Amendment 0001 - W81K04-20-R-0010 - 13 Dec 19.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

SEE SECTION SF 30 BLOCK 14 CONTINUATION PAGE-SUMMARY OF CHANGES

1. CONTRACT ID CODE PAGE OF PAGES

J 1 54

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

16C. DATE SIGNED

BY 13-Dec-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0420R0010

X 9B. DATED (SEE ITEM 11)

22-Nov-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

13-Dec-2019

CODE

W40M USA HLTH CONTRACTING ACT

CTR FOR HEALTH CARE CONTR

2199 STORAGE ST BLDG 4197 STE 68

JBSA FT SAM HOUSTON TX 78234-5074

W81K04 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W81K0420R0010

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

1. The purpose of this amendment is to:

a. Post Pre-Proposal Conference Slides and Site Visit information from the Pre-Proposal Conference and Site Visit held on 4 December 2019 at General Leonard Wood Army Community Hospital, Fort Leonard Wood, Missouri.

b. Update Attachment 1 with quantities for Paper Towel dispensers, Toilet Paper dispensers, Hand Soap dispensers, Hand Sanitizer dispensers, Sanitary Napkin dispensers and Sanitary Napkin receptacles. Change are highlighted in red. Additionally, update with annual usage for Sanitary Napkin disposable bags.

c. Update Attachment 4, Staffing Chart, Base Ordering Period and Ordering Periods 2 - 5 by removing RMW reference.

d. Make minor PWS changes in paragraphs 3.5.1, 3.5.2.7 and 4.1.2. Changes are highlighted in red.

e. Update Attachment 3, Price Matrix with Attachment 3, Price Matrix, Revision 1. Updated CLIN 0011 to reflect Phase-In and CLIN 0012 to reflect Post-Award Conference

2. All other terms and conditions remain unchanged. The POC for this amendment is Quinella M. Purks, tel: 210- 221-3699 or email at quinella.m.purks.civ@mail.mil.

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

ATTACHMENT 1

Medical Treatment Facility Description and Workload Data.

(REVISION 1)

1. General. General Leonard Wood Army Community Hospital (GLWACH) is part of the Regional Health Command - Central of the US Army Medical Command. The hospital is a government run facility located at 4430 Missouri Ave, Fort Leonard Wood, Missouri, 65473. Fort Leonard Wood is located directly south of St Robert, Missouri, along Interstate I-44, midway between Springfield and St Louis. Located in the heart of the Ozarks, Fort Leonard Wood is comprised of 63,000 acres, approximately 98 square miles, adjacent to the Mark Twain National Forest. St Louis is a 2-hour drive to the east along I-44 and Springfield, Missouri is a little more than an hour’s drive to the west.

1.1. GLWACH consists of 9 buildings to include the main hospital. The hospital is a 65-inpatient-bed facility offering a wide range of medical services to include family practice, internal medicine, pediatrics, general surgery, orthopedics, urology, ophthalmology, optometry, podiatry, obstetrics and gynecology, physical therapy, occupational therapy, audiology, otolaryngology, psychiatry, psychology, social work, neurology and substance abuse. In addition, radiology provides a full range of services to include x-ray, magnetic resonance imaging (MRI), ultrasound, mammography, and computed tomography (CT scan). The laboratory also provides a full range of inpatient and outpatient services.

1.2. GLWACH is accredited by the Joint Commission, the College of American Pathologists, and American College of Radiology, the American Association of Blood Banking, The Food and Drug Administration, and is a member of the American Hospital and Missouri Hospital Associations.

1.3. GLWACH began operation at its current location on August 15, 1965. In 1974, ground was broken for a 180-bed nursing tower and clinic addition. Upon completion in 1977, the new addition had more than doubled the space previously allocated for outpatient clinics and raised the inpatient capacity to approximately 500 beds. The present facility, a six-story structure, comprises 408,371 square feet of clinic and ward space. The hospital also includes a chapel, Post Exchange / snack bar, patient and medical libraries. The hospital is currently staffed for 65 beds and offers a full range of medical services to active military personnel, military retirees and family members

2. MTFs in the HSA include: one (1) Main Hospital; one (1) Consolidated Troop Medical Clinic (CTMC); two (2) Roll and Boak Dental Clinics; one (1) Veterinary Clinic; one (1) PX Pharmacy, located in the Main PX Complex;

one (1) Blood Donor Center; one (1) Behavior Health Clinic; one (1) Boiler Plant. See Exhibit C for distance from the main MTF.

