A02-Draft PWS-29 May 25.docx

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Notice of Intent to Sole Source for Preventative Maintenance and Service of AmeriWater Reverse Osmosis System
Solicitation number
HT9425-25-NOI-RO
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This Performance Work Statement (PWS) details a non-personal service contract for AmeriWater Reverse Osmosis (RO) System service and preventive maintenance for the Naval Health Clinic (NHC) Hawaii at Branch Health Clinic Makalapa Dental Clinic. The contract requires annual preventative maintenance inspections, on-site repair services, and parts replacement for specific RO system equipment, including storage tanks, pumps, control boxes, filters, and pressure vessels.

The sole-source contract will be awarded to Water Solutions Inc. of Aiea, Hawaii, who is the only licensed provider authorized to maintain this equipment on Oahu. The contractor must provide services between 7:30 AM and 4:00 PM Monday through Friday, excluding federal holidays, with a 24-hour response time for malfunction reports. Key requirements include wearing identification, maintaining equipment to original manufacturer specifications, providing parts within 30 calendar days, and ensuring continued operational efficiency of the RO system critical to supporting dental readiness for the US Pacific Fleet.

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PERFORMANCE WORK STATEMENT (PWS)

AmeriWater Reverse Osmosis System Service and Preventive Maintenance 22 May 2025

Part 1 General Information

1. General: This is a non-personal service(s) contract under which the personnel rendering the service(s) are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

1.1 Description of Services/Introduction: This is a non-personal service(s) contract to provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform AmeriWater Reverse Osmosis (RO) System service and preventive maintenance.

1.2 Background: Naval Health Clinic (NHC) Hawaii provides critical dental care and readiness to the US Pacific Fleet and local surrounding military commands. Having a dedicated contracted support system for NHC Hawaii at Branch Health Clinic (BHC) Makalapa Dental Clinic and outlying branch dental clinics will allow operational support for the waterfront to be uninterrupted, directly supporting the overall mission of maintaining exceptional level of dental readiness for U.S. Pacific Fleet and local surrounding military commands.

1.3 Scope: The Contractor shall provide non-personal service(s). The Contractor is responsible for preventative maintenance and service repairs for the AmeriWater RO system.

1.4 Objectives: Contractor shall conduct annual preventive maintenance inspections and service maintenance, over the awarded period, on the AmeriWater RO system located at the BHC Makalapa Dental Clinic. The preventive maintenance and service visits will include on-site repair service and parts.

1.5 General Information:

1.5.1 Quality Control Plan (QCP): the contractor’s existing quality assurance system shall be utilized in accordance with FAR 12.208.

1.5.2 Quality Assurance: 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 must 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 the acceptable quality levels (performance thresholds).

1.5.3 Recognized Holidays: The following provides information on recognized holidays for the purpose of the PWS. If submittal of any documentation (e.g. deliverables, submittals, etc.) deadlines fall on a holiday, the closest work day prior to the holiday will apply as the deadline for submittal.

1.5.3.1 U.S. Holidays: Work shall not be performed on U.S. federally recognized holidays occurring during the normal workweek unless otherwise directed by the Contracting Officer. When a U.S. holiday occurs on a Saturday or a Sunday, the holiday is observed on the preceding Friday or following Monday, respectively.

New Year’s Day January 1stM. L. King Memorial Day 3rd Monday in Jan
Presidents Day 3rd Monday in FebruaryMemorial Day last Monday in May

Juneteenth June 19th Independence Day July 4th Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veteran’s Day November 11th Thanksgiving Day 4th Thursday in November Christmas Day December 25th

1.5.4 Operating Hours: The Government facility office hours, facility operating hours, and the Contractor support hour requirements often coincide, however, they may differ. Please refer to the following.

1.5.4.1 Government Facility Office Hours: The Government facility office hours are 7:30 AM (0730) and 4:00 PM (1600) Monday through Friday except U.S. Holidays identified in paragraph 1.5.3.1 above or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

1.5.4.2 Government Facility Operating Hours: The Government facility operating hours occur between the hours of 7:30 AM (0730) and 4:00 PM (1600) Monday through Friday. The Government facility is closed due to local or national emergencies, administrative closings, or similar Government directive facility closings.

1.5.4.3 Contractor Support Hours: The Contractor shall provide support between the hours of 7:30 AM (0730) and 4:00 PM (1600) Monday through Friday, excluding Federal holidays and weekends, or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directive facility closings.The Contractor shall maintain an adequate workforce at all times, for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce is essential.

