Performance Work Statement -Hemodialysis Mx 22Jul24.pdf

PERFORMANCE WORK STATEMENT

Hemodialysis and Reverse Osmosis Water Purification Systems Equipment Maintenance/Repair

DAVID GRANT MEDICAL CENTER, TRAVIS AFB, CA

22 July 2024

Table of Contents

Section Title Page

1 Description of Services

General Information

Government Furnished Property

Contractor Identification

Environmental Controls

Files, Documents, Data Federal

Service Summary

2 8

3 10

Appendix A

Applicable Publications Standard

Standard Abbreviations and Terms

Appendix B 16

Appendix C List of Equipment to be Maintained 18

DESCRIPTION OF SERVICES

1.1 This is a non-personal services contract to provide on-site maintenance and repair for the hemodialysis machines, portable reverse osmosis water purification systems, and the central reverse osmosis water purification system at the David Grant Medical Center (DGMC) Hemodialysis Clinic located at 101 Bodin Circle, Travis AFB, CA 94535.

1.2 Description of services: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the on-site maintenance and repair for all hemodialysis machines, central reverse osmosis equipment, central water purification system, and portable reverse osmosis machines with their associated carts at David Grant Medical Center, 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 Scope: The contractor will perform on-site maintenance and repair for all dialysis machines, central Reverse Osmosis (RO) equipment, water room equipment, and portable RO machines with carts at David Grant Medical Center. This currently includes all of the equipment listed in Appendix C, all serial numbers are also listed in Appendix C. Services will include but not be limited to inspections, preventive maintenance, calibration, scheduled part replacements, and as-needed repairs. Preventative maintenance will be conducted on a monthly/quarterly/semi-annual/annual basis as recommended per the manufacturers’ maintenance instructions. Dialysis equipment will be performance optimized to meet minimum quality standards set by The Joint Commission (TJC) and Centers for Medicare & Medicaid Services (CMS) for dialysis equipment. Water purifications systems shall be maintained to meet the dialysis water quality standards set forth by the Association for the Advancement of Medical Instrumentation

(AAMI).

1.4 Objectives: This is a summary of specific tasks. The tasks and schedules described below are a minimum starting point but are subject to be changed or altered based on adjustments/updates to equipment manufacturer instructions that reflect new recommendations.

1.5 Instrumentation: These are the specific tasks to be performed at the intervals mentioned in Appendix C.

Hemodialysis machines

1.5.1 Monthly cultures/endotoxin testing of inpatient hemodialysis machines*

1.5.1.1 Annual cultures/endotoxin testing of outpatient hemodialysis machines*

1.5.1.2 The contractor shall perform Annual preventative maintenance per manufacturer instructions

1.5.2 As-needed repairs, updates, and replacement of parts to ensure optimal functioning of the machines.

1.5.2.1 Central reverse osmosis machine

1.5.2.2 Monthly system performance review, including review of daily data recordings/logs

1.5.2.3 The contractor shall perform monthly cultures/endotoxin testing*

1.5.3 The contractor shall perform monthly chemical disinfection*

1.5.4 Monthly replacement of RO pre-filter (1M, 20” BB)

1.5.4.1 Monthly replacement of blue sediment filter (5M, 20” BB)

1.5.4.2 Quarterly cleaning of RO membrane using high/low pH cleaning solution

1.5.4.3 Semi-annually inspection and replacement of pyrogen/endotoxin filter

1.5.5 Annual system review and preventative maintenance per manufacturer instructions

1.5.6 Replacement of RO membrane on as-needed basis when indicated

1.5.7 As-needed repairs, part replacement, troubleshooting, and emergency services to optimize machine operations

1.5.8 Central water purification system

1.5.9 Monthly system performance review, including review of daily data recordings/logs

1.5.10 Monthly cultures/endotoxin testing*

1.5.10.1 Monthly chemical disinfection*

1.5.10.2 Quarterly removal of the 2 carbon filter tanks in the primary tank position, rotation of 2 carbon filter tanks from the secondary to primary tank positions, and replacement of 2 new carbon filter tanks into the secondary tank positions

