36C24718Q9650-001.docx

PERFORMANCE BASED WORK STATEMENT

Annual Inspection, Testing and Certification Medical Gases

1. GENERAL:

The Contractor shall provide all plant, labor, equipment, materials, supervision, repair/replacement parts and transportation necessary to perform annual medical gases and vacuum systems inspections, testing and certification at the Department of Veterans Affairs, William Jennings Bryan Dorn (WJBD) Veterans Administration Medical Center (VAMC) located at 6439 Garners Ferry Road in Columbia, South Carolina.

2. BACKGROUND:

The WJBD VAMC is a 216-bed facility, encompassing acute medical, surgical, psychiatric, and long-term care. The hospital is located in Columbia, South Carolina and provides primary, secondary, and some tertiary care. Annual the medical center serves approximately 63,000 patients. Satellite outpatient clinics are located in Anderson, Florence, Greenville, Orangeburg, Rock Hill, Sumter, and Spartanburg, South Carolina.

3. PERIOD OF PERFORMANCE:

4. PLACE OF PERFORMANCE:

William Jennings Bryan Dorn VA Medical Center in Columbia, South Carolina in Buildings 100, 100A, 103, 114-MRI.

5. SCOPE:

a. The Contractor shall provide all plant, labor, equipment, materials, supervision, repair/replacement parts and transportation necessary to perform annual medical gases and vacuum systems inspection, testing and calibration.

b. The Contractor shall test and certify all alarms associated with systems panels, outlets in rooms and treatment areas (approximately 1660), require inspection, testing and certification, zone valves, manifolds, pumps and compressor systems.

c. The Contractor shall make minor repairs to outlets that are found to be defective during the inspections, in order to test and certify the outlet.

d. Tests shall be conducted in accordance with NFPA and hospital procedures.

e. The Contract shall provide a detailed report documenting test results and findings by location.

f. All parts provided by the Contractor shall be new and made by the original equipment manufacturer for the specific equipment.

g. The Contractor shall contact Joseph Blackwell, Maintenance Foreman to schedule inspections, testing, and certification work.

6. CONTRACT PERFORMANCE MONITORING

The government reserves the right to monitor service in accordance with Performance Based Matrix.

7. INVOICES:

Payment will be made upon receipt of properly prepared detailed invoice, prepared by the Contractor, validated by the Contracting Officer’s Representative (COR) and submitted to VA FSC, PO Box 149971, Austin, TX 78714 A properly prepared invoice will contain:

· Invoice Number and Date

· Contractor’s Name and Address

· Accurate Purchase Order Number

· Supply or Service provided

· Total Amount Due

8. POINT OF CONTACT:

Determined at Award

9. RECORDS MANAGEMENT LANGUAGE FOR CONTRACTS

The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

a. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

b. Contractor shall treat all deliverables under the contract as the property of the U.S. Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

c. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

d. Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected by the Freedom of Information Act.

e. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

f. The Government Agency owns the rights to all data/records produced as part of this contract.

g. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

h. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

i. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

j. Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.