W81K00-18-R-0025-0001.pdf

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: TIMOTHY T. HOERZ

36000 DARNELL LOOP

FORT HOOD TX 76544

0011164486

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

Amendment 0001 hereby changes the follow ing:

The Solicitation Issue date block 6, has changed from 16 April 2018 to read 17 April 2018.

The Offer Due Date/ Time block 8, has changed from 11:00 AM 31 May to read 11:00 AM 18 May 2018.

Addendum to FAR 52.212-1 paragraph 1B, page 8 of 75, has been changed to read: Questions regarding this solicitation are to be submitted electronically to the Contract Specialist, Timothy Hoerz at timothy.t.hoerz.civ@mail.mil no later than 11:00 am CST on 24 April 2018.

Questions w ill be addressed on or about 30 April 2018.

PWS paragraph 1.1, page 48 of 75, w ill add the follow ing sentence: The Contractor shall f ill all three (3) FTEs no later than 1 August 2018.

1. CONTRACT ID CODE PAGE OF PAGES

1 17

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

16C. DATE SIGNED

BY 17-Apr-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 W81K0018R0025

X 9B. DATED (SEE ITEM 11)

17-Apr-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

16-Apr-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 W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K0018R0025

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 31-May-2018 11:00 AM to 18-May-2018 11:00 AM.

The solicitation issue date has changed from 16-Apr-2018 to 17-Apr-2018.

The following have been modified:

ADDENDUM TO FAR 52-212-1

I. GENERAL

A. The Solicitation will be posted on Federal Business Opportunities (FedBizOPS).

B. Contract POCs: The Contracting Officer and Contract Specialist are the sole points of contact for this procurement. Questions regarding this solicitation are to be submitted electronically to the Contract

Specialist, Timothy Hoerz at timothy.t.hoerz.civ@mail.mil no later than 11:00 am CST on 24 April 2018.

Questions will be addressed on or about 30 April 2018.

II. ADMINISTRATIVE

A. Contractor shall complete and return the following:

1. Pricing for the Base and Option Year.

2. Compensation Plan(s) for the Base and Option Year. Each plan shall reflect compensation for the base period and option year. A sample compensation plan worksheet is included as an attachment.

(Attachment 1 for Compensation Plan for Regular Hours).

3. Past Performance: List of two references being supplied the Past Performance Questionnaires to include the POC name and telephone number. (See 52.212-2 for details). (Attachment 2 Past Performance

Questionnaires).

B. Quoters shall submit quotes to Regional Health Contracting Office - Central (RHCO-C) to arrive no later than the date and time stated in block 8 of the SF1449. Quotes can be submitted via email to timothy.t.hoerz.civ@mail.mil or Faxed to 254-553-3906; ATTN: Tim Hoerz or mailed. Please see Special

Delivery Mail below. Offer shall clearly identify each part of their proposal, as described below.

C. The quoter will provide information below regarding points of contact (POCs) for administration of the contract during quoter’s normal business hours and after normal business hours. The POC for other than normal business hours will be contacted only in the event of an emergency. Accordingly, the named individuals should possess sufficient corporate authority to effectively deal with emergency situations and the telephone number provided should be functioning at all times other than normal business hours. If there are different POCs for different conditions, such as weekdays, weekends, holidays, etc., please furnish all and explain.

(1) Quoter’s normal business hours/days: ___________________________________________

(2) POCs during normal business hours:

Name(s): ____________________________________ ________________________________

Telephone Number(s):__________________________ ________________________________

(3) POCs during other than normal business hours:

mailto:timothy.t.hoerz.civ@mail.mil

Name(s): ____________________________________ ________________________________

Telephone Number(s):_________________________ _________________________________

D. Submit pricing for all Contract Line Item Numbers (CLINs) and sub-CLINs (as applicable) for the base year and all option years. Provide total pricing for the base year and each option year, as well as a grand total for the price of your entire quote.