1.5.11 Semi-annual exchange of 2 rental Deionizer (DI) tanks

1.5.12 Annual AAMI water quality testing*

1.5.13 Annual system inspection, equipment calibration, preventative maintenance, cleaning of blending valve

1.5.14 Annual inspection of multi-media filter, replacement as-needed (expected lifespan 3-5 years)

1.5.15 As-needed repairs, part replacement, troubleshooting, and emergency services to optimize system operations and meet AAMI water standards

1.5.16 Portable reverse osmosis machines with associated carts

1.5.17 Monthly system performance review, including review of daily data recordings/logs

1.5.18 Monthly cultures/endotoxin testing*

1.5.19 Monthly pre-filter replacement*

1.5.20 Quarterly inspection/replacement of carbon filters*

1.5.21 Quarterly conductivity testing

1.5.22 Semi-annual inspections of o-rings, fittings, and connection ports

1.5.23 Semi-annual calibration of thermocouple, thermistor, rejection rate, and Total Disolved

Solids (TDS) readings

1.5.24 Semi-annual endotoxin ultrafilter replacement

1.5.25 Semi-annual membrane cleaning with low/high pH solutions and as-needed if meeting manufacturer recommended indications

1.5.26 Annual AAMI water quality testing*

1.5.27 Annual inspections and preventative maintenance including spring replacement, electrical testing, valve replacements, and Preventative Maintenance (PM) kits recommended per manufacturer instructions.

1.5.28 The contractor shall replace batteries every 3 years.

1.5.29 Replacement of Reverse Osmosis (RO) membranes on as-needed basis when indicated

1.5.30 As-needed repairs, part replacement, troubleshooting, and emergency services to optimize machine operations

*Indicates tasks which can be tracked and coordinated by the contractor to be performed by certified DGMC hemodialysis staff that are on-site.

1.6 Regulatory Standards: All services provided shall be performed in accordance with all applicable laws, regulations, standards, local instructions, and commercial practices.

1.7 Service Reporting: Contractor shall furnish a legible service report to the Medical Equipment Repair Center (MERC) personnel, signed off by the department, including the date, time, company name and service representative, contract number, description of malfunction, description of any services performed, and any recommendations necessary to maintain equipment in the best operating condition.

1.8 Report Availability: In addition to furnishing the service reports, the Contractor will store these reports and make them available to the Government at any point during the life of the contract.

1.9 Troubleshooting, Repair, and Maintenance: Troubleshooting guidance and 24/7 telephone service, including on-call emergency repair by a technical expert, will be provided by the contractor 24 hours a day, 7 days per week, including Federal Holidays and calibration services, not included in routine maintenance, at frequencies specified in the manufacturer’s service and operations manuals, and any required intervening repair service requirements for the entire contract period, including options if exercised. The DGMC hemodialysis clinic will be able to reach a live technical support representative within 30 minutes from initial dialing of technical support number. Timelines for these services are noted in 1.12.5-1.12.6.

1.9.1 The Contractor will perform maintenance listed on the equipment listed in Appendix C of this contract except for repairs necessitated by willful damage or negligence on the part of the Government. This includes emergency repairs as well as Preventive Maintenance Services (PMS), safety tests, calibrations/calibration verifications, and unscheduled repair services in accordance with procedures and practices prescribed by the manufacturer of the equipment.

1.9.2 The Contractor must provide a full unscheduled (maintenance that occurs due to unexpected issues of equipment/software) and Preventative Maintenance Schedule (PMS) throughout the contract. PMS must be inclusive of all costs for the performance of scheduled periodic maintenance (as required by the Contractor's instrument maintenance manuals}, unscheduled maintenance and repair of the analyzers and any associated equipment provided by the Contractor as part of the analyzers, including replacement parts, replacement part shipment costs, and service technician travel costs for performance of maintenance services.

