W912LR22R6058 PERFORMANCE WORK STATEMENT.pdf

PERFORMANCE WORK STATEMENT (PWS)

FOR

Medical Readiness Events (PHA/SRP) Services Contract

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 Medical Readiness Events (Periodic Health Assessment (PHA)/Soldier Readiness Services (SRP), as defined in this PWS for approximately 6,200 Puerto Rico Army National Guard Service Members as defined in this PWS.

1.2 Background: This is a medical readiness health care services contract to provide. Increased deployments and missions locally and around the globe have required Soldiers to be deployed more frequently, for longer periods in high physical and mental stress operations. Additional resources and programs are required to increase the PR‐ARNG medical readiness.

1.2.1 Medical Readiness Services: PRARNG leadership requires support to identify and quantify the magnitude and status of medical readiness across all Army National Guard units in the territory of Puerto Rico. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. The key personnel selected for contract service shall be accountable solely to the Contractor who, in turn is responsible to the Government. The Government may evaluate the quality of high level, professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered. This requirement is designed to be flexible, responsive, and meets the ever‐evolving needs of the government. DoDI 6025.19 establishes aggressive quarterly and annual metric goals for the separate IMR elements and for the overall IMR category of Fully Medically Ready (FMR) soldiers. The ultimate goals are to produce real‐time reports based on complete, accurate data. The Puerto Rico Army National Guard (ARNG) Surgeon’s Office requires a highly responsive process whereby the government can quickly obtain needed support and services. This PWS reflects existing National Guard Bureau policies and regulations.

1.3 The Period of Performance (PoP) shall be one (1) Base Year of nine (9) months and three (3) 12‐month option years.

1.3.1 The period of performance for the base year: 1 September 2022 to 31 May 2023.

1.3.2 The period of performance for Option Year 1: 1 June 2023 to 31 May 2024.

1.3.3 The period of performance for Option Year 2: 1 June 2024 to 31 May 2025.

1.3.4 The period of performance for Option Year 3: 1 June 2025 to 31 May 2026.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide a work force that will provide services as needed by government between the hours of 0630‐1830 on Monday through Sunday, except when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government‐directed facility/installation closings. Performance shall be at the PRARNG Readiness Center; Fort Buchanan, Camp Santiago Joint Maneuver Training Center (CSJMTC);

Salinas, and Fort Allen Training Site (FATS), Juana Diaz. The services needed will be given in writing (email, memorandum) to the contractor with at least one week anticipation of scheduled events or days. The contractor shall always maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons.

When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force is essential. Telecommuting and Telework is NOT authorized.

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 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.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation, including fire, traffic, safety, and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee for misconduct, security reasons, 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 are recognized United States (US) holidays. The contractor shall not perform services on these days:

1.4.3.1 New Year’s Day: January 1st

1.4.3.2 Martin Luther King, Jr.’s Birthday

1.4.3.3 President’s Day

1.4.3.4 Memorial Day

1.4.3.5 Juneteenth National Independence Day: June 19th

1.4.3.6 Independence Day: July 4th

1.4.3.7 Labor Day

1.4.3.8 Columbus Day

1.4.3.9 Veteran’s Day: November 11th

1.4.3.10 Thanksgiving Day

1.4.3.11 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 Installation 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 personal identity verification requirements (FAR clause 52.204‐9, Personal Identity

Verification of Contractor Personnel) as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.1 For contractors requiring Common Access Card (CAC): The CAC is the DoD Federal Personal Identity

Verification (PIV) credential. Before CAC issuance, the contractor employee requires, at a minimum, a favorably adjudicated Tier 1 or an equivalent or higher investigation in accordance with Army Directive 2014‐

05. The contractor employee will be issued a CAC only if duties involve one of the following: (1) both physical access to a DoD facility and access, via logon, to DoD networks on‐site or remotely; (2) remote access, via logon, to a DoD network using DoD‐approved remote access procedures; or (3) physical access to multiple DoD facilities or multiple nonDoD federally controlled facilities on behalf of the DoD on a recurring basis for a period of 6 months or more. At the discretion of the sponsoring activity, an initial CAC may be issued based on a favorable review of the FBI fingerprint check and a successfully scheduled Tier 1 investigation at the Office of Personnel Management.

