HT941024Q2035 - Attachment 1- Statement Of Work Medical Gases.pdf

DIRECTOR, NAVAL HEALTH CLINIC HAWAII (NHCH)

STATEMENT OF WORK (SOW)

MEDICAL GASES

1.0 BACKGROUND

1.1 The Director, Naval Health Center Hawaii (NHCH) is the provider of health services for over 18,000 active-duty naval personnel and 37,000 family members based on the Island of Oahu, Hawaii. NHCH is comprised of two large clinics, Naval Branch Health Clinic (NBHC) Makalapa at Pearl Harbor and NBHC Kaneohe Bay at Marine Corps Base Hawaii, Kaneohe Bay; and smaller clinics NBHC Camp Smith, and NBHC Wahiawa.

2.0 SCOPE/OBJECTIVE

2.1 NHCH requires oxygen and liquid nitrogen to provide safe and effective healthcare.

These gases are required on both a routine and urgent basis.

2.2 Types of gases will consist of the following:

a. Oxygen – Medical grade oxygen. Refilling of government owned oxygen cylinders of various sizes.

b. Liquid Nitrogen – Medical grade liquid nitrogen for medical procedures.

2.3 PERFORMANCE LOCATIONS:

NBHC Wahiawa 500 Center Street Building 22 Wahiawa Hawaii, 96786

Naval Health Clinic Hawaii Headquarters (HQ), Shipyard Occupational Health Clinic 480 Central Ave Building 1750 Joint Base Pearl Harbor Hickam Hawaii 96860-4908

NBHC Makalapa Building 1407 1253 Makalapa Drive Joint Base Pearl Harbor Hickam Hawaii, 96860

NBHC MCBH, Kaneohe Bay Bldg 6905

Harris Ave MCBH Kaneohe Bay, Hawaii 96863

NBHC Camp Smith Building 4 Camp Smith, Hawaii 96701

3.0 PERFORMANCE REQUIREMENTS

3.1 The Contractor shall provide oxygen and liquid nitrogen on a regular schedule.

Additional delivery shall be performed by the Contractor outside the regular schedule, on an as needed urgent basis, by request from the Technical Point-of-Contact (TPOC) if patient care is impacted.

3.1.1 The Contractor will only accept orders placed by the Contracting Officer’s

Representative or named TPOC.

3.2 The Contractor shall provide equivalent oxygen cylinders in a one-for-one swap of government furnished gases cylinders, if on site refill of government owned cylinders is not possible.

3.2.1 Cylinders shall be tagged as full and caps provided to protect the valves.

3.2.2 Cylinders must be designed, fabricated, tested and marked in accordance with

NFPA 99.

3.2.3 Hydrostatic testing of oxygen cylinders will be completed by the Contractor once every five (5) years.

3.3 All gases provided will be of medical grade. The Contractor shall follow all Federal, State of Hawaii and City & County of Honolulu rules, regulations and laws concerning the lawful transport and disposal. All fees, permits or charges associated with the disposal of waste shall be the responsibility of the Contractor.

3.4 The Contractor shall provide a certificate of capability to provide medical gases.

3.5 The Contractor shall invoice via Wide Area Work Flow (WAWF) for all services rendered. A copy of the invoice of quantity delivered and signed by the government representative will be submitted with the WAWF invoice.

3.6 The Contractor shall provide a final delivery the day before the final day of the period of performance.

3.7 SERVICE DELIVERY SUMMARY - TABLE A

Performance Requirement PWS Paragraph Performance Threshold

Contractor shall deliver on schedule and otherwise required Oxygen and Liquid Nitrogen.

Paragraph 3.1, 3.2, 3.4, and 3.5

99% delivery and compliance.

Contractor shall perform all delivery, collection, removal, disposal services

IAW

Paragraph 3.3 99% delivery and compliance, applicable rules, policies, and laws.

3.8 LOCATION - TABLE B

LOCATION QUANTITY FREQUENCY (Historical Data)

CLINIC/DEPARTMENT TYPE

OF

GAS

ANNUAL

REQUIREMENT

CYLINDER

SIZE

USAGE

RATE

FREQUENCY

OF

DELIVERY

Makalapa Dental Oxygen 8 D 4 Bi-Annually Makalapa Dental Oxygen 8 H 2 Quarterly Makalapa Family Practice Oxygen 10 D 5 Bi-Annually Makalapa Family Practice Nitrogen 12 35L 1 Monthly Wahiawa Oxygen 2 D 1 Bi-Annually Wahiawa Nitrogen 3 35L 1 Tri-Annually K‐Bay Oxygen 14 D 7 Bi-Annually K‐Bay Oxygen 18 H 6 Quarterly K‐Bay Nitrogen 26 30L 1 Bi-Weekly Camp Smith Oxygen 2 D 1 Bi-Annually HQ Bldg Occupational Health

Oxygen 6 D 3 Bi-Annually

4.0 QUALITY ASSURANCE

4.1 The Contractor is responsible for implementing and monitoring a Quality Control Plan (QCP) that identifies and results in the correction of potential and actual problems. The QCP shall be implemented on the first day of contract performance and a copy of QCP shall be provided to the TPOC if requested.

