B08 SAM OPTOMETRY SERVICE SCOPE OF WORK revised Sep 2025.docx

OPTOMETRY SERVICE SCOPE OF WORK

1. SERVICES.

The contractor shall provide professional optometric services of a nature and scope described herein in accordance with established principles, practices, and ethics of current standards of optometry practices as defined by the Oklahoma Optometric Association.

The Government estimates that service will be for approximately 40-50 employees per month. This is based upon a monthly average for the prior 12 months and DOES NOT constitute a guaranteed minimum number of services.

The contractor shall provide services to the McAlester Army Ammunition Plant employees at his/her normal place of business which shall be located within a 20 mile or less drive from the installation’s main entrance. Contractor shall perform necessary services during normal office hours, Monday through Thursday, excluding observed holidays. All appointments will be made by the Occupational Health Clinic (Primary) or MCAAP Safety Office (Alternate), and not by individual employees. The contractor shall work other hours as mutually agreed upon by the contractor and the Contracting Officer.

1. DEFINITIONS. The following definitions relate to general terms, acronyms, and abbreviations used throughout this scope of work (SOW). Additional definitions can be found in AR 310-25, Dictionary of the U.S. Army Terms, and AR310-SO, Authorized abbreviations and Brevity Codes.

ANSI – American National Standard Institute CLIN – Contract Line Item Number COB – Close of Business

CONSOLIDATED BILLING – A detailed list of contractor’s invoices, submitted to the Contracting Officer by the contractor monthly for reimbursement of services and items.

CONTRACTING OFFICER (KO) – An individual who is currently designated in writing as a Contracting officer with the authority to enter in to, and administer, contracts and make determinations and findings.

CONTRACTOR’S INVOICE – Monthly document submitted by contractor to the KO to receive payment for serviced rendered. Included itemized list of items issued for the month.

COR – Contracting Officer’s Representative.

DAY – Unless specified as a calendar day, means workday.

IAW – In Accordance With.

ISEA – International Safety Equipment Association QA- Quality Assurance

REQUIRED DELIVERY DATE (RDD) – The government established date for delivery of items ordered through the contractor pursuant to procedures established in this contract.

SCBA – Self-contained Breathing Apparatus

1. REGULATIONS/LAWS. Contractor shall comply with Federal, State, and local laws.

1. QUALITY ASSURANCE. The Government will monitor the contractor’s performance under this contract. Additionally, the contractor’s performance is subject to scheduled and unscheduled review.

1. WORK PERFORMANCE. Contractor shall report, in writing to the KO, all circumstances which would affect the Contractor’s performance of work. Such report shall be made by the Contractor to the Contracting Officer by close of business (COB) on same day.

1. CONTRACTOR-FURNISHED PROPERTY AND SERVICES.

5. REQUIRED PERFORMANCE. The contractor shall furnish all fixtures, displays, vehicles, equipment, supplies, and materials necessary to accomplish all required tasks as described in the SOW. Lack of such items shall not be cause for contractor to reduce service or performance. It shall be the contractor’s responsibility to furnish all equipment necessary to accomplish the requirements of this contract. The government will not be liable for any loss or damage to the contractor’s property, including stock, or any expense incidental to such loss or damage.

5. QUALITY OF PROPERTY. All contractor-furnished equipment, vehicles, supplies, or materials shall meet applicable Federal, State, and local laws, codes, and regulations.

5. COMMERCIAL WARRANTY. The contractor agrees that services or materials furnished under this contract shall be covered by the most favorable of commercial warranties, the manufacturer, the contractor, and supplier give to any customer for such service, supplies, or materials and that the rights and remedies provided herein are in addition to and do no limit any rights afforded the government by any other clause of this contract. When warranty item received from the contractor are unserviceable or substandard, they will be returned to the contractor for exchange for a serviceable standard item.

5. MINIMUM SERVICES.

3. Performance of basic eye and visual examinations to prescribe, fit, and repair safety glasses and respirator spectacle inserts. The use of diagnostic drugs and tools to prescribe safety glasses and respirator spectacle inserts will be included in the basic cost of the examination. Employees identified as using lasers in their job positions will be provided a retinal examination prior to exposure and then subsequently in line with their annual physical schedule. The cost of the retinal examination will be added to the basic cost of the examination.

