SOW 31418700 THRU 8746.pdf

PSNS&IMF 4200/43 (2-16) Page 1 of 3

STATEMENT OF WORK–SERVICE CONTRACT WORKSHEET PSNS&IMFINST 4200.14

CHECK ALL THAT APPLY:

HIGH RISK (Justify in No. 12 below)

SUBSAFE Fly By Wire DSS SOC

WORK IS WITHIN: ENGINEERING SPACE PROPULSION PLANT SYSTEM

(Review NAVSEAINST 9210.4B for applicability)

JML No.: 31418700 THRU 8747

NAVCOMPT 2276 No.: (Request for Contractual Procurement (RCP) required for services over $2,500 or services with terms and conditions.)

Ship/Activity: Code 134.

Title: Purchase and Installation of Ion Chromatograph/MS System

Place of Performance: Bldg. 59

Period of Performance: Year-round

Estimated Cost: ~$232,172.81(check final quote)

Source of Estimate: Vendor quote

REFERENCES: NA

1. BACKGROUND: Purchase and Installation of Ion Chromatograph/MS

System

Describe current (baseline) condition: NA (new equipment that has not been purchased or received yet)

2. SCOPE: Purchase and installation of Dionex Ion Chromatography

System 6000 (NEW).

3. DELIVERABLE ITEMS: Delivery and installation by a manufacturer representative of the Thermo Fisher Dionex Ion Chromatography System

6000 that includes a pumping system, DC detector, autosampler, eluent generator, computer system, ISQ™ EC Single Quadrupole Mass

Spectrometer, AXP-MS auxiliary pump, and nitrogen generator.

PSNS&IMF 4200/43 (2-16) Page 2 of 3

4. CONTRACTOR FURNISHED MATERIAL: See JML(s) and vendor-provided quote for an estimated list of materials, part numbers, quantities, and prices.

5. GOVERNMENT-FURNISHED PROPERTY:

5.1 Original acquisition value of material:

5.2 Location of GFP:

5.3 Manufacturer, model number, and type. Include serial number(s):

5.4 Government provided or contractor pickup:

6. QUALITY ASSURANCE REQUIREMENTS:

PSNS & IMF –or- Contractor is responsible for quality assurance.

The installed equipment must be new and in good working order.

7. SECURITY REQUIREMENTS: Contractor personnel must be a US citizen, with proof of citizenship document, and will require access to PSNS&IMF controlled industrial area (White or Green security badge). Originator determines if a Department Of Defense Contract Security Classification

Specification (DD254) is required.

8. TRAVEL REQUIREMENTS: PSNS&IMF, Bldg 59, 1400 Farragut Ave, Bremerton, WA 98314

Is carrier onboard delivery (COD) required? (i.e., when the contractor is transported to a vessel underway.) No

9. GOVERNMENT REPRESENTATIVE: Tom Oates, 1400 Farragut Ave, Bremerton, WA 98314; 360-476-3406; Fax: 360-476-5587;

thomas.c.oates2.civ@mail.mil.

10. OTHER CONSIDERATIONS:

10.1 Estimated Work Hours: 40 hours

PSNS&IMF 4200/43 (2-16) Page 3 of 3

10.2 All technical clarifications will be coordinated through the

Government representative.

10.3 Environmental and safety concerns: Contractor personnel is limited to Bldg 59, laboratory.

10.4 Laydown and utilities requirements: NA

12. JUSTIFICATION FOR HIGH-RISK FLAG: e.g., SUBSAFE, Steam Plant, complex or first time work, work with significant milestone impact.

Date:

Code 413 Statement of Work review

Date:

Cognizant technical code review

Date: _____

Cognizant APS/PLM or WIM Review

Notes:

1. Code 413 reviews SOW for contractual adequacy.

2. Cognizant technical code reviews SOW for technical adequacy.

3. Cognizant APS/PLM or WIM reviews SOW to ensure project requirements are adequately described.