Sponsorship and enrollment information about each applicant must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either the Real‐Time Automated Personnel ID System (RAPIDS) using the DD Form 1172‐2 or the Trusted Associate Sponsorship System (TASS).

1.4.5.1.1 Homeland Security Presidential Directive (HSPD)‐12 Background Investigation Requirements:

The contractor shall ensure that all contractor and subcontractor personnel whose duties require CAC card issuance obtain them and shall process all CAC card applications. The contractor shall ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at Attachment “TBD”, 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 it to the National Guard Bureau (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 investigative service provider has received the request, 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 immediate compliance with all instructions regarding background investigation processing, including those provided verbally, by e‐mail or via a Government system. 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 two to six 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.

1.4.5.1.2 Trusted Associate Sponsorship System (TASS): The contractor shall process CAC applications through the TASS, the procedures for which are described below. Although there is no requirement for the contractor to designate a “Corporate Facility Security Officer" (FSO) to serve as its single point of contact for the BI, the TASS application process and other CAC and security‐related matters, such designation facilitates these processes. If a Corporate FSO is not established, all contractor employees requiring a CAC will be required to process their own applications. The submission process for CAC applications is as follows:

1.4.5.1.2.1 The contractor's FSO or contractor employee shall submit requests for a CAC via email to the designated TASS Trusted Agent (TA). The TASS TA for this requirement will be: TBD.

1.4.5.1.2.2 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 contractor’s FSO or contractor employee. The FSO or contractor employee shall access the TASS account and complete the CAC application (entering/editing contractor information as applicable) at:

https://tass.dmdc.osd.mil/tass/. The contractor’s FSO or contractor employee shall follow up to ensure that the TA is processing the request.

1.4.5.1.2.3 The Government will inform the contractor's applicant, via email, of one of the following:

a. Approval. * Upon approval, the information is transferred to the DEERS database and an email notification is sent to the contractor with instructions on obtaining their CAC. The contractor proceeds to a RAPIDS station (RAPIDS Site Locator: http://www.dmdc.osd.mil/rsl/).

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

c. Return. * Additional information or correction to the application required by the contractor employee.

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

1.4.5.1.3 At the RAPIDS station, the RAPIDS Verification Officer will verify the contractor employee by Social Security Number (SSN) and two forms of identification. Identity source documents must come from the list of acceptable documents included in Form I‐9, OMB No. 1615‐0047, "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 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 will be valid for no longer than three years, or until the individual's contract end date (inclusive of any options), whichever is earlier.

1.4.5.1.4 The contractor shall manage requests for new or renewal CAC cards in sufficient time to ensure that all contractor employees have them when needed to perform work under this contract.

The contractor shall provide at least 10 calendar days advance notice to the TA, unless there are extenuating circumstances approved by the COR or KO.

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

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

1.4.5.1.6 The contractor shall obtain an Army Knowledge Online (AKO) email address for each applicant, including subcontractors, who may be deployed or require logical access to a Government computer network. Note: If employees of a contractor lose the privilege to access AKO, they lose the ability to renew their CAC. Therefore, it is critical that contractor employees maintain their AKO accounts.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation:

Contractor and all associated sub‐contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC‐III) and Terrorist Screening Database (TSDB) (Army Directive 2014‐05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website: http://jko.jten.mil/courses/atl1/launch.html.

1.4.5.4 iWATCH Training: The contractor and all associated sub‐ contractors shall all employees on the local iWATCH program (training standards provided by the requiring activity ATO). 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. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance with the results reported to the COR NLT 15 calendar days after completion of training by each employee or subcontractor personnel.

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

1.4.5.6 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 Info structure (AEI). Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

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

1.4.5.6.2 Complete initial and/or annual Information Assurance (IA) training as defined in the IA Best Business Practices (BBP) training (https://atc.us.army.mil/iastar/docs/Training_BBP.pdf).

