Solicitation - HT941026QE011 - 7.6 due 7.20.pdf

WOMEN-OWNED SMALL

BUSINESS (WOSB)

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NUMBER PAGE 1 OF

2. CONTRACT NUMBER 3. AWARD/EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE

DATE

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME b. TELEPHONE NUMBER (No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

9. ISSUED BY

13b. RATING

14. METHOD OF SOLICITATION

CODE

15. DELIVER TO 16. ADMINISTERED BY CODE

18a. PAYMENT WILL BE MADE BY CODE17a. CONTRACTOR/

OFFEROR

CODE

FACILITY

CODE

CODE

TELEPHONE NUMBER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK

BELOW IS CHECKED

REQUEST

FOR QUOTE

(RFQ)

INVITATION

FOR BID

(IFB)

REQUEST

FOR

PROPOSAL

(RFP)

SEE ADDENDUM

19.

ITEM NUMBER

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Government Use Only)

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH

AND DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND

ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS

SPECIFIED

29. AWARD OF CONTRACT: REFERENCE OFFER

DATED . . YOUR OFFER ON SOLICITATION

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 11/2021)

Prescribed by GSA - FAR (48 CFR) 53.212

10. THIS ACQUISITION IS UNRESTRICTED OR

NORTH AMERICAN

INDUSTRY CLASSIFICATION

STANDARD (NAICS):

SIZE STANDARD:

13a. THIS CONTRACT IS A

RATED ORDER UNDER

THE DEFENSE PRIORITIES

AND ALLOCATIONS

SYSTEM - DPAS (15 CFR 700)

SET ASIDE: % FOR:

11. DELIVERY FOR FREE ON

BOARD (FOB) DESTINATION

UNLESS BLOCK IS MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

ARE ARE NOT ATTACHED

ARE ARE NOT ATTACHED

27a. SOLICITATION INCORPORATES BY REFERENCE (FEDERAL ACQUISITION REGULATION) FAR 52.212-1, 52.212-4. FAR 52.212-3

AND 52.212-5 ARE ATTACHED. ADDENDA

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

8(A)

ECONOMICALLY

DISADVANTAGED

WOMEN-OWNED SMALL

BUSINESS (EDWOSB)

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

(SDVOSB)

HUBZONE SMALL

BUSINESS

SMALL BUSINESS

NOTE: OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30.

Solicitation/Contract Form Maintenance and Repair of Anesthesia Units at Brian D. Allgood Army Community Hospital and All Outlying Clinics, USAMEDDAC-Korea

Product Service Code: J065

HT941026QE011

Supplies or Services & Prices or Costs Additional Information/Notes

Item Supplies / Services Quantity Unit Unit Price Amount

Product Service Description: PM for Anesthesia Machines

Base Period: 01 August 2026 to 31 July 2027

Non-personal services to provide maintenance and repair services for anesthesia units at Brian D.

Allgood Army Community Hospital (BDAACH) and All Outlying Clinics, USAMEDDAC-Korea, in accordance with the Performance Work Statement.

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Product Service Description: PM for Anesthesia Machines

Option Period I: 01 August 2027 to 31 July 2028

Non-personal services to provide maintenance and repair services for anesthesia units at Brian D.

Allgood Army Community Hospital (BDAACH) and All Outlying Clinics, USAMEDDAC-Korea, in accordance with the Performance Work Statement.

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Product Service Description: PM for Anesthesia Machines

Option Period II: 01 August 2028 to 31 July 2029

Non-personal services to provide maintenance and repair services for anesthesia units at Brian D.

Allgood Army Community Hospital (BDAACH) and All Outlying Clinics, USAMEDDAC-Korea, in accordance with the Performance Work Statement.

Pricing Arrangement: Firm Fixed Price

12 Months

Option Line Item

Product Service Description: PM for Anesthesia Machines

Option Period III: 01 August 2029 to 31 July 2030

Non-personal services to provide maintenance and repair services for anesthesia units at Brian D.

Allgood Army Community Hospital (BDAACH) and All Outlying Clinics, USAMEDDAC-Korea, in accordance with the Performance Work Statement.

Pricing Arrangement: Firm Fixed Price

12 Months

Product Service Description: PM for Anesthesia Machines

Option Line Item

Option Period IV: 01 August 2030 to 31 July 2031

Non-personal services to provide maintenance and repair services for anesthesia units at Brian D.

Allgood Army Community Hospital (BDAACH) and All Outlying Clinics, USAMEDDAC-Korea, in accordance with the Performance Work Statement.

Pricing Arrangement: Firm Fixed Price

12 Months

Description/Specifications/Statement of Work

PERFORMANCE WORK STATEMENT

FOR

MAINTENANCE AND REPAIR OF ANESTHESIA UNITS AT

BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL AND ALL OUTLYING CLINICS,

USAMEDDAC-KOREA

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 ADMINISTRATIVE INFORMATION

3.0 SCOPE OF WORK

4.0 QUALITY MANAGEMENT

5.0 SAFETY / SECURITY REQUIREMENTS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1. INTRODUCTION.

1.1 This requirement is for an annual maintenance service contract for the Government owned anesthesia units, to include all labor, parts, material and travel, to repair and /or maintain the Government owned equipment, in a fully functional condition in accordance with (IAW) Original Equipment Manufacturers (OEM) specifications.

1.2 This contract is a non-personal services contract which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

1.3. The anesthesia units are located at Brian D. Allgood Army Community Hospital (BDAACH) and all outlying clinics: Camp Humphreys 106th Vet Clinic, Osan AB Vet Clinic, and Cp Walker Vet Clinic as identified in paragraph 3.1 OF THIS Performance Work Statement (PWS).

