CONTRACTING OFFICER: Jacquelyn Johnson, Contracting Officer, (254) 286-7876 [email protected] ADDITIONAL CONTACT: see above (End of clause) PWS RESET THERAPISTS CARL R. DARNALL ARMY COMMUNITY HOSPITAL PERFORMANCE WORK STATEMENT 1. GENERAL. 1.1. This is a personal services contract (as defined by FAR Subpart 37.104) and is intended to create an employee relationship between the Government and the individual Health Care Providers (HCPs) only to the extent necessary for providing the health care services required under the contract. The performance of health care services by the individual HCPs under a personal services contract are subject to day-to-day supervision and control by health care facility personnel comparable to that exercised over military and civil service HCPs engaged in comparable health care services. Any personal injury claims alleging negligence by the individual HCPS within the scope of the HCP's performance of the personal services contract shall be processed by DoD in the same manner as claims alleging negligence by DoD military or civil service HCPs. 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 HCP may be associated. The authority for this contract is 10 United States Code 1089 and 10 United States Code 1091. 1.1.1. DESCRIPTION OF WORK. The contract shall provide Complementary and Alternative Medicine (CAM) services in several modalities, including Massage, Reflexology, Holistic Activities (Qigong/TaiChi, Yoga), and Meditation (examples: Mindfulness, Guided Imagery, Sound, Affirmation). Services can be provided in both individual and group formats, providing both treatment and education for self-care. Services are provided to both soldiers accepted into the Reset Cohorts and to Graduates as long as they remain on active duty, as appointments are available. NOTE: This contract allows individual employees to work in multiple skill sets, which will increase productivity, and clinical flexibility and prevent unfilled positions based on qualifications, as long as the total annual hours per modality is not exceeded and no individual practitioner works more than 40 hours in a M-F week. 1.1.2. The annual estimate hours of service will be 2,880 hours, divided be modality as follows: Massage Therapist – 1,440 hours; Meditation Facilitator - 360 hours; Reflexology Therapist - 720 hours; and Holistic Activities Facilitator (Tai Chi/Qigong, Yoga) – 360 hours, at Carl R. Darnall Army Medical Center (CRDAMC), Fort Hood, Texas. Schedules are flexible depending on Program needs and available days (Training Days, Holidays). 1.1.1.2. The contractor shall provide personal services of competent therapists to augment or supplement the staffing at Army military treatment facilities (MTFs) in association with the CRDAMC Department of Behavioral Health, Warrior Combat Stress Reset Program to provide services that contribute to a stable workforce providing quality services due to surges in workload, deployments and civilian personnel vacancies. 1.1.1.3. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, Joint Commission (JC) standards, applicable Department of Defense (DoD) and service specific regulations, directives, and policies, and MTF policies, procedures, and job descriptions. Contract Page 55 of 86 employees shall give the highest regard to patient dignity and observe the precepts of the American Hospital Association's Bill of Rights for Patients. The contract health care provider shall provide services in conjunction with other non-contract providers to include military and non-military physicians, nurse practitioners, clinical psychologists, social workers, counselors, physician assistants, registered and licensed practical nurses, and support personnel. All contract health care providers provided by the contractor shall perform essentially the same functions, within the scope of acceptable practice, as those required by Army or government service health care professionals of similar experience and in similar duty assignments. 1.1.1.4. As part of the managed care network, the providers may be required to interface with network participants, including other government contractors in order to appropriately manage services for the beneficiaries. Contact with other government contractors will be for the sole purpose of coordinating patient care. 1.1.1.5. Contract providers shall perform services under the control and general supervision of the department chief or his/her designated government representative. 1.1.2. Performance Measures. 1.1.2.1. Outcome. The Contractor shall provide qualified personnel who will fulfill the requirement to provide holistic services at a standard enabling the MTF to provide such services at a high level of quality. 1.1.2.2. Standards. Acceptable measures include: position fill rate-95%; employee turnover rate-< 25% per year; substantiated patient complaints-max 2 per year, per provider; no provider initiated cancellation of treatments except as medically required by patient, or provider illness or emergency leave. This will only be done if there are no other providers to see the patients scheduled. Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: contractor providing personnel exceeding the minimum qualification standards; patient customer service comments; provider and contractor relationship with hospital staff/government contracting personnel; compliance with hospital policy and procedures. 1.1.2.3. The Contracting Officer's Representative (COR) will monitor the HCP's performance with input from the Chief of the Department or his or her designated government representative utilizing the contract Quality Assurance Plan, through government information systems and records, patient records, customer service information, contractor reports, monitoring of scheduled shift fill rates, time sheets, patient/customer comments, compliance with installation and hospital policy and procedures, and any other means necessary to ascertain that contracted services are being accomplished in accordance with the terms of the contract. 1.2. QUALIFICATIONS. Massage Therapist: Hours of Performance: The contractor shall provide services up to 40 hours of 30 to 60 minute Massage sessions per week (Monday through Friday) between the hours of 0730-1630. The two part-time Massage Therapists will work 40 hours per week collectively. 1.2.1. Must be a trained and licensed massage therapist and able to provide proof of training and license in this discipline. Able to provide both individual services and group self-care instruction as needed. 1.2.2. Two-plus years’ experience within the past five years providing medical massage care to patients. 