Teacher of Deaf -PWS.pdf

PERFORMANCE WORK STATEMENT

Teacher of the Deaf

Keller Army Community Hospital 900 Washington Road West Point, NY 10996

TABLE OF CONTENTS

1.0. Introduction

1.1. General

1.2. Standard of Performance

1.3. Schedules/Period of Performance

1.4. Personal Appearance

1.5. Health and Immunization Requirements

1.6. Credentialed Personnel

1.7. Mobilization and Other Contingency Planning

1.8. Contractor TEACHER OF THE DEAF Furnished Supplies/Services

1.9. Government Furnished Services / Supplies

1.10. Government Furnished Services

1.11. Description of Work. (See Attachment 1)

1.12. Deliverables

1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.14. Safety Requirements

1.15. Security Requirements

1. 16. Anti-Terrorism (AT) Training

1.17. Vehicle Registration

2.0. Definitions/Acronyms

2.1. Definitions

2.2. Acronyms

3.0. Applicable Technical Orders, Manuals, Regulations, Directives and Forms

1. 0. INTRODUCTION.

1.0.1. The Contractor shall provide support for Keller Army Community Hospital, West Point, NY. The services will be of a nature and scope described in the paragraphs below. The contract Teacher of the Deaf will work in conjunction with other health care providers, professionals, and non-contract personnel. The Contractor TEACHER OF THE DEAF shall provide the non-personal services of Teacher of the Deaf to perform services of the nature and scope described in this Performance Work Statement (PWS).

1.0.1.1. The quality of care provided by the Contractor TEACHER OF THE DEAF shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC). Contractor TEACHER OF THE DEAF 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 TEACHER OF THE DEAF shall abide by the MTF rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.0.1.2. The Contractor shall comply with all applicable laws, rules and regulations, including but not limited to those included in the PWS.

1.1. GENERAL.

1.1.1. 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.

1.1.2. Professional Liability. The government will not be liable for malpractice allegations against contract TEACHER OF THE DEAF’s based upon performance of this contract. The contractor shall be required to carry malpractice insurance for its contract TEACHER OF THE DEAFs, at a level stated in the solicitation and included in any resulting contract for subject acquisition in tailored FAR Clause 52.237-7. If an apparent successful offeror, the contractor shall provide evidence of insurability concerning medical liability insurance prior to task order award. Upon task order award, the contractor shall provide evidence of insurance demonstrating the required coverage prior to commencement of performance. In accordance with Federal Acquisition Regulation (FAR) Clause 52.237-7, the contractor will indemnify the Government for any liability producing act or omission by the contractor, its contract TEACHER OF THE DEAFs and agents occurring during contract performance. If the contractor uses subcontractors in the performance of this contract, the contractor is required to ensure that its subcontracts for provisions of healthcare services contain the requirements of FAR 52.237-7, including the maintenance of medical liability insurance.

1.1.3. Responsibility and Procedures. If any suit or action is filed or any claim is made against the Contractor TEACHER OF THE DEAF, which occurred as a result of work performed by the TEACHER OF THE DEAF under this contract, the TEACHER OF THE DEAF 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.

1.1.4. The contractor and Contractor TEACHER OF THE DEAF 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 TEACHER OF THE DEAF in, or take charge of, any litigation involved in such an action. The Contractor TEACHER OF THE DEAF may, at the Contractor TEACHER OF THE DEAF's own expense, participate in defense of such claim or litigation.

1.1.5. Confidentiality / HIPAA. The Contractor TEACHER OF THE DEAF shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and health care provider for security and personnel reliability programs.

The Contractor TEACHER OF THE DEAF shall abide by AR 40-66 concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129 and HIP AA. The Contractor TEACHER OF THE DEAF shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor TEACHER OF THE DEAF shall not release any medical or personal information on a patient without first receiving written approval from the government. Government will provide the regulations upon request by the Contractor

TEACHER OF THE DEAF.

1.1.6. Removal of Contractor TEACHER OF THE DEAFs. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any Contractor TEACHER OF THE DEAF whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contractor TEACHER OF THE DEAFs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

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

1.1.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor TEACHER OF THE DEAF's impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired Contractor TEACHER OF THE DEAFs, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement Contractor TEACHER OF THE DEAF in accordance with the terms and conditions of this contract.

