PWS 10.21.2024.pdf

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Behavior Health Support Services Federal contract opportunity
Solicitation number
W81K0425RTIFF
Issued by
Department of the Army Medical Command

About this file

This document is a Performance Work Statement (PWS) for a personal services contract to provide professional behavioral health treatment, case management, wellness project management, critical incident event counseling, and health and wellness services to the Army Intelligence Security Command (INSCOM) at multiple locations. The contractor shall provide 29 full-time equivalent personnel across various labor categories such as organizational consulting psychologists, clinical psychologists, psychiatric nurse practitioners, licensed clinical social workers, behavioral health technicians, and a wellness integrator. The PWS outlines the scope of work, required qualifications and credentialing, safety and security requirements, training, travel, and other administrative details. The federal contract opportunity associated with this PWS is a pre-solicitation for Behavioral Health Services to be provided to the Department of the Army Medical Command.

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PERSONAL SERVICES

PERFORMANCE WORK STATEMENT

Army Intelligence Security Command (INSCOM) Behavioral Health Support Services 16 Apr 2024

1. General. This is a personal services contract for (29) FTEs to support a critical need for behavioral health support services. The required labor categories for each location are shown in the table below.

Labor Categories Location/Duty Station Number of FTEs

Organizational Consulting Psychologist

Fort Belvoir, VA 1

Organizational Consulting Psychologist (PT)

Fort Belvoir, VA 1

Registered Nurse/Case Manager Fort Belvoir, VA 1 Wellness Integrator Fort Belvoir, VA 1 Deputy Surgeon Fort Belvoir, VA 1 Medical Clinical Operations Specialist Fort Belvoir, VA 1 Health System Specialist Fort Belvoir, VA 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Fort Meade, MD 2

Behavioral Health Technician Fort Meade, MD 2 Operational Psychologist Fort Meade, MD 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Fort Eisenhower, GA 2

Behavioral Health Technician Fort Eisenhower, GA 2 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Buckley Space Force Base, CO

Behavioral Health Technician Buckley Space Force Base, CO

Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Fort Sam Houston, TX 1

Behavioral Health Technician Fort Sam Houston, TX 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Schofield Barracks, HI 1

Behavioral Health Technician Schofield Barracks, HI 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Wiesbaden, Germany 1

Behavioral Health Technician Wiesbaden, Germany 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Vicenza, Italy 1

Behavioral Health Technician Vicenza, Italy 1

Behavioral Health Technician Korea 1 Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Remote 1

Clinical Psychologist/Psychiatric Nurse Practitioner/ (PNP)/Licensed Clinical Social Worker (LCSW)

Remote 1

1.1 Background. INSCOM executes mission command of operational intelligence forces; conducts worldwide multidiscipline and all-source intelligence operations; delivers advanced skills training, linguist support, specialized quick reaction capabilities, and intelligence-related logistics, contracting, and communications in support of Army, Joint, and Coalition Commands and the National Intelligence Community. INSCOM is faced with unique challenges regarding geographical disbursement. Many field offices are located in areas outside of the catchment area of a military treatment facility (MTF), which makes consistent access to behavioral healthcare a challenge. Additionally, given the nature of the job duties specific to INSCOM personnel, access to care outside of normal duty hours is very limited. Therefore, contract support is required to address these unique INSCOM-specific incidents and work-related stressors in order to ensure psychological readiness of INSCOM personnel. INSCOM’s Health & Wellness initiatives build and implement a program that provides Quality of Life (QoL), work-life integration and counseling support to personnel assigned to INSCOM.

1.1.1 Health & Wellness initiatives identify and implements innovative, persistent and valuable solutions across INSCOM, aimed at tangibly improving career long occupational capacity, enduring health and ability to remain highly resistant to factors that negatively influence well-being. Additionally, as part of the Health & Wellness initiatives, INSCOM is implementing a set of initiatives to enhance the resilience and well-being of family members. These initiatives are largely preventive in nature and are intended to reduce incidences of behavioral health problems throughout the force. This will be accomplished by providing behavioral health services from a prevention model standpoint. Behavioral health programs include, but are not limited to, counseling, skills building, behavioral health educational programs, and case management, that integrate the wellness of personnel and their families.

1.1.2 INSCOM’s Office of the Command Surgeon (OTCS) consists of the Command Surgeon, Chief of Medical Readiness, Chief of Medical Operations, Command Psychologist, Highly Qualified Experts (HQEs), and the Contract Service Providers (CSP(s)) on this contract.

