A.01 Medical Air and Gas Service PWS.pdf

PERFORMANCE WORK STATEMENT (PWS)

SECTION 1 GENERAL

1.0 This requirement is for procurement of bulk medical oxygen, rental of bulk oxygen tank, rental of assorted sized gas cylinders, refill of assorted size cylinders with various specialty gases, and necessary cylinder service to government owned cylinders to be utilized in a Military Medical Treatment facility (MTF), Womack Army Medical Center (WAMC), Fort Liberty, NC 28310-7301. Period of Performance is 1 October 2024 through 30 September 2029. Procurement of Medical Bulk Oxygen is vital to the daily operation functions of WAMC in order to provide a high standard of medical Healthcare to the military community.

Rental of Assorted Gas Cylinders (Variety of sizes) Rental of Oxygen Cylinders (Variety of sizes) to include Bulk Oxygen Tank (1500 Gallon Vessel with a 160 Gallon Reserve Refill Assorted Gas Cylinders (Variety of sizes) Refill Oxygen Cylinders (Variety of sizes) to include Bulk Oxygen Vessel (1500 Gallon Vessel with a 160 Gallon Reserve) Necessary Cylinder Services (Static Check, Maint Repair) Emergency Deliveries

1.2 BACKGROUND INFORMATION. The contractor shall provide service consisting of supplying products (gases, cylinders, needed repair of cylinders and bulk tank, and rental of bulk tank) and one annual inspection to both contractor owned primary (1500 gallon tank) to include calibration, labor, parts, materials, and time, excluding disposable and consumable supply items. Additional services provided to include remote service/application diagnostic support for the primary and back up vessel. Additional inclusions (i.e. includes file modifications such as safety corrections by the Contractor or requested by the Government.

1.2.1 All medical gases shall conform to specifications prescribed in the United States Pharmacopeia and the National Formulary. All medical gas manufacturers and fillers of medical gases shall be registered with the Federal Drug Administration FDA; and all medical gases shall be manufactured, processed, packed, transported, and stored according to the FDA’s Current Good Manufacturing Practice (CGMP) regulations and Title 21, Code of Federal Regulations, Parts 210, 211 and 201 for labeling.

In addition, the following specifications must be met for:

a. Federal Specification BB-A-1034B, Air, Compressed, for Breathing Purposes, dated 20-Dec-1985

b. Federal Specification BB-C-101B, Carbon Dioxide (CO2) Technical and USP, dated 15-Apr-1971

c. Compressed Gas Association (CGA) Publications G-7 – Compressed Air for Human Respiration, dated 1/1/90, and ANSI/CGA G-7.1 – Commodity Specification for Air, dated 12/29/97

All products, equipment, and services provided under this contract shall be in compliance with all applicable Federal, state, and local regulations.

1.3 PERSONNEL. The Contractor shall provide to include any special personnel qualifications required of contract employees, (i.e. speak English, professional licenses, drivers licenses, security clearance, permits, uniform or badge requirements, neatness or cleanliness requirements, etc.). When written certifications or licenses are included here, cross reference the requirement to a Technical Exhibit, and require the contractor submit the documentation as a required report.

1.4 SECURITY. Access and General Protection/Security Policy and Procedures. This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility or area.

Contractor and all associated sub-contractors employees shall comply with applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also 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. Contractor workforce must comply with all personal identity verification requirements as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes. Contractor must adhere to and comply with the requirements of AR 190-13 and AR 680-10.

All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the Government reservation, shall abide by all the regulations, policies, and procedures of the installation, which may be in effect during the contract period.

1.5 QUALITY CONTROL. The contractor shall establish and maintain a complete Quality Control Plan to ensure that the requirements of the contract are provided as specified in this PWS.

1.6 QUALITY ASSURANCE. The government will evaluate the contractors performance under this contract using the method of surveillance specified in the Quality Assurance Surveillance Plan (QASP) at Technical Exhibit 1. All surveillance observations will be recorded by the government. When an observation indicates defective performance, the COR will obtain the contractors initials on the record of the observation.

