Attachment 1-Medical Gas and Cylinder Rental 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 January 4, 2024 Project: 436-24-2-083-0108 Project Name: MEDICAL GAS and CYLINDER SUPPLY Table of Contents

Statement of Work – Medical Gases and Cylinders

1. The contractor shall furnish all management, labor, supervision, transportation, training, equipment, supplies, and materials needed to provide all Medical Grade Gases and Cylinders Rental for the VA Montana Healthcare System, at Fort Harrison, MT and must be able to provide service to all VA Montana Community Based Outpatient Clinics (CBOC) located in Billings, Bozeman, Butte, Great Falls, Glasgow, Hamilton, Havre, Lewistown, Kalispell, Cut Bank, Miles City, and Missoula.

2. The contractor shall deliver/pick-up various medical gases and cylinders (See Attachment 2- Medical Gas Pricing Sheet) on a mutual agreed upon schedule or on an as needed basis. If VA Montana needs medical gases outside of the mutual agreed upon schedule, contractor will furnish required equipment and supplies within 48 hours upon notification.

3. Contractor will provide receipt for delivery at each location and obtain signatures for all cylinders and supplies delivered and/or returned.

4. An emergency point of contact will be provided for an afterhours contact to handle any emergency that may arise. Contractor shall furnish all emergency requests as soon as possible or at least within 24 hours period. A nominal fee may be charged for emergent requests requiring delivery with 24 hours upon receipt of order.

Contract Requirements

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

2. This contract is a Non-Personnel 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 FEB 01, 2024 - OCT 31, 2024.

2. 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.

Work Schedule

1. Normal working hours are from 8:00 AM to 4:30 PM.

2. Delivery will be every Friday at Dock attached to hospital behind the ER entrance.

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 (Tungsten) 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.

CLINIC LOCATIONS:

Benjamin Charles Steele VA Clinic:

1766 Majestic Lane Billings, MT 59102-6759 Bozeman:

1101 E Main ST Bozeman MT 59715 Butte VA Clinic:

40 Three Bears Drive Butte, MT 59701-7171 Great Falls:

1400 29th Street South, Suite 1 Great Falls, MT 59405-5315 Glasgow:

630 2nd Avenue South, Suite A Glasgow, MT 59230-2304 Hamilton:

299 Fairgrounds Road, Suite A Hamilton, MT 59840-3199 Havre:

1753 US Highway 2 Northwest Suite 3 Havre MT 59501-3464 Lewistown:

629 Northeast Main Street, Suite 1 Lewistown, MT 59457-2082 Kalispell:

31 Three Mile Drive Kalispell, MT 59901-1400 Cut Bank:

8 Second Avenue Southeast Cut Bank, MT 59427-2909 Miles City:

316 South Haynes Avenue Miles City, MT 59301-4764 Missoula:

3885 W Broadway ST Missoula MT, 59808 Information Security & Privacy Information Security: The C&A requirements do not apply; a Security Accreditation Package is not required. Incidental exposure to protected health information may occur from accessing the work site. Staff will follow all Privacy & Security policies and procedures.

Authorized call list:

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