HT941025Q2075-PWS DEIONIZED WATER.pdf

DHA PWS Template V13

November 16, 2021

Department of Defense

Defense Health Agency

Performance Work Statement

[ DEIONIZED WATER SYSTEM SERVICE PWS

[DIRECTOR FOR BRANCH CLINICS]

NMRTU NAVY BASE SPD DENTAL DEPARTMENT

NMRTU MCRD SPD DENTAL DEPARTMENT

NMRTU NASNI SPD DENTAL DPARTMENT

PART 1

1.0 GENERAL INFORMATION

1.1 This is a non-personal services contract to provide Preventive Maintenance for Deionized

Water System Service

1.2 Description of services/introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform preventive maintenance and deionized water system service as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this PWS.

1.3 Background: NMRTU Navy Base Dental SPD Dental Clinic, NMRTU MCRD SPD Dental

Department, and NMRTU NASNI SPD Dental Department, plays a critical role ensuring the efficient disinfection and sterilization of surgical, speciality, medical and instruments. Adhering to industry regulation and standards is utmost importantance in this process. Deionized Water

System Service, Preventive Maintenance, and Corrective maintenance is a critical step in ininstrument reprocessing is the washing and disinfection phase prior to sterilization. SPD

Department requires Desioned Water service to ensure water line is free of endotoxins, microbial, and other contaminants prior to instrument disinfection and or sterilization in compliance with US, State, Local Laws, US Navy regulation, American Association for Medical

Instrumentation (AAMI), Center for Disase Control and Prevention (CDC), Joint Commission

Accreditation and Certification (JACHO) and NMRTCSD Infection Control recommendation.

1.4 Objectives: Conduct full service maintenance and repair to bring NMRTU Navy Base

Dental SPD Dental Clinic, NMRTU MCRD SPD Dental Department, and NMRTU NASNI SPD

Dental Department in accordance with OEM specification, AAMI guidance, CDC recommendation and NMRTCSD Infection Control, and all local, state, and federal policies.

• Deionized water system service to SPD

• Perform necessary maintenance, service, modification, adjustment, or replacement and testing, of equipment that corrects a malfunction and effectively brings the equipment into marterial conformity and the technical specification for that equipment as designated by the original equipment manufacturer.

• Monthly testing, calibration, and any measures perfomed that assure the continued operation of the equipment or return the equipment to its designed efficeiency and capacity.

• Replacment of a piece of equipment on a one-for -one basis in order to provide a substitute of equal or greater value in lieu of a damaged or defective device for compensation, return, or refund of equipment.

1.5 Scope: All services, materials, and equipment will be provided by contractor to conduct full deionized waster system service maintenance, preventive and repair service for 3 government owned Deionized water system located at NMRTU Navy Base SPD Dental Clinic, NMRTU

MCRD SPD Dental Clinic, and NMRTU NASNI SPD Dental Clinic.

1.6.1 Transition: Transition-in/transition-out period

1.6.1.1 Transition-in period: Full performance start date is, 01 October 2025. Transition-in performance is defined as 01 Oct 2025. During the transition-in period, the contractor shall prepare to meet all contract requirements and ensure incoming personnel are functionally trained and qualified on the full performance start date except cybersecurity requirements, which must be fully adhered during transition and full performance periods.

1.6.1.1.1 The contractor shall comply with transition-in requirements of the DHA, as listed in paragraph 1.11.1, for contractors needing to be issued Common Access Card (CAC) identification, including Department of Defense (DoD) and DHA-directed training and forms submission, prior to network access.

1.6.1.2 Transition-out period: The transition-out plan shall facilitate the accomplishment of a seamless transition from the incumbent to an incoming contractor/Government personnel at the expiration of the contract.

1.6.1.2.1 The contractor shall comply with transition-out requirements of the DHA for contractors who have been issued a CAC or who generate “records”, as defined by DoD (records manual), including DoD-directed disposition of records, and others displayed on the In/Out (I/O)

Processing Portal.

1.7 Administrative specifications

1.7.1 Place of performance:

The work shall be performed at

• NMRTU Navy Base SPD Dental Clinic, 2310 Craven Street Bldg. 3230, San Diego, CA.

92136

• NMRTU MCRD SPD Dental Clinic, 43000 Midway Ave. Bldg. 595, San Diego, CA.

92140

• NMRTU NASNI SPD Dental Clinic, McCain Bld. Bldg. 600 San Diego, CA. 92135.

1.7.2 Recognized Federal holidays:

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 thru

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.

