19T0009_Sol.pdf

SEE ADDENDUM

(No Collect Calls)

W91QVN19T0009 16-Jul-2019

b. TELEPHONE NUMBER

315-755-3360

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 15 Aug 2019

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

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

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W90VN69. ISSUED BY

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

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MS. HAN, CHIN OK

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

(TYPE OR PRINT)

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

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

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

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F3J4MD9111AW01

ARE NOT ATTACHED

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

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

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO OSAN, UNIT #2039

APO AP 96278-2039

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE F3J4MD 16. ADMINISTERED BY

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

51 MDG/FM

MR. PAK, CHI

MEDICAL EQUIPMENT MANAGEMENT

APO AP 96278

UNITED STATES

TEL: 784-2601 FAX:

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

$7,500,000

NAICS:

621399

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

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

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

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

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

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

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

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

REPRESENTATIVE

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

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

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

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W91QVN19T0009

Section SF 1449 - CONTINUATION SHEET

PERIOD OF PERFORMANCE

Base Year: 30 September 2019 thru 29 September 2020 1st Option Year: 30 September 2020 thru 29 September 2021 2nd Option Year: 30 September 2021 thru 29 September 2022 3rd Option Year: 30 September 2022 thru 29 September 2023 4th Option Year: 30 September 2023 thru 29 September 2024

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 12 Months Licensed Vocational Nurse (LVN)/

FFP

Licensed Practical Nurse (LPN) for 51st Medical Group, Osan Air Base FOB: Destination MFR PART NR: Null

PURCHASE REQUEST NUMBER: F3J4MD9111AW01

PSC CD: Q401

NET AMT

0002 1 Job Accounting for Contract Service (CMR)

FFP

The Department of Army Requires Contractor Manpower Reporting (CMR) by 31 October of each calendar year during the life of the contract in accordance with Para 6 of the Performance Work Statement (PWS) herein.

FOB: Destination

Estimated cost for war hazard losses is

FFP

Zero (0)

1001 12 Months OPTION Licensed Vocational Nurse (LVN)/

FFP

Licensed Practical Nurse (LPN) for 51st Medical Group, Osan Air Base FOB: Destination MFR PART NR: Null

1002 1 Job OPTION Accounting for Contract Service (CMR)

FFP

The Department of Army Requires Contractor Manpower Reporting (CMR) by 31 October of each calendar year during the life of the contract in accordance with Para 6 of the Performance Work Statement (PWS) herein.

OPTION Estimated cost for war hazard losses is

FFP

Zero (0)

2001 12 Months OPTION Licensed Vocational Nurse (LVN)/

FFP

Licensed Practical Nurse (LPN) for 51st Medical Group, Osan Air Base FOB: Destination

2002 1 Job OPTION Accounting for Contract Service (CMR)

FFP

The Department of Army Requires Contractor Manpower Reporting (CMR) by 31 October of each calendar year during the life of the contract in accordance with Para 6 of the Performance Work Statement (PWS) herein.

OPTION Estimated cost for war hazard losses is

FFP

Zero (0)

3001 12 Months OPTION Licensed Vocational Nurse (LVN)/

FFP

Licensed Practical Nurse (LPN) for 51st Medical Group, Osan Air Base FOB: Destination

3002 1 Job OPTION Accounting for Contract Service (CMR)

FFP

The Department of Army Requires Contractor Manpower Reporting (CMR) by 31 October of each calendar year during the life of the contract in accordance with Para 6 of the Performance Work Statement (PWS) herein.

OPTION Estimated cost for war hazard losses is

FFP

Zero (0)

4001 12 Months OPTION Licensed Vocational Nurse (LVN)/

FFP

Licensed Practical Nurse (LPN) for 51st Medical Group, Osan Air Base FOB: Destination

4002 1 Job OPTION Accounting for Contract Service (CMR)

FFP

The Department of Army Requires Contractor Manpower Reporting (CMR) by 31 October of each calendar year during the life of the contract in accordance with Para 6 of the Performance Work Statement (PWS) herein.

