A 02 - PWS - Med-Dental Equip Maint.pdf

Ver. June 2021

PERFORMANCE WORK STATEMENT (PWS)

FOR

Medical and Dental Maintenance Services

1.0 General:

1.1 Scope: The contractor shall provide all personnel, equipment, tools, materials, supervision, and quality control necessary, except as specified in Paragraph 3.0 as Government Furnished, to perform Medical and Dental Maintenance Services, as defined in this PWS.

1.1.1 Objectives: To provide service, calibration, and repair to all medical and dental equipment within the MNARNG.

1.2 Background: USAMMA historically provided medical and dental service, calibration, and repair to medical and dental equipment for Compo 2 and Compo 3 organizations.

USAMMA is no longer providing direct support to Compo 2 and Compo 3 organizations.

1.3 Period of Performance (PoP): The Period of Performance shall be one (1) Base Year of 12 months with four option years.

1.4 General Information:

1.4.1 Place and Performance of Services: The contractor shall provide services between the hours of 0800 - 1630 on Monday through Friday, except on recognized US holidays or when the Government facility/installation is closed due to local or national emergencies, administrative closings, or similar Government-directed facility/installation closings. Performance shall be at the designated location listed within Technical Exhibit

3. The contractor shall at all times maintain an adequate work force for the uninterrupted performance of all tasks defined within this PWS when the Government facility/installation is not closed for the above reasons. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the work force are essential. Teleworking is not authorized.

1.4.1.1 Telework:

The Government does not permit the contractor to telework in support of this requirement. In furtherance of Continuity of Operations Planning (COOP), a telework program may be enacted to ensure that the Government's mission-critical operations stay operational during times of national emergency or incidents of national significance.

Telework shall be at no additional cost to the Government.

1.4.1.2 Unscheduled gate closures by the Security Police may occur at any time causing all personnel entering or exiting a closed installation to experience a delay. This cannot be predicted or prevented. Contractors are not compensated for unexpected

1400928580121002 Highlight closures or delays. Vehicles operated by contractor personnel are subject to search pursuant to applicable regulations. Any moving violation of any applicable motor vehicle regulation may result in the termination of the contractor employee’s installation driving privileges.

1.4.1.3 The contractor’s employees shall become familiar with and obey the regulations of the installation; including fire, traffic, safety and security regulations while on the installation. Contractor employees should only enter restricted areas when required to do so and only upon prior approval. All contractor employees shall carry proper identification with them at all times, and shall be subject to such checks as may be deemed necessary. The contractor shall ensure compliance with all regulations and orders of the installation, which may affect performance. The Government reserves the right to direct the removal of an employee from Government property or revoke access to Government systems for misconduct, security reasons, or any overt evidence of communicable disease. Removal of contractor employees for reasons stated above does not relieve the Contractor from responsibility for total performance of this contract.

1.4.2 Recognized Holidays: The following are recognized United States (US) holidays.

The contractor shall not perform services on these days:

1.4.2.1 New Year’s Day: January 1st

1.4.2.2 Martin Luther King, Jr.’s Birthday

1.4.2.3 President’s Day

1.4.2.4 Memorial Day

1.4.2.5 Juneteenth National Independence Day: June 19th

1.4.2.6 Independence Day: July 4th

1.4.2.7 Labor Day

1.4.2.8 Columbus Day

1.4.2.9 Veteran’s Day: November 11th

1.4.2.10 Thanksgiving Day

1.4.2.11 Christmas Day: December 25th

1.4.3 Quality Control (QC): The contractor shall develop and maintain an effective QC Plan (QCP) to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s QCP is the means by which it assures itself that its work complies with the requirements of the contract. As a minimum, the contractor shall develop QC procedures that address the areas identified in Technical Exhibit 1, Performance Requirements Summary (PRS). A final QCP shall be submitted to the Contracting Officer Representative (COR) NLT 10 days after contract award.

After acceptance of the QCP, the contractor shall obtain the Contracting Officer’s (KO’s) acceptance in writing of any proposed changes to its QCP.

