36C24120R0162_1.docx

Contract Opportunity Special Notice

PRODUCT SERVICE CODE

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CONTRACTING OFFICE'S

ZIP-CODE

SOLICITATION NUMBER

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DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

NAICS CODE

CONTRACTING OFFICE

ADDRESS

POINT OF CONTACT

(POC Information Automatically Filled from User Profile Unless Entered)

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AGENCY'S URL

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AGENCY CONTACT'S EMAIL

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GENERAL INFORMATION

ADDITIONAL INFORMATION

* = Required Field Contract Opportunity Special Notice C213 VISN 1 Statement of Conditions and Life Safety Assessment 01053 36C24120R0162 N 541330 Department of Veterans Affairs

VA CENTRAL WESTERN MASSACHUSETTS HCS

Acquisitions-90 421 North Main Street Leeds MA 01053-9764 Heather Libiszewski-Gallien Heather.Libiszewski-Gallien@va.gov Heather.Libiszewski-Gallien@va.gov

SPECIAL NOTICE REQUEST FOR QUALIFICATIONS (SF-330)

NAICS Code: 541330 – Engineering Services (Small Business size standard $16.5 million dollars)

A. INTRODUCTION:

The Veteran Integrated Service Network (VISN) 1 has a requirement for a Firm Fixed Price contract to provide professional Architect/Engineer (A/E) Design Services for Statement of Conditions and Life Safety Assessment for nine Medical Centers in New England comprised of approximately 5 million square feet.

B. CONTRACT INFORMATION:

The Veteran Integrated Service Network (VISN) 1 has a requirement for a Firm Fixed Price contract to provide professional Architect/Engineer (A/E) Design Services for nine Medical Centers in New England comprised of approximately 5 million square feet. The period of performance is 180 calendar days and the contract will consist of the following requirements (Statement of Work is also attached to this notice):

· Perform a Life Safety Survey to identify, list and detail all physical deficiencies with regard to relevant life safety standards;

· Identify, list and detail deficiencies in the inspection, test, drill, and maintenance records of Life Safety systems, critical utility systems and fire drills;

· Provide an updated set of documents to meet requirements of The Joint Commission’s (TJC) standards in LS.01.01.01 (Life Safety Drawings and Basic Building Information);

· Complete the requirements of the contract within 180 calendar days of the contract being awarded;

· The goal of this project is to help prepare each Medical Center within the VA New England Healthcare System for the FY21 TJC survey prior to TCJ surveyors’ arrival.

This acquisition is a Total Set-Aside for Service-Disabled Veteran Owned Small Business (SDVOSB) in accordance with VAAR 852.219-10 with NAICS Code 541330. Any subsequent award will require the firm to be registered in System for Award Management (SAM www.sam.gov) and the VETBIZ Vendor Information Pages (https://www.vip.vetbiz.va.gov/). VETBIZ will be used to determine SDVOSB/VOSB Status, therefore, firms need to be registered with the applicable NAICS Code of 541330 at the time SF330’s are submitted.

Prospective firms are reminded that in accordance with FAR 52.219-14, Limitations on Subcontracting, at least 50 percent of the cost of personnel for contract performance shall be spent for employees of the concern. SF330 packages shall address how each firm anticipates meeting these criteria. This requirement is in accordance with the Selection of Architects and Engineers as implemented in Subpart 36.6 of the Federal Acquisition Regulation and Subpart 836.6 of the VA Acquisition Regulation. All submissions will be evaluated in accordance with the evaluation criteria. A "short list" of the three most highly rated after initial source selection will be chosen for negotiations of a contract award. The Government will not pay, nor reimburse, any costs associated with responding to this request. The Government is under no obligation to award a contract as a result of this announcement. Respondents are put on notice that firm(s) selected by the Selection Authority will be required to submit a Fixed Price Rate Proposal to include labor, overhead, profit, and other costs for this project for negotiation by the Contracting Officer prior to contract award. The negotiated agreement will be incorporated into the resulting contract.

