W90VN6-17-T-0032.pdf

SEE ADDENDUM

(No Collect Calls)

W90VN6-17-T-0032 10-May-2017

b. TELEPHONE NUMBER

031-661-5761

8. OFFER DUE DATE/LOCAL TIME

01:00 PM 13 Jun 2017

5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

STANDARD FORM 1449 (REV. 2/2012)

Prescribed by GSA – FAR (48 CFR) 53.212

(TYPE OR PRINT)

(SIGNATURE OF CONTRACTING OFFICER)

ADDENDA ARE

26. TOTAL AWARD AMOUNT (For Gov t. Use Only )

23.

CODE 10. THIS ACQUISITION IS

SUCH ADDRESS IN OFFER

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT

BELOW IS CHECKED

TELEPHONE NO.

W90VN69. ISSUED BY

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a. UNLESS BLOCK

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME

MR. PAK, SIN-NAM

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NUMBER

(TYPE OR PRINT)

30b. NAME AND TITLE OF SIGNER 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a.UNITED STATES OF AMERICA

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1. 52.212-4. FAR 52.212-3. 52.212-5 ARE ATTACHED.

25. ACCOUNTING AND APPROPRIATION DATA

1. REQUISITION NUMBER

20.

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED.

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, AND 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

F3J4MD6362AQ01

ARE NOT ATTACHED

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

SET FORTH HEREIN, IS ACCEPTED AS TO ITEMS:

. YOUR OFFER ON SOLICITATION

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

% FOR:SET ASIDE:UNRESTRICTED ORX

SMALL BUSINESS

17a.CONTRACTOR/ CODE FACILITY

OFFEROR CODE

411TH CONTRACTING SUPPORT BRIGADE, KOREA

RCO OSAN, UNIT #2039

APO AP 96278-2039

UNITED STATES OF AMERICA (THE)

18a. PAYMENT WILL BE MADE BY CODE

RATED ORDER UNDER

DPAS (15 CFR 700)

13a. THIS CONTRACT IS A

13b. RATING

CODE15. DELIVER TO CODE 16. ADMINISTERED BY

SEE SCHEDULE

12. DISCOUNT TERMS11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

14. METHOD OF SOLICITATION

RFQ IFB RFPX

FAX:

TEL: SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

8(A)

HUBZONE SMALL

BUSINESS

SIZE STANDARD:

1,000

NAICS:

325120

X

OFFER DATED

29. AWARD OF CONTRACT: REF.

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

EMAIL:

TEL:

31c. DATE SIGNED

SEE SCHEDULE

SCHEDULE OF SUPPLIES/ SERVICESITEM NO. QUANTITY UNIT UNIT PRICE AMOUNT

24.22.21.19.

WOMEN-OWNED SMALL BUSINESS (WOSB)

ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

(CONTINUED)

PAGE 2 OF82

ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: ______________________________________________________

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED

32b. SIGNATURE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32c. DATE 32d. PRINTED NAME AND TITLE OF AUTHORIZED GOVERNMENT

REPRESENTATIVE

32e. MAILING ADDRESS OF AUTHORIZED GOVERNMENT REPRESENTATIVE 32f . TELEPHONE NUMBER OF AUTHORIZED GOVERNMENT REPRESENTATIVE

37. CHECK NUMBER

FINALPARTIALCOMPLETE

36. PAYMENT35. AMOUNT VERIFIED

CORRECT FOR

34. VOUCHER NUMBER

FINAL

33. SHIP NUMBER

PARTIAL

38. S/R ACCOUNT NUMBER 39. S/R VOUCHER NUMBER 40. PAID BY

41a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT

41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41c. DATE

42a. RECEIVED BY (Print)

42b. RECEIVED AT (Location)

42c. DATE REC'D (YY/MM/DD) 42d. TOTAL CONTAINERS

STANDARD FORM 1449 (REV. 2/2012) BACK

Prescribed by GSA – FAR (48 CFR) 53.212

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION IS NOT USABLE

SEE SCHEDULE

20.

SCHEDULE OF SUPPLIES/ SERVICES

21.

QUANTITY UNIT

22. 23.

UNIT PRICE

24.

