19DR8626Q0056_AVR Maintenance_Solicitation_Amendment.pdf

PAGE OF PAGESAMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

1 7

2. AMENDMENT/MODIFICATION NO.

3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO.

PR15909061-0001

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE DR860 7. ADMINISTERED BY (If other than Item 6) CODE

AMERICAN EMBASSY SANTO DOMINGO

AV REP DE COLOMBIA 57 ALTOS DE ARROYO HONDO, ATTN: GSO

SANTO DOMINGO

DOMINICAN REPUBLIC

AMERICAN EMBASSY SANTO DOMINGO

AV REP DE COLOMBIA 57 ALTOS DE ARROYO HONDO, ATTN: GSO

SANTO DOMINGO

DOMINICAN REPUBLIC

(X) 9A. AMENDMENT OF SOLICITATION

NO.

19DR8626Q0056

x

9B. DATED (SEE ITEM 11)

07/15/2026

10A. MODIFICATION OF CONTRACT/ORDER NO.

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

CODE FACILITY CODE

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

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

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

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

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

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

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

NO. IN ITEM 10A.

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

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

D. OTHER (Specify type of modification and authority)

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

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

This solicitation has been Amended to reflect the following:, Solicitation changed to add changes to the Scope of work. Offer due date remains the same August 28, 2026, at 4:30pm local time., See Attached for details

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

15A. NAME AND TITLE OF SIGNER (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

NSN 7540-01-152-8070

Previous edition unusable

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243 x

(i) Item 16B. The contracting officer's signature is not required on solicitation amendments. The contracting officer's signature is normally affixed last on supplemental agreements.

STANDARD FORM 30 (REV. 10-83) BACK

INSTRUCTIONS

Instructions for items other than those that are self-explanatory, are as follows:

(a) Item 1 (Contract ID Code). Insert the contract type identification code that appears in the title block of the contract being modified.

(b) Item 3 (Effective date).

(2) Accounting classification Net decrease $

NOTE: If there are changes to multiple accounting classifications that cannot be placed in block 12, insert an asterisk and the words "See continuation

(1) For a solicitation amendment, change order, or administrative change, the effective date shall be the issue date of the amendment, change order, or administrative change.

(2) For a supplemental agreement, the effective date shall be the date agreed to by the contracting parties.

(3) For a modification issued as an initial or confirming notice of termination for the

(g)

(h) sheet".

Item 13. Check the appropriate box to indicate the type of modification. Insert in the corresponding blank the authority under which the modification is issued. Check whether or not contractor must sign this document. (See FAR 43.103.)

Item 14 (Description of Amendment/Modification).

convenience of the Government, the effective date and the modification number of the confirming notice shall be the same as the effective date and modification number of the initial notice.

(4) For a modification converting a termination for default to a termination for the convenience of the Government, the effective date shall be the same as the effective date of the termination for default.

(5) For a modification confirming the contacting officer's determination of the amount due in settlement of a contract termination, the effective date shall be the same as the effective date of the initial decision.

(c) Item 6 (Issued By). Insert the name and address of the issuing office. If applicable, insert the appropriate issuing office code in the code block.

(d) Item 8 (Name and Address of Contractor). For modifications to a contract or order, enter the contractor's name, address, and code as shown in the original contract or order, unless changed by this or a previous modification.

(e) Item 9, (Amendment of Solicitation No. - Dated), and 10, (Modification of Contract/Order No. - Dated). Check the appropriate box and in the corresponding blanks insert the number and date of the original solicitation, contract, or order.

Item 12 (Accounting and Appropriation Data). When appropriate, indicate the impact of the modification on each affected accounting classification by inserting one of the following entries.

(1)

(2)

(3)

(4)

(5)

(6)

Organize amendments or modifications under the appropriate Uniform Contract Format (UCF) section headings from the applicable solicitation or contract. The UCF table of contents, however, shall not be set forth in this document

Indicate the impact of the modification on the overall total contract price by inserting one of the following entries:

(i) Total contract price increased by $

(ii) Total contract price decreased by $

(iii) Total contract price unchanged.

State reason for modification.

When removing, reinstating, or adding funds, identify the contract items and accounting classifications.

When the SF 30 is used to reflect a determination by the contracting officer of the amount due in settlement of a contract terminated for the convenience of the Government, the entry in Item 14 of the modification may be limited to --

(i) A reference to the letter determination; and

(ii) A statement of the net amount determined to be due in settlement of the contract.

Include subject matter or short title of solicitation/contract where feasible.

(1) Accounting classification Net increase $

19DR8626Q0056-A0001 AVR Maintenance

AMENDMENT 1 TO SOLICITATION 19DR86-26-Q-0056

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

This solicitation is hereby modified to reflect the following:

A. Revise ATTACHMENT #1 – STATEMENT OF WORK will read as follows:

Tier II - Preventative Maintenance Service Contract (PMSC)

Low Voltage-Automatic Voltage Regulator (LV-AVR)

Tier II LV-AVR maintenance is defined as: Annually scheduled, periodically performed, visual and mechanical inspection and functional testing of the entire

AVR for loose and worn parts, proper connections and verification of the unit’s voltage regulation settings to ensure proper operation. Cleaning, wiping down and vacuuming of each compartment, inside and outside of the cabinets. Performing operational testing of the input, bypass and output breakers with appropriate test equipment. Lubricating all recommended points per manufactures recommended procedures and timetables. Replace worn parts utilizing government furnished materials. Contractor is responsible for identifying all necessary parts which are not on hand at the time of service.

