AMENDMENT 01 - W81K04-20-R-0014.pdf

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Nutrition Care Food Services
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W81K04-20-R-0014
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This document is a request for proposal for nutrition care food services. The contractor shall provide meals to meet the special nutritional needs of patients and customers within military hospitals. The Defense Health Agency intends to award a firm fixed price contract with a one year base period and four one year options. Services shall be subject to the Service Contract Act and applicable collective bargaining agreements. The North American Industry Classification System code is 722310. Proposals are due by the date and time shown in block 8 of the SF1449. A pre-proposal conference will be held on February 18, 2020 in San Antonio, Texas. Questions regarding the solicitation are due by February 24, 2020. The primary point of contact is the contract specialist and secondary is the contracting officer.

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AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

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

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

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

FAR (48 CFR) 53.243

The purpose of this amendment is to correct the Performance w ork statement in response to offeror generated questions and correct administrative errors. Further elaboration can be found in the summary of changes.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 28

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

16C. DATE SIGNED

BY 04-Mar-2020

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 W81K0420R0014

X 9B. DATED (SEE ITEM 11)

10-Feb-2020

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, is not extended.

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

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

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

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

CONTRACT ORDER NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

10A. MOD. OF CONTRACT/ORDER NO.

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

6. ISSUED BY

3. EFFECTIVE DATE

04-Mar-2020

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:

W81K0420R0014

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

The following have been modified:

PERFORMANCE WORK STATEMENT

NUTRITION CARE FOODSERVICES

1.1. GENERAL. This is a non-personal services contract to provide meals to meet the special nutritional needs of patients, service members and other customers within the hospitals of the Military Health System (MHS).

Contractor’s employees are not subject, either by the contract terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

Such employees shall be accountable solely to the contractor who in turn is responsible to the government.

1.2. BACKGROUND. The U.S. Army Medical Command (MEDCOM) currently provides health care services worldwide to qualified military, family members, and retirees through a network of military treatment facilities (MTFs). Section 702 of the FY17 National Defense Authorization Act (NDAA) established the Defense Health Agency (DHA) as responsible for administration of the military medical treatment facilities (MTFs) starting on 1 October 2018. As such DHA has responsibility for this requirement, which is being supported by the awarding contracting office. The MTFs serviced by the resultant contract were transferred to direct DHA management as of 25 October 2019. DHA policies and procedures do and will control operations at these MTF as they are issued. However, the performance of this service (Section 5) will remain applicable to all MTFs regardless of when MTFs fall under the direct day-to-day management of DHA. A vital part of health care services is the delivery of nutrition care food services in these facilities primarily focused on meeting therapeutic nutritional requirements of patients. Therapeutic diets are medically prescribed by physicians as a mode of treatment for acute and chronic diseases and medical conditions

1.3. SCOPE OF WORK. The contractor shall provide qualified labor and management necessary to perform nutrition care food management, supervisory, technical, administrative, and clerical services at locations identified at contract paragraph 1.5. This support will focus primarily on the following areas: dining facility management functions, therapeutic food preparation, patient tray assembly and delivery service, clinical training, facility sanitation, janitorial duties as it relates to the services being provided, and the associated logistics analysis and management functions in support of the Nutrition Care Divisions at each location.

1.3.1. The contractor shall provide patient food services and non-patient food services. This includes but not limited to requisitioning, receiving, storing, preparing, and serving of food within dining room, patient rooms, and Grab and Gos. In addition non-food services support which includes: training (Section 5.6.7), cash collection, sanitation, supply, inspections, reports, and attending meetings.

1.3.2. The contractor shall comply with all applicable laws, rules, and regulations, including but not limited to those listed in paragraph 5.8 of the contract.

1.4. CONCEPT OF OPERATIONS. The contractor shall prepare and provide meals to meet the special nutritional needs of sick and injured patients, service members and other customers working, visiting, and/or residing within the MTFs. Menus shall be provided by the Government. See Technical Exhibit I, Contract Site Annual Historical Workload, for magnitude of work.

1.4.1. Patient Room Service. The Army MEDCOM uses a Patient Tray Service concept called Patient Room Service.

1.4.1.1. As defined in section 2.2.12, Patient Room Service differs from traditional Patient Tray Service. Meals are prepared on demand based on menu design, locally established par levels and equipment capabilities.