AMOUNT

19.

ITEM NO.

W90VN6-17-T-0032

Section SF 1449 - CONTINUATION SHEET

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 160 Each

OXYGEN REFILL 95 GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached "Performance Work Statement".

FOB: Destination

PURCHASE REQUEST NUMBER: F3J4MD6362AQ01

NET AMT

0002 10 Each

NITROGEN GAS 2000GL REFILL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached "Performance Work Statement".

0003 10 Each

CARBON DIOXIDE 50LB REFILL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

0004 1,000 Each

OXYGEN REFILL 1650GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

0005 10 Each

OXYGEN REFILL 750GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

0006 40 Each

NITROGEN GAS 1650GL REFILL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

0007 100 Each OXYGEN Hydrostatics Test 95 GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

"Performance Work Statement".

0008 50 Each NITROGEN GAS Hydrostatics Test 2000GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

0009 25 Each CARBON DIOXIDE Hydrostatics Test 50LB

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

0010 50 Each OXYGEN Hydrostatics Test 1650GL 1'S

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

0011 25 Each OXYGEN Hydrostatics Test 750GL 1'S

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

0012 50 Each NITROGEN GAS Hydrostatics Test 1650GL

FFP

Base Year: 1 Jul 2017- 30 Jun 2018, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached

1001 160 Each

OPTION OXYGEN REFILL 95 GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1002 10 Each

OPTION NITROGEN GAS 2000GL REFILL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1003 10 Each

OPTION CARBON DIOXIDE 50LB REFILL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1004 1,000 Each

OPTION OXYGEN REFILL 1650GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1005 10 Each

OPTION OXYGEN REFILL 750GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1006 40 Each

OPTION NITROGEN GAS 1650GL REFILL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

1007 100 Each OPTION OXYGEN Hydrostatics Test 95 GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the attached "Performance Work Statement".

1008 50 Each OPTION NITROGEN GAS Hydrostatics Test 2000GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

1009 25 Each OPTION CARBON DIOXIDE Hydrostatics Test 50LB

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

1010 50 Each OPTION OXYGEN Hydrostatics Test 1650GL 1'S

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

1011 25 Each OPTION OXYGEN Hydrostatics Test 750GL 1'S

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

1012 50 Each OPTION NITROGEN GAS Hydrostatics Test 1650GL

FFP

1st Option Year: 1 Jul 2018- 30 Jun 2019, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2001 160 Each

OPTION OXYGEN REFILL 95 GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2002 10 Each

OPTION NITROGEN GAS 2000GL REFILL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2003 10 Each

OPTION CARBON DIOXIDE 50LB REFILL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2004 1,000 Each

OPTION OXYGEN REFILL 1650GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2005 10 Each

OPTION OXYGEN REFILL 750GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2006 40 Each

OPTION NITROGEN GAS 1650GL REFILL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

2007 100 Each OPTION OXYGEN Hydrostatics Test 95 GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2008 50 Each OPTION NITROGEN GAS Hydrostatics Test 2000GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2009 25 Each OPTION CARBON DIOXIDE Hydrostatics Test 50LB

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2010 50 Each OPTION OXYGEN Hydrostatics Test 1650GL 1'S

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2011 25 Each OPTION OXYGEN Hydrostatics Test 750GL 1'S

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

2012 50 Each OPTION NITROGEN GAS Hydrostatics Test 1650GL

FFP

2nd Option Year: 1 Jul 2019- 30 Jun 2020, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3001 160 Each

OPTION OXYGEN REFILL 95 GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3002 10 Each

OPTION NITROGEN GAS 2000GL REFILL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3003 10 Each

OPTION CARBON DIOXIDE 50LB REFILL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3004 1,000 Each

OPTION OXYGEN REFILL 1650GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3005 10 Each

OPTION OXYGEN REFILL 750GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3006 40 Each

OPTION NITROGEN GAS 1650GL REFILL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

3007 100 Each OPTION OXYGEN Hydrostatics Test 95 GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3008 50 Each OPTION NITROGEN GAS Hydrostatics Test 2000GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3009 25 Each OPTION CARBON DIOXIDE Hydrostatics Test 50LB