1.7 HOURS OF OPERATION. Regular Monday, Wednesday, and Friday deliveries. (Note 1hour or less response time for Emergencies)

24 hour emergency service to the Base.

Provides 24 hr. service on the bulk oxygen.

Provides cylinder back up for bulk tank in the event of a shutdown of services

NOTE: Prices for emergency deliveries and additional deliveries not done on Monday, Wednesday, and Friday will be negotiated prior to contract award.

Contract hours for services and repairs will be between 7:00am and 3:00pm EST, Monday through Friday, excluding federal holidays as listed below. (Note 1 hour or less response time for Emergencies)

New Year’s Day 1 January Martin Luther King Jr.’s Birthday Third Monday in January George Washington’s Birthday Third Monday in February Memorial Day Last Monday in May Independence Day 4 July Labor Day First Monday in September Columbus Day Second Monday in October Veteran’s Day 11 November Thanksgiving Day Fourth Thursday in November Christmas Day 25 December

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday; holidays falling on a Sunday will be observed on the following Monday. Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and employee is not required to report in, payment will not be made for those hours. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

1.7.1 DELIVERY REQUIREMENTS

All transportation charges for cylinders shall be included in the price of the gas. Additional charges such as delivery fees, hazardous materials fees, fuel surcharges, etc. shall NOT be billed to or collected from the facilities for orders received under this contract.

Material Safety Data Sheets shall be provided to the facility Contracting Officer’s Representative (COR) upon request at no additional charge.

1.7.2 DELIVERY SCHEDULE: Filled cylinders are delivered, and empty cylinders are picked up consistently each week. Meaning if we turn in 50 empties we expect 50 filled tanks. Option for same day service and option to rent filled medical gas cylinders from their own site inventory as needed upon request. Delivery of medical gas cylinders to WAMC within 24 hours.

2.1 STANDARD DEFINITIONS.

Carbon Dioxide. A colorless, odorless, incombustible gas formed during respiration, combustion and organic decomposition.

Contracting Officer (KO). A person duly appointed with the authority to enter into and administer contracts on behalf of the U.S. Government.

Contracting Officer Representative (COR). An individual designated by the contracting officer to act as his representative to assist in administering a contract. The source and authority for a COR are contained in the written letter of designation.

Customer Complaint. A means of documenting certain kinds of contract service problems. A government program that is explained to every organization that receives service under this contract which is used to evaluate contractor’s performance.

Defective Performance. A service output that does not meet the standard of performance associated with it in the Performance Requirements Summary (PRS).performance associated with it in the Performance Requirements Summary (PRS).

Government Property. All property owned or leased to the government or acquired by the government under the terms of the contract. Government property includes both government furnished property and contractor acquired property as defined in Federal Acquisition Regulation (FAR) 45.101.

Liquid Nitrogen. Nitrogen that is in a liquid state and is about 200C. It is used for cryopreservation, cryosurgery, and cryomedicine.

Medical Gas. A gas that is manufactured, packaged, and intended for administration to a patient in anesthesia, therapy and diagnosis.

Material Safety Data Sheet (MSDS). A document that contains information on the potential health effects of exposure to chemicals, or other potentially dangerous substances, and on safe working procedures when handling chemical products.

Nitrogen. A colorless, odorless, tasteless gas that is biologically important. Nitrogen is a constituent of protein and nucleic acids and is present in all living cells. Nitrogen does not support respiration and is fatal if breathed alone.

Nitrous Oxide. A colorless, sweet-tasting gas used as a mild anesthetic in dentistry and surgery.

Oxygen. A colorless, odorless and tasteless gas that makes up about 20% of the air we breathe and which combines with most of the other elements to form oxides.

Performance Requirements Summary (PRS). Identifies the key service outputs of the contract that will be evaluated by the government to assure contract performance standards are met by the contractor.

