W81K0222Q0079-0002.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: CHARIS K. NAITO

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

The purpose of tihs amendment is to update the PWS to include the equipment to be serviced in PWS paragraphs 3.9 - 3.11.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 12

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

16C. DATE SIGNED

BY 15-Jun-2022

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 W81K0222Q0079

X 9B. DATED (SEE ITEM 11)

08-Jun-2022

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 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

15-Jun-2022

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:

W81K0222Q0079

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

LAMINAR AIRFLOW WORKBENCHES, BIOLOGICAL SAFETY CABINETS, AND

CLEANROOM/ANTEROOM TESTING AND CERTIFICATION

AT 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. INTRODUCTION.

1.1 This requirement is for an annual maintenance service contract for the Government owned Cleanroom/Anteroom (sterile products preparation areas), Laminar Airflow Workbenches (LAFW) and Biological Safety Cabinets (BSC), 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. 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 Equipment Management Branch (EMB) 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 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 Government’s Representative and the Medical Maintenance NCOIC.

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 Juneteenth Independence Day, June 19th 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 Government’s Representative 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 Assault Prevention and Response Program (SHARP), March 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.

3.1.1 ECN Serial Number Manufacturer Repairs PM

0D4515 79045 The Baker Company N 0 Location Model Tech Support CAL Critical Care Pharmacy EG_6320 EdgeGuard N 0

3.1.2 ECN Serial Number Manufacturer Repairs PM

057973 108548 The Baker Company N 0 Location Model Tech Support CAL Oncology Pharmacy SG603A-HE SterilGARD N 0

3.1.3 ECN Serial Number Manufacturer Repairs PM

063328 112888 The Baker Company N 0 Location Model Tech Support CAL Inpatient Pharmacy S6404 N 0

3.1.4 ECN Serial Number Manufacturer Repairs PM

063413 2014-92525 The Baker Company N 0 Location Model Tech Support CAL Inpatient Pharmacy ESCO Laminar Flow Cabinet N 0

3.1.5 ECN Serial Number Manufacturer Repairs PM

084958 121012 The Baker Company N 0 Location Model Tech Support CAL Inpatient Pharmacy EG-6252 N 0

3.1.6 ECN Serial Number Manufacturer Repairs PM

063412 2014-92524 The Baker Company N 0 Location Model Tech Support CAL Inpatient Pharmacy ESCO Laminar Flow Cabinet N 0

3.1.7 ECN Room Number Manufacturer Repairs PM

n/a 2F 107F n/a N 0 Location Room Name Tech Support CAL Inpatient Pharmacy Hazardous Cleanroom N 0

3.1.8 ECN Room Number Manufacturer Repairs PM

n/a 2F 107G n/a N 0 Location Room Name Tech Support CAL Inpatient Pharmacy Anteroom N 0

3.1.9 ECN Room Number Manufacturer Repairs PM

n/a 2F 107D n/a N 0 Location Room Name Tech Support CAL Inpatient Pharmacy Cleanroom N 0

3.1.10 ECN Room Number Manufacturer Repairs PM

n/a 4H801 n/a N 0 Location Room Name Tech Support CAL Oncology Pharmacy Anteroom N 0

3.1.11 ECN Room Number Manufacturer Repairs PM

n/a 4H802 n/a N 0 Location Room Name Tech Support CAL Oncology Pharmacy Hazardous Cleanroom N 0

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 (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.

Tripler Army Medical Center 1 Jarrett White RD ATTN: MCHK-LDA, Medical Maintenance, RM G1B500 Honolulu, HI 96859-5000

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 will acknowledge receipt of notification of service call request within two hours. (2) Contractor will arrive on-site within forty-eight hours. (3) 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 Government’s Representative 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 Government’s Representative.

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 TAMC Logistics operations, hence preventing possible complications hindering TAMC’s ability to provide patient care.

3.6.1.1 Contracted services are required to be performed every 6 months and will be performed during normal business hours, 0700 – 1800, Monday – Friday (normal business hours.

3.6.2 The Government’s Representative has the authority to approve requests for the contractor to perform PMCS services outside the defined window allotted to complete services. Requests must be routed through the designated COR(s).

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 semi-annual and/or annual PMCS, the contractor will 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. The contractor must be able ensure hoods are certified using procedures in the current Controlled Environment Testing Association (CETA) certification guide for Sterile Compounding Facilities or an equivalent guideline.

3.7.1.1. The contractor must be able to do the following tests for certification:

(i) Airflow testing: Airflow testing is performed to determine acceptability of the air velocity and volume, the air exchange rate, and the room pressure differential in doorways between adjacent rooms to ensure consistent airflow and that the appropriate quality of air is maintained under dynamic operating conditions. The ACPH from HVAC, ACPH contributed from the PEC, and the total ACPH must be documented on the certification report.

(ii) HEPA filter integrity testing: HEPA filters must be leak tested at the factory and then leak tested again after installation and as part of recertification.

(iii) Total particle count testing must be performed under dynamic operating conditions using calibrated electronic equipment.

(iv) Dynamic airflow smoke pattern test: Smoke pattern tests must be performed for each PEC during dynamic operating conditions to demonstrate unidirectional airflow and sweeping action over and away from the preparation(s).

3.7.1.2. The contractor must provide microbiological/fungal air and surface testing to include viable impact volumetric airborne particulate sampling and surface sampling.

3.7.2 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 Government’s Representative prior to installation. All completed work shall be certified to meet OEM specifications.

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

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

3.7.5 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.

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

3.7.7 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.

3.7.8 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 TAMC 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 (RM G1B500).

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), fax (808-433-4415), or email (usarmy.tripler.medcom-tamc.mbx.ld-emb-mm-contracts@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. The Contractor shall ensure that all contract personnel providing services under this contract shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers. In addition, if the position requires the use of computers, the contract personnel shall be computer literate.

3.9.2 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 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 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.

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 10 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.

3.10.2. 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. 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 at commencement of services and must successfully complete the DoD Information Assurance Awareness prior to access to the information system and annually thereafter.

3.10.4. For contracts that require OPSEC Training. 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.

3.10.5. For IA/IT training. All contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DoD and Army training requirements in DoDD8570.01, DoD 8570.01- M, and AR 25-2 within six months of appointment to IA/IT functions.

3.10.6. Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

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 Inspection. The inspection and acceptance point for all services rendered under this contract will be the Government’s Representative. 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 Government Representative. Any services rendered by the contract personnel to patients 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 services not meeting the minimum qualification standard; contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedure.

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 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 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 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

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