W90VN6-16-T-0037.pdf

SEE ADDENDUM

(No Collect Calls)

W90VN6-16-T-0037 09-Aug-2016

b. TELEPHONE NUMBER

031-661-5761

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 08 Sep 2016

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W90VN69. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MR. PAK, SIN-NAM

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F3J4MD6152AQ01

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO OSAN, UNIT #2039

APO AP 96278-2039

UNITED STATES OF AMERICA (THE)

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

621399

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF54

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W90VN6-16-T-0037

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 1,880 Hours Personal Service Contract

FFP

Separations History and Phsical Examination (SHPE) Licensed Vocational Nurse

(LVN) / Licensed Practical Nurse(LPN) for 51st Medical Group, Osan Air

FOB: Destination

PURCHASE REQUEST NUMBER: F3J4MD6152AQ01

NET AMT

0002 1 Job Accounting for Contract Service (CMR)

FFP

The Department of Army requires Contractor Manpower Reporting (CMR) by 31

October of each calendar year during the life of the contract in accordance with

Para 6 of the Performance Work Statement (PWS) herein.

Estimated cost for war hazard losses is

FFP

Zero(0)

1001 1,880 Hours Personal Service Contract

FFP

Separations History and Phsical Examination (SHPE) Licensed Vocational Nurse

(LVN) / Licensed Practical Nurse(LPN) for 51st Medical Group, Osan Air Base

1002 1 Job Accounting for Contract Service (CMR)

FFP

The Department of Army requires Contractor Manpower Reporting (CMR) by 31

October of each calendar year during the life of the contract in accordance with

Para 6 of the Performance Work Statement (PWS) herein.

PURCHASE REQUEST NUMBER: F3J4MD6152AQ01

Estimated cost for war hazard losses is

FFP

Zero(0)

PERIOD OF PERFORMANCE

Base Year : 29 September 2016 thru 28 September 2017

1st Option Year : 29 September 2017 thru 28 September 2018

PWS

PERFORMANCE WORK STATEMENT

SEPARATIONS HISTORY and PHYSICAL EXAMINATION (SHPE)

LICENSED VOCATIONAL NURSE (LVN)/LICENSED PRACTICAL NURSE (LPN)

AT 51ST MEDICAL GROUP

OSAN AIR BASE,

KOREA

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK.

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN

5.0. POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND

MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the personal services of one (1) Licensed Vocational Nurse(LVN)/Licensed

Practical Nurse(LPN) Provide significant contributions to the Chief Medical Staff (SGH) in the research into making recommendations for improvement of and implementation of sound policies and procedures throughout the MTF thereby enhancing the quality of care for all healthcare beneficiaries 51ST MEDICAL GROUP OSAN AIR BASE, KOREA. The Contractor shall provide all services and labor required to accomplish the performance of LVN/LPN duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, etc., contained herein or incorporated by reference. The Contractor shall furnish all management, tools, equipment, reports, consultation and labor necessary to ensure that the Contractor provides one (1) LVN/LPN for the 51st Medical Group, Osan Airbase, Republic of Korea. Performance shall be according to the requirements contained in this performance-based work statement (PWS).

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, the Accreditation

Association for Ambulatory Health Care (AAAHC), applicable Department of Defense (DoD) and shall comply with Air Force Instructions (AFI) 40-701. These documents are available in the MTF and maintained by the

Government. Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the

American Hospital Association’s Bill of Rights for Patients. The Contractor shall provide services for LVN/LPN services in accordance with established principles and ethics of the LVN/LPN profession, the national standards established by the JC, and the professional standards at the medical treatment facility (MTF). The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals

(CAMH) dated 2011 or current version.

1.3. The contract personnel shall provide services in conjunction with other non-contract personnel to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel.

All contract personnel shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Air Force or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1. 4. This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required under the contract. The performance of health care services by individual’s under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service individuals engaged in comparable health care services. Any personal injury claims alleging negligence by personnel within the scope of performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by

DoD military or civil service personnel. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States

Code 1091.

1.4.1. Professional Liability. Pursuant to 10 USC 1089(a), DoD shall process any personal injury claim alleging negligence by the SHPE LVN/LPN within the scope of the SHPE LVN/LPN’s performance under this contract as claims alleging negligence by DoD military or civil service personnel. The contractor or individual 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.

