A.09.03_W81K0219Q0022-0003.pdf

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

POC: CHARIS K. NAITO

BLDG 339 CLARK ROAD

FORT SHAFTER HI 96858-5098

0011260603

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

As show n on the attached summary changes, the purpose of this amendment is to:

- Extend the proposal due date

- Update Paragraph 8, Enterprise-w ide Contractor Manpow er Reporting Application (eCMRA)

1. CONTRACT ID CODE PAGE OF PAGES

J 1 12

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 11-Feb-2019

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0219Q0022

X 9B. DATED (SEE ITEM 11)

11-Jan-2019

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

11-Feb-2019

CODE

W40M REGIONAL HEALTH CONTRACTING OF

REGIONAL HEALTH CONTR OFC PACIFIC

BLDG 339 CLARK ROAD

FT SHAFTER HI 96858-5098

W81K02 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K02

FACILITY CODECODE

EMAIL:TEL:

W81K0219Q0022

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 12-Feb-2019 10:00 AM to 15-Feb-2019 10:00 AM.

The following have been modified:

PWS

PERFORMANCE WORK STATEMENT

for

Maintenance and Repair of Medical Gas, Vacuum, Compressed Air and Nitrogen Equipment

1. BACKGROUND.

1.1 This requirement is for the repair and maintenance of Government owned medical gas system equipment. The Contractor shall provide personnel, supervision, tools, materials, equipment, supplies and transportation necessary to perform preventive maintenance, urgent repairs, emergency repairs and standby services on Compressed Air (medical, lab, dental and plant), Medical Gasses (Oxygen, Nitrous Oxide and Nitrogen), Vacuum (dental, lab and medical), Waste Anesthetic Gas Disposal (WAGD), Nitrogen Generator and all system equipment (See Technical Exhibit 1). System equipment is located at Tripler Army Medical Center (TAMC), Schofield Barracks Health Clinic (SBHC), and Fort Shafter (FS), Oahu Hawaii. All maintenance and repairs shall be performed in accordance with the manufacturer’s recommendations. All work shall be in accordance with National Fire Protection Association (NFPA), American National Standards Institute (ANSI), American Society of Sanitary Engineers (ASSE), Federal, State, Local and TAMC codes and regulations.

1.2. This contract is a non-personal services contract under 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 contractor shall provide non-personal services for medical gas preventive maintenance and repair in accordance with The Joint Commission (TJC) standards (with particular emphasis on EC.02.05.09), National Fire Protection Association (NFPA) codes (labeling of piping systems shall meet the most current code requirements), American Society of Sanitary Engineering (ASSE) 6000 codes, Federal, State and local requirements

2. GENERAL.

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

2.1.1 Normal duty hours are 7:30 a.m. to 4:30 p.m., Monday through Friday, excluding Federal holidays.

2.1.2 After normal duty hours are 4:30 p.m. to 7:30 a.m. Monday through Friday, and 24 hrs. on weekends and holidays to include Federal holidays. When accessing high use areas (i.e. Operating Rooms) and/or when accommodating low demand usage periods to perform maintenance and/or repairs, work shall be performed after normal duty hours at no additional cost to the Government.

2.1.3 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.

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 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

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.

2.1.4 Closures. During anticipated closure of the facility due to Command declared training holidays or during unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the contractor shall not invoice the Government for services not performed and the Government will not be liable to the contractors for any such closures.

3. SCOPE OF WORK.

3.1 Equipment to be Serviced. Refer to Technical Exhibit 1.

3.2 Additions/Deletions. The Government reserves the right to add or delete the actual number of medical gas equipment for service. The Government will give the contractor 30 days written notice of the addition or deletion.

The contract will be modified to include the addition or deletion.

3.3 General Work Requirements. Preventive Maintenance (PM). The contractor shall carry out a complete maintenance program inventory, maintenance schedules and procedures for all equipment (See Technical Exhibit 1, any equipment not listed shall be reported to the COR and added to the Maintenance Program) included under this contract to maintain system equipment in continuous operating condition. The Maintenance program shall be in accordance with the recommendations of the manufacturer of each type of equipment as specified. Where differences in the maintenance schedule specified by the manufacturers exists, the stricter requirement of the two shall take precedence. Any maintenance work not specified but deemed necessary to maintain the system in a continuous efficient and safe operating condition shall be brought to the attention of the COR. The Contractor shall provide services to ensure full functionality of equipment for all Facility Maintenance Division authorized equipment installations.

