Amendment 0002.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: JAYME C. NAGAO

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

0011481830

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is to provide responses to questions received.

All other terms and conditions remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 16

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

16C. DATE SIGNED

BY 22-Jul-2020

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 W81K0220Q0154

X 9B. DATED (SEE ITEM 11)

01-Jul-2020

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

22-Jul-2020

CODE

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FT SHAFTER HI 96858-5098

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K0220Q0154

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

AMENDMENT 0002 QUESTIONS

1. Is your requirement for equipment at Outlying Clinics (11 items) for all three (3) Vet Clinics or only at one

(1) of the three (3) Vet Clinics?

RESPONSE: The equipment listed for Outlying Clinics is located only at one (1) of the three (3) Vet Clinics. The table for Outlying Clinics has been updated within the Performance Work Statement to indicate which Vet Clinic each equipment is located at.

2. Would you provide the location for each equipment because the distance between Daegu and Osan is too far about 250Km?

RESPONSE: The table for Outlying Clinics has been updated within the Performance Work Statement to indicate which Vet Clinic each equipment is located at.

3. Do you have other equipment for each Vet Clinic?

RESPONSE: All equipment to be covered under this contract is identified within the Performance Work Statement.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

MAINTENANCE AND REPAIR OF ANESTHESIA UNITS AT

BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL AND ALL OUTLYING CLINICS,

USAMEDDAC-KOREA

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 ADMINISTRATIVE INFORMATION

3.0 SCOPE OF WORK

4.0 QUALITY ASSURANCE

5.0 SAFETY / SECURITY REQUIREMENTS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1. INTRODUCTION.

1.1 This requirement is for an annual maintenance service contract for the Government owned anesthesia units at Brian D. Allgood Army Community Hospital (BDAACH) and all outlying clinics: Camp Humphreys 106th Vet Clinic, Osan AB Vet Clinic, and CP Walker Vet Clinic as identified in paragraph 3.1 of this Performance Work Statement (PWS), to include all labor, parts, material and travel, to repair and /or maintain the Government owned equipment, in a fully functional condition in accordance with (IAW) Original Equipment Manufacturers (OEM) specifications.

1.2 This contract is a non-personal services contract 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. ADMINISTRATIVE INFORMATION.

2.1 Hours of Operation. BDAACH provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays.

2.1.1 Normal business hours for the Equipment Management Branch (EMB) are 0730 – 1630, Monday – Friday.

Clinics have designated operating hours.

2.1.2 The contractor shall make every practical effort to provide services during normal business hours, excluding Federal holidays. However, in certain cases, permission may be granted to the contractor to provide services outside of EMB normal operating hours if during these hours (1) access to the equipment being serviced is limited or unavailable, (2) servicing the equipment would cause impactful impedance to patient care, or (3) the contractor provides any other justified reasoning for unavailability that is accepted by the Medical Maintenance NCOIC. Approval to perform services outside of EMB normal business hours will be given by the Medical Maintenance NCOIC.

2.1.3 BDAACH and all outlying clinics’ Medical Maintenance provides emergency services after-hours by means of an on-call technician. In the event any contractor is performing services outside normal business hours, the on-call technician will be available to perform duties of BDAACH and all outlying clinics’ Medical Maintenance (i.e. periodically checking on the progress of contractor personnel to ensure the security of the hospital, verifying the quality of services rendered meets or exceeds the standards set forth in the PWS, and assist the contractor personnel in signing out in Medical Maintenance with badge return).

2.1.4 This contract does not cover over-time, after-hours emergencies or Federal and Korean holiday coverage.

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

2.1.5.1 Federal Holidays

New Year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

2.1.5.2 Korean Holidays

New Year’s Day, January 1st & 2nd Lunar New Year’s day (Depending on the Lunar Calendar - normally Dec 31, and Jan 1st and 2nd) Independence Movement Day, March 1st Labor Day, May 1st Children's Day, May 5th Buddha’s Birthday (Depending on the Lunar Calendar - normally April 8th) Memorial Day, June 6th Constitution Day, July 17th Liberation Day, August 15th Chu-Suk (Depending on the Lunar Calendar - normally August 14, 15 and 16) National Foundation Day, October 3rd Hangul Day, October 9th Christmas Day, December 25th

NOTE: 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.

