CUI

PERFORMANCE WORK

STATEMENT

FOR

Motor Fuel Dispenser

Preventative Maintenance

PREPARED BY:

66 ABG/CEOES

22 January 2026

Table of Contents:

1. Description of Services

1.1. Scope

1.2. Requested Services

1.3. Quality Assurance

1.4. Continuation of Essential Services

1.5. Hours of Operation

1.5.1. Holidays

1.6. Listing of Contractor Employees

1.7. Environmental Protection and Safety

1.8. Hazardous Waste:

1.9. Spills:

1.10. Housekeeping:

1.11. Privately Owned Motor Vehicles (POV):

1.12. Visitor Pass:

1.13. Foreign National(s):

1.14. Health and Safety on Government Installation:

1.15. Emergency Procedures:

2. SERVICE SUMMARY

3. GOVERNMENT-FURNISHED PROPERTY AND SERVICES.

4. REGULATIONS

1. Description of Services:

1.1. Scope: The contractor shall provide all management, labor, tools, equipment, test equipment, supplies, personal protective equipment, parts, transportation and other incidentals necessary to travel to Hanscom AFB, MA and perform Motor Fuel Dispenser Preventative Maintenance

(PM). The contractor shall be responsible for ensuring all services and parts provided under this contract are in accordance with the terms and conditions outlined herein and conform to the manufacturer’s equipment specifications. The fuel pumps are located at Building 1642 and they only service government vehicles. Preventative Maintenance is servicing and inspecting all the components in Appendix A. If repairs need to be made, the contractor will contact the

COR and CEOES will determine course of action.

The period of performance (POP) for this contract is for a base and four option years.

The following identifies the year and its corresponding period of performance:

Base Year: 26 Sept 2026 to 25 Sept 2027

Option Year 1: 26 Sept 2027 to 25 Sept 2028

Option Year 2: 26 Sept 2028 to 25 Sept 2029

Option Year 3: 26 Sept 2029 to 25 Sept 2030

Option Year 4: 26 Sept 2030 to 25 Sept 2031

1.2. Requested Service: Civil Engineering (CE) has a need from a contractor to perform preventative maintenance on motor fuel dispensers at Building 1642, 70 Chenault St. Hanscom

AFB, MA 01731. Preventative maintenance services required can be found in be Appendix A along with the frequency schedule. To successfully complete routine preventative maintenance, manufactures recommend two gasoline and one diesel pumps.

Appendix A:

Components ScheduleFrequency Recommended Maintenance Who Performs the

Inspection/Repair Stainless Steel sheathing and lower doors

Monthly For stains on stainless steel, use a cleaner specifically, formulated for cleaning stainless steel. Gasboy recommends Bar Keepers Friend®. Ensure that you thoroughly rinse off all cleaner. Ensure that you do not spray water/cleaner directly at or into card readers, cash acceptors, or printer chutes.

Monthly inspection by Authorized Service Center

(ASC)

Hoses, swivels Monthly 1 Inspect each hose for leaks abuse and excessive ·wear.

2 Inspect each hose, break away, whip hose, and vapor hose for the following wear or damage:

• Bulges Reinforcement showing

• Cracks - Soft spots

• Damage - Tears

• Flattened spots - Weaknesses

• Holes - wear through 3 Ensure that the vapor recovery hoses do not touch the ground when the nozzle is seated properly in the nozzle boot.

4 Consult the manufacturer for any additional inspections required.

5 If repair is required, call an ASC.

Monthly inspection by ASC

Components ScheduleFrequency Recommended Maintenance Who Performs the Inspection/Repair

Hose retrievers Monthly 1 Inspect hose retrievers for frayed or broken cables 2 Inspect hose retrievers for cables wrapped around hoses.

3 If repair is required, call an ASC.

Nozzles and boot area Monthly 1 Inspect nozzles for the following wear or damage:

•Damage •Leaks

• Loose nozzle spouts

• Missing parts, such as retainer springs and splash guards

• ASC only- Repair and test

Leaks, external Monthly 1 Inspect the following for any signs of damage or leaks, such as cracks or cuts:

·Couplings

• Hose outlet castings •Swivels 2 Review all documentation provided by each component's manufacturer.