I. GENERAL INFORMATION:

The United States Embassy in Santo Domingo requires professional services and contractor cost proposals to perform preventive maintenance services of the facility’s electrical LV-AVR(s).

II. PROJECT REQUIREMENTS:

The Contractor shall perform preventive maintenance (PM) on the equipment listed below as described in this STATEMENT OF WORK. The objective of planned preventive maintenance is to reduce system malfunction, breakdown and deterioration when units are activated/running.

DESCRIPTION OF EQUIPMENT:

Unit Number Manufacturer Model Serial Number Location

1 ORTEA SIRIUS S1650437-4415 COMPOUND

III. GENERAL REQUIREMENTS:

The Contractor shall provide the labor, tools and cleaning materials required to perform all preventive maintenance as outlined in this SOW. The systems and components to be maintained include power conducting equipment such as switches, circuit breakers, voltage transformers, rectifiers and fuses; temperature regulating equipment such as exhaust fans and air-conditioning equipment; and control systems such as control panels, current transformers and protective relays. Embassy staff have service manuals for on-site for the applicable equipment.

The contractor shall confirm government provided manuals are complete and current and provide the Contracting Officer’s Representative (COR) of

Government Technical Monitor (GTM) a listing of any missing or out of date manuals. The technician shall sign off on every maintenance task specified in the

Statement of Work and will provide a typewritten copy of their report to the

COR/GTM within five business days of each maintenance visit.

IV. QUALIFIED CONTRACTORS: A LICENSED ELECTRICAL

CONTRACTOR.

The approved contractor must provide a Factory Certified Technician (OEM) with a minimum of five years LV-AVR maintenance experience for the corresponding make of LV-AVR(s) being serviced, for example, Ortea to service Ortea, UST to service UST, Watford to service Watford and PS&C to service PS&C etc. to perform the service work on the United States Government’s LV-AVR(s) and equipment. These qualified technician(s) are required to be on-site for the servicing and testing of the LV-AVR(s) and must be accompanied by the Post and/or OBO appointed electrician responsible for the LV-AVR(s) isolation from the Power

Source.

V. SAFETY & SPECIAL INSTRUCTIONS:

SAFETY: Safety is the highest priority on this and all OBO/OPS/FAC/PS/UM projects/operations.

OBO/SHEM policy is to work de-energized!

The team leader shall direct all of those under his/her charge to work safely. All personnel working in the vicinity shall wear and/or use appropriate Personal

Protective Equipment (PPE) while all work is performed. Regular safety meetings shall be held among on-site personnel and safety concerns shall be brought to the attention of the Post Safety and Health Officer (POSHO) and/or the COR/GTM.

The contractor is expected to provide all required PPE for the technicians to work safely on all OBO locations worldwide. Lock-Out Tag-Out (LOTO) is to be strictly enforced. Safety Data Sheets (SDS) for any HAZMAT materials proposed by the contractor for use on site shall be provided to the COR/GTM for approval.

VI. SCOPE OF WORK - LOW VOLTAGE REGULATOR PREVENTIVE

MAINTENANCE

Coordination and scheduling maintenance shall begin 90 days in advance. (Intent:

Contractor needs to initiate contact with post to begin scheduling of personnel and outage coordination 90 days in advance to allow for proper travel planning and notifications to affected offices).

At a minimum, the following general procedures must be adhered to:

1. Provide COR/GTM with a listing of required expendable parts necessary for each service visit.

2. Coordinate maintenance with Post personnel and affected offices (security).

3. Follow site safety procedures.

4. Use appropriate personal protective equipment (PPE) when performing work.

5. Check all work areas, tools and equipment to ensure unsafe conditions are eliminated or guarded against.

6. Follow approved lock out/tag out procedures.

7. Lock out and disconnect the main power before working inside the AVR

(Initial diagnostic measurements and IR scanning are excluded) in order to avoid the hazard of electrical shock, which could result in serious personal injury or death. Provide Photo of this procedure being completed, to be included in Final Report.

Warning: Unit may be supplied by two or more sources of power (unit heaters, controls, etc.). Verify the absence of power on all applicable circuits before beginning work on the unit.

8. Service the equipment following the manufacturers recommended practices and procedures.

9. Provide complete list of spare parts onsite.

10. Record results/findings in the equipment history log.

11. The following maintenance tasks are to be accomplished:

General

• Annotate any active indicators/alarms.

• Clean unit enclosure (exterior and interior) removing dust, dirt and corrosion.

• Apply touchup paint as applicable.

• Clean the air inlets of the enclosure.

• Lubricate all door hinges as necessary.

• Inspect DC motor for leakage (if applicable)

• Verify DC drive chain deflection (if applicable)

• Clean and lubricate drive rail (if applicable)

Roof Fans / Regulator Fans

• Clean/Replace unit/door filters.

• Clean/Relace roof fan filters (if applicable)

• Verify all exhaust fans operate freely. If necessary, replace defective fans.

• Check that no restrictions to air flow exist.

• Check that regulator fans operate freely.

Electrical / Controls

• Check for correct torquing of terminations.

• Check that the auxiliary electrical connections are secure.

• Exercise (Open/Close cycle) all breakers.

Functionality Check-up

• Verify that no tools are left inside the unit during the maintenance before start-up.