1.7.4 Emergency Services:. N/A

1.8 Contractor travel: N/A

1.9 Other Direct Costs (ODC): N/A

1.10 Quality

1.10.1 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. 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.

1.10.2 Quality assurance (QA): This contract will not require a QASP, IAW DFARS 246.402

1.11 Contractor personnel

1.11.1 CAC requirements: For all contractors who will work in Government facilities, the

Facilities Security Officer (FSO)/Company's Security point of contact (POC) will provide the

Government all the required information per the DHA CAC request process current version 2.1, November 16, 2021

January 2018, or more recent when updated. A CAC is the standard identification for eligible

DoD contractor personnel.

1.11.2 Contractor onboarding and training. The contractor shall complete all requirements, training, and forms as prescribed in the following requirements:

1.11.2.3 The contractor shall comply with onboarding requirements of the DHA for contractors needing to be issued CAC identification, including DoD- and DHA-directed training and forms submission, prior to network access, as displayed in the In/Out-Processing Portal at:

https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx (note: Public Key Infrastructure

(PKI)-restricted, printed versions available).

1.11.3 Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.11.4 Key control (if applicable): The contractor shall establish and implement methods of making sure 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 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 QCP. Such procedures shall include turn-in of any issued keys by personnel who no longer require access to locked areas. The contractor shall immediately report any occurrences of lost or duplicate keys/key cards to the CO.

1.11.4.1 In the event keys, other than master keys, are lost or duplicated, the contractor shall, upon direction of the CO, re-key or replace the affected lock or locks; however, the Government, at its option, may replace the affected lock or locks or perform re-keying. When the replacement of locks or re-keying is performed by the Government, the total cost of re-keying or the replacement of the lock or locks shall be deducted 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.

1.11.4.2 The contractor shall prohibit the use of Government issued keys/key cards 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 employees engaged in the performance of assigned work in those areas, or personnel authorized entrance by the CO.

1.14.3 Government’s COR: There is no COR assigned for this contract, as it is not complex, was awarded utilizing simplified acquisition procedures, and is documented in the file.

1.14.4 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 FAR Subpart 42.5. The CO, End User, 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 https://info.health.mil/cos/admin/hr/IO/SitePages/home.aspx

November 16, 2021 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. They will be conducted via Microsoft

Teams, and not in person.

1.15 Contractor Identification

1.15.1 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.

1.15.2 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.

1.15.3 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.

1.16 Contractor Access to Health Affairs (HA)/DHA Network(s)

1.16.1 FSO/Company's Security POC shall notify the DHA Personnel Security Office after being awarded a contract that requires access to a DoD system (If applicable, if not delete 1.16.1 and 1.16.2 and replace to 1.16 Reserved). Contractor personnel requiring access to the HA/DHA networks for performance of their tasks require a background investigation and the security awareness training. The contractor shall be prepared for this process as it could take two (2) or more weeks. The FSO/Security POC shall submit a Standard Form (SF) 85/86 to DHA's

Personnel Security Office for a background investigation.

1.16.2 Company's FSO/Security POC must notify the Personnel Security Office when the contractor has submitted the SF-85/86. The FSO/Security POC, or the End User must notify the

DHA Personnel Security Office in writing of a contractor's termination from the contract, including the termination date.

1.17 Personnel Security

1.17.1 The contractor shall comply with DoD 8570.01-M, “Information Assurance Workforce

Improvement Program, CH4” November 10, 2015 as amended; 8500.01, “Cybersecurity”, dated

March 14, 2014; DoD Manual (DoDM) 6025.18, “Implementation of the Health Insurance

November 16, 2021

Portability and Accountability Act (HIPAA) Privacy Rule Compliance in DoD Health Care

Programs” dated March 3, 2019, Department of Defense Instruction (DoDI) 6025.18 “HIPAA

Privacy Rule Compliance in DoD Health Care Programs”, dated March 13, 2019; and DoDM

5200.02 “Procedures for the DoD Personnel Security Program (PSP),” incorporation change 3, effective September 24, 2020. Contractor responsibilities for ensuring personnel security include, but are not limited to, meeting the following requirements:

1.17.1.1 Follow the DHA Personnel Security Office guidelines for submittal of security clearances. Contact the DHA Personnel Security Office for guidance on the appropriate background investigation required for personnel on the contract. The DHA Personnel Security

Office can be reached at (703) 275-6038.

1.17.1.2 Initiate, maintain, and document personnel security investigations appropriate to the individual’s responsibilities and required access to Controlled Unclassified Information (CUI).