Naval Health Clinic Hawaii WORK ORDER REQUIREMENTS:

a. During hours of operation, all Contractor personnel shall wear pictured identification cards that identify the employee's name and the Contractor's business name, plainly visible in the upper chest area. Any special Government badges provided shall be worn and visible. All Contractor employees shall present a neat and clean appearance in accordance with generally accepted standards.

b. The Contractor shall not employ Government personnel (military or civilian) for performance of any work described in this PWS.

c. The Government reserves the right to direct the removal of any of the Contractor's personnel for misconduct or security reasons. Removal of the Contractor's employee(s) for reasons stated above does not relieve the Contractor from the PWS performance requirements.

d. Contractors shall not provide personal services to NHC Hawaii under this PWS. If contract employees are directed by any government employee at any time to perform services not covered under this contract, the Contractor shall immediately notify the BIOMED Technical Point of Contact (TPOC) and Contracting Officer (KO).

e. Contractor personnel shall not manage, supervise, direct, or task US military, DOD or DHA civilians or other personnel not associated with the Contractor while performing the tasks within this PWS.

f. Contractor personnel shall not make any commitment which commits the expenditure of US Government resources.

g. The Contractor performing services shall be required to comply with all JBPHH and NHC Hawaii rules, regulations and training that is applicable to conduct, safety, security, and procedures governing site entry and exit.

h. Title to Equipment: The Contractor shall not assume possession or control of any part of the equipment. The Government retains ownership to title thereof.

i. Response Time and labor: Contractor shall use commercially reasonable efforts to respond by telephone to any report of a malfunction requiring repair within twenty-four (24) hours of notification from NHC Hawaii Biomed, Monday through Friday, 0730-1600, Hawaii Standard Time. The Contractor shall also provide telephone consulting services Monday through Friday, 0730-1600, Hawaii Standard Time. This consulting service shall be provided to avoid delays in contract service coverage during after-hours and weekend/holiday periods as applicable. Under no circumstances shall the Contractor assume an inquiry, via telephone or any other means, is authorization to provide services not specifically covered by the terms of the contract.

j. Liability: The Contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to, acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief or acts of God.

k. Utilities: The Contractor may use Government utilities, (e.g. electrica1 power, compressed air, and water) that are available and required for any service performed under this contract. Contractor's electrical equipment must be approved by the building engineer prior to use to ensure compatibility with NHC Hawaii electrical wiring and equipment.

l. Access to Equipment: The contractor shall be provided reasonable access to all equipment, which is to be serviced, and utility outlets required doing the service. The contractor shall be free to start and stop all primary equipment incidentals to the operation of the maintained equipment after permission is received from on duty personnel responsible for such equipment.

m. Government Personnel: NHC Hawaii employees will not perform maintenance or attempt repairs to equipment while such equipment is under the purview of this contract unless agreed to in writing by the Contractor.

n. Parts Availability: To ensure minimal equipment downtime, the Contractor shall maintain replacement repair parts and materials necessary to perform each repair or supply said parts and materials within (30) calendar days, 30+ days will be suitable with justification.

o. Labor: All compensation for labor, parts, and materials are included in the contract price unless otherwise stated (i.e. $ limitation, exclusions).

p. Parts/Supplies Quality: Parts and Supplies provided under this contract shall be guaranteed to be equal in all respects, including performance, interchangeabi1ity, durability and quality to the OEM parts when new or as presently recommended by the manufacturer.

1.5.6 Place of Performance: The work to be performed under this contract will be performed at:

NHC Hawaii BHC Makalapa Dental Clinic Bldg 1407 1253 Makalapa Rd Joint Base Pearl Harbor, HI 96860

1.6 Security Requirements: The following information is provided on security related matters.

1.6.3 Installation Access: Access to U.S. installations, buildings and controlled areas is limited to personnel who meet security criteria and are authorized. Failure to submit required information/data and obtain required documentation or clearances will be grounds for denying access to U.S. installations, buildings and controlled areas. The Contractor shall ensure that any subcontractors used in performance of this contract complies with these requirements and that all employees, of both the Contractor and any subcontractor utilized by the Contractor, are made aware of and comply with these requirements.

FIELD SERVICE REPORTS: The Contractor, or their representatives shall furnish field service reports to:

Biomedical Repair Division Naval Health Clinic Hawaii Phone: TBD Email: TBD

The Contractor shall be aware of and comply with the requirements associated with Installation Access Control. The Government is not liable for any costs associated with performance delays due solely to a firm’s failure to comply with Installation Access Control System (IACS) processing requirements.

The Contractor shall return installation passes to the issuing IACS office when the contract is completed or when a Contractor employee no longer requires access.

1.6.3.1 Installation Pass Log: In addition, the Contractor shall provide the Contracting Officer, via the COR, an Initial Installation Pass Log within ( three (3) calendar days is frequently used) after contract award {Insert Deliverable #}”). The log must at a minimum contain the following information (RA shall insert information required in this log). The log shall be updated as employees are added or removed. The Updated Installation Pass Log shall be current and available at any time upon request by the Government and submitted to the COR within five (5) days after any changes to the log ({Insert Deliverable #}).

1.6.3.3 Contract Termination or Cancellation: Upon termination or cancellation of this contract, the Contractor shall collect all outstanding installation access passes and return them to the issuing office within three (3) business days ({Insert Deliverable #}).