1.9.3 Scheduled routine PMS must be performed between 0730-1630 PST Monday-Friday, excluding Federal Holidays.

1.9.4 The Contractor must provide all personnel, equipment, tools, materials, supervision, parts, transportation, and other items and services necessary to perform all required repairs and scheduled preventive maintenance/safety inspections and calibrations of equipment. The performance of scheduled periodic preventive maintenance, safety checks, and calibrations that are not normally performed at the operator level must be performed by contractor service personnel in accordance with requirements as specified in the Contractor's instrument maintenance manual.

1.9.5 Upon notification of equipment failure, the Contractor's qualified service technician must establish telephonic contact within 30 minutes of the Government's notification to the Contractors Customer Service dedicated service line.

1.9.6 For equipment in Appendix C, the service technician must be on-site to provide unlimited service within 48 hours of establishing telephonic contact. Contractor shall provide repair parts meeting or exceeding current OEM specifications. All parts shall be only new standard parts.

Replaced parts shall become the property of the contractor and shall be removed from the hospital and disposed of at no additional cost to the government.

1.9.7 The Contractor's qualified service technician must ensure all repairs are completed and the equipment serviced is fully operational prior to departing the clinic. If repairs cannot be completed the same day, the service technician must contact the Contracting Officer’s Representative (COR) to discuss the situation and provide an estimated date/time of completion.

Once complete, the service technician or Customer Service "Hotline" will verify the repairs corrected the problem and the equipment is operational in a follow-up call. This call will be made in a timely fashion (not to exceed 24 hours) after the service technician departs the clinic.

1.9.8 The Government will make the equipment available to the Contractor for servicing at such time and duration necessary to perform needed repairs.

1.9.9 All work shall be performed in a professional manner by an authorized service representative. If any deficiencies are found due to negligence of the service representative, the Contractor is required to correct the deficiency to a fully operational status in accordance with manufacturer specifications.

1.9.10 All correspondence, service reports, and invoicing shall be in English.

1.9.11 Preventive maintenance services shall be performed in accordance with the manufacturer's standards/procedures. A preventive maintenance service shall include, but is not limited to, safety, calibration or calibration verification (as appropriate), complete operational testing, lubrication, adjustments, and cleaning of equipment to which the operator does not have access. This also includes the installation of all non-operator parts required to ensure proper operation.

1.9.12 The Contractor shall notify of the exact date and time for performance of a preventive maintenance service no later than ten (10) days prior to the scheduled preventive maintenance services.

1.9.13 Prior to performing scheduled maintenance and unscheduled repair services work, the Contractor's representative shall comply with current vendor reporting procedures at David Grant Medical Center.

1.9.14 Within one (1) working day after completion of a repair, the Contractor's representative shall furnish the COR one (1) copy of a service report for all services performed with a copy to the Equipment Management Branch and the Hemodialysis Representative for David Grant Medical Center. The report shall be in English and shall contain, as a minimum, the following information: Nomenclature and serial number, date, description of services performed, duration, location, list of parts or other actions taken to restore operability, and name of technician.

2. GENERAL INFORMATION

2.1 Period of Performance (PoP):

1 SEP 2024 – 31 AUG 2025

1 SEP 2025 – 31 AUG 2026

1 SEP 2026 – 31 AUG 2027

2.2 Place of Performance: The work shall be performed at David Grant Medical Center, Travis

AFB.

2.3 Mission/Emergency Essential: The services outlined in this PWS are considered mission/emergency essential. Inability to secure services on a timely manner can preclude use of medical equipment, cause compliance violations, and impair the provision of patient care.

2.4 Hours of Operation: The contractor is responsible for conducting regularly scheduled maintenance between the hours of 0800 – 1700 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.

2.4.1 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

2.4.2 Down-Days Are posted during the year and a list can be provided to the contractor upon request.

2.5 Government’s COR: The COR monitors all technical aspects of the contract and assists in contract administration. The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract; perform inspections necessary in connection with contract performance; maintain written and oral communications with the contractor concerning technical aspects of the contract; issue written interpretations of technical requirements, including Government drawings, designs, specifications; monitor contractor's performance and notifies both the CO and contractor of any deficiencies; and provide site entry of contractor personnel. The COR is not authorized to change any of the terms and conditions of the resulting contract.