2.2. 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.

2.3. 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.

2.4. Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under Sexual Assault Prevention and Response Program (SHARP).

2.4.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 19-019, Sexual Harassment/Assault Response and Prevention (SHARP) Program, Mar 21, 2019. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

2.4.2. The contractor shall require all 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 Representative. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

2.4.3. The contractor shall require all 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 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 Representative. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

2.5. Combatting Human Trafficking. Combating Trafficking in persons (awareness program) shall be 100% compliance (zero tolerance) regarding trafficking in persons policy in accordance with FAR 52.222-50 and FAR 22.1703.

3. SCOPE OF WORK.

3.1 Equipment to be Serviced.

Location: BDAACH

ECN

Mfr. Serial No.

Nomenclature

Manufacturer

Common Model

Interval

047701

APWY01787

ANESTHESIA UNIT

GE

HEALTHCARE

AISYS CS2

Quarterly

047702

SMP19300083SA

SERVER, AUTOMATIC

DATA PROCESSING

2020913-004

047703

BGBY01370

VAPORIZER

1100-9030-

047704

BGAY00670

1100-9029-

047705

BGCY00858

1100-9025-

047706

APWY01785

047707

SPM19300075SA

047708

BGBY01374

047709

BGAY00668

047710

BGCY00850

047711

APWY01788

047712

SPM19300097SA

047713

BGBY01367

047714

BGAY00695

047715

BGCY00855

047716

APWY01786

047717

SMP19300094SA

047718

BGBY01364

047719

BGAY00700

047720

BGCY00786

047721

APWY01784

047722

SPM19300096SA

047723

BGBY01373

1100-9030-000

047724

BGAY00701

1100-9029-000

047725

BGCY00863

1100-9025-000

48400

SPX19330592SA

MONITORS, BEDSIDE

PDM

48401

SGS19280027HA

E-BIS

48402

SJC19200071HA

E-NMT

48403

SGV19150180HA

E-SCAIO

48404

DTT22013276

D19KT

DISPLAY

48405

SPX19330595SA

48406

SGS19280055HA

48407

SJC19200065HA

48408

SGV19150025HA

48409

DTT22013253

48410

SPX19330598SA

48411

SGS19280062HA

48412

SJC19210026HA

48413

SGV19230321HA

48414

DTT22013315

48415

SPX19330596SA

48416

SGS19280060HA

48417

SJC19200087HA

48418

SGV19130094HA

48419

DTT22013270

48420

SPX19330898SA

48421

SGS19280063HA

48422

SJC19210028HA

48423

SGV19150077HA

48424

DTT22013312

Location: Outlying Clinics

ECN

Mfr. Serial

No.

Nomenclature

Manufacturer

Common Model

Location

Interval

49040

CBB0120150034

OXYGEN

CONCENTRATOR

AIRSEP

CORP,

MEDICAL

PRODUCTS

DIV

NEW LIFE

ELITE

OSAN AB

VET CLINIC

(3RD TEAM)

Semi-annually

39231

13286

SHOR-LINE

PURELINE

OC4000

106TH CAMP

HUMPHREYS

VC

39232

13287

SHOR-LINE

PURELINE

OC4000

106TH CAMP

36517

S221005035

SURGIVET INC

WWV9000

106TH CAMP

23516

VENTILATOR,

ANESTHESIA

HALLOWELL

2002IE

43468

4200174

ISOFLURANE

SURGIVET

INC

CLASSIC ISO

43477

4200176

CLASSIC T3

OSAN AB

43478

4200238

CLASSIC T3

OSAN AB

48922

V2198383

MIDMARK

CORP

VIP3000

CP WALKER

VC (4TH

TEAM)

48923

V2173238

MIDMARK

CORP

VIP3000

42050

BUB0116520128

AIRSEP CORP,

MEDICAL

PRODUCTS

CTS05-1M

DIV

3.2 Specific Tasks and Deliverables. The contractor, or contractor representative, shall report to the BDAACH, EMB, Medical Maintenance Section (Bldg 3030, Room HB041A, telephone (0503) 337-1699), prior to commencing all on-site services (Preventive Maintenance Checks and Services (PMCS) and repairs).

3.2.1 All service visits shall be coordinated between the contractor, the Medical Maintenance Technician requesting service, and the Medical Maintenance Contracting Officer Representative (COR).

