CARD TERMINAL_PWS.pdf

DHA PWS Template V13 November 16, 2021

Department of Defense Defense Health Agency

Performance Work Statement

Merchantile Advisors Credit Card Terminal Service

60th Medical Group David Grant Medical Center

Travis AFB, California

Solicitation Number:

Version: 1

Date: 30 April 2025

November 16, 2021

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide equipment of credit card payment at David Grant Medical Center (DGMC) Cafeteria.

1.2 Description of services/introduction: The contractor shall program, test and synchronize the Computrition, Verifone and United States Treasury to the credit card processing network.

The contractor shall ensure device compatibility between commerce systems and meets end-user requirements at all times. The contractor must be complaint with Payment Card Industry (PCI) Data Security Standard (DSS) for processing sales purchased with credit cards. The contractor shall perform to the standards in this Performance Work Statement PWS.

1.3 Background: The credit card terminals are designed to provide for payment at David Grant Medical Center Cafeteria.

1.4 Objectives: The Contractor shall provide credit card devices that is compatible with commerce service whilst also being complaint with the the United States Treasury and PCI Standards.

1.5 Scope: The contractor shall provide Three (3) Verifone MX-915 terminals that have been specially programmed to function with Computrition Point of Sale (POS) equipment in use at the cafeteria in DGMC, Travis AFB, CA. The contractor shall provide additional programming completed for processing credit card transactions through the Department of Treasury processing network.

1.6 Period of Performance (PoP):

Base Year: 1 Oct 2025 – 30 Sep 2026 Option Year 1: 1 Oct 2026 – 30 Sep 2027 Option Year 2: 1 Oct 2027 – 30 Sep 2028 Option Year 3: 1 Oct 2028 – 30 Sep 2029 Option Year 4: 1 Oct 2029 – 30 Sep 2030 6 Month Ext: 1 Oct 2030 – 30 Apr 2031

1.7 Administrative specifications

1.7.1 Place of performance: The work shall be performed at the DGMC Credit Card terminals within the cafeteria.

1.7.2 Recognized Federal holidays: Not Required

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Day Christmas Day Independence Day

1.7.3 Hours of operation: The contractor is responsible for conducting business Monday through Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings.

The contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons.

1.8 Quality

1.8. Quality Control (QC): The contractor shall develop and maintain an effective QC program to ensure services are performed in accordance with this PWS. The contractor shall develop and implement procedures to identify, prevent, and ensure nonrecurrence of defective services. The contractor’s QC program is the means by which the work complies with stated requirements.[Insert when and how the QCP is to be delivered, i.e., within 30 days after contract award or with the contractors proposal if it is an evaluation factor, a comprehensive written QCP shall be submitted to the CO and COR within 5 working days when changes are made thereafter.

After acceptance of the Quality Control Plan (QCP) the contractor shall receive the CO’s acceptance in writing of any proposed change to his QC system.

1.9 Reporting

1.9.1 Government’s COR: The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notifies both the CO and contractor of any deficiencies; coordinate availability of government furnished property; and provide site entry of contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting contract.

1.9.2 Post award conference/periodic progress meetings: The contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation (FAR) Subpart 42.5. The CO, COR, and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the CO 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.

1.10 Contractor Identification

November 16, 2021

1.10.1 Contractor personnel performing services in a contractor capacity in a Government facility are required to possess and wear an identification badge that displays his or her name and the name of their company. All contractor personnel shall identify themselves as contractor support personnel in all forms of communication with all entities with whom DHA/Deputy Assistant Director for Acquisition (DAD-A)/Head of the Contracting Activity (HCA) has business dealings. The contractor shall: Answer all telephone calls and have a personalized voice message with an introductory statement that includes the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting the DAD-A understands that the person is contractor support personnel.

Include a title block in all emails that states the fact that the person is contractor support personnel. Ensure all those with whom the person interacts in any face-to-face dealings while supporting DHA/DAD-A/HCA understands that the person is contractor support personnel.

1.10.2 Contractor personnel will be required to attend meetings or otherwise communicate with Government and/or other contract representatives to meet the requirements of this order.

Contractor personnel shall make their contractor status known during introductions.