1.4.2. Responsibility and Procedures.

1.4.2.1. If any suit or action is filed or any claim is made against the contract individual, which occurred as a result of work performed by the SHPE LVN/LPN under this contract, the SHPE LVN/LPN shall immediately notify the contractor, the contracting officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received.

1.4.2.2. The contractor and contract SHPE LVN/LPN shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the SHPE LVN/LPN in, or take charge of, any litigation involved in such an action. The contract SHPE LVN/LPN may, at the contract SHPE LVN/LPN’s own expense, participate in defense of such claim or litigation.

1.5. Contractor Responsibility.

1.5.1. The Contractor shall accomplish the assigned work by employing and utilizing qualified candidate with appropriate combinations of education, experience, knowledge, training, abilities and skills.

1.5.2. The provider will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All SOFA or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider.

1.5.3. The Contractor is responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and/or exit the foreign country where performance is required.

1.5.4. Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours. All SOFA or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider.

1.5.5. The Contractor shall provide AF specific orientation as part of their internal program for the provider to include, but not limited to, the following topics:

Purpose of contract

Personnel qualifications, responsibilities and duties

Work hours o MTF specific o Vacation, sick or paid time off

Dress code

MTF POC/QAE responsibilities

Security policies o ADP III /SF 85P Submission o HIPAA

Host nation information and processing

Specific contractor/subcontractor requirements

Military Customs and Courtesies

Chain of command for problem identification/resolution o Pertinent to contract o Pertinent to AF and MTF

Working environment at the MTF and becoming part of the MTF team

2.0. BACKGROUND.

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center.

2.2. The 51st Medical Group mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 AF and USFK.

3.0. SCOPE OF WORK.

3.1. To support the Air Force Separation History and Physical Examination (SHPE) and Exceptional Family

Member Program (EFMP), 51st Medical Group has a requirement for one (1) SHPE LVN/LPN. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the SHPE LVN/LPN for a one (1) year.

3.2. Administrative.

3.2.1. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer

(KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the

Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the

Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

3.2.3. The Contractor may use non-compete provisions in its employment agreements to prevent the loss of personnel by the Contractor during the period of performance of this contract. However, the Contractor shall not use non-compete provisions in its employment agreements that would prevent its contract personnel from being employed by or from accepting offers of employment from the new Contractor of the follow-on contract. It would hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

3.2.5. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF

Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

3.2.6. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the

Government for such services as billed by the MTF.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The

Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract. The provider will comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

3.3.4. The contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.4. Security.

3.4.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.4.1.1. While on site, each contract personnel shall wear a visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The COR will provide the paperwork to request identification badges.

3.4.1.2. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract.

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

3.4.1.4. The contract personnel shall turn in all identification badges to the COR, or his/her designated representative upon termination of their services under this contract.

3.4.2. Vehicle Registration. The MTFs are located on restricted access military installations. The

Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contract personnel must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, Government-furnished civilian identification, proof of insurance and current registration must be presented to the Provost Marshal’s

Office, at which time a DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions.

3.4.2.1. All vehicles, with or without a DoD decal, are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF.

3.4.2.2. Contract personnel shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

3.4.2.3. Security. The contractor shall notify the 51st FW Security Forces Squadron at Osan AB, 30 days before on-base performance of the contract begins. The notification shall include:

a. Name, Address, and Telephone Number of Contractor

b. The contract number and contracting agency

c. The reason for the contract (i.e., the work to be performed)

d. The location(s) of contract performance and future performance, if known

e. The date contract performance begins

f. Any change to information previously provided under this paragraph

3.4.2.4. The contractor shall ensure the following pass and identification items required for contract performance are obtained for contractor and non-government owned vehicles:

a. DD Form 1172, Application for Uniformed Services Identification Card, if applicable

b. AETC Form 58, Civilian Identification Card, if applicable

c. AF Form 2219 (series), Registered Vehicle Expiration Tab

d. DD Form 2220, DoD Registered Vehicle and Installation Tab

e. AF Form 75, Visitor/Vehicle Pass

f. AF Form 1199, USAF Restricted Area Badge, or locally developed badge.

3.4.2.5. The contractor shall return all identification media, including vehicle decals, to the Pass & ID office upon completion/termination of the contract, as appropriate.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.4.5. Smoking In Facilities. Contractors are advised that the Commander has placed restrictions on the smoking of tobacco products in and around facilities. AFI 40-102, Tobacco Use in the Air Force, and its supplements, outline the procedures used by the commander to control smoking in our facilities. As of now, the medical treatment facility is a smoke free campus. Contract personnel and visitors are subject to the same restrictions as government personnel. Smoking is not permitted anywhere on the medical campus.

3.4.6. National Agency Check (NAC). As a minimum, Contractor personnel shall successfully complete a NAC before operating government-furnished workstations that have access to Air Force automated information systems.

Requests for personnel hired at the beginning of the contract, shall be submitted to the Government not later than 45 working days from the contract start date. Requests for personnel hired subsequent to the contract start date shall be submitted to the Government not later than five (5) workdays from the first duty day. Contractor personnel receiving unfavorable NACs shall not be employed. The government will submit requests for investigations on AF

Form 2583, “Request for Personnel Security Action”, at no additional cost to the contractor. The contractor shall comply with the requirements of DoD 5200.2-R, Personnel Security Program, and AFI 33-119, Electronic Mail (E-

Mail) Management and Use.

3.4.6.1. Antiterrorism (AT) and Operations Security (OPSEC)

3.4.6.1.1. AT Level I Training: This provision/contract text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR or to the KO, if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

3.4.6.1.2. Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency

Services, or Security Office. The contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.4.6.1.3. AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13.

Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

3.4.6.1.4. iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity 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 50 calendar days of contract award and within 50 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award.

3.4.6.1.5. For Contracts that Require an OPSEC Standing Operating Procedure (SOP)/Plan: The contractor shall develop an OPSEC SOP/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified per AR 530-1.

3.4.6.1.6. For Contracts that Require OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

3.4.6.1.7. For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives

3.4.7. The contractor shall comply with the requirements of Volume 1, AFI 71-101, Criminal Investigations, and paragraph 1.1 of Volume 2, Protective Service Matters. Contractor personnel shall report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contractor personnel, resources, and classified or unclassified defense information to the Chief, Pharmacology Services. The

Contract personnel’s immediate supervisor shall brief him/her upon initial on-base assignment and as required thereafter.

3.4.8. Physical Security. The contractor shall safeguard all government property, including controlled forms provided for contractor use. At the close of each work period, government equipment, facilities, and other valuable materials shall be secured.

3.4.9. Entry Procedures to Controlled/Restricted Areas. The contractor shall implement local base procedures for entry to Air Force controlled/restricted areas where contractor personnel will work.

3.5. MTF ORIENTATION AND TRAINING.

3.5.1. MTF in-processing checklist. When commencing work under this contract, the contract personnel shall obtain in-processing checklist(s) from the COR or designated office. All contract personnel are required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of the duty assignment, the contract personnel need to complete an out-processing checklist and return it to the designated office. The Contractor shall ensure that all contract providers participate in the MTF orientation procedures for newly assigned providers to include regulations specific to their professional specialty and hospital and Air Force policy and procedures.

3.5.2. MTF and Unit Orientation. The contract personnel shall be provided with a Government paid orientation to familiarize the contract personnel with the policies and procedures of the MTF, assigned department and specific unit.

3.5.3. Annual training requirements. The Contractor shall ensure that contract personnel complete any mandatory annual training requirements in accordance with 51st Medical Group procedures.

3.5.4. Government unique training. The Government may elect to provide unique Government training to contract personnel who are performing services under this contract. If the Government elects to provide such training, the

Government will provide such training at no additional expense to the Contractor or to the contract personnel.

When directed by the KO, contract personnel shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the

Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a contract personnel fails to satisfy the performance commitment after the contract personnel receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract personnel fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

3.5.5. Computer Training. Contract personnel who have any interaction with the MTF computer systems must receive training for the applicable system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours. This training will be at no cost to the Contractor. These systems include but are not limited to:

3.5.5.1. Composite Healthcare Computer System (CHCS) is the military’s world-wide automated medical information system interfaces with 40 plus external clinical and administrative systems.

3.5.5.2. Armed Forces Health Longitudinal Technology Application (AHLTA) contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the

MTF. In addition, it contains the electronic medical records for MHS beneficiaries.

3.5.5.3. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient.