2.1. The Consolidated Troop Medical Clinic (CTMC), located in building 885, West 16th Street was constructed in 1995 and provides primary care to all Initial Entry Training (IET) and Advanced Individual Training (AIT) soldiers training at Fort Leonard Wood. A new addition to this building completed in June 2012, housing the Victory Clinic which provides primary care for USMC, NAVY and Air Force personnel in training status, international students, and officers attending the Officer Basic Course (OBC). On site services include pharmacy, x-ray, laboratory and physical therapy.

2.2. The Roll Dental Clinic located in building 1608 at 1724 Nebraska Ave, Fort Leonard Wood, Missouri was built in 1971 and renovated in 2019. An addition to the building was completed in January of 2012. This dental clinic provides general dentistry, dental hygiene, oral maxillofacial surgery and endodontics services to the Soldiers in training.

2.3. The Boak Dental Clinic located in building 789, 12720 Kansas Ave., Fort Leonard Wood, Missouri was built in 2015. This dental clinic provides general dentistry, dental hygiene, oral maxillofacial surgery and endodontics services to the Soldiers in training.

2.4. The Veterinary Clinic, located in building 2399, Minnesota Ave., Fort Leonard Wood, Missouri was built in 1964. The veterinary clinic services include microchip implants, preventive medicine measures, parasite control measures, health certificates, sick call, and pet adoptions.

2.5. The PX Pharmacy, located in building 487,143 Replacement Ave. Fort Leonard Wood, Missouri was built in 2006.The Pharmacy provides services to active military personnel, military retirees and family members.

2.6 The Blood Donor Center, located in building 822, 6656 Colorado Ave, Fort Leonard wood, Missouri was built in August 1964. Their Mission is to provide quality blood products and services for all worldwide customers in peace and war and

2.7. The Behavior Health Clinic located in building 1018, 7621Big Piney Rd., Fort Leonard Wood, Missouri was built in 1971. Multidisciplinary Behavioral Health (BH) care is provided, while early identification and intervention to Soldiers is facilitated in close proximity to their unit area providing close coordination with unit leaders. The team provides direct support to Active Component units under the command and control of the Fort Leonard Wood’s US Army Forces Command (FORSCOM).

2.8. The Boiler Plant, building 311, built in 1965, is located by the parking lot of the main hospital, houses an office and restroom for the maintenance personnel insuring the hospitals boiler system is working properly.

3. GLWACH MTFs normal operating hours:

OR, Birthing Unit, ER, Patient Wards, Radiology and Laboratory 24 hours, 7 days a week

GLWACH Primary Care Clinics 7:30 am – 4:30 pm, Monday – Friday Family Practice Clinic 6:00 am - 6:30 pm, Monday – Friday

Outpatient Pharmacy 7:00 am – 6:00 pm, Monday- Friday 8:00 am – 5:00 pm, Saturday

Consolidated Troop Medical Clinic (CTMC) 6:00 am – 5:00 pm, Monday- Saturday

Dental Clinics (Roll & Boak) 7:30 am – 5:00 pm, Monday- Friday

Veterinary Clinic (Bldg. 2399) 7:30 am – 5:00 pm, Monday- Friday

PX Pharmacy (Bldg. 487) 9:00 am – 6:00 pm, Monday- Friday

Blood Donor Center 7:00 am – 5:00 pm Monday- Thursday 9:00 am – 5:00 pm Friday

Behavior Health Clinic (Bldg. 1018) 7:30am - 4:30pm, Monday – Friday

Boiler Plant 24 hours, 7 days a week

4. GLWACH Healthcare System Staff: GLWACH and MTFs in the HSA are staffed with military, civilian, contractor and volunteer employees. Approximate total number of employees and staff is assigned as follows:

Activity/Building Employees Location

Main MTF/Bldg. 310 1053 Ft. Leonard Wood

CTMC Bldg. 885 70 Ft. Leonard Wood

Roll Dental Bldg. 1608 58 Ft. Leonard Wood

BOAK Dental Bldg. 789 52 Ft. Leonard Wood

Veterinary Clinic Bldg. 2399 13 Ft. Leonard Wood

PX Pharmacy Bldg. 487 5 Ft. Leonard Wood

Blood Donor Center Bldg. 822 30 Ft. Leonard Wood

Behavior Health Bldg. 1018 6 Ft. Leonard Wood

Boiler Plant Bldg. 311 2 Ft. Leonard Wood

5. Healthcare Statistics

Healthcare Statistics

FY2016 FY2017 FY2018

GLWACH Clinic Weekday Encounters 289187 288185 256472 X-rays, CT scans and MRI’s, GLWACH 110808 102497 102799 Prescriptions Filled, GLWACH( BLDG 310) 326145 293482 284246 CTMC (Consolidated Troop Medical Clinic) Encounters

58050 69046 77548

Roll Dental clinic 70379 49132 53353 Dental Clinic Visits BLDG 310 7317 5869 5419 Veterinary Health Clinic visits 3300 3300 3300 Preventive Medicine/Occupational Health Clinics 22387 20158 22891 Annual In-patient Days, Bed days 8390 8550 8093 Annual Discharges 2820 2644 2443 Average Length of Stay(days) 3 4 4 Annual /Average Births 436 368 370 Annual C-Section 94 95 66 Annual Emergency Room Visits 16734 15196 11850 Annual Outpatient Surgeries 2293 1974 1670 Annual Inpatient Surgeries 3033 2987 1686 Annual Beds Occupied 8390 8550 8093 Admission (daily) 8 7 7 CTMC Pharmacy 183177 163639 188981 CTMC Lab 12187 8835 8514 Boak Dental Clinic 30423 42679 38220

6. Environmental Service Statistics

Pounds of RMW collected est. 3000 monthly

Cubic Feet of Cardboard collected est. 1800 monthly

Cubic Feet of White/ Shredded Paper collected est. 2432 monthly

Quantities of supplies shown below are approximate annual usage and are based on quantities of building and floor space in the PWS. An increase or decrease in SF may change the usage.

Dispensers:

Paper Towels Dispensers - 611 Toilet Paper Dispensers - 260 Soap Dispensers Dispensers - 607 Hand Sanitizers Dispensers - 537 Sanitary Napkin Dispensers - 110 Sanitary Napkin Receptacles – 110

ITEM ESTIMATED ANNUAL USAGE

Toilet Tissue, Small (80 rolls per case) 701 cs Toilet Tissue, Jumbo (12 rolls per case) 5 cs Paper Towels Single Fold (16 pack of 250 ea per case)

360 cs

Paper Towels Multi Fold (16 pack of 250 ea per case)

916 cs

Liquid Soap, Antibacterial (12 bottles per case) 180 cs Liquid Soap Hand Wash ( 12 bottles per case) 195 cs Purell Hand sanitizer/ bags (8 per case ) 40 cs Purell Hand sanitizer bottles (4/ case) 164 cs Liner, Disposable, Sanitary(500 each/ per case) 6 cs Bags, Disposable, Sanitary Napkins, White, Kraft (2000 each/per case)

2 cs

Liners, Plastic 40x46 (10 rolls per case/25 bags a roll) 574 cs Liners, Plastic 24x32 (20 rolls per case/50bags a roll) 345 cs

ATTACHMENT 4

STAFFING CHART

PRODUCTIVE HOURS AND FTE

408,371* GROSS SQUARE FEET BASE ORDERING PERIOD (11 MONTHS)

* PWS Para 1.4

**1618 Productive Hours = 1 FTE (SCLS) ***1760 Productive Hours = 1 FTE (Non-SCLS)

REVISION 1

Labor Category(s)

1st Shift

Productive Hours

2nd Shift Productive

Hours

3rd Shift Productive

Hours

TOTAL

Hours

TOTAL FTE**

TYPE I SERVICES

Bldg. # Location:

310 Main Hospital

TYPE II SERVICES

TYPE III SERVICES

885 Consolidated Troop Medical Clinic

1608 Roll Dental

789 BOAK Dental

2399 Veterinary Clinic

487 PX Pharmacy

822 Blood Donor Center

1018 Behavior Health Clinic

311 Boiler Plant

TYPE IV SERVICES

310 Main Hospital

2399 Veterinary Clinic

487 PX Pharmacy

822 Blood Donor Center

TYPE V SERVICES

310 Main Hospital

2399 Veterinary Clinic

487 PX Pharmacy

822 Blood Donor Center

TYPE VI SERVICES

310 Main Hospital

2399 Veterinary Clinic

Management***

GRAND TOTAL:

** 1618 Productive Hours = 1 FTE (SCLS)

***1760 Productive = 1 FTE (Non-SCLS)

STAFFING CHART

PRODUCTIVE HOURS AND FTE

408,371* GROSS SQUARE FEET ORDERING PERIODS 2 THRU 5 * PWS Para 1.4 **1765 Productive Hours = 1 FTE (SCLS)

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

REVISION 1

Labor Category(s)

1st Shift

Hours

2nd Shift Productive

Hours

3rd Shift Productive

Hours

TOTAL

Hours

TOTAL FTE**

TYPE I SERVICES

TYPE II SERVICES

TYPE III SERVICES

310 Main Hospital

2399 Veterinary Clinic

TYPE IV SERVICES

310 Main Hospital

2399 Veterinary Clinic

TYPE V SERVICES

310 Main Hospital

2399 Veterinary Clinic

487 PX Pharmacy

822 Blood Donor Center

TYPE VI SERVICES

310 Main Hospital

2399 Veterinary Clinic

487 PX Pharmacy

Management***

GRAND TOTAL:

** 1765 Productive Hours = 1 FTE (SCLS)

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

PERFORMANCE WORK STATEMENT

GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

FORT LEONARD WOOD, MO

(REVISION 1)

SECTION 1

1. General. This Performance Work Statement (PWS) is for healthcare environmental cleaning and related services at General Leonard Wood Army Community Hospital (GLWACH), Fort Leonard Wood, MO and multiple Medical Treatment Facilities (MTFs) in the Health Service Area (HSA) of GLWACH. As a performance based contract, the requirements are stated in terms of desired results with associated quality standards. Healthcare environmental cleaning 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. General Leonard Wood Army Community Hospital is a general medical and surgical hospital sited at building 310 in Fort Leonard Wood, MO and is currently part of the US Army Medical Command (MEDCOM).

Section 702 of the FY17 National Defense Authorization Act (NDAA) established the Defense Health Agency (DHA) as responsible for administration of the military MTFs starting on 1 October 2018. It is currently expected that this MTFs will be under direct DHA management not later than 1 October 2019. It is accredited by the Joint Commission (JC). The mission of GLWACH is to provide world-class medicine to the military personnel and their families in safe, clean, and aesthetically-pleasing MTFs. General Leonard Wood Army Community Hospital is located along Interstate I-44, midway between Springfield and St. Louis, in the heart of the Ozarks. The hospital is sited at 4430 Missouri Ave., Fort Leonard Wood, MO 65473.

1.2.1. General Leonard Wood Army Community Hospital (Bldg.310) was named after Major General Leonard Wood. The six-story hospital is a 65-inpatient-bed facility offering a wide range of medical services. Family Practice, Internal Medicine, Pediatrics, General Surgery, Orthopedics, Urology, Ophthalmology, Optometry, Podiatry, Obstetrics and Gynecology, Physical Therapy, Occupational Therapy, Audiology, Otolaryngology, Psychiatry, Psychology, Social Work, Neurology and Substance Abuse are all part of GLWACH. In addition Radiology provides a full range of services to include X-Ray, Magnetic Resonance Imaging (MRI), Ultrasound, Mammography and Computed Tomography (CT scan). The Laboratory also provides a full range of inpatient and outpatient services. The Command Suite and other administrative support functions are located within the hospital.

The MTF consists of the main hospital, (GLWACH) building 310, and MTFs in the HSA of GLWACH. The MTFs in the HSA of GLWACH including Consolidated Troop Medical Clinic (CTMC), building 885; ; Roll Dental Clinic, building 1608; Boak Dental Clinic; building 789, Veterinarian Clinic, building 2399; PX Pharmacy, building 487 Blood Donor Center, building 822; Behavior Health Clinic, building 1018 and the; Boiler Plant building 311 .