1.2.3. Be able to read, write and speak English well enough to effectively communicate with all patients and clinic staff 1.2.4. . Maintain a current Basic Cardiac Life Support (BCLS) certification issued by the American Heart Association throughout the contract. Reflexology Therapist Hours of Performance: The contractor shall provide services up to 20 hours of 30 to 60 minute Reflexology sessions per week (Monday through Friday) between the hours of 0730-1630. The part-time Reflexology Therapist will work up to 20 hours per week. Page 56 of 86 1.2.5. Two-plus years’ experience within the last five years providing Reflexology/Acupressure care to patients. Able to provide both individual services and group self-care instruction as needed. 1.2.6 Must be a trained and certified Reflexologist and able to provide proof of current training and certification in this discipline. 1.2.7. Be able to read, write and speak English well enough to effectively communicate with all patients and clinic staff. 1.2.8. Maintain a current Basic Cardiac Life Support (BCLS) certification issued by the American Heart Association throughout the contract. Holistic Activities Instructor/Facilitator (Tai Chi/Qigong/Yoga) Hours of Performance: The contractor shall provide services up to 10 hours of 30 to 60 minute sessions of holistic exercises/activities/teaching (Tai Chi/Qigong/Yoga) per week (Monday through Friday) between the hours of 07301630. One or two instructors can divide the 10 hours of class. 1.2.9. Be a certified tai chi, qigong and/or yoga instructor and provide proof of certification in one or more discipline. Experienced in use of these activities for the purpose of cultivating emotional awareness, stress reduction and a steady mind / body. Must have experience teaching students ranging from beginner to advanced levels of various ages and with physical limitations. 1.2.10. Be able to read, write and speak English well enough to effectively communicate with all patients and clinic staff. 1.2.11. Maintain a current Basic Cardiac Life Support (BCLS) certification issued by the American Heart Association throughout the contract. Meditation Facilitator 1.2.12. Hours of Performance: The contractor shall provide services up to 10 hours of meditation teaching per week (Monday – Friday) between the hours of 0730-1630. One part-time Meditation teacher will work up to 10 hours per week. 1.2.13. Two plus years’ experience within the last 5 years providing meditation teaching. 1.2.14. Must be a trained instructor or facilitator in one or more forms of meditation and able to provide proof of current training in this discipline. 1.2.15. Be able to read, write and speak English well enough to effectively communicate with all patients and clinic staff. 1.2.16. Maintain a current Basic Cardiac Life Support (BCLS) certification issued by the American Heart Association throughout the contract. Note: All therapists must possess US citizenship (copy of birth certificate or naturalization papers). Legal aliens possessing a green card who are in compliance with US immigration laws and who can provide proof of having completed a thorough background check by a US federal agency may perform under this contract. The Government shall be held liable for not allowing performance under this contract by a contract provider who fails to comply with, or maintain, the citizenship or legal alien status requirements stated herein. 1.3. ADMINISTRATIVE 1.3.1. Neither uniformed personnel nor Government civilian employees shall be employed to perform services under Page 57 of 86 this contract. 1.3.2 The use of non-compete conditions in employment agreements (to prevent loss of personnel by the contractor) effective only during the period of the contract performance is acceptable. However, the use of non-compete conditions in employment agreements that prevent employees of the incumbent from being employed, or accepting offers of employment by the new contractor on the follow-on contracts is unacceptable. It hinders the government’s ability to accomplish the mission of providing medical care to beneficiaries. Inclusion of such conditions in an employer’s employment agreement will result in an offeror’s proposal being unacceptable. Awardee, and their subcontractors, may not include such conditions in employment agreements while performing under this contract. 1.3.3. The Contractor shall ensure that all contract HCPs comply with the local installation requirements for vehicle registration and operation on the military facility. Any vehicle operated by the contractor or its employees in performance of this contract must have the minimum liability coverage required by the state in which the installation is located. 1.3.4 Deleted 1.3.5. REPORTS. The contractor shall provide to the contracting officer reports required to monitor performance on this contract/task order. 1.3.5.1. Monthly Reports. Fill/Vacancy Report (see attachment 1). The contractor shall provide a monthly report on the fill and vacancy rates on each contract/task order. This report will identify the contract/task order number, the contract effective date, the number of FTEs under the contract/task order, the number of filled positions and the number of vacancies. In addition, the contractor shall provide a brief explanation as to why the position is not filled and what is being done to correct the situation. This report shall be submitted on the first of each month after the effective date, or the first Monday of the month should the first fall on a weekend. 1.3.6. ORIENTATION AND TRAINING. When commencing work under this contract, the contract health care provider shall obtain an in-processing checklist from the COR. All contract personnel are required complete the applicable in-processing items on the checklist and turn the completed form in to the designated office. Upon completion of the duty assignment, the contract HCP must complete an out-processing checklist and return it to the designated office. 1.3.6.1. Contract HCPs will be provided a government paid orientation to familiarize contract HCPs with the policies and procedures of the MTF. Orientation attendance will be required of all contract HCPs during normal duty hours and will be scheduled by the Contracting Officer’s Representative (COR), or the Department Chief or his/her government designee. 1.3.6.2. Computer Training. Contract providers who have any interaction with the MTF computer systems must receive training for the applicable system. The COR or appropriate government designee will coordinate 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 may include but are not limited to: 1.3.6.2.1. Composite Health Care System (CHCS). The government will provide training to contract HCPs in the CHCS and/or other procedures that the medical activity's staff is required to use. Access to such patient data systems is an "Automated Data Processing Sensitive" position requiring compliance with AR 380-19 and AR 380-67. 