Attachment_3_Draft_PWS_.pdf

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 1 of 49 18 July 2022

PERFORMANCE WORK STATEMENT

OPERATIONS AND MAINTENANCE SERVICES

FOR THE MEDICAL TREATMENT FACILITIES OF

## DHA Site

SITE NAME

STATE

Performance Work Statement MST - Site Name

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SECTION 1

GENERAL INFORMATION

1.0. SCOPE OF WORK. The contractor shall provide all personnel, equipment, tools, vehicles, materials, supervision, subcontracts, and other items and services necessary to perform and shall perform all operation, maintenance, repair and facility management support tasks and functions for medical facilities as defined in the Performance Work Statement (PWS) at [Medical Facility and Installation Name / various Defense Health Agency (DHA) facilities as well as other DoD medical treatment facilities]. Work shall be performed and documentation shall be maintained to the standards set forth in this contract, the National Fire Protection Association (NFPA), The Joint Commission (TJC), and all other applicable codes and regulations to ensure full TJC compliance.

The award for services under this scope of work shall be limited to the services identified in the contract line items awarded in the task order and its modifications. In the event of a conflict between this paragraph and any other term or provision of the scope of work, this paragraph shall prevail.

1.1. OPTIONAL SERVICES. The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and services necessary to perform, and shall perform all optional services, when authorized. The contractor shall be advised that these optional services may or may not be exercised at the discretion of the Contracting Officer (KO). Optional services for this task order are summarized as follows:

1.1.1. Optional Service A, OMPR Services. Conduct and provide a complete OMPR in accordance with TE-OS-A.

1.1.2. Optional Service B, Pest Control / Entomology. Provide entomology services in accordance with TE-OS-B of this PWS.

1.1.3. Optional Service C, Grounds Maintenance Services. Provide grounds maintenance services in accordance with TE-OS-C of this PWS.

1.1.4. Optional Service D, Fire Extinguisher Maintenance Services. Provide Fire Extinguisher maintenance in accordance with this PWS and TE-1.0, paragraph #.##.

1.1.5. Optional Service E, Security System Maintenance Services. Provide Security System Services in accordance with this PWS and TE-1.0, paragraph #.##.

1.1.6. Optional Service F, ___________________

1.2. OTHER FACILITIES AND SERVICES. To support the needs of the Government in the future, additional facilities and incidental ancillary support services may be added to the task order.

Such services constitute entomology and pest control services, snow and ice removal services, grounds maintenance, environmental and laundry services, environmental compliance services, biomedical equipment maintenance, engineering studies, additional RPIE inventories, etc. The contractor shall provide all personnel, equipment, tools, materials, supervision, and other items and

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 3 of 49 18 July 2022 services necessary to perform all optional services, when authorized. The services for these added facilities or services may be accomplished via service order until the formal contract modification process can be completed.

1.3. FACILITIES AND EQUIPMENT TO BE MAINTAINED. The medical facilities to be maintained are identified in Attachment 1.0, List of Facilities, included as part of this PWS.

Equipment to be maintained under this task order is identified in Attachment 2.0, RPIE Equipment and Risk Factor Summary, Attachment 3.0, RPIE Detailed Listing and Attachment 4.0 RPIE PM Requirements and extends to all the connected apparatus and associated elements (wiring, piping, ductwork, modular components such as wired or wireless displays, handsets, sensors, etc.).

1.3.1. Facilities Under Renovation. N/A

1.4. ATTACHMENTS and TECHNICAL EXHIBITS. The following technical exhibits are included as part of this PWS:

1.4.1. Technical Exhibits

TE-OS-A.0 Optional Service A – Operations and Maintenance Program Review TE- OS-@.0 Additional Optional Services as Required.

1.4.2. Attachments

Attachment 1.0 List of Facilities Attachment 2.0 RPIE Equipment and Risk Factor Summary Attachment 3.0 RPIE Detailed Listing Attachment 4.0 RPIE PM Requirements Attachment 5.0 Site Boundary Map Attachment 6.0 Government Points of Contact Attachment 7.0 Required Submittals Attachment 8.0 Service Order Process Attachment 9.0 Applicable Publications, Forms, Definitions, and Acronyms Attachment 10.0 Government Provided Publications and Forms Attachment 11.0 DHA RPIE Inventory Standards Attachment 12.0 RPSS Nomenclature Report Attachment 13.0 Installation Workload History Attachment 14.0 Water Management Plan Attachment 15.0 Domestic Water Sampling Locations

1.5. CONTRACTOR PERSONNEL. The contractor shall have knowledge of and comply with all codes, standards, directives, and criteria governing the operation, maintenance and repair of medical treatment facilities, including, military requirements, the TJC, NFPA, Occupational Safety and Health Administration (OSHA) and the Unified Facility Criteria (UFC), and other applicable federal, state, and local codes. The contractor shall remain abreast of any changes which impact any of the

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 4 of 49 18 July 2022 facilities covered under this contract, and shall notify, in writing, the KO, Facility Manager (FM) and the Contracting Officer Representative (COR) when modifications are required to maintain code compliance. The contractor personnel shall participate in activities of the MTF that are designed to meet the requirements of TJC pertaining to Process Improvement (PI) programs. These include the participation in a comprehensive PI program for the services required including PI monitors, data collection, report preparation and presentation. The COR will recommend training when appropriate as a result of quality improvement monitor findings, or request substitution with a more qualified candidate.

