W81K04-21-R-0004 Amendment 0007 - 3 Dec 2021.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

The purpose of this amendment is to correct the square footage total on Exhibit D, cell Q4646 from 81,337 to 81,724. The previous amendment 0006 stated that the total square footage decreased from 1,367,990 to 1,367,605. A re-calculation of the total square footage has been computed at 1,367,990. As a result, Exhibit C, - Summary of Bldg. Sq. Ft/Type Service (New -Revision 3), Exhibit D-Detail, Building/Rooms/Sq Ft/Type Service (New -Revision 3), Attachment 3, Price Matrix (New -Revision 6), Attachment 4, Staffing Charts (New -Revision 4) and Performance Work Statement paragraph 1.4 have all been corrected to reflect the total square footage of 1,367,990.

The proposal due date has been extended to 8 December 2021, 12:00 p.m. Central Standard Time. The point of contact for this amendment is Ms. Quinella M. Purks at quinella.m.purks.civ@mail.mil. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 64

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

16C. DATE SIGNED

BY 03-Dec-2021

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 W81K0421R0004

X 9B. DATED (SEE ITEM 11)

15-Oct-2021

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 X 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 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

03-Dec-2021

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:

W81K0421R0004

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 06-Dec-2021 12:00 PM to 08-Dec-2021 12:00 PM.

The following have been modified:

ATTACHMENT 3

PRICE MATRIX (REVISION 6)

Under Separate File

ATTACHMENT 4

REVISION 4

STAFFING CHART

PRODUCTIVE HOURS AND FTE

1,367,990* GROSS SQUARE FEET BASE ORDERING PERIOD

* PWS Para 1.4

**1515 Productive Hours = 1 FTE (SCLS) ***1600 Productive Hours = 1 FTE (Non-SCLS)

Labor

Categor y(s)

1st Shift Productive

Hours

2nd Shift Productive

Hours

3rd Shift Productive

Hours

TOTAL

Productive

Hours

TOTAL

FTE**

TYPE I SERVICES

Bldg. # Location:

18509 Clinical Investigation Building

18511 MILCON Future William Beaumont AMC

TYPE II SERVICES

18511E East Clinic

18511W West Clinic

1363 McAfee Health/Dental

21227 East Bliss Health/Dental Clinic

2954 Dental Clinic III

6077 VET Clinic

9503 TMC McGregor Range

TYPE III SERVICES

18508 Central Utility Plant

18509 Clinical Investigation

18511 MILCON Future William

18511A Administration Building

18511W West Clinic

1025 Behavioral Health Clinic

(CAFAC)

1026 Behavioral Health Clinic

1030 Child, Adolescent & Fam.

Behavioral Health

11148 Soldier MEB Counsel

11156 Medical Warehouse

11280 IDES & SHPE

11282 IDES II

11334 Dental Clinic II

11335 Mendoza Soldier Family Care Clinic (SFCC)

1363 McAfee Health /Dental

21 Preventative Medicine & Occupational Health

2485A Family Advocacy Program

2485B Family Advocacy Program

II

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

2496 Soldier Family Medical

2497 Child, Adolescent, & Family

2901 DENTAC Company Headquarters

48 Behavioral Health/Intensive Outpatient

49 Behavioral Health/Addiction

MED IOP

6077 Vet Clinic

805 Warrior Transition Battalion Clinic (WTB)

9503 TMC MCGREGOR RANGE

L10735 CBMH Rio Bravo Health

LCBMH2 CBMH West El Paso Medical Home - Desert Sage

TYPE IV SERVICES

18511 MILCON - Future William

18511W West Clinic

11280 IDES & SHPE

11282 IDES II

11293 Senior Leader Sustainment

11334 Dental Clinic II

1363 McAfee Health/Dental

1611 Pharmacy Refill

21 Preventive Medicine &

2489 Lab/Blood Donor Clinic

Med IOP

805 Warrior Transition Battalion Clinic (WTB)

TYPE V SERVICES

18508 Central Utility Plant

18511W West Clinic

11148 Soldier’s MEB Counsel

11280 IDES & SHPE

11282 IDES II

2485B Family Advocacy Program II

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

2497 Child, Adolescent & Fam.

48 Behavioral Health/ Intensive

49 Behavioral Health/ Addiction

LCBMH2 CBMH West EL Paso Medical Home - Desert Sage

TYPE VI SERVICES

18508 Central Utility Plant

18511W West Clinic

11280 IDES & SHPE

11282 IDES II

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

RMW Services

Linen Services

Management***

GRAND TOTAL:

** 1515 Productive Hours = 1 FTE (SCLS)

***1600 Productive = 1 FTE (Non-SCLS)

STAFFING CHART

PRODUCTIVE HOURS AND FTE

1,367,990* GROSS SQUARE FEET YEAR 2 ONLY

**1838 Productive Hours = 1 FTE (SCLS) ***1920 Productive Hours = 1 FTE (Non-SCLS) y(s)

1st Shift Productive

Hours

2nd Shift Productive

Hours

3rd Shift Productive

Hours

TOTAL

1363 McAfee Health/Dental

18508 Central Utility Plant

18509

18511W West Clinic

2489 Lab/Blood Donor Clinic

18511W West Clinic

2489 Lab/Blood Donor Clinic

18508 Central Utility Plant

18511W West Clinic

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

18508 Central Utility Plant

11280 IDES & SHPE

11282 IDES II

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

Management***

** 1838 Productive Hours = 1 FTE (SCLS)

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

STAFFING CHART

PRODUCTIVE HOURS AND FTE

1,367,990* GROSS SQUARE FEET ORDERING PERIODS 3 - 5

**1830 Productive Hours = 1 FTE (SCLS) ***1920 Productive Hours = 1 FTE (Non-SCLS) y(s)

1st Shift Productive

Hours

2nd Shift Productive

Hours

3rd Shift Productive

Hours

TOTAL

1363 McAfee Health/Dental

18508 Central Utility Plant

18509

18511W West Clinic

11280 IDES & SHPE

11282 IDES II

11334 Dental Clinic II

2489 Lab/Blood Donor Clinic

18511W West Clinic

2489 Lab/Blood Donor Clinic

18508 Central Utility Plant

18511W West Clinic

11280 IDES & SHPE

11282 IDES II

2485D Integrated Medicine I

2487 Integrated Medicine II

2489 Lab/Blood Donor Clinic

18508 Central Utility Plant

18511W West Clinic

11280 IDES & SHPE

11282 IDES II

2489 Lab/Blood Donor Clinic

Management***

** 1830 Productive Hours = 1 FTE (SCLS)

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

EXHIBIT C

REVISION 3 - SUMMARY OF BUILDING ROOMS/SF/TYPE SERVICE

EXHIBIT D

REVISION 3 - DETAIL OF BUILDING ROOMS/SF/TYPE SERVICE

PERFORMANCE WORK STATEMENT

REVISION 3

PERFORMANCE WORK STATEMENT

WILLIAM BEAUMONT ARMY MEDICAL CENTER

FORT BLISS, TX

SECTION 1

1. General. This Performance Work Statement (PWS) is for healthcare environmental cleaning and related services at William Beaumont Army Medical Center (WBAMC), Fort Bliss, TX, and multiple Medical Treatment Facilities (MTFs) in the health service area (HSA) of WBAMC, Ft. Bliss, TX, inclusive of Biggs Army Air Field, TX, McGregor Range, NM and White Sands Missile Range, NM. 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, labor, equipment, material, tools, supplies, supervision, 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 this PWS.

1.2. Background. . William Beaumont Army Medical Center is located on Fort Bliss, TX 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. The Department of Defense transferred this MTF to DHA on 25 October 2019. It is accredited by the Joint Commission (JC). The mission of WBAMC is to provide quality healthcare to patients in a safe, clean, and aesthetically-pleasing MTFs. William Beaumont Army Medical Center is classified as a newly constructed clinical admin and inpatient, tertiary-level hospital with highly specialized staff and technical equipment—for example, cardiology, intensive care unit, and specialized imaging units; subspecialty clinical services highly differentiated by function; formal teaching programs; and formal medical research capabilities.