E. The offeror shall submit a completed copy of FAR 52.212-3, Representations and Certifications –

Commercial Items. If the offeror has completed the Online Representations and Certifications

Application (ORCA) at https://www.uscontractorregistration.com/ the offeror shall indicate such on the

FAR clause. DFARS 252.212-7000, Offeror Representations and Certifications – Commercial Items. All offerors must be registered in the Central Contractor Registration (CCR) prior to award, and lack of registration shall make an offer ineligible for award

Special Delivery Mail

a. Offeror is cautioned that the United States Postal Service (USPS) does not deliver directly to the

Regional Health Contracting Office - Central, Fort Hood Cell. All USPS mail is delivered to a central location at Carl R. Darnall Army Medical Center. Offer should be sent in sufficient time to ensure arrival at the contracting office by the specified date and time. Offeror should consider the additional time needed for mail distribution when preparing their offers.

b. Offeror may drop-off their proposal at the Regional Health Contracting Office - Central, Fort Hood

Cell prior to the specified due date and time. For directions to the contracting office, contact Timothy

T. Hoerz at timothy.t.hoerz.civ@mail.mil

F. Contractors shall complete and return all information requested in Addendum to 52.212-1 above no later than the date and time stated in block 8 of the SF1449.

M. The non-FAR Part 12 discretionary FAR, DFARS, AFARS, and LOCAL provisions included herein are incorporated into this solicitation either by reference or in full text. If incorporated by reference, see provision 52.252-1 herein for locations where full text can be found.

PWS

PERFORMANCE WORK STATEMENT

BIOMEDICAL EQUIPMENT REPAIR TECHNICIAN SERVICES

CARL R. DARNALL ARMY MEDICAL CENTER, FORT HOOD, TEXAS

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, including but not limited to the contract service provider's professional medical judgment, diagnosis, or specific medical treatments. 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. Contract personnel rending the services are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationship between the Government and its employees.

1.1. The contractor shall provide qualified personnel to perform Biomedical Equipment Repair Technician

(BMET) services for Carl R. Darnall Army Medical Center (CRDAMC) and outlying clinics, Fort Hood, Texas, as required by this Performance Work Statement (PWS) and in accordance with the terms and conditions of the contract. The base period of performance is 18 June 2018 — 30 September 2018, with One (1) one-year option periods (i.e., 1 October 2018 — 30 September 2019). The Contractor shall fill all three (3) FTEs no later than 1

August 2018.

1.1.1. The contractor shall provide maintenance and technical support functions for equipment and for the users of this equipment. The contractor shall perform highly skilled work of considerable difficulty on specialized types of equipment requiring training or experience, to include radiology, clinical laboratory, and physiological monitoring equipment.

1.1.2. This contract is a non-personal service contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

2. CONTRACTOR PERSONNEL

2..1 The contractor shall designate, in writing, at least five (5) working days prior to commencement of services, a representative for contract coordination and implementation. Changes in the representative, at any time after the contract commencement, shall require the Contractor to notify the Contracting Officer of the new authorized representative five (5) working days prior to said change. This notification shall be in writing and shall state the name of the new contract representative.

2.1.1. ORIENTATION AND TRAINING. When commencing work under this contract, the contract employee shall obtain an in-processing checklist from the COR. All contract personnel are required to complete the applicable in-processing items on the checklist and turn the completed form in to the designated office. Upon completion of the duty assignment, the contract employee must complete an out-processing checklist and return it to the designated office.

2.1..2 MTF Orientation. Contract employees will be provided a government paid orientation to familiarize contract employees with the policies and procedures of the MTF. Orientation attendance will be required of all contract employees during normal duty hours and will be scheduled by the Contracting Officer’s Representative

(COR), or the Department Chief or his/her government designee.

2.1.3. Computer Training. Contract providers who have any interaction with the MTF computer systems must receive training for the applicable system. All Contractor staff that access Government IT systems shall be trained in security awareness, protection of Government sensitive and privacy information, and their responsibility and consequences before access is authorized. The COR or appropriate government designee will coordinate computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the contractor.

2.2. The contractor's representative shall meet with the Contracting Officer's Representative (COR) on a monthly basis or when requested by the COR to discuss any problems that the contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the contractor's performance will be discussed and resolved. Unresolved problems shall be referred to the contracting officer for resolution.

2.3. The contractor shall ensure that all contract personnel providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties.

2.4. The contractor employees shall conduct themselves in a professional manner and possess sufficient initiative, interpersonal relationship skills and social sensitivity such that he/she can relate constructively to a variety of staff from diverse backgrounds.

2.5. Neither military nor Government civilian employees shall be used as a contract employee in matters related to this contract.

2.6. The contractor shall not be permitted on the installation when his presence is considered detrimental to the security of the installation. The Government reserves the right to remove from the job site any contract personnel whose continued employment is inconsistent with the interest of military security or who are found to be otherwise impaired.

