36C24218Q0447-001.docx

Statement of Work

I- Introduction/Description of Work

This is a firm fixed-price contract to include four (4) option years to conduct qualitative respiratory fit test and training for N-95 particulate respirators and training for Powered Air Purifying Respirators (PAPR), located at the VA Western New York Healthcare System (VAWNYHS) Buffalo VA Medical Center, 3495 Bailey Avenue, Buffalo, NY 14215.

II- Period of Performance

The base period of performance for this contract shall begin on May 15, 2018 with a completion date of March 31, 2019 for the base year with four additional option periods through March 31, 2023 that may be exercised at the discretion of the Government. All fit tests and training shall be completed within 3 months of the award/effective date for the base year and all subsequent options years to follow.

III- Scope of Work

1. The contractor shall furnish all labor, tools, and equipment to include all associated costs; such as instructors/trainers, office supplies, computers, testing equipment, transportation, fuel surcharges, food, and lodging, necessary to provide:

a. Medical clearance, onsite initial and/or reoccurring annual fit test and training on an N-95 respirator to initially and/or annually train and fit-test facility and shall not exceed 600 personnel.

b. Provide training for the powered air purifying respirator (PAPR) for personnel who cannot achieve a fit test in an N-95 or who choose to use the PAPR and shall not exceed 50 personnel.

2. The respiratory fit test and training shall be conducted in accordance with compliance requirements as set forth in:

a. Occupational Safety and Health Administration (OSHA) 1910.134

b. Morbidity and Mortality Weekly Report (MMWR) Guidelines for Preventing the Transmission of Mycobacterium tuberculosis in Health-Care Settings

c. Department of Veterans Affairs Veterans Health Administration SCVAHCN Policy Memorandum No. 64

d. U.S. Department of Health and Human Services (DHHS) National Institute for Occupational Safety and Health (NIOSH) Publication No.99-143.

3. RESPONSIBILITIES: The contractor shall be responsible for full compliance with any and all applicable, federal, state, and local government policies, regulations, procedures, specifications, etc., that apply to work of this nature. In addition, the contractor must obtain and keep current all licenses, OSHA training, permits, etc., that may be required by the above mentioned agencies to accomplish the work. The contractor shall provide a sign in sheet identifying all attempted fit tests. The contractor shall document all completed fit tests using VAWNYHS provided documentation. Documents will be provided to the Program Administrator daily. The VAWNYHS document will include:

(a) Last Name

(b) First Name

(c) Department

(d) Size of Respirator

(e) Type of Respirator

(f) Type of Test Performed

(g) Fit Test Date

(h) Fit Tester

4. WORK HOURS – Main Hospital: Contracting Officer's Representative (COR) in coordination with the contractor will schedule all work performed to include weekend work (Saturday or Sunday) and testing times to include shift changes in early morning, mid-afternoon and mid-nights on mutually agreed upon dates upon receiving an initial request from the COR at least 3 business days prior to the requested training date. Contractor shall provide the COR with the names of employees and contact information (i.e., phone numbers and emails, etc.) that will be performing the respirator training at VAWNYHS sites, as soon as possible or at least 72 hours before arriving on premises. Work shall not be scheduled on federal holidays. Federal holiday’s shall be defined as:

a. New Year’s Day

b. Memorial Day

c. Columbus Day

d. Christmas Day

e. Martin Luther King Day

f. Independence Day

g. Veteran’s Day

h. President’s Day

i. Labor Day

j. Thanksgiving

IV- VA Regulations

1. The Contractor's employees and/or subcontractors approved by the COR shall wear visible identification at all times while on the premises of the VAMC. Identification shall include but not be limited to a company identification card, which shall include the company name, employee name, title, and a photograph of the employee. All employees of the Contractor or Subcontractor providing services to the Government must wear a company uniform identified with the company name and/or logo. Uniforms must be neat and clean at all times while working the VA premises and will be approved by the COR. All contractor employees are required to obtain a temporary VA ID. This ID shall be displayed at all times while on the premises of the VAMC.

2. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

3. Due to the nature of working at a Government facility, the Contractor's staff may be required to sign in and out each day before entering the facility, as mandated by the VA Police. Further, the contractor may be asked to show valid identification provided by the VA before entry is granted. Contractor may call ahead to the VA Police at specific stations to verify what is necessary for admittance.

4. The Contractor agrees that none of its officers or employees shall use or reveal any research, statistical, medical, or security information which may be obtained during the performance of the work or as a result their presence on Government premises without the written consent of the Government

5. Smoking is prohibited inside any buildings at the VAMC. Outdoor smoking is only permitted in designated areas.

6. Possession of weapons is prohibited.

7. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.