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3010 50 Each OPTION OXYGEN Hydrostatics Test 1650GL 1'S

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3011 25 Each OPTION OXYGEN Hydrostatics Test 750GL 1'S

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

3012 50 Each OPTION NITROGEN GAS Hydrostatics Test 1650GL

FFP

3rd Option Year: 1 Jul 2020- 30 Jun 2021, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4001 160 Each

OPTION OXYGEN REFILL 95 GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4002 10 Each

OPTION NITROGEN GAS 2000GL REFILL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4003 10 Each

OPTION CARBON DIOXIDE 50LB REFILL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4004 1,000 Each

OPTION OXYGEN REFILL 1650GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4005 10 Each

OPTION OXYGEN REFILL 750GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4006 40 Each

OPTION NITROGEN GAS 1650GL REFILL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, Refill the Gas at Osan Air Base. The contractor is responsible for the service, including any equipment charge and

4007 100 Each OPTION OXYGEN Hydrostatics Test 95 GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4008 50 Each OPTION NITROGEN GAS Hydrostatics Test 2000GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4009 25 Each OPTION CARBON DIOXIDE Hydrostatics Test 50LB

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4010 50 Each OPTION OXYGEN Hydrostatics Test 1650GL 1'S

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4011 25 Each OPTION OXYGEN Hydrostatics Test 750GL 1'S

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

4012 50 Each OPTION NITROGEN GAS Hydrostatics Test 1650GL

FFP

4th Option Year: 1 Jul 2021- 30 Jun 2022, The contractor is responsible for the service, including any equipment charge and disposal fee in accordance with the

PWS

PERFORMANCE WORK STATEMENT

FOR Medical Compress Gas Services st 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 QUALITY ASSURANCE SURVEILLANCE PLAN

5.0 POSITION DESCRIPTIONS

6.0 APPLICABLE TECHNICAL ORDERS, SPECS, REGULATIONS, AND MANUALS

7.0 ACRONYMS AND DEFINITIONS

1.0. INTRODUCTION.

1.1. The contractor shall provide the services of performing clinical compress gas services at 51

Medical Group.

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

1.2. All services shall be provided in accordance with established standards, principles and ethics of the profession and applicable professional specialty organizations, The Joint Commission (JC) standards, applicable Department of

Defense (DoD) and Army specific regulations, directives, and policies, and military treatment facilities (MTF) specific policies, procedures, and job descriptions. The Contractor shall be held accountable for compliance to the standards listed in the Comprehensive Accreditation Manual for Hospitals (CAMH) dated 2011 or current version.

1.3. The Contractor or contract employees shall provide services in conjunction with other non-contract providers to include physicians, nurse practitioners, physician assistants, registered and licensed practical nurses, and support personnel. The scope of services provided in military treatment facilities cover the same range of services as those that are provided in civilian treatment facilities of similar size and scope of services.

1.4. 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.

2.0 BACKGROUND.

2.1. The Medical Treatment Facility is classified as a hospital with an ER, OR and inpatient services containing 6 beds with the capacity of expanding to 60 if necessary. The hospital offers a full gamut of ancillary services including clinical laboratory, radiology and pharmacy services. The hospital also provides routine and emergency dental care.

3.0 SCOPE OF WORK.

3.1 This Statement of Work (SOW) describes the efforts required for the acquisition and fielding of Compress

Gases. It includes associated tasks related to program, logistics, configuration, and systems engineering management responsibilities required to successfully complete delivery of Compress Gases units.

3.1.1. The Contractor's shall be available for Pick-up and or Delivery services during the hours of 0800 through

1600 every Thursday to pickup/deliver Compress Gasses at the 51st Medical Group Medical Logistics shipping and receiving section. No routine pickup will be made on Saturdays, Sundays, U.S. Holidays or Korean Holidays unless an emergency arrive and it require otherwise. (See Local Clause).

3.1.2. The Contractor shall provide a client service representative who shall be available by telephone 24 hours daily, 7 days per week, to assist with “Emergency orders “. The client service representative will be fluent in the English language.