2.7. Complaints. Contractor employees shall conduct themselves in a professional matter. If two validated complaints are filed in a three-month period against a contractor employee; the Contracting Officer will view this as an indication of poor performance.

2.8. Contractor Fill Rate. Contractor shall maintain 95% shift fill rate throughout the length of the contract.

2.9. ABSENCES

2.9.1. The Contractor shall notify the COR when he/she cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift.

2.9.2. The contractor shall have sufficient qualified personnel available so that all services are provided in the event a contract personnel scheduled to work becomes ill, resigned is terminated, or is otherwise unavailable to work the proposed substitutes shall have at least the minimum qualifications required for this position.

2.9.3. When the Contractor cannot fill a position, the Contractor shall notify the Contracting Officer within 30 days.

2.9.3.1. Scheduled absences of contract HCP’s shall be coordinated with the COR at least 30 calendar days in advance.

2.9.3.2. Unscheduled Absences as defined in 12.1 shall be called into the COR or designated Government representative by the contract employee prior to the start of their shift if he/she is unable to report to work.

2.9.4. Emergency Essential Position. This is not an emergency essential position.

2.9.5. The contractor will not invoice the government for periods when services are not performed.

2.9.6. Closures: During anticipated closure of the facility due to command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractors will only be paid for the actual hours that were worked. Contract employees will not report to work or be paid for closure periods unless specifically required to perform services during facility closures.

2.9.7. The contractor shall be rested and fully physically and mentally capable of performing the duties required under this contract.

2.9.8. The Government reserves the right to verify the hours worked by the health care provider by implementing sign-in/sign-out procedures or by any other means including the use of a time clock. The Government will pay only for hours actually worked in CRDAMC. These attendance logs are for the sole source of Government officials to ensure compliance with FTE hours and will not be provided to the contractor for any reason and/or purpose. In addition, under no circumstances will Government employees sign or verify the contractor’s time sheets for the contractor’s employees

2.10. CONDUCT

2.10.1. The chief of the department where services are being performed, or his/her representative, will define the scope of practice.

2.10.2. Contract employees shall comply with MTF policies regarding personal appearance and conduct.

2.10.3. Contract employees shall abide by federal and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract employee as may be necessary for security and personnel reliability programs. They shall also abide by federal and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health

Insurance Portability & Accountability Act of 1996. All regulations referenced are available for review from the

COR, MTF, or the Contracting Officer. All medical records and reports will remain the property of the government.

2.10.4. Contract employees shall abide by MTF bylaws, JC, DoD and Medical Department regulations with regard to

Utilization Review and Quality Assurance directives, including, but not limited to, in-service training, maintenance of records, performance evaluation, and release of medical information.

2.10.5. Contract employees shall make use of all appropriate equipment; supplies and services made available by the government.

2.10.6. Inquiries. Contractor personnel shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the MTF Commander. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the contract employee’s government supervisor.

2.11. GOVERNMENT FURNISHED PROPERTY

2.11.1 The Government will provide use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated in the contract). Contract employees shall keep government furnished supplies, equipment, and work areas in a safe, orderly and clean condition. Contract employees shall notify the Government whenever maintenance of equipment is required. Personal long distance calls are not authorized.

2.11.2. Emergency Contract Employee Healthcare. The MTF will provide Emergency healthcare for injuries occurring while on duty. The contractor shall reimburse the government for such services.

2.11.3. The Government will provide an MTF identification badge and a Common Access Card (CAC). While performing work under this contract, he/she shall wear a government-furnished, visible identification badge on the front of the outer clothing. Contractor personnel must comply with MTF policy regarding the badges and identification cards.

2.11.4. Any space used by contract employees in performance of this task order may be used for other purposes during their absence. Items of clothing, personal effects, or equipment may not be able to be secured at all locations.

The government will not incur any liability for theft, damage to, or loss of such personal items.

2.11.5. Personal Protective Equipment (PPE). Contract employees shall wear special protective clothing and shoe covers, when required, which shall be supplied by MTF. In all cases, the contractor shall conform to the established personal appearance policy of the MTF.

2.12. CONTRACTOR FURNISHED SUPPLIES/SERVICES

2.12.1 Uniforms. The Contractor shall furnish or ensure that all contract employees have appropriate uniforms/smocks. Contract employees shall wear appropriate civilian attire to and from the MTF. The appearance of contract personnel will be governed by the current MTF dress and appearance policy.