1.3.6.2.2. Armed Forces Health Longitudinal Technology Application (AHLTA) which was formerly known as Composite Healthcare Computer System (CHCS). AHLTA contains the MTF’s appointment scheduling program, pharmacy, lab, and radiology ordering system and is interlinked with other departments in the MTF. 1.3.6.2.3. Ambulatory Data System (ADS). This computer system produces forms on which the providers identify the appropriate billing codes for diagnoses and procedures for each patient. 1.3.6.2.4. Essentris Inpatient Medical Record.(Essentris). This computer system is an electronic medical record (EMR) system that is used by DoD Medical Treatment Facilities to document inpatient care provided by providers, Page 58 of 86 nurses, and health care support staff. 1.3.6.3. The contractor shall ensure that contract HCPs are knowledgeable of the policies and procedures of their specific place of duty and of the medical activity. The contractor shall ensure contract HCPs receive any staff training required by the MTF 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 contract HCP. 1.3.6.4. The government may elect to provide unique government training to contract HCPs 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 HCPs. When directed by the contracting officer, contract HCPs shall attend all such training in a paid status as part of the normal services required and billed under the contract. If determined by the contracting officer, such training may 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 HCP fails to satisfy the performance commitment after the HCP receives the unique government training. The amount of the reimbursement shall be the prorated cost of the training, calculated based on the total cost of the training and the number of months by which the contract HCP 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. 1.3.6.5. In accordance with Operations Order 07-34, all HCPs performing under the resulting contract shall complete Behavioral Health training, if required. 1.3.6.6.1 SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP) The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract. The contractor shall require all Contract Service Providers (CSP) with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals. The contractor shall require all CSPs with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals. 1.3.6.6.2 Government Unique Training The contractor shall ensure all service providers receive Sexual Harassment/Assault Response and Prevention (SHARP) training not later than 60 calendar days after contractor personnel begins performance under this contract. Training can be obtained either online or in person. Contractor personnel can attend SHARP training provided by Carl R. Darnall Army Medical Center, Fort Hood, TX. If the employee has an AKO account, they can access online the Team Bound Self Study course through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp 1.3.6.6.3 Advisory Publications Army Regulation 600-20, Army Command Policy, 20 Sep 2012 OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Responses Program (SHARP), 12 Nov 2013 1.3.7. SECURITY. 1.3.7.1 Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract employee shall comply with the local installation requirements for vehicle registration and Page 59 of 86 operation on the military installation. Any vehicle operated by the contractor/contract employee in performance of this service must have the minimum liability coverage required by the state in which the installation is located. All contract employees 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 at the Visitor Information Office located at the Main Gate, at which time a temporary vehicle pass will be issued. The COR will provide a Memo during in-processing with the contract information that the contract employee can take to the Visitor Information Office and a 3-month DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions. 1.3.7.1.1. All vehicles, with or without a DoD decal, are subject to search. Contract employees may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The government will not reimburse the contractor for time spent at installation checkpoints. Contract employees should plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF. 1.3.7.1.2. Contract employees shall follow installation procedures for removal and turn-in of the vehicle decal upon completion of services. 1.3.7.2. Contract HCPs shall comply with installation and MTF personnel identification and access requirements. The contractor is responsible for absences of contract HCPs due to expired identification and access documents. 1.3.7.3. Deleted 1.3.7.4. Safeguarding Material. The contractor shall be responsible for safeguarding all government property provided for contractor use. 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 likelihood of the possibility of breach of security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the contractor may be required to provide testimony or disposition in cases of due process action. 1.3.8. Safety. Contract HCPs shall comply with all installation safety regulations. Such regulations include, but are not limited to, general safety, fire prevention, and waste disposal. Copies of these regulations are on file in the medical activity safety office or may be obtained through the COR. 1.3.9. The COR will be appointed in writing by the Contracting Officer after the contract is awarded. The Contracting Officer will provide a copy of this designation and COR contact information to the Contractor. 1.3.10. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation. Changes in the primary point of contact, at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact. 1.3.11. Security Identification Badges. The contractor and contract health care provider shall comply with the local installation and MTF personnel identification and access requirements. 1.3.11.1. Each contract health care provider shall wear a visible Security badge ID, provided by the MTF or the Military Installation, on the front of his/her outer clothing. The badge will show the full name, title and if required by the Military and “Contractor” identification on the front. The COR will provide the paperwork to request ID badges. The contractor is responsible for absences of contract HCP due to expired identification and access documents. 