Attachment_1_PWS_X_Connection_Survey.pdf

Solicitation # FA4801-17-R-0013

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PERFORMANCE WORK STATEMENT (PWS)

For

CROSS-CONNECTION AND BACKFLOW PREVENTION DEVICE

SURVEY

Holloman AFB, NM

21 June 2017

LUCAS S. HILLEBRAND Date Contracting Officer’s Representative (COR)

DALE M. WOOSELY, Civ, DAF Date COR Supervisor

JENNIFER D. STERNTHAL, Civ, DAF Date Quality Assurance Program Coordinator (QAPC)

Approved:

JUSTIN W. BOWERS, SSgt, USAF Date Contracting Officer

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TABLE OF CONTENTS

Section Number and Title Page Number

1.0. DESCRIPTION OF SERVICE 3

2.0. SERVICE SUMMARY 6

3.0. GOVERNMENT SERVICES 6

4.0. GENERAL INFORMATION 7

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1.0. DESCRIPTION OF SERVICES. The Contractor shall accomplish activities necessary to support the Holloman AFB Cross-connection Control and Backflow Prevention Program. The primary goal of this effort is to assist the base in complying with Air Force Instruction (AFI) 32- 1067, Civil Engineering Water and Fuel Systems (4 February 2015), requirement to conduct a cross-connection survey every five years. Specific task objectives are as follows:

Conduct a cross-connection control survey of all water-using facilities, except base housing.

Update the cross-connection inventory with data collected during the field survey.

Develop a cross-connection control survey memorandum report that includes findings from the survey and prioritized recommendations for program improvement along with associated cost estimates

1.1. BASIC SERVICES.

1.1.1. Kick-off Conference. The Contractor shall attend a kick-off conference with the Holloman AFB Backflow Program Manager, Contracting Officer, Contract Administrator, Contracting Officer’s Representative (COR), and stakeholders as needed, to discuss the work, and associated requirements to be accomplished under this contract. The purpose of the meeting will be for the Contractor to become familiar with the project expectations and requirements, and to begin preliminary planning and data gathering. Other issues affecting installation operations and actions will be included in the discussions. At a minimum, the following will be discussed:

Points of contact and lines of communication Information/data available Applicable installation policies and requirements Procedures for site access and coordination Various compliance plans, programs, and policy

1.1.2. Reference Materials. Also under Task 1, the Contractor shall request necessary documents from the base and conduct a comprehensive review of that data prior to the site survey. This data may include:

Geographic Information System (GIS) maps and engineering drawings of the installation potable water system (including associated irrigation and building footprints).

Existing backflow prevention device (BPD) records, specifications and other documents that may be of value in defining the cross-connection and backflow prevention issues.

Real estate listing of all base buildings (excluding base housing).

1.1.3. Cross-Connection Survey. The Contractor shall furnish the personnel, equipment, materials, and other requirements necessary for, or incidental to the performance of work associated with this contract. The Contractor shall visit each site to identify protected and unprotected cross-connections. The base Bioenvironmental Engineering, Civil Engineering, and Utilities personnel shall be interviewed as needed for performance of surveying activities. An in-briefing to stakeholders of the affected building (tenants, facility managers, Security Forces, etc.) shall be conducted no later than two business days before the first day of the site visit to

Attachment 1 Page 4 of 13 discuss proposed site visit activities and pre-coordination efforts (e.g., logistics, escorts, photography restrictions, mechanical room access, etc).

1.1.3.1. The Contractor shall inspect each building suspected of having a connection to the potable water system including a 100-foot radius surrounding the outside of each building surveyed. The survey team shall consist of at least one person trained and experienced in cross-connection survey methodology. The Contractor shall assume that 370 buildings will be assessed during the cross-connection control survey and that military family housing will be excluded from the effort.

1.1.3.2. The Contractor shall identify all water uses and examine all visibly exposed water piping and point of use devices internal and external to the facility. All potential cross-connections between the potable and non-potable water uses or sewers shall be documented.

Each cross-connection shall be located, cataloged, and tagged. The Contractor shall identify, catalog, and evaluate all existing protections, including air gaps, vacuum breaks, and other BPDs.