1.2 Personal Services performed under this contract are personal services.

1.2.1 Relationship of the Parties and Liability

1.2.1.1 Personal Services - Professional Liability Responsibility and Procedures. The task order is for personal services which are intended to create an employer-employee relationship between the Government and the individual Contract Service Providers (CSP(s)) only to the extent necessary for providing the services required under the contract. The performance of services by the individual CSP(s) under a personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service healthcare providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual CSP(s) within the scope of their performance of the personal services shall be processed by Department of Defense (DoD) in the same manner as claims alleging negligence by DoD military or civil service healthcare providers. Contract for personal services do not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the CSP(s) may be associated. The authority for personal services under this contract is 10 United States Code (U.S.C.) 1091. The CSP(s) is not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased. See 10 U.S.C. 1089 and Defense Health Agency Procedural Instruction (DHAPI) 6025.05 on Personal Services Contracts (PSCs) for Health Care Providers (HCPs). This liability statement applies to all CSP(s) under the IDIQ and current Task Order.

1.2.1.2 Reserved.

1.2.1.3 The CSP(s) shall cooperate with the United States Government (USG), without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize USG representatives to settle or defend the claim and to represent the CSP(s) in, or take charge of, any litigation involved in such an action. The CSP(s) may participate in defense of such claims or litigation, at the CSP(s) own expense.

1.3 Scope of Work: The contractor shall provide professional behavioral health treatment, case management, wellness project management, critical incident event counseling and health & wellness services of a nature and scope described in the succeeding paragraphs and in accordance with established principles and ethics of the medical profession, the standards of the Joint Commission, and the professional standards at the designated location.

The contractor support personnel shall work in conjunction with and/or at the direction of Government authority.

1.3.1 Contractor Personnel. CSP(s) shall provide all services on a full-time basis, meeting the minimum qualifications outlined in Technical Exhibit A. Neither uniformed services personnel nor Government civilian employees shall be employed to perform services under this contract.

1.3.2 The contractor shall ensure that all CSP(s), providing services under this contract, are able to read, write, and speak English well enough to effectively communicate with all parties and other CSP(s). In addition, if the position requires the use of computers, the CSP(s) shall be computer literate.

1.3.3 U.S. Citizenship. (Copy of birth certificate or naturalization papers required). The CSP(s) performing under this contract must be U.S. citizens. In addition, if a contractor personnel fails to meet the citizenship requirements stated herein the contractor shall not hold the USG liable for not allowing performance under this contract.

1.4 Reserved.

1.5 Credentialing/Privileging:

1.5.1 Privileged providers must be approved by the Credentials Committee of the supporting MTF and be granted privileges by the MTF Privileging Authority in accordance with Defense Health Agency Procedures Manual (DHA- PM) 6025.13: Clinical Quality Management in the Military Health System, Volume 4: Credentialing and Privileging. DHA-PM 6025.13 is located at https://health.mil/Reference-Center/Policies.

1.5.2 The contractor shall perform all primary source verifications and include all verifications with the credentials package IAW DHA-PM 6025.13, Volume 4 Credentialing and Privileging and AR 40-68. The contractor shall obtain all paperwork, letters of reference, approvals, work history, etc. required by the credentialing or licensure verification processes. The MTF staff will not assist the contractor in obtaining any needed information for initial credentialing.

1.5.3 Applications for clinical privileges shall be submitted at a minimum 45 days prior to the CSP(s) providing treatment services. The contractor shall submit credentials through the Contracting Officer’s Representative (COR) to the Credentialing Office for review and approval. The credentialing committee will recommend approval/disapproval of the credentials and delineation of privileges after receipt of documentation.

1.5.4 Should the contractor need to replace any CSP(s) during the contract period; the same qualifications and credentialing process shall apply for each new contract CSP.

1.5.5 The contractor shall not use any individual to provide services under this contract if that individual, within the past 5 years has had his/her clinical privileges limited, suspended, or revoked by any healthcare facility, public or private, anywhere in the world.

1.5.6 The contractor shall not use an individual who is the subject of a current or pending hearing or appeal brought by any health care facility, public or private, anywhere in the world, which may result in the limitation, suspension, or revocation of the individual’s clinical privileges.

https://health.mil/Reference-Center/Policies

1.5.7 Limitation of clinical privileges, as used in this paragraph, refers to a partial withdrawal/reduction of clinical privileges as a result of a determination that, or pending investigation to determine whether an individual has engaged in unprofessional conduct or substandard medical practice or is incompetent to perform certain medical practices.