1.4.4 Quality Assurance (QA): The Government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan is primarily focused on what the Government will do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and acceptable quality level(s) or defect rate(s).

1.4.5 Installation Access and Security Requirements. The contractor shall comply with all applicable installation/facility access and local security policies and procedures, which may be obtained from the COR. The contractor and all associated subcontractor employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services, or Security Office. The contractor shall ensure compliance with all personal identity verification requirements as directed by Department of Defense (DoD), Headquarters Department of Army (HQDA) and/or local policy (see PWS 6.0). Should the Force Protection Condition (FPCON) change, the Government may require changes in contractor security matters or processes.

1.4.5.2 For contractors that do not require a CAC, but require access to a DoD facility or installation: Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification (NCIC-III) and Terrorist Screening Database (TSDB) (Army Directive 2014-05), and applicable installation, facility and area commander installation/facility access, and local security policies and procedures (provided by a Government representative).

1.4.5.3 Awareness Training (AT) Level 1: All contractor employees, including subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level 1 training within 30 calendar days after contract start date and within 30 calendar days of new employees commencing performance. The contractor shall submit certificates of completion for each affected contractor and subcontractor employee to the COR within 15 calendar days after completion of training by each employee or subcontractor personnel. AT Level 1 awareness training is available at the following website:

https://jko.jten.mil/courses/atl1/launch.html.

1.4.5.4 iWATCH Training: The contractor and all associated subcontractors with an area of performance within an Army-controlled installation, facilities or area shall brief all employees on the local iWATCH program (training standards provided by the requiring activity Antiterrorism Officer (ATO)). This local developed training shall be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR or the KO. This training shall be completed within 30 calendar days of contract award and within 30 calendar days of new employees commencing performance. The contractor shall report completion for each contractor employee and subcontractor employee to the COR, within 15 calendar days after completion of training.

1.4.5.5 Communications Security/Information Technology (COMSEC/IT) Security. All communications with DoD organizations are subject to COMSEC review. All telephone communications networks are continually subject to intercept by unfriendly intelligence https://jko.jten.mil/courses/atl1/launch.html organizations. DoD has authorized the military departments to conduct COMSEC monitoring and recording of telephone calls originating from, or terminating at, DoD organizations. Therefore, the contractor is advised that any time contractor personnel place or receive a call they are subject to COMSEC procedures. The contractor shall ensure wide and frequent dissemination of the above information to all employees dealing with DoD information. The contractor shall abide by all Government regulations concerning the authorized use of the Government's computer network, including the restriction against using the network to recruit Government personnel or advertise job openings.

1.4.5.6 Reserved.

1.4.5.7 Reserved.

1.4.5.8 Reserved.

1.4.5.9 Reserved.

1.4.5.10 Reserved.

1.4.5.11 OPSEC Training: In accordance with AR 530-1, Operations Security, new contractor employees shall complete Level I OPSEC training within 30 calendar days of their reporting for duty and annually thereafter. The contractor shall submit certificates of completion for each contractor employee to the COR within 15 calendar days after completion of training. Level 1 OPSEC training is available at https://securityawareness.usalearning.gov/opsec/index.htm.

1.4.5.12 Reserved.

1.4.5.13 Reserved.

1.4.5.14 Reserved.

1.4.6 Physical Security. The contractor shall safeguard all Government property provided for contractor use. At the close of each work period, Government facilities, equipment and materials shall be secured.

1.4.7 Special Qualifications: The contractor shall ensure all employees possess all required certifications for operating, servicing, calibrating, and repairing all equipment used in the performance of this contract in Technical Exhibit 3. This does not include education or other qualifications for the position in which the contractor employee is performing, dress codes, or other information. (NOTE: The Government does not provide training to contractors. Contractors must ensure that any personnel performing under a contract are fully trained, licensed, certified, and otherwise qualified to provide services.)

1.4.8 Post Award Conference/Periodic Progress Meetings: The contractor agrees to attend any post award conference convened by the KO in accordance with FAR 42.5.