3.1.3. Courier service shall be available from the Contractor during the hours of 7:00 AM –5:00 PM., Monday through Friday, local time with the exception of Korean holidays. Contractor personnel

Performing courier service duties shall present a neat appearance.

3.1.4. The Contractor must provide following Gas refill and Hydrostatic Test for Cylinder

ITEM ID NOMENCLATURE U/I

650501C575181 OXYGEN REFILL 95 GL EA

650501C575197 NITROGEN GAS 2000GL REFILL EA

650501C575198 CARBON DIOXIDE 50LB REFILL EA

650501C575199 OXYGEN REFILL 1650GL EA

650501C575225 OXYGEN REFILL 750GL EA

650501C591698 NITROGEN GAS 1650GL REFILL EA

3.2 Administrative.

3.2.1. 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.

3.2.2. The Contracting Officer’s Representative (COR) will be the KO’s authorized representative in administering the contract at the MTF level. The Contractor’s representative shall be available to discuss any problems that the

Contractor’s personnel may be experiencing during the performance of this contract. Problems experienced by the

Government with the Contractor’s performance will be discussed and resolved. Unresolved problems will be referred to the KO for resolution.

3.2.3. The Contractor may use non-compete provisions in its employment agreements to prevent the loss of personnel by the Contractor during the period of performance of this contract. However, the Contractor shall not use non-compete provisions in its employment agreements that would prevent its contract personnel from being employed by or from accepting offers of employment from the new Contractor of the follow-on contract. It would hinder the Government’s ability to accomplish the mission of providing medical care to its beneficiaries.

3.2.4. 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, infection control, JC, and patient safety initiatives.

3.2.5. 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 COR, 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 COR.

3.2.6. 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.

3.3. Conflict of Interest.

3.3.1. The Contractor or contract personnel shall not bill the patient for services rendered under this contract. The

Contractor or contract personnel shall not request or accept compensation of any kind for patients treated, procedures performed, or any other actions performed, except under the terms and conditions of this contract, at the rate specified.

3.3.2. The Contractor or contract personnel shall not, while performing services under this contract, advise, recommend, or suggest to persons eligible to receive medical care at Government expense that such persons should receive care from the Contractor or contract personnel or from any third party at any place other than as designated under this contract.

3.3.3. Confidentiality of Information. Unless otherwise specified, all financial, statistical, personnel, and/or technical data which is furnished, produced or otherwise available to the Contractor during the performance of this contract are considered confidential business information and shall not be used for purposes other than performance of healthcare services under this contract. The Contractor shall not release any of the above information without prior written consent of the KO. The Contractor/contract personnel shall not use patient care rendered pursuant to this contract as part of a study, research project, or publication. The contract personnel shall prepare medical records, forms and documents as required, in accordance with the regulations and established guidelines listed in the contract.

3.3.4. The Contractor shall not employ active duty military or Government civilian employees to perform services under this contract.

3.3.5. 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.

3.4. Security.

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

3.4.1.1. While on site, each contract personnel shall wear a 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 COR will provide the paperwork to request identification badges.

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

3.4.1.3. The contract personnel shall immediately report any lost or stolen badges to the COR.

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

3.4.2. 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.

3.4.2.1. All vehicles, with or without a DoD decal, 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.

3.4.2.2. Contract personnel shall follow installation procedures for removal and turn-in of the vehicle decal upon termination of services under this contract.

3.4.3. Keys. The Contractor shall be responsible for any keys issued by the Government to contract personnel for use in the MTF. The keys shall not be duplicated. The Contractor shall be financially responsible for the replacement of any lost keys and any associated locks. Lost keys and/or locks shall be reported to the issuing party, Department Chief, or COR immediately upon recognition of the loss.

3.4.4. Safeguarding Material. The contract personnel shall be responsible for safeguarding all Government property. The Contractor shall safeguard information of a confidential or sensitive nature. All patient related information is considered confidential and sensitive. If working remotely, Contractors are prohibited from reproducing patient information in any way. This includes printing. Neither the Contractor nor any of its contract personnel shall disclose or cause to be disseminated any information concerning the operation of the MTF that could result in or increase the possibility of a breach in security or interrupt the continuity of operations or which breach the requirements of the Federal Privacy Act of 1974. However, the Contractor may be required to provide testimony or disposition in cases of due process action.

