W81K0222Q0083 Attachment 1.pdf

W81K0222Q0083 Attachment 1

ITEM NO SUPPLIES/SERVICES MAX

QUANTITY

UNIT UNIT PRICE MAX AMOUNT

0001 2 Job Clinincal Compress Gas and Delivery

FFP

Clinical Compress Gas and Delivery Services to 51st Medical Group, Osan Air Base Korea.

Base Period: 25 October 2022 - 30 September 2023.

Unit Prices shall be based on the estimated quantity. Reference Exhibit A for items, minimum guarantee, estimated/maximum quantities and columns to complete pricing for each item. Enter each individual price(s) in Exhibit A. Total CLIN price should reflect the total of all extended prices from Exhibit A using the maximum quantities. Includes shipping to Osan Air Base, Korea.

Deliveries shall be coordinated with the delivery POC prior to shipping.

See "Performance Work Statement" section for the Government minimum need and the delivery instructions.

NOTE: The requirements in DFARS 252.211-7003, Item Identification and Valuation, are applicable for this line item. The contractor shall provide DoD unique identification or a DoD recognized unique identification equivalent.

FOB: Destination

PSC CD: 6515

MAX

NET AMT

UNIT UNIT PRICE MAX AMOUNT

1001 2 Job OPTION Clinincal Compress Gas and Delivery

FFP

Clinical Compress Gas and Delivery Services to 51st Medical Group, Osan Air Base Korea.

Option Period 1: 01 October 2023 - 30 September 2024.

Unit Prices shall be based on the estimated quantity. Reference Exhibit A for items, minimum guarantee, estimated/maximum quantities and columns to complete pricing for each item. Enter each individual price(s) in Exhibit A. Total CLIN price should reflect the total of all extended prices from Exhibit A using the maximum quantities. Includes shipping to Osan Air Base, Korea.

Deliveries shall be coordinated with the delivery POC prior to shipping.

unique identification or a DoD recognized unique identification equivalent.

UNIT UNIT PRICE MAX AMOUNT

2001 2 Job OPTION Clinincal Compress Gas and Delivery

FFP

Clinical Compress Gas and Delivery Services to 51st Medical Group, Osan Air Base Korea.

Option Period 2: 01 October 2024 - 30 September 2025.

Unit Prices shall be based on the estimated quantity. Reference Exhibit A for items, minimum guarantee, estimated/maximum quantities and columns to complete pricing for each item. Enter each individual price(s) in Exhibit A. Total CLIN price should reflect the total of all extended prices from Exhibit A using the maximum quantities. Includes shipping to Osan Air Base, Korea.

Deliveries shall be coordinated with the delivery POC prior to shipping.

unique identification or a DoD recognized unique identification equivalent.

UNIT UNIT PRICE MAX AMOUNT

3001 2 Job OPTION Clinincal Compress Gas and Delivery

FFP

Clinical Compress Gas and Delivery Services to 51st Medical Group, Osan Air Base Korea.

Option Period 3: 01 October 2025 - 30 September 2026.

Unit Prices shall be based on the estimated quantity. Reference Exhibit A for items, minimum guarantee, estimated/maximum quantities and columns to complete pricing for each item. Enter each individual price(s) in Exhibit A. Total CLIN price should reflect the total of all extended prices from Exhibit A using the maximum quantities. Includes shipping to Osan Air Base, Korea.

Deliveries shall be coordinated with the delivery POC prior to shipping.

unique identification or a DoD recognized unique identification equivalent.

UNIT UNIT PRICE MAX AMOUNT

4001 2 Job OPTION Clinincal Compress Gas and Delivery

FFP

Clinical Compress Gas and Delivery Services to 51st Medical Group, Osan Air Base Korea.

Option Period 4: 01 October 2026 - 30 September 2027.

Unit Prices shall be based on the estimated quantity. Reference Exhibit A for items, minimum guarantee, estimated/maximum quantities and columns to complete pricing for each item. Enter each individual price(s) in Exhibit A. Total CLIN price should reflect the total of all extended prices from Exhibit A using the maximum quantities. Includes shipping to Osan Air Base, Korea.

Deliveries shall be coordinated with the delivery POC prior to shipping.

unique identification or a DoD recognized unique identification equivalent.

MINIMUM REQUIREMENTS

Shall be medical grade gases.

All medical gas manufacturers and fillers of medical gases shall be registered with the FDA as drug manufacturers.

All gases shall be manufactured, processed, packed, transported, and stored according to the

FDA’s Current Good Manufacturing Practices (CGMP) regulations.

All labeling shall comply with FDA’s labeling regulations (21 CFR Part 201).

All liquid bulk liquid nitrogen delivered under the contract shall be medical grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National Formulary (U.S.P.).

Shall provide a valid certificate of analysis with each delivery of gases.

Oxygen, Nitrogen, Nitrous Oxide, Carbon Dioxide and Medical Air shall conform to the

Pharmacopoeia of the United States unless otherwise stated.

The Carbon Dioxide shall be Medicinal grade and shall conform to Federal Specification BB-C- 101B, dated April 15, 1971.

Compressed Air shall be Medicinal grade and shall conform to Gas associated pamphlet G-7- 1990, Compressed Air for human respiration and G-7.1 Commodity Specification for Air.

https://osha.oregon.gov/OSHARules/adopted/2014/ao6‐2014‐text‐chngs‐div23.pdf

MINIMUM / MAXIMUM ORDERING EST

Exhibit A:

The minimum guarantee amount under this requirement is $3,000.00, and applies only to the base period of performance, 25 October 2022 – 30 September 2023. The maximum quantity is listed below and applies to the full duration of the contract.

