PWS-OHWS-19Q5010.pdf

South Dakota Air National Guard (SDANG)

114th Fighter Wing (114FW)

Performance Work Statement (PWS)

Optimizing the Human Weapon System-Local (OHWS) Services

PERFORMANCE WORK STATEMENT (PWS) for

Optimizing Human Weapon System (OHWS) Services

1.0 General:

1.1 Scope: The contractor shall provide all services, personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform on-base or off-base injury prevention and mitigation, rehabilitation exercise services, and human performance optimization services to rated personnel assigned to the 114th Fighter Wing (114FW), Sioux Falls, SD, USA, as part of the Optimizing the Human Weapons System (OHWS) initiative. The Contractor shall furnish consultation and reports, similar to the range of services found in a commercial facility, as well as services specialized to meet the specific spinal health needs of fighter pilots. Contractor shall adhere to professional standards of the Accreditation Association for Ambulatory Health Care (AAAHC), and as defined in this PWS.

1.2 Background: Up to 85% of fighter aircrew surveyed reported some type of spine discomfort during their career. According to a study performed by the Unites States Air Force School of Aerospace Medicine, neck pain is a significant factor impacting fighter pilot performance and quality of life, and rates of injury have increased over the years. The Optimizing Human Weapon System, OHWS initiative is designed to improve quality of life and readiness by decreasing injury rates, most notably for the high rate of spine injuries incurred by fighter pilots. OHWS is designed to meet the unique physical needs of fighter jet pilots. Fitness and conditioning is accomplished through a comprehensive, coordinated, multi-disciplinary physical training program focused on the movement and strengthening of the spinal musculoskeletal system. The purpose of providing the services of an OHWS specialist to our rated pilots is to reduce frequency and severity of injuries and time lost from service, improve long term quality of life, optimize human performance/ readiness, avoid injury prior to occurrence, increase pilot production, and support pilot retention.

1.3 Period of Performance (PoP): The Period of Performance shall be one Base Year of 6 months and one 12-month option period.

1.4 General Information:

1.4.1 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 must do to ensure that the contractor performs all services in accordance with specified performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the acceptable quality level as well as rate of deviation from the performance standards. See Technical Exhibit 1.

1.4.2 Recognized Holidays: The following are recognized US holidays. The contractor shall not perform services on these days:

New Year’s Day: January 1st Martin Luther King, Jr.’s Birthday President’s Day Memorial Day Independence Day: July 4th Labor Day Columbus Day

Veteran’s Day: November 11th Thanksgiving Day Christmas Day

1.4.3 Place and Performance of Services: Services will be provided by the contractor on government facilities located at the 114FW, at the contractor’s place of business, or a combination of both. The Government’s perceived preference is that all services be performed on the 114FW base at a facility located in close proximity to the aircrew in order to increase the overall utilization and effectiveness of the program. Any contractor or government facility where services are to be performed must possess rehabilitation equipment appropriate for treating neck and spine conditions. Rated pilots must also have access to a facility to execute the physical training plan set forth by the contractor, preferably during normal duty hours and Regularly Scheduled Drills (RSD). Any services to be performed off base must be located within a short driving distance from Joe Foss Field (JFF), with the Government’s perceived preference being within a 5 mile radius of JFF. Normal duty hours for rated pilots are between the hours of 6:45AM-5:30PM Tuesday through Friday and 7:00AM-4:30PM on Saturday and 7:00AM-2:30PM on Sunday during RSDs, 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. On scheduled night flying weeks, the standard work week changes to Monday through Thursday and the times will fluctuate based on the flying schedule, but will not be in excess of a 9 hour day. During the summer months the schedule could be as late as 3:00PM-12:00AM.

The 114FW will provide at least two weeks’ notice requiring a change to the standard operating hours.