1.6.3.4

1.6.4 Background Checks: (Applicable to CONUS and OCONUS requirements, the RA shall consult with the responsible Security Office and Activity Manager applicable to location(s) associated with this PWS and identify the level of background check, supported by the applicable regulation(s).)

1.6.4.1 U.S. Citizen: Contractors that work with or teach youth under the age of 18 years are subject to U.S background checks. The Requiring Activity Manager will determine the extent of background checks required. The Contractor employee may begin performance of the contract after receiving a favorable local background check. The Contractor agrees to replace the employee should results of the background check, if required, be unfavorable as determined by the Requiring Activity Manager. The Contractor’s replacement of the employee with the unfavorable background check shall be within a timeframe provided by the Requiring Activity Manager. The Contractor shall also replace employees whose background check, during their tenure of employment, renders them with an unfavorable local or stateside background check, as determined by the Requiring Activity Manager. The Contractor shall forward a copy to the Contracting Officer via the COR and the Requiring Activity Manager of each favorable background check within (Insert number of days) of receipt by the Contractor, identifying such with the appropriate contract number ({Insert Deliverable #}). The Contractor shall forward a copy to the Contracting Officer via the COR and the Requiring Activity Manager of each unfavorable background check within (Insert number of hours or days) of receipt by the Contractor, identifying such with the appropriate contract number ({Insert Deliverable #}). When the Government awards a non-personal services contract directly to an individual, the failure of the individual to provide a favorable background check would be grounds for termination.

1.6.5 Physical Security: The Contractor shall safeguard all Government equipment, information, and property provided for Contractor use.

1.6.6 Operations Security (OPSEC) Requirements: Contractor personnel shall adhere to facility security policies and restrictions. The Contractor shall immediately report suspicious activities to security personnel.

1.9 Contracting Officer’s Representative (COR): Refer to Part 2 of this PWS for the definition of a COR. As determined by the Contracting Officer, a COR will be appointed and identified by letter of designation, a copy of which will be provided to the Contractor by the Contracting Officer. The designation letter states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates, or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order. The COR monitors all technical aspects of the contract and assists in contract administration. The COR is not authorized to obligate the Government. If the work is not written in the contract, the COR is not authorized to request new work. The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract, perform inspections necessary in connection with contract performance, maintain written and oral communications with the Contractor concerning technical aspects of the contract, issue written interpretations of technical requirements, including Government drawings, designs, specifications, monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies, coordinate availability of Government property, and coordinate site entry of Contractor personnel.

1.17 Protection of Government and Contract Information: Per Public Use Notice of Limitations stated by Defense imagery Management operations Center and contained at www.dimoc.mil/resources/limitations/ , the Contractor shall not cite any information (e.g., contract information, pictures, locations, etc.) obtained through this contract on any hard copy or digital marketing tools to include its company website.

1.19 Organizational Conflict of Interest (OCI): Contractor and subcontractor personnel performing work 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 OCI as defined in FAR Subpart 9.5. The Contractor shall notify the Contracting Officer 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 Contracting Officer to avoid or mitigate any such OCI ({Insert Deliverable #}). The Contractor’s OCI Mitigation Plan will be determined to be acceptable solely at the discretion of the Contracting Officer. In the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect 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.

1.21 Safety: The following provides information pertaining to Safety and Accident Prevention:

1.21.1 Safety Laws and Regulations: The Contractor shall comply with FAR 52.236-13, Accident Prevention (November 1991), the references contained therein (e.g. U.S. Army Corps of Engineers Safety and Health Requirements Manual (EM 385-1-1)), The requirements under FAR 52.236-13 and specifically of the EM 385-1-1 include, but are not limited to the following:

(a) Before initiation of work at the job site, an Accident Prevention Plan, written by the Contractor for the specific work and hazards of the contract and implementing in detail the pertinent requirements of EM 385-1-1; will be reviewed for acceptance by designated Government personnel ({Insert Deliverable #}). Specific requirements for development of the Accident Prevention Plan are found in 01.A and Appendix A of EM 385-1-1. EM 385-1-1 is available online at www.usace.army.mil.

(b) Before beginning each activity involving a type of work presenting hazards not experienced in previous project operations or where a new work crew or subcontractor is to perform work, activity hazard analysis (AHA) shall be prepared by the Contractor performing the work activity (See paragraph 01.a.09 of EM 385-1-1);

(c) The Contractor shall require subcontractors to submit their plan of operations showing methods they propose to use in accomplishing major phases of work;

(d) The Contractor shall discuss the plans in conferences convened by the Contracting Officer prior to starting work on each major phase of operation. Plans shall include all pertinent information such as layout of haul roads, access roads, storage areas, electrical distribution lines, methods of providing minimum exposure to overhead loads, and methods of access to work areas. The plan for accomplishing the initial work phase shall be submitted within fifteen (15) calendar days after award of the contract. Plans for subsequent major phases of work shall be submitted no later than fifteen (15) calendar days prior to initiation of work on each major phase; and

(e) In all areas where construction, demolition, alteration, building, or similar related activities take place, the Contractor shall have the following minimum personal protective clothing and equipment requirements in place for any person working on or visiting the site:

(i) Short sleeve shirt;

(ii) Long trousers;

(iii) Steel-toed safety boots; and

(iv) Hard hat.