• Unit Start-up without load and functionality verification.

• Test cabinet fans functionality. If necessary, replace defective fans.

Note: Exhaust fans are operated by the controller. Before proceeding with the replacement, check the temperature threshold that determines the activation.

• Test regulators fans functionality. If necessary, replace defective fans.

• Test stabilizer alarm set-up and front panel alarms LED/display.

• Start-up of the unit with load and functionality verification.

• Test of manual By-Pass functionality

• Verify accuracy of unit input and output metering.

• Download log-files from unit.

• Reset maintenance hours.

Deliverables

• Service Report (SR) including a narrative summary of all checks, findings, and conditions. Include all input and output voltage, amperage, frequency and temperature readings.

• Completed maintenance checklist for each LV-AVR

If any discrepancies are identified with the LV-AVR that are not covered under this scope of work, the contractor shall provide the following:

1. Detailed report noting the discrepancy found.

2. Bill of Materials (BOM) to include component name, quantity, part # and price for any repair material required and material lead-time.

3. The contractor shall provide emergency assistance for AVR support within

24 hours of being contacted by the COR.

B. The due date to receive proposals remains the same, August 28, 2026. The time remains the same 16:00 hours.

Except as provided herein, all terms and conditions of the document referenced in Item 9A or

10A, as heretofore changed, remain unchanged and in full force and effect.

END OF MODIFICATION

AUTORIZED FOR LOCAL REPRODUCTION STANDARD FORM 1449 (REV. 02/2012)

PREVIOUS EDITION IS NOT USABLE Computer Generated Prescribed by GSA - FAR (48 CFR) 53.212

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

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

1. REQUISITION NUMBER

PR15909061

PAGE 1 OF 40 PAGES

2. CONTRACT NO. 3. AWARD/ EFFECTIVE

DATE

4. ORDER NUMBER 5. SOLICITATION NUMBER

19DR8626Q0056

6. SOLICITATION ISSUE

DATE

07/29/2026

7. FOR SOLICITATION

INFORMATION CALL:

a. NAME Lessy S Rosario

b. TELEPHONE NUMBER(No collect calls)

8. OFFER DUE DATE/

LOCAL TIME

08/28/2026 / 16:30

9. ISSUED BY CODE DR860 10. THIS ACQUISITION IS x UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS WOMEN-OWNED SMALL BUSINESS

HUBZONE SMALL

BUSINESS

(WOSB) ELLIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM NAICS:

EDWOSB EMERGING SMALL BUSINESS

AMERICAN EMBASSY SANTO DOMINGO

AV REP DE COLOMBIA 57 ALTOS DE ARROYO HONDO,

ATTN: GSO

SANTO DOMINGO

DOMINICAN REPUBLIC

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS 8 (A) SIZE STANDARD:

13b. RATING11. DELIVERY FOR FOB DESTINAT-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS 13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

14. METHOD OF SOLICITATION

x RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

AMERICAN EMBASSY SANTO DOMINGO

AV REP DE COLOMBIA 57 ALTOS DE

ARROYO HONDO, ATTN: GSO

SANTO DOMINGO

DOMINICAN REPUBLIC

AMERICAN EMBASSY SANTO DOMINGO

AV REP DE COLOMBIA 57 ALTOS DE ARROYO HONDO, ATTN: GSO

SANTO DOMINGO

DOMINICAN REPUBLIC

CODE FACILITY

CODE

17a. CONTRACTOR/

OFFERER

TELEPHONE NO.

18a. PAYMENT WILL BE MADE BY

AMERICAN EMBASSY SANTO DOMINGO

3470 Santo Domingo Pl, FMO Washington DC 20521

DOMINICAN REPUBLIC

CODE

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN

OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED x SEE ADDENDUM

19.

ITEM NO.

20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only) x 27a.SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA x ARE 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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _ __ COPIES

TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DELIVER ALL ITEMS

SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS

SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED HEREIN.

29. AWARD OF CONTRACT: REF. _ _______________ OFFER DATED

_ __________. YOUR OFFER ON SOLICITATION (BLOCK 5), INCLUDING ANY

ADDITIONS OR CHANGES WHICH ARE SET FORTH HEREIN, IS ACCEPTED AS

TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (Type or print) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (Type or print) 31c. DATE SIGNED

AVR Maintenance Services

See attached for details.

ITEM NO. 20.

SCHEDULE OF SUPPLIES/SERVICES

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

32a. QUANTITY IN COLUMN 21 HAS BEEN

RECEIVED INSPECTED ACCEPTED, AND CONFORMS TO THE CONTRACT, EXCEPT AS NOTED: _______________________________

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

32g. E-MAIL OF AUTHORIZED GOVERNMENT REPRESENTATIVE

33. SHIP NUMBER 34. VOUCHER NUMBER 35. AMOUNT VERIFIED

CORRECT FOR

36. PAYMENT 37. CHECK NUMBER

PARTIAL FINAL COMPLETE PARTIAL FINAL

38. S/R ACCOUNT NO. 39. S/R VOUCHER NO. 40. PAID BY

41.a. I CERTIFY THIS ACCOUNT IS CORRECT AND PROPER FOR PAYMENT 42a. RECEIVED BY (Print) 41b. SIGNATURE AND TITLE OF CERTIFYING OFFICER 41C. DATE

42b. RECEIVED AT (Location)

