Exhibit 1-Revised.docx

Exhibit 1

PWS 1.6.1. Quality Control: 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.

PWS 1.6.2. Quality Control Plan. The Contractor shall prepare a comprehensive Quality Control Plan (QCP). The quality of work and services provided under this PWS are the responsibility of the Contractor. Therefore, the Contractor shall develop and maintain a QCP to ensure Contractor's performance satisfies the requirements in this contract. Quality Control is a managerial process that: samples and evaluates actual performance; compares actual performance to goals, standards, and requirements; and takes action to correct any differences. If the Contractor is not performing all three steps, a QCP does not exist. This plan shall contain such information as: items to be controlled, how the performance quality will be sampled, who is responsible for verifying work and service quality, who is responsible for correcting any deficiencies, and the inspection plan. The Contractor shall submit this QCP within thirty (30) days after the contract is awarded and shall be updated thereafter to maintain an effective and efficient Quality Control. The Government will make final review and acceptance of the QCP and any subsequent changes within 10 working days after the submission. The QCP shall cover all requirements detailed in this contract but should pay particular attention to the requirements identified in the performance requirements summary. Any changes to the QCP shall be submitted to the COR prior to implementation.

PWS 1.6.3. Quality Assurance Surveillance Plan: The Government shall evaluate the Contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan and PWS. This plan is primarily focused on what the Government must do to ensure that the Contractor has performed IAW the performance standards. Failure to correct any adverse findings or failure to deliver all services described in this contract may result in non-acceptance of the services by the Government. Failure to meet the standards of this performance work statement may result in a deduction of price equal to the value of the unperformed or poorly performed services. Failure to provide services IAW this contract could also result in termination of the contract for cause and/or adversely impact the Contractor’s ability to be selected for future contracts as documented.

1.6.3.1 Government verification inspections of services shall not constitute acceptance nor replace the Contractor inspection or in any way relieve the Contractor of any responsibility to take all actions necessary to assure highest quality of service rendered.

1.6.3.2 The Contractor shall maintain a current list of employees. The list shall include the employee’s name, licenses, and certificates. Updated list shall be provided when an employee’s status or information changes.

PWS 1.6.4. Recognized Holidays: The following is a list of legal U.S. 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. Contractor personnel may be required to work on legal holidays as determined by the COR.

U.S. Government legal holidays

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 ROK legal holidays Lunar New Year (31 December, 1 and 2 January on the Lunar Calendar) Chu-Suk (14, 15, and 16 August on the Lunar Calendar) Other legally recognized/designated ROK holidays (i.e. Temporary holiday/Election Day)

1.6.4.1. 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.

1.6.4.2. 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.

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

PWS 1.6.5. Hours of Operation: The Contractor shall be responsible for conducting business, between the hours of 0730- 1630 Monday thru Friday except federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The Contractor shall at all times maintain a workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

PWS 1.6.6. Absences and leave: The contractor shall advise the KO, Contracting Officer’s Representative (COR), and supervisor or Functional Requirements Evaluator Designee (FRED), 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.

PWS 1.6.7. 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, FRED and supervisor to ensure all team are aware. The contractor management staff shall replace permanent contractor personnel at the earliest possible date, working to ensure 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 including Base Access, CAC if applicable and are ready to perform within the required timeframe.

PWS 1.6.8. Scheduled and Unscheduled Absences: The contractor is only authorized a total of 160 hours of unpaid leave per year. If the contractor replaces an employee for any reason and that employee has exhausted the 160 hours or any portion of the 160 hours the contractor will not be able to authorize any additional leave until the next option year or only the amount not used by the previous employee. Leave is classified as both annual, vacation or sick leave. Leave can be taken in one (1) hour increments and shall not exceed eighty (80) consecutive work hours. In order to ensure access to care is not impacted due to manning, leave shall be coordinated with the work center, COR and/or the FRED at least 15 days in advance. For unscheduled absences, the contractor shall contact their work center, COR and/or FRED as soon as possible, but no later than two (2) hours of the scheduled duty day. Scheduled and Unscheduled Absences must not exceed 15% of the contract service hours each Period of Performance. Absences do not belong to category Performance of services during crisis declared by the National Command Authority or Overseas Combatant Commander. In addition to the changes otherwise authorized by the changes clause of this contract, should Health Protection Condition Levels (HPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes

1.6.8.1 Follow and understand the base guidance for Health Protection Condition Levels (HPCON)

1.6.8.2. Absences do not belong to category PWS 1.6.6 and PWS 1.6.9.1

1.6.8.3. The COR, FRED or their designee will be responsible for communicating with the contractor regarding scheduling issues. The Chief of Medical Staff may act as point of contact after normal duty hours, weekends, and holidays. In such cases, the COR shall confirm all actions on the next normal working day. The US Government will pay the Contractor only for the hours actually worked.

PWS 1.6.9. Place of Performance:

1.6.9.1. 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, pandemics, military contingency operations, exercises and other emergency situations) 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. Follow and understand the base guidance for Health Protection Condition Levels (HPCON)

1.6.9.1.1. The Contractor shall perform as scheduled during emergencies, disasters or during adverse weather conditions unless the Government notifies the Contractor not to perform.

1.6.9.1.2. The Contractor shall respond to emergency support requests within 60 minutes upon notification.

1.6.9.1.3. Performance shall not be required on US federal holidays shown in this PWS, except for emergency support requirements.

1.6.9.2. The COR or their designee will be responsible for communicating with the Contractor regarding scheduling issues.

PWS 1.6.11. National Agency Check: The Contractor shall successfully complete a National Agency Check (NAC) before operating government-furnished workstations that have access to Air Force automated information systems. Requests for Contractors hired at the beginning of the contract, shall be submitted to the Government not later than five (5) workdays after the performance start date. Contractors receiving unfavorable NACs shall not be employed under this contract. The Government will submit requests for investigations on AF Form 2583 Request for Personnel Security Action, at no additional cost to the Contractor. 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.

The Contractor shall comply with AFI 71-101, Volume-1, Criminal Investigations and Volume-2, Protective Service Matters requirements. The contractor shall report to the appropriate authority, any information or circumstances that may pose a threat to the security of DoD personnel, Contractor Personnel, resources, and classified or unclassified defense information. Contractor personnel shall be briefed upon initial on-base assignment and as required thereafter. Contractor shall comply with the in-processing requirements specific to the individual installations. Requirements include, but are not limited to computer training, security training and obtaining certain immunizations (e.g., MMR, TB skin test).

PWS 1.6.12. 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 contractors shall turn in all identification badges to the COR upon termination of their services under this contract.

PWS 1.6.13. 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.

PWS 1.6.14. 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.

1.6.14.1. 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.

1.6.14.2. The Contractor shall ensure the use of Government issued keys or key cards are not used by any persons other than the Contractor’s employees. The Contractor shall ensure that his employees do not open locked areas to permit entrance of persons other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the Contracting Officer.

1.6.14.3. Lock Combinations: The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s Quality Control Plan.

PWS 1.6.16. Key Personnel:

1.6.16.1 Before removing, replacing, or diverting any of the listed or specified key personnel, the Contractor shall:

(1) Written notification to the Administrative Contracting Officer (ACO) reasonably in advance (14 calendar days is considered reasonable);

(2) Submit justification (including proposed substitutions with resumes of equal qualifications stated in this section 1.10.3.1) in sufficient detail to permit evaluation of the impact on this contract; and

(3) Obtain the Contracting Officer's written approval. Notwithstanding the foregoing, if the Contractor deems immediate removal or suspension of any member of its management team is necessary to fulfill its obligation to maintain satisfactory standards of employee competency, conduct, and integrity under the clause at 48 CFR 970.5203–3, Contractor's Organization, the Contractor may remove or suspend such person at once, although the Contractor shall notify the Contracting Officer prior to or concurrently with such action.

