A21_W90VN618R0035.pdf

SEE ADDENDUM

(No Collect Calls)

W90VN618R0035 26-Jul-2018

b. TELEPHONE NUMBER

031-661-5761

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 27 Aug 2018

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

F3J4MD8017AW01

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

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:

$15,000,000

NAICS:

621512

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 OF71

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.

W90VN618R0035

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 11 Months CT Technologist

FFP

The contractor shall provide the non-personal services of Computed Tomography

Technologist for 51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility” (MTF). The Contractor shall provide all services and labor required to accomplish the performance of

Computed Tomography Technologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, etc., contained herein or incorporated by reference.

FOB: Destination

PURCHASE REQUEST NUMBER: F3J4MD8017AW01

NET AMT

Contractor Manpower Report (CMR)

FFP

The Contractor Manpower Report (CMR) must be reported by 31 October of each calendar year during the life of the contract. The Contractor shall provide all of the information requested and in the required format, using the following web address:

https://cmra.army.mil for the purpose of capturing contractor and subcontractor manpower utilized during the performance of this contract.

War Hazard

FFP

Estimated Cost for War Hazard is Zero (0).

0004 1 Week Phase-In/Transition Period

FFP

Period: 24 Sep 18 - 30 Sep 18. The Contractor shall manage and prepare for phase-in/transition from existing contract to new contract to assume full responsibilities in accordance with (IAW) Performance Work Statement (PWS).

1001 12 Months OPTION CT Technologist

FFP

The contractor shall provide the non-personal services of Computed Tomography

Technologist for 51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility” (MTF). The Contractor shall provide all services and labor required to accomplish the performance of

Computed Tomography Technologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, etc., contained herein or incorporated by reference.

OPTION Contractor Manpower Report (CMR)

FFP

The Contractor Manpower Report (CMR) must be reported by 31 October of each calendar year during the life of the contract. The Contractor shall provide all of the information requested and in the required format, using the following web address:

https://cmra.army.mil for the purpose of capturing contractor and subcontractor

OPTION War Hazard

FFP

2001 12 Months OPTION CT Technologist

FFP

The contractor shall provide the non-personal services of Computed Tomography

Technologist for 51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility” (MTF). The Contractor shall provide all services and labor required to accomplish the performance of

Computed Tomography Technologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, OPTION Contractor Manpower Report (CMR)

FFP

The Contractor Manpower Report (CMR) must be reported by 31 October of each calendar year during the life of the contract. The Contractor shall provide all of the information requested and in the required format, using the following web address:

https://cmra.army.mil for the purpose of capturing contractor and subcontractor

OPTION War Hazard

FFP

3001 12 Months OPTION CT Technologist

FFP

The contractor shall provide the non-personal services of Computed Tomography

Technologist for 51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility” (MTF). The Contractor shall provide all services and labor required to accomplish the performance of

Computed Tomography Technologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, OPTION Contractor Manpower Report (CMR)

FFP

The Contractor Manpower Report (CMR) must be reported by 31 October of each calendar year during the life of the contract. The Contractor shall provide all of the information requested and in the required format, using the following web address:

https://cmra.army.mil for the purpose of capturing contractor and subcontractor

OPTION War Hazard

FFP

4001 12 Months OPTION CT Technologist

FFP

The contractor shall provide the non-personal services of Computed Tomography

Technologist for 51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility” (MTF). The Contractor shall provide all services and labor required to accomplish the performance of

Computed Tomography Technologist duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, OPTION Contractor Manpower Report (CMR)

FFP

The Contractor Manpower Report (CMR) must be reported by 31 October of each calendar year during the life of the contract. The Contractor shall provide all of the information requested and in the required format, using the following web address:

https://cmra.army.mil for the purpose of capturing contractor and subcontractor

OPTION War Hazard

FFP

PWS

Computed Tomography Technologist Service

51st Medical Group

Osan Air Base, Korea

Part 1

General Information

1. GENERAL: The contractor shall provide the non-personal services of Computed Tomography Technologist for

51st Medical Group, Osan Air Base, Republic of Korea also which is referred to as the “Medical Treatment Facility”