2. ADMINISTRATIVE INFORMATION.

2.1 Hours of Operation. BDAACH provides services 24 hours a day, 365 days a year (366 days during leap years) including holidays.

2.1.1 Normal business hours for the Equipment Management Branch (EMB) are 0700 - 1600, Monday - Friday. Clinics have designated operating hours.

2.1.2 The contractor shall make every practical effort to provide services during normal business hours, excluding Federal holidays. However, in certain cases, permission may be granted to the contractor to provide services outside of normal operating hours if during these hours (1) access to the equipment being serviced is limited or unavailable, (2) servicing the equipment would cause impactful impedance to patient care, or (3) the contractor provides any other justified reasoning for unavailability that is accepted by the Medical Maintenance NCOIC. Approval to perform services outside of normal business hours will be given by the COR.

2.1.3 BDAACH and all outlying clinics' Clinical Engineering provides emergency services after-hours by means of an on-call technician. In the event any contractor is performing services outside normal business hours, the on-call technician will be available to perform duties of BDAACH and all outlying clinics' Clinical Engineering (i.e. periodically checking on the progress of contractor personnel to ensure the security of the hospital, verifying the quality of services rendered meets or exceeds the standards set forth in the PWS, and assist the contractor personnel in signing out in Clinical Engineering with badge return).

2.1.4 This contract is NOT a time and materials effort. It is not to be billed hourly and does not cover over-time, after-hours emergencies or Federal holiday coverage.

2.1.5 Holidays. The following is a list of legal federal holidays. Any of the federal holidays falling on a Saturday will be observed on the preceding Friday. Any holidays falling on a Sunday will be observed the following Monday.

2.1.5.1 Federal Holidays

New year's Day, January 1st Martin Luther King's Birthday, 3rd Monday in January President's Day, 3rd Monday in February Memorial Day, Last Monday in May Juneteenth Independent Day, June 19th Independence Day, July 4th Labor Day, 1st Monday in September Columbus Day, 2nd Monday in October Veteran's Day, November 11th Thanksgiving Day, 4th Thursday in November Christmas Day, December 25th

2.1.5.2 Korean Holidays

New Year's Day, January 1st & 2nd Lunar New Year's day (Depending on the Lunar Calendar - normally Dec 31, and Jan 1st and 2nd) Independence Movement Day, March 1st Labor Day, May 1st Children's Day, May 5th Buddha's Birthday (Depending on the Lunar Calendar - normally April 8th) Memorial Day, June 6th Constitution Day, July 17th Liberation Day, August 15th Chu-Suk (Depending on the Lunar Calendar - normally August 14, 15 and 16) National Foundation Day, October 3rd Hangul Day, October 9th Christmas Day, December 25th

NOTE: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. If the area in which a contract employee is scheduled to work is closed due to the holiday and the employee is not required to report in, payment will not be made for those hours.

Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

2.2. Contractor Representative. The Contractor shall designate, in writing, a primary point of contact for contract coordination and implementation not later than five business days after receiving notice of contract award. Changes in the primary point of contact (POC), at any time, shall require the Contractor to notify the Contracting Officer (KO) of the new representative at least five working days prior to the change. This notification shall be in writing and shall state the name and contact information for the new point of contact.

2.3. The Contracting Officer's Representative (COR) will be the KO's authorized representative in administering the contract at the MTF level. The Contractor's representative shall be available to discuss any problems that the Contractor's personnel may be experiencing during the performance of this contract. Problems experienced by the Government with the Contractor's performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

2.4 Combatting Human Trafficking. Combating Trafficking in persons (awareness program) shall be 100% compliance (zero tolerance) regarding trafficking in persons policy in accordance with FAR 52.222-50 and FAR 22.1703.

3. SCOPE OF WORK.

3.1 Equipment to be Serviced.

EC

N

Mfr. Serial No.

Nomenclature Manufacturer Common Model Location Interval

APWY01787 ANESTHESIA UNIT GE HEALTHCARE AISYS CS2 BDAACH Quarterly

SMP1930008

3SA

SERVER, AUTOMATIC DATA

PROCESSING

GE HEALTHCARE 2020913-004 BDAACH Quarterly

BGBY01370 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9030-0 BDAACH Quarterly

BGAY00670 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9029-0 BDAACH Quarterly

BGCY00858 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9025-0 BDAACH Quarterly

APWY01785 ANESTHESIA UNIT GE HEALTHCARE AISYS CS2 BDAACH Quarterly

SPM1930007

5SA

SERVER, AUTOMATIC DATA

PROCESSING

GE HEALTHCARE 2020913-004 BDAACH Quarterly

BGBY01374 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9030-0 BDAACH Quarterly

BGAY00668 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9029-0 BDAACH Quarterly

BGCY00850 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9025-0 BDAACH Quarterly

APWY01788 ANESTHESIA UNIT GE HEALTHCARE AISYS CS2 BDAACH Quarterly

SPM1930009

7SA

SERVER, AUTOMATIC DATA

PROCESSING

GE HEALTHCARE 2020913-004 BDAACH Quarterly

BGBY01367 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9030-0 BDAACH Quarterly

BGAY00695 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9029-0 BDAACH Quarterly

BGCY00855 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9025-0 BDAACH Quarterly

APWY01786 ANESTHESIA UNIT GE HEALTHCARE AISYS CS2 BDAACH Quarterly

SMP1930009

4SA

SERVER, AUTOMATIC DATA

PROCESSING

GE HEALTHCARE 2020913-004 BDAACH Quarterly

BGBY01364 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9030-0 BDAACH Quarterly