1.4.1.2. Orders may be placed at any time between the hours of 0600-0900 and 1030-1730. The Government will collect patient orders, prepare meal tickets in accordance with (IAW) the patients prescribed diet orders and submit meal tickets to the contractor.

1.4.1.3. Each meal is made, checked for accuracy and compliance with prescribed diet and patient safety guidance and delivered at the time of order, as defined in section 2.2.12.

1.4.1.4. Patient Room Service involves multiple trips to the wards during meal periods.

1.4.2. Making It Fresh Concept. The Army MEDCOM uses the Making It Fresh concept in all new or newly renovated kitchens, to include future renovations. Unlike traditional foodservice designs, this concept requires much of the food to be prepared on-demand in front of the customers rather than bulk cooking back in the kitchen. Typically there are fewer self-service stations and more manned feeding stations than in traditional dining rooms. This concept is used at Fort Irwin, Fort Riley and Fort Stewart.

1.4.2.1. The Making It Fresh venue themes may rotate to provide variety of offerings, but the number of stations is intended to remain constant.

1.4.3. Grab and Go. The Army MEDCOM uses the Grab and Go concept throughout MTFs. As defined in section 2.2.8. Grab and Go may be served in the dining room and/or from a mobile cart or a small structure or room within the MTF that is easily accessible to the hospital patrons.

1.4.3.1. Grab and Go items are assembled in bulk, replenished IAW locally established par levels and readily available for purchase.

1.5. PLACE OF PERFORMANCE. The contractor shall provide Nutrition Care foodservices at the below locations, expected to be under DHA authority, direction, and control not later than 1 Oct 2019:

1.6. HOURS OF OPERATION AND LEVEL OF FOOD SERVICE PER LOCATION. The hours of operation and level of food service for each MTF is listed in Technical Exhibit B, Hours of Operation and Level of Food Service Description.

1.6.1. FEDERAL HOLIDAYS. Federal Holidays are listed below for information purposes.

LOCATION FACILITY

West Point, NY Keller Army Community Hospital (KACH)

Fort Stewart, GA Winn Army Community Hospital (WACH)

Fort Leonard Wood, MO General Leonard Wood Army Community Hospital

(GLWACH)

Fort Riley, KS Irwin Army Community Hospital (IACH)

Fort Irwin, CA Weed Army Community Hospital (WACH)

1.6.2. Training

holidays may be declared, or revoked for military personnel at the discretion of each MTF Commander.

Training holidays are not considered holidays for Department of Defense civilians or contractors but often liberal leave approval is encouraged. Due to the reduced feeding mission on training holidays the local Chief, Nutrition Care Division (C, NCD), or the Non-Commissioned Officer In Charge (NCOIC) may choose to limit offerings or implement the Weekend/Federal Holiday Service Level identified at Exhibit B, Hours of Operation and Level of Food Service Description.

1.7. SECURITY REQUIREMENTS. The contractor shall be responsible for the security of all soldier and patient information.

1.7.1. Neither the contractor nor any of its employees shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.7.2. All issues, complaints and resolutions, shall be reported to the Contracting Officer’s Representative (COR) and the Contracting Officer (KO), within 48 hours.

1.7.3. The contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel will be provided to the contractor by the government, in writing, within three days after contract award, and will be updated as necessary throughout the contract period.

1.7.4. U.S. Government records, copies of original results and reports, verified original data, corrected data, and c orrected supporting final reports are maintained by the contractor, but remain the property of the U.S. Government. These files/results must be surrendered to the COR at the end of the contract.

1.8. PHYSICAL SECURITY. The contractor shall safeguard all government equipment, information, and property provided for contractor use.

1.9. KEY CONTROL. The contractor shall ensure keys and key cards issued to its employees are not lost or misplaced and are not used by unauthorized persons. The contractor shall develop written procedures covering key control. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to work areas. The contractor shall immediately report, no later than one (1) hour after discovery, to the NCOIC, COR and KO any occurrences of lost keys. The contractor shall not duplicate government-issued keys.

1.9.1. If the contractor loses keys, other than master keys, the government may replace or re-key the affected locks and deduct the cost of such remediation from the monthly payment due the contractor. If the contractor loses a master key, the government may replace all locks and keys for that master key system and deduct the rep lacement costs from the monthly payment due the contractor.

