PWS REVISED - Amendment 0002 - as of 01 MAY 2024.docx

PERFORMANCE WORK STATEMENT (PWS) FOR

YOUTH CAMP MEDICAL SERVICES

1.0 General:

1.1 Scope: The contractor shall provide two Registered Nurses, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Medical Services, as defined in this PWS.

1.2 Background: The Maine Army National Guard (MEARNG) Child & Youth Program intends to conduct their annual Youth Camp. This camp provides confidence and team building training, along with multiple resources for military service members children, for a two-week period in the State of Maine. This camp will have approximately 50 adults and 100 youth.

1.3 Period of Performance (PoP): The Period of Performance shall be from 13 July 2024 to 26 July 2024.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0700 (7am) – 2100 (9pm) with on-call availability 24/7, except on recognized US holidays. Performance shall be at Bog Brook Training Area, 27 Military Cir, Gilead, Maine 04217. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential.

1.4.1.1 Telework: The Government does not permit the contractor to telework in support of this requirement. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government’s mission-critical operations stay operational during times of national emergency or incidents of national significance. Telework shall be at no additional cost to the Government.

1.4.1.2 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 instillation. 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 from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following Provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g. deliverables, submittals, etc.) deadline fall on a holiday, the closest work day prior to the holiday will apply as the deadline for submittal.

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award. After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Instillation Access and 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 personnel identity verification requirements as directed by the Department of Defense (DoD), Headquarters Department of the Army (HQDA) and/or Local policy (see PWS 6.0). Should the Force Protection Conditions (FPCON) Change, the Government may require changes in contractor security matters or processes.

1.4.5.1 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 Intertester Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government Representative)

1.4.5.2 Awareness Training (AT) Level 1: Reserved

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. Therefor, 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 Protection of personally Identifiable Information (PII). 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, callcenter support costs, and credit monitoring service costs for all individuals who PII has been compromised.

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 Key Control. Keys are anticipated to be issued to contractor employees. If keys are issued, the contractor shall establish and implement methods of ensuring all keys/key cards issued by the Government are not lost or misplaced and are not used by unauthorized persons. No keys issued by the Government shall be duplicated. The contractor shall include procedures covering key control in the QC Plan. The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the onsite Government POC.

1.4.6.1.1 The contractor shall immediately report any occurrences of lost or duplicated keys/key cards to the COR.

1.4.6.1.2 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction by the KO, re-key or replace the affected lock or locks or perform re-keying. When the Government replaces or re-keys the locks, the Government will deduct the total cost of lock replacement or re-keying from the final payment due the contractor. In the event a master key is lost or duplicated, the Government will replace all locks and keys for that system and will deduct the total cost from the monthly payment due the contractor.

1.4.6.1.3 the contractor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employee. The contractor shall prohibit the opening of locked areas by contractor employees engaged in the performance of services in those areas, or personnel authorized entrance by the KO.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess a Valid Maine Registered Nurse II (RN) or Compact RN License II. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information. NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified and qualified to provide services.

1.4.7.1 The contractor shall Have experience in patient records histories, performs various diagnostic tests, administers medications, and develops patient care plans in conjunction with other medical professionals.

1.4.7.2 The contractor shall have at least one year of pediatric school or camp nursing experience.

1.4.7.3 The contractor shall Poses a current adult and pediatric CPR certification that does not expire during the duration of the camp.

1.4.7.4 The contractor shall have good communication skills with both adults and children (e.g., campers, parents, camp staff, and other medical providers).

1.4.8 Post award conference/periodic progress meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5. the KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced. The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall provide 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 (by email is acceptable). 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 Government POC to resolve issues, receive directions 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: Contracted personnel will be required to wear camp T-shirts for the duration of this contract while on duty and in the campground. Two shirts will be provided, and one will be laundered daily.

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from it’s employees who depart employment for any reason. The contractor shall return all identification media (i.e badges and vehicle passes) to the KO within 14 days of an employee departure.

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 server 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 the including termination, against employee or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Organizational Conflict 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.

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 DEFECTIVE SERVICE. A service output that does not meet the standard of performance associated with the Performance Work Statement.

2.1.3 DELIVERABLE. Anything that can be physically delivered and includes non- manufactured things such as meeting minutes or reports.

2.1.4 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 Key Personnel listed in 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.

2.1.5 PHYSICAL SECURITY. Actions that prevent the loss or damage of Government property

2.1.6 QUALITY ASSURANCE. The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 QUALITY CONTROL. All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.9 SUBCONTRACTOR. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.10 WORK DAY. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.11 WORK WEEK. Monday through Friday, unless specified otherwise.

2.1.12 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.

2.1.13 CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government designated by the KO to monitor contractor performance. These duties will be retained by the KO. An onsite Government Point of Contact will be designated upon contract award.

2.0 Acronyms:

AEI Army Enterprise Infostructure

BI Background Investigation

OTC Over the Counter

RN Registered Nurse TE Technical Exhibit

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S): 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: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include sleeping quarters, desk space, and other items necessary to maintain an office environment.

3.1.1 The Government will provide meals to the contractor, except on Saturday of each week, Friday Lunch and Dinner and Sunday breakfast.

3.2 Materials:

Over The Counter Medication and supplies:

Calamine lotion

First Aid Supplies

Finger splints

Personal Hygiene Items/Accessories

Ear plugs

3.3 Equipment:

a) Automated External Defibrillator (AED)

b) CPR Masks – In various sizes

3.4 Services: Contractor and/or contractor personnel must hold liability insurance in accordance with 52.237-7 Indemnification and Medical Liability Insurance. The coverage shall be at least 1 million per claim and $3 million per annum.

3.5 Utilities: All utilities in the facility 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. The facility will have potable running water and electricity available to contract employees.

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 the services indicated in Paragraph 1.1 of this PWS. The contractor shall provide their own stethoscope, blood pressure cuff, (child – adult), PPE and other personal, professional items as warranted by professional standards.

4.1.1 The word “Other” as stated in 4.1 of the PWS, is the Nurses personal preferences of general items they like to have while on duty that was not include in section 3.0 of the PWS.

4.1.2 the contractor shall bring bedding for a twin sized mattress as bedding will not be provided.

5.0 Requirements: The contractor shall:

5.1 Provide two (2) Level 2 registered nurses that will oversee a designated medical room and provide basic medical care for approximately 50 Adults and 100 Children (youth).

5.2 Each Nurse shall:

5.2.1 have a Valid Maine Registered Nurse (RN) or Compact RN License.

5.2.2 Maintain a clean medical room and personal sleeping area at all times.

5.2.3 Provide precise management of prescribed, OTC, and standing order medications.

5.2.4 Coordinate and communicate care of attendees with guardians and camp staff.

5.2.5 Develop and implement nursing care plans while monitoring healthcare and maintaining health records.

5.2.6 Work with 1-2 health care assistants provided by Maine Army National Guard.

5.2.7 Provide daily reports to Camp Coordinators of injuries and health concerns of camp participants.

5.2.8 Have a Current and valid adult and pediatric CPR certification or similar certification (i.e. Basic Life Support/ AHA certification) that covers both adult and pediatric and will not expire during the training event.

5.2.9 A minimum of one (1) year of pediatric, school or camp nursing experience is preferred but similar experience is accepted. (i.e hospital and/or ambulatory clinic pediatric).

5.2.10 Be “on duty” during the camp hours (0700-2100). One Nurse is required to be in the medical room while the other can be out with a group during the day’s activity. On “off duty” hours (2100-0700) one nurse must be “on call” and stay in the medical room in the case of an emergency. The medical room will not be required to be manned from 19 July 2024 at 1200pm to 20 July 2024 at 1400 during camp reset period.

5.2.11 Attend week one of staff training that is held on 13 July 2024 but are not required to attend the second week staff training on 20 July 2024.

5.2.12 Coordinate with the camp director to create scheduling and manning plan that works best in efforts to maintain the 24-hour medical services.

5.3 Invoicing: All contractor invoices shall be submitted via Wide Area Workflow (WAWF) using contract line-item numbers (CLINs). The contractor shall be required to establish account(s), access method(s), log-in(s), and get all necessary training prior to submitting invoices through WAWF. Invoices not submitted via WAWF shall not be accepted or paid.

6.0 Applicable Publications: The following publications, manuals, regulations, etc. are mentioned in this PWS and are listed below.

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar or http://farsite.hill.af.mil/

Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/ind ex.html or http://farsite.hill.af.mil/

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b) 01/23/2014 http://www.esd.whs.mil/Directives/issuances/dodm/

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors (paragraph 9) August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201- 2.pdf

DoDM 5200.2 Regulation 5200.02 Procedures for the DoD Personnel Security Program (PSP) 04/03/2017 http://www.dtic.mil/whs/directives/corres/pub1.html

Army Directive 2014-05 Policy and Implementation Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors 03/07/2014 http://www.apd.army.mil/ProductMaps/PubForm/Arm yDir.aspx

AR 190-13

The Army Physical Security Program 02/25/2011 http://www.apd.army.mil/ProductMaps/PubForm/AR.a spx

Homeland Security Presidential Directive (HSPD)-12 Policy for a Common Identification Standard for Federal Employees and Contractors 08/27/2004 https://www.dhs.gov/homeland-security-presidential- directive-12

DoDD 5400.11 Department of Defense Privacy Program 10/29/2014 http://www.dtic.mil/whs/directives/corres/dir.html#

DoD 5400.11-R Department of Defense Privacy Program 05/14/2007 http://www.dtic.mil/whs/directives/corres/pub1.html

DoDD 8140.01 Cyberspace Workforce Management

DoD 8570.01-M Information Assurance Workforce Improvement Program 12/19/2005 (Change 4: 11/10/2015)

AR 25-2

Information Assurance

AR 530-1

Operations Security

DoD 5220.22-M National Industrial Security Program Operating Manual 02/28/2006 (Change 2: 05/18/2016)

AR 381-12

Threat Awareness and Reporting Program (TARP) (Section II, 2-4.b)

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS) This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Ver. October 2022

TECHNICAL EXHIBIT 2

Schedule of medical services

TECHNICAL EXHIBIT 3

Deliverables Schedule

1.4.10 Contractor Employees T-Shirt

Size

PIEE-WAWF

Invoicing