STATEMENT OF WORK BULK OXYGEN.pdf

BULK OXYGEN STATEMENT OF WORK

1.0 This requirement is for procurement of bulk medical grade liquid oxygen for utilization in a Medical Treatment Facility (MTF), Winn Army Community Hospital, and Fort Stewart, GA.

1.1 SCOPE. Procurement of Bulk Medical Grade Liquid Oxygen is vital to the daily operational functions of Winn Army Community Hospital to provide a high standard of medical healthcare to the military community.

1.2 The Contractor shall provide service consisting of product (Medical Grade Liquid Oxygen) and one annual inspection to both Government owned primary (3000 gallon) and reserve (300 gallon) tanks to include calibrations, labor, parts, materials, and time, excluding disposable and consumable supply items. Contractor will provide a Certificate of Analysis to state purity of bulk medical grade liquid oxygen (no less than 99%) when delivered.

1.3 Additional services provided to include remote service/ application diagnostic support (telemetry) for the primary and backup vessel. Additional inclusions (i.e. includes field modifications such as safety corrections by the Contractor or requested by the Government).

1.4 DEFINITIONS: MTF: Medical Treatment Facility, CUSTOMER: Government, COR: Contract Officer Representative, ACOR: Alternate Contract Officer Representative

2.0 HOURS OF PERFORMANCE

2.1 Delivery Hours are Monday thru Friday 07:30am through 03:00pm based on the Telemetry Reading of 50 inches excluding Federal holidays.

3.0 RESPONSE/ PERFORMANCE TIME STANDARDS

3.1 Contractor shall coordinate all inspections with Facilities Branch, Logistics Division point of contact at the MTF, if required.

3.2 Contractor will provide and monitor the telemetry unit to identify the notification process, required inspection data, scheduling process and response time on the government owned 3000-gallon tank 24 hours seven days a week and dispatch the delivery of medical oxygen to MTF based on the telemetry reading of 50 inches. Failure to meet response times will result in an unfavorable rating. Contractor shall provide report of annual inspection. Contractor will provide a Certificate of Analysis to state purity of medical oxygen (no less than 99%) when delivered. Facilities Branch Will authorize service is to be performed, COR will notify the contractor via email or telephone to schedule the annual inspection. In the event there is an emergency delivery needed; the order will be placed by the COR/Alternate COR only. This could be at any time not previously stated.

4.0 TECHNICAL DATA AVAILABILITY

4.1 Contractor must deliver bulk medical grade liquid oxygen in compliance with State and Federal Codes.

4.2 Contractor shall provide quarterly reports of any required maintenance services needing performed by the Medical Treatment Facility (MTF), if applicable.

4.3 Contractor shall ensure that both Government owned tanks (3000 gallon primary and 300-gallon reserve) are filled to the maximum capacity per delivery, Product (medical oxygen) is tested by Customer prior to tank being filled by Contractor. Delivery ticket must be signed by Customer after product is delivered and must be accompanied by Certificate of Analysis to state purity of product (no less than 99%) when delivered and faxed backed to Contractor office on the same date as delivery.

5.0 CONTRACTOR RESPONSIBILITY

5.1 Contractor shall include any special personnel qualifications require of contract employees, (i.e., speak English, professional licenses, drivers’ licenses, security clearance, permits, uniform or badge requirements, neatness or cleanliness requirements, etc.) When written certifications or licenses are included here cross reference the requirement to a Technical Exhibit, and require the contractor submit the documentation as a required report.

5.2 Contractor shall inform COR/ Alternate COR of any changes in delivery schedules within 24 hours of schedule change.

6.0 ADMINISTRATIVE CONTROL

6.1 The assigned COR/Alternate COR is the only authorized individual to make changes to the delivery schedules after contract award.

6.2 The COR/Alternated COR will contact the assigned Contracting Office to inform of changes in delivery schedule requesting a contract modification if applicable.

6.3 Contractor shall report any delivery delays to the assigned COR/Alternate COR 24 hours in advance if applicable.

7.0 LEGAL HOLIDAYS

The date observance by the Federal Government of the following holidays:

New Year’s Day 1 January

Martin Luther King’s Birthday 3rd Monday in January

President’s Day 3rd Monday in February

Memorial Day Last Monday in May

Juneteenth 19 June

Independence Day 4th of July

Labor Day 1st Monday in September

Columbus Day 2nd Monday in October

Veteran’s Day 11 November

Thanksgiving Day 4th Thursday in November

Christmas Day 25th December

NOTE: Any of the above holidays falling on a Saturday will be observed on the preceding Friday;

holidays falling on a Sunday will generally be observed on the following Monday; however, it may be necessary for contract employees to work on any or all the above stated holidays.

7.1 CLOSURES During anticipated closure of the facility due to the Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise the Contractors will only be paid for the actual hours that were worked, 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 declared by an Executive Order and the employee is not required to report in payment will not be made for those hours, Closure of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

8.0 SECURITY CONTROL

Contractor must enter Gate 7 on Fort Stewart, GA to make delivers for Winn Army

Community Hospital presenting the following: a valid driver’s license, vehicle registration and proof of insurance of all individuals entering the military installation.