The anticipated volume of activity necessary to carry out the inpatient tertiary-level mission, in combination with the rapid rate of patient turnover, will have an extraordinary impact on the management of the healthcare environmental services program. The new medical facility consist of 6 distinct MTF buildings and an additional 31 MTFs in the HSA of WBAMC located on Fort Bliss, TX., 2 MTF’s off post in the El Paso, and 2 MTF’s outside of El Paso. Exhibit C provides a complete listing of facilities supported by this contract.

1.2.1. Graduate Medical Education. William Beaumont Army Medical Center conducts military Graduate Medical Education (GME) programs and provides a scholarly environment dedicated to excellence in education and health.

The variety of medical specialties with formal teaching programs affiliated with GME affect the complexity of hospital environmental operations. Such programs require additional office space and teaching areas and contribute to the overall pace of hospital sanitation demands.

1.2.2. Medical Research. William Beaumont Army Medical Center is dedicated to both laboratory and clinical research. Medical research impacts on hospital environmental operations as the space or area to be cleaned may require special cleaning precautions and techniques, special training for cleaning crews, different standards of bacteriological cleanliness and special attention to the scheduling and timing of cleaning activities.

1.3. Objective. The contractor shall provide healthcare environmental cleaning services that prioritize infection control while optimizing cleaning practices in support of WBAMC’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 WBAMC to include all MTFs within the HSA of Fort Bliss, TX. Requirements for this effort are determined by square feet (SF) of designated spaces to be cleaned. The estimated SF quantity for WBAMC and multiple MTF’s in the HSA is 1,367,990 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.

Project Estimated Completion Estimated SF Lab Blood Donor Clinic March 2022 10,041

1.5. Ordering Period. The ordering period is five years from date of contract award, unless the Option to Extend Services clause 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 TO will not exceed one year except when authorized by law.

1.6. Commercial Standards. The following commercial standards are applicable to this effort:

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

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

1.6.3. 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, “Processing of reusable surgical textiles for use in health care facilities.”

1.7. Hours of Operations. As healthcare operations include a wide range of services from inpatient to outpatient care, the healthcare environmental cleaning program must accommodate differing work hours. Normal operating hours are 0700 am – 1630 pm (7:00 – 4:30) local time, Mountain Standard Time (MDT) 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 Juneteenth, June 19th 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 emergency room, operating room, intensive care, labor and delivery, recovery, and inpatient wards.

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 WBAMC and the MTFs in the HSA of WBAMC. 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 EH shall possess a minimum of two years of specific healthcare environmental cleaning experience (not general environmental cleaning ) within the last five years in an MTF of comparable size and services as WBAMC or an 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 EH. 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, shall 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 EH 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 within the last three years in an MTF of comparable size and services as WBAMC (not general environmental cleaning). He/she shall meet or exceed comparable industry certification

(CHESP, C/REH).

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

1.9.4. Availability of Key Personnel. The EH and 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 and AEH shall be available on site within two hours of notification.

1.10. Miscellaneous CSP Requirements. The contractor shall maintain satisfactory standards of CSP competency, conduct, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to his

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 WB Regulation 40-5-1, Infection Prevention and Control Program. 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 healthcare environmental cleaning 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 WB Regulation 40-5-1 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. Reserved.

1.10.5.1. Reserved.

1.10.5.2. Reserved.

1.11. Installation Access.

1.11.1. Access and General Protection/Security Policy and Procedures. All contractor and sub-contractor CPSs performing tasks on this PWS shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures which will be provided to the contractor by a government representative within five working days of contract award. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or WBAMC 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, WB Regulation 190-13-1, Access and Entry Control 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 Trusted Agent (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 an CSP(s) from the work site when it is determined that the CSP’s behavior is contrary to the public interest, inconsistent with the best interests of security, or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population.

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

1.12.2. The KO will make all determinations regarding the removal of any CSP(s) from work site(s), except under certain conditions. When a KO is not available, either during the day or after hours, or in situations where a delay would not be in the best interest of the government or is identified as a potential threat to the health, safety, security, general wellbeing or operational mission of the facility and its population, the COR will have the authority to request immediately removal of the CSP from the work site. CSPs that are removed from contract work shall be required to leave the work site immediately. The CAC card 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 350-2 Policy Plan for Orientation, Education, Training and Competency of Staff. The contractor shall provide initial training and developmental training in healthcare environmental cleaning topics to all CSPs. The contractor shall provide a monthly, written report of training conducted to the COR not later than 5th calendar day of each month. The training report shall include dates training conducted, names of CSPs in attendance, and subjects of training. The contractor shall provide a copy of all lesson plans to the KO and/or COR at least 15 days prior to the scheduled training date (See Exhibit B, Deliverables, Paragraph 3.d).