2.12.2. Nametags. The contractor shall furnish and ensure that the contract employee has a nametag which shall be worn on outer clothing garment identifying him/her by name, as a contract employee, specialty, and Company (if any).

Example:

John Doe

Contract Bio-Medical Technician

(XYZ Company)

2.12.3. Rubber Stamp: N/A

3. HOURS OF PERFORMANCE

3.1. Duty hours will be 0730-1630 (Monday — Friday), excluding federal holidays and training holidays. Work hours may differ depending on the operational requirements of the government work site activity to which the contract employee is assigned.

3.2. The following Government Holidays are observed:

New Year's Day

Martin Luther King Jr.'s Birthday

President's Day

Memorial Day

Independence Day

Labor Day

Columbus Day

Veteran's Day

Thanksgiving Day

Christmas Day

Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a

Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to a holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.3. Contract employees shall not be scheduled for more than 80 regular hours in a two week period. Duty hours include a one hour (per 8 hour shift), non-compensable lunch break. Meals may be taken in the hospital dining facility at the published staff rate.

3.4. Reserved.

3.5. Reserved.

4. SPECIFIC TASKS/DELIVERABLES

4.1. Contract employees providing services under this contract shall perform the same clinical duties as those required of any military or government civil service support personnel of similar experience assigned to the same unit at the MTF. The quality of service shall meet or exceed reasonable standards of professional practice as determined by the same authority that governs support personnel services in the same discipline.

Productivity is expected to be comparable to that of other employees with the same scope of practice.

Workload will be scheduled by the treatment facility.

Contract employees shall have sufficient training/experience to be able to perform the required duties which include, but not limited to the following:

Repairs electronic, pneumatic, electro-mechanical and mechanical equipment to include troubleshooting, identifying source of problem(s) and replacement of defective printed circuit board(s), discrete-component(s) or other parts as appropriate. Contractor shall assist government in determining parts and accessories necessary to perform repair functions. Documents the extent and cost of repairs to assist government in maintaining maintenance logs. Computes power and space requirements for installation of medical equipment and installs units to manufacturer's specifications. Prepares and submits medical equipment reports.

4.2. Conducts scheduled services (Preventive Maintenance Inspections) of medical equipment to include visual inspections, electrical safety inspections, calibration, and performance verification. Interpretation of

Scheduled Services results to determine whether equipment is safe and operating within manufacturer's specifications. Scheduled Services are performed using written test procedures. Contractor shall maintain documentation of inspections, and equipment repairs and failures.

4.3. Conducts incoming inspections of new equipment to include receipt, inventory of parts, and accessories, assembly, inspection, calibration, and performance verification, parts replacement, and documents the results of incoming inspections using government provided forms. Sets up and installs' new medical equipment systems. Communicates with clinical staff (physicians, nurses, technicians, etc) as necessary to provide assistance and in service training setup, calibration, operation, and application of medical equipment. Provides technical training assistance and guidance to lower skilled contractor co-workers.

4.4. Communicates with clinical staff (physicians, nurses, technicians, etc.) as necessary to provide assistance and in service training setup, calibration, operation, and application of medical equipment. Provides technical training assistance and guidance to lower skilled contractor co-workers.

4.5. The contractor shall ensure technicians meet the minimum annual training requirements necessary to meet

Joint Commission (JC) refresher, sustainment and continuous education and training requirements.

4.6. In conjunction with the COR, in addition to the Chief/NCOIC for technical guidance, implements equipment modifications. Investigates equipment hazard alerts, recalls, updates, and incidents. Occasionally, equipment will be so new/unique that Scheduled Service procedures are not documented. In these instances, the Contractor shall utilize personal knowledge skills, and professional judgment to develop and document a Scheduled Service procedure and complete the inspection. Documents the results of Schedule Services using government provided forms.

4.7. The contractor shall operate a government vehicle such as a car/pickup truck/step van. The contractor is responsible to provide at least the minimum level of insurance as required by the State of Texas for contract employees authorized to drive Government Vehicle car/pickup truck/step van.

5. QUALIFICATIONS

5.1. The Association for the Advancement of Medical Instrumentation (AAMI) standards for Biomedical

Equipment Repair Technician (BMET) and levels of qualifications shall be applied for BMET I, II and III.

