expressly agree to indemnify the Government with respect to any liability producing acts or omissions by its employees or agents. This contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual contract service provider may be associated.

1.1 Background. The mission of the United States Army (USA) Medical Command (MEDCOM) is to provide quality healthcare to its beneficiaries who include Active Duty, Reserve, National Guard and Retired Soldiers and their Family Members. In support of this mission, BAMC, the Camp Bullis USAHC, the McWethy TMC and the Fort Sam Houston PCC require administrative support services in all direct and non-direct patient care and health-care related settings. Brooke Army Medical Center (BAMC), the McWethy Troop Medical Clinic (TMC) and the Fort Sam Houston PCC are located at Fort Sam Houston, Texas and the Camp Bullis USAHC is located within the San Antonio geographical area. SAMMC is a modern state-or-the-art, 450-bed health care facility that provides level-one trauma and graduate medical education. The multi-storied medical treatment facility has 1.5 million square feet of operational space and a normal bed capacity of 450, of which 48 are ICU beds and 40 are dedicated to the Institute of Surgical Research Burn Unit. The hospital is capable of expanding to 653 beds if needed to support a wartime mobilization. The direct patient care settings, such as the operating rooms, emergency rooms, critical and non-critical care units and burn care units, require support services 24 hours a day, seven (7) days a week. Other health-care related settings such as clinics, laboratories and administrative areas require support services on an area/room specific scheduled basis.

1.2. Scope of Work. The Contractor shall provide non-personal administrative support services as required in the CLINS for San Antonio Military Medical Center and respective Military Treatment Facilities (MTFs) in the surrounding areas of responsibilities, JBSA-Fort Sam Houston, Texas. The Government shall not exercise any supervision or control over the Contract Service Providers (CSPs) performing the services herein.

Such CSPs shall be accountable solely to the Contractor who, in turn, is responsible to the Government.

1.2.1. The Contractor shall comply with all applicable laws, rules and regulations, included in this PWS.

1.3. Place of Performance /Hours of Operation

1.3.1. Place of Performance: San Antonio Military Medical Center and respective Millitary Treatment Facilities in the surrounding areas of responsibilities, JBSA- Fort Sam Houston, Texas. (See Attached Addendums for each Area of Responsibility/Military Treatment Facilities (MTFs).

1.3.2. Hours of Operation: Duty hours include a one hour non-compensable lunch break per 8-hour shift. (See Attached Addendums for each Area of Responsibility/MTFs specific hours)

1.3.3. Standard Work Days. The Contractor shall provide administrative support services during standard work days which are defined as Monday through Friday, not to exceed forty (40) hours per week, excluding Federal Holidays, between the hours of 6:00 am and 6:00 pm. Duty hours include a one hour (per 8 hour shift), non- compensable lunch break.

1.3.4 Non-Standard Work Days. The Contractor shall provide administrative support services during any eight hour shift Sunday through Saturday, including federal holidays, evening or night shifts and/or on the weekend to designated Departments. Based on mission needs the Departments hours of operation may flex within an hour or two without having to modify the contract. Government will give Contractor a two week notice if a change is required. The days and hours of operations for these Departments are identified per attached Addendums for each Department.

1.3.5 Federal Holidays. The following is a list of legal Federal Holidays observed by the MTF. Any of the following holidays falling on a 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 Martin Luther King Day Presidents Day Memorial Day Independence Day Labor Day Columbus Day Veteran's Day Thanksgiving Day Christmas Day

1.3.6. Compensatory Time. Contract Service Providers (CSPs) are not allowed to accrue compensatory time.

The make-up of lost time is not allowed.

1.3.6.1. Overtime hours will only be compensated, in accordance with applicable contract provisions, for work over 40 hours a week. Overtime must be approved in advance, documented, verified as required by the Government work site supervisor or assigned designee, and approved by the respective Contract Officer's Representative (COR).

1.3.6.2 . Each Contract Service Provider (CSPs) shall submit the hours they worked using the designated time keeping system agreed upon by the Government and the Contractor. Hours worked will be validated by the Contractor or designated representative. The Contractor will affix a copy of the validated time sheet to the billing invoice submitted via the Wide Area Work Flow (WAWF) transmittal system as verification of services rendered.