1.3.11.2. The contract HCP shall immediately report any lost or stolen badges to the COR. 1.3.11.3. The contract HCPs shall turn in the MTF badge and Civilian ID Card to the Security and Badge Office, COR, or his/her designated representative upon termination of their services under this contract. Page 60 of 86 1.3.12. SUBMITTALS. The contractor shall ensure all contract specific requirements paragraphs such as Education and Training Requirements, Privileging Requirements, National Agency Check Requirements, Health and Immunizations Requirements, and viewing MTF Facility Safety Orientation material are accomplished prior to performance. 1.3.12.1. The information provided may be used for input into the MTF's Consolidated Personnel Database (CPDB). All information given by the HCP will be protected by the Privacy Act of 1974 (PL 93-579). This information is necessary to assure hospital records can be maintained correctly, therefore complying with Joint Commission (JC), Occupational Safety and Health Association (OSHA) and Center for Disease Control (CDC). 1.3.13. POLICIES, PROCEDURES and REGULATION COMPLIANCE. The contractor will be responsible for following all MTF policies, procedures, regulations in support of Occupational Safety Health Alliance (OSHA), Joint Commission (JC), and other national, state, and local policies that regulate the health care industry. Policies and procedures may be obtained by contacting the COR. 1.4. HOURS OF PERFORMANCE. SEE 1.2 QUALIFICATIONS 1.4.3. ABSENCES 1.4.3.1. Scheduled Absences. Scheduled absences as defined in section 2.1 such as vacations, continuing education units, personal time off shall be scheduled at least 30 calendar days in advance and mutually agreed upon by the COR or designated Government Representative, the Department Chief or designated Government Representative, contract HCP, and the contract company. 1.4.3.2. Unscheduled Absences as defined by 2.1 shall be called into the COR or designated Government representative by the contract HCP or representative for contract company prior to the start of their shift if he/she is unable to report to work. 1.4.4. Emergency Essential Position. This is not an emergency essential position. 1.4.5. CLOSURES. During anticipated closure of the facility due to command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contactors will only be paid for the actual hours that were worked. Contract employees will not report to work or be paid for closure periods unless specifically required to perform services during facility closures. 1.4.6. The contractor shall be rested and fully physically and mentally capable of performing the duties required under this contract. The contractor shall not have worked the 8 hours prior to beginning services at CRDAMC unless the contractor was on-call. 1.4.7. The Government reserves the right to verify the hours worked by the health care provider by implementing sign-in/sign-out procedures or by any other means including the use of a time clock. The Government will pay only for hours actually worked in CRDAMC. These attendance logs are for the sole source of Government officials to ensure compliance with FTE hours and will not be provided to the contractor for any reason and/or purpose. 1.5. CONDUCT. 1.5.1. The chief of the department where services are being performed, or his/her representative, will define the scope of practice. Contract HCPs shall not introduce new procedures or services without prior approval of the Department Chief or representative. In disagreements or deviations from established or new protocols, the Department Chief, or representative, will be the deciding authority. 1.5.2. Contract HCPs shall comply with MTF policies regarding personal appearance and conduct. 1.5.3. Contract HCPs shall abide by federal and local MTF regulations and requirements concerning the nature of limited privileged communication between patients and the HCP as may be necessary for security and personnel Page 61 of 86 reliability programs. They shall also abide by federal 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 & Accountability Act of 1996. All regulations referenced are available for review from the COR, MTF, or the Contracting Officer. All medical records and reports will remain the property of the government. 1.5.4. Contract HCPs shall abide by MTF bylaws, Joint Commission, DoD and Medical Department regulations with regard to Utilization Review and Quality Assurance directives, including, but not limited to, in-service training, maintenance of records, performance evaluation, and release of medical information. C.1.5.5. Contract HCPs shall make use of all appropriate equipment; supplies and services made available by the government and shall make referrals and seek consultations, as deemed necessary, for the optimal care of the patients. 1.5.6. Inquiries. Contractor personnel shall not respond to any media inquiries. Any inquiries from the media shall be immediately relayed to the COR, who will relay them to the MTF Commander. 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 contract HCP’s government supervisor. 1.6. CONFLICT OF INTEREST. 1.6.1. The Contractor/contract HCPs shall not bill the patient for services rendered under this contract. The Contractor/contract HCPs shall be prohibited from receiving compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified. 1.6.2. The contractor or contract HCPs shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the contractor or contract HCPs at any place other than as designated under this contract. 1.6.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of work under this contract. The contractor shall not release any of the above information without prior written consent of the Contracting Officer. The Contractor/contract HCPs shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication without explicit permission and oversight. Professional presentations, studies or written articles related to the services provided under this contract must be approved by the Government Supervisor, the COR, normal MTF PAO Policies and by the contractor. These activities, when approved, are at no cost to the Government or Contractor. 1.6.4. Contract HCPs are not prohibited by reason of their employment under this contract from conducting private practice provided there is no conflict with the performance of services under this contract. The contracting officer will unilaterally resolve any issues concerning potential conflicts. 1.6.5. The contractor or contract HCPs shall not use Government facilities or other Government property in connection with conducting a private practice. 1.7. RESERVED. 1.8. PROFILE APPLICATION PACKETS. 