2.6 Post award conference/periodic progress meetings: The contractor agrees to attend any post award conference. At these meetings the CO will apprise the contractor of how the government views the 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.

2.7 Safety: The Contractor will ensure that its staff conduct operations in a matter that meets industry OSHA safety standards for the protection of DoD staff, patients, and public. The Contractor is responsible for unsafe conditions associated with the actions of its personnel.

2.8 Quality:

2.9 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. The contractor’s QCP must be delivered to the CO within 30 days after contract is awarded. After acceptance of the Quality Control Plan (QCP) the contractor shall receive the CO’s acceptance in writing of any proposed change to the QC system.

2.10 Quality assurance (QA): The government will evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan (QASP). This plan provides a systematic method for the Government to evaluate performance and to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

3. GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1. Emergency Medical Treatment. In the event contractor personnel are injured while performing contract duties on the base and emergency treatment is required, the MTF services may be used. If used, the contractor will be billed for the service at the standard rate for civilian emergencies.

4. CONTRACTOR IDENTIFICATION

4.1 All contractor management staff or contracted employees shall clearly be identified as such at all times, including conversations, mail, email, faxes, and/or other electronic communication whether with government personnel, other contractor personnel, or with public when supporting this contract. Likewise, the contractor shall abide by all applicable laws and regulations when using government equipment and services in performance of this contract. As a minimum, contractor management staff or contracted personnel shall clearly identify themselves as contractors by: wearing badges which clearly and legibly identify the employee as a contractor;

using the label “contractor” in email addresses in accordance with Federal Acquisition Regulation (FAR) 37.114. MTF issued identification badge shall be worn above the waistline during the individual’s duty hours.

4.2 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.

5. ENVIRONMENTAL CONTROLS

5.1.1 Compliance with Laws and Regulations. The contractor shall be knowledgeable of and comply with all applicable Local, State, and Federal requirements regarding environmental protection. In the event environmental laws/regulations change during the term of this contract, the contractor is required to comply as such laws come into effect. If there is an increase or decrease in cost as a result of the change, the contractor shall inform the Contracting Officer pursuant to notice requirements and negotiate a modification to the contract.

5.1.2 Environmental Management System (EMS). Contractors shall perform work under this contract in a manner that is consistent with Travis AFB EMS and conforms to all applicable environmental laws, regulations and policies. Upon awarding of the contract, the Contracting Officer's Representative will direct the Contractor to review and post the Travis EMS Environmental Policy Letter in the workplace and review the EMS Awareness Training slide presentation; both items are located at the Travis AFB Environmental website at http://www.travis.af.mil/Portals/30/AFD-120628-061.pdf?ver=2016-05-10- 163604-510. Within seven business days of the start date, the Contractor shall provide the Contracting Officer with a list of names of all employees who viewed the applicable training as well as the date training was completed. The Contractor shall provide information when necessary to demonstrate written conformance with these requirements upon request.

6. FILES, DOCUMENTS, DATA FEDERAL

All records, files, documents, data and work papers provided by the Government remain Government property. The FRED will provide guidance to the Health Care Worker (HCW) who shall maintain and dispose of these records, files and documents in accordance with Air Fore Manual 33-363 and IAW applicable Health Insurance Portability and Accountability Act (HIPAA) requirements as stated in the HIPAA clause. HCWs will comply with all AFRIMS requirements for safe keeping, handling, release and disposal of any of the above information.

These AFRIMS requirements shall include, but are not limited to: limiting access to government data, tracking information for origin to disposal, removal of personal identifiers and thoroughly destroying information when work is completed in accordance with Federal Law and DoD Regulations.