1.17.1.3 DHA Personnel Security Office does not deny any access to any automated information system (AIS), network, or Controlled Unclassified Information (CUI). If a contractor receives an unfavorable background investigation, the request for access will be sent back to the FSO for further action. Any unfavorable adjudication will result in DHA Personnel Security Office not signing off on any access request.

November 16, 2021

PART 2

2.0 DEFINITIONS, ACRONYMS, AND APPLICABLE

PUBLICATIONS/INSTRUCTIONS

2.1 Definitions:

2.1.1 Category D: Information Technology (IT) and Telecommunications Services (called D-

Services)

2.1.2 Category R: Support (Professional/Administrative/Management) Services (called R-

Services)

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

2.1.4 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. There is no COR required for this contract

2.1.5 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.

2.1.6 Quality Assurance Surveillance Plan (QASP): An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance. The

Government may either prepare the QASP or require the offerors to submit a proposed quality assurance surveillance plan for the Government’s consideration in development of the

Government’s plan.

2.1.7

2.2 Acronyms:

AIS Automated Information System

APL Approved Products List APL

AQL Acceptable Quality Level

ARRT Acquisition Requirements Roadmap Tool

ATO Authority to Operate

B2B Business-2-Business

CAC Common Access Card

CAP Cloud Access Point

CCEVS Common Criteria Cybersecurity Evaluation and Validation Scheme

CDI Covered Defense Information

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CE Computer Environment

CDRL Contract Data Requirement List

CIO Chief Information Officer

CJCSM Chairman of the Joint Chiefs of Staff Manual

CMMC Cybersecurity Maturity Model Certification

CMR Contractor Manpower Reporting

CNSSI Committee on National Security Systems Instruction

CO Contracting Officer(s)

CONUS Continental United States (excludes Alaska and Hawaii)

COR Contracting Officer Representative

COTR Contracting Officer's Technical Representative

CSP Cloud Service Provider

CSSP Cyber Security Service Provider

CUI Controlled Unclassified Information

DAD-A Deputy Assistant Director for Acquisition

DC3 DoD Cyber Crime Center

DD Form 254 Department of Defense Contract Security Requirement List (if applicable)

DB Design-Build

DBB Design-Bid-Build

DFARS Defense Federal Acquisition Regulation Supplement

DHA Defense Health Agency

DISA Defense Information System Agency

DoD Department of Defense

DoDD Department of Defense Directive

DoDI Department of Defense Instruction

DSAs Data Sharing Agreements

DSAA Data Sharing Agreement Application

DMZ Demilitarized Zone

DoDM Department of Defense Manual

DPCLO DHA Privacy and Civil Liberties Office

DUA Data Use Agreement eMSM Enhanced Multi-Service Markets

EULA End User License Agreement

EVM Earned Value Management

FAR Federal Acquisition Regulation

FCI Federal contract information

FE Facilities Enterprise

FedRAMP Federal Risk Authorization and Management Program

FISMA Federal Information Security Modernization Act

FRCS Facility Related Control Systems

FSO Facilities Security Officer

HA Health Affairs

HIPAA Health Insurance Portability and Accountability Act

HCA Head of the Contracting Activity

HIT Health Information Technology

IGCE Independent Government Cost Estimate

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IA Information Assurance

IO Initial Outfitting

I/O In/Out Processing Portal

IPv Internet Protocol Version

IS Information System

ISP Internet Service Provider

IT Information Technology

ISCM Information Security Continuous Monitoring

IV&V Independent Verification & Validation

MedCOI Medical Community of Interest

MHS Military Health System

MIL-STD Military Standard

MTFs Military Treatment Facilities

NCR National Capitol Region

NDA Non-Disclosure Agreement

NIAP National Information Assurance Partnership

NIST National Institute of Standards and Technology

OCONUS Outside Continental United States (includes Alaska and Hawaii)

ODC Other Direct Costs

OPM Office of Personal Management

OSD Office of the Secretary of Defense

P-ATO Personal Authorization to Operate

P&R Personnel and Readiness

PGI Procedures, Guidance and Information

PDT Project Delivery Team

PHI Protected Health Information

PII Personally Identifiable Information

PIT Platform Information Technology

PK Public Key

PKI Public Key Infrastructure

POA&M Plan of Action and Milestones

POC Point of Contact

PMO Program Management Office

PoP Period of Performance

PP Personal Property

PPSM Ports, Protocols, and Services Management

PRS Performance Requirements Summary

PSP Personnel Security Program

PWS Performance Work Statement

QA Quality Assurance

QAP Quality Assurance Program

QASP Quality Assurance Surveillance Plan

QC Quality Control

QCP Quality Control Plan

RFP Request for Proposal

RFQ Request for Quotation

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RMF Risk Management Framework

SP Special Publication

SPRS Supplier Performance Risk System

SRM Sustainment, Restoration and Modernization

SRG Security Requirements Guides

STIG Security Technical Implementation Guides

TOS Terms of Service

US United States

UFC Unified Facilities Criteria

VPN Virtual Private Network

XML Extensible Markup Language

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

November 16, 2021

PART 3

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.

