Attachment 2 - SOW.pdf

Statement of Work for

Liquid Medical Oxygen Delivery/Refill Service with Storage Tank Rental 1 November 2020

1. 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.

2. Major Items of Work:

2.1. The vendor, at his expense will:

2.2 . Ensure the system and location of the tank area is in compliance with NFPA 99 and ASSE

Series 6000 requirements.

2.3. Install on renter’s property the storage tank, control and vaporization equipment to supply renter’s requirements.

2.4. Maintain and repair the equipment and maintain adequate insurance in case of damage.

2.5. Contractor shall 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.

3. Location of equipment: 55th Medical Group

2501 Capehart Road

Offutt AFB, Nebraska 68113-2160

4. Reporting instructions: Before beginning and upon completion of any scheduled or unscheduled service call visit, the contractor’s service representative will contact representative of the Medical Logistics Receiving at (402) 294-4615 or 294-9300. Access to the clinic will only be authorized during duty hours, Monday through Friday 0700-1600. Access to the clinic may be hampered during heightened security. 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 south parking lot entrance and call (402) 294-4615 or 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 Medical Logistics shop will assist with either option upon award.

5. Reliability: Equipment is considered life critical. Prolonged failure of the system could cause patient death.

7. Safety: The contractor and contractor representatives shall comply with Air Force safety

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standards at all times while on government property. In accordance with AFOSH Standards

91-8/91-501, and Federal Occupational, Health and Safety agency (OSHA) standards, safe working practices shall be followed. These include, but are not limited to:

7.1. Wearing of seatbelts/shoulder harnesses at all times while driving on Offutt AFB.

7.2. Observe maximum speed limits, 25 MPH unless otherwise posted, on Offutt AFB.

7.3. Contractor personnel shall remove watches, rings, and jewelry prior to servicing electrical circuits.

7.4. If a unit is left in a non-operational state, it shall be tagged DO NOT OPERATE. The tag shall also include the name of the contracting company and the representative placing the tag on the equipment. The contractor shall comply with the Biomedical Equipment Maintenance

Department’s current lock out I tag out policy located in their shop. The 55 th

Medical Group shall provide a copy of the current policy with this Statement of Work.

7.5. Comply with the no smoking policy within 55th Medical Group.

7.6. Report to the Biomedical Equipment Maintenance Department any problems with building utilities such as blown circuit breakers and defective/broken electrical receptacles.

7.7. Comply with all 55th Medical Group Fire Regulations. The 55 th

Medical Group will provide a copy of the regulations, and/or provide the website to access the regulations.

7.8. Contractor shall provide annual inspection as required by the FDA as well as a purity certificate of analysis for each delivery of liquid oxygen.

7.9. GPC payment may be accepted not to exceed $2500 for 2 payment cycles.

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