1.5.1. Contractor Key Personnel. Key positions for this task order include the Contract Maintenance Manager (CMM), and [Site Safety and Health Officer (SSHO) or [Site] Safety and Health Officer (L1 [S]SHO)] as specified below. Requirements for these key personnel are as follows:

1.5.1.1. Contract Maintenance Manager. The contractor shall provide a CMM who shall be responsible for the performance of the work. The CMM shall be designated in writing to the KO prior to the task order start date. The CMM shall have full authority to act for the contractor on all task order matters relating to daily operation of this task order. The CMM [may / shall not] be dual-hatted. The CMM shall be an employee of the prime contractor.

1.5.1.1.1. CMM Duty Hours. The CMM shall be onsite during the facility’s normal duty hours in accordance with paragraph 1.12). After normal duty hours, the CMM shall respond to the MTF for situations requiring their presence on-site within one (1) hour. The CMM shall also be reachable, by the Facility Management staff, on their company cell phone during normal duty hours and after normal duty hours, on a 24/7/365 basis. Whenever the CMM is contacted regarding an emergency situation, the CMM shall immediately provide guidance to contractor personnel and then contact the COR and FM.

1.5.1.1.2. CMM Absence. The CMM shall notify the COR, in writing, of planned or unplanned absences of one (1) workday or more. Notice shall be provided a minimum of one (1) week in advance of planned absences and within one (1) workday of unplanned absences. The CMM shall provide the name of the interim personnel who shall be performing CMM duties and responsibilities during the absence. Any proposed interim personnel shall meet all respective key personnel requirements, including being on-site during required normal duty hours.

1.5.1.1.3. CMM Qualifications and Experience. The CMM shall be technically qualified in the field of Healthcare Facilities Management and shall, as a minimum, have three (3) years of experience in a business occupancy medical facility operations and maintenance and minimum five

(5) years’ experience servicing and/or renovating commercial buildings, including supervision of a diversified work force responsible for operations, maintenance and repair of commercial building infrastructure systems. The CMM shall be familiar with the various codes and standards applicable to the O&M tasks covered by the PWS, TJC, NFPA, EPA, and OSHA codes and standards. The CMM shall be able to read, write, speak, and understand English.

1.5.1.1.3.1. An American Society for Healthcare Engineering (ASHE) Certified Healthcare Facility Manager (CHFM) certification for the CMM is desirable; the CHFM certification shall become part

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 5 of 49 18 July 2022 of the task order requirements, and an advantage to the Government, when an offeror has expressly committed in their bid proposal to provide CMM candidates and any future replacements that possess and maintain CHFM certifications (note: an advantage is only recognized when proposal affirmatively states without reservation that any provided replacement CMMs will also possess a

CHFM).

1.5.1.2. Safety & Health Officer. The contractor shall provide a SSHO to be responsible for all O&M activities supported as part of this task order. The SSHO and other Safety staff as applicable shall meet the requirements in paragraph 1.7.1.1 and subsequent paragraphs, EM 385-1-1.

1.5.1.2.1. SSHO Qualifications and Experience. The contractor shall demonstrate that the SSHO required as key personnel, meets the following experience and qualifications:

• OSHA 30-hour training certificate or training card;

• Resume or certificates demonstrating, for a minimum of the last five (5) years, the SHO has maintained competencies through 8-hours of formal safety and health related training per year;

• Resume demonstrating five (5) years of continuous safety experience in supervising or managing general industry/construction/O&M, including managing safety programs or processes or conducting hazard analyses and developing controls.

1.5.1.2.2. Evidence of training shall be maintained on site and made available to the COR and/or the MTF Safety and Health Officer immediately upon request.

1.5.1.3. Departure of Key Personnel. The contractor shall notify the COR and KO at least two (2) weeks in advance of an impending departure, or within one (1) calendar day after an immediate departure, of any key personnel during the performance of the task order. Upon notification to the COR and KO, of an impending departure, the contractor shall propose their plans to provide a replacement, including any plans that includes using interim personnel, at no additional cost to the Government, until a permanent replacement is approved. Any proposed interim personnel shall be on site within one (1) calendar day of the key position being vacated and shall meet all respective key personnel requirements, including being physically present during required normal duty hours.

Resumes, and any applicable certifications, for interim replacement personnel are required to be submitted for review and approval by the COR. Resumes, and any applicable certifications, for permanent replacement key personnel shall be presented soon as available. Resumes, for permanent replacement key personnel, will be reviewed by the Government, to include designated COR(s) and Facility Manager, who shall provide input and recommendations to the KO. The proposed permanent replacement may not assume the responsibilities of the position until approved by the KO. A permanent key position replacement shall be on site within thirty (30) calendar days.

