W81K04-16-R-0024-0003.doc

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:

SUMMARY OF CHANGES

2. Deleted PWS Paragraphs:

3.5.2.11, 3.6, 3.6.1, 3.6.2, and 3.6.3.

3. Added PWS Paragraphs:

3.5.2.11, and 5.13.10.2.

4. Updated PWS Paragraphs:

3.5.2.11, 5.5.1.2, 5.7.1, 5.7.1.1, 5.7.1.2, 5.15, 5.15.1.1, and 5.15.5.

B. Replace Exhibit C – with updated Exhibit C, Revision 1, dated 12/22/2016; changes are indicated in red text.

C. Replace Exhibit D – with updated Exhibit D, Revision 1, dated 12/22/2016; changes are indicated in red text.

D. Change Attachment 4 “gross square feet base ordering period from “15,738,364 to 711,052, changes are indicated in red text.

E. All other terms and conditions remain unchanged.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ATTACHMENT 4

STAFFING CHART

PRODUCTIVE HOURS AND FTE 711,052* GROSS SQUARE FEET BASE ORDERING PERIOD

* PWS Para 1.4

**1872 Productive Hours = 1 FTE (SCA)

***1920 Productive Hours = 1 FTE (Non-SCA)

1st Shift

Productive

Hours 2nd Shift

Productive Hours 3rd Shift

Productive Hours

TOTAL

Productive Hours

TOTAL FTE**

TYPE I SERVICES-HHA

TYPE II SERVICES-HHA

TYPE III SERVICES-HHA

TYPE IV SERVICES-HHA

TYPE V SERVICES-HHA

TYPE VI SERVICES-HHA

RMW Services

Linen Services

Management***

GRAND TOTAL:

** 1872 Productive Hours = 1 FTE (SCA)

***1920 Productive = 1 FTE (Non-SCA)

EXHIBIT C

SUMMARY OF BUILDING SF/TYPE SERVICE/DISTANCE

Under separate file.

EXHIBIT D

DETAIL OF BUILDING ROOMS/SF/TYPE SERVICE

Under separate file.

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

DWIGHT D. EISENHOWER ARMY MEDICAL CENTER

FORT GORDON, GEORGIA

SECTION 1

1. General. This performance work statement (PWS) is for healthcare housekeeping and related services to Dwight D. Eisenhower Army Medical Center (DDEAMC), Fort Gordon, Georgia and multiple medical treatment facilities (MTF) in the health service area (HSA) of DDEAMC. As a performance-based contract, the requirements are stated regarding desired results with associated quality standards. Healthcare housekeeping services shall is to perform in a manner that will maintain a satisfactory facility condition and present a clean, neat, and professional appearance.

1.1. Description of Services. The contractor shall furnish all personnel, training, labor, equipment, tools, supplies, management, administration, and services, except as may be expressly set forth as government furnished, and otherwise do all things necessary to perform and provide the work efforts described in the PWS.

1.2. Background. Dwight D. Eisenhower Army Medical Center is a general medical and surgical hospital sited at building 300 in Fort Gordon, Georgia and is part of the US Army Medical Command. The mission of DDEAMC is to provide world-class medicine to the military personnel, and their families are to provide quality healthcare to patients in a safe, clean, and aesthetically-pleasing MTF. DDEAMC is located at Bldg. 300, North Hospital Road, Fort Gordon, Georgia.

1.2.1. DDEAMC and the collective MTFs received accreditation by the Joint Commission (JC). DDEAMC consolidated building was built between the years 1973-1975. This facility has three connecting buildings. Building 297, is the Medical Records Building. Building 299, is for Magnetic Resonance Imaging (MRI), Building 301, is the Family Practice Clinic. Graduate Medical Education and Training Programs: Family Medicine, Internal Medicine, General Surgery, Orthopedic Surgery, and Transitional Year Residencies. Also Oral and Maxillofacial Surgery Dental Residency, Clinical Psychology Internship and Residency, Nurse Anesthesia Residency, Surgical Podiatry Residency, Clinical Pastoral Education, Social Work Internship, and Health Care Administration. Other Training Programs/Hospital Education & Training (HET): The graduate programs for Anesthesia Nursing, Practical Nurse Course, Operating Room Technician, Radiology Technician, Laboratory Technician courses, and rotational training for Special Forces Medics. There are 27 additional outlying facilities located on Fort Gordon, Ga. and one MTF located in Doral, Florida. Exhibit C provides a complete listing of facilities supported by this contract.

