ID04170150_SOW.docx

STATEMENT OF WORK (SOW)

PRESCRIPTION SAFETY EYEWEAR (PSE)

1. SCOPE

This SOW defines the effort required for the provision of the services of fitting, dispensing, adjusting, and repairing (including the provision of parts and services) of PSE to the Fleet Readiness Center Southeast (FRCSE) workforce.

1.1 Background

The intent of the program is to protect worker vision in a variety of sight-hazardous areas of operations at FRCSE and remote locations. This SOW will provide for PSE procurements and upkeep only for FRCSE personnel located in the greater Jacksonville/NE Florida area. (FRCSE employees at remote locations in other states have their PSE needs addressed by another local purchase program.

2. APPLICABLE DOCUMENTS

2.1 Specifications

American National Standards Institute (ANSI)/International Safety Equipment Association (ISEA) Z87.1-2015 (or latest edition), "Occupational and Educational Personal Eye and Face Protection Devices" or other appropriate National Consensus Standard.

2.2 Regulatory requirements

29 CFR 1910.133, ''Eye and Face Protection"

2.3 Other governing documents.

OPNAVINST 5100.23 series, Navy Occupational Safety and Health Program Manual, Chapter 19, "Sight Conservation"

2.4 Availability of Documents

1. ANSI/ISEA: available directly from ANSI

2. OSHA: available from the Government Printing Office (GPO)

3. OPNAVINST 5100.23G Chapter 19

3. REQUIREMENTS

The vendor sha1l fulfill or otherwise conform to all of the requirements of this SOW.

3.1 Furnish a wide range of selection (at least 12 different styles) of ANSI/ISEA Z87.1-2015, Z87-2+ compliant frames to appropriately fit employees.

3.2 Provide all necessary measurement and fitting services on site at FRCSE via a licensed optician or other fully qualified person according to the laws, rules and regulations of the State of Florida. Fittings shall be conducted at a designated location within FRCSE a minimum of once every two weeks.

3.3 The vendor shall not provide safety eyewear directly to FRCSE employees unless the FRCSE employee has obtained prior approval from the FRCSE Safety Eyewear Coordinator.

3.4 All eyewear shall be furnished with permanently attached sideshields.

3.5 When an employee requires lenses for a respirator, the vendor shall take the appropriate measurements to ensure the lenses fit the inserts provided by FRCSE.

3.6 All necessary adjustments to ensure employee satisfaction with PSE provided shall be performed at the time the eyewear is dispensed, or at a time agreed upon with the FRCSE employee.

3.7 Provide comprehensive repair capability at the vendor’s facility including a full line of replacement parts either kept on hand or obtainable from the eyewear manufacturer(s) within a reasonable period of time agreed upon between the vendor at technical points of contact (TPOC) listed in Section 6. Repair items include, but are not limited to, sideshields, screws, and nose pads for all styles of eyewear currently dispensed as well as PSE previously in service at FRCSE.

3.8 Provide comprehensive repair services, including parts, on-site at FRCSE a minimum of once every two weeks.

Repair sessions shall be available during the scheduled on-site visit times, which may be conducted concurrently with fittings. If repairs do not fall under the warranty as described in Section 3.10, the dispensing fee may be assessed, including costs for repair parts.

3.9 Pricing of complete sets of PSE to the FRCSE shall be based on polycarbonate lenses rated for “high impact” for best durability in the industrial environment and shall be structured according to Table 1.

3.10 A frame warranty for a period of two (2) years shall be included with the price of each pair of frames. The warranty shall cover frame replacement in the event they are no longer serviceable from two years after the frames were first delivered to FRCSE.

3.11 Prior to processing all orders, the vendor shall submit a list in the format below to the technical points of contact (TPOC), listed in Section 6, for review and approval. Only after approval is granted by the primary TPOC shall the vendor process the order. If an order is processed without the prior written approval from the primary TPOC, the vendor risks not being paid for any completed work.

Customer’s Name (Last, First)

Approved by:

3.12 Invoicing and Payment: Invoices shall be submitted simultaneously to GSA’s electronic Web-Based Order Processing System (currently ITSS) no later than five (5) workdays after acceptance by the Government of the product, service, and/or cost item. In the absence of Government acceptance of services within thirty (30) days, the contractor shall submit an invoice. Invoices shall be submitted monthly through GSA’s electronic Web-Based Order Processing System (currently ITSS) to allow the client to electronically accept and certify services received by the CR. Electronic acceptance by the CR is considered concurrence and acceptance of services.