BGAY00700 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9029-0 BDAACH Quarterly

BGCY00786 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9025-0 BDAACH Quarterly

APWY01784 ANESTHESIA UNIT GE HEALTHCARE AISYS CS2 BDAACH Quarterly

SPM1930009

6SA

SERVER, AUTOMATIC DATA

PROCESSING

GE HEALTHCARE 2020913-004 BDAACH Quarterly

BGBY01373 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9030-000 BDAACH Quarterly

BGAY00701 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9029-000 BDAACH Quarterly

BGCY00863 ANESTHESIA UNIT VAPORIZER GE HEALTHCARE 1100-9025-000 BDAACH Quarterly

SPX1933059

2SA

MONITORS, BEDSIDE GE HEALTHCARE PDM BDAACH Quarterly

SGS1928002

7HA

MONITORS, BEDSIDE GE HEALTHCARE E-BIS BDAACH Quarterly

SJC1920007

1HA

MONITORS, BEDSIDE GE HEALTHCARE E-NMT BDAACH Quarterly

SGV1915018

0HA

MONITORS, BEDSIDE GE HEALTHCARE E-SCAIO BDAACH Quarterly

DTT2201327

MONITORS, BEDSIDE GE HEALTHCARE

D19KT

DISPLAY

BDAACH Quarterly

SPX1933059

5SA

MONITORS, BEDSIDE GE HEALTHCARE PDM BDAACH Quarterly

SGS1928005

5HA

MONITORS, BEDSIDE GE HEALTHCARE E-BIS BDAACH Quarterly

SJC1920006

5HA

MONITORS, BEDSIDE GE HEALTHCARE E-NMT BDAACH Quarterly

SGV1915002

5HA

MONITORS, BEDSIDE GE HEALTHCARE E-SCAIO BDAACH Quarterly

DTT2201325

MONITORS, BEDSIDE GE HEALTHCARE

D19KT

DISPLAY

BDAACH Quarterly

SPX1933059

8SA

MONITORS, BEDSIDE GE HEALTHCARE PDM BDAACH Quarterly

SGS1928006

2HA

MONITORS, BEDSIDE GE HEALTHCARE E-BIS BDAACH Quarterly

SJC1921002

6HA

MONITORS, BEDSIDE GE HEALTHCARE E-NMT BDAACH Quarterly

SGV1923032

1HA

MONITORS, BEDSIDE GE HEALTHCARE E-SCAIO BDAACH Quarterly

DTT2201331

MONITORS, BEDSIDE GE HEALTHCARE

D19KT

DISPLAY

BDAACH Quarterly

SPX1933059

6SA

MONITORS, BEDSIDE GE HEALTHCARE PDM BDAACH Quarterly

SGS1928006

0HA

MONITORS, BEDSIDE GE HEALTHCARE E-BIS BDAACH Quarterly

SJC1920008

7HA

MONITORS, BEDSIDE GE HEALTHCARE E-NMT BDAACH Quarterly

SGV1913009

4HA

MONITORS, BEDSIDE GE HEALTHCARE E-SCAIO BDAACH Quarterly

DTT2201327

MONITORS, BEDSIDE GE HEALTHCARE

D19KT

DISPLAY

BDAACH Quarterly

SPX1933089

8SA

MONITORS, BEDSIDE GE HEALTHCARE PDM BDAACH Quarterly

SGS1928006

3HA

MONITORS, BEDSIDE GE HEALTHCARE E-BIS BDAACH Quarterly

SJC1921002

8HA

MONITORS, BEDSIDE GE HEALTHCARE E-NMT BDAACH Quarterly

SGV1915007

7HA

MONITORS, BEDSIDE GE HEALTHCARE E-SCAIO BDAACH Quarterly

DTT2201331

MONITORS, BEDSIDE GE HEALTHCARE

D19KT

DISPLAY

BDAACH Quarterly

CBB0120150

OXYGEN CONCENTRATOR

AIRSEP CORP, MEDICAL

PRODUCTS DIV

NEW LIFE

ELITE

Osan AB VET Clinic (3rd Team)

Semi-annually

13286 OXYGEN CONCENTRATOR SHOR-LINE

PURELINE

OC4000

106th Camp

Humphreys

VC

Semi-annually

106th Camp

13287 OXYGEN CONCENTRATOR SHOR-LINE

PURELINE

OC4000

Humphreys VC Semi-annually

S221005035 ANESTHESIA UNIT SURGIVET INC WWV9000

106th Camp

Humphreys

VC

Semi-annually

4612 VENTILATOR, ANESTHESIA HALLOWELL 2002IE

106th Camp

Humphreys

VC

Semi-annually

4200174 VAPORIZER ISOFLURANE SURGIVET INC CLASSIC ISO

106th Camp

Humphreys

VC

Semi-annually

4200176 VAPORIZER ISOFLURANE SURGIVET INC CLASSIC T3

Osan AB

VET Clinic (3rd Team)

Semi-annually

4200238 VAPORIZER ISOFLURANE SURGIVET INC CLASSIC T3

Osan AB

VET Clinic (3rd Team)

Semi-annually

V2198383 VAPORIZER ISOFLURANE MIDMARK CORP VIP3000

CP. Walker

VC (4th Team)

Semi-annually

V2173238 VAPORIZER ISOFLURANE MIDMARK CORP VIP3000

CP. Walker

VC (4th Team)

Semi-annually

BUB0116520

OXYGEN CONCENTRATOR

AIRSEP CORP,

MEDICAL

PRODUCTS DIV.

