SF30 Mod 22R00690001.pdf

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

The purpose of the amendment is to make the follow ing changes:

a. Reduce the unit of hours by 8 hours to reflect the addition of the new Federal Holiday--Juneteenth Day.

b. Page 60, Change the w ord “or” to “and”.

c. Page 70, Remove the phase "annual screening"

d. Page 77, Replace “General Surgeon” w ith “HCPs”

e. Update Attachment 10 Wage Determination Date of Last Revision: 06/27/2022

All other terms and conditions w ill remain unchanged.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 46

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 04-Aug-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street , County, State and Zip Code) X W91YTZ22R0069

X 9B. DATED (SEE ITEM 11)

18-Jul-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer is extended, X is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

02-Aug-2022

CODE

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE

See Item 6

FACILITY CODECODE

EMAIL:TEL:

W91YTZ22R0069

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The pricing detail quantity has decreased by 16.00 from 3,840.00 to 3,824.00.

CLIN 0003

The pricing detail quantity has decreased by 8.00 from 1,920.00 to 1,912.00.

The PSC code has changed from Q201 to Q401.

CLIN 0004

CLIN 1001

CLIN 1003

CLIN 1004

CLIN 2001

CLIN 2003

CLIN 2004

CLIN 3001

CLIN 3003

CLIN 3004

CLIN 4001

CLIN 4003

CLIN 4004

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0001 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

N/A N/A

FOB: Destination

To:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

The following Delivery Schedule item for CLIN 0003 has been changed from:

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

The following Delivery Schedule item for CLIN 0004 has been changed from:

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

CAGE

POP 27-SEP-2022 TO

26-SEP-2023

The following Delivery Schedule item for CLIN 1001 has been changed from:

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

The following Delivery Schedule item for CLIN 1003 has been changed from:

POP 27-SEP-2023 TO

26-SEP-2024

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

The following Delivery Schedule item for CLIN 1004 has been changed from:

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

CAGE

POP 27-SEP-2023 TO

26-SEP-2024

The following Delivery Schedule item for CLIN 2001 has been changed from:

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

The following Delivery Schedule item for CLIN 2003 has been changed from:

POP 27-SEP-2024 TO

26-SEP-2025

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

The following Delivery Schedule item for CLIN 2004 has been changed from:

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

CAGE

POP 27-SEP-2024 TO

26-SEP-2025

The following Delivery Schedule item for CLIN 3001 has been changed from:

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

The following Delivery Schedule item for CLIN 3003 has been changed from:

POP 27-SEP-2025 TO

26-SEP-2026

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

The following Delivery Schedule item for CLIN 3004 has been changed from:

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

CAGE

POP 27-SEP-2025 TO

26-SEP-2026

The following Delivery Schedule item for CLIN 4001 has been changed from:

CAGE

POP 27-SEP-2026 TO

26-SEP-2027

CAGE

POP 27-SEP-2026 TO

26-SEP-2027

The following Delivery Schedule item for CLIN 4003 has been changed from:

POP 27-SEP-2026 TO

26-SEP-2027

CAGE

POP 27-SEP-2026 TO

26-SEP-2027

The following Delivery Schedule item for CLIN 4004 has been changed from:

CAGE

POP 27-SEP-2026 TO

26-SEP-2027

CAGE

POP 27-SEP-2026 TO

26-SEP-2027

The following have been modified:

ATTACHMENT 10

"REGISTER OF WAGE DETERMINATIONS UNDER | U.S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT | EMPLOYMENT STANDARDS ADMINISTRATION

By direction of the Secretary of Labor | WAGE AND HOUR DIVISION

| WASHINGTON D.C. 20210

| Wage Determination No.: 2015-4281 Daniel W. Simms Division of | Revision No.: 24 Director Wage Determinations | Date of Last Revision: 06/27/2022 Note: Contracts subject to the Service Contract Act are generally required to pay at least the applicable minimum wage rate required under Executive Order 14026 or Executive Order 13658.

|If the contract is entered into on or |With certain exceptions Executive Order | |after January 30 2022 or the |14026 applies to the contract. | |contract is renewed or extended (e.g. |The contractor must pay all covered workers |

|an option is exercised) on or after |at least $15.00 per hour (or the applicable | |January 30 2022: |wage rate listed on this wage determination | | |if it is higher) for all hours spent | | |performing on the contract in 2022. | |If the contract is entered into on or |With certain exceptions Executive Order | |after January 30 2022 or the |13658 applies to the contract. | |2022 and the contract is not renewed |The contractor must pay all covered workers | |or extended on or after January 30 2022: |at least $11.25 per hour (or the applicable | | |wage rate listed on this wage determination | | |if it is higher) for all hours spent | | |performing on the contract in 2022. |

The applicable Executive Order minimum wage rate will be adjusted annually. Additional information on contractor requirements and worker protections under the Executive Orders is available at https://www.dol.gov/agencies/whd/government-contracts.

