Attachment 1-Bulk Oxygen SOW.docx

Rocky Mountain Network 19 | Montana VA Health Care System (436) 3687 Veterans Drive | P.O. Box 1500 Fort Harrison, MT 59636-1500

1.877.468.8387 | 406.442.6410 www.montana.va.gov

Scope of Work

Project Name: Service Contract – Bulk Oxygen – Fort Harrison VAMC & Miles City CLC Table of Contents

Statement of Work – Bulk Oxygen

1. The contractor shall furnish all management, labor, supervision, transportation, training, equipment, supplies, and materials needed to provide Medical Grade Liquid Bulk Oxygen for the VA Montana Healthcare System, at Fort Harrison, MT and the Miles City Community Living Center (CLC).

2. Medical Grade Liquid Bulk Oxygen will be delivered on an as needed basis. The Bulk Oxygen Tank size is 1500 gallons (see photos below). The tank is vendor owned, not government owned, and will need rental and installation if being replaced. The average monthly usage of bulk oxygen at Fort Harrison VA Medical Center is 109,345 CF, with an annual usage of 1,312,140 CF. Location of requirement is adjacent to Bldg. 171 on Patriot’s Way at the Fort Harrison VA in Helena, MT. The contractor shall provide all maintenance and repair associated with the oxygen tank system. The contractor’s responsibility shall end at the first cut out valve past the primary and secondary storage tanks located on the main service line. The contractor shall be responsible for inspection and certification as per industry standards for Medical Oxygen Systems. The Contractor shall also be responsible for all damages to persons or property that occurs because of the Contractor’s fault or negligence. Removal of Bulk Oxygen at end of rental.

3. Medical Grade Liquid Bulk Oxygen will be delivered on an as needed basis. The Bulk Oxygen Tank size is 525 gallons (see photos below). The tank is owned by the VA. The average monthly usage at the VA Community Living Center at Miles City, Montana is 20,000 CF, with an annual usage of 240,000 CF. Location of requirement is the VA Community Living Center at 210 S Winchester Ave. Miles City, MT 59301-4757. The contractor shall provide all maintenance and repair associated with the oxygen tank system. The contractor’s responsibility shall end at the first cut out valve past the primary and secondary storage tanks located on the main service line. The contractor shall be responsible for inspection and certification as per industry standards for Medical Oxygen Systems. The Contractor shall also be responsible for all damages to persons or property that occurs because of the Contractor’s fault or negligence.

Contract Requirements

1. The Services specified in the Sections entitled Statement of Work and Contract Requirements may be changed by written modification to this contract. The modification will be prepared by the VA Contracting Officer.

2. This contract is a Non-Personal Services Contract as defined in Federal Acquisition Regulation 37.101 and is as follows – “Non-Personnel Services Contract means a Contract under which the personnel rendering the services 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.”

3. The Government may evaluate the quality of professional and administrative services provided but retains no control over the professional aspects of services rendered.

4. The Contractor shall obtain all necessary licenses and/or permits required to perform this work. The Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. The Contractor shall be responsible for any injury to himself/herself, his/her employee, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by him/her employees’ fault or negligence.

5. The Contractor shall assume full responsibility for protecting their personnel while furnishing services under this contract such as providing worker’s compensation, professional liability insurance, health examinations and social security payments. Such personnel shall not be considered VA employees for any purpose.

Period of Performance

1. Period of Performance is 1 Calendar Year for Base Year to start on 08-01-2023 with Four (4) Option Years for Contract Extension on a Year-By-Year Basis, to be reviewed by VA Contracting Officer prior to execution.

2. The Contractor shall contact the VA Contracting Officer on all matters pertaining to the administration of the contract. Only the Contracting Officer is authorized to make commitments or issue changes, which will affect the pricing of the contract.

Work Schedule

1. Normal working hours are from 7:30 AM to 4:30 PM.

Payment

1. Payment will be made in arrears upon receipt of properly prepared invoice for the service performed. Invoices must be submitted through the Online Automated Invoicing System

Invoicing

1. Invoices submitted for goods or services provided under this contract must contain the following information:

· Name of business concern

· Invoice date

· Contract number or other authorization for delivery of property or services

· Detailed description, price and quantity of property or services delivered or executed; this includes actual time spent on each service performed

· Shipping and payment terms

· Name where practicable, title, telephone number, and compete mailing address of responsible official to whom payment is to be sent

· Other substantiated documentation or information as required by the contract Contract Administration

1. The Contractor shall contact the Contracting Officer on all matters pertaining to the administration of the contract. Only the Contracting Officer is authorized to make commitments or issue changes, which will affect the pricing of the contract Privacy Statement

1. Information Security: The C&A requirements do not apply; a Security Accreditation Package is not required. Incidental exposure to protected health information should not occur from accessing the work site as the delivery location(s) are outside of the facilities being serviced. Staff will follow all Privacy & Security policies and procedures.

PHOTOS

Fort Harrison VAMC Bulk Oxygen Tank – VS-1500

Miles City VA Bulk Oxygen Tank – VCS 5 25 G image1.jpeg image2.jpeg image3.jpeg image4.jpeg image5.jpeg image6.png