1.9.2. The contractor shall prohibit the use of government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contractor employees engaged in the performance

HOLIDAY DATE

New Year’s Day January 1 M.L. King’s Birthday Third Monday in January Presidents Day Third Monday in February Memorial Day Last Monday in May Independence Day July 4 Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25 of assigned work in those a r ea s , or personnel authorized entrance by the Nutrition Care NCOIC.

1.9.3. Lock Combinations. The contractor shall ensure that lock combinations are not revealed to unauthorized persons. The contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations.

1.10. TRUSTED ASSOCIATED SPONSORSHIP SYSTEM (TASS).

1.10.1. 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.

1.10.2. 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.

1.10.3. The contractor shall ensure compliance with the provisions set forth below and the government will designate a Trusted Agent (TA) fo r this contract.

1.10.4. The contractor is responsible for absences of its employees 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.

1.10.5. In-processing Requirements. The contractor’s employees are prohibited from performing services under this contract ab se n t compliance with the in-processing requirements set forth below.

1.10.6. The COR or designee of will sponsor the contract employees for an Army Knowledge Online (AKO) account. All contractor employees e-mail addresses will identify them as a contractor and use the format firstname.lastname.ctr@us.army.mil. The AKO will be discontinued by the government when the contractor or its employees no longer require access.

1.10.7. The government TA will send a notice through the TASS to the AKO e-mail address provided IAW the above requirement. The contractor’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://tass.dmdc.osd.mil/tass to complete the process.

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

1.10.9. 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 Contractor’s e-mail address within 48 hours after sub miss ion. If the application is returned or rejected, the contactor shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issue(s).

1.10.10. Upon approval of the application, the contractor 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. Effective 1 December 2011, Fort Sam Houston, Randolph Air Force Base and Lackland Air Force Base ID sections require an appointment. To make an appointment, the Contractor will follow the instructions provided by the TA and contact the COR for instructions. If the contractor chooses Randolph or Lackland AFB, the supervisor or government task manager must send a visitor message prior to the contractor’s arrival on-site. The contactor 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.

mailto:firstname.lastname.ctr@us.army.mil https://tass.dmdc.osd.mil/tass

1.10.11. Revalidation Requirements. The TA is required to revalidate all contractors, 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 i n .

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

1.11. QUALITY CONTROL PLAN (QC). Within 60 calendar days after contract award, the contractor shall submit and implement a QC Plan that is reviewed and approved by the COR on an annual, or as changes are made, basis. The contractor’s quality control program shall reflect statistically valid industry methodologies used to establish quality control and/or process improvement (PI) methods. The methods used will provide quality data captured, analyzed, and used to identify trends; action(s) taken in response to these trends and other reports appropriate for this industry and as required by the COR.

1.11.1. The plan shall include, as a minimum: (1) an inspection system, (2) training plan, (3) cleaning schedule using alternative procedures listed in TB MED 530/NAVMED P-5010-1/AFMAN 48- 147 IP Tri- Service Food Code (TB MED 530-TSFC) (4) methods for identifying and preventing deficiencies,

(5) processes for implementing corrective actions, (6) proposed complaint feedback system, and (7) identification of inspection records used for report.

1.11.2. Contractor QC reports, including updates, shall be provided to the Nutrition Care NCOIC and the COR on an as requested basis.

1.11.3. The contractor shall submit a quarterly consolidated report summarizing QC results to the COR and KO on a quarterly basis.

1.11.4. The contractor shall coordinate a meeting with the MEDCOM Nutrition Program Manager no less than once each year to provide an update on QC results and patient and customer satisfaction levels.

This meeting may be conducted face-to-face, via teleconference and, or video conferencing.

1.12. QUALITY ASSURANCE (QA). The Nutrition Care NCOIC or designee will have access to, and routinely perform QA to verify performance IAW the contract Performance Requirements Summary (PRS), Exhibit A.

1.12.1. The Nutrition Care NCOIC or designee will record observations and maintain a file of all inspection results. All QA inspections will be performed IAW the methods identified with the Quality Assurance Surveillance Plan (QASP) and IAW the QC plan provided by CSP.

1.12.2. The government may routinely request random sampling of documents, files, or other information to ensure quality as outlined in the QASP. The government also reserves the right to conduct field observations and inspections at any time.

1.13. GOVERNMENT POINT OF CONTACT (POC). The Contracting Officer (KO) or his/her designated representative will be the point the contact concerning administration and performance of the contract. Designation of government personnel (Contracting Officer Representatives (COR) and Alternate COR) and their limitations will be delineated in writing by the contracting activity. The COR will be designated on official letterhead appointment signed by the appropriate Contracting Officer. The COR monitors all aspects of the contract and assists in contract administration. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates.