1.2.2. SOUTHCOM Health Clinic, Doral, Fla. 799 miles

1.3. Objective. The contractor shall provide healthcare housekeeping services that prioritize infection control while optimizing cleaning practices in support of DDEAMC’s mission of providing quality healthcare in safe, hygienic, and aesthetically-pleasing MTFs.

1.4. Scope. The contractor shall provide healthcare housekeeping services to DDEAMC, to include all MTFs within the HSA of Fort Gordon, Georgia. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for DDEAMC and multiple MTF in the HSA is 711,052 SF. There may be additional square footage for newly constructed buildings and building expansions but may require the additions or reductions as a result of the consolidation of services.

1.4.1. The following are projects currently undergoing construction or renovation:

1.4.2. The following are facilities currently programmed to close: Reserved.

NOTE: There may be additional SF for newly constructed buildings or building expansions that will require services as they are completed or a reduction of SF for facilities closing as a result of consolidation of services.

1.5. Period of Performance (POP). The POP is five years from the date of contract award. Task Orders (TO) will be funded by annual appropriations, and each task order will not exceed one year except when authorized by law or by the exercise of TO option periods.

1.6. Commercial Standards/Advisory Recommendations. The following commercial standards and advisory recommendations apply to this effort:

1.6.1. Association for the Healthcare Environment (AHE) Practice Guidance for Healthcare Environmental Cleaning manual.

1.6.2. International Sanitary Supply Association (ISSA) and Cleaning Industry Management Standard for Green Buildings (CIMS-GB). The contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.6.3. Advisory recommendations of the Association of Peri-Operative Registered Nurses (AORN).

1.6.4. Advisory recommendations of the Centers for Disease Control and Prevention (CDC) and The Healthcare Infection Control Practices Advisory Committee (HICPAC), "Guidelines for Environmental Infection Control in Health-Care Facilities”.

1.6.5. Clinical Nursing Skills and Techniques, 8th edition, Perry, Potter, Ostendorf.

1.6.6. American National Standards Institute/Association for the Advancement of Medical Instrumentation publication (ANSI/AAMI) ST65:2008.

1.7. Hours of Operations. As healthcare operations include a wide range of services from inpatient to outpatient care, the housekeeping program must accommodate differing work hours. Normal operating hours are 6:30 am – 5:00 pm local time, Monday through Friday, except where otherwise specified in this PWS. In some areas, due to the volume of personnel, type of operation, or other considerations, cleaning shall be accomplished at times other than during normal operating hours. See Exhibit D for details of building/room by square footage, type of services, and operational hours and shifts.

1.7.1. The SOUTHCOM Health Clinic. Normal operating hours are 7:00 am – 4:00 pm local time, Monday through Thursdays, Fridays 7:00-12:00 pm, where otherwise specified in this PWS. The SOUTHCOM Health Clinic is closed weekends and observed Federal holidays and designated training holidays.

1.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract and PWS:

New Year’s Day, January 1st

Martin Luther King’s Birthday, 3rd Monday in January

Presidents’ 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, December 25th

1.8.1. The contractor shall provide healthcare housekeeping services on federal holidays as a regular working day in the Emergency Room (ER), Dining Facility, Pathology, Radiology, Medical Surgical Ward, Psychiatric Ward, Surgical Processing Department, Intensive Care Unit and Pediatric Ward.

1.8.2. Military training holidays are not considered federal holidays. The contractor shall provide healthcare housekeeping services on military training holidays as a regular working day. The failure of the contractor to provide healthcare housekeeping services on military training holidays is considered a violation of the terms and conditions of this contract

1.8.3. Any of the above federal holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday.

1.9. Key Personnel. The contractor shall provide sufficient management to ensure that this task is performed efficiently, accurately, on time, and in compliance with the requirements of this document. Specifically, the contractor shall designate a single manager to oversee this task and supervise staff assigned to this task. The contractor shall provide sufficient contract service providers (CSPs) experienced in the conduct of similar hospital operations. Key personnel consist of the executive housekeeper and assistant executive housekeeper (AEH).

1.9.1. Executive Housekeeper, The contractor, shall provide an executive housekeeper to serve solely at DDEAMC and the auxiliary facilities. The executive housekeeper shall serve as the onsite manager and represent the contractor in performing all duties to ensure compliance with the provisions of the contract.