1.4.4 Contractor Workforce: The contractor shall, at all times, maintain an adequate work force to cover scheduled appointments and make equipment available that can service the throughput of pilots requiring access to the program. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. The Government’s preference is that the same individual within each specialty is assigned to perform the bulk of the services for that specialty in order to gain a familiarity with the treatments being provided for each pilot. Within 5 business days of the contract award, the Contractor must produce a staffing and startup operations plan. The Government Point of Contact (POC) must approve the staffing and startup operations plan, and the associated dates, to ensure contractor personnel are trained and ready to service the program. The Government POC approved plan must deliver trained personnel within 60 days after contract award. Telecommuting is not authorized.

Reference paragraph CONTRACT OPTIONS to see potential applications of this contract.

1.4.5 General Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Government POC. The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by DOD, 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 The contractor’s employees shall be become familiar with and adhere to the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor will make employees available for any mandatory training for traffic safety, fire safety, general safety or security. The form of training is at the discretion of the government but could include in-person briefings, computer based training, or review of service specific or installation specific regulations.

1.4.5.2 COMSEC/IT Security. All communications with DOD organizations are subject to communications security (COMSEC) review. All telephone communications networks are continually subject to intercept by unfriendly intelligence organizations. DOD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DOD organizations. Therefore, the contractor is advised that any time contractor 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 government will provide each contractor employee with an unclassified electronic mail account and computer access for record keeping and secured communication. 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.

1.4.5.3 Use of Government Information Systems (IS) and access to Government networks is a revocable privilege, not a right. Contractor employees shall have a favorable background investigation or hold a security clearance and access approvals commensurate with the level of information processed or available on the system. Contractor employees shall:

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

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

c. In the event a contractor employee is exposed to classified information, they must mark and safeguard files, output products, and storage media per classification level and disseminate encounter to Government POC or other authorized individuals immediately. The government will provide each contractor employee with in- person training on the proper response for an unauthorized exposure to classified information.

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

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

1.4.5.4 Protection of Personally Identifiable Information (PII). The contractor shall protect all Personally Identifiable Information (PII) encountered in the performance of services in accordance with DFARS

224.103 and DoDD 5400.11, Department of Defense Privacy Program, and DoD 5400.11-R. If a PII breach results from the contractor’s violation of the aforementioned policies, the contractor shall bear all notification costs, call-center support costs, and credit monitoring service costs for all individuals who’s PII has been compromised.

a. Since the healthcare workers under this contract have access to and/or process information requiring protection under the privacy act of 1974, compliance with DoD Directive 8500.1, DoD Directive 5200.2, AFI 31-501 and AFI 33-202 is mandatory. Therefore, a National Agency Check with Inquiries (NACI) is required for each health care worker under this contract. The Contractor shall fully adhere to the provisions of referenced publications by having each of their employees who are performing under this contract make an appointment (through the GOVERNMENT POC) with the appropriate security organization at the installation where service is provided. Each individual will be fingerprinted and required to complete the appropriate forms, usually a Standard Form 85-P, Questionnaire for Public Trust Positions. The contractor shall advise their employees that a favorable report is a required condition of employment under this contract. The Contractor shall apply for the NACI prior to the start of performance for each health care worker.

https://informationassurance.us.army.mil/

1.4.5.5 CAC Requirements: The Common Access Card (CAC) is the Department of Defense (DOD) Federal Personal Identity Verification (PIV) credential. In accordance with Directive Type Memorandum (DTM) 08-003, December 1, 2008, incorporating Change 5, October 8, 2013, Initial issuance of a CAC requires at a minimum, the completion of FBI fingerprint check with favorable results reflecting "No Record" and submission of a National Agency Check with Inquiries (NACI) to the Office of Personnel Management (OPM), or a DoD-determined equivalent investigation. The issuance of a CAC will be based on four criteria; (a) eligibility for a CAC; (b) verification of DoD affiliation from an authoritative data source; (c) completion of background vetting requirements according to the Federal Information Processing Standards Publication 201-1, Personal Identity Verification (PIV) of Federal Employees and Contractors, March 2006, and DOD Regulation 5200.2-R, Department of Defense Personnel Security Program, January 1987, and (d) verification of a claimed identity. CAC eligible personnel must be registered in the Defense Enrollment Eligibility Reporting System (DEERS) through either an authoritative personnel data feed from the appropriate Service or Agency or Trusted Associate Sponsorship System (TASS).