3.4.5. Antiterrorism (AT) and Operations Security (OPSEC)

3.4.5.1. AT Level I Training: This provision/contract text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. All contractor employees, to include subcontractor employees, requiring access to Army installations, facilities, and controlled access areas shall complete AT Level I awareness training within 50 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 KO, if a COR is not assigned within 20 calendar days after completion of training by all employees and subcontractor personnel.

3.4.5.2. Access and General Protection/Security Policy and Procedures: This standard language text is for contractor employees with an area of performance within an Army controlled installation, facility, or area. The contractor and all associated sub-contractors’ employees shall comply with applicable installation, facility, and area commander installation/facility access and local security policies and procedures (provided by government representative). The contractor shall also provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshall Office, Director of Emergency

Services, or Security Office. The contractor workforce must comply with all personal identity verification requirements 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.

3.4.5.3. AT Awareness Training for Contractor Personnel Traveling Overseas: This standard language text required

US based contractor employees and associated sub-contractor employees to make available and to receive government provided area of responsibility (AOR) specific AT awareness training as directed by AR 525-13.

Specific AOR training content is directed by the combatant commander with the unit Anti-Terrorism Officer (ATO) being the local point of contact.

3.4.5.4. iWATCH Training: This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. 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 50 calendar days of contract award and within 50 calendar days of new employees commencing performance with the results reported to the COR NLT 60 calendar days after contract award.

3.4.5.5. For Contracts that Require an OPSEC Standing Operating Procedure (SOP)/Plan: The contractor shall develop an OPSEC SOP/Plan within 90 calendar days of contract award, to be reviewed and approved by the responsible Government OPSEC officer, per AR 530-1, Operations Security. This SOP/Plan will include the government's critical information, why it needs to be protected, where it is located, who is responsible for it, and how to protect it. In addition, the contractor shall identify an individual who will be an OPSEC Coordinator. The contractor shall ensure this individual becomes OPSEC Level II certified per AR 530-1.

3.4.5.6. For Contracts that Require OPSEC Training: Per AR 530-1, Operations Security, new contractor employees must complete Level I OPSEC training within 30 calendar days of their reporting for duty. All contractor employees must complete annual OPSEC awareness training.

3.4.5.7. For Contractors Requiring Performance or Delivery in a Foreign Country, DFARS Clause 252.225-7043, Antiterrorism/Force Protection for Defense Contractors Outside the US: The clause shall be used in solicitations and contracts that require performance or delivery in a foreign country. This clause applies to both contingencies and non-contingency support. The key AT requirement is for non-local national contractor personnel to comply with theater clearance requirements and allows the combatant commander to exercise oversight to ensure the contractor’s compliance with combatant commander and subordinate task force commander policies and directives

3.5. MTF HOURS OF OPERATION

3.5.1. 51 MDG Operation Hours: Mon-Fri 7:00 AM –5:00 PM (normal business hours), except U.S. Holidays.

3.5. 1.1. OFFICIAL GOVERNMENT HOLIDAYS:

U.S. 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. Contract personnel may be required to work on legal holidays as determined by the COR.

New year’s Day, January 1

Martin Luther King’s Birthday, 3 rd

Monday in January

President’s Day, 3 rd

Monday in February

Memorial Day, Last Monday in May

Independence Day, July 4 th

Labor Day, 1

Monday in September

Columbus Day, 2 nd

Monday in October

Veteran’s Day, November 11

Thanksgiving Day, 4

Thursday in November

Christmas Day, December 25

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.

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

3.5.2. Contract personnel shall report to work as scheduled during emergencies, disasters or during adverse weather conditions. Contract services are still required during these situations.

3.5.3. Closures. During anticipated closure of the facility due to Command declared training holidays or unplanned closure of the facility due to natural disasters, military emergencies, severe weather, or otherwise, the Contractors will only be paid for the actual hours that were worked.

3.6. HOURS OF PERFORMANCE.

3.6.1. Normal hours of operation are 7:00 AM –5:00 PM, however, 24 hour telephone consultation is provided when necessary.