1.21.1.1 In addition to other requirements for accident prevention specified in this contract, the Contractor shall comply with all Federal and State requirements governing safety and health protection on construction sites and other applicable occupational safety codes.

The Contractor shall indicate its plan for compliance considering conditions of the work described by the design, technical proposal, operational activities of the Government or others in the area of the work, identification of the coordinator, and implementation of all other accident prevention provisions of this contract.

1.21.1.2 The Contractor shall complete and provide safety notifications required (by host nation authorities) and will provide documented proof to the Contracting Officer via the COR, no later than {Insert number of days} ({Insert Deliverable #}) that such notifications were made.

1.21.1.3 (OCONUS-Italy language - In addition to the language above, the following is also required for Italy when a fixed-price construction contract, or a fixed-price repair and maintenance contract, or a Base maintenance contract is anticipated that includes a repair and maintenance feature.) “This project falls under the provisions of Italian Safety Law DLGS 528/99. The Contractor shall comply with all requirements enforced by this Safety Law, and in particular, but not limited to, before any work can start, and no later than ten (10) days from Notice of Award, Contractor shall provide the documentation listed in: art. 8 a) and b) and the "Operational Safety Plan" (Piano Operativo di Sicurezza) set forth in art. 2 f-ter) of DLGS 528/99 ({Insert Deliverable #}”).

1.23 Required Training: The following provides information on training requirements. Contractor personell are not required to maintain Department of Defense Training Requirements.

1.23.5 Personally Identifiable Information (PII): (If applicable) Contractor employees, including subcontractors, performing services under this contract with access to PII and Government information shall complete “Identifying and Safeguarding PII” within 30 calendar days of employment. Contractor personnel shall complete refresher training every twelve (12) months from initial completion. The Contractor shall provide the COR a copy of the training certificates for its employees no later than five (5) days after completion ({Insert Deliverable #}). Training is available at http://iatraining.disa.mil/eta/piiv2/launchPage.html

1.25 Notice to Proceed: (If applicable) the notice to proceed will be provided as indicated below. (Contracting Office must identify one)

☐The effective date of contract will constitute the date of notice to proceed
☐A notice to proceed letter will be issued
☐The date of the letter transmitting the contract will constitute the date of the notice to proceed

1.26 Electromagnetic Compatibility Directive: The Contractor certifies that all electrical and electronic equipment and appliances furnished are in compliance with the Electromagnetic Compatibility Directive 2014/30/EU. For radio transmitting and telecommunication devices furnished in the FRG, the Contractor certifies that all such items have been approved by the Bundesamt fuer Zulassungen. Any penalties for noncompliance imposed by the Government of the European country where the equipment or appliances are delivered or product liability claims caused by interference generated by furnished appliances or equipment are solely the responsibility of the Contractor.

1.27 Government Property and Services: (If applicable) Refer to Part 3 of this PWS for Government property (GP) for this contract. For all issued GP for this contract, the Contractor shall submit a Property Management Plan to the Contracting Officer and the Property Administrator via the COR within {Insert number of days} after date of contract award ({Insert Deliverable #}). The plan shall address the requirements as listed in (the Requiring Activity shall consult with the appropriate garrison or installation property administrator for guidance associated with this requirement and to ensure the appropriate language is included in the PWS.)

PART 2

DEFINITIONS & ACRONYMS

2. Definitions and Acronyms

2.1 Definitions: Although not inclusive of every term used within this PWS, the following provides a list of definitions used throughout this PWS and commonly used in the acquisition field.

Contracting Officer – means a person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings on behalf of the Government. Note: The only individual who can legally bind the Government.

Contracting Officer's Representative (COR) – As defined in DFARS 202.101, means an individual designated and authorized in writing by the Contracting Officer to perform specific technical or administrative functions. DoD Instruction (DoDI) 5000.72, Part II Definitions states the following when defining a COR: “Defined in subpart 202.101 of Reference (f). Any individual delegated responsibilities pursuant to subpart 1.602-2 of Reference (e), regardless of local terminology, must be certified in accordance with this instruction. For example, local terminology can be COR, Contracting Officer’s technical representative, technical point of contact, technical representative, alternate COR, administrative COR, assistant COR, line item manager, task order manager, quality assurance personnel, quality assurance evaluator, or COR management.” In addition, Army Regulation 70-13, Chapter 2, paragraph 2-2g, states, in part, the following when providing other surveillance support personnel to assist the COR when needed, “…These other surveillance support personnel may serve as on-site representatives of the COR in performance of actual contract surveillance if they meet all COR requirements and have been appointed by the Contracting Officer as alternate CORs.”

