PWS_Mobile_PHA_Events_7-8_Dec_19.docx

PERFORMANCE WORK STATEMENT (PWS)

FOR

North Carolina Army National Guard (NCARNG) Mobile Physical Health Assessment (PHA) Services 7-8 Dec 2019

Table of Contents

1.0 General

2.0 Definitions and Acronyms

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S)

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E)

5.0 Requirements

6.0 Applicable Publications

TECHNICAL EXHIBIT 1 - Performance Requirements Summary TECHNICAL EXHIBIT 2 - Deliverables Schedule TECHNICAL EXHIBIT 3 - Authorized Dental Treatment

Performance Work Statement (PWS)

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary except as specified in Paragraph 3.0 as Government Furnished, to perform PHA Non-Personal Services.

1.2 Background: The basic principles of force-sustainment for North Carolina Army National Guard (NCARNG) include physical readiness which translates to mobility readiness. The subject contract will cover Physical Health Assessment (PHA) events, which are based on soldiers being Individual Medial Readiness (IMR) and Fully Medically Ready (FMR).

1.3 Period of Performance (PoP): 7-8 Dec 2019

1.4 General Information:

1.4.1 Reserved

1.4.2 Reserved

1.4.3 Reserved

1.4.4 Place and Performance of Services: Fort Bragg, Charlotte, Butner, and Raeford, NC. The contractor shall provide services at events as scheduled; the events generally begin at 0700-0800 and run until completion.

1.4.4.1 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.4.2 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, any overt evidence of communicable disease, who endanger persons or property; those who manufacture, distribute, dispense, possess or use controlled substances at the worksite; and those whose continued employment under this contract is inconsistent with the interest of military security. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.5 Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 At minimum two (2) contract employees shall have current Common Access Card (CAC) access.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a government representative).

1.4.5.3 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.4 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Users are the foundation of the DoD strategy and their actions affect the most vulnerable portion of the Army Enterprise Infrastructure (AEI). Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

1.4.5.4.1 Comply with the command's Acceptable Use Policy (AUP) for Government owned IS and sign an AUP prior to or upon account activation.

1.4.5.4.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://informationassurance.us.army.mil).

1.4.5.4.3 Mark and safeguard files, output products, and storage media per classification level and disseminate them only to individuals authorized to receive them with a valid need to know.

1.4.5.4.4 Protect IS and IS peripherals located in their respective areas in accordance with physical security and data protection requirements.

1.4.5.4.5 Practice safe network and Internet operating principles and take no actions that threaten the integrity of the system or network.

1.4.5.5 Protection of Personally Identifiable Information (PII)/Health Information Portability and Accountability Act (HIPAA). The contractor shall protect all PII encountered in the performance of services in accordance with Defense Federal Acquisition Regulation Supplement (DFARS) 224.103 Personally Identifiable Information and Department of Defense Directive (DoDD) 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals whose PII has been compromised. Additionally, the HIPAA Privacy Rule creates national standards to protect individuals’ medical records and other personal health information. All contract employees shall complete HIPAA certification course on a yearly basis. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee prior to performance. HIPAA training is available at http://www.health.mil/Training-Center/Joint-Knowledge- Online-JKO (https://jkodirect.jten.mil/Atlas2/page/login/Login.jsf)

1.4.5.6 AT Level 1 Awareness Training (AT): All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall have completed Level 1 AT within 12 calendar months prior to commencing performance.

1.4.5.7 Information Assurance (IA) Training: All contractor employees requiring Gov’t computer access shall have completed IA Training within 12 calendar months prior to commencing performance.

1.4.5.9 Reserved

1.4.5.10 Reserved

1.4.5.11 Reserved

1.4.5.12 Reserved

1.4.5.13 Reserved

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.6.1 Reserved.