1.5.8 Denial/Termination of Privileges:

1.5.8.1 The Privileging Authority has the authority to refuse any CSP privileges to practice under this task order.

The Privileging Authority also retains the right to initiate clinical adverse actions to suspend or revoke privileges of any health care provider when there are concerns of suspected misconduct, impairment, incompetence, or any conduct that adversely affects, or could adversely affect, the health or welfare of a patient, or staff member, or could threaten the integrity of the MHS. Upon receipt of notification by the contractor that termination has been rendered, the contractor shall be responsible for providing a replacement within 60 days.

1.5.8.2 The Contracting Officer (KO) and the contractor shall be notified by the COR as soon as possible when the necessity to exercise such authority becomes apparent. The COR will also provide the Contracting Officer and the contractor with copies of documentation initiating the revocation process if such action becomes appropriate.

1.5.8.3 Termination/suspension of privileges will be in accordance with DHA PM 6025.13, Clinical Quality Management in the Military Health System, Volume 3, and Healthcare Risk Management.

1.6 The contractor shall only communicate with designated Government personnel listed as Points of Contact (POCs). Names of authorized personnel shall be provided to the contractor by the Government in writing 3 days after contract award and shall be updated as necessary throughout the contract period.

1.7 Safety Requirements: The contractor shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA), State and all other nationally recognized safety Standards.

1.7.1 The contractor shall hold the Government harmless for any damage to or loss of contractor or contractor personnel personal property or any injury to or death of persons as a result of the action or inaction of the contractor or its employees.

1.7.2 All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the OTCS and the KO.

1.8 Security Requirements: The contractor shall comply with all applicable DoD, Defense Health Agency (DHA), Department of the Army (DA), and INSCOM security regulations and procedures during the performance of this contract. Contractor personnel shall not disclose and must safeguard procurement sensitive and non-sensitive information, computer systems and data, privacy act data, and Government personnel work products, which are obtained or generated in the performance of this contract.

1.8.1 Crime Control Act of 1990: No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990 and DoD Instruction 1402.5 dated 19 January 1993. All CSP(s)(having access to Government computer systems and/or providing care to children (17 years of age and under) must be subject to a background investigation and have a favorable background investigation. Background checks will be based on fingerprints of individuals obtained by a law enforcement officer and inquiries will be made, based on the Standard Form 85-P completed by the contract CSP(s), through the Federal Bureau of Investigation (FBI) and state criminal history repositories. The contractor shall ensure a favorable background check has been completed for each contractor.

1.8.2 This requirement supports classified programs and involves access to classified systems and material. All contractor personnel performing work on the requirement shall be a United States citizen and comply with applicable program security requirements.

1.8.3 The contractor shall have a Top-Secret Facility Clearance (FCL) and maintain that level of clearance throughout the life of the contract. Personnel shall perform within the security guidance AR 381-10. Specific security requirements are listed in the Form DD254, Department of Defense Contract Security Classification Specification.

1.8.3.1 All CSP(s) assigned to the contract shall possess an Active or Interim Top-Secret Clearance as outlined in Form DD254, Department of Defense Contract Security Classification Specification. All CSP(s) are required to keep all required security training completed and up to date, as outlined in Form DD254. Clinical Psychologists, Psych Nurse Practitioners, Licensed Clinical Social Workers (LCSW) and Behavioral Health Technicians (BHTs) have the ability to start work with a Secret clearance with the employment contingency that the contractor will upgrade them to Top Secret.

1.8.4 All CSP(s) must sign a Non-Disclosure Agreement. The contractor shall provide signed copies of the agreement to the COR within 48 hours of task order issuance.

1.8.5 During contract performance, the contractor may either directly or through the Government, receive proprietary information (hereafter “proprietary information”) of other contractors. The contractor shall protect such proprietary information with the same caution that a reasonably prudent person would use to safeguard highly valuable property. Proprietary information shall not be duplicated, used, or disclosed in whole or in part, without prior permission of the Government, for any purpose other than to perform services under this contract.

1.8.5.1 The contractor may also have access and receive either directly, or through the Government Procurement Sensitive information and or records. This information or records shall not be duplicated, used or disclosed in whole or in part, without prior permission of the Government, for any purpose other than to perform services under this contract.

1.8.5.2 U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected 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.