Contractor – means 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.

Contractor-acquired Property - means property acquired, fabricated, or otherwise provided by the Contractor for performing a contract and to which the Government has title.

Day – means, unless otherwise specified, a calendar day.

Defective Service – means a service output that does not meet the standard of performance associated with the Performance Work Statement.

Deliverable – means anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

Government-furnished Property – As reflected in FAR 52.245-1, Government-furnished Property “means property in the possession of, or directly acquired by, the Government and subsequently furnished to the Contractor for performance of a contract. Government-furnished property includes, but is not limited to, spares and property furnished for repair, maintenance, overhaul, or modification. Government-furnished property also includes contractor-acquired property if the contractor-acquired property is a deliverable under a cost contract when accepted by the Government for continued use under the contract

Government Property - means all property owned or leased by the Government.Government property includes both Government-furnishedand Contractor-acquired property. Government property includes material, equipment, special tooling, special test equipment, and real property. Government property does not include intellectual property and software.

Property Administrator - means an authorized representative of the Contracting Officer appointed in accordance with agency procedures, responsible for administering the contract requirements and obligations relating to Government property in the possession of a Contractor.

High Level Objective (HLO) – means a key overarching result-based objective for a project necessary to achieve the project’s vision. HLOs are similar to Level 2 in a Work Breakdown Structure. Each HLO may contain several statements to flesh out the areas necessary to meet the objective.

Physical Security – means that part of security concerned with physical measures designed to safeguard personnel; to prevent unauthorized access to equipment, installations, material, and documents; and to safeguard against espionage, sabotage, damage, and theft.

Quality Assurance – (or Government contract quality assurance) means the various functions, including, inspection, performed by the Government to determine whether a Contractor has fulfilled the contract obligations pertaining to quality and quantity.

Quality Assurance Surveillance Plan (QASP) – means the key Government-developed surveillance process document, and is applied to Performance-Based Service Contracting (PBSC). The QASP is used for managing Contractor performance assessment by ensuring that systematic quality assurance methods validate that Contractor quality control efforts are timely, effective, and are delivering the results specified in the contract or task order. The QASP directly corresponds to the performance objectives and standards (i.e., quality, quantity, timeliness) specified in the Performance Work Statement (PWS). It provides specific details on how the Government will survey, observe, test, sample, evaluate, and document Contractor performance results to determine if the Contractor has met the required standards for each objective in the PWS. The QASP, with very few if any exceptions, is an internal to Government document.

Quality Control – means all necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

Statement – means the specific results-based activities required to satisfy HLOs. A statement contains a result, the context of the statement, and the required action(s). Statements focus on “what” is to be accomplished; however they are not prescriptive in describing “how” the outcome is to be achieved. Each HLO may have several statements to flesh out the areas necessary to meet the objective. Statements are similar to Level 3 in a Work Breakdown Structure.

Subcontractor – means one that enters into a contract with a prime Contractor. The Government does not have privity of contract with the subcontractor.

Work Day - The number of hours per day the Contractor provides services in accordance with the contract.

Work Week - Monday through Friday, unless otherwise specified.

2.2 Acronyms: Although not inclusive of every term used within this PWS, or that may be included in an acquisition, the following provides a list of acronyms commonly used in the acquisition field.

ACORAlternate Contracting Officer's Representative
AHAActivity Hazard Analysis
AORArea of Responsibility
ATAnti-terrorism
CACCommon Access Card
CCEContracting Center of Excellence
CFEConventional Forces Europe
CFRCode of Federal Regulations
CONUSContinental United States (excludes Alaska and Hawaii)
CORContracting Officer’s Representative
COTSCommercial-Off-the-Shelf
DD250Department of Defense Form 250 (Receiving Report)
DD254Department of Defense Contract Security Requirement List
DFARSDefense Federal Acquisition Regulation Supplement
DMDCDefense Manpower Data Center
DoDDepartment of Defense
FARFederal Acquisition Regulation
GFPGovernment Furnished Property
HIPAAHealth Insurance Portability and Accountability Act of 1996
IAInformation Awareness
IACInstallation Access Control
IACOInstallation Access Control Office
IDIdentification
IGCEIndependent Government Cost Estimate
ITInformation Technology
JTRJoint Travel Regulation
JPASJoint Personnel Adjudication System
KOContracting Officer
OCIOrganizational Conflict of Interest
OCONUSOutside Continental United States (includes Alaska and Hawaii)
ODCOther Direct Costs
OPSECOperations Security
PAProperty Administrator
PIIPersonally Identifiable Information
PIPOPhase In/Phase Out
POCPoint of Contact
PRSPerformance Requirements Summary
PWSPerformance Work Statement
QAQuality Assurance
QAPQuality Assurance Program
QASPQuality Assurance Surveillance Plan
QCQuality Control
QCPQuality Control Program
RARequiring Activity
RCORegional Contracting Office
SIGESafety and Health Protection Plan
TETechnical Exhibit

USAG United States Army Garrison

USAREURUnited States Army Europe
UOMUnit of Measure

PART 3

GOVERNMENT PROPERTY (GP) AND SERVICES

3. Government Property and Services

3.1 Services: (If applicable) The Government will provide {Insert the services that will be provided, e.g. may include personnel to assist with production set-up}.