States: District of Columbia Maryland Virginia

Area: District of Columbia Statewide Maryland Counties of Calvert Charles Prince George's Virginia Counties of Alexandria Arlington Fairfax Falls Church Fauquier Loudoun Manassas Manassas Park Prince William Stafford

**Fringe Benefits Required Follow the Occupational Listing**

OCCUPATION CODE - TITLE FOOTNOTE RATE

01000 - Administrative Support and Clerical Occupations 01011 - Accounting Clerk I 19.39 01012 - Accounting Clerk II 21.79 01013 - Accounting Clerk III 24.36 01020 - Administrative Assistant 37.47 01035 - Court Reporter 28.71 01041 - Customer Service Representative I 16.73 01042 - Customer Service Representative II 18.25 01043 - Customer Service Representative III 20.48 01051 - Data Entry Operator I 16.64 01052 - Data Entry Operator II 18.16 01060 - Dispatcher Motor Vehicle 23.00 01070 - Document Preparation Clerk 18.23 01090 - Duplicating Machine Operator 18.23 01111 - General Clerk I 17.51 01112 - General Clerk II 19.12 01113 - General Clerk III 21.47 01120 - Housing Referral Assistant 25.33 01141 - Messenger Courier 19.79 01191 - Order Clerk I 16.71 01192 - Order Clerk II 18.23 01261 - Personnel Assistant (Employment) I 19.76 01262 - Personnel Assistant (Employment) II 22.10 01263 - Personnel Assistant (Employment) III 24.63

01270 - Production Control Clerk 26.81 01290 - Rental Clerk 18.17 01300 - Scheduler Maintenance 20.31 01311 - Secretary I 20.31 01312 - Secretary II 22.72 01313 - Secretary III 25.33 01320 - Service Order Dispatcher 20.56 01410 - Supply Technician 37.47 01420 - Survey Worker 21.30 01460 - Switchboard Operator/Receptionist 17.45 01531 - Travel Clerk I 19.03 01532 - Travel Clerk II 20.71 01533 - Travel Clerk III 22.45 01611 - Word Processor I 18.62 01612 - Word Processor II 20.92 01613 - Word Processor III 23.39 05000 - Automotive Service Occupations 05005 - Automobile Body Repairer Fiberglass 28.60 05010 - Automotive Electrician 26.35 05040 - Automotive Glass Installer 24.82 05070 - Automotive Worker 24.82 05110 - Mobile Equipment Servicer 21.35 05130 - Motor Equipment Metal Mechanic 27.74 05160 - Motor Equipment Metal Worker 24.82 05190 - Motor Vehicle Mechanic 27.74 05220 - Motor Vehicle Mechanic Helper 19.53 05250 - Motor Vehicle Upholstery Worker 23.17 05280 - Motor Vehicle Wrecker 24.82 05310 - Painter Automotive 26.35 05340 - Radiator Repair Specialist 24.82 05370 - Tire Repairer 15.88 05400 - Transmission Repair Specialist 27.74 07000 - Food Preparation and Service Occupations 07010 - Baker 17.31 07041 - Cook I 17.78 07042 - Cook II 20.67 07070 - Dishwasher 14.59*** 07130 - Food Service Worker 14.77*** 07210 - Meat Cutter 20.41 07260 - Waiter/Waitress 14.12*** 09000 - Furniture Maintenance and Repair Occupations 09010 - Electrostatic Spray Painter 23.06 09040 - Furniture Handler 14.06*** 09080 - Furniture Refinisher 22.12 09090 - Furniture Refinisher Helper 16.39 09110 - Furniture Repairer Minor 19.45 09130 - Upholsterer 19.86 11000 - General Services and Support Occupations 11030 - Cleaner Vehicles 14.32*** 11060 - Elevator Operator 15.64 11090 - Gardener 23.36 11122 - Housekeeping Aide 15.64 11150 - Janitor 15.64 11210 - Laborer Grounds Maintenance 17.44 11240 - Maid or Houseman 14.58***

11260 - Pruner 16.35 11270 - Tractor Operator 21.37 11330 - Trail Maintenance Worker 17.44 11360 - Window Cleaner 16.64 12000 - Health Occupations 12010 - Ambulance Driver 23.71 12011 - Breath Alcohol Technician 25.31 12012 - Certified Occupational Therapist Assistant 35.59 12015 - Certified Physical Therapist Assistant 30.02 12020 - Dental Assistant 23.78 12025 - Dental Hygienist 50.57 12030 - EKG Technician 37.13 12035 - Electroneurodiagnostic Technologist 37.13 12040 - Emergency Medical Technician 23.71 12071 - Licensed Practical Nurse I 22.63 12072 - Licensed Practical Nurse II 25.31 12073 - Licensed Practical Nurse III 28.22 12100 - Medical Assistant 18.95 12130 - Medical Laboratory Technician 28.82 12160 - Medical Record Clerk 22.95 12190 - Medical Record Technician 27.06 12195 - Medical Transcriptionist 20.72 12210 - Nuclear Medicine Technologist 43.13 12221 - Nursing Assistant I 13.87*** 12222 - Nursing Assistant II 15.59 12223 - Nursing Assistant III 17.01 12224 - Nursing Assistant IV 19.11 12235 - Optical Dispenser 25.02 12236 - Optical Technician 21.36 12250 - Pharmacy Technician 18.40 12280 - Phlebotomist 21.37 12305 - Radiologic Technologist 37.13 12311 - Registered Nurse I 30.40 12312 - Registered Nurse II 36.78 12313 - Registered Nurse II Specialist 36.78 12314 - Registered Nurse III 44.14 12315 - Registered Nurse III Anesthetist 44.14 12316 - Registered Nurse IV 52.91 12317 - Scheduler (Drug and Alcohol Testing) 31.36 12320 - Substance Abuse Treatment Counselor 28.68 13000 - Information and Arts Occupations 13011 - Exhibits Specialist I 24.30 13012 - Exhibits Specialist II 30.10 13013 - Exhibits Specialist III 36.82 13041 - Illustrator I 22.26 13042 - Illustrator II 27.57 13043 - Illustrator III 33.73 13047 - Librarian 42.46 13050 - Library Aide/Clerk 17.98 13054 - Library Information Technology Systems 38.33 Administrator 13058 - Library Technician 23.37 13061 - Media Specialist I 27.67 13062 - Media Specialist II 30.94 13063 - Media Specialist III 34.50

