W81K0221Q0002_Amend 0001.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: SANDRA M. NAGAYAMA

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

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

See page 2.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 13

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

16C. DATE SIGNED

BY 21-Oct-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 W81K0221Q0002

X 9B. DATED (SEE ITEM 11)

02-Oct-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 X is extended, 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

21-Oct-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:

W81K0221Q0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

The following items are applicable to this modification:

A. The purpose of this amendment is to provide Questions & Answers as follows:

(1) Question: I do not see the list of surgical instruments on the solicitation.

Answer: The instruments are listed on pages 53 – 54 of the solicitation. A current inventory list is provided at Appendix A.

(2) Question: The service schedule says preventive maintenance will be performed on a weekly basis at a minimum of three times a month. What is the anticipated length of the weekly visit? Five days? One day?

Answer: The length of each visit is usually one day, unless there are some sets that were not completed/requires further maintenance.

(3) Question: The off-site service. Our technicians can repair 12-15 trays per day. They are also well equipped for on-site repairs. Are there any particular instruments or devices that you anticipate needing off-site repair?

Answer: Some instruments that requires off-site services are micro instruments (especially eye sets) and insulated bipolar. But if the technician can perform the job on-site, there is no need for off-site repair.

(4) Question: The PWS lists 42 trays on pages 53 and 54. I do not see how this translates to 30,000 instruments per year. Are the trays to be rotated a specific number of times a year? Are there additional Instruments not included in the list?

Answer: Although it says 42 trays on pages 53 and 54, there are multiple numbers for each. Our inventory changes all the time, as stated in PWS (scope of work), “3.1. Equipment to be serviced includes, but not limited to..”.

(5) Question: Is there any way we can get an inventory list of the surgical instruments?

Answer: Current inventory is provided as Appendix A.

(6) Question: Are there currently personnel on site? If so how many?

Answer: Technically there are no personnel on-site. Due to limited space, TAMC does not/will not provide workspace for the contractor to perform “on-site” repairs. Contractors are responsible to provide their own workspace to perform “on-site” repairs. See paragraph 3.4.1 of the PWS.

(7) Question: Box 23 and 24, UNIT PRICE and AMOUNT – Because the amount of repairs per visit is not a fixed number, should we respond with the fixed daily price per visit as is the experience of this vendor?

Answer: Prices shall be stated for each CLIN beginning on page 3 through page 11. Unit Prices shall be stated as cost of repair per item and Amount is the Quantity multiplied by the Unit Price (i.e. 30,000 x $X(unit price) = $Amount). The solicitation is not structured for unit pricing as fixed daily price per visit. The contractor will only be paid for repair services actually provided and contract amount will be adjusted up or down, as necessary to reflect the value of the actual repair services provided. See paragraph 3.7.6 of the PWS. For example, if in one month you repair 2,000 instruments, then you will invoice the Government 2,000 x $unit price = amount for that month invoice.

(8) Question: Pages 3 – 12 of 96 – NET AMOUNT – It is my experience that the price is per/visit. For example $XXXX per day per visit is what I previously quoted for specialty repair. I’m not sure how to put that into a monthly or yearly metric as quantity and volume fluctuate unless price is to reflect the 3 visit per month schedule. I know that currently repairs are done twice a week. Please advise. In Net Amount I would be inclined to put a per/day price in net amount but I’m not sure if that’s acceptable.

Answer: See answer above in Question (7). The solicitation is not structured for unit pricing on a per/day basis, unit prices are to be “EACH” cost of repair per item. The Net Amount is the same as the total AMOUNT for each CLIN. The AMOUNT total is carried down to NET AMOUNT.

B. Clarification is provided for the provision at DFARS 252.232-7998 Supplier Self-Service Pilot (Deviation

2018-A0001)(Dec 2017), page 79 of the solicitation, as instructed in the provision paragraph (2) “Offerors shall indicate in their offer whether they want to be considered for participation in the pilot”. Your response is required, as stated on page 64 of the solicitation under Volume I – Administrative. It is recommended you indicate your response within your submitted Volume I. A statement indicating whether you would or would not like to participate in the SUS Pilot is required. A negative response is required.

C. All further questions must be submitted in writing and be received no later than 23 October 2020, 08:00 am

HST.

D. As stated in Block 11 of the SF30, acknowledgment of this amendment must be received prior to the due date of quotes. See Block 11 for acknowledgement instructions.

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 23-Oct-2020 10:00 AM to 30-Oct-2020 08:00 AM.

The following have been modified:

PERFORMANCE WORK STATEMENT

SURGICAL INSTRUMENTS REPAIR AND MAINTENANCE

TRIPLER ARMY MEDICAL CENTER, HI

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

1.0. INTRODUCTION

1.1. The contractor shall provide the non-personal services to perform repair and preventive maintenance which shall include sharpening, adjusting, polishing, cleaning, realignment and replacement of parts that are lost, worn, or broken to like–new condition on Government-owned general and specialized surgical instruments for Sterile Processing Department (SPD), Tripler Army Medical Center (TAMC), Hawaii.

