PERFORMANCE_WORK_STATEMENT_N0023220RC09003_082219.docx

Naval Hospital Pensacola Enterprise FY20 Regulated Medical Waste Contract (Final Draft)

PERFORMANCE WORK STATEMENT

STATEMENT OF WORK

Medical Waste

1. GENERAL: The contractor shall furnish all labor, equipment, sanitized, disinfected and labeled containers (excluding sharps containers), supplies, materials, transportation and supervision required to provide pick up, transport, sterilization, and disposal of regulated medical, biomedical, infectious, veterinary, chemotherapy, biological/pathological, compatible RX (Hazardous and Non Hazardous) Pharmaceuticals and contaminated wastes from:

-Naval Hospital Pensacola, 6000 West Highway 98, Pensacola, FL, 32512;

-Naval Branch Health Clinic Naval Air Station Pensacola, Building 3600, 450 Turner St, Pensacola, FL, 32508;

-Naval Branch Health Clinic Naval Air Technical Training Center Pensacola, 760 East Ave, Building 3911, Pensacola, FL, 32508;

-Naval Branch Health Clinic Naval Air Station Whiting Field, 7119 Langley St, Building 2985, Milton, FL 32570; and, -U. S. Army Veterinary Clinic, onboard Center for Information Dominance (CID Corry Station), Building 535, 6th St, Pensacola, FL, 32511, in accordance with the terms and conditions stated herein. The Contracting Officer (KO) and Contracting Officer's Representative (COR) are solely authorized to; directly correspond with the vendor, enforce terms, monitor performance or make modification to this contract.

1.1. The contractor shall pick up, transport and treat and or dispose of all hazard class 6.2 category B, Regulated Medical Waste RMW (Biological, Bulk and Trace Chemotherapy, Pathological and Used and Unused Sharps) and Compatible RX Pharmaceutical Waste (segregated Acutely Toxic and Toxic, segregated Corrosive, and segregated Ignitable) from Naval Hospital Pensacola (NHP) and its Naval Branch Health Clinics (NBHC’s) and the U.S. Army Veterinary Clinic (CID Corry Station) in accordance with all applicable City, County, State and Federal (Environmental Protection Agency EPA, Department of Transportation) laws, policies, guidelines and Naval Hospital Pensacola infectious medical waste requirements. The contractor shall also have an assigned U.S. EPA authorization and identification number, necessary Department of Transportation permits and insurance prior to transport and or disposal of subject waste. If contractor requires additional information, they may contact their U.S. EPA regional office.

1.1.1. The contractor shall pick up regulated medical and compatible RX waste from NHP and its NBHCs at least once per week and from U.S. Army Veterinary Clinic at least once per month, between 7:30 AM and 4:00 PM on a weekday not designated as a federal holiday. This frequency is subject to change dependent upon the number of patients and volume of waste produced. The contractor shall perform additional pick up service upon request from the COR or KO within 24 hours; normal cost for pick up applies.

1.1.2. The contractor shall be certified and licensed in the handling of medical waste and provide copies of certification and licenses the COR or KO by October 1st of each fiscal year. The contractor shall follow all federal EPA hazardous waste regulations (40 CFR 260-272), DOT regulations (49 CFR 171-178), and applicable State regulations.

1.2. SUPPLIES: Supplies provided by the contractor to the Government include corrugated boxes (30 gallon capacity) labeled and or marked UN3291 Regulated Medical Waste; 3 mil (.003in) with orientation arrows, red plastic biohazard bags stamped with the Universal Biohazard Symbol certified by the manufacturer to meet or exceed the 165 gram Impact Strength American Society for Testing and Materials (ASTM) D 1709-01 and the 480 gram Tear Strength ASTM D 1922-00a standards. Non-reusable RCRA Hazwaste containers e.g. POP oriented fiber drums. Medical Waste Manifest documentation forms that includes offeror, transporter and disposal facility information and signature blocks and contains a table or reference blocks for types and weights of RMW and/or Compatible RX containers, method of disposal section or separate Certificate of Destruction; manifest tracking labels; biohazard labels; and any additional supplies necessary to carry out the requirements of this Statement of Work. Color-coded supplies and training aids shall be utilized in accordance with industry best practices.