OPTION Estimated cost for war hazard losses is

FFP

Zero (0)

PWS

LICENSED VOCATIONAL NURSE (LVN)/LICENSED PRACTICAL NURSE (LPN)

51st Medical Group

Osan Air Base, Korea

Part 1

General Information

1. GENERAL: The contract personnel shall provide non-personal services of one (1) Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN). The LVN/LPN shall provide significant contributions to the Chief Aerospace Medicine (SGP) by researching recommendations for improvement and implementation of sound policies and procedures throughout the Medical Treatment Facility (MTF), thereby enhancing the quality of care for all healthcare beneficiaries at the 51ST MEDICAL GROUP, OSAN AIR BASE, REPUBLIC OF KOREA. The contract personnel shall provide all services and labor required to accomplish the performance of LVN/LPN duties as specified, in strict accordance with all terms, conditions, general and special provisions, specifications, attachments, etc., contained herein or incorporated by reference. The contract personnel shall furnish all management, tools, equipment, reports, consultation and labor necessary to ensure that the Contractor provides one

(1) LVN/LPN for the MTF. Performance shall be according to the requirements contained in this performance-based work statement (PWS). The offeror shall submit a copy of valid licenses for Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN)

1.1 Description of Services/Introduction: All services shall comply with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, the Accreditation Association for Ambulatory Health Care (AAAHC), applicable Department of Defense (DoD) and Air Force Instructions (AFI) 40-701. These documents are available in the MTF and maintained by the Government.

Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. Contract health care providers (contract personnel) shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association’s Bill of Rights for Patients. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 2011 or current version.

1.2 Background: The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts. The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center.

1.3 SCOPE OF WORK: To support the Base Operational Medical Clinic (BOMC), 51st Medical Group has a requirement for one (1) LVN/LPN. The contractor shall provide all labor, materials, tools, equipment, transportation, and materials necessary to recruit, qualify and retain the social worker for a one (1) year.

1.3.1. The contract personnel shall provide services in conjunction with other non-contract personnel to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel.

All contract personnel shall perform essentially the same functions, within the scope of acceptable practice for the specific specialty or position, as those required by Air Force or Government service health care professionals of similar experience and in similar duty assignments. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4 Period of Performance: The period of performance shall be for one (1) Base Year of 12-months and four (4)

12-month option years.

Base Period: 30 September 2019 – 29 September 2020 1st Option Year: 30 September 2020 – 29 September 2021 2nd Option Year: 30 September 2021 – 29 September 2022 3rd Option Year: 30 September 2022 – 29 September 2023 4th Option Year: 30 September 2023 – 29 September 2024

1.5 General Information

1.5.1 Quality Management: The Contractors shall have a planned and systematic quality management process for monitoring and analyzing contract performance to ensure the service is performed in accordance with applicable laws and pertinent regulations, and commercial practices. The contractor shall develop and implement procedures to identify, prevent and ensure non-recurrence of defective services. The Contractors shall comply with the MTF quality management/process improvement activities. The Contractor shall ensure the contractors participates in the MTF’s Medical Quality Assurance/Risk Management (QA/RM) Orientation procedures for newly assigned contractors to include regulations specific to their professional specialty, hospital, and Air Force policy and procedures.

1.5.2 Quality Assurance: The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan primarily focuses on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.5.2.1 Inspection: The inspection and acceptance point for all services rendered under this contract will be the COR and/or Gov’t representative per FAR part 46. The performance by the contractors, the quality of services rendered, and any documentation or written material in support of the same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the Contractors to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

1.5.3 Recognized Holidays: The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday. Holidays falling on a Sunday will be observed on the following Monday.

New year’s Day, January 1st Martin Luther King’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

1.5.3.1 Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as holidays listed above. If the area in which the contractors are scheduled to work is closed due to the holiday declared by an Executive Order and the contractors are not required to report in, payment will not be made for those hours.

Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

The contractors will not provide services on 51st Fighter Wing Down Days.

1.5.3.2 The contractors shall report to work as scheduled during emergencies, disasters, or during adverse weather conditions which does not result in installation/facility closure. The contractor employee shall not come in to work if the commander determines the base is closed due to snow, hurricane, or acts of God.

1.5.3.3 The Contractor shall not invoice the Government for services not performed and the Government will not be liable for any such closures.