1.3.7. Training Holidays. Throughout the year, the MTF observes several training holidays and they vary by fiscal year (FY). Upon notification of designated training holidays for the fiscal year and/or no later than 15 November of the contract year, the Contracting Officers Representative (COR) will provide the information to the Contractor. The COR will identify and inform the Contractor of those departments and/or divisions that will be operational on the specified training holiday and the Contractor shall notify the COR of those CSPs who will work in departments and/or divisions that will be operational on the specified training holiday.

1.3.8. The Government reserves the right to verify the hours worked using a time clock as appropriate and sign in sheets. These attendance sheets are for the sole use of government officials to ensure compliance with FTE hours. In addition, under no circumstances will Government employees sign or verify the Contractor's time sheets for the Contractor Service Provider.

1.4. Travel.

1.4.1 Contract Service Providers (CSPs) may be required to travel between SAMMC clinics and/or departments and divisions geographically dispersed within the San Antonio metropolitan area. Government furnished vehicles will be provided to include the gas, thus travel is non-reimbursable.

1.5. SHARP.

1.5.1. The Contractor shall comply with OTSG/MEDCOM Policy Memo 16-033, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 29 March 2016. The SHARP reporting requirements apply only to knowledge obtained by Contract Service Providers while performing services under this contract.

1.5.1.2. The Contractor shall require all Contract Service Providers (CSPs) with knowledge of an incident of sexual assault/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 Contract Service Providers or Government personnel, or other individuals.

1.5.1.3. 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 Contract Service Providers or Government personnel, or other individuals.

1.5.1.4. The Contractor shall ensure all contractor service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after Contract Service Providers begins performance under this contract. Training can be obtained either online or in person. Contract Service Providers 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 .

1.6. Safety Requirements. The Contractor shall employ and maintain safety and health standards in accordance with requirements of the Occupational Safety and Health Administration (OSHA) and provide for the safety and well-being of personnel employed in the execution of this contract in accordance with the provisions of AR 385-10, Army Safety Program.

1.6.1. The Contractor shall maintain an accurate record of all accidents occurring in the performance of this contract resulting in personal injury, occupational illness, or Government property damage to include maintaining the OSHA 300 Log for their CSPs. The Contractor shall verbally report each incident to the COR and the Contracting Officer (KO) within four (4) hours of the incident.

1.6.2. The Contractor shall cooperate with the SAMMC Safety Office and provide written documentation as requested and required by AR 385-10. Serious injury or death incidents shall be reported immediately to the COR and the KO for notification to the SAMMC Safety Office.

1.7. Security Requirements(Information). The Contractor shall be responsible for the security of all information.

1.7.1. Neither the Contractor nor any of its CSPs shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.7.2. 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 Contracting Officer Representative (COR) and the Contracting Officer.

1.7.3. The Contractor shall only conduct business with designated CORs listed as points of contact (POCs).

Names of authorized personnel shall be provided to the Contractor by the Government, in writing within five (5) days of award and updated as necessary throughout the contract period.

1.7.4. US Government records, copies of original results and reports, verified original data, corrected data and corrected supporting final reports remain the property of the U.S Government.

1.8. Trusted Associate Sponsorship System (TASS) for Contractors at Army Facilities.

1.8.1 The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.8.1.2. The Contractor shall ensure CSPs or any representative of the Contractor, entering San Antonio Military Medical Center (SAMMC) and the respective using Military Treatment Facilities (MTFs) and SAMMC surrounding areas of responsibility, Joint Base San Antonio Fort Sam Houston, Texas, abide by all security regulations and/or directives to include being subject to security checks.

1.8.1.3. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.8.1.4. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA)/COR, and the Contractor shall designate a Program Manager/Alternate, for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.8.1.5. In-processing Requirements. Contractor Service Personnel (CSP) are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.9. Policy, Procedures and Regulations Compliance. The Contractor and Contract Service Providers (CSPs) shall be responsible for following all Government policies, procedures, and regulations in support of Occupational Safety Health Alliance (OSHA), Joint Commission (JC), and other national, state, and local policies that regulate the health care industry. Policies and procedures may be obtained by contacting the COR.

1.9.1. For every CSPs, the Contractor Program Manager/Alternate shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the Contractor Program

Manager/Alternate).

1.9.1.2. The CSPs shall have an Army Knowledge Online (AKO) account in order to be registered. AKO registration may be accessed via https://www.us.army.mil. The designated Contracting Officers Representative (COR) will ensure the sponsorship of CSP for issuance of an AKO account.