3 If you find any leak, stop using the pump/dispenser and make arrangements to repair the leak.

Monthly inspection by ASC

Displays (Electro/Mechanical Units)

Monthly 1 Inspect displays for proper reading of all digits.

2 Verify that displays are properly backlit.

• ASC Repair and test

Breakaways Monthly 1 Inspect breakaways for secure connection to hose and for any leaks.

Monthly inspection by ASC

Warning tags and operating instructions

Monthly Inspect for and replace all missing, damaged, or unreadable warning tags or operating instructions.

ASC-Replace

Hose continuity Monthly Verify that the hose continuity (including breakaway whip hose) complies with the hose manufacturer's requirements.

Meters, Valves Monthly 1 Whenever possible, Gasboy recommends removing power to the unit before performing these inspections.

2 Block off the pump/dispenser to prevent customers from operating the pump/dispenser during inspection.

3 Remove the lower panels slowly and carefully.

4 Inspect all hydraulic connections and seals, including the following:

·Meters •Valves 5 If wetness or dripping fuel is found, stop using the pump/dispenser and make arrangements for repairing the leak.

Note: Some staining of parts around seals is normal and does not necessarily indicate a leak.

6 Monitor repaired components closely.

Monthly inspection by ASC

Filter change and strainer cleaning

New Installations – After 50,000 gallons (200,000 liters), or after one month After first filter change-Every 300,000 gallons (1.0 million liters), every six months, or when fuel delivery rate significantly slows.

Replace filters, and clean strainers regularly. An ASC must perform these tasks.

ASC Only

Components ScheduleFrequency Recommended Maintenance Who Performs the Inspection/Repair

Inspect and lubricate shear valves

Every six months To inspect valve operation, perform the following tasks. If you are not sure which device is the shear valve, have the ASC inspect and lubricate this device for you.

Note: Shear valves are typically only used on dispensers. If you have pumps, consult your installer to determine if they were installed on your pump.

Trip the valve 2 Authorize the hose at the console, if required.

3 ·Lift the operating handle.

4 Place the discharge nozzle in an approved container.

5 Squeeze the nozzle operating lever. If flow continues after several seconds, the valve is defective.

6 Place a few drops of SAE10 oil on valve body shaft.

7 Open and close valve with a wrench several times.

8 Place valve back in service.

9 If repair is required, call an ASC.

• ASC only

1.3. Quality Assurance: According to the contract’s inspection clause, the government will evaluate the contractor’s performance under this contract. The COR is a representative of the

Contracting Officer (CO) and will participate in the administration of this contract. Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the CO. All services to be performed by the contractor will be subject to review by the CO or

COR.

1.4. Continuation of Essential Services during Crisis: This requirement has been determined not to be essential and does not require continued support during a crisis as defined in DFARS

Clause 252.237-7023.

1.5. Hours of Operation: The contractor shall perform work Monday thru Friday, under this contract during the following hours: 07:30 a.m. until 4:00 p.m., excluding Federal Holidays.

Work required to be performed outside of these hours shall only be done after approval from the contracting officer.

1.5.1. HOLIDAYS. Hanscom AFB recognizes the following holidays:

New Year’s Day - 1 January

Martin Luther King Day - 3rd Monday in January

Washington’s Birthday - 3rd Monday in Feb

Memorial Day - last Monday in May

Juneteenth – June 19th

Independence Day - 4 July

Labor Day - 1st Monday in September

Columbus Day - 2nd Monday in October

Veteran’s Day - 11 November

Thanksgiving Day - 4th Thursday in November

Christmas Day - 25 December

1.6. Listing of Contractor Employees: The contractor shall provide an initial listing of contractor employees’ names and position titles to CO and COR prior to contract start date. The contractor shall also provide an updated listing of personnel to the CO and COR within ten (10) work days when employees affecting the work of this contract have a status or position change.