3.2.2 Any deliverables (i.e. replacement parts, supplies, tools) shall be shipped to Medical Maintenance at the address below and will be provided to the contractor upon initial check-in at the Medical Maintenance front desk.

The Brian D. Allgood Army Community Hospital (BDAACH) Unit # 15245 ATTN: Bldg # 3030, Medical Maintenance, Logistics Division

APO AP 96271-5245

3.3 General Work Requirements. The contractor shall provide trained personnel for on-site support, to include labor, travel, tools, hardware, firmware, materials, supplies, parts and test, measurement, & diagnostic equipment (TMDE) necessary to perform all operations in connection with scheduled preventative maintenance (PM) and/or calibration (CAL) procedures as well as unscheduled repair visits as needed in order to maintain the listed equipment and/or its components if any, in a fully functional state, in accordance with (IAW) the Original Equipment Manufacturer (OEM) specifications. Any software updates provided by the OEM for covered equipment that enhances equipment functions and operations without hardware changes shall be installed. All equipment must be in compliance with Joint Commission (JC), HIPAA and the NFPA 99 Standard for Health Care Facilities.

3.4 Response Time. The time frame, within which the contractor’s representative must respond, is measured from the time of verbal notification that service is required. Acceptable response times are as follows; (1) Contractor shall acknowledge receipt of notification of service call request within two (2) hours. (2) Contractor shall arrive on-site within eight (8) hours for emergencies or 24 hours for routine service calls. (3) Deficiency shall be corrected within a period of five (5) days from first notification of failed equipment. If parts cannot be acquired within the first eight (8) hours after arrival on site, the contractor shall contact the NCOIC of Medical Maintenance and/or the COR to communicate the reason for the delay. The deficiency shall be corrected and returned back to a fully functional state within the timeframe as previously stated.

3.5 Uptime. Uptime is defined as the time during which a piece of equipment is functioning or able to function.

The contractor shall provide both scheduled (PMCS) and unscheduled services to repair and/or maintain the equipment listed above, and components if any, to a fully functional condition with a ninety-eight percent (98%) uptime guarantee (calculated on quarterly basis).

3.6 PREVENTATIVE MAINTENANCE CHECKS AND SERVICES (PMCS).

As stated in 3.2.1, all service visits, to include PMCS, shall be coordinated between the contractor, the Medical Maintenance Technician requesting service, and the designated Medical Maintenance COR.

3.6.1 The scheduling of PMCS services will be outlined in the PWS by designating a period of time (1 month for annual requirements, 2 corresponding months for semi-annual requirements, etc. i.e. June and December) in which the contractor shall perform the PMCS services. These are safety measures set forth to prevent any lapse in coverage of equipment as tracked in the Defense Medical Logistics Standard Support (DMLSS) database utilized by BDAACH and all outlying clinics’ Logistics operations, hence preventing possible complications hindering BDAACH and all outlying clinics’ ability to provide patient care. Duplication of calibration services shall be avoided. When the scheduled completion dates by the contractor and those of Medical Maintenance are different, the most recent service/calibration date by the contractor shall be used to indicate that the units are and will continue to work to manufacturer specifications. The contractor may be able to combine the preventative maintenance service visit with an onsite service visit but must be coordinated with the Medical Maintenance Technician and the COR.

3.6.1.1 Contracted services are required to be performed during the months described below:

• BDAACH (Pyongtaek): October / January / April / July

• 106th Vet Clinic (Pyongtaek): October / April

• Osan Air Base Vet Clinic (3rd Team/ Osan): October / April

• CP Walker Vet Clinic (4th Team/Daegu): October / April

3.6.2 The COR has the authority to approve requests for the contractor to perform PMCS services outside the defined window allotted to complete services. Requests shall be routed through the designated COR and the NCOIC of BDAACH.

3.6.3 The contractor shall make every reasonable effort to complete PMCS services within the first 15 days of the designated month(s) to minimize burdens of time constraints and allow room for any unexpected discrepancies or repairs that may surface during PMCS services.

3.6.4 For all equipment outlined in the PWS to receive quarterly and/or semi-annual PMCS, the contractor shall ensure coverage is provided for the full length of the contract regardless of when the actual PMCS is performed, i.e.

all units shall remain fully functional and certified for the entire 12 month period of performance.

