Amend0001_W81K0217T0343.pdf

0010958813-0001

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

Revise Para 5.1.2. of PWS to read:

5.1.2. All w ork shall be performed by a trained/certif ied employee. The Contractor shall ensure that employees w ho handle, package, transport, label, mark, placard, prepare shipping documents, and respond to spill response w ill be trained in accordance w ith federal (i.e., 49 CFR, Part 172.704, 49 CFR 177.816, etc.), state, or local regulations. The contractor shall provide current certif icates of training

(Hazardous Materials Aw areness Training and Driver Improvement Program) for its employees and annually thereafter or as long as training certif icates are w ithin regulatory training requirement expiration dates. The Contractor shall ensure that all drivers have proper DOT

HAZMAT endorsements for transport over highw ays w hen applicable.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 13

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

16C. DATE SIGNED

BY 08-Sep-2017

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 W81K02-17-T-0343

X 9B. DATED (SEE ITEM 11)

01-Sep-2017

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

08-Sep-2017

CODE

W40M PACIFIC RGNL CNTRG OFC

USA MEDCOM HCAA

160 KRUKOWSKI RD BLDG 160

HONOLULU HI 96819-1552

W81K02 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K02-17-T-0343

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT FOR

TRANSPORT OF REGULATED MEDICAL WASTE

(SHARPS/RED-BAGGED WASTE)

At Tripler Army Medical Center, HI

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN

5.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

6.0 ACRONYMS AND DEFINITIONS

1.0 INTRODUCTION.

1.1. The contractor shall provide the non-personal services for all necessary labor, management, supervision, tools, materials, supplies, manhandling equipment, transportation and other incidental services to provide services for transport of regulated medical waste from various locations to include but not limited to: US Army

Health Clinic, Schofield Barracks, Medical Laboratory, Bldg. 684, 2 nd

Floor, Schofield Barracks, HI; US Army

Health Clinic Schofield Barracks, Logistics Division, Bldg. 679, Schofield Barracks, HI; Schofield Veterinary

Clinic; Fort Shafter Veterinary Clinic, Bldg. 435, Fort Shafter, HI; Hickam AFB Vet Clinic; Kaneohe MCBH

Vet Clinic; Kalaeloa Base Community Clinic; Wheeler Air Base Bldg. 680/681, Clinical Investigation

Transition Trailers Bldg. 160 & 162 etc. to Tripler Army Medical Center. The contractor shall comply with all terms, conditions, special contract requirements/conditions and specifications contained in the contract or incorporated by reference. The contractor will be responsible for complying with federal, state, or local environmental regulations, laws and or policies, whichever is the most stringent. Purpose of contract is to provide the transportation of RMW towards the optimization of environmental compliance. Environmental compliance shall be consistent with federal, state, and local regulations for handling, transporting, and disposing of RMW. Regulated Medical Waste (RMW) may be defined as: Isolation Wastes; Cultures and Stocks of

Infectious Agents; Human Blood, Blood Products, and Body Fluids, Contaminated Linen; Pathological Wastes;

Highly Communicable Diseases; and Sharps.

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable

Department of Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facility (MTF) specific policies, procedures, and job descriptions.

1.3. RESERVED

1.4. This contract is a non-personal services 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.

2.0 BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts.

The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2. Tripler Army Medical Center (TAMC) is the headquarters of the Pacific Regional Medical Command of the armed forces administered by the United States Army in the State of Hawaii. It is the largest military hospital in the Asian and Pacific Rim region and serves a military sphere of jurisdiction. During a single day of operations at

Tripler Army Medical Center, personnel serve an average of 1,728 meals, tend to 2,248 clinic visits and 110 emergency room visits, fill 1,193 prescriptions, complete 25,000 pathology procedures and deliver eight (8) infants. On a typical day, 32 new patients are admitted as 159 beds are occupied. Of those patients, 19 go through ambulatory surgery.