3.12 a. Original invoices shall be marked (stamped) “Original Copy” and submitted to GSA. For revised invoices, the Contractors should provide: 1) a distinguishing invoice number, 2) a brief explanation and 3) a cross reference to any previous invoice submission(s) for purposes of tracking and avoiding duplicate payments. The contractors can distinguish revised invoices by inserting an “R” at the end of the original invoice number, i.e. Inv123456 (original), Inv123456R (revised).

3.12 b. Contractor may submit an electronic invoice on GSA’s Kansas City web site, www.finance.gsa.gov. Electronic posting is the only method of submission and will result in a quicker payment.

3.12 c. This is a Firm-Fixed-Price task and payment will be based on acceptance of the established work products. A performance and payment schedule will be established after award of the task order. The payment schedule will be based upon interim deliverables and milestones and will be closely aligned with the performance schedule. These milestones may be associated with the monthly progress reports and interim deliverables. During task order performance, if a contractor deviates from their performance schedule then the Government will adjust payment to reflect the contractor’s actual level of performance. The contractor shall provide a proposed performance and payment schedule within ten (10) calendar days after award.

3.12 d. The contractor’s invoice will be submitted monthly for work performed the prior month. The contractor may invoice only for the hours, travel and unique services ordered by GSA and actually used in direct support of the client representative’s project. The invoice shall be submitted on official letterhead and shall include the following information at a minimum.

· GSA Task Order Number

· Task Order ACT Number

· Remittance Address

· Period of Performance for Billing Period

· Point of Contact and Phone Number

· Invoice Amount

3.12 e. Final Payment. Invoices for final payment must be so identified and submitted when the task has been completed and no further charges are to be billed.

3.12 f. Payment Schedule. The contractor shall invoice each month in accordance with the payment schedule submitted to and approved by the GSA Contracting Officer.

3.12 g. Task Order Closeout. The contractor shall submit a final invoice and a completed and signed Release of Claims (GSA Form 1142) to the Contracting Officer, within forty-five (45) calendar days after the end of the performance period. After the final invoice has been paid, the contractor shall receive a unilateral modification for task order closeout.

3.13 Employees already in possession of PSE which is still serviceable and for whom a prescription change has occurred shall only be authorized replacement lenses. In this situation, the vendor's representative performing fitting services shall review each new lens prescription in order to determine if the change in lens prescription is of sufficient significance to warrant the manufacture and subsequent cost of lens replacement.

3.13 Only employees who present a properly validated PSE requisition from the Integrated Support Division (Safety) office shall be entitled to place an order with the vendor.

4.0 GOVERNMENT-FURNISHED INFORMATION

4.1 A Government representative will provide a completed Request for Vision Screening/Prescription Safety Glasses (FRCSE 5100/16) to initiate a request for vendor services.

5.0 DELIVERABLES

5.1 The vendor shall provide to the Government an annual report detailing the supplies and services provided during the preceding fiscal year (Oct 1- Sept 30). This report shall consist of a listing sorted by shop code with the date the service was provided, name of the employee, nature of service provided (e.g., single, bifocal, etc., or repair only), cost of the service, and whether or not the work was performed under warranty.

5.2 In complying with the terms of this SOW, it is understood that the vendor will need to maintain some records on FRCSE employees. The vendor is reminded that the provision of FAR clause 52.239-1, Privacy or Security Safeguards (Aug 1996) have been invoked in the contracting process associated with this SOW and apply to such records.

6.0 FRCSE TECHNICAL REPRESENTATIVE

6.1 Technical matters:

Jeffrey Lockard, Sight Conservation Program Manager Fleet Readiness Center Southeast Office Code 7.10.1 NAS Jacksonville Jacksonville, FL 32212-0016 904-790-4196

7.0 GSA CONTRACTING OFFICE POINT OF CONTACT

Kristie L. Brock Contract Specialist Assisted Acquisition Services Division GSA / Federal Acquisition Services Telephone: 850-529-1839 E-Mail: kristie.brock@gsa.gov

GSA Senior Contracting Officer (SCO):

Jason Boudreaux Assisted Acquisition Services Division GSA / Federal Acquisition Services Telephone: 850-381-1176 E-Mail: jason.boudreaux@gsa.gov ID04170150 Page 1