W81K04-16-R-0025-0001_25_Oct_2016.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:

PURPOSE OF AMENDMENT CONTINUED

G. 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 284,584* GROSS SQUARE FEET BASE ORDERING PERIOD

* PWS Para 1.4

**1808 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 III SERVICES-HHA

TYPE IV SERVICES-HHA

1st Shift

Productive

Hours 2nd Shift

Productive Hours 3rd Shift

Productive Hours

TOTAL

Productive Hours

TOTAL FTE**

TYPE V SERVICES-HHA

TYPE VI SERVICES-HHA

RMW Services

Linen Services

Management***

GRAND TOTAL:

** 1808 Productive Hours = 1 FTE (SCA)

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

PWS

PERFORMANCE WORK STATEMENT

GUTHRIE ARMY HEALTH CLINIC

FORT DRUM, NEW YORK 13602-5004

SECTION 1

1. General. This performance work statement (PWS) is for healthcare housekeeping and related services at Guthrie Army Health Clinic (GAHC), Fort Drum, NY and multiple medical treatment facilities (MTF) in the health service area of GAHC. As a performance based contract, the requirements are stated in terms of desired results with associated quality standards. Healthcare housekeeping services shall be performed 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. . GAHC is a Joint Commission-accredited ambulatory health center. It is comprised of many different sections located throughout Fort Drum, Watertown, NY and other localities, and supports approximately 32,500 beneficiaries. Exhibit C provides a complete listing of current facilities supported by this contract. GAHC offers a wide variety of outpatient services to include a primary care clinic with Family medicine, pediatrics and internal medicine available, as well as ambulance services, specialty clinics (which include podiatry, orthopedics, immunizations, dermatology, chiropractic and physical therapy), pharmacy services and a health care finder service. GAHC also has an obstetrics and gynecology (OB&GYN) clinic off post in leased space at Watertown Medical Center, Watertown, NY. The Watertown Medical Center is located 10 miles from Fort Drum in Watertown, NY. The OBGYN clinic is housed on the first and second floor of the medical center. The mission of GAHC is to provide integrated quality healthcare and medical readiness support that is responsive to the needs of the 10th Mountain Division and the Fort Drum Community in safe, clean, and aesthetically pleasing facilities.

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

1.4. Scope. The contractor shall provide healthcare housekeeping services to GAHC to include all MTFs within the health service area of Fort Drum, NY. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for GAHC and auxiliary facilities is 284,584 SF. There may be additional SF for newly constructed buildings and/or building expansions that will require services as they are completed or a reduction of SF for facilities closing because of consolidation of services.

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

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

1.6. Commercial Standards/Advisory Recommendations. The following commercial standards and advisory recommendations are applicable 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. American National Standards Institute/Association for the Advancement of Medical Instrumentation (ANSI/AAMI) ST65:2008 Processing of reusable surgical textiles for use in health care facilities.

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”.

1.7.

Hours of Operations. Normal operating hours are 6:30 am – 6:00 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.

1.8.

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. Guthrie Army Health Clinic is closed on federal holidays

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.

1.9.1. Executive Housekeeper. The contractor shall provide an executive housekeeper to serve solely at GAHC and the outlying clinics. 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 healthcare housekeeping experience. Specific experience shall indicate that the executive housekeeper has directly managed and performed in a MTF of comparable size and services as GAHC or the equivalent civilian medical treatment facility.

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.

1.9.3. Replacement of Key Personnel. All proposed replacement of key personnel shall be submitted in writing to the Contracting Officer (KO) and the COR at least 15 calendar days prior to 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 shall be available to meet with the COR on site during normal operating hours within one hour of notification. The contractor shall provide the KO and COR phone numbers for the executive housekeeper during duty and non-duty hours (to include evenings, holidays, and weekends). After duty hours, the executive housekeeper shall be available on site within two hours of notification.

1.10. Miscellaneous 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 CSP’s as may be necessary. The contractor shall ensure that CSP’s 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 CSP’s are able to speak, read, and write in English in order 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 fifth calendar day of each month (See Exhibit B, Deliverables, Paragraph 3.e.). New CSP’s 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.

1.10.3. Man Hour Reports. The contractor shall submit a written person-hour report to the COR not later than the fifth calendar day of each month. The person-hour report shall include the total number of hours worked by direct labor CSP’s during the previous month. A direct labor CSP is directly involved in the production of goods or services. Indirect labor is CSP’s (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, Paragraph 3.c).

1.10.4. Uniforms. All CSP’s 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. CSP’s shall wear contractor-provided approved uniforms at all time while performing housekeeping duties except when working in areas requiring government-furnished surgical garments. CSP’s shall not wear artificial nails, tips, or extensions and must be in compliance with FD MEDDAC Reg. 40-43, Infection Prevention & Control and 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/Assault Response and Prevention (SHARP). The contractor shall comply with OTSG/MEDCOM Policy Memo 16-033, Sexual Harassment/Assault Response and Prevention 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 U.S. Army Medical Command (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, Paragraph 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, Paragraph 5.n).

1.11. Installation Access.

1.11.1. Access and General Protection/Security Policy and Procedures. All contractor and sub-contractor CPSs 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 Office, Director of Emergency Services, or GAHC Provost Marshal Office. CSP’s 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.

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 the Federal Acquisition Regulation (FAR) Clause 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 Changes clause in the contract.

1.11.2.4. The contractor is responsible for absences of CSP’s 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 contract CSP’s for a Defense Enterprise Email (DEE). All CSP e-mail addresses will identify them as a contractor and use the format firstname.lastname.ctr@mail.mil. The government will discontinue the DEE when the CSP’s no longer require access.

1.11.2.6. The government Trusted Associated (TA) will send a notice through TASS to the DEE address provided IAW the above requirement. The CSP’s user ID and password will be provided in the e-mail and will require a change at first login. 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 CSP’s e-mail address within 48 hours after submission. If the application is returned or rejected, the CSP shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issue(s).

1.11.2.9. Upon approval of the application, the CSP will receive an e-mail stating the Common Access Card (CAC) application was approved. The applicant must then go to a Real-Time Automate Personnel Identification System (RAPIDS) Issuing Facility to have the government credential issued. The CSP must present two acceptable forms of ID, which may 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 CSP’s, in the TASS, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to log in.

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 a 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 wellbeing 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. CSP’s removed from contract work shall be required to leave the work site immediately. The contractor before departure of the CSP shall collect the CAC card 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 CSP(s) removal from the 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 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 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, Paragraph 3.d).

1.13.1. CSP’s not previously trained in healthcare housekeeping services, including infection prevention and control, and safe handling and management of Regulated Medical Waste (RMW), may not perform work in a government MTF until this 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 CFR 1910.1001. The contractor shall ensure all CSP’s, to include subcontractor CSP’s, 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 5 calendar days of the annual training. (See Exhibit B, Deliverables, Paragraph, 4.f and 5.0)

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 as needed for new CSP’s and annual requirements. The contractor shall document all government-provided training of CSP to include orientation and annual training requirements. The contractor shall additionally ensure all CSP’s accomplish government-provided training as identified below:

1.13.3.1 GAHC Orientation Training. The contractor shall comply with AR 40-68, Clinical Quality Management and FD MEDDAC Reg. 600-1 Management of Human Resources. The contractor shall ensure all CSP’s attend GAHC’s required orientation training within 30 calendar days of the CSP starting work. GAHC’s training will be provided monthly for all new CSP’s. The contractor will be provided training schedules and shall ensure that all required CSP’s attend.

1.13.3.2. Regulated Medical Waste (RMW) Packaging Training. All CSP’s involved in the packaging of RMW for commercial shipment shall complete the US Army Public Health Command, 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 CSP’s, to include subcontractor CSP’s, 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 CSP’s 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 CSP’s and subcontractor CSP (See Exhibit B, Deliverables, Paragraphs 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 CSP’s on the local iWATCH program. This local developed training will be used to inform CSP’s of the types of behavior to watch for and instruct CSP 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, Paragraphs 1.d. and 3.d.).

1.13.3.4. DoD Cyber Awareness Training.. All CSP’s 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, Paragraphs 1.f., 4.d., and 5i.).

1.13.3.5. The contractor shall comply with FT Drum Regulation 40-45, Privacy, Confidentiality & Security of Personal Identifiable Information (PII) & Protected Health Information (PHI). All CSP’s shall participate in government provided training in proper procedures and responsibilities in regards to the safeguarding of protected health information IAW the contractor’s obligations as a business associate under the Health Insurance Portability and Accountability Act of 2003 (HIPAA).

1.13.3.6. Operations Security (OPSEC) Training. The contractor shall ensure all CSP’s 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, Paragraphs 1.e., 4.c., and 5h.).

1.13.3.7. SHARP Training. The contractor shall ensure all CSP’s receive SHARP training not later than 60 calendar days after CSP begin performance under this contract. Training can be obtained either online or in person. CSP’s can attend SHARP training provided by MEDCOM on an every other month basis by calling (210) 221-8361 for class date/time and availability. If CSP’s have an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.sexualassault.army.mil/index.cfm

1.13.3.8 Magnetic Resonance Imagining (MRI) Safety Training. The contractor shall ensure all CSP’s involved in cleaning the MRI suite receive MRI safety training provided by the GAHC Safety Officer prior to performing duties in the MRI area.

1.13.4. 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. CSP’s shall be properly screened and medically cleared (to include required immunizations) with proper and complete documentation prior to working on-site at GAHC or any of the collective MTF’s and on an annual basis thereafter. 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, Paragraph 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, 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. Intradermal purified protein derivative (IPPD) (Mantoux Intermediate Strength Purified Protein Derivative 5 Tuberculin units (PPD 5-TU)), unless contraindicated, CSP’s shall have documentation of IPPD test results. CSP’s with undocumented or expired IPPD test results shall not be permitted to work within the GAHC MTF’s as determined by the GAHC Occupational Health Nurse.

1.14.2.1.2. CSP’s with positive tuberculin reactions shall have documentation of chest-x-ray results no older than 12 months. CSP’s with undocumented or expired chest X-ray results will not be permitted to work within the GAHC MTF’s as determined by the GAHC Occupational Health Nurse. Chest -ray retesting of positive tuberculin reactors shall be required every 12 months, or as needed if symptomatic, as determined by the GAHC Occupational Health Nurse.

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

1.14.2.2.1. Screening tests for the presence of Rubella, Rubella, 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, Rubella, 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, Rubella, Mumps and Varicella titers, the immunizations will not be required.

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

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

1.14.2.5. Hepatitis B Vaccination. 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 CSP’s.

1.14.2.6. All CSP’s are required to have an annual influenza immunization provided by the contractor

1.14.3. A CSP considered by GAHC Occupational Health to be infectious to patients or to health care facility personnel IAW FT Drum MEDDAC Regulation 385-3 Safety Program 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 prior to their working under the provisions of this contract.

1.14.4. GAHC will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at GAHC. 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. CSP who has accidental percutaneous (needle stick); ocular or mucous membrane exposure to blood or other body fluids will receive initial treatment at the GAHC Emergency Room IAW FT Drum MEDDAC 40-25 Bloodborne Pathogen Exposure Control Program regulation. The contractor shall be responsible for payment of follow-up treatment/monitoring of CSP.

1.14.6 MRI Screening. All CSP’s performing duties in the MRI suite shall be screened by the GAHC Occupational Health Provider prior to performing duties in the MRI suite. CSP’s shall be screened to ensure physical compatibility. CSP’s with pacemakers, aneurysm clips or other specific physical MRI incompatibilities shall at no time be assigned to work in this area.

1.15. Building Security and Key Control Management. The contractor shall comply with AR 190-13, The Army Physical Security Program, FT Drum MEDDAC 190-1, Security: Physical Security Plan 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 no 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 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 CSP’s shall unlock only the doors and windows necessary for the cleaning function. The contractor shall prohibit the opening of locked areas by CSP’s 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.

1.15.1.3. 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. CSP’s 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 OSHA standards as a minimum level of safety and health performance and establish standards that are more stringent 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 maintain an Exposure Control Plan fully compliant with OSHA Blood Borne Pathogen Standard (29 CFR 1910.1030) no 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, Paragraph 5.b.)

1.16.2. The contractor shall comply with the OSHA Hazard Communication Standard (29 CFR 1910.1200 HCS 2012) and Fort Drum MEDDAC Regulation 385-1 Hazardous Communications (HAZCOM) and Fort Drum MEDDAC Regulation 385-2 Hazardous Material & Hazardous Waste Management Program.

1.16.3. The contractor shall comply with Fort Drum MEDDAC Regulation 385-3, Safety Program, National Fire Protection Association (NFPA) 101, Life Safety Code, and all other applicable codes are considered mandatory and enforceable throughout the term of this contract. All CSP’s 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 GAHC safety program outlined in Fort Drum MEDDAC Regulation 385-3, Safety Program.

1.16.4.1. When a contractor’s CSP detects a condition that may cause injury or illness, an oral report shall be made immediately 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. The contractor shall follow their organization’s reporting requirements and submit contractor staff accident and injury reports on the contractor’s forms. A copy of each contractor accident and injury report shall be submitted within one working day of incident to the COR. The report shall be made on the contractor’s company form that complies with OSHA Accident Reporting Standards (See Exhibit B, Deliverables, Paragraph 5.e.)

1.16.5. 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. (Exhibit H, ACM Locations) On an as needed basis, when changes occur regarding locations of ACM, the government will provide the contractor with an updated Exhibit H no 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. Upon notification of disturbance by the contractor, the COR and KO will provide further guidance to the contractor regarding performance of services in the disturbed ACM location.

1.17. Emergency Management Plan (EMP). The contractor’s key personnel shall be thoroughly familiar with MEDDAC 500-1 Emergency Management Plan. All contractor CSPs shall be trained by the contractor to fully understand their responsibilities relative to 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/approval before implementation. (See Exhibit B, Deliverables, Paragraphs 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 GAHC 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 does 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 prior to implementation (See Exhibit B, Deliverables, Paragraph 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 no later than the fifth day of the calendar month of contractor inspection results and actions in 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, Paragraph 3.b).

1.20. Phase-In/Phase-Out. As a successor, the contractor shall ensure a smooth transition with the incumbent contractor during the phase-in period. The contractor shall provide an orderly transition of work acceptance and accomplishment so that impact to services is minimized. The contractor shall submit a 30-day, written phase-in/transition plan to the KO and COR not later than 5 calendar days after contract award. (See Exhibit B, Deliverables. Paragraph1.g) As an incumbent, the contractor shall ensure a smooth transition with the successor during the phase-out period prior to completion of contractual performance. The contractor shall 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.

1.21. Contractor Manpower Reporting (CMR). The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for GAHC via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecrnra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, 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 in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, contracting officer representative, and other government personnel, as appropriate, may meet periodically with the contractor to review the contractor’s performance. At these meetings, the contracting officer will apprise the contractor of how the government views the contractor’s performance and the contractor shall apprise the government of issues/concerns, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.

SECTION 2

2.1. DEFINITIONS. The following terms used throughout this PWS shall have the following meanings:

Acceptable Quality Level. AQL is the maximum allowable percentage of deviation from perfect performance for an individual service output.

Advisory Documents. Directives the contractor may use for information and guidance and which are not binding for compliance.

Asbestos-Containing Material. Any material containing more than 1% asbestos.

Bloodborne Pathogens Standard. The OSHA standard to eliminate or minimize occupational exposure to Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV), and other blood borne pathogens.

Cleaning. The removal of visible soil and organic contamination from a device or surface using the physical action of scrubbing with a surfactant or detergent and water.

Common Access Card. Smart card-based technology and systems used to transform and improve security in DoD processes and mission performance thereby enhancing readiness while also improving business processes. The standard identification card for active duty Uniformed Services personnel (to include the Selected Reserve), DoD civilian employees, eligible contractor personnel, and eligible foreign nationals. The Department's primary platform for the public key infrastructure authentication token used to access DoD computer networks and systems in the unclassified environment and, where authorized by governing security directives, the classified environment. It is the principal card enabling physical access to installations. The CAC enables encrypting and cryptographically signing email facilitating the use of PKI authentication tools, and establishes an authoritative process for the use of identity credentials.

Community Based Primary Care Clinic. An MTF located off the installation in leased facilities managed by the parent MTF near the communities in which Soldiers and their families reside.

Contract Discrepancy Report. A report that requires the contractor’s response when performance is unsatisfactory. The CDR requires the contractor to explain, in writing, why performance was unsatisfactory, how performance will be returned to satisfactory levels, and how recurrence of problems will be prevented.

Contract Service Provider. A non-government employee under contract or working for a firm under contract with the DOD, or Uniformed Services.

Contracting Officer (KO). The individual with the authority to enter into, administer, and/or terminate contracts. The KO is the exclusive government official authorized to execute changes and authorize deviations or variations from the contract.

Contracting Officer's Representative (COR). The medical facility person responsible for assisting in administration of the government's quality assurance portion of the contract. This person is designated in writing by the KO to be responsible for quality assurance, inspection, surveillance documentation and acceptance of the contractor's services. A copy of the letter of designation will be provided to the contractor.

Defense Enrollment Eligibility Reporting System (DEERS) - A computer-based enrollment and eligibility system that the DOD established to support. Implement, and maintain its efforts to improve planning and distributing military benefits, including military health care, and to eliminate waste and fraud in the use of benefits and privileges. DEERS can interact with and support systems and programs within DOD and military departments

Diffusers. The outside (that part accessible to cleaning without removal) of HVAC registers, grills and covers.

Disinfection. A process that eliminates many or all pathogenic microorganisms, except bacterial spores, on inanimate objects. In health-care settings, objects usually are disinfected by liquid chemicals or wet pasteurization. Unlike sterilization, disinfection is not sporicidal.

Disinfection Cleaning.