Base Year: 25 October 2022 – 30 September 2023

CLIN DESCRIPTION UNIT

PRICE

UNIT OF

ISSUE

ESTIMATED

QUANTITY

EXTENDED

PRICE

MAXIMUM

QUANTITY

EXTENDED

MAXIMUM

NOT TO

EXCEED PRICE

0001 CARBON DIOXIDE: "E"

4x28 /95GL (Refill)

Each 15

CARBON DIOXIDE: "H"

8x55 /1650GL (Refill)

Each 8 12

NITROGEN GAS: "H"

9x55 /1650GL (Refill)

Each 30 45

NITROGEN GAS: "H"

9x58 /2000GL (Refill)

Each 9 14

NITROUS OXIDE:"D"

4x18 /95GL (Refill)

Each 12 18

NITROUS OXIDE: "H"

7x47 /750GL (Refill)

Each 52 78

OXYGEN: "D" 5x18

/95GL

(Refill)

Each 100 150

OXYGEN: "H" 7x45

/750GL

(Refill)

Each 10 15

OXYGEN: "H" 9x52

/1650GL

(Refill)

Each 1000 1500

CARBON DIOXIDE: "E"

4x28 /95GL (Hydrostatics Test)

Each 2 3

CARBON DIOXIDE: "H"

8x55 /1650GL (Hydrostatics Test)

Each 1 2

NITROGEN GAS: "H"

9x55 /1650GL (Hydrostatics Test)

Each 3 5

NITROGEN GAS: "H"

9x58 /2000GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE:"D"

4x18 /95GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE: "H"

7x47 /750GL (Hydrostatics Test)

Each 5 8

OXYGEN: "D" 5x18

/95GL

(Hydrostatics Test)

Each 10 15

OXYGEN: "H" 7x45

/750GL

(Hydrostatics Test)

Each 2 3

OXYGEN: "H" 9x52

/1650GL

(Hydrostatics Test)

TOTAL ESTIMATED

AND MAXIMUM

AMOUNT FOR BASE

PERIOD

Option Year 1: 01 October 2023 – 30 September 2024

CLIN DESCRIPTION UNIT

PRICE

UNIT

OF

ISSUE

ESTIMATED

QUANTITY

EXTENDED

PRICE

MAXIMUM

QUANTITY

EXTENDED

MAXIMUM

NOT TO

EXCEED PRICE

1001 CARBON DIOXIDE: "E"

4x28

8x55 /1650GL (Refill)

Each 8 12

NITROGEN GAS: "H"

9x55 /1650GL (Refill)

Each 30 45

NITROGEN GAS: "H"

9x58 /2000GL (Refill)

Each 9 14

NITROUS OXIDE:"D"

4x18 /95GL (Refill)

Each 12 18

NITROUS OXIDE: "H"

7x47 /750GL (Refill)

Each 52 78

OXYGEN: "D" 5x18

/95GL

(Refill)

Each 100 150

OXYGEN: "H" 7x45

/750GL

(Refill)

Each 10 15

OXYGEN: "H" 9x52

/1650GL

(Refill)

Each 1000 1500

CARBON DIOXIDE: "E"

4x28 /95GL (Hydrostatics Test)

Each 2 3

8x55 /1650GL (Hydrostatics Test)

Each 1 2

NITROGEN GAS: "H"

9x55 /1650GL (Hydrostatics Test)

Each 3 5

NITROGEN GAS: "H"

9x58 /2000GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE:"D"

4x18 /95GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE: "H"

7x47 /750GL (Hydrostatics Test)

Each 5 8

OXYGEN: "D" 5x18

/95GL

(Hydrostatics Test)

Each 10 15

OXYGEN: "H" 7x45

/750GL

(Hydrostatics Test)

Each 2 3

OXYGEN: "H" 9x52

/1650GL

AND MAXIMUM

AMOUNT FOR OPT

PERIOD 1

Option Year 2: 01 October 2024 – 30 September 2025

PRICE

UNIT OF

ISSUE

ESTIMATED

QUANTITY

EXTENDED

PRICE

MAXIMUM

QUANTITY

EXTENDED

MAXIMUM

NOT TO

EXCEED PRICE

2001 CARBON DIOXIDE: "E"

4x28

8x55 /1650GL (Refill)

Each 8 12

NITROGEN GAS: "H"

9x55 /1650GL (Refill)

Each 30 45

NITROGEN GAS: "H"

9x58 /2000GL (Refill)

Each 9 14

NITROUS OXIDE:"D"

4x18 /95GL (Refill)

Each 12 18

NITROUS OXIDE: "H"

7x47 /750GL (Refill)

Each 52 78

OXYGEN: "D" 5x18

/95GL

(Refill)

Each 100 150

OXYGEN: "H" 7x45

/750GL

Each 10 15

(Refill) OXYGEN: "H" 9x52

/1650GL

(Refill)

Each 1000 1500

CARBON DIOXIDE: "E"

4x28 /95GL (Hydrostatics Test)

Each 2 3

CARBON DIOXIDE: "H"

8x55 /1650GL (Hydrostatics Test)

Each 1 2

NITROGEN GAS: "H"

9x55 /1650GL (Hydrostatics Test)

Each 3 5

NITROGEN GAS: "H"

9x58 /2000GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE:"D"

4x18 /95GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE: "H"

7x47 /750GL (Hydrostatics Test)

Each 5 8

OXYGEN: "D" 5x18

/95GL

(Hydrostatics Test)

Each 10 15

OXYGEN: "H" 7x45

/750GL

(Hydrostatics Test)

Each 2 3

OXYGEN: "H" 9x52

/1650GL

AND MAXIMUM

PERIOD 2

Option Year 3: 01 October 2025 – 30 September 2026

PRICE

UNIT OF

ISSUE

ESTIMATED

QUANTITY

EXTENDED

PRICE

MAXIMUM

QUANTITY

EXTENDED

MAXIMUM

NOT TO

EXCEED

PRICE

3001 CARBON DIOXIDE: "E"

4x28

8x55 /1650GL (Refill)

Each 8 12

NITROGEN GAS: "H"

9x55 /1650GL (Refill)

Each 30 45

NITROGEN GAS: "H"

9x58 /2000GL (Refill)

Each 9 14

NITROUS OXIDE:"D"

4x18 /95GL (Refill)

Each 12 18

NITROUS OXIDE: "H"

7x47 /750GL (Refill)

Each 52 78

OXYGEN: "D" 5x18

/95GL

(Refill)

