2. SOW - SAFETY_FOOTWEAR_Sch_A_B_C_D.pdf

SCHEDULE A

SAFETY SHOE FOOTWEAR

STATEMENT OF WORK

The vendor will provide ASTM F2413 compliant safety toe footwear to Fermilab employees at the Batavia, IL laboratory location as described below and listed in Schedules C: Safety Shoe Price Schedule. Medically prescribed corrections and occupationally required options for ASTM F2413 compliant footwear are listed in Schedule D: Occupational/Medical Footwear Price Schedule and must be available as an option when authorized.

Footwear will be dispensed on the Fermilab site by the vendor. Dispensing will be conducted on every other Tuesdays (from 8:00 a.m. to 4:00 p.m.). The vendor will provide an adequate number of personnel to provide continuous service coverage for the entire eight-hour period.

The dispensing facility will be a “shoe mobile” provided by the vendor. The vendor must provide personnel who can perform fit improvements while on-site through the use of a roller, stretchers, pads, or insoles at no additional cost to employees. Exchanges, returns, and credits shall also be the responsibility of these personnel.

The vendor will provide footwear to employees who present a properly completed Fermilab Safety Toe Footwear Request form. The form shall be filled in correctly with all information legible, including the employee’s name and budget code, and shall have the necessary approval signatures indicating the type of safety footwear to be provided to the employee. Fermilab will pay up to $200.00 (allowance) per pair of footwear, as well as additional costs for any medically prescribed corrections or occupationally required options. Employees will directly reimburse the vendor for any other costs.

The vendor will provide at least eight styles of men's footwear and six styles of women's footwear, with a variety of brand name safety footwear. The footwear will be stocked by the vendor in the dispensing facility in a range of sizes which may be expected to accommodate 90% of the population. Employees must be able to choose from the available styles. Employees may also select other styles from the vendor that are ASTM F2413 rated and within the $200.00 allocation (allowance), or they may pay the difference directly to the vendor for options costing more than the allocated amount.

The styles offered on the truck must be similar and the quality equivalent or superior to that of the footwear listed below. For medically prescribed corrections and occupationally required options, see Schedule D.

Item Description Manufacturer Model/Style #

Men’s Style #1 6” insulated boot Avenger A7228

Men’s Style #2 6” leather boot Avenger A8001

Men’s Style #3 10” pull-on Wellington leather boot Wolverine W10702

Men’s Style #4 Dress leather (black and/or brow) Florsheim FS2001

Men’s Style #5 Hiker boot Keen K1023237

Men’s Style #6 Low hiker boot Keen K1023268

SCHEDULE A

Men’s Style #7 Low Top Cross Trainer/Casual shoe Keen K1029118

Men’s Style #8 High Top Cross Trainer/Casual Shoe Keen K1029121

Women’s Style #1 Low Top Cross Trainer/Casual Shoe Puma P640125

Women’s Style #2 Low Top Cross Trainer/Casual Shoe Nautilus N5200

Women’s Style #3 High Top Cross Trainer/Casual Shoe Reebok RB344

Women’s Style #4 Hiker boot Cat CP91009

Women’s Style #5 6” leather boot Avenger A8050

Women’s Style #6 Dress shoe Rockport RK800

Women’s Style #7 6” insulated boot Avenger A8125

Women’s Style #8 10” pull-on Wellington leather boot Avenger A7146

When footwear is ordered by an employee (i.e., it is not immediately available from the stock in the dispensing facility), the vendor will have this footwear available for dispensing no later than two weeks from the date of ordering. Exception: Footwear requiring medically prescribed corrections or occupationally required options must be available no later than three weeks from the date of ordering. (employee notification is required for all special orders). In very few cases the vendor may be called upon to make some emergency deliveries of special-order shoes to laboratory employees, in such cases they are to be done at no extra charge to Fermilab or the employee.

In accordance with FFDG Subcontract Terms and Conditions, permanent substitution of products or materials which are equivalent of those specified will be considered for approval by FFDG. The submittal procedure described elsewhere will be followed, with the following additional conditions:

a) In addition to the required information for the proposed substitute material, the submittal shall contain the same information pertaining to the original specified product for purposes of comparison.

b) The submittal shall explain fully the differences, if any, between the original specified product.

c) The substitute submittal must contain a statement detailing the cost of the proposed substitution,

d) FFDG is the sole judge of the acceptability of the proposed substitution.

e) All substitutions shall be approved in writing before becoming effective in the subcontract.

The vendor will submit monthly invoices to the Fermilab Accounting Department in which at least the name of the employee, the budget code (from the request form), the brand and style of footwear, any special options, and the costs are itemized. If a similar style is substituted, the original contract shoe brand, style, and part number (if applicable) shall be referenced on the invoice in parentheses. In addition, all invoices must comply with FFDG invoice documentation requirements.