1.9.1.3. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider's user ID and password are provided. In the event the e-mail message is sent to the Contractor Manager/Alternate, the Contractor Manager/Alternate shall notify the CSPs of the CSPs' user ID and password.

1.9.1.4. The CSPs shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.9.1.5. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual's e-mail address provided within 48 hours after submission. If the application is returned or rejected, the CSP shall contact the TA and comply with the TA's guidance to attempt to correct and resolve the issues.

1.9.1.6. Upon approval of the application, the CSPs shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office (VO) with two forms of IDs to obtain a CAC. For CAC issuance, the individual must present with two forms of ID, one must be a picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID to include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, and passport.

1.9.1.7. Revalidation Requirements. The TA is required to revalidate all CSPs, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to login.

1.9.1.8. Out-processing Requirements. When a CSPs' performance under this contract ceases, the Contractor Program Manager/Alternate shall provide written notice to the TA and designated COR. The TA will remove the CSP from the DEERS/RAPIDS System. The Contractor shall ensure the CSP's CAC is turned in to the Government IAW the out- processing procedures and further guidance from the COR.

1.9.1.9. The Contractor is responsible for absences of CSPs due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the support services required under this contract.

1.9.1.10. The Contractor shall return all Government issued equipment, badge(s), employee identification cards, common access card and keys to the designated office that issued the items. The Contractor shall reimburse the Government for items issued to contract personnel and not returned at the time of their out-processing.

1.9.1.11. Immunization Requirements. Contractors performing under this contract shall ensure their Contract Service Personnel/Employees providing contractual services comply with the immunization and health requirements. ( Reference Attachment 5-Immunization Requirements)

1.10. Security Requirements.

1.10.1. 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 procurement sensitive information, computer systems and data, Privacy Act data, and Government personnel work products obtained or generated in the performance of this contract. Contractor employees will be issued by the Government a Common Access Card (CAC) which is required for access to Government computer databases and entrance to the installation. Additionally, all Contractor employees must be issued a special identification card issued by SAMMC Provost Marshall Office (PMO) Badge and ID Office prior to reporting for duty. The Contractor shall be responsible for the control and safe keeping of all Government issued IDs and ensure all badges are returned to the COR upon termination of an employee or the contract end date. The Contractor shall ensure all Contractor employees are aware that in the event either of the Government IDs are lost or stolen that they are to advise the PM or alternate immediately upon discovery. The Contractor shall ensure that the COR is notified the same day the employee reports an ID lost or stolen. The Government shall conduct criminal background checks on all Contractor employees in accordance with the procedures set forth in Public Law 100-235, DoD Directive 5200.28, DoD Directive 5200.2-R, DoDI 1402.5 and submit to the Program Manager (PM) or the Alternate. The Contractor is responsible for ensuring all Contractor employees must complete the SF86, Authorization for Release of Information form and ensure all background check submittals are initiated in accordance with this PWS prior to employees providing services at SAMMC facilities. Background checks shall be based on fingerprints of individuals obtained by qualified Government law enforcement or security personnel, inquiries conducted through the Federal Bureau of Investigation (FBI) and the State Criminal History Repository check, and a local Installation Record Check., if required. The procedures for completing the required background check are outlined in the Department of Defense Instruction (DoDI) 1402.5. Government will not allow any employees to start work until clearance of criminal background check has been completed.

1.11. Physical Security: The Contractor shall be responsible for safeguarding all government equipment, information and property provided for Contractor use at the end of each business day. The Contractor shall ensure all government facilities, equipment, and materials shall be secured at the close of each duty day. Use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract. The Contractor shall comply with all security requirements: Force Protection Condition (FPCON) procedures, Random Antiterrorism Measures (RAMS) and local search/identification requirements.

1.12. Antiterrorism (AT) / Operations Security (OPSEC) Requirements: For OPSEC to be effective, all Contractors must be aware of OPSEC and understand how OPSEC complements traditional security programs.

All personnel must know how to apply and practice OPSEC in the performance of their daily tasks. OPSEC must become a mindset of all Contractor employees and be performed as second nature. To accomplish this level of OPSEC vigilance, OPSEC training programs must be action and job-oriented, enabling the workforce to put into practice the knowledge and tactics, techniques, and procedures (TTPs) they learned in training. Training should maximize the use of lessons learned to illustrate OPSEC objectives and requirements. In order to ensure accomplishment of training, the Government will include OPSEC training as a part of their organization's annual training guidance. Contractor employees must complete Level I OPSEC and AT Awareness training within 30 calendar days of reporting to duty in according to Army Regulation 530-1 and 525.13. AT Level I awareness training is also available at https://atlevel1.dtic.mil/at. OPSEC training may also be required. Certificates of completion shall be provided to the COR within 10 calendar days of completion (i.e., within 40 calendar days of reporting for duty).