The KO, COR and other Government personnel, as appropriate, may meet periodically with the contractor to review the contactor’s performance. At these meetings, the KO will apprise the contractor of how the Government views the contractor’s performance and the contractor shall apprise the Government of problems, if any, being experienced.

The contractor shall resolve outstanding issues raised by the Government. Contractor attendance at these meetings shall be at no additional cost to the Government.

1.4.9 Contract Manager (CM): The contactor shall designate a CM who shall ensure performance under this contract. The name of this person, and an alternate who shall act for the contractor when the CM is absent, shall be designated in writing to the KO.

The CM or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The CM shall work through the COR, to resolve issues, receive technical instructions, and ensure adequate performance of services. The CM shall ensure that contractor employees do not perform any services outside the scope of the contract without an official modification issued by the KO. The CM shall ensure contractor employees understand that services performed outside the scope of the contract are performed wholly at the expense of the contractor.

1.4.10 Identification of Contractor Employees: All contractor personnel attending meetings, answering Government telephones and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression that they are Government employees. The contractor shall ensure that all documents or reports produced by contractor personnel are suitably marked as contractor products or that contractor participation is appropriately disclosed. The contractor’s status as a “contractor” shall be predominantly displayed in all correspondence types (to include signature blocks on e-mail) and dealings with Government or non-Government entities. Contractor personnel shall wear identification badges distinguishing themselves as such. The badges shall have the company name, employee name and the word “contractor” displayed.

1.4.10.1 Reserved.

1.4.11. Combating Trafficking in Persons: The United States Government has adopted a zero tolerance policy regarding trafficking in persons. Contractors and contractor employees shall not engage in severe forms of trafficking in persons during the period of performance of the contract; procure commercial sex acts during the period of performance of the contract; or use forced labor in the performance of the contract. The Contractor shall notify its employees of the United States Government’s zero tolerance policy, the actions that will be taken against employees for violations of this policy. The contractor shall take appropriate action, up to and including termination, against employees or subcontractors that violate the US Government policy as described at

FAR 22.17.

1.4.12 Contractor Travel: The contractor shall travel to locations identified in Technical Exhibit 3 during the performance of this contract to provide service, calibration, and repair to equipment identified in Technical Exhibit 3.

The contractor will be authorized travel expenses consistent with the substantive provisions of the Joint Travel Regulation (JTR) and the limitation of funds specified in this contract. All travel requires COR recommendation for approval and/or authorization by the KO prior to travel arrangements being made.

1.4.13 Data Rights The Government has unlimited rights to all documents/materials produced under this contract. All documents and materials, to include the source codes of any software, produced under this contract shall be Government owned and are the property of the Government with all rights and privileges of ownership/copyright belonging exclusively to the Government. These documents and materials may not be used or sold by the contractor without written permission from the KO. All materials supplied to the Government shall be the sole property of the Government and may not be used for any other purpose. This right does not abrogate any other Government rights.

1.4.14 Organizational Conflicts of Interest (OCI): The contractor and subcontractor personnel performing services under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent OCIs, as defined in FAR Subpart 9.5. The contractor shall notify the KO immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the KO to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the KO. In the event the KO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the KO may impose other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.4.15 Phase In / Phase Out Periods: To minimize any decreases in productivity and to prevent possible negative impacts on additional services, the contractor shall have personnel on board, during the 30 day phase in/ phase out periods. During the phase in period, the contractor shall become familiar with performance requirements in order to commence full performance of services on the contract start date.

2.0 Definitions and Acronyms:

2.1 Definitions:

2.1.1 Contractor: A supplier or vendor awarded a contract to provide specific supplies or service to the Government. The term used in this contract refers to the prime.

2.1.2 Defective Service: A service output that does not meet the standard of performance associated with the PWS.

2.1.3 Deliverable: Anything that can be physically delivered and includes non-manufactured things such as meeting minutes or reports.

2.1.4 Key Personnel: Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.5 Physical Security: Actions that prevent the loss or damage of Government property.

2.1.6 Quality Assurance: The Government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.7 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.8 Quality Control: All necessary measures taken by the Contractor to ensure that the quality of an end product or service shall meet contract requirements.

