PWS for OH Medical Examinations Revision 1.pdf

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Performance Work Statement (PWS) for

Occupational Health Medical Surveillance Examination Non-Personal Services

Revision as of 28 May 2026

1.0 General:

1.1 Scope: The prime contractor (henceforth referred as “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 Occupational Health Medical Surveillance Examination Services Non-Personal Services (OHM, as defined in this PWS.

1.1.1 Objectives: To regularly monitor the health of Puerto Rico Army National Guard (PRARNG), dual-status, federal technicians who are, or may be, exposed to health and safety hazards in their workplaces, and intervene early to prevent or reduce occupational illness and injury to individual employees and the PRARNG Technician workforce.

1.2 Background: The purpose of the Occupational Medical Surveillance Examination program is to provide job-related medical surveillance examinations and Occupational Health services to the Puerto Rico Army National Guard (PRARNG) dual-status, federal technicians who are, or potentially be, exposed to health hazards in the work environment, for 150 employees annually. The examinations will include personnel assigned to positions requiring specific standards of physical fitness. Personnel not included under these examinations are PRARNG state employees, civilian contractors, and full- or part-time traditional PRARNG soldiers.

1.3 Period of Performance (PoP): The Period of Performance consists of a base period and three option periods to be executed if exercised:

* Base Period: from 15 June 2026 to 30 April 2027

* Option Period 1 (OP 1): from 1 May 2027 to 30 April 2028

* Option Period 2 (OP 2): from 1 May 2028 to 30 April 2029

* Option Period 3 (OP 3): from 1 May 2029 to 30 April 2030

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0700-1600 on Monday through Friday, except on recognized US holidays or 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 Bldg. 589, Camp Santiago Salinas, Puerto Rico. The

PWS Page 2 of 22 contractor shall at all times maintain an adequate workforce 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 workforce are essential. Teleworking 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 from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays.

The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

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1.4.3 Quality Requirements:

1.4.4 Quality Control and Quality Assurance Commercial Products and Services:

Consistent with RFO Subpart 12.105, Quality Requirements, and RFO Subpart 46.202- 1, DARS 2026-O0028 Revolutionary Federal Acquisition Regulation (FAR) Overhaul Part 12 Defense FAR Supplement (DFARS) Part 212, and DFARS 2026-O0035 RFO Part 46 Defense FAR Supplement (DFARS) Part 246, the Government will:

1.4.4.1 Quality Control for Commercial Services: Rely on contractors' existing quality assurance systems as a substitute for Government inspection and testing before tender for acceptance unless customary market practices for the commercial product being acquired include in-process inspection. Any in-process inspection by the Government must be conducted in a manner consistent with commercial practice. The Government must rely on the contractor to accomplish all inspection and testing needed to ensure that commercial services acquired conform to contract requirements before they are tendered to the Government.

1.4.4.2 Quality Assurance for Commercial Services: To the maximum extent practicable, allow a contractor under a commercial products acquisition to use its existing quality assurance system to inspect or test commercial products before the contractor presents the products to the Government for acceptance. Rely on the contractor to accomplish all inspection and testing needed to ensure that commercial services conform to contract requirements before the contractor presents the services to the Government.

1.4.4.3 Reliance on the contractor’s QA/QC under commercial practice does not exempt the contractor nor prohibit the Government to inspect, to the maximum extent practicable consistent with commercial practice, to assure conformance with requirements. See clause RFO 52.212-4(b), Inspection/Acceptance.

1.4.5 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 as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

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1.4.5.1 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center 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).

1.4.5.2 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:

https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.3 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall 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 contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.4 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.

1.4.5.5 Protection of Personally Identifiable Information (PII). The contractor shall protect all PII encountered in the performance of services in accordance with Defense https://jko.jten.mil/courses/atl1/launch.html

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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.

1.4.5.6 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 (if no COR is assigned, delete to the COR and replace with to the KO) within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://www.cdse.edu/Training/eLearning/GS130/.

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.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required licenses required by the job categories, professions, trade jobs, or services used in the performance of this PWS. 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 otherwise qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: To the extent practicable for commercial practice for products and services, the Government may require participation of a Post-Award Conference and progress meetings. 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 appraise the contractor of how the Government views the contractor’s performance and the contractor shall appraise 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, 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

PWS Page 6 of 22 scope of the contract are performed wholly at the expense of the contractor. The contractor SHALL NOT designate a subcontractor or subconsultant as a CM due to lack of privity of contract between the Government and subcontractors or subconsultants.

