THIS CONTRACT IS A RATED ORDER IRA -,PAGE AWARD/CONTRACT UNDER DPAS (15 CFR 35O) 1 OF 66 

2. CONTRACT NO. 3. EFFECTIVE DATE 14. REQUISITION/PURCHASE REQUESTIPROJECT NO. 

NNC06CB70C 3 "'2-/-01/ PR 4200123682, PR 4200150334

5. 6. ADMINISTERED BY (If otherthan Item 5) ISSUED BY CODEI CHEICAW 

NASA Glenn Research Center
 

Attn: Cheryl Washam, MS 500-312
 

21000 Brookpark Road
 

Cleveland, Ohio 44135
 

7. NAME AND ADDRESS OF CONTRACTOR (No., street, city, country, State and ZIP Code) 8. DELIVERY 

Singleton Health Services, LLC ~D FOB ORI~IN 181 OTHER (~" below) 8501 LaSalle Road . ISCOUNTFO PRoMPT PAYM NT 

Suite 310 

Towson, Maryland 21286-5925 CAGE: 1YM66, DUNS 173668380 flJ.SUBM!T Y'.~~s unlllss otllN- Telephone: (410)296-3737 Wisll specifflld} TO THE ADDRESS SHOWN 

IN: ., ITEM 12 CODE: I FACILITY CODE 

11. SHIP TOIMARK FOR CODe I 12. PAYMENT WILL BE MADE BY CODE I 

NET 15 Days 

13. AUTHORITY FOR USING OTHER THAN FULL & OPEN COMPETITION: 14. ACCOUNTING AND APPROPRIATION DATA 

t8J 10 U.S.C 2304(c} ( 041 U.S.C.253(c) ( 

PR 4200123682 ($100,000), PR 4200150334 ($415,000) 

) } 

15A. ITEM NO. 158. SUPPLIES/SERVICES 15C. QUANTITY 150. UNIT 15E. UNIT PRICE 15F. AMOUNT 

1 Provide a comprehensive Health Services 1 JOB 4,305,779.00 4,305,779.00 

Program to include Occupational Health, 

Medical, Physical Fitness and Employee 

Assistance services in accordance with the 

Statement of Work, Attachment A. 

100. TOTAL AMOUNT OF CONTRACT $4,305,779.00 

18. TABLE OF CONTENTS 

(X) I.SEC. DESCRIPTION PAGElS 1nol SEC. DESCRIPTION PAGE(S) 

PART 1-THE SCHEDULE PART 11- CONTRACT CLAUSES 

A SOLlCITATIONfCONTRACT FORM 3 I8If I CONTRACT CLAUSES 6 

B SUPPLIES OR SERVICES AND PRICEs/COSTS 1 PART 111- LIST OF DOCUMENTS, EXHIBITS AND OTHER ATTACH. 

C DESCRIPTIONISPECS...wORK STATEMENT 1 J LIST OF ATTACHMENTS 2 

0 PACKAGING AND MARKING 1 PART IV - REPRESENTATIONS AND INSTRUCTIONS 

e INSPECTION AND ACCEPTANCE 1 I[ K REPRESENTATIONS, CERTIFICATIONS AND 

F DELIVERIES OR PERFORMANCE 5 OTHER STATEMENTS OF OFFERORS 

G CONTRACT ADMINISTRATION DATA 6 10 L INSTRS., CONDS., AND NOTICES TO OFFERORS 

H SPECIAL CONTRACT REQUIREMENTS 9 ] M EVALUATION FACTORS FOR AWARD 

CONTRACTING OFFICER WILL COMPLETEITEM ITOR 18AS APPLICABLE 

17. I:8J CONTRACTOR'S NEGOTIATED AGREEMENT (Contractor is required 

10 sign this document and retum 2 copies 10 issUing office.) Contractor agrees to fumish 

and detilllll' all ~""'" or perform aU the seMces set rorth or otherwise identified above and 

on any conlillU8lion sheets ror lhe consideralton stated herein. The rights and 

obligations dIlle parties to this contraet shall be subject 10 and governed by the foIlowil1ll 

doc;U/T1enl1l: (s) this award/contract, (b) the solicitalion, if any, and (e) such provisions, 

representations, certiflCalions, and specificalion&, lIB are attached or incorporated by 

18. 181 AWAFJp" ~~... not ~uired to sign lhis document.) Your offer on 

SoIicilation Num'lti 'S" ,~~the additions or changes made by you which 

additions or changes are set rorth In fujI above, ... hereby accep4ed ..to Ihe nems IIsled 

above and on any c:onlinuation sheets. This _rd COIlBInlmal8a lfte contract which 

comisIs dlhe following documenl1l: (a}1he Govemment's solicilatial and your oller, and 

(b) this award/contract. No rurther contraclual document is necesaaI)I. 

reference herein. (Attachments are lisled herein.) 

19A. NAME AND TITLE OF SIGNER (Type or print) 

'<elf\"{~ (), <:; I ... ..:,1 f ju>, 01i> 

198. NAME OF CONTRACTOR 

By/(,z,~ f3,~ MfJ,"lll'it 

(Signatuffl ofP/lrson authorized to sian) 

rn t? H 

19C DATE SIGN ED 

OJ Ii 7 h(JiJ~

2OA. NAME OF CONTRACTING OFFICER (Type or print) 

{!uet.-YL A. tVASI-fAH 

~-roED STATES OF A~

BY "h/Ai 11. 

(Sk!tfBture ofContffletina Officiirl 

2OC. DATE SIGNED 

.3-21-0~

NSN 754Q-01·152..'1069 26-107 STANDARD FORM 26 (REV. 4086) 

PREVIOUS EDlTIO!II NOT USABLE PreKnbed by GSA 

GPO: 1965 0 - .c69-794 FAR (48 CFRj 53.214(c) 
B.1 

NNC05ZCH014R SECTION B 

PART I . THE SCHEDULE
 

SECTION B • SUPPLIES OR SERVICES AND PRICE/COSTS
 

ESTIMATED COST AND FIXED FEE
 

The total estimated cost and fixed fee for this contract is:
 

Base Period Option Period 

Estimated Cost 4,110,308 2.947,690 

Estimated Fee 195,471 140.175 

Total $4,305,n9 $ 3,087,865 

The proposal as revised on January 9, 2006 and as updated on March 10, 2006 and March 14, 2006, are 

hereby made a part of this contract and incorporated by reference. 

B.2 CONTRACT FUNDING 

In accordance with the Limitation of Funds clause. the total amount allotted by the Government to this 

contract is $515.000 for an approximate period of 4 months. This allotment is for services as described in 

the Statement of Work (SOW). 

(End of clause) 

B.3 SUPPLIES AND/OR SERVICES TO BE FURNISHED (GRC 52.211-105) (MAY 2002) 

The Contractor shall provide all personnel, supervision, material, equipment and other resources (except 

for those expressly stated in this contract as furnished by the Government) necessary to perform the 

requirements delineated in the Specifications/Statement of Work incorporated in Section C or J. 

[END OF SECTION) 

Page B-1 
C.1 

NNC05ZCHO 14R SECTIONC 

SECTION C· DESCRIPTIONISPECIFICATIONIWORK STATEMENT 

STATEMENT OF WORK (GRC 52.211-106) (MAY 2002) 

The Contractor shall provide the services as described in the Statement of Work, Attachment A. 

[END OF SECTION] 

Page C-1 
NNC05ZCH014R SECTION D 

SECTION 0 - PACKAGING AND MARKING 

0.1 LISTING OF CLAUSES INCORPORATED BY REFERENCE
 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference:
 

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) 

CLAUSE
 

NUMBER DATE TITLE
 

None included by reference.
 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE
 

NUMBER DATE TITLE
 

None included by reference.
 

(End of clause) 

0.2 MARKING INSTRUCTIONS (GRC 52.246-90) (AUG 2002) 

(a) The Contractor shall mark each shipment with the following address: 

National Aeronautics and Space Administration 

Glenn Research Center 

Receiving, Bldg. 21 (Attn: Singleton Health Services. LlC) 

21000 Brookpark Road Cleveland, OH 44135 

(b) In addition, the contract number and the number of each container in the shipment shall be marked in 

consecutive order, beginning with No.1, on the opposite side of each container. 

(c) Each container shall include a packing list. 

[END OF SECTION] 

Page D-l 
NNC05ZCHO 14R SECTION E 

SECTION E • INSPECTION AND ACCEPTANCE 

E.1 LISTING OF CLAUSES INCORPORATED BY REFERENCE
 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference:
 

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) 

CLAUSE 

NUMBER DATE TITLE 

52.246-5 APR 1984 INSPECTION OF SERVICES·COST REIMBURSEMENT 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE
 

NUMBER DATE TITLE
 

None included by reference.
 

(End of clause) 

[END OF SECTION] 

Page E-1 
NNC05ZCH014R SECTION F 

SECTION F - DELIVERIES OR PERFORMANCE 

F.1 LISTING OF CLAUSES INCORPORATED BY REFERENCE
 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference:
 

l. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) 

CLAUSE DATE TITLE 

NUMBER 

52.242-15 AUG 1989 STOP·WORK ORDER (ALTERNATE I) (APR 1984) 

52.247-34 NOV 1991 F.O.B. DESTINATION 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE 

NUMBER DATE TITLE 

None included by reference. 

(End of clause) 

F.2 PERIOD OF PERFORMANCE 

The base period of performance for services to be provided by the Statement of Work is three (3) years 

from the full performance date of April 1, 2006 through March 31, 2009. 

At the conclusion of the Base Period, a two (2) year option period is available to be exercised by the 

Government in accordance with the clause 52.217-9 Option to Extend the Term of the Contract. 

F.3 REPORTS OF WORK (GRC 52.227-118) (JllL 2004) 

The following clause describes those types of plans/reports commonly required by Glenn Research 

Center. Some of them may not be applicable to this contract. 

(a) FOB POINT FOR ALL REPORTS. All reports shall be delivered FOB Destination to the recipients of 

those reports, as identified in clause GRC 52.227-104 of this contract, entitled "Document Distribution 

Requirements". The Contractor is solely responsible for assuring that delivery is made to every specific 

recipient named (that is, the Contractor shall not ship multiple copies to one recipient with the expectation 

that those reports will then be distributed to other named recipients). 

(b) WORK PLAN 

(1) Original Work Plan. The Contractor's proposal submitted in response to the solicitation is considered 

to be the original work plan. 

(2) Revisions to Work Plan. The Contractor shall submit revisions to the Work Plan described above: 

(i) When directed by the NASA Project Manager/COTR pursuant to the clause entitled "Technical 

Direction"; and 

Page F·1 
NNC05ZCH014R SECTIONF 

(ii) Whenever the contract requirements are changed by appropriate contract modification. The 

Contractor may submit recommended revisions to the Work Plan when the Contractor believes such 

revision is deemed desirable for optimum achievement of contract objectives. Every revision to the Work 

Plan shall be approved by the NASA Project Manager/COTR prior to implementation by the Contractor. 

(iii) Whenever any Intellectual Property issues arise under this contract, especially its plan for compliance 

with Export Controls (EAR & ITAR), any anticipated copyright requests, and any claims of "Limited 

Rights" or "Restricted Rights·. 

(c) COSTING RUN-OUT REPORT (IF REQUIRED BY THE STATEMENT OF WORK). No later than 

June 30th of each year of this contract, the Contractor shall provide an informal statement that indicates 

how the funds currently allocated to the contract will be consumed by September 30th of the subject year. 

In this Costing Run-Out Report, the Contractor shall notify the Contracting Officer if there are any claims 

that could arise from the deobligation of all or part of the funds that will not be consumed by that date. 

Funds that will not be consumed by September 30th may be unilaterally deobligated by the government. 

(d) TECHNICAL PROGRESS REPORTS (IF REQUIRED BY THE STATEMENT OF WORK AND/OR 

NFS CLAUSE 1852.235-74) 

(1) ORAL REPORTS. 

(i) Telephonic reports shall be brief. factual and informal and shall reflect the interests and concerns of the 

COTA. 

(ii) Oral Presentations / Reports / Video Conferences / Briefings -- An Oral Presentation has the folloWing 

minimum requirements: 

(A) The Contractor's Project Manager shall personally attend the Oral Presentation, unless the COTR 

agrees in writing that the Contractor's Project Manager can designate an alternate. 

(B) The Contractor shall prepare for the Oral Presentation by: (a) providing a draft Agenda to the NASA 

COTR one week prior to the scheduled Presentation date (said Agenda may be amended by the NASA 

COTR), and (b) establishing whether copies of the vu-graphs are desired by the NASA COTA. 

(C) The Oral Presentation shall address the agenda topics. 

(D) Vu-graphs presented at the Oral Presentation shall be submitted electronically to the NASA COTR 

one week after the Oral Presentation. These vu-graphs shall include all relevant material presented at 

the Oral Presentation. The Contractor shall ensure that a hardcopy of the vu-graphs shall be provided to 

the NASA Contracting Officer. 

(E) With the vu-graphs, the Contractor shall provide a written follow-up, addressing any open issues 

raised during the Oral Presentation. The Contractor shall provide a copy of the written follow-up to the 

NASA Contracting Officer. 

(F) The Contractor may imprint its logo on the presentation materials, but those materials may not carry a 

proprietary legend of any kind. 

(2) WRITTEN REPORTS shall be brief, factual and informal. They shall be prepared as set forth below: 

(i) A cover page containing: 

(A) Contract number and title. 

(B) The type of report ("Monthly Technical Progress Report", "Task Report", "Quarterly Narrative Report", 

etc.), sequence number of the report (when applicable), and the period/unit being reported. 

Page F-2 
NNC05ZCH014R SECTIONF 

(C) Contractor's name, address, and organizational segment generating the report. 

(D) Signature of Contractor's cognizant Project Manager (or, if submitted electronically, an unambiguous 

indicator that the Project Manager has generated/reviewed the report) 

(E) Date of issuance. 

(F) Inclusion of the following statement: "Prepared for NASA Glenn Research Center, Cleveland, OH
 

44135."
 

(ii) Section I -- Technical Progress Summary: A description of the work performed during the report 

period and the overall technical progress achieved. The current schedule status shall also be addressed 

in this summary. 

(iii) Section II -- Current Problem(s): A description of any current problem(s) which may impede technical. 

schedule and/or cost performance, along with proposed corrective action(s). Include an explanation of 

how the problems could affect the cost and schedule of the reporting categories in the financial and 

scheduler reports if applicable, as well as the effects at the total contract level. 

(iv) Section III -- Risk Management: Include a list of Significant Open Risks and associated Mitigation 

Plans. Significant Open Risks are those that have the potential to affect major development milestones & 

goals, such as a delivery delay, a design-freeze date, a cost ceiling, a safety or health concern, 

environmental impacts, a technical trade-off decision, etc. Further guidance, if needed. is available from 

the GRC Risk Management reference documents (listed below), which are available at the following websites: 

(A) NPG 7120.5A -- "Program and Project Management Processes and Requirements", Chapter 4-­

"Program/Project Management Systems Requirements· 

http://nodis3.gsfc.nasa.govllibraryllib_docs.cfm?range=7_ (note: the FOUR "blank" spaces in the 

above address are actually "underline" marks) 

(8) GRC-P2.9 •• "Risk Management" http://nasalivelink.grc.nasa.gov/livelinkllivelink?fune=lI&objld= 

241550&objAction=browsebmsfolder&sort=documentnumber 

(v) Section IV .- Work Planned: A description of the work to be performed during the next monthly 

reporting period. 

(vi) Section V -- Analysis: Interpretation of the results obtained, recommendations of further action, and 

discussion of the relationships between work performed and the ultimate objectives of the contract. 

Applicable diagrams, sketches, graphs, photographs, and drawings should be included, if they assist in 

conveying the intended meaning of this Section. The COTR may waive this Section V requirement on a 

month-by-month basis. 

(3) Report Period, Dates and Submission 

(i) Periodic Reports (Monthly, Quarterly, etc.) 

(A) The report shall reflect a period of performance comparable/traceable to the Contractor's accounting 

period (such as, an accounting month), from the beginning date to the cutoff (closing) date. NOTE: The 

initial reporting period depends on the date of contract award and may be less or more than a full 

Contractor's accounting period. When the date of contract award is before the middle of the Contractor's 

accounting period, the initial reporting period shall be from the date of award to the end of that same 

accounting period. When the date of contract award is on or after the middle of the Contractor's 

accounting period, the initial reporting period shall be from the date of award through the end of the 

following accounting period. Thereafter, each reporting period shall incorporate one complete 

Contractor's accounting period. 

Page F-3 
NNC05ZCH014R SECTION F 

(B) The report shall reflect actual progress through the cutoff date. The following report of the same type 

will begin on the day after the previous period's cutoff date, so that the reporting periods are continuous 

and uninterrupted. 

(C) Within ten (10) working days after the cutoff date, the Contractor shall submit the report electronically 

to the addresses indicated in clause GRC 52.227-104 of this contract, entitled "Document Distribution 

Requirements". 

(h) FINANCIAL MANAGEMENT REPORTS (IF REQUIRED BY THE STATEMENT OF WORK ANDIOR 

THE DOCUMENT DISTRIBUTION REQUIREMENTS) 

(1) The Contractor shall submit the following financial reports pursuant to clause NFS 1852.242-73,
 

"NASA Contractor Financial Management Reporting":
 

(i) NASA Form 533M (Monthly Contractor Financial Management Report) 

(ii) Upon written request, the Contracting Officer may authorize an alternative fonnat that provides 

substantially the same level of detail as the required Form 533(s), but is more compatible with the 

Contractor's standard accounting/reporting fonnat. 

(2) The Reporting Categories of the Financial Reports are: 

(i) Direct Labor Categories/Hours/Dollars 

(ii) Labor Overhead Dollars 

(iii) G&A Dollars 

(iv) Other Indirect Dollars 

(v) Travel Dollars 

(vi) Materials/Supplies Dollars 

(vii) Other Direct Cost Dollars 

(viii) COM Dollars 

(ix) Fee Dollars 

(x) Reimbursement Dollars 

(4) Within ten (10) working days after the cutoff date, the RnanciaJ Report(s) shall be submitted in the 

number of copies and to the addresses indicated in the "Document Distribution Requirements·. 

(5) Preparation. The required report(s) shalf be prepared in accordance with the instructions contained in 

the aforementioned clause, NPG 9501.2 (NASA Contractor Financial Management Reporting) and on the 

reverse of the fonns. The Internet address for NPG 9501.2 is 

http://itmp.nasa.gov/codeb/library/NASA_Fonns_533.pdf. 

(6) Report Periods, Dates and Submission 

(i) The cutoff date to be used for all 533 reports is the closing date of the Contractor's accounting month 

that has just been completed. 

(ii) The first 533M report shall be submitted within thirty (30) calendar days atter incurrence of cost and, 

as with all subsequent 533M reports, is due not later than the tenth working day of the month after the 

close of the Contractor's accounting month. 

Page F-4 
F.4 

NNC05ZCH014R SECTIONF 

(iii) The 533 report(s) shall be submitted electronically and in hardcopy format as indicated in clause GRC 

52.227-104 of this contract, entitled "Document Distribution Requirements". 

