SOW (medgas).pdf #4 Sept 2025.pdf

STATEMENT OF WORK

Moncrief Army Health Clinic

Fort Jackson, SC 4 Sept 2025

Section 1: GENERAL The contractor shall perform all pick-up, refill, and delivery of medical gases to include compressed oxygen, compressed nitrogen, liquid oxygen and medical compressed gas to the Moncrief Army Health Clinic (MAHC) 4500 8th Division Road, Fort Jackson, SC 29207 and EMS Services BLDG# 5499 Jackson BLVD, Fort Jackson, SC 29207 or as directed by the Contracting Officer’s Representative (COR). Contractor shall be able to provide on the spot refill of liquid nitrogen and resupply full cylinders within a 24-hour response of the scheduled delivery date which will be on Wednesdays.

1.1 BACKGROUND INFORMATION: MAHC will rent cylinders from the contractor requiring medical gas refills as required for patient care. Contractor must properly handle, store, and transport medical gas cylinders in accordance with all local, state and federal requirements.

1.2 PERSONNEL. N/A.

1.3. PHYSICAL SECURITY. N/A.

1.4 QUALITY ASSURANCE. See Section 2.1.13.

1.5 HOURS OF OPERATION.

1.5.1 Normal Hours. MAHC hours of operation are 0730 to 1600 EST Monday through Friday. Facility observes all Federal Holidays as follows:

January 1st New Year’s Day 3rd Monday in Jan Martin Luther King, Jr. Birthday 3rd Monday in Feb Presidents Day Last Monday in May Memorial Day June 19th Juneteenth July 4th Independence Day 1st Monday in Sep Labor Day 2nd Monday in Oct Columbus Day November 11th Veterans Day 4th Thursday in Nov Thanksgiving Day December 25th Christmas Day

Facility also observes various Training Holidays in conjunction with Federal Holidays.

1.5.2 Emergency Services. The contractor shall be able to provide and comply with a 24-hour emergency, urgent on-site response when required.

1.6 CONSERVATION OF UTILITIES. The contractor shall be required to participate in Government energy conservation programs.

SECTION 2 DEFINITIONS

2.1 STANDARD DEFINITIONS.

2.1.1 Medical compressed air. A colorless, odorless gas stored in cylinders under pressure.

2.1.2 Contracting Officer (KO). A person duly appointed with the authority to enter into and administer contracts on behalf of the U.S. Government.

2.1.3 Contracting Officer Representative (COR). An individual designated by the contracting officer to act as his representative to assist in Administering a contract. The source and authority for a COR are Contained in the written letter of designation.

2.1.4 Customer Complaint. A means of documenting certain kinds of contract service problems. A government program that is explained to every organization that receives service under this contract which is used to evaluate contractor’s performance.

2.1.5 Defective Performance. A service output that does not meet the standard of performance associated with the requirements of this contract.

2.1.6 Government Property. All property owned or leased to the government or acquired by the government under the terms of the contract. Government property includes both governments furnished property and contractor acquired property as defined in Federal Acquisition Regulation (FAR) 45.101.

2.1.7 Quality Control (QC). Those actions taken by a contractor to control the performance of services so that they meet the requirements of the contract.

2.1.8 Safety Data Sheet (SDS). A document that contains information on the potential health effects of exposure to chemicals, or other potentially dangerous substances, and on safe working procedures when handling chemical products.

2.1.9 Medical Nitrogen. A colorless, tasteless gas that is biologically important.

Nitrogen is a constituent of protein and nucleic acids and is present in all living cells. Nitrogen does not support respiration and is fatal if breathed alone.

2.1.10 Quality Assurance Surveillance Plan (QASP): N/A

2.1.11 Medical Oxygen. A colorless, ordor less and tasteless gas that makes up about

20% of the air we breathe, and which combines with most of the other elements to form oxides.

2.1.12 Performance Requirements Summary (PRS). N/A

2.1.13 Quality Assurance (QA). Those actions taken by the government to assure the contractor meets the requirements of the contract.

SECTION 3 GOVERNMENT FURNISHED PROPERTY AND SERVICES.

3.1 N/A

SECTION 4 CONTRACTOR FURNISHED ITEMS AND SERVICES.

4.1 The contractor shall provide all labor and equipment necessary to perform the required medical gas refill services.

SECTION 5 SPECIFIC TASKS.

5.1 Medical Oxygen, Medical compressed air, Liquid Oxygen, Medical Nitrogen, Liquid Nitrogen shall conform to standards in the United States Pharmacopoeia/ National Formulary (USP/NF) unless otherwise stated.