When repairs are required to equipment, the Contractor shall call 808-433-4321 (Government Service Desk) and place an unscheduled work request. Upon resolution, the Contractor shall complete the Parts and Material and Close-Out Information sections of each unscheduled work request order form and shall include the date and time they arrived on site to initiate repairs. The Contractor may utilize the Government's maintenance, operation or repair manuals; however, the Contractor shall obtain at their own expense and have available, all other pertinent manufacturer's maintenance operation, repair and parts manuals. The Contractor shall provide the COR the annual maintenance plan for each oxygen tank within 30 days of the start of the period of performance. Within 90 days after award, the Contractor shall validate, correct and update the Equipment Location Listing TE1 and provide the Government with an electronic copy reflecting incorporated changes. When the Contractor identifies variances between TE1 and equipment that is onsite, the Contractor shall complete the Medical Gas Onsite Equipment Information Technical Exhibit 2 (TE2) sheet for each individual piece of equipment and provide an electronic copy to the COR. Within 90 days after award the Contractor shall provide the Government a listing of manufacturers specified preventive maintenance schedules on Technical Exhibit 3 (TE3) for each piece of equipment listed on the most updated version of TE1. At a minimum, preventive maintenance shall be in accordance with the Real Property System Standards as reflected on Technical Exhibit 4 (TE4).

3.4. Services.

3.4.1. Daily Services: Daily services shall be performed on a daily basis. Equipment located at TAMC, and FS shall be inspected and serviced daily. At a minimum, daily services shall include all medical gas source equipment, alarms and zone valves. A weeks’ worth of daily reports documenting findings and actions taken shall be provided in electronic format (Microsoft Word or Excel) and emailed to the COR by the 3rd day of the following week.

3.4.2. Weekly Services: Weekly services shall be performed once within each work week. All inventoried equipment located at SB, shall be inspected weekly, a report documenting findings and actions taken shall be provided in electronic format (Microsoft Word or Excel) and emailed to the COR by the 3rd day of the following week.

3.4.3. Monthly Services: Monthly services shall be performed during each calendar month. These services are subject to advance scheduling. All source equipment at TAMC, SBHC, and FS shall be inspected on a monthly basis. A report documenting findings and actions taken shall be provided in electronic format (Microsoft Word or Excel) and emailed to the COR within the 1st week of the following month.

3.4.4. Quarterly Services: Quarterly services shall be performed every three months in accordance with manufacturer’s recommendations. A report documenting findings and actions taken shall be provided in electronic format (Microsoft Word or Excel) and emailed to the COR by the 1st week of the following month.

3.4.5. Annual Services: Annual Services shall be performed and reports provided during the fourth month of each contract year. A report documenting annual services performed and actions taken shall be provided in electronic format (Microsoft Word or Excel) and emailed to the COR on an annual basis. The Contractor shall provide both, a hard copy and an electronic copy, of all annual inspection reports along with the retesting and maintenance of non-flammable medical piped gas systems certificates.

3.5 Work Requests.

3.5.1 Unscheduled Work Requests. Hard copies will be issued to the Contractor by the Government service order desk. The Contractor can receive them in person at Bldg 25, by fax and/or by email. When the Contractor initiates an unscheduled work request, they shall call 808-433-4321 (Government Service Desk) and provide required information to generate the unscheduled work request. Upon completion of repair work, the Contractor shall complete the Parts and Materials and Close-Out Information (to be completed by craftsperson) sections and document the date and time they initially arrived on site to perform repairs. The completed service order form shall be provided to the COR within 3 business days after the completion of repair work. See Technical Exhibit 5 (TE5) for Urgent and Emergency unscheduled work request definitions.

3.5.2 Routine Work Requests. In the event the Contractor receives an unscheduled work request form with the priority group identified as routine, the Contractor shall respond to and address the unscheduled work request form to meet Urgent service timeframes and requirements.