1.1.3.3. Information shall include location, type, manufacturer, model number, serial number, device size and date installed, if applicable. The Contractor shall include a color photograph of each cross-connection and device where installed. The Contractor shall not inventory untestable devices such as low hazard hose bibs and laboratory sink vacuum breakers or devices integral to food service equipment and medical equipment. The Base Bioenvironmental Engineer and Backflow Program Manager shall be notified of all high hazards when identified in order that any serious health threat can be corrected immediately.

1.1.4. Cross-connection Survey Database and Report. The Contractor shall use customized forms for field data collection. The inventory and survey results from survey forms, as well as digital photographs, will be entered on an AF Form 848, Inventory of Cross-Connection Control and Backflow Prevention Devices, or a Microsoft Excel spreadsheet format containing information that is substantially the same.

1.1.4.1. The Contractor shall submit a draft Cross-Connection Survey Memorandum Report to the COR within 10 business days of the conclusion of all cross-connection and BPD surveying activities. This report will include identification of all actual and potential cross-connections, the hazard classification of each, and recommended corrective actions along with approximate costs to implement each recommendation. This report will include a section outlining the justification for recommended corrective actions. The final report shall be submitted to the COR within five

(5) business days after receipt of the review comments by the COR

1.1.4.2. The Contractor shall include a narrative description of the building, identify where BPDs are installed, and determine where BPDs or corrective actions are needed. For each potential cross-connection identified that requires corrective action, the Contractor shall rank in descending order, from most hazardous to least hazardous, to allow prioritization of corrective action to be accomplished. The Contractor shall identify approximate costs for each corrective action, considering material, labor, and equipment.

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1.1.4.3. The Contractor shall incorporate edits based on draft report review comments and submit the final report to the COR within 10 days after receipt of the draft report with Government review comments. The final report shall include data and reports in Microsoft Word format.

1.2. CONTRACTOR FULL-TIME EQUIVALENT REPORTING. The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for Holloman Air Force Base, NM via a secure data collection site. The contractor is required to completely fill in all required data fields at http://www.ecmra.mil.

Reporting inputs will be for the labor executed during the period of performance for each Government fiscal year (FY), which runs 1 October through 30 September. While inputs may be reported any time during the FY, all data shall be reported no later than 31 October* of each calendar year. Contractors may direct questions to the Contractor Manpower Reporting Application help desk.

*Reporting Period: Contractors are required to input data by 31 October of each year.

Uses and Safeguarding of Information: Information from the secure web site is considered to be proprietary in nature when the contract number and contractor identity are associated with the direct labor hours and direct labor dollars. At no time will any data be released to the public with the contractor name and contract number associated with the data.

User Manuals: Data for Air Force service requirements must be input at the Air Force CMRA link. User manuals for Government personnel and contractors are available at the Army CMRA link at http://www.ecmra.mil.

1.3 ANTITERRORISM (AT) AWARENESS LEVEL I TRAINING. This is for contractor employees with an area of performance within a Government controlled installation, facility or area. All contractor employees, to include subcontractor employees, requiring access to Government Installations, Facilities and Controlled Access areas shall complete AT Level I awareness training within ten (10) calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable.

Certificates of completion for each affected contractor employee and subcontractor employee will be maintained by the COR or sponsoring Antiterrorism Representative. AT level I Awareness Training is available at the following website: http://jko.jten.mil or if have received ID/CAC, training can be taken at Advanced Distributed Learning Service (ADLS) at https://golearn.adls.af.mil/kc/main/kc_frame.asp?blnWhatsNew=True [At ADLS: go to Course List, Total Force Awareness Training (TFAT), select *Force Protection (ZZ133079)]

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2.0. SERVICE SUMMARY (SS).

Performance Objective PWS Paragraph Performance Threshold

SS-1

Contractor attends kickoff conference.

1.1.1 100% compliance

SS-2

Contractor identifies actual and potential cross-connections for at least 370 buildings; catalogs, tags, and evaluates existing protections, photographs cross-connections and devices where installed.

1.1.3 through 1.1.3.3 No more than five discrepancies

SS-3

Contractor produces Cross-Connection Survey report, identifying actual and potential cross-connections; hazard classification, recommended corrective actions, and approximate costs for implementation. Due to COR within 10 days of survey completion. Final report is submitted to COR within 5 days after receiving review comments by the COR.