1.8.6 Common Access Card (CAC). 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.

1.8.6.1 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 and access to a Federal information system.

1.8.6.2 The contractor shall ensure compliance with the provisions set forth below. The Government will designate a Trusted Agent (TA) for this contract.

1.8.6.3 In-processing Requirements. Contractor employees requiring access to Government systems in order to perform services under this contract shall obtain a CAC. Proof of employment, background screening, and security clearance / favorable background check is required before a CAC will be issued authorizing access to the Installation and Government computer systems.

1.8.6.3.1 CACs may not be issued to contractor employees unless a data record authorizing CAC issuance is resident in the Defense Enrollment Eligibility Reporting System (DEERS). The Trusted Associate Sponsor System (TASS) was developed as a secure and authorized means of entering contractor data into DEERS in addition to automating the CAC application and approval process. In order to enter contractor data into TASS, the contractor's data must be resident in an authorized source database. The Department of Defense Information System for Security (DISS) is that authoritative source. The Contractor's Facility Security office (FSO) shall ensure its employee(s) has a record in DISS prior to its employee(s) requesting a CAC be issued. Personnel eligible for a CAC who are not in DISS (i.e., certain contractor employees, Foreign Nationals, and DoD affiliates) will be required to register at a site where an equivalent background vetting will be accomplished In Accordance With (IAW) Federal Information Processing Standard (FIPS) 201.

1.8.6.4 The application will be approved, returned, or rejected by the TA. Notice as to whether the application has been approved, returned, or rejected will be provided to the individual's e-mail address within 48 hours after submission. If the application is returned or rejected, the CSP shall contact the TA and comply with the TA's guidance to attempt to correct and resolve the issues.

1.8.6.5 Revalidation Requirements: The TA is required to revalidate all CSP(s), in the DEERS/RAPIDS System, every 180 days. In the event revalidation is denied, the CAC credentials shall be revoked, and the CAC will not be useable to login.

1.8.6.6 Out-processing Requirements: When a CSP(s) performance under this contract ceases, the CSP shall personally bring the CAC to the TA and complete the DA 2962. The TA will revoke the CSP(s) CAC from the DEERS/RAPIDS System.

1.8.6.7 The contractor is responsible for absences of CSP(s) due to expired identification and access documents.

Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.8.6.8 The contractor shall immediately report any lost or stolen badges to the COR.

1.9 Physical Security: The contractor shall be responsible for safeguarding and securing all Government equipment, information, and property provided for contractor use, at all times. The contractor shall be responsible for safeguarding all Government equipment, information and property provided for contractor use. At the close of each workday, Government facilities, equipment, and materials under contractor’s responsibility shall be secured.

1.9.1 Contractor personnel entering Government facilities or Government-leased facilities shall conform to security regulations during the contract period and shall be subject to security checks as may be deemed necessary to ensure that security violations do not occur.

1.9.2 Key Control: The contractor shall establish and implement methods of making sure all keys/key cards issued to the contractor by the Government are not lost or misplaced and are not used by unauthorized personnel. NOTE: All references to keys include key cards. No keys issued to the contractor by the Government shall be duplicated. The contractor shall develop procedures covering key control that shall be included in the Quality Control Plan (QCP).

Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas.

The contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the COR.

1.9.2.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction of the KO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the Government performs the replacement of locks or re-keying, the contractor shall be responsible for the total cost of re-keying or the replacement of the lock or locks. In the event a master key is lost or duplicated, all locks and keys for that system will be replaced by the Government and then the contractor shall reimburse the Government for the total cost of the replacement.

1.9.2.2 The contractor shall prohibit the use of Government issued keys/key cards by any personnel other than the contractor's employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of personnel other than contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Government.

1.9.3 Privacy Act: Professional ethics and the principles of confidentiality stated in the Privacy Act shall be adhered to at all times, with the exception of the limited confidentiality extended to any individual who has divulged information that requires a mental health provider to report that information per applicable state and federal laws, guidelines and regulations. In all such cases, the results may be disclosed without service members’, INSCOM DAC’s, or Government employee’s consent to the OTCS, and leadership who have a need- to-know.