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

STANDARD FORM 1449 (REV. 2/2012) BACK

TABLE OF CONTENTS

SECTION 1 - THE SCHEDULE

• SF 1449 cover sheet

• Continuation To SF-1449, RFQ Number 19DR86-26-Q-0056, Prices, Block 23

• Continuation To SF-1449, RFQ Number 19DR86-26-Q-0056, Schedule Of

Supplies/Services, Block 20 Description/Specifications/Work Statement

• Attachment 1 to Description/Specifications/Performance Work Statement

SECTION 2 - CONTRACT CLAUSES

• Contract Clauses

• Addendum to Contract Clauses - FAR and DOSAR Clauses not Prescribed in Part 12

SECTION 3 - SOLICITATION PROVISIONS

• Solicitation Provisions

• Addendum to Solicitation Provisions - FAR and DOSAR Provisions not Prescribed in

Part 12

SECTION 4 - EVALUATION FACTORS

• Evaluation Factors

• Addendum to Evaluation Factors - FAR and DOSAR Provisions not Prescribed in

Part 12

SECTION 5 - REPRESENTATIONS AND CERTIFICATIONS

• Offeror Representations and Certifications

• Addendum to Offeror Representations and Certifications - FAR and DOSAR

Provisions not Prescribed in Part 12

SECTION 1 - THE SCHEDULE

CONTINUATION TO SF-1449

RFQ NUMBER 19DR86-26-Q-0056

PRICES, BLOCK 23

I. PERFORMANCE WORK STATEMENT

A. TYPE OF CONTRACT

The purpose of this firm fixed price contract is for preventive maintenance services for an

Automatic Voltage Regulator (AVR) in accordance with the attached Scope of Work for the

US Embassy Santo Domingo.

The preventive maintenance services will be billed annually. The annual price shall include all direct and indirect costs for equipment and labor, including but not limited to: labor and overtime for employees, benefits, insurance, transportation, and housing/lodging for employees. The price shall also include the proper disposal of toxic substances as per Item

5.3 where applicable. No additional sums will be payable for any escalation in the cost of materials, equipment or labor, or because of the contractor's failure to properly estimate or accurately predict the cost or difficulty of achieving the results required. The contract price will not be adjusted due to fluctuations in currency exchange rates.

B. PERIOD OF PERFORMANCE

The contract will be for a one-year period from the date of the contract award, with four (4) one-year options. Contract shall commence on award date and continue for 12 months.

II. PRICING

The rates below include all costs associated with providing preventive maintenance services in accordance with the attached scope of work, and the manufacturer’s warranty including materials, labor, insurance, overhead, and profit.

Prices shall be in US dollars.

VALUE ADDED TAX (ITBIS). Value Added Tax (ITBIS) is not applicable to this contract and shall not be included in the CLIN rates or Invoices because the U.S. Embassy has a tax exemption certificate from the host government.

BASE YEAR. The Contractor shall provide the services shown below for the base period of the contract and continuing for a period of 12 months.

OPTION YEAR 1. The Contractor shall provide the services shown below for Option Year 1 of the contract, and continuing for a period of 12 months.

CLIN Description Quantity of

Equipment

Type of services

No. of service

Unit price / service

(US$)

Total per year

(US$)

Automatic Voltage Regulator

(AVR) Annual Preventive

Maintenance Service in accordance with SOW

AVR ORTEA Sirius 3-ph

Voltage Stabiliser / AVR

ORTEA SIRIUS 277/480V,

3200 Amp

Code: SS250MCZ10S165A

Serial Number: S1650437-

EN IEC 61439-1

1 Annual 1

Total Base Year US$

CLIN Description Quantity of

Equipment

Type of services

No. of service

Unit price / service

(US$)

Total per year

(US$)

Automatic Voltage Regulator

(AVR) Annual Preventive

ORTEA SIRIUS 277/480V,

3200 Amp

Code: SS250MCZ10S165A

Serial Number: S1650437-

EN IEC 61439-1

1 Annual 1

Total Option Year 1 (US$)

OPTION YEAR 2. The Contractor shall provide the services shown below for Option Year 2 of the contract, and continuing for a period of 12 months.

OPTION YEAR 3. The Contractor shall provide the services shown below for Option Year 3 of the contract, and continuing for a period of 12 months

Equipment

Type of services

No. of service

Unit price / service

(US$)

Total per year

(US$)

Automatic Voltage Regulator

(AVR) Annual Preventive

ORTEA SIRIUS 277/480V,

3200 Amp

Code: SS250MCZ10S165A

Serial Number: S1650437-

EN IEC 61439-1

1 Annual 1

Total Option Year 2 (US$)

CLIN Description Quantity of

Equipment

Type of services

No. of service

Unit price / service

(US$)

Total per year

(US$)

Automatic Voltage Regulator

(AVR) Annual Preventive

ORTEA SIRIUS 277/480V,

3200 Amp

Code: SS250MCZ10S165A

Serial Number: S1650437-

EN IEC 61439-1

Total Option Year 3 (US$)

OPTION YEAR 4. The Contractor shall provide the services shown below for Option Year 4 of the contract, and continuing for a period of 12 months

GRAND TOTAL OF BASE PLUS ALL OPTION YEARS

Base Year Total

First Option Year Total

Second Option Year Total

Third Option Year Total

Fourth Option Year Total

Grand Total of Base plus All Option Years

III. REPAIR OPTION.

Repairs are NOT included under this agreement (see 4.1.3) and are to be done outside this contract. However, we would like to have current labor rates in the event that there is an issue discovered during the preventive maintenance of the specified equipment. Please provide your current labor rates in the Repair Option fields below. As stated in 4.1.3 any necessary repairs or parts will be submitted for approval and then billed against a separate PO. The Contractor is not approved to do any additional work without approval.