SCHEDULE B

SAFETY SHOE MATERIAL SPECIFICATIONS AND SIZE RANGE

Description Width Size Est. Annual Qty.

Men’s Style #1: 45 6” insulated boot, Avenger A7228 M 7-14 or equal W 7-14

Men’s Style #2 45 6” leather boot, Avenger A8001 M 7-14 or equal W 7-14

Men’s Style #3 25 10” pull-on Wellington leather boot M 8-14 Wolverine W10702 or equal W 8-14

Men’s Style #4 25 Dress leather, Florsheim FS2001 D 7-14 or equal E 7-13

Men’s Style #5 35 Hiker boot, Keen K1023237 D 7-14 or equal 2E 7-14

Men’s Style #6 20 Low hiker boot, Keen K1023268 D 7-14 or equal 2E 7-14

Men’s Style #7 20 Low top cross trainer, Keen K1029118 D 7-14 or equal EE 7-14

Men’s Style #8 15 High top cross trainer, Keen K1029121 D 7-14 or equal EE 7-14

Women’s Style #1 15 Low top cross trainer, Puma P640125 B 5-11 or equal

Women’s Style #2 15 Low top cross trainer, Nautilus N5200 M 6-11 or equal W 6-11

SCHEDULE B

Description Width Size Est. Annual Qty.

Women’s Style #3 10 High top cross trainer, Reebok RB344 M 6-12 or equal W 6-12

Women’s Style #4 20 Hiker boot, CAT CP91009 M 5-11 or equal W 5-11

Women’s Style #5 25 6” leather boot, Avenger A8050 M 6-11 or equal W 6-11

Women’s Style #6: 10 Dress shoe, Rockport RK800 M 6-12 or equal W 6-12

Women’s Style #7: 10 6” insulated boot, Avenger A8125 M 6-11 or equal W 6-11

Women’s Style #8: 10 10” pull-on Wellington leather boot M 6-11 Avenger A7146 or equal W 6-11

SCHEDULE C

SAFETY SHOE PRICE SCHEDULE

DESCRIPTION

ANNUAL

EST.

USAGE

BASE

PERIOD

YEAR 1

COST

OPTION 1

YEAR 2

COST

Men’s Style #1: 6” insulated boot, Avenger A7228 or equal 45 Men’s Style #2: 6” leather boot, Avenger A8001 or equal 45 Men’s Style #3: 10” pull-on Wellington leather boot, Wolverine W10702 or equal 25 Men’s Style #4: Dress leather (black and/or brown), Florsheim FS2001 or equal 25 Men’s Style #5: Hiker boot, Keen K1023237 or equal 35 Men’s Style #6: Low hiker boot, Keen K1023268 or equal 20 Men’s Style #7: Low Top Cross Trainer, Keen K1029118 or equal 20 Men’s Style #8: High Top Cross Trainer, Keen K1029121 or equal 15 Women’s Style #1: Low Top Cross Trainer, Puma P640125 or equal (any color) 15 Women’s Style #2: Low Top Cross Trainer, Nautilus N5200 or equal (any color) 15 Women’s Style #3: High Top Cross Trainer, Reebok RB344 or equal 10 Women’s Style #4: Hiker Boot, CAT CP91009 or equal 20 Women’s Style #5: 6” leather boot, Avenger A8050 or equal 15 Women’s Style #6: Dress shoe, Rockport RK800 or equal (black and/or brown) 10 Women’s Style #7: 6” insulated boot, Avenger A8125 10 Women’s Style #8: 10” pull-on Wellington leather boot, Avenger A7146 or equal 10

SCHEDULE D

OCCUPATIONAL/MEDICAL FOOTWEAR UNIT PRICE SCHEDULE

DESCRIPTION

ANNUAL

EST.

USAGE

BASE

PERIOD

YEAR 1

COST

OPTION 1

YEAR 2

COST

OCCUPATIONALLY REQUIRED OPTIONS

Occupational Style #1: Insulated, water resistant pac boot, Refrigiwear RF1700 or similar All sizes 25 Occupational Style #2: Electrically rated waterproof work boot, Keen K1027670 or similar All sizes 20 Occupational Style #3: Waterproof hiker boot, Keen K1020085 or similar All sizes 20 Occupational Style #4: Puncture resistant, electrically rated, waterproof work boot, Timberland TB147592 or similar All sizes 15 Occupational Style #5: Oil resistant, electrically rated, Reebok R3401 or similar All sizes 15 Occupational Style #6: Security, Tactical Sport 2 Tall, E03184 (exact style) All sizes

MEDICALLY PRESCRIBED CORRECTIONS 60

Medical Style #1: Orthotic insert capability, Timberland TB1A1JYQ001 All sizes Medical Style #2: Orthotic insert capability, anti-fatigue/better support, Timberland TB192615214 or equal All sizes Medical Style #3: Better cusion/support, Keen 1020085 or equal All sizes