3.2 Facilities: (If applicable - Please see FAR Part 45.000 to determine if the Government Property is incidental. Recommend consultation with garrison and or installation Property Administrator for further assistance and guidance.)The Government will provide {Insert what facilities will be provided, e.g. necessary workspace, desk space for the Contractor to provide the support outlined in the PWS to include desk space, storage rooms, etc.} (Recommend consultation with KO to determine whether insertion of clause FAR 52.237-2 is in order. The clause states, “The Contractor shall use reasonable care to avoid damaging existing buildings, equipment, and vegetation on the Government installation. If the Contractor’s failure to use reasonable care causes damage to any of this property, the Contractor shall replace or repair the damage at no expense to the Government as the Contracting Officer directs. If the Contractor fails or refuses to make such repair or replacement, the Contractor shall be liable for the cost, which may be deducted from the contract price.”)

3.3 Utilities: (If applicable) The Government will provide {Insert what utilities will be provided, e.g. all utilities in the facility will be available for the Contractor’s use in performance of the tasks outlined in the PWS, etc.} (If utilities are furnished, the following is required) 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, light switches, etc. after using the required amount to accomplish tasks requiring the use of the utilities.

3.4 Equipment: (If applicable - Please see FAR Part 45.000 to determine if the Government Property is incidental. Recommend consultation with garrison and or installation Property Administrator for further assistance and guidance.)The Government will provide {Insert what equipment will be provided and what the Contractor will have access to, e.g. telephones, computers, scanners, fax machines, printers, shipping crates, lighting, sound, etc.}

3.5 Special Tooling and Test Equipment: (If applicable - Please see FAR Part 45.000 to determine if the Government Property is incidental. Recommend consultation with garrison or installation Property Administrator for further assistance and guidance.) Refer to Part 7 of this PWS for GP for this contract. Refer to GP FAR Clause 52.245-1.

3.6 Materials: (If applicable) The Government will provide {Insert what materials will be provided, i.e., Standard Operating Procedures (SOPs), Local Instructions, Policies, etc.}

3.7 Training: (If applicable) The Government will provide the following training: {Insert what training will be provided, e.g. AT Level 1 Awareness, OPSEC, iWATCH, etc.).

3.8 Common Access Cards (CAC): (If and as applicable) The Government will provide Common Access Cards (CAC) via the Trusted Associate Sponsorship System (TASS) (Web site https://www.dmdc.osd.mil/tass/ ).

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Property and Services

4.1 General: (If applicable) The Contractor shall furnish all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items necessary to perform services as described in the PWS and associated contract documents, except for those items specified in Part 3 Government Property and Services..

4.3 Materials: (As applicable –in addition, if contract acquired property is anticipated, consultation with garrison or installation Property Administrator is required to ensure compliance with FAR 52.245-1) The Contractor shall provide {Insert known and contract-specific materials to be provided by the Contractor. For example (although it must be noted this example is not all inclusive, the RA must ensure addressing their specific requirements), “…Personal Protective Equipment, PPE, Office supplies and materials such as, paper, printer cartridges, and all other office supplies and materials needed in the performance of this contract; automated data processing equipment (ADPE) such as computers, copy, printer, and fax machines. All ADPE connecting to the Government network shall be reviewed and approved by the Government prior to purchase by the Contractor; office furniture; cellular and desktop telephones, etc. The Contractor may request a letter of authorization from the Contracting Officer to utilize Government supply sources such as Government Services Administration (GSA), UNICOR, etc.”}

4.4 Vehicles and Equipment: (As applicable) The Contractor shall {Insert known and contract-specific vehicles or equipment to be provided by the Contractor. For example, “...provide all necessary vehicles (no GSA vehicles provided to Contractor for use on this contract) and equipment to perform the work described in this PWS. All Contractor provided vehicles and equipment shall have the company name prominently displayed on both sides of the vehicle or equipment and present a neat, professional appearance. Contractor's vehicles and equipment used in the performance of this contract shall meet all local and Host Nation traffic, safety, and environmental requirements. Vehicles and equipment found to be unsafe shall be removed from the installation and replaced. The Contractor shall not use any Government-owned tools, materials, or parts to maintain Contractor vehicles and equipment without prior written approval of the Contracting Officer. The COR may inspect the Contractor’s vehicles and equipment at any time.”}

PART 5

SPECIFIC TASKS

5.1 Basic Services: The Contractor shall provide services necessary to perform AmeriWater RO System service and preventive maintenance as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The Contractor shall perform to the standards in this PWS.