(7) If the value of this contract (including options, whether exercised or unexercised) EXCEEDS $1 

MILLION, and the Contractor is submitting Financial Reports that provide both actual expenditures from 

past months and estimated expenditures for current/future months, THEN the Contractor shall provide a 

short explanation (approximately one sentence) of any variance WHICH EXCEEDS 5%, between a 

previous estimated month-specific expenditure and the actual expenditure experienced. [Example: The 

March 533M states that Actuals for March were $80K and Planned expenditures for April are $100K. The 

April 533M states that Actuals for April were $92K, which is a variance of 8% (from the "March Planned" 

number of $100K). A short explanation -- "widget prices were unusually low" •• is required.] 

(i) ELECTRONIC SUBMISSIONS. The government encourages electronic submittal of all reports, except 

that at least one copy of each financial report must be a signed hardcopy. The signed hardcopy may be 

received no later than 20 working days after the close of the report period, so long as the electronic copy 

was provided within 10 working days after the close of the report period. (If the Contractor submits its 

financial report with an electronic signature, a signed hardcopy is not required.) All other reports, unless 

elsewhere noted, may be submitted by e- mail, or via the internet, or by some other electronic method, in 

lieu of a hardcopy. Dedicated Web-Sites, accessible via password and updated by the Contractor, are 

acceptable reporting lools for Technical Progress Narratives (See Section B, above) and the Draft Final 

Report, if compatible with the current NASA Glenn Research Center hardware/software and authorized 

by the COTR. CD/disc submittals are acceptable reporting tools for Technical Progress Narratives (See 

Section B, above) and the Draft Final Report, if compatible with the current NASA Glenn Research Center 

hardware/software and authorized by the COTR. 

(i) OTHER REPORTS. In the event that a deliverable report, document, elc. is required elsewhere in this 

contract but is not described in this clause, the Contractor shall notify the Contracting Officer immediately. 

The government will treat the insertion of a description of an existing contract-required deliverable 

report/document/etc. as a no-cost administrative change. 

(End of clause) 

F.O.B. POINT - GLENN RESEARCH CENTER (GRC 52.247-91) (AUG 2002) 

The ilems to be delivered under this contract shall be shipped F.O.B destination to NASA Glenn 

Research Center, 21000 Brookpark Road, Cleveland, OH 44135. Rail facilities are not available. 

[END OF SECTION] 

Page F-5 
NNC05ZCHO14R	 SECTIONG 

SECTION G - CONTRACT ADMINISTRATION DATA 

G.1 L1S"rlNG OF CLAUSES INCORPORATED BY REFERENCE
 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference:
 

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1)
 

CLAUSE
 

NUMBER DATE TITLE
 

None included by reference.
 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE
 

NUMBER DATE TITLE
 

1852.216-75 DEC 1988 PAYMENT OF FIXED FEE
 

1852.242-73 NOV 2004 NASA CONTRACTOR FINANCIAL MANAGEMENT
 

REPORTING
 

1852.245-70 JUL 1997 CONTRACTOR REQUESTS FOR GOVERNMENT·
 

OWNED EQUIPMENT
 

(End of clause) 

G.2	 SUBMISSION OF VOUCHERS FOR PAYMENT (NFS 1852.216-87) (MAR 1998) (GRC 

MODIFICATION) (APR 1998) 

(a) The designated billing office for cost vouchers for purposes of the Prompt Payment clause of this 

contract is indicated below. Public vouchers for payment of costs shall include a reference to the number 

of this contract. 

(b)(l)lf the contractor is authorized to submit interim cost vouchers directly to the NASA paying office, 

they shall be prepared in accordance with paragraph (c) of this clause and submitted to: 

NASA - Glenn Research Center Commercial Accounts Mail Stop 500-303 21000 Brookpark Road 

Cleveland,OH 44135 

(2) For any period that the Defense Contract Audit Agency has authorized the Contractor to submit 

interim vouchers directly to the Government paying office, interim vouchers are not required to be sent to 

the Auditor, and are considered to be prOVisionally approved for payment, subject to final audit. 

(3) Copies of vouchers should be submitted as follows: 

(i) Copy 1 - NASA Contracting Officer 

(ii) Copy 2 • DCM Auditor 

(iii) Copy 3 - Contractor 

Page G-1 
NNC05ZCH014R SECTIONG 

(iv) Copy 4 • Contract Administration Office, if delegated 

(v) Copy 5 - GRC Project Manager 

(c) If the contractor is not authorized to submit interim cost vouchers directly to the paying office as 

described in paragraph 

(b), the contractor shall prepare and submit vouchers as follows: 

(1) One original Standard Form (SF) 1034, SF 1035, or equivalent Contractor's attachment to the 

cognizant OCM office 

(2) Five copies of SF 1034A, SF 1035A, or equivalent Contractor's atlachment to the following offices by 

insertion in the memorandum block of their names and addressees: 

(i) Copy 1 • NASA Contracting Officer 

(ii) Copy 2 • OCM Auditor 

(iii) Copy 3 - Contractor 

(iv) Copy 4 - Contract Administration Office. if delegated 

(v) Copy 5 - GRC Project Manager 

(3) The Contracting Officer may designate other recipients as required. 

(d) Public vouchers for payment of fee shall be prepared similarly to the procedure in paragraph (c) of this 

clause, and be forwarded to: 

NASA - Glenn Research Center Commercial Accounts Mail Stop 500-303 21000 Brookpark Road 

Cleveland,OH 44135 

This is the designated billing office for fee vouchers for purposes of the Prompt Payment clause of this 

contract. 

(e) In the event that amounts are withheld from payment in accordance with provisions of this contract, a 

separate voucher for the amount withheld will be required before payment for that amount may be made. 

(End of clause) 

G.3 TECHNICAL DIRECTION (NFS 1852.242-70) (SEP 1993) 

(a) Performance of the work under this contract is subject to the written technical direction of the 

Contracting Officer Technical Representative (COTR), who shall be specifically appointed by the 

Contracting Officer in writing in accordance with NASA FAR Supplement 18-42.270. "Technical direction" 

means a directive to the Contractor that approves approaches, solutions, designs, or refinements; fills in 

details or otherwise completes the general description of work or documentation items; shifts emphasis 

among work areas or tasks; or fumishes similar instruction to the Contractor. Technical direction includes 

requiring studies and pursuit of certain lines of inquiry regarding matters within the general tasks and 

requirements in Section C of this contract. 

(b) The COTR does not have the authority to, and shall not, issue any instruction purporting to be 

technical direction that-­

(1) Constitutes an assignment of additional work outside the statement of work: 

Page G·2 
NNC05ZCH014R	 SECTIONG 

(2) Constitutes a change as defined in the changes clause; 

(3) Constitutes a basis for any increase or decrease in the total estimated contract cost, the fixed fee (if
 

any), or the time required for contract performance;
 

(4) Changes any of the expressed terms, conditions, or specifications of the contract; or 

(5) Interferes with the Contractor's rights to perform the terms and conditions of the contract. 

(c) All technical direction shall be issued in writing by the COTR. 

(d) The Contractor shall proceed promptly with the performance of technical direction duly issued by the
 

COTR in the manner prescribed by this clause and within the COTR's authority.
 

If, in the Contractor's opinion, any instruction or direction by the COTR falls within any of the categories 

defined in paragraph 

(b) above, the Contractor shall not proceed by shall notify the Contracting Officer in writing within 5 

working days after receiving it and shall request the Contracting Officer to take action as described in this 

clause. Upon receiving this notification, the Contracting Officer shall either issue an appropriate contract 

modification within a reasonable time or advise the Contractor in writing within 30 days that the instruction 

or direction is-­

(1) Rescinded in its entirety; or 

(2) Within the requirements of the contract and does not constitute a change under the changes clause 

of the contract, and that the Contractor should proceed promptly with its performance. 

(e) A failure of the Contractor and Contracting Officer to agree that the instruction or direction is both 

within the requirements of the contract and does not constitute a change under the changes clause, or a 

failure to agree upon the contract action to be taken with respect to the instruction or direction, shall be 

subject to the Disputes clause of this contract. 

(f) Any action(s) taken by the Contractor in response to any direction given by any person other than the 

Contracting Officer or the COTR shall be at the Contractor's risk. 

(End of clause) 

G.4	 INSTALLATION-ACCOUNTABLE GOVERNMENT PROPERTY (NFS 1852.245-71) (NOV 

2004) (ALTERNATE I) (NOV 2004) (GRC FILL IN) 

(a) The Government property described in the clause at 1852.245- n, Ust of Installation-Accountable 

Property and Services, shall be made available to the Contractor on a no-charge basis for use in 

performance of this contract. This property shall be utilized only within the physical confines of the NASA 

installation that provided the property. Under this clause, the Government retains accountability for, and 

title to, the property, and the Contractor assumes the following user responsibilities: 

See (1) NASA Procedures and Guidance (NPG) 4200.1 "NASA EqUipment Management Manual", (2) 

NPG 4200.2 "NASA Equipment Management User's Guide for Property Custodians", (3) NPG 4300.1 

"NASA Personal Property Disposal", and (4) NPG 4310.4 "Identification and Disposition of NASA 

Artifacts· for applicable user responsibilities. 

The contractor shall establish and adhere to a system of written procedures for compliance with these 

user responsibilities. Such procedures must include holding employees liable, when appropriate, for loss, 

damage, or destruction of Government property. 

PageG-3 
NNC05ZCH014R	 SECTIONG 

(b)(1) The official accountable recordkeeping, physical inventory, financial control, and reporting of the 

property subject to this clause shall be retained by the Government and accomplished by the installation 

Supply and Equipment Management Officer (SEMO) and Financial Management Officer. If this contract 

provides for the contractor to acquire property, title to which will vest in the Government, the following 

additional procedures apply: 

(i) The contractor shall not utilize the installation's central receiving facility for receipt of Contractoracquired property. However, the Contractor shall provide listings suitable for establishing accountable 

records of all such property received, on a quarterly basis, to the Contracting Officer and the Supply and 

Equipment Management Officer. 

(ii) The contractor shall furnish a copy of each purchase order, prior to delivery by the vendor, to the 

installation central receiving area: 

(iii) The contractor shall establish a record of the property as reqUired by FAR 45.5 and 1845.5 and 

furnish to the Industrial Property Officer a DD Form 1149 Requisition and Invoice/Shipping Document (or 

installation eqUivalent) to transfer accountability to the Government within 5 working days after receipt of 

the property by the contractor. The contractor is accountable for all contractor-acquired property until the 

property is transferred to the Government's accountability. 

(iv) Contractor use of Government property at an off-site location and off-site subcontractor use reqUire 

advance approval of the contracting officer and notification of the SEMO. The contractor shall assume 

accountability and financial reporting responsibility for such property. The contractor shall establish 

records and property control procedures and maintain the property in accordance with the requirements 

of FAR Part 45.5 until its return to the installation. 

(2) After transfer of accountability to the Government, the contractor shall continue to maintain such 

internal records as are necessary to execute the user responsibilities identified in paragraph (a) and 

document the acquisition, billing, and disposition of the property. These records and supporting 

documentation shall be made available, upon request, to the SEMO and any other authorized 

representatives of the contracting officer. 

(End of clause) 

G.6	 LIST OF INSTALLATION-ACCOUNTABLE PROPERTY AND SERViCES (NFS 1852.245-n) 

(JUL 1997) (GRC MODIFICATION) (MAR 2004) 

In accordance with the clause at 1852.245-71, Installation- Accountable Government Property, the 

Contractor is authorized use of the types of property and services listed below, to the extent they are 

available, in the performance of this contract within the physical borders of the installation which may 

include buildings and space owned or directly leased by NASA in close proximity to the installation, if so 

designated by the Contracting Officer. The user responsibilities of the Contractor are defined in 

paragraph (a) of the clause at 1852.245-71, Installation-Accountable Government Property. 

(a) On-site office space, work area space, telephone service, utilities. and parking. 

(b) General and special-purpose equipment, including office furniture. 

(1) Equipment to be made available is listed as an attachment in Section J. This equipment is prOVided 

"as is·. In addition, ·untagged" equipment, specifically office furniture (desks, chairs, file cabinets, tables, 

etc.) is available for all on-site contractor personnel. The Government retains accountability for this 

property under the clause at 1852.245-71, Installation- Accountable Government Property, regardless of 

its authorized location. 

(2) Access to equipment commonly used by personnel working in the immediate area, such as a printer, 

FAX machine, copier, scanner, etc. 

Page G-4 
NNCOSZCHO 14R SECTIONG 

(3) If the Contractor acquires property, title to which vests in the Government pursuant to other provisions 

of this contract, this property also shall become accountable to the Government upon its entry into 

Government records as required by the clause at 1852.245-71, Installation-Accountable Government 

Property. 

(4) The Contractor shall not bring to the installation for use under this contract any property owned or 

leased by the Contractor, or other property that the Contractor is accountable for under any other 

Government contract, without the Contracting Officer's prior written approval. 

(c) Office supplies from stores stock, such as pens, pencils, notepads, stapler, tape dispenser, etc.. 

(d) Publications and blank forms stocked by the installation. 

(e) Connectivity access to the GRC local area network. All contractor-supplied IT equipment and 

software shall strictly comply with all current and future Government, NASA, and Glenn relevant policies 

and standards. Further, the contractor shall be solely responsible for ensuring compatibility and 

interoperability with Glenn systems wherever required. 

(f) Safety and fire protection for Contractor personnel and facilities. 

(g) Fitness Center facilities under the following conditions: 

(1) Applications shall be submitted to, and shall be processed by, the support service contractor currently 

operating the Fitness Center for the Government. 

(2) The procedure for receiving and processing applications, obtaining a medical authorization from a 

licensed physician, and selection of applicants for participation will be similar to the procedure for 

Government employees. 

(3) All individuals applying for participation shall sign a statement waiving the Government from any 

liability for personal injury during participation in Fitness Center activities. 

(h) Medical treatment of a first-aid nature for Contractor personnel injuries or illnesses sustained during 

on-site duty. In all instances of severe injury, or sudden life threatening illness (e.g. heart attack), the 

Emergency Medical Technician Squad shall be summoned immediately, by dialing 911. Referrals to 

tertiary care centers and for private physicians will be made in cases requiring long term follow-up, or 

when specific services required are unavailable on-site. 

(i) Cafeteria privileges. 

(j) Building maintenance, including janitorial services, for facilities occupied by Contractor personnel. 

Bullding maintenance includes structural repairs and HVAC unit service, but does not include contractordesired alterations or improvements to office walls, floor coverings, or doors. 

(k) Mail and package delivery and intra-center movement of eqUipment. 

(I) Installation services and facilities checked below: 

X Library services 

X EqUipment calibration services 

X Government-owned motor pool vehicles 

X Child care facility, under similar terms and conditions applied to GRC civil servants 

X Airport shuttle service 

(End of clause) 

Page G-5 
NNC05ZCHO14R	 SECTJONG 

G,7	 PROVIDING INSTALLATION ACCOUNTABLE GOVERNMENT PROPERTYIFACILITIES TO 

CONTRACTORS (GRC 52.245-108) (FEB 2001) 

(a) In accordance with FAR 45.101 and NFS1845.102, it is policy of the Government that Contractors 

shall furnish all facilities required for performing Government contracts. "Property/Facilities" as defined in 

FAR 45.101 and 45.302-1 include real property and plant equipment including personal property such as 

general purpose off-the-shelf equipment, machine tools, test equipment, and vehicles. "Facilities" do not 

include components, material, parts, special test equipment, special tooling or agency-peculiar property. 

(b) The Government will provide EXISTING facilities for performance of this contract as listed elsewhere 

in the solicitation on an "as is" basis. These facilities are subject to the requirements as described in 

182.245-71 and 1852.245-77. Overall property accountability will rest with the Government while user 

responsibility shall rest with the contractor. For any of these existing facilities that reach the end of their 

useful life or it is deemed to beyond economical repair. the Government will make a "strategic investment" 

decision to replace the facilities at Government expense or request that the contractor replace the facility 

at contractor expense. 

(c) The price or cost associated with the direct replacement these of these facilities may be subject to an 

equitable contract adjustment with the approval of the contracting officer. 

G.8	 ON·SITE COMPUTER EQUIPMENT 

The Contractor shall provide for all onsite network computer eqUipment, desktop computers, servers, 

printers, fax machines, applications, and software through the GRC Outsource Desktop Initiative ODIN 

contractor to the maximum extent practicable. The contractor shall insure any items procured outside of 

the GRC ODIN contractor (e.g. unique medical software) shall be completely compatible with onsite IT 

systems and hardware. The costs related through purchase of information technology utilized onsite is 

directly reimbursable to this contract. 

G.g	 CONTRACTING OFFICER'S TECHNICAL REPRESENTATIVE (COTR) (GRC 52.242·92) (AUG 

2002) 

A Contracting Officer's Technical Representative (COTR) will be delegated under this contract pursuant 

to the clause at 1852.242- 70 entitled "Technical Direction", The contractor will receive a copy of this 

delegation at the lime of award of any contract or shortly thereafter. This delegation will take place on a 

NASA Form 1634 and will list not only the COTR delegated, but also his/her duties and responsibilities. 

Throughout this solicitation/contract there may be references made to a variety of different titles, including 

"NASA Project Manager·, "NASA Technical Monitor", and "NASA Contract Monitor". Unless specifically 

stated otherwise, these titles all refer to the COTA. 

[END OF SECTION] 

Pago G-6 
NNC05ZCH014R SECTIONH 

SECTION H - SPECIAL CONTRACT REQUIREMENTS 

H.1 LISTING OF CLAUSES INCORPORATED BY REFERENCE
 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference:
 

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) 

CLAUSE 

NUMBER DATE TITLE 

None included by reference. 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE DATE TITLE 

NUMBER 

1852.223-74 MAR 1996 DRUG- AND ALCOHOL-FREE WORKFORCE 

1852.223-75 FEB 2002 MAJOR BREACH OF SAFETY OR SECURITY 

1852.242-72 AUG 1992 OBSERVANCE OF LEGAL HOLIDAYS 

SEP 1989 - ALTERNATE I 

OCT 2000 - ALTERNATE /I 

1852.228-75 OCT 1988 MINIMUM INSURANCE COVERAGE 

(End of clause) 

H.2 RELEASE OF SENSITIVE INFORMATiON (NFS 1852.237-73) (JUN 2005) 

(a) As used in this clause, "sensitive infonnation" refers to infonnation, not currently in the public domain, 

that the Contractor has developed at private expense, that may embody trade secrets or commercial or 

financial infonnation, and that may be sensitive or privileged. 

(b) In accomplishing management activities and administrative functions, NASA relies heavily on the 

support of various service providers. To support NASA activities and functions, these service providers, 

as well as their subcontractors and their individual employees, may need access to sensitive infonnation 

submitted by the Contractor under this contract. By submitting this proposal or perfonning this contract, 

the Contractor agrees that NASA may release to its service providers, their subcontractors, and their 

individual employees, sensitive infonnation submitted during the course of this procurement, subject to 

the enumerated protections mandated by the clause at 1852.237-72, Access to Sensitive Infonnation. 