1.9.1.1. Certification and Experience Requirements. The executive housekeeper shall meet or exceed the following: Certified by the AHE as a Certified Healthcare Environmental Services Professional (CHESP) or the International Executive Housekeeper's Association (IEHA) as a Certified/Registered Executive Housekeeper (C/REH). All certifications shall be maintained active and current throughout the term of the contract. The executive housekeeper shall possess a minimum of five years housekeeping experience with a minimum of two years of specific hospital housekeeping experience. Specific experience shall indicate that the executive housekeeper has directly managed and performed in a MTF of comparable size and services as DDEAMC or the equivalent civilian MTF.

1.9.1.2. Absence from Duty. The contractor shall provide oral followed by written notification to the Contracting Officer’s Representative (COR) for any unscheduled absence of the executive housekeeper no later than two hours after commencement of the designated shift. For scheduled absences, the Contractor shall notify the COR in writing at least seven calendar days before any scheduled absence. Extended absences; e.g., four or more consecutive weeks, or the ongoing use of substitute personnel at the MTF, may constitute nonperformance.

1.9.2. Assistant Executive Housekeeper (AEH). The contractor shall provide an AEH. The AEH shall serve as the acting on-site manager in the absence of the executive housekeeper and shall represent the Contractor in performing all duties to ensure compliance with all provisions contained in this PWS. The AEH shall be capable of temporarily assuming executive housekeeper duties during his or her absence.

1.9.2.1. Certification and Experience Requirements. The AEH shall possess at least one year of experience in healthcare housekeeping services within the last three years in an MTF of comparable size and services as DDEAMC (not general housekeeping). He/she shall meet or exceed comparable industry certification (CHESP, C/REH).

1.9.3. Replacement of Key Personnel. All proposed replacement of key personnel must be submitted in writing to the Contracting Officer (KO) and the COR at least 15 calendar days before the proposed replacement. All proposed replacements shall meet the minimum qualifications of the person being replaced.

1.9.4. Availability of Key Personnel. The Executive Housekeeper or Assistant Executive Housekeeper shall be available to meet with the COR on site during normal operating hours within one (1) hour of notification. The contractor shall provide the KO and COR phone numbers for the Executive Housekeeper and AEH during duty and non-duty hours (to include evenings, holidays, and weekends). After duty hours, the Executive Housekeeper or AEH shall be available on site within two (2) hours of notification.

1.10. Miscellaneous Contract Service Personnel (CSP) Requirements. The contractor shall maintain satisfactory standards of CSP competency, conduct, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to his CSPs as may be necessary. The contractor shall ensure that CSPs do not disturb papers on desks, open desk drawers or cabinets, or use government telephones, except as authorized.

1.10.1. The contractor shall ensure its CSPs can speak, read, and write in English to effectively communicate with government personnel.

1.10.2. Personnel Roster: The contractor shall submit a monthly, written updated personnel/CSP roster to the COR not later than the 5th calendar day of each month. New CSPs and any proposed new hires that have not been cleared (background checks and all immunizations) by the COR but listed on the personnel roster shall not be allowed to work in the MTF until approved by the COR (See Exhibit B, Deliverables, Para 3.e.).

1.10.2.1. Person Hour Reports. The contractor shall submit a written man-hour report to the COR not later than the 5th calendar day of each month. The man-hour report shall include the total number of hours worked by direct labor CSPs during the previous month. Direct labor is CSPs who are directly involved in the production of goods or services. Indirect labor is CSPs (such as supervisors, administrative support, quality control, etc.) who do not directly produce goods or services, but who make their production possible or more efficient (See Exhibit B, Deliverables, Para. 3.c).

1.10.3. The contractor shall utilize only female CSPs in the Labor and Delivery Units, Women’s Health Center and Mother-Baby Units to include patient rooms with the exception of scheduled project/cycle work and floor maintenance services, which may be done by either male or female CSPs. The contractor shall ensure that CSPs check first with the charge nurse in the Labor and Delivery Units, Women’s Health Center and Mother-Baby Units, to ensure that it is permissible for them to enter the room of a patient.

1.10.4. Uniforms. The contractor shall comply with Fort Meade MEDDAC Commander’s Policy #21, Dress Code. All CSPs shall wear distinctive uniform clothing for ready identification. Uniforms shall be neat, clean, and in good repair, and have a badge or monogram with the contractor's name on it. CSPs shall wear contractor-provided approved uniforms at all time while performing housekeeping duties except when working in areas requiring government-furnished surgical garments. CSPs shall not wear artificial nails, tips, or extensions and must be in compliance with the Centers for Disease Control and Prevention’s (CDC) Guideline for Hand Hygiene in Health-Care Settings. Fingernails (no longer than ¼”) shall be clean and free of dirt.