3.6.5 The contractor shall provide all tools, parts, TMDE, and necessary items to fully complete all PMCS as identified in the Equipment List. The scheduled service shall include labor, travel, inspection, replacement of parts, calibration, and software to maintain the government owned equipment and associated components under this contract in a continuous working state. All completed work shall be certified to meet OEM specifications.

3.7 Repairs (Unscheduled Services). Upon request by the COR, the contractor shall perform unscheduled services to repair the equipment and associated components to a fully functional condition. The contractor shall remain in compliance of the response time parameters set forth in the PWS as stated in 3.4.

3.7.1 All repair parts, whether new or refurbished, shall meet OEM standards, in order to be used to conduct repairs on the equipment. If new parts are not available, refurbished parts may be used, but must be pre-approved by the Medical Maintenance NCOIC prior to installation. All completed work shall be certified to meet OEM specifications.

3.7.2 All parts supplied shall be compatible with the existing system.

3.7.3 The contractor shall have ready access to unique and/or high mortality replacement parts.

3.7.4 The contractor shall provide for all replacements of worn or defective parts (excluding consumables) necessary to restore the equipment to 100% operational condition as specified by the OEM. Replacement parts shall not exceed $3,500.00 in US dollars. If it is anticipated that replacement parts will exceed $3,500.00, the contractor shall notify the COR.

3.7.5 All replacement parts shall become the property of the government and the replaced malfunctioning part shall become the property of the contractor.

3.7.6 Freight, postage and storage charges associated with shipment, receipt of replacement parts and the return of worn or defective parts shall be the responsibility of the contractor.

3.7.7 In any event the contractor is found to have used replacement parts considered by the OEM to be substandard, any resulting costs and liability will be the obligation and responsibility of the contractor. In the event of any such circumstance, the Contracting Officer will make the final determination about whether a replacement part is of equal or better quality.

3.8 Upon Completion of Service Calls.

3.8.1. Upon completion of work, the BDAACH and all outlying clinics Medical Maintenance technician shall perform an inspection with the contractor personnel to verify all services were completed to specifications.

3.8.2 After performing Calibration/Verification/Certification (CVC) services, the contractor’s representative will affix a DD Form 2163 (Medical Equipment Verification/Certification) label IAW instruction provided in (1) TB 38- 750-2, (2) SB 8-75-11, and (3) TB MED 750-1.

3.8.2.1 Required forms and extracts from pertinent directives will be furnished to the contractor’s service representative by the government upon request.

3.8.3 The contractor personnel will sign out at the Medical Maintenance front desk personnel where they signed in upon arrival.

3.8.4 The contractor shall submit a full Field Service Report (FSR) to the COR for review within 72 hours of completion of services. The FSR may be submitted in person upon completion, via mail (address stated in PWS 2.2.2), or email (tonghun.yi2.ln@mail.mil).

3.8.4.1 The Field Service Report shall provide a detailed account of the service call to include the initial fault or cause for service call, a detailed account of services performed and corrective action taken, labor cost information (hours and labor rate), and TMDE used (serial numbers where applicable and calibration dates). The contractor shall include all parts used/replaced and its price, additionally, the contractor shall include travel and any lodging associated with the service call. The information provided by the contractor shall be used by the customer and/or the COR quarterly throughout the term of the contract to perform quality assurance and cost analysis.

3.9. Licensure/Certification/Qualifications

3.9.1 Minimum Company Qualifications and Experience: The contractor shall have a minimum of five (5) years of experience providing maintenance and repair services of anesthesia apparatus and vaporizers for the following manufacturers: GE, AIRSEP CORP, MEDICAL PRODUCTS DIV, SHOR-LINE, SURGIVET INC, HALLOWELL, and MIDMARK CORP. The contractor shall have replacement parts readily available to perform scheduled repair and maintenance during the months identified in paragraph 3.6.1.1 and unscheduled repair as identified in paragraph 3.7.

3.9.2 Minimum Personnel Qualifications and Experience: Services under this contract shall be performed by individuals who have demonstrated knowledge, and competence in servicing and maintaining the specified equipment under this contract. The Contractor shall ensure repair technicians have been fully trained and experienced in testing and repairing the equipment and components on contract. The chosen representative(s) by the contractor shall have a minimum five (5) years of experience in maintaining the equipment specified in this PWS.