C. THIS IS NOT A REQUEST FOR PROPOSAL:

This is a request for SF 330's Architect/Engineer Qualifications packages only. Any requests for a solicitation will not receive a response. No material will be issued and no solicitation package or bidder/plan holder list will be issued.

D. PROJECT INFORMATION:

Provide Architect/Engineer services for Statement of Conditions and Life Safety Assessments for the following requirements (Statement of Work is also attached to this notice):

· Perform a Life Safety Survey to identify, list and detail all physical deficiencies with regard to relevant life safety standards;

· Identify, list and detail deficiencies in the inspection, test, drill, and maintenance records of Life Safety systems, critical utility systems and fire drills;

· Provide an updated set of documents to meet requirements of The Joint Commission’s (TJC) standards in LS.01.01.01 (Life Safety Drawings and Basic Building Information);

· Complete the requirements of the contract within 180 calendar days of the contract being awarded;

· The goal of this project is to help prepare each Medical Center within the VA New England Healthcare System for the FY21 TJC survey prior to TCJ surveyors’ arrival.

E. EVALUATION SELECTION CRITERIA:

Each respondent’s SF 330 submittal package will be evaluated in accordance with FAR 36.6 procedures. The selection criteria, in descending order of importance will be as follows:

1. Professional Qualifications

2. Reputation & Standing of Firm

3. Specialized Experience/Technical Competence

4. Teamwork

5. Capacity

6. Past Performance

7. Capability and commitment

8. Location

F. SELECTION CRITERIA DESCRIPTIONS:

The selection criteria descriptions (1 through 8) are provided below.

1. PROFESSIONAL QUALIFICATIONS NECESSARY FOR SATISFACTORY PERFORMANCE OF REQUIRED SERVICES

Provide brief resumes of proposed team members who will specifically serve as the Project Managers and Designers of Record. In addition, provide resumes of other relevant team members or frequent subcontractor who will perform technical tasks under this contract including their record of working together. The Designers of Record shall perform and direct the design within their respective discipline and shall sign and seal the drawings. All Designers of Record must be professionally registered in their discipline. Each resume shall include a minimum of three (3) specific completed projects that best illustrate the individual team members experience relevant to this contract scope. All proposed team members and supervisors shall have the minimum education, training, and experience as is normally expected of a company actively providing the required services and shall have demonstrated experience to perform a project such as this within a VA Medical Center Hospital. Additionally, the firm shall address the criteria for meeting the Limitations on Subcontracting.

2. REPUTATION AND STANDING OF THE FIRM AND ITS PRINCIPAL OFFICIALS

Documentation supplied should allow the evaluation team to assess this factor with respect to professional performance, general management, and cooperativeness.

3. SPECIALIZED EXPERIENCE AND TECHNICAL COMPETENCE

Specialized experience and technical competence in health care facilities (to include joint ventures), including, where appropriate, experience with Statement of Conditions and Life Safety Assessments.

This factor evaluates the amount of experience the AE firm has in designing similar types to Statement of Conditions and Life Safety Assessments and evaluating their technical competence.

Provide a detailed narrative of up to 5 (maximum) relevant projects completed within the last 5 years, which best illustrate overall team experience relevant to this contract scope. List projects that demonstrate the teams experience with projects of similar size and scope to those to be performed under this contract; Emphasize any specialized experienced the firm has with Statement of Conditions and Life Safety Assessments (preferably at the VA or in a hospital environment.)

4. TEAMWORK

Documentation supplied should include specific experience and qualifications of personnel proposed for assignment to the project(s) and their record of working together as a team.

5. CAPACITY

This factor evaluates ability of the AE firm, given their current projected workload and the availability of their key personnel, to accomplish the design project in the required time.

The general workload and staffing capacity of the design office will be evaluated.

List current projects with a design fee of greater than $20,000 being designed in the firms’ office;

Indicate the firms’ present workload and the availability of the project team (including sub-consultants) for the specified contract performance period; and any impact that may have on taking on a new project of this scope.

Describe experience in successfully delivering projects per performance schedule, providing timely, and successfully completing multiple projects with similar delivery dates; and if that workload would adversely impact a new project of this scope and then demonstrate how the firm intends to increase its workload capacity to complete this project.