3.5.6. Records. The contractor shall create and maintain Government-owned/contractor-held records, regardless of media, in accordance with AFI 33-119, Electronic Mail (E-mail) Management and Use, paragraph 8; AFI 33-202, Computer Security, paragraphs 3.5.1 and 3.6.1; AFI 33-322, Records Management Program, paragraphs 7,8,9 and

10 and supplements; AFMAN 37-123, Management of Records, Chapters 2 – 6, paragraphs 7.10 – 7.29, AFMAN

33-323, AFI 37-138, Records Disposition—Procedures and Responsibilities, Chapters 2, 3 and 6, and supplements;

and Electronic Records. The contractor shall segregate the government-owned records from the company-owned records. Identify all records required to be created by the statement of work on the RIMS file plans. Upon completion of this contract, all government-owned/contractor-held records (regardless of media) received, created, maintained or provided in the performance of the statement of work shall be turned over to the Government.

Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documents to permit the Air Force to use the data. In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

3.6. MTF HOURS OF OPERATION

3.6.1. MTF provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays.

Clinics have designated operating hours.

3.6.1.1. Hours of Operation: The Contractor shall be available to work from 0730 to 1630 in 51 MDG. Monday through Friday 8-hour workday, excluding lunch time. Work Schedules. A normal work week is 40 hours (8 hours per day). Duty hours will be dayshift hours, no weekends and no Federal Holidays. Duty hours may include base exercise days where limited military staffing is available and foreign holidays. The Contractor will be compensated only for time actually devoted to delivery of services in this contract unless a base or MTF closure prevents the provider from performing a normal, scheduled duty day. For all locations, there may be occasions when mission and workload changes require employees to adjust work schedules to meet demand. The provider will not perform overtime or on-call duties under this contract. In the instance where the Government supervisor directs the provider to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the provider shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the normal shift. The provider’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded and no overtime is required.

3.6.2. Holidays. The following is a list of legal federal holidays. Any of the 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.

Contract personnel may be required to work on legal holidays as determined by the COR.

New year’s Day, January 1st

Martin Luther King’s Birthday, 3rd Monday in January

President’s Day, 3rd Monday in February

Memorial Day, Last Monday in May

Independence Day, July 4th

Labor Day, 1st Monday in September

Columbus Day, 2nd Monday in October

Veteran’s Day, November 11th

Thanksgiving Day, 4th Thursday in November

Christmas Day, December 25th

Wing Down Days/Family Days/Training Holidays/PACAF Holidays

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract personnel is scheduled to work is closed due to the holiday declared by an Executive Order and the employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner. The contractor will also not allow providing services on PACAF’s family days or 51st Fighter Wing down days.

3.6.3. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.6.4. Closures. During anticipated closure of the facility due to Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the Contractors will only be paid for the actual hours that were worked.

3.7. HOURS AND PLACE OF PERFORMANCE.

3.7.1. Scheduling process in 51 MDG: One (1) FTE will be assigned in 51ST MEDICAL GROUP OSAN AIR

BASE, KOREA. The Contractor shall be available to work 0730 to 1630, Monday through Friday 8-hour workday, excluding lunch time.

3.7.2. Scheduling issues: The COR or their designee will be responsible for communicating with the contractor regarding scheduling issues. The Chief of Medical Staff may act as point of contact after normal duty hours, weekends and holidays. In such cases, the COR shall confirm all actions on the next normal working day. The US

Government will pay the Contractor only for the hours actually worked.

3.7.3. Absences and leave:

3.7.3.1. Contractor personnel will be allowed 160 hours of absences per year for vacation, sick leave and miscellaneous reasons. The absences are to be coordinated with, and at the discretion of, the Health Care Integrator.

Absences will not excuse the performance of any duty under this contract. The contractor shall notify the COR when a scheduled contract personnel cannot fill a shift due to illness or emergency. Notification shall be as early as possible, but no later than 2 hours prior to start of scheduled shift. All scheduled absences, including sick absences and emergency absences, are unpaid.

3.7.3.2. RESERVED

3.7.3.3. When the contractor cannot fill a position, the contractor shall notify the COR.

3.7.3.4. Scheduled absences of contract personnel shall be coordinated with the COR at least 30 calendar days in advance. Depending on how the hours are specified will determine whether or not the contractor supplies a substitute.

3.7.4. The Contractor is responsible for submitting an accurate invoice.

3.7.5. Continuity of Services/Replacement Staff. The Contractor point of contact shall ensure qualified personnel are available to provide coverage during scheduled absences of primary contract provides or when they will be unable to provide services for three (3) or more scheduled duty day.

3.7.6. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL COMMAND

AUTHORITY OR OVERSEAS COMBATANT COMMANDER. On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours. Emergency situations (i.e., accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the contractor provide increased or reduced support as determined by the contracting officer. The

Government will negotiate an equitable adjustment with the contractor for the cost of these emergency requirements.

3.8. LICENSE VERIFICATION AND CREDENTIALS REVIEW OR PRIVILEGING.

3.8.1. US issued valid LPN/LVN license required.

3.8.6. Conduct

3.8.6.1. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.8.6.2. Contract personnel shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contract personnel as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

3.8.6.3. HIPAA Compliance. The Contractor agrees to abide by all the requirements of the Health Insurance

Portability and Accountability Act (HIPAA) as codified at 45 CFR Part 160 and Part 164, subparts A and E, and implemented by DoD 6025.18-R regarding the privacy and confidentiality of health records and information being provided and shared under the resulting contract. The Contractor shall also comply with the Business Associate

Agreement listed in the appendix under Privacy of Protected Health Information and hereby incorporated into this performance-base work statement. See the attached appendix A.

3.8.6.4. Patient Sensitivity. The contract personnel shall respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. The contract personnel receiving complaints validated by the COR shall be subject to counseling and, depending on the nature and severity of the complaint, separation from performing services under this contract.

3.8.7. Contract personnel shall not introduce new procedures or services without prior approval of the Health Care

Integrator or representative. If disagreements or deviations from protocols or procedures occur, the Chief of

Medical Staff or representative shall be the deciding authority.

3.8.8. The contractor shall ensure contract privileged providers providing medical services under this contract has his/her rubber stamp containing their full name, degree, title and company name (if applicable) or the word, "Contractor." The stamp shall be placed on all forms and documentation having the provider's signature:

EXAMPLES:

Jane J. Jones, APRN, BC John J. Jones, APRN, BC

Family Nurse Practitioner Family Nurse Practitioner

Jones Healthcare Company Contractor

3.8.9. Appearance. While on duty, contract personnel shall be neat and clean, well groomed, and dressed appropriately. Contractor personnel shall report for duty in a professional manner, in appropriate attire befitting a health care setting, and having complied with socially acceptable standards of personal hygiene expected of health care workers. Contract personnel’s clothing shall fit correctly to provide a professional, modest appearance in keeping with the normally accepted community standards of dress for the work being performed. In all cases, clothing shall be neat and clean. This includes being free from visible dirt and stains. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean.

3.8.9.1. While on duty, Contractor shall maintain a positive attitude in the workplace. Behavior must not be discourteous, rude, or disrespectful. They shall perform all duties honestly, and uphold suitable character as established by Air Force Guidelines. They must support Air Force Core Values- and keeping with normally accepted community of standard behavior.

3.8.9.2. Contractor providers shall display legible MTF-provided identification media on their outer clothing.

3.9. Health and immunization requirements. In accordance with AFI 48-105, the provider shall follow the methods for controlling and preventing disease as described in the American Public Health Association publication, Control of Communicable Diseases Manual, and the Centers for Disease Control and Prevention (CDC) publication, Morbidity and Mortality Weekly Report (MMWR), and its supplements. Where applicable, the most recent guidelines from these publications are utilized as the standard. The contractor shall not hire and will be required to replace any providers that is not in compliance with AFI 48-105 or CDC recommendations. All contract personnel performing services under this contract shall comply with the health and immunization requirements as stated in the

Health Requirements clause. Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the

Contractor at no additional cost to the Government.

3.10. Criminal History Background Check Requirements. Contract personnel determined by the MTF to be involved in the delivery of health care to children under the age of 18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check

Requirements clause.

3.11. RESERVED

3.12. Contractor Verification System (CVS).

3.12.1. The Contractor shall comply with agency personal identity verification procedures identified in the contract 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.

3.12.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the sub-Contractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

3.12.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause

52.204-9, the Government will designate a Trusted Agent (TA), and the Contractor shall designate a Facility

Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.12.4. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.12.4.1. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

3.12.4.2. The contract service provider shall have an Army Knowledge Online (AKO) account in order to submit the application. AKO registration may be accessed via https://www.us.army.mil .

3.12.4.3. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the Contractor of the contract service provider’s user ID and password.

3.12.4.4. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

3.12.4.5. 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 individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

3.12.4.6. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office

(VO) with two photo IDs to obtain a CAC. For CAC issuance, a DD2842 must be completed and taken by the individual with two forms of picture ID. The e-mail will contain a URL to download the form. Acceptable forms of

ID are: Driver’s License, Social Security Card, Military ID, Contractor Company ID with picture and expiration date, VISA charge card with picture imprinted, and…