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 facilities (MTF) specific policies, procedures, and job descriptions.

1.3. 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. ADMINISTRATIVE INFORMATION.

2.1 Hours of Operation. TAMC 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 Sterile Processing Department are 0700 – 1600, 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 SPD 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 COR. Approval to perform services outside of SPD normal business hours will be given by the COR.

2.1.3 TAMC 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 TAMC 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 holiday coverage.

2.1.5 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. Any holidays falling on a Sunday will be observed the following Monday.

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

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. T The contractor shall comply with OTSG/MEDCOM Policy Memo 19-019, Sexual Harassment/Assault Response and Prevention (SHARP) Program, dated 21 March 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.

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

2.7 Compliance. The Contractor and contract personnel shall abide by all TAMC 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.

2.8 SECURITY

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

2.8.1.1. While on site, each contract personnel shall wear a 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.

2.8.1.2. 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.

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

2.8.1.4. 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.

2.8.2. 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.

2.8.2.1. 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.

3.0 SCOPE OF WORK

3.1. Equipment to be serviced includes, but not limited to, the following:

TAMC INSTRUMENT SETS SERVICED

AV Shunt Set #1 Labor & Delivery #26 Basic Plastic #12 Major Vascular #1 Vag. Hyst #2 Basic Plastic Set #1 Minor Vasc. SET #1 Gyn Laparoscopy #2 Basic Plastic Set #4 Pacemaker Set #1 Gyn Laparoscopy #3 Basic Plastic Set #5 Pacemaker Set #3 Gyn Laparoscopy #6 Basic Plastic #9 AV Shunt Set #2 Tuboplasty #1 Hypospadias Set#1 AV Shunt Set #3 Tuboplasty #2 Hypospdias Set#2 Major Vascular #3 C-Section #12 Major Ortho Set #2 Minor Vasc. Set #3 D&C Set #1 Major Ortho Set #8 Pacemaker Set #4 Scanlan CT Set #1 Major Ortho Set #9 Open Heart Instrument Set #5 Scanlan CT Set#2 Basic Plastic #10 Pacemaker Set #2 Micro hand Set#1 Basic Plastic #13 Tracheostomy #1 Micro hand Set#2 Basic Plastic Set #6 Valve spec. #2 Spinal Specials #3 Major Ortho Set #3 Valve spec. #3 Spinal Specials #4 Major Ortho Set #4 Vasc Spec. #3 Major (Gen) #1 Major Ortho Set #1 Caldwell-Luc #1 Major (Gen) #3 Major Ortho Set #12 Caldwell-Luc #2 Major (Gen) #5 Major Ortho Set #13 Septorhinoplasty Set #4 Minor (Gen) #1 Major Ortho Set #16 Septorhinoplasty Set #5 Minor (Gen) #11 Major Ortho Set #7 T & A #2 Minor (Gen) #2 C-Section #11 T & A #7 Major (Gen) #12 Scanlan CT set#1 T & A #9 Major (Gen) #4 Scanlan CT Set#2 Tracheostomy #2 Major (Gen) #9 GU Vascular Specials#1 Abdominal Spec Set #1 Minor (Gen) #4 Major Ortho Set #14 Abdominal Spec Set #2 Minor (Gen) #5 Major Ortho Set #17 Abdominal. Hyst #1 Minor (Gen) #6 Major Ortho Set #20 Abdominal. Hyst #3 Major (Gen) #13 Major Ortho Set #5 Thoracotomy #1 Major (Gen) #14 Major Ortho Set #10 Thoracotomy #2 Major (Gen) #8 Major Ortho Set #18

Abdominal Spec Set #4 Minor (Gen) #3 Major Ortho Set #19 Abdominal Spec Set #5 Basic Lap #2 Major Ortho Set #6 Abdominal Spec Set #7 Basic Lap #3 Basic Plastic #11 Urethroplasty #1 Basic Lap #6 Cataract Set#1 Urethroplasty #2 Major (Gen) #10 Cataract Set#2 VP Shunt #1 Major (Gen) #11 Cataract Set# 3 Abdominal. Hyst #2 Basic Lap #1 Basic Eye Set#1 C-Section #1 Basic Lap #4 Basic Eye set#2 D&C Set #5 Basic Lap #8 Basic Eye set#3 D&C Set #7 Minor (Gen) #10 Basic Eye Set#4 D&C Set #8 Minor (Gen) #7 Strabismus Set#1 Labor & Delivery Minor (Gen) #8 Strabismus Set#2

3.1.1. Current updated list of inventory surgical sets are included in Appendix A.

3.2. SPECIFIC TASKS AND DELIVERABLES. The contractor, or contractor representative, shall report to the TAMC, EMB, Medical Maintenance Section (room G1B500, telephone (808) 433-5161), prior to commencing all on-site services.