CTS05-1M

CP. Walker

VC (4th Team)

Semi-annually

V2315132 ANESTHESIA UNIT VAPORIZER MIDMARK CORP VIP 3000

106th Camp

Humphreys

VC

Semi-annually

V2314841 ANESTHESIA UNIT VAPORIZER MIDMARK CORP VIP 3000

106th Camp

Humphreys

VC

Semi-annually

V2305846 ANESTHESIA UNIT, ANIMAL MIDMARK CORP 91800081

106th Camp

Humphreys

VC

Semi- Annual`

V2311084 ANESTHESIA UNIT, ANIMAL MIDMARK CORP 91800081

106th Camp

Humphreys

VC

Semi-annually

CBB0120070

OXYGEN CONCENTRATOR

AIRSEP CORP, MEDICAL

PRODUCTS DIV

NEW LIFE

ELITE

106th Camp

Humphreys

VC

Semi-annually

V2129246 ANESTHESIA UNIT, ANIMAL MIDMARK CORP 91800081

CP. Walker

VC (4th Team)

Semi-annually

V2129556 ANESTHESIA UNIT, ANIMAL MIDMARK CORP 91800081

CP. Walker

VC (4th Team)

Semi-annually

CBB0120150

OXYGEN CONCENTRATOR

AIRSEP CORP, MEDICAL

PRODUCTS DIV

NEW LIFE

ELITE

CP. Walker VC (4th Team)

Semi-annually

CBB0120150

OXYGEN CONCENTRATOR

AIRSEP CORP, MEDICAL

PRODUCTS DIV

NEW LIFE

ELITE

Osan AB VET Clinic (3rd Team)

Semi-annually

4611 VENTILATOR, ANESTHESIA HALLOWELL 2002IE

CP. Walker

VC (4th Team)

Semi-annually

S221006062 ANESTHESIA UNIT, ANIMAL SMITHS MEDICAL ASD INC WWV9000

CP. Walker

VC (4th Team)

Semi-annually

S221006059 ANESTHESIA UNIT, ANIMAL SMITHS MEDICAL ASD INC WWV9000

CP. Walker

VC (4th Team)

Semi-annually

4613 VENTILATOR, ANESTHESIA HALLOWELL 2002IE

CP. Walker

VC (4th Team)

Semi-annually

3.2 Specific Tasks and Deliverables. The contractor, or contractor representative, shall report to the BDAACH, EMB, Clinical Engineering Section (Bldg. 3030, Room HB041A, telephone (0503) 337-1699), prior to commencing all on-site services (Preventive Maintenance Checks and Services (PMCS) and repairs).

3.2.1 All service visits shall be coordinated between the contractor, the Clinical Engineering Technician requesting service, and the Clinical Engineering Contracting Officer's Representative (COR).

3.2.2 Any deliverables (i.e. replacement parts, supplies, tools) shall be shipped to Medical Maintenance at the address below and will be provided to the contractor upon initial check-in at the Medical Maintenance front desk.

The Brian D. Allgood Army Community Hospital (BDAACH) Unit # 15245 ATTN: Bldg # 3030, Clinical Engineering, Logistics Division APO AP 96271-5245

3.3 General Work Requirements. The contractor shall provide trained personnel for on-site support, to include labor, travel, tools, hardware, firmware, materials, supplies, parts and test, measurement, & diagnostic equipment (TMDE) necessary to perform all operations in connection with scheduled preventative maintenance (PM) and/or calibration (CAL) procedures as well as unscheduled repair visits as needed in order to maintain the listed equipment and/or its components if any, in a fully functional state, in accordance with (IAW) the Original Equipment Manufacturer (OEM) specifications. Any software updates provided by the OEM for covered equipment that enhances equipment functions and operations without hardware changes shall be installed. All equipment must be in compliance with Joint Commission (JC), HIPAA and the NFPA 99 Standard for Health Care Facilities.

3.4 If applicable, the contractor shall adhere to all DHA cyber security measures when accessing the equipment remotely. The contractor shall not remotely access the equipment from locations outside of the United States. The contractor shall ensure that all appropriate approvals are granted prior to accessing the network and that a service report is generated and delivered to the COR once completed.

3.5 Response Time. The time frame, within which the contractor's representative must respond, is measured from the time of verbal notification that service is required. Acceptable response times are as follows; (1) Contractor shall acknowledge receipt of notification of service call request within two hours. (2) Contractor shall arrive on-site within eight hours for emergencies or 24 hours for routine service calls. (3) Deficiency shall be corrected within a period of five days from first notification of failed equipment. If parts cannot be acquired within the first eight hours after arrival on site, the contractor shall contact the NCOIC of Clinical Engineering and/or the COR to communicate the reason for the delay. The deficiency shall be corrected and returned back to a fully functional state within the timeframe as previously stated. The Contractor's service technician shall provide a report that includes as a minimum the explanation for any maintenance delays and the estimated time to complete the repair.

3.6 Uptime. Uptime is defined as the time during which a piece of equipment is functioning or able to function. The contractor shall provide both scheduled (PMCS) and unscheduled services to repair and/or maintain the equipment listed above, and components if any, to a fully functional condition with a ninety-eight percent (98%) uptime guarantee (calculated on quarterly basis).

3.7 PREVENTATIVE MAINTENANCE CHECKS AND SERVICES (PMCS).

As stated in 3.2.1, all service visits, to include PMCS, shall be coordinated between the contractor, the Medical Maintenance Technician requesting service, and the designated Clinical Engineering COR.