5.2 Medical Nitrogen shall be of Medicinal Grade A and shall conform to the latest version of BB-N-411C, “Federal Specification for Nitrogen”.

5.3 All cylinders shall be picked up from and delivered at two different locations to

MACH, 4500 8th Division Road Fort Jackson, SC 29207 & EMS, 5499 Jackson Blvd Fort Jackson, SC 29207 or as directed by the COR no later than 11:00am.

5.4 Deliveries shall be scheduled between the Contractor and the Government during normal duty hours on the scheduled Wednesday.

5.5 All cylinders shall be picked up and delivered on upon request of the COR or his/her designee. The contractor shall also give prior 30-day notice and reschedule for any non-federal holiday the contractor might observe. Coordination shall be made with the personnel cited in paragraph 5.17.

5.6 Emergency Service. The contractor shall be available 24 hours a day, seven days a week, including all holidays, to meet emergency requirements. The contractor shall provide an on-call number, acknowledge receipt of call within one hour, and make required deliveries within twelve hours or sooner from receipt of the emergency call.

5.7 Inspection/Acceptance. The contractor shall only tender for acceptance those items that conform to the requirements of this contract. The government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The government may require repair or replacement of non-conforming supplies/equipment or re-performance of non-conforming services at no increase in contract price. The government must exercise its post-delivery acceptance rights (1) within 24 hours after the defect was discovered or should have been discovered; and (2) before substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

5.8 The contractor shall inspect all cylinders received for charging or reconditioning in accordance with the Product Item Description (PID), applicable DOT Regulations, the assigned gas service, and as specified in MIL-STD-1411A “DOD Standard Practice, Inspection and Maintenance of Compressed Gas Cylinders”.

The number of acceptable cylinders and serial numbers shall be recorded to identify a specific contract. Accepted cylinders shall be forwarded for charging.

Cylinders not meeting inspection levels shall be scheduled for proper maintenance in accordance with (IAW) MIL-STD-1411A, paragraphs 5.2 and 5.3. Rejected and/or condemned cylinders shall be handled in accordance with MIL-STD- 1411A, paragraph 4.

5.9 Cylinders received by the contractor for maintenance/reconditioning or recharging with a specific gas shall be inspected for legible and accurate identifications, markings, dimensions, color coding and stenciling. Inspection shall be conducted by Oxygen Purity Control Monitors designated by Moncrief Army Health Clinic (MAHC). Monitors shall ensure presence of a valve protection cap, as applicable, the proper cylinder, valve, valve outlet and that the cylinder is in the gas service as specified.

5.9.1 The contractor’s paperwork (e.g., shipping order) accompanying each delivery shall give the total amount by type, including list of serial numbers (if applicable), lot numbers, and expiration dates of product for all cylinders delivered on paper or electronically.

5.9.2 The contractor shall submit payment requests using the Wide Area Workflow-

Receipt and Acceptance (WAWF-RA) information regarding WAWF-RA is available at https://wawf.eb.mil

5.10 Contractor shall provide all applicable Safety Data Sheets (SDS) upon initial delivery or as revisions, updates, or amendments become available for each product/end item, applicable materials, components/supplies utilized in the production/fabrication of each end item/product being delivered requiring a SDS, to include but not limited to gases by type, paint, threading compound/sealant, lubricant, etc. IAW the fill contract delivery order/contract delivery requirements.

5.11 Cylinder Maintenance/Reconditioning - Periodic Testing/Hydrostatic Testing, Ultrasonic Examination (UE), External Visual Examination, Internal Cylinder Evaluation, Hammer Testing and Leakage Testing.

5.11.1 The Contractor shall be responsible to conduct all periodic testing by hydrostatic test procedures, ultrasonic examinations, external visual examinations/serviceability inspections, internal cylinder evaluations (any time a valve is removed from a cylinder for any reason), hammer testing (if applicable) IAW Compressed Gas Association Pamphlet (CGA) C-1 “Methods for Hydrostatic Testing of Compressed Gas Cylinders”, CGA C-5 “Wall Stress Requalification Criteria for High Pressure Seamless Steel Cylinders”, CGA C-6 “Standards for Visual Inspection of Steel Compressed Gas Cylinders”, CGA G-

4.1 “Cleaning Equipment for Oxygen Service”, and MIL-STD-1411A.

5.11.2 Hydrostatic/UE tests on cylinders shall be completed within 21 days of pick-up by the contractor, or upon the requested pick-up date from MAHC.