(MTF). The Contractor shall provide all services and labor required to accomplish the performance of Computed

Tomography Technologist 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, supervision, reports, consultation and labor necessary to ensure that the

Contractor provides a Computed Tomography Technologist for the 51st Medical Group, Osan Airbase, Republic of

Korea (MDG). Performance shall be according to the requirements contained in this performance-based work statement (PWS).

1.1 Description of Services/Introduction: 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 Instruction (AFI) 44-102 and Medical Group Instruction (MDGI)

44-110. 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 radiology care in accordance with established principles and ethics of the diagnostic imaging profession, the national standards established by the

JC, the professional standards at the medical treatment facility (MTF), and the American Board of applicable specialty. 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.

1.2 Background: 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.

The 51st Medical Group’s 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. The diagnostic imaging (x-ray) department, Osan

AB, Republic of Korea provides inpatient and outpatient medical imaging services to over 12,000 beneficiaries. The diagnostic imaging department responds to consults from over 30 different providers. Those providers are from

Primary Care, Orthopedics, Suwon AB, Flight Medicine, General Surgery, Womens Health, and Emergency Room.

Other providers located at Yongsan, Ajou, and Samsung hospitals may refer patients to our services as well. There are 13 hospital beds within this medical treatment facility (MTF).

1.3 SCOPE OF WORK:

1.3.1 Equipment. The Contractor will be required to primarily operate a 64-slice Computed Tomography (CT) scanner to produce cross-sectional images of patients’ bodies for diagnostic purposes; perform diagnostic imaging procedures, such as routine and STAT radiographs, and portable radiography (as a backup in the official absence/lack of military personnel). Completes daily QA and records results. Enters data such as type of scan requested, slice thickness, scan time, and other technical data into computer console. Views images of organs or tissue on video display to ensure quality images. Evaluates radiographs and computer-generated information for technical quality. Networks images to remote radiology information systems.

1.3.2. Patient Safety. Verifies patient by two patient identifiers (full name and date of birth) prior to beginning exam. Asks females between ages 12-50 if there is a chance of pregnancy, and verifies completion of necessary labs

(HCG) prior to completing exam. Demonstrates knowledge and application of radiographic exposure techniques to include proper selection of primary exposure settings, use of buckeys, collimators, filters, grids, and other accessories to produce radiographs of high diagnostic quality while minimizing patient exposure. Positions and immobilizes patient on examining table using supportive devices. Monitors patient condition at all times and notifies attending radiologist or emergency service provider of adverse changes in patient condition. Performs basic nursing techniques as related to radiology including emergency cardiac arrest procedures, intravenous injections, and sterile field procedures. Practices the principles of Standard Precautions at all times while performing duties at the 51st

Medical Group. Investigates, elevates, and attempts to resolve customer complaints.

1.3.3 Contrast Administration. Prepares and administers contrast media orally, rectally, and intravenously when it is requested. Ensures patient fully completes CT IV Contrast Questionnaire, and checks labs (BUN, Creatinine, GFR, HCG) as needed according to patient history. If labs are out of recommended guidelines, seeks radiologist approval before administering contrast for the exam.

1.3.4.4 The contract personnel shall provide services in conjunction with other non-contract diagnostic imaging personnel to include radiologists, computed tomography technologists, diagnostic sonographers, registered and licensed technologists, 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.