9.0 PERFORMANCE REQUIREMENT SUMMARY:

Required Service

Paragraph Number

Standard Max allowable Weight

Method of Surveillance

AQL

Bulk Medical Grade Liquid Oxygen

1.2 Fill Bulk

Oxygen Tank

0% COR/ACOR

100%

1.3 Monitor

Telemetry

0%

1.2 Provide

Certificate of Analysis 99% Purity of oxygen

0%

1.2 Provide One 0%

Exclusion from Participation in Federal Health Care Programs (October 2015)

1. The Contractor shall not employ or contract with any individual or entity (hereinafter collectively referred to as “person”) to provide items or services that will be included in invoices submitted to the Government under this contract if such person is listed on the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) List of Excluded Individuals and Entities (LEIE) or the TRICARE Sanctioned Provider List. The Government is legally prohibited from paying for provision of items or services by such persons. The prohibition extends to services beyond direct patient care, such as services of persons in executive or leadership roles and administrative and management services, whether or not such services are billed separately. The LEIE may be found at http://oig.hhs.gov/fraud/exclusions.asp, and the TRICARE Sanctioned Provider list at http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and- Safety/Quality-And-Safety-of-Healthcare/Program-Integrity/Sanctioned-Providers. The LEIE and TRICARE Sanctioned Provider List are hereinafter collectively referred to as “the Lists.”

2. Prior to start of contract performance, the Contractor shall (a) query the Lists to determine whether the name of any person the Contractor employs or contracts with to provide services or items for which payment may be made under this contract appears on the Lists, and (b) certify to the Contracting Officer that the Contractor has queried the Lists and no such names appear on either of the Lists.

3. During performance of the contract, and prior to persons other than those whose names were queried in accordance with paragraph 2, above, (hereinafter “new persons”) providing services or items under the contract, the Contractor shall (a) query the Lists as in paragraph 2, and (b) certify to the Contracting Officer that the names of such new persons do not appear on either of the Lists.

4. The Contractor is advised that during performance of the contract, MTF personnel will perform a recurrent recheck of the names of contractor personnel working in the MTF against the Lists, as specified in OTSG/MEDCOM Policy Memo 15-037. The Government will notify the Contractor in the event any contractor personnel working in the MTF appear on either of the Lists.

5. Should any person providing items or services under the contract appear on either of the Lists at any time during contract performance, the Contractor shall (a) in cases where the Contractor identified the person, notify the Contracting Officer, and (b) promptly remove that person from the contract.

6. Violation of any aspect of the above paragraphs shall be considered a material breach of the contract and may result in termination of the contract.

7. The Contractor is further advised that, in accordance with Civil Monetary Penalties Law [CMP] (codified at 42 USC § 1320a-7a):

a. There are steep civil monetary penalties associated with billing the Government for providing items or services by a person on either of the Lists, and with failing to return to the Government any overpayments received for provision of such items or services.

b. Billing under the contract for provision of items or services by a person on either list may also result in exclusion of the person that employs or contracts with such person.

8. HHS OIG has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs with additional information on the CMP. The Special Advisory Bulletin may be found at http://oig.hhs.gov/exclusions/files/sab-05092013.pdf.

TOBACCO FREE MEDICAL CAMPUS (TFMC)

In accordance with Army Regulation 600-63, paragraph 7-3, 14 April 2015; Operations http://www.health.mil/Military-Health-Topics/Access-Cost-Quality-and-http://oig.hhs.gov/exclusions/files/sab-

Order 15-48 (Army Medical Command (MEDCOM) Tobacco Free Living –USAMEDCOM), 8 May 2015; and any Operations Order, regulation or other instruction implementing, defining or otherwise addressing the Tobacco Free Medical Campus (TFMC) on any military installation or DoD-controlled location, Contractor personnel are prohibited from using any tobacco product on or within any TFMC while performing under this contract. TFMCs are established at each installation or DoD-controlled location and include: (1) any property or non-residential building that is operated, maintained or assigned to support medical activities, including but not limited to, hospitals, medical laboratories, outpatient clinics (including medical, dental, and veterinary facilities), or aid stations operating for the primary purpose of delivering medical care and services for DOD eligible beneficiaries and /or meeting the mission of the Army Medical Command; (2) all other facilities in which medical activities or administration take place, to include HQ MEDCOM and Defense Health Headquarters; (3) all internal roadways, sidewalks and parking lots; and (4) all sidewalks, parking lots and grounds external but adjacent to the building or related to the migratory corridors surrounding the medical facility. The Contractor shall obtain from the COR any orders, regulations, instructions or other documents implementing, defining or otherwise addressing the TFMC for any given installation or DoD-controlled location where Contractor personnel may perform under this contract and shall instruct Contractor personnel on the TFMC limitations for installations or DoD-controlled locations where they may perform under this contract.