1.8.1. The Contractor shall submit Profile Application Packets to the COR for review prior to beginning performance. Application packets shall include the following: education history, certifications (BCLS,), certifications with expiration and license number, employment history/resume, health exam date, type of specialty, and immunization history. Contractor shall monitor profile packets and provide updated information with Page 62 of 86 appropriate credentials on a continuous basis. The COR will approve or disapprove the application packet(s) within five (5) business days. A personal interview should not be conducted by the MTF. 1.9. COMMENCEMENT OF SERVICES/CONTINUITY OF SERVICES. The Government prefers that the contractor fill requirements with permanent, full-time providers due to the nature of the health care provider and patient relationship. However, the contractor may use qualified part-time personnel in accordance with Section 1.1.1. to 1.1.4.or as replacement(s) to provide continuous performance on this contract. 1.9.1. COMMENCEMENT OF REQUIRED SERVICES FOR PRIVILEGED PROVIDERS. The contractor shall be required to commence with required services within 90 calendar days of award (date of Contracting Officer signature) of initial requirements (task orders). The contractor shall likewise commence with required services within 90 calendar days for any follow-on requirements issued under subsequent task orders based on the dates of Contracting Officer signature. In the event the Administrative Contracting Officer issues a modification to an existing task order to add follow-on requirements, the 90 calendar day start-up period is applicable. To ensure required commencement of services, the contractor shall submit complete credentials packets (based on site requirements) within 60 calendar days of award of initial or follow-on requirements as identified above. 1.9.2. REPLACEMENT PERSONNEL FOR PRIVILEGED PROVIDERS. DELETED. 1.10. HEALTHCARE PROVIDER COMPENSATION. In no case shall the total amount of compensation paid to an individual in any year under a Personal Services Contract exceed the full time equivalent rate of $400,000.00 as established under Section 102 of title 3, chapter 2, United States Code. 2. DEFINITIONS/ACRONYMS. 1.10.1. At any time during the performance of this contract, the Contracting Officer or COR may direct the contractor to immediately remove any contract HCP whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, other contract 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. 1.10.2. 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 AR 40-68. A review of the basis for removal will be made by the Contracting Officer within 3 working days after the COR directed the removal. 1.10.3. If, after any investigation deemed necessary by the Contracting Officer and discussions with the contractor's representative, the Contracting Officer concludes that the contract HCP’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 contract HCPs, 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 contract HCP in accordance with the terms and conditions of this contract. 1.10.4. 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. AR 40-68 outlines the adverse clinical privileging and practice actions for privileged personnel and adverse practice actions and peer review for non-privileged personnel. 1.11. QUALITY MANAGEMENT. 1.11.1. Quality Control Plan (QC): The contractor is required to follow the current QC program in place at the MTF to ensure that the medical services are provided at a level of quality that meets MTF standards. Page 63 of 86 1.11.2. Quality Assessment and Improvement (QA&I). The Government will monitor the contractor's performance under this contract using the QA&I procedures established by the medical activity and pursuant to the Contract Terms and Conditions - Commercial Items, Inspection/Acceptance clause. Additionally, the contractor's performance is subject to scheduled and unscheduled review by the QA&I Committee as defined by the medical activity Quality Assurance (QA) Plan and AR 40-68. 1.11.3. The contract employees shall comply with the MTF quality management/process improvement activities 1.12. CONTINUING MEDICAL/CLINICAL EDUCATION (CME) REQUIREMENTS. Health care providers registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. CME shall be obtained at no additional cost to the Government and shall be reported to the COR annually on the first normal duty day in January for the previous calendar year. Periodic CME may be conducted at the MTF and will be available, at no cost, to any health care provider desiring to attend. 2. DEFINITIONS/ACRONYMS. 2.1. DEFINITIONS. Following is a list of basic definitions. 2.1.1. ANCILLARY PERSONNEL: This includes all HCPs with the exception of Medical Doctors (MD) and Doctors of Osteopathy (DO). 2.1.2. BACKUP PERSONNEL: Pre-approved contract HCPs designated to move into the position of the primary contract HCP to perform required services for the duration of his/her absence. 2.1.3. BENEFICIARIES OF THE MILITARY HEALTHCARE SYSTEM. Those individuals entitled to care at the MTF in accordance with AR 40-3 and AR 40-400. 2.1.4. CLINICAL PRIVILEGES: Authorization by the government to provide specific patient care and treatment services in the organization, within well defined limits, based on the individual's license, education, training, experience, competence, judgment and physical and mental health. 2.1.5. COMPOSITE HEALTHCARE SYSTEM (CHCS): An automated medical information system which will provide integrated support for the functional work centers of inpatient and outpatient care facilities, patient administration, patient appointments and scheduling, nursing, laboratory, pharmacy, radiology, and clinical dietetics. 2.1.6. CONTINUING EDUCATION. Education beyond initial professional preparation relevant to the type of patient care delivered in the organization, provides current knowledge relevant to the field of practice and is related to findings from quality assurance activities. 2.1.7. CONTRACTING OFFICER: A person with the authority to enter into, administer, and/or terminate contracts/task orders and make related determinations and findings. 2.1.8. CONTRACTING OFFICER'S REPRESENTATIVE (COR): A government employee selected and designated in writing by the Contracting Officer to act as his/her designated representative in administering a contract. 2.1.9. FACILITIES: Building, equipment and supplies necessary for the implementation of services by personnel. 2.1.10. MILITARY TIME is on a 24-hour clock, e.g. 8:00 a.m. - 0800 9:10 a.m. – 0910 Noon – 1200 9:10 p.m. – 2110 Midnight – 2400 12:01 a.m. – 0001 2.1.11. MILITARY DATES are written as: September 2, 1996 - 2 Sep 96 Page 64 of 86 2.1.12. NEW CONTRACT HCP. A new contract HCP for purposes of accreditation includes contract HCPs under new contracts, including contract HCPs previously accredited Troop Care or Technical Expert status under other contracts; new applicants proposed for hire; and contract HCPs who changed positions within the same contract. Contract HCPs shall work full-time, principal duties shall be troop care or technical expert qualifying duties, and said contract HCPs shall serve the U.S. Forces exclusively in order to be granted Troop Care or Technical Expert status. 