1.3.4.5. Training of Others. Demonstrates CT techniques, equipment, and procedures to diagnostic imaging staff.

1.4. This contract is a non-personal services contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

1.5 Period of Performance: The period of performance shall be for one (1) Base Year and four (4) 12-month option years. The Period of Performance reads as follows:

Phase In Period: 24 Sep 2018 – 30 Sep 2018

Base Period : 1 Oct 2018 – 31 Aug 2019

1st Option Year: 1 Sep 2019 – 31 Aug 2020

2nd Option Year: 1 Sep 2020 – 31 Aug 2021

3rd Option Year: 1 Sep 2021 – 31 Aug 2022

4th Option Year: 1 Sep 2022 – 31 Aug 2023

1.6 General Information

1.6.1 Quality Management: The Contractors shall have a planned and systematic quality management process for monitoring and analyzing contract performance to ensure the service is performed in accordance with applicable laws and pertinent regulations, and commercial practices. The contractor shall develop and implement procedures to identify, prevent and ensure non-recurrence of defective services. The Contractors shall comply with the MTF quality management/process improvement activities. The Contractor shall ensure the contractors participates in the

MTF’s Medical Quality Assurance/Risk Management (QA/RM) Orientation procedures for newly assigned contractors to include regulations specific to their professional specialty, hospital, and Air Force policy and procedures.

1.6.2 Quality Assurance: The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan primarily focuses on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.2.1 Inspection: The inspection and acceptance point for all services rendered under this contract will be the

COR. The performance by the contractors, the quality of services rendered, and any documentation or written material in support of the same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the Contractors to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include:

Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions;

patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel;

compliance with hospital healthcare policies and procedures.

1.6.3 Recognized 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.

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

1.6.3.1 Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as holidays listed above. If the area in which the contractors are scheduled to work is closed due to the holiday declared by an Executive Order and the contractors are 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 contractors will not provide services on 51st Fighter Wing Down Days.

1.6.3.2 The contractors shall report to work as scheduled during emergencies, disasters, or during adverse weather conditions which does not result in installation/facility closure. The contractor employee shall not come in to work if the commander determines the base is closed due to snow, hurricane, or acts of God.

1.6.3.3 The Contractor shall not invoice the Government for services not performed and the Government will not be liable for any such closures.

1.6.4 Hours of Operation: The MTF provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays. Clinics have designated operating hours. Duty hours will be dayshift hours, no weekends and

Federal holidays. Duty hours may include Korean holidays and base exercise days where limited military staffing is available. The contractors will only be paid for hours actually worked. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.4.1 Work Schedule: The Contractors 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 Contractors 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. Such closures will be coordinated with the COR.

1.6.4.2 Absences and leave: The contractor shall advise the KO, Contracting Officer’s Representative (COR), and supervisor or designee about absences due to illness or incapacitation. If the contractor is absent for more than five

(5) consecutive days due to illness, the Contractor shall provide the Government with a statement that the employee is free from communicable illness before or as the employee returns to work. The government has no interest in tracking the status of individual employees by name when they are absent, only to ensure that they will not pass illnesses onto others. The Government reserves the right to examine and/or re-examine any worker who meets this criterion.

1.6.4.3 Continuity of Services/Replacement Staff: Unless in an emergency, contractor personnel are required to give at least a 30-day official notice of the intention to vacate the job to contractor management staff, KO, COR, and supervisor to ensure all team are aware. The contractor management staff shall replace permanent contractor personnel at the earliest possible date, ensuring vacancies do not exceed thirty (30) calendar days. The consecutive calendar days begin on the departing contract employee’s last duty day at the requesting location. The contractor management staff shall ensure that all temporary or permanent replacement staff are fully qualified, meet all pre-placement requirements and are ready to perform within the required timeframe.

1.6.4.4 Scheduled and Unscheduled Absences. The contractor personnel are allowed to take up to twenty (20) work days of leave annually. Leave is classified as both annual, vacation or sick leave. Leave shall be taken in one (1) day increments and shall not exceed ten (10) consecutive work days excluding weekends. All leave after taking 20 work days is considered non-paid days and shall be deducted from the contractor’s monthly invoice. In order to ensure that customer’s access to care is not limited due to manning, timing of leave shall be coordinated with supervisor as much as possible at least 15 days in advance. Unscheduled absences shall be called into supervisor by the contract provider within the first two (2) hours of each duty day that he/she is unable to report to work.