13071 - Photographer I 20.30 13072 - Photographer II 22.87 13073 - Photographer III 28.64 13074 - Photographer IV 34.67 13075 - Photographer V 41.62 13090 - Technical Order Library Clerk 22.57 13110 - Video Teleconference Technician 30.04 14000 - Information Technology Occupations 14041 - Computer Operator I 22.89 14042 - Computer Operator II 25.63 14043 - Computer Operator III 28.56 14044 - Computer Operator IV 31.72 14045 - Computer Operator V 35.16 14071 - Computer Programmer I (see 1) 26.99 14072 - Computer Programmer II (see 1) 14073 - Computer Programmer III (see 1) 14074 - Computer Programmer IV (see 1) 14101 - Computer Systems Analyst I (see 1) 14102 - Computer Systems Analyst II (see 1) 14103 - Computer Systems Analyst III (see 1) 14150 - Peripheral Equipment Operator 22.89 14160 - Personal Computer Support Technician 31.72 14170 - System Support Specialist 38.69 15000 - Instructional Occupations 15010 - Aircrew Training Devices Instructor (Non-Rated) 36.47 15020 - Aircrew Training Devices Instructor (Rated) 44.06 15030 - Air Crew Training Devices Instructor (Pilot) 52.81 15050 - Computer Based Training Specialist / Instructor 36.47 15060 - Educational Technologist 46.20 15070 - Flight Instructor (Pilot) 52.81 15080 - Graphic Artist 36.01 15085 - Maintenance Test Pilot Fixed Jet/Prop 51.76 15086 - Maintenance Test Pilot Rotary Wing 51.76 15088 - Non-Maintenance Test/Co-Pilot 51.76 15090 - Technical Instructor 31.61 15095 - Technical Instructor/Course Developer 38.67 15110 - Test Proctor 25.52 15120 - Tutor 25.52 16000 - Laundry Dry-Cleaning Pressing and Related Occupations 16010 - Assembler 17.13 16030 - Counter Attendant 17.13 16040 - Dry Cleaner 19.57 16070 - Finisher Flatwork Machine 17.13 16090 - Presser Hand 17.13 16110 - Presser Machine Dry cleaning 17.13 16130 - Presser Machine Shirts 17.13 16160 - Presser Machine Wearing Apparel Laundry 17.13 16190 - Sewing Machine Operator 20.38 16220 - Tailor 21.20 16250 - Washer Machine 17.94 19000 - Machine Tool Operation and Repair Occupations 19010 - Machine-Tool Operator (Tool Room) 29.55 19040 - Tool and Die Maker 35.89 21000 - Materials Handling And Packing Occupations 21020 - Forklift Operator 22.18

21030 - Material Coordinator 26.81 21040 - Material Expediter 26.81 21050 - Material Handling Laborer 15.98 21071 - Order Filler 16.60 21080 - Production Line Worker (Food Processing) 22.18 21110 - Shipping Packer 18.17 21130 - Shipping/Receiving Clerk 18.17 21140 - Store Worker I 16.31 21150 - Stock Clerk 20.29 21210 - Tools and Parts Attendant 22.18 21410 - Warehouse Specialist 22.18 23000 - Mechanics and Maintenance and Repair Occupations 23010 - Aerospace Structural Welder 40.71 23019 - Aircraft Logs and Records Technician 32.27 23021 - Aircraft Mechanic I 38.65 23022 - Aircraft Mechanic II 40.71 23023 - Aircraft Mechanic III 42.69 23040 - Aircraft Mechanic Helper 27.20 23050 - Aircraft Painter 36.70 23060 - Aircraft Servicer 32.27 23070 - Aircraft Survival Flight Equipment Technician 36.70 23080 - Aircraft Worker 34.57 23091 - Aircrew Life Support Equipment (ALSE) Mechanic I 34.57 23092 - Aircrew Life Support Equipment (ALSE) Mechanic II 38.65 23110 - Appliance Mechanic 22.74 23120 - Bicycle Repairer 17.40 23125 - Cable Splicer 36.39 23130 - Carpenter Maintenance 27.29 23140 - Carpet Layer 22.54 23160 - Electrician Maintenance 29.95 23181 - Electronics Technician Maintenance I 32.91 23182 - Electronics Technician Maintenance II 34.94 23183 - Electronics Technician Maintenance III 36.78 23260 - Fabric Worker 25.98 23290 - Fire Alarm System Mechanic 29.84 23310 - Fire Extinguisher Repairer 23.94 23311 - Fuel Distribution System Mechanic 37.07 23312 - Fuel Distribution System Operator 28.53 23370 - General Maintenance Worker 23.48 23380 - Ground Support Equipment Mechanic 38.65 23381 - Ground Support Equipment Servicer 32.27 23382 - Ground Support Equipment Worker 34.57 23391 - Gunsmith I 23.94 23392 - Gunsmith II 27.83 23393 - Gunsmith III 31.11 23410 - Heating Ventilation and Air-Conditioning Mechanic 30.17 23411 - Heating Ventilation and Air Conditioning Mechanic 31.78 (Research Facility) 23430 - Heavy Equipment Mechanic 29.18 23440 - Heavy Equipment Operator 26.20 23460 - Instrument Mechanic 33.14 23465 - Laboratory/Shelter Mechanic 29.55 23470 - Laborer 16.48 23510 - Locksmith 32.72 23530 - Machinery Maintenance Mechanic 30.29