2.1.9 Subcontractor: One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.2 Acronyms:

AEI Army Enterprise Infostructure AR Army Regulation AT/OPSEC Antiterrorism/Operational Security BI Background Investigation CM Contract Manager COR Contracting Officer Representative DA Department of the Army DD254 Department of Defense Contract Security Classification Specification DFARS Defense Federal Acquisition Regulation Supplement DoD Department of Defense DSCA Defense Counterintelligence and Security Agency FAR Federal Acquisition Regulation GFP/M/E/S Government Furnished Property/Material/Equipment/Services HQDA Headquarters, Department of the Army HSPD Homeland Security Presidential Directive IA Information Assurance

IS Information System(s) KO Contracting Officer NGB National Guard Bureau OCI Organizational Conflict of Interest PII Personally Identifiable Information PIPO Phase In/Phase Out POC Point of Contact PRS Performance Requirements Summary PWS Performance Work Statement QA Quality Assurance QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Program SCR Service Contract Reporting SSN Social Security Number TE Technical Exhibit USD(I) Under Secretary of Defense for Intelligence

3.0 Government Furnished Property, Material, Equipment and Services (GFP/M/E/S):

The Government will provide the property, material, equipment, and/or services listed below solely for the purpose of performance under this contract:

3.1 Property: The Government will furnish the necessary workspace for the contractor to perform services outlined in this PWS to include maintenance space, and desk space.

3.2 Materials: None.

3.3 Equipment: None.

3.4 Services: None.

3.5 Utilities: All utilities in the facility will be available for the contactor’s use in the performance of this contract. The contractor shall instruct employees in utilities conservation practices. The contractor shall operate under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

4.0 Contractor Furnished Property, Materials, and Equipment (CFP/M/E):

4.1 General: Except for those items specifically stated to be Government-Furnished in Paragraph 3.0, the contractor shall furnish everything required to perform these services as indicated in Paragraph 1.1.

4.2 Reserved.

4.3 Contractor Security Clearance: Reserved.

5.0 Requirements: The contractor shall:

5.1. Perform Maintenance Services

5.1.1 Calibration

5.1.1.1 Contractor shall perform calibration for all equipment listed in technical exhibit 3 in accordance with all applicable manuals associated with the piece of equipment.

5.1.1.2 Contractor will annotate on form DA 2404 all repair work required after calibration or in the event that the service cannot be completed do to repair work required on form DA 2404.

5.1.1.3 Contractor shall record all calibration performed on form DA 2404 and submit a copy to the COR within 15 days from completion of work performed.

5.1.1.4 Contractor shall receive an updated list of equipment requiring calibration no less than 60 days prior to scheduled servicing.

5.1.2 Service

5.1.2.1 Contractor shall perform all required maintenance servicing for all equipment listed in technical exhibit 3 in accordance with all applicable manuals associated with each piece of equipment.

5.1.2.2 Contractor will annotate on form DA 2404 all repair work required after a completed service or in the event that the service cannot be completed do to repair work required on form DA 2404.

5.1.2.3 Contractor shall record all maintenance service performed on form DA 2404 and submit a copy to the COR within 15 days from completion of work performed.

5.1.2.4 Contractor shall receive an updated list of equipment requiring service no less than 60 days prior to scheduled servicing.

5.1.3 Repair

5.1.3.1 Contractor will inform the COR in writing of all repair work required for equipment listed in technical exhibit 3 after calibration and/or maintenance servicing has been completed utilizing form DA 2404 within 15 days.

5.1.3.2 Contractor will provide a cost breakdown of repair required for each individual piece of equipment to the COR.

5.1.3.3 Contractor will provide repair to each piece of equipment authorized by the COR for repair to be completed within 30 days from authorization.

5.1.3.4 Contractor will provide a list of equipment unable to be repaired to the COR within 15 days of identification.

5.1.3.5 Contractor will provide in writing to the COR all repair work performed on each piece of equipment utilizing form DA 2404 within 15 days of completed repairs.

5.2 Service Contract Reporting:

5.2.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the National Guard Bureau via a secure data collection site.