Equipment

Type of services

No. of service

Unit price / service

(US$)

Total per year

(US$)

Automatic Voltage Regulator

(AVR) Annual Preventive

ORTEA SIRIUS 277/480V,

3200 Amp

Code: SS250MCZ10S165A

Serial Number: S1650437-

EN IEC 61439-1

Total Option Year 4 (US$)

Repair Labor Rates

Base Year $__________/hr

Option Year 1 $__________/hr

Option Year 2 $__________/hr

Option Year 3 $__________/hr

Option Year 4 $__________/hr

CONTINUATION TO SF-1449,

RFQ NUMBER 19DR86-26-Q-0056

SCHEDULE OF SUPPLIES/SERVICES, BLOCK 20

DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

1. EQUIPMENT AND PERFORMANCE REQUIREMENTS

The American Embassy in Santo Domingo requires the Contractor to maintain the following systems in a safe, reliable and efficient operating condition. Please see equipment list included in

Attachment 1 for a more detailed description.

AVR ORTEA Sirius 3-ph Voltage Stabilizer

Code: SS250MCZ10S165A

Serial Number: S1650437-4415

EN IEC 61439-1

Input Output Terminals: U1-V1-W1-N1 U2-V2-W2-N2 Power 2500 2500 KVA

Rated Voltage 480 480 V

Fluctuation 20% 0.5%

Plus/Minu s

Rated Current 3010 3010 A

Max Current 3763 3010 A

Frequency 60 60 Hz

Cooling

AN (fans over 35

C)

Installation Outdoor

Project Degree IP54

Weight 8200 Kg

Drawing S165004

The Contractor shall provide all necessary managerial, administrative and direct labor personnel, as well as all transportation, equipment, tools, supplies and materials required to perform inspection, maintenance, and component replacement as required to maintain the systems in accordance with this work statement. Under this Contract the Contractor shall provide:

• The services of trained and qualified technicians to inspect, adjust, and perform scheduled preventive maintenance.

• During the performance of this work the COR must be immediately made aware of any condition discovered that could result in equipment failure.

Performance Standards

It is expected that the contractor will complete all tasks under this agreement and that upon completion the AVR will be reactivated in good working order. The Contractor shall schedule all preventive maintenance work with the site Facility Manager to avoid disrupting the business operation of the Embassy.

2. WORKING HOURS

The Contractor shall maintain work schedules. The schedules shall take into consideration the hours that the staff can effectively perform their services without placing a burden on the security personnel of the Post. The Contractor shall deliver standard services between the hours of 8:00

AM and 05:00 PM Monday through Friday. No work shall be performed on US Government and local holidays.

3. ACCESS TO GOVERNMENT BUILDINGS AND STANDARDS OF CONDUCT

3.1 General. The Contractor shall designate a representative who shall supervise the

Contractor’s technicians and be the Contractor’s liaison with the American Embassy. The

Contractor’s employees shall be on-site only for contractual duties and not for any other business or purpose. Contractor employees shall have access to the equipment and equipment areas and will be escorted by Embassy personnel.

3.2 Personnel Security. After award of the contract, the Contractor shall provide the following list of data on each employee who will be working under the contract. The Contractor shall include a list of workers and supervisors assigned to this project. The Government will run background checks on these individuals. It is anticipated that security checks will take thirty (30) days to perform. For each individual the list shall include:

• Full Name

• Place and Date of Birth

• Current Address

• Identification number (Cédula de Identidad y Electoral or Passport)

Failure to provide any of the above information may be considered grounds for rejection and/or resubmittal of the application. The Government reserves the right to deny access to U.S.-owned and U.S.-operated facilities to any individual.

Submission of information shall be made within five (5) days of award of contract. No technician will be allowed on site without prior authorization. Note: this may include cleared personnel if advance notice of visit is not given at least one week before the scheduled visit.

3.3 Vehicles. Contractor vehicles will not be permitted inside the embassy compound without prior approval. If you need to have vehicle access please submit your vehicle information (Make, Model, License Plate #) along with a written justification as to why access is necessary. This should be submitted to the COR at least one (1) week prior to the visit.

Government shall issue identity cards to Contractor personnel, after they are approved. Contractor personnel shall display identity card(s) on the uniform at all times while providing services under this contract. These identity cards are the property of the US Government. The Contractor is responsible for their return at the end of the contract, when an employee leaves Contractor service, or at the request of the Government. The Government reserves the right to deny access to U.S.-owned and U.S.-operated facilities to any individual.

3.4. Standards of Conduct

The Contractor shall maintain satisfactory standards of employee competency, conduct, cleanliness, appearance, and integrity and shall be responsible for taking such disciplinary action with respect to employees as may be necessary. Each Contractor employee shall adhere to standards of conduct that reflect credit on themselves, their employer, and the United States

Government. The Government reserves the right to direct the Contractor to remove an employee from the worksite for failure to comply with the standards of conduct. The Contractor shall immediately replace such an employee to maintain continuity of services at no additional cost to the Government.

3.4.1 Uniforms and Personal Equipment. The Contractor's employees shall wear clean, neat and complete uniforms when on duty. All employees shall wear uniforms approved by the Contracting

Officer's Representative (COR). The Contractor shall provide, to each employee and supervisor, uniforms and personal equipment. The Contractor shall be responsible for the cost of purchasing, cleaning, pressing, and repair of the uniforms.

3.4.2 Neglect of Duties. Neglect of duties shall not be condoned. This includes sleeping while on duty, unreasonable delays or failures to carry out assigned tasks, conducting personal affairs during duty hours and refusing to render assistance or cooperate in upholding the integrity of the worksite security.

3.4.3 Disorderly Conduct. The Contractor shall not condone disorderly conduct, use of abusive or offensive language, quarreling, and intimidation by words, actions, or fighting. Also included is participation in disruptive activities that interfere with normal and efficient Government operations.

3.4.4 Intoxicants and Narcotics. The Contractor shall not allow its employees while on duty to possess, sell, consume, or be under the influence of intoxicants, drugs or substances which produce similar effects.

3.4.5 Criminal Actions. Contractor employees may be subject to criminal actions as allowed by law in certain circumstances. These circumstances include but are not limited to the following actions: falsification or unlawful concealment, removal, mutilation, or destruction of any official documents or records or concealment of material facts by willful omission from official documents or records; unauthorized use of Government property, theft, vandalism, or immoral conduct; unethical or improper use of official authority or credentials; security violations; organizing or participating in gambling in any form; and misuse of weapons.

3.4.6 Key Control. The Contractor will not be issued any keys. The keys will checked out from

Post 1 by a “Cleared American” escort on the day of service requirements.

3.4.7 Notice to the Government of Labor Disputes. The Contractor shall inform the COR of any actual or potential labor dispute that is delaying or threatening to delay the timely performance of this contract.

4. SCHEDULED PREVENTIVE MAINTENANCE

4.1. General

4.1.1. The Contractor shall perform preventive maintenance as outlined in ATTACHMENT 1 -

STATEMENT OF WORK. The objective of scheduled preventive maintenance is to eliminate system malfunction, breakdown and deterioration when units are activated/running.

4.1.2. The Contractor shall inventory, supply and replace expendable parts (eg, filters, belts, hoses, gaskets) that have become worn down due to wear and tear. The Contractor shall maintain a supply of expendable and common parts on site so that these are readily available for normal maintenance to include: hoses, belts, oil, chemicals, coolant, filters (Air, Fuel, Oil), grease, sealant, thermostat, fuses; in addition to the appropriate tools, testing equipment, safety shoes and apparel for technicians, personal protective equipment (hands, hearing, eye protection), MSDS, cleaning material and oil spill containment kits. The contractor should inventory the supply after each visit and order replacement supplies and have them delivered on site.

4.1.3. Exclusion. This contract does NOT include repair of equipment and replacement of hardware (e.g. bearings, pistons, piston rings, crankshaft, gears.) Hardware replacements will be separately priced out by the Contractor for the Government’s approval and acceptance.

The Government has the option to accept or reject the Contractor’s quote for parts and reserves the right to obtain similar spare parts from other competitive sources. If required by the

Government, the Contractor shall utilize Government-purchased spare parts, if awarded the work.

Such repairs/replacements will be accomplished by a separate purchase order. However, this exclusion does not apply if the repair is to correct damage caused by Contractor negligence.

4.1.4. Replacement/repair of any electronic or electrical parts must be approved by the COR prior to installation of the part. If the Contractor proceeds to replace any electronic or electrical parts without COR approval, the Contractor shall de-install the parts at no cost to the Government.

4.2 Checklist Approval

The Contractor shall submit to the COR a schedule and description of preventive maintenance tasks which the Contractor plans to provide. The Contractor shall prepare this schedule and task description in a checklist format for the COR’s approval prior to contract work commencement.

4.2.1. The Contractor shall provide trained technicians to perform the service at frequencies stated in Attachment 1 and on the equipment called out in this SOW. The technician shall sign off on every item of the checklist and testing/inspection report and leave a copy of this signed checklist with the COR or the COR's designate after the maintenance visit.

4.2.2. It is the responsibility of the Contractor to perform all manufacturers’ recommended preventive maintenance as well as preventive maintenance recommended by the manufacturers’ technical manuals for the respective equipment.

5. PERSONNEL, TOOLS, CONSUMABLE MATERIALS AND SUPPLIES

The Contractor shall provide trained technicians with the appropriate tools and testing equipment for scheduled maintenance, safety inspection, and safety testing as required by this Contract.

The Contractor shall provide all of the necessary materials and supplies to maintain, service, inspect and test all the systems to be maintained.

Contractors must submit with their proposals any copies of applicable LV AVR manufacture training certificates or provide a business letter supporting the ability of their LV AVR technician(s) to work on the brand and model LV AVR system set forth in this agreement. This letter must be on company letterhead and signed by a company executive. Do not send a copy of an individual’s resume.

5.1 Contractor furnished materials will include but not limited to appropriate tools, testing equipment, safety shoes and apparel for technicians, hands, hearing and eye protection, MSDS, cleaning material and oil spill containment kit. Expendable/consumable items (e.g. hoses, belts, oil, chemicals, coolant, filters (Air, Fuel, Oil), generator starting batteries, grease, sealant, thermostat, fuse), will be maintained in the onsite inventory. See 4.1.2.