1.1.4 through 1.1.4.3 100% compliance

SS-4

Contractor delivers draft quality control plan and progress schedule to Contracting Officer, for review, within ten (10) business days. Contractor submits revised QCP for acceptance within (5) five business of receipt of QCP with CO’s recommendations.

4.5.1.1 and 4.5.1.2 100% compliance

3.0. GOVERNMENT FURNISHED PROPERTY AND SERVICES. The Government will furnish electricity, water, and sewage services as necessary for accomplishment of work in accordance with this contract. All reasonable quantities of utilities shall be made available to the Contractor without charge.

3.1. CONSERVATION OF UTILITIES. The Contractor shall instruct employees in utilities conservation practices. The Contractor shall be responsible for operating under conditions which prevent the waste of utilities which include the following:

3.1.1. Lights shall be used only in areas when and where work is actually being performed.

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3.1.2. Mechanical equipment controls for heating, ventilation and air conditioning systems shall not be adjusted by the Contractor or by Contractor employees unless authorized.

3.1.3. Water faucets or valves shall be turned off, or restored to their original state after the required use has been accomplished.

3.1.4. Government telephones shall be used only for official Government business.

4.0. GENERAL INFORMATION.

4.1. HOURS OF OPERATION. Normal duty hours are from 7:30 am to 4:30 pm Monday through Friday. Any work requiring to be conducted outside the normal working hours shall be coordinated with each particular facility manager, 48 hours in advance.with at least 48 hours advance notice.

4.2. FEDERAL HOLIDAYS. Contractors are not required to work on Federal holidays.

Services scheduled on a Federal holiday must be also coordinated with the facility managers accordingly. The Contractor is not required to provide service on the following days:

Holiday Observed:

New Year’s Day January 1* Martin Luther King Day Third Monday in January Presidents Day Third Monday in February Memorial Day Last Monday in May Independence Day July 4* Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11* Thanksgiving Day Last Thurday in November Christmas Day

December 25*

*If the holiday falls on a Saturday it is observed on Friday. If the holiday falls on a Sunday it is observed on Monday

4.3. SECURITY REQUIREMENTS. Base passes shall be obtained immediately upon award of the contract. Employees assigned to this project must posses two types of identification at all times. Please submit to the Contracting Officer a list of names and addresses of every employee that will be involved with this project. Vehicles and equipment that will be used on this project must be registered with the HAFB Security Forces. Paperwork for base passes shall be obtained from the Contracting Officer/Administrator. Base passes are issued on a yearly basis for the duration of the contract.

4.3.1. Listing of Employees. The Contractor shall maintain a current listing of employees that require access to Holloman AFB. The list shall include the employee's name, social security number and type of investigation if contract work involves unescorted entry to Air Force (AF) restricted areas or other sensitive areas designated by the installation commander. The list shall be provided to the Program Manager and sponsoring agency security manager. An updated listing shall be provided when an employee's status or information changes (e.g. terminated for cause, reassignment, retirement, etc.) or when a new employee is added.

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4.3.2. Security Training. The Contractor ensures all employees receive initial and recurring (annual) security education training from the sponsoring agency security manager. Training must be conducted IAW DoDM 5200.01, DoD Information Security Program, and AFI 16-1401, Air Force Information Security Program. Contractor personnel who work in AF controlled/restricted areas must be trained in accordance with AFI 31-01, Integrated Defense.

4.3.3. Pass and Identification Items. The Contractor shall ensure the pass and identification items required for contract performance are obtained for employees.

4.3.3.1. All Contractor employees requiring access to Holloman AFB shall be identified on a Holloman AFB Visitor Access Request (VAR) form. The Contractor shall submit a completed VAR through the CO to 49 SFS Pass and Registration no later than 7 duty/business days, and for foreign nationals, 14 duty/business days, prior to requiring access to the base.

4.3.3.2. Retrieving Identification Media. The Contractor shall return all identification media from employees who depart for any reason before the contract expires; e.g. terminated for cause, reassignment, retirement, etc. The Contractor will notify the Government within 24 hours when unable to retrieve identification media from contract employees.