a. HSPD-12 Background Investigation Requirements: The contractor ensure Common Access Cards (CACs) are obtained by all contract or subcontract personnel assigned to work on the Government site and by personnel requiring access to a DoD network (and other eligible populations as specified in DTM- 08-003 Attachment 3, paragraph 3a.) are required to, at a minimum, have received a favorable FBI fingerprint check and must have submitted to the Office of Personnel Management (OPM) a National Agency Check with Inquiries (NACI) or equivalent/higher investigation. It is the responsibility of the contractor to ensure that all employees requiring an initial background investigation complete a Personnel Security Investigation Portal (PSIP) form at attachment (TBD), at the earliest possible date and that this form is forwarded to the Government POC immediately. The Government POC will review the form for completeness and accuracy and forward to the NGB Personnel Security manager who will initiate the investigation process via the PSIP. Contractor personnel will then receive two e-mail messages; the first will confirm that the request has been received by the Office of Personnel Management, and the second will provide instructions for the completion of the appropriate form via the Electronic Questionnaires for Investigations Processing (e-QIP) system. Upon completion of the e-QIP questionnaire and submittal of all required documents, including fingerprint card to the security manager, the BI will be initiated. The contractor shall ensure all instructions regarding background investigation processing, including those provided verbally, by e-mail or via a Government system are complied with immediately. The contractor is cautioned that the entire process from submittal of the PSIP form to return of the FBI fingerprint check may routinely take from 2-6 weeks and shall factor this lead time into its hiring/placement process. The contractor shall make all reasonable efforts to ensure that contractor employees meet CAC eligibility standards upon assignment to the contract and shall be held responsible for delays, failure to meet performance requirements or decreases in efficiency in accordance with the applicable inspection clause.

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

1.4.5.6 Installations, facilities, and controlled access areas shall complete Level 1 AT within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance.

The contractor shall submit certificates of completion for each affected contractor and subcontractor employee, to the Government POC, within 15 calendar days after completion of training. Level 1 AT is available athttps://atlevel1.dtic.mil/at/. b. AT Level 1 Awareness Training (AT): All contractor employees requiring access.

1.4.5.7 Information Assurance (IA)/Information Technology (IT) Training: All contractor employees shall complete the DoD IA Awareness Training before issuance of network access and annually thereafter. All contractor employees performing services involving IA/IT functions shall comply with DoD and Army training requirements in DoD 8570.01, DoD 8570.01-M and AR 25-2 within six months of the start of contract performance. In accordance with DoD 8570.01-M , DFARS 252.239.7001 and AR 25-2, contractor employees performing services supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M shall be completed upon contract award.

1.4.5.8 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 affected contractor employee to the Government POC within 15 calendar days after completion of training. Level 1 OPSEC training is available at http://cdsetrain.dtic.mil/opsec/.

1.4.5.9 Gate Closures: Unscheduled gate closures by the Security Forces may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. 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.

1.4.6 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 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the Contracting Officer (KO) in accordance with Federal Acquisition Regulations Subpart 42.5. The KO, Government POC, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the Contacting Officer will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.8 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 Government POC, 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. It is preferred that the Contractor Manager have two (2) years or more of management experience with similar types of human performance optimization programs and have experience working in a military setting.

1.4.9 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-http://cdsetrain.dtic.mil/opsec/

Government entities/ Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

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

1.4.10 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 any forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. Such actions may include, but are not limited to, removal from the contract, reduction in benefits, or termination of employment. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at FAR 22.17.