3.7.1 PMCS are required to be performed quarterly during the months of August, November, February and May.

3.7.2 The scheduling of PMCS services will be outlined in the PWS by designating a period of time in which the contractor shall perform the PMCS services. These are safety measures set forth to prevent any lapse in coverage of equipment as tracked in the Defense Medical Logistics Standard Support (DMLSS) database utilized by BDAACH Logistics operations, hence preventing possible complications hindering BDAACH ability to provide patient care.

3.7.3 Requests for the contractor to perform PMCS services outside the defined window allotted to complete services must be routed through the designated COR/ Chief of EMB.

3.7.4 The contractor shall make every reasonable effort to complete PMCS services within the first 15 days of the designated month(s) to minimize burdens of time constraints and allow room for any unexpected discrepancies or repairs that may surface during PMCS services.

3.7.5 For all equipment outlined in the PWS to receive quarterly PMCS, the contractor shall ensure coverage is provided for the full length of the contract regardless of when the actual PMCS is performed, i.e. all units shall remain fully functional and certified for the entire 12-month period of performance.

3.7.6 The contractor shall provide all tools, parts, TMDE, and necessary items to fully complete all PMCS as identified in the Equipment List. The scheduled service shall include labor, travel, inspection, replacement of parts and modules, calibration, and software to maintain the government owned equipment and associated components under this contract in a continuous working state. All completed work shall be certified to meet OEM specifications.

3.8 REPAIRS (Unscheduled Services).

Upon request by the COR/Chief of EMB, the contractor shall perform unscheduled services to repair the equipment and associated components to a fully functional condition. The contractor shall remain in compliance of the response time parameters set forth in the PWS as stated in 3.5.

3.8.1 All repair parts, whether new or refurbished, shall meet OEM standards, in order to be used to conduct repairs on the equipment. If new parts are not available, refurbished parts may be used, but must be pre-approved by the COR/Chief of ME prior to installation. All completed work shall be certified to meet OEM specifications.

3.8.2 All parts supplied shall be compatible with the existing system.

3.8.3 The contractor shall have ready access to unique and/or high mortality replacement parts.

3.8.4 The contractor shall provide for all replacements of worn or defective parts (excluding consumables) necessary to restore the equipment to 100% operational condition as specified by the OEM.

3.8.5 All replacement parts shall become the property of the government and the replaced malfunctioning part shall become the property of the contractor.

3.8.6 Freight, postage and storage charges associated with shipment, receipt of replacement parts and the return of worn or defective parts shall be the responsibility of the contractor.

3.8.7 In any event the contractor is found to have used replacement parts considered by the OEM to be substandard, any resulting costs and liability will be the obligation and responsibility of the contractor. In the event of any such circumstance, the Contracting Officer will make the final determination about whether a replacement part is of equal or better quality.

3.9 Upon Completion of Service Calls.

3.9.1. Upon completion of work, the technical POC shall provide verification to the EMC that the work performed is acceptable to the Government to meet manufacturer's specifications.

3.9.2 After performing Calibration/Verification/Certification (CVC) services, the contractor's representative shall affix a DD Form 2163 (Medical Equipment Verification/Certification) label IAW instruction provided in (1) TB 38-750-2, (2) SB 8-75-11, and (3) TB MED 750-1.

3.9.2.1 Required forms and extracts from pertinent directives will be furnished to the contractor's service representative by the government upon request.

3.9.3 The contractor personnel shall sign out at the Medical Maintenance front desk personnel where they signed in upon arrival (OR, BDAACH, BLDG #3030).

3.9.4 The contractor shall submit a full Field Service Report (FSR) to the COR/Chief of EMB for review within 72 hours of completion of services. The FSR may be submitted in person upon completion, via mail (address stated in PWS 3.2.2), email, soon.k.ji.civ@health.mil.

3.9.4.1 The Field Service Report shall provide a detailed account of the service call to include the initial fault or cause for service call, a detailed account of services performed, and corrective action taken, labor cost information (hours and labor rate), and TMDE used (serial numbers where applicable and calibration dates). The contractor shall include all parts used/replaced and its price. The information provided by the contractor shall be used by the customer and/or the COR quarterly throughout the term of the contract to perform quality assurance and cost analysis.

3.10. Licensure/Certification/Qualifications

3.10.1 Experience: Services under this contract shall be performed by individuals who have demonstrated knowledge, and competence in servicing and maintaining the specified equipment under this contract. The Contractor shall ensure repair technicians have been fully trained and experienced in testing and repairing the equipment and components on contract. The chosen representative(s) by the contractor shall have a minimum of 5 years of experience in maintaining the equipment specified in this PWS.

3.10.2 The Contractor shall provide the Medical Equipment and Services Provider License and/or Certificates for Biomedical Equipment Technician, Anesthesia machines and monitors, and Vaporizers from either OEM or a Certifying Institute.

3.10.3. Contract personnel shall comply with MTF policies regarding personal appearance and conduct.

3.10.4. Compliance. The Contractor and contract personnel shall abide by all MTF standards, rules and procedurals. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, infection control, JC, and patient safety initiatives. The contractor shall ensure all personnel performing services under this contract shall be informed of the guidelines and contractual requirements set forth in the PWS and contract, including but not limited to, all safety/security protocol and credential verification procedures.

3.11. OPSEC.

3.11.1 AT Level I training. This standard language is for contractor employees with an area of performance within an DHA-controlled installation, facility, or area. All contractor employees, including subcontractor employees, requiring access to DHHQ, Direct Reporting Markets (MTFs), Small Markets and Stand Alone (SSO) facilities and controlled access areas, shall complete AT Level I awareness training within 30 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable and annually thereafter. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee, to the COR or to the contracting officer, if a COR is not assigned, within 05 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http://jko.jten.mil.