4.3.3. Traffic Laws. The Contractor and its employees shall comply with base traffic regulations. Traffic regulations include, but are not limited to:

4.3.3.1. Employees shall wear a seatbelt when operating or riding in any military, Contractor or privately- owned vehicle while on the installation.

4.3.3.2. Speed limits on Holloman AFB are 30 MPH unless otherwise posted. Be aware of reduced speed limits and exercise caution when driving in base housing and school zones.

4.3.3.3. All vehicle operators on the installation shall not use cell phones unless the vehicle is safely parked or unless they are using a hands-free device. The wearing of any other portable headphones, earphones or other listening devices (except for hands-free cellular phones) while operating a motor vehicle is prohibited.

4.3.4. Weapons, Firearms, and Ammunition. Employees are prohibited from possessing weapons, firearms, or ammunition on themselves or within military, Contractor or privately-owned vehicles while on Holloman AFB.

4.3.5. Records Management & Freedom of Information Act Information.

4.3.5.1. For Official Use Only (FOUO). The Contractor shall comply with DoDM 5400.07- DoD Freedom of Information Act (FOIA) Program and AFI 33-332, Air Force Privacy and Civil Liberties Program. These regulations set policy and procedures for the disclosure of records to the public and for marking, handling, transmitting, and safeguarding Personally Identifiable Information (PII) material.

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4.3.5.2. Contractor Records. (June 2017). The Contractor shall maintain all Government records IAW AFMAN 33-363, Management of Records, paragraph 6.4., Contractor Support, in order to support the COR who is responsible for all lifecycle record management and all duties assigned to the organization's Record Professional (RP) (Tier-1 (T-1)). [AFI 33-360, Publications and Forms Management, Table 1.1 outlines description of the authorities for T-1.]

4.3.5.3. Records Management (RM) (June 2017). The Contractor shall provide accountability and ensure all records and documents generated during the period of this contract are made available to the government at all times. All information may be maintained electronically. All publications and forms will be available for contractor's use through the Holloman Publications Web Site. Any publications or forms that are required for the performance of this contract and are not available electronically are required to be maintained manually.

4.3.6. Reporting Requirements. Contractor personnel shall report to an appropriate authority any information or circumstances of which they are aware may pose a threat to the security of DoD personnel, Contractor personnel, resources, and classified or unclassified defense information.

4.3.7. Controlled/Restricted Areas. The Contractor shall implement local base procedures for entry to AF controlled/restricted areas where Contractor personnel will work. An AF Form 2586, Unescorted Entry Authorization Certificate, must be completed and signed by the sponsoring agency security manager before a restricted area badge will be issued. Contractor employees must have a completed and favorable Tier 1 or higher investigation (or DoD-determined equivalent investigation) before receiving a restricted area badge. Interim access can be granted in accordance with AFI 31-501, Personnel Security Program Management.

4.3.8. Video/Still Imagery Devices: The use or possession of any device capable of capturing video and still images is strictly prohibited within any controlled/restricted area without written authorization from the installation commander or his/her designated representative. Individuals will be denied access to restricted/controlled areas if in possession of these devices.

4.3.9. Portable/Personal Electronic Devices (PED): The use of possession of all PEDs used for storing, processing, and/or transmitting information is strictly prohibited within all areas where classified material is discussed, briefed, stored, or processed without written authorization from the Designated Approval Authority. Use of PEDs during training events is strictly prohibited.

4.3.10. Security Doors: Accessing/opening doors controlled or attached to an intrusion alarm system such as the Base Exchange must be coordinated through Security Forces, phone 575-572- 5810.

4.3.11. Special Force Protection Operations: during force protection operations, Security Forces may deny access to HAFB without notice. Please contact your Contract Administrator and facility managers a soon as possible.

4.4. PHYSICAL SECURITY. The Contractor shall be responsible for safeguarding all

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Government property provided for Contractor use. At the close of each work period, Government facilities, property, and materials shall be secured.

4.4.1. Key Control. The Contractor shall establish and implement methods of ensuring that all keys/key cards issued to the Contractor by the Government are not lost or misplaced and are not used by unauthorized persons. (NOTE: ALL REFERENCES TO KEYS ALSO INCLUDE KEY

CARDS. NO KEYS ISSUED TO THE CONTRACTOR BY THE GOVERNMENT SHALL

BE DUPLICATED. THE CONTRACTOR SHALL DEVELOP PROCEDURES COVERING

KEY CONTROL THAT SHALL BE INCLUDED IN THE QUALITY CONTROL PLAN.