3.5.3 Urgent Service Work Requests (Unlimited, estimated at 120 services per 12 month period). The COR will telephonically, or in writing, notify the contractor for urgent repairs. The Contractor shall respond and be on site at the area of concern within 2 hours after notification. If repairs cannot be completed within 4 hours, the contractor shall notify the COR within one (1) hour after conducting a site assessment. The contractor shall respond to urgent service notifications, 24 hours a day, 7 days a week.

3.5.4 Emergency Service Work Requests (Unlimited, estimated at 12 services per 12 month period). The COR, will telephonically notify the contractor for emergency services. The contractor shall respond and be on site at the area of concern within 30 minutes when on property/campus during normal working hours. The contractor shall respond and be on site at the area of concern within one (1) hour after normal working hours. The contractor shall respond to emergency service notifications, 24 hours a day, 7 days a week.

3.6 Standby Service (Unlimited, estimated at 1000 hours per 12 month period). Standby services shall be required to shut down systems when other work (i.e., construction) may adversely affect a system. The contractor shall provide a technician to be on site to perform system shut down and/or startup of equipment. Contractor standby services shall include and not be limited to, attendance at meetings and outages, provide professional recommendations for equipment and installations, review drawings and providing comments and provide consultations as requested. The COR will attempt to notify the contractor at least one (1) week prior to the schedule shutdown and will inform the contractor when the system may be put back in service. Unannounced and last minute standby service requests shall be supported by the Contractor. The Contractor is not required to be on-site during the period when the system is shutdown.

3.7 Parts. The Government will reimburse the contractor for all replacement parts used, including shipping costs.

Any reimbursement for parts and/or shipping by the Government will be based on the actual cost to the contractor.

The contractor shall provide purchase receipts for all parts used with the monthly invoice. The Government reserves the right to deny reimbursement of Hawaii State taxes on items purchased and its decisions will be based upon State tax law. Only Original Equipment Manufacturer (OEM) parts are authorized and parts shall be warranted for a minimum of 90 days or the terms of the manufacturer's warranty, whichever is greater.

3.8 Training. The Contractor shall provide two (2) training sessions per year to instruct hospital and clinical staff in accordance with the NFPA 99, Indoctrination of Personnel paragraph (currently B.11.3.6). The contractor is required to provide on-site training to each section/department that is outfitted with, or utilizes medical gas(s). The Contractor shall prepare and provide the training schedule in coordination through the COR. Training for ward and clinical staff shall be completed two (2) times per year. Training sessions shall take place during October/November and April/May. The Contractor shall provide an attendance sign-in sheet, identifying the training subject, date, instructor, department name and department location for trained personnel to fill in and sign. ``The Contractor will provide two (2) copies of the completed training sign-in sheet to the Government (one each to: COR and Department trained). The Contractor shall accommodate section/departmental schedules (after-hour, shift, and re-scheduling) to ensure 100% of applicable sections/departments are trained in the utilization of equipment. The Contractor shall provide a sign and placard which are to be placed near each shut-off site. The placard shall provide instructions in shut-off procedures, state where shutoff valves are located and identify which room numbers will be affected by the shut-off. A site map (i.e. floor plan) will be provided by the Utilities & Maintenance Branch upon request to assist with identifying the placement of signs and placards. The Contractor shall attend and successfully complete all Government required training.

3.9 Acrylic Holders. The Contractor shall provide and mount acrylic holders at all medical gas system plans and line diagram sites and provide replacements for damaged and/or missing holders. Acrylic holders for medical gas system plans shall be no less than 9”x12” in size. Line drawings shall be no less than 8-1/2” x 11” in size.

3.10 Medical Gas System Plans, Line Diagrams and Legends. The Contractor shall ensure all medical gas system plans (MGSP), line diagrams and legends are current and reflect existing conditions. At a minimum, alarms, valves and rooms controlled shall be indicated and color coded on each MGSP. When variances between site conditions and drawings exist, the Contractor shall provide the Government with one hard copy and an electronic copy of updated red line drawings.

MGSP, line drawing and legends shall be maintained in a Joint Commission inspection ready condition. Within 30 days after the start of the period of performance, the contractor shall provide the Government with one hard copy and one electronic copy of all medical gas system plans and line diagrams.