1.1.6.3. The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider's competence to practice or for any cause affecting the safety of patients or others. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor TEACHER OF THE DEAF shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor TEACHER OF THE DEAF shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor TEACHER OF THE DEAF is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor TEACHER OF THE DEAF shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contractor TEACHER OF THE DEAF at any place other than at the MTF. The Contractor TEACHER OF THE DEAF will not refer any patients to any company or service which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor TEACHER OF THE DEAF shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with the Chief of Services.

1.1.7.5. Contractor TEACHER OF THE DEAF is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor TEACHER OF THE DEAF shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor TEACHER OF THE DEAF shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor TEACHER OF THE DEAF who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

1.2. STANDARDS OF PERFORMANCE.

1.2.1. The government requires that the contractor shall provide technically competent providers who will provide services at a standard enabling the MTF to provide a high level of quality health care.

1.2.2. JC Standards. Contractor shall take part in Department or MTF programs as required to meet JC standards.

1.2.3. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments;

provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures.

1.2.4. Performance Reports, will be provided by the COR annually to ensure acceptable performance of the contract; annual reports provided by COR to Contracting Officer after completion of each performance period will be reported to the DOD Past Performance Information Management System (PPIMS).

1.2.5. MTF Formulary. Contractor TEACHER OF THE DEAF authorized to prescribe pharmaceuticals shall do so according to the availability of drugs listed therein. The pharmacy services will provide instructions to all prescribing contract physicians on substitutions and generic drugs for prescribed drugs. The Contractor TEACHER OF THE DEAF shall follow the procedures of the MTF when prescribing drugs.

1.2.6. The Contractor shall be responsible for the security of all patient information.

1.2.7. Neither the Contractor nor any of its contract service providers shall disclose or cause to disseminate any information concerning operations of military activities. Such action(s) could result in violation of the contract and possible legal actions.

1.2.8. All inquiries, comments or complaints arising from any matter observed, experienced, or learned of as a result of or in connection with the performance of this contract, the resolution of which may require the dissemination of official information, shall be directed to the contracting officer representative (COR) and the contracting officer.

1.2.9. The Contractor shall only conduct business with designated government personnel listed as points of contact (POCs). Names of authorized personnel shall be provided to the Contractor by the Government, in writing, and updated as necessary throughout the contract period.

1.2.10. U.S. Government records, copies of original results and reports, verified original data, corrected data, and corrected supporting final reports are maintained by the Contractor, but remain the property of the U.S. Government. These files/results must be surrendered to the COR.

1.2.11. Trusted Agent Sponsorship System (TASS) will be utilized for contractors at Army Facilities to obtain a CAC card.

1.2.12. 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.

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

1.2.14. 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.

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

1.2.16. For every contract service provider, the FSO shall provide the following information to the T A 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).

1.2.17. The contract service providers 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.

1.2.18. 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.

1.2.19. 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.

1.2.20. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been https://www.us.army.mil/ 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.

1.2.21. 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, the individual must present with two forms of ID, one must be a picture ID.

The e-mail will contain a URL to download the form. Acceptable forms of ID to include: Driver's License, Military ID, Contractor Company ID with picture and expiration date, charge card with picture imprinted, and passport.

1.2.22. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the CAC will not be useable to login the DEERS/RAPIDS System. The contractor shall ensure the contract service provider's CAC is turned in to the Government IAW the out-processing procedures and further guidance from the contracting officer.

1.2.23. The contractor is responsible for absences of contract service providers. Such absences shall not relieve the contractor of its obligation to perform the health care services required under this contract.

1.2.24. The contract health care providers shall immediately report any lost or stolen badges to the COR.

1.2.25. IDENTIFICATION OF PRIVACY ACT. This contract requires the development of a system of records in accordance with the Privacy Act of 1974.

1.3. SCHEDULE/PERIOD OF PERFORMANCE

1.3.1. The Teacher of the Deaf shall not exceed ten (10) forty-five (45)-minute sessions per month. Each session shall occur either in the home or virtually. The normal hours of work are Monday through Friday, between the hours of 0730 – 1630 hours (excluding federal holidays). The exact hours of duty will be coordinated between the Contractor and the EDIS Program Manager.

1.3.2. Absences. When the Teacher of the Deaf has not reported for duty, has become ill, or is unable to work during a scheduled shift they must contact the Contractor who will in turn notify the EDIS Program Manager and the COR.