1.5.2. Background Checks. The contractor shall ensure that all potential employees have a nationwide background check performed by local law enforcement authorities prior to employment under the terms of this task order. The contractor shall not employ any individual whose background indicates an unacceptable threat to life, health and safety of patients, staff, visitors and/or government property. The contractor shall not employ any person for work on this task order if such person is identified to the contractor by the KO as a potential threat to the health, safety, security, general well-

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 6 of 49 18 July 2022 being, or operational mission of the installation and its population. The Government reserves the right to deny contractor personnel access to the facility/installation.

1.5.3. Reading and Understanding Operating Instructions. Operators of any equipment or vehicles shall be able to read and understand the signs, signals, and operating instructions in use in accordance with EM 385-1-1. Where reading, understanding, and discussing safety and environmental warnings are an integral part of a contractor’s employee’s duties, that employee shall be able to understand, read, write, and speak English.

1.5.4. Physical Qualifications of Employees. All contractor personnel shall be physically, medically qualified for performing the duties to which they are assigned. The contractor, in accordance with the EM 385-1-1, shall consider, at a minimum, personnel strength, endurance, agility, coordination, and visual and hearing acuity. Employees shall meet the physical requirements for specific job tasks and hazards as required by the EM 385-1-1, the position, the job description, the contractor’s Activity Hazard Analysis (AHA), and applicable federal requirements.

1.5.5. Communications. The contractor shall ensure that all contractor personnel maintain open and professional communications with members of the MTF. During the time the contractor or its subcontractors are performing any work on any Installation, the contractor shall have a representative present on the work site capable of speaking English.

1.5.6. Appearance and Identification. Contractor personnel shall present a neat appearance and be easily recognized as contractor personnel. Contractor personnel shall identify themselves as contractors at all times, such as when attending meetings, answering government telephones, or working in situations where their actions could be construed as official government acts. The contractor shall provide each employee with an identification badge that includes the employee's name, employee's photograph, and name of the contractor. Identification shall be available and visible at the time of employment and shall be worn or attached to the outer garment. Contractor personnel shall be free of body odor and wear clean clothing each day. No perfumes shall be worn in the medical treatment facility. Fingernails shall be clean and free of dirt and hair must be neatly combed. Jewelry must be kept to a minimum. At no time should jewelry be worn that creates a safety/OSHA risk.

1.5.7. Licensing, Qualifications and Experience Requirements. The contractor is responsible for ensuring all personnel have the required qualifications and, if applicable, have the required current and valid professional certifications and licenses in compliance with host nation, federal, state, local requirements, ordinances, laws, or other requirements imposed by state agencies, courts or localities.

Journeymen, craftsmen, and trades persons shall have a minimum of three (3) years’ experience in healthcare facilities. All journeymen, craftsmen, and trade staff hired by the contractor, including subcontractors, shall meet all qualification requirements required by their position within six (6) months of hire. During that six-month period where a journeyman, craftsman or trades person is working towards full qualification compliance, the contractor may employ interim in-house or subcontractor personnel to accomplish PWS requirements at no additional cost to the Government.

However, the contractor is not relieved of complying with the licensing and certification requirements of the task order and all interim personnel shall fully comply with all qualification requirements at the start of on-site employment. The contractor shall ensure all certificates, licenses, Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 7 of 49 18 July 2022 permits and bonds are kept current throughout this task order. Associated expenses shall be borne by the contractor. Copies of all applicable qualifications shall be maintained on site and made available to the COR immediately upon request.

• Any personnel designated to repair and test backflow prevention devices shall be certified by the State.

• Any personnel handling refrigerants shall be certified in accordance with the EPA 608 refrigerant rules as specified in the Clean Air Act.

• Any personnel performing work on electrical systems shall be qualified persons as defined by EM 385-1-1 Section 11 A (General). Personnel performing major repairs, improvements and/or installation related to electrical and/or electronic systems shall comply with all State licensing requirements.

• Any personnel performing work on fire alarm/detection/suppression systems shall be NICET

Level 2 Certified.

• Any personnel operating, inspecting, testing maintaining, repairing, or modifying the nurse call systems be Original Equipment Manufacturer (OEM) qualified and trained.

• Any personnel performing work on medical gas, vacuum, waste anesthetic gas disposal

(WAGD), and medical support gas systems shall be trained and qualified as defined by NFPA 99 5.1.14.2.2.5 (b),(1).

• Any personnel performing major repairs to the natural gas supply lines shall comply with all

State licensing requirements and shall have past experience in performing work on natural gas supply lines.

• Any personnel performing welding repairs shall have a C-60 Welding License or appropriate American Welding Society, Inc. (AWS) certification or equivalent. As a minimum, welding shall comply with the American Welding Society, Inc. AWS D1.1, Structural Welding Code.

• Any personnel operating, monitoring, repairing, or modifying any of the Building

Automation Systems (BAS) shall be OEM qualified and trained.

