RFQ_N00183-14-T-0409.doc

DOC document 623 KB Posted

Attached to
Maintenance on Galley Equipment Federal contract opportunity
Solicitation number
N00183-14-T-0409
Issued by
Department of the Navy Bureau of Medicine and Surgery

About this file

Questions regarding this RFQ must be submitted in writing via email to Contract Specialist doris.turner med.navy.mil.

View the file

Other files for this federal contract opportunity

Other files attached to Maintenance on Galley Equipment, newest first.
File Type Posted
RFQ_N00183-14-T-0409_Amend_0001_Conformed.doc DOC document

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

Section A - Solicitation/Contract Form

CLAUSES INCORPORATED BY FULL TEXT

VENDOR TO COMPLETE THE FOLLOWING:

TIN:

CAGE:

DUNS:

Vendor POC::

Email:

Vendor Phone:

Fax:

VENDOR Check Here: Include a copy your Published or Commercial Price List which contains the items quoted per this Request for Quote.

Naval Medical Center Portsmouth Points of Contact:

Doris Turner, Phone: 757-953-7456 Fax: 757-953-5006 E-Mail: doris.turner@med.navy.mil

Payment in Arrears (Check One): Monthly Quarterly Semi-Annually Annually

Note: Vendor will be required to provide billing electronically via the WAWF Electronic Invoicing Method per Section G of this RFQ. For additional information, a review of the following web sites may be required: https://wawf.eb.mil http://wawftraining Email: wawf@nmlc.med.navy.mil Vendor to reference Request for Quotation (RFQ) Number N00183-14-T-0409 on all correspondence relating to this RFQ.

PROMPT PAYMENT: For Prompt Payment Act purposes, this contract is:

Subject to the 7-calendar day constructive acceptance period.

Government Reserves the right to make an award based on an “All or None” evaluation and/or based on the “Best Value” proposed for this requirement in terms past performance, price and technical capabilities. Vendors with superior past performance history may be given 1st consideration. See Section L “Instructions and Notice to Bidders” for additional information required for proposal submission. The Government reserves the right to consider a vendor’s proposal as non-responsive if not submitted in accordance with these Technical Proposal Submission guidelines.

Section B - Supplies or Services and Prices

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
12
Months

Galley Equipment Maintenance Service

FFP

Agreement in accordance with Performance Work Statement

Section C.

See Equipment listing below

Base Year Period of Performance: 01 Oct 2014 - 30 Sep 2015

FOB: Destination

MILSTRIP: N0018315RQFS100

PURCHASE REQUEST NUMBER: N0018315RQFS100

NET AMT

ITEM NO
SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
12
Months
OPTION
Galley Equipment Maintenance Service

FFP

Agreement in accordance with Performance Work Statement

Section C.

See Equipment listing below

Option Year Period of Performance: 01 Oct 2015 - 30 Sep 2016

FOB: Destination

MILSTRIP: N0018315RQFS100

PURCHASE REQUEST NUMBER: N0018315RQFS100

NET AMT

EQUIPMENT PRICING

VENDOR TO QUOTE MONTHLY UNIT PRICE MAINTENANCE COSTS FOR EACH ITEM LISTED BELOW:

BASE YEAR: 01 OCT 2014 – 30 SEP 2015

OPTION YEAR I: 01 OCT 2015 – 30 SEP 2016

NO
NOMENCLATURE
MFG
MODEL#
SERIAL #
BASE YR MONTHLY UNIT PRICE
OPT YR I MONTHLY UNIT PRICE
1
FREEZER MOTHERS MEALS
TRUE
T-23F
8053549
2
ICE CREAM FREEZER PTL
TURBO AIR
TSD-60CF
CF60510004
3
CHILL BOX ROLL-IN MOTHERS MEAL
TRUE
STGRR1-2S
8051566
4
FREEZER VEG PREP
TRONTSEN
G12010
T46778I10
5
CHILL BOX ROOL-IN SEVING LINE
DELFIELD
SSRRT2-S
1009152000682
6
DEEP FAT FRYER
PITCO
SG850
306LB047415
7
FRREZER ROLL-IN SERVING LINE
DELFIELD
SSFRI1-S
1007152000979
8
WARMER MAIN LINE # 1
TRUE
TH23
14366244
9
HEATED CABINETS MAIN LINE
METRO
C589-SDS-UA
C58002268
10
HEATED CABINETS MAIN LINE
METRO
C589-SDS-UA
C59002586
11
MIXER BAKE SHOP
VARIMIXER
W150
8015080004
12
CHILL TOP SANDWICH BAR
DELFIELD
4464N-16
1009152001474/

1009152001645

13
CHIIL BOX/ROLL IN MAIN LINE
DELFIELD
SLRRI34S
311324T
14
CHIIL BOX/ROLL IN
DELFIELD
SLRRI34S
311325T
15
CHIIL BOX/ROLL IN SPEED LINE # 2
DELFIELD
SLRRI34S
311326T
16
CHIIL BOX/ROLL IN MAIN LINE
DELFIELD
SLRRI34S
311327T
17
CHIIL BOX/ROLL IN PTL # 2
TRUE
STG2RR1
8051565
18
CHIIL BOX/ROLL IN PTL # 3
TRUE
STG2RR1
8057967
19
CHIIL BOX/ROLL IN MOTHER MEAL
DELFIELD
SLRRI66S
311330T
20
CHIIL BOX/ROLL IN LINE BACK UP
DELFIELD
SLRRI66S
311331T
21
CHIIL BOX/ROLL IN PTL # 1
DELFIELD
SSRR12-S
0904152000165
22
CHIIL BOX/ROLL IN LINE BACK UP
DELFIELD
SLRRI66S
311333T
23
CHIIL BOX/ROLL IN
DELFIELD
SLRRI66S
311334T
24
CHIIL BOX ON THE WARDS
TRUE
STR/STA/STG
25
CHIIL BOX ON THE WARDS
TRUE
STR/STA/STG
26
CHILL BOX ON THE QTR DECK
TRUE
STR/STA/STG
27
HEATED CABINET MAIN LINE
METRO
C589-SDS-UA
C59002609
28
HEATED CABINET MAIN LINE
METRO
C599-SDS-UPDSA
C59002591
29
HEATED CABINET

MAIN LINE

METRO
C599-SDS-UPDSA
C59002612
30
RESERVED
31
GRILL SPEED LINE # 1 & 2
ACCU TEMP
EGF4808A4800-S2
8963/8964
32
DEEP FAT FRYER GALLEY
PITCO
SG850
G06LV047414
33
RESERVED
34
TILT SKILLET
MARKET FORGE
30STEL
216544
35
BUFFALO CHOPPER VEG PREP
HOBART
84136
561-043-436
36
FOOD CHOPPER VEG PREP
ROBOT/ COUPE
CL50SER-D
3150172803Z07
37
SOUP WARMER SALAD BAR
WELLS
SS-10ULTD
BIRTD0610A0319/BIRTD0610A0323
38
OVEN RANG MOTHERS MEALS
SUNFIRE
X60-6R24RS
39
STEAM TABLE MAIN LINE
LOW TEMP
CUSTOM
110B32481L
40
STEAM TABLE MAIN SERVING LINE
LOW TEMP
CUSTOM
110B32482L
41
COLD PAN SALAD BAR
COLOR