All work will be performed by personnel who are trained and qualified for the systems and equipment associated with inspecting and repairing fuel pumps.

1.6.1. The contractor shall not employ persons on this contract if such employee is identified to the contractor as a potential threat to the health, safety, security and general well-being or operational mission of the installation and its population. The contractor shall not employ any person who is an employee of the United States Government if the employment of that person would create a conflict of interest, nor shall the contractor employ any person who is an employee of the Department of the Air Force, either military or civilian, unless such person seeks and receives approval according to the DoD 5500.7-R Joint Ethics Regulations (JER). In addition, the contractor shall not employ any person who is an employee of the Department of the Air Force if such employment would be contrary to the policies contained in AFI 64-106, Air Force Industrial

Labor Relations Activities. The contractor shall be prohibited from employing off-duty COR’s who are surveilling any contracts/subcontracts awarded to the Contractor. All contract employees depending on particular condition, occasion or place, or job assignment shall require professional, suitable attire. All contractor employees shall conduct themselves in a professional, courteous manner. The selection, assignment, reassignment, transfer, supervision, management, and control of contractor employees in performance of this PWS shall be the responsibility and prerogative of the contractor; however, the contractor shall comply with the requirements set forth in this PWS and Hanscom AFB regulations concerning conduct of employees as referenced herein. The contractor shall employ and maintain a technically trained and experienced work force.

1.7. Environmental Protection and Safety: The contractor shall be knowledgeable of and comply with all applicable federal, state and local laws, regulations and requirements regarding environmental protection and occupational safety and health. The contractor shall comply with any laws or regulation changes during the term of this contract. The contractor shall follow manufacturer’s guidelines and professional recommendations for control of humidity, temperature, cleanliness and materials handling (including hazardous materials).

1.8. Hazardous Waste: Contractor shall dispose of any hazardous waste and comply with all applicable federal, state and local laws, regulations and requirements.

https://dodsoco.ogc.osd.mil/Portals/102/Documents/Issuances/JER%20and%20Directives/JER%20May%2015%202024.pdf

1.9. Spills: Upon occurrence of any spills that could enter the storm drain system or cause any harmful environment effects, the contractor shall immediately call 911 to report the incident.

When possible, the contractor shall use a base telephone to receive help from Hanscom AFB 911.

If using a cell phone, request Hanscom AFB 911. The contractor shall report all environmental violations to the COR. The contractor shall submit a typed or written report about the incident within four (4) hours of the incident occurance. The contractor shall provide five (5) copies of the written report. The contractor shall provide one copy to the CO, two copies to the COR, a copy for Unit Environment Coordinator (UEC) and a copy for record. The format of the report shall be left up to the contractor, but the report shall contain the following information.

1.) Name and contact number of person reporting the spill

2.) Date and time of incident

3.) Location and source of spill

4.) Substance or pollutant spilled

5.) Amount spilled and the rate of discharge

6.) Any damages or injuries involved

7.) Extent of the area impacted

8.) Potential hazards

9.) Action taken

10.) Organizations contacted

11.) Remarks Section - that addresses the incident that occurred and cause of the spill (e.g.

human error equipment) and whether 911 was called and which agencies responded.

1.10. Housekeeping: The contractor shall keep the work areas clean and neat in accordance with Industry Standards, Occupational, Safety and Health Administration (OSHA), fire and safety standards and this PWS.

1.11. Privately Owned Motor Vehicles (POV): Contractor personnel shall comply with the directives pertaining to operation of POVs on Hanscom AFB per DAFI 31-204 (in its entirety), Motor Vehicle Traffic supervision.