2.1.13. ORDERING CONTRACTING OFFICER. A Contracting Officer designated to place task orders against an existing contract. 2.1.14. PHYSICIAN: Medical healthcare providers possessing a doctorate degree as a Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.). 2.1.15. PRIVILEGING PROCESS: Process established by the MTF and AR 40-68 for granting clinical privileges to HCPs. 2.1.16. QUALITY ASSESSMENT AND IMPROVEMENT. Those actions taken by the Government to check services to determine if they meet the requirements of the Joint Commission, U.S. Army Medical Command, quality assurance and risk management program, and ensure that the contract HCPs comply with the terms and conditions of the contract. 2.1.17. QUALITY CONTROL. Those actions taken by a contractor to control the performance of services to ensure that they meet the requirements of the contract. 2.1.18. REPLACEMENT PERSONNEL: Contract HCPs selected to fill a position for the duration of the contract period that was previously occupied by another contract HCP. 2.1.19. SCHEDULED ABSENCE: Prearranged absences from performance of contractual services by contract personnel. These absences, whether taken for vacations or continuing medical education, etc. is scheduled/arranged in advance. 2.1.20. TRAINING HOLIDAY: A day off in addition to holidays only for the Military personnel. The Contractor personnel will observe the policy spelled out on his/her contract. 2.1.21. TRICARE: A regionalized, tri-service, contractor-supported, DoD-managed healthcare system. 2.1.22. UNSCHEDULED ABSENCE: Absences from performance of contractual services by contract personnel that are not scheduled/arranged in advance, regardless of whether the absences are caused by illness or for other reasons. 2.2. Acronyms: 2.1.1 ABEM – American Board of Emergency Medicine 2.1.2 AC - Active Component 2.1.3 ACGME – Accreditation Council for Graduate Medical Education 2.1.4 ACLS – Advance Cardiac Life Support 2.1.5 ACO - Administrative Contracting Officer 2.1.6 ACOR -Alternate Contracting Officer’s Representative 2.1.7 ADP - Automated Data Processing 2.1.8 ADS – Ambulatory Data System 2.1.9 AHLTA – Armed Forces Health Longitudinal Technology Application 2.1.10 AR – Army Regulation 2.1.11 ACLS – Advance Cardiac Life Support Page 65 of 86 2.1.12 2.1.13 2.1.14 2.1.15 2.1.16 2.1.17 2.1.18 2.1.19 2.1.20 2.1.21 2.1.22 2.1.23 2.1.24 2.1.25 2.1.26 2.1.27 2.1.28 2.1.29 2.1.30 2.1.31 2.1.32 2.1.33 2.1.34 2.1.35 2.1.36 2.1.37 2.1.38 2.1.39 2.1.40 2.1.41 2.1.42 2.1.43 2.1.44 2.1.45 2.1.46 2.1.47 2.1.48 2.1.49 2.1.50 2.1.51 2.1.52 2.1.53 2.1.54 2.1.55 2.1.56 2.1.57 2.1.58 2.1.59 2.1.60 2.1.61 2.1.62 2.1.63 2.1.64 2.1.65 2.1.66 BCLS – Basic Cardiac Life Support BLS - Basic Life Support CCQAS - Centralized Credentials Quality Assurance System CFR - Code of Federal Regulations CHAMPUS - Civilian Health and Medical Program of the Uniformed Services CHCS - Composite Health Care System CLIN – Contract Line Item Number CME - Continuing Medical Education CONUS - Continental United States COR – Contracting Officer’s Representative CPR – Cardiopulmonary Resuscitation CQI - Continuous Quality Improvement CQM - Clinical Quality Management CQMP - Clinical Quality Management Program DA – Department of the Army DCCS - Deputy Commander for Clinical Services. DEA - Drug Enforcement Administration. DEM – Department of Emergency Medicine DOD - Department of Defense. DODI - Department of Defense Instruction ECFMG - Educational Commission for Foreign Medical Graduates EFT - Electronic Funds Transfer EKG - Electrocardiogram. EMG - Electromyography FAR - Federal Acquisition Regulation FBI - Federal Bureau of Investigation FL - Form Letter FTE - Full Time Equivalent. HCP – Health Care Provider HIPAA - Health Insurance Portability & Accountability Act of 1996 HSC – Health Services Command ICTB-Inter-Facility Credentials Transfer Brief IMR-Individual Medical Record IRC - Installation Record Check IV - Intravenous. JC - Joint Commission. KO - Contracting Officer. MEDCEN – Medical Center MEDCOM - Medical Command MEDDAC - Medical Department Activity MTF - Medical Treatment Facility LOSS - Line of Sight Supervision NACI - National Agency Check with Inquiries NCOIC - Noncommissioned Officer in Charge NP - Nurse Practitioner NPDB - National Practitioner Data Bank OCONUS - Outside the Continental United States OIC - Officer in Charge OSHA - Occupational Safety and Health Administration PA - Physician Assistant PAD - Patient Administration Division PALS – Pediatric Advance Life Support Pam - Pamphlet PCF – Practitioner’s credentials file PCO - Procurement Contracting Officer/Procuring Contracting Officer Page 66 of 86 2.1.67 2.1.68 2.1.69 2.1.70 2.1.71 2.1.72 2.1.73 2.1.74 2.1.75 2.1.76 2.1.77 2.1.78 2.1.79 2.1.80 2.1.81 2.1.82 2.1.83 PENS – Percutaneous Electrical Nerve Stimulation PL - Public Law PPIMS - Past Performance Information Management System PSV - Primary source verification PTE – Part Time Equivalent PWS - Performance Work Statement QA - Quality Assurance QA&I - Quality Assurance & Improvement QC – Quality Control QI - Quality Improvement RFQ - Request for Quote SF - Standard Form SOW - Statement of Work SRP - Soldier Readiness Processing TAB - Therapeutic Agents Board TJC-The Joint Commission USPS - United States Postal Service 3. GOVERNMENT FURNISHED PROPERTY. 3.1. The Government will provide use of all available MTF facilities and support services, materials, publications and forms, and equipment required for contract performance (except as designated in the contract). Contract HCPs shall keep government furnished supplies, equipment, and work areas in a safe, orderly and clean condition. Contract HCPs shall notify the Government whenever maintenance of equipment is required. Personal long distance calls are not authorized. 3.2. Emergency Contract HCP Healthcare. The MTF will provide Emergency healthcare for injuries occurring while on duty. The contractor shall reimburse the government for such services 3.3. The Government will provide an MTF identification badge and a Common Access Card (CAC) While performing work under this contract, he/she shall wear a government-furnished, visible identification badge on the front of the outer clothing. Contractor personnel must comply with MTF policy regarding the badges and identification cards. 