STATEMENT OF WORK.docx

STATEMENT OF WORK

Dental Air Compressor Fort Roots VA Central Arkansas Veterans Healthcare System (CAVHS) North Little Rock, AR

1. Background: We have two compressors that are used during dentist operations. We’ve now lost redundancy due to one of the air compressors going down. The remaining compressor is now running continuously. Due to its age, the likelihood of it failing is extremely high. If the remaining air compressor fails before we can replace the inactive one, the entire dental clinic will have to be closed. The Central Arkansas Veterans Healthcare System (CAHVS) dental clinic provides dental service to veterans throughout Arkansas. Appointments will be rescheduled and new ones cannot be accepted until repairs are made, causing CAHVS to fail its mission.

2. Scope: Contractor shall provide and deliver the necessary equipment to replace the inactive Dental Air compressor at the Fort Roots VA in North Little Rock Arkansas.

3. Delivery: The Contractor shall deliver the following:

· Quincy Model QOF-15 Oil-Free Rotary Scroll Air Compressor

· SPECIFICATIONS:

Horse Power: 15 total (2) 7.5 HP units Capacity: 31.8 CFM Discharge Pressure: 145 PSIG Electrical: 460 volt, 3 phase

· FEATURES:

Small foot print Very low noise level Oil-free class zero certified air High efficiency inlet air filter Premium efficiency IP 55 drive motor Base Mounted

4. General Requirements:

· Must ensure the product follows VA Technical Information Library Specifications 22 15 00 for General Service Compressed Air Systems and VA Specs 22 61 19.74 for Dental Compressed Air Equipment.

· Must maintain compliance with relevant codes and standard NFPA 99 and ISO 8573-1 Class O air purity

5. Delivery Hours: All deliveries shall be scheduled 48 hours in advance. Deliveries pertaining to this contract will need to be performed Monday through Friday unless a Federal holiday falls on one of these days. Typical hours are between 8am and 4pm. If delivery is required outside of these hours of operations, it must be coordinated with the project Contracting Officer’s Representative (COR). On the days listed below delivery shall not be scheduled unless unique situations arise and prior approval between the delivery and CAVHS parties involved is agreed upon.

6. Government Observed Holidays: The Government hereby provides notice, and Contractor hereby acknowledges receipt that Government personnel observe the listed days as holidays:

Juneteenth National Independence Day June 19

In addition to the days designated as holidays, the Government observes the following days:

1. Any other day designated by Executive Order.

2. Any other day designated by the President’s Proclamation; and

3. Any other day designated by the Federal Statute.

7. Period of Performance:

7.1 30 days from notice to proceed.

8. Changes to the Statement of Work: The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract and such changes will be executed bi-laterally in accordance with FAR 52.212-4(c). The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes, which will affect price, quantity, or quality of performance of this contract. In the event the contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

9. Invoicing/Payment: Contractor shall submit invoices after delivery and acceptance by government representative. No advance payments shall be authorized. A proper invoice must include:

a) Name and address of Contractor

b) Facility’s name and address where supply was delivered

c) Invoice date

d) Contract number and Purchase Order (PO) number

e) Contract Line-Item Number (LIN)

f) Description, quantity, unit of measure, unit price and total price of item(s) ordered.

g) Name and address of authorized official to whom payment is to be sent.

h) Name, title, phone number, email of person to be notified if invoice is defective.

10. Delivery Location: Central Arkansas Veterans Healthcare System 2200 Fort Roots Dr. B182 North Little Rock, AR. 72114

11. Confidentiality and nondisclosure: The contractor understands and agrees that confidential information (patients, employee, or facility) must always be secured and protected. The contractor r and its personnel shall be held liable in the event a breach of confidentiality occurs as a result of the Supplier or its employees. Each contract employee will be required to read and sign the Contractor Rules of Behavior and provide the original signature page to the COR.

12. Information System Officer /Protection: The Supplier will not have access to VA Desktop computers, nor will they have access to online resources belonging to the government while conducting services.

13. Privacy Officer: The contractor will not have access to protected Patient Health Information (PHI) nor will they have the capability of accessing patient information during the services provided to the VA.

14. RECORDS MANAGER:

When Federal agencies acquire goods or services, they need to determine what Federal records management requirements should be included in the contract. Federal contractors often create, send, or receive Federal records. Federal contracts should provide clear legal obligations describing how the contract employees must handle Federal records.

Agency records officers, procurement counsel, and acquisitions officers must discuss how to integrate records management obligations into their existing procurement processes. NARA has developed the following language to be included as an agency-specific term and condition in Federal contracts for a variety of services and products. The majority of contracts should include language on records management obligations, but each contract should be evaluated individually. For example, the data-rights paragraph (Paragraph 10 below) may not be appropriate for all contracts. Instead, agencies may be better served by one of the established data-rights clauses in the Federal Acquisition Regulations.

This language should not replace specific records management requirements included within Federal information system contracts.

RECORDS MANAGEMENT OBLIGATIONS

A. Applicability This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

B. Definitions “Federal record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. includes [Agency] records.

2. does not include personal materials.

3. applies to records created, received, or maintained by Contractors pursuant to their [Agency] contract.

4. may include deliverables and documentation associated with deliverables.

C. Requirements

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. [Agency] and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of [Agency] or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to [Agency]. The agency must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to [Agency] control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

6. The 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, contracts. The Contractor (and any sub-contractor) is required to abide by Government and [Agency] guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with [Agency] policy.

8. The Contractor shall not create or maintain any records containing any non-public [Agency] information that are not specifically tied to or authorized by the contract.

9. The 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 from public disclosure by an exemption to the Freedom of Information Act.

10. The [Agency] owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which [Agency] shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take [Agency]-provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

[Note: To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.] D. Flow down of requirements to subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.