1.9.4 Access to Systems Containing Personally Identifiable Information (PII): The contractor shall comply with the Privacy Act and all applicable agency regulations on individual privacy, to include DoD Directive 5400.11 “Department of Defense Privacy Program” and DoD 5400.11-R, “Department of Defense Privacy Program”

1.9.4.1 Data Security: The contractor, unless otherwise authorized by the Government, shall limit access to PII to those employees and subcontractors who require the information in order to perform their official duties under this contract. The contractor, contractor employees, and subcontractors shall physically or electronically protect PII when not in use and/or under the control of an authorized individual. During the course of contract performance, when PII is no longer needed or required to be retained under applicable Government records retention policies, the contractor shall coordinate with the contracting officer to either turn over the PII to the Government, or destroy it through means that will make the PII irretrievable (i.e., permanently unavailable for access by any person). The contractor shall only use PII obtained under this contract for purposes of the contract, and shall not collect or use such information for any other purpose without the prior written approval of the KO. At expiration or termination of this contract, the contractor shall coordinate with the KO to either turn over all PII managed under the contract that is in its possession to the Government or successor contractor, or if the Government so directs, destroy the PII.

1.9.5 Systems Security: The Contractor shall encrypt all contractor-owned laptops or other portable media storage devices that process or store PII, in accordance with NIST FIPS 140-2 (or successor). The contractor shall require FIPS 140-2 (or successor) encryption of any sensitive PII when transmitted electronically across the internet or other public networks.

1.9.6 Communications Security (COMSEC): All communications with DoD organizations are subject to COMSEC review. The contractor shall be aware that telephone communications, and information technology (IT) networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military department to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time it places a call or receives a call it is subject to COMSEC procedures. The contractor shall assume the responsibility for ensuring wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall be aware of, and abide by, all Government regulations concerning the authorized use of the Government’s computer network as well as improper network use (i.e., viewing pornographic material or restricted/subversive sites on the web), including the restriction against using the network to recruit Government personnel or advertise job openings.

1.10 Installation Access and General Protection: The contractor and all associated subcontractor(s) employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures. The contractor shall 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 Security office. The contractor shall comply with all personal identity verification requirements as directed by DoD, DA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.11 Employee Conduct: The contractor’s employees shall observe and comply with all applicable departmental and agency regulations, policies and procedures (e.g., fire, safety, sanitation, environmental protection, security, flag officer courtesy, “off limits” areas, wearing of parts of military uniforms, and possession of firearms). The contractor shall ensure that all contractor employees always present a professional appearance, and that their conduct does not reflect discredit on the requiring activity, the United States or the Department of Army.

1.12 Removal of Contractor Employee: At any time during the performance of this contract, the KO may communicate to the contractor to immediately remove from the work place any CSP(s) whose actions or condition creates a clear and present danger of physical harm to any persons (military, civilian, and contractor) or to the impaired individual. The Government reserves the right to require removal from the job site any contract employee who endangers property, whose continued employment is inconsistent with the interest of military security or who is found to be incapacitated or under the influence of alcohol, drugs or other substances. Such removal does not relieve the contractor of the responsibility to provide sufficient qualified personnel for adequate and timely service. The KO will provide the contractor with an immediate written rationale for removal of the employee.

1.12.1 This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor. If a removal occurs during a day shift (Monday through Friday) the COR will immediately contact the contractor’s POC after the removal to discuss the situation. If removal occurs after business hours, the COR will contact the contractor's POC on the next business day.

1.12.2 If the need for a removal occurs, the COR will contact the contractor's POC and direct the contractor to remove that individual from the location and to not use that individual to perform any services required under this contract until the issue has been resolved by the KO. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and AR 40-68. A review of the basis for removal will be made by the KO within 3 business days after the COR directed the removal.

1.12.3 If, after any investigation deemed necessary by the KO and discussions with the contractor's representative, the KO concludes that the CSP(s) conduct requires permanent removal from performance under the contract, the KO will notify the contractor that permanent removal is required. In the event of disagreements between the Government and the contractor's representative concerning matters of impaired CSP(s), the decision of the KO will be final.

During the period of time between the removal and the final decision of the KO, the contractor shall provide a backup/replacement CSP(s) in accordance with the terms and conditions of this contract.

1.13 Place of Performance: Fort Belvoir, VA; Fort Meade, MD; Fort Eisenhower, GA; Fort Sam Houston, TX;

Schofield Barracks, HI; and Buckley SFB, CO, Germany, Italy, Korea.

1.14 Hours of Operation: The Command Surgeon and COR will work with the Government lead at each designated location to determine the core hours for CSPs.

1.14.1 The contractor shall always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for any reason. In the event of a Government furlough, the contractor shall continue to maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS.