POINT

C20500FMS
100C32476L/110C32477L
42
COLD PAN SALAD BAR
COLOR

POINT

C20500FMS
110C32480L
43
COLD PAN SALAD BAR
COLOR

POINT

C20500FMS
110C32470L
44
COLD PAN SALAD BAR
COLOR

POINT

C20500FMS
110C32479L
45
GAS BROILER MOTHERS MEALS
MAGIKITCH’N
RMB 600
46
OPEN TOP 2DOOR CHILL SANDWICH BAR
DELFIELD
V18648-28
66292906M
47
OPEN TOP 2DOOR CHILL TOP # 2 SPEED LINE
DELFIELD
V18648-28
66292907M
48
STEAM TABLE SPEED LINE
SERVO LIFT
HW6
498-981040
49
FOOD WARMER
SECO
S2464-0
S5-13
50
STEAM LINE MAIN LINE
LOW TEMP
CUSTOM
100B32481L/110B32482L
51
DISHWASHER
CHAMPION
UCCW8ST
87038
52
POT & PAN WASHER
INSINGER
PP28
87137
53
PTL TRAY LINE
GRIETZER
RWG28
94-121-C
54
DOUGH RETARDER/PROOFER BAKESHOP
GEMINI
GMPR-2-NCP
0521039-06
55
DOUGH RETARDER/ PROOFER BAKESHOP
GEMINI
GMPR-2-NCP
0420226-10
56
TILT SKILLET
LEGION
TETGES2440N
1040
57
TILT SKILLET
CLEVLAND
SGL40R
9504TS0355
58
PLATE WARMER PTL
ALADIN
DH08
187301C0551
59
COLD TABLE TOP PTL
SERVTO
502-1F
10/05-235254-1
60
TRAY WARMER PTL
ALADDID
1HTA50
1HTAA50B06033
61
MICROWAVE PTL
AMANA
RCSIOMPA
11264605JV
62
TOASTER
HOLMAN/ STAR
OCS-03-95HA
2.36005E+12
63
ROTATING OVEN BAKE SHOP
GEMNI
C152
M218441-1/0848
64
ROTATING OVEN BAKE SHOP
GEMNI
C152
M211640-1/0613
65
ICE MAKER
ICEOMATIC
ICE0806HA2
06091280062871T
66
TRAY LINE CONVEYOR
GRIETZER
TMCCSC12V823
828050
67
TRAY CONVEYOR
GRIETZER
RWG-216
K991394121C
68
GARBAGE DISPOSAL VEG PREP # 3
SS750
SS750-13
MC7261952
69
GARBAGE DISPOSAL
ISE
ISE750
MC258827
70
DISHWASHER
INGSINGER
MASTER 24
60019
71
2 DRAWER WARMER MAIN SERVING LINE
HATCO
HBW-2N
7408541013
72
ICE MACHINE
ICEOMATIC
ICE0806HA2
06091280060891T
73
CHILL REFER MOTHER MEAL
REGI-RET
4101
950801BC01
74
CHILL REFER
REGI-RET
4101
950801BC02
75
STEAMER
CLEVELAND
PSM3
WC2948795D-01
76
ELEC TILT KETTLE
CLEVELAND
KET12T
WT356794B08
77
ELEC TILT KETTLE
CLEVELAND
KET12T
WT356794B09
78
STEAM KETTLE
CLEVELAND
KDL80
WT5114-95D-01
79
STEAM KETTLE
CLEVELAND
KDL80
WT5115-95D-01
80
STEAM KETTLE
CLEVELAND
KDL80
WT5115-95D-02
81
STEAM KETTLE
CLEVELAND
KDL80
WT5116-95D-01
82
STEAM KETTLE
CLEVELAND
KDL80
WT5116-95D-02
83
ICE MACHINE BEV BAR
ICEOMATIC
HD650A5
S542-00034-W
84
ICE MACHINE BEV BAR
ICEOMATIC
HD650A5
S542-00044-W
85
2 DOOR REFFERS SANDWICH BAR
SUR60-16
4211551
NME650AS-1A
86
MEAT SLICER
HOBART
274
561231806
87
MILK MACHINE BEV BAR
SILVER KING
SKMAJ2/C3
NBAB00245A
88
MILK MACHINE BEV BAR
SILVER KING
SKMAJ2/C3
NBAB00246A
89
MICROWAVE MOTHER MEAL
SHARP
R22GT
3519
90
MICROWAVE DINING ROOM
SHARP
R22GT
3540
91
MICROWAVE DINING ROOM
AMANA
RCSIOMPA
10136764GC
92
MICROWAVE DINING ROOM
SHARP
R22GT
3516
93
FOOD CHOPPER VEG PREP
UNIVEX
BC14
SO17981
94
FOOD MIXER VEG PREP
WELBILT
W140
59030300047
95
DOUGH DIVIDER BAKE SHOP
DUTCHESS
7320015
JN0026
96
GARBAGE DISPOSAL VEG PREP
ISE
SS-750-B
MC258825
97
GARBAGE DISPOSAL VEG PREP # 1
ISE
SS750-B
MC258828
98
WARMER CABINET MOTHERS
DELFIELD
SSHR12
0907152001513
99
WARMER CABINET MOTHERS
DELFIELD
SSHR12
0907152001512
100
WARMER CABINET PTL
DELFIELD
SSRR12
0808152000553
101
WARMER CABINET PTL
DELFIELD
SSRR12
0808152000554
102
KNIFE SHARPENER VEG PREP
EDLUND
395
19686
103
STEAM KETTLE
CLEVELAND
KET12T
WT511695D01
104
KNIFE SHARPENER
HOBART
BE1
561073825
105
COMBINATION OVEN
CLEVELAND
0GB12.20
WC1348-08E
106
DISPENSER FOOD TRAY
LAKESIDE
937
D044273
107
DISPENSER FOOD TRAY
LAKESIDE
937
84036
108
DISPENSER FOOD TRAY
LAKESIDE
937
DO44270
109
DISPENSER FOOD TRAY
LAKESIDE
937
DO45542
110
REFRIGERATOR
AIR SCREEN
PHB495
245539
111
HEAT ON DEMAND SYSTEM MOTHER MEAL
ALADDIN
IHA250
IHA250H02085
112
FREEZER GALLEY
TRUE
TUC-60F
1-4099219
113
REFRIGERATOR MOTHER MEAL
TRUE
TUC-67
1-3396115
114
REFRIGERATED DISPLAY CASE
TRUE
G4SM-23PT
11890110
115
CHAR-BROIL
STAR
6124RCBC
6R241127
116
COMBINATON OVEN
ALTO-SHA
COMBITHERM 20.20
111913-0304
117
COMBINATION OVEN
HENNY PENNY
LCS-40
EZZCB00021021837
118
COMBINATION OVEN
CLEVELAND
0GB12.20
WC1135-DD

TOTAL

MONTHLY

UNIT PRICE

BASE YR

OPT YR I

Section C - Descriptions and Specifications

DESCRIPTION/SPECIFICATION/WORK STATEMENT

Contractor must be able to provide full contract support immediately upon award of a resulting order. Contractor will provide Service Call Maintenance support for various Galley equipment and support items/components items listed in Section B. Currently, there are approximately 116 items. Service may be required 7-days a week between 7:00 a.m. – 7:00 p.m. during the entire period of performance to include performing emergency service work, routine service work, and preventive maintenance monthly. Contractor’s pricing shall be inclusive of all costs including parts, labor, travel and shipping unless otherwise indicated for all minor/major repairs required to maintain all items in a safe, reliable and satisfactory operation condition.

