W912JF-18-R-0005_Solicitation.pdf

SEE ADDENDUM

(No Collect Calls)

W912JF-18-R-0005 04-Sep-2018

b. TELEPHONE NUMBER

501-212-4400

8. OFFER DUE DATE/LOCAL TIME

02:00 PM 19 Sep 2018

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W912JF9. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

KEVIN TRUSLOW

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

0 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

0011139664

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED OR X

SMALL BUSINESSX

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

USP&FO ARKANSAS

USP&FO P&C BUILDING 7100

NORTH LITTLE ROCK AR 72199-9600

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: 501-212-4400 SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$20,500,000

NAICS:

621498

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF117

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W912JF-18-R-0005

Section SF 1449 - CONTINUATION SHEET

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

FOR

MEDCOM Dental Services As of July 31, 2018

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 Dental Services, as defined in this PWS.

1.2 Background: The requirement is for the Arkansas Army National Guard (AR-ARNG) Medical Command (MEDCOM). MEDCOM provides medical readiness services to the AR-ARNG and is located on Camp Joseph T.

Robinson in North Little Rock, Arkansas. The requirement is to provide dental exams and dental treatments at Camp Joseph T. Robinson in North Little Rock, Arkansas and mobile dental exams and mobile dental treatments at locations within Arkansas.

1.3 Period of Performance (PoP): The Period of Performance shall be one 12-month base year plus four option years.

1.4 General Information:

1.4.1 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. After acceptance of the QCP, the Contractor shall obtain the Contracting Officer’s (KO) acceptance in writing of any proposed changes to its QCP.

1.4.2 Quality Assurance (QA): The Government shall 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 must 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) (defect rate(s)).

1.4.3 Recognized Holidays: The Contractor shall not perform services on recognized federal holidays to include closures for which the President issues an executive order. Federal holidays include:

1.4.3.1 New Year’s Day

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 Washington’s Birthday

1.4.3.4 Memorial Day

1.4.3.5 Independence Day

1.4.3.6 Labor Day

1.4.3.7 Columbus Day

1.4.3.8 Veteran’s Day

1.4.3.9 Thanksgiving Day

1.4.3.10 Christmas Day

1.4.4 Place and Performance of Services: The Contractor shall provide services during operation hours Monday through Sunday, except on recognized US holidays (to include closures for which President issues an executive order) or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Contractor shall be required to deviate from normal operation hours to ensure timely completion of work under this performance work statement. The work hours are to be coordinated with the COR as the mission requires flexible start times. The Contractor shall not exceed 10 hours of work per day or exceed 40 hours per week. Performance dental exams and dental treatments shall be at various locations throughout the state. Site location will be determined by the COR no later than 2 weeks prior to the event. The Contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS.

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 shall only enter restricted areas when required to do so and with a government escort. All Contractor employees shall carry proper identification with them at all times. The Contractor shall ensure compliance with all regulations and orders of the installation which may affect performance.

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 Contracting Officer’s Representative (COR). The Contractor shall also 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 the Department of Defense (DoD), Headquarters, Department of the 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 COMSEC/IT Security. All communications with DoD organizations are subject to communications security (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 when the Contractor places or receives a phone 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. The Dental contractor will not be utilizing Government phone. All communication needed for Contractor will be used by Contractors communications service providers.

1.4.5.2 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:

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

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

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

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

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

1.4.5.3 Protection of Personally Identifiable Information (PII). The Contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS 224.103 and 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.

1.4.5.4. CAC Requirements: The Common Access Card (CAC) is the Department of Defense Federal Personal Identity Verification (PIV) credential. In accordance with DoDM 1000.13, Volume 1, initial issuance of a CAC requires at a minimum, the completion of Federal Bureau of Investigation (FBI) fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-2, Personal Identity Verification (PIV) of Federal Employees and Contractors, September 2013, and DoD 5200.2-R, Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).(if Needed)

1.4.5.4.1. HSPD-12 Background Investigation Requirements: The Contractor shall ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network. The Contractor will not need access to Government computer and utilize their own resources to obtain CAC which to include access to their own Trusted Associate Sponsor System (TASS) representative and other eligible populations as specified in DoDM 1000.13, Volume 1 are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the Contractor to ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form, at the earliest possible date and that this form is forwarded to the COR immediately. The COR will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the Background Investigation (BI), will be initiated. The Contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The Contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The Contractor shall make all reasonable efforts to ensure that Contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause. (If Needed)