Each 100 150

OXYGEN: "H" 7x45

/750GL

(Refill)

Each 10 15

OXYGEN: "H" 9x52

/1650GL

(Refill)

Each 1000 1500

CARBON DIOXIDE: "E"

4x28 /95GL (Hydrostatics Test)

Each 2 3

CARBON DIOXIDE: "H"

8x55 /1650GL (Hydrostatics Test)

Each 1 2

NITROGEN GAS: "H"

9x55 /1650GL (Hydrostatics Test)

Each 3 5

NITROGEN GAS: "H"

9x58 /2000GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE:"D"

4x18 /95GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE: "H"

7x47 /750GL (Hydrostatics Test)

Each 5 8

OXYGEN: "D" 5x18

/95GL

(Hydrostatics Test)

Each 10 15

OXYGEN: "H" 7x45

/750GL

(Hydrostatics Test)

Each 2 3

OXYGEN: "H" 9x52

/1650GL

AND MAXIMUM

PERIOD 3

Option Year 4: 01 October 2026 – 30 September 2027

PRICE

UNIT OF

ISSUE

ESTIMATED

QUANTITY

EXTENDED

PRICE

MAXIMUM

QUANTITY

EXTENDED

MAXIMUM

NOT TO

EXCEED

PRICE

4001 CARBON DIOXIDE: "E"

4x28

8x55 /1650GL (Refill)

Each 8 12

NITROGEN GAS: "H"

9x55 /1650GL (Refill)

Each 30 45

NITROGEN GAS: "H"

9x58 /2000GL (Refill)

Each 9 14

NITROUS OXIDE:"D"

4x18 /95GL (Refill)

Each 12 18

NITROUS OXIDE: "H"

7x47 /750GL (Refill)

Each 52 78

OXYGEN: "D" 5x18

/95GL

(Refill)

Each 100 150

OXYGEN: "H" 7x45

/750GL

(Refill)

Each 10 15

OXYGEN: "H" 9x52

/1650GL

(Refill)

Each 1000 1500

CARBON DIOXIDE: "E"

4x28 /95GL (Hydrostatics Test)

Each 2 3

CARBON DIOXIDE: "H"

8x55 /1650GL (Hydrostatics Test)

Each 1 2

NITROGEN GAS: "H"

9x55 /1650GL (Hydrostatics Test)

Each 3 5

NITROGEN GAS: "H"

9x58 /2000GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE:"D"

4x18 /95GL (Hydrostatics Test)

Each 1 2

NITROUS OXIDE: "H"

7x47 /750GL (Hydrostatics Test)

Each 5 8

OXYGEN: "D" 5x18

/95GL

(Hydrostatics Test)

Each 10 15

OXYGEN: "H" 7x45

/750GL

(Hydrostatics Test)

Each 2 3

OXYGEN: "H" 9x52

/1650GL

AND MAXIMUM

PERIOD 4

PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT FOR

Medical Compress Gas Delivery Services

51st Medical Group, Osan AB, Republic of Korea

TABLE OF CONTENTS

SECTION TITLE

1.0 INTRODUCTION

2.0 BACKGROUND

3.0 SCOPE OF WORK

4.0 POSITION DESCRIPTIONS

5.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

6.0 ACRONYMS AND DEFINITIONS

1.0 INTRODUCTION

1.1. The contractor shall provide the supplies and non-personal services for clinical compress gas delivery services at 51st Medical Group. The Contractor shall provide all personnel, equipment, materials, supervision, transportation, and any other items and services necessary to perform clinical compress gas delivery services as defined in this Performance of Statement(PWS) for the, 51st Medical Group, Osan Air Base, Korea.

1.2. The period of performance for this contract is 25 Oct 2022 through 30 Sep 2027 with four (4) year option period.

2.0 BACKGROUND

2.1. The mission of the military healthcare system (MHS) is to ensure the nation has available at all times a healthy military force supported by a combat ready healthcare system. Health care services for eligible MHS beneficiaries are provided at military treatment facilities (MTFs) located on or near military installations or posts.

The military treatment facility may be a clinic, Hospital, or Medical Center. Clinics are outpatient facilities offering primary care or simple specialty care (routine exams, tests, treatments). The Clinic may be a stand-alone site or a satellite of a larger Clinic, Hospital, or Medical Center. Army Community Hospitals (ACH) offer more complex, resource-intensive secondary care (e.g. inpatient care, surgery under anesthesia) and primary care at outpatient clinics inside and outside the hospital. Army Medical Centers (MEDCENs) offer tertiary (sophisticated diagnosis/treatment of any ailment), secondary, and primary care, hospital services, preventive services, blood bank, and other services. In addition, all MEDCENs offer graduate medical education programs for physicians.

2.2. The 51st Medical Group mission is to seamlessly transition from community healthcare to contingency operations and respond to a full spectrum of health requirements, prepare medically ready forces, expand medical capabilities, and sustain war reserve materiel in support of 7 Air Force (AF) and United States Forces Korea (USFK). 51 MDG provides Medical Management services to over 12,000 beneficiaries.

3.0 SCOPE OF WORK

3.1. The contractor shall provide the supplies and non-personal labor, parts, tools, travel, diagnostic equipment, etc. necessary to provide Medical Gas Cylinder Delivery and Cylinder Services for 51 MDG

Minimum Requirements:

Shall be medical grade gases.

All medical gas manufacturers and fillers of medical gases shall be registered with the FDA as drug manufacturers.

All gases shall be manufactured, processed, packed, transported, and stored according to the FDA’s Current Good Manufacturing Practices (CGMP) regulations.

All labeling shall comply with FDA’s labeling regulations (21 CFR Part 201).

All liquid bulk liquid nitrogen delivered under the contract shall be medical grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopoeia/National Formulary (U.S.P.).

Shall provide a valid certificate of analysis with each delivery of gases.

Oxygen, Nitrogen, Nitrous Oxide, Carbon Dioxide and Medical Air shall conform to the Pharmacopoeia of the United States unless otherwise stated.