(c)(l) The Contractor shall identify any sensitive information submitted in support of this proposal or in 

performing this contract. For purposes of identifying sensitive infonnation, the Contractor may, in addition 

to any other notice or legend otherwise required, use a notice similar to the following: 

Mark the title page with the following legend: 

"This proposal or document includes sensitive information that NASA shall not disclose outside the 

Agency and its service prOViders that support management activities and administrative functions. To 

gain access to this sensitive infonnation, a service provider's contract must contain the clause at NFS 

1852.237-72, Access to Sensitive Information. Consistent with this clause, the service prOVider shall not 

Page H-l 
NNC05ZCH014A SECTIONH 

duplicate, use, or disclose the information in whole or in part for any purpose other than to perform the 

services specified in its contract. This restriction does not limit the Government's right to use this 

information if it is obtained from another source without restriction. The information subject to this 

restriction is contained in pages [insert page numbers or other identification of pages].· 

Mark each page of sensitive information the Contractor wishes to restrict with the following legend: 

·Use or disclosure of sensitive information contained on this page is subject to the restriction on the title 

page of this proposal or document." 

(2) The Contracting Officer shall evaluate the facts supporting any claim that particular information is 

"sensitive.· This evaluation shall consider the time and resources necessary to protect the information in 

accordance with the detailed safeguards mandated by the clause at 1852.237-72, Access to Sensitive 

Information. However, unless the Contracting Officer decides, with the advice of Center counsel, that 

reasonable grounds exist to challenge the Contractor's claim that particular information is sensitive, NASA 

and its service providers and their employees shall comply with all of the safeguards contained in 

paragraph (d) of this clause. 

(d) To receive access to sensitive information needed to assist NASA in accomplishing management 

activities and administrative functions, the service provider must be operating under a contract that 

contains the clause at 1852.237-72, Access to Sensitive Information. This clause obligates the service 

prOVider to do the following: 

(1) Comply with all specified procedures and obligations, including the Organizational Conflicts of Interest 

Avoidance Plan, which the contract has incorporated as a compliance document. 

(2) Utilize any sensitive information coming into its possession only for the purpose of performing the 

services specified in its contract. 

(3) Safeguard sensitive information coming into its possession from unauthorized use and disclosure. 

(4) Allow access to sensitive information only to those employees that need it to perform services under 

its contract. 

(5) Preclude access and disclosure of sensitive infonnation to persons and entities outside of the service 

provider's organization. 

(6) Train employees who may require access to sensitive information about their obligations to utilize it 

only to perform the services specified in its contract and to safeguard it from unauthorized use and 

disclosure. 

(7) Obtain a written affirmation from each employee that he/she has received and will comply with training 

on the authorized uses and mandatory protections of sensitive information needed in performing this 

contract. 

(8) Administer a monitoring process to ensure that employees comply with all reasonable security 

procedures, report any breaches to the Contracting Officer, and implement any necessary corrective 

actions. 

(e) When the service provider will have primary responsibility for operating an information technology 

system for NASA that contains sensitive il'\fonnation, the service provider's contract shall include the 

clause at 1852.204-76, Security Requirements for Unclassified 'nfonnation Technology Resources. The 

Security Requirements clause requires the service provider to implement an Information Technology 

Security Plan to protect information processed, stored, or transmitted from unauthorized access, 

alteration, disclosure, or use. Service provider personnel requiring privileged access or limited privileged 

access to these information technology systems are subject to screening using the standard National 

Agency Check (NAC) forms appropriate to the level of risk for adverse impact to NASA missions. The 

Contracting Officer may allow the service provider to conduct its own screening, provided the service 

PageH-2 
INNC05ZCH014R SECTION H 

provider employs substantially equivalent screening procedures. 

(f) This clause does not affect NASA's responsibilities under the Freedom of Information Act. 

(g) The Contractor shall insert this clause, including this paragraph (g), suitably modified to reflect the 

relationship of the parties, in all subcontracts that may require the furnishing of sensitive information. 

(End of clause) 

H.3 RESTRICTIONS ON PRINTING AND DUPLICATING (NASA 1852.208-81) (NOV 2004) 

(a) The Contractor may duplicate or copy any documentation required by this contract in accordance with 

the provisions of the Government Printing and Binding Regulations, No. 26, S. Pub 101-9, U.S. 

Government Printing Office, Washington, DC, 20402, published by the Joint Committee on Printing, U.S. 

Congress. 

(b) The Contractor shall not perform, or procure from any commercial source, any printing in connection 

with the performance of INOrk under this contract. The term ·printing" includes the processes of 

composition, plate making, presslNOrk, duplicating, silk screen processes, binding, microform, and the end 

items of such processes and equipment. 

(c) The Contractor is authorized to duplicate or copy production units provided the requirement does not 

exceed 5,000 production units of anyone page or 25,000 units in the aggregate of multiple pages. Such 

pages may not exceed a maximum image size of 10·314 by 14·1/4 inches. A "production'unit" is one 

sheet, size 8·1/2 x 11 inches (215 x 280 mm), one side only, and one color ink. 

(d) This clause does not preclude writing, editing, preparation of manuscript copy, or preparation of 

related illustrative material as a part of this contract, or administrative duplicating/copying (for example, 

necessary forms and instructional materials used by the Contractor to respond to the terms of the 

contract). 

(e) Costs associated with printing, duplicating, or copying in excess of the limits in paragraph (c) of this 

clause are unallowable without prior written approval of.the Contracting Officer. If the Contractor has 

reason to believe that any activity required in fulfillment of the contract will necessitate any printing or 

substantial duplicating or copying, it immediately shall provide written notice to the Contracting Officer 

and request approval prior to proceeding with the activity. Requests will be processed by the Contracting 

Officer in accordance with the provisions of the Government Printing and Binding Regulations, NFS 

1808.802, and NPR 1490.5, NASA Procedural Requirements for Printing, Duplicating, and Copying 

Management. 

(f) The Contractor shall include in each subcontract which may involve a requirement for any printing, 

duplicating, and copying in excess of the limits specified in paragraph (c) of this clause, a provision 

substantially the same as this clause, including this paragraph (t). 

(End of clause) 

H.5 CONTRACTORS' DUTIES AND RESPONSIBILITIES ON·SITE (GRC 52.209-90) (SEP 2002) 

(a) BADGES. All Contractor personnel having a need to enter areas of the Glenn Research Center or 

Plum Brook Station shall have an identification badge or pass. This badge or pass shall be obtained at 

the entrance of the Glenn Research Center or Plum Brook Station. In addition to the requirements 

contained herein, the Contractor shall comply with Glenn Procedures and Guidelines GLPG 3730.1, 

Managing Conduct and Other Employee Issues, incorporated herein by reference and made a part 

hereof. 

(1) Resident Contractors (employees with picture badges)-­

Page H-3 
NNC05ZCH014R SECTION H 

(i) The on-site company supelVisor will notify the Main Gate Badge Clerk at PABX 3-2206 when a new 

employee is reporting to work. The Badge Clerk will give the company supelVisor specific instructions as 

to how the new employee will be badged, photographed, fingerprinted, etc. 

(il) When an employee terminates and/or resigns employment, the company shall issue to the employee 

NASA Form C-10087, Non- NASA Separation Clearance Record. The company shall be responsible for 

making an inquiry of all offices listed on the form to see if the employee has any outstanding Government 

items. The employee shall then take this form to all offices that list he/she has outstanding items. The 

employees last stop is for the return of their Government issued I.D. badge. 

(iii) The Company shall ensure that the terminated and/or resigned employee has returned his/her badge 

to the Main Gate Badge Clerk. Final clearance of a Contractor upon completion of a contract will depend 

in part upon accounting for all badges issued to employees during the performance of the contract. It 

should be recognized that security badges are Government property and any alteration or misuse of 

these badges may be prosecuted as a violation of Section 499, Title 18, U.S. Code. 

(2) Non-Resident Contractors (employees with non-picture badges). The Contractor's on-site manager 

shall comply with the Badge and Property Regulations (NASA Form C-421) a copy of which will be given 

the Contractor's supelVisors at the time of the Construction Site Showing. The Badge and Property 

Regulations are quoted below: 

(3) The following regulations have been adopted goveming the control of Contractor's Badges at the 

Glenn Research Center. 

(i) Ensure that each company employee is in possession of NASA Form C-9975 prior to reporting to work 

for badging purposes. Employees not in possession of the above mentioned for will be delayed at the 

gate until such time as the company supelVisor/foreman or his representative reports to the Main Gate 

with the appropriate paperwork for badging. 

(ii) Report lost badges immediately. 

(iii) Upon termination of duties, each employee's badge will be collected and returned to the Main Gate by 

the Contractor. Final clearance of a Contractor upon completion of a contract will depend in part upon the 

accounting for all badges issued to employees during the performance of the contract. It should be 

recognized that security badges are Government property and any alteration or misuse of these badges 

may be prosecuted as a violation of Section 499, Title 18, U.S. Code. 

(b) NASA-OWNED PROPERTY 

(1) The term "NASA-Owned Property" refers to all controlled (tagged) and non-tagged equipment, library 

property, security badges, computer passwords and other property furnished by the Government during 

the course of the contract. 

(2) The Contractor shall ensure that all NASA-Owned property issued to its employees is returned and in 

satisfactory condition upon termination of an employee's duties. In cases where accountability for the 

property is transferred from one employee to another, the NASA Equipment Management System 

(NEMS) Control office of the Logistics Management Division must be notified. At the completion of the 

Government contract, all property will be returned, and the contract value will be adjusted for any property 

not accounted for. 

(3) When access to Federal computer systems has been granted. the Contractor shall ensure that its 

employees comply with the clause of the contract entitled "SECURITY REQUIREMENTS FOR 

UNCLASSIFIED INFORMATION RESOURCES (NFS 1852.204-76)". 

(c) EMERGENCIES 

Page H·4 
1 

INNC05ZCH014R SECTION H 

(1) The Contractor shall ensure that its employees are infonned that Emergency, Fire, Medical, Safety, 

and Security assistance can be summoned by Dialing "911" on the Center's PAaX telephone system. 

Emergencies are defined as incidents involving serious personal injury or damage that causes a possible 

hazardous condition, or any incidents that require immediate attention of the Plant Protection Department 

or Security. All other medical treatment is the responsibility of the Contractor. 

(2) For incidents nol classified as an emergency, contractor personnel shall be instructed to immediately 

notify the Contracting Officer's Technical Representative (COTR)(rather than dialing "911") in the event of 

an accident involving either personal injury or damage to property whether public or private, including 

damage to motor vehicles. They shall cooperate fully with the Government Accident Investigator and the 

Center Accident Investigation Board. This cooperation shall include interviews at the accident site andlor 

at a Board meeting. 

(3) The Chairman of the appropriate Accident Investigation Board will notify the Contractor through the 

COTR as to the date and time and location of the Board meeting. The Board meetings will be held 

between the hours of 8:15 a.m. and 4:45 p.m. regular work days Monday through Friday. 

(4) For Contractor duties where continuous manning of posts is mandatory during a work shift, the 

Contractor shall provide substitute personnel as requIred for manning these posts during the meeting of 

the Accident Investigation Boards. 

(d) TRAFFIC 

(1) The Contractor agrees to comply, and agrees to require that all of its personnel will comply with all 

posted traffic signs, signals and instructions of personnel assigned for traffic control and parking purposes 

and with the provisions of NPD 1600.2 and NHB 1620.1 incorporated herein by reference and made a 

part hereof. 

(2) The Government reserves the right to bar from the Glenn Research Center any Contractor employee 

who has failed to comply with such signs. signals, instructions and the provisions of NPD 1600.2 and 

NHB 1620.1. The period of the bar shall be as determined appropriate by the Contracting Officer subject 

to the provisions of NPD 1600.2 and NHB 1620.1. The Contracting Officer will notify the Contractor in 

Writing, setting forth the name(s) of the affected employees(s) and the time period(s) of the bar(s). No 

action by the Government In barring any Contractor employee from the Glenn Research Center shall be 

the basis for any claim whatever by the Contractor under this contract, nor shall it excuse the Contractor 

from complying with any provision of this contract. 

(e) ON·SITE STANDARDS OF CONDUCT 

(1) The Contractor's entry onto the Center shall be pursuant to fulfilling its contractual obligations, and any 

related activities thereto. Contractor personnel gaining access to Glenn facilities are required to certify 

that they meet the minimum ethical standards for entry onto a Government facility. Falsification of this 

certification could lead to criminal prosecution. 

(2) The Contractor agrees to comply, and agrees to require that all of its personnel will comply with all 

applicable Federal and State statutes and regulations, NASA policy and guidance documents, Glenn 

policy and guidance documents, and other regulations pertaining to personal conduct while on-site. Any 

conduct prejUdicial to the efficient operation of the Center shall be cause for removal from the Center. 

(f) PROHIBITION OF FIREARMS. Firearms or weapons of any kind are strictly prohibited at the Glenn 

Research Center. 

(g) SECURITY INCIDENTS. Theft of Property, Bomb threats, malicious damage and any other threat or 

violent situations shall be immediately reported to the Security Office. 

(h) PROPERTY PASSES. A Contractor Property Pass (NASA Form C- 702) is required for the removal 

of all Contractor owned property and equipment and must be presented to the gate guard upon exit. This 

form can be obtained from the COTR (or designee) or the Glenn employee responsible for the 

Pa e H·5 
NNC05ZCHO14R	 SECTIONH 

Contractor's presence at the Center. This form must contain a complete description of the 

material/equipment being removed and should be signed by the authorized Government employee. 

Material relating to a specific contract or purchase order must be identified by insertion of the appropriate 

contracVpurchase order number on the pass by the COTR or designee. 

(i) AFTER-HOUR ACCESS. During normal working hours, 7:00 a.m. to 5:30 p.m. Monday through 

Friday, the guards at the gates will permit your entrance and departure. At any other time (other than 

normal hours), advance clearance is required, and may be obtained through the Glenn/Plum Brook 

COTR or Inspector who will then make the request to the Main Gate Sergeant PABX 3-2204 at Glenn and 

3-3221 at Plum Brook. After-hour clearances as approved by the COTR Inspector are certification to the 

guards as authority for admittance of a contractor during off hours, including Saturdays, Sundays, and 

Holidays. 

(j) CONTRACTOR IDENTIFICATION. To avoid situations whereby the actions of onsite contractor 

employees can be construed as that of Government officials, the onsite contractor shall take the following 

actions: 

(1) Insure that employees properly display their badge at all times. 

(2) Institute a policy whereby employees who, in their normal course of duties, answer telephone 

inquiries, participate in meetings with Government and other contractor personnel or deaf with the general 

pUblic appropriately identify themselves so their actions cannot be construed as that of Government 

officials. 

(3) Institute a policy whereby business correspondence, including emails and memoranda, includes the 

name of the company in the signature line. Use company letterhead for internal company matters and 

lelters/memos signed by company personnel. 

(4) For onsite office space primarily occupied by company personnel, clearly indicate on the exterior of 

the office space the company name. 

(End of clause) 

H.6	 WAGE DETERMINATION (GRC 52.222-90) (JAN 1987) 

With reference to Paragraph (c) of the clause entitled ·Service Contract Act of 1965", the U.S. 

Department of Labor Wage Determination # No. 94-2415 REV 28 is included as an attachment in Section 

J and hereby incorporated in the contract by reference. 

H.7	 POLLUTION PREVENTION AND RIGHT·TO·KNOW INFORMATION (FAR 52.223-5) 

(AUG 2003) 

(a) Definitions. As used in this c1ause­

"Priority chemical" means a chemical identified by the Interagency Environmental Leadership Workgroup 

or, alternatively, by an agency pursuant to Section 503 of Executive Order 13148 of April 21, 2000. 

Greening the Government through Leadership in Environmental Management. 

"Toxic chemical" means a chemical or chemical category listed in 40 CFR 372.65. 

(b) Executive Order 13148 requires Federal facilities to comply with the provisions of the Emergency 

Planning and Community Right-to-Know Act of 1986 (EPCRA) (42 U.S.C. 11001-11050) and the Pollution 

Prevention Act of 1990 (PPA) (42 U.S.C. 13101-13109). 

(c) The Contractor shall provide all information needed by the Federal facility to comply with the following: 

Page H-6 
NNC06ZCH014A SECTIONH

(1) The emerg.-,cy planning reporting requirlllTl8llts of &eotlon 302 Of EPCRA. 

(2) The emergency notice requirements of Section 3Q4 of EPCAA. 

(3) The list of Materlal Safety Oata She,ta, req~red by Seclfon 311 of EPCRA. 

C4} The emervency and haZanfOLil ohemlcal Inventory form4 01 sectfon 312 of EPCRA. 

(S) The toxic ohemical ...le.... Inventory of Section 313 of EPCRA. whic:h includes mal'8ductlon and
 

ree~lIng Infomliltlon required by sedlon 8807 of PPA.
 

(8) The taxlCl ohemlo8l. priQrIty chemJeal, and hazardouIlubitanee r81ea8 and u•• ,..,;iuctlon goall of
 

SectlOi'\I502 and 503 of Executll/8 Or$( 13148­

(End of olauH) . 

H.I EXPORT LICENSeS (NFl 18&2.225-70) (FEI2QOO) 

CI) The ContrICtOr shall comply wllh .1 U.S. expol1 control 'aWl and regulAtionl. Inoludlng 111. 

InternaUOnal Trafflo In Arms Rsgullltiane (/TAR). 22 CFR PIItI 120 ttlrough 130. Ind !he Export 

Adrninisttltlan AegulatloM (EAR), 15 Cf'R ParII13Q through 791. In the performance tit thll contract. In 

the abunce Of available IJoen.. 8JC8Mptionalexoeptlone, thI Oontnlctar shall be r.-ponsib" far ObIaInlng 

the approprtate IeenHe or other 1IpPfOVIlII, If nlqUlr8d. 'or exports of nardwarl. technical data, and 

software. or for the proVltlon of leohn~ "'/IWnOe. . . . 

(b) The OontraeitOr 'haU be reeponalble for obtaining export lloerIa., If required. befant utilizing fortlg'l 

perscnl Inth. performance of this contract. inGludlnlllnatanoee wh1t8 tho wol1c II to be performed on..1tII 

at NASA Gilm RMMtCh cen., WhIl'8 the fortlQn p8raon will haw IICCMI to .)(JJOIt-eontml~

technlClaJ data or 1Oftw.,... 

(0) The Conlraotor .naM be re.ponaible tor d regulatory reoord keeping requlreme. ueoclar8d wfth ttl. 

UN of llcen... and Ilcen••••wnpl\cnllexcapdons. 

(d) The ContolCtor shall be reeponlible for enaunng tha. ttl. provieiana of Ihll c1au18 apply to Its 

auboontrlCtors. 

CEndofcutt) 

H.. INDIRICT COST CEILING (ORe U.231-80) 

(a) Reimbursement Ceiling Rat. 