1.3.3. Absences such as vacations, shall be coordinated and approved at least 30 days in advance and mutually agreed upon by the EDIS Program Manager and the Contractor. Scheduled absences shall be limited to two (2) weeks.

1.3.4. Teacher of the Deaf working under this contract shall be paid only for hours actually worked at the hourly rates established in the contract. Payment to the Contractor will not be made for temporary work stoppage due to circumstances beyond the control of the Medical Treatment Facility, such as acts of God, inclement weather, power outages, or temporary closing of facilities.

1.3.5. Interviews. There will be no interviews conducted by government personnel.

1.3.6. Facility Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

1.3.7. Federal Holidays. The Contractor will not be paid on federal holidays unless Teacher of the Deaf is scheduled to work on a holiday and will be paid for hours worked at the rate established in the contract.

1.3.8. Holidays. The following is a list of legal federal holidays as referred to elsewhere in the contract/task order. Teacher of the Deaf may be required to work on legal holidays as determined by the Department Chief.

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 Juneteenth, third Friday in June 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

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. 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 the Teacher of the Deaf is scheduled to work is closed due to the holiday 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.

1.3.9. Reserved

1.3.10. OVERTIME IS NOT AUTHORIZED.

1.3.11. PERFORMANCE QUALITY. The Contractor shall establish and maintain a complete Quality Control Plan that shall ensure the requirements of the contract are provided as specified in Section 5 of the PWS. Within thirty calendar days after contract award, three copies of a comprehensive written QCP shall be submitted to the COR and within 5 working days when changes are made thereafter.

1.4. PERSONAL APPEARANCE.

1.4.1. The Contractor shall present a neat and clean appearance.

1.4.2. All outer clothing shall be laundered or dry cleaned as appropriate, well-fitting and fresh each workday.

1.4.3. Shoes shall cover the foot to meet sanitation and safety requirements. Open-toe shoes or sandals shall not be worn.

1.4.4. Fingernails shall be clean and not extend one quarter of an inch beyond the flesh tips. Acrylic nails or overlays are prohibited.

1.4.5. Hair shall be neatly groomed. The length and bulk of hair shall not be unkempt, or of extreme appearance.

1.4.6. Contractors shall wear dresses, pants or slacks, shirt or blouses with collar and sleeves, shoes and socks. Tank tops, cut-off pants, shower shoes or similar items of apparel are specifically prohibited. In all cases, contractor employees shall conform to the established personal appearance policy of MTF.

1.5. HEALTH AND IMMUNIZATION REQUIREMENTS.

1.5.1. Health. Contractor individual performing services under this contract shall comply with the health and immunization requirements as stated below at the time of initial request for clinical privileges and annually thereafter. The expense for all physical examinations to comply with the health requirements shall be borne by the contractor individual at no additional cost to the government.

1.5.2. Contractor individual performing direct healthcare services under the contract shall receive a general physical examination with their credentialing package. The certificate shall state the date on which the examination was completed, and the name of the physician who performed the examination. The physician performing the examination shall sign this certification. For the purpose of this paragraph, a physical examination administered more than 45 days prior to submitting credentialing package will not be considered adequate. The physical exam shall include the following:

a. A history to show that the TEACHER OF THE DEAF has completed a primary series of immunization with tetanus and diphtheria toxoids and that a booster dose is current (within the past 10 years.).

b. A test for immunity to the hepatitis (Type B) virus with documentation of the results. A profile shall be established to show immune status to hepatitis. Non-immune Healthcare workers (lacking anti-HB(c) or anti-HB(s)) shall be required to complete an immunization series with a Hepatitis —B vaccine (e.g., Recombivax, Energix).

c. Serologic evidence of immunity to measles and rubella or documentation of immunization with measles, mumps, and rubella (MMR) vaccine using the following guidelines.

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

(2) Employees born in or after 1957 who have received one dose of MMR previously shall receive a booster dose.

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

d. Serologic evidence of immunity to varicella or documented history of illness or immunization.

e. For personnel who do not have proof of having completed a primary series, completion with enhanced potency inactivated poliovirus vaccine (eIPV) is recommended. Reliable history of spending early childhood and attending elementary schools in the United States since may suffice as clinical history of polio immunization, but requires physician documentation in the record of the history and examination.