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

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

Tripler Army Medical Center 1 Jarrett White RD

ATTN: MCHK-DS, Sterile Processing Department, RM 2G219 Honolulu, HI 96859-5000

3.3. General Work Requirements. Contractor shall provide services on instruments at an estimated quantity of 40,400 per year. 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.

3.3.1 The contractor shall perform off-site repair, modification, fabrication of surgical instruments and/or necessary replacement parts as needed on Government owned general, specialized including delicate surgical instruments to include: straightening, realigning, modifying, restoring, re-grooving, refurbishing, insulating, color-coding, silver/stainless welding, silver/stainless soldering, inserting gold handles and replacing of screws, pins, nuts, bolts, caps, locks and spring, should on-site repair not be possible.

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 hours. (2) Contractor shall arrive on-site within 24 hours turn -around time for on-site and 48 hours for off-site maintenance repairs/sharpening ) Deficiency shall be corrected within a period of five days from first notification of failed equipment. If parts cannot be acquired within the first eight hours after arrival on site, the contractor shall contact the NCOIC of SPD and the Contracting Officer Representative (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.

3.4.1. Due to limited space, TAMC will not provide space for the contractor to perform on-site repairs. Contractors are responsible to provide their own workspace to perform on-site repairs.

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. 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. Upon Completion of Service Calls.

3.7.1. Upon completion of work, the SPD shall perform an inspection with the contractor personnel to verify all services were completed to specifications.

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

3.7.3. The contractor personnel shall sign out at the Medical Maintenance front desk personnel where they signed in upon arrival (RM G1B500).

3.7.4. The contractor shall submit a full Field Service Report (FSR) to the TAMC Medical Maintenance technician and 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 3.2.2), fax (808-433-4415), or email (usarmy.tripler.medcom-tamc.mbx.ld-emb-mm-contracts@mail.mil).

3.7.5. The Field Service Report shall provide a detailed account of the service call with COR 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). The information provided by the contractor shall be used by the customer and/or the TAMC SPD and COR quarterly throughout the term of the contract to perform quality assurance and cost analysis.

3.7.6. The contractor will only be paid for repair services actually provided and contract amount will be adjusted up or down, as necessary to reflect the value of the actual repair services provided.

3.8. Licensure/Certification/Qualifications

3.8.1. The contractor shall have a minimum liability insurance of $1,000,000 in order to perform this type of service.

3.8.2 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 one (1) year of experience in maintaining the types of equipment specified in this PWS.

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

3.9.1. 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 mailto:usarmy.tripler.medcom-tamc.mbx.ld-emb-mm-contracts@mail.mil mailto:usarmy.tripler.medcom-tamc.mbx.ld-emb-mm-contracts@mail.mil collection site. The contractor is required to completely fill in all required data fields using the following web address: https://www.sam.gov

3.9.2. 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: https://www.sam.gov

3.10. OPSEC.

3.10.1. AT Level I training. All contractor employees, including subcontractor employees, requiring access to 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 10 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.

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

Contractor workforce must comply with all personal identity verification requirements (CFR clause 52.204-9, Personal Identity Verification of Contract 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.

3.10.3. For contractors that do not require CAC, but require access to a DoD facility or installation. Contractor and all associated subcontractor employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (Army Directive 2014-05/AR 190-13); applicable installation, facility and area commander installation and 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.

3.10.4. iWATCH Training. The contractor and all associated subcontractors 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 10 calendar days of new employees commencing performance, with the results reported to the COR NLT 10 calendar days after contract award.

3.10.5. Per AR 530-1, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter.

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, and 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 will 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 Tripler AMC Security. Contractor personnel and/or any representative of the contractor entering Tripler AMC 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 (RM G1B 500) 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), Tripler Army Medical Center, HI.

5.4.1 If applicable, the contractor shall be granted an Interim Authority to Operate (IATO) of six months to meet Tripler Army Medical Center (TAMC) minimum security requirements. These include:

5.4.2 The contractor shall use TAMC'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 TAMC 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. TAMC 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 TAMC 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). TAMC Form 835 - Acceptable Use Policy (Dated 19 June 2008) 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.

TAMC Form 835 Acceptable Use Policy should be provided to the Vendor by the System Administrator assigned to the application/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

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 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 TAMC - Tripler Army Medical Center TASS - Trusted Associated Sponsorship System UCAPERS - Uniform Charts of Accounts Personnel System

END OF PERFORMANCE WORK STATEMENT

(End of Summary of Changes)