• Any personnel performing work on HVAC systems shall be certified by one of the following;

a nationally recognized HVAC certification programs (i.e., North American Technician Excellence (NATE), the ESCO Institute HVAC Excellence Professional Level Technician Certification, the International Code Counsel (ICC), documented Journeyman status in a state or nationally recognized apprenticeship program, a DD214 documented Level Five or higher training level or other DoD equivalent).

Performance Work Statement MST - Site Name

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• Any HVAC systems testing and balancing (TAB) work shall be completed by technicians or firms certified by NEBB or AABC. Proof of certification shall be provided to the COR prior to the start of any TAB related work.

1.5.7.1. For those trades not specifically cited, appropriate qualifications shall be demonstrated by any of the following:

Journeyman card for respective trade provided through a recognized apprentice program, state certification for the respective trade, Current or lapsed state contractor's license for the respective trade, Evidence of passing the International Code Council (ICC) national journeyman or master certification exam (i.e., electrician, HVAC mechanic, plumber), Nationally recognized certification program, Documented military journeyman level or higher experience in the respective trade, as identified on a DD214.

1.5.7.2. Subcontractors. Any subcontractors utilized to perform maintenance, repair and inspection tasks on facilities, systems, or equipment, including, but not limited to, elevators, boilers, chillers, fire alarm/suppression systems, electrical substations, and rooftop air handling units, shall be qualified, certified and licensed to perform that work. A copy of the qualifications, certifications shall be provided to the COR as requested.

1.5.8. Employment Restrictions. The contractor shall not employ any person who is an employee of the United States Government if employing that person would create a conflict of interest or the appearance of a conflict of interest. Additionally, the contractor shall not employ any person who is an employee of the Department of Defense (DOD), either military or civilian, unless such persons seek and receive approval according to DOD Directive 5500.7, Joint Ethics Regulations (JER).

1.5.9. Additional Staffing. In addition to the personnel required by paragraphs 1.5.1 and 1.8.1, the contractor shall provide all labor necessary to perform all PWS requirements, including meeting the response and completion time requirements identified in paragraph 2.4.7 and in support of Historical Workload as cited in Attachment 13.0. Proposed staffing position vacancies shall not exceed thirty

(30) calendar days for a permanent replacement. All interim and permanent journeymen, craftsmen, and trade staff hired by the contractor, including subcontractors, shall meet all qualification requirements of their respective positions when reporting for duty and assuming position responsibilities. If staffing above the proposed level is needed to meet the PWS requirements it is the contractor’s responsibility to provide that labor as part of the FFP. Failure to maintain, at a minimum, the staffing proposed by the contractor will constitute a failure to meet a specified contract requirement. If staffing above the proposed level is needed to meet the PWS requirements it is the contractor’s responsibility to provide that labor as part of the FFP. Any failure to provide the staffing levels needed to perform all work requirements, as well as delays in work performance due to such failure is unacceptable.

1.5.10. Health Requirements.

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1.5.10.1. Health Records. The contractor shall provide to the COR all information necessary to maintain medical facility records in accordance with TJC as applicable, OSHA, National Institute for Occupational Safety and Health (NIOSH), and Centers for Disease Control (CDC) employee health records requirements. The MTF employee health policies and regulations shall apply.

1.5.10.2. Pre-employment Physical Examinations and Immunizations. The contractor shall be responsible for pre-employment physicals and immunizations for contractor personnel, to include immunizations/shots prescribed by the MTF policies. Personnel who may have occupational exposure to blood or body fluids, or other potentially infectious materials, should receive the Hepatitis B vaccine, or sign an informed voluntary declination letter to be maintained by the contractor in the employee's health record with a copy provided to the MTF for MTF records, or have documented immunity to Hepatitis B infection. Employees who sign declinations may change their minds at any time and receive the Hepatitis B vaccine. In addition to immunizations/shots required as pre-employment requirements, contractor personnel identified by the MTF Infection Prevention Office shall receive government-provided shots. Contractor personnel who have received immunizations/shots from other sources shall provide proof of immunizations to the COR. Pre-employment immunizations and medical examination requirements prescribed by the MTF may be provided by the MTF to the contractor before task order full service start.

1.5.10.3. Other Requirements for Physical Examinations. The MTF Commander, or his designated representative, may require nose and throat cultures and blood samples from contractor personnel when required by the Infection Prevention Office. The MTF Commander reserves the right to have any contractor employee re-examined during the term of the task order. Medical examination requirements prescribed by the MTF will be provided by the MTF to the contractor before task order full-service start.

1.5.10.3.1. During pandemic conditions (ongoing at the time of task order solicitation) there is the possibility of daily screenings such as temperature scans or more involved examinations for staff as they come on duty.

1.5.10.4. Medically Unfit Employees. The MTF Commander, or his designated representative, may designate an employee as medically unfit for work. When an employee has been designated as medically unfit for work, the employee shall be sent home by the contractor. The employee shall not return to work until re-examined by a contractor-selected physician or, if applicable, the appropriate MTF physician, and given a release to work statement. The COR will notify the contractor before task order full service start of the MTF policies.