1.4.5.4.2. Trusted Associate Sponsorship System (TASS): The Contractor is responsible for processing applications for Common Access Cards (CAC) for every Contractor employee who deploys with the military force OR who has a need to access any government computer network in accordance with FAR 52.204-9, "Personal Identity Verification of Contractor Personnel." (If needed)

The Contractor is responsible for managing requests for new or renewal CACs in sufficient time to ensure that all Contractor employees have a CAC when needed to perform work under this contract. The norm is at least ten calendar days advance notice to the Trusted Agent (TA), unless there are extenuating circumstances approved by the Contracting Officer's Representative (COR) or Contracting Officer.

It is recommend that a "Corporate Facility Security Officer" (FSO) be designated to serve as your firm's single point of contact for BI, the TASS application process and other CAC and security related matters. If a FSO is not established, each Contractor employee requiring a CAC will be required to process their own applications.

CAC applications shall be processed through the TASS. The Contractor's FSO or Contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA) before accessing the TASS website.

The government will establish a TASS application account for each CAC Request and will provide each Contractor employee a USER ID and Password, via email, to the FSO.

The FSO or Contractor employee shall access the TASS account and complete the CAC application (entering/editing Contractor information as applicable) at: https://www.dmdc.osd.mil/tass/.

The FSO or Contractor employee will submit completed applications in TASS and will follow up to ensure that the TA is processing the request. A CAC cannot be issued without evidence that the FSO has initiated a National Agency Check with Written Inquires (NACI).

The government will inform the Contractor's applicant, via email, of one of the following:

a. Approved.* Upon approval, the information is transferred to the Defense Enrollment Eligibility Reporting System (DEERS) database and an email notification is sent to the Contractor with instructions on obtaining their CAC. The Contractor proceeds to a Real-Time Automated Personnel Identification System (RAPIDS) station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

b. Rejected.* The Government, in separate correspondence, will provide reason(s) for rejection.

c. Returned. Additional information or correction to the application required by the Contractor employee.

*The Contractor shall maintain records of all approved and rejected applications.

At the RAPIDS station, the RAPIDS Verification Officer will verify the Contractor by SSN and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I-9, OMB No. 115-0136, "Employment Eligibility Verification." Consistent with applicable law, at least one document from the Form I-9 list shall be a valid (unexpired) State or Federal Government-issued picture identification (ID).

The identity documents will be inspected for authenticity and scanned and stored in the DEERS upon issuance of an ID. The photo ID requirement cannot be waived, consistent with applicable statutory requirements. The Verification Officer will capture primary and alternate fingerprints, picture, and updates to DEERS and will then issue a CAC.

Issued CACs shall be for a period of performance not longer than three (3) years or the individual's contract end date (inclusive of any options), whichever is earlier.

The Contractor shall return issued CACs to the DEERS office upon departure or dismissal of each Contractor employee. The Contractor shall obtain a receipt for each card and provide to the TA/COR.

1.4.5.4.3 Installation Access will be coordinated through the COR or designee and the Contractor. The Contractor will submit a monthly roster of personnel that will be working the event to COR or designee with location of event.

This roster will be sent one week prior to scheduled event by Contractor and forwarded to Installation Security by COR or designee.

1.4.5.4.4 For contractors that do not require 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 Index (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05/AR 190-13), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative).

1.4.5.5 Antiterrorism Level 1 Awareness Training (AT): All Contractor employees requiring access to Army installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance; all shall complete initial training and annually (i.e., every 365 days) thereafter. The Contractor shall submit certificates of completion for each affected Contractor and sub-Contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training.

1.4.5.6 Information Assurance (IA)/Information Technology (IT) Training: If the Contractor requires access to the Government’s IT system, all Contractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually (i.e., every 365 days) thereafter. All Contractor employees performing services involving IA/IT functions shall comply with DoD and Army training requirements in DoD 8140.01, DoD 8570.01- M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, Contractor employees performing services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award. The Contractor shall submit certificates of completion for each affected Contractor and sub-Contractor employee, to the COR, or to the KO if a COR is not assigned, within 1 calendar day after completion of training.