1.6.16.2 The list of key personnel may, with the consent of the contracting parties, be amended from time to time during the course of the contract to add or delete personnel so long as the aforementioned items are addressed.

1.6.16.3 Conduct Requirements: The Government reserves the right to restrict the performance on this contract by any individual who is identified as a potential threat to the health, safety, security, general well-being, or operational mission and its population.

1.6.16.4 The Contractor and contract personnel shall abide by all local standards, rules, and procedures.

1.6.16.5 Contractor personnel shall not use government facilities or other government property for personal or other business not related to this contract.

1.6.16.6 Contractor personnel shall not respond to any media inquiries; provide interviews, comments, or any other responses to the media. All inquiries or complaints from the media or other sources shall be immediately relayed to the FRED, COR or KO.

1.6.16.7 Data Management: The Contractor shall manage all data created for Government use or legally controlled by the Government, in support of the functional activity, or as required by Air Force (AF) publications, IAW the AF records management procedures in the current edition of AFI 33-322, Records Management Program, and the Air Force Records Disposition Schedule (AF RDS) located at the following AFRIMS website available on the AF Portal.

PWS 1.6.17. 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, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor shall apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

PWS 1.6.18. Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (example; cost or pricing information, budget information or analyses, specifications or work statements) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer 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 Contracting Officer to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer 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.

PWS 1.6.19. 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 will comply with all AFMS requirements for safe keeping, handling, release, and disposal of any of the above information.

PWS 1.6.20. Communication: The Contractor shall ensure that Contractors maintains open and professional communication with the COR. Complaints validated by the COR shall be reported in writing to the Contracting Officer and Contractor for action. Failure of the Contractor to correct validated complaints raised by the COR and/or the KO will be considered a failure to perform.

PWS 1.6.21. Professional Liability: Pursuant to 10 United States Code 1089 (a), DoD shall process any personal injury claim alleging negligence by the Contractors within the scope of the Contractors’ performance under this contract as claims alleging negligence by DoD military or civil service personnel. The Contractors are not required to maintain medical malpractice liability insurance, and the Government will not reimburse or otherwise pay for such insurance should any be purchased.

PWS 1.6.22. 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 Contractor under this contract, the Contractor shall immediately notify the contractor, the contracting officer, and the chief of the appropriate services and promptly furnish those copies of all pertinent documents received. The contractor and contract Contractor 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 Contractor in, or take charge of, any litigation involved in such an action. The contract Contractor may, at the contract contractor's own expense, participate in defense of such claim or litigation.

PWS 1.6.23. Contractor Responsibility: The Contractor shall accomplish the assigned work by employing and utilizing a qualified candidate with appropriate combinations of education, experience, knowledge, training, abilities and skills. The provider will begin performance in the MTF at the earliest possible date, but not more than 120 days from contract award. All status of health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider. The Contractor is 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. Substitute or temporary coverage for a permanent provider is required for unplanned absences over 160 consecutive hours. All health, security and credentialing/privileging requirements shall be met prior to start of performance by an initial or replacement provider

PWS 1.6.24. Compliance with Laws and Regulations. The contractor shall be knowledgeable of and comply with all applicable Interstate, Federal, State, and Local laws, regulations, and requirements regarding environmental protection. In the event environmental laws or regulations change during the term of this contract, the contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the contractor shall inform the Contracting Officer pursuant to notice requirements and negotiate a modification to the contract.

PWS 1.6.25. 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. Within thirty (30) calendar days after start date full performance, contractor employees must attend 51st Medical Group’s initial orientation brief to familiarize them with the policies and procedures of the 51st Medical Group in-processing requirements. Orientation attendance shall be required of all contractor employees and shall be scheduled by the COR during normal duty hours.

PWS 1.6.26. 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.