7. SERVICE SUMMARY (SS)

The contract service requirements are summarized in performance objectives that relate directly to the mission. The performance threshold briefly describes the minimally acceptable levels of service required for each requirement. The SS and the contractor’s Quality Control Plan provide information on contract requirements, the expected level of contractor performance and the expected method of government surveillance and confirmation of services provided. These thresholds are critical to mission success. Procedures as set forth in the FAR 52.212-4 (a), Contract Terms and Conditions - Commercial Items, Inspection/Acceptance, will be used to remedy all deficiencies.

The SS cites the key performance objectives and the associated thresholds that must be attained, over which the Government shall exercise surveillance. The absence of any contract requirement from the SS shall not detract from its enforceability nor limit the rights or remedies of the Government under any other provision of the contract.

Performance Objective Ref Performance Threshold

Method of Surveillance

Procedure

(PRS) # 1

The contractor shall maintain/repair hemodialysis equipment in such a way as to ensure 0% downtime/work stoppages for outpatient and inpatient hemodialysis services for the facility.

PWS

Part 1, section 1.5

100% Uptime of Hemodialysis Services

100% Inspection

100% evaluation of any equipment downtime that results in an inability to meet clinical hemodialysis demands for the facility

(PRS) # 2

Must have support for emergency repairs available 24/7, 365 days per year.

PWS

Part 4, Section 1.9

100% Availability, response within 4 hrs, service provided within 24 hrs

100% Inspection

100% investigations of any instance in which the DGMC Hemodialysis is unable to reach contractor representative with emergency repair issues within 4 hours

(PRS) # 3

Contractor shall respond in a timely manner to all routine service requests.

PWS

Part 4, Section 1.9.12

100% Response to service requests within 48 hrs to schedule repair/maintenance service within mutually agreed timeframe

100% Inspection

100% investigation of any instance in which DGMC Hemodialysis is unable to get response or scheduled appointment date of service within 48 hrs of initial routine service request

(PRS) # 4

Develop, maintain, and provide written service reports that provide record of all rendered services within one (1) working day.

PWS

Part 4, Section 1.9.14

100% Reports supplied for each item serviced on the date of service to the appointed

DGMC

representative

100% Inspection

100% Inspection of all service reports following receipt of service from Contractor.

(PRS) # 5

Dialysis equipment performance optimized to meet minimum quality

PWS

Part 1, Section 1.3

100% Equipment performance

100% Inspection

100% inspection of any instance in which sub-optimal dialysis equipment performance standards set by The Joint Commission and CMS for dialysis equipment as well as AAMI for water purification standards for dialysis water.

optimized to meet quality standards leads to failure to meet quality standards set by TJC, CMS, or AAMI

(PRS) # 6

Maintain dialysis equipment at minimum per the manufacturer recommended schedules of maintenance.

PWS

Part 1, Section 1.5

100% Performed on time per manufacturer recommendations

100% Inspection

Periodic surveillance of preventative maintenance records, ensuring the timely performance of preventative maintenance within the manufacturers recommended timeframe.

APPENDIX A

APPLICABLE PUBLICATIONS

Applicable Publications (Current Editions): The Contractor shall abide by all applicable regulations, publications and manuals. Following is a list of basic publications applicable to the PWS. The most current version of the publication applies. Publications not on the internet or MTF policies and procedures can be obtained from the MTF. Current issues of publications and links to other service publications can be accessed at the following websites:

http://www.apd.army.mil/ http://www.defenselink.mil/pubs http://www.dtic.mil/whs/directives/ http://www.e-publishing.af.mil

Contractors are obligated to follow these codes as mandatory only to the extent that they apply to the contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory publications may be used for information and guidance but are not binding for compliance.