3.6.2. Scheduling issues sample:

The COR or their designee will be responsible for communicating with the contractor regarding scheduling issues.

The shift supervisor may act as point of contact after normal duty hours, weekends and holidays. In such cases, the

COR shall confirm all actions on the next normal working day.

3.6.4. The Contractor is responsible for submitting an accurate invoice.

3.7. Health and immunization requirements. All contract personnel performing services under this contract shall comply with the health and immunization requirements as stated in the TAMC Health Requirements clause.

Backup/replacement contract personnel shall meet the same health and immunization requirements. The expense to comply with the health and immunization requirements shall be borne by the Contractor at no additional cost to the

Government.

3.8. Criminal History Background Check Requirements. Contract personnel determined by the MTF to be involved in the delivery of health care to children under the age of 18 on a frequent and regular basis must meet the requirements of the Crime Prevention Act of 1990, as specified in the Criminal History Background Check

Requirements clause.

3.9. Contractor Verification System (CVS).

3.9.1. The Contractor shall comply with agency personal identity verification procedures identified in the contract that implement Homeland Security Presidential Directive-12 (HSPD-12), Office of Management and Budget (OMB) guidance M-05-24, and Federal Information Processing Standards Publication (FIPS PUB) Number 201.

3.9.2. The Contractor shall comply with agency personal identity verification procedures in all subcontracts when the subcontractor is required to have physical access to a federally-controlled facility or access to a Federal information system.

3.9.3. The Contractor shall ensure compliance with the provisions set forth below. For purposes of FAR Clause

52.204-9, the Government will designate a Trusted Agent (TA), and the Contractor shall designate a Facility

Security Officer (FSO), for this contract. The Government reserves the right to amend or supplement these provisions pursuant to the Changes clause in the contract.

3.9.4. In-processing Requirements. Contractor personnel are prohibited from performing services under this contract absent compliance with the in-processing requirements set forth below.

3.9.4.1. For every contract service provider, the FSO shall provide the following information to the TA for input into the DEERS/RAPIDS System:

(a) Last Name

(b) First Name

(c) Middle Name

(d) Social Security Number

(e) Date of Birth

(f) E-mail Address (may be either the e-mail address of the incoming individual or the FSO).

3.9.4.2. The contract service provider shall have an Army Knowledge Online (AKO) account in order to submit the application. AKO registration may be accessed via https://www.us.army.mil .

3.9.4.3. The DEERS/RAPIDS Systems will send a notice to the e-mail address provided IAW the above requirement, in which the contract service provider’s user ID and password are provided. In the event the e-mail message is sent to the FSO, the FSO shall notify the Contractor of the contract service provider’s user ID and password.

3.9.4.4. The contract service provider shall log into the DEERS/RAPIDS System, and submit an application for acceptance into the System, using the user ID and password provided.

3.9.4.5. The application will be accepted, returned, or rejected by the TA. Notice as to whether the application has been accepted, returned or rejected will be provided to the individual’s e-mail address provided within 48 hours after submission. If the application is returned or rejected, the contract service provider shall contact the TA and comply with the TA’s guidance to attempt to correct and resolve the issues.

3.9.4.6. Upon approval of the application, the contract service provider shall receive an e-mail sent to the address provided stating the Common Access Card (CAC) application was approved and to proceed to the Verifying Office

(VO) with two photo IDs to obtain a CAC. For CAC issuance, a DD2842 must be completed and taken by the individual with two forms of picture ID. The e-mail will contain a URL to download the form. Acceptable forms of

ID are: Driver’s License, Social Security Card, Military ID, Contractor Company ID with picture and expiration date, VISA charge card with picture imprinted, and passport.

3.9.4.7. Revalidation Requirements. The TA is required to revalidate all contract service providers, in the

DEERS/RAPIDS System, every 6 months. In the event revalidation is denied, the CAC credentials shall be revoked and the Card will not be useable to login.

3.9.4.8. Out-processing Requirements. When a contract service provider’s performance under this contract ceases, the Contractor or FSO shall provide written notice to the TA. The TA will remove the contract service provider from the DEERS/RAPIDS System. The Contractor shall ensure the contract service provider’s CAC is turned in to the Government IAW the out-processing procedures and further guidance from the Pacific Regional Contracting

Office.