3.4. Any space used by contract HCPs in performance of this task order may be used for other purposes during their absence. Items of clothing, personal effects, or equipment may not be able to be secured at all locations. The government will not incur any liability for theft, damage to, or loss of such personal items. 3.5. Personal Protective Equipment (PPE). Contract employees shall wear special protective clothing and shoe covers, when required, which shall be supplied by MTF. In all cases, the contractor shall conform to the established personal appearance policy of the MTF. 4. CONTRACTOR FURNISHED SUPPLIES/SERVICES: 4.1. Uniforms. The Contractor shall furnish or ensure that all contract HCPs have appropriate uniforms/smocks. Contract HCP’s shall wear appropriate civilian attire to and from the MTF. The appearance of contract personnel will be governed by the current MTF dress and appearance policy. 4.2. Nametags. The contractor shall furnish and ensure that the contract HCP has a nametag which shall be worn on outer clothing garment identifying him/her by name, degree, as a contract Health Care Provider (HCP), specialty, and Company (if any). Example: John Doe, MD Contract Family Practice(Specialty) Physician (XYZ Company) Page 67 of 86 4.3. Rubber Stamp: The contract HCP shall provide a self-inking rubber stamp (if required) for authenticating medical charts and prescriptions. At a minimum, the stamp shall identify him/her by name, degree, as a contract HCP, specialty, and Company (if any) as per the example given in paragraph 4.2. 5. SPECIFIC TASKS. Massage Therapist 5.1. Be familiar with standard concepts, practices and procedures within the massage therapy field. 5.2. Obtain basic relevant medical history of the patient. 5.3. Assess problems or conditions. Advise the COR of any problems encountered or anticipated in connection with meeting the needs of patients treated. Continuing problems of any nature shall be reported by the contractor in writing to the COR. 5.4. Make notes for patient records. (If required) Use the Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA) for keeping records and other required patient record functions at the discretion of the MTF. 5.5. Suggest appropriate massage therapy techniques. 5.6. Perform massage therapy techniques. Meditation Therapist 5.14. Be familiar with standard concepts, practices and procedures within the meditation field. (examples: Mindfulness, Guided Imagery, Sound, Affirmation) 5.15. Assess problems and conditions. Advise the COR of any problems encountered or anticipated in connection with meeting the needs of patients treated. Continuing problems of any nature shall be reported by the contractor in writing to the COR. 5.16. Make notes for patient records. (If required) Use the Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA) for keeping records and other required patient record functions at the discretion of the MTF. 5.17. Suggest appropriate meditation techniques. 5.18. Perform individual and group meditation techniques and provide instructions for continued self-care. Reflexology Therapist 5.19. Be familiar with standard concepts, practices and procedures within the Reflexology therapy field. 5.20. Assess problems or concerns. Advise the COR of any problems encountered or anticipated in connection with meeting the needs of patients treated. Continuing problems of any nature shall be reported by the contractor in writing to the COR. 5.21. Make notes for patient records. (If required) Use the Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA) for keeping records and other required patient record functions at the discretion of the MTF. 5.22. Suggest appropriate Reflexology therapy techniques and provide instructions for continued self-care. Page 68 of 86 5.23. Perform Reflexology therapy techniques. 5.24 Facilitate energetic and/or emotional reactions and releases during treatment Holistic Activities Instructor/Therapist 5.25. Obtain and document patients’ relevant medical history. 5.26. Assess problems or conditions and suggest applicable Tai Chi / QiGong / Yoga techniques. Advise the COR of any problems encountered or anticipated in connection with meeting the needs of patients treated. Continuing problems of any nature shall be reported by the contractor in writing to the COR. 5.27. Discuss with patients therapeutic strategies for the health benefit of the patient. 5.28. Perform Tai Chi/QiGong/Yoga individual & group therapy protocols and techniques. 5.29. Perform Tai Chi/QiGong/Yoga therapy and instruction for self-care 5.30. Facilitate energetic and/or emotional reactions and releases during treatment. 5.31. Make notes for entry into patient records. (If required)Use the Composite Health Care System (CHCS) and Armed Forces Health Longitudinal Technology Application (AHLTA) for keeping records and other required patient record functions at the discretion of the MTF. 6. SPECIAL INSTRUCTIONS: NONE 7. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS. 7.1. These government publications and forms applicable to this contract. 7.1.1. Current issues of many DA publications can be accessed at http://www.usapa.army.mil/gils. Current issues of many forms can be accessed at http://www.usapa.army.mil/forms. Publications and forms not on the internet can be obtained from the MTF. 7.1.2. The Publications have been coded as mandatory or advisory. The Contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. The contractor will not implement any such changes to mandatory publications, which cause a change in performance within the meaning of the Changes clause, unless or until the contracting officer issues a change order or modification to the contract. 7.2. PUBLICATIONS: 7.2.1. Mandatory: Public Law 91-596, dated 29 Dec 70, Occupational Safety and Health Administration Public Law 104-191, dated 21 Aug 96 Health Insurance Portability and Accountability Act of 1996 Joint Commission (JC) Manual (Current Edition) MEDCOM Regulation 600-3, dated 5 Dec 90 Personal General, Off Duty Employment AR 25-2 AR 40-1 AR 40-3 AR 40-4 AR 40-5 Information Assurance Composition, Mission, and Functions of the Army Medical Department Medical Services: Medical, Dental, and Veterinary Care Army Medical Department Facilities/Activities Preventive Medicine Page 69 of 86 AR 40-36 Medical Facility Management of Sexual Assault and subsequent related AMEDD policy memorandums AR 40-66 Medical Records Administration AR 40-68 Quality Assurance Administration AR 40-501 Standards of Medical Fitness AR 40-562 Immunizations and Chemoprophylaxis AR 340-21 the Army Privacy Program AR 360-5 Army Public Affairs, Public Information AR 380-5 Department of Army Information Security Program AR 380-19 Information Systems Security AR 380-53 Information Systems Security Monitoring AR 380-67 The Department of the Army Personnel Security Program AR 380-85 Army Substance Abuse