Contractor staff shall also possess and maintain a valid State Driver's License for the entire term of service.

5.2. BMET I: Under close technical oversight repair, calibrate, and maintain all types of basic clinical equipment technologies, devices, instruments, and systems. Inspect, install, and provide preventive maintenance of general clinical equipment.

5.2.1. Duties include:

1. Repair, install, maintain, calibrate, and inspect a diverse range of therapeutic and diagnostic biomedical instrumentation and equipment.

2. Perform preventive maintenance and electrical safety testing of clinical equipment, devices, and systems.

3. Diagnose and correct system and equipment malfunctions.

4. Schedule and oversee third-party repair as necessary.

5.2.2. Education/Experience: Associate's degree in electronic or biomedical equipment technology. Minimum of six months' experience in the repair and maintenance of medical equipment.

5.2.3. Knowledge, Skills, and Abilities:

1. Knowledge of electronic theory, technology, and test equipment.

2. Knowledge of basic anatomy and physiology as applied to use of biomedical equipment.

3. Knowledge of color code conventions used in component and wiring marking.

4. Ability to analyze, repair, and test electronic and electromechanical equipment.

5. Ability to perform preventive maintenance inspections.

6. Ability to run diagnostic programs.

7. Ability to lift up to 50 pounds of equipment; to push/pull equipment carts; and to kneel, stand, bend, and reach during equipment repair.

8. Skilled in testing electronic equipment.

5.3. BMET II: Reserved

5.3.1. Reserved

5.3.2. Reserved

5.3.3. Reserved

5.4. BMET III: Reserved

5.4.1. Reserved

5.4.2. Reserved

5.4.3. Reserved

5.4.4. Reserved

6. RESERVED

7. RESERVED

8. RESERVED

9. ANTI-TERRORISM/OPERATIONS SECURITY (AT/OPSEC) REQUIREMENTS

9.1. 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 CRDAMC 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 ED 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 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 CRDAMC 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.

9.2. 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.

9.3. 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 OP SEC 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://jkodirect.jten.mil

9.4. iWATCH Training: The Government will brief all Contractor personnel 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 must complete iWATCH training within 30 calendar days of reporting to duty.

9.5. Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within

30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

9.6. Information Assurance (IA) / Information Technology (IT) training. All contractor employees and associated sub-contractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter.

10 SECURITY

10.1. Vehicle Registration. The MTFs are located on restricted access military installations. The

Contractor/contract employee shall comply with the local installation requirements for vehicle registration and operation on the military installation. Any vehicle operated by the contractor/contract employee in performance of this service must have the minimum liability coverage required by the state in which the installation is located. All contract employees must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, government -furnished civilian identification, proof of insurance and current registration must be presented at the Visitor Information Office located at the

Main Gate, at which time a temporary vehicle pass will be issued. The COR will provide a Memo during in processing with the contract information that the contract employee can take to the Visitor Information Office and a 3-month to 1-year DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions.

10.1.1. All vehicles, with or without a DoD decal, are subject to search. Contract employees may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The government will not reimburse the contractor for time spent at installation checkpoints. Contract employees should plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

10.1.2. Contract employees shall follow installation procedures for removal and turn-in of the vehicle decal upon completion of services.

https://jkodirect.jten.mil/

10.3. Contract employees shall comply with installation and MTF personnel identification and access requirements.

The contractor is responsible for absences of contract employees due to expired identification and access documents.

10.4. Deleted

10.5. Safeguarding Material. The contractor shall be responsible for safeguarding all government property provided for contractor use. The contractor shall safeguard information of a confidential or sensitive nature. Neither the contractor nor any of its contract employees shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974.

However, the contractor may be required to provide testimony or disposition in cases of due process action.

10.6. Safety. Contract employees shall comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, and waste disposal. Copies of these regulations are on file in the medical activity safety office or may be obtained through the COR.

10.7. Contracting Officer Representative (COR). The COR will be appointed in writing by the Contracting Officer after the contract is awarded. The Contracting Officer will provide a copy of this designation and COR contact information to the Contractor.

10.8. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation. Changes in the primary point of contact, at any time, shall require the Contractor to notify the Contracting Officer of the new representative five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

10.9. Security Identification Badges. The contractor and contract health care provider shall comply with the local installation and MTF personnel identification and access requirements.

