Attachment 1 SOW N6660422Q0288.pdf

v1.2_FEBRUARY2021

PR NO. 1300990730

PID NO: 10-0259

STATEMENT OF WORK

(SOW)

Prescription Safety Eyewear Blanket Purchase Agreement (BPA)

PR No. 1300990730

1.0 Background

The Naval Undersea Warfare Center Division Newport (NUWCDIVNPT) has a requirement to provide prescription safety eyewear to authorized government employees who perform work that requires protective eyewear. There is a need for a Blanket Purchase Agreement (BPA) with a local Optometrist to purchase prescription safety glasses for these government employees.

Lenses and frames must meet the American National Standards Institute (ANSI Z87.1) NUWCDIVNPT’s Occupational and Safety Health Office (Code 1024) oversees the Prescription Safety Eyewear Program. The objective is to have an established program that is responsive to safety and health issues as well as customer needs. The program must be cost effective and efficient.

NUWCDIVNPT is a research and development laboratory with over twenty-six hundred employees dedicated to providing exceptional underwater support for the Department of Defense (DOD). This program will provide all authorized NUWCDIVNPT employees direct ordering of safety glasses.

1.1 Places of Performance - NUWCDIVNPT

1.2 Authorized Users- NUWCDIVNPT employees

1.3 Sponsors - NUWCDIVNPT

1.4 Types of Funding - Overhead

2.0 Scope

Under the BPA, the Contractor shall provide NUWCDIVNPT employees prescription safety eyewear and emergency basis support. The expected result to be accomplished by the required work is prescription safety eyewear support for NUWCDIVNPT employees. NUWCDIVNPT’s Code 1024 Occupational and Safety Health Office’s Safety Program will be supported by this contract. NUWCDIVNPT will allocate overhead funding for this contract effort. Tasking and deliverables shall be in accordance with the requirements defined in Section 4.0

3.0 Applicable Documents

The contractor shall perform the tasking required in Section 4.0 in accordance with the below Applicable Documents. The following Government Specifications, Standards, and Documents apply:

3.1 OPNAVINST 5100.23 Series Navy Safety and Occupational Health Program

Manual, Chapter 19: Sight Conservation

3.2 NUWCDIVNPTINST 5100.5

Series

NUWC Division Newport Instruction for Occupational Safety and Health (OSH) Program, Chapter 19: Sight Conservation Program

3.3 (ANSI) Z87.1 American National Standards Institute Standard

3.4 NUWCDIVNPTINST

5100.5Series - Form #5100-12

Approval of Prescription Safety Eyewear Form

4.0 Technical Requirements

Specific tasks shall be defined by individual Blanket Purchase Agreement (BPA) Calls to be placed against the Master BPA by the Contracting Officer. The following tasks shall be accomplished by the Contractor using the Government Furnished Information in Section 5.0, and in accordance with the Applicable Documents in Section 3.0. All tasks shall be performed within the scope of this Statement of Work.

4.1 Prescriptions

4.1.1 Process orders based on NUWCDIVNPT employees’ prescriptions from private physicians

4.2 Approval Form Authorization

4.2.1 Only one (1) pair of prescription glasses will be authorized per approval form

4.3 Safety Standard

4.3.1 The standard which safety eyewear must meet is the current American National Standards Institute (ANSI) Z87.1, this includes frames and lenses with permanently affixed side shields

4.4 Frames

4.4.1 Frames shall be available in both metal and plastic

4.5 Fitting and Repair

4.5.1 Fitting and repair of eyeglass frames (for up to a two-year guarantee)

4.6 Lens Material

4.6.1 Lenses are to be made from polycarbonate with a scratch resistant coating.

When polycarbonate is not available, plastic lenses with a scratch resistant coating will be authorized

4.7 Type of Lenses

4.7.1 Single, bifocal, trifocal, double bifocal, transition, ultraviolet coating, tinting, or polarizing (gray or brown) lenses authorized by NUWCDIVNPT as indicated on the approval form

4.8 Progressive Lenses

4.8.1 Progressive lenses only if the employee obtains a prescription from his/her optometrist or ophthalmologist requiring the use of progressive lenses in their safety glasses or the employee pays the difference in the cost between regular bifocal lenses and progressive bifocal lenses

4.9 Sunglasses

4.9.1 Sunglasses with polarized lenses when authorized by NUWCDIVNPT and indicated on the approval form

4.10 Respirator Eyeglass Insert Kits

4.10.1 Vendor will be responsible to insert lenses into Respirator Eyeglass Insert Kits provided by NUWCDIVNPT Safety and Occupational Health Office

4.11 Emergency Services

4.11.1 Forty-eight (48) hour service will be provided (if needed) on an emergency basis

4.12 Delivery

4.12.1 Glasses will be delivered within 30 days of order

4.13 Invoices

4.13.1 Invoices will be provided to customer upon completion of services and receipt of glasses

4.14 Reports

4.14.1 A report is due fifteen (15) working days after the end of each month to the Safety and Occupational Health Office. The report will detail in chronological order each individual purchase for the previous month.

Specifically, the report will enumerate the following: date of services, procurement request number, employee’s name and code, item(s) description, quantity, and total dollar amount.

The vendor shall not incur any expenses for NUWCDIVNPT employees without having both received:

a) Authorization from NUWCDIVNPT Purchase Card Holder(s) and

b) Approval of Prescription Safety Glasses Form from NUWCDIVNPT Safety and Occupational Health Office

Deliverables: The Contractor shall deliver Report of Glasses Purchased per CDRL A001

5.0 Government Furnished Information

There is no Government Furnished Information (GFI) identified under individual task orders and made available under this contract.

6.0 Exception From Information and Communication Technology Accessibility Requirements

N/A

7.0 Compliance With Information and Communication Technology Accessibility Requirements

N/A