1.4.11 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 and in the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

2.0 Definitions (see paragraph ACRONYMS for a list of Acronyms):

2.1.1 CONTRACTOR. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2 CONTRACTING OFFICER (KO). A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

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

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

2.1.5 GOVERNMENT POC. An employee of the U.S. Government designated by the KO to monitor contractor performance. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

This individual is not empowered to award, agree to, or sign any contract, contract modification or in any other way obligate the payment of money by the Government.

2.1.6 KEY PERSONNEL. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS.

When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

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

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

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

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

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: If services are to be provided at the 114FW the Government will furnish the necessary workspace 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. Depending on the level of services provided at the 114FW the Government will provide a workspace for the Contractor ranging from 300-600 sq. ft. The Government may increase the work area at their discretion should space become available.

3.1.1 If space is limited, the Government can require the Contractor to be responsible for providing and maintaining a mobile trailer facility with minimum space requirements of 300 sq. ft., to be kept on base at the 114 FW, which includes HVAC to support full utilization and logistical needs to perform the program. Maintenance of this mobile trailer, delivery, and removal are the financial and logistical responsibility of the Contractor. In the event this becomes a requirement any additional cost associated with this change would be negotiated with and processed by the KO via a bi-lateral modification.

3.1.2 If the Contractor provides a mobile unit, the Government will provide all necessary space on base at a minimum of 800 sq. ft. and in a location that is readily accessible to all pilots.

3.1.3 Contractor is responsible for all cleaning materials, surface sanitation supplies, infection control and prevention supplies, personal protective equipment and upkeep of the room/facility.

3.2 Materials: None.

3.3 Equipment: None other than that stated in section 3.1.

3.4 Utilities: All utilities in the adjoining 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.

3.4.1 If a contractor provided mobile facility is requested by the Government then access to the necessary electrical power and water connections, to operate the mobile facility, are the responsibility of the Government.

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.

4.1.1 HIPAA compliant software to perform all functions and communication of Electronic Medical Records (EMR).

4.1.2 Equipment to meet the technical needs of the program. At a minimum, the Contractor must have treatment surfaces and specific exercise equipment to test the strength of the muscles attached to the spinal column and strengthen the spine in a preventative and safe manner. Physical strengthening machines that can effectively isolate the muscles of the neck and back, which are equivalent to the performance of the MedX neck and lower back machines, are the Government’s perceived preference.

5.0 Specific Requirements: Services provided by the contractor shall include the following: initial assessment of each aircrew, care for aircrew who individually seek the services of OHWS specialist;

subject matter expertise concerning pre-habilitation evaluation/assessment, injury prevention, accommodation processes and implementation, ergonomic assessment and implementation, remedial training, optimized performance physical training (e.g. strength and conditioning for fighter aircrew), and post-flight treatments. The contractor shall provide the following resources under this contract to accomplish the requirements listed above: licensed Physical Therapist and/or licensed Athletic Trainer and/or licensed Strength and Conditioning coach and/or licensed Massage Therapist.

5.1 Ultimate control of members’ medical referral activity is retained by the member, with oversight and management by squadron medical personnel, if required, and only at the discretion of the military member. Medical information pertaining to a referred patient, from flight physician or personal physician will be kept in HIPAA compliant EMR.

5.2 Each rated pilot shall receive an initial appointment as soon as practical. The Contractor will provide a confidential evaluation and assessment to the Government POC and Flight Medicine Physician or other valid military medical provider within 15 calendar days following the initial appointment. Follow up appointments will be based on need, pre-habilitation plans, and any potential coordination with members’ military and/or civilian healthcare team.

5.3 Primary Pre-habilitation or Primary Injury Prevention Services: The Contractor shall perform preventative exercise measures and pre-habilitation services to rated pilots of the 114FW. Contractor will provide specific non-invasive biometric and physiological evaluations to all pilots who participate in the exercise services. Following biometric and physiological evaluations, contractor will provide strength, conditioning and flexibility services, specific to the spinal musculature. The Contractor will not provide services to injured pilots.

