Attachment_2_CMS_Statement_of_Work.pdf

DEPARTMENT OF HOMELAND SECURITY (DHS)

Statement of Work (SOW) For

Consumable Medical Supplies (CMS) (Replenishment/Emergency Declaration)

1.0 BACKGROUND

Historically, there has been an absence of adequate and appropriate shelter support and care for sheltered disaster survivors who require Consumable Medical Supplies (CMS) resources. The provision of Consumable Medical Supplies (e.g., medications, diapers, and bandages) are medical supplies which may be ingested, injected, or applied and/or are one time usage. The CMS list herein has been developed by the Federal Emergency Management Agency (FEMA) Mass Care Functional Needs Support Services (FNSS) review group.

This document identifies the basic consumable medical supplies necessary to sustain and support a 100-200 person shelter for a 72 hour period, which FEMA may provide as supplemental assistance to shelter providers when requested by a State; pursuant to Section 403 (b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (Public Law 93-288) as amended.

FEMA desires to establish one or multiple Indefinite Delivery Indefinite Quantity (IDIQ) contracting vehicles to procure a completely kitted and packaged CMS Kits and ala carte items, as identified in Attachment 1. “CM-000.” CM-000 consists of line items CM-001 through CM-094.

2.0 SCOPE:

The Contractor shall provide CM-000, and/or individual CMS listed on an ala carte basis, as requested by FEMA in both steady state to maintain stock levels, and for rapid deployment under emergency conditions. Specifically, the Contractor shall:

• Deliver complete Consumable Medical Supply kits to Distribution Centers (CONUS & OCONUS). See Attachment 2

• Replenish the perishable/ non-perishable items within Consumable Medical Supply Kits, stored at FEMA Distribution Centers (Attachment 2)

• Deliver complete kits or ala carte orders to affected disaster areas during a response to a presidentially declared disaster.

3.0 STEADY STATE: Requirements, Deliverables and Delivery Schedule:

The Contractor shall deliver complete CMS kits, as described in Attachment 1 below, to each FEMA Distribution Center located in the continental US (CONUS) and outside the continental US (OCONUS) Attachment 2 below, within 30 days of request. Perishable commodities MUST be separated in kits and identified properly with packing slip, currently. No substitutions or partial deliveries will be permitted without the prior approval by the FEMA Contracting Officer (CO), The Contractor shall provide ala carte items described in Attachment 1 in the quantities requested by FEMA, for delivery to locations specified by FEMA, within 30 days of the request. The maximum quantity during Steady State would be two times that particular line item quantity per kit for CONUS DCs & one times that quantity for OCONUS DCs for the 28 life-cycle items.

FEMA requires a minimum shelf life of 15-18 months from date of delivery. Any item not in compliance with the shelf life terms shall be replaced at the contractor’s expense with a new product six (6) months prior to expiration. The vendor shall ship the replacement items and advise FEMA whether to return the expiring material (with the vendor’s prepaid return postage) or to donation to a non-profit organization on the vendor’s behalf.

During the base year of the contract period of performance, and once again in future years when FEMA transitions to a new system, FEMA will require at least two (2) individuals from the Contractor’s staff to be trained in the agency’s inventory system of record: Logistics Supply Chain Management System (LSCMS). This training will allow Contractor to enter individual shipments for FEMA’s visibility. The training will take place in person in Washington, DC, and be for one day.

4.0 EMERGENCY RESPONSE/SURGE: Requirements, Deliverables and Delivery Schedule

The Contractor shall deliver up to 10 complete CMS kits and/or individual ala carte CMS items as described in Attachment 1 for delivery within 48 hours of task order, to any location within the CONUS or OCONUS (U.S. territories) specified by FEMA. The Contractor shall have a tracking system to provide real time tracking of commodities during a disaster response.

5.0 RECORD KEEPING AND ACCEPTANCE:

A FEMA representative will sign for receipt of kits at each location. This signature(s) does not imply inspection & acceptance. The signature only acknowledges the delivery was made.

Inspection will be made at the point of final destination; any hidden or latent discrepancies will be reported to the CO or COR.

The Contractor shall maintain accurate records of all shipments and deliveries and ensure that proper signatures by FEMA representative are obtained for tracking and accountability purposes, in accordance with government regulations.