1.5.3. If all of the immunization and test set forth in the preceding paragraphs have been completed, the contractor shall issue a certificate providing evidence of immunizations and tests that have been completed or started and shall provide a schedule for the completion of unfinished immunizations and lab tests. After the schedule is completed, the contractor must provide an updated and complete certificate. Failure to complete the immunizations as scheduled may be grounds for the Contracting Officer, upon the advice of the MTF commander or his clinical staff, to determine that such contractor individual is not an acceptable individual to perform services under this contract.

1.5.4. The Contracting Officer, with the explicit case-by-case approval of the MTF commander, is empowered to make exceptions to these requirements, for example, in the event of vaccine shortage or bona fide religious exceptions, but nothing herein shall be construed as an imperative or directive upon the Contracting Officer to make such exceptions.

1.5.5. Contractor individual performing direct healthcare services under this contract, which experience a parenteral (e.g., needle-stick or cut) or mucous membrane exposure (e.g. splash to the eye or mouth) to blood or bloody body fluids, shall receive prompt treatment.

The medical treatment facility (MTF) will evaluate the source of exposure for risk of Hepatitis-B, Hepatitis-C. And Human Immunodeficiency virus (HIV) and will provide a report of the findings to the contractor and the contract TEACHER OF THE DEAF. It shall be the contractor's responsibility to provide appropriate treatment as needed to possibly include Tetanus-Diphtheria booster, Immune Globulin, Hepatitis-B vaccine booster, or Hepatitis-B Immune Globulin. The contractor shall be responsible for providing the contract TEACHER OF THE DEAF with initial testing and if the source of exposure was unknown, positive, or confirmed at high risk for HIV infection, follow-up testing 3, 6, and 12 months after exposure. In event of a confirmed or highly suspected parenteral exposure to HIV, the contractor individual shall receive appropriate counseling and is referred immediately to a private infectious disease specialist for consideration of any post exposure prophylaxis (e.g., AZT). The Government may require the contractor individual to provide evidence of the status of treatment and testing of the individual contractor under the contract.

1.5.6. Contractor individual shall receive an annual influenza immunization from a non-Government physician and present evidence of the shot to the COR unless documented by a physician to be medically contraindicated.

1.5.7. Failure to meet the requirements stated herein, or when test results determine a contractor individual has a contagious disease, the Contracting Officer may, upon advice of the MTF commander of his clinical staff, determine that such a contractor individual is not an acceptable individual to perform services under this contract.

1.5.8. The Government offers vaccine for occupational exposed hazards, i.e., smallpox, anthrax, etc.

1.6. CREDENTIALING

1.6.1. Non-credentialed personnel:

No later than 10 days after award, the Contractor must submit a complete, current, and accurate qualifying package for TEACHER OF THE DEAF to the EDIS program manager and the COR for approval, along with copies of resumes, qualifying degrees, certifications, BLS, and other documentation as specified under minimum professional qualifications (attachment 1).

The COR will notify the contractor of acceptance or non-acceptance of proposed employees within 3 working days of the receipt of packets based on the contents evidencing that all qualification requirements are met.

1.7. MOBILIZATION AND OTHER CONTINGENCY PLANNING.

1.7.1. Reserved

1.7.2. Reserved

1.8. CONTRACTOR TEACHER OF THE DEAF FURNISHED SUPPLIES/SERVICES.

1.8.1. SERVICES.

1.8.1.1. The Contractor TEACHER OF THE DEAF shall furnish all personnel and services to comply with the requirements of this contract, except where specifically identified as government-furnished supplies and services.

1.8.1.2. Certificates/training shall be maintained in a current status at all times while performing services under this contract. If at any time during the contract the Contractor TEACHER OF THE DEAF does not renew any of the required certifications prior to the expiration date, he will not be allowed to work at a Military Treatment Facility, Hospital, or Clinic. This expense shall be borne by the Contractor and will not excuse the Contractor from fulfilling the requirements under this contract.

1.8.1.3. Point of Contact. Three calendar days prior to performance of services, the Contractor TEACHER OF THE DEAF shall designate, in writing, and provide to the Contracting Officer's Representative [COR] and Contracting Officer, the name, email address, and telephone number of the point of contact for all actions on this requirement.