(1) Final payment far o~th..d 8I'\d G&A .xpenA88 wi' bl baNd on the appJlcallon of !he aotual audll8Cl 

rate. bur not In .xcess of lhe fOllOWing ClI~:

Conb'aatV.., OvwhMd (".) I 0veftI8Ild1_ I GAA ('%) I GAA ••••

Vean 

(b)C4) 

Vear2 

VIII'S 

V_4 

Vear 5 

(2) The celJlng rates for yea,. one through flYv .,. rat.. fj)f the total Indirect Ixpenaea IncllotII contrlct 

em bases tor 1he on. through five as speclffed. RalH (mly/shU not) vary wltlln the individual y...... 

Page 1+7 
NNC05ZCH014R SECTION H 

(3) Increased indirect costs during the term of this contract that result from such items as statute, court
 

decisions and/or written rulings or regulations by the Internal Revenue Service or other taxing authority
 

may be cause for adjustment of the indirect ceiling affected.
 

(4) Notwithstanding the above, in the event that the actual overhead or G&A rates exceed their respective 

ceilings, an overrun amount in one ceiling (may/shall not) be reimbursed in an amount not to exceed any 

underrun in the other ceiling. Underruns from one Contractor-fiscal year (may/shall not) be applied to 

overruns of another fiscal year. All costs in excess of the said indirect ceilings are not reimbursable under 

this or any other Government contract. 

(5) Specific cost elements (or accounts) that comprise the overhead and G&A expense pools and cost 

bases which are subject to the above agreed-upon ceilings are itemized and described in your updated 

proposal dated March 14, 2006 and made a part of this contract. The Contractor shall advise the NASA 

Contracting Officer of any planned or approved accounting changes that would impact the subject indirect 

rates and demonstrate how the changes will impact negotiated ceilings. The NASA Contracting Officer 

may agree to change the rate ceilings, if appropriate. Where accounting changes have the effect of 

moving costs from one expense pool to another that potentially results in a circumvention around a rate 

ceiling(s), the NASA Contracting Officer shall agree to only those rate ceiling changes that either have no 

effect on or decrease the net effective cost chargeable to the contract. 

(b) Provisional Indirect Billing Rates: 

(1) For both overhead and G&A expenses, the Contractor may submit interim billIngs based on actual,
 

cumulative pool costs not to exceed the lesser of the ceiling rates or the cognizant Government auditor­


approved provisional billing rates.
 

(2) To prevent substantial over or under payment (except where a ceiling is reached), the provisional 

billing rates shall be reviewed at least annually by the Contractor. Whenever actual rates are + 1 percent 

and - 2 percent of the current billing rate, the Contractor shall propose revisions for the NASA 

Contracting Officer's approval. Proposed revisions are subject to review by Government auditors. 

(End of clause) 

H.10 SAFETY AND HEALTH (SHORT FORM) 1852.223-72 APRil 2002) 

a) Safety is the freedom from those conditions that can cause death, injury, occupational illness; damage 

to or loss of equipment or property, or damage to the environment. NASA's safety priority is to protect: 

(1) the public, (2) astronauts and pilots, (3) the NASA workforce (inclUding contractor employees working 

on NASA contracts). and (4) high-value equipment and property. 

(b) The Contractor shall take all reasonable safety and occupational health measures consistent with 

standard industry practice in performing this contract. The Contractor shall comply with all Federal, 

State, and local laws applicable to safety and occupational health and with the safety and occupational 

health standards, specifications, reporting requirements. and any other relevant requirements of this 

contract. 

(c) The Contractor shall take, or cause to be taken, any other safety, and occupational health measures 

the Contracting Officer may reasonably direct. To the extent that the Contractor may be entitled to an 

eqUitable adjustment for those measures under fhe terms and conditions of this contract, the equitable 

adjustment shall be determined pursuant to the procedures of the Changes clause of this contract; 

provided. that no adjustment shall be made under this Safety and Health clause for any change for which 

an equitable adjustment is expressly prOVided under any other clause of the contract. 

(d) The Contracting Officer may notify the Contractor in writing of any noncompliance with this clause and 

specify corrective actions to be taken. In situations where the Contracting Officer becomes aware of 

noncompliance that may pose a serious or imminent danger to safety and health of the pUblic, astronauts 

and pilots, the NASA workforce (including Contractor employees working on NASA contracts), or high 

value mission critical eqUipment or property. the Contracting Officer shall notify the Contractor orally, with 

written confirmation. The Contractor shall promptly take and report any necessary corrective action. 

Page H-8 
NNC05ZCH014R SECTION H 

The Government may pursue appropriate remedies in the event the Contractor fails to promptly take the 

necessary corrective action. 

(e) The Contractor (or subcontractor or supplier) shall insert the substance of this clause. including this 

paragraph (e) and any applicable Schedule provisions, with appropriate changes of designations of the 

parties, in subcontracts of every tier that exceed the micro-purchase threshold. 

(End of clause) 

[END OF SECTION] 

Page H·9 
1.1 

NNCOSZCH014R SECTION I 

PART II- CONTRACT CLAUSES 

SECTION I • CONTRACT CLAUSES 

LISTING OF CLAUSES INCORPORATED BY REFERENCE 

NOTICE: The following contract clauses pertinent to this section are hereby incorporated by reference: 

I. FEDERAL ACQUISITION REGULATION (48 CFR CHAPTER 1) 

CLAUSE DATE TITLE 

NUMBER 

52.202·1 JUL 2004 DEFINITIONS 

52.203-3 APR 1984 GRATUITIES 

52.203-5 APR 1984 COVENANT AGAINST CONTINGENT FEES 

52.203-6 JUL 1995 RESTRICTIONS ON SUBCONTRACTOR SAlES TO 

THE GOVERNMENT 

52.203-7 JUL 1995 ANTI-KICKBACK PROCEDURES 

52.203-8 JAN 1997 CANCELLATION, RESCISSION AND RECOVERY OF 

FUNDS FOR ILLEGAL OR IMPROPER ACTIVITY 

52.203-10 JAN 1997 PRICE OR FEE ADJUSTMENT FOR ILLEGAL OR 

IMPROPER ACTIVITY 

52.203·12 JUN 2003 LIMITATION ON PAYMENTS TO INFLUENCE CERTAIN 

FEDERAl TRANSACTIONS 

52.204-4 AUG 2000 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED 

PAPER 

52.204-7 OCT 2003 CENTRAL CONTRACTOR REGISTRATION 

52.207-5 FEB 1995 OPTION TO PURCHASE EQUIPMENT 

52.209-6 JAN 2005 PROTECTING THE GOVERNMENT'S INTEREST WHEN 

SUBCONTRACTING WITH CONTRACTORS 

DEBARRED, SUSPENDED, OR PROPOSED FOR 

DEBARMENT 

52.215-2 JUN 1999 AUDIT AND RECORDS--NEGOTIATION 

52.215-8 OCT 1997 ORDER OF PRECEDENCE - UNIFORM CONTRACT 

FORMAT 

52.215-10 OCT 1997 PRICE REDUCTION FOR DEFECTIVE COST OR 

PRICING DATA 

52.215-15 OCT 2004 PENSION ADJUSTMENTS AND ASSET REVERSIONS 

52.215-18 JUL 2005 REVERSION OR ADJUSTMENT OF PLANS FOR 

POSTRETIREMENT BENEFITS (PRB) OTHER THAN 

PENSIONS 

52.215-19 OCT 1997 NOTIFICATION OF OWNERSHIP CHANGES 

52.216-7 DEC 2002 ALLOWABLE COST AND PAYMENT. (Insert 30 day in 

para (a)(3») 

52.216-8 MAR 1997 FIXED FEE 

52.217-9 MAR 2000 OPTIO~ TO EXTEND THE TERM OF THE CONTRACT 

52.219-4 JUL 2005 NOTICE OF PRICE EVALUATION PREFERENCE FOR 

HUBZONE SMAlL BUSINESS CONCERNS 

52.219-6 JUN 2003 NOTICE OF TOTAL SMALL BUSINESS SET·ASIDE 

52.219-14 DEC 1996 LIMITATION ON SUBCONTRACTING 

52.222-1 FEB 1997 NOTICE TO THE GOVERNMENT OF LABOR DISPUTES 

Page 1·1 
NNC05ZCH014R 

52.222-2 JUL 1990 

52.222-3 JUN 2003 

52.222-21 FEB 1999 

52.222-26 APR 2002 

52.222-35 DEC 2001 

52.222-37 DEC 2001 

52.222-36 JUN 1998 

52.222-41 JUL2005 

52.222-42 MAY 1989 

52.223-6 MAY 2001 

52.223-10 AUG 2000 

52.223-14 AUG 2003 

52.224-1 APR 1984 

52.224-2 APR 1984 

52.225-13 MAR 2005 

52.227-1 JUL 1995 

52.227-2 AUG 1996 

52.227-3 APR 1984 

52.227-17 JUNE 1987 

52.228-7 MAR 1986 

52.232-9 APR 1984 

52.232-17 JUN 1996 

52.232-23 JAN 1986 

52.232-25 OCT 2003 

52.232-34 MAY 1999 

52.237-7 JAN 1997 

52.233-1 JUL 2002 

52.233-3 AUG 1996 

52.233-4 OCT 2004 

52.237-2 APR 1984 

52.237-3 JAN 1991 

52.242-1 APR 1984 

52.242-3 MAY 2001 

52.242-4 JAN 1997 

52.242-13 JUL 1995 

52.243-2 AUG 1987 

52.244-2 AUG 1998 

52.244-5 DEC 1996 

52.244-6 DEC 2004 

52.245-5 MAY 2004 

52.247-1 APR 1984 

SECTION I 

PAYMENT FOR OVERTIME PREMIUMS 

Insert "$ 0.00' in paragraph (a). 

CONVICT LABOR 

PROHIBITION OF SEGREGATED FACILITIES 

EQUAL OPPORTUNITY 

EQUAL OPPORTUNITY FOR SPECIAL DISABLED 

VETERANS, VETERANS OF THE VIETNAM ERA, AND 

OTHER ELIGIBLE VETERANS 

EMPLOYMENT REPORTS ON SPECIAL DISABLED 

VETERANS, VETERANS OF THE VIETNAM ERA, AND 

OTHER ELIGIBLE VETERANS 

AFFIRMATIVE ACTION FOR WORKERS WITH 

DISABILITIES 

SERVICE CONTRACT ACT OF 1965, AS AMENDED 

STATEMENT OF EQUIVALENT RATES FOR FEDERAL 

HIRES 

DRUG-FREE WORKPLACE 

WASTE REDUCTION PROGRAM 

TOXIC CHEMICAL RELEASE REPORTING 

PRIVACY ACT NOTIFICATION 

PRIVACY ACT 

RESTRICTIONS ON CERTAIN FOREIGN PURCHASES 

AUTHORIZATION AND CONSENT 

NOTICE AND ASSISTANCE REGARDING PATENT AND 

COPYRIGHT INFRINGEMENT 

PATENT INDEMNITY 

RIGHTS IN DATA--SPECIAL WORKS 

INSURANCE - L1AIBLITY TO THIRD PERSONS 

LIMITATION ON WITHHOLDING OF PAYMENTS 

INTEREST 

ASSIGNMENT OF CLAIMS 

PROMPT PAYMENT (ALTERNATE I) (FEB 2002) 

PAYMENT BY ELECTRONIC FUNDS TRANSFER-· 

OTHER THAN CENTRAL CONTRACTOR 

REGISTRATION 

(insert in (b)(l) "15 days· 

INDEMNIFICATION AND MEDICAL LIABILITY 

INSURANCE 

DISPUTES 

PROTEST AFTER AWARD (ALTERNATE I) (JUN 1985) 

APPLICABLE LAW FOR BREACH OF CONTRACT 

CLAIM 

PROTECTION OF GOVERNMENT BUILDINGS, 

EQUIPMENT, AND VEGETATION 

CONTINUITY OF SERVICES 

NOTICE OF INTENT TO DISALLOW COSTS 

PENALTIES FOR UNALLOWABLE COSTS 

CERTIFICATION OF FINAL INDIRECT COSTS 

BANKRUPTCY 

CHANGES--COST-REIMBURSEMENT (ALTERNATE I) 

(APR 1984) 

SUBCONTRACTS (ALTERNATE I) (MAR 2005) 

COMPETITION IN SUBCONTRACTING 

SUBCONTRACTS FOR COMMERCIAL ITEMS 

GOVERNMENT PROPERTY (COSTREIMBURSEMENT. TIME-AND- MATERIAL, OR LABORHOUR CONTRACTS) 

COMMERCIAL BILL OF LADING NOTATIONS 

Page 1-2 
1.2 

NNC05ZCHO14R SECTION I 

52.249-6 MAY 2004 TERMINATION (COST-REIMBURSEMENT) 

52.249-14 APR 1984 EXCUSABLE DELAYS 

52.251-1 APR 19B4 GOVERNMENT SUPPLY SOURCES 

II. NASA FAR SUPPLEMENT (48 CFR CHAPTER 18) CLAUSES 

CLAUSE 

NUMBER DATE TITLE 

1852.203-70 JUN 2001 DISPLAY OF INSPECTOR GENERAL HOTLINE 

POSTERS 

1852.204-76 NOV 2004 SECURITY REQUIREMENTS FOR UNCLASSIFIED 

INFORMATION TECHNOLOGY RESOURCES 

1852.216-89 JUL 1997 ASSIGNMENT AND RELEASE FORMS 

1852.219-74 SEP 1990 USE OF RURAL AREA SMALL BUSINESSES 

1852.219-76 JUL 1997 NASA 8 PERCENT GOAL 

1852.237-70 DEC 1988 EMERGENCY EVACUATION PROCEDURES 

1852.243-71 MAR 1997 SHARED SAVINGS 

(End of clause) 

NOTIFICATION OF EMPLOYEE RIGHTS CONCERNING PAYMENT OF UNION DUES OR 

FEES (FAR 52.2220 39) (DEC 2004) 

(a) Definition. As used in this c1ause-­

"United States· means the 50 States, the District of Columbia, Puerto Rico, the Northern Mariana Islands, 

American Samoa, Guam, the U.S. Virgin Islands, and Wake Island. 

(b) Except as provided in paragraph (e) of this clause, during the term of this contract, the Contractor 

shall post a notice, in the fonn of a poster, informing employees of their rights concerning union 

membership and payment of union dues and fees, in conspicuous places in and about all its plants and 

offices, including all places where notices to employees are customarily posted. The notice shall include 

the following information (except that the information pertaining to National Labor Relations Board shall 

not be included in notices posted in the plants or offices of carriers subject to the Railway Labor Act, as 

amended (45 U.S.C. 151-188)). 

Notice to Employees 

Under Federal law, employees cannot be required to join a union or maintain membership in a union in 

order to retain their jobs. Under certain conditions, the law permits a union and an employer to enter into 

a union-security agreement requiring employees to pay unifonn periodic dues and initiation fees. 

However, employees who are not union members can object to the use of their payments for certain 

purposes and can only be required to pay their share of union costs relating to collective bargaining, 

contract administration, and grievance adjustment. 

If you do not want to pay that portion of dues or fees used to support activities not related to collective 

bargaining, contract administration, or grievance adjustment, you are entitled to an appropriate reduction 

in your payment. If you believe that you have been reqUired to pay dues or fees used in part to support 

activities not related to collective bargaining, contract administration, or grievance adjustment, you may 

be entitled to a refund and to an appropriate reduction in future payments. 

For further information concerning your rights, you may wish to contact the National Labor Relations 

Board (NLRB) either at one of its Regional offices or at the following address or toll free number: 

National Labor Relations Board 

Page '·3 
NNC05ZCHO 14R SECTION I 

Division of Information 

1099 14th Street, NW. 

Washington, DC 20570 

1·866-667-6572 

1·866-316·6572 (TIY) 

To locate the nearest NLRB office, see NLRS's website at http://www.nlrb.gov. 

(c) The Contractor shall comply with all provisions of Executive Order 13201 of February 17, 2001, and 

related implementing regulations at 29 CFR part 470, and orders of the Secretary of labor. 

(d) In the event that the Contractor does not comply with any of the requirements set forth in paragraphs 

(b), (c), or (g), the Secretary may direct that this contract be cancelled, terminated, or suspended in whole 

or in part, and declare the Contractor ineligible for further Government contracts in accordance with 

procedures at 29 CFR part 470, Subpart S-Compliance Evaluations, Complaint Investigations and 

Enforcement Procedures. Such other sanctions or remedies may be imposed as are provided by 29 CFR 

part 470, which implements Executive Order 13201, or as are otherwise provided by law. 

(e) The requirement to post the employee notice in paragraph (b) does not apply to·· 

(1) Contractors and subcontractors that employ fewer than 15 persons; 

(2) Contractor establishments or construction work sites where no union has been formally recognized by 

the Contractor or certified as the exclusive bargaining representative of the Contractor's employees; 

(3) Contractor establishments or construction work sites located in a jurisdiction named in the definition of 

the United States in which the law of that jurisdiction forbids enforcement of union- security agreements; 

(4) Contractor facilities where upon the written request of the Contractor, the Department of labor Deputy 

Assistant Secretary for Labor-Management Programs has waived the posting requirements with respect 

to any of the Contractor's facilities jf the Deputy Assistant Secretary finds that the Contractor has 

demonstrated that-­

(i) The facility is in all respects separate and distinct from activities of the Contractor related to the 

performance of a contract; and 

(ii) Such a waiver will not interfere with or impede the effectuation of the Executive order; or 

(5) Work outside the United States that does not involve the recruitment or employment of workers within 

the United States. 

(f) The Department of Labor publishes the official employee notice in two variations; one for contractors 

covered by the Railway Labor Act and a second for all other contractors. The Contractor shall-­

(1) Obtain the required employee notice poster from the Division of Interpretations and Standards, Office 

of Labor-Management Standards, U.S. Department of Labor, 200 Constitution Avenue, MN, Room N· 

5605. Washington, DC 20210, or from any field office of the Department's Office of Labor-Management 

Standards or Office of Federal Contract Compliance Programs; 

(2) Download a copy of the poster from the Office of Labor- Management Standards website at 

http://www.olms.dol.gov; or 

(3) Reproduce and use exact duplicate copies of the Department of Labor's official poster. 

(g) The Contractor shall include the substance of this clause in every subcontract or purchase order that 

exceeds the simplified acquisition threshold, entered into in connection with this contract, unless 

Page 1·4 
NNCD5ZCH014R SECTION I 

exempted by the Department of Labor Deputy Assistant Secretary for Labor-Management Programs on 

account of special circumstances in the national interest under authority of 29 CFR 470.3(c). For 

indefinite quantity subcontracts, the Contractor shall include the substance of this clause if the value of 

orders in any calendar year of the subcontract is expected to exceed the simplified acquisition threshold. 