1.2.1. The contractor shall provide the corrugated boxes, stamped red bags and non-reusable RCRA drums as described in paragraph 1.2 upon the initial service call and subsequently thereafter in order to ensure that at least two weeks of supplies are in reserve at NBHC Meridian relevant to a typical volume of containers picked up during a routine service. Containers shall be in good condition, have closable and sealable flaps, and be durable, rigid, puncture resistant, moisture resistant; labeled, performance oriented packing certification and marking and clearly marked for its intended purpose e.g. Regulated Medical Waste, RCRA Hazardous Waste. Inspection for damage, deterioration, and labeling and marking as required shall be performed by the contractor prior to furnishing containers to the Government.

1.2.2. Contractor shall provide upon request from the COR or KO smaller capacity red bags (8-10 gallon) meeting the requirements of section 1.2 for collection and consolidation of RMW. Delivery shall be made within 5 working days.

1.2.3. Government personnel will distribute the supplies throughout the facility. Medical waste will be packaged by Government personnel and transported to the designated pick-up area. All RMW and Compatible RX containers and packages will be properly closed by the offeror prior to acceptance by the transporter. The contractor will immediately notify the COR in any case of improper closure that prevents containers or packages from being accepted for transport to a destruction facility.

1.3. DISPOSAL AND SANITATION REQUIREMENTS: Contractor shall employ the proper methods of treating and destruction of wastes. The preferred method of destruction of RMW and Compatible RX is incineration. Incineration or other acceptable methods of destruction that are in accordance with EPA and authorized state regulation shall be annotated on the Medical Waste Manifest form or supplemental Certificate of Destruction. Disposal shall be performed in such a manner as not to create conditions detrimental to public health or to constitute a public nuisance. The contractor shall adhere to all federal and state laws as they pertain to medical waste and its disposal and only act within those regulations.

1.3.1. The contractor shall take custody/title to medical waste loaded on board contractor’s vehicle; provide indemnification; and hold U.S. Government harmless from loss, damages, suits, penalties, costs, liabilities, and expenses (including but not limited to legal and investigative expenses) arising out of any claim for loss or damage to property, including Government property and injuries or death to NHP; and its Branch Clinics; and, U.S. Army Veterinary Clinic employees caused by or resulting from contractor’s negligence, willful misconduct or breach of contract.

1.3.2 The contractor shall maintain adequate amounts of liability coverage for all aspects of service and handle medical waste in properly licensed vehicles. All vehicles used in the transportation of medical waste from NHP and its Branch Clinics and U.S. Army Veterinary Clinic shall have all necessary Federal and State licenses applicable to each state jurisdiction. The contractor shall provide a copy of the permits and licenses applicable to operating an incinerator. All drivers shall meet training requirements of the Department of Transportation for Emergency Spill Response.

1.3.3. A tour of contractor facilities shall be permitted upon request by the COR if deemed necessary for regulatory purposes.

1.4. DOCUMENTATION: The Contractor shall handle, package, label, placard, and dispose of RMW any Compatible RX waste accumulated in all Naval Hospital Pensacola's Satellite Accumulation Areas (SAA) except drugs accumulated for take-back for reverse logistics. The Contractor shall use 49 CFR 172.101 to identify proper shipping names for each hazardous waste to be shipped off site. Proper shipping names shall be submitted to the COR in the form of draft shipping documents, for review and approval prior to shipment. A Uniform Manifest or similarly structured manifest form shall be used to track the waste from the point of generation to the designated disposal location. Once the material has reached the disposal facility, a copy of the manifest and certificate of destruction shall be provided to the COR, confirming that the material has been properly handled and disposed of. The contractor shall provide a manifest for each pick-up, certifying the number, type and weight of waste containers picked up, removed and transported from NHP and its Branch Clinics and U. S. Army Veterinary Clinic. Upon destruction of the waste; shall provide appropriate copies of the manifest form or separate destruction receipt to indicate date, place and manner of destruction or disposal. NHP and its Branch Clinics and U.S. Army Veterinary Clinic will keep its copy on file in accordance with standard operating procedures.

SAMPLE

1.4.1. MONTHLY REPORT: The contractor shall also provide, in accordance with applicable regulation, a detailed activity statement which shows in columnar form information including, but not limited to, the service date, container/tub number, weight (in pounds), pick-up location, date of destruction, method of destruction and other relevant data. This tracking document shall be provided to the COR on a monthly basis along with invoices.