3.11.2 Access and general protection/security policy and procedures. This standard language is for contractor employees with an area of performance within a DHA controlled installation, facility, or area. Contractor and all associated sub-contractors employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office. Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204-9, Personal Identity Verification of Contractor Personnel) as directed by DOD, DHHQ and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection Condition (FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

3.11.3 For contractors that do not require CAC, but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database (TSDB), applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

3.11.4 iWATCH/Suspicious Activity Reporting Training. This standard language is for contractor employees with an area of performance within a DHA-controlled installation, facility, or area. The contractor and all associated subcontractors shall brief all employees on the local Suspicious Activity Training program (training standards provided by the requiring activity ATO). This locally developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 30 calendar days of contract award and within 05 calendar days of new employees commencing performance, with the results reported to the COR NLT 30 calendar days after contract award.

3.11.5 For contracts that require a formal OPSEC program. The contractor shall develop an OPSEC Standing Operating Procedure (SOP)/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer. This plan will include a process to identify critical information, where it is located, who is responsible for it, how to protect it and why it needs to be protected. The contractor shall implement OPSEC measures as ordered by the commander. In addition, the contractor shall have an identified certified Level II OPSEC coordinator per DHA-AI 5200.03.

3.11.6 For contracts that require OPSEC Training. Per DHA-AI 5200.03, Operations Security, the contractor employees must complete Level I OPSEC Awareness training. New employees must be trained within 30 calendar days of their reporting for duty and annually thereafter

4. QUALITY MANAGEMENT

4.1 The Contractor shall have a planned and systematic quality management process for monitoring and analyzing its contract performance.

4.2. The Contractor shall ensure that all contract employees comply with the MTF quality management/process improvement activities.

4.3 Quality Assurance

4.3.1 The inspection and acceptance point for all services rendered under this contract will be the COR. The performance by the contract personnel, the quality of services rendered, and any documentation or written material in support of same, shall be subject to continuous inspection, surveillance and review for acceptance by the KO or COR. The QASP specifies how Government quality assurance surveillance of the contract tasks will occur. The QASP will focus on the quality of the contractor performance and not just on the steps taken or procedures used to provide that service. The QASP may include an appropriate use of pre-planned inspections, correspondence reviews, customer surveys, validation of complaints, audits, and random unscheduled inspections. The QASP is a form of guarantee that the Government receives the services for which it contracted and pays only for the services it receives. It is the method by which the Government determines if the contractor meets the performance standards in the contract.

5. SAFETY / SECURITY REQUIREMENTS

5.1 Equipment Safety Procedures. The contractor shall furnish and install all manufacturers' mandatory modifications and apply recalls by FDA. The contractor must comply with specified lubrications, cleaning (other than operators), calibrations, parts, and replacements IAW OEM specifications.

5.1.1 When required, the contractor's service representative shall comply with the Office of Safety and Health Administration (OSHA) lockout/tag-out standards while performing maintenance on equipment.

5.2 Hazardous Items. The government and the contractor's service representative shall exchange hazard communication information (i.e. MSDS, etc.) before the commencement of any service for the safety of all parties.

5.3 MTF Security. Contractor personnel and/or any representative of the contractor entering the MTF shall abide by all security regulations and be subject to security checks. The contractor and/or his representative shall report to the Medical Maintenance Work Order desk (HB041A) to sign-in and receive a temporary access badge; the badge shall be returned to the front desk clerk and the representative shall sign out before departing the installation.

5.4 Network Security Requirements. When applicable, the contractor shall abide by all procedures and regulations set forth by Information Management Division (IMD), BDAACH, to include remote access to the network.

5.4.1 If applicable, the contractor shall be granted an Interim Authority to Operate (IATO) of six months to meet MTF minimum security requirements. These include:

5.4.2 The contractor shall use the MTF's approved method of connection for vendors requiring remote access capabilities for support of their applications / systems.

The contractor shall coordinate with Information Management Division (IMD), Information Systems Engineering (ISE) Branch to meet current technical requirements for a VPN connection.

5.4.3 The contractor shall identify employees requiring an MTF network account for remote connectivity and shall submit (DOD) DD Form 2875 System Authorization Access Request (SAAR) for those employees supporting the application remotely.

5.4.4 The contractor shall ensure a Security Background Investigation has been initiated by the contracting organization. Security Background Investigations are required for all network users. The MTF uses Standard Form 85P - Questionnaire for Public Trust Positions. This can be accessed at the link below. Once at the website, click on SF Form 85P.

http://www.opm.gov/forms/standard-forms/

Note: Foreign Nationals will not be granted access to the MTF network until a satisfactory Security Background Investigation has been completed and they have been approved for access by the Designated Approving Authority (DAA) / BDAACH Director

5.4.5 The contractor shall complete all IA training requirements as outlined by the Authorized User Policy (AUP). DOD and DHA have mandated IA training be completed initially and then annually for anyone accessing a DOD network. The contractor shall submit a 'Certificate of Training' from the DISA DoD IA Awareness Training.

5.4.6 The contractor shall read and sign the Acceptable Use Policy (AUP). Acceptable Use Policy is required initially and then required to be signed annually for all network users. The contractor shall sign the AUP initially and annually thereafter or at time of contract renewal, whichever is earlier. Acceptable Use Policy should be provided to the vendor by the System Administrator assigned to the applications/system.

6.0. APPLICABLE TECHNICAL ORDERS, SPECIFICATIONS, REGULATIONS, AND MANUALS.

Following is a list of basic publications applicable to this performance-based statement of work. The Contractor is obligated to follow these publications.