Pursuant to 29 CFR part 470, Subpart B-Compliance Evaluations, Complaint Investigations and 

Enforcement Procedures, the Secretary of Labor may direct the Contractor to take such action in the 

enforcement of these regulations, including the imposition of sanctions for noncompliance with respect to 

any such subcontract or purchase order. If the Contractor becomes involved in litigation with a 

subcontractor or vendor, or is threatened with such involvement, as a result of such direction, the 

Contractor may request the United States, through the Secretary of Labor, to enter into such litigation to 

protect the interests of the United States. 

(End of clause) 

1.3 CLAUSES INCORPORATED BY REFERENCE (FAR 52.252-2) (FEB 1998) 

This contract incorporates one or more clauses by reference, with the same force and effect as if they 

were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full 

text of a clause may be accessed electronically at thislthese address(es): 

http;//www.acgnet.gov/far 

or 

http://lNWW.hg.nasa.qov/office/procurementlregslnfstoc.htm 

(End of clause) 

1.4 OMBUDSMAN (NFS 1852.215-84) (OCT 2003) 

(a) An ombudsman has been appointed to hear and facilitate the resolution of concems from Offerors, 

potential Offerors, and contractors during the preaward and postaward phases of this acquisition. When 

requested, the ombudsman will maintain strict confidentiality as to the source of the concern. The 

existence of the ombudsman is not to diminish the authority of the contracting officer, the Source 

Evaluation Board, or the selection official. Further, the ombudsman does not participate In the evaluation 

of proposals, the source selection process, or the adjudication of formal contract disputes. Therefore, 

before consulting with an ombudsman, interested parties must first address their concerns, issues, 

disagreements, andlor recommendations to the contracting officer for resolution. 

(b) If resolution cannot be made by the contracting officer, interested parties may contact the installation 

ombUdsman, 

Dr. Sunil Dulla 

NASA Glenn Research Center 

21000 Brookpark Road, Mail Stop 3-9 

Cleveland,OH 44135-3191 

Telephone: (216) 433-8844 

FAX: (216) 433-2946 

E-mail: SuniI.Dutta@grc.nasa.gov 

Concerns, issues, disagreements, and recommendations which cannot be resolved at the installation may 

be referred to the NASA ombudsman, the Director of the Contract Management Division, at 202-358­

0445, facsimile 202-358-3083, a-mail james.a.balinskas@nasa.gov. Please do not contact the 

Page 1-5 
NNC05ZCHO14R SECTION I 

ombudsman to request copies of the solicitation. verify offer due date. or clarify technical requirements. 

Such inquiries shall be directed to the contracting officer or as specified elsewhere in this document. 

(End of clause) 

[END OF SECTION] 

Page (-6 
J.1 

J.2 

NNC05ZCH014R SECTIONJ 

PART III - LIST OF DOCUMENTS, EXHIBITS 

AND OTHER ATTACHMENTS 

SECTION J - LIST OF ATIACHMENTS 

LIST OF ATTACHMENTS - NEGOTIATED (GRC 52.215-102) (AUG 2002) 

The following documents are attached hereto and made a part of this contract: 

ATTACHMENT DATE NO. OF PAGES 

A Statement of Work July 2005 15 

C List of Government-Furnished Equipment 

(TaOQed and UntaOQed) July 2005 4 

H Patient Satisfaction Survey Julv 2005 1 

K Dept. of labor Wage Rate Determination No. 

94-2415 REV 26 May 2005 11 

DOCUMENT DISTRIBUTION REQUIREMENTS (GRC 52.227-104) (JUL 2003) 

(a) Reports and other documentation shall be submitted prepaid to the recipients specified below,
 

addressed as follows:
 

National Aeronautics and Space Administration 

Glenn Research Center 

ATTN: Cheryl Washam, Mail Stop 500-312 

Contract Number: Cleveland, OH 44135 

(b) The following list designates the recipients of reports and other documentation which are required to 

be delivered to the Glenn Research Center by the Contractor. 

NASA Contracting Officer (CO): MS 500-312 

Safety and Assurance Directorate (SAD): MS 6-3 

Financial Management Division (FMD): MS 500-303 

NASA Contracting Officer's Technical Representative (COTR): MS 15-2 

(c) The following table indicates the type and number of reports and other documentation to be submitted 

to each recipient. 

Work Plan: SAD· 1, COTR • 1 

Costing Run-out Reports: CO - 1, FMD - 1, COTR • 1 

Technical Progress Reports: CO - 1, COTR • 1 

Financial Management (533) Reports: CO· 1, SAD - 1, FMD - 1, COTR - 1 

Page J·1 
NNC05ZCH014R SECTION J 

Any Other Reports or Requests Requiring Contractor's Signature: CO - 1, COTR • 1 

Final Report: CO - 1, COTR - 4 

[END OF SECTION] 

Page J-2 
Allachment A 

NASA Glenn Research Center 

Occupational Health Services 

Statement of Work 

1.0 Health Services Program 

1.1 Purpose 

It is NASA Glenn Research Center (GRC) policy to provide a comprehensive Health Services Program to 

on-site personnel. These services consist of Occupational Heath, Medical, Physical Fitness, and 

Employee Assistance services. 

1.2 Goal 

The goal of the Health Services Program is to promote health and weI/ness, minimize absenteeism, 

maximize individual productivity, promote and maintain the physical and mental well being of employees, 

comply with all applicable regulatory requirements, and to implement program components to the 

maximum extent practicable. 

2.0 Scope of Work - General 

The Contractor shall provide the necessary personnel, supervision, equipment, and material, to effectively 

operate the GRC Health Services Program in accordance with the Statement of Work and the NASA 

Policy Directive and NASA Procedural Requirements referenced in Section 8.0. Additionally, the 

Contractor shall comply with any related NASA Standard Operating Procedures contained in the GRC 

Business Management System (BMS). 

The Contractor shall maintain an environment conducive to the successful operation of all services 

provided in the performance of this contract. The Contractor shall maintain all facilities and equipment in 

a safe and operating manner. The Contractor shall perform period inspections, equipment maintenance, 

and minor repairs. 

The Contractor's Medical Director shall be responsible for the overall operation of all contractor related 

activities. The Medical Director shall serve as the Center Medical Review Officer. 

The services will be generally performed onsite in Government provided facilities during normal business 

hours of 7:00 a.m. to 4:00 p.m. Monday thru Friday, unless otherwise indicated. 

The Contractor shall be required to procure and maintain adequate malpractice liability insurance for all 

services under this contract. 

3.0 Scope of Work - Specific 

3.1 Medical Services Clinic 

The Medical Services Clinic provides services for NASA civil servants and support service contractors,
 

and includes the provision of emergency medical, occupational health, preventative health services, and
 

workman compensation program. All services shall be in compliance with State and Federal
 

requirements.
 

The Medical Services Clinic shall be available during normal Center hours of operation, excluding Federal 

holidays. The hours of operation shall be as follows: Medical Services Clinic, 7:00 a.m. to 11 :30 a.m. 

and 12:30p.m. to 4:00 p.m., Monday through Friday. At a minimum, a certified health profession (e.g. 
2
 

registered nurse) shall be on duty at all times. The clinic is closed for lunch 11 :30 a.m. to 12:30 p.m. but 

opened only for emergencies during this time. 

3.1.1 Emergency Medical Services 

Limited emergency medical services shall be provided to onsite employees. These services are limited in 

nature and designed to coincide with other aspects of the GRC Health Services Program. 

The Contractor shall: 

•	 Provide emergency care and assist in emergency preparedness and response 

•	 If requested by the Center's Emergency Preparedness Coordinator, respond and provide 

assistance and support during Center emergencies. Provides emergency medical care, triage, 

crisis intervention, and any other service that may be required, if within the scope of the 

Contractor's expertise. 

•	 Conducts training in accordance with the Center's Emergency Preparedness Plan (to be provided 

by the Government after award), automated external defibrillator (AED), cardiopulmonary 

resuscitation (CPR), and first-aid. 

•	 Provide acute medical care of work related illness and injUry. 

•	 Provide initial emergency response, medical diagnosis, and treatment for civil servants, support 

service contractors, or visitors who become ill or who are injured at the Center during business 

hours. 

•	 Determine the appropriate means of safe patient transport. 

•	 Integrate Occupational Health Acute Care capabilities into the Center-wide emergency response 

plan. 

•	 Participate in Center emergency response table top exercises and drills. 

•	 Oversee the Center-wide AED Program (responsibility of the Medical Director), and medical 

oVElrsightJreview for any emergency medical services programs. 

•	 Ensure the Center-wide AED Program is written and meets the requirements of the NASA AED 

Program Guidelines (responsibility of the Medical Director). Provide training and ensure 

maintenance is performed as required. 

•	 Prepare a plan for emergency situations to including the potential for natural disasters and 

incidents involving biological, chemical, radiation, and nuclear agents, weapons of mass 

destruction, mass-casualty events, and support required under the Emergency Preparedness 

Plan and Continuity of Operations Plan. 

3.1.2 Occupational Health Program 

The NASA Occupational Health Program provides care for NASA employees and contractors who 

become acutely ill. The Occupational Health Program also provides occupational and preventative health 

services to maintain and improve the health of NASA employees with a focus on the prevention, 

diagnosis, treatment, and care of illness and injuries caused or aggravated by the work environment 

All services shall be provided onsite, except the EAP and the mammography services. 

The Contractor shall arrange for reimbursement of costs for services provided to employees of GRC 

support service contractors (see paragraph 7). No emergency or first aid services shall be denied for lack 

of insurance coverage. 

The Contactor shall: 

• Provide care of illness and occupational injury. 

• Provide clinical and environmental laboratory analysis (e.g., mercury, cadmium, etc.). 

• Provide retina testing for laser safety operations. 

• Provide educational services such as education on human immunodeficiency virus, first aid, CPR, 

nutrition, and stress management. 

• Coordinate with referrals to the GAC EAP 
3 

• Provide safety glasses and supply services for prescription safety glasses as directed by the 

COTR. The services shall consist of dispensing, fitting, displaying, repairing, and adjustment of such 

glasses. (Note: necessary optical equipment not provided as GRP). Civil servants must have a work 

order and a new prescription to take advantage of this program. Three-day emergency service shall 

be provided when required. This emergency service is not expected to exceed 2 percent of the total 

quantity of orders for the contract period. All safety glasses provided shall meet or exceed the 

American National Standards Institute Section Z87.1·2003 Standard for Frames and Lens. The 

Contractor shall provide and maintain records of all safety glasses provided. 

• Provide medical surveillance and medical monitoring programs in accordance with OSHA 

regulatory requirements for exposure to toxic chemicals, such as asbestos, lead. mercury, and 

cadmium. 

• Conduct medical surveillance for each employee in the Respirator Program on a yearly basis per 

29 CFR 1910.134. The employee (civil servant and support service contractor) is responsible for 

contacting the Medical Services Clinic to schedule the testing. Testing should be completed during 

the annual health screening which is offered to civil servants in the Respirator Program. Alternate 

arrangements for testing will be made at the time the employee notifies Medical Services Clinic as to 

whether or not they elect to participate in the annual health screening program. The test wW included 

a spirometry test, and check of ears, noise, and heart to ensure that the person is physically fit for a 

respirator. 

• Implement an effective ergonomics program aimed at the identification and prevention of 

musculoskeletal disorders for civil servant and support service contractors (no charge to support 

service contractors. The Program shall include survey of work areas, ergonomic assessments, 

assess ergonomics issues relating to employees work area and/or processes, proVide 

recommendations to the employee being assessed, and maintain all government furnished 

ergonomic equipment and deVices. The Contractor shall perform these assessments at the 

employee's work area. The program shall include a written program, engineering controls, 

administrative controls, exposure assessment, and employee awareness in accordance with NPR 

1800.1. The Contractor shall use the guidance on ergonomics as outlined by the National Institute of 

Occupational Safety and Health. The Contractor serves as the focal point of contact for the COTR for 

matters pertaining to the Center's Ergonomic Program and maintains logs and records, and 

associated equipment. 

• Provide audiometric testing services, in accordance with 29 CFR 1910.95 (Occupational Safety and 

Health Administration (OSHA) Standard on Occupational Noise Exposure), NASA NPR 1820.1, 

Hearing Conservation, and the Hearing Conservation Program Policy (Chapter 11 of the 

Environmental Programs Manual). The Audiometric Monitoring Program, as part of the Hearing 

Conservation Program shall be administered by the Contractor and coordinated with the Noise 

Exposure Management Program (NEMP) of the SHED. 

• Serve as the advisor for the Hearing Conservation Program and shall be responsible for evaluating 

abnormal audiograms and tor making referrals to outside specialists, as needed. 

• Administer the Audiometric Testing Program. All audiometric tests shall be conducted by persons 

currently certified by the Council for Accreditation of Occupational Hearing Conservation or under the 

direction of the Medical Services Clinic physician. The Government will be provided with a list of 

employees enrolled in the Hearing Conservation Program. Enrolled individuals will responsible tor 

contacting the Medical Services Clinic to schedule testing. 

The audiometric monitoring program shall include baseline, annual, and exit audiometric tests tor 

Government employees enrolled in the Hearing Conservation Program. Each audiometric exam shall 

also include a brief medical exam of the employee's ears, nose, and throat conducted by or under the 

guidance of a physician. 
4 

The Contractor shall provide audiometric test data to NEMP on a monthly basis for all Hearing 

Conservation Program participants and as requested by NEMP. 

• Provide Travel Counseling and Immunization to civil servants who travel internationally for work 

related activities. The Contractor shall issue a medical clearance to international travelers. The 

Contractor shall review the medical and immunization history and determine if further evaluation, 

testing, medication, or immunizations are needed. A travel kit stocked with a variety of over the 

counter medications for use during travel shall be provided to international travelers as required. The 

kits shall be distributed 1 to 2 weeks prior to departure and returned by the civil servant within 1 week 

of their return home. Returned kits are to be restocked and prepared for subsequent travelers. 

• Provide flu shots to civil servants annually as supplies allow. Flu shots may also be offered to 

support service contractors for a fee. The Contractor shall follow the Center for Disease Control 

recommendations lor the current year in establishing an order of eligibility. 

• Provide job related FAA flight physicals for civil servants and support service contractors. Right 

physicals shalf be as reqUired by the FAA Guide for Aviation Medical Examiner for applicable 

standards and examination procedures. The physician performing the examinations shalf be a 

certified Aviation Medical Examiner. 

• Provide civil servant crane operators with physicals in accordance with NPR 1800.1 and OSHA 

requirements. 

• Conduct an annual a-hour Occupational Health Fair and an annual a-hour Safety Fair for the 

purpose of promoting the health and safety of GRC employees. 

• Review drug testing results performed on civil servants in test designated positions. Positive test 

results shall be discussed with the affected employee to confirm positive or false positive results. 

• Provide physical therapy to reduce lost-time injury time. 

3.1.3 Incident Reporting Information System 

The Contractor shall support the Agency's mishap reporting system· Incident Reporting Information 

System (IRIS). This is a comprehensive NASA agency wide web based system that tracks information 

on all occupational and non-occupational (personal) injuries and illnesses and manages information about 

events or conditions of environmental, health or safety significance. 

The Contractor shall input basic information on work related injuries for employees that go to the 

contractor for medical care. The contractor initiates the employee injury process using IRIS. In addition, 

the contractor will meet with Safety and Mission Assurance personnel to validate employee injury data, 

OWCP data and mishap reports to ensure Agency's and OSHA requirements are met. 

In addition, the Contractor shall report employee mishaps and close calls within 24 hours using the Quick 

Incident Button in the IRIS. 

A NASA mishap is defined as an unplanned event that results in at least one of the following: 

•	 Injury to non-NASA personnel, caused by NASA operations 

•	 Damage to public or private property (including foreign property), caused by NASA operations or 

NASA funded development or research projects 

•	 Occupational injury or occupational illness to NASA personnel 

•	 Destruction 01, or damage to, NASA property except for a malfunction or failure of component parts 

that are normally subject to fair wear and tear and have a fixed useful life that is less than the fixed 

useful life of the complete system or unit of equipment, provided that the follOWing are true: (1) there 

was adequate preventative maintenance; and (2) the malfunction or failure was the only damage and 

the sole action is to replace or repair that component. 
5
 

A NASA close call is defined as an occurrence or a condition of employee concern in which there is no 

injury or only minor injury requiring first aid and no significant equipmenVproperty damage/mission failure 

(less than $1000), but which possesses a potential to cause a mishap. 

3.1.4 Preventive Health Services 

3.1 .4.1 Physical Examinations 

The Contractor shall administer physical examinations for all civil servants who choose to participate in 

the employee Health Screening Program. The Contractor shall establish a system of employee 

notification and appointment scheduling and for rescheduling of missed appointments. 

The physical examinations protocol shall be in accordance with enclosure 1. A partial physical 

examination shall be provided each year and a complete physical examination once every 3 years. The 

examinee has the right to decline any or all of the procedures. The offered examinations shall consist of 

the following procedures: 

3.1.4.2 Other Health Services 

The Contractor shall: 

• Provided routine blood pressure monitoring to civil servants 

• Provide seasonal allergy injections to civil servants under the care of an allergist with environmental 

seasonal allergies 

• Provide a Mammography Screening Program through approved providers to all civil 

servants based on the guidelines established by the American Cancer Society. This service shall 

provide baseline mammography screening and annual mammography screening. The facilities 

providing these services must be accredited by the American College of Radiologist. 

• Provide a program of nutritional awareness, individual counseling, and education programs to 

maintain good health, encourage behavioral change, prevent disease, and encourage an 

environment that emphasizes good health practices, and healthy food choices. 

• Conduct individual nutrition counseling for diabetes, high blood pressure, weight loss, high
 

cholesterol or triglyceride levels, cancer prevention, vitamin, minerals or herbal supplements,
 

concerns about quality of diet, and other nutrition questions or problems.
 

• Conduct monthly inspections of the cafeterias to determine that the proper level of cleanliness is 

attained and maintained. Additionally, those duties such as checking foods for freshness, proper 

temperature, and expiration dates shall be included In these inspections. 

• Provide technical guidance on areas of emergency care, adult CPR, AED, and
 

first aid.
 

• Provide adult CPR, AED, and first aid training in accordance with American Red Cross or American 

Heart Association training requirements. The Contractor shall provide four a-hour sessions including 

appropriate tests to have employees receive certification. The Contractor's Medical Director shall 

have primary technical oversight for the Center's AED policy and its implementation at the Center. 

• Manage the AED training program, including the use of a third party AED management system 

provided by the Center. This includes recordkeeping for the AED equipment (its location and 

maintenance requirements). 

• Provide a smoking cessation program at a minimum semi-annually. 
6
 

• Provide health and wellness training on a variety of topics not limited to physical fitness, nutrition, 

stress management, ergonomics, etc. A minimum of 12 1-hour sessions shall be provided per year. 

Civil servants shall be given priority enrollment. Health and wellness training shall be provided at no 

charge to support service contractors. 

3.2 Worker's Compensation Program 

The Contractor shall support the Worker's Compensation Program Officer. The Medical Director shall be 

responsible for the medical aspects of civil servant worker's compensation cases. This shall include 

initiating and providing medical evidence to NASA compensation personnel for daims that do not appear 

to be work related and should be refilled. The respective Compensation Claims Officer shall assist as 

required. 