1.5.4 Hours of Operation: Clinics have designated operating hours. Duty hours are dayshift hours (0700-1600) no weekends and Federal holidays. Duty hours may include Korean holidays and base exercise days where limited military staffing is available. The contractors shall only be paid for hours actually worked. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.5.4.1 Work Schedule: The Contractors shall be available to work an 8 hour shift, Monday through Friday from 0700-1600, as long as there is agreement with duty section and available supervision in 51 MDG. The 8 hour shift, excludes a one-hour lunch time. Work Schedules. A normal work week is 40 hours (8 hours per day). Duty hours will be dayshift hours, no weekends and no Federal Holidays. Duty hours may include base exercise days where limited military staffing is available and foreign holidays. The Contractors will be compensated only for time actually devoted to delivery of services in this contract unless a base or MTF closure prevents the provider from performing a normal, scheduled duty day. For all locations, there may be occasions when mission and workload changes require employees to adjust work schedules to meet demand. The provider will not perform overtime or on-call duties under this contract. In the instance where the Government supervisor directs the provider to remain on duty in excess of their scheduled shift due to an unforeseen emergency or to complete patient treatment where lack of continuity of care would otherwise jeopardize patient health, the provider shall remain on duty. This provision is not intended to apply to the time required to complete routine tasks (e.g., completion of paperwork or routine administrative tasks at the end of a shift), which are to be completed as part of the normal shift. The provider’s schedule shall be adjusted for the additional hours such that the number of hours on the contract is not exceeded and no overtime is required. Such closures will be coordinated with the COR.

1.5.4.2 Absences and leave: The contractor shall advise the KO, Contracting Officer’s Representative (COR), and supervisor or designee about absences due to illness or incapacitation. If the contractor is absent for more than five

(5) consecutive days due to illness, the Contractor shall provide the Government with a statement that the employee is free from communicable illness before or as the employee returns to work. The government has no interest in tracking the status of individual employees by name when they are absent, only to ensure that they will not pass illnesses onto others. The Government reserves the right to examine and/or re-examine any worker who meets this criterion.

1.5.4.3 Continuity of Services/Replacement Staff: Unless in an emergency, contractor personnel are required to give at least a 30-day official notice of the intention to vacate the job to contractor management staff, KO, COR, and supervisor to ensure all team are aware. The contractor management staff shall replace permanent contractor personnel at the earliest possible date, ensuring vacancies do not exceed thirty (30) calendar days. The consecutive calendar days begin on the departing contract employee’s last duty day at the requesting location. The contractor management staff shall ensure that all temporary or permanent replacement staff are fully qualified, meet all pre-placement requirements and are ready to perform within the required timeframe.

1.5.4.4 Scheduled and Unscheduled Absences. The contractor personnel are allowed to take up to twenty (20) work days of leave annually but non-paid days. Leave is classified as both annual, vacation or sick leave. Leave shall be taken in one (1) day increments and shall not exceed ten (10) consecutive work days excluding weekends. In order to ensure that customer’s access to care is not limited due to manning, timing of leave shall be coordinated with supervisor as much as possible at least 15 days in advance. Unscheduled absences shall be called into supervisor by the contract provider within the first two (2) hours of each duty day that he/she is unable to report to work.

1.5.4.5. Non-paid days: The government will not be required to pay for unscheduled absences (if it is out of their authorized leave) or days where the contractor does not perform services (i.e. waiting for replacement contractor personnel to arrive). Hourly Rate for Non-paid days will be calculated as follows:

Effective CLIN Amount divided by 2080 = Hourly Rate

1.5.5 Place of Performance: The work to be performed under this contract will be performed at 51st Medical Group Military Treatment Facility at Osan Air Base, Korea.

1.5.5.1 Performance of services during crisis declared by the National Command Authority or Overseas Combatant Commander: On occasion, services may be required to support an activation or exercise of contingency plans outside the normal duty hours. Emergency situations (i.e. accident and rescue operations, civil disturbances, natural disasters, military contingency operations, and exercises) may necessitate the contractors provide increased or reduced support as determined by the Contracting Officer. The Government will negotiate an equitable adjustment with the Contractor for the cost of these emergency requirements.