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

3.9.4 Compliance. The Contractor and contract personnel shall abide by all 65the MED BDE/MEDDAC-Korea standards, rules and procedurals. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives. The contractor shall ensure all personnel performing services under this contract shall be informed of the guidelines and contractual requirements set forth in the PWS and contract, including but not limited to, all safety/security protocol and credential verification procedures.

3.10. Enterprise-wide Contractor Manpower Reporting Application (eCMRA)

The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the US Army Medical Command via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil.

3.11. OPSEC.

3.11.1. AT Level I Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 15 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 7 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

3.11.2. Access and General Protection/Security Policy And Procedures: This standard language is for contractor employees with an area of performance within Army controlled installation, facility, or area. 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 Contractor 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.

3.11.3. For contractors that do not require CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

3.11.4. iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. 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 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 the COR. This training shall be completed within 30 calendar days of contract award and within 15 calendar days of new employees commencing performance with the results reported to the COR NLT 45 calendar days after contract award.

3.11.5. Army Training Certification Tracking System (ATCTS) registration for contractor employees who require access to government information systems. All contractor employees with access to a government info system must be registered in the ATCTS (Army Training Certification Tracking System) at commencement of services, and must successfully complete the DOD Information Assurance Awareness prior to access to the IS and then annually thereafter.

3.11.6. For Contract Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US. The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingency and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

4. QUALITY ASSURANCE.

4.1 Quality Control. The contractor shall ensure the quality of service and materials provided under this contract meet or exceed the conditions outlined in the PWS.

4.2 Quality Assurance Surveillance Plan (QASP). The QASP specifies how Government quality assurance surveillance of the contract tasks will occur. The QASP will focus on the quality of the contractor performance and not just on the steps taken or procedures used to provide that service. The QASP may include an appropriate use of pre-planned inspections, correspondence reviews, customer surveys, validation of complaints, audits, and random unscheduled inspections. The QASP is a form of guarantee that the Government receives the services for which it contracted and pays only for the services it receives. It is the method by which the Government determines if the contractor meets the performance standards in the contract.

5. SAFETY / SECURITY REQUIREMENTS

5.1 Equipment Safety Procedures. The contractor shall furnish and install all manufacturers’ mandatory modifications and apply recalls by FDA. The contractor must comply with specified lubrications, cleaning (other than operators), calibrations, parts, and replacements IAW OEM specifications.

5.1.1 When required, the contractor’s service representative shall comply with the Office of Safety and Health Administration (OSHA) lockout/tag-out standards while performing maintenance on equipment.

5.2 Hazardous Items. The government and the contractor’s service representative shall exchange hazard communication information (i.e. MSDS, etc.) before the commencement of any service for the safety of all parties.

5.3 BDAACH and All Outlying Clinics Security. Contractor personnel and/or any representative of the contractor entering BDAACH and all outlying clinics shall abide by all security regulations and be subject to security checks. The contractor and/or his representative shall report to the Medical Maintenance Work Order desk to sign-in and receive a temporary access badge; the badge shall be returned to the front desk clerk and the representative shall sign out before departing the installation.

5.4 Network Security Requirements. When applicable, the contractor shall abide by all procedures and regulations set forth by Information Management Division (IMD), 65th MED BDE/MEDDAC-Korea.

5.4.1 If applicable, the contractor shall be granted an Interim Authority to Operate (IATO) of six months to meet 65th MED BDE/MEDDAC-Korea’s minimum security requirements. These include:

5.4.2 The contractor shall use 65th MED BDE/MEDDAC-Korea's approved method of connection for vendors requiring remote access capabilities for support of their applications / systems. The contractor shall coordinate with Information Management Division (IMD), Information Systems Engineering (ISE) Branch to meet current technical requirements for a VPN connection.

5.4.3 The contractor shall authenticate using two-factor authentication. The contractor is required to register with Trusted Associate Sponsorship System (TASS), formerly Contractor Verification Services (CVS) and to obtain tokens for this connection.