Exhibit C provides a complete listing of facilities supported by this contract.

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

1.4. Scope. The contractor shall provide healthcare environmental cleaning services to GLWACH to include all MTFs within the HSA of Fort Leonard Wood, MO. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for GLWACH and multiple MTFs in the HSA is 408,371 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.

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

Project Estimated Completion Estimated SF New Blood Donor Center, building 822 2021 19,000 New Hospital 2024 420,000

1.4.2. The following are facilities currently programed to close:

Facility Estimated Closing SF N/A

1.5. Ordering Period. The ordering period is five years from date of contract award, unless the Option to Extend Services is exercised, allowing the ordering period to be extended by up to six additional months. Task Orders (TO) will be funded by annual appropriations and each task order will not exceed one year except when authorized by law.

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 services 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 Advancement of Medical Instrumentation publication (ANSI/AAMI) ST65:2008.

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

1.8. 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 environmental cleaning services on federal holidays as a regular working day in the Labor and Delivery, Mother Baby Unit and C-Section Suite, Newborn Intensive Care Unit, Emergency Room (ER), Dining Facility, Laboratory , Radiology, Medical Surgical Ward, Psychiatric Ward, Surgical Processing Department and Intensive Care Unit.

1.8.2. Military training holidays are not considered federal holidays. The contractor shall provide healthcare environmental cleaning services on military training holidays as a regular working day. The failure of the contractor to provide healthcare environmental cleaning 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 (EH) and assistant executive housekeeper (AEH).

1.9.1. Executive Housekeeper The contractor shall provide an executive housekeeper to serve solely at GLWACH and the multiple MTFs in the HSA of GLWACH. 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 Environmental Services Executive (C/RESE). All certifications shall be maintained active and current throughout the term of the contract. The executive housekeeper shall possess a minimum of five years housekeeping experience with a minimum of two years of specific hospital housekeeping experience. Specific experience shall indicate that the executive housekeeper has directly managed and performed in a MTF of comparable size and services as GLWACH or the equivalent civilian MTF.

1.9.1.2. Absence from Duty. The contractor shall provide oral notification no later than two hours after commencement of the designated shift, followed by written notification within 24 hours to the Contracting Officer’s Representative (COR) for any unscheduled absence of the executive housekeeper. 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 environmental cleaning services within the last three years in an MTF of comparable size and services as GLWACH (not general housekeeping). He/she shall meet or exceed comparable industry certification (CHESP, C/RESE).

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 prior to assuming the position.

1.9.4. Availability of Key Personnel. The EH or the AEH 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 EH and AEH during duty and non-duty hours (to include evenings, holidays, and weekends). After duty hours, the EH or AEH 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 (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.

1.10.2.1. Person Hour Reports. The contractor shall submit a written person-hour report to the COR not later than the 5th calendar day of each month. The person-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 MEDDCAC Regulation 690-1, Standards of Dress and Appearance for Civilian Personnel. 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.

The CSPs shall wear contractor-provided approved uniforms at all time while performing housekeeping duties except when working in areas requiring government-furnished surgical garments. The CSPs shall not wear artificial nails, tips, or extensions and must be in compliance with MEDDAC Pamphlet 40-2, Infection 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 19-019, Sexual Harassment/Assault Response and Prevention Program, 21 March 2019. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.10.5.1. The contractor shall require all CSPs with knowledge of an incident of sexual assault occurring on a government facility, to include a government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours of gaining knowledge of the incident) report the incident in writing to the government's COR. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract.

All incidents shall be reported whether they involve contractor personnel or government personnel, or other individuals, when the incidents occur on a government facility or a government leased facility (See Exhibit B, Deliverables, 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 CSPs performing tasks on this PWS shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures which will be provided to the contractor by a government representative within five working days of contract award. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or GLWACH Provost Marshal Office. The 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 sponsor the EH and AEH only for a Defense Enterprise Email Online (DEE) account. The CSP e-mail addresses will identify them as a contractor and use the format firstname.lastname.ctr@mail.mil. The DEE will be discontinued by the government when the CSPs no longer require access.