3.10. QUALITY MANAGEMENT

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

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

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN: See Attachment 1.

4.1. Inspection. The 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.

Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: Contractor providing personnel not meeting the minimum qualification standards; inappropriate prescriptions; patient customer service comments; Contractor relationship with hospital staff/Government contracting personnel; compliance with hospital healthcare policies and procedures.

5.0. POSITION DESCRIPTIONS.

5.1 Position Title: Compress Gasses Services

5.1.1. Assigned to: 51 MDSS/SGSM

5.1.2. Monitored by: Contracting Officer’s Representative.

5.1.3. Qualifications:

5.1.3.1. A Certificate of Purity is required for each container when multiple containers are delivered at one time. To meet current FDA requirements, oxygen must 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). Medical logistics 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 is required to maintain all documentation certifying the purity of the compressed gas being supplied to the organization, not the end user.

5.1.3.2. The Prime Contractor shall have a minimum of two (2) years of experience within the last five (5) years from the issuance date of this solicitation in logistics activities and inventory management service for Medical

Compress Gas 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:

5.1.3.3. The Contractor should have certification for hydrostatic test issued by U.S Government and should be effective the certification issue by U.S Department of Transportation (DOT)

5.1.4. Specific Duties/Tasks:

5.1.4.1. Weekly pick-up and delivery of Compressed Gases will be perform on Thursdays during the hours of 0800 through 1600 at the 51st Medical Group Medical Logistics shipping and receiving section. No routine pickup and delivery will be made on Saturdays, Sundays, U.S. Holidays or Korean Holidays unless an emergency arrive and it require otherwise.

5.1.4.2. Contractor shall be able to fill ‘D’, ‘E’, ‘M’, and ‘H’ size Oxygen, Nitro Oxide, Nitrogen and Carbon

Dioxide cylinders.

5.1.4.3. Non- Routine Specimen Delivery. The Contractor shall be available to accommodate STAT

(EMERGENCY) testing 24 hours daily, Monday through Sunday, to include U.S. and Korean Holidays.

5.1.4.4. Filled cylinders are considered to be serviceable if they meet the inspection and storage requirements of TO

42B5-1-2. Hydrostatic testing is required only when the cylinder is empty and the specified service date has passed.

5.1.4.5. 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.

5.1.4.9. DD Form 1191, Warning Tag for Medical Oxygen Equipment, must be provided by Medical Logistics

5.1.4.10. Medical Logistics is required to maintain all documentation certifying the purity of the compressed gas being supplied to the organization.

5.1.4.11. Reference Manual. On-line access to detailed reference data, such as might be normally

Available through a hard copy contractor reference manual is required. Such data shall include: test description(s) and its requirements, methodology used to perform the test, schedule for test performance

(if any), and the date the test was last changed. On-line reference data must be available in English. The software shall have at least three (3) levels of security, to include: user, system, administrator, and program administrator.

The system shall be captive and restrict user and system administrators for DOS and advanced system functions.

The system must have the ability to retrieve results from backed up tapes or from current database.

5.1.4.12. The system shall have the ability to produce cumulative reports to include: patient demographics, number and types of tests ordered, current expenditures, daily tests ordered/received, average turnaround time by specimen type, and tests not received.

5.2. MTF QUALITY CONTROL PLANS: The contractor shall establish and maintain a complete quality control program to assure the requirements of the contract are provided as specified and shall provide one copy of the program to the Contracting Officer with the initial proposal.

6.0. 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. 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, Air Force Guide to Physical Therapy Practice Manual 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.

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.

6.1. 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

6.2. 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

6.3. AIR FORCE REGULATIONS/MANUALS/INSTRUCTIONS

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, Air Force Instruction

AFI 44-119, Clinical Performance Improvement Jun 01

AFI 48-123, Medical Examinations and Standards Jun 06

AFI 71-101, Criminal Investigations

AFMAN 37-323, Management of Records

7.0. ACRONYMS AND DEFINITIONS.

http://www.dtic.mil/whs/directives

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

COR - Contracting Officer's Representative

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

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 -…