3.0. SCOPE OF WORK.

3.1. This contract is a non-personal services 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. The Contractor shall provide the non-personal services for all necessary labor, management, supervision, tools, materials, supplies, manhandling equipment, transportation and other incidental services to provide services for Regulated Medical Waste (RMW) transport from various locations to include but not limited to: US Army Health Clinic, Schofield Barracks, Medical Laboratory, Bldg. 684, 2 nd

Floor, Schofield Barracks, HI; US Army Health Clinic Schofield Barracks, Logistics Division, Bldg. 679, Schofield Barracks, HI; Schofield Veterinary Clinic; Fort Shafter Veterinary

Clinic, Bldg. 435, Fort Shafter, HI; Hickam AFB Veterinary Clinic; Kaneohe MCBH Veterinary Clinic; Kalaeloa

Base Community Clinic; Wheeler Air Base Community Clinic, Bldg. 680/681, Clinical Investigation Transition

Trailers Bldg. 160 & 162 etc. to TAMC.

3.2. Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer

(KO) of the new representative at least 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.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available 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 will be referred to the KO for resolution.

3.2.3. Contractor shall not include or use non-compete provisions with respect to the performance of Government medical service contracts in its employment, consultant, or third party contract agreements (hereafter agreements) with its contract personnel which are effective beyond the period of contract performance. Non-compete provisions shall not prevent contract personnel from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent contract personnel from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with contract personnel will result in an offeror’s proposal being determined unacceptable, and may be grounds for termination of any awarded contract or task order. Preventing contract personnel from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF

Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). 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 COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the

Government for such services as billed by the MTF.

3.3. Conflict of Interest.

3.3.1. Contractor will abide by federal employment statutes and the Federal ethics regulations in the selection and hiring of contractor personnel.

3.3.2. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.3.3. The Contractor shall not employ any person whose employment will violate the requirements of DoD

Directive 5500-7 Joint Ethics Regulation, and Office of Government Ethics Regulations governing Standards of

Conflict.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, each contract personnel shall wear visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

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

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

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

Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contract personnel 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 to the Provost Marshal’s

Office, at which time a DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions.

3.4.2.1. All vehicles are subject to search. Contract personnel 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 personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.2.2. Contract personnel shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property.

The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in 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.

3.5. Orientation and Training.

3.5.1. Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall ensure all contract personnel receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after the contract personnel begins performance under this contract. Training can be obtained either online or in person as offered at the installation where services are being provided. 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

3.5.1.1. POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARASSMENT

UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP).

3.5.1.1.1. 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), Mar 29, 2016. The SHARP reporting requirements apply only to knowledge obtained by contract personnel while performing services under this contract.

3.5.1.1.2. The contractor shall require all contract personnel 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 contract personnel or Government personnel, or other individuals.

3.5.1.1.3. The contractor shall require all contract personnel with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing http://www.atsc.army.mil/tadlp/delivery/alms.asp 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 personnel or Government personnel, or other individuals.

3.5.2. AT/OPSEC REQUIREMENTS

3.5.2.1. AT Level I Training. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all employees and subcontractor personnel. AT Level I training is available at the following website: http://jko.jten.mil

3.5.2.2. Access and general protection/security policy and procedures. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office.

Contractor workforce must comply with all personal identity verification requirements (FAR Clause 52.204-9, Personal Identity Verification of Contract or Personnel) as directed by DoD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition

(FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.5.2.3. iWATCH Training. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 05 calendar days of new employees commencing performance with the results reported to the COR NLT 30 calendar days after contract award.

3.6. MTF HOURS OF OPERATION

3.6.1. ACH’s and MEDCEN’s provide services 24 hours a day, 365 days a year (366 days during leap years) including holiday. Clinics have designated operating hours.

3.6.1.1. GENERAL OPERATING HOURS:

SCHOFIELD BARRACKS 0700 hrs to 1500 hrs

WHEELER AIR FIELD 0700 hrs to 1500 hrs

KANEOHE MCBH 0700 hrs to 1500 hrs

FORT SHAFTER 0700 hrs to 1500 hrs

HICKAM AFB 0700 hrs to 1500 hrs

KALAELOA BASE CLINIC 0700 hrs to 1500 hrs

FORT SHAFTER FLAT 0700 hrs to 1500 hrs

TRIPLER AMC 24 hrs

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday, holidays falling on a Sunday will be observed on the following Monday.

Contract personnel may be required to work on legal holidays as determined by the COR.

New Year’s Day, January 1 st

Martin Luther King’s Birthday, 3 rd

Monday in January

President’s Day, 3 rd

Monday in February

Memorial Day, Last Monday in May

Independence Day, July 4 th

Labor Day, 1 st Monday in September http://jko.jten.mil/

Columbus Day, 2 nd

Monday in October

Veteran’s Day, November 11

Thanksgiving Day, 4

Thursday in November

Christmas Day, December 25

NOTE 1: 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 the holiday 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.