5.11.3 Cylinders shall undergo periodic hydrostatic/UE testing IAW Code of Federal Regulations (CFR) 49 180.605 “Requirements for Periodic Testing, Inspection and Repair of Portable Tanks”, CGA C-1 and MIL-STD-1411A.

5.11.4 Compressed gas cylinders shall not be refilled if Hydrostatic/UE test date has expired.

5.11.5 Leakage testing shall be performed on all cylinders that have been filled with a compressed gas IAW the fill contract delivery order. Each cylinder shall be tested at all points that may provide a point of escape for cylinder contents. Points to inspect are the head and bottom of each cylinder, the cylinder valve including the stem, the valve inlet threads, and the valve outlet. Tests shall be performed IAW

MIL-STD-1411A.

5.11.6

5.11.7

5.11.8

5.11.9

5.11.10

5.12

5.12.1

5.12.2

5.12.3

5.12.4

5.13

5.13.1

Cylinders that are unacceptable at serviceability inspection shall be tagged for proper maintenance. Cylinders that have been scheduled for maintenance procedures shall be serviced IAW 49 CFR 180-205 “General Requirements for Requalification of Specification Cylinders” and MIL-STD-1411A. After maintenance, each cylinder shall pass the detailed serviceability requirements outlined in MIL-STD-1411A, paragraph 5.3.

Contractor Cylinders that cannot be upgraded by maintenance/reconditioning to meet the serviceability standards of MIL-STD-1411A, paragraph 5.2 shall be rejected at maintenance, tagged for repair or rebuild or metal stamped “condemned” with a justification IAW condemnation standard outlined in MIL- STD-1411A, paragraphs 4.1.1.1, 4.1.2.1, 4.1.3.1, and 4.1.4.1. Disposition of condemned cylinders shall be IAW MIL-STD-1411A, paragraph 4, or as directed by the contract.

Rejected and/or condemned cylinders shall be handled IAW MIL-STD-1411A, paragraph 4.

The contractor shall be responsible for demilitarization of cylinders.

Records of scheduled maintenance shall be made on DD Form 250 or similar tabulation provided by the contractor.

Cylinder Retest Date.

Cylinders requiring Hydrostatic/UE retesting must be taken out of service 9 months prior to expiration.

Cylinder Hydrostatic/UE test date must not be within 36 months of expiration upon delivery.

Cylinders shall be retested as required by applicable Department of Transportation (DOT) Title 49 of the CFR, CGA C-1 and MIL-STD-1411A.

Contractor shall be required to retest any government/ contractor-owned cylinder when requested by MAHC, the ordering activity, regardless of scheduled retest date.

Hydrostatic test equipment shall be capable of performing the desired testing in a range of 25 to 75 percent of its designated maximum capability with an accuracy of 1 percent of any designated test pressure and resultant expansion valve.

Valve Inspection and Replacement.

All cylinder valves shall be checked/inspected for serviceability by designated MAHC warehouse supply technicians and contractor representative (delivery/driver personnel/designee) prior to cylinder delivery acceptance and receipt IAW CGA V-1 “Standard for Compressed Gas Cylinder Valve Outlet and Inlet Connections”, MIL-DTL-2G and MIL-STD-1411A.

5.13.2 Each valve shall be inspected for damaged hand wheels, bent or leaking stems and damaged or nicked outlet seats or threads. Further inspection shall be made for dirt, grease, or insect residue. Packing nuts shall be snug to control leakage and bonnet nuts shall be locked tight. Valve inlet threads should expose more than one thread between the cylinder neck and the wrenching boss of the valve. The valve shall be functional and shall control the gas flow at the valve seat when residual gas is checked. Valve outlets shall be IAW MIL-DTL-2G and the applicable specification sheet as specified in the PID. Damaged or faulty valves shall be scheduled for maintenance or replaced by contractor IAW MIL-DTL-2G.

5.13.3 Contractor owned cylinder valves damaged upon and/or after delivery receipt and acceptance shall be replaced by servicing Contractor at the cost of the government, unless the government exercises its post-delivery acceptance rights

(1) within 24 hours after the defect is discovered or should have been discovered;

and (2) before substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

5.13.4 Damaged government and contractor owned cylinder valves on all government and contractor owned cylinders shall be replaced at the expense of the contractor if damaged during transport, delivery and/or prior to designated MAHC warehouse supply technician delivery receipt and acceptance.