The Contactor shall obtain history, assesses injury or illness, and provides treatment. The Contractor 

shall ensure treatment options are available for any employee with an occupationally related injUry or 

Illness during and after normal business hours. The Contractor shall provide ongoing care and follow-up 

until issue is resolved or maximum medical improvement has been reached. 

After the detennination of the civil servant's physician for clearance to return to duty, the Contractor shall 

provide a verification of flIness for duty and the need for job modifications or accommodations. 

The Contractor shall provide assistance to the GRC Compensation Claims OffICer as needed. 

3.3 Physical Fitness Program and Associated Services 

The Contractor shall conduct a Physical Fitness Program in conjunction with the Medical Services Clinic 

with the purpose of maintaining and improving participants' fitness for duty. The program shall consist of 

physical and rehabilitative therapy and exercise programs, Phase III Cardiac Rehabilitation, stress 

management, special health enhancement programs, aerobic exercise to improve cardiovascular tone, 

anaerobic exercise, and other programs. The Contractor's Physical Fitness Program shall comply with 

the NASA Occupational Health Programs guidance. 

The Physical Fitness Program is to be operated onsite in Building 341 from 6:00 a.m. to 7:00 p.m. week 

days, excluding holidays. The locker room will remain open until 7:30 p.m. daily. 

Fitness Center services are available to civil servants so as to assure no interference with employee work 

responsibilities, but consonant with flexible work schedules. The Fitness Center services are also 

available to civil servant retirees and support service contractors for a fee to be reimbursed to the 

Government. 

Prior to beginning an exercise program, it is required that a person undergo medical screening. The 

purpose of the medical screening is to provide a baseline for the medical and exercise professional to 

make recommendations concerning personal exercise program. 

All individuals applying for membership are required to be screened for fitness prior to joining the Fitness 

Center. The Contractor shall determine the minimum level of fitness and screening required to participate 

in the Fitness Center and prOVided any medical screening requirements to civil servants. The Contractor 

shall provide civil servant retirees and support service contractors with the required screening 

requirements for a fee to be credited to the Government. Upon being medically cleared. the requestors 

will be granted Fitness Center membership status. The Contractor shall ensure medical clearances are 

up to date for all participants. 

The Contractor shall: 

• Provide services compatible with the standards promulgated by the American College of Sports 

Medicine. 
7 

• Provide basic fitness classes such as intermediate step, step and tone, interval conditioning, 

healthy back, toning, and muscle conditioning at no charge to members. Fees may be charged for 

specialized classes such as yoga and Pilates. Civil servants shall be given priority enrollment. 

• Develop and implement individual and group fitness programs based on emerging national level 

trends as well as customer data. 

• Provide instruction on the proper use of equipment upon their entry into the program and as needed 

thereafter. 

• Implement exercise prescriptions as ordered by the Medical Services Clinic. The Contractor shall 

provide one on one attention and service to personnel who undertake medically pre-scribed fitness 

programs or regimens. 

• Provide information and education to the onsite community through a variety of venues including 

pamphlets, newsletters, health screenings, lectures. and personal training, with the underlying 

message that optimal health and fitness are achievable, in part, through regular physical exercise and 

screenings for early detection of disease. 

• Integrate the Fitness Center's program with all other aspects of the Occupational Health Program 

such as environmental health, medicine, nutrition, and rehabilitation services. 

• Promote special activities such as the Slimathon, Employee Step Out, and the Summer Volleyball 

League. 

• Maintain all participants' records which shan be used for monitoring employee progress, to study 

outcome measures and program effectiveness, and to track, publicize, and promote the program. 

• Implement specific fitness programs and fitness screening/testing. Examples may include fitness 

assessments, weight loss, blood pressure normalization, strength conditioning, rehabilitation, and 

group activities. 

• Monitor progress of individual participants in terms of physiological responses and modify their 

activity prescription as requested by the participant. 

• Develop a program to attract new members and to encourage a regular pattern of participation by 

current and new members. 

• Provide physical therapy and Phase III Cardiac Rehabilitation to civil servants who have been 

diagnosed for the need of these therapies. 

• Administer medical services as appropriate, such as CPR, AED, and first aid. 

3.4 Employee Assistance Program (EAP) 

EAP is a confidential, diagnostic, and educational program prOViding assessment, short-term counseling, 

and referral services free of charge for civil servants, their immediate family members within the same 

household. EAP group sessions for grief counseling/crisis management shall be provided free of charge 

to support service contractors. 

The EAP coordinator shall be onsite 5 days per week. The hours of operation are Monday through 

Friday, 8:00 a,m. to 12:00 p.m. 

Offsite counseling services shall be available through a network of providers in the Northeast Ohio area 

and offer weekday, weekend, and evening appointments. 
8 

3.4.1	 Management. Organization, Group Consultation, and Education 

The Contractor shall: 

•	 Provide emergency EAP consultations 24 hours per day, 7 days a week. This will include access to a 

psychiatrist. . 

•	 Provide selVices for employee or family self-referral, management referral, or Medical SelVices Clinic 

referral. 

•	 Offer short-term counseling limited to three visits per problem for civil selVants and their families. 

The EAP counselor determines the appropriate number of visits on a case-by-case basis, and may 

detennine the appropriateness of greater than three visits. Should the need arise for more than three 

sessions: the employee will be assisted in finding a provider under the employee's medical plan. 

•	 Participate on committees and in meetings to clarify and promote the EAP. 

•	 Provide a wide range of appropriate educational materials for distribution and posting. 

•	 Provide informational sessions, workshops and seminars on a wide range of topics. 

•	 Provide management consultation in a variety of areas such as violence in the workplace, stress, and 

conflict. 

•	 Provide consultation to management on the Drug-Free Workplace Program. 

•	 Consult and provide education on violence prevention to management and organizations. 

•	 Facilitate andlor coordinate the implementation and scheduling of health related support group 

meetings. 

•	 Provide bimonthly (1 hour in length) onsite seminars addressing a variety of workplace issues 

facing employees including. but not limited to, stress management, workplace Issues. elder care, 

•	 Increase employee awareness of the availability, nature, and scope of EAP selVices through periodic 

training. 

•	 Review the nature, scope, and accessibility of the EAP services 

•	 Assist employees in returning to their position and job duties at the level required in their job 

description 

•	 Provide managers with periodic training and education to: 

- Review manager's responsibilities to employees 

• Review how to address issues such as identifying poor work performance and confronting a 

troubled employee 

- Discuss the benefits of early detection and referral emphasize their role in using EAP as a 

management tool to assist employees with job performance issues, behavioral problems, or 

excessive absenteeism 

Crisis Management 

The Contractor shall: 

•	 Provide crisis management for disaster and emergency situations. as directed by the COTR. 

Additional resources for Critical Incident Stress Debriefing in the community will be identified and 

made available, as appropriate. 

•	 Support the Emergency Preparedness Plan and participate in one table top exercise per year 

consisting of a sit down meeting that will last up to 4 hours. This exercise will prepare for and support 

emergency situations to include the potential for natural disasters and incidents involving biological, 

chemical, radiation. and nuclear agents, weapons of mass destruction, mass-casualty events, and 

support required under the Emergency Preparedness Plan and Continuity of Operations Plan. 

•	 Support the emergency preparedness plan and participate in one drill per year consisting of a 

simulated emergency that will last up to 4 hours. This drill will pre-pare for and support emergency 

situations to include the potential for natural disasters and incidents involving biological, chemical. 

radiation, and nuclear agents, weapons of mass destruction, mass casualty events, and support 

required under the Emergency Preparedness Plan and Continuity of Operations Plan. 

3.4.3 Referral 
• 9 

The EAP helps employees, their spouses, family members living in the employee's household, and other 

legal dependents with assistance in the areas of: 

•	 Work-related issues 

•	 Family or personal relationship issues 

•	 Stress-related illness 

•	 Alcohol and substance abuse problems 

•	 Psychological and psychiatric disorders 

•	 Grief and loss 

•	 Legal or financial concerns 

•	 Other issues (e.g., care of elderly parents, retirement) 

•	 Coworker conflict 

•	 Depression and anxiety 

•	 Domestic violence 

•	 Stress 

•	 Associate with and have access to a detoxification care unit. Several facilities in a variety of cost 

categories shall be identified in order to place the employee in a treatment plan that best meets their 

health insurance, financial status, and social situation needs. 

•	 Select and maintain a community referral list, with a wide range of professional providers and 

professional services, for employee and family referrals. 

•	 Periodically review/evaluate outside services rendered and update the referral list. 

•	 Provide dependent care services by childcare and eldercare specialists who will be available via 

telephone to work one-on-one with employees and their families to assist them with dependent care 

issues such as finding a backup daycare when their primary provider no longer can perform these 

services or assisting with finding the support necessary for an aging parent. 

•	 Provide a 3D-minute telephone consultation on legal issues to assist employees with a variety of 

common problems including divorce, elder care estate planning, taxes, etc. 

•	 Provide a 60-minute consultation with a Rnancial Planner where financial difficulty is determined 

during the consultation period. 

3.4.4 Follow-up 

The Contractor shall: 

•	 Maintain a follow-up process to monitor the employee's progress. 

•	 Conduct return to work interviews on all cases that were referred by management. 

•	 Consult or refer employees to Medical Services Clinic physician when the return to work involves 

medical issues. 

•	 Provide follow-up on management-referred cases to assist employee with effective readjustment to 

the workplace after receiving treatment for problems such as mental health, personal and social 

adjustment, and alcohol/substance abuse. 

3.5 Materials and Supplies 

The Contractor shall provide office supplies, medical supplies, eyewear material, laundry services, lab 

services, prescription and non-prescription drugs, service and maintenance agreements, software 

licenses not provided by ODIN, and equipment under $5000. 

3.6 Reimbursement Program 

The Contractor shall estabUsh and implement a Reimbursement Program for all services proVided under 

this contract to non-Government employees. Any fees collected shall be fully credited to the Government 

on a monthly basis and indicated on the monthly financial report and invoice. Fees include: full cost for 

flu shots, Fitness Center medical screening, Rtness Center costs, FAA flight physicals, safety glasses, 

Hepatitis A and B immunizations, tuberculosis immunizations, and any other services rendered. 
10 

The Contractor shall institute a program offering civil servants who are private pilot hobbyists a FAA flight 

physical examination above the requirements for annual physical examinations (Section 3.3) for a fee to 

be reimbursed to the Government. 

4.0 Personnel Qualifications 

The Contractor shall provide fully qualified personnel for all aspects of the Health Services Program. The 

Contractor shall be responsible for certifying that they meet all personnel qualifications/certifications 

specified. 

During the perfonnance of work on this contract individual credentials, such as resumes, licenses, and 

certification associated shall be provided to the Government upon request. 

4.1 Physician(s) 

The Medical Director for this contract shall be a physician. Physician(s) must be licensed to practice in 

the state of Ohio in at least one specialty recognized by the American Medical Association. 

The physician(s) must be capable of performing thorough physical examinations including EKG and basic 

x-ray interpretations. 

The physician(s) must be capable of pertonning emergency procedures such as suturing; cardiac 

resuscitation; emergency treatment of hypovolemic, cardiogenic, and neurogenic shock; treatment of 

convulsions, hypothermia, and frostbite; and initial treatment of fractures and other such conditions. 

The physician(s) must be capable of evaluating occupational exposures in areas such as noise, lasers, 

radiation, microwaves; and inhalation, contact, and ingestion of toxic materials. 

The physician(s) must be capable of providing coordination with and referral services for the EAP. 

A physician shall have current certification for FAA examiner for Class I, II, and III. Shall be accredited by 

either the Association of Medical Review Offices or the American College of Occupational and 

Environmental Medicine. 

4.2 Physician Assistant(s)/Nurse Practitioner(s) 

Physician assistant(s) and nurse practitioner(s) must be a graduate of accredited nursing program and 

possess a Certificate to Prescribe. The physician assistant(s)/nurse practitioner(s) must be licensed to 

practice in the state of Ohio. 

4.3 Nurses 

Nurses shall be registered nurses or licensed practical nurses. All nurse(s) shall be licensed or registered 

in the state of Ohio. 

4.4 X-Ray/Medical Technician(s) 

The x-ray/medical technician(s) shall be registered and licensed in the state of Ohio and in good standing 

with the American Registry of Radiologic Technologists. The x-ray/medical technician shall be a graduate 

of an accredited program of radiologic technology, with experience in a medical clinic or hospital environment. 

4.5. Physical Therapist
 

The physical therapist shall be licensed in the state of Ohio.
 

4.6 Optician
 
11 

The optician shall be a dispensing optician and licensed in the state of Ohio. 

4.7 Dietitian 

The dietitian shall be a Registered Dietitian (RD). An RD has a bachelor degree in nutrition or a related 

field. completed a dietetic internship or supervised practice experience and passed an examination to 

become registered. The RD shall be skilled in individual and group counseling, and possess the ability 

promote the wellness program. 

4.8 Ergonomics 

Contractor personnel shall be trained and experienced in conducting ergonomics surveys and providing 

recommendations to concerns at the industrial and/or research site. 

4.9 Hearing Conservation 

Contractor personnel shall be trained and experienced in supporting of the Hearing Conservation 

Program. 

4.10 Respiratory Protection
 

Contractor personnel shall be trained and experienced in support of the Respiratory Protection Program.
 

4.11 Fitness Center Staff
 

Fitness Center staff shall have a Bachelor's degree in exercise physiology or related field, or at least 

4 years of related experience. All staff members shall be certified by either the Aerobic Fitness 

Association of America, American Council on Exercise, National Exercise Trainers Association, or 

eqUivalent certification. 

Fitness Center staff shall be certified in CPR, AEDs, and first aid. 

Fitness Center staff shall possess the physical ability to be able to demonstrate and instruct the proper 

use of exercise equipment and perform routine maintenance on the equipment. 

4.12 EAP Staff 

EAP counselors shall have a minimal education level of a Masters degree in an accredited mental health 

field (e.g., clinical psychology, social work). All counselors shall be licensed in the state of Ohio. 

Experience in counseling, management consultation, and drug and alcohol assessment expertise is 

required. Certification as an Employee Assistance Professional is a preferred credential. 

5.0 Records, Reports, and Performance Metrics 

All records, reports, and data shall be maintained by the Contractor according to NPR 1441.1 NASA 

Records Retention Schedule and the Privacy Act of 1974, and are the property of the Agency. All 

records (both hard copy and electronic) shall be available for Agency medical quality control review. 

5.1 Medical Records 

The Contractor shall be responsible for the maintenance of accurate and complete medical records of all 

patients and fitness center members. Records shall be used to support required treatments, verification 

of medical clearances, program analysis, compilation of statistical data, determination of individual 

baseline health and progress, and summary of any incidents occurring during facility use inclUding the 

response and patient outcome. 

The Contractor shall maintain an accurate and complete electronic database of patient records as may be 

directed by the COTR. 
12
 

The Contractor will be responsible for assuring employee medical records are secured and confidentially 

maintained. Records shall be maintained in accordance to the following (most current revision): 

Privacy Act 1974 

NPD 1382.17E Privacy Act System of Records (NASA 10HIMS) 

NPD 1830.18, NASA Employee Assis1ance Program 

OSHA record keeping regulations 

Health Insurance Portability and Accountability Act Regulations 

Access to and copies of employees' medical records are permitted upon receipt of a signed release by 

the employee or receipt of a notarized designation by the employee or third party. 

Records shall also be maintained for maintenance, calibration, repair, and replacement of all equipment. 

All medical records (written and electronic) developed during the contract shall be transferred to any 

follow on contractor and shall be subject to the contract clause entitled "Installation Provided Government 

Property". . 

5.2 Reports and Performance Metrics 

All necessary reports/metrics shall be communicated through the chain of command to the appropriate 

source. The Contractor shall have a system in place to trend any emerging patterns. Reports may be 

narrative or statistical in nature and are generally required on a monthly and annual basis, The 

Contractor and the COTR shall periodically review the required tracking elements. Reports shall be 

prepared in accordance with laws, policies and regulations concerning confidentiality. 

The Contractor shall collect and report data and metrics on a monthly basis, The information shall 

summarize performance in each service area of the SOW and include patient satisfaction information. 

The final metric categories shall be submitted for the COTR for concurrence. 

5.2.1 Monthly Technical Report 

The Contractor shall proVide monthly reporting in accordance with the Reports of Work clause of this 

contact The monthly reporting shall include both monthly technical and financial reports. This technical 

report shall consist of a summary of the Contractor's performance for each of the service areas of the 

SOW. A narrative summary and statistical data shall be prOVided. 

The report shall include, but is not limited to, customer satisfaction, number of patients seen for each type 

of exam, immunizations, health screening checks/exams, medical monitoring, injury reports, laboratory, 

x-ray, physical fitness programs, and mental health and counseling services, etc. 

The report shall also include suggested efficiencies of operation and innovative approaches for cost 

saVings, and identification of contract operational concerns. 

The EAP shall track demographics, cases, referrals, and outcome data for individuals and groups. 

5.2.2 Monthly Financial Report 

The Contractor shall provide monthly financial information in accordance with the Reports of Work clause 

of this contact. The Contractor shall include an itemized breakdown of reimbursement for services 

provided to support service contractors. The breakdown shall separate by civil servants, civil servant 

retirees, and support service contractors. 

5.2.3 Annual Contract Report 

The Contractor shall prOVide an annual statistical summary of all monthly reports and analysis of the data. 
13
 

6.0 Government·furnished Equipment 

The Contractor shall make use of Government·furnished equipment to the greatest extent possible. 

The Contractor shall calibrate, maintain, and/or replace equipment to ensure that all equipment is 

serviceable. 

Prior to replacement or repair of equipment, the Contractor shall provide to the COTR a best value 

analysis for all repair/replace or feaselbuy requests. 

The Contractor shall develop a replacement plan for all Government-furnished equipment, both tagged 

and untagged. 

Equipment purchased at $5000 or more and with a service life of 2 or more years is considered tagged 

eqUipment. 

7.0 Maintenance Agreements 

The Contractor shall have maintenance and calibration agreements for the x-ray equipment and other 

equipment. as required. The Contractor shall have software licensing agreements. 

Periodic equipment maintenance of the exercise equipment shall be performed by the Contractor staff or 

through a maintenance agreement. 

8.0 References 

http://ohp.ksc.nasa.gov/policieslindex.html 

NASA Policy Directives (NPD) 

•	 NPD 1800.28 NASA Occupational Health Program 

•	 NPD 1810.28 NASA Occupational Medicine Program 

•	 NPD 1820.18 NASA Environmental Health Program 

•	 NPD 1830.18 NASA Employee Assistance Program 

•	 NPD 1840.18 NASA Workers' Compensation Program 

NASA Procedural Requirements (NPR) 

NPR 1800.1 NASA Occupational Health Program Procedures 

NPR 1810.1 Health Services for International Travel or Assignment w/Change 2 (3129/04). 