1.10.3 Contractor personnel, while performing in a contractor capacity, are prohibited from using their retired or reserve component military rank or title in any written or verbal communications associated with the contracts in which they provide services.

1.10.4 Legal Authorization to Work in the United States: Health Care Workers (HCW) performing under this contract must be a U.S. Citizen or as defined by the Department of Homeland Security, U. S. Citizenship, and Immigration Services, either a noncitizen national of the U.S., lawful permanent resident of the U.S., or alien authorized to work in the U.S. At least one of the following forms of identification will be required for identity proofing: United States Passport Permanent Registration Card/Alien Registration Receipt Card (Form I-1551), Foreign Passport with a temporary (I-1551) stamp or temporary (I-1551) printed notation on a machine readable immigrant visa. Employment authorization document that contains a photograph (Form I-766) Current/valid Driver's License Identification card issued by Federal, State or local Government U.S. Coast Guard Merchant Mariner Legacy Card U.S. Coast Guard New Merchant Mariner Credential. Additional supplemental sources of identity proofing which may be requested during increased Force Protection Conditions (FPCONs) or Random Antiterrorism Measures (RAMs) include, but are not limited to: School identification card with photograph, U.S. Military or draft record, Native American Tribal Document, U.S. Social Security Card issued by the Social Security Administration (SSA), Certification of Birth Abroad issued by the Department of State (Form FS-545 or Form DS-1350), Original or certified copy of a birth certificate issued by a state, county, municipal authority or outlying possession of the United States bearing an official seal, U.S. Citizen ID Card (Form I-197), ID Card for use of Resident Citizen in the United States (Form I-179). Unexpired employment authorization document issued by the Department of Homeland Security (DHS) which includes, a) Form I-94 identifying the holder as an asylee, or b), other documentation issued by DHS or the former Immigration and Naturalization Service that identifies the holder as an asylee, lawful permanent resident, refugee or other status authorized to work in the United States incident to status Foreign Military or Government Identification Credentials Foreign passport with a current arrival-departure record (Form I-94) bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, if that status authorizes the alien to work for the employer. In the case of a

November 16, 2021 nonimmigrant alien authorized to work for a specific employer incident to status, a foreign passport with Form I-94 or Form I-94A bearing the same name as the passport and containing an endorsement of the alien's nonimmigrant status, as long as the endorsement has not yet expired and the proposed employment is not in conflict with any restrictions or limitations identified on the form.

1.10.5 Installation Access Procedure: Contract workers shall comply with local installation access requirements at the place of performance. All contractors requiring reoccurring and unescorted access onto the installation must: Have within their possession the identification used to obtain a pass and the pass issued. Register privately owned vehicles in accordance with installation policies. On request, present identification or installation pass to base police. Refusal may result in denial of installation access. Turn in passes to the 60th Contracting Squadron when expired or no longer required. If a contractor was terminated for cause, notify the Pass and Registration Office immediately.

Part 2

2.0 GENERAL INFORMATION

2.1 Contracting Authority:

2.1.1 The contractor shall only accept instructions from the Contracting Officer (CO). The CO is the only authorized individual with the authority to modify or make changes to performance under this contract.

PART 3

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Contracting Officer (CO): A person with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

2.1.2 Contracting Officer’s Representative (COR): An individual, including a contracting officer’s technical representative (COTR), designated and authorized in writing by the CO to perform specific technical or administrative functions. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.3 Nonpersonal services contract: a contract under which the personnel rendering the services are not subject, either by the contract’s terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the Government and its employees.

2.2 Acronyms:

AFB Air Force Base CO Contracting Officer(s) COR Contracting Officer Representative COTR Contracting Officer's Technical Representative DAD-A Deputy Assistant Director for Acquisition DGMC David Grant Medical Center DHA Defense Health Agency DSS Data Security Standard FAR Federal Acquisition Regulation HCA Head of the Contracting Activity HCW Health Care Worker PCI Payment Card Industry POS Period of Sale PoP Period of Performance PWS Performance Work Statement QC Quality Control QCP Quality Control Plan US United States

2.3 Applicable Publications, DHA Administrative Instructions (AI), etc.

Applicable Publications (Current Editions): The Contractor shall abide by all applicable regulations, publications, and manuals. Following is a list of basic publications applicable to the PWS. The most current version of the publication applies. Publications not on the internet or MTF policies and procedures can be obtained from the MTF. Current issues of publications and links to other service publications can be accessed at the following websites:

http://www.apd.army.mil/ http://www.defenselink.mil/pubs http://www.dtic.mil/whs/directives/ http://www.e-publishing.af.mil

Contractors are obligated to follow these codes as mandatory only to the extent that they apply to the contract.

Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract.

Advisory publications may be used for information and guidance but are not binding for compliance.

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

http://www.apd.army.mil/ http://www.defenselink.mil/pubs http://www.dtic.mil/whs/directives/ http://www.e-publishing.af.mil/

November 16, 2021

PUB NO. TITLE

DoDD 5500.7 Standards of Conduct DoDI 5400.7-R Freedom of Information Act DoD 6025.18-R Health Information Privacy Regulation Jan 03 DoDD 8500.1 Information Assurance DoD 8580.02-R HIPAA Security Rule DODI 3020.37 Continuation of Essential DOD Contractor Services During Crises AFI 33-332 Air Force Privacy and Civil Liberties Program DHA-IPM 18-013 Interim Procedures 18-013, Risk Management Framework DFARS 239.7602-2 Required Storage of Data within the United States or Outlying Areas

AIR FORCE INSTRUCTIONS/MANUALS

Publications Code:

DAFI—Department of the Air Force Instruction DAFMAN- Department of the Air Force Manual AFP--Air Force Pamphlet AF Form--Air Force Form DD Form--Department of Defense Form MDGI – Medical Group Instruction

Pre-Market Approval Section 510(k) of the Food, Drug and Cosmetic Act requires In Vitro device manufacturers to register with the FDA at least 90 days in advance of their intent to market a medical device. This is known as Premarket Notification - also called PMN or 510(k). Must be in compliance with Section 510(k) of the Federal Food, Drug, and Cosmetic Act for those medical device products intended to be delivered to the Government. Only devices that have received Premarket Notification Approval from the U.S. Food and Drug Administration (FDA) shall be considered for award under this solicitation.

PART 4

3.0 GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

The Requiring Activity Authority has assessed the need for Government Furnished Property, Equipment, and Services and determined:

3.1 Services: The Government:

☒ Will NOT provide Government Furnished Services in support of this contract/task order. As a result, this paragraph is Not Applicable.

3.2 Facilities: The Government:

☒ Will NOT provide Facilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

3.3 Utilities: The Government:

November 16, 2021

☒ Will NOT provide Utilities in support of this contract/task order. As a result, this paragraph is Not Applicable.

3.4 Equipment: The Government:

☒ Will NOT provide Equipment in support of this contract/task order. As a result, this paragraph is Not Applicable.

3.5 Materials: The Government:

☒ Will NOT provide Materials in support of this contract/task order. As a result, this paragraph is Not Applicable.

PART 5

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 Services: The Contractor:

☒ WILL provide Contractor Furnished Services required in support of this contract/task orders.

These Services are described below: provide services listed in 4.2 General.

4.2 General: The contractor shall furnish all supplies, equipment, facilities and services required to perform work listed under Section 5 of this PWS.

PART 6

5.0 SPECIFIC TASKS

5.1 Credit Card Terminal Service:

The contractor shall provide Three (3) Verifone MX-915 terminals that have been specially programmed to function with Computrition POS equipment in use at the cafeteria in DGMC, Travis AFB, CA. The contractor shall also maintain additional programming completed for processing credit card transactions through the Department of Treasury processing network. The contractor shall program, test and synchronize the Computrition, Verifone and United States Treasury to the credit card processing network. The contractor shall ensure device compatibility between commerce system.

5.2 Special Qualifications: PCI DSS and U.S. Treasury compliant for processing sales purchased with credit cards.

November 16, 2021

PART 7, TECHNICAL EXHIBIT 1

DELIVERABLES SCHEDULE

Deliverable Frequency Medium/Format Submit To Applicable to:

CDRL A001 –

Quality Control Plan

Within 30 days of task order award

Contractors discretion

CDRL A001 to CO All, See PWS 1.10.1

Transition-in, Transition-out CDRLs if a Government requirement for this contract.

Transition-in:

Transition-out: 6 months prior to close of contract or unexercised option.

1.6.1.1 and 1.6.1.2.