1.4.5.7 Information Awareness: All Contractor employees with access to a government information system shall be registered in the ATCTS (Army Training Certification Tracking System) (https://atc.us.army.mil/iastar/index.php) prior to commencement of services, and shall successfully complete the DoD Cyber Awareness Challenge Training prior to access to the IS and then annually (i.e., every 365 days) thereafter. DoD Cyber Awareness Challenge Training is available at https://ia.signal.army.mil/DoDIAA/.

1.4.5.8 iWATCH Training. The Contractor with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program. This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The Contractor shall report completion for each affected Contractor employee and sub-Contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training.

1.4.5.9 OPSEC Training. In accordance with AR 530-1, Operations Security, new Contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually (i.e., every 365 days) thereafter. The Contractor shall submit certificates of completion for each affected Contractor employee, to the COR, or to the KO if a COR is not assigned, within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.10 OPSEC SOP/Plan. (Not Applicable)

1.4.5.11 Classified Information. There will be no access to classified information in the performance of this contract.

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. The Contractor will NOT have keys to any Government building or location for this contract.

1.4.7 Special Qualifications: Contractor must have capability to prescribe medication in the state of Arkansas through subcontracted local pharmacies. All personnel must be trained on AR 40-501 and basic military protocol Contractor must be licensed to practice dental services in the state of Arkansas.

1.4.7.1 Dentist: Doctor of Dental Surgery (DDS) Degree. Active/Unrestricted State Licensure required. Basic Cardiac Life Support (BCLS). Years of Experience in Specialty: Minimum 1 year.

1.4.7.2 Registered Dental Assistant: High School Diploma; X-Ray License. Certification preferred; license required for state employment. Basic Cardiac Life Support (BCLS). Years of Experience: Minimum 2 years.

1.4.7.3 Dental Event Manager: Years of Experience: Minimum 3 years. The Dental Event Manager must have working knowledge and experience with systems (DENCLASS, ADDR, and CDA), which is typically gained through on the job training over the course of three years.

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 Federal Acquisition Regulations Subpart 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 Contracting Officer 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 Contractor 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, (or the KO if a COR is not assigned), 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: Contractor personnel will be required to obtain and wear security badges and adhere to the security requirements of the host installation. 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 email) 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 their employees who depart employment for any reason. All identification media (i.e., badges and vehicles passes) shall be returned to the KO within 14 days of an employee’s 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 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. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The Contractor shall take appropriate action, up to and including termination, against employees or sub-Contractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Data Rights: The Government has unlimited rights to all documents/material produced under this contract.

All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the Contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.13 Organizational Conflicts of Interest (OCI): The Contractor and sub-contractor 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 and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect 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.

1.4.14 Phase In / Phase Out Periods (Not Applicable)

1.4.15 Telework: (Not Applicable)

2.0 Definitions and Acronyms

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'S REPRESENTATIVE (COR). An employee of the United States Government designated by the KO to monitor Contractor performance. Such appointment shall be in writing and shall 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 Performance Work Statement.

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 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.

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

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

2.1.11 SUBCONTRACTOR. One that enters into a contract with a prime Contractor. The Government does not have privity of contract with the sub-Contractor.

2.2 ACRONYMS:

ACAVS Army Contractor Automated Verification System AEI Army Enterprise Infrastructure AFARS Army Federal Acquisition Regulation Supplement AR Army Regulation ARNG Army National Guard AT Antiterrorism AT/OPSEC Antiterrorism/Operational Security ATCTS Army Training Certification Tracking System AUP Acceptable Use Policy BBP Best Business Practices BI Background Investigation CAC Common Access Card CFP/M/E Contractor Furnished Property/Material/Equipment CM Contract Manager CMRA Contractor Manpower Reporting Application COMSEC Communications Security COR Contracting Officer Representative DA Department of the Army DEERS Defense Enrollment Eligibility Reporting System DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DoD Department of Defense Directive DTS Defense Travel System EM Emergency Management EMP Emergency Management Plan FAR Federal Acquisition Regulation FBI Federal Bureau of Investigation FP Force Protection FPCON Force Protection Condition FSO Corporate Facility Security Officer GFP/M/E/S Government Furnished Property/Material/Equipment/Services HSPD Homeland Security Presidential Directive HQDA Headquarter Department of the Army IA Information Assurance IAW In Accordance With ID Identification IS Information System(s) IT Information Technology JPAS Joint Personnel Adjudication System JTR Joint Travel Regulation KO Contracting Officer LAN Local Area Network MEVA Mission Essential and Vulnerable Areas NACI National Agency Check with Inquiries NGB National Guard Bureau OCI Organizational Conflict of Interest OMB Office Management and Budget OPM Office of Personnel Management OPSEC Operational Security PEC Professional Education Center