Quality Assurance (QA). Those actions taken by the government to assure services meet the requirements of the Performance Work Statement (PWS) and all other service outputs.

Quality Assurance Surveillance Plan (QASP). An organized written document used for the quality assurance surveillance. The document contains specific methods to perform surveillance of the contractor.

Quality Control (QC). Those actions taken by a contractor to control the performance of services so that they meet the requirements of the PWS.

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES. Prior to disposing of non-repairable Government-owned cylinders, parts, fittings, and appurtenances, the Contractor shall contact the ordering (owning) activity. Contractor shall make disposition in accordance with the ordering activity’s instructions. The Government shall pay for the hydrostatic testing of Government-owned cylinders at prices negotiated between Contractor and Government.

If the activity requests, and the Contractor agrees to dispose of any non-repairable Government-owned property, the fee shall be negotiated and agreed upon between the two parties prior to the disposal of the property.

Government-Owned cylinders shall remain the property of the individual ordering (owning) agency and shall not be exchanged for other cylinders, either Government-owned or Contractor-owned, without authorization of the ordering agency.

Empty Government-owned cylinders that are picked up from an ordering facility for re-fill or servicing shall be transported according to the Department of Transportation Regulations, using normal commercial practice to prevent damage to cylinders.

4. CONTRACTOR FURNISHED ITEMS AND SERVICES. The contractor shall provide all labor and equipment necessary to perform the required medical gas refill services. The Contractor shall be responsible for all testing of Contractor-owned cylinders at no additional cost to the Government.

Lost or Damaged Contractor-Owned Cylinders. For each Contractor-owned cylinder lost or damaged beyond repair while in the Government’s possession, the Government shall pay to the Contractor the replacement value, less the allocable rental paid for that cylinder. These cylinders shall become Government property. If any lost cylinder is located within 30 calendar days after payment by the Government, it may be returned to the Contractor by the Government, and the Contractor shall pay to the Government an amount equal to the replacement value.

5. SPECIFIC TASKS

5.1 The Government will specify annual inspection functions authorized (i.e. annual inspection); who can authorize service and when the service is to be performed.

5.2 The Government will identify the notification process, required inspection data, scheduling process and response time. State how to calculate the completion dates and response time. Identify reports related to response and performance. Identify exceptions to the specified process; and state Government remedies for failure to meet response times.

5.3 Contractor shall maintain bulk vessel-station at no additional charge not covered in vessel rental fee; process required documentations, i.e. inspection reports with Medical Maintenance Branch of the WAMC facility. Oxygen Tank, will be kept free of rust and flaking paint. Maintenance will be performed as needed and documented and turned in to the COR and Medical Maintenance department.

5.4 The Contractor shall deliver bulk medical oxygen in compliance with State and Federal codes.

5.5 Contractor shall fill the following medical gas cylinders consistently each week: All transportation charges for empty Government-owned and Contractor-owned cylinders from the ordering facility to the Contractor’s facility shall be at the expense of the Contractor.

a. HELIUM ULTRA CARRIER (VISX) 325539

b. VISX3 LASER PREMIX 790095

c. NITROGEN MEDICAL LIQ DEWAR, LMNFDC

d. BREATHING AIR MEDICAL E, MBAE

e. CARBON DIOXIDE MEDICAL E, MCDE

f. CARBON DIOXIDE MEDICAL G, MCDG

g. NITROGEN MEDICAL NF G, MNIG

h. NITROGEN MED NF CUST OWNED G, MNIGC

i. OXYGEN MEDICAL CUSTOMER OWNED, MO200C

j. OXYGEN MEDICAL 282 CF, MO282

k. OXYGEN MEDICAL D ALUM CUSTOWND, MOADC

l. OXYGEN MEDICAL E, MOAE

m. OXYGEN MEDICAL E ALUM CUSTOWND, MOAEC

n. OXYGEN MEDICAL D, MOD

o. OXYGEN MEDICAL D CUST OWNED, MODC

p. OXYGEN MED 'JUMBO'ALUM D CUSTM, MODCC

q. OXYGEN MEDICAL E, MOE

r. OXYGEN MEDICAL M CUST OWNED, MOMC

s. NITROUS OXIDE MEDICAL G, MNOG

Cylinder sizes shown in the item description indicate product capacity of the cylinder currently being used. All capacities are approximate, and the Government shall be billed only for the actual amount of gas delivered. In accordance with the Federal Food, Drug and Cosmetic Act, the actual contents of the container must appear on the label.