•	 NPR 1820.1 Hearing Conservation 

NPR 1840.1 Management of Workers' Compensation Injuries and Illnesses 

NPR 8715.3, NASA Safety Manual, Appendices 

NASA Occupational Health Documents, Guidelines and Checklists 

AED Guidelines 

Critical Incident Stress Management Services Guidelines 

CredentiaJing and Privileging 

Emergency Crash Cart 

Emergency Preparedness for Weapons of Mass Destruction 

Environment of Care 

Infection Control 

Legionella Bacteria Contamination of Potable Water 

Medication Management 

•	 Medical Quality Assurance Program 

•	 Nutrition Technical Bulletin 
14 

•	 Outdoor Laser Policy 

Solar Safe Program 

Miscellaneous 

http://www.gpoaccess.gov/cfr/retrieve.html 

http://www.osha.gov/ 

http://www.usdoj.gov/04foialprivstat.htm 

http://www.grc.nasa.govM.WWJDirectives/1382.1.htm 

9.0 Acronyms 

AED Automated External Defibrillator 

CO Contracting Officer 

COTR Contracting Officer's Technical Representative 

CPR Cardiopulmonary Resuscitation 

EAP Employee Assistance Program 

EKG Electrocardiogram 

FAA Federal Aviation Administration 

GRC Glenn Research Center 

MRO Medical Review Officer 

NEMP Noise Exposure Management Program 

OSHA Occupational Safety and Health Administration 

PAP Papanicolaou 

SHED Safety, Health, and Environmental Division 
15
 

Enclosure 1 - Physical Examine Requirements. 

Minimum requirements for a complete physical examination given every 3 years: 

- Update Family and Past History. 

• Height, Weight, and Vital Signs. 

• Complete Body Examination 

- Hemoccult, over age 45 every year or at any age with significant risk factor history 

· 12 Lead Electrocardiogram (EKG) - baseline and as needed according to risk factors 

- Basic Metabolic and Lipid Panels (complete blood count with differential, urinalysis with microscopy, 

and thyroxin level). 

- Visual ACUity Test and Tonometry. 

• Testing offered during the baseline examination includes an audiogram, chest x-ray, and pulmonary 

function test. Pulmonary function testing includes Forced Vital Capacity, Forced Expiratory Volume 1. 

• A Screening Exercise Cardiac Stress (if indicated by significant personal history or family history and 

examination findings) should be offered (within the clinic, if NASA standards are met). Follow-up will be 

recommended if clinically indicated. 

• Papanicolaou (PAP) test in conjunction with a female pelvic exam 

Minimum requirements for partial physical examinations every year. 

For Women: Over 40 Women: All Ages 

• Lab work • Vital signs, height, weight 

- Visual aCUity - PAP, pelvic, breast, vital signs 

• Tonometry 

• EKG yearly, with risk factors 

- Hemoccull Card, over age 45 or earlier with significant personaVfamily history 

- PAP, pelvic, rectal, and breast examination 

For Men: Over 40 Men: All Ages 

• Lab work - Vital signs, height, weight 

• Vital signs, height, weight • EKG, with risk factors 

- Visual acuity • Testicular examination 

- Tonometry 

- EKG yearly, with risk factors 

- Rectal exam 

- Hemoccult Card, over age 45 or earlier with significant personal/family history 

• Testicular examination 

• Prostate specific antigen test, over age 50 (over 40 if family history) 

Additional Requirements for Physical Examinations: 

The following additional procedures shall be offered only under conditions when necessary or 

determined to be advisable by the examining physician, or dictated by existing standard medical testing 

protocols: 

• Baseline chest x-ray, both posterior anterior and lateral, shall be offered at the time of the employee's 

first health screening in Medical Services. Subsequent x-rays shall be provided when deemed advisable 

by the examining physician. 

- Provide graded exercise stress tests as appropriate to the patient. 

• Pre-employment physicals for candidates as requested by the COTR. 

• Prepare a narrative report for the patient file, which contains all the information in the exam and test 

results. The Contactor shall provide the patient a copy of the examination results. 
ATIACHMENTC 

LIST OF GOVERNMENT·FURNISHED EQUIPMENT (fAGGED AND UNTAGGED) 

TAGGED 

• 2138251 . 341 . 100 DELL COMPUTER CORP . COMPUTER, MICRO	 . MTC2 G3W4G51' S1,27200 04. . . . .. . .. ..	 16-Aug2138252 341 • 100 DELLCOMPUTERCORP • COMPUTER, MICRO • MTC2 • F3W4G51 $1,27200 04. 

. .. ..".RECEIVII'.JGSET,' . , . .. 14-Apr- , 

: 0247592 341 • GYM· VIDEOTEKINC , TELEVISION • RM25 • 03861036A' $910.00 86 , 

MATSUSHITA ELECTRIC CORP OF 15-May· . 

341 GYM • AM • (~AMERA,VIDEO • D6HCOOl15 0248429 i AG150 $1,469.00 • 86 ,
 

. 16-Oct-.
 

01 . 2134248 341 • GYM • DENON AMERICA INC ,PLAYER, COMPACT OlSK l DN-T620 • 1031512176 5599.00 :
 

25-Aug- •
 

• 2007760 15 92 • BENNETT X-RAY CORP · MACHINE, MEDICAL X·RAY	 : B180M4F $24,296.00 • 99 . - -.," . " t ,..,. • B99F3390 . 25~Aug-'

2007761 15 92 .' B.I:I\INE.TT.>.<·RAY CORP • CONTFl()L UNIT•. >'<~RAY., . ) CM-425 · BSP99A0284 $4,500.00 • 99 .
 

19-5ep­

; 213385.2. L 15 102 • HEWLETT-PACKARD (;0 B01SEDIV .' F'RII\IT.E.~,..lJ\~;R...	 • 2200DN JPBGH19893! ~1,.160.00 .• . 01 . . 'i" 

, ; • 19-5ep-, 

: 2133853 15 102 HEWLETT-PACKARD CO BOISE DlV • PRINTER, LASER : 2200DN • JPBGJ29350; $1,160.00. 01 . ........ .....	 ...:... ,....
 .... d ·.... .,•• ; •• •• ·21~Nov~. MEbTRbNfC'PHYSlb~OONtR6C"'''''''''' .,.. ,.. '., , . 

) 2136320 15 102 9981='.. ,' ,... . '. [)E:f.JI3,B.I.l.·1:AT.9f.L .. 'UFEPAK12 '30524125 : $18,118.00' 02' .,.	 . <.......... 02-Jar1~"
 

: G093900 15 102 SPACE SAVER SYS INC . CABINET, ROTARY FILE	 • S4E , $31,170.00: ... 90 ·MEDTRONIC·PHYSio·'cX)NTR6C'..· ..'	 . <............... • NONE • . 07~jul· "
 

; .1406896 15 CORP • DEFIBRILlATOR	 • UFEPAK300 '00007310 : $6,857.00' 94 

: 2046015 15 90 HEWLETT·PACKARD CO BC:l1~EClIV DEFIBRILlATOR	 

j..,'" 

$6,410.00 

. 

·······02~M!u·

, "lKFoo- 00 ' ' 

-

; 1435915 15 96 ~A.flqY;DE. EL.EC;!RQ~9.$II'JC; TREADMILL	 : NONE $10,781.00 ' 95 ' 	 .... .. .. . 15~Feb- .
 

j 1435917 15 96 MARQUETTE ELECTRONICS ";lC CONTRq~ ~P~§P .. ! MAXI NONE 55,000.00 95 

. 29-Apr-' 

: 1110526 15 96 MARQUETTE ELECTRONICS INC ELECTROCARDIOGRAPH	 D1LC2205F $8,500.00 91 . • MAC6 

Attachment	 Total $123,474.00 
UNTAGGED 

Medica! Services Clinic 

Wall-mounted Sphygmomanometer 6 

Free-standing Sphygmomanometer 2 

IVAC Thermometer 

Otoscope/Ophthalmoscope 

Optic Visor 

Portable exam light 

Wall-mounted Exam Light 

4422

1 

Hospital Bed 1 

Upright Scale 

Mayo Stand 

Portable oxygen tank stands 

35

3 

Oxygen tank holder 1 

Wall-mounted x-ray film illuminator 

Exam table 

Portable IV pole 

Crash cart 

24

2 

1 

Stainless steel instrument cart 

Suction machine with stand 

5

1 

Hearing Booth 1 

Audiogram Interpreter 1 

Microscope 1 

X-ray processor 

Titmus vision tester 

1

1 

Tonometry tester 1 

Spirometry printer 1 

Autoclave 1 

Glucometer 

Medtronic CR Plus AED 1 

1 

-

Portable Pulse Ox 

Refrigerator 

1

3 

Puritan Benne" Spirometry 1 

Fitness Center 

NautiJusITro"er Machines: 

• Abdominal crunch 
•	 Bicep cun 

Tricep extension • 

•	 Hip adduction/abduction 

•	 Side lateral raise 

•	 Shoulder press 

•	 Chest press 

•	 Chest fly 

•	 Lateral pull down 

•	 Compound row 

•	 Leg extension 

•	 Leg curl 

•	 Cable crossover 

•	 Gravitron 

Free weights: 

•	 Bench press 

•	 Preacher curls 

•	 Smith machine 

•	 Power rack 

•	 Utility benches - 6; 2 adjustable incline, 3 flat, 1 adjustable decline 

•	 Dumb-bells weight area-52; sizes 20Ibs-100lbs. 

•	 Dumb-bells aerobic area-92; sizes 3lbs-15lbs 

•	 Weight plates-55: sizes 2.5Ibs-45Ibs. 

Cardiovascular equipment: 

•	 9 Treadmills - 2 Life Rtness, 7 Stairmaster 

•	 3 rowers 4)

•	 9 bikes - 5 Lifecydes, 1 Tectrix, 1 Stairmaster, 2 dual fit Mairdynes" 

•	 2 Precor e1lipticalls 

Aerobics equipment: 

•	 14 Step company steps 

•	 58 risers for steps 

•	 1 reebok step 

•	 20 exercise mats 

•	 4 exercise balls 
Stereo Equipment 

• 1 Denon Tuner • 1 Denon CDrrape Deck • 2 Bogen Challenger Equilizer's 

• 1 Audio Level Adjuster • 1 Samson VHftd • 1 Stereo Audio Selector • 1 Power Surge Protector 

• 1 Wireless Mic. Unit 

TV Equipment • 5 TV's • 3 VCR's • 1 TV cart 

Office/Miscellaneous Equipment 

• 1 Automatic External Defibrillator (AED) 

• 2 Competitor Second Hand Wall Mount Clocks 

• 1 Copy Machine 

• 1 refrigerator 

• 1 microwave 

• 1 exercise testing bike 

• 3 weight scales- 1 in office area, 1 women's locker room, 1 men's locker room 

e 
ATIACHMENTH 

PATIENT SATISFACTION SURVEY 

Please take a few minutes to complete the following questions pertaining to TODAY'S visit. Your evaluation provided 

in this survey will help to provide our patients with the best possible medical care. Thank you for your helD. 

REASON FOR YOUR VISIT: OWork Related 

TODAY'S DATE: OAnnual Physical 

Very 

Excellent Good Good Fair 

YOURVI$IT 

a) The ease of making your appointment 

b) The notification if your appointment time changed 

c) The ability to be seen for an unscheduled, walk-in visit 

d) The waiting time in the reception area/exam room 

QURSTAFF 

a) The courtesy of the person who answered your call 

b) The friendliness and courtesy of the receptionist 

c) The caring concern of our staff 

OUR COMMUNICA1"ION WITH YOU 

a) The promptness in answering your phone calls 

b) The availability of medical information/advice 

c) The nurse/doctor returned your calls in a timely manner 

d) The follow up to ensure resolution of your condition 

YQUR VISIT WITH OllR HEALTH CARE PROVIDER 

a) The nurse/doctor listened to you 

b) The thoroughness of the examination 

c) The nurse/doctor adequately explained treatment options 

d) The outcome of treatment prescribed by the nurseldoctor 

YOUR OVERALL SATISFACTION WITH 

a) The quality of your medical care 

b) The respect of your privacy 

c) The confidentiality of your visit I 

PERSONAL INFORMATlON 

(Personal information is optional and voluntary. All responses will be held in strict confidence.) 

NAME: MAIL STOP EXTENSION 

AGE: -­Under 20 __20-39 __40-60 __Over 60 __MALE 

OStress Test 

oPersonal 

Poor NJA 

__FEMALE 

OTHER COMMENTS 
ATTACHMENT K 

94-2415 OH,CLEVELAND 

WAGE DETERMINATION NO: 94-2415 REV (28) AREA: OH,CLEVELAND 

HEALTH AND WELFARE LEVEL - INSURANCE ONLY ··OTHER WELFARE LEVEL WD:94-2416 

REGISTER OF WAGE DETERMINATIONS UNDER I u. S. DEPARTMENT OF LABOR

THE SERVICE CONTRACT ACT I EMPLOYMENT STANDARDS ADMINISTRATION

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

I WASHINGTON D.C. 20210 

I 

I 

I 

I Wage Determination No.: 1994-2415 

William rl'l.Gross Division of I Revision No.: 28 

Director vJage Determinations [ Date Of Revision: OS/23/2005 

-----------------1----------------­

state: Ohio 

Area: Ohio Counties of Ashland, Ashtabula, Cuyahoga, Erie, Geauga, Huron, Lake, 

Lorain, Medina, Portage, Richland, Stark, Summit, Wayne 

··Fringe Benefits Required Follow the Occupational Listing*­

OCCUPATION CODE - TITLE MINIMUM WAGE RATE 

01000 - Administrative Support and Clerical Occupations 

01011 ­

01012 

01013 

01014 

01030 

01050 

01060 

01070 

01090 

01110 

01115 

01116 

01117 

01118 

01120 

01131 

01132 

01191 

01192 

01261 

01262 ­

01263 

01264 

01270 

Accounting Clerk I 

Accounting Clerk II 

Accounting Clerk III 

Accounting Clerk IV 

Court Reporter 

Dispatcher, Motor Vehicle 

Document Preparation Clerk 

Messenger (Courier) 

Duplicating Machine Operator 

Film/Tape Librarian 

General Clerk I 

General Clerk II 

General Clerk III 

General Clerk IV 

Housing Referral Assistant 

Key Sntry Operator I 

Key 3ntrJ Operator II 

Order Cl~rk I 

Order Clerk II 

Persor~.el Assistant (Employment) 

Personnel Assistant (Ernployrr,ent) 

Personnel Assistant (Ernployment) 

Persolli.el Assistant (Employment) 

Production Control Clerk 

11.25 

13 .02 

14.45 

16.26 

16.98 

14.49 

13.53 

9.49 

12.90 

14.27 

9.90 

11.13 

13.04 

13 .86 

17.58 

11.54 

12.90 

12.85 

15,03 

I 12.90 

II 13.85 

III 16.98 

IV 17.58 

17.58 
01290 

- Rental Clerk 

01300 - Scheduler, Maintenance 

01311 - Secretary I 

01312 - Secretary II 

01313 - Secretary III 

01314 - Secretary IV 

01315 - Secretar)' V 

01320 - Service Order Dispatcher 

01341 - Stenographer I 

01342 - Stenographer II 

01400 - Supply Technician 

01420 - Survey Worker (Interviewer) 

01460 - Switchboard Operator-Receptionist 

01510 - Test EXfu~iner

01520 - Test Proctor 

01531 - Travel Clerk I 

01532 - Travel Clerk II 

01533 - Travel Clerk III 

01611 - Word Processor I 

01612 - Word Processor II 

01613 - Word Processor III 

03000 - Automatic Data Processing Occupations 

03010 - Computer Data Librarian 

03041 - Computer Operator I 

03042 - Co~~uter Operator II 

03043 - Computer Operator III 

03044 - Computer Operator IV 

03045 - Computer Operator V 

03071 - Computer Programmer 

03072 - Computer Programmer 

03073 - Computer Programmer 

03074 - Computer Programmer 

I (1) 

II (1) 

III (ll 

IV (ll 

03101 - Computer Systems Analyst I (1)
 

03102 - Corr~uter Systems Analyst II (1)
 