PII Personally Identifiable Information PIV Personal Identity Verification POC Point of Contact PoP Period of Performance PSIP Personnel Security Investigation Portal PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program RAPIDS Real-Time Automated Personnel Identification System RMTC Robinson Maneuver Training Center SIPR Secret Internet Protocol Router SIPRNet Secret Internet Protocol Router Network SJA Staff Judge Advocate SOP Standard Operating Procedure TA Trusted Agent TARP Threat Awareness and Reporting Program TASS Trusted Associate Sponsorship System TE Technical Exhibit VTC Video Teleconference

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: The Government will provide space to some contracted operations and electric to most event locations. The Contractor will be informed if there are any issues with electricity and contractor will be required to supply needs to get operations completed.

3.1 Property: The Government will furnish some of the necessary workspace for the Contractor to perform services outlined in this PWS. The contractor will be required to provide all materials, supplies or equipment to perform operations and the government will inform Contractor if space will be provided for the operation.

3.2 Materials: Expendable supplies (responsibility of Contractor)

3.3 Equipment: Computer hardware and software, internet/intranet/Local Area Network (LAN) and use of a fax machine, copier and printer. (Responsibility of Contractor)

3.4 Services: Mail service and postage (responsibility of Contractor)

3.5 Utilities: Utilities will be provided, when available, for the Contractor’s use in the performance of this contract.

The COR or designee will inform the Contractor when utility is available for use. 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): (responsibility of Contractor)

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.

4.2 Secret Facility Clearance: (Not Applicable)

5.0 Requirements: The Contractor shall provide dental exams and treatments to Arkansas National Guard Soldiers.

The dental exams and treatments will be conducted at Bldg. 15301, Camp J. T. Robinson, North Little Rock, Arkansas and throughout the state of Arkansas through the utilization of a Mobile Dental Practice platform.

5.1 Dental Exams at MEDCOM (Inactive Duty Training Periods - IDT). The Arkansas National Guard (ARNG) is projected to conduct twelve (12) IDT weekends throughout a 12-month period. The ARNG estimates the need for 250 dental exams over a 12-month period, approximately 20 exams per IDT weekend or be consolidated into 1 or 2 events throughout the year. The Government will inform the Contractor of theses event within 30 days of actual event. The Contractor shall provide necessary staffing of dentists and other personnel to perform these dental exams. The Contractor must have the ability to provide to up to 200 exams per day. Dental exams will be provided in accordance with the requirements described in paragraph 5.6.5 of this PWS. This is in conjunction with a scheduled Periodic Health Assessment (PHA) of Army National Guard Soldiers. Location – Bldg. 15301, Camp J.

T. Robinson, North Little Rock, Arkansas and other locations identified throughout the State.

5.2 Mobile Dental Exams (not at MEDCOM on Camp Robinson). The Arkansas National Guard (ARNG) is projected to conduct 2,400 mobile exams within Arkansas throughout a 12-month period. Contractor shall provide necessary staffing of dentists and other personnel to perform a minimum of 100, and a maximum of 200, comprehensive oral evaluations per day. When mobile events combine exams and treatments, the minimum with be 100 exams and 15 treatments. This is in conjunction with a scheduled Periodic Health Assessment (PHA) of Army National Guard Soldiers. On exam events that are three days or longer, the minimum on Fridays of a three day event or longer will be 75. The Government will be charged for a minimum of 75 Soldiers per day for the Friday of a three day or longer event. All other days the minimum will remain at 100. Location, number of Soldiers, and number of days will be provided 30 days prior to event. Dental exams will be provided in accordance with the requirements described in paragraph 5.6.5 of this PWS. Event could be on a weekday or a weekend.

5.3 Dental Treatments at MEDCOM. Contractor shall provide invasive dental treatment with all necessary clinical supplies, equipment & instruments. Authorized treatments are outlined in Appendix A. The contractor should be prepared to provide a minimum of 40 treatments per day on a two-day IDT event, 80 total. The contractor will be paid for the base amount of 40 per day, 80 total for all events. The contractor will be paid for all additional treatments above 80 at the appropriate per treatment rate. Location, number of Soldiers, type of treatment, and number of days allowed for treatment will be provided 30 days prior to event

5.4 Mobile Dental Treatments (not at MEDCOM on Camp Robinson). Contractor shall provide necessary dentist, personnel and equipment to provide mobile dental treatments within Arkansas throughout a 12-month period.

Authorized treatments are outlined in Appendix A. The contractor should be prepared to provide a minimum of 40 treatments per day on a two-day IDT event, 80 total. The contractor will be paid for the base amount of 40 per day, 80 total for all events. The contractor will be paid for all additional treatments above 80 at the appropriate per treatment rate. When mobile events combine exams and treatments, the minimum with be 100 exams and 15 treatments. Location, number of Soldiers, and number of days will be provided 30 days prior to event. Event could be on a weekday or a weekend. A Mobile Dental Practice is required for dental exam events.

5.5 Continuation of Care. Contractor will perform post-operative follow-up (continuation of care) on all treatment, including, but not limited to, Root Canal treatments (RCTs) and extractions at Contractors cost. Contractor must have capability to prescribe medication in the state of Arkansas through subcontracted local pharmacies. Follow-up care must be scheduled within fifty (50) miles of a Soldier’s home of record.

5.6 General Requirements. The Contractor shall have working knowledge of Army Regulations 40-501, Standards of Medical Fitness, and 40-35, Dental Readiness & Community Oral Health Protection, and perform comprehensive oral evaluations, digital bitewings, and digital panoramic radiographs in accordance with said regulations, in a specific location which will be given at the time of notification by government of either 1, 2 or 3 above. The Contractor must use Health Insurance Portability and Accountability Act (HIPAA), & Occupational Safety and Health Administration (OSHA) Mobile Dental Practice or Portable Dental Equipment, when facilities and/or equipment are not provided by the Government.

5.6.1 The Contractor shall have experience in and capability to upload all exams and digital radiographs into the DENCLASS system. The Contractor shall ensure all Soldiers have a current Panoramic Radiograph on file, and if missing, the Contractor shall perform new radiographs. Contractor will have experience in and capability to upload radiographs into the Army Dental Digital Repository (ADDR) system (if needed). Soldiers without a current electronic Panoramic Radiograph in ADDR must have one. Contractor must confirm in ADDR. Contractor will take a new Panoramic Radiograph on all Soldiers after completion of treatment (when provided), and then upload into

DENCLASS.

5.6.2 Contractor must create events in DENCLASS, listing all personnel supporting event, plus all AR ARNG Dentists and Dental Technicians. Contractor will secure an up-to-date list of AR ARNG Dentists and Dental Technicians from MEDCOM State Surgeon’s Office (SSO), prior to each event.

5.6.3 Adherence to all OSHA requirements, State and Federal Regulations is mandatory. The Contractor shall comply with all Arkansas corporate and dental licensing requirements. The Contractor and dentists must provide proof that they are registered and authorized to provide dental services within the State of Arkansas and is approved by the Arkansas State Dental Board. Contractor Must Provide proof of its authorization through the Arkansas Secretary of State as a corporate entity registered to provide dental services within the State of Arkansas.

5.6.4 Contractor will practice OSHA compliant disposal of all hard tissue and/or medical waste.

5.6.5 A periodic oral evaluation (dental exam) shall assess the current state of oral health, risk for future dental disease, as well as assess general health factors that relate to the treatment of the patient. Dental exams will be conducted in accordance with standard clinical practice and (in accordance of AR 40-501). The following measures are required for each periodic oral evaluation (dental exam):

5.6.5.1 Blood pressure assessment – Screen Soldiers for hypertension, appropriately refer hypertensive patients to the state medical authority.

5.6.5.2 Caries risk assessment – Classify Soldiers as low, moderate or high risk for caries as described by the American Dental Association’s 1995 Special Supplement. This assessment will allow the Army Dental Care System to identify those at high risk for future disease and appropriately manage their care.