The Carbon Dioxide shall be Medicinal grade and shall conform to Federal Specification BB-C-101B, dated April 15, 1971.

Compressed Air shall be Medicinal grade and shall conform to Gas associated pamphlet G-7-1990, Compressed Air for human respiration and G-7.1 Commodity Specification for Air.

https://osha.oregon.gov/OSHARules/adopted/2014/ao6-2014-text-chngs-div23.pdf

3.1.1. EQUIPMENT LIST:

Base Year for Scheduled Service (25 Oct 2022 ‐ 30 Sep 2023)

Osan

Nomenclature Government Owned Quantity

CARBON DIOXIDE: "E" 4x28 /95GL (Refill) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Refill) 2

NITROGEN GAS: "H" 9x55 /1650GL (Refill) 13

NITROGEN GAS: "H" 9x58 /2000GL (Refill) 3

NITROUS OXIDE:"D" 4x18 /95GL (Refill) 4

NITROUS OXIDE: "H" 7x47 /750GL (Refill) 26

OXYGEN: "D" 5x18 /95GL (Refill) 51

OXYGEN: "H" 7x45 /750GL (Refill) 7

OXYGEN: "H" 9x52 /1650GL (Refill) 94

CARBON DIOXIDE: "E" 4x28 /95GL (Hydrostatics Test) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Hydrostatics Test) 2

NITROGEN GAS: "H" 9x55 /1650GL (Hydrostatics Test) 13

NITROGEN GAS: "H" 9x58 /2000GL (Hydrostatics Test) 3

NITROUS OXIDE:"D" 4x18 /95GL (Hydrostatics Test) 4

NITROUS OXIDE: "H" 7x47 /750GL (Hydrostatics Test) 26

OXYGEN: "D" 5x18 /95GL (Hydrostatics Test) 51

OXYGEN: "H" 7x45 /750GL (Hydrostatics Test) 7

OXYGEN: "H" 9x52 /1650GL (Hydrostatics Test) 94

1st Option Year for Scheduled Service (1 Oct 2023 ‐ 30 Sep 2024)

Osan

Nomenclature Government Owned Quantity

CARBON DIOXIDE: "E" 4x28 /95GL (Refill) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Refill) 2

NITROGEN GAS: "H" 9x55 /1650GL (Refill) 13

NITROGEN GAS: "H" 9x58 /2000GL (Refill) 3

NITROUS OXIDE:"D" 4x18 /95GL (Refill) 4

NITROUS OXIDE: "H" 7x47 /750GL (Refill) 26

OXYGEN: "D" 5x18 /95GL (Refill) 51

OXYGEN: "H" 7x45 /750GL (Refill) 7

OXYGEN: "H" 9x52 /1650GL (Refill) 94

CARBON DIOXIDE: "E" 4x28 /95GL (Hydrostatics Test) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Hydrostatics Test) 2

NITROGEN GAS: "H" 9x55 /1650GL (Hydrostatics Test) 13

NITROGEN GAS: "H" 9x58 /2000GL (Hydrostatics Test) 3

NITROUS OXIDE:"D" 4x18 /95GL (Hydrostatics Test) 4

NITROUS OXIDE: "H" 7x47 /750GL (Hydrostatics Test) 26

OXYGEN: "D" 5x18 /95GL (Hydrostatics Test) 51

OXYGEN: "H" 7x45 /750GL (Hydrostatics Test) 7

OXYGEN: "H" 9x52 /1650GL (Hydrostatics Test) 94

2nd Option Year for Scheduled Service (1 Oct 2024 ‐ 30 Sep 2025)

Osan Nomenclature Government Owned Quantity

CARBON DIOXIDE: "E" 4x28 /95GL (Refill) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Refill) 2

NITROGEN GAS: "H" 9x55 /1650GL (Refill) 13

NITROGEN GAS: "H" 9x58 /2000GL (Refill) 3

NITROUS OXIDE:"D" 4x18 /95GL (Refill) 4

NITROUS OXIDE: "H" 7x47 /750GL (Refill) 26

OXYGEN: "D" 5x18 /95GL (Refill) 51

OXYGEN: "H" 7x45 /750GL (Refill) 7

OXYGEN: "H" 9x52 /1650GL (Refill) 94

CARBON DIOXIDE: "E" 4x28 /95GL (Hydrostatics Test) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Hydrostatics Test) 2

NITROGEN GAS: "H" 9x55 /1650GL (Hydrostatics Test) 13

NITROGEN GAS: "H" 9x58 /2000GL (Hydrostatics Test) 3

NITROUS OXIDE:"D" 4x18 /95GL (Hydrostatics Test) 4

NITROUS OXIDE: "H" 7x47 /750GL (Hydrostatics Test) 26

OXYGEN: "D" 5x18 /95GL (Hydrostatics Test) 51

OXYGEN: "H" 7x45 /750GL (Hydrostatics Test) 7

OXYGEN: "H" 9x52 /1650GL (Hydrostatics Test) 94

3rd Option Year for Scheduled Service (1 Oct 2025 ‐ 30 Sep 2026)

Osan Nomenclature Government Owned Quantity

CARBON DIOXIDE: "E" 4x28 /95GL (Refill) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Refill) 2

NITROGEN GAS: "H" 9x55 /1650GL (Refill) 13

NITROGEN GAS: "H" 9x58 /2000GL (Refill) 3

NITROUS OXIDE:"D" 4x18 /95GL (Refill) 4

NITROUS OXIDE: "H" 7x47 /750GL (Refill) 26

OXYGEN: "D" 5x18 /95GL (Refill) 51

OXYGEN: "H" 7x45 /750GL (Refill) 7

OXYGEN: "H" 9x52 /1650GL (Refill) 94

CARBON DIOXIDE: "E" 4x28 /95GL (Hydrostatics Test) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Hydrostatics Test) 2