5.2 Repairs. Repairs are not included in this contract. See Item 4.1.3. Exclusions.

5.3 Disposal of used oil, fuel, battery and other toxic substances. The Contractor is responsible for proper disposal of toxic/hazardous substances. All material shall be disposed of according to

Government and Local law. After proper disposal the contractor must show proof of authorized disposal of these toxic/hazardous substances.

6. SITE TRIP REPORT.

The contractor shall provide two (2) copies of a summary report within 30 days of site work statement completion. The report must be written in the English language. The report can be either hard copy or delivered electronically. One report to be delivered to the COR and the other report is to be sent electronically to the OBO Power Systems Support Program, James Alden, Aldenjn@state.gov. At a minimum the report shall include the following information:

1. Narrative summary of all findings, problems, and corrective action pertaining to the existing AVR. Include all input and output voltage and amperage readings.

2. BOM noting any required repair parts as noted in section III mailto:Aldenjn@state.gov

3. BOM for any recommended spare parts, separate from the required BOM.

4. SOP for the Lock Out / Tag Out procedures isolating the equipment.

7. INSURANCE

7.1 Amount of Insurance. The Contractor is required to provide whatever insurance is legally necessary. The Contractor shall, at its own expense, provide and maintain during the entire performance period the following insurance amounts:

7.2 General Liability (includes premises/operations, collapse hazard, products, completed operations, contractual, independent contractors, broad form property damage, personal injury)

1. Bodily Injury stated in U.S. Dollars:

Per Occurrence USD$5,000.00

Cumulative USD$50,000.00

2. Property Damage stated in U.S. Dollars:

Per Occurrence USD$10,000.00

Cumulative USD$100,000.00

7.3 The types and amounts of insurance are the minimums required. The Contractor shall obtain any other types of insurance required by local law or that are ordinarily or customarily obtained in the location of the work. The limit of such insurance shall be as provided by law or sufficient to meet normal and customary claims.

The Contractor agrees that the Government shall not be responsible for personal injuries or for damages to:

• any property of the Contractor,

• its officers,

• agents,

• servants,

• employees, or

• any other person arising from an incident to the Contractor's performance of this contract. The Contractor shall hold harmless and indemnify the Government from any and all claims arising, except in the instance of gross negligence on the part of the Government.

7.4 The Contractor shall obtain adequate insurance for damage to, or theft of, materials and equipment in insurance coverage for loose transit to the site or in storage on or off the site.

7.5 Government as Additional Insured. The general liability policy required of the

Contractor shall name "the United States of America, acting by and through the Department of

State", as an additional insured with respect to operations performed under this contract.

7.6 Time for Submission of Evidence of Insurance. The Contractor shall provide evidence of the insurance required under this contract within ten (10) calendar days after contract award.

The Government may rescind or terminate the contract if the Contractor fails to timely submit insurance certificates identified above.

8. LAWS AND REGULATIONS

8.1 Without additional expense to the Government, the Contractor shall comply with all laws, codes, ordinances, and regulations required to perform this work. In the event of a conflict among the contract and requirements of local law, the Contractor shall promptly advise the

Contracting Officer of the conflict and of the Contractor's proposed course of action for resolution by the Contracting Officer.

8.2 The Contractor shall comply with all local labor laws, regulations, customs and practices pertaining to labor, safety, and similar matters, to the extent that such compliance is not inconsistent with the requirements of this contract.

9. DELIVERABLES

The following items shall be delivered under this contract:

Description QTY Delivery Date Deliver to

3.2 Personnel Security. 1 5 days after contract award COR

4.2.1 Checklist Approval. Checklist

signed by Contractor 1 Within 3 days of service COR

5. Personnel Training Certificates. 1 Should accompany the bid submittal

COR

5.3 Certification of disposal of toxic

chemicals by local authorities 1 After each change COR

7. Insurance Certificates 1 10 days after contract award COR

6. Site Trip Report 2 Within 30 days after service COR

10. TRANSITIONS/CONTACTS

Within 30 days after contract award, the Contracting Officer may ask the contractor to develop a plan for preparing the contractor to assume all responsibilities for preventive maintenance services.

The plan shall establish the projected period for completion of all clearances of contractor personnel, and the projected start date for performance of all services required under this contract.

The plan shall assign priority to the selection of all supervisors to be used under the contract.

On site contact. The following are the designated contact personnel between the US Embassy and the Contractor

• Facility Manager

• Technical Specialist Electrical Engineer

11. SUBMISSION OF INVOICES

The Contractor shall submit an invoice after each preventive maintenance service has been performed. Invoices must be accompanied by a signed copy of the Maintenance Checklist for the work performed including parts replacement and break down calls, if any. No invoice for preventive maintenance services will be considered for payment unless accompanied by the relevant documentation.

The Government shall pay the Contractor as full compensation for all work required, performed, and accepted under this contract the firm fixed-price stated in this contract. To constitute a proper invoice, the invoice shall include all the items required by FAR 32.905(e). The Contractor shall submit invoices to and submit a copy to the COR:

Financial Management Office

U.S. Embassy Santo Domingo

SantoDomingoPayments@state.gov

12. QUALITY ASSURANCE AND SURVEILLANCE PLAN (QASP)

This plan provides an effective method to promote satisfactory contractor performance. The

QASP provides a method for the Contracting Officer's Representative (COR) to monitor

Contractor performance, advise the Contractor of unsatisfactory performance, and notify the

Contracting Officer of continued unsatisfactory performance. The Contractor, not the

Government, is responsible for management and quality control to meet the terms of the contract.