3.6.3. Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3.7. DELIVERY/SCHEDULING PROCESS.

3.7.1. ROUNTINE PICK-UP TRANSPORT

3.7.1.1. The Contractor shall pickup routine waste at TAMC Health Clinics between hours annotated below excluding Federal Holidays. The Contractor shall pick up the RMW from various locations which will include but not be limited to: US Army Health Clinic, Schofield Barracks, Medical Laboratory, Bldg. 684, 2nd Floor, Schofield Barracks, HI; US Army Health Clinic Schofield Barracks, Logistics Division, Bldg. 679, Schofield

Barracks, HI; Schofield Veterinary Clinic; Fort Shafter Veterinary Clinic, Bldg. 435, Fort Shafter, HI; Hickam

AFB Veterinary Clinic; Kaneohe MCBH Veterinary Clinic; Kalaeloa Base Community Clinic; Wheeler Air Base

Community Clinic, Bldg. 680/681, Clinical Investigation Transition Trailers Bldg. 160 & 162 etc. and deliver to

Tripler Army Medical Center, Retort Area, 2A Loading Dock, Honolulu, HI. Routine pick up of RMW will be on a set weekly basis (day/time) or as requested by the Contracting Officer Representative (COR).

Deliver to: TAMC Retort Area, Loading Dock 2A:

Category Days of Work Time

Uneventful Monday through Friday Coordinated Time

Emergency Services Monday through Sunday All Hours

3.7.2. UNEVENTFUL/EMERGENCY SERVICES.

3.7.2.1. The Contractor will be notified by the COR of uneventful events/emergency pick up services (i.e., red bagged wastes, Sharps, etc.) and will be on a periodic basis only. The facilities will include but are not limited to: US Army Health Clinic, Schofield Barracks, Medical Laboratory, Bldg. 684, 2 nd

Floor, Schofield Barracks, HI; US Army Health Clinic Schofield Barracks, Logistics Division, Bldg. 679, Schofield Barracks, HI;

Schofield Veterinary Clinic; Fort Shafter Veterinary Clinic, Bldg. 435, Fort Shafter, HI; Hickam AFB

Veterinary Clinic; Kaneohe MCBH Veterinary Clinic; Kalaeloa Base Community Clinic; Wheeler Air Base

Community Clinic, Bldg. 680/681, Clinical Investigation Transition Trailers Bldg. 160 & 162 etc.

3.7.2.2. The Contractor shall provide shipping documentation with applicable generator information pre-printed prior to conducting pick up services at TAMC. The necessary labeling, documentation and manifests required for transportation/disposal shall be completed in accordance with the 49 CFR and 40 CFR (when applicable).

3.7.3. The Contractor shall be penalized 3% of total invoice amount for subject pickup if: Arrive more than 30 minutes late or scheduled pickup time, or failure to notify COR/MBR one full business day prior to scheduled pickups if he/she is unable to meet commitment.

3.7.4. The Contractor Manager may be required to meet with the KO or COR upon request and as often as necessary to clarify or remedy outstanding issues and or concerns. The COR or their designee will be responsible for communicating with the Contractor regarding scheduling issues. The shift supervisor may act as point of contract after normal duty hours, weekends and holidays. In such cases, the COR shall confirm all actions on the next normal working day.

3.7.5. Contingency. In the event that contract driver arrives at TAMC and COR cannot be reached:

3.7.5.1. Driver will attempt to contact Environmental Services Branch – 2x’s @ 808-433-7983 or 808-433-5263.

3.7.5.2. If alternate POC’s cannot be reached above, contact 808-433-6015. Personnel appointed as designated and trained to handle biomed materials will be notified as an alternate source.

3.7.5.3. If above two attempts are made and still no contact, Contractor will return to home base to reschedule pick up with TAMC Environmental Services Branch contract COR in a timely manner to prevent stock piling of regulated waste.