1.5.10.5. O&M Services during a Pandemic. The contractor is advised that the MTF shall remain functional during any pandemic situations, including the possible treatment of those suffering from pandemic infections. The contractor performing the operations and maintenance (O&M) services required under this task order is instrumental to this effort. The contractor shall take all necessary precautions and protective measures to ensure operation and maintenance activities are provided in and around the potentially infectious patient care environment.

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1.5.11. Security Requirements. Security requirements shall include but not be limited to Installation pass requirements, contractor badge requirements, and security clearance requirements. Specific security requirements are as follows:

1.5.11.1. Installation Access and Identification Requirements. The contractor shall ensure each employee obtains the required identification items as applicable for access of contractor personnel, privately owned vehicles and contractor owned/leased vehicles. The contractor personnel and any of their approved subcontractors entering any military installation shall abide by all security regulations and shall be subject to security checks enacted by the Department of Defense.

1.5.11.2. Vehicles. Service vehicles, including privately-owned vehicles (POVs), used in the performance of this contract shall be legibly and conspicuously marked with the contractor’s name.

Markings shall be placed on both sides of the vehicle. Magnetic signage is acceptable. Also refer to paragraph 4.2.

1.5.11.3. Uniforms. Contractor personnel shall wear a clearly identifiable uniform, provided by the contractor, with the company’s name visible on the fabric (e.g., embroidery, etc.) while on facilities and grounds included in this PWS.

1.5.11.4. Government-Provided Identification Badges. Facility Management may issue a hospital specific identification badge to the contractor and subcontract personnel. Badges shall be worn or attached above the waist on the outer garment while on facilities and grounds included in this PWS.

1.5.11.5. Contractor-Provided Identification Badges. The contractor shall provide each employee with an identification badge that includes the employee's name, employee's photograph, and name of the contractor. Identification shall be available at the time of employment and shall be worn or attached, at all times, to the outer garment above the waist, and clearly visible.

1.5.11.6. Listing of Employees. The contractor shall maintain a current listing of employees. The list shall include employee name, position title, and assigned shift if applicable. This list shall be validated by the contractor and provided to the COR within fifteen (15) calendar days after start of on-site contract performance. An updated listing shall be provided within one (1) day upon change of employees.

1.5.11.7. Antiterrorism and Operational Security (AT OPSEC) Requirements. The contractor shall comply with AT OPSEC requirements as set forth in DHA and Installation policies and procedures.

1.5.11.7.1. All contract personnel requiring routine access to DoD installations, facilities, and controlled access areas, or requiring network access shall complete initial and annual refresher AT Level I awareness training for the first three years of performance on a DoD contract, and triennially thereafter. The Government may also provide additional awareness material to contract personnel regarding suspicious activity reporting. Online AT Level I awareness training is available at https://jkodirect.jten.mil/ (website subject to change). Reference: DoDI O-2000.16, Volume 1, “DoD Antiterrorism Program Implementation: DoD Antiterrorism Standards.” The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR within five (5) calendar days after completion of training.

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1.5.11.7.2. Additionally, all contractor employees, as required, must initially complete annual OPSEC awareness training within thirty (30) calendar days after task order award and then annually thereafter. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the COR within five (5) calendar days after completion of training.

OPSEC awareness training is available at the following websites:

https://www.iad.gov/ioss/ or http://www.cdse.edu/catalog/operations-security.html.

1.5.11.8. Cyber Security. The Contractor shall ensure personnel have the proper security clearances, have read and signed the User Agreement, and have completed Cyber Awareness Challenge training prior to being granted access to networks and/or systems. Cyber Awareness Challenge instructions are provided in Attachment 10.0 Section 1.4.

1.5.12. Training. The contractor shall provide both general and specific personnel training as set forth in this task order. Contractor personnel shall also participate in MTF-provided training.

Specific requirements are as follows:

1.5.12.1. MTF-Provided Training. Contractor employees shall be required to attend MTF provided in-service training (e.g., Newcomer’s Orientation, Infection Prevention, Blood-borne Pathogens, etc.). Completion of MTF provided training should be documented by the MTF and a copy of the documentation provided to the contractor for the employee’s personnel records. Training requirements prescribed by the MTF will be provided by the MTF to contractor staff within thirty

(30) days from start of employment and recurring as deemed necessary.

1.5.12.2. Contractor-Provided Training. Contractor shall provide all training required by federal, state, and local laws and directives, as well as meet regulatory agencies. These regulatory agencies include, but are not limited to, NFPA, OSHA, CDC and the EPA. Additionally, the contractor shall provide ongoing training for employees to ensure the highest level of service and code compliance.

The contractor shall ensure that employees obtain training necessary to maintain skilled trade licenses and manufacture training updates on building automation systems, OSHA Hazards training. Copies of all applicable training certificates or completion reports shall be maintained on site and made available to the COR immediately upon request.