5.3.2 The contractor shall completely fill in all required data fields using the following web address: https://sam.gov. Log in and select Entity Registrations and then select Service Contract Reporting.

The Contractor shall report the required information annually by October 31, for services performed under this contract during the preceding Government fiscal year (October 1- September 30).

The DoD Guidebook for Service Contract Reporting in SAM, available on the DoD Procurement Toolbox at https://dodprocurementtoolbox.com/site-pages/service-contract-reporting-scr. The General Services Administration (GSA) has also posted additional guidance such as quick start guides, informational videos, and frequently asked questions, that can be accessed by going to https://sam.gov and searching the “HELP” section. The SAM Federal User Guide is also available in the “HELP” section for comprehensive instructions on navigating SAM. Contractors requiring assistance using SAM should contact the Federal Service Desk at https://www.fsd.gov.

6.0 Applicable Publications: Publications applicable to this PWS are listed below:

Publication (Chapter/Page)

Date of Publication

Mandatory or Advisory

Website

Federal Acquisition Regulation https://www.acquisition.gov/?q=browsefar Defense Federal Acquisition

Regulation Supplement http://www.acq.osd.mil/dpap/dars/dfarspgi/current/in dex.html or https://www.acquisition.gov/dfars Joint Travel Regulation (JTR) https://www.defensetravel.dod.mil/site/travelreg.cfm

DoDM 1000.13-M-V1 DoD Identification (ID) Cards (Enclosure 2, paragraph 3.b)

01/23/2014 (Change 1:

07/28/2020) http://www.esd.whs.mil/Directives/issuances/dodm

Federal Information Processing Standards (FIPS) Publication 201-2 Personal Identity Verification (PIV) of Federal Employees and Contractors

(paragraph 9)

August 2013 http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201 -2.pdf https://dodprocurementtoolbox.com/site-pages/service-contract-reporting-scr https://dodprocurementtoolbox.com/site-pages/service-contract-reporting-scr https://www.fsd.gov/ https://www.acquisition.gov/?q=browsefar http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html http://www.acq.osd.mil/dpap/dars/dfarspgi/current/index.html https://www.acquisition.gov/dfars http://www.esd.whs.mil/Directives/issuances/dodm http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf http://nvlpubs.nist.gov/nistpubs/FIPS/NIST.FIPS.201-2.pdf 1400928580121002 Highlight

1400928580121002 Highlight

1400928580121002 Highlight

1400928580121002 Highlight

1400928580121002 Highlight

1400928580121002 Highlight

1400928580121002 Highlight

DoDM 5200.2 Procedures for the DoD Personnel Security Program

(PSP)

04/03/2017 https://www.esd.whs.mil/Directives/issuances/dodm/

DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common

Access Card (CAC)

09/09/14 (Change 1:

05/04/2018) https://www.esd.whs.mil/Directives/issuances/dodi/

Homeland Security Presidential Directive (HSPD)-12

Policy for a Common Identification Standard for Federal Employees and

Contractors

08/27/2004 https://www.dhs.gov/homeland-security-presidential-directive-12

DoDI 5400.11 Department of Defense Privacy and

Civil Liberties Programs

01/29/2019 https://www.esd.whs.mil/Directives/issuances/dodi/

DoD 5400.11-R Department of Defense Privacy

Program

05/14/2007 https://www.esd.whs.mil/Directives/issuances/dodm/

DoDD 8140.01 Cyberspace Workforce Management 10/05/2020 https://www.esd.whs.mil/Directives/issuances/dodd/

DoD 8570.01-M Information Assurance Workforce

Improvement Program

12/19/2005 (Change 4:

11/10/2015) https://www.esd.whs.mil/Directives/issuances/dodm/

DoD 5220.22-M National Industrial Security Program

Operating Manual (NISPOM)

02/28/2006 (Change 2:

05/18/2016) https://www.esd.whs.mil/Directives/issuances/dodm/

Army Directive 2014-05 Policy and Implementation

Procedures for Common Access Card Credentialing and Installation Access for Uncleared Contractors