3.8. Invoicing. The Contractor is responsible for submitting an accurate invoice.

3.8.1. The Contractor shall submit an electronic invoice on or before the end of the first week of each month for services performed in the prior month to TAMC COR. The invoice shall be forwarded according to the electronic billing clause. The Contractor will be required to process monthly invoices through the Government’s Invoicing, Receipt, Acceptance and Property Transfer (iRAPT), Two in One payment process to the COR. The COR will review/verify electronic invoice and forward to DFAS for payment to Contractor. The invoice at a minimum will include the company information, invoice number, invoice date, CLIN number, unit price, unit of measure, quantity shipped, etc.

3.8.2. Utilizing the iRAPT Two in One payment account process will account for the invoice to the generator. No hard copy of invoice is required to be sent to the generator.

3.9. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.10. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, 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 and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.11. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements as stated in the TAMC Health Requirements clause.

Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the

Government.

3.12. Contractor Manpower Reporting. "ACCOUNTING FOR CONTRACT SERVICES-The Office of the

Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address “https://cmra.army.mil. The required information includes: (1) Contracting

Office, KO, KO’s Technical Representative; (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) Organizational 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). (13) As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. 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, unless otherwise specified in the contract line item (CLIN) description. The contractor shall notify the Contracting Officer’s Representative (COR) in writing by the 5th working day after the required CMR report is completed, but not later than the 5 th working day of November. If the

COR is unavailable, the contractor will notify the KO.

3.13. TRUSTED ASSOCIATED SPONSORSHIP SYSTEM (TASS).

3.13.1. The Contractor shall comply with agency personal identity verification procedures 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.

3.13.2. 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.

3.14. QUALITY MANAGEMENT

3.14.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

3.14.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.0. QUALITY ASSURANCE SURVEILLANCE PLAN: See Attachment 01.

4.1. Inspection. The inspection and acceptance point for all services rendered under this contract will be the COR.

The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the

KO or COR. Any services rendered by the contract personnel or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause.

Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0. POSITION DESCRIPTIONS. Transportation of RMW

5.1. The Contractor shall pickup routine RMW from the TAMC Health Clinics between hours annotated above excluding Federal Holidays. The Contractor shall pick up the RMW from various locations which will include but not be limited to: US Army Health Clinic, Schofield Barracks, Medical Laboratory, Bldg. 684, 2nd Floor, Schofield Barracks, HI; US Army Health Clinic Schofield Barracks, Logistics Division, Bldg. 679, Schofield

Barracks, HI; Schofield Veterinary Clinic; Fort Shafter Veterinary Clinic, Bldg. 435, Fort Shafter, HI; Hickam

AFB Veterinary Clinic; Kaneohe MCBH Veterinary Clinic; Kalaeloa Base Community Clinic; Wheeler Air Base

Community Clinic, Bldg. 680/681, Clinical Investigation Transition Trailers Bldg. 160 & 162 etc. and deliver to

Tripler Army Medical Center, Retort Area, 2A Loading Dock, Honolulu, HI. Routine pick up of RMW will be on a set weekly basis (day/time) or as requested by the Contracting Officer Representative (COR).

5.1.1. Regulated Medical Waste (RMW). For this requirement, RMW has been defined as infectious Solid Waste and Sharp containers.

5.1.2. All work shall be performed by a trained/certified employee. The Contractor shall ensure that employees who handle, package, transport, label, mark, placard, prepare shipping documents, and respond to spill response will be trained in accordance with federal (i.e., 49 CFR, Part 172.704, 49 CFR 177.816, etc.), state, or local regulations. The contractor shall provide current certificates of training (Hazardous Materials Awareness Training and Driver Improvement Program) for its employees and annually thereafter or as long as training certificates are within regulatory training requirement expiration dates. The Contractor shall ensure that all drivers have proper

DOT HAZMAT endorsements for transport over highways when applicable.

5.1.3. The Contractor shall comply with all terms, conditions, special contract requirements/conditions and specifications contained in the Contract or incorporated by reference. The Contractor will be responsible for complying with federal, state, or local environmental regulations, laws and or policies, whichever is the most stringent.

5.1.4. The Contractor shall be able to read, write, and speak English well enough to effectively communicate with all other health care providers. The Contractor will report to the work site fully equipped to perform services required. At no time shall the Contractor conduct pick-up/transport of TAMC’s RMW without a U.S.

Government Representative (Military/Civilian) or Contractor Officer Representative (COR) present.