1.8.2. EQUIPMENT/UNIFORMS.

1.8.2.1 reserved

1.9. GOVERNMENT FURNISHED SERVICES / SUPPLIES.

1.9.1. Government Training / Orientation.

1.9.1.1. Staff Orientation - New Employee. Contractor TEACHER OF THE DEAF shall participate in all staff orientation and/or training. Contractor TEACHER OF THE DEAF will attend a government-sponsored initial orientation to familiarize them with the policies and procedures of the MTF. Orientation attendance will be scheduled by the COR. Such orientation may include instruction on automated processing, standard operating procedures, local in-services, quality improvement policies, communications, and occupational exposure to blood borne pathogens, safety programs, etc.

1.9.1.2. Annual Training Updates. Contractor TEACHER OF THE DEAF shall be required to complete an annual training update at the MTF Annual training updates may be accomplished via video and/or classroom instruction, computer-based instruction, or review of written materials.

1.9.1.3. reserved

1.9.1.4. HIPAA Privacy and Security Training (HIPAA 101). Contractor TEACHER OF THE DEAF shall be required to complete the On-Line Web-based Training Modules prior to providing any patient care.

1.9.1.5. In addition to the specified courses listed above, Contractor TEACHER OF THE DEAF are required to attend or complete on-line any Department of Defense, Army, or Federal Government directed courses, which are not available to Contractor TEACHER OF THE DEAF outside of the MTF. Contractor TEACHER OF THE DEAF will participate in all mandatory training.

1.9.1.6. Government unique training. The government may elect to provide unique government training to Contractor TEACHER OF THE DEAFs 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 Contractor TEACHER OF THE DEAF. When directed by the contracting officer, Contractor TEACHER OF THE DEAFs 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 Contractor TEACHER OF THE DEAF fails to satisfy the performance commitment after the Contractor TEACHER OF THE DEAF 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 Contractor TEACHER OF THE DEAF 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.

1.9.1.7. The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begin performance under this contract. Training can be obtained either online or in person. Contractor personnel should check with the contract COR for MTF class date/time and availability. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

1.9.1.8. Hours for attending any of the above shall be compensated at the regular hourly rate established in the contract.

1.10. GOVERNMENT FURNISHED SUPPLIES.

1.10.1. ID Badge. The Contractor TEACHER OF THE DEAF shall wear an ID Badge furnished by the MTF. The ID Badge will be in compliance with, and in accordance with, MTF policy.

1.10.2. The Government will provide the use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance. The Contractor TEACHER OF THE DEAF shall keep Government furnished supplies, equipment and work areas in a safe, orderly and clean condition. The Contractor TEACHER OF THE DEAF shall notify the Government whenever maintenance of equipment is required. The Contractor TEACHER OF THE DEAF shall abide by all MTF and Army requirements for physical security of Army property and equipment.1.10.3. Space used by Contractor TEACHER OF THE DEAF in performance of services may be used for other purposes during their absence. Items of clothing, personal effects, or equipment cannot be secured during their absence.

The Government will not incur any liability for theft, damage to, or loss of such personal items.

1.10.3. Emergency Healthcare. The MTF will provide emergency healthcare for injuries occurring while on duty. The Contractor shall reimburse the Government for such services.

1.11. DESCRIPTION OF WORK. [See Attachment 1].

1.12. DELIVERABLES.

1.12.1. The Contractor shall submit reports to the COR and/or the Contracting Officer as requested for use in monitoring Contractor TEACHER OF THE DEAF performance. Such reports will include, but are not limited to, current certification status, initial and/or monthly/annually immunizations, BLS status, and Contractor Manpower Reporting.

http://www.atsc.army.mil/tadlp/delivery/alms.asp

1.12.2. The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the Contractor will report ALL Contractor manpower (including subcontractor manpower) required for performance of this contract. The Contractor is required to completely fill in all the information in the format using the following web address https://cmra.army.mil/. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of Contractor employee entering data; (5) Estimated direct labor hours (including sub-Contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-Contractor); (7) Total payments (including sub-Contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by Contractor (and separate predominant FSC for each sub-Contractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the Contractor with its UIC for the purposes of reporting this information); (10) Locations where Contractor and sub-Contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of Contractor and sub-Contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the Contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each Government fiscal year and must be reported by 31 October of each calendar year. The Contractor shall notify the Contracting Officer's Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the Contractor will notify the Contracting Officer.