1.10.5. Sexual Harassment and Assault Response Program (SHARP). The contractor shall comply with OTSG/MEDCOM Policy Memo 16-033, Sexual Harassment/Assault Prevention and Response Program, 29 March 2016. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.10.5.1. The contractor shall require all CSPs 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 of gaining knowledge of the incident) report the incident in writing to the government's COR. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility (see Exhibit B, Deliverables, Para. 5.m.).

1.10.5.2. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours of gaining knowledge of the incident) report the incident in writing to the government's COR. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility or a Government leased facility (see Exhibit B, Deliverables, Para. 5.n.).

1.11. Installation Access.

1.11.1. Access and General Protection/Security Policy and Procedures. All contractor and sub-contractor CSPs performing tasks on this PWS shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures which will be provided to the contractor by a government representative within five working days of contract award. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Officer, Director of Emergency Services, or DDEAMC Provost Marshal Office. CSPs shall comply with all personal identity verification requirements as directed by the Department of Defense (DOD), Headquarters, Department of the Army,(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.

1.11.1.1. For access to EAMC, Fort Gordon, GA, the contractor and all associated sub-contractor’s CSPs shall provide all information required for background checks to meet all installation access requirements to the COR. The documents will be forwarded from the COR to Fort Gordon Director of Emergency Services or Security Office. CSPs shall comply with all personal identity verification requirements 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. (Ref. MEDCOM Reg. 190-1)

1.11.1.2. For access to ARMY SOUTHCOM Health Clinic, Doral, Florida, the contractor and all associated sub-contractor’s CSPs shall provide all information required for background checks to meet all installation access requirements to the COR. The documents will be forwarded from the COR to the installations Director of Emergency Services or Security Office. CSPs shall comply with all personal identity verification requirements 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. (Ref. MEDCOM Reg. 190-1)

1.11.2. Trusted Associated Sponsorship System (TASS).

1.11.2.1. The contractor shall comply with agency personal identity verification procedures that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.11.2.2. The contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system

1.11.2.3. The contractor shall ensure compliance with the provisions set forth below. For purposes of Federal Acquisition Regulation (FAR) 52.204-9, the government will designate a Trusted Agent (TA) for this contract. The government reserves the right to amend or supplement these provisions pursuant to the FAR 52.212-4(c) clause in the contract.

1.11.2.4. The contractor is responsible for absences of CSPs 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.

1.11.2.5. The government will sponsor the CSPs (EH and AEH only) for an Army Knowledge Online (AKO) account. All CSP email addresses will identify them as a contractor and use the format firstname.lastname.ctr@ mail.mil. AKO will be discontinued by the government when the CSPs no longer require access.

1.11.2.6. The Government TA will send a notice through the TASS to the CSPs e-mail address provided IAW the above requirement. The CSP’s user ID and password will be provided in the email and shall require a change at first log-in. In the event the e-mail message is not received the contractor may request the username and password from the TA and proceed to the website https://www.dmdc.osd.mil/tass to complete the process.

1.11.2.7. The CSP shall log into the TASS and complete the verification process by submitting the application back to the TA for approval.

1.11.2.8. The application will be accepted, returned, or rejected by the TA.

Notice as to whether the application has been accepted, returned or rejected will be provided to the individual's e-mail address provided within 48 hours after submission.

1.11.2.9. Upon approval of the application, the CSP shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved. The applicant must then go to a RAPIDS Issuing Facility to have the government credential issued. The CSP must present two acceptable forms of ID which include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, or passport.

1.11.2.10. Revalidation Requirements. The TA is required to revalidate all CSPs, in the TASS, every 180 days. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to login.

1.11.2.11. Out-processing Requirements. When a CSP's performance under this contract ceases, the CSP shall personally bring the CAC to the TA and complete the DA Form 2962. The TA will revoke the CAC from the TASS.

1.12. Removal from Contract Work. The KO or COR may request the contractor immediately remove an CSP(s) from the work site when it is determined that the CSP’s behavior is contrary to the public interest, inconsistent with the best interests of security, or is identified as a potential threat to the health, safety, security, general well-being or operational mission of the facility and its population.

1.12.1. The contractor shall comply with any removal request. For clarification, a determination to remove a CSP will be made for, but is not limited to, incidents involving the most immediately identifiable types of misconduct or delinquency as set forth below:

1.12.2. The KO will make all determinations regarding the removal of any CSP(s) from work site(s), except under certain conditions. When a KO is not available, either during the day or after hours, or in situations where a delay would not be in the best interest of the government or is identified as a potential threat to the health, safety, security, general well-being or operational mission of the facility and its population, the COR will have the authority to request immediately removal of the CSP from the work site. Contract service providers who are removed from contract work shall be required to leave the work site immediately. The CAC card of the CSP shall be collected by the contractor before departure of the CSP.