5.2 Tasks:

Services will include annual inspection, troubleshooting, repairs, and replacement of maintenance parts needed. The Contractor shall ensure continued operation of equipment at the designed efficiency and capacity. Services will include on-site support from trained personnel including labor, travel, tools, hardware, firmware, supplies, testing, measurement, and diagnostic equipment necessary to perform all operations required for preventative maintenance and/or calibration procedures. Unscheduled repair visits will be conducted as needed in order to maintain the equipment and its components in a fully functional state, in accordance with the Original Equipment Manufacturer (OEM) specifications. The Contractor shall provide a part(s) quote for an unscheduled repair and obtain approval before the commencement of such work/repair.

EQUIPMENT LIST

Equipment Name
Serial Number
AmeriWater Storage Tank
CMP240506
AmeriWater Storage Tank Grundfos Pump
CME5-3A-S-I-E-AOOE U-A-D-N
AmeriWater Control Box
CMP240425
AmeriWater Endotoxin Filter
291393
AmeriWater Central Sterile ROS 00HC-0015
HC0240050
Viqua UV Filter
240220414
UV Lamps
S600RL-HO
Quartz Sleeves
QSO-600
Ballasts
BA-ICE-CM
Aquatrol Pressure Vessels
24D237950

IN NO INSTANCE SHALL THE CONTRACTOR PROCEEED WITH WORK OUTSIDE THE CURRENT SCOPE OF THIS CONTRACT/INCREASE THE COST OF THIS CONTRACT WITHOUT GOVERNMENT APPROVAL TO USE OF EXISTING CONTRACT CLIN FOR MAJOR REPAIRS, OR IN THE ABSENCE OF SUCH A CONTRACT CLIN, RECEIPT OF BILATERAL SIGNED MODIFICATION TO THE CONTRACT OR MUTUAL AGREEMENT BY BOTH PARTIES TO AN ALTERNATIVE CONTRACT/PAYMENT ARRANGEMENT (I.E. SEPARATE CONTRACT OR PAYMENT BY GOVERNMENT COMMERCIAL PURCHASE CARD (GCPC)). THIS INCLUDES ANY SURCHARGE, AFTER HOURS EMERGENCY SERVICE, OR ANY OTHER CHARGES/COST THAT ARE OUTSIDE THE CURRENT BASIC OR MODIFIED CONTRACT PRICE.

Tasks consist of the following:

a. During hours of operation, all Contractor personnel shall wear pictured identification cards that identify the employee's name and the Contractor's business name, plainly visible in the upper chest area. Any special Government badges provided shall be worn and visible. All Contractor employees shall present a neat and clean appearance in accordance with generally accepted standards.

b. The Contractor shall not employ Government personnel (military or civilian) for performance of any work described in this PWS.

c. The Government reserves the right to direct the removal of any of the Contractor's personnel for misconduct or security reasons. Removal of the Contractor's employee(s) for reasons stated above does not relieve the Contractor from the PWS performance requirements.

d. Contractors shall not provide personal services to NHC Hawaii under this PWS. If contract employees are directed by any government employee at any time to perform services not covered under this contract, the Contractor shall immediately notify the BIOMED Technical Point of Contact (TPOC) and Contracting Officer (KO).

e. Contractor personnel shall not manage, supervise, direct, or task US military, DOD or DHA civilians or other personnel not associated with the Contractor while performing the tasks within this PWS.

f. Contractor personnel shall not make any commitment which commits the expenditure of US Government resources.

g. The Contractor performing services shall be required to comply with all JBPHH and NHC Hawaii rules, regulations and training that is applicable to conduct, safety, security, and procedures governing site entry and exit.

h. Exclusions: List any exclusions (i.e. parts) not already provided in the PWS, most times found on the contractor quote.

i. Title to Equipment: The Contractor shall not assume possession or control of any part of the equipment. The Government retains ownership to title thereof.

j. Response Time and labor: Contractor shall use commercially reasonable efforts to respond by telephone to any report of a malfunction requiring repair within twenty-four (24) hours of notification from NHC Hawaii Biomed, Monday through Friday, 0730-1600, Hawaii Standard Time. The Contractor shall also provide telephone consulting services Monday through Friday, 0730-1600, Hawaii Standard Time. This consulting service shall be provided to avoid delays in contract service coverage during after-hours and weekend/holiday periods as applicable. Under no circumstances shall the Contractor assume an inquiry, via telephone or any other means, is authorization to provide services not specifically covered by the terms of the contract.

q. Liability: The Contractor shall not be liable for any loss, damage, or delay due to any cause beyond his reasonable control including but not limited to, acts of government, strikes, lockouts, fire, explosion, theft, floods, riot, civil commotion, war, malicious mischief or acts of God.

r. Utilities: The Contractor may use Government utilities, (e.g. electrica1 power, compressed air, and water) that are available and required for any service performed under this contract. Contractor's electrical equipment must be approved by the building engineer prior to use to ensure compatibility with NHC Hawaii electrical wiring and equipment.