1.13. iWATCH Training: The Government will brief all Contract Service Providers on the local iWATCH program. This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to their COR. Contractor employees shall complete iWATCH training within 30 calendar days of reporting to duty.

1.14. Investigation Requirements. The The Contractor shall ensure all personnel performing under the contract are required to maintain a minimum of a favorably adjudicated Tier 1 (T1) formerly known as National Agency Check with written Inquires (NACI) for IT Level III access or Tier 3 formerly known as a National Agency Credit and Law Check (NACLC) for IT-II access. The contractor must coordinate with the Contracting Officer Representative (COR) to initiate the Request for Personnel Security Action prior to performance start date. U.S.

Citizenship will be verified by presenting original or certified copy of birth certificate, certificate of citizenship/naturalization issued by Immigration Naturalization Service (INS), or born aboard certificate (Form FS- 240 or DS-1350) or a valid U.S. Immigration Form 1-151 and Alien Registration Card ("Green Card") to the BAMC Personnel Security Office at the time of in processing for all contract personnel assigned to the contract. In order to maintain the security eligibility any derogatory information, to include law enforcement issues, mental health issues, or alcohol/drug related issues must be reported to the COR and to the BAMC Personnel Security Office.

1.15. 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.

1.16. 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 SAMMC Security Manager any information or circumstances which may pose a threat to DOD or Contract Service Providers, resources, or DOD information.

1.17. Removal of Contract Service Providers (CSPs). The Government reserves the right to require immediate temporary or permanent removal of any individual whose actions raise reasonable suspicion that patient care or services may be compromised in any way or that pose a threat of harm to other Contractor/government personnel or self. The employee may be required to submit to drug/alcohol testing. The government reserves the right to require temporary or permanent removal of any individual who refuses testing. Notification of all removals will be made by the Contracting Officer Representative (COR). Removal of any individual does not relieve the Contractor of any performance requirement.

1.18. Government Computer Access Requirements. Contract Service Providers, required by this contract, to have access to government computers, shall successfully complete the "Tier 1 (T1) formerly known as National Agency Check with written Inquires (NACI). These investigations shall be submitted by the government at no additional cost to the Contractor. Common Access Cards (CACS) for Contract Service Providers are required which is hereby incorporated by reference if not otherwise included. The Contractor shall comply with Homeland Security Policy Directive (HSPD) - 12, Policy for Common Identification Standard for Federal Employees and Contractors and Federal Information Processing Standard 201.

1.19. Identification of Privacy Act . This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.20. Performance Quality. The Contractor shall maintain a commercial Quality Control Plan (QCP) that shall ensure the requirements of the contract are provided as specified in Section 4 and 5 of the PWS. Within thirty

(30) calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within 10 working days when changes are made thereafter.

1.21. Transition Period. The transition period is at no cost to the Government. To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the Contractor shall have personnel on board during the 2-week transition period. During the transition period, the Contractor shall become familiar with requirements in order to commence full performance of services on the contract start date and throughout the life of the contract.

1.22. Recruitment and Retention Plan. Contractor shall have a recruitment and retention plan for qualified and competent personnel to ensure services commence on the date set forth in the solicitation and throughout the life of the contract.

PART 2

DEFINITIONS & ACRONYMS

2.1. DEFINITIONS AND ACRONYMS.

2.1.1. DEFINITIONS.

2.1.2. ARMED FORCES HEALTH LONGITUDINAL TECHNOLOGY APPLICATION (AHLTA). An enterprise-wide medical and dental information management system that provides secure online access to the Military Health System (MHS) beneficiaries' records.

2.1.3. CANCER TRIALS SUPPORT UNIT (CTSU). CTSU is a national network of physicians sponsored by the National Cancer Institute (NCI) to participate in NCI-sponsored Phase III cancer treatment trials. The CTSU increases physician and patient access to NCI-sponsored clinical trials, streamlines and standardize trial data collection and reporting, reduces regulatory/administrative burden on investigators participating in NCI-sponsored…