23550 - Machinist Maintenance 30.16 23580 - Maintenance Trades Helper 18.27 23591 - Metrology Technician I 33.14 23592 - Metrology Technician II 34.91 23593 - Metrology Technician III 36.61 23640 - Millwright 29.89 23710 - Office Appliance Repairer 22.96 23760 - Painter Maintenance 22.38 23790 - Pipefitter Maintenance 30.60 23810 - Plumber Maintenance 29.07 23820 - Pneudraulic Systems Mechanic 31.11 23850 - Rigger 31.05 23870 - Scale Mechanic 27.83 23890 - Sheet-Metal Worker Maintenance 29.04 23910 - Small Engine Mechanic 22.69 23931 - Telecommunications Mechanic I 37.06 23932 - Telecommunications Mechanic II 39.03 23950 - Telephone Lineman 37.13 23960 - Welder Combination Maintenance 27.58 23965 - Well Driller 27.13 23970 - Woodcraft Worker 31.11 23980 - Woodworker 23.94 24000 - Personal Needs Occupations 24550 - Case Manager 20.75 24570 - Child Care Attendant 15.17 24580 - Child Care Center Clerk 18.91 24610 - Chore Aide 14.42*** 24620 - Family Readiness and Support Services Coordinator 20.75 24630 - Homemaker 20.75 25000 - Plant and System Operations Occupations 25010 - Boiler Tender 37.98 25040 - Sewage Plant Operator 28.29 25070 - Stationary Engineer 37.98 25190 - Ventilation Equipment Tender 26.74 25210 - Water Treatment Plant Operator 28.29 27000 - Protective Service Occupations 27004 - Alarm Monitor 23.83 27007 - Baggage Inspector 19.39 27008 - Corrections Officer 29.35 27010 - Court Security Officer 30.66 27030 - Detection Dog Handler 21.69 27040 - Detention Officer 29.35 27070 - Firefighter 31.96 27101 - Guard I 19.39 27102 - Guard II 21.69 27131 - Police Officer I 33.25 27132 - Police Officer II 36.96 28000 - Recreation Occupations 28041 - Carnival Equipment Operator 16.91 28042 - Carnival Equipment Repairer 18.48 28043 - Carnival Worker 12.94*** 28210 - Gate Attendant/Gate Tender 18.07 28310 - Lifeguard 12.75*** 28350 - Park Attendant (Aide) 20.22 28510 - Recreation Aide/Health Facility Attendant 14.76***

28515 - Recreation Specialist 25.05 28630 - Sports Official 16.10 28690 - Swimming Pool Operator 21.48 29000 - Stevedoring/Longshoremen Occupational Services 29010 - Blocker and Bracer 34.82 29020 - Hatch Tender 34.82 29030 - Line Handler 34.82 29041 - Stevedore I 32.51 29042 - Stevedore II 36.97 30000 - Technical Occupations 30010 - Air Traffic Control Specialist Center (HFO) (see 2) 46.70 30011 - Air Traffic Control Specialist Station (HFO) (see 2) 32.20 30012 - Air Traffic Control Specialist Terminal (HFO) (see 2) 35.47 30021 - Archeological Technician I 20.86 30022 - Archeological Technician II 23.34 30023 - Archeological Technician III 28.90 30030 - Cartographic Technician 28.90 30040 - Civil Engineering Technician 32.88 30051 - Cryogenic Technician I 32.01 30052 - Cryogenic Technician II 35.36 30061 - Drafter/CAD Operator I 20.86 30062 - Drafter/CAD Operator II 23.34 30063 - Drafter/CAD Operator III 26.01 30064 - Drafter/CAD Operator IV 32.01 30081 - Engineering Technician I 22.92 30082 - Engineering Technician II 25.72 30083 - Engineering Technician III 28.79 30084 - Engineering Technician IV 35.64 30085 - Engineering Technician V 43.61 30086 - Engineering Technician VI 52.76 30090 - Environmental Technician 28.90 30095 - Evidence Control Specialist 28.90 30210 - Laboratory Technician 28.21 30221 - Latent Fingerprint Technician I 37.63 30222 - Latent Fingerprint Technician II 41.56 30240 - Mathematical Technician 35.01 30361 - Paralegal/Legal Assistant I 23.32 30362 - Paralegal/Legal Assistant II 28.90 30363 - Paralegal/Legal Assistant III 35.35 30364 - Paralegal/Legal Assistant IV 42.76 30375 - Petroleum Supply Specialist 35.36 30390 - Photo-Optics Technician 28.90 30395 - Radiation Control Technician 35.36 30461 - Technical Writer I 28.83 30462 - Technical Writer II 35.27 30463 - Technical Writer III 42.68 30491 - Unexploded Ordnance (UXO) Technician I 29.68 30492 - Unexploded Ordnance (UXO) Technician II 35.91 30493 - Unexploded Ordnance (UXO) Technician III 43.04 30494 - Unexploded (UXO) Safety Escort 29.68 30495 - Unexploded (UXO) Sweep Personnel 29.68 30501 - Weather Forecaster I 32.01 30502 - Weather Forecaster II 38.93 30620 - Weather Observer Combined Upper Air or (see 2) 26.01 Surface Programs