5.1.5. The Contractor shall provide all material handling equipment to transport the RMW throughout TAMC facilities / department and onto Contractor provided transport vehicle. The contractor shall have a back-up contingency plan in the event that their transport vehicle is unable to perform or become unavailable to meet transport requirements.

5.1.6. The RMW is defined by DOT as a hazardous material. When transported in commerce (i.e. Highway), the

Contractor shall prepare RMW for shipment following the requirements in 49 CFR, Parts 100-185 and 197. The

Contractor shall package all regulated medical waste for transport per 49 CFR 173.197 requirements. The

Contractor will provide TAMCs medical departments with DOT/UN approved performance-oriented packaging

(POP) containers/drums and packaging when applicable. For liquid waste, the containers/drums shall be of a rigid or semi rigid type, tightly sealed/closed, and leak-proof. For solid waste (frozen), a plastic film bag must contain the regulated medical waste prior to being placed in a wheeled cart, large packaging or bulk outer packaging. Packages must be durably marked (49 CFR, Part 172.300) or labeled (49 CFR, Part 172.400) with the name/ location of the offeror, name/address/telephone number of generator, words “Infectious Waste”, 49 CFR DOT, Part 172.101 proper shipping name (i.e., Regulated Medical Waste (technical name), 6.2, UN3291, PGII), and the Universal Bio-Hazard symbol label (29 CFR 1910.1030). The collection containers/drums provided shall be in sufficient amounts as not to disrupt or interfere with personal health care to patients.

5.1.7. The Contractor shall rinse and clean emptied drums/bins/containers with disinfectant if being reused.

The Contractor shall ensure that a government representative or COR is present for acceptance and not left unattended at departments/buildings.

5.1.8. The Contractor shall provide a transport vehicle to transport contractor furnished containers / drums to their processing facility. A spill containment and cleanup kit will be kept in each motor vehicle transporting

RMW. The spill kit at a minimum should consist of: back-up red medical waste bag (properly marked with the

UBH symbol), forceps or tongs, face shield, gloves, masks, gowns, absorbent material, disinfectants, material safety data sheet for the disinfectant, disposable apron, and disinfectant foam (waterless) for hand washing. The

Contractor shall ensure that applicable placards are erected onto transport vehicle when required. Use of privately owned personal vehicles will be prohibited.

5.1.9. Contractor Permit. The Contractor shall provide a full copy of current permit from the State of Hawaii, Department of Health and for renewal of permits thereafter as verification that the Contractor is permitted to transport regulated medical waste (infectious), for the current permit year. Deviation or non-compliance to permit specifications may be deemed for termination of contract.

5.1.10. Environmental Impairment Liability Coverage.

5.1.10.1. The Contractor will bear the cost of any Notice of Violation (NOV), fine or penalty for non-compliance

Enforced by local, state and federal regulatory environmental/safety/health agencies from its conduct. The EIL coverage applies to but is not limited to: land, air or water pollution and the different modes of transportation (i.e., air, vessel, highway, rail, etc.) associated with Contractor’s services.

5.1.10.2. To further indemnify and hold the United States Government harmless, the Contractor shall agree to the following: In the event of a spill or incident resulting from the Contractor’s services (i.e., picking-up, packaging, handling, storing, transporting, treating/destructing, reclaiming, refining or disposing of the generator’s solid waste (i.e., regulated medical waste, etc.), the Contractor agrees to pay all costs and expenses to remedy that spill or incident for non-compliance.

5.1.11. Subcontracted Functions.

5.1.11.1. If the Contractor is to subcontract this contract, the Contractor shall provide the COR with the name of the subcontractor and the type of work to be performed prior to commencing work. Subcontracted functions must be approved by the COR prior to commencement of work.

5.1.11.2. It is the Contractor’s responsibility to ensure and monitor their subcontractor’s compliance with all contract requirements regarding personal certification/qualification, personnel identification, security requirements, quality control, contract specifications and conduct while performing on the military installation.

5.1.12. Contract Closure. All work will be deemed complete when all required performance has been finished and concluded data has been received, certification of disposal received, and acceptance by the Government/final inspection has been completed.

5.1.13. No smoking policy. The Contractor shall comply with AR 600-3, Army Health Promotion for controlling the no smoking policy in Government buildings and facilities. Contractor employees shall eat and smoke in designated areas only.