5.14 Cylinder/Valve Protection Caps

5.14.1 Cylinder/valve protection caps shall be installed on all cylinders designed with neck rings or flanges.

5.14.2 Valve hood protection caps for cylinders designed to receive such caps shall be the correct size and securely attached with full thread engagement to the cylinders in a manner to protect the valves from damage during transit, delivery, and storage. Refer to 49 CFR 173-301 (h) “General Requirements for Shipment of Compressed Gases in Cylinders and Spherical Pressure Vessels”, and MIL-STD- 1411A.

5.14.3 Replacement valves shall be threaded IAW CGA V-1.

5.14.4 Cylinder/valve protection caps shall be inspected for cracks, dents, and/or a mismatch in size. Caps with internal threads that are stripped or damaged, making hand mounting on the cylinder impractical and/or showing rust and corrosion shall be rejected.

5.14.5

5.15

5.15.1

5.15.2

5.15.3

5.16

5.17

SECTION 6

6.1

6.2

Hydrocarbon lubrication is not allowed on cap or flange threads; however, fire resistant fluorocarbon or silicon lubricants are permissible, if approved for use on medical gas cylinders.

Permanent Markings, Tags, and Labels

The permanent marking requirements for compressed gas cylinders shall be IAW DOT specification in part 178.255-14 of Title 49 CFR, and in the government procurement specifications. These markings must be maintained in a legible condition as required by Part 173 of Title 40 CFR.

All cylinders shall be appropriately labeled, tagged, and/or marked IAW MIL- STD-1411A, and Title 49 CFR by contractor utilizing required lettering, stenciling, decals, metal lettering, and/or number stamping when required by applicable regulation. Contractor shall verify before delivery receipt and acceptance by MAHC that all required identifying medical gas labels; including lot number, labels, and/or tags are properly affixed or secured to the cylinders.

Cylinders shall be labeled or tagged and shipping documents annotated IAW requirements of contract delivery order to comply with MIL-STD-129, Military Marking for Shipment and Storage. Cylinders shall also have a label to tag attached with the statement “Dangerous-Compressed Gas Cylinder-Only Trained Personnel Should Handle”. Condition Codes A, D, F, H, J, K, or L as defined in Title 49 CFR shall be assigned as applicable.

All cylinders delivered by the contractor shall be clean, free of rust, oil, grease and all foreign matter. Rust, scale, caked paint and all remnants of adhesive labels, decals and tags shall be removed as outlined in MIL-STD-1411A, Notice 1, “Inspection and Maintenance of Compressed Gas Cylinders”. Anti-seize compound, approved oxygen compatible sealant only, may be found where the valve is inserted into the cylinder. All excess threading compound shall be removed and the area wiped clean. Valves shall be free of insects, insect webs/residue, dirt, corrosion, oil or grease. Do not mistake thread compound as oil or grease or vice versa. Cleaning shall be performed IAW MIL-STD-1411A.

The following personnel are authorized to request pickup, delivery, refill, or services for their respective sections:

Mr. Keith Harris (primary contact) 803-751-0237; Mr. Gregory Glynn, 803-751-2212; Ms. Keyatta Mitchell 803-751-3325.

APPLICABLE PUBLICATIONS AND FORMS.

TO43D8-3-1-101

TO43D8-3-2-22

6.3 TO43D8-3-2-6

6.4 49 CFR, 180.605, Requirements for Periodic Testing, Inspection

And Repair of Portable Tanks.

6.5 49 CFR, 180.205, General Requirements for Requalification of

Cylinders.

6.6 DD Form 250, Material Inspection and Receiving Report.

6.7 MIL-DTL-2G, Valves, Cylinder, Gas (for Compressed or Liquefied

Gases), General Specifications.

6.8 49 CFR, 173.301, General Requirements for Shipment of

Compressed Gases in Cylinders and Spherical Pressure Vessels.

6.9 49 CFR, 178.255-14, Marking.

6.10 MIL-STD-129P, DOD Standard Practice for Military Marking for

Shipment and Storage.

6.11 TT-L-32, Lacquer, Gloss for Aircraft Use.

6.12 MIL-STD-101B, DOD Standard Practice for Color Code for

Pipelines and for Compressed Gas Cylinders.

6.13 DOD-P-15328D, Primer (Wash), Pretreatment (Formula No. 117 for

Metals) (Metric).

6.14 Amendment 1 to DOD-P-15328D, Primer (Wash), Pretreatment

(Formula No. 117 for Metals) (Metric).

6.15 DODI6000.2 Health Service Operations and Readiness