30621 - Weather Observer Senior (see 2) 28.90 31000 - Transportation/Mobile Equipment Operation Occupations 31010 - Airplane Pilot 35.91 31020 - Bus Aide 16.18 31030 - Bus Driver 23.52 31043 - Driver Courier 20.34 31260 - Parking and Lot Attendant 15.09 31290 - Shuttle Bus Driver 19.93 31310 - Taxi Driver 17.71 31361 - Truck driver Light 22.24 31362 - Truck driver Medium 24.14 31363 - Truck driver Heavy 23.78 31364 - Truck driver Tractor-Trailer 23.78 99000 - Miscellaneous Occupations 99020 - Cabin Safety Specialist 17.51 99030 - Cashier 13.79*** 99050 - Desk Clerk 14.61*** 99095 - Embalmer 34.10 99130 - Flight Follower 29.68 99251 - Laboratory Animal Caretaker I 16.35 99252 - Laboratory Animal Caretaker II 17.88 99260 - Marketing Analyst 37.55 99310 - Mortician 34.10 99410 - Pest Controller 21.91 99510 - Photofinishing Worker 18.65 99710 - Recycling Laborer 22.98 99711 - Recycling Specialist 28.16 99730 - Refuse Collector 20.81 99810 - Sales Clerk 14.24*** 99820 - School Crossing Guard 18.02 99830 - Survey Party Chief 31.00 99831 - Surveying Aide 19.26 99832 - Surveying Technician 29.45 99840 - Vending Machine Attendant 17.03 99841 - Vending Machine Repairer 21.64 99842 - Vending Machine Repairer Helper 17.03

***Workers in this classification may be entitled to a higher minimum wage under Executive Order 14026 ($15.00 per hour) or 13658 ($11.25 per hour). Please see the Note at the top of the wage determination for more information.

Please also note that the minimum wage requirements of Executive Order 14026 and 13658 are not currently being enforced as to contracts or contract-like instruments entered into with the federal government in connection with seasonal recreational services or seasonal recreational equipment rental for the general public on federal lands.

Note: Executive Order (EO) 13706 Establishing Paid Sick Leave for Federal Contractors applies to all contracts subject to the Service Contract Act for which the contract is awarded (and any solicitation was issued) on or after January 1 2017. If this contract is covered by the EO the contractor must provide employees with 1 hour of paid sick leave for every 30 hours they work up to 56 hours of paid sick leave each year. Employees must be permitted to use paid sick leave for their own illness injury or other health-related needs including preventive care; to assist a family member (or person who is like family to the employee) who is ill injured or has other health-related needs including preventive care; or for reasons resulting from or to assist a family member (or person who is like family to the employee) who is the victim of domestic violence sexual assault or stalking. Additional information on contractor requirements and worker protections under the EO is available at www.dol.gov/whd/govcontracts.

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS:

HEALTH & WELFARE: $4.80 per hour up to 40 hours per week or $192.00 per week or $832.00 per month

HEALTH & WELFARE EO 13706: $4.41 per hour up to 40 hours per week or $176.40 per week or $764.40 per month*

*This rate is to be used only when compensating employees for performance on an SCA-covered contract also covered by EO 13706 Establishing Paid Sick Leave for Federal Contractors. A contractor may not receive credit toward its SCA obligations for any paid sick leave provided pursuant to EO 13706.

VACATION: 2 weeks paid vacation after 1 year of service with a contractor or successor 3 weeks after 5 years and 4 weeks after 15 years. Length of service includes the whole span of continuous service with the present contractor or successor wherever employed and with the predecessor contractors in the performance of similar work at the same Federal facility. (Reg. 29 CFR 4.173)

HOLIDAYS: A minimum of eleven paid holidays per year: New Year's Day, Martin Luther King Jr.'s Birthday, Washington's Birthday, Memorial Day, Juneteenth, National Independence Day, Labor Day, Columbus Day, Veterans' Day, Thanksgiving Day, and Christmas Day. (A contractor may substitute for any of the named holidays another day off with pay in accordance with a plan communicated to the employees involved.) (See 29 CFR 4.174)

THE OCCUPATIONS WHICH HAVE NUMBERED FOOTNOTES IN PARENTHESES RECEIVE THE

FOLLOWING:

1) COMPUTER EMPLOYEES: This wage determination does not apply to any individual employed in a bona fide executive administrative or professional capacity as defined in 29 C.F.R. Part 541. (See 41 C.F.R. 6701(3)).

Because most Computer Systems Analysts and Computer Programmers who are paid at least $27.63 per hour (or at least $684 per week if paid on a salary or fee basis) likely qualify as exempt computer professionals under 29 U.S.C.

213(a)(1) and 29 U.S.C. 213(a)(17) this wage determination may not include wage rates for all occupations within those job families. In such instances a conformance will be necessary if there are nonexempt employees in these job families working on the contract.

Job titles vary widely and change quickly in the computer industry and are not determinative of whether an employee is an exempt computer professional. To be exempt computer employees who satisfy the compensation requirements must also have a primary duty that consists of:

(1) The application of systems analysis techniques and procedures including consulting with users to determine hardware software or system functional specifications;

(2) The design development documentation analysis creation testing or modification of computer systems or programs including prototypes based on and related to user or system design specifications;

(3) The design documentation testing creation or modification of computer programs related to machine operating systems; or

(4) A combination of the aforementioned duties the performance of which requires the same level of skills. (29 C.F.R. 541.400).

Any computer employee who meets the applicable compensation requirements and the above duties test qualifies as an exempt computer professional under both section 13(a)(1) and section 13(a)(17) of the Fair Labor Standards Act.