1. General Requirements

a. The Contractor shall comply with Federal, State, and Local Laws, plus any Federal Regulations as applicable to the performance of this contract.

b. The Contractor shall not accept any instructions issued by any person employed by the U. S. Government other than the Contracting Officer (KO), or Nutrition Management (Galley) Technical Point of Contact acting within the limits of their authority.

c. Equipment listed in this contract will be maintained and/or repaired per the Original Equipment Manufacturers (OEM’s) specifications.

d. Equipment and associated components shall be serviced as listed on: DD Form 1155, “Order for Supplies or Services.”

e. The Contractor shall be fully qualified / authorized by the Original Equipment Manufacturer (OEM) in the repair of restaurant equipment listed within this contract. Contractor shall maintain current qualifications throughout entire contract period. Qualification includes but not limited to the certification of all repair persons as being trained / qualified to perform required repairs. Contract personnel shall have minimum 5-year experience in restaurant equipment repairs including certification in refrigeration and electrical systems. Government reserves the right verify these qualifications at any time during the period of performance.

2. Specific Tasks

a. Contractor shall respond via telephone within 4 hours after receipt of service call and make best effort to provide on-site service no later than 2 business days. All repairs are to be completed as soon as possible. Contractor to make a best effort to have all equipment operational within 5 business days of the reported problem.

b. Service Requests may include up to a maximum of 5 items per each Service Call.

c. Contractor shall provide a written detailed service report to the Technical Point of Contact or designated representative at the end of each service visit. The service report shall include, but not be limited to equipment description with model, serial number and a description of the service(s) performed.

d. Contractor’s pricing shall be inclusive of all cost including parts, labor, travel and shipping, unless otherwise indicated in paragraph 2.e.

e. Contractor shall provide all consumable / common hardware and software items, to include but not limited to grease, oil, gasket materials, nuts / washers, etc. Contractor shall provide all parts with a retail value not exceeding the limit of liability value of $50.00 in value for each piece of equipment per repair / per service call.

f. For repair parts that exceed the limit of liability contractor shall provide an estimate to the Technical Point of Contact within 2-business days of discovery of required additional parts.

g. Contractor’s estimate shall include the cost of all additional parts and any other charges such as shipping and environmental fees and include the approximate lead-time on obtaining parts and whether “fast ship” options are available for required parts. Government will determine best method of procurement for additional parts and notify Contractor when required parts are available to complete the repairs. The Government may request Contractor provide up to 3 competitive quotes on all parts that exceed $250.00 in value.

h. The Government shall reserve the right not to repair Galley Equipment.

i. Contractor shall warrant all repairs including replaced parts for a period of no less than 90 days.

3. Government furnished property, Materials and Services.

a. The Contractor is encouraged to perform a pre-maintenance inspection prior to the onset of the contract start date or not later than 5 days after award. Any apparent and non-apparent / hidden discrepancies must be identified to the Contracting Officer not later than 14 days after contract award. The Government reserves the right to modify the resultant contract to authorize one-time repairs or issue a separate purchase order for any equipment found to be inoperable during this pre-maintenance inspection. The cost of repairs shall not exceed contractor’s normal and industry standard retail rate for required repairs. The Government certifies that the equipment to be maintained under this contract will be in good operating condition on the effective date of this contract except as noted herein. For the purpose of this contract, the clause, “good operating condition” means the conditions necessary for the equipment to function as intended without corrective maintenance.

b. The Contractor agrees to leave the equipment in good operating condition at the expiration of this contract. During the final week of this contract, the Government will make final inspection of the equipment. Any correction of deficiencies noted during this inspection shall be resolved prior to contract end. The Government reserves the right to request the repair (at no additional cost to the Government) of items identified with latten defects after contract termination, when it has been determined that defects either are a result of contractor’s performance or should have been discovered during normal performance of work under this contract. Final payment due to the Contractor may be withheld until deficiencies have been corrected and all equipment is back in satisfactory working condition.

c. The Government will not be responsible for the damage or loss due to fire, theft, accident, or other disaster of Contractor supplies, materials, or for the personal belongings brought onto Government property by Contractor’s personnel..

4. Contractor Responsibility.

a. The Contractor shall be responsible for the repair/replacement of damaged Government owned equipment and property due to the negligence of the Contractor or his representatives. All such replacement or repair shall be at the Contractor’s expense and shall be inspected to the satisfaction of the KO or appointed representative.

5. Preventive Maintenance Services.

a. Preventive maintenance services shall be performed at the time mutually agreed upon between the Government and the Contractor to be completed as soon as possible after contract award but not later than 31 December during the base year and option year period of performance.

(The Government Fiscal Year runs: October through September). The Contractor shall make a best effort to schedule and complete preventive maintenance services prior to the 15th of the selected month, but no later than the last day of the month.

b. The Contractor shall have his/her own service manuals, specifications, schematic diagrams, and parts lists to assist in the evaluation/repair of all equipment included in this contract.

6. Service Beyond the Scope of the Contract

a. The Contractor shall immediately, but not later than 24 consecutive hours after discovery, notify the Technical Point of Contact in writing, of the existence or the development of any defects in, or repair required to the equipment, which the Contractor considers they are not responsible for under the terms of this contract.

b. At the same time of the notification, the Contractor shall furnish the Technical Point of Contact with written estimate of the cost to make the necessary repairs. Repairs considered by the Contracting Officer to be outside the scope of this contract shall not be covered under this contract, but shall be ordered under a separate purchase order.

NOTE:

At the issuance of this Request for Quote, the Government determined the following equipment is currently not in good working condition. Contractor may be required to repair these items and restore to working condition within the guidelines of the resultant contract.

a. Gemini oven door handle

b. Main serving line 1, 2 & 3 not reaching proper temperature and heating lights are out

c. Main dish washing machine booster heater is leaking

d. Freezer door gasket on mothers meals freezer needs replaced

e. Ice machine in galley is leaking

f. Warmer on the main line leaking

g. Warmer on the main line not reaching temp

h. Roll in refer in galley next to ice machine not working

i. Plate warmer for PTL Needs new cord.

j. Roll in warmer for PTL is down.

k. PTL dish washer machine blower is not working properly.

l. All filters on refers and freezer units need replacing.

m. Cleveland oven number two not working.