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

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

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

1.4.5.7 Army Training Certification Tracking System (ATCTS): All contractor employees with access to a Government information system shall be registered in ATCTS (https://atc.us.army.mil/iastar/index.php) at commencement of services and shall successfully complete the DoD Information Assurance awareness training prior to access to the IS and then annually thereafter. (https://iatraining.us.army.mil/).

1.4.5.8 Information Assurance (IA) Training. All contractor employees and associated subcontractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter.

1.4.5.9 Information Technology (IT) certification. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army workforce training requirements in DoDD 8140.01, DoD 8570.01‐M and AR 25‐2 within six months of the start of contract performance or appointment to IA/IT functions. In accordance with DoD 8570.01‐M, DFARS 252.239.7001, and AR 25‐2, contractor employees supporting or performing 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.

1.4.5.10 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, call‐center support costs, and credit monitoring service costs for all individuals whose PII has been compromised.

1.4.5.11 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 thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.5.12 Threat OPSEC SOP/Plan. The contractor shall develop an OPSEC Standard Operating Procedure (SOP)/Plan and provide it to the COR within 90 calendar days of contract award to be reviewed and approved by the responsible Government OPSEC officer, per AR 530‐1, Operations Security. This SOP/Plan shall include a process to identify the Government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. The contractor shall implement OPSEC measures as required by the Government. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified within 90 days of appointment as OPSEC coordinator in accordance with AR 530‐1. Contractor shall provide a copy of the certification to the COR NLT 15 days after completion.

1.4.5.13 Threat Awareness and Reporting Program (TARP). Per AR 381‐ 12, Threat Awareness and Reporting Program (TARP), contractor employees with security clearances must receive annual TARP training by a counterintelligence (CI) agent or other trainer as specified in Chapter 2 Threat Awareness and Education, Section II, paragraph 2‐4b. The contractor shall identify annual TARP training, personnel trained, and date of training within 15 days of training completion.

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. NOTE: All references to keys include key cards. The contractor shall establish and implement methods of ensuring that no keys/key cards issued by the Government are lost or misplaced or are used by unauthorized persons. No keys issued by the Government shall be duplicated. Such procedures shall include turn‐in of any issued keys by personnel who no longer require access to locked areas. The contractor shall include procedures covering key control in the QCP.

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; however, the Government, at its option, may 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 monthly 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 contactor shall prohibit the use of the Government issued keys/key cards by any persons other than the contractor’s employees. The contractor shall prohibit the opening of locked areas by contractor employees to permit entrance of persons other than contactor 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 all required licenses for their services. The Case management Nurses/Medical Credentialing Specialist Nurses will have a minimum bachelor’s Science in Nursing (BSN) with state license used in the performance of this contract. The Care Coordinators will have a minimum of high school diploma. 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.)

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

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

1.4.10.1 The contractor shall retrieve all identification media (including vehicle passes) from its employees who depart employment for any reason. The contractor shall return all identification media (i.e., badges and vehicles pass) 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. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.12 Contractor Travel: Not Applicable

1.4.13 Data Rights: The Government has unlimited rights to all documents/materials 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.

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

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 PWS.

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 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 ensure 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.

2.2 Acronyms:

AEI Army Enterprise Info structure

AR Army Regulation

AT/OPSEC Antiterrorism/Operational Security

BI Background Investigation

CCQAS Centralized Credentials Quality Assurance System

CM Contract Manager

COR Contracting Officer Representative

DA Department of the Army

Den Class Dental Classification

DD254 Department of Defense Contract Security Classification Specification

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

DoDI Department of Defense Instruction

DSS Deputy State Surgeon

FAR Federal Acquisition Regulation

FMR Fully Medical Ready

GFP/M/E/S Government Furnished Property/Material/Equipment/Services

HQDA Headquarters, Department of the Army

HSPD Homeland Security Presidential Directive

IA Information Assurance

IS Information System(s)

KO Contracting Officer

MODS Medical Operational Data System

MRE Medical Readiness Events

MRO Mobilization Readiness Office

MTF Medical Treatment Facility

NARSUMs Narrative Summaries

NCCMT Non‐Clinical Case Management Team

NGB National Guard Bureau

OCI Organizational Conflict of Interest

PII Personally Identifiable Information

PIPO Phase In/Phase Out

POC Point of Contact

PRARNG Puerto Rico Army National Guard

PRS Performance Requirements Summary

PSV Primary Source Verified

PWS Performance Work Statement

QA Quality Assurance

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Program

SCR Service Contract Reporting

SSN Social Security Number

SSO State Surgeon Office

TE Technical Exhibit

USD(I) Under Secretary of Defense for Intelligence

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 and medical equipment for the contractor to perform services outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment.