1.5.13. Reporting of Contractor Wage Rates for Unscheduled Work. Consistent with all other contract terms, all Service Contract Act (SCA), Davis-Bacon Act (DBA), and professional wage rates in effect at the time of the award of the task order, and any exercised options, shall be held firm for the specified performance period. This includes labor costs for all preventive and unscheduled work, and any optional services, regardless of when funds are applied to the task order. Within ten (10) duty days of the initial task order award, and award of any subsequent optional performance period, the contractor shall provide an excel spreadsheet constructing the loaded wage rate for all regular and overtime hours for each SCA, DBA, Collective Bargaining Agreement (CBA) and professional category anticipated during the specified performance period. Spreadsheet shall be provided to the USACE office in accordance with Attachment 7.0, Required Submittals.

1.6. FACILITIES OPERATION & MAINTENANCE PLAN (FOMP). The contractor shall submit a FOMP, to USACE and COR, in accordance with the requirements listed in Attachment 10.0 and the schedule shown in Attachment 7.0, Required Submittals. Each page shall be numbered and http://www.iad.gov/ioss/ http://www.cdse.edu/catalog/operations-security.html

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W912DY-20-D-00XX Page 12 of 49 18 July 2022 dated. The submittal date shall be reflected on the title page, and all pages of the each FOMP submittal shall reflect this date. After government approval of the final submittal, any revised pages shall reflect the date that those pages were revised.

1.6.1. FOMP ADDENDUM. The contractor shall establish a specific addendum to the FOMP that addresses how the contractor will successfully provide for full O&M services in infectious disease areas of the MTF, including plans for successfully maintaining O&M services during infectious disease pandemic situations in which infectious patients and others can be expected to be accessing the facilities. The FOMP Addendum shall be submitted as part of the FOMP if the task order is awarded during a Pandemic. Otherwise, throughout the life of the task order, a FOMP Addendum shall be submitted within fourteen (14) days of a pandemic being declared.

1.7. SAFETY. The contractor shall establish and maintain a safety program consisting of education, training and enforcement of safety standards. The contractor shall comply with OSHA, EM 385-1-1 or EM 385-1-1 Variance, and DHA site safety standards and guidelines, to include an MTF’s Environment of Care Plan. Initial site-specific safety orientation training will be provided by the Government.

1.7.1. Accident Prevention Plan. The contractor shall submit an Accident Prevention Plan (APP), including all necessary Activity Hazard Analysis (AHA), to USACE and COR, in accordance with the requirements listed in Attachment 10.0 Section 1.6 and the schedule shown in Attachment 7.0, Required Submittals. AHAs are required, at a minimum, for all Assembly Categories identified in the RPIE inventory provided in Attachment 2.0 through Attachment 4.0. For example, at a minimum, one AHA is permitted for Fire Alarm Devices (D401002) covering heat detectors, smoke detectors, audio alarms, visual alarms, manual pull/push stations, etc. A copy of the plans shall be maintained on-site by the contractor. If any activity, to include an activity associated with a service order, requires an additional plan, program or AHA, that is not currently included in the approved APP, the contractor shall be responsible for updating the APP. All APP addendums shall be submitted to USACE for review and approval. Refer to paragraph 2.4.6, Service Order Processing for additional requirements concerning AHAs.

1.7.1.1. Safety and Health Officer. The APP shall designate all Safety and Health Officers (SHOs).

The contractor shall provide a [SSHO or L1 [S]SHO] to be responsible for all O&M activities supported as part of this task order. The contractor shall adhere to the EM 385-1-1 or the requirements in the EM 385-1-1 Variance provided in Attachment 10.0 Section 1.1. A designated SSHO shall be present on-site, at a minimum, during the facility’s normal duty hours and serve as the primary point of contact for the contractor’s safety management program and shall be responsible for all aspects of the management and administration of the program. The [SSHO / L1 [S]SHO] shall also be responsible for the designation, assignment, coordination and monitoring of Alternate SSHOs, Designated Representatives (DR) and Competent Person (CP) as required by the contractor’s approved AHA, especially when work assigned must be accomplished outside of normal duty hours.

Alternate SSHOs and DRs are not required to be a direct hire employee of the prime contractor.

1.7.2. Contractor And Subcontractor Safety Requirements. The contractor and all associated subcontractors shall comply with the Experience Modification Rate (EMR)and OSHA Days Away, Restricted or Transferred (DART) Rate requirements cited below. At least five (5) days before any

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 13 of 49 18 July 2022 new subcontractor starts work, or at least five days prior to the preparatory meeting regarding the subcontractor's work, whichever is earlier, contractor shall submit subcontractor's proof of compliance with requirements detailed below for Experience Modification Rate and DART rates, for Government acceptance.

1.7.2.1. EMR Rate Requirements. No contractor or subcontractor on the project shall have an effective EMR greater than 1.10 when entering into a contract or subcontract agreement with the prime contractor or a subcontractor at any tier as computed by the National Council on Compensation Insurance (NCCI) or if not available, as computed by the state agency's rating bureau in the state where the subcontractor is registered. A written request may be submitted for additional consideration to the Contracting Officer Representative (COR) where the specified acceptable EMR range cannot be achieved for the contractor or a particular subcontractor whose performance is uniquely critical to the service contract. Relaxation of the EMR range shall only be considered and/or granted on a case-by-case basis for special conditions and shall not be anticipated as tacit approval.