1.12.3. Law enforcement officers of the Military Police/Department of Homeland Security (DHS)/Immigration and Customs Enforcement (ICE)/Federal Protective Service (FPS) will have the authority to immediately remove any CSP from the work site when delay in removal would not be in the best interest of the government, security, or is identified as a potential threat to the health, safety, security, general well-being or operational mission of the facility and its population. The KO and COR will be notified as soon after the incident as practical or at the beginning of the next business day if an action happened after hours. The KO will make all official notifications to the contractor.

1.12.4. The contractor shall meet the terms and conditions of the contract, to include the PWS standards regardless of contractor employees removed from work site.

1.13. Training. The contractor shall maintain a training program and documentation in the format prescribed in AR 40-68, Clinical Quality Management. The contractor shall provide initial training and developmental training in healthcare housekeeping services topics to all CSPs. The contractor shall provide a monthly, written report of training conducted to the COR not later than 5th calendar day of each month. The training report shall include dates of training conducted, names of CSPs in attendance, and subjects of training. The contractor shall provide a copy of all lesson plans to the KO and/or COR at least 15 days prior to the scheduled training date (See Exhibit B, Deliverables, Para. 3.d.).

1.13.1. CSPs not previously trained in healthcare housekeeping services, including infection prevention and control and safe handling and management of Regulated Medical Waste (RMW), shall not perform work in a government MTF until the initial training requirement is completed. CSPs with previous and documented healthcare housekeeping training, including infection prevention and control, and safe handling and management of RMW shall complete retraining and/or specified training within two weeks after starting work.

1.13.2. Asbestos Awareness Training. The contractor shall comply with training requirements of 29 Code of Federal Regulations (CFR) 1910.1001. The contractor shall ensure all CSP, to include subcontractor CSPS, complete training required by 29 CFR 1910.1001 prior to or at the time of initial assignment and annually thereafter. The contractor shall submit documentation of completed training within 30 calendar days of CSPs starting work or initial assignment to an asbestos-containing material (ACM) area and within five calendar days of the annual training (See Exhibit B, Deliverables, Para. 4.f. and 5.o).

1.13.3. Government Provided Training. Due to the computer requirements necessary to perform government-provided training (with the exception of 1.13.3.1), the contractor shall coordinate government-provided training requirements with the COR during phase-in and as needed thereafter for new CSPs and annual requirements. The COR shall coordinate with the applicable DDEAMC personnel (e.g., security, training, etc.) for guidance in providing contractor training. The contractor shall document all government-provided training of CSPs to include orientation and annual training requirements. The contractor shall additionally ensure all CSPs accomplish government-provided training as identified below:

1.13.3.1. The contractor shall comply with EAMC Regulation 40-05, Training Agreements for Health Care Professions. The contractor shall ensure all CSPs attend DDEAMC’s required orientation training within 30 calendar days of the CSP starting work. DDEAMC’s training will be provided monthly for all new CSPs. The contractor will be provide training schedules and shall ensure that all required CSPs attend.

1.13.3.2. Regulated Medical Waste (RMW) Packaging Training. All CSPs involved in the packaging of RMW for commercial shipment shall complete the Army Public Health Center (Provisional), Transport of Biomedical Materials Course (initial and refresher) IAW DOD 4500.9-R, Defense Transportation Regulation – Part II, Cargo Movement, chapter 204, paragraph D and 49 CFR 172.704, Training Requirements.

1.13.3.3 Antiterrorism (AT) Training.

1.13.3.3.1. AT Level I Training. All CSPs, to include subcontractor CSPs, 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 and annually thereafter. The contractor shall ensure that all new CSPs complete AT Level I Training within 30 calendar days of starting work and annually thereafter. The contractor shall submit certificates of completion for each affected CSP and subcontractor CSP, to the COR or to the contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all CSPs and subcontractor CSP (See Exhibit B, Deliverables, Para. 1.c., 4.b., and 5.g.). AT Level I awareness training is available at the following website: https://atlevel1.dtic.mil/at.

1.13.3.3.2. iWATCH Training. The contractor and all associated sub-contractors shall brief all CSPs on the local iWATCH program (training standards provided by the MTF antiterrorism officer). This local developed training will be used to inform CSPs of the types of behavior to watch for and instruct CSPs to report suspicious activity to the COR. The contractor shall submit documentation of iWATCH training completion to the COR within 30 calendar days after contract award. The contractor shall report IWATCH training of new hires with monthly training reports (See Exhibit B, Deliverables, Para. 1.d. and 3.d.).