6.0 PACKAGING AND LABELING

During Disaster and Steady State operations, commodities often experience multiple movements, CMS Kits should be delivered as a complete packaged kit. Each kit shall contain a packing slip that details the components, quantity and shelf life information.

Shelf life data includes: manufacturer, lot number & expiration/use by date.

The CMS kits shall be packaged in tri-wall containers. The tri-walls will be labeled to identify the kit number, contents, quantity of each item and shelf life information. The tri-walls shall be on a 48L X 40W four-way pallet and have a height of no higher than 55”.

Each tri-wall shall be secured to pallet with plastic or metal banding straps. If kits are not kitted in compliance with paragraph 6.0, the vendor will be notified, and at there on expense must go to appropriate Distribution Center and kit properly according to contract.

Attachment 1

CMS KIT

1.1– COMPLETE 94-line item CMS kit (CM-000) consists of line items CM-001 through CM-094. To order complete kit use “CM-000”. The complete CMS kit contains 28 perishable line items (see attachment HIGHLIGHTED) in yellow: CM-003, CM-014, CM-015, CM-017, CM-018, CM-023, CM-024,CM-025, CM-026, CM-032, CM-054, CM-055, CM- 058, CM-60, CM-61,CM-062, CM-067, CM-071, CM-075, CM- 076, CM-077, CM-078, CM-079, CM080, CM-082, CM-083, CM-090,CM-091, and CM-094. All items should be brand name or equivalent with minimum 15 months shelf life.

Consumable Medical Supplies

Description Quantity

CM-001

Antibacterial Cleansing Wipes Travel pack of 15 100 each

CM-002 Tall Kitchen Bags, Plastic 13-gallon 100 each

CM-003

Nutritional Supplemental Drinks for Children (over 12 months of age), ready to drink (e.g.-Pediasure, Boost Kids Essentials)

32 oz daily per infant for 2 infants

448 ounces per week

Range: 2 - 8 ounces

CM-004 Magnifying Glass Classic, 3" with 5X Magnification 2 each

CM-005 Lids with Holes for Straws Plastic for 12 oz Paper Cups 2,500 each

CM-006 Flexible drinking straws 100 per pack 25 packs

CM-007 Duct tape 2" x 60 Yards per Roll 12 rolls

CM-008 CHUX pads Standard Size, 17" x 24 " 1 box of 25 each

CM-009 Non-latex Gloves Non-powder, Disposable, L 1 box of 100 each

CM-010 Bio-Hazard Waste Bags 10 Gallon Regulated Medical Waste System 2 cases of 100 each

CM-011 Bleach 1 Quart 20 bottles

CM-012 Bucket, plastic 5 Gallon 10 each

CM-013

Paper Towels, 1 Ply (e.g.- Scott) 11" x 8 3/4", 120 Sheets per Roll

10 cases with 20 rolls each

CM-014 Hand Sanitizer, Large 8 oz ea with Pump 1 case of 6 each

CM-015 Hand Sanitizer, Small 2 oz each 100 each

CM-016

Baggies, Clear Plastic, resealable

Quart and Gallon Size

(Range in box size: 20-40 count)

100 each Quart

100 each Gallon

CM-017 Instant Ice Self Contained, Break to Use Package of 12

CM-018 Instant Heat Self Contained, Break to Use Package of 12

CM-019 Emesis Basin Shallow, Plastic, 8.5" 12 each

CM-020 Bedpans Disposable w/out Cover; 350 lbs 2 each

CM-021 Bedpans Disposable w/out Cover; 250 lbs 10 each

CM-022 Urinals, Male Plastic w/Cover; 14"L x 11"W x2.5"D 8 each

CM-023

Distilled Water (for Humidifiers) 1 Gallon Size 10 each

CM-024

Nutrition Drink for Diabetics (e.g.-Glucerna) Plastic Bottles, 8 ounces 48 bottles

CM-025

Nutrition Drink, High Protein (e.g.-Ensure) Plastic Bottles, 8 ounces 48 bottles

CM-026 Tracheotomy Care Tray

Two Vinyl Gloves Water-resistant Drape

Packet of 3% Hydrogen Peroxide Two Cotton-tipped Applicators

Tracheotomy Brush Two Pipe Cleaners

Four Gauze Pads, 4” x 4” Tracheotomy Dressing Twill Tape, 1/2” x 36”