1.13.1. Nutrition Program Manager is the Government leader who sets policies and standards and provides overall leadership for nutrition services throughout the Army.

1.13.2. Chief, Nutrition Care Division (C, NCD) is used to identify the person who provides overall leadership and guidance to the NCD at each location. Each MTF may have slightly differing organizational structure and Key Personnel, however all have a government leader designated as being in charge of the NCD.

1.13.3. MTF’s have a government leader responsible for supervising and managing activities in the NCD.

The term NCOIC will be used to identify this position.

1.13.4. Additionally, MTFs may have other government personnel responsible for performing QA, menu development and other foodservice administrative duties. The term designee will be used to identify these position(s).

1.14. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.15. EMPLOYEE CONDUCT, BEHAVIOR, AND ETHICS. The contractor employees shall comply with all applicable Government regulations, policies and procedures. The contractor shall ensure all personnel employed under this contract conform to conduct regulations contained in Contractor Code of Business Ethics and Conduct. The government may direct the contractor remove any contractor employee from the government premises in accordance with the authority of the Installation Commander. Removal does not relieve the contractor of the responsibility to continue providing the services required under the contract.

1.15.1. The contractor is responsible for the conduct of its employees and shall take prompt, reasonable, and appropriate disciplinary action against employees for misconduct. The removal from, or barring of, a contractor employee from a location shall not relieve the contractor of its obligation to perform all work contained within this PWS. Contractor personnel will be denied access to, removed from, and/or barred from locations when their presence is determined by the Government to be detrimental to the security, health, welfare, or well-being of persons. The Government reserves the right to require removal of contractor personnel whose activity, on or off location, endangers persons or property, or contractor personnel whose presence at the location(s) presents an unacceptable risk to security.

1.16. PHASE-IN/PHASE-OUT PERIOD. There will be a sixty (60) day phase-in period between contract award date and the performance start date.

1.16.1. Within thirty (30) days of contract award, the contractor shall provide a written phase-in plan. The Plan shall identify, as a minimum: (1) a schedule for implementation of services; (2) describe specific approaches to a seamless phase-in of current operations and workloads; (3) identify recruiting plan to ensure sufficient staffing to provide uninterrupted services during the transition of services; (4) identify training to be conducted during phase-in to meet full performance requirements and to organize, plan, recruit personnel, train, mobilize, develop policies and procedures, and accomplish all administrative actions necessary to commence services on the performance start date.

1.16.2. During the phase-in period the contractor will be provided access to the facilities to familiarize the contractor Project Manager (PM), supervisors, key personnel and other staff with the operation of the Nutrition Care mission, equipment, and reporting processes, work scheduling and MTF/Clinic procedures; and to perform joint property inventory. To preclude any interference with current operations, the contractor shall coordinate the date and time for access to each facility with the Nutrition Care NCOIC at each location no later than 5 working days prior to visit and/or establishing occupancy.

1.16.3. Phase-Out. Phase out shall be applicable only if the incumbent is not awarded the follow-on contract. Any necessary phase-out effort shall occur during the performance period of this contract and is included in the cost of this contract.

1.16.3.1. The contractor recognizes that the services provided under this contract are vital to the government’s overall effort, that continuity thereof must be maintained at a consistently high level without interruption, that upon expiration of this contract, a successor – either the government or another contractor – may continue these services, that the successor, be it the government or another contractor, will need phase-in training, and that the contractor must give his best efforts and cooperation in order to effect an orderly and efficient transition to a successor

1.17. PERFORMANCE EVALUATION MEETINGS. The contractor’s PM and the COR will meet weekly during the transition period and for the first three months of contract performance to discuss any issues or concerns that may be encountered during transition or performance. Based upon the Government’s assessment during this period, the frequency of subsequent performance evaluation meetings may be adjusted by the COR to a monthly basis.

1.17.1. The contractor Site Supervisor and the NCOIC at each location will meet weekly during the transition period and for the first three months of contract performance for coordination, and to discuss any issues or concerns encountered during the transition and contract performance. Based upon the Government’s assessment during this period, the frequency of subsequent performance evaluation meetings may be adjusted by the Nutrition Care NCOIC to a monthly basis.