5.4 Post-flight Treatments: A Contractor employee in one of the four fields of service shall be available to perform just-in-time post-flight treatments to aircrew returning from daily flying exercises. Acceptable treatment methods must be pre-approved by the Flight Medicine Physician and designed for the specific needs of each customer with the ultimate goal of speeding up recovery times and enhancing the benefits received from the other forms of treatment they are being prescribed. Most days there will be two flights (GOs); after the First and/or Second Go, the Contractor shall provide a Post-Flight Flex Time, minimum of 60 minutes, but no longer than 90 minutes, that will allow for members to be seen after flying to tend to any immediate flying related injuries or problems. Post- Flight Flex Time shall be based off of the scheduled land time of each flying go per day. The Post- Flight Flex Time shall begin 30 minutes after the scheduled land time of each go. This will allow and account for “Walk-ins” if there is a low demand for immediate triage during the Post-Flight Flex Time.

5.5 Temporary Duty (TDY) Support: The contractor will be required to provide a contract employee in one of the four fields of service to travel to various locations within the United States and possibly OCONUS throughout the period of this contract. It is anticipated that one or more contract employees may need to travel for up to 30 days a year. The contract employee possessing the most familiarity with the pilots should be the Contractor’s first choice to travel. The primary purpose of this travel will be to provide post-flight treatments to aircrew returning from daily flying exercises; however, other types of services, as described in section 5, may be requested. Upon receipt of a TDY support request from the Government POC, the contractor shall submit their travel plans and cost breakdown to the CO. Travel shall not occur without concurrence from the CO. Concurrence is signified by the addition of a travel CLIN which establishes how many providers will be traveling, how many days of travel, location traveling to, authorized mode of travel, quantity of trips, and unit price per trip. The contract employee’s travel shall be in accordance with the Joint Travel Regulation (JTR) and shall be invoiced for the established unit price. In the event that the contractor incurs costs in excess of the established unit price, the contractor may submit a request for equitable adjustment with supporting documentation to the CO for evaluation. Paid receipts will be required for all travel expenses and will be reimbursed up to the allowable per diem rate.

5.6 Contractor shall provide confidential reporting to the Government POC and 114FW Medical Personnel with strength and conditioning and pre-habilitation results. The Contractor shall track data points of all pilots who are currently being followed in the preventative program. Due no later than the final business day of each month, the Contractor shall provide the Government POC a status report which shall include an aggregate number and status/metrics. Reporting should provide normative data, utilization and any other pertinent data.

5.7 Coordinated Care - The Contractor shall establish relationships with flight medicine physicians and also coordinate with local-area physicians who accept Tri-Care and other forms of medical coverage, to facilitate full- spectrum treatment, continuity of care, and coordinated case management. Establishment and maintenance of such relationships shall include in-person and telephone communication.

5.8 Initiate and maintain medical records in accordance with Air Force Instruction (AFI) 41-210 “Patient Administration Functions” and AFI 41-211 “Management of Medical Information Services”, and any governing Air Force or Air National Guard Instructions which may supersede those AFIs.

5.9 Contractor shall continually record all members’ attended sessions and progress using standard commercial methods/practices and documentation on HIPAA compliant EMR. Contractor shall provide chart notes, for program services provided, at the flight medicine practitioner’s discretion.

5.10 The contractor will be given a list of 114FW rated members authorized for pre-habilitation services.

The Contractor will only provide pre-habilitation services for these individuals.

5.11 The Contractor shall manage client appointment schedules and respond to appointment requests NLT 24 hours after receipt. The Contractor shall also report all patients who fail to attend their scheduled appointments in attendance records and applicable chart notes.