1.6.26.1. The Contractor shall provide internal, Air Force-specific orientation to the provider to include the following topics:

· Purpose of contract

· Personnel qualifications, responsibilities, and duties Work hours

· MTF-specific

· Vacation, sick or paid time off

· Dress code

· MTF point of contact/Quality Assurance Evaluator responsibilities Security policies

· Automated Data Processing (ADP) III /Standard Form (SF) 85P Submission

· Health Insurance Portability and Accountability Act (HIPAA)

· Host nation information and processing

· Specific contractor/subcontractor requirements

· Military Customs and Courtesies

· Chain of command for problem identification/resolution

· Pertinent to contract

· Pertinent to the Air Force (AF) and the MTF

· Working environment at the MTF and becoming part of the MTF team

PWS 1.6.27. 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.

1.6.28. 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: Composite Healthcare Computer System (CHCS), Armed Forces Health Longitudinal Technology Application (AHLTA), and Ambulatory Data System (ADS).

1.6.28.1. 51 Medical Group may provide life support training ACLS, BLS, and /or required by the position and 51 MDG mission.

1.6.28.1 All contractor employees must complete DOD Cyber Awareness, Security Administration, Operation OPSEC Awareness annual training required by the 51st Medical Group Education and Training Office. The Contractor shall maintain a listing of such training and provide the list to the COR upon request. Additionally, Medical Logistics active duty personnel will provide contractors with basic skills training necessary to maintain mission success, as outlined in Appendix 3 of this PWS.

1.6.28.2 The Contractor shall ensure that contractor employees are knowledgeable of the policies and procedures of their specific place of duty. The Contractor shall ensure contractor employees receive any staff training required by the 51st Medical Group as a precondition/condition to performance. Such training may include instruction on automation processing, quality assurance policies and local in-service and safety briefings. This training shall be conducted during the scheduled shift of the employee. The Contractor shall record employee attendance and provide records of training attendance when requested by the COR.

PWS 1.6.29. 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 U.S. Office of Personnel Management Section 3301 of Title 5 United States Code Title 5 CFR 339, 51 MDGI 48-107, the 51st Medical Group COR and/or FRED will ensure that all contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical examination, and termination evaluation IAW OF 178 (see attachment 1). The request for physical examination shall be made through the installation Human Resources department for pre-employment examination. It is the contractor’s responsibility to pay for any medical examinations necessary to ensure this public health compliance requirement is met.

1.6.29.1. The contractors performing services under this contract shall comply with the health and immunization requirements as stated in 51 MDGI 48-107 Chapter 3 and OF178. 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. [I added this part, please revise with standard information with right reference from AFI or MDGI] IAW 51 MDGI 48-107, Comply with pre-employment and periodic medical employee health immunizations and examinations to include follow-up for TB or BBP exposures, clinical laboratory testing, and/or other testing as deemed necessary by appropriate medical authorities.

1.6.29.2. Occupational Safety and Health Administration (OSHA) Bloodborne Pathogens standard, 29 CFR 1910.1030 and 51 MDGI 48-107 Chapter 3 section 3 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 declination may change their minds at any time and receive the Hepatitis B vaccine without penalty.

1.6.29.3. Certification of current physical examination for is required for the employee. The certification shall contain a signed statement by the examining physician stating that the employee is free of any contagious diseases. Physical examination must be current within 12 months prior to application for privileges. Initial documentation is required for: MMR (immunization or titer levels for Rubella and Rubeola), history of chicken pox disease or positive titer (varicella vaccination must be accomplished if lack of immunity), Tetanus Diphtheria (Td), Human Immunodeficiency Virus (HIV), Influenza (Flu), TB Mantoux skin test (IPPD) if positive, minimum requirement will be follow-up with the Contractor’s physician and a chest x-ray. A physician must provide documentation of “no active respiratory disease.” It is the contractor’s responsibility to pay for any medical examinations necessary to ensure this public health compliance requirement is met.

PWS 1.6.30. 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

PWS 1.6.31. Appearance: While on duty, the Contractor shall be neat and clean, well groomed, and dressed appropriately. Nursing/medical scrubs and/or equivalent civilian clothes are required while on duty. The contractor 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. The Contractor’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 and shall not interfere with safe work practices, look unkempt, or be unclean.

1.6.31.1. While on duty, Contractor shall maintain a positive attitude in the workplace. Behavior must not be discourteous, rude, or disrespectful. They shall perform all duties honestly, and uphold suitable character as established by Air Force Guidelines. They must support Air Force Core Values- and keeping with normally accepted community of standard behavior.

PWS 1.6.32. Inspection: The inspection and acceptance point for all services rendered under this contract will be the COR and the Functional Requirements Evaluator Designee (FRED). The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. Any services rendered by the contract personnel 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.

PWS 1.7. Administrative:

PWS 1.7.1. 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.

PWS 1.7.2. Data Rights: The Government has unlimited rights to all documents and material produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership and copyrights belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the Contracting Officer. All materials supplied to the Government will be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

PWS 1.7.3. 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.

PWS 1.7.5. 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.

1.7.5.1. 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.

1.7.5.2. All contract 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 to the public that they are Government officials. They shall also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

PWS 1.8. Access and General Protection/Security Policy and Procedures: 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.

Security Identification Badges: Contractor personnel or any representative of the Contractor entering a government facility shall abide by all facility security regulations and shall be subject to security checks. Contractor personnel shall comply with base Force Protection Conditions (FPCON) procedures, Random Antiterrorism Measures (RAMs) and local search/identification

1.8.1. Anti-Terrorism (AT) Level I Training: 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.

1.8.2. AT Awareness Training for Contractor Personnel Traveling Overseas: The government shall make available for all US based contractor employees and associated sub-contractor employees to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13. Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

1.8.3. iWATCH Training: The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 50 calendar days of contract award and within 50 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award.

1.8.4. OPSEC Standing Operating Procedure (SOP)/Plan: The contractor shall develop an OPSEC SOP/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified per AR 530-1.

1.8.5. OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

1.8.6. Information assurance (IA) and/or information technology (IT) training: All contractor employees and associated subcontractor employees must complete the DOD IA awareness training before issuance of network access and annually thereafter. All contractor employees working IA/IT functions must comply with DOD and Army training requirement s in DoD 8570.01, DoD 8570.01-M, and AR 25-2 within six months of employment.

1.8.7. Information assurance (IA) and/or information technology (IT) certification: Per DoD 8570.01-M, DFARS 252.239.7001 and AR 25-2, the contractor employees supporting IA/IT functions shall be appropriately certified upon contract award. The baseline certification as stipulated in DoD 8570.01-M must be completed upon contract award.

1.8.8. Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors outside the US: This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives.

PWS 1.9. Contractor Verification System (CVS)

1.9.1. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

1.9.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the sub-Contractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

1.9.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause 52.204-9, the Government will designate a Trusted Agent (TA), and the Contractor shall designate a Facility Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

1.9.4. In-processing Requirements. Contract personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

1.9.4.1. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

Last Name First Name Middle Name Social Security Number Date of Birth E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

1.9.4.2. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the Contractor of the contract service provider’s user ID and password.

1.9.4.3. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

1.9.4.4 The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

1.9.4.5. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office (VO) with two photo IDs to obtain a CAC. For CAC issuance, a DD2842 must be completed and taken by the individual with two forms of picture ID. The e-mail will contain a URL to download the form. Acceptable forms of ID are: Driver’s License, Social Security Card, Military ID with picture and expiration date, VISA charge card with picture imprinted, and passport.

1.9.4.6. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the Card will not be useable to login.

1.9.4.7. Out-processing Requirements. When a contract service provider’s performance under this contract ceases, the Contractor or FSO shall provide written notice to the TA. The TA will remove the contract service provider from the DEERS/RAPIDS System.