Contractor's Project Manager or Site Safety and Health Officer (SSHO) shall collect and maintain certified EMR ratings for ALL subcontractors on the project and shall make them available to the Government at the Government’s request.

1.7.2.2. DART Rate Requirements. No contractor or subcontractor on the project shall have a DART rate calculated from the most recent, complete calendar year greater than 3.0 when entering into a contract or subcontract agreement with the prime contractor or a subcontractor at any tier as computed by the National Council on Compensation Insurance (NCCI) or if not available, as computed by the state agency's rating bureau in the state where the subcontractor is registered.

1.7.2.2.1. The OSHA Dart Rate is calculated using the following formula:

• (N/EH) x 200,000 where:

o N = number of injuries and/or illnesses with days away, restricted work, or job transfer o EH = total hours worked by all employees during most recent, compete calendar year o 200,000 = base for 100 full-time equivalent workers (working 40 hours per week, 50 weeks per year).

1.7.2.2.2. A written request may be submitted for additional consideration to the Contracting Officer Representative (COR) and Contracting Officer (KO) where the specified acceptable OSHA Dart rate range cannot be achieved for the contractor or a particular subcontractor whose performance is uniquely critical to the service contract. Relaxation of the OSHA DART rate range shall only be considered and/or granted on a case-by-case basis for special conditions and shall not be anticipated as tacit approval.

1.7.2.2.3. The Contractor shall collect and maintain self-certified OSHA DART rates for ALL subcontractors on the project and shall make them available to the Government at the Government's request.

1.7.2.2.4. The contractor shall conduct a monthly safety meeting for all employees, with topics applicable to the work scheduled or anticipated during the coming month when possible. These meetings shall be documented in accordance with OSHA and TJC requirements.

Performance Work Statement MST - Site Name

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1.7.3. Damage to Government Property. The contractor shall have procedures to record and report promptly to the COR all available facts relating to each instance of damage to government property or injury to either government or contractor personnel. The contractor shall immediately secure and protect any accident scenes or wreckage until released by the accident investigative authority through the COR. The contractor shall cooperate and assist Government personnel in conducting an accident investigation.

1.7.4. Monthly Safety Report. The contractor shall submit a Prime Contractor Monthly Record of Work-Related Injuries and Exposure Hours no later than (NLT) ten (10) calendar days after the end of the reporting month to USACE. Further guidance concerning this report can be found at:

http://www.hnc.usace.army.mil/Missions/Command-and-Staff-Offices/Safety-Office/

1.8. QUALITY CONTROL. The contractor shall establish and maintain a Quality Control Program that ensures that all requirements of the contract are met as specified.

1.8.1. Quality Control Manager. The contractor shall designate a Quality Control Manager (QCM), who shall have overall responsibility for the contractor’s quality control management program. The designated QCM may be stand-alone or dual-hatted with other key personnel, or any other qualified contractor employee, except for the [CMM] or [L1 SHO]. It is allowable for the designated QCM to be a qualified prime or subcontractor personnel. For OCONUS locations, it is also allowable for the designated QCM to be a local national. However, if the designated QCM is subcontractor personnel, the contractor shall demonstrate, in their proposal, the chain-of-command, and clearly state their understanding of the CMM (prime contractor) being ultimately responsible for the management and execution of the Quality Control Program. If the duties of the QCM are fulfilled as an additional responsibility (i.e., dual-hatted assignment), these collateral duties shall not overcome, inhibit or restrict the effective administration of the Quality Control Program. The QCM, or designated alternate, shall be present on-site, at a minimum, during the facility’s normal duty hours.

1.8.1.1. QCM Qualifications. The QCM shall have a minimum of two (2) years of experience in quality control evaluation and reporting in the fields of construction or facility management work and a minimum of two (2) years of experience working in comparably sized health facilities.

1.8.1.2. QCM Responsibilities. The QCM shall be responsible for implementing and assuring that both contractor and subcontractor personnel follow the requirements of the contractor’s Quality Control Plan (QCP). The QCM shall monitor the performance of the QC activities in all other work centers covered by the task order and shall provide remedial training as necessary to the responsible personnel at other locations.

1.8.2. Quality Control Plan. The contractor shall submit a QCP, to USACE and COR, in accordance with the requirements listed in Attachment 10.0 Section 1.7, this task order and the schedule provided in Attachment 7.0, Required Submittals. A copy of the QCP shall be maintained on-site by the contractor. Updates shall be provided to the KO and COR for review and approval as they occur.

The QCP shall include, as a minimum, the following:

1.8.2.1. The QCP shall identify key personnel of the contractor's organization with their level of authority clearly defined.