10.10. Each contract employee shall wear a visible Security badge ID, provided by the MTF or the Military

Installation, on the front of his/her outer clothing. The badge will show the full name, title and if required by the

Military and “Contractor” identification on the front. The COR will provide the paperwork to request ID badges.

The contractor is responsible for absences of contract employee due to expired identification and access documents.

10.11. The contract employee shall immediately report any lost or stolen badges to the COR.

10.12. The contract employee shall turn in the MTF badge and Civilian ID Card to the Security and Badge Office, COR, or his/her designated representative upon termination of their services under this contract.

10.13. SUBMITTALS. The contractor shall ensure all contract specific requirements paragraphs such as Education and Training Requirements, National Agency Check Requirements, Health and Immunizations Requirements, and viewing MTF Facility Safety Orientation material are accomplished prior to performance.

10.13.1. The information provided may be used for input into the MTF's Consolidated Personnel Database

(CPDB). All information given by the contract employee will be protected by the Privacy Act of 1974 (PL 93-

579). This information is necessary to assure hospital records can be maintained correctly, therefore complying with the Joint Commission (TJC), Occupational Safety and Health Association (OSHA) and Center for Disease

Control (CDC).

10.14. POLICIES, PROCEDURES and REGULATION COMPLIANCE. The contractor will be responsible for following all MTF policies, procedures, regulations in support of Occupational Safety Health Alliance

(OSHA), the 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.

11. SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP)

11.1. The contractor shall comply with 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), 12

Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

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.

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.

11.2. Government Unique Training

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 begins performance under this contract.

Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by

Carl R. Darnall Army Medical Center, Fort Hood, TX. 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

11.3. Advisory Publications

Army Regulation 600-20, Army Command Policy, 20 Sep 2012

OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Responses Program (SHARP), 12 Nov 2013

12. CONTRACTOR MANPOWER REPORTING

12.1. 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 sub-Contractor 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.armv.rnill. 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, e-mail 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) Contractual 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).

http://www.atsc.army.mil/tadlp/delivery/alms.asp https://cmra.armv.rnill.the/

12.2. 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.

13.1. DEFINITIONS.

Following is a list of basic definitions.

13.1.1. ANCILLARY PERSONNEL: This includes all EMPLOYEEs with the exception of Medical Doctors

(MD) and Doctors of Osteopathy (DO).

13.1.2 . BACKUP PERSONNEL: Pre-approved contract employees designated to move into the position of the primary contract employee to perform required services for the duration of his/her absence.

13.1.3. BENEFICIARIES OF THE MILITARY HEALTHCARE SYSTEM. Those individuals entitled to care at the MTF in accordance with AR 40-3 and AR 40-400.

13.1.4 N/A

13.1.5. COMPOSITE HEALTHCARE SYSTEM (CHCS): An automated medical information system which will provide integrated support for the functional work centers of inpatient and outpatient care facilities, patient administration, patient appointments and scheduling, nursing, laboratory, pharmacy, radiology, and clinical dietetics.

13.1.6 . CONTINUING EDUCATION. Education beyond initial professional preparation relevant to the type of patient care delivered in the organization provides current knowledge relevant to the field of practice and is related to findings from quality assurance activities.

13.1.7. CONTRACTING OFFICER: A person with the authority to enter into, administer, and/or terminate contracts/task orders and make related determinations and findings.

13.1.8. CONTRACTING OFFICER'S REPRESENTATIVE (COR): A government employee selected and designated in writing by the Contracting Officer to act as his/her designated representative in administering a contract.

13.1.9. FACILITIES: Building, equipment and supplies necessary for the implementation of services by personnel.

13.1.10. MILITARY TIME is on a 24-hour clock, e.g.

8:00 a.m. - 0800

9:10 a.m. – 0910

Noon–1200

9:10 p.m. – 2110

Midnight–2400

12:01 a.m. – 0001

13.1.11. MILITARY DATES are written as: October 10, 2010 – 10 Oct 10

13.1.12. N/A

13.1.13. ORDERING CONTRACTING OFFICER. A Contracting Officer designated to place task orders against an existing contract.

13.1.14. PHYSICIAN: Medical healthcare providers possessing a doctorate degree as a Medical Doctor (M.D.) or

Doctor of Osteopathy (D.O.).

13.1.15. N/A

13.1.16. QUALITY ASSESSMENT AND IMPROVEMENT. Those actions taken by the Government to check services to determine if they meet the requirements of the TJC, U.S. Army Medical Command, quality assurance and risk management program, and ensure that the contract employees comply with the terms and conditions of the contract.