1.4.7 Special Qualifications: See Paragraph 5.2 for Key Personnel certification/qualification requirements.

1.4.8 Reserved

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO. The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed. The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Reserved

1.4.13 Reserved

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Reserved

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 Contracting Officer (KO): A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3 Contracting Officer Representative (COR): An employee of the U.S. Government designated by the KO to monitor contractor performance. Such appointment will be in writing and will state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.5 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.6 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.8 Quality Assurance: The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.10 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

3.1 The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: Physical space outside of the armories/locations will be provided for the contractor’s mobile units to park. Otherwise, physical space inside a gov’t facility will be provided to the contractor to set up. If it is required, administrative functions may be completed in the respective Government facility, if available.

3.2 Materials: Plain Paper Copier. Both the Government and contractor share this unit.

The Government shall provide all service and supplies, including paper, which is mutually used by all parties. Contractor use of the copier shall be limited to that work which is generated in the performance of this contract.

3.3 Equipment: Government Laptops are provided for PHA events only; these systems have network/LAN access. Access to the LAN shall be provided for official Government business only. Transmission of information over the Internet shall be restricted in accordance with governing directives.

3.4 Services: None

3.4 Utilities: All utilities in the facilities wherein the events are hosted will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1

5.0 Requirements: The contractor shall:

5.1 Event Requirements

5.1.1 Documentation:

PHA Event Documentation: The contractor shall use appropriate forms in accordance with AR 40-501 regulation for each service supplied. The forms are available in the regulations or may be made available through the North Carolina Army National Guard Medical Command office. The contractor shall provide all documentation concerning medical treatment in hard copy format, as well as uploaded electronically into MEDPROS, DENCLASS, MHA, Health Records Review (HRR), and Defense Occupational and Environmental Health Readiness System (DOEHRS). All electronic data entry shall be completed by the close of business on the day of the exam.

5.1.2 Event Summary Reporting: Provide a final report for all services provided to include the below information regarding all soldiers receiving services. Submit report to the Gov’t POC as designated for each event within 3 business days of each event.

Date Location Total number of patients scheduled Total number of patients examined Verification of entry into all necessary electronic modules (MEDPROS, DENCLASS & MHA, Health Records Review (HRR), etc) By name listing of all Soldiers examined Dental classification of the Soldier (if dental services were requested)

5.1.3 Reserved

5.1.4 Reserved

5.1.5 Laboratory Service Regulatory Compliance: All clinical laboratory services shall be performed by a laboratory licensed through the U.S. Department of Health and Human Services (DHHS), Health Care Financing Administration pursuant to the terms of the Clinical Laboratories Improvement Act of 1967 (42 U.S.C. 263a) and the College of American Pathologies. Laboratory services shall be performed by personnel certified under the American Society of Clinical Pathology.

5.1.6 Bloodborne Pathogens Regulatory Compliance: All healthcare workers shall comply with the requirements of 29 CFR 1910.1030 Bloodborne Pathogens Standard.

5.1.7 Hazardous Waste Regulatory Compliance: All infectious waste shall be disposed of in accordance with local, state, and federal regulation and disposed of by the contractor

5.1.8 Equipment Regulatory Compliance: Instrumentation shall meet or exceed appropriate performance standards, and calibration accuracy in accordance with local, state, and federal regulation.

5.1.9 Reserved

5.1.10 PHA Events

5.1.10.1 Health Assessment: Conduct Periodic Health Assessments (PHA) and Cardiovascular Screening Program (CVSP) guidelines in accordance with the AR 40-501.

5.1.10.2 Eye Exam Testing: Eye exams shall be provided for all Soldiers scoring worse than uncorrected 20/40 on vision screening by a certified Optometrist IAW AR 40-501.

5.1.10.3 Hearing Screening: Perform audiograms in accordance with Standard Testing Procedures for Army Hearing Conservation and Hearing Readiness IAW AR 40-501. When a Comprehensive Audiology Exam identifies the Soldier as a true H3, the Contractor will perform a Speech Recognition in Noise Test (SPRINT) by a licensed audiologist.