1.17.2. Monthly meetings will be coordinated with the contractor’s PM and the COR, and will be scheduled by the government. These performance evaluation meetings may be conducted face-to-face, via teleconference a n d , or video conferencing.

1.18. PERSONAL APPEARANCE. The contractor shall follow the requirements for health, personal hygiene, and uniforms IAW the regulatory guidance in TB MED 530-TSFC and state local policies for contractor employees. The Contractor (to include subcontractors) shall wear and display an Identification (ID) Badge. Each Contractor (to include subcontractors) employee shall wear the ID Badge in a conspicuous place on the front of exterior clothing and above the waist except when safety or health reasons prohibit.

Contractor employees that have not been issued an identification badge shall coordinate with the COR or designee to obtain appropriate security clearance. The Contractor shall ensure employees wear a uniform approved by the Government. The Contractor shall submit uniforms to the COR 10 days after the award to determine acceptability.

1.19. HEALTH REQUIREMENT AND SAFETY.

1.19.1. SAFETY REQUIREMENTS. The contractor shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.19.2. The contractor is responsible and shall comply with all required personal health standards consistent with the work environment, the local MTF and TB MED 530-TSFC for physical examinations and immunizations.

1.19.3. The following immunizations are required for performance under this contract IAW AR 40_562 Contractor Immunizations, Technical Exhibit L.

1.19.3.1. Tuberculosis (TB) Screening shall follow the CDC Guidelines for preventing the transmission of Mycobacterium tuberculosis in Health-Care Settings, and MEDCOM Regulations 40-64, Technical Exhibit M. The contractor shall ensure all contractor’s employee receive TB testing whenever contractor employees are working in an environment in which DOD employees are required to undergo this testing.

1.19.3.2. Measles, Mumps, Rubella, (MMR), Influenza, Hepatitis A and Hepatitis B and Varicella Screening.

1.19.3.3. Diphtheria-Tetanus. The contractor is required to have a Diphteria-Tetanus immunization within the past 10 years and a one-time vaccination of the Tetanus-Diphtheria-Pertussis

(TDAP).

1.19.4. The contractor shall forward current immunization records for all contractors within 5 calendar days of any Government request.

1.19.5. The contractor shall provide renewal certificates, detailing compliance with annual health/immunization requirements for all contractor employees, to the Nutrition Care NCOIC for each location. Certificates shall be turned in to the NCOIC within five (5) days of each employee receiving certificates.

1.19.6. The MTF will provide emergency treatment to prevent the loss of life, limb, or undue suffering to the contractor injured in the performance of duties while working at the facility. The contractor shall pay for medical services provided IAW current policies regarding civilian emergencies for government/contractor personnel. Required medical examinations and treatment for all job related injuries or illness shall be the responsibility of the contractor.

1.19.7. The contractor shall report all accidents to the Nutrition Care NCOIC within one hour of occurrence. The NCOIC will provide specific guidance as to any form(s) that need to be completed and actions required. The contractor shall ensure its employee’s comply with the MTF Occupational Health and local infection control regulations.

1.19.8. SAFETY EQUIPMENT. The contractor shall ensure that their employees are provided task specific Personal Protective Equipment (PPE). The PPE includes, but is not limited to safety shoes, hearing protection, heat resistant gloves, and eye protection. The contractor shall utilize PPE as appropriate.

1.20. AUDITS AND INSPECTIONS. The contractor shall cooperate fully with US Government and other inspection teams and auditors reviewing NCD activities. The contractor shall not be relieved of responsibility fo r performing under the contract because of inspections or audits.

1.21. CONTINGENCY PLAN. The contractor shall address, in detail, its procedures, personnel, and the means to accomplish mission requirements without delay in the event of sudden or unusual events that could impact the contractor's performance and contract requirements such as, but not limited to mobilization, terrorism, natural disaster, utility outages, or labor disputes. The Government will not supplement the contractor’s work force. The contractor shall ensure personnel required to accomplish tasks designated as ‘mission essential personnel’ report to assigned work locations (or Government Continuity of Operations Plan (COOP) designated facilities) and perform required tasks, regardless of weather or security conditions. Government will identify tasks qualifying performers as essential personnel as applicable with the contractor providing a list of essential personnel required to perform those tasks to the NCOIC. The NCOIC will be responsible for providing Government security personnel with a list of contractor ‘mission essential personnel’ to enable access to Government facilities when ‘non-essential’ personnel are barred.