03103 - Computer Systems Analyst III (ll
 

03160 - Peripheral Equipment Operator
 

05000 - Automotive Service Occupations 

05005 - Automotive Body Repairer, Fiberglass 

05010 - Automotive Glass Installer 

05040 - Automotive Worker 

05070 - Electrician, Automotive 

05100 - Mobile Equipment Servicer 

05130 - Motor Equipment Metal Mechanic 

05160 - Motor Equipment Metal Worker 

05190 - Motor Vehicle Mechanic 

05220 - Moter Vehicle Mechanic Helper 

05250 - Mocer Vehicle Upholstery Worker 

05280 - Moter Vehicle Wrecker 

05310 - Pair:ter, Auto:T'.otive 

05340 - Radi~tor Repair Specialist 

05370 - Tire Repairer 

05400 - Trar.smission Repair Specialist 

07000 - Feed Preparaticn and Service Occupations 

(not set) - Fcod Service \'1orker 

07010 - Baker 

07041 - Cook I 

07042 - Cook II 

13 .85 

13 .85 

14.52 

17.05 

18.69 

19.59 

21.72 

13 .85 

12.90 

13.85 

20.27 

13.73 

13 .14 

16.98 

16.98 

10.83 

11.63 

12.47 

13 .40 

15.75 

17.17 

12.57 

12.57 

16.53 

18.61 

21.29 

23.57 

18.29 

20.44 

25.94 

27.62 

27.62 

27.62 

27.62 

12.57 

19.36 

18.02 

18.02 

18.73 

16.45 

19.36 

18.02 

19.36 

15.71 

17.21 

18.02 

18.73 

18.02 

15.89 

19.36 

8.44 

11.47 

10.46 

11.47 
07070 - Dishwasher 8.80 

07130 - Meat Cutter 14.08 

07250 - Waiter/Waitress 9.04 

09000 - Furni tur'e Maintenance and Repair occupations 

09010 - Electrostatic Spray Painter 18.73 

09040 - Furniture Handler 13 .89 

09070 - Furniture Refinisher 18.73 

09100 - Furniture Refinisher Helper 15.71 

09110 - Furniture Repairer, Minor 17 .22 

09130 - Upholsterer 18.73 

11030 - General Services and Support Occupations 

11030 - Cleaner, Vehicles 9.49 

11060 - Elevator Operator 9.96 

11090 - Gardener 12.77 

11121 House Keeping Aid I 9.00 

11122 - House Keeping Aid II 10.35 

11150 - Janitor 12.06 

11210 - Laborer, Grounds Maintenance 10.19 

11240 - Maid or Houseman 8.96 

11270 - Pest Controller 13.59 

11300 - Refuse Collector 12.09 

11330 - Tractor Operator 11. 95 

11360 - Window Cleaner 12.43 

12000 - Health Occupations 

12020 - Dental Assistant 14.26 

12040 - Emergency Medical Technician (EMTl/Paramedic/Ambulance Driver 14.54 

12071 - Licensed Practical Nurse I 12.53 

12072 - Licensed Practical Nurse II 14.08 

12073 - Licensed Practical Nurse III 15.74 

12100 - Medical Assistant 12.13 

12130 - Medical Laboratory Technician 14.96 

12160 - Medical Record Clerk 13.71 

12190 - Medical Record Technician 13.54 

12221 - Nursing Assistant I 8.36 

12222 - Nursing Assistant II 9.39 

12223 - Nursing Assistant III 10.26 

12224 - Nursing Assistant IV 11. 50 

12250 - Pharmacy Technician 12.11 

12280 - Phlebotomist 12.36 

12311 - Registered Nurse I 21. 65 

12312 - Registered Nurse II 24.71 

12313 - Registered Nurse II, Specialist 24.71 

12314 - Registered Nurse III 27.99 

12315 - Registered Nurse III, Anesthetist 27.99 

12316 - Registered Nurse IV 33.51 

13000 - Information and Arts Occupations 

13002 - Audiovisual Librarian 16.56 

13011 - Exhibits Specialist I 17 .01 

13012 - Exhibits Specialist II 19.80 

13013 - Exhibi:s Specialist III 22.82 

13041 Illustrator I 19.13 

13042 - Illustrator r: 23.71 

13043 - r:lustratcr III 27.67 

13047 - L~~rar~an 25.65 

13050 - Li::;rar'l Teclmician 15.24 

13071 - Phc=cgrapher I 14.30 

13072 - Pho=ographer II 17.61 
13073 - Photographer III 20.49 

13074 - Photographer IV 24.24 

13075 - Photographer V 29.32 

15000 - Laundry, Dry Cleaning, Pressing and Related Occupations 

15010 - Assembler 8.18 

15030 - Counter Attendant 8.18 

15040 - Dry Cleaner 10.21 

15070 - Finisher, Flatwork. Machine 8.18 

15090 - Presser, Hand 8.18 

15100 - Presser, Machine, Drycleaning 8.18 

15130 - Presser, Machine, Shirts 8.18 

15160 - Presser, Machine, Wearing Apparel, Laundry 8.18 

15190 - Sewing Machine Operator 10.88 

15220 - Tailor 11. 57 

15250 - Washer, Machine 8.86 

19000 - Machine Tool Operation and Repair Occupations 

19010 - Machine-Tool Operator (Toolroom) 20.02 

19040 - Tool and Die Maker 23.90 

21000 - Material Handling and Packing Occupations 

21010 - Fuel Distribution System Operator 18.12 

21020 - Material Coordinator 18.43 

21030 - Material Expediter 18.43· 

21040 - Material Handling Laborer 13.50 

21050 - Order Filler 11.02 

21071 - Forklift Operator 15.19 

21080 - Production Line Worker (Food Processing) 15.19 

21100 - Shipping/Receiving Clerk 14.23 

21130 - Shipping Packer 14.23 

21140 - Store Worker I 12.26 

21150 - Stock Clerk (Shelf Stocker; Store Worker III 16.07 

21210 - Tools and Parts Attendant 15.19 

21400 - Warehouse Specialist 15.19 

23000 - Mechanics and Maintenance and Repair Occupations 

23010 - Aircraft Mechanic 20.78 

23040 - Aircraft Mechanic Helper 16.86 

23050 - Aircraft Quality Control Inspector 21.54 

23060 - Aircraft Servicer 18.47 

23070 - Aircraft Worker 19.34 

23100 - Appliance Mechanic 18.73 

23120 - Bicycle Repairer 15.89 

23125 - Cab:e Splicer 23.74 

23130 - Carpenter, Maintenance 19.93 

23140 - Caq)et Layer 18.70 

23160 - Electrician, Maintenance 25.76 

23181 - E18ctronics 7echnician, Maintenance I 17.72 

23182 - Electronics Technician, Maintenance II 20.54 

23183 - Electronics Technician, Maintenance III 26.65 

23260 - Fabric Worker 17.21 

23290 - Fire Alarm ;~!,stem !<lechanic 20.09 

23310 - Fire Extinguisher Repairer 16.48 

23340 - F~--:cl Distribution System Mechanic 20.49 

23370 - General Maintenance Worker 18.02 

23400 - Eeiiting, Rc:rigeration and Air Conditioning Mechanic 19.63 

23430 - Hedvy Eqclip::cent Hechanic 19.36 

23440 - Hedvy Equip:nent Operator 21.75 

23460 - 1m; crument r.rechanic 23.32 

23470 - La~crer 13.23 
23500 - Locksmith
 

23530 - r-:achinery Haintenance Mechanic
 

23550 - Machinist, Maintenance
 

23580 - Maintenance Trades Helper
 

23640 - Millwright
 

23700 - Office Appliance Repairer
 

23740 - Painter, Aircraft
 

23760 - Painter, Maintenance
 

23790 - Pipefitter, Maintenance
 

23800 - Plumber, Maintenance
 

23820 - Pneudraulic Systems Mechanic
 

23850 - Rigger
 

23870 - Scale Mechanic
 

23890 - Sheet-Metal Worker, Maintenance
 

23910 - Small Engine Mechanic
 

23930 - Telecommunication Mechanic I
 

23931 - Telecommunication Mechanic II
 

23950 - Telephone Lineman
 

23960 - Welder, Combination, Maintenance
 

23965 - Well Driller
 

23970 - Woodcraft Worker
 

23980 - Woodworker
 

24000 - Personal Needs Occupations 

24570 - Child Care Attendant 

24580 - Child Care Center Clerk 

24600 - Chore Aid 

24630 - Homemaker 

25000 - Plant and System Operation Occupations 

25010 - Boiler Tender 

25040 - Sewage Plant Operator 

25070 - Stationary Engineer 

25190 - Ven~ilation Equipment Tender 

25210 - Watc'r Treatment Plant Operator 

27000 - Protective Service occupations 

(not setl - Police Officer 

27004 - AlarTh Monitor 

27006 - Corrections Officer 

27010 - Court Security Officer 

27040 - Det0ntion Officer 

27070 - Firefighter 

27101 - Guard I 

27102 - Guard II 

28000 - Stevedoring/Longshoremen Occupations 

28010 - Blecker and Bracer 

23020 - Hatch Tender" 

28030 - Li::e Handler 

23040 - Ste~edore I 

28050 - Stevedore II 

29000 - Techr;ical Occl..:.pations 

21150 - Grd~hic Artist 

29010 - Air Traffic Centro I Specialist, Center (2) 

29011 - Air Traffic Centrol Specialist, Station (2) 

29012 - Air Traffic Centrol Specialist, Terminal (2) 

29023 - ArcLeological Tech.'"lician I 

29024 - Archeologica.l Technician II 

29025 - Archeologica.l Technician III 

29030 - Car~cgraphic Tecr~ician

18.73 

21.80 

19.29 

15.71 

27.34 

19,43 

18.73 

21.74 

23.41 

21.18 

20.09 

21. 78 

18.61 

19.36 

18.02 

19.49 

20.19 

20.19 

19.36 

19.36 

20.42 

16.45 

11.14 

13.90 

8.29 

15.66 

20.28 

19.35 

20.28 

16.56 

19.35 

22.03 

14.48 

17.95 

20.31 

17.95 

18.58 

10.20 

14.83 

19.26 

19.26 

19.26 

18.47 

20.11 

20.49 

32.20 

22.21 

24.45 

11. 30 

12.64 

15.66 

24.02 
29035 - COlnputer Based Training (CET) Specialist/ Instructor 29.94 

29040 - Civil Engineering Technician 20.13 

29061 - DraEter I 12.05 

29062 - DraEter II 14.99 

29063 - Drafter III 18.93 

29064 - Drafter IV 23.44 

29081 - Engineering Technician I 14.28 

29082 - Engineering Technician II 16.04 

29083 - Engineering Technician III 18.05 

29084 - Engineering Tec~~ician IV 22.22 

29085 - Engineering Technician V 27.18 

29086 - Engineering Technician VI 32.70 

29090 - Environ~mental Technician 20.50 

29100 - Flight Simulator/Instructor (pilot) 31.08 

29160 - Instructor 23.30 

29210 - Labcratory Technician 19.23 

29240 - Mathematical Technician 19.03 

29361 - Paralegal/Legal Assistant I 16.42 

29362 - Paralegal/Legal Assistant II 20.94 

29363 - Paralegal/Legal Assistant III 25.64 

29364 - Paralegal/Legal Assistant IV 31. 01 

29390 - Photooptics Technician 24.09 

29480 - Tecl~ical Writer 22.48 

29491 - Unexploded Ordnance (UXO) Technician I 20.47 

29492 - Unexploded Ordnance (UXO) Technician II 24.76 

29493 - Unexploded Ordnance (UXO) Technician III 29.68 

29494 - unexploded (UXO) Safety Escort 20.47 

29495 - Unexploded (UXO) Sweep Personnel 20.47 

29620 - Weather Observer, Senior (3) 23.55 

29621 - Weather Observer, Combined Upper Air and Surface Programs (3) 19.70 

29622 - Weather Observer, Upper Air (3) 19.70 

31000 - Transportation/ Mobile Equipment Operation occupations 

31030 - Bus Driver 17.46 

31260 - Parking and Lot Attendant 7.86 

31290 - Shuttle Eus Driver 13.57 

31300 - Taxi Driver 9.67 

31361 - Truckdri'jer, Light Truck 13.57 

31362 - Truckdriver, 11edium Truck 17.32 

31363 - Truc:kdrh'er, Heavy Truck 17.87 

31364 - Truckdriver, Tractor-Trailer 18.95 

99000 - Misce::'laneous Occupations 

99020 - l,nl::cal Caretaker 9.42 

99030 - Cashier 9.70 

99041 - Carnival Equipment Operator 10.11 

99042 - Ca~Dival Equipment Repairer 10.57 

99043 - Carnival Worker 8.34 

99050 - Desk Cler~ 10.13 

99095 - E::nJ:;3.1mer 20.31 

99300 - LiE0guard 10.75 

99310 - Mortician 27.05 

99350 - Pu.!e: ;.':ttO<ldant: (Aide) 13.51 

99400 - Ph:::or::Jfir,i"hinq ;vorker (Photo Lab Tech., Darkroom Tech) 10.00 

99500 - Rec!2a':i:Jn Specialist 14.04 

99510 - Recycling Worker 14.64 

99610 - 5al~s Clerk 10.17 

99620 - S(~I:ccl Crc"sing Guard (Crosswalk Attendant) 10.99 

99630 - 5nc!t Official 10.75 
99658 - Survey Pdrty Chief (Chief of Party) 18.58 

99659 - Surveying Technician IInstr. Person/SUrveyor Asst./Instr.) 15.91 

99660 - Surveying Aide 10.60 

99690 - Swimming Pool Operator 13.99 

99720 - V0nding ~achine Attendant 12.20 

99730 - Vending Machine Repairer 13.99 

99740 - Vending [·lachine Repairer Helper 12.20 

ALL OCCUPATIONS LISTED ABOVE RECEIVE THE FOLLOWING BENEFITS: 

HEALTH & WELFARE: $2.87 an hour or $114.80 a week or $497.47 a month 

VACATION: 2 woeks paid vacation after 1 year of service with a contractor or 

successor; 3 ~eeks 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, wh0revcr employed, and with the predecessor contractors in the 

perfonnance of similar work at the same Federal facility. (Reg. 29 CFR 4.173) 

HOLIDAYS: A minimum of ten paid holidays per year: New Year's Day, Martin 

Luther 

King Jr. 's Birthday. t1ashington' s Birthday, Memorial Day, 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 OCCUPATIm-JS '/iHICH HAVE PARENTHESES JI.FTER THEM RECEIVE THE FOLLOWING BENEFITS
 

(as
 

numbered) :
 

1) Does not apply to employees employed in a bona fide executive,
 

administrativo.
 

or professionQl capacity as defined and delineated in 29 CFR 541. (See CFR
 

4.156)
 

2) APPLICABLE TO AIR TF~FFIC CONTROLLERS ONLY - NIGHT DIFFERENTIAL: An
 

employee is
 

entitled to p~y fer all work performed between the hours of 6:00 P.M. and 6:00
 

A.ro{.
 

at the rate ot basic pay plus a night pay differential amounting to 10 percent
 

of
 

the rate ot t~sic ?ay
 

3) ~'JEATHEF. CESERV2:?S - NIG!1T PAY & SmrDAY PAY: If you work at night as part of
 

a
 

regular to'..lr cZ: d1...:t.y, '1011 "iill earn a night differential and receive an
 

additienal
 

10% of basic I~d:l :cr any hours '!lorked between 6pm and 6am. If you are a full­


time
 

employed (40 J:2U:C:c a ',:eek) and Sunday is part of your regularly scheduled
 

\'lork'Neek.
 
you are paid de 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 DIFFERD~TIAL: 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 ordinance, explosives, and incendiary materials. This 

includes work such as screening, blending, dying. mixing, and pressing of 

sensitive 

ordance, 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 regrading and cleaning of artillery ranges. 

A 4 percent differential is applicable to employees employed in a position that 

represents a l~w degree of hazard when working with, or in close proximity to 

ordance, (or e~~loyees 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 dmnage to inunediate or adjaoent work area or equipment being used. 

All 

operations involving, unloading, storage, and hauling of ordance, explosive, and 

incendiary OnkdI1Ce material other than small arms ammunition. These 

diE f erentials 

are only applicable ~o work that has been specifically designated by the agency 

for 

ordance, explosives, and incendiary material differential pay. 

OCCUPATION NOTES: 

Refuse Collector: The rate Eor the Refuse Collector occupation applies does not 

apply to CUyahoga Count:,r. See "Iage Determination 1966-0048 for the wage rates 

and 

fringe bene: i 1::: f ,"l: Cuyahoga County. 

* * UNIFORM ALLO\'IA.\iCE * * 

If employees are r~quired to wear uniforms in the performance of this contract 

(either by the tern:s of the Government contract, by the employer, by the state 

or 

local law. etc. I. ::w cost of furnishing such uniforms and maintaining (by 

laundering or dry clear:ing) such uniforms is an expense that may not be borne by 

an 

employee where- ~ucr. cost red~ces the hourly rate below that required by the wage 

determination. The- r.::epartr.',ent of Labor will accept payment in accordance wi th 

the 

following star.dar"d,,: iJ.::; c~mpl:'ance:

The contracto~ or ,;ubco~tractor is required to furnish all employees with an 
adequate nunillec of uniforms without cost or to reimburse employees for the 

actual 

cost of the uniEonns. In addition, where unifo~ cleaning and maintenance is 

made 

the responsibility of the employee, all contractors and subcontractors subject 

to 

this wage det('n11ination 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 d rate of $3.35 per week (or $.67 cents per day). However, 

in 

those instances whet"e the uniforms furnished are made of "wash and wear" 

materials, may be rcutlnely washed and dried with other personal garments, and 

do 

not require any spl,cial treatment such as dry cleaning, daily washing, or 

commercial 

laundering in order to neat the cleanliness or appearance standards set by the 

terms 

of the GoverT'.Jl10nt contract, by the contractor, by law, or by the nature of the 

work, 

there is no r0quirel~ent that employees be reiwbursed for uniform maintenance 

costs. 

** NOTES APPLYING TO THIS WAGE DETERMINATION ** 

Under the policy and guidance contained in All Agency Memorandum No. 159, the 

Wage 

and Hour Division does not recognize, for section 41c) purposes, prospective 

wage 

rates and fringe benefit provisions that are effective only upon such 

contingencies 

as "approval of 'o'Jdge and Hour, issuance of a wage determination, incorporation 

of 

the wage detenninaticn in the contract, adjusting the contract price, etc." 

(The 

relevant CBA secticn) in the collective bargaining agreement between (the 

parties) 

contains conti:1gency language that Wage and Hour does not recognize as 

reflecting 

"arm's length ;Legctiat:on" under section 4(c) of the Act and 29 C.F.R. 5.11Ia) 

of the regulations. This wage dete~ination therefore reflects the actual CBA 

wage 

rates and friLJe r~nGfits paid under the predecessor contract. 

Source of Occup~ti~nul Title and Descriptions: 

The duties of "",npl:::yees under jab titles listed are those described in the
 

"Service Contr,:,ct ,\ct Directory of Occupations," Fourth Edi tion, January 1993,
 

as
 

amended by the Third Supplement, dated March 1997, unless otherwise indicated.
 

This
 

publication r'k':'" be :JDt,"1i::ed from the Superintendent of Documents, at 202-783­


3238,
 
or by writing to t:lC' Superintendent of Documents, U.S. Government Printing 

Office, 

Washington, D.C, 20·102, copies of specific job descriptions may also be 

obtained 

from the appropriate contracting officer. 

REQUEST FOR AUTllOR:::ZATION 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 2l:1d 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 cla~sified by the contractor so as to provide a reasonable 

relationship (~,e., appropriate level of skill comparison) between such unlisted 

classifications and the classifications listed in the wage determination. Such 

conformed classes of employees shall be paid the monetary wages and furnished 

the 

fringe benefits as are determined. Such conforming process shall be initiated 

by 

the contractor prior to the performance of contract work by such unlisted 

class(es) 

of employees. The conformed classification, wage rate, and/or fringe benefits 

shall 

be retroactive to the co:mnencement date of the contract. {See Section 4.6 

(C) (vi)}
 

When multiple ~iage 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 proparing a conformance request is as follows: 

1) When prepar~ng the bid, the contractor identifies the need for a conformed 

occupation(s) and CO!l\putes a proposed rate(s}. 

2) After contnlct award. the contractor prepares a "lritten report listing in 

order 

proposed classification title(s), a Federal grade equivalency (FGE) for each 

proposed classific~tion(s), job description{s}, and rationale for proposed wage 

rate(s), including information regarding the agreement or disagreement of the 

authorized repres(~nr:ative of the employees involved, or where there is no 

authorized 

representative, tn,:, Gllplcyees themselves. This report should be submitted to 

the 

contracting officer- ~c later than 30 days after such unlisted class{es) of 

employees 

performs any cc,ntr'c',,;:: 'dor)c 

3) The contracr:.ir:g')ff::'c(,r revie"'ls the proposed action and promptly submits a 

report 

af the action, toge:b~r ','lith the agency's recorrmendations and pertinent 

information incluciir:g '~h(', posi tion of the contractor and the employees, to the 

\'Jage 
and Hour Division, 2rnployment Standards Administration, u.s. Department of
 

Labor,
 

for review. (See section 4.6(b) (2) of Regulations 29 CFR Part 4).
 

4) Within 30 d~ys cf receipt, the Wage and Hour Division approves, modifies, or
 

disapproves the action via transmittal to the agency contracting officer, or
 

notifies the cont:n:tcting officer that additional time will be required to
 

process the
 

request.
 

5) The contracting officer transmits the Wage and Hour decision to the
 

contractor.
 

6) The contractor inforras the affected employees.
 

Information rely.li::'ed by the Regulations must be submitted on SF 1444 or bond 

paper. 

When preparing a conformance request, the "Service Contract Act Directory of 

Occupations· (the Directory) should be used to compare job definitions to insure 

that duties req~cstud 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 whetl:er Q class is included in an established wage determination. 

Conformances may not be used to artificiallY split, combine, or subdivide 

classification2 li~ted in the wage determination.