Current List of Equipment (note that this list may change during the period of performance). The Government shall provide the contractor with written notification of all major changes to this list of equipment via a contract modification approved and signed by the Contracting Officer. It is the Government’s intent to keep this list as accurate as possible. The Government shall reserve the right not to make any minor changes to the list of equipment (+/- 10%).

NO
NOMENCLATURE
MFG
MODEL#
SERIAL #
ACQ DATE
LOCATION
1
FREEZER MOTHERS MEALS
TRUE
T-23F
8053549
AUG 2014
RM 111008
2
ICE CREAM FREEZER PTL
TURBO AIR
TSD-60CF
CF60510004
SEPT 2012
RM 111202
3
CHILL BOX ROLL-IN MOTHERS MEAL
TRUE
STGRR1-2S
8051566
AUG 2014
RM 111202
4
FREEZER VEG PREP
TRONTSEN
G12010
T46778I10
APR 2011
RM 111202
5
CHILL BOX ROOL-IN SEVING LINE
DELFIELD
SSRRT2-S
1009152000682
APR 2009
RM 111202
6
DEEP FAT FRYER
PITCO
SG850
306LB047415
NOV 2007
RM 110605
7
FRREZER ROLL-IN SERVING LINE
DELFIELD
SSFRI1-S
1007152000979
APR 2009
RM 110202
8
WARMER MAIN LINE # 1
TRUE
TH23
14366244
APR 1999
RM 111020
9
HEATED CABINETS MAIN LINE
METRO
C589-SDS-UA
C58002268
NOV 2009
RM 111020
10
HEATED CABINETS MAIN LINE
METRO
C589-SDS-UA
C59002586
NOV 2009
RM 110605
11
MIXER BAKE SHOP
VARIMIXER
W150
8015080004
NOV

RM 1110202

12
CHILL TOP SANDWICH BAR
DELFIELD
4464N-16
1009152001474/

1009152001645

APR 2009
RM 111020
13
CHIIL BOX/ROLL IN MAIN LINE
DELFIELD
SLRRI34S
311324T
APR 1999
RM 111202
14
CHIIL BOX/ROLL IN
DELFIELD
SLRRI34S
311325T
APR 1999
RM 110605
15
CHIIL BOX/ROLL IN SPEED LINE # 2
DELFIELD
SLRRI34S
311326T
APR 1999
RM 111202
16
CHIIL BOX/ROLL IN MAIN LINE
DELFIELD
SLRRI34S
311327T
APR 1999
RM 111202
17
CHIIL BOX/ROLL IN PTL # 2
TRUE
STG2RR1
8051565
APR 2014
RM 110605
18
CHIIL BOX/ROLL IN PTL # 3
TRUE
STG2RR1
8057967
APR 2014
RM 110605
19
CHIIL BOX/ROLL IN MOTHER MEAL
DELFIELD
SLRRI66S
311330T
APR 1999
RM 110605
20
CHIIL BOX/ROLL IN LINE BACK UP
DELFIELD
SLRRI66S
311331T
APR 1999
RM 110605
21
CHIIL BOX/ROLL IN PTL # 1
DELFIELD
SSRR12-S
0904152000165
APR 2009
RM 110605
22
CHIIL BOX/ROLL IN LINE BACK UP
DELFIELD
SLRRI66S
311333T
APR 1999
RM 110605
23
CHIIL BOX/ROLL IN
DELFIELD
SLRRI66S
311334T
APR 1999
RM 110605
24
CHIIL BOX ON THE WARDS
TRUE
STR/STA/STG
AUG 2014
WARDS
25
CHIIL BOX ON THE WARDS
TRUE
STR/STA/STG
AUG 2014
WARDS
26
CHILL BOX ON THE QTR DECK
TRUE
STR/STA/STG
AUG 2014
QTR

DECK

27
HEATED CABINET MAIN LINE
METRO
C589-SDS-UA
C59002609
APR 2009
RM 111202
28
HEATED CABINET MAIN LINE
METRO
C599-SDS-UPDSA
C59002591
APR 2009
RM 111202
29
HEATED CABINET

MAIN LINE

METRO
C599-SDS-UPDSA
C59002612
APR 2009
RM 111202
30
RESERVED
31
GRILL SPEED LINE # 1 & 2
ACCU TEMP
EGF4808A4800-S2
8963/8964
SEP 2009
RM 111020
32
DEEP FAT FRYER GALLEY
PITCO
SG850
G06LV047414
NOV 2007
RM 110605
33
RESERVED
34
TILT SKILLET
MARKET FORGE
30STEL
216544
APR 1999
RM 110605
35
BUFFALO CHOPPER VEG PREP
HOBART
84136
561-043-436
APR 1999
RM 110502
36
FOOD CHOPPER VEG PREP
ROBOT/ COUPE
CL50SER-D
3150172803Z07
JAN 2007
RM 110502
37
SOUP WARMER SALAD BAR
WELLS
SS-10ULTD
BIRTD0610A0319/BIRTD0610A0323
AUG