3.2 Materials: None. Specifically, no office supplies will be provided.

3.3 Equipment: Al medical Equipment necessary to perform the aforementioned services will be supplied by the government.

3.4 Services: None.

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.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E): NONE

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

5.0 Requirements:

5.1 The contractor shall provide all management, labor, certifications necessary to provide Medical: Blood Pressure, height and weight, and questionnaire screening, Periodic Health Assessments (PHAs), Specialty Physical Exams such as Chapter 3, ‘Over‐40,’ Flight Physical Examination, etc, in accordance with AR (Army Regulations) 40‐501, Immunizations required for IMR and theater specific compliance such as Hepatitis A/B, Influenza, Tetanus and Diphtheria, MMR, Polio, PPD, Varicella (vaccines to be supplied by ARNG), dental examinations, visual acuity and optometry exams. These actions are all necessary during both Periodic Health Assessments and as part of the Soldiers Readiness Process (SRP). Upon completion of services, medical/dental information will be documented in accordance with Department of the Army Policy in Service Treatment Record (STR) and medical readiness modules. The contractor shall also ensure the requirements of Occupational Safety and Health Administration (OSHA) and applicable Federal regulations are met. The contractor shall develop and maintain records that fully document serviced performed, examination results, and names of soldiers referred to medical/dental specialists. These records will be made available to the Puerto Rico State Surgeon/PR‐Medical Command or Medical/Dental representative.

5.2 The Contracted Company will provide All Necessary Contractors, needed by the government, to Complete Full PHA/SRP and/or Physical Exam Requirements.

‐ Nursing Services (RN, LPN): Shall have knowledge of all areas and be able to act as a liaison between the Medical Command administration and the working team. Special reporting to the State Surgeon/Deputy State Surgeon for case management post event. Responsible for authentication of personnel attendance and submit an After‐Action Report (AAR). The contractor must have knowledge and skill to perform a variety of tasks specific to outpatient primary care. The LPN must have the knowledge and sufficient skill to understand nursing principles, practices and procedures; patient disease entities; ethics; interdisciplinary treatment/care plans;

interpersonal and teaching skills; use of medical equipment, medical materials and supplies for the purpose of carrying out vital signs monitoring, referrals and identification of illness in patients whose age may range from 17 years to 60 years. Among their tasks are: Immunization, Vital Signs (BP, Pulse, Respiration), obtaining and recording height and weight measurements, EKG, and taking active part of the patient counseling and guidance in the process of PHA, SRP. All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document.

‐ Medical Provider Services: Responsible for performing Periodic Health Assessment, review and all referrals.

Will provide determination of returning soldiers to duty following an absence. Identify duty related injuries, accidents, illness, and impairment. Order routine laboratories and x‐rays when necessary. Refers to Fort Buchanan RAHC, VA and other hospitals as necessary. Complete all Electronic Medical Profiling in the E‐Profile Module. Medically clears Soldier when proper medical evidence is provided by the Service Member. Provides information to soldiers on medical conditions that may limit the soldiers’ performance. All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document.

‐ Optometry Services: The Contractor performs routine clinical procedures and tasks, to include patient history for review. Measures visual acuity, distance and near, corrected, and uncorrected vision. Performs visual field evaluations using automated and manual visual field analyzers independently. All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document.

‐ Dental Provider: Contractor functions in the areas of Oral Dentistry, Radiology and Oral Diagnosis, receives soldiers for examination during evaluation events in the Dental Clinic. Maintains and properly stores an adequate level of supplies. Positions soldier and film for proper exposure of intra and extra‐oral x‐rays.

Processes exposed films, using either automatic or manual processing techniques. All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document and medical/dental readiness modules.