(Field Assistance Bulletin No. 2006-3 (Dec. 14 2006)). Accordingly this wage determination will not apply to any exempt computer employee regardless of which of these two exemptions is utilized.

2) AIR TRAFFIC CONTROLLERS AND WEATHER OBSERVERS - NIGHT PAY & SUNDAY PAY: If you work at night as part of a regular tour of duty you will earn a night differential and receive an additional 10% of basic pay for any hours worked between 6pm and 6am. If you are a full-time employed (40 hours a week) and Sunday is part of your regularly scheduled workweek you are paid at your rate of basic pay plus a Sunday premium of 25% of your basic rate for each hour of Sunday work which is not overtime (i.e. occasional work on Sunday outside the normal tour of duty is considered overtime work).

** HAZARDOUS PAY DIFFERENTIAL **

An 8 percent differential is applicable to employees employed in a position that represents a high degree of hazard when working with or in close proximity to ordnance explosives and incendiary materials. This includes work such as screening blending dying mixing and pressing of sensitive ordnance explosives and pyrotechnic compositions such as lead azide black powder and photoflash powder. All dry-house activities involving propellants or explosives. Demilitarization modification renovation demolition and maintenance operations on sensitive ordnance explosives and incendiary materials. All operations involving re-grading and cleaning of artillery ranges.

A 4 percent differential is applicable to employees employed in a position that represents a low degree of hazard when working with or in close proximity to ordnance (or employees possibly adjacent to) explosives and incendiary materials which involves potential injury such as laceration of hands face or arms of the employee engaged in the operation irritation of the skin minor burns and the like; minimal damage to immediate or adjacent work area or equipment being used. All operations involving unloading storage and hauling of ordnance explosive and incendiary ordnance material other than small arms ammunition. These differentials are only applicable to work that has been specifically designated by the agency for ordnance explosives and incendiary material differential pay.

** UNIFORM ALLOWANCE **

If employees are required to wear uniforms in the performance of this contract (either by the terms of the Government contract by the employer by the state or local law etc.) the cost of furnishing such uniforms and maintaining (by laundering or dry cleaning) such uniforms is an expense that may not be borne by an employee where such cost reduces the hourly rate below that required by the wage determination. The Department of Labor will accept payment in accordance with the following standards as compliance:

The contractor or subcontractor is required to furnish all employees with an adequate number of uniforms without cost or to reimburse employees for the actual cost of the uniforms. In addition where uniform cleaning and maintenance is made the responsibility of the employee all contractors and subcontractors subject to this wage determination shall (in the absence of a bona fide collective bargaining agreement providing for a different amount or the furnishing of contrary affirmative proof as to the actual cost) reimburse all employees for such cleaning and maintenance at a rate of $3.35 per week (or $.67 cents per day). However in those instances where the uniforms furnished are made of ""wash and wear"" materials may be routinely washed and dried with other personal garments and do not require any special treatment such as dry cleaning daily washing or commercial laundering in order to meet the cleanliness or appearance standards set by the terms of the Government contract by the contractor by law or by the nature of the work there is no requirement that employees be reimbursed for uniform maintenance costs.

** SERVICE CONTRACT ACT DIRECTORY OF OCCUPATIONS **

The duties of employees under job titles listed are those described in the ""Service Contract Act Directory of Occupations"" Fifth Edition (Revision 1) dated September 2015 unless otherwise indicated.

** REQUEST FOR AUTHORIZATION OF ADDITIONAL CLASSIFICATION AND WAGE RATE Standard Form 1444 (SF-1444) **

Conformance Process:

The contracting officer shall require that any class of service employee which is not listed herein and which is to be employed under the contract (i.e. the work to be performed is not performed by any classification listed in the wage determination) be classified by the contractor so as to provide a reasonable relationship (i.e. appropriate level of skill comparison) between such unlisted classifications and the classifications listed in the wage determination (See 29 CFR 4.6(b)(2)(i)). Such conforming procedures shall be initiated by the contractor prior to the performance of contract work by such unlisted class(es) of employees (See 29 CFR 4.6(b)(2)(ii)). The Wage and Hour Division shall make a final determination of conformed classification wage rate and/or fringe benefits which shall be paid to all employees performing in the classification from the first day of work on which contract work is performed by them in the classification. Failure to pay such unlisted employees the compensation agreed upon by the interested parties and/or fully determined by the Wage and Hour Division retroactive to the date such class of employees commenced contract work shall be a violation of the Act and this contract. (See 29 CFR 4.6(b)(2)(v)). When multiple wage determinations are included in a contract a separate SF-1444 should be prepared for each wage determination to which a class(es) is to be conformed.

The process for preparing a conformance request is as follows:

1) When preparing the bid the contractor identifies the need for a conformed occupation(s) and computes a proposed rate(s).

2) After contract award the contractor prepares a written report listing in order the proposed classification title(s) a Federal grade equivalency (FGE) for each proposed classification(s) job description(s) and rationale for proposed wage rate(s) including information regarding the agreement or disagreement of the authorized representative of the employees involved or where there is no authorized representative the employees themselves. This report should be submitted to the contracting officer no later than 30 days after such unlisted class(es) of employees performs any contract work.

3) The contracting officer reviews the proposed action and promptly submits a report of the action together with the agency's recommendations and pertinent information including the position of the contractor and the employees to the U.S. Department of Labor Wage and Hour Division for review (See 29 CFR 4.6(b)(2)(ii)).

4) Within 30 days of receipt the Wage and Hour Division approves modifies or disapproves the action via transmittal to the agency contracting officer or notifies the contracting officer that additional time will be required to process the request.