1.5.6 Type of Contract: The Government contemplates award a Firm-Fixed Price contract.

1.5.7 Security Requirements: The contractors shall coordinate with the COR to obtain the following pass, registration, and identification items required for contract performance:

a. DD Form 1172, Application for Uniformed Services Identification Card (if applicable)

b. AETC Form 58, Civilian Identification Card (if applicable)

c. AF Form 2219 (series), Registered Vehicle Expiration Tab

d. DD Form 2220, DoD Registered Vehicle and Installation Tab

e. AF Form 75, Visitor/Vehicle Pass

f. AF Form 1199, USAF Restricted Area Badge, or locally developed badge

The contractors shall return all identification media, including vehicle decals, to the Pass & ID office upon completion/termination of the contract as appropriate.

The Contractor shall implement local base procedures for entry to Air Force controlled/restricted areas where contractors will work.

1.5.7.1 National Agency Check: The Contractor shall successfully complete a National Agency Check (NAC) before arrival to Korea and operating government-furnished workstations that have access to Air Force automated information systems. The Contractors shall comply with the requirements of DoD 5200.2-R Personnel Security Program, and AFI 33-119 Electronic Mail (e-mail) Management and Use. The Contractors shall comply with the requirements of Volume 1 AFI 71-101 Criminal Investigations and paragraph 1.1 of Volume 2 Protective Service Matters. The Contractors shall report any information or circumstances of which they are aware that may pose a threat to the security of DoD personnel, contract personnel, resources, and classified or unclassified defense information to the Chief Pharmacology Services. The Contractors’ immediate supervisor shall brief him/her upon initial on-base assignment and as required thereafter.

1.5.7.2 Identification Badge: The Contractors shall comply with local installation and MTF personnel identification and access requirements. While on site, each contractor shall wear visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge shall show the full name, title, and the word “CONTRACTOR” in front. The COR will provide the paperwork to request identification badges.

The contractors shall immediately report any lost or stolen badges to the COR. The contractor is responsible for absences of contractors due to expired identification and access documents. Such absences shall not relieve the Contractor of its obligation to perform the healthcare services required under this contract. The Contractor will only be paid for services actually performed and shall not bill the Government during the contractors’ absence. The contractors shall turn in all identification badges to the COR upon termination of their services under this contract.

1.5.7.3 Vehicle Registration: The MTFs are located on restricted access military installations. The Contractors shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contactor must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, Government-furnished civilian identification, proof of insurance, and current registration must be presented to the Provost Marshal’s Office, at which time a DoD decal will be issued.

The decal shall be placed on the vehicle’s front windshield in accordance with instructions. All vehicles, with or without a DoD decal, are subject to search. The contractors may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the contractors for time spent at installation checkpoints. The contractors must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF. The contractors shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract. A personally owned vehicle (POV) is not required. It is up to the contractors whether or not he/she wants to bring his/her POV. It is the contractors’ responsibility to pay with his/her own funding out-of-pocket for all related costs for shipping a POV. The contractors may also decide if he/she wants to procure a POV in-country with his/her own funding out-of-pocket.

1.5.7.4. Safeguarding Government Property/Information: The contractors shall be responsible for safeguarding all government equipment, information and property (including controlled forms) provided for contractors use. The contractors shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely during contingency, contractors are prohibited from reproducing patient information in any way (this includes printing). Neither the Contractor nor any of its contractors shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the contractors may be required to provide testimony or disposition in cases of due process action. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.5.7.4.1 Contractors are advised that the 51st Medical Group Commander has placed restrictions on the smoking of tobacco products in and around facilities. AFI 40-102, Tobacco Use in the Air Force, and its supplements, outline the procedures used by the commander to control smoking in our facilities. As of now, the medical treatment facility is a smoke free campus. Contractors and visitors are subject to the same restrictions as government personnel. Smoking is not permitted anywhere on the medical campus.

1.5.7.5 Key Control: The Contractor shall establish and implement methods of making sure all keys/key cards issued to the Contractors by the Government are not lost or misplaced and are not used by unauthorized persons.

NOTE: All references to keys include key cards. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. No keys issued to the Contractors by the Government shall be duplicated.

The Contractors shall turn-in any issued keys when they no longer require access to locked areas. The Contractors shall immediately report any occurrences of lost or duplicate keys/key cards to the COR or Contracting Officer.