6.0. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

6.1. Following is a list of basic publications applicable to this performance based statement of work. Additional publications may be listed by call. The Contractor is obligated to follow these publications. Current issues of

Army publications and links to other service publications can be accessed at http://www.apd.army.mil/. Army publications not on the internet or MTF policies and procedures can be obtained from the MTF. Department of

Defense publications can be found at www.defenselink.mil/pubs or www.dtic.mil/whs/directives.

6.2. The Publications have been coded as mandatory or advisory. The Contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory publications may be used for information and guidance but are not binding for compliance.

MANDATORY PUBLICATIONS:

Public Law 91-596 29 Dec 70 Occupational Safety and Health Administration

Public Law 104-191 21 Aug 96 Health Insurance Portability and Accountability Act of

1996 Current Edition Joint Commission for Accreditation of Healthcare Organizations (JCAHO)

Manual

AR 25-2 Information Assurance

AR 40-1 Composition, Mission, and Functions of the Army Medical

Department AR 40-3 Medical Services: Medical, Dental, and Veterinary Care

AR 40-4 Army Medical Department Facilities/Activities

AR 40-5 Preventive Medicine http://www.apd.army.mil/ http://www.defenselink.mil/pubs http://www.dtic.mil/whs/directives

AR 40-66 Medical Records Administration and Health Care Documentation

AR 40-68 Clinical Quality Management

AR 40-330 Rates Codes, Expense and Performance Reporting Systems, Centralized, Billing, and Medical Service Accounts

AR 40-400 Patient Administration

AR 40-407 Nursing Records and Reports

AR 40-501 Standards of Medical Fitness

AR 40-562 Immunizations and Chemoprophylaxis

AR 340-21 The Army Privacy Program

AR 380-5 Department of Army Information Security Program

AR 380-53 Information Systems Security Monitoring

AR 380-67 The Department of the Army Personnel Security Program

AR 385-40 Accident Reporting and Records and HSC Supplements

MEDCOM Pam 25-31 Index of Command Administrative Publications

DoD 6055.5-M Occupational Medical Surveillance Manual

TG 190 Guides to Managing Exposure to Blood borne Pathogens

TB MED 510 Guidelines for the Recognition Evaluation, and Control of Occupational Exposure to Waste Anesthetic Gases Advisory Publications.

AR 190-13 The Army Physical Security Program

AR 608-1 Army Community Service Program

DA Pam 25-51 The Army Privacy Program: System Notices and Exemptions Rule

DoD 1341.2-M DEERS Program Manual

DoDD 5200.2 DoD Personal Security

DoD 6010.8-R Civilian Health and Medical Program of the Uniformed Services CHAMPUS, Ch 9, 1 Jul 1991

FM 3-19.30 Physical Security

PL 89-614 Chapter 55, 10 U.S.C. (1071-1088)

Title 29, CFR Occupational Safety and Health Standards

Current issues of many forms can be accessed at http://www.usapa.army.mil/forms

7.0 ACRONYMS AND DEFINITIONS.

AR - Army Regulation

CAC - Common Access Card

CFR - Code of Federal Regulations

CLIN - Contract Line Item Number

COR - Contracting Officer's Representative

COTR - Contracting Officer’s Technical Representative

CVS - Contractor Verification System

DA - Department of the Army

DoD - Department of Defense

DODI - Department of Defense Instruction

EFT - Electronic Funds Transfer

FAR - Federal Acquisition Regulation

FSO - Facility Security Officer

HIPAA - Health Insurance Portability & Accountability Act of 1996 iRAPT - Invoicing, Receipt, Acceptance and Property Transfer

MEDCENs - Army Medical Centers

MEDCOM - Medical Command

MHS - Military Healthcare System

JC - The Joint Commission (on Accreditation of Healthcare Organizations)

KO - Contracting Officer

MTF - Medical Treatment Facility

OSHA - Occupational Safety and Health Administration

PAR - Performance Assessment Report http://www.usapa.army.mil/forms

POC - Point of Contact

PWS - Performance Work Statement

PL - Public Law

QASP - Quality Assurance Surveillance Plan

QC - Quality Control

SF - Standard Form

TA - Trusted Agent

TAMC - Tripler Army Medical Center

TASS - Trusted Associated Sponsorship System

END OF PERFORMANCE WORK STATEMENT

(End of Summary of Changes)