DEPARTMENT OF DEFENSE (DoD) REGULATIONS/MANUALS

INSTRUCTIONS/DIRECTIVES

PUB NO. TITLE

DoDD 5500.7 Standards of Conduct DoDI 5400.7-R Freedom of Information Act DoD 6025.18-R Health Information Privacy Regulation Jan 03 DoDD 8500.1 Information Assurance DoD 8580.02-R HIPAA Security Rule DODI 3020.37 Continuation of Essential DOD Contractor Services During Crises AFI 33-332 Air Force Privacy and Civil Liberties Program DHA-IPM 18-013 Interim Procedures 18-013, Risk Management

AIR FORCE INSTRUCTIONS/MANUALS

PUB NO. TITLE

AFI 16-1404 Air Force Information Security Program AFI 16-1406 Air force Industrial Security Program AFI 31-501 Personal Security Program Management AFI 33-322 Records Management Program AFI 33-332 The Air Force Privacy and Civil Liberties Program AFI 33-364 Records Disposition – Procedures and Responsibilities AFI 35-107 Public Web and Social Communications AFI 36-2201 Air Force Training Program

AFI 36-3002 Casualty Services AFI 40-102 Tobacco Free Living AFI 41-201 Managing Clinical Engineering Programs AFMAN 41-209 Medical Logistics Support AFI 44-102 Medical Care Management AFI 41-117 Medical Service Officers Education AFI 44-119 Medical Quality Operations AFI 48-105 Surveillance, Prevention, and Control of Diseases and Conditions of Public Health or Military Significance AFI 33-360 Publications and Forms Management AFMAN 33-152 User Responsibilities and Guidance for Information Systems AFMAN 33-363 Management of Records

Publications Codes:

AFI--Air Force Instruction AFMAN--Air Force Manual AFP-- Air Force Pamphlet AF Form--Air Force Form DD Form--Department of Defense Form

APPENDIX B

STANDARD ABBREVIATIONS AND TERMS

Abbreviation and acronyms CC: Commander

CO: Contracting Officer

COR: Contracting Officer Representative

FRED: Functional Requirements Evaluator Designee

MTF: Medical Treatment Facility

PWS: Performance Work Statement

QC: Quality Control

SS: Services Summary

Terms Commander (CC) - MTF Commander, Flight Commander or other activity head, or a designated representative, e.g., Contracting Officer’s Representative (COR) or Department Head, of the activity designated in contract.

Contracting Officer (CO) – The CO has the overall responsibility for contract administration and is the primary focal point for formal government-contractor interface. The CO is responsible for monitoring contract compliance and resolving disagreements regarding interpretation of contract terms and conditions. The two primary functions of the CO with regard to surveillance are to authorize changes to the contract and to approve payment. Payment is authorized based on documented objective evidence provided by the COR that contractor performance meets the performance standards specified. The CO is also responsible for approving the Quality Assurance Surveillance Plan (QASP).

Contracting Officer’s Representative (COR) - A systematic program designed to provide insight into the service provider’s processes. The program focuses on existing data/systems to obtain process improvement and enhance performance.

Contractor - The company identified in block 15A of Standard Form 33. The Contractor is an independent contractor and is responsible for its own liability. Contractor refers to the prime Contractor. The prime Contractor retains responsibility for any teaming partner or subcontractor and shall be accountable for their performance.

Functional Requirements Evaluator Designee (FRED) - Individual/s who are appointed to provide technical surveillance over contracted healthcare workers and who will provide feedback on a regular basis to the COR.

Medical Treatment Facility (MTF) - Air Force hospitals or clinics, including all activities providing outpatient and/or in-patient healthcare services for authorized personnel.

Performance Work Statement (PWS) - The standard of work that describes the core requirements in clear, specific, and objective terms with measurable outcomes.

Qualify – Qualifying is the process by which the contractor screens potential applicants to ensure workers possess the qualifications required by this performance work statement and meet any additional qualification requirements specified in PWS.

Quality Control (QC) - Those actions taken by a Contractor to control the quality of output and to ensure that they conform to contract requirements and reasonable standards of medical care.

Services Summary (SS) - Prescribes how the Government plans to (1) assess contractor performance and, (2) manage the contract to obtain efficiencies, improved performance, and cost savings throughout its life cycle.