1.5.7.5.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the Contracting Officer, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.5.7.5.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the assigned Computed Tomography Technologist. The contractors shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Computed Tomography Technologist engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.5.8 Qualifications: USA LICENSED VOCATIONAL NURSE (LVN)/LICENSED PRACTICAL NURSE (LPN)

1.5.8.1 Special Qualifications: A degree in Public Health or Allied Sciences is highly desirable but not required

1.5.8.1.1 License or formal education: Must have and maintain throughout course of the contract a current, active, valid, unrestricted license (with no limitations, stipulations or pending adverse actions) to practice as a LVN/ LPN from a US jurisdiction. License must be recognized and accepted by the State of practice in accordance with governing regulations.

1.5.8.1.2 Experience: The offeror shall provide evidence of at least two (2) years full-time experience in care coordination, discharge planning or case management in a medical setting within the last four years as a LVN/LPN.

The offeror shall provide evidence of prior experience in following format:

- The title of the contract/project/employer

- A brief description of work completed

- Name of the Client Organization or Requiring Activity

- Period of contract/project (year/month/date – year/month/date)

- Complete name of point of contact at the Client Organization

- Phone number of the primary point of contact of the Client/RA

1.5.8.1.3 English Requirement: The Contractor personnel working on this contract shall be able to communicate in the English language at the intermediate level as exemplified in their written and verbal skills in the performance of their duties under this contract. Government will assess language skills of all Contract employees who are required by terms of this PWS to be proficient at speaking English through performance of services. If the Government, at its sole discretion, determines that the language skills of a Contractor employee does not meet the language proficiency skills required of the position, the Government reserves the right to require the Contractor to provide a new Contract employee that does possess the required language proficiency skills required of the position, at no additional cost to the Government.

1.5.8.1.4. At a minimum, the provider must maintain current certification in either the American Heart Association Basic Life Support (BLS) (Course C) or the American Red Cross CPR/BLS Course as required by AFI 44-102, Community Health Management, Tables 1.1 through 1.6. The MTF will provide BLS refresher courses.

1.5.9 Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer's Representative (COR) may meet periodically with the Contractor to review the contractors’ performance. These meetings shall be at no additional cost to the Government.

1.5.10 Contracting Officer Representative (COR): The COR will be identified by separate appointment letter with his/her responsibilities. The COR will be available during normal duty hours (0700-1600) Monday through Friday to discuss any problems that may be experienced during the performance of this contract.

1.5.11 Conflict of Interest: The Contractors shall not bill the patient for services rendered under this contract. The Contractors shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract at the rate specified. The Contractors shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractors or from any third party at any place other than as designated under this contract.

1.5.12 Confidentiality of Information: Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the contractors during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The contractors shall not release any of the above information without prior written consent of the KO. The Contractors shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contractors shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract. The contractors shall comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

1.5.13 Communication: The Contractor shall ensure that the Medical Standards Management Element (MSME) LVN/LPN maintains open and professional communication with the QAP. Complaints validated by the QAP shall be reported in writing to the Contracting Officer and the Contractor for action. Failure of the Contractor to correct validated complaints from the QAP and the KO will be considered a failure to perform.

1.5.14 Professional Liability: This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employer-employee relationship between the Government and the individual health care providers only to the extent necessary for providing the health care services required under the contract. The performance of health care services by individual’s under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service individuals engaged in comparable health care services. Any personal injury claims alleging negligence by personnel within the scope of performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service personnel. The contract does not create an employer-employee relationship between the Government and any corporation, partnership, business association or other party or legal entity with which the individual may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.5.14.1 Responsibility and Procedures: If any suit or action is filed or any claim is made against the contract individual, which occurred as a result of work performed by the LVN/LPN under this contract, the LVN/LPN shall immediately notify the contractor, the COR, Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent documents received. The contractor and contract LVN/LPN shall cooperate with the government, without further compensation, in the processing, review, settlement, or defense of the suit, action, or claim; and authorize government representatives to settle or defend the claim and to represent the LVN/LPN in, or take charge of, any litigation involved in such an action. The contract LVN/LPN may, at the contract LVN/LPN’s own expense, participate in defense of such claim or litigation

1.5.15 Contractor Responsibility: The Contractor shall accomplish the assigned work by employing and utilizing qualified candidates with appropriate combinations of education, experience, knowledge, training, abilities and skills. The provider shall begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All Status of Forces Agreement (SOFA) or host nation requirements, health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider. The Contractors are responsible for obtaining all passports, visas, or other documents necessary for the provider to enter and or exit the foreign country where performance is required.