5.12 The Contractor shall provide a South Dakota licensed - athletic trainer or physical therapist, to deliver preventative exercise and standard rehabilitation services. An athletic trainer is preferred to be certified through the NSCA to provide preventative spinal strength and conditioning services, provided to pilots as an exercise or workout plan.

5.13 Monthly Metrics. NLT the last business day of each month, the contractor shall produce a Preventative Exercise report, marked FOUO, to the Government POC, squadron leadership and flight medicine.

5.14 Preventative Exercise Reporting will include; participation, strength and conditioning progress, new preventative exercise measures and normative data. The preventative exercise data will be demonstrated anonymously.

5.15 Scheduling shall be flexible enough to allow for client rescheduling/substitution as needed with little or no notice.

5.16 Housekeeping services will be provided by the Contractor in the immediate work area.

5.17 Contractor Manpower Reporting Application (CMRA): The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for both ARMY and AIR FORCE collection site. The contractor is required to completely fill in all required data fields using the following web ad-dress: http://www.ecmra.mil/. Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at http://www.ecmra.mil.

6.0 Special Qualifications: Contractor employed Physical Therapists, Athletic Trainers, Strength and Conditioning Specialists, and Massage Therapists shall be physically proficient to demonstrate all prescribed exercises / techniques and be able to lift and manipulate loads and plates up to 25 kilograms.

Preference will be given to Contractors who can demonstrate past experience working with elite athletes or military members in spine specific systems. Preferred experience may include: working with Special Operation Forces (SOF) specific performance programs and developing sport/mission specific performance programs resulting in attributable results with elite athletes (i.e. Division I collegiate, Olympic, professional level athletes or military combat professionals).

6.1 Physical Therapists must be current Licensed Physical Therapists by a state sponsored Physical Therapy Association and hold a degree from an American Physical Therapy Association (APTA) accredited institution specifically for “Physical Therapy”. Physical Therapists must have at least one year of clinical experience. Spine focused clinical work is preferred. Physical Therapist shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training. Physical Therapist is recommended to have a NSCA or USAWA certification for strength and conditioning.

6.2 Athletic Trainers must be current Licensed Athletic Trainers by a state sponsored association, have a current Athletic Trainer (AT) Certification from the National Athletic Trainers’ Association (NATA), and hold a degree from an NATA accredited institution specifically for “Athletic Trainer”. Athletic Trainers must have at least one year of clinical experience. Spine focused clinical work is preferred. Athletic Trainer shall possess current certification in basic Cardiopulmonary Resuscitation (CPR) to include Automated External Defibrillator (AED) training. Contractor Athletic Trainer is recommended to have a NSCA or USAWA certification for strength and conditioning.

6.3 Strength and Conditioning Specialist must possess a Bachelor’s Degree (Master’s preferred) in an accredited exercise science, health science, or physical education-related discipline. A minimum of five

(5) years of experience is desired. The contractor shall possess and maintain current certification by the http://www.ecmra.mil/ http://www.ecmra.mil/

National Strength and Conditioning Association (NSCA) as a Certified Strength and Conditioning Specialist (CSCS). Maintenance of this certification shall be an enduring element of the requirement.

Demonstrated sustained experience working with elite athlete populations is highly desired. Creditable specialized experience includes: developing long and short- range planning and coordination of sport/mission specific performance programs resulting in attributable results with elite athletes (e.g., Division I collegiate, Olympic, professional level athletes or SOF - specific tactical professionals).

6.4 Message Therapists (MT) must possess and maintain an active, current, and unrestricted license or certification from the US jurisdiction where the services are to be provided. MTs provide pre-habilitation of musculoskeletal conditions in fighter aircrew. As such, the Contractor shall evaluate and provide massage therapy to fighter aircrew personnel as part of a pre-habilitation program. Pre-habilitation is intended to strengthen the core musculoskeletal (MSK) system to enhance resistance to neck and back injury. Healthy lifestyle education is also addressed as part of an overall health maintenance program to enhance injury resistance. Such massage therapy as part of an overall program, focusing on neck and back pain, will improve the overall quality of life for fighter aircrew.