1.4.2. WEIGHT SYSTEM: The contractor shall provide a certifiable weighing system to enable proper billing for “tare weight” waste poundage disposed, i.e., if the empty disposal container weighs 1 pound the tare weight is 1 pound, the contractor is to dispose of 10 containers of UN3291 Regulated Medical Waste, N.O.S. 6.2 PGII bins weighing 10 pounds each minus 1 pound tare weight each the 100 pounds gross weight minus 10 pounds tare weight equates to 90 pounds of waste for disposal. If the tare weight is stamped on the containers provided to the Government then accumulative tare weights can be subtracted from total weight for accurate reporting purposes. If the RMW container is included in the disposal process i.e. corrugated cardboard boxes, tare weight is not applicable.

1.4.3 SERVICES COMPENSATED: Services compensated based on price per pound of Regulated Medical Waste and Compatible RX Pharmaceutical Waste picked up and disposed of per the weight system described in paragraph 1.4.2.

1.5. CONTINGENCY PLAN: The contractor shall submit a Contingency Plan, and a description of what such a plan will be, with the technical proposal. In the event where the contractor is unable to provide scheduled service i.e. transport vehicle breakdown, the contractor also has the responsibility of immediately notifying the COR. The contractor shall notify the COR if at any time the plan is changed or of any event that jeopardizes performance under this contract.

1.5.1. Increased Requirements: The Contractor must notify the COR within 24 hours of services are required beyond the contractor’s capability. The contractor shall advise the COR of the required capability and additional volume which the contractor can obtain. Additional services that extend beyond the normal contract purview may be subject to a claim by the contractor for the additional cost incurred as agreed upon by the COR.

1.5.2. Labor Disputes: In the event of a labor dispute, the contractor’s responsibility to provide the service will not be terminated. The contractor shall provide the COR his strike or other employee job action contingency plan to continue performance of service without interruption or degradation in the quality of service. In the event of a strike or other labor dispute interference with timely contract performance, the contractor shall immediately notify the COR and initiate action under the contingency plan.

1.5.3. Natural Disasters: In the event of a Natural Disaster, to include but not limited to destruction of the contractor’s facility, or a natural disaster event that renders the contractor’s facility unsafe, the contractor shall determine a feasible alternative method of providing services and make recommendation to the COR.

2. WASTE ESTIMATES:

Bldg. 3911 SW Entrance 2,500 lb

Bldg. 2985 Laboratory RMW Storage 1,500 lb

Bldg. 535 Room 123 1,100 lb

3. PERIOD OF PERFORMANCE

Base Year: 01 October 2019 – 30 Sept 2020 OPT YR I: 01 October 2020 – 30 Sept 2021 OPT YR II: 01 October 2021 – 30 Sept 2022

4. FEDERAL HOLIDAYS: The following legal holidays are observed:

January 1st 3rd Monday of January 3rd Monday of February Last Monday of May July 4th 1st Monday of September 2nd Monday of October November 11th 4th Thursday of November December 25th

When one of the holidays falls on a Sunday, the following Monday will be observed as a legal holiday. When holiday falls on a Saturday, the preceding Friday is observed as a legal holiday by US Government agencies.

4.1. NORMAL DUTY HOURS: The normal duty hours for Government personnel are 7:30 AM to 4:00 PM, Monday through Friday excluding Federal Holidays. All other hours are considered after duty hours, including weekends and Federal Holidays

5. SAFETY REQUIREMENTS: The contractor shall exercise safety precautions as deemed necessary by the COR or his/her designee during the performance of the contract in order to protect the lives and health of patients and employees. The COR will notify the contractor of any noncompliance with the foregoing provisions and advise the contractor of the action to be taken. After receipt of such notice, the contractor shall immediately initiate corrective action. If the contractor fails or refuses to comply promptly, the COR will notify the Contracting Officer who can issue a Stop-Work order for all or any part of the work and hold the contractor in default.

6. PERFORMANCE OBJECT AND THRESHOLD: The contractor service requirements are summarized into the following performance objectives, in order to ensure services are performed in a satisfactory manner at all times. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to this service.

Waste pick up and supply delivery are accomplished in accordance with the Statement of Work.

Incidence of 1 skipped scheduled service day in a week, shall result in a 10% deduction for initial and 5% deduction for each additional incident for that month’s payment. Response for additional service request for waste pick request is 24 hours. Supplies and must meet requirements as stated in contract.

Ref 1.1.1, Ref 1.2

Ref 1.4

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