1.5.16 In/Out-Processing, Orientation, and Training: The contractors shall complete all specified orientation programs, initial and annual training requirements, and comply with all MTF policies, procedures, productivity standards and instructions as provided by the MTF. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives.

1.5.16.1 In/Out-Processing: At start of the performance period, contractors shall obtain an in-processing checklist(s) from the COR. The contractors is required to complete the applicable items on the checklist and turn it in to the designated office. Upon completion of contract performance, the contractors need to complete an out-processing checklist and return it to the designated office.

1.5.16.2 MTF Orientation: The Contractor shall ensure that all contractors participate in the MTF orientation procedures for newly assigned providers. The purpose of the orientation is to familiarize contractors with policies and procedures of the MTF, regulations specific to their professional specialty, and Air Force policy and procedures.

The Contractor and contractors shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing, and quality assurance requirements. Such regulations include but are not limited to general safety, fire prevention, waste disposal, infection control, Joint Commission (JC), and patient safety initiatives.

1.5.16.3 Training Requirement: Government unique training. The Government may elect to provide unique Government training to contract personnel who are performing services under this contract. If the Government elects to provide such training, the Government will provide such training at no additional expense to the Contractor or to the contract personnel. When directed by the KO, contract personnel shall attend all such training in a paid status as part of the normal services required and billed under the contract. Such training shall require a performance commitment by the Contractor and the Contractor shall reimburse the Government (by means of a reduction in an invoice) if a contract personnel fails to satisfy the performance commitment after the contract personnel receives the unique Government training. The amount of the reimbursement shall be the prorated cost of training, calculated based on the total cost of the training and the number of months by which the contract personnel fails to complete the performance commitment. The length of the performance commitment shall be 12 months or until the end of all performance under this contract, whichever occurs first.

1.5.16.4 Computer Training: The Contractors shall receive training for applicable MTF computer system(s). The COR will coordinate the necessary computer training. The training will be on-site and during normal duty hours.

This training will be at no cost to the Contractor. These systems include but are not limited to: Composite Healthcare Computer System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), ASMIS, and Ambulatory Data System (ADS).

1.5.17 Health and Immunization Requirement: The contractors providing services under this contract shall receive a pre-employment physical examination prior to commencement of work and annually thereafter. In accordance with the Integrated Health Organization Policy # 18-59, the 51th Medical Group COR will ensure that all contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical examination, and termination evaluation. The request for physical examination shall be made using OF 178 to verify the credibility of the physician being called on to perform this action before services are rendered. It is the contractor’s responsibility to pay for any medical examinations necessary to ensure this public health compliance requirement is met.

1.5.17.1 The contractors performing services under this contract shall comply with the health and immunization requirements as stated in Part B, Section 4 of OF 178. Backup/replacement contractors shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractors at no additional cost to the Government.

1.5.17.2 Occupational Safety and Health Administration (OSHA) requires that all contract personnel who will have occupational exposure to blood, body fluids, or other potentially infectious materials shall receive Hepatitis B vaccine, sign a voluntary declination, or have documented proof of immunity to Hepatitis B infection. Personnel who sign declinations may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.5.17.3 The contractor is responsible for reporting to the Health Care Integrator all information necessary to assure hospital records can be maintained correctly and therefore comply with the JCAHO, OSHA, and CDC health record requirements.

1.5.18 Media and Other Inquires: The Contractors shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the COR, who will relay them to the MTF Public Affairs Officer or the Administrative Officer of Day (AOD) after duty hours. There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the COR.

1.5.19 Appearance. While on duty, contract personnel shall be neat and clean, well groomed, and dressed appropriately. Contractor personnel shall report for duty in a professional manner, in appropriate attire befitting a health care setting, and having complied with socially acceptable standards of personal hygiene expected of health care workers. Contract personnel’s clothing shall fit correctly to provide a professional, modest appearance in keeping with the normally accepted community standards of dress for the work being performed. In all cases, clothing shall be neat and clean. This includes being free from visible dirt and stains. Facial hair (including beards, mustaches, and sideburns) shall be controlled (restrained) or trimmed. It shall not interfere with safe work practices, look unkempt, or be unclean.