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 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 If issued an identification media, the contractor shall retrieve all identification media (including vehicle passes) from its employees, subcontractors, and subconsultants, who depart employment for any reason or are directed to be removed by the Contracting Officer. The contractor shall return all identification media (i.e., badges and vehicles pass) to the KO within 5 business 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 Reserved.

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.

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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 Examinees: Personnel employed by the PRNG who are subject to examinations under this PWS. Also known as “participants”.

2.1.5 Examiner: The board certified and licensed contractor employee performing the examinations.

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

2.1.7 Participants: See definition for examinees.

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

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

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2.1.10 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

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

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

2.1.13 Inspection/Acceptance: The Government’s action to inspect and accept supplies and services required by this PWS to ensure conformance Government requirements. It includes physical inspection of tendered supplies and services. This is separate from Inspection/Acceptance of Invoices in WAWF submitted through PIEE.

2.1.14 Procurement Integrated Enterprise Environment: The system providing enterprise services, capabilities, and systems supporting the end-to-end Procure-to-Pay (P2P) business process.

2.1.15 Wide Area Workflow: The system, located in WAWF, in which the contractor submits invoices for inspection and acceptance via electronic fund transfer (ETF) unless otherwise specified by a clause.

2.1.16 Revolutionary Federal Acquisition Regulation Overhaul: Unless otherwise specified, the references to the Federal Acquisition Regulation and Agency supplements herein refer to the Revolutionary FAR Overhaul (RFO, FAR 2.0). Effective 1 February 2026, the DoW/DoD published Deviations to implement RFO through DFARS Revolutionary FAR Overhaul Class Deviations. They can be accessed at https://www.acq.osd.mil/dpap/dars/dfars_far_overhaul_class_deviations.html.

2.1.17 Incidental Property: If provided under PWS, it refers to Government property that is incidental to the place of performance, when the contract requires contractor personnel to be located on a Government site or installation, and when the property used by the contractor within the location remains accountable to the Government.

Items considered to be incidental to the place of performance include, for example, office space, desks, chairs, telephones, computers, and fax machines. The contractor DOES NOT REMOVE incidental property from place of performance.

2.2 Acronyms:

AAOHN American Association of Occupational Health Nurses ABOEM American Board of Occupational and Environmental Medicine AEI Army Enterprise Infostructure AR Army Regulation AT/OPSEC Antiterrorism/Operational Security https://www.acq.osd.mil/dpap/dars/dfars_far_overhaul_class_deviations.html

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BI Background Investigation CM Contract Manager COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DSCA Defense Counterintelligence and Security Agency FAR Federal Acquisition Regulation (Legacy) RFO Revolutionary FAR Overhaul 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 NGB National Guard Bureau OCI Organizational Conflict of Interest PIEE Procurement Integrated Enterprise Environment PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRNG Puerto Rico National Guard PRARNG Puerto Rico Army National Guard PRARNG OHN PRARNG Occupational Health Nurse PRS Performance Requirements Summary 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 TE Technical Exhibit USD(I) Under Secretary of Defense for Intelligence WAWF Wide Area Workflow

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:

3.1.1 Incidental Property and Workspace: Incidental Property and Workspace: The Government will furnish the necessary workspace for the contractor to perform services

PWS Page 10 of 22 outlined in this PWS to include desk space, telephones, computers and other items necessary to maintain an office environment and are incidental to place of performance.

Incidental equipment to be provided by the Government includes BP cuffs, stethoscopes, and scales. Additionally, the Government will provide EKG equipment, near/far vision testing equipment, laboratory centrifugation equipment (in the dedicated phlebotomy area), and examination tables. The Contractor shall furnish any other specific medical, diagnostic, or laboratory materials not listed here.