s. Access to Equipment: The contractor shall be provided reasonable access to all equipment, which is to be serviced, and utility outlets required doing the service. The contractor shall be free to start and stop all primary equipment incidentals to the operation of the maintained equipment after permission is received from on duty personnel responsible for such equipment.

t. Government Personnel: NHC Hawaii employees will not perform maintenance or attempt repairs to equipment while such equipment is under the purview of this contract unless agreed to in writing by the Contractor.

u. Parts Availability: To ensure minimal equipment downtime, the Contractor shall maintain replacement repair parts and materials necessary to perform each repair or supply said parts and materials within (30) calendar days, 30+ days will be suitable with justification.

v. Labor: All compensation for labor, parts, and materials are included in the contract price unless otherwise stated (i.e. $ limitation, exclusions).

w. Parts/Supplies Quality: Parts and Supplies provided under this contract shall be guaranteed to be equal in all respects, including performance, interchangeabi1ity, durability and quality to the OEM parts when new or as presently recommended by the manufacturer.

TECHNICAL EXHIBIT A

Performance Requirements Summary (PRS)

(The Contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. NOTE – PWS Part 5 Specific Tasks will require the RA to capture and briefly summarize the salient elements of the requirement that they want included in the solicitation. It bears noting that even if not all tasks from Part 5 are captured in the PRS, it does not relieve the Contractor from complying with those tasks and it does not preclude the Government from performing surveillance of those tasks.

REMINDER - DELETE ALL RED INSTRUCTIONAL INFORMATION AND SAMPLE LANGUAGE PRIOR TO FINALIZING THE PWS

PERFORMANCE OBJECTIVE
STANDARD
PERFORMANCE THRESHOLD ACCEPTABLE QUALITY LEVELS (AQLs)
METHOD OF SURVEILLANCE

PRS#1 - PWS para ( xx ) Insert Contractor shall tasks that are considered critical tasks of the service.

Does not have to be ALL contractor shall tasks, only those that are considered “high risk” or “critical” to the performance of the service.

Verbiage should be copy/pasted directly from PWS here.

Add additional PRS rows to the table as necessary.

Ex. The Contractor shall perform custodial services in building XX.

Standard should be pulled from the same paragraph (do not make up standards here).

Standard should relate to the timeliness, quantity, or quality that the service is to be performed at.

Ex. Custodial Svs are performed Mon, Wed, and Fri between hours of 0900-1100.

From 100%, what is considered to be an acceptable deviation to still be satisfactory performance? Examples include:

100% Compliance Zero Deviation from standard 95% Compliance; no more than xx discrepancies found per month, etc.

Ex. No more than 1 complaint per month.

Custodial svs are performed on the required days without deviation from standard.

There are 4 surveillance methods:

100% Inspection

Periodic Inspection

Random Sampling

Customer Feedback

Ex. Periodic Inspection

PRS#2 - PWS para ( xx )

The contractor shall….

PRS#3 - PWS para ( xx )

The contractor shall…

PRS#4 - PWS para ( xx )

The contractor shall…

PRS #X - Service Contract Reporting (SCR) PWS 5.3 and CLIN XXXX

The Contractor shall completely fill in all the information in the format using the following web address www.sam.gov The contractor shall provide the estimated total cost (if any) incurred to comply with this reporting requirement. Reporting period shall be the period of performance not to exceed 12 months ending September 30 of each government fiscal year and must be reported by 31 October of each calendar year. If contract period of performance ends prior to September 30, the contractor has 30 days from end date of the contract to complete the SCR requirement.
Zero Deviation from Standard
100% Inspection

THE FOLLOWING LIST IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY AND SHALL BE DELETED PRIOR TO FINALIZING THE PWS

The following listing provides various types of Surveillance as examples to select from and should not be included on the final document:

Random Sampling: Appropriate for frequently recurring tasks. Evaluate randomly selected samples of the lot to determine the acceptability of the entire lot.

Random Inspection Guide, Method of surveillance, Lot size, Sample size, Performance requirement, Sampling procedure, Inspection procedure.

100 Percent Inspection: Appropriate for tasks that occur infrequently. Inspect and evaluate performance each time task is performed.

Periodic Surveillance: Evaluation of samples selected on other than 100% or statistically random basis. (i.e., monthly, quarterly, semi-annually etc.)

Validated Customer Complaint: Complaints must be validated.

NOTE: You may also identify any surveillance method used in the commercial market to survey the required service. (This will be discovered when market research is conducted).

TECHNICAL EXHIBIT B

DELIVERABLES SCHEDULE

Deliverable
Frequency
# of Copies
Medium/Format
Submit To

Preventative Maintenance Inspections and Service Maintenance

Annually

One each to the Biomedical Repair Division
Electronic delivery of Field Report via email using Microsoft Office Word

TBD

Repair and Service Maintenance

As needed by requiring activity
One each to the Biomedical Repair Division
Electronic delivery of Field Report via email using Microsoft Office Word

TDB

AUG 22

File details come from the government source that posted it. Updated .