3. If the provider identifies a medical and/or physical condition that precludes his/her ability to prescribe and fit safety glasses to the employee, or a medical and/or physical condition that presents a potential health concern for the employee, the provider shall provide written notice of the condition to the employee and to the government. Employees will not be referred to a specialist or ophthalmologist as a part of the examination to avoid the perception that the referral is a part of the government-provided service.

3. If the examination indicates the only vision correction required is for reading glasses, such as can be obtained without a prescription, the provider should provide the required reader strength in written notice to the employee and the government. Do not prescribe safety glasses to employees who can be fitted with non- prescription safety glasses with built-in reader inserts.

3. A MCAAP form will be brought in by the employee and completed by the optometrist at time of examination and returned with employee for recording of patient diagnosis and treatment in their health records.

3. Employees cannot be required to show personal insurance or other private method of payment.

3. The government will only be responsible for the negotiated cost for frames, lenses, or treatments covered under this Scope of Work and which will be offered to the employee during the appointment.

3. Payment for any additional treatments and/or changes/modifications/upgrades to frames or lenses requested by the employee will be the responsibility of the requesting employee. Larger than standard size frames will be approved by the Safety Director on a case-by-case basis.

3. Scheduling shall be accomplished by mutual agreement between the contractor and the KO.

3. Patient appointments shall be completed within 30 minutes after scheduled appointment begins.

3. Contractor to submit itemized invoice to MCAAP monthly for services, prescription safety glasses, and respirator spectacle inserts provided. Invoice to include name of everyone supplied with prescription safety glasses and/or respirator spectacle inserts, and individual price of each item included in the prescription safety glasses/respirator spectacle inserts (frames, lens, and options).

5. INSPECTIONS. The contractor shall be responsible for inspection of all materials and supplies at time of receipt to assure items are free from defects and to assure conformance with the descriptions provided by the government. The contractor shall not knowingly accept items that are defective.

5. PRESCRIPTION SAFETY GLASSES.

5. Contractor shall ensure that the prescription safety glasses/respirator spectacle inserts provided to MCAAP employees are adjusted for proper individual use and fit.

5. Contractor shall provide repair of damaged or broken prescription safety eyewear (e.g., broken ear or nose pieces, and lenses) where applicable. Contractor shall provide standardized cost for miscellaneous repairs to safety eyewear. If repair is not possible, replacement of prescription safety glasses/respirator spectacle inserts at replacement cost is authorized.

5. The RDD of prescription safety glasses shall be no more than 15 working days after examination.

0. FRAMES.

0. Frames shall meet current ANSI/ISEA Z87.1 Standards.

0. Frames shall be provided with an integrated side shield.

0. Frames will have earpieces

0. Base model plastic frames shall be provided, one each for females and for males, similar to the following:

Plastic

0. A base model metal frame shall be provided, one each for females and for males, similar to the following:

Metal

0. LENSES.

1. Lens shall meet current ANSI/ISEA Z87.1 Standards.

1. Lens shall be made of polycarbonate lens material.

1. Blue light blocker lens (case-by-case basis).

1. Progressive (no line) bifocals (case-by-case basis).

1. Lens prescription tolerance and fit shall be in accordance with the ANSI/ISEA Z80 series and contractor shall provide with their quote, the tolerance range within which the prescription lenses will fall.

1. The contractor shall determine the lens style of single vision or multifocal based upon eye examination prescription IAW paragraph 6.4.

1. Contractor shall provide a standard price list for lens styles available.

1. Contractor shall provide a standard price list for lens options. NOTE: Lens options including transitions or polarized, are not authorized unless requested in writing by MCAAP employee’s supervisor and approved by the MCAAP Safety Director which will be noted on the MCAAP Form.

1. CONTRACTOR QUALIFICATIONS. Services performed herein shall be provided by a contractor who has a doctorate in optometry and a valid, unrestricted license to practice in one of the 50 states, the District of Columbia, or Puerto Rico. The contractor shall speak and write the English language fluently. A copy of the license must be submitted as proof of license to practice.

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