1.14.2 Unplanned Closures: If the Government facility is closed due to training, unit events, unusual or compelling circumstances (e.g., natural disasters, military emergency, severe weather), the contractor shall only be reimbursed for actual hours the CSP(s) provided services.

1.14.3 Federal Holidays: The federal legal holidays are observed and the CSP(s) will not be expected to perform services on the holidays listed:

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 Day, June 19th Independence Day, July 4th

Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veterans Day, November 11th

Thanksgiving Day, 4th Thursday in November Christmas, December 25th

1.14.4 Compensation (Comp) Time: Labor hours performed greater than 8 hours in the duty day must be approved by the COR at least 1 business day prior. If unforeseen or an unscheduled event occurs leading to an overage of 8 hours in the duty day, the CSP(s) will alert the COR NLT the same day of its occurrence. The overage will be recognized as comp time. Comp time is approved by the COR and used within the 2-week billing period.

1.15 Absences / Telework:

1.15.1 Scheduled Absences: The contractor shall advise the COR one month in advance of any staffing changes that develop, such as vacations or a continued medical education meeting, training, or conference that could impact scheduling.

1.15.2 Unscheduled Absences: The contractor shall notify the COR within 2 hours of unscheduled absences.

1.15.3 Duty Location:

1.15.3.1 Place of work is in-person at the assigned duty station: Telework may be approved by the COR in consideration of the CSP’s local worksite policy. If approved, the COR will provide a Memorandum for Record (MFR) outlining the Telework policy for each location.

1.16 Identification of Contractor Employees: All CSP(s) attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by CSP(s) are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.17 Contracting Officer Representative (COR): As the KO’s representative, the COR monitors all technical aspects of the contract, performs inspections, and assists in contract administration. A letter of appointment issued to the COR, a copy of which is sent to the contractor, states the responsibilities of the COR and the limitations placed upon his/her authority, especially regarding changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms or conditions of the task order.

1.18 Reserved:

1.19 Reserved:

1.20 Training Requirements: The contractor shall complete all training requirements described within this PWS and maintain certification requirements throughout the life of the contract. The contractor shall make training documentation and certifications available to the COR within five working days upon request. Training attendance and compliance may be documented as a performance metric.

1.20.1 Antiterrorism (AT) Considerations: In accordance with DFARS 225.372 Antiterrorism/ Force Protection, and DoD Instruction O-2000.16, Volume 1, DoD Antiterrorism Standards, the contractor is hereby advised that it shall comply with the policies and procedures of the U.S. Antiterrorism Officer (ATO) at each installation where work is being performed. DoD Instruction O-2000.16, Volume 1, (Change 1) is available at the INSCOM Antiterrorism Portal Page at: https://kmportal.mi.army.mil/sites/g3/AT/Shared%20Documents/Forms/AT%20Resources.aspx. (On the site search for DoD Instruction O-2000.16, Volume 1, (Change 1).

1.20.1.1 Antiterrorism and Force Protection (AT/FP): AR 350-1, 19 August 2014, Army Training and Leadership Development, Section II, G-3/5/7, Antiterrorism and Force Protection. Specific Army standards for AT/FP training are listed in chapter 5, AR 525-13, 17 February 2017. Individual AT/FP training is mandatory for all soldiers, DA civilians, and DOD contractors and is strongly recommended for family members prior to travelling outside the 50 United States and its territories and possessions for any reason, including mobilization, temporary duty, permanent change of station, and leave. There is also an AT/FP training requirement for personnel stationed outside the United States. Individual AT/FP training is valid for one (1) year and must be documented.AT Level I Training: All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities and controlled access areas shall complete AT Level 1 awareness training within 30 calendar days after start date and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training by all employees and subcontractor personnel and results reported in the monthly report. AT Level 1 awareness training is available at the following website: https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf

1.20.1.2 AT Awareness Training for Contractor Personnel Traveling Overseas: This requires US based contractor employees and associated subcontractor employees to make available and to receive Government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. The Combatant Commander directs specific AOR training content with the unit ATO being the local point of contact.

1.20.2 iWATCH training: The contractor and all associated subcontractors shall brief all contractor and subcontractor personnel performing services under this contract on the local iWATCH program (training standards provided by the requiring activity Authorization to Operate (ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 days of new employees commencing performance of services with the results reported in monthly reports.