03/07/2014 https://armypubs.army.mil/ProductMaps/PubForm/A rmyDir.aspx

AR 25-2

Information Assurance

04/04/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 530-1

Operations Security

09/26/2014 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 525-13

Antiterrorism

12/09/2019 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 381-12

Threat Awareness and Reporting

Program (TARP) (Section II, ¶ 2-4.b)

06/01/2016 http://armypubs.army.mil/ProductMaps/PubForm/AR .aspx

AR 40-3 Medical, Dental, And Veterinary Care

04/23/2013 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=498

AR 40-61 Medical Logistics Policies 01/28/2005 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=520

AR 40-502 Medical Readiness 06/27/2019 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=1004858

AR 40-657 Veterinary/Medical Food Safety, Quality Assurance, And Laboratory Service {NAVSUP

4355.4H; MCO P10110.31H}

01/21/2005 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=19

TB 9-6625-1072-24 CALIBRATION

PROCEDURE FOR MEDICAL

SCOPEMETER, FLUKE

BIOMEDICAL, MODEL 190M-4

11/21/2022 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=1025960 https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.dhs.gov/homeland-security-presidential-directive-12 https://www.esd.whs.mil/Directives/issuances/dodi/ https://www.esd.whs.mil/Directives/issuances/dodd/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://www.esd.whs.mil/Directives/issuances/dodm/ https://armypubs.army.mil/ProductMaps/PubForm/ArmyDir.aspx https://armypubs.army.mil/ProductMaps/PubForm/ArmyDir.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx http://armypubs.army.mil/ProductMaps/PubForm/AR.aspx https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=498 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=498 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=520 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=520 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1004858 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1004858 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=19 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=19 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1025960 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=1025960

TB 38-750-2 Maintenance Management Procedures For Medical

Equipment (Reprinted W/Basic Incl C1-3)

04/12/1987 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=30247

TB MED 1 Storage, Preservation, Packaging, Packing, Maintenance, And Surveillance Of Material; Medical Activities

06/15/1981 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=9918

TB MED 7 Maintenance Expenditure Limits For Medical Materiel (Reprinted

W/Basic Incl C1)

06/22/1992 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=69993

TB MED 750-1 Operating Guide For Medical Equipment Maintenance

04/13/1998 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=75427

TB MED 750-2 Operating Guide For Toe Medical Equipment Maintenance

11/1/2006 https://armypubs.army.mil/ProductMaps/PubForm/D etails.aspx?PUB_ID=83689

6.1 Applicable Forms: Forms applicable to the PWS are listed below:

Form Date Website

DD 1172-2

Application for Identification Card/DEERS Enrollment

Mar 2017 http://www.dtic.mil/whs/directives/forms/index.htm

I-9 Employment Eligibility Verification

10/21/2019 https://www.uscis.gov/sites/default/files/files/form/i-9.pdf

DD 441

Department of Defense Security

Agreement

Feb 2020 http://www.dtic.mil/whs/directives/forms/dd/ddforms0001- 0499.htm

DD 250

Material Inspection and Receiving

Report

Aug 2000 https://www.esd.whs.mil/Directives/forms/dd0001_0499/

DA 2404 Equipment Inspection and Maintenance Worksheet

Feb 2011 https://armypubs.army.mil/pub/eforms/DR_a/pdf/A2404.pdf https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=30247 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=30247 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=9918 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=9918 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=69993 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=69993 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=75427 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=75427 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=83689 https://armypubs.army.mil/ProductMaps/PubForm/Details.aspx?PUB_ID=83689 http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/forminfo/forminfopage2479.html http://www.dtic.mil/whs/directives/forms/index.htm https://www.uscis.gov/sites/default/files/files/form/i-9.pdf http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm http://www.dtic.mil/whs/directives/forms/dd/ddforms0001-0499.htm https://www.esd.whs.mil/Directives/forms/dd0001_0499/ https://armypubs.army.mil/pub/eforms/DR_a/pdf/A2404.pdf

TECHNICAL EXHIBIT 1

Performance Requirements Summary (PRS)

This PRS includes performance objectives the Government will use to determine contractor performance and will compare contractor performance to the Acceptable Quality Level (AQL).