1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.13.1. The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

1.13.2. The contractor shall require all Contract Service Providers (CONTRACTOR TEACHER OF THE DEAF) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.13.3. The contractor shall require all CONTRACTOR TEACHER OF THE DEAFs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

1.14. SAFETY REQUIREMENTS: The Contractor TEACHER OF THE DEAF shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA). Contractor individual shall receive the current influenza and COVID-19 (SARS-CoV-2) immunization from a non-Government physician and present evidence of the shot to the COR unless documented by a physician to be medically contraindicated.

1.15. SECURITY.

1.15.1. Contractor Employee Suitability Determination

DODI 1400.25, Volume 731 Suitability and Fitness Adjudication for Employees, Dated August 24, 2012; 5 CFR Part 731 Executive Order (EO) 10450 (Security Requirements for Government Employment), EO 13467 Reforming Processes Related to Suitability for Government Employment, Fitness for contractor Employees, Homeland Security Presidential Directive - 12 (HSPD-12) Policy for a Common Identification Standard for Federal Employees and Contractors, requires suitability determinations for all employees. This program is separate from the national security program. Suitability refers to character and behavior of the individual to work for the government. It does not include a person’s qualifications, such as https://cmra.army.mil/ experience or ability. All employees and contractors must meet the suitability standard and criteria described in 5 CFR Part 731, Subpart B., to determine if persons satisfy the suitability criteria. Risk levels are assigned to positions and investigations are requested on candidates under 5 CFR Part 731. MTF Security Office will adjudicate the results on all employees, applicants, appointees, and contractor’s using the criteria in 5 CFR Part 731.202 and appendix B. The MTF Security Office reviews the OF 306, SF 85, SF85P, SF86 and any supporting documentation and will make a suitability and or fitness decision prior to selection of individuals.

1.15.2. Federal laws and Department of Defense Instruction (DODI) 1402.5, Criminal History Background Checks on Individuals in Child Care Services, 19 Jan 1993, requires that contractors who will be dealing with children undergo specific federal and state background checks. As a result of these laws, any contractor or contractor employee who will be working in any of the military medical treatment facilities may have to undergo a federal and state background clearance following the awarding of the contract by the Department of the Army. During the period when the background checks are in progress, specific security arrangements may have to be implemented by the Hospital Commander.

1.15.3. Criminal History Background Check Requirement. (Mandatory application for those personnel involved in the delivery of health care on a frequent and regular basis). The government will conduct criminal background checks on all contractors in accordance with the procedures set forth in Public Law 100-235, DoD Directive 5200.28,DoD Directive 5200.2-R, DoDI 1402.5 The contractor is responsible for ensuring background check submittals are initiated in accordance with the Statement of Work prior to employees providing services at the MTF. Background checks shall be based on fingerprints of individuals obtained by qualified government law enforcement or security personnel, inquiries conducted through the Federal Bureau of Investigation (FBI) and the State Criminal History Repository check, and a local Installation Record Check if required. The procedures for completing the required background check are outlined in the Department of Defense Instruction (DoDI) 1402.5 dated January 10, 1993; Subject: Criminal History Background Checks on Individuals in Child Care Services; Enclosure 6, paragraph E6.4, Government Contractors.

1.15.4. Fingerprinting will be performed by Keller Army Community Hospital Security Office or West Point Provost Marshall’s office. Fingerprints will be taken on a properly completed FD Form 258 or the Livescan Electronic Fingerprint machine (FBI, US Department of Justice Fingerprint Card). The COR shall coordinate with the Keller Army Community Hospital Security Office for finger printing of contract personnel. The fingerprint check requests are then sent by Keller Army Community Hospital Security Office or the West Point Provost Marshall’s office to the Personnel Security Investigative Service-Center of Excellence (PSIS-COE) for evaluation action. The contractor will ensure that his/her employees present themselves to the location designated by the COR for their completion of the fingerprint card.

1.15.5. MTFs are restricted access military installations. Teacher of the Deaf shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. FBI fingerprint check validation will support employment of contract personnel if states do not respond within 60 days from the date of application for the SCHR check.

An Identification (ID) badge, the Common Access Card (CAC) and the vehicle registration shall not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager(s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. An annual background check through the installation Provost Marshall is required for employment in the Pharmacy IAW AR 190-51. If a background investigation results in an unfavorable finding, the contracting officer shall notify the contractor and the contractor employee shall not be granted access to the facility, shall not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously issued by the Government. The contractor shall be responsible for providing a replacement Teacher of the Deaf IAW the PBWS.