1.13.1. The CSPs not previously trained in healthcare environmental cleaning, 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 environmental cleaning 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 5 calendar days of the annual training. (See Exhibit B, Deliverables, Paragraph 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 WB Regulation 350-1, Orientation, Training, and Staff Competency Program. The contractor shall ensure all CSPs attend WBAMC’s required orientation training within 30 calendar days of the CSP starting work. William Beaumont Army Medical Center’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. AT Level I Training. All CSPs, to include subcontractor CSPs, requiring access to Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date and annually thereafter. The contractor shall ensure that all new CSPs complete AT Level I Training within 30 calendar days of starting work and annually thereafter. The contractor shall submit certificates of completion for each affected CSP and subcontractor CSP, to the COR or to the contracting officer, if a COR is not assigned, within 30 calendar days after completion of training by all CSPs and subcontractor CSP (See Exhibit B, Deliverables, Paragraphs 1.b., 4.b, and 5.g). AT Level I awareness training is available at the following website:

https://jkodirect.jten.mil. 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 documentation of iWatch training completion to the COR within 30 calendar days after contract award. The contractor shall report IWATCH training of new hires with monthly training reports (See Exhibit B, Deliverables, Paragraphs 1.c.).

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

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

(See Exhibit B, Deliverables, Paragraphs 4h and 5r ) .

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. Operation Security (OPSEC) training is available online at http://cdsetrain.dtic.mil/opsec/index.htm. The contractor shall submit course certificates to the COR within 5 calendar days of completion for each affected CSP (See Exhibit B, Deliverables, Paragraphs 1.d., 4.c., and 5.h.).

1.13.4. Reserved.

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

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

1.14.1. CSPs shall be properly screened and medically cleared (to include required immunizations) with proper and complete documentation prior to working on-site at any of the collective MTFs. Prior to physical performance of services by the CSPs, but no earlier than 60 days prior to physical performance of services, the Contractor shall provide documentation certifying health requirements such as immunizations, annual vaccinations, medical testing (i.e., tuberculosis, N95 particulate respirator fit testing) when required at the time of initial placement and annually thereafter, as required. The expense for all health requirements, to include monitoring and tracking annual requirements, shall be borne by the Contractor at no additional cost to the Government. Medical clearances or certificates issued by a source approved by the State shall be maintained by the contractor for each CSP and available for government inspection by the KO or COR at all times.

1.14.2. Annual Immunizations: The Contractor shall ensure CSPs are immunized annually with the seasonal influenza vaccine and any other vaccine recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control (CDC) for CSPs or service/MTF specific guidance as outlined in DoDD 6205.02e, Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries. The annual influenza vaccine may be provided by the Government, if available, as determined by the MTF. If the CSPs chooses to be immunized by the Government, the CSPs shall sign a waiver releasing the Government from the legal liability IAW local procedures and policies. Alternately, the CSPs may obtain the vaccine at another facility, at no cost to the Government, and provide proof of vaccination to the Government. If the CSPs declines vaccination, a signed declination form will be provided to the COR IAW CDC recommendations and MTF policy.

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. Immunization Tracking: The Contractor shall maintain their own process and system of tracking the currency of health immunizations and shall not rely on the Government for ensuring the CSPs are in compliance.

1.14.3. A CSP considered by government Occupational Health to be infectious to patients or to health care facility personnel IAW WB Regulation 40-5-3, Occupational Health Requirements/Recommendations for Hospital Employees, 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. William Beaumont Army Medical Center will provide emergency treatment to prevent loss of life or limb, or prevent undue suffering to the contractor’s CSPs working at WBAMC. 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. The CSPs who have accidental percutaneous (needle stick); ocular or mucous membrane exposure to blood or other body fluids will receive initial treatment at the WBAMC MTF IAW WB Regulation 385-10, Safety, Paragraph 9-4 (h). The contractor shall be responsible for payment of follow-up treatment/monitoring of CSP.