RM111020

38
OVEN RANG MOTHERS MEALS
SUNFIRE
X60-6R24RS
APR 2014
RM 110502
39
STEAM TABLE MAIN LINE
LOW TEMP
CUSTOM
110B32481L
APR 2009
RM 110605
40
STEAM TABLE MAIN SERVING LINE
LOW TEMP
CUSTOM
110B32482L
APR 2009
RM 111020
41
COLD PAN SALAD BAR
COLORPOINT
C20500FMS
100C32476L/110C32477L
APR 2009
RM 111020
42
COLD PAN SALAD BAR
COLORPOINT
C20500FMS
110C32480L
APR 2009
RM 111020
43
COLD PAN SALAD BAR
COLORPOINT
C20500FMS
110C32470L
APR 2009
RM 111020
44
COLD PAN SALAD BAR
COLORPOINT
C20500FMS
110C32479L
APR 2009
RM 111020
45
GAS BROILER MOTHERS MEALS
MAGIKITCH’N
RMB 600
APR 2014
RM 111020
46
OPEN TOP 2DOOR CHILL SANDWICH BAR
DELFIELD
V18648-28
66292906M
APR 1999
RM 111020
47
OPEN TOP 2DOOR CHILL TOP # 2 SPEED LINE
DELFIELD
V18648-28
66292907M
APR 1999
RM 111020
48
STEAM TABLE SPEED LINE
SERVO LIFT
HW6
498-981040
APR 1999
RM 111020
49
FOOD WARMER
SECO
S2464-0
S5-13
APR 1999
RM 111020
50
STEAM LINE MAIN LINE
LOW TEMP
CUSTOM
100B32481L/110B32482L
APR 2009
RM 111020
51
DISHWASHER
CHAMPION
UCCW8ST
87038
APR 1999
RM 1110801
52
POT & PAN WASHER
INSINGER
PP28
87137
APR 1999
RM 111004
53
PTL TRAY LINE
GRIETZER
RWG28
94-121-C
APR 1999
RM 110607
54
DOUGH RETARDER/PROOFER BAKESHOP
GEMINI
GMPR-2-NCP
0521039-06
APR 1999
RM 110605
55
DOUGH RETARDER/ PROOFER BAKESHOP
GEMINI
GMPR-2-NCP
0420226-10
APR 1999
RM 110605
56
TILT SKILLET
LEGION
TETGES2440N
1040
JUL 2001
RM 110605
57
TILT SKILLET
CLEVLAND
SGL40R
9504TS0355
APR 1999
RM 110605
58
PLATE WARMER PTL
ALADIN
DH08
187301C0551
DEC 2005
RM 110605
59
COLD TABLE TOP PTL
SERVTO
502-1F
10/05-235254-1
OCT 2005
RM 110605
60
TRAY WARMER PTL
ALADDID
1HTA50
1HTAA50B06033
JAN 2000
RM 110605
61
MICROWAVE PTL
AMANA
RCSIOMPA
11264605JV
NOV 2006
RM 110605
62
TOASTER
HOLMAN/ STAR
OCS-03-95HA
2.36005E+12
JAN 2007
RM 110605
63
ROTATING OVEN BAKE SHOP
GEMNI
C152
M218441-1/0848
APR 2010
RM 110605
64
ROTATING OVEN BAKE SHOP
GEMNI
C152
M211640-1/0613
APR 2010
RM 110605
65
ICE MAKER
ICEOMATIC
ICE0806HA2
06091280062871T
JAN 2007
RM 110605
66
TRAY LINE CONVEYOR
GRIETZER
TMCCSC12V823
828050
APR 2009
RM 110607
67
TRAY CONVEYOR
GRIETZER
RWG-216
K991394121C
APR 1999
RM 111203
68
GARBAGE DISPOSAL VEG PREP # 3
SS750
SS750-13
MC7261952
APR 1999
RM 111801
69
GARBAGE DISPOSAL
ISE
ISE750
MC258827
APR 1999
RM 111801
70
DISHWASHER
INGSINGER
MASTER 24
60019
JAN 2004
RM 111203
71
2 DRAWER WARMER MAIN SERVING LINE
HATCO
HBW-2N
7408541013
APR 1999
RM 111202
72
ICE MACHINE
ICEOMATIC
ICE0806HA2
06091280060891T
APR 1999
RM 110605
73
CHILL REFER MOTHER MEAL
REGI-RET
4101
950801BC01
APR 1999
RM 110605
74
CHILL REFER
REGI-RET
4101
950801BC02
APR 1999
RM 110605
75
STEAMER
CLEVELAND
PSM3
WC2948795D-01
APR 1999
RM 110605
76
ELEC TILT KETTLE
CLEVELAND
KET12T
WT356794B08
APR 1999
RM 110605
77
ELEC TILT KETTLE
CLEVELAND
KET12T
WT356794B09
APR 1999
RM 110605
78
STEAM KETTLE
CLEVELAND
KDL80
WT5114-95D-01
APR 1999
RM 110605
79
STEAM KETTLE
CLEVELAND
KDL80
WT5115-95D-01
APR 1999
RM 110605
80
STEAM KETTLE
CLEVELAND
KDL80
WT5115-95D-02
APR 1999
RM 110605
81
STEAM KETTLE
CLEVELAND
KDL80
WT5116-95D-01
APR 1999
RM 110605
82
STEAM KETTLE
CLEVELAND
KDL80
WT5116-95D-02
APR 1999
RM 110605
83
ICE MACHINE BEV BAR
ICEOMATIC
HD650A5
S542-00034-W
APR 1999
RM 111202
84
ICE MACHINE BEV BAR
ICEOMATIC
HD650A5
S542-00044-W
APR 1999
RM 110605
85
2 DOOR REFFERS SANDWICH BAR
SUR60-16
4211551
NME650AS-1A
APR 1999
RM 111202
86
MEAT SLICER
HOBART
274
561231806
APR 1999
RM 110605
87
MILK MACHINE BEV BAR
SILVER KING
SKMAJ2/C3
NBAB00245A
APR 2009
RM 111202
88
MILK MACHINE BEV BAR
SILVER KING
SKMAJ2/C3
NBAB00246A
APR 2009
RM 111202
89
MICROWAVE MOTHER MEAL
SHARP
R22GT
3519
APR 1999
RM 110605
90
MICROWAVE DINING ROOM
SHARP
R22GT
3540
APR 1999
RM 111402
91
MICROWAVE DINING ROOM
AMANA
RCSIOMPA
10136764GC
FEB 2005
RM 111402
92
MICROWAVE DINING ROOM
SHARP
R22GT
3516
APR 1999
RM 111402
93
FOOD CHOPPER VEG PREP
UNIVEX
BC14
SO17981
APR 1999
RM 110502A
94
FOOD MIXER VEG PREP
WELBILT
W140
59030300047
APR 1999
RM 110502A605
95
DOUGH DIVIDER BAKE SHOP
DUTCHESS
7320015
JN0026
APR 1999
RM 110605
96
GARBAGE DISPOSAL VEG PREP
ISE
SS-750-B
MC258825
APR 1999
RM 110502
97
GARBAGE DISPOSAL VEG PREP # 1
ISE
SS750-B
MC258828
APR 1999
RM 110502
98
WARMER CABINET MOTHERS
DELFIELD
SSHR12
0907152001513
APR 2010
RM 110605
99
WARMER CABINET MOTHERS
DELFIELD
SSHR12
0907152001512
APR 2010
RM 110605
100
WARMER CABINET PTL
DELFIELD
SSRR12
0808152000553
APR 2009
RM 110605
101
WARMER CABINET PTL
DELFIELD
SSRR12
0808152000554
APR 2009
RM 110605
102
KNIFE SHARPENER VEG PREP
EDLUND
395
19686
APR 1999
RM 110605
103
STEAM KETTLE
CLEVELAND
KET12T
WT511695D01
APR 1999
RM 110605
104
KNIFE SHARPENER
HOBART
BE1
561073825
APR 1999
RM 110605
105
COMBINATION OVEN
CLEVELAND
0GB12.20
WC1348-08E
AUG 2008
RM 110605
106
DISPENSER FOOD TRAY
LAKESIDE
937
D044273
APR 1999
RM 110605
107
DISPENSER FOOD TRAY
LAKESIDE
937
84036
APR 1999
RM 110605
108
DISPENSER FOOD TRAY
LAKESIDE
937
DO44270
APR 1999
RM 110605
109
DISPENSER FOOD TRAY
LAKESIDE
937
DO45542
APR 1999
RM 110605
110
REFRIGERATOR
AIR SCREEN
PHB495
245539
APR 1999
RM 110605
111
HEAT ON DEMAND SYSTEM MOTHER MEAL
ALADDIN
IHA250
IHA250H02085
SEP 2002
RM 110605
112
FREEZER GALLEY
TRUE
TUC-60F
1-4099219
AUG 2002
RM 110605
113
REFRIGERATOR MOTHER MEAL
TRUE
TUC-67
1-3396115
AUG 2002
RM 110605
114
REFRIGERATED DISPLAY CASE
TRUE
G4SM-23PT
11890110
AUG 2002
RM 111202
115
CHAR-BROIL
STAR
6124RCBC
6R241127
AUG 2002
RM 110605
116
COMBINATON OVEN
ALTO-SHA
COMBITHERM 20.20
111913-0304
SEP 2004
RM 110605
117
COMBINATION OVEN
HENNY PENNY
LCS-40
EZZCB00021021837
JUN 2001
RM 110605
118
COMBINATION OVEN
CLEVELAND
0GB12.20
WC1135-DD
AUG 2008
RM110605