3.11 Labeling - Service, Electrical Circuits, System, Product, and RPIE. The Contractor shall provide and affix one service label to each working piece of equipment, excluding outlets. Service labels shall state “For Medical Gas Services call 433-4321” only. Label size shall be between 2”x1 to 5”x1” and must be of contrasting color to the surface mounted

on. Electrical circuit labels, the Contractor shall provide and affix electrical circuit labels to alarm panels. System and product labels, the Contractor shall provide and affix labels identifying the system or product (i.e. Medical Air, Medical Vacuum, Oxygen, Nitrogen, etc.) as required. Real Property Inventory Equipment (RPIE), the contractor shall affix government provided RPIE labels to corresponding pieces of equipment as they are provided. The Contractor shall remove all labels that do not meet NFPA, manufacturer or Government labeling criteria.

3.11.1 Piping shall be labeled by stencil or adhesive markers identifying the gas or vacuum system, including the name of system or chemical symbol, color code (see NFPA 99), and operating pressure if other than standard.

Labels are at intervals of 20 feet or less and are in every room, at both sides of wall penetrations, and on every story traversed by riser. Piping is not painted. Shutoff valves are identified with the name or chemical symbol of the gas or vacuum system, room or area served, and caution to not use the valve except in emergency. (For full text, refer to NFPA 99). Estimate the following quantities for labels:

2000 each Medical Air

2000 each Medical Vacuum 2000 each Dental Air 2000 each Dental Vacuum 2000 each Oxygen (O2) 2000 each Nitrous Oxide (N20) 2000 each Nitrogen (N2) 200 each WAGD 200 each Lab Air 200 each Lab Vacuum

3.12 Reports. Recurring action reports shall identify location (floor, wing, room number), type of work performed, date and time service was performed, name of technician(s) performing work and overall condition of the system.

Consolidated monthly action reports shall reflect actions taken including, and not be limited to, newly installed equipment (location, make, model, serial number, RPIE number, quantity), equipment removed (location, make, model, serial number, RPIE number, quantity), PM's performed and those not performed; number of requests for routine, urgent and emergency repairs; stand-by services; urgent and emergency repairs services received and those completed; number of stand-by requests received, number of stand-by addressed/attended ( i.e., on-site stand-by support, hours utilized for stand-by services, etc.), hazardous waste (i.e., location, equipment type, serial number, RPIE number, type and quantity removed, test results and oil disposal manifests ). Within 30 days after award, the contractor shall provide the Government a copy of reporting formats for review and comment. The Contractor shall amend and incorporate reporting formats modifications as requested by the Government.

3.13 Equipment Inventory. The Contractor shall update TE1 as needed to ensure an accurate accounting of onsite equipment is reflected on TE1 at all times. When changes to TE1 are made, the Contractor shall email the updated version to the COR within 30 business day after identifying removed and/or newly installed equipment. New equipment shall be reflected in red font. Removed equipment shall be reflected with strikethrough font and have removal date notated.

3.14 Warranty Items. The Contractor shall notify the COR regarding any repairs needed to and/or damage to items which are under warranty.

3.15 Electronic Transfer of Information: The Government will provide information in a variety of electronic formats (AutoCAD, PDF, Micro Station, Xlxs, etc.). The Contractor shall use the appropriate software to open, utilize and respond in kind.

3.16 Damaged or Tampered Equipment. The contractor shall notify the COR if systems have been tampered with, altered, abused, or repaired by other than contractor's personnel. The contractor shall submit a price quote to the COR for repairs resulting from tampering or abuse.

3.17 Clean Up. The contractor shall use a HEPA vacuum to clean up in order to keep dust and dirt from spreading into the air and into the ventilation system. The contractor shall keep all work areas and equipment rooms clean, neat, tidy, free of debris and free of non-functioning parts and equipment. Equipment rooms shall not be used for storage.

3.18 Hazardous Waste Disposal. The contractor shall coordinate all hazardous waste collection and disposal through the COR and Tripler Army Medical Center Environmental Protection Specialist.