7.0 CONTRACT OPTIONS. Assumptions: 25-35 customers, approximately 1-2 Strength Training periods every two months per customer, Pre-habilitation Physical Therapy 1-4 times every month, Athletic Training as desired. These training intervals could increase or decrease at the discretion of the government. Contractor is not required to provide all four services to submit a quote for this contract (for example: the contractor could submit for Strength Training and Physical Therapy only).

Option #1:

• 100% Execution of contract at Government Facility with equipment provided by the contractor.

• Include the fully loaded cost for a full-time employee (FTE), or combination of part-time employees (PTE), to provide all services as described in paragraphs 5 and 6 {specify specialist type (PT, ATC, CSCS, or MT) for either employee type}.

• Space available on Government Facility would be a minimum of 300 square feet (see

TECHNICAL EXHIBIT 3).

Option #2:

• Execution of contract using a combination of Government and Contractor Facilities with equipment provided by the Contractor (i.e., Contract Employee on Government Facility for post-flight treatments with other appointments conducted at the Contractor’s Facility).

• Include the fully loaded cost of an FTE or PTE to provide each type of service as described in paragraphs 5 and 6 at the Government’s Facility and at the Contractor’s Facility. Specify employee type (FTE or PTE) and specialist type (PT, ATC, CSCS, or MT) for each option.

8.0 ANTITERRORISM / OPERATIONS SECURITY / INFORMATION PROTECTION

REQUIREMENTS.

8.1 Access and General Protection/Security Policy and Procedures - The Contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the Government Point of Contact (POC). The Contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by the local installation’s Security Forces, Director of Emergency Services or local Security Office. The Contractor shall ensure compliance with all personal identity verification requirements as directed by DoD, HAF and/or local policy. Should the Force Protection Condition (FPCON) change, the Government may require changes in Contractor security matters or processes.

8.2 For Contractors that do not require Common Access Card (CAC) issuance, but require access to a DoD Facility and/or Installation - Contractor and all associated sub‐Contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC‐III) and Terrorist Screening Database (TSDB) (AFI 31‐101 and AFI 10‐245), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

8.3 Contractor shall provide the information requested on the "Consent for Background Check" form for each employee accessing Joe Foss Field. For the purposes of this offering, it is implied that, any and all parties agree to a Criminal History Background Check once entered into any contract/task order. Any documents that are provided and found fraudulent to include, but not limited to driver’s licenses, contracting licenses, etc., will result in an arrest and potential termination for default from the contract.

All Contractors are subject to search in order to obtain entry onto the installation and while working on the installation. Any refusal to submit to a search of their person or vehicle will be deemed as a violent act of aggression against the installation and will be cause for dismissal from the installation and revocation of future privileges and installation access.

8.4 There will be areas on base which will require additional security measures. In these areas Cellular telephones, pagers, two-way radios, disguised USB devices or other portable wireless/personal electronic devices (laptops, iPod, iPad, etc.) are not allowed. Anyone found in possession of the camera phone within Air Force CLASSFIIED areas or exiting these CLASSIFIED areas will have the camera phone confiscated and delivered to Security Forces for disposition. These areas will be identified upon the initiation of the project.

8.5 Free Zone Program - The work required will occur within a restricted/controlled area. Free Zones (zones containing no protection level resources) are areas established within restricted or controlled areas when construction projects and similar activities make it inappropriate or impractical to apply normal circulation controls. In such cases, a free zone corridor will be established between restricted area boundary and the work project. (See attached)

9.0 ENVIROMENTAL REQUIREMENTS. Contractor shall provide all items MSDS required for Hazardous Material Identification.

10.0 PROJECT SAFETY. Contractors are required to use the U.S. Army Corps of Engineers Safety and Health Requirements Manual, EM 385-1-1 to access the manual use the following link:

http://www.usace.army.mil/SafetyandOccupationalHealth/SafetyandHealthRequirementsManual.aspx

10.1 Accident/Incident Reporting and Investigation. The Contractor shall record and report all available facts relating to each instance of injury to either Contractor or Government personnel to the Base Safety Office unless otherwise stated in the PWS. The Contractor shall secure the scene of any accident and wreckage until released by the accident investigative authority through the Base Safety Office. If the Government elects to conduct an investigation of the incident, the Contractor shall cooperate fully and assist Government personnel until completion of the investigation.