N00183-0024 Contractor Unclassified Access to Federally Controlled Facilities, Sensitive Information, Information Technology (IT) Systems or Protected Health Information (July 2013)

Homeland Security Presidential Directive (HSPD)-12, requires government agencies to develop and implement Federal security standards for Federal employees and contractors. The Deputy Secretary of Defense Directive-Type Memorandum (DTM) 08-006 - "DoD Implementation of Homeland Security Presidential Directive - 12 (HSPD-12)" dated November 26, 2008 (or its subsequent DoD instruction) directs implementation of HSPD-12. This clause is in accordance with HSPD-12 and its implementing directives.

APPLICABILITY

This clause applies to contractor employees requiring physical access to any area of a federally controlled base, facility or activity and/or requiring access to a DoN or DoD computer/network/system to perform certain unclassified sensitive duties. This clause also applies to contractor employees who access Privacy Act and Protected Health Information, provide support associated with fiduciary duties, or perform duties that have been identified by DON as National Security Position, as advised by the command security manager. It is the responsibility of the responsible security officer of the command/facility where the work is performed to ensure compliance.

Each contractor employee providing services at a Navy Command under this contract is required to obtain a Department of Defense Common Access Card (DoD CAC). Additionally, depending on the level of computer/network access, the contract employee will require a successful investigation as detailed below.

ACCESS TO FEDERAL FACILITIES

Per HSPD-12 and implementing guidance, all contractor employees working at a federally controlled base, facility or activity under this clause will require a DoD CAC. When access to a base, facility or activity is required contractor employees shall in-process with the Navy Command's Security Manager upon arrival to the Navy Command and shall out-process prior to their departure at the completion of the individual's performance under the contract.

ACCESS TO DOD IT SYSTEMS

In accordance with SECNAV M-5510.30, contractor employees who require access to DoN or DoD networks are categorized as IT-I, IT-II, or IT-III. The IT-II level, defined in detail in SECNAV M-5510.30, includes positions which require access to information protected under the Privacy Act, to include Protected Health Information (PHI). All contractor employees under this contract who require access to Privacy Act protected information are therefore categorized no lower than IT-II. IT Levels are determined by the requiring activity's Command Information Assurance Manager. Contractor employees requiring privileged or IT-I level access, (when specified by the terms of the contract) require a Single Scope Background Investigation (SSBI) which is a higher level investigation than the National Agency Check with Law and Credit (NACLC) described below. Due to the privileged system access, a SSBI suitable for High Risk public trusts positions is required. Individuals who have access to system control, monitoring, or administration functions (e.g. system administrator, database administrator) require training and certification to Information Assurance Technical Level 1, and must be trained and certified on the Operating System or Computing Environment they are required to maintain.

Access to sensitive IT systems is contingent upon a favorably adjudicated background investigation. When access to IT systems is required for performance of the contractor employee's duties, such employees shall in-process with the Navy Command's Security Manager and Information Assurance Manager upon arrival to the Navy command and shall out-process prior to their departure at the completion of the individual's performance under the contract. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy Information Technology resources. The decision to authorize access to a government IT system/network is inherently governmental. The contractor supervisor is not authorized to sign the SAAR-Ni therefore, the government employee with knowledge of the system/network access required or the COR shall sign the SAAR-N as the "supervisor".

The SAAR-N shall be forwarded to the Navy Command's Security Manager at least 30 days prior to the individual's start date. Failure to provide the required documentation at least 30 days prior to the individual's start date may result in delaying the individual's start date.

When required to maintain access to required IT systems or networks, the contractor shall ensure that all employees requiring access complete annual Information Assurance (IA) training, and maintain a current requisite background investigation. The Contractor's Security Representative shall contact the Command Security Manager for guidance when reinvestigations are required.

INTERIM ACCESS

The Navy Command' s Security Manager may authorize issuance of a DoD CAC and interim access to a DoN or DoD unclassified computer/network upon a favorable review of the investigative questionnaire and advance favorable fingerprint results. When the results of the investigation are received and a favorable determination is not made, the contractor employee working on the contract under interim access will be denied access to the computer network and this denial will not relieve the contractor of his/her responsibility to perform.

DENIAL OR TERMINATION OF ACCESS

The potential consequences of any requirement under this clause including denial or termination of physical or system access in no way relieves the contractor from the requirement to execute performance under the contract within the timeframes specified in the contract. Contractors shall plan ahead in processing their employees and subcontractor employees. The contractor shall insert this clause in all subcontracts when the subcontractor is permitted to have unclassified access to a federally controlled facility, federally-controlled information system/network and/or to government information, meaning information not authorized for public release.

CONTRACTOR'S SECURITY REPRESENTATIVE

The contractor shall designate an employee to serve as the Contractor's Security Representative. Within three work days after contract award, the contractor shall provide to the requiring activity's Security Manager and the Contracting Officer, in writing, the name, title, address and phone number for the Contractor's Security Representative. The Contractor's Security Representative shall be the primary point of contact on any security matter. The Contractor's Security Representative shall not be replaced or removed without prior notice to the Contracting Officer and Command Security Manager.

BACKGROUND INVESTIGATION REQUIREMENTS AND SECURITY APPROVAL PROCESS FOR CONTRACTORS ASSIGNED TO NATIONAL SECURITY POSITIONS OR PERFORMING SENSITIVE DUTIES

Navy security policy requires that all positions be given a sensitivity value based on level of risk factors to ensure appropriate protective measures are applied. Navy recognizes contractor employees under this contract as Non-Critical Sensitive [ADP/IT-II] when the contract scope of work require physical access to a federally controlled base, facility or activity and/or requiring access to a DoD computer/network, to perform unclassified sensitive duties. This designation is also applied to contractor employees who access Privacy Act and Protected Health Information (PHI), provide support associated with fiduciary duties, or perform duties that have been identified by DON as National Security Positions. At a minimum, each contractor employee must be a US citizen and have a favorably completed NACLC to obtain a favorable determination for assignment to a non-critical sensitive or IT-II position. The NACLC consists of a standard NAC and a FBI fingerprint check plus law enforcement checks and credit check. Each contractor employee filling a non-critical sensitive or IT-II position is required to complete:

• SF-86 Questionnaire for National Security Positions (or equivalent OPM investigative product)

• Two FD-258 Applicant Fingerprint Cards (or an electronic fingerprint submission)

• Original Signed Release Statements

Failure to provide the required documentation at least 30 days prior to the individual's start date shall result in delaying the individual's start date. Background investigations shall be reinitiated as required to ensure investigations remain current (not older than 10 years) throughout the contract performance period. The Contractor's Security Representative shall contact the Command Security Manager for guidance when reinvestigations are required.