1.20.3 Combating Trafficking in Persons Training: Contractor and subcontractor personnel providing services under this contract shall complete the combating of trafficking of persons online training within 30 days of start of work/employment and annually thereafter. The contractor shall include the names of personnel that have completed the training as part of the monthly status report. The contractor may find instructions to access this course at http://www.combat-trafficking.army.mil/training.htm. This website also provides a Trafficking in Persons (TIP) briefing for group briefings or contractor personnel unable to access the Army Training Information System (ATIS).

1.20.4 DoD Cyber Awareness Challenge Training: The contractor shall ensure all contractor and subcontractor personnel requiring access to Government information systems register in the Army Training Certification Tracking System (ATCTS) and complete the DoD Cyber Awareness Challenge training. The training shall be completed prior to obtaining access to information systems and annually thereafter. The contractor shall make copies of training certificates available to the Government upon request. Status of training shall be reported in the monthly report.

1.20.5 Operational Security (OPSEC): Per AR 530-1, Operations Security, the contractor shall provide OPSEC training to all employees regarding the safeguarding of sensitive information prior to employees being allowed access to such information. Chapter 4 of AR 530-1, Training, requires that newly arrived personnel receive an OPSEC orientation briefing within the first 30 days of arrival at the organization. The AR further requires that all personnel receive an annual OPSEC briefing. Contractor personnel may utilize the OPSEC briefings presented by the INSCOM OPSEC Program Manager/Coordinator. The contractor shall submit certificates of completion or sign in rosters for all initial and annual OPSEC training to the COR and report status in the monthly report. The above requirements will flow down to all subcontractors working on or providing support to the contract.

1.20.5.1 The contractor or CSP(s) shall not release sensitive information to the general public without prior written approval from the Contracting Officer. All contractor requests to release sensitive information shall be in writing and clearly explain the necessity for release of the information and consequences if approval is not granted.

1.20.5.2 All material produced by the contractor which will be released to the general public will be subject to OPSEC and Security reviews from INSCOM OPSEC Officer, Security Officer and INSCOM Public Affairs Office prior to release.

1.20.5.3 The contractor shall destroy all sensitive program material at the completion of the contract so as to ensure the information cannot be accessed or utilized for any purpose. The contractor will also notify the KO in writing of its destruction. These same requirements will flow down to all subcontractors working on or provided any sensitive information related to the contract.

1.20.6 Information Assurance (IA)/Information Technology (IT) Training: All contractor employees and associated subcontractor employees must complete the DoD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DOD and Army training requirements in DoD Directive 8570.01, August 11, 2016, DoD 8570.01-M Change 4, 10 October 2015 and AR 25- 2 upon initial employment. The contractor shall report the completion of IA/IT training on the monthly status report.

1.20.7 Sexual Harassment/Assault Response and Prevention (SHARP):

1.20.7.1 Sexual Harassment/Assault Response and Prevention (SHARP): The contractor shall comply with OTSG/MEDCOM Policy Memo 19-019, Sexual Harassment/Assault Response and Prevention Program, 21 March 2019, or superseding DHA or policy once issued and provided to the contractor. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.20.7.2 The contractor shall require all CSP(s) 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) report the incident in writing to the Government's COR. This reporting policy also applies to sexual assault incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility, or a Government leased facility.

1.20.7.3 The Contractor shall require all CSP(s) 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) report the incident in writing to the Government's COR. This reporting policy also applies to sexual harassment incidents involving MEDCOM personnel that occur on the contractor’s owned or leased facility under this contract. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals, when the incidents occur on a Government facility, or a Government leased facility.

1.21 Contractor Travel: The contractor will be required to travel to locations throughout the INSCOM enterprise both CONUS and OCONUS to provide services. Arrangement and payment of all travel, transportation, meals, lodging, and incidentals are the responsibility of the contractor. All travel and transportation shall utilize commercial sources and carriers provided the methods used for the appropriate geographical area results in reasonable charges to the Government. The Government will not pay for business class or first class. Lodging and meals shall be reimbursed in accordance with the standard per diem rates in the civilian DOD Joint Travel Regulation (JTR). The website for per diem rates is http://www.defensetravel.dod.mil/.

1.21.1 Although the JTR is not applicable to contractors, it may be used to determine the reasonableness and allowability of reimbursable costs under this contract. All reimbursable costs shall be considered to be reasonable and allowable only to the extent that they do not exceed on a daily basis the maximum rates in effect at the time of travel as set forth in the JTR. There may be circumstances when the JTR authorizes a discretionary travel and transportation expense, but the contract remains silent. In such circumstances, the expense is not allowable under this contract and will not be reimbursed.