5) The contracting officer transmits the Wage and Hour Division's decision to the contractor.

6) Each affected employee shall be furnished by the contractor with a written copy of such determination or it shall be posted as a part of the wage determination (See 29 CFR 4.6(b)(2)(iii)).

Information required by the Regulations must be submitted on SF-1444 or bond paper.

When preparing a conformance request the ""Service Contract Act Directory of Occupations"" should be used to compare job definitions to ensure that duties requested are not performed by a classification already listed in the wage determination. Remember it is not the job title but the required tasks that determine whether a class is included in an established wage determination. Conformances may not be used to artificially split combine or subdivide classifications listed in the wage determination (See 29 CFR 4.152(c)(1))."

STATEMENT OF WORK

PERFORMANCE WORK STATEMENT

Personal Services

Certified Physician Assistant (PA)

Certified Emergency Medical Technician – Paramedic (EMT-P) Registered Nurse (RN)

Regional Health Command-Atlantic

Fort Belvoir, VA

TABLE OF CONTENTS

TITLE

1.0. Introduction

1.1. General

1.2. Standard of Performance

1.3. Schedules/Period of Performance

1.4. Personal Appearance

1.5. Health and Immunization Requirements

1.6. Credentialed Personnel

1.7. Mobilization and Other Contingency Planning

1.8. Contractor HCP Furnished Supplies/Services

1.9. Government Furnished Services / Supplies

1.10. Government Furnished Services

1.11. Description of Work. (See Attachment 1)

1.12. Deliverables

1.13. Sexual Harassment/Assault Response and Prevention (SHARP)

1.14. Safety Requirements

1.15. Security Requirements

1. 16. Anti-Terrorism (AT) Training

1.17. Vehicle Registration

2.0. Definitions/Acronyms

2.1. Definitions

2.2. Acronyms

3.0. Applicable Technical Orders, Manuals, Regulations, Directives and Forms

1. 0. INTRODUCTION

1.0.1. The Contractor shall provide health care support for outlying Aid Stations for Regional Health Command - Atlantic, 1st Capabilities Integration Group (Airborne) (1st CIG (A)), Fort Belvoir, VA. These services will be within the nature and scope describe in the paragraphs below. The contract Health Care Provider (HCP) will work in conjunction with other health care providers, professionals, and non-contract personnel. The Contractor HCP shall provide the personal services of a Certified Physician Assistant (PA), a certified Emergency Medical Technician- Paramedic (EMT-P) and Registered Nurse (RN) to perform services of the nature and the scope in this Performance Work Statement (PWS). Travel may be required in the National Capital Region, to other CONUS locations and OCONUS (see Attachment 7 for specific travel requirements).

1.0.1.1. The quality of care provided by the Contractor HCP shall be of a quality meeting or exceeding currently recognized national standards as established by the Joint Commission (JC). Contractor HCP 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 HCP shall abide by the MTF rules, regulations and by laws, including Medical Staff By laws, as well as applicable Army regulations governing such things as medical records.

1.0.1.2. The contractor shall ensure that all FTEs shall have an ACTIVE TOP SECRET SECURITY CLEARANCE prior to the start of the period of performance, and subsequently, prior to the start date of any new hire employees.

(refer to PWS supplement)

1.1. GENERAL.

1.1.1. This contract is a personal services contract under which the personnel rendering the services are subject, either by the contract’s terms or by the manner of its administration, to the supervision and control of a Government officer or employee, usually prevailing in relationships between the government and its employees.

1.1.2. Professional Liability. This contract is a personal services contract and is intended to create an employer-employee relationship between the Government and the individual contract health care providers only to the extent necessary for providing the healthcare services required under this contract. The performance of healthcare services by the individual contract health care providers under a personal services contract are subject to day-to-day supervision and control by healthcare facility personnel comparable to that exercised over military and civil service health care providers engaged in comparable healthcare services. Any personal injury claims alleging negligence by the individual contract health care providers within the scope of the health care provider’s performance of the personal services contract shall be processed by Department of Defense (DOD) in the same manner as claims alleging negligence by DOD military or civil service health care providers. 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 contract health care provider may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091.

1.1.3. Responsibility and Procedures. If any suit or action is filed or any claim is made against the contract HCP, which occurred as a result of work performed by the HCP under this contract, the HCP shall immediately notify the contractor and the Contracting Officer and the chief of the appropriate services and promptly furnish them copies of all pertinent papers received.

1.1.4. The contractor and Contractor HCP 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 HCP in, or take charge of, any litigation involved in such an action.

The Contractor HCP may, at the Contractor HCP’s own expense, participate in defense of such claim or litigation.

1.1.5. Confidentiality / HIPAA. The Contractor HCP shall abide by AR 40-3 and AR 40-66 concerning the nature of limited privileged communication between patient and health care provider for security and personnel reliability programs. The Contractor HCP shall abide by AR 40-66 concerning the confidentiality of patient records, as embodied in federal statutes including the Privacy Act of 1974 and the Drug and Alcohol Act, Public Law 92-129 and HIPAA. The Contractor HCP shall direct all requests for medical information on patients to the Chief, Patient Administration Division. The Contractor HCP shall not release any medical or personal information on a patient without first receiving written approval from the government. Government will provide the regulations upon request by the Contractor HCP.

