SCOPE OF WORK. DCMA requires OH/MS and HP&W services for approximately 12,000 employees worldwide. Most of these employees are located in concentrations around approximately 42 cities, the vast majority of which are in the continental United States. Approximately 4,500 employees in the occupational medical surveillance program are in the continental United States and approximately 170 employees in the occupational medical surveillance program are located outside the continental United States. An estimated medical workload matrix is listed in Appendix A, and a complete matrix of geographical locations with numbers of employees and services required are listed in Appendix B. Special notice is directed to the international locations where services must be provided although employee dispersion is much greater than the continental United States. REQUIREMENTS. The contractor shall provide fully qualified personnel. The contractor shall be responsible for certifying that they meet all required personnel qualifications/certifications. All personnel, back-up personnel, management, and supervisors' necessary credentials, such as resumes, licenses, and certification associated with his or her position in their proposal shall be provided to the Contracting Officer (KO). Physicians who will provide services must be properly licensed to practice medicine in the states or locations where the services are provided. A board-certified Occupational Health Physician (OHP) must oversee the program. The board-certified Physician shall act as a Medical Review Officer and shall have a Doctor of Medicine degree or Doctor of Osteopathy degree and be appropriately licensed for the respective state. Nurses shall be graduates of accredited nursing programs and licensed to practice in the respective state/location. They shall be capable of performing portions of physical examinations such as, but not limited to phlebotomy, blood pressure, EKG, vision, hearing, and spirometry; administering immunizations, inoculations, and medications; maintaining records in accordance with the contract; counseling employees on varied health subjects (e.g., such as but not limited to nutrition, communicable diseases, and home care of injuries/illnesses). The nursing staff shall also have the capability to support the OSH staff in conducting ergonomic surveys, providing resultant recommendations, supporting hearing conservation program through medical examinations and fit testing of hearing protection equipment, and supporting the respiratory protection program through medical examinations and fit testing of respirators. The HP&W professionals shall have credentials or certifications to perform health education, training, health risk assessments and screenings, counseling, promotion, as appropriate. At a minimum, all services provided under this contract shall comply with applicable OSHA standards. All interpretations of standards involving OSHA compliance shall rest with the COR. Shall Manage Medical Surveillance Process. The medical surveillance process includes collection of pertinent data, evaluation of the data, occupational health review and determination of medical service requirements, accomplishment of those requirements, and subsequent occupational health review of the results with recommended actions. Shall design a web-based Data Collection Form (DCF) for collection of exposure data. DCFs will be collected electronically from employees within 30 days of employment or reassignment, and annually by birth date. Employees must receive a DCF in sufficient time prior to birth month to permit timely completion and submission of the form for all exams to be conducted during the employee's birth month. The DCF will be matched to the current databases. The DCF data elements are listed at Appendix C. Unless otherwise determined by the COR, execution of the DCF will be accomplished during the first year of the contract award