Contractor will operate in accordance with DoDI 1100.22, ‘Continuation of Essential DoD Contractor Services during Crisis’. The contractor shall include a strike contingency plan as part of its Plan in accordance with FAR Clause 52.222.1, Notice of Labor Disputes. Within thirty (30) calendar days following contract award, the contractor shall provide the COR and NCD NCOIC for each location a documented contingency plan.

1.22. POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARASSMENT

UNDER THE SEXUAL HARASSMENT/ASSAULT RESPONSE AND PREVENTION PROGRAM

(SHARP).

1.22.1. The contractor shall comply with AR 600-20 Army Command Policy, MEDCOM SHARP program or the Office of the Assistant Secretary of Defense Health Affairs Sexual Assault Response and

Prevention Program Policy as appropriate and IAW Technical Exhibit K, DHA Sexual Assault Response and Prevention Program Policy and MEDCOM Sexual Assault Response and Prevention Program. The Defense Health Agency and other DoD components may refer to these reporting requirements under various Sexual Assault Prevention and Response (SAPR) programs. The SHARP or SAPR reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.22.2. The contractor shall require all its employees 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 r e p o r t i n g policy also applies to sexual assault incidents involving MEDCOM, DHA, or other DoD 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.

1.22.3. The contractor shall require all contractor employees 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, DHA, or other DoD 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.

1.22.4. The contractor shall ensure all service providers receive SHARP or SAPR training not later than 60 calendar days after contractor personnel begins performance under this contract. Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by MEDCOM. If contract individuals 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. Other training resources may be made available under future DHA policies and procedures. Contractor personnel may be directed to access the required training using alternate online or in-person training.

1.23. PERSONNEL. The contractor shall provide experienced and qualified managerial, supervisory, administrative, and technical employees in sufficient numbers to accomplish all contract requirements.

Contractor employees shall have the necessary training and experience to understand the unique technical terminology associated with the execution of all required services, to include the planning, preparation of and service of therapeutic diets to hospitalized patients and ambulatory patients in the dining room. In accordance with TB MED 530-TSFC there shall be a person in charge (PIC) present at the food establishment during all hours of operation.

1.23.1. KEY PERSONNEL. The Key Personnel for performance of this contract are identified by the Government in Technical Exhibit D, Key Personnel. The contractor shall provide written notification to the KO and COR, stating the name(s) and contact information for the key personal and proposed substitutes within ten (10) days of contract award.

1.23.2. ELIGIBILITY FOR EMPLOYMENT. All CSP employees performing work under this contract shall be citizens or legal residents of the United States. Thirty calendar days prior to performance the contractor shall provide to the NCOIC at each site, a list of its employees who will perform contract services at that site. The list shall contain the contract number, the full name of each employee, their work assignment, and work site. The contractor’s PM shall notify the NCOIC, in writing, five (5) business days prior to any additions, deletions, or changes.

http://www.atsc.army.mil/tadlp/delivery/alms.asp

1.23.3. BACKGROUND CHECK. The contractor shall complete a thorough background check on any of its service providers, subcontractors, or suppliers employed to provide services under this contract who will have access to US Government premises, access to any information deemed “restricted” by government agent, or will have access to US Government information technology systems prior to any services being performed by such contractor, contractor employees, subcontractor, or supplier.

1.23.3.1. Background checks will at a minimum include an investigation for, and review of any (i) state and federal felony convictions (ii) misdemeanor convictions involving (a) intentional injury or loss, to person or property or (b) endangerment of others while under the influence of alcohol or other substances and any deferred adjudications with respect to any of the above, as allowed by law (collectively “Convictions”). The background checks must take place in the county or comparable political subdivision of the applicable jurisdiction in which such contract service provider; subcontractor, or supplier has resided and currently resides and/or has been, or is currently employed (collectively “Counties”). Said background check must be performed no more than one year prior to services being provided to the government and at a minimum cover the period of seven years prior to say check.

1.23.3.2. Background Check Certification. Ten (10) calendar days prior to commencement of services, or prior to a replacement employee, subcontractor or supplier, performing services under this contract, and or upon COR request anytime thereafter, the contractor shall provide written confirmation to the NCOIC, that the above described background checks have been completed and that there are no convictions of record for any employee, that each employee is bondable, and that all employees’ names and social security numbers match. Said certifications shall be executed by an officer of contractor and shall have all information required therein completed.