2 each

CM-027 Scissors Blunt End, 5” - 6 ½” 2 each

CM-028 Scissors Sharp and curved, 4 ½” – 5 ½” 2 each

CM-029 Back Support

Universal size with lightweight belts worn around the lower back to provide support to the lumbar

2 each

CM-030 Cervical Collar, Universal Supports cervical portion of spinal cord/head 4 each

CM-031 Blood Pressure Cuff Automatic with Batteries

2 each Standard Adult, 2 each XL

Adult, 2 each Child's

CM-032 Saline Solution Sterile .9% Saline Solution to Wash

Wounds, 7 oz size 12 each of 7 oz size

CM-033 Pill Crusher Standard 6 each

CM-034 Pill Cutter Standard 6 each

CM-035 Diapers, Adult XL 60 each

CM-036 Diapers, Adult Large 60 each

CM-037 Diapers, Adult Med 60 each

CM-038 Diapers, Adult Small 60 each

CM-039

Pull-Up Adult Diapers (e.g- Prevail adjustable underwear) Small 20 each

CM-040

Pre-moistened Wipes (e.g.- Wet-Nap)

Pre-moistened individually wrapped Towelettes; 100 wipes per bag 1 bag of 100

CM-041 Sterile Gauze 4" x 4", 100% cotton 2 boxes of 100

CM-042 Sterile Gauze Sponges 2" x 2", 100% cotton 2 boxes of 50

CM-043 ABD Pads Sterile Wound Pads, 8" x 10" 1 case (approximately 200)

CM-044

Ace Bandages (2") 2" x 4.5 Yards per Box

2 boxes

CM-045 Ace Bandages (3") 3" x 4.5 Yards per Box 2 boxes

CM-046 Ace Bandages (4") 4" x 4.5 Yards per Box 2 boxes

CM-047 Ace Bandages (6") 6" x 4.5 Yards per Box 2 boxes

CM-048 Applicators, 6 " (i.e.-Q-tip) Cotton, Tipped; 100 per Box 2 boxes

CM-049 Bandage Gauze Roll (2") 2" x 10 Yard per Roll 6 dozen

CM-050 Bandage Gauze Roll (4") 4" x 10 Yard per Roll 6 dozen

CM-051 Cotton Balls 100% Cotton 4 bags of 50

CM-052 Colostomy Appliance

Cut to Fit Stomahesive w/Tape Collar; w/1 Sided Comfort Panel, 12"; Tail Clip by

Convatec 2 each

CM-053 Colostomy Wafers Individually Wrapped, 4" x 4" 2 boxes of 10 each

CM-054 Colostomy Paste Ostomy Paste, 2 oz Tubes 4 tubes

CM-055 Colostomy Skin Preps Protective Barrier Wipes 1 box of 50 wipes

CM-056 Colostomy/Ileostomy Bags 11" Drainable Bag, Cut to Fit 1 box of 10

CM-057 Telfa Dressings, Sterile 3" x 4" 2 boxes

CM-058

General antiseptic cleansers (e.g.-BZK Towelettes) Non Alcohol, 5" x 7", Latex Free 2 boxes of 100

CM-059 Alcohol Prep Pads, 2 ply 100 per Box 4 boxes of 100

CM-060 K-Y Jelly 4 oz Size (Size range: 2 oz – 4 oz) 4 tubes

CM-061 Hydrogen Peroxide, Topical 16 oz Size (Size range: 8 oz – 16 oz) 4 bottles

CM-062 Betadine scrub solution 16 oz Size (Size range: 8 oz – 16 oz) 4 bottles

CM-063 Adhesive, non-allergic 1" Paper Tape x 11 Yards 6 each

CM-064 Adhesive, non-allergic 2" Paper Tape x 11 Yards 6 each

CM-065 Safety Pins, closed Nickel Plated, 1.74" (Size 2) 1 box of 1,440

CM-066 Medicine Cups 1 oz Size 2 packages of 100 each

CM-067 Hand Asepsis Towelettes Antimicrobial Hand Wipe; 160 per Pack 4 packages of 160 each

