EXHIBIT 10 BH TBI PWS Contractor Performance Status Report REV 1.docx

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Behavioral Health Traumatic Brain Injury -Europe Solicitation
Solicitation number
W9114F23R0002
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About this file

This monthly Contractor Performance Status Report template outlines the reporting requirements for a contractor providing behavioral health and traumatic brain injury services to military medical facilities in Europe. The report requires six tabs providing details of awarded task orders, lists of healthcare workers, staff assignments against task orders, status of task order packages, the contractor's monthly quality control plan reviews, and reports of government actions. Task order information includes the order number, award date, contract line item, labor category, position title, identifying number, order period, hourly rate, services type, period of performance start date and location. Healthcare worker and assignment tabs provide staffing information at the level of each task order and position. Submission is due by the 10th of each month to the Department of the Army Medical Command in support of Landstuhl Regional Medical Center and other overseas military treatment facilities.

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Exhibit 10 CPSR

EXHIBIT 10 PWS -BH TBI HCW

CONTRACTOR PERFORMANCE STATUS REPORT

This monthly Contractor Performance Status Report (CPSR) is designed to provide contractor award data on this MRCO, EUR contract and all task orders. The CPSR shall consist of six (6) tabs labeled: Task Order, Worker, Assignment, Status of Task Order Packages, Contractor Monthly Reviews of Quality Control Plans & Government Actions. The CPSR must be submitted no later than the 10th calendar day following the end of the month. The CPSR is a dynamic document, that is continually edited and updated to meet all the requirements in the PWS and contract and task orders. Description of each tab is outlined below:

TAB 1: Task Order - This tab is designed to be imported into a Government surveillance application. It provides the task orders that were awarded to the Contractor during the reporting period. Information shall include but not limited to: Task Order Number, Task Order Award Date, CLIN, Labor Category and Position Title, Number of Identifying Position Number, Ordering Period, Hourly Rate, Personal or Non- Personal Services, POP, Start Date, Performance Location. Ordering Office and POC

TAB 2: Worker - This tab is designed to be imported into a Government surveillance application. It provides the list of HCW who are employed by the Contractor and will be performing on this contract/task orders.

TAB 3: Assignment - This tab is designed to be imported into a Government surveillance application. It provides the assignment of a HCW to a specific task order and position at a specific level of effort or full time equivalent (FTE).

Each HCW assignment, either initial or replacement, must be reported on this tab. A replacement assignment can only occur after the assignment of the replaced HCW has ended (i.e., John, whose level of effort is 1 FTE, can only be listed as a replacement for Joe, whose level of effort is also 1 FTE, when Joe's assignment has ended. This requires an entry for Joe with an end date of his assignment). The total number of active assigned FTEs on a labor category cannot exceed the required number of FTEs for the labor category.

TAB 4: Status of Task Order Packages

TAB: Contractor Quality Control Plan – Monthly Review/ Status

TAB 5: Government Actions - This tab is designed for the Contractor to report Government action during the month. The columns are available for reporting on each Government action.

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