Statement of Work (SOW) amended.pdf

Statement of Work (SOW)

1. PROJECT TITLE: Medical Gas and Gas Cylinder Rental Services

2. BACKGROUND/PURPOSE: The Crow Service Unit locations currently requires replenishment deliveries of various medical gases at minimum weekly. In use is: Liquid Nitrogen, Nitrogen, Nitrous Oxide, Carbon Dioxide, Liquid Oxygen & Oxygen Compressed.

3. SCOPE: Medical gases for a healthcare setting are required such as oxygen, nitrogen, nitrous oxide, liquid nitrogen, carbon dioxide and compressed air. Medical grade gas cylinder rentals to hold medical gases.

4. APPLICABLE DOCUMENTS: All medical gases shall conform to specifications prescribed in the United States Pharmacopeia and the National Formulary. All medical gas manufacturers and fillers of medical gases shall be registered with FDA and all medical gases shall be manufactured, processed, packed, transported and stored according to the FDA’s current good manufacturing practice (CGMP) regulations and Title 21, Code of Federal Regulations, Parts 210, 211 and 201 for labeling. Tanks shall be filled to the maximum functional capacity at each refilling procedure unless otherwise specified by the facility or as agreed upon by a written document signed and dated by COR. All products, equipment, and services provided under the contracts awarded under this solicitation shall be in compliance with all applicable federal, state and local regulations.

5. SPECIFIC TASKS:

a) Provide gas cylinders for rental to Crow Service Unit and Lodge Grass Clinic.

b) Weekly delivery will include exchanges of the ordered gases on the annual usage list provided below.

c) Exchange of depleted Cylinders will occur based off the delivery schedule.

d) The contractor will maintain a current inventory of the bottled gas cylinders at the locations.

Annual Usage Nitrous Oxide G Contents 16.00 EA Nitrogen Size 60 cubic ft Alum. 5.00 CU FT Medical Nitrogen T cyl Cont 81.00 EA Oxygen E Cyl. Medical 26.00 EA Oxygen E Cyl. Medical All in One 39.00 EA Carbon Dioxide Medical 50# 11.00 EA Liquid Nitrogen by the Liter 160.00 LITER Liquid Medical Oxygen per 100scf 429052.00 SQ FT Bulk Oxygen Delivery Charge 7.00 TRIPS Standard Delivery Charge 22.00 TRIPS

Hazardous Material Charge 22.00 TRIPS Hazardous Material Charge Bulk O2 7.00 TRIPS Flat Rate Cylinder Rent Lodge Grass Clinic Monthly 12.00 MO Flat Rate Cylinder Rent Crow Hospital Monthly 12.00 MO

*Usage will fluctuate based on patient volume.

5.1 Laws and Regulations

Cylinders and other containers for gaseous and liquid forms of gases shall comply with the Department of Transportation specifications and shall be maintained, filled, marked, labeled and shipped to comply with current DOT regulations (Title 49-Transportation, Code of Federal Regulations.) filling, packaging, labeling, etc., for medical gases shall also comply with the Federal Food, Drug and Cosmetic Act.

5.2 Marking

In addition to marking required by the aforementioned laws and regulations, marking shall comply with CGA Publication C-7-Guide to Preparation of Precautionary Labeling and Marking of Compressed Gas Containers, dated with the most recent edition. Vendor must provide a copy of the most recent version of this publication.

5.3 Color Coding

Cylinders shall be color coded in accordance with CGA Publication C-9-Standard Color Marking of Compressed Gas Containers Intended for Medical Use, dated with the most recent edition. Vendor must provide a copy of the most recent version of this publication.

5.4 Valves

Valves shall comply with CGA Safety Bulletin SB-26 dated with the most recent edition and CGA Publication V-1- Compressed Gas Association Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections, dated the most recent edition. Vendor must provide a copy of the most recent version to this publication with their offer. Valve protection caps for cylinders designed to receive such caps shall be securely attached to the cylinders in a manner to protect the valves from injury during transit and delivery to the purchaser’s receiving area. For liquid containers, all fittings must be permanently brazed to prevent their removal. In addition, each container should contain a 360 degree cryoband applied at the top of the container with the drug product name repeated around the entire container.

5.5 Hydrostatic Testing

Retest Date: If applicable DOT regulations would require retesting of cylinder within three (3) months after scheduled date of shipment to Continental U.S. destination, or within six (6) months after scheduled date of shipment to overseas destination, cylinder shall be retested. Hydrostatic testing shall be performed in accordance with CGA’s Publication—C-1, Methods for Hydrostatic Testing of Compressed Gas Cylinders, dated for the most recent edition. Visual inspection shall be performed in accordance with CGA Publications C-6—Standards for Visual Inspection of Steel Compressed Gas Cylinders, dated for the must recent edition or C-6-1—Standards for Visual Inspection of High Pressure Aluminum Compressed Gas Cylinders, dated for the most recent edition. The contractor shall be responsible for all testing of contractor-owned cylinders.

5.6 Cylinder Sizes

Cylinder sizes shown in the item description indicate product capacity of the cylinder currently being used. All capacities are approximate, and IHS shall be billed only for the actual amount of gas delivered. In accordance with Federal Food, Drug and Cosmetic Act, the actual contents of the container must appear on the label.

5.7 Lost or Damaged Contractor-Owned Cylinders

For each contractor-owned cylinder lost or damaged beyond repair while in the Crow Service Unit’s possession, the Crow Service Unit shall pay to the contractor the replacement value, less the allocable rental paid for that cylinder. These cylinders shall become Crow Service Unit’s property. If any lost cylinder is located within 30 calendar days after payment by the Crow Service Unit, it may be returned to the Contractor by the service unit and the Contractor shall pay to the service unit an amount equal to the replacement value.

6. DELIVERABLES AND DELIVERY SCHEDULE:

Medical Gas and Cylinders are to be delivered upon the arrangement of the Contracting Officer's Representative, with the exception of National Holidays.

a. Medical Gases

b. Cylinders

c. Inventory sheet available to COR upon request.

No deliveries are made on National Holidays. The 11 holidays observed by the Federal Government are:

New Year's Day Washington's Birthday Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas Martin Luther King's Birthday Juneteenth Or any other day specifically declared by the President of the United States to be a national holiday.

7. GOVERNMENT-FURNISHED EQUIPMENT AND INFORMATION: NA

8. PLACE OF PERFORMANCE:

a. Crow Service Unit

1 Hospital Way Crow Agency, MT 59022

b. Lodge Grass Clinic Harding Ave & G Street

Lodge Grass, MT 59050

9. PERIOD OF PERFORMANCE:

Base Year 08/01/2022 to 07/31/2023 Option Year 1 08/01/2023 to 07/31/2024 Option Year 2 08/01/2024 to 07/31/2025 Option Year 3 08/01/2025 to 07/31/2026 Option Year 4 08/01/2026 to 07/31/2027

10. SECURITY: NA