CM-068

Batteries - Assorted Sizes AAA/AA/C/D/9 Volt

24 each - AA & AAA; 8 each - C & D

& 9 volt

CM-069 Spray Bottle, Plastic 6 ounce Size 4 each

CM-070 Blood Glucose Meter Kit

Includes Meter, Carrying Case, Lancing Device, 10 Lancets, Control Solution

Normal, and Alternate Site Testing Cap 4 each

CM-071 Test Strips - Diabetic 50 Strips per Box 2 boxes of 50

CM-072

Velcro, Double Sided (Loop & Hook) 1", 2", and 4" x 50 Yards 2 rolls of each size

CM-073 Nebulizer

350 ml Capacity; FIO (2) Settings adjustable from 35-100% with Ports for a

Feed Set and Immersion Type Heater 2 each

CM074

Isolation Mask Basic with Ear Loops; Fluid resistant w/Polypropylene Outerfacing 1 box of 50

CM-075 Foley Catheter All Silicone, 12Fr 5Cc 10 each

CM-076 Intermittent Catheter, Male

Cath Intmt Rdrbr 8Fr 16In. With Funnel End and Round, Hollow Tip. Two

Opposing Eyes. Sterile.

SizeA~16"^SizeB~8 Fr^

25 each

CM-077 Condom Catheters, Male Cath Exterior Tex Ltx 2-Pc W-Fm. With

5(1/2)"L x 3/4"W Foam Strap 25 each

CM-078 Intermittent Catheter, Female Intmt Pvc Pls Cath F 14 Fr 6.5. Sterile.

Clear Polyvinyl Chloride w/Matte Finish, 25 each

Smooth Rounded Tip, Funnel End.

izeA~6 1/2"^SizeB~14 Fr^

CM-079 External Catheter, Male Cath Ext Tex Ltx 2-Pc W-Fm. With

5(1/2)"L x 3/4"W Foam Strap 25 each

CM-080 Spray, Medical Adhesive 3.2 ounce 5 cans

CM-081

Adhesive Remover, Universal Remover wipe 1 box of 50 wipes

CM-082

Leg Bags, Soft, Vinyl Bags w/Flutter Valve and Velcro Strap (Assorted sizes -sm/med/lg)

500ml x 3 600ml x 3 950ml x 3 3 bags of each size

CM-083

Canulas Nasal Oxygen Tubes (Disposable)

Extra Soft, Curved Tip w/7' Crush Resistant Tubing 5 each

CM-084 Regulators, Oxygen

Oxygen Regulator w/Overall Length Less Than 4"; Weight 6.9 Ounces. Downward

Facing Outlet Port 2 each

CM-085 Bedside Drainage Collectors 2000 cc Bag w/Drip Chamber, Sample

Port and Universal Hanging Device 3 each

CM-086 Power Strips 6' Length 5 each

CM-087 Battery Chargers For Wheelchair Batteries (Cirrus Plus EC

Power) 2 each

CM-088 Extension Cords 50' Length 3 each

CM-089

T.E.D. Compression Stockings (Under Knee) Medium, Large and Extra Large Sizes 1 of each size

CM-090 Shampoo & Body Wash Hypoallergenic, Chemical Free, No

Alcohol, Contains Aloe 2 - 8 oz bottles

CM-091 Wound Cleanser, Spray No Rinse, Non-Irritating, w/Acemannan

Hydrogel 2 - 8 oz bottles

CM-092 Air Pump Pump for Bicycle Tires 1 each

CM-093 Paper Cups, 12 oz 100 per sleeve (5 sleeves per case) 5 cases

CM-094

(NEW)

Colostomy/ileostomy Bags (pediatrics)

Drainable pouches Little Ones Pediatric care 1 box (15 per box)

Attachment 2

Distribution Center Building Name Street Address City State Zip Code DC Atlanta 3780 South Side Industrial Court Atlanta GA 30354 DC Frederick 4420 Buckeystown Pike Frederick MD 21704

DC Ft Worth Fort Worth Federal Center 501 W. Felix Street Warehouse #12 Ft. Worth TX 76115

DC Moffett Field NASA Ames Research Center Building 144, Door #7

Moffett Field CA 94035

DC Pacific Guam PO Box 24814 Barriagada Guam 96921 DC Pacific Hawaii 99-1269Iwaena Street Aiea HI 96701

DC Caribbean San Juan Industrial Park Carr #1, KM 25.30 Caguas PR 00726-