1.15.6. Complete disclosure of any past incidents in contractor employee's professional duties or of incidents which might be considered to impact on his professional standing, such as charges (unless acquitted) involving either felonies or misdemeanors (other than minor traffic violations), is a necessary part of the competency process. This disclosure must also specifically include reports of any actions, claims, charges, of malpractice ever brought against the contractor (either individually or as a part of a group), as well as the outcome (or current status) of any such case. The MTF will evaluate any such incident and determine whether it should be disqualifying.

1.15.7. Contractor is advised to make full disclosure under this paragraph as a condition of employment. Failure to make a full disclosure will result in a determination that Teacher of the Deaf’s services were unsatisfactory.

1.15.8. If at any time during the contract period it is discovered through a MTF investigation or any investigation, that the employee is currently pending charges, or has previously been convicted of any of the aforementioned incidents, that contract General Surgeon may be removed from service under the contract. Replacements must be provided in accordance with the timeframe and procedures contained in paragraphs 1.2. and 1.6.1.3.

1.15.9. When contractor performance is required on government installation(s)/location(s), contractors shall ensure Common Access Cards (CACs) are obtained by all contract or subcontract employees who meet one or both of the following criteria:

1.15.9.1. Require long-term logical access to Department of Defense computer networks and systems in either:

(i) The unclassified environment; or

(ii) The classified environment where authorized by governing security directives.

Perform work on a long-term basis, which requires the use of a CAC for installation entry control or physical access to facilities and buildings.

1.15.9.2. If contractor employees do not require access to classified information, each contactor employee will be required to complete either the Questionnaire for Non-Sensitive/Low Risk Positions (SF85) or the Questionnaire for Public Trust/Medium or High Risk Positions (SF85P/SF86) and submit fingerprint cards (FD-258) to the TA who will verify each employee and then forward the documents to the Security Office along with a copy of the OP 306 and the Security Questionnaire (SF85/85P/86) for review. The fingerprint cards will be forwarded by the Fort Belvoir Army Community Hospital Security Office to OPM who will conduct a National Agency Check (NAC). Before the TA approves the CAC issuance, the TA must verify that a favorable fingerprint check is completed and locally adjudicated. Once submitted for the background investigation the individual will receive instruction through e-QIP and will have 30 days to complete this process, if the individual does not complete this process within the time frame will be removed from the work schedule until it is completed and accepted by PSIS-COE.

1.15.9.3. If contractor employees require access to classified information or systems, the contractor’s company Facility Security Officer processes the Questionnaire for National Security Positions (SF86) and the fingerprint cards (FD-258) and submits them directly to the Defense Industrial Security Clearance Office (DISCO). Before the TA approves the CAC application in TASS, the TA must verify that a background investigation has been either opened or completed by OPM, or adjudicated by DISCO, as shown in JPAS.

1.15.9.4. Once the TA has approved the CAC application, the TA will inform the contractor employee to proceed to the nearest CAC issuance workstation with two forms of picture identification. CAC issuance workstation personnel will then issue the CAC.

1.15.9.5. During the performance period of the contract, the contractor, or contractor employee as appropriate, shall:

1.15.9.6. Within 5 working days of any changes to the listing of the contract personnel, provide an updated listing to the contracting officer (COR) who will provide the updated listing to the TA. The TA will create new CAC applications or revoke those for employees no longer performing on the contract as appropriate);

1.15.9.7.As part of security out-processing, or when no longer performing on the specific contract for which the CAC was approved, contractors must return their CAC to either the issuing TA, the Security Office or to a designated representative.

1.15.9.8. Report lost or stolen CACs immediately to the TA, the Security Office Center, or to a designated representative.

1.15.9.9. Within 7 working days following completion/termination of the contract must return all CACs issued to contractor employees to the TA, or Security Office, or to a designated representative.

1.15.9.10. Failure to comply with these requirements may result in withholding of final payment.

1.15.9.11. Each Contractor shall wear a visible Security badge ID, provided by the Military Treatment Facility or the Military Installation in accordance with their guidance. The badge must show the full name, title and if required by the Military the words “Contractor” in front.

1.15.10. Reserved

1.15.11. OPSEC Training. Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.15.12. AT Level I Training. All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, or controlled access areas shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever applies.