4. CONTRACTOR PERSONNEL.

4.1 Contractor Certification. All contractor employees must be trained in accordance with the most current NFPA 99 code and the American Society of Sanitary Engineering (ASSE) 6000 series standards for medical gas, air and vacuum. Each employee must be trained in accordance with applicable ASSE 6000 series standards and possess a valid National Inspection Testing Certification license in relation to the work performed.

4.2. Minimum Personnel Qualifications. Services under this contract will be performed by individuals who have demonstrated knowledge, and competence in servicing and maintaining the specified equipment under this contract.

The Contractor shall insure individuals have been fully trained and experienced in testing and repairing the equipment and components on contract. The chosen representative by the contractor will have at a minimum five (5) years of experience in maintaining the equipment specified in this PWS.

4.3 Personal Appearance. The contractor or his/her representative(s) performing services under this contract shall practice high standards of personal hygiene and maintain a clean, neat appearance while at Tripler Army Medical Center and/or its associated areas.

4.4 Issuance of Badges. The contractor employee will be issued an identification (ID) badge by TAMC. It shall be the sole responsibility of the contractor to report to the COR any lost or stolen ID badges and to obtain a replacement ID badge for that individual. The contractor shall be responsible for the return of all ID badges upon the expiration of the contract and/or when an employee is no longer performing work under this contract. The contractor shall submit the names of new employees to the COR.

4.5 Display of ID Badges. Contractor personnel shall wear the ID badge at all times when performing work under this contract at any Government site, and during attendance at Government meetings which may take place outside the Government facility. Contractor employee shall wear the ID badge in a conspicuous place on the front of exterior clothing and above the waist except when safety or health reasons prohibit such placement.

4.6 Contractor Point of Contact. The contractor shall provide the COR a local or toll free telephone number, pager number(s) and a designated point(s) of contact to receive urgent and emergency service calls after normal duty hours. The designated point(s) of contact will make arrangements to enable contract's technicians to receive and respond to service request. Calling will constitute notification by the Government and begin the time required. The contractor shall notify the COR immediately (telephonically).

4.7 Business Relations. The Contractor shall partner with the government to resolve all issues and conflicts in a timely and expeditious manner.

4.8 Contract Compliance. The Contractor shall comply with all terms, conditions, special contract requirements/conditions and specifications contained in the Contract or incorporated by reference. The contractor shall be able to read, write, and speak English well enough to effectively communicate with all parties and other health care providers.

4.9 General Compliance. The Contractor and contract personnel shall abide by all TAMC 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.

4.9.1 Fire Protection. The contractor shall comply with the installation's established policies for fire prevention and fire protection. The Government (TAMC) will provide a fire exit plan.

4.9.2 Accident Reporting. Maintain an accurate record of accidents resulting in traumatic injury or death and accidents resulting in damage to Government property and equipment. Report accidents in accordance with Occupational Safety and Health Administration's (OSHA) and General Industry Digest (2201). Reports shall be in Ariel size 12 font.

4.9.3 Smoking. No smoking policy. The Contractor shall comply with AR 600-3, Army Health Promotion for controlling the no smoking policy in Government buildings and facilities. Contractor employees shall eat and smoke in designated areas only. The Government will provide a copy of the smoking regulation and designated smoking areas upon request.

4.9.4 Cell Phone Use. Contractors operating vehicles on an Army post shall not use cell phones unless the vehicle is safely parked or unless they are using a hands-free cellular device. The wearing of any other portable headphones, earphones or other listening devices (except for hands-free cellular devices) while operating a motor vehicle is prohibited. Civilians, contractors and visitors to the installation who fail to comply with this policy are subject to administrative action to include loss of driving privileges on post and removal from and/or denial of re-entry to this installation.

4.10 Keys. The Contractor will be issued access keys to gain access into locked locations. The contractor will be required to sign out for each key issued acknowledging receipt any lost keys shall be replaced at the Contractor's expense. In the event that a master key is lost by Contractor personnel, the Contractor shall, at the discretion of the Contracting Officer, replace all keys and locks in that system. A keying scheme compatible with the remaining building lock system and an equal number of keys existing in the old system shall be furnished at the Contractor's expense.