1.13.3.4. DOD Cyber Awareness Training. All CSPs with access to a government information system must successfully complete the DOD Cyber Awareness training prior to access to the information systems and then annually thereafter. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Para. 1.f., 4.d., and 5.i.).

1.13.3.5. The contractor shall comply with OTSG/MEDCOM Policy Memo 16-035, Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Training, 11 May 2016. The contractor shall ensure that all persons receive HIPAA training within 30 days of their assignment to the MTF and annually no later than the 12th anniversary of their previous training. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Para. 5.r.).

1.13.3.6. Operations Security (OPSEC) Training. The contractor shall ensure all CSPs complete OPSEC training within 30 calendar days of hire and annually thereafter IAW AR 530-1, Operations Security. OPSEC training is available online at http://cdsetrain.dtic.mil/opsec/index.htm. The contractor shall submit course certificates to the COR within five calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Para. 1.e., 4.c., and 5.h.).

1.13.4. SHARP Training. The contractor shall ensure all CSPs receive SHARP training not later than 60 calendar days after CSP begin performance under this contract. Training may be obtained either online or in person. CSPs are permitted to attend SHARP training provided by DDEAMC. If CSPs have an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp . The contractor shall submit documentation of completion of training not later than five days after annual training and not later than 30 days after completion of training for new hires

1.13.5. The COR will arrange for training space on the MTF premises, as necessary.

1.14. Health Requirements. The contractor’s CSPs shall meet all health requirements under this contract. The following requirements are, except where otherwise indicated, considered the minimum essential for performance of this contract:

1.14.1. CSPs shall be properly screened and medically cleared (to include required immunizations) with proper and complete documentation before working on-site at DDEAMC or any of the collective MTFs and on an annual basis after that. Medical clearances or certificates issued by a source approved by the State shall be maintained by the contractor for each CSP and available for government inspection by the KO or COR at all times (See Exhibit B, Deliverables, Para. 5.l.).

1.14.2. The following immunizations, to include pre-employment screenings, shall be considered the minimum requirements essential for performance under this contract.

1.14.2.1. Tuberculosis Screening shall follow the CDC Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings, 2005 and MEDCOM Regulation 40-64, 26 November 2013, Tuberculosis Surveillance and Control Program. The contractor shall ensure CSPs receive TB testing whenever CSPs are working in an environment in which DOD employees are required to undergo this testing.

1.14.2.1.1. CSPs with positive tuberculin reactions shall have documentation of chest-x-ray results not older than 12 months. CSPs with undocumented or expired chest x-ray results shall not be permitted to work within the DDEAMC MTFs as determined by the DDEAMC Occupational Health Nurse. Chest x-ray retesting of positive tuberculin reactors shall be required every 12 months, or as needed if symptomatic, as determined by the DDEAMC Occupational Health Nurse.

1.14.2.2. Mumps, Rubella, Rubeola, and Varicella Screening.

1.14.2.2.1. Screening tests for the presence of Rubella, Rubeola, Mumps and Varicella antibodies must be performed, and individuals with non-protective titers shall be immunized.

1.14.2.2.2. If a CSP has had screening tests for the presence of Rubella, Rubeola, Mumps and Varicella antibodies and can obtain a statement from a physician or authorized official attesting to the fact that the CSP has a protective Rubella, Rubeola, Mumps and Varicella titers, the immunizations will not be required.

1.14.2.3. Diptheria-Tetanus. The CSP is required to have a Diptheria-Tetanus immunization within the past 10 years and a onetime vaccination of the Tetanus-Diptheria-Pertussis (Tdap).

1.14.2.4. Polio. The individual is required to have a completed series of Polio vaccine, once as an adult.

1.14.2.5. The position of Hospital Housekeeper is considered to have potential occupational exposure to bloodborne pathogens. The contractor shall provide hepatitis B vaccination IAW 29 CFR 1910.1030, Bloodborne Pathogens Standard to all CSPs.

1.14.2.6. All CSPs are required to have an annual influenza immunization provided by the contractor

1.14.3. A CSP considered by government Occupational Health to be infectious to patients or health care facility personnel IAW EAMC Regulation 40-74, the MTF’s employee health policies and regulations shall not be permitted within the premises. The contractor shall present a medical release or certification to return to work for the affected CSP to Occupational Health before their working under the provisions of this contract.

1.14.4. DDEAMC will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at DDEAMC. The contractor shall reimburse the Government for medical services provided IAW current policies regarding civilian emergencies for CSP. Required follow-up medical examinations and treatment for all job-related injuries or illness shall be the responsibility of the contractor.

1.14.5. CSPs who have accidental percutaneous (needle-stick); ocular or mucous membrane exposure to blood or other body fluids will receive initial treatment at the DDEAMC IAW 29 CFR 1910.1030 Occupational Exposure to Blood borne Pathogens. The contractor shall handle payment of follow-up treatment/monitoring of CSP.

1.15. Building Security and Key Control Management. The contractor shall comply with EAMC Regulation 190-1, Security Handbook and US Army Medical Command (MEDCOM) Regulation 190-1, Key Control and Physical Security Standards.

1.15.1. Key Control. The contractor shall maintain the approved key control procedures for all keys issued to the contractor by the government The contractor shall orally report not later than one hour after discovery any lost, stolen or duplicated keys to the COR followed by a written report within 24 hours. If lost during hours when COR is not available, the oral report shall be given to the Administrative Officer of the Day (AOD), and followed up on the next business day with a written report to the COR.

1.15.1.1. In the event keys, other than master keys, are lost, stolen, or duplicated the Contractor shall, upon the direction of the KO, reimburse the government for the cost to re-key or replace the affected lock or locks. The government may re-key or replace the affected lock or locks, at its option. In the event a master key is lost, stolen, or duplicated, all locks and keys for that area shall be replaced by the government, and the cost shall be charged to the contractor. The contractor and the KO will negotiate a supplemental agreement for the reimbursement of the master key(s) and/or lock(s) in accordance with the addendum to FAR 52.212-4(c), Changes.

1.15.1.2. The contractor shall prohibit the use of government-issued keys by any persons other than contractor’s CSPs. The CSPs shall unlock only the doors and windows necessary for the cleaning function. The contractor shall prohibit the opening of locked areas by CSPs to permit entrance of persons other than contractor’s CSPs engaged in the performance of assigned work in those areas or personnel authorized entrance by the COR.

1.15.2. All rooms or areas a CSP unlocks shall not be left unattended and unlocked during the cleaning process. The contractor's CSPs shall lock all doors and windows when they finish the cleaning process. CSPs shall report difficulty in closing and locking doors or windows to the supervisor on duty. The supervisor on duty shall immediately report such difficulty to the COR or AOD.

1.16. Safety and Health Plan. The contractor shall comply with Occupational Safety and Health Administration (OSHA) standards as a minimum level of safety and health performance and establish more stringent standards where necessary for effective CSP protection. At a minimum, the contractor’s safety and health program shall address the following PWS-specific safety and health requirements:

1.16.1. The contractor shall develop and maintain an Exposure Control Plan fully compliant with OSHA Bloodborne Pathogen Standard (29 CFR 1910.1030) not later than 30 days after contract award. A copy of this document shall be made available to the COR upon request (See Exhibit B, Deliverables, Para. 5.b.).

1.16.2. The contractor shall comply with the OSHA Hazard Communication Standard (29 CFR 1910.1200 HCS 2012) and EAMC Regulation 385-5, General Safety, Fire Safety, Electrical Safety, Hazard Communication and Accident Reporting.

1.16.3. The contractor shall comply with the EAMC Regulation 385-5, General Safety, Fire Safety, Electrical Safety, Hazard Communication and Accident Reporting, National Fire Protection Association (NFPA) 101, Life Safety Code and all other applicable codes shall be considered mandatory and enforceable throughout the term of this contract. All CSPs shall participate in quarterly, or as required, fire drills when on duty.

1.16.4. The contractor shall comply with the provisions set forth below and FAR Clause 52.236-13 (with Alternate I), Accident Prevention. The contractor shall comply with the DDEAMC Safety Program outlined in EAMC Regulation 385-5, General Safety, Fire Safety, Electrical Safety, Hazard Communication and Accident Reporting. The contractor shall submit accident, injury and incident reports on contractor’s form. A copy of all accidents, injuries and incidents shall be submitted within one working day of incident to the COR. (See Exhibit B, Deliverables, Para. 5.e.).

1.16.4.1. When a contractor’s CSP detects a condition that may cause injury or illness, an oral report shall be made without delay to the immediate supervisor. The supervisor shall take immediate corrective action within thirty minutes of being notified about conditions under contractor control and immediately report all unsafe or unhealthful conditions in person to the AOD and COR within one hour.