SUCH PROCEDURES SHALL INCLUDE TURN-IN OF ANY ISSUED KEYS BY

PERSONNEL WHO NO LONGER REQUIRE ACCESS TO LOCKED AREAS).

4.4.1.1. The Contractor shall immediately report to the COR any occurrences of lost keys, compromised lock combinations, or use by unauthorized persons.

4.4.1.2. In the event keys, other than master keys, are lost or duplicated, the Contractor shall, upon written direction of the CO, rekey or replace the affected lock or locks without cost to the Government. The Government, may, however, replace the affected lock or locks or perform rekeying. When the replacement of locks or rekeying is performed by the Government, the total cost of rekeying and deduct the cost of such from the monthly payment due the Contractor. In the event a master key is lost or duplicated, all locks and keys for that system shall be replaced by the Government and the total cost deducted from the monthly payment due the Contractor.

4.4.1.3. The Contractor shall prohibit the use of keys issued by the Government by any persons other than the Contractor’s employees. The Contractor shall prohibit the opening of locked areas by Contractor employees to permit entrance of persons other than Contractor’s employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the CO.

4.4.2. Lock Combinations. The Contractor shall establish and implement methods of ensuring that all lock combinations are not revealed to unauthorized persons. The Contractor shall ensure that lock combinations are changed when personnel having access to the combinations no longer have a need to know such combinations. These procedures shall be included in the Contractor’s Quality Control Plan.

4.5. QUALITY CONTROL.

4.5.1. Quality Control (QC) Program. The Contractor shall establish a complete QC program to ensure the requirements of this contract are provided as specified. The CO will notify the Contractor of acceptance or required modifications to the plan before the contract start date. The Contractor shall make appropriate modifications (at no additional cost to the Government) and obtain acceptance of the plan by the CO before the start of the first operational performance period.

4.5.1.1. Quality Control Plan (QCP). The QCP shall address project organization, personnel, and project management; technical approach; coordination procedures and activity and

Attachment 1 Page 11 of 13 deliverables schedule; quality assurance and quality control procedures, and activities that will contribute to the successful execution of this task order. Specifically, the QCP shall address how the Contractor intends to meet the Government’s needs. The Contractor shall present the draft QCP to the CO, for review, within ten (10) business days after award. After review, the Contractor shall make recommended changes and submit the revised (final) QCP, for acceptance by the CO, within five (5) business days after receiving the QCP with annotations by the CO.

4.5.1.2. Progress Schedule. As part of the QCP, the contractor shall include a progress schedule. This schedule shall be submitted with the draft QCP, for review, and incorporation into the final QCP. This schedule shall be based on either:

Work completed cumulative to the period of performance, expressed as a percentage; or Number of facilities surveyed out of the total number of facilities covered under this contract; or Any other objective, quantifiable method.

4.5.1.3. Health and Safety Plan (H&SP). In addition to the QCP, the Contractor shall develop an internal Health and Safety Plan (H&SP) to outline health and safety procedures and protocol to be followed by Contractor personnel during cross-connection survey field activities. The H&SP shall comply with applicable Federal, State, and local health and safety requirements, including guidelines established by the Occupational Safety and Health Administration (OSHA).

4.5.2. Quality Assurance. The Government will periodically evaluate the Contractor’s performance by appointing a representative(s) to monitor performance to ensure services are received. The COR will evaluate the Contractor’s performance through intermittent on-site inspections of the Contractor's quality control program and receipt of complaints from base personnel. The Government may inspect each task as completed or increase the number of quality control inspections if deemed appropriate because of repeated failures discovered during quality control inspections or because of repeated customer complaints. Likewise, the Government may decrease the number of quality control inspections if merited by performance.

The Government will also investigate complaints received from various customers located on the installation. The COR shall be responsible for initially validating customer complaints.

However, the Government representative shall make final determination of the validity of customer complaint(s) in cases of disagreement with customer(s).