10.2 Cell Phone Use. Per Air Force policy Contractor employees are prohibited from dialing, talking or texting on cellular devices or similar equipment while walking or driving on base.

http://www.usace.army.mil/SafetyandOccupationalHealth/SafetyandHealthRequirementsManual.aspx

11.0 INSURANCE – Minimum Amounts

Reference Contract Clause titled “Insurance – Work on a Government Installation (FAR 52.228-5).

Kinds and minimum amounts are as follows:

KIND AMOUNTS (FAR 28.307-2)

Workmen’s Compensation $100,000 (1) Comprehensive General Liability $500,000 per occurrence for bodily injury Comprehensive Automobile Liability $200,000 per person;

$500,000 per occurrence for bodily injury;

$20,000 for property damage

11.1 Except in states with exclusive or monopolistic funds that do not permit Worker’s Compensation to be written by private carriers.

11.2 Before commencing work under this contract, the Contractor shall certify to the Contracting Officer, in writing, that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government’s interest shall not be effective (1) for such period as the laws of the state in which this contract is to be performed prescribe or (2) until 30 days after the Insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer. The Contractor shall maintain a copy of all subcontractors’ proofs in required insurance and shall make copies available to the Contracting Officer upon request.

12.0 ATTACHMENTS. The following to be provided at time of award (if applicable):

Attachment 1 – Consent for Background Check.

Attachment 2a – SDANG Environmental Management Program.

Attachment 2b – Contractor Hazardous Materials Approval Form Attachment 2c – Contractor Hazardous Materials Tracking Form Attachment 3 – Fire Plan Review Checklist for Contractors.

Attachment 4 – Contractor Anti-Terrorism Awareness Pamphlet.

Attachment 5 – OPSEC Contractor Brochure.

Attachment 6 – Contractor Tool and FOD Control Brochure.

Attachment 7 – Safety Guide for Civilian Contractors.

Attachment 8 – Free Zone Program.

13.0 ACRONYMS:

ACSM American College of Sports Medicine

ADA Americans with Disabilities Act

AFARS Army Federal Acquisition Regulation Supplement

AFI Air Force Instruction

ANG Air National Guard

APTA American Physical Therapy Association

AT/OPSEC Antiterrorism/Operational Security

ATC Certified Athletic Trainer

AQL Acceptable Quality Level

CHCS Composite Heath Care System

CMRA Contractor Manpower Reporting Application

CONUS Continental United States (excludes Alaska and Hawaii)

CSCS Certified Strength and Conditioning Specialist

DD250 Department of Defense Form 250 (Receiving Report)

DD254 Department of Defense Contract Security Requirement List

DFARS Defense Federal Acquisition Regulation Supplement

DoD Department of Defense

EEOC Equal Employment Opportunity Commission

FAR Federal Acquisition Regulation

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

GOVERNMENT

POC

Government Point of Contact

HIPAA Health Insurance Portability and Accountability Act

OHWS Optimizing Human Weapon System

IA Information Assurance

IS Information System(s)

KO Contracting Officer

MT Massage Therapist

MTF Military Treatment Facility

NATA National Athletic Trainers Association

NSCA National Strength & Conditioning Association

OCI Organizational Conflict of Interest

OCONUS Outside the Continental United States

ODC Other Direct Costs

OMS Occupational Medical Services

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