3.2 Materials: None.

3.3 Equipment: None.

3.3 Services:

3.4 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):

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

5.0 Requirements: The contractor shall provide non-personal services, labor, materials, supplies, equipment, and subcontracted services (if applicable) to perform in accordance with the specified tasks and outcomes in this PWS. The contractor shall:

5.1 Occupational Health Medical Examinations Outcome: The contractor will perform medical surveillance services for a Not-to-Exceed (NTE) maximum of 150 employees during a single, coordinated 3-day examination event held annually. The event shall be staffed and equipped to accommodate all 150 employees within this 3-day period. The exact dates for the 3-day coordinated event will be finalized post-award; however, the Base Period event is anticipated in August 2026, with Option Period events anticipated in May of each option year. The contractor will commence services no later than 7:00 am on each day of scheduled examination. For personnel unable to attend the main event, the contractor must provide a make-up option (e.g., appointments at the contractor's local clinic).

5.1.1 License and Qualification Requirements:

5.1.1.1 The contractor will provide personnel who are certified and competent in professional practice to conduct occupational health examinations in accordance with state and federal regulations.

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5.1.1.2 Contractor will ensure that contracted employees performing under this PWS are Board-eligible or -certified Occupational Medicine Physicians, or other Licensed Independent Practitioner (e.g. Nurse Practitioner or Physician Assistant), to conduct job-related medical surveillance physical examinations, and occupational health consultation services.

5.1.1.3 The contractor will ensure that a Board-certified Occupational Medicine Physician (MD or DO) reviews and sign off on all PRARNG Occupational Health exams.

5.1.1.4 The contractor shall ensure each contractor employee performing examinations complies with the requirements of 29 CFR 1910.1030 Blood Borne Pathogens Standard.

5.1.2 Medical Examinations Outcomes:

5.1.3 The contractor will provide Occupational Health Medical Qualification and Medical Surveillance Examinations.

5.1.4 Examinations include:

1. Physical exams

2. Musculoskeletal assessments

3. Vision tests

4. Baseline, periodic, and termination of exposure examinations

5. Situational examinations

6. Examination laboratory testing

5.1.5 The contractor will ensure examinations, procedures, and instrumentation meet OSHA and NIOSH Standards.

5.1.6 Contracted physician, or Licensed Independent Practitioner will review with examinees the results of tests known at the time of an examination and recommend follow-up services with private healthcare providers based on examination results.

5.1.7 The contractor will consult with the PRARNG Occupational Health Nurse (OHN) by telephone and email to coordinate or resolve issues that may arise before, during, and after the examination period. If the PRARFNG representative is unreachable by telephone, the contractor is authorized to leave a message, as telephones listed for the PRARNG OHN representatives are secure.

5.1.8 The contractor will provide the written documentation prepared by the contracted physician or licensed Independent Practitioner reviewing examinations. Follow-up procedures for examinees will be included in every PRARNG examinee’s exam report.

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5.1.9 For Female Examinees Only: The contractor will NOT ask female examinees if they are pregnant, as the exam will be done regardless of pregnancy status. The contractor will NOT ask female examinees to provide the examiner copies of the results of the last PAP/Pelvic exam.

5.1.10 The contractor will not subject examinees to drug testing. If contractor suspects drug or alcohol abuse in a patient, the contractor will notify the PRARNG OHN for further follow-up.

5.1.11 The contractor examiner will not administer immunizations.

5.1.12 The contractor examiner will not administer medical treatments.

5.1.13 The examiner will ask the participants if they have concerns about reproductive hazards in their workplace. Workplace hazards may include blood-borne pathogens (i.e. Hepatitis and HIV), airborne infectious diseases (i.e. COVID-19, rubeola, rubella, and varicella-zoster); vibration; and other substances such as lead (inorganic), ethylene oxide, ionizing radiation, and mercury.

5.1.13.1 If an examinee responds “yes” to workplace hazards the contractor will provide general information for exposure concerns and counseling pertaining to the identified hazard(s).

5.1.13.2 If the contractor is unable to answer specific workplace exposure concerns, the contractor shall instruct the patient to follow up with his or her Primary Care Physician and the PRARNG OHN.

5.1.14 Vital Signs, Measurements and Readings: The contractor examiner will measure vital signs to include height, weight, temperature, blood pressure (BP), pulse and respirations, for each PRARNG employee examined. When determining “normal” BP readings, the contractor will use the following American Heart Association’s parameter guidance shown in the following reference table:

5.1.14.1 If BP is greater than 140/90 mm Hg, repeat two times, record, counsel the PRARNG examinee about follow-up measures with a personal healthcare provider, and document in the examination report.

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5.1.14.2 Hypertensive BP readings on just one visit will not be used as a basis for medicals disqualification.