4.5.3. The COR(s) is the authorized Government representative(s) who will perform assessments of the Contractor’s performance. Subsequent to award, the identity of the COR(s), with a letter defining their duties and authority will be promptly furnished to the Contractor.

4.5.4. The COR(s) or alternate(s) will inform the Contract Manager when discrepancies occur and will request corrective action. The COR(s) or alternate(s) will make a notation of the discrepancy on their assessment checklist with the date and time the discrepancy was noted and will request the Contract Manager (or authorized representative) to initial the entry on the checklist.

4.5.5. Any matter concerning a change to the scope, prices, terms or conditions of this contract shall be referred to the CO and not to the COR(s).

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4.5.6. The services to be performed by the Contractor are subject to review by the CO or authorized representative(s) at all times.

4.6. ENVIRONMENTAL CONTROLS.

4.6.1. Compliance with Laws and Regulations. The Contractor shall be knowledgeable of and comply with all applicable federal, state, and local laws, regulations, and requirements regarding environmental protection. In the event environmental laws/regulations change during the term of this contract, the Contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the Contractor shall inform the CO pursuant to notice requirements and negotiate a modification to the contract.

4.6.2. Notification of Environmental Spills. If the Contractor spills or releases any substance contained in 40 CFR 302 – Designation, Reportable Quantities, and Notification; into the environment, the Contractor or its agent shall immediately report the incident to Holloman AFB Fire Dept at 572-7228. The liability for the spill or release of such substances rests solely with the Contractor and its agent.

4.7. SAFETY REQUIREMENTS. In performing work under this contract, the Contractor shall:

4.7.1. Conform to the safety requirements contained in the contract for all activities related to the accomplishment of the work.

4.7.2. Take such additional immediate precautions as the CO may reasonably require for safety and mishap prevention purposes.

4.7.3. Develop and provide at the start of the orientation period or the start of the first operational performance period (if there is no orientation period) a safety plan for the protection of Government facilities and property and to provide a safe work environment for Contractor personnel.

4.7.4. Provide protection to Government property to prevent damage during the period of time the property is under the control or in possession of the Contractor.

4.7.5. Include a clause in all subcontracts to require subcontractors to comply with the safety provisions of this contract as applicable.

4.7.6. Record and report promptly (within one hour) to the CO or designated Government representative, all available facts relating to each instance of damage to Government property or injury to either Contractor or Government personnel.

4.7.7. In the event of an accident/mishap, take reasonable and prudent action to establish control of the accident/mishap scene, prevent further damage to persons or property, and preserve evidence until released by the accident/mishap investigative authority through the CO.

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4.7.8. If the Government elects to conduct an investigation of the accident/mishap, the Contractor shall cooperate fully and assist Government personnel in the conduct of investigation until the investigation is completed.

4.7.9. Include a clause in each applicable subcontract requiring the subcontractor's cooperation and assistance in accident reporting and investigation.

4.8. NEW MEXICO GROSS RECEIPTS TAX.

The State of New Mexico assesses a Gross Receipts Tax for firms conducting business operation within the State without regard to the location of entity. You are advised that services and all construction materials and the associated services are taxable to Governmental entities for gross receipts purposes. Any proposals/bids received will be presumed to include this cost of business and any request for adjustment or proposed/bid prices as a mistake in proposal/bid either before or after award of a contract will not be considered.

The tax rate applicable to a particular contractor (for work completed on Holloman Air Force Base) is based on the type of work performed and place of business (Out-of-State companies versus NM companies). New Mexico Taxation and Revenue Department publication FYI-200, Your Business Location and the Appropriate Tax Rate, explains the methods of determining the business location and the applicable tax rate, and is available on the Internet at http://www.tax.newmexico.gov/forms-publications.aspx. Select Gross Receipts Tax Rate Schedules and click on “Current Year Gross Receipts Tax Rate Schedules”.

Appropriate tax and registration forms are available at http://www.tax.newmexico.gov.

Offerors/bidders are expected to be knowledgeable of the Gross Receipts and Compensating Tax Act for the State of New Mexico. Further information may be obtained from:

State of New Mexico Taxation and Revenue Department 2540 El Paseo Bldg #2 PO Box 607 Las Cruces, NM 88004 Phone # (575) 528-6152