Payment will be for full cylinders only and no credit will be received for partially filled cylinders returned to the contractor for refill.

5.6 Contractor shall provide Hydrostatic testing:

a. Testing shall be completed for all cylinders within one year from the last Hydrostatic test. The Hydrostatic testing will be performed in accordance with The Methods for Hydrostatic Testing of Compressed Gas Cylinders, CGA Pamphlet C-1, available from the Compressed Gas Association (CGA). This pamphlet provides the detailed information on the retesting (requalification) of compressed gas cylinders.

b. Hydrostatic testing shall also follow Title 49 CFR for the Methods for Hydrostatic Testing of Compressed Gas Cylinders and C-13 Guidelines for Visual Inspection and Requalification of Acetylene Cylinders.

c. Hydrostatic Test Equipment will be capable of performing the desired testing in a range of 25 to 75 percent of its designed maximum capability with an accuracy of 1 percent of any designated test pressure and resultant expansion value.

5.5 Contractor shall provide quarterly reports or any required maintenance services to be performed at the Medical Treatment Facility (MTF) if applicable.

5.6 Contractor shall ensure that both tanks (1500 gallon primary) are filled to the maximum capacity per delivery.

5.7 Delivery ticket must be signed by customer after product is delivered and must be accompanied by Certificate of Analysis to state purity of product (not less than 98%) when delivered.

5.8 Contractor shall inform COR/Alternate COR of any changes in delivery schedules one week in advance.

5.9 Emergency Service. The contractor shall be available 24 hours a day, seven days a week, including all holidays, to meet emergency requirements. The contractor shall provide an on-call number; acknowledge receipt of call within one hour. Emergency service to the bulk oxygen tank to fix malfunctions should be no more than an hour response time. Emergency delivery of additional medical gases needed should be responded to within four hours.

5.10 Inspection/Acceptance. The contractor shall only tender for acceptance those items that conforms to the requirements of this contract. The government reserves the right to inspect or test any supplies or services that has been tendered for acceptance. The government may require repair or replacement of non-conforming supplies/equipment or re-performance of non-conforming services at no increase in contract price. The government must exercise its post-delivery acceptance rights (1) within 24 hours after the defect was discovered or should have been discovered; and (2) before substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

5.11 The contractors paperwork (e.g., shipping order) accompanying each delivery shall give the total amount by type, including list of serial numbers (if applicable), lot numbers and expiration dates of product for all deliveries.

5.12 Contractor shall provide all applicable Material Safety Data Sheets (MSDS) upon initial delivery or as revisions, updates, or amendments become available for each product/end item, applicable materials, components/supplies utilized in the production/fabrication of each end item/product being delivered requiring a MSDS, to include but not limited to gases by type, paint, threading compound/sealant, lubricant, etc. IAW the fill contract delivery order/contract delivery requirements.

5.13 Permanent Markings: The permanent marking requirements for the compressed gas cylinders will be in accordance with DOD specification in Part 178 of Title 49 CFR and in the Government procurement specification.

These markings must be maintained in legible condition as required by Part 173 of Title 49 CFR.

5.14 Contractor shall supply all the required identifying medical gas cylinder labels, and lot # labels and personally verify before delivery to WAMC that the labels adhere to the cylinders without any coming off.

a. The use of color coding is mandatory for Departments and Agencies of the Department of Defense, with regards to the purchase and use of compressed gas cylinders in accordance with MIL-STD-101B (3 December 1970) DOD Color Code for Pipelines and Compressed Gas Cylinders (see attached addendum).