Applicable Publications

Public Law:

Public Law 91-596 Occupational Safety and Health Act of 1970 Public Law 104-191 Health Insurance Portability and Accountability Act of 1996

Accreditation Manuals:

The Joint Commission (TJC) Manual (Current Edition)

Defense Health Agency:

DHA-AI 001 Telework Program DHA-AI 003 Physical Security Program DHA-AI 034 Drug-Free Workplace Program DHA-AI 050 Accounting of Disclosures of Personally Identifiable Information (PII) and Protected Health Information (PHI) DHA-AI 5015.01 Records Management DHA-AI 5200.02 Information Security Program DHA-AI 5200.03 Operations Security (OPSEC) Program

DHAPI 6000.03 Life Support Training Certification Requirements and Guidance DHAPI 6010.02 MHS Prescription Drug Monitoring Program DHAPI 6015.02 Beneficiary Counseling and Assistance Coordinator (BCAC) and Debt Collection Assistance Officer (DCAO) DHAPI 6025.04 Pain Management and Opioid Safety in the MHS DHAPI 6025.06 Standardized Templates for Primary Care Clinical Encounter Documentation DHAPI 6025.10 Standard Processes, Guidelines, and Responsibilities of the DoD Patient Bill of Rights and Responsibilities in the Military Health System (MHS) Military Medical Treatment Facilities (MTFs) DHAPI 6025.20 Medical Management (MM) Program within the Military Health System (MHS) DHAPI 6025.26 Standard Processes for the Military Health System (MHS) Nurse Advice Line (NAL) DHAPI 6025.27 Integration of Primary Care Behavioral Health (PCBH) Services into Patient-Centered Medical Home (PCMH) and Other Primary Care Service Settings within the Military Health System (MHS) DHAPI 6025.28 Standard Processes and Procedures for Communication of Laboratory and Radiology Results DHAPI 6025.29 Provision of Human Immunodeficiency Virus (HIV) Pre-Exposure Prophylaxis (PrEP) for Persons at High Risk of Acquiring HIV Infection DHAPI 6025.33 Acupuncture Practice in Military Treatment Facilities DHAPI 6025.39 Medical Ethics in the Military Health System DHAPI 6025.42 Routine Adult Transthoracic Echocardiogram (TTE) Standards for all Military Medical Treatment Facilities (MTFs) DHAPI 6040.07 Medical Coding of the DOD Health Record DHAPI 6401.01 Dental Sedation Medical Management DHAPI 6490.02 Behavioral Health (BH) Treatment and Outcomes Monitoring

DHAPM 6025.01 Primary Care Behavioral Health (PCBH) Standards DHAPM 6025.13 Volumes 1-7 Clinical Quality Management in the Military Health System www.health.mil/Reference-Center/DHA-publications

Department of Defense (DoD):

DoD 5200.1-R Information Security Program DoD 5200.2 Personnel Security Program DoDI 5200.46 DoD Investigative and Adjudicative Guidance for Issuing the Common Access Card DoD 5210.42-R Nuclear Weapons Personnel Reliability Program (PRP) Regulation DoD 5400.7-R DoD Freedom of Information Act DoD 5400.11-R Department of Defense Privacy Program DoD 6010.13-M Medical Expense and Performance reporting System for Fixed Military Medical And Dental Treatment Facilities Manual DoD 6010.15-M Military Treatment Facility Uniform Business Office (UBO) Manual DoD 6015.1-M Glossary of Healthcare Terminology DoD 6025.18-R DoD Health Information Privacy Regulation DoD 6055.5-M Occupational Medical Examinations and Surveillance Manual DoD 8580.02-R HIPAA Security Rule DoDD 5144.02 Information Technology Standards in the DoD DoDD 5205.2 DoD Operations Security (OPSEC) Program DoDD 5400.11 DoD Privacy Program DoDD 5500.07 Standards of Conduct DoDD 6000.14 Patient Bill of Rights and Responsibilities in the Military Health System (MHS) DODM 6025.13 Medical Quality Assurance (MQA) in the Military Health System (MHS) DoDD 6040.41 Medical Records Retention and Coding at Military Treatment Facilities DoDD 6205.02E Policy and Program for Immunizations to Protect the Health of Service Members and Military Beneficiaries DoDD 8190.3 Smart Card Technology DoDD 8500.01E Information Assurance DoDI 1100.22 Policy and Procedures for Determining Workforce Mix DoDI 1402.5 Criminal History Background Checks on Individuals in Child Care Services DoDI 3020.37 Continuation of Essential DoD Contractor Services During a Crises DoDI 5200.02 DoD Personnel Security Program (PSP) DoDI 6000.11 Patient Movement DoDI 6015.23 Delivery of Healthcare at Military Treatment Facilities: Foreign Service Care; Third Party Collection; Beneficiary Counseling and Assistance Coordinators (BCACs) DoDI 6025.8 Ambulatory Procedure Visit (APV) DoDI 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System DoDM 6025.13 Medical Quality Assurance (MQA) and Clinical Quality Management in the Military Health System (MHS) DoDI 6025.18 Privacy of Individual Identifiable Health Information in DoD Health Care Programs DoDI 6040.40 Military Health System Data Quality Management Control Procedures DoDI 6040.42 Medical Encounter and Coding at Military Treatment Facilities DoDI 6040.43 Custody and Control of Outpatient Medical Records DoDI 6205.2 Immunization Requirements DoDD 6459.01 Sexual Assault and Response (SAPR) Program