1.23.4. The contractor’s Project Manager and/or Site Supervisors shall not manage or supervise any government personnel or the personnel of another contractor. This prohibition does not apply to supervising/managing the personnel of subcontractors performing services under this contract.

2. ACRONYMS AND DEFINITIONS.

2.1. ACRONYMS:

AKO Army Knowledge Online AQL Acceptable Quality Level AR Army Regulation CAC Common Access Card C, NCD Chief, Nutrition Care Division COR Contracting Officer’s Representative DMHRSi Defense Medical Human Resources System internet DHA Defense Health Agency DoD Department of Defense DoDI Department of Defense Instruction FAR Federal Acquisition Regulations FIPS PUB Federal Information Processing Standards Publication HAACP Hazard Analysis and Critical Control Point HSPD Homeland Security Presidential Directive IAW In Accordance With ID Identification

2.2. DEFINITIONS.

2.2.1. Acceptable Quality Level (AQL). The maximum percent defective or maximum number of defects that can be considered satisfactory on the average. The allowable variance from a standard before the government rejects defective service and requests a performance improvement plan.

2.2.2. Accountability. An obligation, imposed by law or regulation upon an individual to keep an accurate record of property, documents, or funds. The accountable individual may or may not have actual possession of the property, documents, or funds.

2.2.3. Bulk Nourishment. Snacks, as specified by the facility dietitian for between-meal feeding, and supplemental fluids delivered to the wards at locally established times. Nursing personnel are responsible for nourishment receipt and distribution.

2.2.4. Cash Control Supervisor (CCS). An individual (either contractor or government) accountable for daily transfer of change funds and monies collected by the cashiers during their service hours.

JC Joint Commission KO Contracting Officer MEDCOM Medical Command MTF Military Treatment Facility NCD Nutrition Care Division NCO Non-Commissioned Officer NCOIC Non-Commissioned Officer in Charge OCI Organizational Conflict of Interest OMB Office of Management and Budget OSD Operational Security Division OSHA Occupational Safety and Health Act PI Performance Improvement or Process Improvement PIC Person in Charge PM Project Manager or Program Manager POC Point of Contact PPD Purified Protein Derivative PPE Personal Protective Equipment PPS Production Planning Schedule PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QAE Quality Assurance Evaluator QASP Quality Assurance Surveillance Plan QC Quality Control RAPIDS Real Time Automated Personnel Identification System SHARP Sexual Harassment/Assault Response and Prevention Program SOP Standard Operating Procedure TA Trusted Agent TASS Trusted Associated Sponsorship TB-MED Technical Bulletin - Medical TC Training Circular TSFC Tri-Service Food Code

2.2.5. Chief, Nutrition Care Division (C, NCD). The government individual located at each site who reports to MTF Commander on all Nutrition Care activities.

2.2.6. Contracting Officer (KO). KO means a person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings

2.2.7. Contracting Officer’s Representative (COR). An individual designated and authorized in writing by the contracting officer to perform specific technical or administrative functions.

2.2.8. Grab and Go. Grab and Go service is available in the dining room and/or at a location outside the dining room such as a mobile cart or a small structure or room within the MTF at the times indicated. Examples of Grab and Go items include, but are not limited to: hot and cold prepackaged sandwiches, prepackaged salads, soup, desserts, beverages, chips, bars, yogurts, milk, etc.

2.2.9. Non-Commissioned Officer in Charge (NCOIC). An individual in the enlisted ranks of the military unit who has limited command authority over others in the unit. For this contract, the NCOIC for Nutrition Care is responsible for supervising other government personnel, and managing nutrition activities within the Nutrition Care Division.

2.2.10. Nutrition Care Division (NCD). The division within the MTF responsible for providing hospital nutrition services; meal preparation and distribution to patients and staff; dietetic planning; and supervision and control of overall operations of food service at the facility.

2.2.11. Nutrition Program Director. The government individual who sets policies, standards, and provides overall leadership for nutrition services for the U.S. Army.

2.2.12. Patient Room Service. Patient Room Service is the concept used at Army MTFs for admitted patient feeding. Patients may select from menus that offer a variety of healthy selections of foods that are made-to-order and are compliant with the patient’s dietary prescription. Meals are prepared individually rather than in bulk and there are generally no pre-established tray assembly or delivery times. Patients can order their food anytime during the specified hours of operation; menu items are prepared on-demand, and delivered to the patient within 40 minutes of the CSP receiving the order.