5.6.5.3 Periodontal assessment – Periodontal Screening and Recording (PSR), a screening procedure endorsed by the American Dental Association and the American Academy of Periodontology, should be utilized to determine the need for periodontal treatment.

5.6.5.4 Tobacco risk assessment – Classify Soldiers as a smoker, user of smokeless tobacco, or as both.

5.6.5.5 Oral cancer screening – Perform a thorough oral cancer screening on all beneficiaries as part of all annual examinations.

5.6.5.6 Radiographs should be taken only for clinical reasons according to Food and Drug Administration guidelines as determined by the patient’s dentist. Radiographs should be of diagnostic quality, properly identified and dated. A panograph must be present in each dental record and must be of adequate quality for diagnostic/identification purposes. There is no time requirement on updating pantographic radiographs. However, the pantographic radiograph must adequately represent the current oral condition of the Soldier.

5.6.6 Provide timely feedback on number and progress/status of dental examinations completed to the Office of the State Surgeon's designated representative within three (3) business days. Feedback should include any timelines or factors that may negatively impact processing of exams. The timeline will include the number of Soldiers completed and waiting to get services during the event. Also project the time each Soldier will need for services. This keeps other areas of operations (PHA) moving in positive direction for completion.

5.6.7 Contractor must notify the Office of the State Surgeon's designated representative at the end of each dental event. Provide identified military representative with the status of Soldiers completed or Soldiers that will need to return to complete dental services.

5.6.8 The Government (MEDCOM) will provide a full roster 14 days in advance of the event and a final roster 10 days before the event.

5.6.9 If there are any add-ons after the final Roster is given to contractor, the information needed to perform the event will be the responsibility of MEDCOM to provide dental records, dental information, and X-Rays (PANO).

They will be uploaded into DENCLASS.

5.7 Dental Services.

5.7.1 An undetermined number of each service listed in the PWS will be delivered throughout the period of performance, at multiple armories in the State of Arkansas, with the possibility of simultaneous requirements, to be determined at the time the requirements are given to the contractor by the Government.

5.7.2 Clinical evaluation by a licensed dentist of the oral cavity using a visual, clinical exam, supported by bitewings, which may be taken by dental technicians, will be conducted.

5.7.3 Each exam will be entered into the DENCLASS reporting system and annotated on the SF 603 (Health Record

- Dental) and the DA 5570 (Health Questionnaire for Dental Treatment) of the Soldier's dental records, posted in the Soldier’s Dental Record per AR 40-66, Medical Record Administration and Health Care Documentation, and entered into the DENCLASS module of the Medical Operational Data System (MODS). Note: Blood pressure must be taken and annotated prior to exam. Screen Soldiers for hypertension, appropriately refer hypertensive patients to the state medical authority.

5.7.4 Personnel performing the dental screening examination have a moral and ethical obligation to inform the Soldier if they observe or are apprised of any sign or symptom for which the Soldier should obtain further evaluation or care.

5.7.5 A comprehensive oral evaluation identifies deficiencies but does NOT include the dental treatment required to restore those deficiencies unless there is a Class 3 Status in the Soldier Treatment Record (STR) and treatment is authorized in the contract

5.7.6 Upon approval from the SSO, the contractor will arrange for local dental treatment and prescription medication for Soldiers. Contractor shall have network of local pharmacies for prescription medication services available for service members during contracted treatment events.

5.7.6.1 The contractor will be responsible for providing prescriptions as required. The Government will be responsible for picking up of prescriptions.

5.7.6.2 Contractor shall be invoiced by and submit payment to pharmacy for the cost of the prescriptions.

5.7.7 Dental treatments will include any invasive procedures included in Appendix A needed to correct any Class 3 dental deficiencies. Contractor will perform all composite restorations in accordance with standard clinical practice.

Dental treatments will include fully digital panographs and bite-wing radiographs (as needed).

5.7.8 Treatment Plans are provided to the contractor. Within three (3) business days, the contractor is required to submit to MEDCOM an appointment roster indicating the appointment date/time for each Soldier treated during the event.(as needed)

5.8 Contractor Manpower Reporting Application (CMRA):

5.8.1 The…