Services Summary (SS) – Prescribes how the Government plans to (1) assess contractor performance and, (2) manage the contract to obtain efficiencies, improve performance, and cost savings throughout the life cycle.

Acronyms:

AFB Air Force Base ATO Authorization To Operate COR Contracting Officer Representative CS Contracting Officer DGMC David Grant Medical Center DHA Defense Health Agency DOD Department of Defense FDA Food and Drug Administration HCW Health Care Worker MERC Medical Equipment Repair Center MTF Military Treatment Facility OSHA Occupational Safety and Health Administration PMS Preventative Maintenance Services POP Period of Performance PSA Prostate Specific Antigen QASP Quality Assurance Surveillance Plan QC Quality Control QCP Quality Control Plan RFP Request for Proposal RFQ Request for Quote

APPENDIX C

LIST OF EQUIPMENT TO BE MAINTAINED

Equipment Equipment (#) Brand/Model Serial number(s)

Central RO Water Purification System (1)

Mar Cor Purification A Cantel Medical Co/CWP 104

1365722

Portable RO Water Purification System (6) Mar Cor Purification A Cantel Medical Co/EON

1416743, 1416742, 1416749, 1416747, 1416750, 1416752

Hemodialysis machines (25) B. Braun Avitum AG/Dialog+ 244911, 244993, 244914, 244931, 244916, 244924, 244912, 244910, 244922, 244927, 244917, 244913, 244918, 244920, 244921, 244919, 244995, 244890, 244909, 244994, 244915, 244889, 244923, 244926, 244991

CWP 104 Central RO Water Purification System

Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the months shown and will depend upon when the service is due.

Qty Description Service Frequency

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

1 Inspection & Replacement of Multi-Media Filter Every 3 years

1 Annual Inspection, Calibration, and PM Annually 1

1 AAMI Water Quality Testing Annually 1

1 Inspect & Replace Posiclear Pyrogen/Endotoxin Filter Semi- Annually

1 1

2 Exchange of Renal DI Tanks Semi- Annually

2 2

1 Clean Membranes (Low/High pH) Quarterly 1 1 1 1

2 Removal of Primary Carbon Tanks Quarterly 2 2 2 2

2 Exchanging Secondary Carbon Tanks to Primary Position Quarterly 2 2 2 2

2 Replacement of 2 New Secondary Carbon Tanks Quarterly 2 2 2 2

1 Chemical Disinfection (Minncare) Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Inspect & Replace Big Blue Sediment Filter Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Inspect & Replace RO Pre-Filter Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Cultures/Endotoxin Testing Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 System Performance Log Review Monthly 1 1 1 1 1 1 1 1 1 1 1 1

EON Portable RO Water Purification Systems

Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the

Qty Description Service

Frequenc y

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

6 Replacement of Battery Every 3 years

6 Annual Performance Review and PM Annually 6

6 AAMI Water Quality Testing Annually 6

6 Membrane Cleaning Semi-annual 6 6

6 Endotoxin Ultrafilter Replacement Semi-annual 6 6

6 Calibration of Devices Semi-annual 6 6

6 Inspection of Fittings, Connections, Ports, Gaskets Semi-annual 6 6

6 Conductivity Testing Quarterly 6 6 6 6

6 Inspect & Replace Carbon Filters Quarterly 6 6 6 6

6 Inspect & Replace Pre-filters Monthly 6 6 6 6 6 6 6 6 6 6 6 6

6 Cultres/Endotoxin Testing Monthly 6 6 6 6 6 6 6 6 6 6 6 6

6 System Performance Log Review Monthly 6 6 6 6 6 6 6 6 6 6 6 6

Dialog+ Hemodialysis Machines

Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the

Qty Description Service

Frequenc y

Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug

25 Annual Performance Review and PM Annually 7 6 6 6

19 Cultures/Endotoxin Testing of Outpatient HD Machines Annually 5 4 5 5

6 Cultures/Endotoxin Testing of Inpatient HD Machines Monthly 6 6 6 6 6 6 6 6 6 6 6 6