‐ Dental Technician services: Prepares the evaluation area using proper infection control techniques as prescribed in service policies and by properly laying out all instruments and materials in the sequence of use and then prepares the soldier. Obtains and records information related to the medical and dental history of the patient including temperature, pulse, and blood pressure. Charts information relayed by the Dental Provider. Will provide support to dental care provider at chair side. Passes instruments and materials to, and retrieves them from the dental provider, keeps the field maintains dental equipment and dental operatory in a clean and operable condition. Processes exposed films, using either automatic or manual processing techniques All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document and medical/dental readiness modules.

‐ Patient Administration Services (In processing/Out processing): Reviews referrals and refers more difficult requests to appropriate levels; receives telephone calls, relays messages to appropriate staff. Updates files for medical reports; generates statistical report. All annotation and entry of services into the DD Form 2766‐ Adult Preventive and Chronic Care Flow sheet or appropriate document. Handles Medical Records, updates filling of same. Handles with the Service Member update of the electronic medical forms

5.3 Dental Examinations: The contractor shall conduct Dental Examinations in accordance with the Army regulations and PHA guidance set forth by the Office of the Chief Surgeon National Guard Bureau.

5.4 Periodic Health Assessments, Soldier Readiness Process and Physical Exams: the contractor shall conduct Periodic Health Assessments (PHA) and other physical exams (Over‐40, Chapter 3, Flight, etc.) in accordance with the AR 40‐501 and guidance set forth by the Office of the Chief Surgeon National Guard Bureau.

5.5 Hearing Examinations: The Contractor shall conduct all hearing examinations utilizing DOEHRS approved equipment and software, in accordance with Army regulations and Hearing guidance set forth by the Office of the Chief Surgeon National Guard Bureau

5.6 Visual Acuity Testing: The contractor shall conduct visual acuity testing in accordance with AR 40‐501.

5.7 Medical/Dental/PHA/ event: approximately 80‐125 soldiers will be processed on event day. This number can fluctuate according to the needs of the PRARNG. In the event of larger number of soldiers needing evaluation, the number of personnel assigned to the event will also vary. The contractor will receive from the government the services needed prior to the event. The unit will establish the need to prioritize rotation of key personnel. This event will flow as follows:

‐ 25 Soldier per team rotation ‐ Team rotation (SM’s attending Medical/Dental/PHA/SRP event) time will be hourly: 0730 / 0830 / 0930 / 1030… This may change as per the needs of the government.

Soldiers requiring fasting laboratory will report to area designated by the government at 0630.

5.8 Soldier Readiness Processing (SRP) events: approximately 75 soldiers will be processed per day. The unit will establish the need to prioritizing rotation of key personnel. This event will flow as follows:

‐ 25 Soldier per team rotation ‐ Team rotation time will be hourly: 0730 / 0830 / 0930 Soldiers requiring fasting laboratory will report to area designated by the government at 0630.

5.9 Documentation: The contractor shall ensure that all appropriate DA or DD forms (in accordance with references) are utilized for each service supplied. All services Must be updated in medical readiness modules.

The forms will be made available through the Puerto Rico Army National Guard Medical Command office. The contractor shall provide all documentation concerning medical treatment to the PRARNG Deputy State Surgeon.

5.10 Reporting: The contractor shall provide a final report for all services provided to include a by name, unit, and social security number roster of all soldiers receiving services. The report shall be approved and verified by the PRARNG liaison with the office of the Deputy State Surgeon of the PRARNG. The following data elements will be reported at the end of an event: Date, Location, List of contract employees, total number of patients scheduled, total number of patients examined, or documents/modules updated.

5.11 Roster of participants will be provided by PRARNG prior to the event. The roster will be in excel format and will require the following information: Last, Name, First Name and Complete SSN.

5.12 Licensed provider will identify, track, and provide clinical tracking of all PRARNG initiated Temporary and Permanent Profiles of PRARNG soldiers via hardcopy record/spreadsheet, as well as the MND module in

MODS.

5.13 When required, licensed provider will coordinate with Deputy State Surgeon and Health Services Section and arrange for fulfillment of required consultations and follow up.