NITROGEN GAS: "H" 9x55 /1650GL (Hydrostatics Test) 13

NITROGEN GAS: "H" 9x58 /2000GL (Hydrostatics Test) 3

NITROUS OXIDE:"D" 4x18 /95GL (Hydrostatics Test) 4

NITROUS OXIDE: "H" 7x47 /750GL (Hydrostatics Test) 26

OXYGEN: "D" 5x18 /95GL (Hydrostatics Test) 51

OXYGEN: "H" 7x45 /750GL (Hydrostatics Test) 7

OXYGEN: "H" 9x52 /1650GL (Hydrostatics Test) 94

4th Option Year for Scheduled Service (1 Oct 2026 ‐ 30 Sep 2027)

Osan Nomenclature Government Owned Quantity

CARBON DIOXIDE: "E" 4x28 /95GL (Refill) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Refill) 2

NITROGEN GAS: "H" 9x55 /1650GL (Refill) 13

NITROGEN GAS: "H" 9x58 /2000GL (Refill) 3

NITROUS OXIDE:"D" 4x18 /95GL (Refill) 4

NITROUS OXIDE: "H" 7x47 /750GL (Refill) 26

OXYGEN: "D" 5x18 /95GL (Refill) 51

OXYGEN: "H" 7x45 /750GL (Refill) 7

OXYGEN: "H" 9x52 /1650GL (Refill) 94

CARBON DIOXIDE: "E" 4x28 /95GL (Hydrostatics Test) 10

CARBON DIOXIDE: "H" 8x55 /1650GL (Hydrostatics Test) 2

NITROGEN GAS: "H" 9x55 /1650GL (Hydrostatics Test) 13

NITROGEN GAS: "H" 9x58 /2000GL (Hydrostatics Test) 3

NITROUS OXIDE:"D" 4x18 /95GL (Hydrostatics Test) 4

NITROUS OXIDE: "H" 7x47 /750GL (Hydrostatics Test) 26

OXYGEN: "D" 5x18 /95GL (Hydrostatics Test) 51

OXYGEN: "H" 7x45 /750GL (Hydrostatics Test) 7

OXYGEN: "H" 9x52 /1650GL (Hydrostatics Test) 94

3.2. Delivery Ticket (The following applies to all delivery locations):

3.2.1. Two (2) copies of deliver or sale slips shall contain the following information and accompany all deliveries under the agreement:

3.2.2. Name of supplier and invoicing address, Contract Number, Call or Account Number, Purchase Request Number, Date of Order, Name of individual who placed the call, Description of Supplies/Services, Quantity, Unit price and Extension, Delivery Point, Signature of person receiving and delivering items.

3.3. Delivery of Cylinders to 51 MDG:

3.3.1 Scheduled service

3.3.1.1 Cylinders shall be picked up from and delivered to the bldg. 777, loading dock Room LG10, LG 11 and LG 12, or as directed by the Contracting Officer (KO) or his/her designee.

3.3.1.2. The delivery shall be at 0800 through 1600 every Thursday Seoul Standard Time with verbal notification to the primary delivery contract if running late.

3.3.1.3. The Contractor’s paperwork (e.g. shipping order) accompanying each delivery shall give the total amount by type and list the serial numbers for all Cylinders delivered and Driver delivering.

3.3.1.4. Cylinders shall be picked up and delivered once a week (Thursday of each week). If Thursday fall on a federal holiday, the contractor shall reschedule delivery for the next business day or, with prior notice, the previous business day. The Contractor shall also give prior notice and reschedule for any non-Federal holidays they might observe.

3.3.1.5. Empty Oxygen, Nitrogen, Carbon Dioxide, Nitrous Oxide and Compressed Medical Air picked up on Thursday shall be filled and delivered by the upcoming Thursday and for those picked up on Thursday shall be filled and delivered by the upcoming Thursday.

3.3.1.6 The following personnel are authorized to sign for, receipt of delivery and/or request emergency deliveries as previously addressed.

3.3.1.6.1 Warehouse Supervisor for Osan AB: NCOIC (315) 784-2536, 0505-784-2536

3.3.1.6.2 Customer Service for Osan AB: NCOIC (315) 784-2833, 0505-784-2833

3.4. Cylinder Services (The following applies to all delivery locations):

3.4.1. Painting:

3.4.1.1. Stripping and painting. All cylinders shall be appropriately marked to include lettering, stenciling, affixing of decals, metal lettering, and/or number stamping when required by applicable regulation.

3.4.1.2. Paint shall conform to Federal Specification TT-E-489J dated March 9, 1994 or Federal Specification TT- L-32a dated April 30, 1969, Amendment 1 dated March 9, 1973.

3.4.1.3. Cylinders shall be sand blasted and primed prior to painting if required by the applicable paint specifications.

3.4.1.4. The Contractor shall be responsible for demilitarization of cylinders.

3.4.2. Hydrostatic Testing:

3.4.2.1. Retest date. Cylinders shall be retested if required by applicable Department of Transportation (DOT) regulations. Contractor shall be required to retest any government-owned cylinders when requested by ordering activity, regardless of scheduled retest date.

3.4.2.2. Compressed gas shall not be refilled if hydrostatic test date has expired.

3.4.2.3. The Contractor shall be responsible to conduct all hydrostatic testing.

3.4.2.4. The Contractor shall notify the ordering Activity for approval before hydrostatic testing is done.

3.4.3. Cylinder Valves:

3.4.3.1. Replacement valves shall be in accordance with America National Standard B57.1-1965, Compressed Gas Cylinder Valve Outlet and Inlet Connections.

3.4.3.2. Valve Hood protection caps for cylinders designed to receive such caps shall be securely attached to the cylinder in a manner to protect the valve from injury during transit and delivery (Refer to 49 CFR 173-301(g)).

3.5. Administrative.

3.5.1. 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.

3.5.2. Contractor shall not include or use non-compete provisions with respect to the performance of Government service contracts in its employment, consultant, or third party contract agreements (hereafter agreements) with its contract personnel which are effective beyond the period of contract performance. Non-compete provisions shall not prevent contract personnel from being interviewed, employed, or accepting offers of employment or making other arrangements with potential competitors for follow-on contracts. Additionally, non-compete provisions shall not prevent contract personnel from accepting offers of employment or making other arrangements with any contractors who provide services to the Government, or from accepting offers of employment with the US Government, following the period of contract performance. Inclusion of such non-compete or similar conditions in agreements with contract personnel will result in an offeror’s proposal being determined unacceptable, and may be grounds for termination of any awarded contract or task order. Preventing contract personnel from accepting these offers will hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.5.3. The Contractor and contract personnel shall abide by all MTF standards, rules, and procedures including requirements for any licensure, credentialing and quality assurance requirements. Such regulations include, but are not limited to, general safety, fire prevention, waste disposal, and personnel safety initiatives.

3.5.4. Media and Other Inquiries. The Contractor shall not respond to any media inquiries. Any inquiries from the media, third parties, or public agencies shall be immediately relayed to the government personnel, who will relay them to the MTF Public Affairs Officer or, after duty hours, to the Administrative Officer of the Day (AOD). There shall be no interviews, comments, or any other response without the knowledge and approval of the MTF Commander. Other than routine inquiries from external agencies, all other inquiries and complaints shall be brought to the attention of the government personnel.

3.5.5. Emergency health care for contract personnel. The MTF will provide emergency healthcare for injuries or life threatening medical emergencies occurring while on duty at the MTF. The Contractor shall reimburse the Government for such services as billed by the MTF.

3.6. Conflict of Interest.

3.6.1. The Contractor or contract personnel shall not use Government facilities, supplies, or equipment in private practice or for any purpose other than providing the healthcare services required under this contract.

3.6.2. The Contractor shall not employ any person whose employment will violate the requirements of DOD Directive 5500-7 Joint Ethics Regulation, and Office of Government Ethics Regulations governing Standards of Conflict.

3.7. Security.

3.7.1. Security Identification Badges. The Contractor and contract personnel shall comply with the local installation and MTF personnel identification and access requirements while on site.

3.7.2. While on site, each contract personnel shall wear visible security badge identification, provided by the military installation or the MTF, on the front of his/her outer clothing. The badge must show the full name, title and if required by the Military the word “Contractor” in front. The government personnel will provide the paperwork to request identification badges.

3.7.3. The Contractor is responsible for absences of contract personnel due to expired identification and access documents. Such absences shall not relive the Contractor of its obligation to perform the services required under this contract.

3.7.4. The contract personnel shall immediately report any lost or stolen badges to the government personnel.

3.7.5. The contract personnel shall turn in all identification badges to the government personnel, or his/her designated representative upon termination of their services under this contract.

3.7.6. Vehicle Registration. The MTFs are located on restricted access military installations. The Contractor/contract personnel shall comply with the local installation requirements for vehicle registration and operation on the military installation. All contract personnel must register their vehicles with the office responsible for vehicle registration to gain access onto the military installation. A valid driver’s license, Government-furnished civilian identification, proof of insurance and current registration must be presented to the Provost Marshal’s Office, at which time a DoD decal will be issued. The decal shall be placed on the vehicle’s front windshield in accordance with instructions.

3.7.7. All vehicles are subject to search. Contract personnel may encounter long delays for vehicle inspection and identification checks upon entering and exiting the installation. The Government will not reimburse the Contractor for time spent at installation checkpoints. Contract personnel must plan accordingly and report to work at their scheduled duty time, at their appointed place of duty within the MTF. Contract personnel shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

3.8. Orientation and Training.

3.8.1. The contractor shall comply with DoD Instruction (DoDI) 6495.02, Policy for Reporting Incidents of Sexual Assault and Sexual Harassment under Sexual Assault Prevention and Response (SAPR), https://www.esd.whs.mil/Portals/54/Documents/DD/issuances/dodi/649502_vol1.PDF. The SAPR reporting requirements apply only to knowledge obtained by contract personnel while performing services under this contract.

3.8.2. The contractor shall require all contract 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 personnel. All incidents shall be reported whether they involve contract personnel or Government personnel, or other individuals.

3.9. AT/OPSEC Requirements.

3.9.1. 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.

3.9.2. Security Requirements: Contractor, Contract Manager and the contracted personnel performing work under this contract shall coordinate with the Customer Service NCOIC and/or Warehouse Supervisor NCOIC to complete the following requirements for base pass, registration, and identification items required for contract performance:

• Background Check Form, Pass and ID, 51 Security Forces Squadron (if applicable), Customer Service NCOIC will provide template and guidance

• USFK Form 82-E, Application for installation/Base Access, Pass and ID, 51 Security Forces Squadron (if applicable), Customer Service NCOIC will provide template and guidance

• USFK Form 237-E, request for Provost Marshal Record Check, Customer Service NCOIC and/or Warehouse Supervisor NCOIC will process this (if applicable)

The contractors shall return all identification media, including vehicle decals, to the Pass & ID office upon completion/termination of the contract or as deemed appropriate by the Customer Service NCOIC.

The Contractor shall facilitate the completion of local base procedures for entry to Air Force controlled/restricted areas where contractors will work.

3.10. MTF HOURS OF OPERATION

3.10.1. 51 MDG Operation Hours: Mon-Fri 7:00 AM –5:00 PM (normal business hours), except U.S. Holidays.

3.10.2. GENERAL OPERATING HOURS:

51 MDG = 24 hrs.

3.10.3. 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, holidays falling on a Sunday will be observed on 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 1: 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. Closures of the installation due to inclement weather or other such acts of God shall be handled in the same manner.

3.10.3.1 The Contractor shall also give prior notice and reschedule for any non-Federal holidays (such as KN holiday) they might observe

Korea Holidays:

New Year’s Day, 1 January Lunar New Year(31 December, 1 and 2 January on the Lunar calendar) Independence Movement Day, 1 March Labor Day, 1 May Buddha’s Birthday, 8 April on the Lunar calendar Memorial Day, 6 Jun Liberation Day, 15 August Chu-Suk, 14,15 and 16 August on the Lunar calendar National Foundation Day, 3 October Christmas Day, 25 December

NOTE 1: Any holidays that are declared by Presidential Executive Order shall be observed in the same manner as the holidays listed above. Closures of the installation due to the inclement weather or other such acts of God shall be handled in the same manner.