2.2.13. Performance Requirements Summary (PRS). Identifies selected service outputs of the contract that will be evaluated by the government to assure contract performance standards are met by the contractor.

2.2.14. Person-in-Charge. The individual present at the food establishment who is responsible for leading the operation.

2.2.15. Production Planning Schedule (PPS). The PPS is used to determine the type and amount of food to prepare for each meal service period for both regular and therapeutic diets. It is used to control food production and document food disposition.

2.2.16. Quality Assurance (QA). QA means the various functions, including inspection, performed by the Government to determine whether a contractor has fulfilled the contract obligations pertaining to quality and q ua n t i t y .

2.2.17. Quality Assurance Evaluator (QAE). A functionally qualified person who performs QA functions for a contracted service.

2.2.18. Quality Control (QC). All necessary measures taken by the contractor to assure that the quality of an end product or service shall meet contract requirements.

2.2.19. Quality Control Plan (QCP). Contractor written quality control plan to assure procedures for controlling the quality of the goods provided and/or services to be performed.

2.2.20. ServSafe Manager Certification. The ServSafe Food Protection Manager Certification is a reliable indication t h a t the holder of the certificate has received training to the highest standard in food hygiene and safety. The American National Standards Institute (ANSI) Conference for Food Protection (CFP) acknowledges ServSafe certifications. The certification is accredited by the ANSI and is nationally accepted as the standard of food safety certifications and is recognized by more federal, state and local jurisdictions than any other safety certification.

2.2.21. ServSafe Food Handler Certification. The ServSafe Food Handler Certification is a reliable indication that t h e holder of the certificate has received training on basic food safety practices for preparing and serving food. The American National Standards Institute (ANSI) Conference for Food Protection (CFP) acknowledges ServSafe certifications. The certification is accredited by the ANSI and is nationally accepted as the standard of food safety certifications and is recognized by more federal, state and local jurisdictions than any other safety certification.

2.2.22. Small-wares. Small-wares (non-disposable) are considered re-usable, expendable items that are used until they are no longer able to perform their intended function by either damage or normal wear and tear. These items are not accounted for on the medical facility hand receipt or the durable equipment list. Examples of small wares include, but are not limited to: baskets, food and utensil containers both plastic and metal, cutlery, cutting boards, dispensers, food pans, glassware, ingredient bins, measurers, mixing bowls, on-site food service items such as coffee decanters or decorative food trays, openers, pots and pans, scales, silverware (metal), small kitchen appliances, tableware, thermometers, utensils.

2.2.23. The Joint Commission (JC). An independent, not-for-profit organization that accredits and certifies health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards. The JC’s mission is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value. The JC was formerly called the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) until its name change in 2007.

2.2.24. Therapeutic diets. Therapeutic diets are medically prescribed by physicians as a mode of treatment for acute and chronic diseases and medical conditions.

2.2.25. Training Holiday. Incentive holidays for military personnel declared and/or revoked at the discretion of each h o s p i t a l commander. Not a holiday for DOD civilian or contract employees but often commanders encourage liberal leave approval for DOD civilian employees in conjunction with training holidays.

3. GOVERNMENT FURNISHED ITEMS AND SERVICES.

3.1. GENERAL. The government will provide facilities, equipment, supplies, materials, utilities and services to the contractor as government furnished property for performance of the contract. The contractor shall not use government furnished property for any purpose other than execution of work under this contract. Use of government furnished property is at no charge to the contractor.

3.2. The contractor shall comply with applicable government regulations addressing management and responsibility for Government Property, specifically, AR 735-5, Policies and Procedures for Property Accountability.

3.3. FACILITIES. The government will furnish or make available to the contractor areas within facilities;

equipment, tools, furniture, materials and supplies for performance of the contract. The government reserves the right to reallocate and relocate assigned facilities during the term of the contract. A listing by facility of all government furnished property, including small wares, is provided at Exhibit E, Master List Government Furnished Property by Location to the contract.

3.4. EQUIPMENT. The government will provide all required equipment to include computers, local workstations, software, copiers, scanners, fax machines, and printers to be used in the performance of the duties described in this contract.

3.4.1. The contractor shall not modify or load software to computer equipment without prior written approval by the contract COR.

3.4.2. The government will provide all existing equipment, to include small wares, installed food service equipment, small appliances, storage equipment both cold and dry, existing personal protective equipment (PPE), dining area furniture and existing office furniture and equipment.

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