1.6.4.5. Non-paid days: The government will not be required to pay for unscheduled absences (if it is out of their authorized leave) or days where the contractor does not perform services (i.e. waiting for replacement contractor personnel to arrive). Hourly Rate for Non-paid days will be calculated as follows:

Effective CLIN Amount divided by 2080 = Hourly Rate

1.6.5 Place of Performance: The work to be performed under this contract will be performed at 51st Medical Group

Military Treatment Facility at Osan Air Base, Korea.

1.6.5.1 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 contractors 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.

1.6.6 Type of Contract: The Government contemplates award a Firm-Fixed Price contract.

1.6.7 Security Requirements: The contractors shall coordinate with the COR to obtain the following pass, registration, and identification items required for contract performance:

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

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

The Contractor shall implement local base procedures for entry to Air Force controlled/restricted areas where contractors will work.

1.6.7.1 National Agency Check: The Contractor shall successfully complete a National Agency Check (NAC) before operating government-furnished workstations that have access to Air Force automated information systems.

Requests for Contractors hired at the beginning of the contract, shall be submitted to the Government not later than five (5) workdays after the performance start date. Contractors receiving unfavorable NACs shall not be employed under this contract. The Government will submit requests for investigations on AF Form 2583 Request for

Personnel Security Action, at no additional cost to the Contractor. The Contractors shall comply with the requirements of DoD 5200.2-R Personnel Security Program, and AFI 33-119 Electronic Mail (e-mail) Management and Use. The Contractors shall comply with the requirements of Volume 1 AFI 71-101 Criminal Investigations and paragraph 1.1 of Volume 2 Protective Service Matters. The Contractors shall report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contract personnel, resources, and classified or unclassified defense information to the Chief Pharmacology Services. The Contractors’ immediate supervisor shall brief him/her upon initial on-base assignment and as required thereafter.

1.6.7.2 Identification Badge: The Contractors shall comply with local installation and MTF personnel identification and access requirements. While on site, each contractor shall wear visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge shall show the full name, title, and the word “CONTRACTOR” in front. The COR will provide the paperwork to request identification badges.

The contractors shall immediately report any lost or stolen badges to the COR. The contractor is responsible for absences of contractors 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. The Contractor will only be paid for services actually performed and shall not bill the Government during the contractors’ absence. The contractors shall turn in all identification badges to the COR upon termination of their services under this contract.

1.6.7.3 Vehicle Registration: The MTFs are located on restricted access military installations. The Contractors shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contactor 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. All vehicles, with or without a DoD decal, are subject to search. The contractors may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the contractors for time spent at installation checkpoints. The contractors must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF. The contractors shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

A personally owned vehicle (POV) is not required. It is up to the contractors whether or not he/she wants to bring his/her POV. It is the contractors’ responsibility to pay with his/her own funding out-of-pocket for all related costs for shipping a POV. The contractors may also decide if he/she wants to procure a POV in-country with his/her own funding out-of-pocket.

1.6.7.4. Safeguarding Government Property/Information: The contractors shall be responsible for safeguarding all government equipment, information and property (including controlled forms) provided for contractors use. The contractors shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely during contingency, contractors are prohibited from reproducing patient information in any way (this includes printing). Neither the Contractor nor any of its contractors 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 contractors may be required to provide testimony or disposition in cases of due process action. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.7.4.1 Contractors are advised that the 51st Medical Group 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. Contractors and visitors are subject to the same restrictions as government personnel. Smoking is not permitted anywhere on the medical campus.

1.6.7.5 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractors by the Government are not lost or misplaced and are not used by unauthorized persons.