1.5.20 Protective Clothing. When required and supplied by the Government, the provider shall wear special protective clothing. When duties will be performed in specified areas, a lead gown, lead thyroid, protective gown, gloves, or face shield shall be worn to ensure safety and infection control standards are met. The Government will provide these personal protective equipment. These items shall remain the property of the Government and shall not be removed from the MTF. After use, protective clothing shall be turned in or destroyed as directed by the Chief of Service.

1.6 Administrative:

1.6.1 Contractor Representative: The Contractor shall designate in writing, a primary point of contact (POC) for contract coordination and implementation not later than five (5) business days after receiving notice of contract award. The Contractor shall notify the Contracting Officer of changes in the primary point of contact at least five working days prior to the change. This notification shall be in writing and shall state the full name, phone number, and email address of the point of contact.

1.6.2 Records: The Contractors shall create and maintain Government-owned/ Contractors-held records, regardless of media, in accordance with AFI 33-119, Electronic Mail (E-mail) Management and Use, paragraph 8; AFI 33-202, Computer Security, paragraphs 3.5.1 and 3.6.1; AFI 33-322, Records Management Program, paragraphs 7,8,9 and 10 and supplements; AFMAN 37-123, Management of Records, Chapters 2 – 6, paragraphs 7.10 – 7.29, AFMAN 33-323, AFI 37-138, Records Disposition—Procedures and Responsibilities, Chapters 2, 3 and 6, and supplements;

and Electronic Records. Upon completion of this contract, all government-owned/ Contractors -held records (regardless of media) received, created, maintained or provided in the performance of the performance work statement shall be turned over to the Government. Background electronic data and records specified for delivery to the contracting agency must be accompanied by sufficient technical documents to permit the Air Force to use the data. In the event of default or non-performance, the Government will have access to all records in order to ensure mission support is not interrupted.

1.6.3 Emergency Healthcare for contractors: The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

1.6.4 HIPAA Compliance: The contractors agrees to abide by all the requirements of the Health Insurance Portability and Accountability Act (HIPAA) of 1996 (Public Law 104-191) as codified at 45 CFR Part 160 and Part 164, subparts A and E, and implemented by DoD 6025.18-R regarding the privacy and confidentiality of health records and information being provided and shared under the resulting contract. The contractors shall also comply with the Business Associate Agreement (BAA) listed in the appendix A under Privacy of Protected Health Information and hereby incorporated into this Performance Work Statement as Attachment 2.

1.6.5 The contractors shall abide by federal, state, and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the contractors as may be necessary for security and personnel reliability programs. They shall also abide by federal, state, and local MTF regulations concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Health Insurance Portability and Accountability Act (HIPAA) of 1996. All medical records and reports will remain the property of the Government.

1.6.6 Criminal History Background Check Requirement: The contractors involved in the delivery of health care to children under the age of 18 on a frequent and regular basis shall meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check Requirements Clause.

1.6.6.1. The contract personnel shall notify the 51FW Security Forces Squadron at Osan AB 30 days before on-base performance of the contract begins. The notification shall include:

a. Name, Address, and Telephone Number of contract personnel

b. The contract number and contracting agency

c. The reason for the contract (i.e., the work to be performed)

d. The location(s) of contract performance and future performance, if known

e. The date contract performance begins

f. Any change to information previously provided under this paragraph

1.6.7 Contract personnel shall not introduce new procedures or services without prior approval of the Flight Chief or representative. If disagreements or deviations from protocols or procedures occur, the Flight Chief, Flight Commander, or representative shall be the deciding authority.

1.6.8 The contractors providing medical services under this contract shall ensure his/her rubber stamp contains his/her full name, degree, title, DEA License number, and the word “CONTRACTOR”. The stamp shall be placed on all forms and documentation having the Contractors’ signature.

Example:

John J. Jones, APRN, BC Family Nurse Practitioner

DEA #123456

Contractor

1.7 Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency Services, or Security Office. The contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA, and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

1.7.1 Anti-Terrorism (AT) Level I Training: This provision/contract text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the Contracting Officer Representative (COR) or to the Contracting Officer (KO), if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

1.7.2 AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13.