Regardless of their duties or IT access requirements ALL contractor employees shall in-process with the Navy Command's Security Manager upon arrival to the Navy command and shall out process prior to their departure at the completion of the individual's performance under the contract. Employees requiring IT access shall also check-in and check-out with the Navy Command's Information Assurance Manager. Completion and approval of a System Authorization Access Request Navy (SAAR-N) form is required for all individuals accessing Navy Information Technology resources. The SAAR-N shall be forwarded to the Navy Command's Security Manager at least 30 days prior to the individual's start date. Failure to provide the required documentation at least 30 days prior to the individual's start date shall result in delaying the individual's start date.

The contractor shall ensure that each contract employee requiring access to IT systems or networks complete annual Information Assurance (IA) training, and maintain a current requisite background investigation. Contractor employees shall accurately complete the required investigative forms prior to submission to the Navy Command Security Manager. The Navy Command's Security Manager will review the submitted documentation for completeness prior to submitting it to the Office of Personnel Management (OPM). Suitability/security issues identified by the Navy may render the contractor employee ineligible for the assignment. An unfavorable determination made by the Navy is final (subject to SF-86 appeal procedures) and such a determination does not relieve the contractor from meeting any contractual obligation under the contract. The Navy Command's Security Manager will forward the required forms to OPM for processing. Once the investigation is complete, the results will be forwarded by OPM to the DON Central Adjudication Facility (CAF) for a determination.

If the contractor employee already possesses a current favorably adjudicated investigation, the contractor shall submit a Visit Authorization Request (VAR) via the Joint Personnel Adjudication System (JPAS) or a hard copy VAR directly from the contractor's Security Representative. Although the contractor will take JPAS "Owning" role over the contractor employee, the Navy Command will take JPAS "Servicing" role over the contractor employee during the hiring process and for the duration of assignment under that contract. The contractor shall include the IT Position Category per SECNAV M-5510.30 for each employee designated on a VAR. The VAR requires annual renewal for the duration of the employee's performance under the contract.

BACKGROUND INVESTIGATION REQUIREMENTS AND SECURITY APPROVAL PROCESS FOR CONTRACTORS ASSIGNED TO OR PERFORMING NON-SENSITIVE DUTIES

Contractor employee whose work is unclassified and non-sensitive (e.g., performing certain duties such as lawn maintenance, vendor services, etc ...) and who require physical access to publicly accessible areas to perform those duties shall meet the following minimum requirements:

• Must be either a US citizen or a US permanent resident with a minimum of 3 years legal residency in the United States (as required by The Deputy Secretary of Defense DTM 08-006 or its subsequent DoD instruction) and

• Must have a favorably completed National Agency Check with Written Inquiries (NACI) including a FBI fingerprint check prior to installation access.

To be considered for a favorable trustworthiness determination, the Contractor's Security Representative must submit for all employees each of the following:

• SF-85 Questionnaire for Non-Sensitive Positions

• Two FD-258 Applicant Fingerprint Cards (or an electronic fingerprint submission)

• Original Signed Release Statements

The contractor shall ensure each individual employee has a current favorably completed National Agency Check with Written Inquiries (NACI) or ensure successful FBI fingerprint results have been gained and investigation has been processed with OPM.

Failure to provide the required documentation at least 30 days prior to the individual's start date may result in delaying the individual's start date.

* Consult with your Command Security Manager and Information Assurance Manager for local policy when IT-III (non-sensitive) access is required for non-US citizens outside the United States.

Section E - Inspection and Acceptance

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN
INSPECT AT
INSPECT BY
ACCEPT AT
ACCEPT BY
0001
Destination
Government
Destination
Government
0002
Destination
Government
Destination
Government

Section F - Deliveries or Performance

DELIVERY INFORMATION

CLIN
DELIVERY DATE
QUANTITY
SHIP TO ADDRESS
UIC
0001
POP 01-OCT-2014 TO

30-SEP-2015

N/A
NAVAL MEDICAL CENTER

NUTRITION MANAGEMENT

620 JOHN PAUL JONES CIRCLE

BLDG 2, 1ST FLOOR MAIN GALLEY

PORTSMOUTH VA 23708

757-953-1003

FOB: Destination N00183

0002
POP 01-OCT-2015 TO

30-SEP-2016

N/A
(SAME AS PREVIOUS LOCATION)

FOB: Destination N00183

CLAUSES INCORPORATED BY REFERENCE

52.242-15
Stop-Work Order
AUG 1989

Section G - Contract Administration Data

252.232-7006 WIDE AREA WORKFLOW PAYMENT INSTRUCTIONS (MAY 2013)

(a) Definitions. As used in this clause--

Department of Defense Activity Address Code (DoDAAC) is a six position code that uniquely identifies a unit, activity, or organization.

Document type means the type of payment request or receiving report available for creation in Wide Area WorkFlow (WAWF).

Local processing office (LPO) is the office responsible for payment certification when payment certification is done external to the entitlement system.

(b) Electronic invoicing. The WAWF system is the method to electronically process vendor payment requests and receiving reports, as authorized by DFARS 252.232-7003, Electronic Submission of Payment Requests and Receiving Reports.

(c) WAWF access. To access WAWF, the Contractor shall--

(1) Have a designated electronic business point of contact in the System for Award Management at https://www.acquisition.gov; and

(2) Be registered to use WAWF at https://wawf.eb.mil/ following the step-by-step procedures for self-registration available at this Web site.

(d) WAWF training. The Contractor should follow the training instructions of the WAWF Web-Based Training Course and use the Practice Training Site before submitting payment requests through

WAWF. Both can be accessed by selecting the “Web Based Training” link on the WAWF home page at https://wawf.eb.mil/.

(e) WAWF methods of document submission. Document submissions may be via Web entry, Electronic Data Interchange, or File Transfer Protocol.

(f) WAWF payment instructions. The Contractor must use the following information when submitting payment requests and receiving reports in WAWF for this contract/order:

(1) Document type. The Contractor shall use the following document type(s).

2 IN 1 SERVICES ONLY

(Contracting Officer: Insert applicable document type(s). Note: If a “Combo” document type is identified but not supportable by the Contractor's business systems, an “Invoice” (stand-alone) and

“Receiving Report” (stand-alone) document type may be used instead.)

(2) Inspection/acceptance location. The Contractor shall select the following inspection/acceptance location(s) in WAWF, as specified by the contracting officer.

DESTINATION / DESTINATION

(3) Document routing. The Contractor shall use the information in the Routing Data Table below only to fill in applicable fields in WAWF when creating payment requests and receiving reports in the system.