NOTE: All references to keys include key cards. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. No keys issued to the Contractors by the Government shall be duplicated.

The Contractors shall turn-in any issued keys when they no longer require access to locked areas. The Contractors shall immediately report any occurrences of lost or duplicate keys/key cards to the COR or Contracting Officer.

1.6.7.5.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the

Contracting Officer, 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 replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the

Contractor.

1.6.7.5.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the assigned Computed Tomography Technologist. The contractors shall prohibit the opening of locked areas by

Contractor employees to permit entrance of persons other than Computed Tomography Technologist engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.8 Qualifications

1.6.8.1 Special Qualifications for Computed Tomography Technologist:

1.6.8.1.1 License: The Computed Tomography Technologist must possess and maintain an active license/registration/certification (or Korean equivalent) during the course of this contract. Copies of required certification shall be furnished to the Contracting Officer prior to performance on this contract.

Licensure/Certification/Registration: The Computed Tomography Technologist must hold a:

a. Valid, current unrestricted U.S. national certification or Korean equivalent of radiological technologist license. Registered technologist (R.T.) with The American Registry of Radiologic Technologists (ARRT), for U.S.

citizens; certificate of license as a radiological technologist from the Republic of Korea’s Minister of Health &

Welfare or certification in computed tomography (CT) for Korean citizens.

b. Certification of current physical examination. The certification shall contain a statement signed by the examining physician stating that the employee is free of any contagious diseases. The physical examination shall be current as of 12 months prior to application for privileges.

1.6.8.1.2 Experience: Experience. The offeror shall provide evidence of at least two (2) year’s experience as The

Computed Tomography Technologist within the last ten (10) years. The offeror shall provide evidence of prior experience in following format:

- The title of the contract/project

- A brief description of work completed

- Name of the Client Organization or Requiring Activity

- Period of contract/project (year/month/date – year/month/date)

- Complete name of point of contact at the Client Organization

- Phone number of the primary point of contact of the Client/RA

1.6.8.1.3 Formal Education. The Computed Tomography Technologist performing services under this contract shall possess an Associates degree in Radiologic Technology or have graduated from an accredited program in radiological sciences.

1.6.8.1.4 English Requirement: The Contractor personnel working on this contract shall be able to communicate in the English language at the intermediate level as exemplified in their written and verbal skills in the performance of their duties under this contract. Government will assess language skills of all Contract employees who are required by terms of this PWS to be proficient at speaking English through performance of services. If the Government, at its sole discretion, determines that the language skills of a Contractor employee does not meet the language proficiency skills required of the position, the Government reserves the right to require the Contractor to provide a new Contract employee that does possess the required language proficiency skills required of the position, at no additional cost to the Government.

1.6.8.1.5. At a minimum, the provider must maintain current certification in either the American Heart Association

Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course as required by AFI 44-102, Community Health Management, Tables 1.1 through 1.6. The MTF will provide BLS refresher courses.

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal

Acquisition Regulation Subpart 42.5. The Contracting Officer's Representative (COR) may meet periodically with the Contractor to review the contractors’ performance. These meetings shall be at no additional cost to the

Government.

1.6.10 Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and is the KO’s authorized representative in administering the contract at the MTF level. The COR is authorized to perform the following functions: assure that the contractors performs the technical requirements of the contract; perform inspections necessary in connection with contract performance;

maintain written and oral communications with the contractors concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractors' performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry contractors. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price. The COR is not authorized to change any of the terms and conditions of the resulting contract. The COR will be available during normal duty hours (0700-1600) Monday through Friday to discuss any problems that may be experienced during the performance of this contract.

1.6.11 Conflict of Interest: The Contractors shall not bill the patient for services rendered under this contract. The

Contractors 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. The Contractors 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 Contractors or from any third party at any place other than as designated under this contract.

1.6.12 Confidentiality of Information: Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the contractors 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 contractors shall not release any of the above information without prior written consent of the KO. The Contractors shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contractors shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract. The contractors will comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

1.6.14 Communication: The Contractor shall ensure that the computed tomography technologist maintains open and professional communication with the QAP. Complaints validated by the QAP shall be reported in writing to the

Contracting Officer and the Contractor for action. Failure of the Contractor to correct validated complaints from the

QAP and the KO will be considered a failure to perform.

1.6.15 Professional Liability: Pursuant to 10 United States Code 1089 (a), DoD shall process any personal injury claim alleging negligence by the Contractors within the scope of the Contractors’ performance under this contract as claims alleging negligence by DoD military or civil service personnel. The Contractors are not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

1.6.15.1 Responsibility and Procedures: If any suit or action is filed or any claim is made against the Contractors, which occurred as a result of work performed by the Contractors under this contract, the Contractors shall immediately notify the Contractor, the COR, Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received. The Contractors 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 Contractors in, or take charge of, any litigation involved in such an action. The Contractors may, at the Contractors’ own expense, participate in defense of such claim or litigation.

1.6.16 Contractor Responsibility: The Contractor shall accomplish the assigned work by employing and utilizing qualified candidates with appropriate combinations of education, experience, knowledge, training, abilities and skills. The Contractors shall begin performance in the MTF at start of performance period. All Status of Forces

Agreement (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. The Contractors are 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.

1.6.17 In/Out-Processing, Orientation, and Training: The contractors shall complete all specified orientation programs, initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

1.6.17.1 In/Out-Processing: At start of the performance period, contractors shall obtain an in-processing checklist(s) from the COR. The contractors is required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of contract performance, the contractors need to complete an out-processing checklist and return it to the designated office.

1.6.17.2 MTF Orientation: The Contractor shall ensure that all contractors participate in the MTF orientation procedures for newly assigned providers. The purpose of the orientation is to familiarize contractors with policies and procedures of the MTF, regulations specific to their professional specialty, and Air Force policy and procedures.

The Contractor and contractors 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, Joint Commission (JC), and patient safety initiatives.

1.6.17.4 Training Requirement: 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.

1.6.17.5 Computer Training: The Contractors shall receive training for applicable MTF computer 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: Composite

Healthcare Computer System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), and

Ambulatory Data System (ADS).

1.6.17.6 Fuji Synapse Picture Archiving and Communication System (PACS). This computer system transfers patient data/images throughout the imaging infrastructure and is a critical software application. Contract personnel working in the diagnostic imaging flight will be trained on Fuji Synapse PACS.

1.6.18 Health and Immunization Requirement: The contractors providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. In accordance with the Integrated Health Organization Policy # 18-59, the 51th Medical Group COR will ensure that all contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical examination, and termination evaluation. The request for physical examination shall be made using USFJ Form 10 to verify the credibility of the physician being called on to perform this action before services are rendered. It is the contractor’s responsibility to pay for any medical examinations necessary to ensure this public health compliance requirement is met.

1.6.18.1 The contractors performing services under this contract shall comply with the health and immunization requirements as stated in Section H para H-3, Health & Immunization Requirements. Backup/replacement contractors shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractors at no additional cost to the Government.

1.6.18.2 Occupational Safety and Health Administration (OSHA) requires that all contract personnel who will have occupational exposure to blood, body fluids, or other potentially infectious materials shall receive Hepatitis B vaccine, sign a voluntary declination , or have documented proof of immunity to Hepatitis B infection. Personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.6.18.3 The contractor is responsible for reporting to the Health Care Integrator all information necessary to assure hospital records can be maintained correctly and therefore comply with the JCAHO, OSHA, and CDC health record requirements.

1.6.19 Media and Other Inquires: The Contractors 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 the Administrative Officer of Day (AOD) after duty hours. 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.

1.6.20 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.

1.6.21 Protective Clothing. When required and supplied by the Government, the provider shall wear special protective clothing.