5.1.14.3 The contractor will follow the National Institutes of Health (NIH) guidelines when measuring blood pressure. NIH guidelines indicate that examinees are to have their BP measured while seated, with back supported, and the upper arm supported at heart level. The contractor will ensure examinees have been at rest for 5 minutes before measuring participants BP.

5.1.14.4 The contractor will use a BP cuff that is of sufficient size in relation to an examinee’s arm circumference.

5.1.14.5 Determinations of “not medically qualified” for cardiovascular reasons shall be made in the following situations:

1. New onset chest pain which has not been adequately evaluated;

2. Unstable angina;

3. Evidence of congestive heart failure.

4. Ectopy (either atrial or ventricular) which has produced syncope or near-syncope;

5. Ventricular ectopy (symptomatic or not) which has not been evaluated by a cardiologist;

6. Recurrent atrial fibrillation or supraventricular tachycardia.

7. Stage 3 hypertension

5.1.15 Physical Examinations. The contractor will perform musculoskeletal examination assessments, or Kraus-Weber Back Strength and Flexibility Ratings (that include back strength and flexibility), on all PRARNG employees.

5.1.15.1 Any pain, or recommended lifting limitations if less than 50 lbs., shall be noted.

5.1.15.2 The contractor will provide all required medical surveillance services. At a minimum, each examination will include physical exam conducted by a licensed provider, as well as measurement of height and weight. The contractor will perform a comprehensive vision test, assessing Distant Visual Acuity, Near Visual Acuity, Color Perception (using standard Pseudoisochromatic Plates (PIP), e.g., Ishihara or similar), and Depth Perception.

5.1.16 Laboratory Testing/Examinations: the contractor will ensure all required laboratory tests are performed.

5.1.16.1 The contractor will ensure all specimens are processed by a certified clinical laboratory and testing performed by personnel certified under the American Society of Clinical Pathology.

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5.1.16.2 The contractor will provide examinees with a copy of their lab results for the examinees personal use via secure email rated for disseminating PII to the email of record provided by the PRARNG Occupational Health Officer.

5.1.16.3 The PRARNG OH will provide the contractor with the type and number of laboratory tests performed per examinee based on the examinee’s Job Hazard Analysis. The list of laboratory tests performed by the contractor may include:

1. Complete Blood Count (CBC) with differential and platelet count (actual).

2. Urinalysis (UA) screening.

3. Chemistry Panel (serum) with, at minimum, Blood Urea Nitrogen (BUN), creatinine, electrolytes and liver function.

4. Blood Lead Level

5. Blood Zinc Protoporphyrin (ZPP)

6. Cadmium Standard Profile (Blood/Urine)

7. Electrocardiogram (EKG) tests (As-needed, upon request by the PRARNG OHN)

5.1.16.4 The contractor will not perform screenings measures or examinations not described in this PWS. If additional screenings, measures or examinations that are within the general scope of this PWS are required, the contractor shall coordinate with PRARNG OHN for review and concurrence prior to submitting to the Contracting Officer for execution of the contract modification. The Government will not accept or compensate the contractor for unauthorized expenses or performance.

5.1.16.5 The PRARNG OHN will provide the contractor with the required forms, checklists and templates required to perform the examinations described in this PWS, to include the DD 3207, Certificate of Medical Qualification Examinations.

5.1.17 Medical Surveillance Documentation Outcomes:

5.1.17.1 The contractor will send all results, including all diagnostic tests, graphs, charts, reports, Certificate of medical qualification examination (DD 3207), waivers, employee consent forms, clearance letters, physical findings, and examination results to the PRARNG’s OHN. The contractor must provide physical hard copies of all medical documentation and laboratory results delivered directly to the PRARNG OHN. The blank DD Form 3207 will be provided by the Government on-site; the contractor is responsible for completing and signing it.

5.1.17.2 The contractor will provide the PRARNG OHN with the complete examination record and documentation per examinee no later than 30 business days from the date the examination is performed.

5.1.17.3 The contractor will be responsible for examination tests and forms that are complete and provide quality control and assurance to verify and validate records prior to submission to the PRARNG OHN. Reviews will take into consideration time required

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5.1.17.4 All clinically abnormal findings will be reported to the PRARNG OHN immediately to schedule any relevant counselling or clinically recommended re-testing.