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1.8.2.2. The QCP shall describe the contractor’s QC inspection system including all general and specific tasks included in the contract scope of work. The QC inspection system shall describe and specify tasks or areas to be inspected on a scheduled or unscheduled basis, and the manner in which inspections are to be conducted. The QC inspection system shall also address major repairs and/or minor construction, emergency maintenance, unscheduled maintenance and preventive maintenance individually.

1.8.2.3. The QCP shall identify names of firms or individuals tasked to perform inspections and other quality control responsibilities, the extent of their authority, and an organization chart indicating the individual’s position and reporting chain. The QCP shall also identify which trades the identified firms or individuals are qualified to evaluate.

1.8.2.4. The QCP shall identify proposed test methods and qualified testing laboratories to be used.

Tests shall include testing of chemical treatment at the boilers, chillers, and booster hot water systems.

1.8.2.5. The QCP shall identify the contractor’s methods and procedures for identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable. The QCP shall also identify the contractor’s procedures for notifying the COR of scheduled inspections or tests so that the Government may have a Government representative present to observe the contractor inspections and tests, or to schedule separate inspections, if so desired. Note that the intent of Government observations or the scheduling of separate inspections will be to determine the accuracy and completeness of the contractor's quality control inspections.

1.8.2.6. The QCP shall identify the contractor’s methods and procedures for documenting and ensuring quality control operations of both prime and any subcontractor work, including inspection and testing.

1.8.2.7. The QCP shall incorporate the following inspection frequencies: QC inspections must occur within three (3) workdays of the work completion by the mechanic for preventative maintenance or within five (5) workdays of completion for unscheduled maintenance. For all facilities listed in Attachment 1.0, the requirement for the percentage of work to be tested is identified in the sections below.

1.8.2.7.1. For systems with RPSS Risk Factor of Category 1-Catastrophic or Category 2-Critial, the percentage of work to be tested is 100% for scheduled and unscheduled maintenance.

1.8.2.7.2. For systems with RPSS Risk Factor Category 3 or Category 4 the requirement for the percentage of work to be tested is 10% of unscheduled maintenance (routine and urgent), 20% of preventive maintenance performed and 100% of emergencies shall be inspected.

1.8.2.8. The QCP shall be constructed in such a manner that each functional area plan may be extracted and used for that function only and not contain information extraneous to that function.

1.8.2.9. The QCP shall address the contractor’s methods and procedures for documenting the quality

Performance Work Statement MST - Site Name

W912DY-20-D-00XX Page 16 of 49 18 July 2022 control program, what records and files will be maintained, and how they will be updated. The contractor shall note that the contractor’s quality control inspection program records shall be made available to the COR upon request.

1.8.2.10. The QCP shall address what quality control data will be reported to the COR and the KO.

The QCP shall address how this data will be reported in the Monthly Progress Report. Refer to paragraph 2.2.9.1.

1.8.2.11. The contractor shall provide, as a minimum, a quality of service consistent with best practices to achieve more cost-effective reliability through the implementation of better operations and maintenance practices. The contractor’s work and any services performed shall be accepted only when in full compliance with the clause entitled "INSPECTION OF CONSTRUCTION" or “INSPECTION OF SERVICES – FIXED PRICE” as applicable. For purposes of acceptance, the QC Program will be considered as work or service and shall be subject to acceptance throughout the terms of the contract, to include any extensions of contract term. The contractor shall notify the KO, in writing, of any proposed change to the QC Program. No change shall be implemented prior to review by the KO.

1.8.3. Quality Control Plan Training. The contractor shall establish and document a training program for contractor personnel on the QCP. All training shall be provided at no additional cost to the Government and records shall be provided to the COR upon request.

1.9. QUALITY ASSURANCE (QA). According to the Inspection of Services-Fixed Price Clause, the Government shall evaluate the contractor's performance under this contract. Refer to paragraph 2.14, Performance Requirements Summary.

1.9.1. Performance Evaluation Meetings. The KO or COR may require the CMM to meet with the KO, COR, FM and/or other government personnel as deemed necessary. The contractor may request a meeting with the KO or COR when he or she believes such a meeting is necessary.

1.10. PHYSICAL SECURITY. The contractor shall safeguard all government property provided for contractor use. At the close of each work period, vehicles, facilities, support equipment, and materials shall be secured. The contractor shall designate a custodian and alternate for the accounting of government-provided facilities and equipment.

1.10.1. Key Control. The contractor shall establish and implement methods of ensuring all keys issued to the contractor by the Government are not lost or misplaced and are not used by unauthorized persons. Where the text refers to “keys”, it shall be understood to refer to keys, electronic access cards or other access methods. The contractor shall not duplicate any keys issued by the Government.

The contractor shall be provided keys or allowed access to all buildings and rooms requiring services.

The Government may choose to accompany contractor personnel, without prior notice, when working in restricted or controlled areas. Keys provided to the contractor shall not be removed from the premises of the MTF with the exception of the CMM, or designated representative. All keys not issued for the day shall be retained in a designated and locked key box. The CMM shall be issued all keys, may distribute the keys, and shall be responsible for all keys. The COR may periodically inventory all keys assigned to the contractor.

Performance Work Statement MST - Site Name

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