1.12. Visitor Pass: The Contractor shall comply with requirement and procedures in section 4 of the PWS for more information on Contractor Access to Air Force Installations. Prior to coming to Hanscom AFB to perform any work, Contractor shall contact the Civil Engineering Government

Representative to coordinate access to the base as well as to the building (s) where the work shall be performed. A list of the names of the workers shall be required to gain access, and passes shall be distributed at the visitor’s building at Vandenberg Gate. Workers shall have a REAL ID-compliant driver’s license, REAL ID-compliant state identification card or valid passport. If you bring a vehicle on base, the Contractor will need proof of registration and insurance of that vehicle. Contractor employees must have identification that readily identifies them as contractors. During the contract, certain areas/sites may be restricted or closed to Contractor personnel. The Contractor shall comply with all requirements for entry. In addition, unscheduled gate closures may occur at any time and personnel entering or exiting the installation may experience delays. For more information on installation access, please reference the following website: https://www.hanscom.af.mil/Units/66th-Security-Forces-Squadron/

1.13. Foreign National(s): The contractor shall notify the COR before sending a Foreign

National representative to perform services. Special rules apply for foreign national(s) visiting a

US Government facility. More information on Foreign National access can be found at the following website: https://www.hanscom.af.mil/Units/66th-Security-Forces-Squadron/

1.14. Health and Safety on Government Installation: In performing work under this contract on a Government installation, the contractor shall comply with federal, state and local regulations regarding occupational safety and health and the specific health and safety requirements established by this contract.. The contractor shall notify the COR of any injuries that occur to contractor personnel while on the installation. The contractor shall notify the COR of damage to government property or equipment during the execution of the contract.

1.15 Emergency Procedures: Contractor employees shall follow the direction of Government employees in regards to emergency evacuation procedures, i.e. fire, tornado, active shooter and bomb threats. It is the contractors’ responsibility to account for their employees following an emergency evacuation. Contractor personnel shall participate with government personnel in all fire and tornado drills and at no additional cost to the government.

Note

Calling 911 from a cell phone will be received by off base emergency 911 system, causing a delay in response time by emergency personnel. When possible, use a base telephone to receive on-base help.

SECTION 2

Performance Assessment

The contractor shall be aware that in the absence of any contract requirement from the Service

Summary does not detract from its enforceability nor limit the rights or remedies of the government under any other provision of the contract. The contractor shall ensure the following service summary requirements are accomplished.

2.0. SERVICE SUMMARY.

SS

PERFORMANCE

OBJECTIVE

PWS

PARAGRAPH

PERFORMANCE

THRESHOLD

SS 1.

Monthly Inspections

1.2

100% Compliance

SS 2.

Six Month Inspections

SS 3.

Filter Change and Strainer Cleaning

3. GOVERNMENT-FURNISHED PROPERTY AND SERVICES.

3.1. The government will provide general on base Security Forces service. The Security Forces’ telephone number is 911 for emergencies, for crime in progress 781-225-5613 and 781-225-5613 for non-emergency calls.

3.2 The government will provide general on-base fire protection services. The contractor shall comply with fire prevention rules and regulations enforced by the Hanscom AFB Fire Prevention

Branch. Call 911 for emergencies. For routine fire prevention matters and/or calls to dispatch, call 781-225-3330.

3.3. The government will provide 24 hour on-base state certified paramedic level emergency response and patient transport services for contractor personnel who are injured or become seriously ill while on Hanscom AFB. The telephone number is 911 for emergencies.

4. REGULATIONS

4.1. ELIMINATION OF USE OF CLASS I OZONE DEPLETING SUBSTANCES (ODS)

a) Contractors shall not:

1) Provide any service or product with any specification, standard, drawing, or other document that requires the use of a Class I ODS in the test, operation, or maintenance of any system, subsystem, item, component, or process; or

a. Provide any specification, standard, drawing, or other document that establishes a test, operation, or maintenance requirement that can only be met by use of a Class I ODS as part of this contract/order.

2) For the purposes of Department of the Air Force policy, the following products that are pure (i.e., they meet the relevant product specification identified in AFI 32-

7086[AR2] ) are Class I ODSs:

a. Halons: 1011, 1202, 1211, 1301, and 2402;

3) Chlorofluorocarbons (CFCs): CFC-11, CFC-12, CFC-13, CFC-111, CFC-112, CFC-

113, CFC-114, CFC-115, CFC-211, CFC-212, CFC-213, CFC-214, CFC-215, CFC-

216, and CFC-217, and the blends R-500, R-501, R-502, and R-503; and

a. Carbon Tetrachloride, Methyl Chloroform, and Methyl Bromide.