1.16.5. Asbestos-Containing Material (ACM), to include but not limited to insulation, flooring, and other building materials, may be encountered by the contractor during the performance of healthcare housekeeping services. The locations of ACM are identified by building and area in Exhibit L, ACM Locations. On an as needed basis when changes occur regarding locations of ACM, the Government will provide the contractor with an updated Exhibit L not later than five working days after changes.

1.16.5.1. The contractor shall comply with 29 CFR 1919.1001 in the performance of healthcare housekeeping services in areas containing ACM. In the event that ACM is disturbed in the performance of healthcare housekeeping services (e.g., floor care), the contractor shall telephonically notify the COR and KO within two hours and in writing within 24 hours of disturbance (Ref. Exhibit B, Deliverables, Para. 5.p.). Upon notification of disturbance by the Contractor, the COR and KO will provide further guidance to the contractor regarding the performance of services in the disturbed ACM location.

1.17. Emergency Management Plan (EMP). The contractor’s key personnel shall be thoroughly familiar with DDEAMC Emergency Management Plan. All contractor CSPs shall be trained by the contractor to understand fully their responsibilities about each emergency plan. Healthcare housekeeping services are considered “mission-essential functions” and must be performed under all circumstances. The contractor shall be required to perform the services required by the contract and as identified by the COR to the extent allowed during all emergency situations including but not limited to fires, accident and rescue operations, CSP strikes, other service contractors on strike, civil disturbances, natural and man-made disasters, and utility service outages.

1.18. Housekeeping Procedures Manual. The contractor shall submit a written healthcare housekeeping procedures manual to the KO and COR not later than 15 calendar days after contract award date. As necessary, the contractor shall update/revise the Housekeeping Procedures Manual and submit the updated/revised document to the KO and COR for review before implementation (See Exhibit B, Deliverables, Para. 1.h. and 5.c).

1.19. Quality Control

1.19.1. Quality Management Standard. The contractor shall maintain ISSA CIMS-GB certification throughout the contract period.

1.19.2. Quality Control Program. The contractor shall maintain a quality control program that ensures healthcare housekeeping and related services are performed IAW commercial standards, advisory recommendations, and federal, state, installation, and DDEAMC policies, procedures, and regulations as identified in this PWS. The contractor shall provide procedures to identify, prevent, and ensure non-performance and continual repetition of defective service do not occur.

1.19.3. Quality Control Plan (QCP). The QCP shall demonstrate how the contractor intends to ensure quality performance during the contract POP. The contractor shall maintain a QCP that includes performance metrics. The contractor shall submit a written QCP to the KO and COR not later than 30 calendar days after contract award. The QCP shall describe the quality management surveillance methodology and approaches used under this contract. The final updated/revised QCP shall be incorporated into the contract by reference as a compliance document. The contractor shall update/revise the QCP, as necessary, and submit the updated/ revised QCP to the KO and COR not later than 7calendar days for review/comments before implementation (See Exhibit B, Deliverables, Para. 1.a. and 5.f.).

1.19.4. Quality Control Inspection Report. The contractor shall submit a monthly written report to the KO and COR not later than 5th calendar day of each month of contractor inspection results and actions in the process to improve quality. Subject reports shall identify the performance/cleaning level based on the inspection performed. They shall also include (1) the type of task (machine scrub, etc.) inspected, (2) the day and shift the task was accomplished, (3) the facility number (4) inspection date/time/result (5) name of the inspector, and (6) action taken if applicable (See Exhibit B, Deliverables, Para. 3.b.).

1.20. Phase-In/Phase-Out. As a successor, the contractor shall ensure a smooth 30-day transition with the incumbent contractor during the phase-in period. The contractor will provide an orderly transition of work acceptance and accomplishment so that impact to services is minimized. As an incumbent, the contractor shall ensure a smooth transition with the successor during the phase-out period before completion of contractual performance. The contractor will provide an orderly transition of work acceptance and accomplishment so that full control by the successor is achieved by the end of the phase-out period (See Exhibit B, Deliverables, Para. 1.g.).

1.21. Contractor Manpower Reporting (CMR). The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for the performance of this contract. The contractor is required to fill completely in all required data fields using the following web address: http://www.ecrnra.mil/

1.21.1. 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, beginning with 2017. Contractors may direct questions to the help desk at http://www.ecmra.mil/''

1.22. Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend the post award conference convened by the contracting activity or contract administration office by FAR Subpart 42.5. The KO, COR, and other government personnel, as appropriate, may meet periodically with the contractor to review the contractor’s performance.