5.1.17.5 The contractor will maintain and provide the PRARNG OHN with a list of all reexaminations resulting from abnormal findings.

5.1.17.6 The contractor will provide each examinee with a copy of the examination results highlighting any findings or abnormalities requiring follow up with the examinee’s private primary care provider when such findings or abnormalities are not directly associated with the examinee’s occupational hazard exposure.

5.1.17.7 The PRARNG OHN will retain all original examinees’ medical records.

Historical records are available in hard copy only and contain controlled personally identifiable information. They cannot be removed from the facility or sent to the contractor in advance. The contractor will be granted access to review the physical records on-site in the record room during the event in strict accordance with HIPAA and Privacy Act requirements.

5.1.17.8 Non-Conforming Examinations: Non-conforming, deficient or abnormal clinical findings due to contractor’s fault, technical errors or omissions, will result in a request for reexamination of the deficient examination by the PRARNG OHN.

5.1.17.8.1. The contractor will perform at no additional price or adjustment reexaminations requests that result from deficient or abnormal clinical findings due to the contractor or its subcontractor’s fault, omission, technical error or negligence.

5.2 Other General Examination Performance Conditions:

5.2.1 The contractor will ensure examination documentation meets or exceeds appropriate performance accuracy and standards in accordance with current Occupational Medicine Certification guidance.

5.2.2 The contractor will coordinate and schedule examinations with the PRARNG OHN. The Government will provide the finalized roster and specific occupational health examination requirements matrix (including SEGs and surveillance enrollment criteria) no later than fourteen (14) business days prior to the scheduled 3-day event.

5.2.3 All written examination reports and results will be provided to the PRARNG OHN in accordance with the Privacy Act of 1974. The contractor will manage all medical results and records in accordance with the Privacy Act.

PWS Page 16 of 22

5.2.4 If there is a question about examination requirements or specifications, the contractor shall first consult the PRARNG OHN for clarification prior to conducting or continuing with the examination.

5.2.5 The contractor will ensure all examination procedures are conducted in accordance with applicable American Board of Occupational and Environmental Medicine (ABOEM), American Association of Occupational Health Nurses (AAOHN), U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), and the National Institute for Occupational Safety and Health (NIOSH) Standards.

5.2.5.1 In addition to examination requirements, the contracted physician, or Licensed Independent Practitioner, shall review with examinees the results of tests known at the time of an examination, and as appropriate, recommend follow-up services with private healthcare providers.

5.2.5.2 The contractor will ensure that written documentation of the contracted physicians or licensed independent practitioners reviewing exam results and follow-up procedures with PRARNG examinees is included in every PRARNG examinee’s exam report.

5.2.5.3 The contractor shall consult with the PRARNG Occupational Health Nurse (OHN) by telephone and/or email to coordinate or resolve issues that may arise.

5.2.5.4 Management and Disposal of all infectious waste will be in accordance with local, state, and federal regulations, and disposed of by the contractor, unless other accommodations have been coordinated in writing.

5.2.5.5 The contractor shall ensure puncture resistant sharps containers are readily accessible to contractor employees and located in all treatment areas where sharps could potentially be used.

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/current/in dex.html or https://www.acquisition.gov/dfars

Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelreg.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/dodm

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors

(paragraph 9)

August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201 -2.pdf https://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html https://www.acquisition.gov/dfars http://www.esd.whs.mil/Directives/issuances/dodm http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf

PWS Page 17 of 22

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuances/dodm/

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/issuances/dodi/

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

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm/

DoDD 8140.01 Cyberspace Workforce Management

10/05/2020 https://www.esd.whs.mil/Directives/issuances/dodd/

DoD 8570.01-M Information Assurance Workforce

Improvement Program

12/19/2005 (Change 4:

11/10/2015) https://www.esd.whs.mil/Directives/issuances/dodm/

DoD 5220.22-M National Industrial Security Program

Operating Manual (NISPOM)

02/28/2006 (Change 2:

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/PubForm/A rmyDir.aspx

AR 25-2

Information Assurance

04/04/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 530-1

Operations Security

09/26/2014 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 525-13

Antiterrorism

12/09/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 381-12

Threat Awareness and Reporting

Program (TARP) (Section II, ¶ 2-4.b)

06/01/2016 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx

PWS Page 18 of 22

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/ http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/index.htm https://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm https://www.esd.whs.mil/Directives/forms/dd0001_0499/

PWS Page 19 of 22

TECHNICAL EXHIBIT 1

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

Performance Objective Performance Standard Acceptable Quality Levels (AQL)

Surveillance Method / By Whom

5.1.1 License and

Qualification Requirements:

Ensure all examining personnel hold the required certifications.