Performance Objective

Performance Standard Acceptable Quality Levels (AQL) Surveillance Method / By Whom

5.1.1.1 Equipment Calibration

Perform calibration for all equipment listed in technical exhibit 3 in accordance with all applicable manuals associated with the piece of equipment.

100% of all equipment Periodic Inspection

/ COR

5.1.1.2 Equipment Calibration

Repair Reporting

Annotate on form DA 2404 all repair work required after calibration or in the event that the service cannot be completed do to repair work required on form DA 2404.

100% of all equipment Periodic Inspection

/ COR

5.1.1.3 Calibration Reporting

Record all calibration performed on form DA 2404 and submit a copy to the COR within 15 days from completion of work performed.

100% of all equipment Periodic Inspection

/ COR

5.1.2.1 Equipment

Maintenance Service

Perform all required maintenance servicing for all equipment listed in technical exhibit 3 in accordance with all applicable manuals associated with each piece of equipment.

100% of all equipment Periodic Inspection

/ COR

5.1.2.2 Equipment

Maintenance Service Repair

Reporting

Annotate on form DA 2404 all repair work required after a completed service or in the event that the service cannot be completed do to repair work required on form DA 2404.

100% of all equipment Periodic Inspection

/ COR

5.1.2.3 Equipment

Maintenance Service

Reporting

Record all maintenance service performed on form DA 2404 and submit a copy to the

COR within 15 days from completion of work performed.

100% of all equipment Periodic Inspection

/ COR

5.1.3.1 Equipment

Repair

Inform the COR in writing of all repair work required for equipment listed in technical exhibit 3 after calibration and/or maintenance servicing has been completed utilizing form DA 2404 within 15 days.

100% of all equipment Periodic Inspection

/ COR

5.1.3.2 Equipment Repair Cost Breakdown

Provide a cost breakdown of repair required for each individual piece of equipment to the COR.

100% of all equipment Periodic Inspection

/ COR

5.1.3.3 Equipment

Repair Authorization

Provide repair to each piece of equipment authorized by the

COR for repair to be completed within 30 days from authorization.

100% of all authorized equipment

Periodic Inspection

/ COR

5.1.3.4 Unrepairable Equipment

Provide a list of equipment unable to be repaired to the

COR within 15 days of identification.

100% of all equipment Periodic Inspection

/ COR

5.1.3.5 Equipment

Repair Reporting

Provide in writing to the COR all repair work performed on each piece of equipment utilizing form DA 2404 within 15 days of completed repairs.

100% of all equipment Periodic Inspection

/ COR

TECHNICAL EXHIBIT 2

Deliverables Schedule

PWS Reference / Deliverable Title

Frequency Number of Copies

Medium/Format Submit To

1.4.5.3 AT Level 1

Awareness Training

Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.4 iWATCH Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.5.11 OPSEC

Training Certificates

Provide within 15 calendar days after employee completes training.

1 Electronic Submission

COR

1.4.10 Identification

Media

Return within 14 days of employee’s departure from contract performance.

Original(s) Hard Copy KO

5.1.1.3 Calibration Reporting

Provide within 15 days from completion of work performed.

2 Hard Copy / Electronic

Submission

COR

5.1.2.3 Equipment

Maintenance

Service Reporting

Provide within 15 days from completion of work performed.

2 Hard Copy / Electronic

Submission

COR

5.1.3.2 Equipment

Repair Cost Breakdown

Provide within 15 days from discovery of required repair.

2 Hard Copy / Electronic

Submission

COR

5.1.3.3 Equipment

Repair

Authorization

Provide within 15 days from completion of work performed.

2 Hard Copy / Electronic

Submission

COR

5.1.3.4 Unrepairable Equipment

Provide within 15 days from identification.

1 Electronic Submission

COR

TECHNICAL EXHIBIT 3

Estimated Workload Data (Attached)

This information is provided for historical background only. It is not a guarantee of workload quantities.