Program (ASAP) AR 385-10 Army Safety Program AR 385-40 Accident Reporting and Records AR 600-85 Army Substance Abuse Program (ASAP) DA PAM 40-11 Preventive Medicine DoD 6055.5-M Occupational Medical Surveillance Manual MEDCOM Pam 25-31 Index of Command Administrative Publications Regulation 4500.32-4 Military Standard Transportation and Movement Procedures TG 149 Guidelines for Controlling Occupational Exposure to Hazardous Drugs TG 190 Guide to Managing Exposure to Bloodborne Pathogens TB MED 510 Guidelines for the Recognition Evaluation, and Control of Occupational Exposure to Waste Anesthetic Gases 7.2.2. Advisory: JOINT PUB 1-02, 12 APR 01 (JP 1-02) DOD Dictionary of Military Terms (www.dtic.mil/doctrine/jel/doddict) AMA CPT Physician’s Current Procedural Terminology, updated annually (See https://catalog.ama.assn.org) TB Med 2 Sterilizing Medical, Surgical, Dental, and Veterinary Material AR 40-501 Medical Examinations AR 190-51 The Army Physical Security Program AR 608-1 Army Community Service Program DA Pam 25-51 The Army Privacy Program: System Notices and Exemptions Rule DoD 1341.2-M DEERS Program Manual DoDD 5200.2 DoD Personal Security DoD 6010.8-R Civilian Health & Medical Program of the Uniformed Services CHAMPUS, Ch 9, 1 Jul 1991 FM 3-19.30 Physical Security PL 89-614 Chapter 55, 10 U.S.C. (1071-1088) Title 29, CFR Occupational Safety and Health Standards 7.3. The following is a listing of forms that may be required and may customarily be used by a health care provider performing services. 7.3.1. STANDARD FORMS. SF 85 – P SF88 SF93 SF504 SF505 SF506 SF507 SF509 Supplemental Questionnaire for Selected Positions Report of Medical Examination Report of Medical History History Part I History Part II Physical Examination Clinical Record, Report on or Continuation of Standard Care Doctor's Progress Notes Page 70 of 86 SF513 SF515 SF 519-A SF 519-B SP 520 SF 522 SF 523 SF 541 SF 546 SF 547 SF 548 SF 549 SF 550 SF 551 SF 552 SF 553 SF 557 SF558 SF600 Consultation Sheets Clinical Record - Tissue Examination Radiographic Report Radiologic Consultation Request Form Electrocardiographic Record Request for Administration of Anesthesia and Performance Operations and Authorization for Autopsy Cytology Chemistry I Chemistry II Chemistry III Hematology Urinalysis Serology Parasitology Microbiology I Miscellaneous Lab Work Emergency Care and Treatment Chronological Record of Medical Care 7.3.2. Department of the Army DA 16 Request for Examination and Treatment DA 3894 Hospital Report of Death DA 3910 Death Tag DA4106 Report of Unusual occurrence DA4256 Clinical Record - Doctor's Orders DA 4582-R IA Admission Record DA4700 Nuclear Medicine Report DA5008 Telephone Medical Advice/Consultation Record 7.3.3. Department of Defense DD 577 Signature Card (must be signed prior to the performance of services under this contract.) DD 689 Individual Sick Slip DD 1289 DOD Prescription - to be used for only one (controlled or regular) DD 2161 Referral for Civilian Medical Care 8. CONTRACTOR MANPOWER REPORTING (CMR). "ACCOUNTING FOR CONTRACT SERVICES-The Office of the Assistant Secretary of the Army (Manpower & Reserve Affairs) operates and maintains a secure Army data collection site where the contractor will report ALL contractor manpower (including subcontractor manpower) required for performance of this contract. The contractor is required to completely fill in all the information in the format using the following web address: https://cmra.army.mil. The required information includes: (1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative; (2) Contract number, including task and delivery order number; (3) Beginning and ending dates covered by reporting period; (4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data; (5) Estimated direct labor hours (including sub-contractor); (6) Estimated direct labor dollars paid this reporting period (including sub-contractor); (7) Total payments (including sub-contractor); (8) Predominant Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant FSC for each subcontractor if different); (9) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information); (10) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest City, Country, when in an overseas location, using standardized Page 71 of 86 nomenclature provided on website); (11) Presence of deployment or contingency contract language, and, (12) Number of contractor and sub-contractor employees deployed in theater this reporting period (by country). (13) As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period will be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. The contractor shall notify the Contracting Officer's Representative (COR) by the 5th working day of November whether or not they have completed this report. If the COR is unavailable, the contractor will notify the Contracting Officer." 9. Performance Requirements’ Summary (PRS) PERFORMANCE OBJECTIVE PERFORMANCE STANDARD REF PBWS METHOD OF ASSESSMENT Comply with Health and Immunization Requirements. Comply initially and as required 100% of the time. Supplement to the PWS 100% Assessment of COR Comply with Security Requirements. Comply initially and as required 100% of the time. Paragraph 1.3.7. and Supplement to the PWS 100% Assessment of COR Comply with Qualification Requirements Comply with Credentialing Requirements Comply with Administrative Requirements. Comply initially and as required 100% of the time. Comply initially and annually 100% of the time. Comply at least 100% of the time. Paragraph 1.2. 100% Assessment of COR. 100% Assessment of COR C100% Assessment of COR Comply with Hours of Performance. Comply at least 100% of the time. Paragraph 1.4. 100% Assessment of COR Comply with Specific Tasks. Comply at least 100% of the time. Paragraph 5. 100% Assessment of COR . Comply with Contractor Manpower Requirement. Comply initially and annually 100% of the time. Paragraph 9. C100% Assessment of COR . STANDARD 99% to 100% 96% to 98% 95% 91% to 94% 90% or Less Paragraph 1.7. Paragraph 1.3. MEASUREMENT PAST PERFORMANCE ASSESSMENT Excellent Document Past Performance Assessment Report, paying Very Good particular attention to performance that exceeds the standard. Satisfactory Marginal Unsatisfactory SUPPLEMENT TO PERFORMANCE WORK STATEMENT 1. GOVERNMENT HOLIDAYS The following Government Holidays are observed: New Year’s Day, January 1 Martin Luther King, Jr.’s Birthday, 3rd Monday in January President’s Day, 3rd Monday in February Memorial Day, Last Monday in May Independence Day, July 4 Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran’s Day, November 11 Thanksgiving Day, 4th Thursday in November Christmas Day, December 25 Page 72 of 86
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