1.21.2 OCONUS Travel: Requirements and requests for Contractor Designation under the Status of Forces Agreement (SOFA) for OCONUS locations are at Technical Exhibit E. Additional information concerning temporary travel of contractor personnel to Germany and Italy can be found on the DoD Contract Personnel Office (DOCPER) website at http://www.eur.army.mil/g1/content/CPD/docper.html. The contractor shall provide all information required for OCONUS travel to the OTCS within 48 hours of request. All SOFA requirements shall be fulfilled by contractor no less than 30 days after date of Task Order award. The contractor shall maintain compliance with all SOFA requirements throughout the life of the contract.

1.21.3 The COR must approve all travel requests prior to travel arrangements being made. The contractor shall coordinate all scheduled travel with the COR no later than two weeks prior to the date of travel. The contractor shall seek approval from the COR for travel for critical incident events as soon as they are aware of the critical incident event. The contractor shall submit a request to travel for COR approval that includes at a minimum the name of traveler, reason for travel, location traveling to, duration of travel, and estimated costs broken out. The Government will reimburse the cost of any required and approved travel exceeding a 55-mile radius of the place of performance under this contract, using the Joint Travel Regulation (JTR) as a guide for allowable costs and cost caps.

1.21.4 The contractor shall consult with the OTCS prior to departure to the site of the event to ensure that leadership concurs that critical incident management and intervention is needed and to provide feedback regarding the most suitable timeframe for CSP(s) assistance.

1.21.5 The contractor shall have an expedited travel protocol arranged in advance to have the CSP(s) respond immediately in the event of a significant event. In the event that additional contractors are needed to respond to a critical incident, then the contractor shall identify available contractors and coordinate with the OTCS to ensure a timely response to the event.

1.21.6 The contractor shall submit to the COR monthly: 1) a projected travel report covering anticipated future travel (dates, locations, purpose) and 2) an actual travel report covering travel in the past month with dates, locations, purpose and actual expenses incurred. Both reports shall be submitted in .xls format to the COR NLT five business days after the end of the month.

1.21.7 The contractor shall submit all travel vouchers/documents in the iRAPT (invoicing, Receipt, Acceptance, Property Transfer) system NLT 30 calendar days after the completion of travel. The following attachments shall be included with the travel vouchers/documents:

• Copies of all lodging receipts

• Copies of all airline tickets (counter or web-based) that includes cost

• Copies of all taxi, car rental, and gas receipts. Gas reimbursement will be provided for the official temporary duty (TDY) travel only and includes travel to, in, and around the associated TDY area, and return to the airlines or permanent duty station. The Government will not reimburse gas costs for personal travel in conjunction with official travel.

1.21.8 The Government will reimburse the contractor for all COR approved travel. Unapproved travel shall be the liability of the contractor. The Government will not reimburse the contractor for contractor personnel relocation expenses. Contractor QCP routine travel will not be reimbursed unless otherwise directed by the KO. Travel will be submitted and approved by the COR on the Trip Expense Calculator form Technical Exhibit K.

1.22 Reserved:

1.23 Health and Immunization Requirements: All contract personnel performing health care services under this contract shall comply with the Health and Immunization requirements identified below at the time of initial request for clinical privileges and annually thereafter.

1.23.1.1 A test for the antibody to HIV (Human Immunodeficiency Virus) with documented results of the test.

1.23.1.2 A history to show that Direct Health Care provider has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years).

1.23.1.3 A test for the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immune Health Care Workers (lacking anti-HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis-B vaccine (e.g., Recombivax, Engerix).

1.23.1.4 A physical examination shall also document serologic evidence of immunity to measles and rubella or to provide documentation of immunization with measles, mumps and rubella (MMR) vaccine using the following guidelines:

1.23.1.4.1 Employees born before 1957 without documentation of previous vaccination with MMR should receive one dose.

1.23.1.4.2 Employees born in or after 1957 who have received one dose of MMR previously shall receive one booster dose.

1.23.1.4.3 Employees born in or after 1957, without documentation of any previous vaccination with MMR, should receive two doses of vaccine, separated by no less than one month.

1.23.1.5 Contractor’s personnel performing health care services shall be screened for tuberculosis by a tuberculin skin test using the Mantoux technique. A skin test result of 10 mm of induration or more shall be required to have a chest roentgenogram and an evaluation performed.

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