The contractor will ensure examining personnel are certified, Board-eligible or -certified Occupational Medicine Physicians (or Licensed Independent Practitioners), and that a Board-certified physician signs off on all exams.

100% compliance. No examinations performed or signed off by unqualified personnel.

100% Inspection /

COR

5.1.5 & 5.2.5 Examination Standards: Conduct procedures in accordance with OSHA and NIOSH standards.

The contractor will ensure examinations, procedures, and instrumentation meet applicable OSHA, NIOSH, ABOEM, and AAOHN Standards.

Meets the standard 95% of the time, with no major life/safety standard violations.

Periodic Inspection /

COR

5.1.16 Laboratory Testing:

Ensure testing is processed by certified labs and personnel.

The contractor will ensure all specimens are processed by a certified clinical laboratory and testing is performed by ASCP-certified personnel.

100% compliance. Periodic Inspection /

COR

5.1.17.2 Documentation

Timeliness: Provide complete examination records to PRARNG OHN.

The contractor will provide the PRARNG OHN with the complete examination record and documentation per examinee no later than 30 business days from the date of the exam.

95% of all examination records are provided within the 30-business-day timeframe.

Periodic Inspection /

COR

5.1.17.4 Abnormal Findings

Reporting: Report clinically abnormal findings.

All clinically abnormal findings will be reported to the PRARNG OHN immediately to schedule relevant counseling or clinically recommended re-testing.

100% compliance. No delays in reporting critical abnormal medical findings.

100% Inspection /

COR

5.1.17.8 Non-Conforming

Examinations: Perform reexaminations for deficient clinical findings.

The contractor will perform reexaminations at no additional price when findings are deficient due to the contractor's technical error, omission, or negligence.

100% compliance. Periodic Inspection /

COR

PWS Page 20 of 22

1.4.5.5 & 5.2.3 Privacy Act & PII Compliance: Protect PII and maintain records legally.

The contractor will manage all medical results and records in accordance with the Privacy Act of 1974 and safeguard all PII encountered.

100% compliance. Zero security or privacy breaches.

Random Monitoring /

COR

PWS Page 21 of 22

TECHNICAL EXHIBIT 2

Deliverables Schedule

(Deliverables must be identified in the PWS and then summarized here. See examples below)

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.5.2 AT Level 1

Awareness Training Certificates

Within 15 calendar days after completion of training

1 Electronic Submission

COR

1.4.5.3 iWATCH Training Certificates

Within 15 calendar days after completion of training

1 Electronic Submission

COR

1.4.5.6 OPSEC Training

Certificates

Within 15 calendar days after completion of training

1 Electronic Submission

COR

1.4.9 Contract Manager

(CM) Designation

Upon contract award or when personnel changes occur

1 Electronic Submission

KO

1.4.10.1 Return of

Identification Media

Within 5 business days of an employee's departure

N/A Physical Return KO

5.1.16.2 & 5.1.17.6 Examinee Medical and Lab Results

As completed 1 per examination

Physical Hard Copy

Respective Examinee

5.1.17.2 Complete

Examination Record and Documentation

No later than 30 business days from the date the examination is performed

1 per examination

Physical Hard Copy

PRARNG

OHN

5.1.17.4 Clinically

Abnormal Findings Report

Immediately upon discovery of abnormal finding

1 Electronic / Verbal

PRARNG

OHN

5.1.17.5 List of

Reexaminations

Maintained continuously, provided upon request or update

1 Electronic Submission

PRARNG

OHN

PWS Page 22 of 22

TECHNICAL EXHIBIT 3

Estimated Workload Data

This information is provided for historical background only. It is not a guarantee of workload quantities. (Only provide this exhibit if historical information is available. Do not list hours worked, desired FTEs or previous number of employees.)

ITEM NAME ANNUAL ESTIMATED QUANTITY

1 Medical Surveillance Examinations 150 examinees (PRARNG Employees)

2 Examination Events 1 coordinated 3-day event