3.10.4. 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.

3.10.5. Deliver/Scheduling Process.

3.10.5.1. Routine Delivery and Pick-up:

3.10.5.2. The Contractor shall deliver, pick-up, transport, fill up and hydrostatics test of medical gases cylinders from Osan AB at the hours annotated below excluding Federal Holidays. Delivery, pick-up, transport, fill up and hydrostatics test will be set on a weekly basis or as requested for un-schedule by the government personnel.

Location: 51 MDG

Location Days of Work Time 51 MDG/SGSM Medical logistics Bldg 777 Unit 2060 Headquarters RD, APO 96278 Room#, LG 10, LG 11, and LG 12 DSN Ph: (315) 784-2833 Comm Ph: 0505-784-2833

POC: Customer Service NCOIC

Thursday 0900 to 1300

51 MDG/SGSM Medical logistics Bldg 777 Unit 2060 Headquarters RD, APO 96278 Room#, LG 10, LG 11, and LG 12 DSN Ph: (315) 784-2536 Comm Ph: 0505-784-2536

Thursday 0900 to 1300

POC: Warehouse Supervisor NCOIC

3.10.5.3. The Contractor shall provide shipping documentation with applicable generator information pre-printed prior to conducting delivery/pick-up services at 51 MDG facilities. The necessary labeling, documentation and manifests required for transportation/disposal shall be completed in accordance with applicable public laws.

3.10.5.4. The Contractor Manager may be required to meet with the KO or government personnel upon request and as often as necessary to clarify or remedy outstanding issues and/or concerns. The government personnel or their designee will be responsible for communicating with the contractor regarding scheduling issues. The warehouse NCOIC may act as point of contact after normal duty hours, weeks, and holidays. In such cases, the government personnel shall confirm all actions on the next normal working day.

3.10.5.5. Contingency. In the event that contract driver arrives at 51 MDG and the government personnel cannot be reached:

3.10.5.5.1. Driver will attempt to contact Medical Logistic On Call Cell Phone 010-9300-9573

3.11. Invoicing. The Contractor is responsible for submitting an accurate invoice.

3.11.1. The Contractor shall submit an electronic invoice on or before the end of the first week of each month for services performed in the prior month to 51 MDG government personnel. The invoice shall be forwarded according to the electronic billing clause. The Contractor will be required to process monthly invoices through the Government’s Wide Area Workflow (WAWF), Two in One payment process to the government personnel. The government personnel will review/verify electronic invoice and forward to DFAS for payment to Contractor. The invoice at a minimum will include the company information, invoice number, invoice date, CLIN number, unit price, unit of measure, quantity shipped, etc.

3.11.2. Utilizing the WAWF Two in One payment account process will account for the invoice to the generator.

No hard copy of invoice is required to be sent to the generator.

3.11.3. Non-Compliance: In the event the contractor fails to accomplish services within the months specified, contract period, the entire agreement will be extended 30 days at no charge to the government.

4.0. Position Descriptions

4.1.. Qualifications

4..1.1. The Prime Contractor shall have a minimum of one (1) year of experience within the last seven (7) years from the issuance date of this solicitation in logistics activities and inventory management service for Medical Compress Gas Delivery Services. The experience of a subcontractor cannot be substituted for the prime contractor’s experience. The offeror shall provide evidence of prior experience in the following format:

- The title of the contract/project

- A brief description of work completed

- Name of the Client Organization or Requiring Activity

- Period of contract/project (year/month/date – year/month/date)

- Complete name of point of contact at the Client Organization

- Phone number of the primary point of contact of the Client/RA

4.2. Specific Duties/Tasks:

4.2.1 Contractor shall provide a Certificate of Purity. The Certificate of Purity is required for each container when multiple containers are delivered at one time. To meet current FDA requirements, oxygen shall have a potency

(purity) of 99.0 percent by volume of oxygen to be labeled as a USP grade medical gas, regardless of what state it is in (e.g., compressed or liquid/bulk).

4.2.1.1 51 MDG is required to obtain a certificate of analysis prior to accepting the delivery of medical gases in cylinder form. The cylinders and their contents are required by the FDA to be manufactured IAW both the FDA‘s current Good Manufacturing Practices and the USP specifications for medical grade gases in compressed cylinder form. The vendor shall maintain all documentation certifying the purity of the compressed gas being supplied to the organization, not the end user.

4.2.2 Contractor shall be able to provide service PWS 3.1.6 such as Oxygen, Nitro Oxide, Nitrogen and Carbon Dioxide cylinders

4.2.3. Filled cylinders are considered to be serviceable if they meet the inspection and storage requirements of AFTO 42B5-1-2 check list based on the AFMAN 91-203, https://www.safety.af.mil/Portals/71/documents/Occupational/Resources/AFMAN%2091-203%20Checklists.pdf

4.2.4. Hydrostatic testing is required only when the cylinder is empty and the specified service date has passed.

4.2.5. Specify "USP Oxygen." "USP" indicates that the oxygen conforms to the requirements of the United States Pharmacopoeia (USP). The USP standard provides the basic measures required for medical gas concentration, quality and purity.

4.3. All work shall be performed by a trained/certified employee. The Contract shall ensure that employees who handle, package, transport, label, mark, placard, prepare certificate of destruction documents will be trained in accordance with federal regulations governing Medical Grade Gases. The contractor shall provide certificate of training for its employees at the start of the contract. The Contractor shall comply with all terms, conditions, special contract requirements/conditions and specifications contained in the Contract or incorporated by reference.

4.3.1 The Contractor shall be responsible for complying with federal, state, or local environmental regulations, laws and or policies, whichever is the most stringent.

4.3.2 The Contractor shall be able to read, write, and speak English well enough to effectively communicate with all other personnel. The Contractor will report to the work site fully equipped to perform services required. At no time shall the Contractor conduct delivery/pick-up/transport of 51 MDG’s medical gases without a U.S. Government Representative (Military/Civilian) present.