Follow‐up conversations between Contractor and PRARNG treated soldier and Supervisor may be necessary depending on complexity of treatment and potential additional requirements.

5.14 The Contractor shall furnish the following documentation: Upon completion of services, medical information will be documented in accordance with Department of the Army Policy and be updated in the approved Army National Guard automated system. The contractor shall also ensure the requirements of Occupational Safety and Health Administration (OSHA) and applicable Federal regulations are met. The contractor shall develop and maintain records that fully document service performed, examination results, and names of soldiers referred to specialists. These records will be made available to the Puerto Rico State Surgeon/PR‐Medical Command or Medical representative, NLT 5 days after initial request.

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

Publication

(Chapter/Page) Date of

Publication Mandatory or Advisory

Website

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar

Defense Federal Acquisition Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/cu rr ent/index.html or https://www.acquisition.gov/dfars

Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelr eg .cfm

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020 http://www.esd.whs.mil/Directives/issuances/ do dm

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.FI P S.201-2.pdf

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuance s/d odm/

DoDI 5200.46 DoD Investigative and

Adjudicative Guidance for Issuing the Common Access Card (CAC)

09/09/14 (Change 1:

05/04/2018 https://www.esd.whs.mil/Directives/issuance s/d odi/

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

DoDI 5400.11 Department of Defense Privacy and Civil Liberties Programs

01/29/2019 https://www.esd.whs.mil/Directives/issuanc es/d odi/

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuanc es/d odm/ DoDD 8140.01

Cyberspace Workforce Management

10/05/2020 https://www.esd.whs.mil/Directives/issuance s/d odd/

DoD 8570.01-M Information Assurance Workforce

Improvement Program

12/19/2005 (Change 4:

11/10/2015 https://www.esd.whs.mil/Directives/issuanc es/d odm/

DoD 5220.22-M National Industrial Security

02/28/2006 (Change 2:

https://www.esd.whs.mil/Directives/issuanc es/d odm/

Program Operating Manual

(NISPOM)

05/18/2016

Army Directive 2014-05 Policy and Implementation

Procedures for Common Access

Card Credentialing and Installation Access for Uncleared Contractors

03/07/2014 https://armypubs.army.mil/ProductMaps/Pub Fo rm/ArmyDir.aspx

AR 25-2

Information Assurance

04/04/2019 http://armypubs.army.mil/ProductMaps/Pub For m/AR.aspx

AR 40-66

Medical Record Administration and Health Care Documentation

01/30/2005 http://armypubs.army.mil/ProductMaps/Pub For m/AR.aspx

AR 530-1

Operations

Security

09/26/2014 http://armypubs.army.mil/ProductMaps/PubF or m/AR.aspx

AR 525-13

Antiterrorism

12/09/2019 http://armypubs.army.mil/ProductMaps/Pub For m/AR.aspx

AR 381-12

Threat Awareness and

Reporting Program (TARP)

(Section II, ¶ 2-4.b)

06/01/2016 http://armypubs.army.mil/ProductMaps/Pub For m/AR.aspx

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

Form Date Website

DD 1172-2

Application for Identification Card/DEERS

Enrollment

Mar 2017 http://www.dtic.mil/whs/directives/forms/index.htm

I-9 Employment Eligibility

Verification

10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense

Security Agreement

Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and

Receiving Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/

Technical Exhibit 1 Performance Requirements Summary

This Performance Requirements Summary includes performance standards applicable to this PWS The Government will use these standards to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

PWS Paragraph Task Performance

Standard Acceptable

Quality Levels

(AQL)

Surveillance Method / By COR

5.1.2/5.1.2 Health Exams are performed 100% 98% Periodic Assessments and in accordance with all Inspection - COR physical examination regulations in PWS will review monthly work order logs.

5.1.4 Visual Acuity Testing is performed 100% 98% Periodic

Testing in accordance with Inspection - COR

Army Regulation will review monthly work order logs.

5.3 Management of Contractor will 100% 98% Periodic

Profiles maintain files and Inspection - COR follow-up on profiled will review soldiers monthly work order logs.

5.2.3…