5.4.4 The contractor shall identify employees requiring a 65th MED BDE/MEDDAC-Korea network account for remote connectivity and will submit (DOD) DD Form 2875 System Authorization Access Request (SAAR) for those employees supporting the application remotely. The DD Form 2875 can be accessed at the following link.

http://www.dtic.mil/whs/directives/infomgt/forms/forminfo/forminfopage3211.html

5.4.5 The contractor shall ensure a Security Background Investigation has been initiated by the contracting organization. Security Background Investigations are required for all network users. 65th MED BDE/MEDDAC- Korea uses Standard Form 85P - Questionnaire for Public Trust Positions. This can be accessed at the link provided.

Once at the website, click on SF Form 85P.

http://www.opm.gov/forms/standard-forms/

Note: Foreign Nationals will not be granted access to the 65th MED BDE/MEDDAC-Korea network until a satisfactory Security Background Investigation has been completed and they have been approved for access by the Designated Approving Authority (DAA) / Commanding General.

5.4.6 The contractor shall complete all IA training requirements as outlined by the Authorized User Policy (AUP). DOD and the Army have mandated IA training be completed initially and then annually for anyone accessing a DOD network. The contractor shall submit a 'Certificate of Training' from the DISA DoD IA Awareness Training available at the link provided.

http://iase.disa.mil/

5.4.7 The contractor shall read and sign the Acceptable Use Policy (AUP). Acceptable Use Policy is required initially and then required to be signed annually for all network users. The contractor shall sign the AUP initially and annually thereafter or at time of contract renewal, whichever is earlier. Acceptable Use Policy should be provided to the vendor by the System Administrator assigned to the applications/system.

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

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.

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 AR 40-66 Medical Records Administration and Health Care Documentation 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 AR 608-18 Army Family Advocacy Program AR 600-85 Alcohol & Drug Abuse Prevention and Control Program MEDCOM Pam 25-31 Index of Command Administrative Publications DA PAM 40-11 Preventive Medicine DoD 6055.5-M Occupational Medical Surveillance Manual TG 149 Guidelines for Controlling Occupational Exposure to Hazardous Drugs TG 190 Guide to Managing Exposure to Bloodborne Pathogens TB MED 510 Guidelines for the Recognition Evaluation, and Control of Occupational

Exposure to Waste Anesthetic Gases Advisory Publications.

AMA CPT Physician’s Current Procedural Terminology, updated annually

See https://catalog.ama.assn.org TB Med 2 Sterilizing Medical, Surgical, Dental, and Veterinary Material AR 40-501 Medical Examinations 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 DHA-PM 6025.13 Clinical Quality Management in the Military Health System DoD 1341.2-M DEERS Program Manual DoD 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

OTSG/MEDCOM

Policy Memo 19-019 Sexual Assault Prevention and Response Program (SHARP)

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

7.0. ACRONYMS AND DEFINITIONS.

ADM - Ambulatory Data Module ADS - Ambulatory Data System AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AKO - Army Knowledge Online AMA - American Medical Association AOD - Administrative Officer of the Day AR - Army Regulation BDAACH - Brian D. Allgood Army Community Hospital CAC - Common Access Card CAMH - Comprehensive Accreditation Manual for Hospitals CFR - Code of Federal Regulations CHCS - Composite Health Care System CLIN - Contract Line Item Number COR - Contracting Officer's Representative COTR - Contracting Officer’s Technical Representative CPT - Current Physicians Terminology 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 FTE - Full Time Equivalent HCP - Healthcare Provider HIPAA - Health Insurance Portability & Accountability Act of 1996 HRP - Health Readiness Platform, i.e. Military Treatment Facility JC - The Joint Commission KO - Contracting Officer LADS - Labor and Delivery Statistics System MEDCENs - Army Medical Centers MEDCOM - Medical Command MHS - Military Healthcare System MTF - Military Treatment Facility OIC - Officer in Charge OSHA - Occupational Safety and Health Administration PAM - Pamphlet PAR - Performance Assessment Report POC - Point of Contact PWS - Performance Work Statement PL - Public Law QASP - Quality Assurance Surveillance Plan QC - Quality Control RVU - Relative Value Units SF - Standard Form SHARP - Sexual Harassment / Assault Response and Prevention TA - Trusted Agent TASS - Trusted Associated Sponsorship System UCAPERS - Uniform Charts of Accounts Personnel System

END OF PERFORMANCE WORK STATEMENT

(End of Summary of Changes)