4.2.4. The contractor shall have a back-up contingency plan in the event that their transport vehicle is unable to perform or become unavailable to meet transport requirements.

4.2.5. Contractor Permit. The Contractor shall provide a full copy of the permit from the Osan Air Base, at the start of the contract and for renewal of permits thereafter as verification that the Contractor is permitted to transport medical grade gases, for the current permit year. Deviation or non-compliance to permit specifications may be deemed for termination of contract.

4.6. Environmental Impairment Liability coverage.

4.6.1. The Contractor shall bear the cost of any Notice of Violation (NOV), fine or penalty for non-compliance enforced by local, state and federal regulatory environmental/safety/health agencies from its conduct. The coverage applies to but is not limited to: land, air or water pollution and the different modes of transportation (i.e. air, vessel, highway, rail, etc.) associated with Contractor’s services.

4.6.2. To further and hold the United States Government harmless, the Contractor shall agree to the following: In the event of a spill or incident resulting from the Contractor’s services (i.e. picking-up, packaging, handling, storing, transporting, destructing, or disposing the Contractor agrees to pay all costs and expenses to remedy that spill or incident for non-compliance.

4.7. Subcontracted Functions.

4.7.1. If the Contractor is to subcontract this contract, the Contractor shall provide the KO with the name of the subcontractor and the type of work to be performed prior to commencing work. Subcontracted functions must be approved by the KO prior to commencement of work.

4.7.2. It is the Contractor’s responsibility to ensure and monitor their subcontractor’s compliance with all contract requirements regarding medical gases, security requirements, quality control, contract specifications and conduct while performing on the military installation.

4.7.3. Contract Closure. All work will be deemed complete when all required performance has been finished and concluded data has been received, certification of delivery received, and acceptance by the Government/final inspection has been completed.

4.8. No smoking policy. The Contractor shall comply with AF 48-104, Air Force Health Promotion for controlling the no smoking policy in Government buildings and facilities. Contractor employees shall eat and smoke in designated areas only.

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

5.1. Below 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. The contractor shall comply with Air Force Instruction (AFI) 44-102 and Medical Group Instruction (MDGI) 44-117 as well as all applicable NOTAMS, Policy Letters, and all Medical Instructions for the 51st Medical Group. These documents are available in the MTF and maintained by the Government. Supplements or amendments to instructions or publications from any organizational level may be issued during the life of the contract. The Contractor shall immediately implement those changes. The contractor will utilize USFJ Form 10 and DD Form 2161 as referenced in this PWS. Department of Defense publications can be found at www.defenselink.mil/pubs or www.dtic.mil/whs/directives

5.2. 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. Advisory publications may be used for information and guidance but are not binding for compliance.

MANDATORY PUBLICATIONS

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 Current Edition

Joint Commission for Accreditation of Healthcare Organizations (JCAHO) Manual

5.3. Department of Defense (DoD) Regulations/Manuals/Instructions/Directives: DOD Instruction 1402.5, Criminal History Jan 93 Background Checks on Individuals in Child Care Services DOD Directive 5500.7, Standards of Conduct Aug 93

AFI 33-119, Air Force Messaging Jan 05 AFI 33-202, Computer Security AFI 33-322, Records Management Program AFI 37-138, Records Disposition—Procedures and Responsibilities AFI 41-115, Authorized Health Care and Benefits Dec 01 AFI 41-210, Patient Administration Functions Mar 06 AFI 44-102, Medical Care Management AFI 44-119, Medical Quality Operations AFI 44-171, Patient Centered Medical Home and Family Health Operations AFI 44-173, Population Health Management AFI 48-123, Medical Examinations and Standards Sep 09 AFI 71-101, Criminal Investigations

AFMAN 37-323, Management of Records

The Contractors must abide by all applicable regulations, publications, manuals, and local policies and procedures.

Privacy System Notices: The identified medical information systems identified at http://manuals.tricare.osd.mil/pages/Default.aspx are systems that may be accessed by the contractors during performance of duties.

6.0 Acronyms and Definitions

ADM - Ambulatory Data Module ADS - Ambulatory Data System AHA - American Hospital Association AHLTA - Armed Forces Health Longitudinal Technology Application AKO - Army Knowledge Online 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 COTR - Contracting Officer’s Technical Representative CPT - Current Physicians Terminology CVS - Contractor Verification System DA - Department of the Army DoD - Department of Defense DODI - Department of Defense Instruction EAL - Entry Authorization List 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 LADS - Labor and Delivery Statistics System LOX - Liquid Oxygen MEDCENs - Army Medical Centers MEDCOM - Medical Command MHS - Military Healthcare System JC - The Joint Commission KO - Contracting Officer MTF - Medical Treatment Facility NCOIC - Non-Commissioned Officer in Charge 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 TAMC - Tripler Army Medical Center UCAPERS - Uniform Charts of Accounts Personnel System USP - United States Pharmacopoeia

OPSEC

2. Access and general protection/security policy and procedures. This standard language is for contractor employees with an area of performance within Army 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, 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.

2b. 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.

CLAUSES INCORPORATED BY REFERENCE

52.212-4 Contract Terms and Conditions--Commercial Products and

Commercial Services

DEC 2021

ADDENDUM TO 52.212-4

w) UNILATERAL MODIFICATIONS

In addition to 52.212-4(c), the Government may make unilateral modifications considered administrative in nature.

These include, but are not limited to, changes in the accounting and appropriation data, payment and issuing office addresses, and other corrections that have no effect on the terms and conditions of the contract.

(x) The non-FAR Part 12 discretionary FAR and DFARS clauses included herein are incorporated into this contract either by reference or in full text. If incorporated by reference, see clause 52.252-2 herein for locations where full text can be found.

(y) OTSG/MEDCOM Policy Memo 19-019 Implementation.

The contractor shall comply with OTSG/MEDCOM Policy Memo 19-019, Sexual Harassment/Assault Response and Prevention (SHARP) Program, 21 Mar 2019. The SHARP reporting requirements apply only to knowledge obtained by contractor personnel while providing the required supplies under this contract.

All…