1.11.2.6. The government TA will send a notice through the TASS to the EH and AEH’s e-mail address provided in accordance with (IAW) the above requirement. The EH and AEH’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 EH and AEH’s e-mail address within 48 hours after submission. If the application is returned or rejected, the EH and AEH 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 EH and AEH will receive an e-mail stating the Common Access Card (CAC) application was approved. The applicant must then go to a Real-Time Automated Personnel Identification System (RAPIDS) Issuing Facility to have the government credential issued. The EH and AEH 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 the EH and AEH 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 EH and AEH’s performance under this contract ceases, the EH and AEH 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, temporarily or permanently 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 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. The CSPs that are removed from contract work shall be required to leave the work site immediately. The CAC card and any government issued badges 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 Regulation 608-2, In/Out Processing Orientation Procedures.

The contractor shall provide initial training and developmental training in healthcare environmental cleaning 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 calendar days prior to the scheduled training date (See Exhibit B, Deliverables, Paragraph 3.d.).

1.13.1. The CSPs not previously trained in Healthcare environmental cleaning 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. The 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, Paragraphs 4.f. and 5.o.).

1.13.3. Government Provided Training. Due to the computer requirements necessary to perform government-provided training (with the exception of 1.13.3.1.), the contractor shall coordinate government-provided training requirements with the COR 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 Regulation 608-2, In/Out Processing Orientation Procedures.

The contractor shall ensure all CSPs attend GLWACH’s required orientation training within 30 calendar days of the CSP starting work. General Leonard Wood Army Community Hospital’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 Army Public Health Center, Medical Waste Transport 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. Antiterrorism (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 KO, 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.g.). Antiterrorism (AT) Level I awareness training is available at the following website: https://jkodirect.jten.mil. The CSPs without a CAC can complete the training and obtain their certificate at the following website: http://jko.jten.mil/courses/atl1/launch.html

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 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. The contractor shall report iWATCH training of new hires with monthly training reports (See Exhibit B, Deliverables, Paragraph 1.d.).

https://jkodirect.jten.mil/ http://jko.jten.mil/courses/atl1/launch.html

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

1.13.3.5. Privacy Act and Health Insurance Portability and Accountability Act (HIPAA) and Security Training. 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 calendar 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, Paragraphs 4.h. and 5.r.).

1.13.3.6. Operations Security (OPSEC) Training. The contractor shall ensure all CSPs complete OPSEC training within 30 calendar days of hire and annually thereafter IAW AR 530-1, Operations Security. Operations Security training is available online at https://securityawareness.usalearning.gov/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.h.).

1.13.4. Sexual Harassment/Assault Response and Prevention (SHARP) Training. The contractor shall ensure all CSPs receive SHARP training not later than 60 calendar days after CSP begin performance under this contract.

Training can be obtained either online or in person. If CSPs have a DEE account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp. The contractor shall submit documentation of completion of training not later than five days after annual training and not later than 30 days after completion of training for new hires (See Exhibit B, Deliverables, Paragraphs 4.i. and 5.s.).

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. The CSPs shall be properly screened and medically cleared (to include required immunizations) with proper and complete documentation prior to working on-site at GLWACH or any of the collective MTFs 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 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, 26 November 2013, Tuberculosis Surveillance and Control Program. The contractor shall ensure CSPs receive TB testing whenever CSPs are working in an environment in which DoD employees are required to undergo this testing.

1.14.2.1.1. The CSPs with positive tuberculin reactions shall have documentation of chest-x-ray results not older than 12 months. The CSPs with undocumented or expired chest x-ray results shall not be permitted to work within the GLWACH MTFs as determined by the GLWACH 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 GLWACH Occupational Health Nurse.

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

https://securityawareness.usalearning.gov/opsec/index.htm http://www.atsc.army.mil/tadlp/delivery/alms.asp

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

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

1.14.2.3. 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 Polio vaccine, once as an adult.

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

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

1.14.3. A CSP considered by government Occupational Health to be infectious to patients or to health care facility personnel IAW MEDDAC Pamphlet 40-2, Infection Control, 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. General Leonard Wood Army Community Hospital will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at GLWACH. 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.