☐ WILL provide Government Furnished Services required in support of this contract/task orders. These Services are described below: provide [Insert within the blank lines shown below what Services the Government will provide for the contractor staff to provide the support outlined in the PWS.]

3.2 Facilities: The Government:

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

☐ WILL provide Facilities in support of this contract/task orders. The Government provided

Facilities are described below: [Insert in the blank lines below what facilities (i.e. physical address/location of the building/suite/room/cubicle numbers) will be provided, the necessary workspace for the contractor staff to provide the support outlined in the PWS to include desk space, telephones, computers, and other items necessary to maintain an office environment.]

3.3 Utilities: The Government:

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

Not Applicable.

☒ WILL provide Utilities in support of this contract/task orders. The Government provided

Utilities are described below: [

3.4 Equipment: The Government:

November 16, 2021

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

☐ WILL provide Equipment in support of this contract/task orders. The Government provided

Equipment is described below: N/A

The contractor shall report semi-annually 100% inventories, reconciliations, and final disposition of GFP provided by the government. Final invoices will not be paid pending GFP reconciliation.

Contractors shall be aware of and ensure compliance with applicable FAR Part 45, DFARS 245 and 252.245, Defense Pricing and Contracting Policies, Procurement Integrated Enterprise

Environment Standards, DHA Administrative Instruction 094 and DHA Guidance.

3.5 Materials: The Government:

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

☐ IS providing Materials in support of this contract/task orders. The Government-provided

Materials are described below: [Insert in the blank lines shown below what Materials will be provided, i.e., Standard Operating Procedures and Policies]

November 16, 2021

PART 4

4.0 CONTRACTOR FURNISHED ITEMS AND SERVICES

4.1 Services: The Contractor:

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

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

These Services are described below: provide [Insert within the blank lines shown below what

Services the Government will provide for the contractor staff to provide the support outlined in the PWS.]

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

4.3 Secret Facility Clearance: N/A The contractor shall possess and maintain a SECRET facility clearance from the Defense Security Service. The contractor’s employees, performing work in support of this contract shall have been granted a SECRET security clearance from the

Defense Industrial Security Clearance Office.

4.4 Materials: ) N/A The contractor shall

4.5 Equipment: N/A The contractor shall [

4.6 Facilities: The contractor shall [

N/A

November 16, 2021

PART 5

5.0 SPECIFIC TASKS

5.1 Task Headings: The contractor shall provide all personnel, equipment, supplies, facilities, transportation tools, materials, supervision, and other items and non-personal services necessary to perform SPD Deionized system service, Repair, and Maintenance to OEM standard, incompliance with CDC, AAMI, NMRTSCD Infection Control and JACHO, state, federal, and local laws.

5.1.1 Subtask heading:

5.2 Special Qualifications: OEM Certified.

PART 6, N/A

November 16, 2021

PART 7, ATTACHMENT 1

PERFORMANCE REQUIREMENTS SUMMARY

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

Performance Objective

(The Service required—usually a shall statement from Part 5)

PWS Reference Acceptable Quality Level

(AQL) (This is the maximum error rate. It could possibly be “Zero deviation from standard”)

Method of Surveillance

Performance Requirements

Summary (PRS) # 1.

The contractor shall proive personnel, equipment, supplies, facilities, transporation, tools, materials, supervision and other items and non-personal service necessary to perform the deionized water system service, repair and maintenance of the current SPD deionized water systems located at

NMRTU Navy Base Dental Clinic, NMRTU MCRD Dental Clinic and

NMRTU NASNI Dental Clinic.

PWS Part 5. Contractor will be compliance with CDC, AAMI, JACHO, NMRTCSD INFECTION

CONTROL and with State, Federal, and Local

Government requirement.

-Monthly water system inspection on a fixed schedule

-Deionized Water system: impect/Record data

- Monthly Testing -water sample from designated samp ports identified by the department.

-Water testing result will be compared with AAMI, recommended levels for critical water

-Electronic copy of lab results with 7 days of testing

-Testing water quality include the following results: Hardness, pH, Chlorides, Bacteria, Endotoxin, Conductivity

-Additional water sample maby be requestd by department to identify areas of concern.