1.1.6. Removal of Contractor Employees. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any Contractor Employees whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other Contractor HCPs, government personnel or to the impaired individual. This provision will be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

1.1.6.1. If the need for a removal occurs, the COR will contact the contractor's point of contact and direct the contractor to remove that individual from the military facility and to not use that individual to perform any healthcare services required under this contract until the issue has been resolved by the Contracting Officer. The contractor shall formally meet with the COR to discuss further action in accordance with the MTF Quality Assurance and Inspection (QA&I) Plan and DHA-PM 6025.13. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal.

1.1.6.2. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the Contractor Employee’s impairment requires permanent removal from performance under the contract, the Contracting Officer will notify the contractor that permanent removal is required. In the event of disagreements between the government and the contractor's representative concerning matters of impaired Contractor Employees, the decision of the Contracting Officer will be final. During the period of time between the removal and the final decision of the Contracting Officer, the contractor shall provide a backup/replacement Contractor Employees in accordance with the terms and conditions of this contract.

1.1.6.3. The Commander has the prerogative to hold in abeyance, to deny, or to summarily suspend clinical privileges/practice when there is a reasonable cause to doubt the health care provider’s competence to practice or for any cause affecting the safety of patients or others. DHA-PM 6025.13 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel.

1.1.7. Conflict of Interest.

1.1.7.1. Contractor HCP shall not use patient care rendered pursuant to this agreement as a part of a study, research grant, or publication without the prior written consent of the MTF Commander.

1.1.7.2. Contractor HCP shall not bill the patient, an insurer, or anyone else for services rendered. The Contractor HCP is prohibited from receiving compensation of any kind for eligible patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified in the contract.

1.1.7.3. Contractor HCP shall not, while performing services under this contract advise, recommend, or suggest to persons eligible to receive medical care at Army expense that such persons should receive care from the Contractor HCP at any place other than at the MTF. The Contractor HCP will not refer any patients to any company or service to which they have a direct or indirect involvement (including partnership programs and ancillary services not offered by the MTF).

1.1.7.4. Contractor HCP shall not introduce new medical procedures or changes in standing operating procedures without first coordinating with Chief of Clinical Services.

1.1.7.5. Contractor HCP is not prohibited by reason of his employment under this contract from conducting private practice, if there is no conflict with the performance of services under this contract.

1.1.7.6. Contractor HCP shall not use Government facilities or other Government property in connection with conducting a private practice.

1.1.7.7. Contractor HCP shall not be an employee of the United States Government if the employment would create a conflict of interest. The Contractor HCP who is an employee of the Department of Defense, either military or civilian, shall not be employed unless such person seeks and receives approval in accordance with DoD 5500.7-R and MEDCOM Reg 600-3.

1.1.8. SCOPE OF WORK: The Contractor shall provide qualified personnel, services, materials, equipment, supplies and facilities necessary to provide health care support for at outlying Regional Health Command –1st Capabilities Integration Group (Airborne) (1st CIG (A)), Fort Belvoir, VA.

1.1.8.1 The Contractor shall comply with all applicable laws, rules and regulations of the PWS.

1.1.8.2 SAFETY REQUIREMENTS: The Contractor HCP shall maintain safety and health standards compliant with requirements of the Occupational Safety and Health Administration (OSHA).

1.1.8.3. CRIME CONTROL ACT OF 1990. No performance under this contract will be allowed without full compliance with the Crime Control Act of 1990 and Department of Defense Instruction 1402.5 dated 19 January 1993. All contract providers having access to Government computer systems and/or providing care to children (17 years of age and under) must be subject of a favorable background investigation of a favorable background investigation. Background checks will be based on fingerprints of individuals obtained by a law enforcement officer and inquiries will be made, based on the Standard Form 85-P completed by the contract provider through the Federal bureau of Investigation (FBI) and state criminal history repositories. All individuals who are required to complete the Standard Form 85-P Questionnaire for Public Trust Position (including individuals who will access CHCS) shall provide the SF85-P documentation on a 3 ½” computer diskette or as otherwise required by the MTF.

1.1.9. SECURITY REQUIREMENTS. The MTFs are restricted access military installations. HCPS shall not begin performance until the complete documentation for a Personnel Background Investigation has been submitted. An identification (ID) badge, the Common Access Card (CAC) and the vehicle registration will not be issued until complete documentation has been submitted to the appropriate Installation, MTF, or other Security Manager (s), as required at the facility. The CAC card is required for access to Government computer databases and also is presented to the security guards when entering the military installation. If a background investigation results in an unfavorable finding, the contracting officer will notify the contractor and the contract employee will not be granted access to the facility, will not be able to perform services at the facility, and must return all identification badges, CAC cards, and other items issued previously issued by the Government.

1.1.9.1. Security Identification Badges

1.1.9.1.1. Contract HCP shall comply with the local installation and MTF personnel identification and access requirements.

1.1.9.1.2. Each Contractor HCP shall wear a visible Security badge ID, provided by the Medical Treatment Facility or the Military Installation in accordance with their guidance. The badge must show the full name, title and if required by the Military the words “Contractor” in front.

1.1.9.1.3. The contractor shall be responsible for ensuring all HCPs timely renew ID, CAC, and access documents.

Absences due to the loss or expiration of such badges shall relieve and contractor of its obligation to perform the health care services required under this contract.

1.1.9.1.4. The contract HCP shall immediately report any lost or stolen security badges to the COR.

1.1.9.1.5. The contractor HCP shall be responsible for safeguarding all Government property provided or obtained in connection with this contract. The contractor shall safeguard information of a confidential or sensitive nature.

Neither the contractor nor any of its contract HCPs 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 breaches the…