4.10.1 Locked locations. Whenever rooms or areas are locked, Contractor employees shall not permit the use of keys in their possession by other persons for the purpose of gaining access to such locked rooms or areas; and, likewise, Contractor employees shall not open locked rooms or areas to permit entrance by persons other than the Contractor's employees in the fulfillment of their duties unless otherwise authorized by the Contracting Officer. All rooms found locked shall not be left unattended during the maintenance process and shall be relocked by maintenance personnel after completion of their assigned duties.

4.11 Search and Seizure. Contractor personnel and property are subject to search and seizure upon entering the confines of any US Army installation IAW all US laws.

5. QUALITY ASSURANCE AND QUALITY CONTROL.

5.1 The contractor shall submit a written report to the COR by the first week of the following month. Reports shall include all PM's, routine repairs, urgent and emergency repairs services completed. The report shall identify each location, type of work performed, date, and time service was performed, name of technician performing the services, overall condition of the system and each report page shall be numbered and dated.

5.2 Quality Assurance Surveillance Plan (QASP). See Attachment 1.

5.2.1The 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. Any services rendered by the contract personnel to patients or interaction with military/civilian personnel deemed unprofessional, threatening, or dangerous by the KO will be grounds for immediate termination for default or cause. Quality Assurance procedures established by the MTF shall be used for continuous monitoring.

5.3. QUALITY MANAGEMENT

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

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

6. GOVERNMENT-FURNISHED UTILITIES.

6.1. Facility. The contractor shall not make alterations to the facilities without prior written approval from the Contracting Officer (KO). The contractor shall notify the COR when standard/emergency/urgent facility repair or maintenance are required.

6.2. Utilities. The Government will provide and maintain utilities to include air conditioning, electricity, heating, plumbing sewer, water, and other services currently available at TAMC. The contractor personnel shall practice utilities conservation and shall operate under conditions that preclude waste of Government furnished utilities.

6.3. Telephone Service. The Government will provide existing telephone lines to conduct official business in the performance of this contract. If it is determined in the best interest of the Government, the COR will authorize the contractor to make commercial long distance calls using direct distance dialing from COR's office at the Government's expense for performance of the government telephone network. The Government will not be responsible for unauthorized long distance telephone calls. Contractor personnel shall identify themselves as a contractor employee when answering Government telephones.

6.4. Vehicle Parking. Contractor personnel shall not park in any reserved, restricted or patient designated parking spaces. At no time shall a contractor vehicle obstruct traffic of any kind. If responding to an emergency situation requires the Contractor to deviate, the contractor shall notify the COR and PMO.

6.5 Storage Space. The Contractor is authorized use of room 3F213, consisting of approximately 24 square feet, for use as storage space in compliance with facility rules and standards. Use of room 3F213 may be rescinded by the Contracting Officer at any time. If use is rescinded, the Government does not guarantee an alternate storage space will be offered or available. The Contractor shall allow the COR access to the room at any time.

7. SAFETY / SECURITY REQUIREMENTS

7.1 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.

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

7.2 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.

7.3 Tripler AMC Security. Contractor personnel and/or any representative of the contractor entering Tripler AMC shall abide by all security regulations and be subject to security checks.

7.4 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.

7.5 Sexual Harassment/Assault Response and Prevention (SHARP). The contractor shall ensure all contractor personnel receive Sexual Harassment/Assault Response and Prevention (SHARP) training no later than 60 calendar days after the contractor representative(s) begins performance under this contract. Training can be obtained either online or in person as offered at the installation where services are being provided. If the employee has an AKO account, they can access the Team Bound Self Study course online through Army Learning Management System (ALMS) at http://www.atsc.army.mil/tadlp/delivery/alms.asp

7.5.1 POLICY FOR REPORTING INCIDENTS OF SEXUAL ASSAULT AND SEXUAL HARASSMENT

UNDER SEXUAL ASSAULT PREVENTION AND RESPONSE PROGRAM (SHARP).

7.5.2 The contractor shall comply with OTSG/MEDCOM Policy Memo 13-062, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under the Sexual Assault Prevention and Response Program (SHARP), 12 Nov 2013. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while performing services under this contract.