Routing Data Table*

Field Name in WAWF
Data to be entered in WAWF
Pay Official DoDAAC
HQ0248
Issue By DoDAAC
N00183
Admin DoDAAC
N00183
Inspect By DoDAAC
N/A
Ship To Code
N/A
Ship From Code
N/A
Mark For Code
N/A
Service Approver (DoDAAC)
N/A
Service Acceptor (DoDAAC)
N00183
Accept at Other DoDAAC
N/A
LPO DoDAAC
N00183
DCAA Auditor DoDAAC
N/A
Other DoDAAC(s)
N/A

(4) Payment request and supporting documentation. The Contractor shall ensure a payment request includes appropriate contract line item and subline item descriptions of the work performed or supplies delivered, unit price/cost per unit, fee (if applicable), and all relevant back-up documentation, as defined in DFARS Appendix F, (e.g. timesheets) in support of each payment request.

(5) WAWF email notifications. The Contractor shall enter the email address identified below in the “Send Additional Email Notifications” field of WAWF once a document is submitted in the system.

WAWF Acceptor/COR Email Address: To Be Determined At time of Contract Award

(g) WAWF point of contact.

(1) The Contractor may obtain clarification regarding invoicing in WAWF from the following contracting activity's WAWF point of contact.

wawf@med.navy.mil

(2) For technical WAWF help, contact the WAWF helpdesk at 866-618-5988.

(End of clause)

Section H - Special Contract Requirements

CLAUSES INCORPORATED BY FULL TEXT

N00183-0004 PRIVACY AND SECURITY OF PROTECTED HEALTH INFORMATION

1. Introduction In accordance with DoD 6025.18-R “Department of Defense Health Information Privacy Regulation,” January 24, 2003, the Business Associate meets the definition of Business Associate. Therefore, a Business Associate Agreement is required to comply with both the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations. This clause serves as that agreement whereby the Business Associate agrees to abide by all applicable HIPAA Privacy and Security requirements regarding health information as defined in this clause, and in DoD 6025.18-R and DoD 8580.02-R, as amended. Additional requirements will be addressed when implemented.

a. Definitions. As used in this clause generally refer to the Code of Federal Regulations (CFR) definition unless a more specific provision exists in DoD 6025.18-R or DoD 8580.02-R.

(1) HITECH Act shall mean the Health Information Technology for Economic and Clinical Health Act included in the American Recovery and Reinvestment Act of 2009.

(2) Individual has the same meaning as the term “individual” in 45 CFR 160.103 and shall include a person who qualifies as a personal representative in accordance with 45 CFR 164.502(g).

(3) Privacy Rule means the Standards for Privacy of Individually Identifiable Health Information at 45 CFR part 160 and part 164, subparts A and E.

(4) Protected Health Information has the same meaning as the term “protected health information” in 45 CFR 160.103, limited to the information created or received by the Business Associate from or on behalf of the Government pursuant to the Contract.

(5) Electronic Protected Health Information has the same meaning as the term “electronic protected health information” in 45 CFR 160.103.

(6) Required by Law has the same meaning as the term “required by law” in 45 CFR 164.103.

(7) Secretary means the Secretary of the Department of Health and Human Services or his/her designee.

(8) Security Incident will have the same meaning as the term “security incident” in 45 CFR 164.304, limited to the information created or received by Business Associate from or on behalf of Covered Entity.

(9) Security Rule means the Health Insurance Reform: Security Standards at 45 CFR part 160, 162 and part 164, subpart C.

(10) Terms used, but not otherwise defined, in this Clause shall have the same meaning as those terms in 45 CFR 160.103, 160.502, 164.103, 164.304, and 164.501.

b. The Business Associate shall not use or further disclose Protected Health Information other than as permitted or required by the Contract or as Required by Law.

c. The Business Associate shall use appropriate safeguards to maintain the privacy of the Protected Health Information and to prevent use or disclosure of the Protected Health Information other than as provided for by this Contract.

d. The HIPAA Security administrative, physical, and technical safeguards in 45 CFR 164.308, 164.310, and 164.312, and the requirements for policies and procedures and documentation in 45 CFR 164.316 shall apply to Business Associate. The additional requirements of Title XIII of the HITECH Act that relate to the security and that are made applicable with respect to covered entities shall also be applicable to Business Associate. The Business Associate agrees to use administrative, physical, and technical safeguards that reasonably and appropriately protect the confidentiality, integrity, and availability of the electronic protected health information that it creates, receives, maintains, or transmits in the execution of this Contract.

e. The Business Associate shall, at their own expense, take action to mitigate, to the extent practicable, any harmful effect that is known to the Business Associate of a use or disclosure of Protected Health Information by the Business Associate in violation of the requirements of this Clause. These mitigation actions will include as a minimum those listed in the TMA Breach Notification Standard Operating Procedure (SOP), which is available at: http://www.tricare.mil/tmaprivacy/breach.cfm

f. The Business Associate shall report to the Government any security incident involving protected health information of which it becomes aware.

g. The Business Associate shall report to the Government any use or disclosure of the Protected Health Information not provided for by this Contract of which the Business Associate becomes aware.

h. The Business Associate shall ensure that any agent, including a sub Business Associate, to whom it provides Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, agrees to the same restrictions and conditions that apply through this Contract to the Business Associate with respect to such information.

i. The Business Associate shall ensure that any agent, including a subBusiness Associate, to whom it provides electronic Protected Health Information, agrees to implement reasonable and appropriate safeguards to protect it.

j. The Business Associate shall provide access, at the request of the Government, and in the time and manner reasonably designated by the Government to Protected Health Information in a Designated Record Set, to the Government or, as directed by the Government, to an Individual in order to meet the requirements under 45 CFR 164.524.

k. The Business Associate shall make any amendment(s) to Protected Health

Information in a Designated Record Set that the Government directs or agrees to pursuant to 45 CFR 164.526 at the request of the Government, and in the time and manner reasonably designated by the Government.

l. The Business Associate shall make internal practices, books, and records relating to the use and disclosure of Protected Health Information received from, or created or received by the Business Associate, on behalf of the Government, available to the Government, or at the request of the Government to the Secretary, in a time and manner reasonably designated by the Government or the Secretary, for purposes of the Secretary determining the Government’s compliance with the Privacy Rule.

m. The Business Associate shall document such disclosures of Protected Health Information and information related to such disclosures as would be required for the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

n. The Business Associate shall provide to the Government or an Individual, in time and manner reasonably designated by the Government, information collected in accordance with this Clause of the Contract, to permit the Government to respond to a request by an Individual for an accounting of disclosures of Protected Health Information in accordance with 45 CFR 164.528.

2. General Use and Disclosure Provisions Except as otherwise limited in this Clause, the Business Associate may use or disclose Protected Health Information on behalf of, or to provide services to, the Government for treatment, payment, or healthcare operations purposes, in accordance with the specific use and disclosure provisions below, if such use or disclosure of Protected Health Information would not violate the HIPAA Privacy Rule, the HIPAA Security Rule, DoD 6025.18-R or DoD 8580.02-R if done by the Government.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated .