W81K04-17-R-0002-0001.docx

W81K04-17-R-0002

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

EXHIBIT B

EXHIBIT B

DELIVERABLES

The contractor shall submit the following deliverables in accordance with the PWS requirements.

1. Phase In Deliverables.

a. Quality Control Plan (QCP): 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. (Ref. PWS 1.19.3.).

b. Facilities Condition Report: The contractor shall submit a written report to the KO and COR not later than five (5) calendar days after the inspection of government-furnished spaces detailing all existing damage within the government-furnished spaces, to include condition, components, and repair requirements, as a matter of record. (Ref. PWS 3.2.1.).

c. AT Level I Training Report: The contractor shall submit certificates of completion to the COR within 30 calendar days after completion of training for each affected CSP and subcontractor CSP. (Ref. PWS 1.13.3.3.1.).

d. iWATCH Training Report: The contractor shall submit a written report to the COR within 30 calendar days after contract award for each affected CSP and subcontractor CSP. The written report shall include iWatch training conducted, names of personnel in attendance, and date of training. (Ref. PWS 1.13.3.3.2.).

e. Operations Security (OPSEC) Training: The contractor shall submit course certificates to the COR within five (5) calendar days of completion for each affected CSP. (Ref. PWS 1.13.3.6.).

f. DOD Information Assurance Awareness Training Report: The contractor shall submit course certificates to the COR within five (5) calendar days of completion for each affected CSP. (Ref. PWS 1.13.3.4.).

g. Phase-In Plan: The contractor shall submit a 30-day, written phase-in/transition plan to the KO and COR not later than five (5) calendar days after contract award date. (Ref. PWS 1.20.).

h. Healthcare Housekeeping Procedures Manual: The contractor shall submit Healthcare Housekeeping Procedures Manual to the KO and COR not later than fifteen (15) calendar days after contract award date. (Ref. PWS 1.18.).

i. Contractor-Furnished Supplies and Chemical Products for Pre-Approval: The contractor shall submit a written list of contractor-furnished supplies, to include chemical products and applicable SDS, to the COR not later than ten (10) calendar days after contract award date. The contractor shall not use any supplies, cleaning products, or material prior to receiving written approval of the COR and Infection Prevention and Control Committee (IPaC). (Ref. PWS 4.2.1.).

j. Contractor-Furnished Equipment/Material: The contractor shall submit a written list of contractor-furnished equipment to the COR not later than ten (10) calendar days after contract award date. (Ref. PWS 4.2.1.).

k. Floor Maintenance Plan: The contractor shall submit a written Floor Maintenance Plan to the COR not later than 30 calendar days after contract award date. (Ref. PWS 5.3.).

l. GFP Condition and Quantity: The contractor shall submit in writing of any disagreement regarding the material condition and quantity of GFP to the COR not later than ten (10) calendar days of completion of inspection. (Ref. PWS 3.1.).

m. Automated Chemical Dispenser: The contractor shall submit a written description of the specifications of the automated chemical dispenser to the COR not later than ten (10) calendar days after contract award date. (Ref. PWS 4.1.5.).

n. OTSG/MEDCOM Policy Memo 16-035, Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security Training: The contractor shall submit course certificates to the COR within five (5) calendar days of completion for each affected CSP (Ref. PWS 1.13.3.5.).

2. Daily Deliverables.

a. Facility Defect Reports: The contractor shall provide a daily written shift report no later than 4:00 pm to the COR identifying all needed maintenance repairs observed by housekeeping personnel. The report would include such facility defects as broken windows, faulty light fixtures, protruding nails, broken moldings, etc. Emergency facilities' defects (broken water pipes, gas leaks, etc.) shall be reported verbally to the COR or AOD as soon as possible after discovery to facilitate repairs and shall be reported in writing by the end of the work shift. (Ref. PWS 5.4.1. and 5.4.2.).

3. Monthly Deliverables.

a. Work Schedules: The contractor shall provide to the COR monthly work schedules at least 30 calendar days prior to month of accomplishment. Schedules for tasks to be performed by teams (floor stripping, carpet shampooing, etc.) shall be provided in a separate submission than the Daily Work Schedules to the government 30 days prior to the month of accomplishment. Completed tasks shall be submitted the next morning to the COR. Schedules shall include the date, building, room, time (to include completion time) and task. The contractor shall submit schedule changes in writing to the government at least 24 hours in advance of beginning the output. (Ref. PWS 5.3.).

b. 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 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.: (Ref. PWS 1.19.4.).

c. 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 employees during the previous month. (Ref. PWS 1.10.2.1.).

d. Training Reports: 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. (Ref. PWS 1.13,).

e. 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. (Ref. PWS 1.10.2.).

f. RMW Report: The contractor shall submit a monthly, written report of cumulative weights to the COR within five (5) calendar days following the last day of the month. (Ref. PWS 5.14.4.1.).

g. Supply Usage Report: The contractor shall submit a written supply usage report to the COR within five (5) calendar days following the last day of the month. The report shall include an itemized listing of contractor- furnished supplies consumed and the cost of the supplies for the previous month. (Ref. PWS 4.1.2.).

h. Monthly Linen Issue Summery Report: The contractor shall provide a monthly report to the COR of all issues to users/activities by piece by day with daily totals and monthly grand totals no later than the 5th day of each month following the month of service. (Ref. PWS 5.15.5.).

i. Linen Cart Weights: The contractor shall record the date and time, cart number, the cart tare weight as written on the cart, and the cart gross weight on the government-furnished form. The contractor shall provide a monthly linen report on a government furnished form to the COR listing by day the weights of soiled linen sent to the laundry and weights of clean linen received from the laundry. The contractor shall submit the report on the first work day of the month following the month of service. (Ref. PWS 5.15.4.).

4. Annual Deliverables.

a. Supply Usage Report: The contractor shall submit an annual written supply usage report to the COR not later than the October 31 of each year. The report shall include an itemized listing of contractor- furnished supplies consumed and the cost of the supplies for the previous 12 months. (Ref. PWS 4.1.2.).

b. AT Level I Training Report: The contractor shall submit certificates of completion to the COR within 30 calendar days after completion of annual training for each affected CSP and subcontractor CSP. (Ref. PWS 1.13.3.3.1).

c. Operations Security (OPSEC) Training: The contractor shall submit course certificates to the COR within five calendar days of completion of annual training for each affected CSP. (Ref. PWS 1.13.3.6.).

d. DOD Information Assurance Awareness Training Report: The contractor shall submit course certificates to the COR within five calendar days of completion of annual training for each affected CSP. (Ref. PWS 1.13.3.4).

e. Cleaning Products: The contractor shall submit written list of chemical cleaning products and SDS to the COR not later than 30 days of contract anniversary date for annual review/approval. (Ref. PWS 4.2.1.).

f. Asbestos Awareness Training Report: The contractor shall submit documentation of completed annual training to the COR within five calendar days of CPS’s annual training. (Ref PWS 1.13.2.).

g. SHARP Training Report: The contractor submit documentation of completed training to the COR within 30 calendar days of completion of training for each new CSP and new subcontractor CSP. (Ref. PWS 1.13.4.).

h. Equipment Inventory Report: The contractor shall provide a copy of the annual inventory report not later than five business days after completion of the inventory. (Ref. PWS 3.1.1.)

5. As Required Deliverables.

a. Lost, Damaged, or Destroyed Property: The contractor shall report verbally and by email all incidents of loss, damage, destruction, or theft of government furnished property within one hour of discovery to the COR and KO and submit a full written report of investigation no later than five (5) calendar days of occurrence to the COR and KO. If lost during hours when COR is not available, the oral report shall be given to the AOD, and followed up on the next business day with a written report to the COR. (Ref. PWS 3.1.2).

b. Exposure Control Plan: The contractor shall provide the COR a printed copy of the contractor’s current Exposure Control Plan fully compliant with OSHA Bloodborne Pathogen Standard (29 CFR 1910.1030) upon request. (Ref. PWS 1.16.1).

c. Automated Chemical Dispenser Testing Log: The contractor shall maintain a written log containing date of testing, results and corrective action. The written log shall be available to the COR upon request. (Ref. PWS 4.1.5).

d. Healthcare Housekeeping Procedure Manual Updates: The contractor shall submit the updated/revised Housekeeping Procedures Manual to the COR not later than 14 calendar days for review/comments prior to implementation. (Ref. PWS 1.18.).

e. Cleaning Product Changes: The contractor shall submit written requests for changes to approved chemical cleaning products to the COR not later than 30 days prior to implementation. The written request shall include product literature, Safety Data Sheets (SDS), and may require samples for evaluation prior to approval. (Ref. PWS 4.2.1.).

f. Contractor Staff Accident and Injury Reports: The contractor shall submit a written copy of each contractor staff member accident and injury report to the COR within one (1) working day of incident. The report shall be made on the contractor’s company form that complies with OSHA Accident Reporting Standards. (Ref. PWS 1.16.4).

g. Quality Control Plan (QCP): The contractor shall submit the updated/ revised QCP to the KO and COR not later than seven (7) calendar days for review/comments prior to implementation. (Ref. PWS 1.19.3.).

h. AT Level I Training Report: The contractor shall submit certificates of completion to the COR within 30 calendar days after completion of training for each new CSP and new subcontractor CSP. (Ref. PWS 1.13.3.3.1.).

i. Operations Security (OPSEC) Training: The contractor shall submit course certificates to the COR within five (5) calendar days of completion of training for each new CSP. (Ref. PWS 1.13.3.6.).

j. DOD Information Assurance Awareness Training Report: The contractor shall submit course certificates to the COR within five (5) calendar days of completion of training for each new CSP (if training is applicable). (Ref. PWS 1.13.3.4.).

k. Facilities Condition Report: The contractor shall submit the updated/revised facilities condition report to the KO and COR not later than seven (7) calendar days detailing new damage within the government-furnished spaces, to include condition, components, and repair requirements, as a matter of record. (Ref. PWS 3.2.1.)

l. Floor Maintenance Plan: The contractor shall submit the updated written Floor Maintenance Plan to the COR not later than seven (7) days prior to implementation. (Ref. PWS 5.13.3.1.).

m. Service/Problem Call Log: Upon request, the contractor shall submit a copy of the Service/Problem Call Log to the COR or KO. (Ref. PWS 5.13.1).

n. Employee Health Certificate: Upon request, the contractor shall submit copies of medical clearances and health certificates for each CSP to the COR or KO for government inspection. (Ref. PWS 1.14.1.).

o. Sexual Assault: The CSP’s with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government’s COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incident occurs on a Government facility or Government leased facility. (Ref. PWS 1.10.5.1.).

p. Sexual Harassment: The CSP’s with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government’s COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incident occurs on a Government facility or Government leased facility. (Ref. PWS 1.10.5.2.).

q. Asbestos Training Report: The contractor shall submit documentation of completed training to the COR within 30 calendar days of completion of training for each new CSP and new subcontractor CSP starting work or initial assignment to an asbestos-containing material (ACM) area and within five days of annual training . (Ref PWS 1.13.2. and 1.16.5.1.).

r. Asbestos Disturbance Reporting: In the event of ACM disturbance in the performance of healthcare services, the contractor shall telephonically notify the COR and KO not later than two hours and in writing not later than 24 hours of disturbance. (Ref. PWS 1.16.5.1.).

s. Inventory Report: The contractor shall provide a copy of annual and periodic inventory report to the KO and COR upon request. (Ref. PWS 5.15.8.).

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT

BASSETT ARMY COMMUNITY HOSPITAL

FORT WAINWRIGHT, AK

SECTION 1

1. General. This performance work statement (PWS) is for healthcare housekeeping and related services at Bassett Army Community Hospital (BACH), Fort Wainwright, AK and other Medical Treatment Facilities (MTF’s) in the health service (HSA) area of Bassett Army Community Hospital. 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. BACH is a medium-sized general medical and surgical hospital sited at building 4076 in Fort Wainwright, AK near the town of Fairbanks, Alaska, and is part of the US Army Medical Command. It is accredited by the Joint Commission (JC). The mission of BACH is to provide world-class medicine to the military personnel and their families in safe, clean, and aesthetically-pleasing MTF. BACH is located in Bldg. 4076 Neely Road to the south, Gaffney Road to the north, 10th Street to the east and 9th Street to the west. BACH provides inpatient and specialty care to all military beneficiaries residing in Interior Alaska including Eielson Air Force Base and Ft. Greely. The facility provides total health care services for 25,000 eligible Prime beneficiaries north of the Alaska Range, an area comprising the upper two-thirds of the state.

1.2.1. The MTF consists of a three story hospital which includes four operating room suites, 21 total beds, 10 labor-delivery-recovery beds. Clinics and services include: otolaryngology, dermatology, general surgery, orthopedic surgery, same-day surgery, physical therapy, optometry, emergency care, obstetrics and gynecology, internal medicine, respiratory therapy, pediatrics, radiology, pathology, pharmacy, psychiatry, alcohol and drug treatment, clinical psychology, social work, occupational medicine, industrial hygiene, health risk appraisal, and primary care. The command suite and other administrative support functions such as: outpatient records, outpatient pharmacy, admissions and dispositions, primary care unit, and specialty care clinics are located within the complex. There are fourteen additional outlying facilities that are located at Forts Wainwright, Greely and Joint Base Elmendorf Richardson (JBER), Alaska. Of these fourteen three of them are Health Clinics and they are as follows: The Kamish Health Clinic Dentac at Ft. Wainwright provides primary care, dental care, physical therapy, radiology, chiropractic services, pharmacy and some laboratory services. The JBER Ft. Richardson Health Clinic provides primary care, physical therapy and pharmacy. Ft. Greely Army Medical Home Health Clinic provides primary care, radiology, pharmacy and laboratory services. Exhibit C provides a complete listing of facilities supported by this contract and their locations.

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

1.4. Scope. The contractor shall provide healthcare housekeeping services to BACH to include all MTF’s within the HSA of Forts Wainwright, Greely and JBER, AK. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for BACH multiple MTFs in the HSA is 341,302 Building SF. There may be reduced or 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 as a result of consolidation of services.

1.5. Period of Performance (POP). The POP is five years from 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 exercise of TO 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/Second Edition 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 PeriOperative 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 Health Advancement of Medical Instrumentation publication (ANSI/AAMI) ST65:2008. Subject commercial standard pertains to the transport, handling, and storage of linen which is a part of this contract.

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 7:30 am – 4:30 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. The contractor shall provide healthcare housekeeping services on federal holidays as a regular working day in the Labor and Delivery, Mother Baby Unit, Emergency Room (ER), Pathology, Radiology, Multi Surgical Ward and Dining areas.

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 BACH 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 hospital of comparable size and services as BACH 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 BACH (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 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 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 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 5th calendar day of each month and as changes occur (See Exhibit B, Deliverables, Paragraph 3.e.). 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, Paragraph 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, Paragraph 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 MEDDAC-AK Regulation 450-5, Wearing of Scrub Attire and Protective Clothing. 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 MEDDAC-AK Regulation Infection Control Manual 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 Contract Service Providers (CSP) 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 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.o).

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.p).

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 BACH Physical and Personnel Security Office. CSPs shall comply with all personal identity verification requirements as directed by the Department of Defense (DOD), Headquarters, and 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.

1.11.2. 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 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 determine if a Defense Enterprise Email (DEE) account is applicable for contract CSPs; if the evaluation is made to provide a DEE the government will sponsor the contract CSPs for the account.

Having a DEE account and access to government computers may be deemed beneficial for a number of government training requirements (see 1.13.3.3) and the daily calculation and information updates to various procedures and operations within the contract requirements.

1.11.2.6. The government TA will send a notice through the TASS to the CSPs e-mail address provided in accordance with (IAW) the above requirement. The CSP’s user ID and password will be provided in the e-mail and will be 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 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 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 CSPs, 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 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 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 wellbeing 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. CSPs that 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 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 and MEDDAC-AK Regulation 40-68-5, Competency Assessment Program and BACH Infection Control Manual. 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 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. CSPs 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 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, Paragraph 4.f and 5.q).

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 CSPs and annual requirements. 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 MEDDAC-AK Regulation 350-2, Initial Orientation. The contractor shall ensure all CSPs attend BACH’s required orientation training within 30 calendar days of the CSP starting work. BACH’s training will be provided monthly for all new CSPs. The contractor will be provided 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 US 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, Paragraphs 1.c., 4.b, and 5.h). 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, Paragraphs 1.d. and 3.d.).

1.13.3.4. DoD Information Assurance Awareness Training. All CSPs with access to a government information system must successfully complete the DOD Information Assurance 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 5.j).

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 month 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, Paragraph 1.n.).

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, Paragraphs 1.e., 4.c., and 5.i.).

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. (See Exhibit B, Deliverables, Paragraph 4.g). Training can be obtained either online or in person. --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. (See Exhibit B, Deliverables, Paragraphs 4.g.).

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 prior to working on-site at BACH 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.n.).

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.”

1.14.2.2. 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 MTFs as determined by the BACH 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 BACH Occupational Health Nurse.

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

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

1.14.2.3.2. 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.

1.14.2.4. 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).

1.14.2.5. Reserved.

1.14.2.6. 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.

1.14.2.7. 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 to health care facility personnel IAW Army Regulation 40-5, Preventive Medicine, 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 prior to their working under the provisions of this contract.

1.14.4. BACH will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at BACH. 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 BACH IAW MEDDAC-AK Regulation 40-62, Bloodborne Pathogen Exposure. The contractor shall be responsible for payment of follow-up treatment/monitoring of CSP.

1.15. Building Security and Key Control Management. The contractor shall comply with MEDDAC-AK Regulation 190-2, Physical Security Program (PSP).

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 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.