7.5.3 The contractor shall require all contractor personnel with knowledge of an incident of sexual assault occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

7.5.4 The contractor shall require all contractor personnel with knowledge of an incident of sexual harassment occurring on a Government facility, to include a Government leased facility, where the contractor is providing services under this contract, to report the incident to the contractor who shall immediately (within 24 hours) report the incident in writing to the government's COR. All incidents shall be reported whether they involve contractor personnel or Government personnel, or other individuals.

8. Enterprise-wide Contractor Manpower Reporting Application (eCMRA)

8.1 The contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this contract for the Tripler Army Medical center, Hawaii via a secure data collection site. The contractor is required to completely fill in all required data fields using the following web address: http://www.ecmra.mil/

8.2 Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk at help desk at: http://www.ecmra.mil.

9. OPSEC.

9.1 AT Level I training. All contractor employees, to include subcontractor employees, requiring access Army installations, 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. 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 7 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.

9.2 Access and general protection/security policy and procedures. 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 Contract or Personnel) as directed by DOD, HQDA 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.

9.3 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) (Army Directive 2014-05/AR 190-13), 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.

9.4 iWATCH Training. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local 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 30 calendar days of new employees commencing performance with the results reported to the COR NLT 7 calendar days after contract award.

9.5 Threat Awareness Reporting Program. For all contractors with security clearances. Per AR 381-12 Threat Awareness and Reporting Program (TARP), contractor employees must receive annual TARP training by a CI agent or other trainer as specified in 2-4b.

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

Following is a list of basic publications applicable to this performance based statement of work. Additional publications may be listed by call. The Contractor is obligated to follow these publications. Current issues of Army publications and links to other service publications can be accessed at http://www.apd.army.mil/. Army publications not on the internet or MTF policies and procedures can be obtained from the MTF. Department of Defense publications can be found at www.defenselink.mil/pubs or www.dtic.mil/whs/directives. The Publications have been coded as mandatory or advisory. The Contractor is obligated to follow those coded as mandatory only to the extent that they apply to this contract. Supplements, amendments, or changes to these mandatory publications may be issued during the life of the contract. Advisory publications may be used for information and guidance but are not binding for compliance.

10.1 Mandatory Publications:

Current Edition Joint Commission for Accreditation of Healthcare Organizations (JCAHO) Manual Public Law 91-596 29 Dec 70 Occupational Safety and Health Administration Public Law 104-191 21 Aug 96 Health Insurance Portability and Accountability Act of 1996 AR 40-4 Army Medical Department Facilities/Activities AR 340-21 The Army Privacy Program AR 385-40 Accident Reporting and Records and HSC Supplements MEDCOM Pam 25-31 Index of Command Administrative Publications AR 190-13 The Army Physical Security Program AR 608-1 Army Community Service Program DA Pam 25-51 The Army Privacy Program: System Notices and Exemptions Rule DoD 1341.2-M DEERS Program Manual DoDD 5200.2 DoD Personal Security FM 3-19.30 Physical Security PL 89-614 Chapter 55, 10 U.S.C. (1071-1088) Title 29, CFR Occupational Safety and Health Standards

Current issues of many forms can be accessed at http://www.usapa.army.mil/forms

11. ACRONYMS AND DEFINITIONS.

AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AKO - Army Knowledge Online ANSI - American National Standards Institute AOD - Administrative Officer of the Day AR - Army Regulation CAC - Common Access Card CAMH - Comprehensive Accreditation Manual for Hospitals CFR - Code of Federal Regulations CLIN - Contract Line Item Number COR - Contracting Officer's Representative COTR - Contracting Officer’s Technical Representative CVS - Contractor Verification System 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 HIPAA - Health Insurance Portability & Accountability Act of 1996 MHS - Military Healthcare System JC - The Joint Commission (on Accreditation of Healthcare Organizations) KO - Contracting Officer MTF - Medical Treatment Facility OSHA - Occupational Safety and Health Administration POC - Point of Contact PWS - Performance Work Statement PL - Public Law QASP - Quality Assurance Surveillance Plan QC - Quality Control TAMC - Tripler Army Medical Center

END OF PERFORMANCE WORK STATEMENT

(End of Summary of Changes)