7.0. ACRONYMS AND DEFINITIONS.

ADM - Ambulatory Data Module ADS - Ambulatory Data System AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AMA - American Medical Association AOD - Administrative Officer of the Day CAC - Common Access Card CAMH - Comprehensive Accreditation Manual for Hospitals CFR - Code of Federal Regulations CHCS - Composite Health Care System CLIN - Contract Line Item Number COR - Contracting Officer's Representative CPT - Current Physicians Terminology DA - Department of the Army DoD - Department of Defense DODI - Department of Defense Instruction EFT - Electronic Funds Transfer FAR - Federal Acquisition Regulation FSO - Facility Security Officer FTE - Full Time Equivalent HCP - Healthcare Provider HIPAA - Health Insurance Portability & Accountability Act of 1996 HRP - Health Readiness Platform, i.e. Military Treatment Facility JC - The Joint Commission KO - Contracting Officer LADS - Labor and Delivery Statistics System MEDCENs - Army Medical Centers MEDCOM - Medical Command MHS - Military Healthcare System MTF - Military Treatment Facility OIC - Officer in Charge OSHA - Occupational Safety and Health Administration PAM - Pamphlet PAR - Performance Assessment Report POC - Point of Contact PWS - Performance Work Statement PL - Public Law

QASP - Quality Assurance Surveillance Plan QC - Quality Control RVU - Relative Value Units SF - Standard Form TA - Trusted Agent UCAPERS - Uniform Charts of Accounts Personnel System

END OF PERFORMANCE WORK STATEMENT

Requirements Maintenance and Repair of Anesthesia Units

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Option Line Item

Product Service Code: J065

North American Industry Classification System (NAICS): 811219

Packaging and Marking

Inspection and Acceptance Overall Contract Inspection/Acceptance Locations

Acceptance Location

Acceptance Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Option Line Item

Acceptance Location

Acceptance Destination Instructions: See Performance Work Statement (PWS) for Acceptance/inspection criteria.

DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Deliveries or Performance

Line Item Delivery Schedule Quantity Address and POC

12 Months Place of Performance DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Period of Performance From 01 Aug 2026 To 31 Jul 2027

Option Line Item

12 Months Place of Performance DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Period of Performance From 01 Aug 2027 To 31 Jul 2028

Option Line Item

12 Months Place of Performance DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Period of Performance From 01 Aug 2028 To 31 Jul 2029

Option Line Item

12 Months Place of Performance DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Period of Performance From 01 Aug 2029 To 31 Jul 2030

Option Line Item

12 Months Place of Performance DoDAAC: HT0906 CountryCode: KOR

W6R0 USA MED DEPT ACT KOREA

UNIT 15245, BLDG 3030 USAG HUMPHREYS

PYEONGTAEK 17709

KOREA, REPUBLIC OF

Period of Performance From 01 Aug 2030

To 31 Jul 2031

Contract Administration Data Supplement to the PWS

(A) For reporting purposes, FAR Clause 52.204-10 Reporting Executive Compensation and First Tier Subcontract Awards, the Treasury Account Symbol (TAS) is 97 0130.

(B) HEALTH REQUIREMENTS FOR CONTRACT EMPLOYEES AT MEDDAC-K

In accordance with Integrated Health Organization Policy #18-59, the 18th MEDCOM COR will ensure that all their contract employees report to Occupational Health Services (OHS) for pre-placement evaluation, annual medical exam, and termination evaluation. The COR will send a list of current contract employees to OHS quarterly.

(C) NATIONAL AGENCY CHECK and INQUIRIES (NACI)

The contractor shall submit the NACI to the US Office of Personnel Management. Applications will include the appropriate items: NACI: SF-85 (Non-Sensitive Position) or SF-85P (Application for Public Trust Position); one set of SF-87(Civilian)/FD-258 (Contractor, Fingerprint Card) and the Optional Form OF-306 (Declaration for Federal Employment) unless otherwise prohibited by their contracting command.

Optional Form (OF) 306 "Declaration for Federal Employment"

The OF 306 form is utilized to collect information during the hiring process to determine an individual's acceptability for Federal employment and Federal contract employment. The OF 306 must accompany each request for investigation submitted on an SF 85 or SF 85P when the individual to be investigated is a new Federal civilian employee or applicant for Federal employment. The individual and agency should carefully review the OF 306 information and any attached sheets. If additional space is needed the individual may provide material on additional sheets. Any amendments to the OF 306 will require the individual being investigated to initial and date the amendments. Investigations on contractor personnel requested on the SF 85 and SF 85P require the applicant to answer specific questions found on the OF 306: 1, 8, 9, 10, 11, 12, 13, 16 and 17a. To provide the additional information to OPM, the OF306 maybe be used or the specific questions and answers maybe provided on an attachment.

Upon arrival OCONUS to MEDDAC-K, when in processing the PTMS Security section, they will be required to initiate a local records check in conjunction with a copy of the contractor applicants NACI verification. Any person utilized under the contract that is placed in a Non-(critical) Sensitive position and/or HSPD-12 Credential with proof of an initial favorable NACI completion, and subsequently receives an unfavorable NACI and/or determined disloyal, untrustworthy or unreliable through the Joint Personnel Adjudication System (JPAS) or MEDDAC-K Commanders discretion, shall be removed from employment by the contractor.

Information Technology III /Non-sensitive Positions.

All personnel utilized under a contract will be placed in positions designated as Information Technology III (users), Non-sensitive positions designated by the Commander, MEDDAC-K.

Security Investigation for Personnel.

All personnel under a contract shall have a favorable NACI initiate within 90 calendar days prior to arrival in country (South Korea). Requests for NACIs shall be processed per AR 380-67 on SF-85, Questionnaire for Public Trust Positions by the directives of the specific contracting company and/or sub-contracting…