5.1.10.4 Electrocardiogram Testing: Conduct electrocardiogram testing on all Soldiers as required IAW AR 40-501.

5.1.10.5 Phlebotomy Services: Perform all phlebotomy services to include DNA, HIV, ABO-Rh, G6PD, PSA, full Lipid Panels, Cholesterol, Sickledex, Hematocrit, and HgB as required IAW prescribed IAW AR 40-501. HIV specimens shall be shipped to the Centers for Disease Detection (CDD).

5.1.10.6 Immunizations: Identify through MEDPROS immunizations required for each Soldier. Administer necessary vaccines IAW AR 40-562, TB MED 114 and AR 40-501. Utilize all MILVAX and AR 40-562 requirements for the transportation and storage of immunizations. Immunizations will be provided by the Government to the vendor. The contractor will assume storage responsibilities upon receipt from the Government.

5.1.10.7 Dental Exams: Perform dental examinations, digital bitewings and digital panoramic radiographs (if clinically indicated) in accordance with the AR 40-501 and AR 40-35. Film or ‘digitized’ radiographs will not be accepted.

5.1.10.8 Dental Treatment: Perform authorized dental treatment (see Technical Exhibit 4) in accordance with AR 40-35. Based on National Guard Bureau’s national statistics, it is estimated that 30% of the alerted & eligible soldier exams will be Classification 3, Non-Deployable without Dental Treatment. This creates an estimated population of soldiers that will require dental treatment to get those soldiers to a Class 2 Status, or deployable, before their Mobilization. The Contractor shall provide approved dental treatment only within an OSHA & ADA-Compliant Dental Practice at armories and training sites throughout the State of North Carolina to convert at least 95% of these soldiers to a Class 2 status. Self-contained portable dental units may be used for dental treatment within Gov’t Facilities

5.1.10.9 Prescription Medication Services: Contractor shall set up network & account with local pharmacies, and arrange for fulfillment of prescription medication for soldiers as needed. Contractor shall cover all costs for prescriptions as deemed medically necessary for acute conditions. Costs of prescription medicines will not be reimbursed.

5.3 Contractor Manpower Reporting Application (CMRA):

5.3.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the National Guard Bureau via a secure data collection site.

5.3.2 The contractor shall completely fill in all required data fields using the following web address: http://www.ecmra.mil/. Reporting inputs shall be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year, beginning with 2019. Contractors may direct questions to the help desk at http://www.ecmra.mil.

5.4 Walk-ins are sometimes experienced (unexpected soldiers at events). Walk-ins in excess of 10% of the final contracted quantity of soldiers contracted for at any single event, will not be seen unless the Contracting Officer has approved formally.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

AR 190-13

The Army Physical Security Program

DoDD 5400.11 Department of Defense Privacy Program

DoD 5400.11-R Department of Defense Privacy Program

DoDD 8140.01 Cyberspace Workforce Management

DoD 8570.01-M Information Assurance Workforce Improvement Program

AR 25-2

Information Assurance

AR 530-1

Operations Security

AR 40-35 Dental Readiness And Community Oral Health Protection

TECHNICAL EXHIBIT 1

Performance Requirements Summary

Note: The tasks below are merely a small sampling of tasks required by the PWS which performance will be tracked by the COR. All work within the scope of this PWS remains subject to Government Surveillance at all times

PWS

Paragraph

5.1.1 5.1.2 Documentation & Reporting

TECHNICAL EXHIBIT 2

Surveillance Deliverables Schedule

1.4.5.5 Initial and annual HIPAA (Health Information Portability and Accountability Act) training certificates.

5.1.1 Examination Documentation

Physical Delivery Lt Kahn

5.1.2 Event Summary Report

Lt Kahn

FAR Clause 52.237-7 Medical Liability Insurance

Lt Kahn

TECHNICAL EXHIBIT 3

AUTHORIZED DENTAL TREATMENTS

TREATMENT

Included Y/N/May Need Referral

Restorative Services

Endodontic Services

Periodontal Services

Prosthodontic Services

Oral Surgery Services

Orthodontic Services

Ver. May 2018