5.15 The quality of the exterior finish shall be based on the following criteria:

Valves. Valves shall comply with CGA Safety Bulletin SB-26 and CGA Publication V-1 -- Compressed Gas Association Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections, dated 12/31/00. Valve protection caps for cylinders designed to receive such caps shall be securely attached to the cylinders in a manner to protect the valves from injury during transit and delivery to the purchaser's receiving area. For liquid containers, all fittings must be permanently brazed to prevent their removal. In addition, each container should contain a 360 degree cryoband applied at the top of the container with the drug product name repeated around the entire container.

a. Rust, scale, caked paint, and all remnants of adhesive labels or decals will be removed prior to painting as outlined in MIL-STD1411, Notice 1, Inspection and Maintenance of Compressed Gas Cylinders.

b. Valves shall be free of insects, insect webs, dirt, corrosion, oil, or grease. The bore, the throat and the threads of the valve outlet shall be free of any paint splatter or over spray caused by lack of protection when painting the cylinder. There shall be minimal concern for paint on other parts of the valve unless it effects its operation. Do not mistake thread compound as oil or grease or vice versa.

c. Valve Protection Caps. Requirements are as follows:

d. Valve protection caps shall be installed on all cylinders designed with neck rings or flanges.

e. Protection caps shall be of correct size and installed hand tight with full thread engagement.

f. Caps shall he painted to comply with the color code of the cylinder on which they are installed.

g. Cleanliness: Cylinders shall be free of oil, grease and all foreign matter. Antiseize compound may be found where the valve is inserted into the cylinder: All excess thread compounds shall be removed and the area wiped clean.

h. Cylinder Labels and tags: Cylinders shall be labeled or tagged and shipping documents annotated in accordance with the requirements of the contract/delivery order to comply with Title 49 CFR, Part 173. Subpart E. Title 40 CRT, Part 82 and with MIL-STD-129. Marking For Shipment and Storage, latest edition. Cylinders shall also have a label or tag attached with the statement Dangerous Compressed Gas Cylinder-Only Trained Personnel Should Handle. Condition Codes A, D, F. I, J. K. or L as defined in Title 49 CFR will be assigned as applicable.

5.16 Leakage Test: A leakage test shall be performed on all cylinders that have been filled with a compressed gas in accordance with the fill contract/delivery order. Each cylinder shall be tested at all points that may provide a point of escape for the cylinder contents. Points to inspect are the pressure relief devices in the head and bottom of acetylene cylinders; points on each cylinder valve, such as the stem; the pressure relief device; the valve inlet threads: and the valve outlet. Tests shall be performed in accordance with paragraph 5.4.4 of MIL-STD-1411.

5.17 Retest Date: If applicable DOT regulations would require retesting of cylinder within three (3) months after scheduled date of shipment to Continental U.S. destination, or within six (6) months after scheduled date of shipment to overseas destination, cylinder shall be retested. Contractor will be required to retest any Government- Owned cylinder when requested by ordering activity, regardless of scheduled retest data.

5.18 Laws and Regulations. Cylinders and other containers for gaseous and liquid forms of gases shall comply with the Department of Transportation specifications and shall be maintained, filled, marked, labeled, and shipped to comply with current DOT regulations (Title 49-Transportation, Code of Federal Regulations.) Filling, packaging, labeling, etc., for medical gases shall also comply with the Federal Food, Drug, and Cosmetic Act.

SECTION 6 ADMINISTRATIVE CONTROLS.

6.1 The assigned COR/Alternate COR is the only authorized individual (s) to make changes to the delivery schedules after contract award. The COR/Alternate COR will contact the Contracting Office to inform of required changes in delivery schedule requesting a contract modification if applicable.

