Attachment 01 - Performance Work Statement - 13 August 2026.pdf

PERFORMANCE WORK STATEMENT (PWS)

Liquid Medical Oxygen Delivery/Refill & Storage Tank Rental Service

10 July 2026

General Information

1. GENERAL: This is a non-personnel services PWS to provide liquid medical oxygen delivery and refill service with tank rental. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn, shall be responsible to the Government.

1.1 Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform oxygen delivery and refill service with included tank rental as defined in this PWS except for those items specified as Government furnished property and services. The Contractor shall perform to the standards in this PWS.

1.2 Background: The effort required hereunder shall be performed in accordance with the Statement of Work (SOW). Ensure the system and location of the tank area is in compliance with NFPA 99 and ASSE Series 6000 requirements. Maintain on renter’s storage tank, control and vaporization equipment to supply renter’s requirements. Maintain and repair the equipment and maintain adequate insurance in case of damage repair service for the 55th Medical Group, Offutt AFB, NE 68123-2160. Dental, Immunizations, Family Practice, and Radiology clinics are the consumers of this service.

1.3 Scope: : Contractor to provide all transportation, labor, parts, tools, necessary to provide a minimum 900-gallon Liquid Oxygen Storage Vessel (tank) with 8-cylinder medical oxygen manifold system as a rental unit, also fill storage tank with medical grade Liquid Oxygen on an as needed basis.

Liquid Oxygen requirement is 806 liquid gallons per month.

Objectives: The Contractor shall ensure the system and location of the tank area is in compliance with NFPA 99 and ASSE Series 6000 requirements. Maintain renter’s property the storage tank, control and vaporization equipment to supply renter’s requirements. Maintain and repair the equipment and maintain adequate insurance in case of damage. coordinate removal of current equipment following award of this agreement. Removal date will be coordinated with the medical logistics flight at least 72 hours in advance.

1.5 Period of Performance: The period of performance shall be for one (1) Base Year of 12 months and four

(4) 12-month option years. The period of performance reads as follows:

Base Year Option Year I Option Year II Option Year III Option Year IV Option Year V

1.6 General Information

1.6.1 Quality Control: The Contractor shall develop and maintain an effective quality control 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 to ensure products and/or services meet the defined quality requirements of the contract. After acceptance of the QCP, the Contractor shall receive the Contracting Officer’s (CO) acceptance in writing of any proposed change to its QCP.

1.6.2 Quality Assurance: The Government shall evaluate the Contractor’s performance under the contract in accordance with the Quality Assurance Surveillance Plan (QASP). The QASP provides details on how the Government will monitor Contractor performance results to determine if the Contractor has met the required standard(s) for each performance objective in the PWS.

1.6.3 Recognized Holidays: The Contractor is not required to perform services on the following federal holidays:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day Washington’s Birthday Veterans Day Memorial Day Thanksgiving Day Juneteenth National Independence Day Christmas Day Independence Day

1.6.4 Hours of Operation: The Contractor shall be responsible for conducting business between the hours of 0730 -1630 Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the Contractor shall not be reimbursed when the Government facility is closed for the above reasons. The Contractor shall, at all times, maintain an adequate workforce 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 are essential.

1.6.5 Place of Performance: The work to be performed under this PWS shall be performed at:

55th Medical Group

2501Capehart Road

Offutt AFB, Nebraska 68113-2160

1.6.6 Type of Contract: The Government will award a (Type of contract to be determined by CO and the customer).

1.6.7 Security Requirements:

N/A

1.6.7.1 Physical Security: The Contractor shall be responsible for safeguarding all Government equipment, information, and property provided for Contractor use. Before beginning and upon completion of any scheduled or unscheduled service call visit, the contractor's service representative will contact a representative of Housekeeping at (402) 294- 6659 or cell phone (402) 232-9010.

Housekeeping is located at Ehrling Bergquist Clinic, 2501 Capehart Road, Bellevue, NE 68113, on the ground floor, North Wing. Access to the clinic during heightened security may be hampered. The vendor shall hold the government harmless for delays caused by security. The two normal ways to access the facility will be to arrive at the entrance and call (402) 294-4615 or (402) 294-9300 for an escort, or to apply for a contractor's badge through the 55th Security Forces squadron (recommended if accessing more than once per month). The Facilities shop will assist with either option upon award.

1.6.7.2 Key Control;

N/A

1.6.7.2.1. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon direction of the CO, re-key or replace the affected lock or locks. However, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying, or the replacement of the lock or locks, shall be deducted from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

1.6.7.2.2. The Contractor shall prohibit the use of Government issued keys/key cards by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of people other than Contractor employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the CO.

1.6.7.3 Lock Combinations: The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s QCP.

1.6.8 Special Qualifications:

N/A

1.6.9 Post Award Conference/Periodic Progress Meetings: The Contractor shall attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation (FAR) Subpart 42.5. The CO, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the Contractor to review the Contractor's performance. At these meetings the CO will appraise the Contractor of how the Government views the Contractor's performance and the Contractor shall apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

1.6.10 Contracting Officer Representative (COR): The COR will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration. 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 CO and Contractor of any deficiencies, coordinate availability of Government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially regarding changes in cost or price and estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the contract/order.

1.6.11 Key Personnel: The Government considers the following to be key personnel:

Capt Christina Langel, Medical Logistics Flight Commander TSgt Nicholas Frazier, Medical Logistics Flight Chief

TSgt Richard Zabrzenski, Section Chief, Inventory Control

1.6.12 Identification of Contractor Employees:

1.6.13 Contractor Travel:

N/A

1.6.14 Other Direct Costs:

N/A

1.6.15 Data Rights:

N/A

1.6.16 Organizational Conflict of Interest: Contractor and subcontractor personnel performing work under this PWS 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 Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The Contractor shall notify the CO 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 CO to avoid or mitigate any such OCI. The Contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the CO and in the event the CO unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the CO may enact 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.

1.6.17 PHASE IN /PHASE OUT PERIOD:

2.0 SERVICES SUMMARY

The Services Summary table identifies the desired outcomes (a.k.a. Performance Objectives) and acceptable quality level (a.k.a. Performance Thresholds) necessary for successful accomplishment of the contract requirements.

Performance Objectives PWS Reference(s)

Performance Thresholds

Maintain a 99% uptime 1.2 No more than 2 valid Customer Complaint Records per quarter

On time delivery 1.1 No more than 2 valid Customer Complaint Records per quarter

Staffing 1.6.4 No more than one valid defect or complaints per quarter. All such defects or complaints will be in compliance within two working days of notification by the COR.