The role of the Government is to monitor quality to ensure that contract standards are achieved.

Performance Objective Scope of Work

Paragraphs

Performance Threshold

Services.

Performs all AVR preventive maintenance services set forth in the scope of work.

1 thru 11 and

Attachment 1 –

Statement of

Work

All required services are performed and no more than one (1) customer complaint is received per month.

12.1 SURVEILLANCE.

The COR will receive and document all complaints from Government personnel regarding the services provided. If appropriate, the COR will send the complaints to the Contractor for corrective action.

12.2 STANDARD.

The performance standard is that the Government receives no more than one (1) customer complaint per month. The COR shall notify the Contracting Officer of the complaints so that the

Contracting Officer may take appropriate action to enforce the inspection clause (FAR 52.212.4, mailto:SantoDomingoPayments@state.gov

Contract Terms and Conditions-Commercial Items (May 2001), if any of the services exceed the standard.

12.3 PROCEDURES.

(a) If any Government personnel observe unacceptable services, either incomplete work or required services not being performed they should immediately contact the COR.

(b) The COR will complete appropriate documentation to record the complaint.

(c) If the COR determines the complaint is invalid, the COR will advise the complainant.

The COR will retain the annotated copy of the written complaint for his/her files.

(d) If the COR determines the complaint is valid, the COR will inform the Contractor and give the Contractor additional time to correct the defect, if additional time is available.

The COR shall determine how much time is reasonable.

(e) The COR shall, as a minimum, orally notify the Contractor of any valid complaints.

(f) If the Contractor disagrees with the complaint after investigation of the site and challenges the validity of the complaint, the Contractor will notify the COR. The COR will review the matter to determine the validity of the complaint.

(g) The COR will consider complaints as resolved unless notified otherwise by the complainant.

(h) Repeat customer complaints are not permitted for any services. If a repeat customer complaint is received for the same deficiency during the service period, the COR will contact the Contracting Officer for appropriate action under the Inspection clause.

SECTION 2 - CONTRACT CLAUSES

52.212-4 TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEVIATION DATE APRIL 2026) IS

INCORPORATED BY REFERENCE. (SEE SF-1449, BLOCK 27A)

52.212-5 [RESERVED] (DEVIATION DATE APRIL 2026)

ADD THE FOLLOWING CLAUSE IN FULL TEXT:

52.229-12 TAX ON CERTAIN FOREIGN PROCUREMENTS (JUL 2025)

(a) Definitions. As used in this clause—

Foreign person means any person other than a United States person.

United States person, as defined in 26 U.S.C. 7701(a)(30), means–

(1) A citizen or resident of the United States;

(2) A domestic partnership;

(3) A domestic corporation;

(4) Any estate (other than a foreign estate, within the meaning of 26 U.S.C. 7701(a)(31)); and

(5) Any trust if-

(i) A court within the United States is able to exercise primary supervision over the administration of the trust; and

(ii) One or more United States persons have the authority to control all substantial decisions of the trust.

(b) This clause applies only to foreign persons. It implements 26 U.S.C. 5000C and its implementing regulations at 26 CFR 1.5000C-1 through 1.5000C-7.

(c)

(1) If the Contractor is a foreign person and has only a partial or no exemption to the withholding, the Contractor shall include the Department of the Treasury IRS Form W-14, Certificate of Foreign Contracting Party Receiving Federal Procurement Payments, with each voucher or invoice submitted under this contract throughout the period in which this status is applicable. The excise tax withholding is applied at the payment level, not at the contract level.

The Contractor should revise each IRS Form W-14 submission to reflect the exemption (if any) that applies to that particular invoice, such as a different exemption applying. In the absence of a completed IRS Form W-14 accompanying a payment request, the default withholding percentage is 2 percent for the section 5000C withholding for that payment request. Information about IRS

Form W-14 and its separate instructions is available via the internet at www.irs.gov/w14.

(2) If the Contractor—

(i) Is a foreign person; and

(ii) Has indicated in its offer in the provision 52.229-11, Tax on Certain Foreign

Procurements—Notice and Representation, that it is fully exempt from the withholding; and

(iii) Certified the full exemption on the IRS Form W-14, and if that full exemption no longer applies due to a change in circumstances during the performance of the contract that causes the

Contractor to become subject to the withholding for the 2 percent excise tax; then the Contractor shall–

(A) Notify the Contracting Officer within 30 days of a change in circumstances that causes the

Contractor to be subject to the excise tax withholding under 26 U.S.C. 5000C; and https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section7701&num=0&edition=prelim https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section7701&num=0&edition=prelim https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title26-section5000C&num=0&edition=prelim https://www.irs.gov/w14

(B) Comply with paragraph (c)(1) of this clause.

(d) The Government will withhold a full 2 percent of each payment unless the Contractor claims an exemption. If the Contractor enters a ratio in Line 12 of the IRS Form W-14, the result of Line 11 divided by Line 10, the Government will withhold from each payment an amount equal to 2 percent multiplied by the contract ratio. If the Contractor marks box 9 of the IRS Form

W-14 (rather than completes Lines 10 through 12), the Contractor must identify and enter the specific exempt and nonexempt amounts in Line 15 of the IRS…