6.2 Contractor shall report any delivery delays to the assigned COR/Alternate COR 24 hours in advance if applicable.

6.3 The Contractor shall furnish phone numbers for contract manager/alternate, for normal duty hours and after normal duty hours to the Contracting Officer (CO).

7. VEHICLE REGISTRATION.

7.1. The Contractor shall fully comply with the vehicle registration requirements regarding Contractor-owned and Contractor employee privately owned vehicles (POVs) as set forth in Fort Bragg Regulation 190-5. Any questions regarding the regulation can be directed to (910)-432-8193. Contractor vehicles and Contractor employee POVs will be searched if the appropriate passes/decals are not displayed when entering Fort Bragg Access Control Points (ACPs). All vehicles, including those with passes/decals, are subject to random search at any time. The Fort Bragg Regulation 190-5 is available for download at the following website:

http://www.bragg.army.mil/psbc-pm/Information/VehicleRegistation.htm

7.2. On Nov 15 2013 Fort Bragg began using Automated Installation Entry (AIE). The following link will take you to the site for further information and forms to submit for Installation Access http://www.bragg.army.mil/directorates/DES/pmo/Pages/AIE.aspx.

8. SAFETY REQUIREMENTS.

8.1. The Contractor shall comply with OSHA and all pertinent provisions of the publication 29 CFR 1910 and Engineers Manual (EM) 385-1-1 and all local, State and Federal safety laws, rules and regulations, including environmental. Any apparent conflict with the requirements of the contract and above shall be immediately brought to the attention of the Contracting Officer or his/her authorized representative for final resolution. The Contractor shall be liable for all fines, penalties, and costs which result from violations of, or failure to comply with, rules and regulations. All unsafe acts or conditions fostered by the Contractor or Contractor personnel may be grounds for the Contracting Officer or authorized representative to halt any and all Contractor performance with a commensurate deduction of monies due the Contractor until such unsafe conditions are corrected.

8.2. Equipment Safety. Any equipment used in performance of this contract may be inspected by the COR at any time. If the equipment is at any time deemed unsafe or unserviceable by the COR, the Contractor shall remove equipment from the area immediately. The Government does not assume and hereby specifically disavows any duty to inspect the equipment in order to assure safe operation. The Contractor or subcontractor(s) at any tier are at all times responsible for assuring equipment is used in a safe, responsible manner. The Contractor shall in all cases ensure any equipment used in the performance of this contract is in a safe and serviceable condition.

9. Installation Access and Control: This installation is a closed post with access restrictions. All vehicles and personnel are subject to search and seizure of contraband and/or unauthorized Government property. Contractor vehicles (Contractor-owned and personal), Contractor personnel, and their personal property shall be subject to inspections and searches upon entering or leaving the Installation as authorized in Army Regulation 190-5, Motor Vehicle Traffic Supervision. The Contractor may be subject to installation closure exercises that may have an impact on performance.

10. CONTRACTOR MANAGEMENT REPORTING (CMR). The contractor will report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Department of the Army via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil. Reporting inputs will be for the labor executed during the period of performance during each Government FY, which runs from October 1 through September 30.

While inputs may be reported any time during the FY, all data shall be reported no later than October of each calendar year, beginning with 2013. Contractors may direct questions to the help desk at http://www.ecmra.mil. The required data fields include:

(1) Contracting Office, Contracting Officer, Contracting Officer's Technical Representative;

(2) Contract number, including task and delivery order number;

(3) Beginning and ending dates covered by reporting period;

(4) Contractor name, address, phone number, e-mail address, identity of contractor employee entering data;

(5) Estimated direct labor hours (including sub-contractors);

(6) Estimated direct labor dollars paid this reporting period (including sub- contractors);

(7) Total payments (including sub-contractors);

(8) Predominant Product Service Code (PSC)/Federal Service Code (FSC) reflecting services provided by contractor (and separate predominant PSC/FSC for each sub-contractor if different);

(9) Estimated data collection cost;

(10) Organizational title associated with the Unit Identification Code (UIC) for the Army Requiring Activity (the Army Requiring Activity is responsible for providing the contractor with its UIC for the purposes of reporting this information);

(11) Locations where contractor and sub-contractors perform the work (specified by zip code in the United States and nearest city, country, when in an overseas location, using standardized nomenclature provided on website);

(12) Presence of deployment or contingency contract language; and

(13) Number of contractor, and sub-contractor employees deployed in theater this reporting period (by country).