4.2. HEALTH AND SAFETY ON GOVERNMENT INSTALLLATIONS

In performing work under this contract on a Government installation, the contractor shall:

1. Take all reasonable steps and precautions to prevent accidents and preserve the health and safety of contractor and Government personnel performing or in any way coming in contact with the performance of this contract; and

a. Take such additional immediate precautions as the contracting officer may reasonably require for health and safety purposes

2. The contracting officer may, by written order, direct Department of the Air Force

Occupational Safety and Health (AFOSH) Standards and/or health/safety standards as may be required in the performance of this contract and any adjustments resulting from such direction will be in accordance with the Changes clause of this contract.

3. Any violation of these health and safety rules and requirements, unless promptly corrected as directed by the contracting officer, shall be grounds for termination of this contract in accordance with the Default clause of this contract.

4.3 Contractor Access to Department of the Air Force Installations

• The contractor shall obtain base identification and vehicle passes, if required, for all contractor personnel who make frequent visits to or perform work on the Department of the Air Force installation(s) cited in the contract. Contractor personnel are required to wear or prominently display installation identification badges or contractor-furnished, contractor identification badges while visiting or performing work on the installation.

• The contractor shall submit a written request on company letterhead to the contracting officer listing the following: contract number, location of work site, start and stop dates, http://static.e-publishing.af.mil/production/1/af_a4/publication/afi32-7086/afi32-7086.pdf http://static.e-publishing.af.mil/production/1/af_a4/publication/afi32-7086/afi32-7086.pdf https://usaf.dps.mil/sites/AFCC/AQCP/KnowledgeCenter/SitePages/DAF-Contracting-Compass/Part-23---Environment,-Sustainable-Acquisition,-and-Material-Safety.aspx?CID=dc7c8322-d1f4-42a2-9d82-62dcc05ddf79#_msocom_2 and names of employees and subcontractor employees needing access to the base. The letter will also specify the individual(s) authorized to sign for a request for base identification credentials or vehicle passes. The contracting officer will endorse the request and forward it to the issuing base pass and registration office or Security Forces for processing. When reporting to the registration office, the authorized contractor individual(s) should provide a valid driver’s license, current vehicle registration and valid vehicle insurance certificate to obtain a vehicle pass.

• During performance of the contract, the contractor shall be responsible for obtaining required identification for newly assigned personnel and for prompt return of credentials and vehicle passes for any employee who no longer requires access to the work site.

• When work under this contract requires unescorted entry to controlled or restricted areas, the contractor shall comply with [insert any additional requirements to comply with DAFI 31-101, Integrated Defense, and DODMAN5200.02_DAFMAN 16-1405 , Air

Force Personnel Security Program] citing the appropriate paragraphs as applicable.

• Upon completion or termination of the contract or expiration of the identification passes, the prime contractor shall ensure that all base identification passes issued to employees and subcontractor employees are returned to the issuing office.

• The contractor shall provide an after-hours contact number or after-hours email in the

Emergency Mass Notification System (EMNS) for each of their personnel, whose normal place of duty is on a DoD installation or within a DoD facility. The contractor shall comply with any additional requirements in DAFMAN 10-206 for emergency operational reporting. Foreign Nationals may participate and may remove themselves from the

Emergency Mass Notification System at any time. To update information, personnel can access the globe icon on their system desktop screens and choose the “Access Self-

Service” option.

• Failure to comply with these requirements may result in withholding of final payment.

~ END of PERFORMANCE WORK STATEMENT ~ https://static.e-publishing.af.mil/production/1/af_a4/publication/dafi31-101/controlled_unclassified_information.pdf https://static.e-publishing.af.mil/production/1/saf_aa/publication/dodman5200.02_dafman16-1405/dodm5200.02_afman16-1405.pdf https://static.e-publishing.af.mil/production/1/saf_aa/publication/dodman5200.02_dafman16-1405/dodm5200.02_afman16-1405.pdf