IHS1521934 APC - PWS.docx

Belcourt IHS Hospital

Chance Wilkie

APC Service Agreement

Performance Work Statement for the APC Service Agreement

May 13, 2026

Table of Contents

Note that while, as a matter of policy, some agencies require the government to prepare the PWS, the guidance at FAR 37.602(a) stipulates that “a Performance work statement (PWS) may be prepared by the Government or result from a Statement of objectives (SOO) prepared by the Government where the offeror proposes the PWS.”

Performance Work Statement (PWS) for the

APC

The mission of the Quentin N. Burdick Memorial Healthcare Facility (QNBMHCF)-Indian Health Service (I.H.S.) is to provide the best possible healthcare services to the Native American population of Belcourt-Dunseith of the Turtle Mountain Reservation.

1.2 Objective

On-site Remedial Services Schneider Electric Services will dispatch certified personnel to provide repairs in the event of a problem. Parts, labor, travel, and priority access to spare parts are included. The Advantage Ultra Service Plan from Schneider Electric Services is available with 3 different response time upgrade that best align with the needs of the Customer’s installation: Next-Business Day (standard response time); 4-hour 7x24 Response Time Upgrade; 8-hour 7x24 Response Time Upgrade.

1.3 Scope of Work

Schneider Electric Advantage Ultra Plan for UPS and/or PDUs service offering provides remedial repairs as well as one scheduled preventive maintenance service visit during the yearly agreement. Annual Preventive Maintenance Visit Included as part of the Advantage Ultra Plan for UPS and/or PDU, the annual preventive maintenance visit provides a comprehensive visual, environmental, and electronic inspection of the UPS and/or PDU system to help ensure that components are performing to define technical and environmental specifications. This service includes all labor and travel expenses with an available 24x7 scheduling upgrade option.

1.4 Background

The APC power and cooling equipment was purchased in 2017 to provide power and cooling to the network equipment in the IDFs and MDF. The warranties have expired where a service agreement needs to be purchased yearly to provide warrant y and support coverage to this equipment.

1.5 Type of Contract Contemplated

One year service contract.

1.6 Period of Performance

One year from when the contract is awarded.

1.7 Place of Performance

The work will be done remotely or onsite. The service provider will have a next business day response time.

1.1. Applicable Documents

See attached SOW from vendor.

2.1.1. None

2.2 Task Two

2.1.2. None

2.3 Task Three (etc.)

3.0 Contractor Quality Assurance.

CONTRACTOR AUTHORITY:

1. Authority

1.1. No person other than the Contracting Officer has authority to bind the Government with respect to this contract.

1.2. No action or omission of any government employee or representative other than the Contracting Officer shall increase or decrease the scope of this contract or shall otherwise modify the terms and conditions of this contract.

1.3. In no event shall any of the following be effective or binding on the Government or imputed to the Contracting Officer with respect to this contract:

1.3.3.A promise by anyone other than the Contracting Officer to provide additional funding or make payments; or

1.3.4. An order, direction, consent, or permission from anyone other than the Contracting Officer to:

1.3.4.1. Incur costs in excess of a specified estimated cost, allotment of funds, or other ceiling; or

1.3.4.2. Expend hours in excess of a specified level of effort.

4.0 Delivery or Deliverables

Onsite or remote via VPN.

Not applicable

7.0 Special Instructions

None

8.0 Government Furnished Property/Equipment/Information

None

Not applicable Source Selection Information—See FAR 2.101 and 3.104 [This footer applies during internal development of the PWS. Remove the footer when officially releasing the PWS to vendors as a draft for comment or in the formal solicitation] Source Selection Information—See FAR 2.101 and 3.104 Developed by Virtual Acquisition Office™ for federal government use and customization.

Table 1: Model for List of Deliverables For fixed-price line items:

OR

Period of performance Destination

OR

Place of performance SOW reference*

Typically one, but If multiple accounting classifications for a single deliverable apply, include the dollar amount for each

Due date or frequency

Not required in the line item if there are associated deliverable subline items that include the actual detailed identification

002-01

002-02

For informational (administrative) subline items, an accounting classification citation is not required

Add rows as needed

For cost-reimbursement line items:

OR

Period of performance Destination

OR

Place of performance SOW reference*

Typically one, but if multiple accounting classifications for a single deliverable apply, include the dollar amount for each

Due date or frequency

002-01

002-01

Add rows as needed image1.jpeg image2.png