4.1.1 The QCP shall outline the Contractor's plan to ensure the quality of deliverables as outlined in this PWS. The QCP shall address what will be reviewed and shall outline actions to be taken by the Contractor, should the review(s) identify areas requiring remedial action.

4.1.2 The Contractor shall keep records of any inspections and corrective actions taken, as outlined in the QCP and shall make such records available to the TPOC upon request.

4.2 Periodic Progress Meetings: The TPOC and/or other Government personnel, as appropriate, may meet with the Contractor to review the Contractor's performance. At this meeting(s) the TPOC will apprise the Contractor of how the Government views the Contractor's performance and the Contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues.

These meetings shall be at no additional cost to the government.

5.0 GOVERNMENT FURNISHED PROPERTY AND SERVICES

5.1 UTILITIES: The Contractor may utilize existing facility electrical outlets to perform the work. However, the Contractor shall be responsible for any damages that may result from the operation of Contractor's equipment.

5.2 RECORDS, DOCUMENTS AND WORK PAPERS: The government will provide technical information, technical reference manuals and/or documents if requested.

6.0 CONTRACTOR QUALIFICATIONS REQUIREMENTS

6.1 The Contractor shall be a trained and authorized technical service provider.

6.2 Contractor shall have successfully provided services similar in scope and magnitude to other commercial businesses or Government agencies of similar size in the last five (5) years and provide current references if requested.

6.3 In accordance with current Department of Defense (DOD) and Department of Homeland

Security (DHS) requirements, performance of all work under this contract is restricted to US citizens and US nationals only. The Contractor shall provide proof of this requirement upon request of the TPOC.

6.4 Security Requirements: This contract does not require a security clearance level and clearance granted by the Defense Security Service (DSS). Should contractor personnel receive, or suspect they have learned, of classified information beyond their level of clearance, the Contractor shall identify and immediately report suspicions to the TPOC.

6.5 Conclusions: This project, all materials provided to the Contractor by the Government, test results, conclusions and recommendations obtained thereof from the Contractor shall be considered Government property. The information shall not be disclosed, copied, modified, used (except to fulfill contract requirements) or otherwise disseminated to any other person or entity at any time to include, but not limited to, inclusion ill any database external to the Government without the governments express consent.

7.0 PERSONNEL

7.1 The Contractor shall furnish sufficient personnel to perform all work specified within this

SOW.

7.2 The Contractor is required to comply with Public law 105-270, Section 5 (2)(A). This law states that contractors will not perform inherently governmental functions. Section 5(2)(A) of this Public law defines the term “inherently governmental function” as “a function that is so intimately related to the public interest as to require performance by Federal Government employees.” Per Section 5(2)(B), inherently governmental functions include management of Government programs requiring value judgments, conduct of foreign relations, selection of program priorities, and the direction of intelligence and counterintelligence operations. Per Section 5(2)(C), inherent governmental functions DO NOT include, (i) gathering information for or providing advice, opinions, recommendations, or ideas to Federal Government officials or (ii) any function that is primarily ministerial and internal in nature.

7.3 During all hours of operation, all Contractor personnel shall wear pictured identification cards that identify the employee's name and the Contractor's business name, plainly visible in the upper chest area. Any special Government badges provided shall be worn and visible. All Contractor employees shall present a neat and clean appearance in accordance with generally accepted standards. The work leader shall be able to proficiently speak, read, write and understand English.

7.4 The Contractor shall not employ Government personnel (military or civilian) for performance of any work described in this SOW.

7.5 The Government reserves the right to direct the removal of any of the Contractor's personnel for misconduct or security reasons. Removal of the Contractor's employee(s) for reasons stated above does not relieve the Contractor from the PWS performance requirements.

7.6 The Contractors shall not provide personal services to NHCH under this PWS. If contract employees are directed by any government employee at any time to perform services not covered under this contract, the Contractor shall immediately notify the Contracting Officer (KO).

7.6.1 Contractor personnel shall not manage, supervise, direct, or task US military, DOD civilians or other personnel not associated with the Contractor while performing the tasks within this PWS.

7.6.2 Contractor personnel shall not make any commitment which commits the expenditure of US Government resources.

7.6.3 The Contractor performing services shall be required to comply with all US Navy and

NHCH rules, regulations, and training that is applicable to conduct, safety, security, and procedures governing site entry and exit.

7.6.4 Contractor personnel shall not establish an employee-employer relationship with

NHCH under this PWS.

8.0 ENTERPRISE –WIDE CONTRACTOR MANPOWER REPORTING

APPLICATION

8.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the PHNSY