As part of its submission, the contractor will also provide the estimated total cost (if any) incurred to comply with this reporting requirement.”

ATTACHMENT 1

PERFORMANCE REQUIREMENT SUMMARY (PRS)

The following Performance Requirement Summary applies. The Government may modify inspection methods in accordance with site specific requirements.

The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

REQUIRED

SERVICE/

PARAGRAPH

REFERENCE

STANDARD METHOD OF

ASSESSMENT

Contractor shall maintain bulk vessel-station at no additional charge

PARA 5.3 100% compliance 100% during the course of the contract. COR performance assessment monthly

The Contractor shall deliver bulk medical oxygen in compliance with State and Federal codes.

PARA 5.4 100% compliance 100% during the course of the contract. COR performance assessment monthly

Contractor shall fill the following medical gas cylinders consistently each week

PARA 5.5 100% compliance 100% during the course of the contract. COR performance assessment monthly

SECURITY

Comply with security requirements

1.4 Contractor shall

insure that employees comply with vehicle operation and operation at the MTF; installation and MTF personnel identification and access requirements;

key control;

safeguard of government property and information of a confidential or sensitive nature

100% during the course of the contract. COR performance assessment monthly

Combatting Trafficking in persons (awareness program)

FAR 52.222-50

and FAR 22.1703

100% compliance (zero tolerance) regarding trafficking in persons policy

Document compliance in CPARS. Remedies allowable per FAR 52.222-50 will be taken.

STANDARD MEASUREMENT PAST PERFORMANCE ASSESSMENT

99% to 100% Exceptional Document Past Performance 96% to 98% Very Good Assessment Report, paying particular attention 95% Satisfactory to performance that exceeds the standard.

92% to 94% Marginal 92% or Less Unsatisfactory

ATTACHMENT 2

QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

The following minimum Quality Assurance Plan applies. The Government may modify inspection methods in accordance with site specific requirements.

PERFORMANCE

OBJECTIVE

PERFORMANCE

STANDARD

REF PWS METHOD OF

ASSESSMENT

REMEDY

All medical gases shall conform to specifications prescribed.

100% compliance

Para 1.2.1.

Written notification to

KO

Document performance in CPARS

Cylinders are delivered, and empty cylinders are picked up consistently each week.

As required 100% of the time.

Para 1.7.2

Written notification to

KO

Document performance in CPARS

Contractor shall maintain bulk vessel-station.

As required 100% of the time.

Para 5.3 Written notification to

KO

Document performance in CPARS

Comply with Security Requirements.

Comply initially and as required 100% of the time.

Para 1.4 Written notification to

KO

Document performance in CPARS

The Contractor shall inform the Contracting Officer immediately of any trafficking of personnel

Comply initially and as required 100% of the time

FAR

52.222-50

COR

documentation review. Non-compliance must brought to the immediate attention of the KO

Document performance in CPARS.

May result in issuance of a Cure Notice.

QASP PERFORMANCE RATINGS

The Government will rate past performance using the following performance standards.

EXCEPTIONAL: Requirements to the Government’s benefit.

SATISFACTORY: Performance meets contractual requirements.

UNSATISFACTORY: Performance does not meet contractual requirements.

Other performance evaluation factors that will be monitored and documented in the contractor’s performance records but cannot be quantified by numerical measurements:

Contractor providing personnel exceeding the minimum qualification standards;

Performance above or below the standard, for above factors, will be documented in the Contractor’s Performance Assessment Reporting System (CPARS) for the reporting period.