13.1.17. QUALITY CONTROL. Those actions taken by a contractor to control the performance of services to ensure that they meet the requirements of the contract.

13.1.18. REPLACEMENT PERSONNEL: Contract employee selected to fill a position for the contract period that was previously occupied by another contract employee.

13.1.19. SCHEDULED ABSENCE: Prearranged absences from performance of contractual services by contract personnel. These absences, whether taken for vacations or continuing medical education, etc. is scheduled/ arranged in advance.

13.1.20. TRAINING HOLIDAY: A day off in addition to holidays only for the Military personnel. The Contractor personnel will observe the policy spelled out on his/her contract.

13.1.21. TRICARE: A regionalized, tri-service, contractor-supported, DoD-managed healthcare system.

13.1.22. UNSCHEDULED ABSENCE: Absences from performance of contractual services by contract personnel that are not scheduled/arranged in advance, regardless of whether the absences are caused by illness or for other reasons.

14.1. Acronyms:

14.1.1. ABEM – American Board of Emergency Medicine

14.1.2. AC - Active Component

14.1.3. ACGME – Accreditation Council for Graduate Medical Education

14.1.4. ACLS – Advance Cardiac Life Support

14.1.5. ACO - Administrative Contracting Officer

14.1.6. ACOR -Alternate Contracting Officer’s Representative

14.1.7. ADP - Automated Data Processing

14.1.8. ADS – Ambulatory Data System

14.1.9. AHLTA – Armed Forces Health Longitudinal Technology Application

14.1.10. AR–Army Regulation

14.1.11. ACLS – Advance Cardiac Life Support

14.1.12. BCLS – Basic Cardiac Life Support

14.1.13. BLS - Basic Life Support

14.1.14. CCQAS - Centralized Credentials Quality Assurance System

14.1.15. CFR - Code of Federal Regulations

14.1.16. CHAMPUS - Civilian Health and Medical Program of the Uniformed Services

14.1.17. CHCS - Composite Health Care System

14.1.18. CLIN – Contract Line Item Number

14.1.19. CME - Continuing Medical Education

14.1.20. CONUS - Continental United States

14.1.21. COR – Contracting Officer’s Representative

14.1.22. CPR – Cardiopulmonary Resuscitation

14.1.23. CQI - Continuous Quality Improvement

14.1.24. CQM - Clinical Quality Management

14.1.25. CQMP - Clinical Quality Management Program

14.1.26. DA – Department of the Army

14.1.27. DCCS - Deputy Commander for Clinical Services.

14.1.28. DEA - Drug Enforcement Administration.

14.1.29. DEM – Department of Emergency Medicine

14.1.30. DOD - Department of Defense.

14.1.31. DODI - Department of Defense Instruction

14.1.32. ECFMG - Educational Commission for Foreign Medical Graduates

14.1.33. EFT - Electronic Funds Transfer

14.1.34. EKG - Electrocardiogram.

14.1.35. EMG - Electromyography

14.1.36. FAR - Federal Acquisition Regulation

14.1.37. FBI - Federal Bureau of Investigation

14.1.38. FL - Form Letter

14.1.39. FTE - Full Time Equivalent.

14.1.40. HCP – Health Care Provider

14.1.41. HIPAA - Health Insurance Portability & Accountability Act of 1996

14.1.42. HSC – Health Services Command

14.1.43. ICTB-Inter-Facility Credentials Transfer Brief

14.1.44. IMR-Individual Medical Record

14.1.45. IRC - Installation Record Check

14.1.46. IV - Intravenous.

14.1.47. TJC – The Joint Commission.

14.1.48. KO - Contracting Officer.

14.1.49. MEDCEN – Medical Center

14.1.50. MEDCOM - Medical Command

14.1.51. MEDDAC - Medical Department Activity

14.1.52. MTF - Medical Treatment Facility

14.1.53. LOSS - Line of Sight Supervision

14.1.54. NACI - National Agency Check with Inquiries

14.1.55. NCOIC - Noncommissioned Officer in Charge

14.1.56. NP - Nurse Practitioner

14.1.57. NPDB - National Practitioner Data Bank

14.1.58. OCONUS - Outside the Continental United States

14.1.59. OIC - Officer in Charge

14.1.60. OSHA - Occupational Safety and Health…