1.15 Building Security and Key Control Management. The contractor shall comply with Fort Bliss Physical Security regulations and WB Regulation 385-10, Safety, and WB Regulation 190-51, Key and Lock Control Program.

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

1.15.1.1 In the event keys, other than master keys, are lost, stolen, or duplicated the contractor shall, upon direction of the KO, reimburse the government for the cost to re-key or replace the affected lock or locks. The government may re-key or replace the affected lock or locks, at its option. In the event a master key is lost, stolen, or duplicated, all locks and keys for that area shall be replaced by the government and the cost shall be charged to the contractor.

The contractor and the KO will negotiate a supplemental agreement for the reimbursement of the master key(s) and/or lock(s) IAW the Addendum to FAR 52.212-4(c), Changes.

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

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

1.16. Safety and Health Plan. The contractor shall comply with WB Regulation 385-10, Safety, and Occupational Safety and Health Administration (OSHA) standards as a minimum level of safety and health performance and establish more stringent standards where necessary for effective CSP protection. At a minimum, the contractor’s safety and health program shall address the following PWS-specific safety and health requirements:

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

1.16.2. The contractor shall comply with the OSHA Hazard Communication Standard (29 CFR 1910.1200 HCS 2012) and WBAMC Hazard Communication Program

1.16.3. The contractor shall comply with the WB Regulation 385-10, Safety Program, WBAMC Pamphlet 385-1Fire Prevention and Protection Plan, and Ft Bliss Fire and Emergency Services (FES) regulation, National Fire Protection Association (NFPA) 101, Life Safety Code and all other applicable codes shall be considered mandatory and enforceable throughout the term of this contract. All CSPs shall participate in quarterly, or as required, fire drills when on duty.

1.16.4. The contractor shall comply with the provisions set forth below and FAR Clause 52.236-13 (with Alternate I), Accident Prevention. The contractor shall comply with WBAMC Safety Regulation 385-10. The contractor shall submit accident, injury and incident reports on a WBAMC Form, Mishap Data Checklist and on the contractor’s company form. A copy of all accidents, injuries and incidents shall be submitted within 1 working day of incident to the COR. (See Exhibit B, Deliverables, Paragraph 5.e.).

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

1.16.5. The ACM, to include but not limited to insulation, flooring, and other building materials, may be encountered by the contractor during the performance of healthcare environmental cleaning. The locations of ACM are identified by building and area in Exhibit K, ACM Locations. On an as needed basis when changes occur regarding locations of ACM, the government will provide the contractor with an updated Exhibit K not later than 5 working days after changes.

1.16.5.1. The contractor shall comply with 29 CFR 1919.1001, Asbestos in the performance of healthcare environmental cleaning in areas containing ACM. In the event that ACM is disturbed in the performance of healthcare environmental cleaning (e.g., floor care), the contractor shall telephonically notify the COR and KO within 2 hours and in writing within 24 hours of disturbance (Ref. Exhibit B, Deliverables, Paragraph 5.p). Upon notification of disturbance by the contractor, the COR and KO will provide further guidance to the contractor regarding performance of services in the disturbed ACM location.

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

1.18. Healthcare Environmental Cleaning Procedures Manual. The contractor shall submit a written healthcare environmental cleaning procedures manual to the KO and COR not later than 15 calendar days after contract award date. As necessary, the contractor shall update/revise the Healthcare Environmental Cleaning Procedures Manual and submit the updated/revised document to the KO and COR for review/comments before implementation and no later than 30 days after feedback from the government. (See Exhibit B, Deliverables, Paragraphs 1.f. and 5.c).

1.19. Quality Control

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

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

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

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

1.20. Phase-In/Phase-Out. As a successor, the contractor shall ensure a smooth transition with the incumbent contractor during the phase-in period. The contractor shall provide an orderly transition of work acceptance and accomplishment so that impact to services is minimized. As an incumbent, the contractor shall ensure a smooth transition with the successor during the phase-out period prior to completion of contractual performance. The contractor shall provide an orderly transition of work acceptance and accomplishment so that full control by the successor is achieved by the end of the phase-out period.

1.21. Contractor Manpower Reporting (CMR). The contractor shall report ALL contractor labor hours (including subcontractor labor hours)…