6. PAST PERFORMANCE

NCO 1 will evaluate past performance on recent and relevant contracts with Government agencies (emphasis on VA work) and private industry in terms of cost control, quality of work, compliance with performance schedule and a record of significant claims against the firm due to improper or incomplete engineering services (references required).

a. Recency is defined as performance occurring within 5 years of the date of this Notice, except that ongoing projects must have begun no less than one (1) year prior to the issuance of this Notice.

b. Relevancy is defined as performance of work on projects that are similar in scope to the type of project anticipated under the resultant contract.

Respondents with no previous past performance shall so state when addressing the selection criteria. Documentation supplied should detail firms’ ability to work with government entities and design standards or similar relevant experience with other entities.

a. Provide a copy of all performance evaluations (A/E) issued for government contracts (as applicable). For non-Federal contracts, provide facility owner documentation of the firms’ performance issued on that contract. If known documentation exists, so state.

b. Provide accessible owner points of contact: name, title, address, telephone number, e-mail, and fax number and provide copies of awards and letters of appreciation/recommendation as desired.

Past Performance Questionnaires (Attachment 1 to this Notice):

a. Respondents shall complete Section A (General Information) of the Past Performance Questionnaire and provide it to NCO 1 representative as part of the SF 330 submittal package.

b. Respondents shall submit the Past Performance Questionnaire Sections B through D and the Cover Letter to each Contracting Officer (or customer contact equivalent) and Project Manager (or customer contact equivalent) identified in its SF 330 Section F, “Example Projects Which Best Illustrate Proposed Team’s Qualifications for this Contract”. Sections B through D of the questionnaire shall be completed ONLY by the contract customer.

c. The contract customer shall complete sections B through D of the Past Performance Questionnaire and shall submit it directly to NCO 1 by the SF 330 submittal package due date identified in the Notice.

d. Past Performance Questionnaire sections B through D will not be accepted from Respondents. Questionnaire sections B through D must come directly from the Respondent’s contract customer.

The Respondent bears the burden of providing relevant and timely references with accurate and current telephone numbers and addresses.

The Respondent is responsible for ensuring that the questionnaires issued by them are completed by the contract customer and submitted directly by the contract customer to NCO 1 at the address listed in this Notice, no later than the SF 330 submittal package due date designated in this Notice.

Contract customer shall E-mail Past Performance Questionnaire Sections B through D.

Respondents are notified that NCO 1 may use any additional sources of information available to it regarding the Respondent’s relevant experience and past performance and consider the information thus obtained as part of this evaluation.

7. CAPABILITY AND COMMITMENT

The capability and commitment to provision accurate professional services. This factor includes determining customer satisfaction, project cost, and meeting project schedule by:

a. Reviewing the firms’ record of timely completion of all required documentation and reporting.

b. Determining the accuracy of professional services through a review of the history of services support and any deficiencies which may have resulted in additional costs to NCO 1.

8. LOCATION

a. The A/E Firm must be generally located in the geographic area of the medical centers that comprise of the VISN 1 New England Healthcare System.

1. Please provide the address and distance of your closest office.

b. The A/E Firm must have general knowledge of the locality of the project.

G. QUESTIONS AND COMMENTS:

a. Questions and comments regarding this notice must be submitted by email only to the Contracting Officer Heather Libiszewski-Gallien at Heather.Libiszewski-Gallien@va.gov .

b. Oral questions will not be answered.

c. The deadline for questions is October 1, 2020 at 2:00pm EST.

H. SF 330 SUBMITTAL PACKAGE PAGE INSTRUCTIONS:

a. SF 330 submittal packages, including Past Performance Questionnaires, shall be submitted no later than 11:00AM EST on October 23, 2020.

· Respondents are responsible for ensuring SF 330 submittal packages, any revisions, and modifications are submitted by this time.

b. Qualified A/E firms are required to submit ONE (1) electronic copy via email to Heather.Libiszewski-Gallien@va.gov. If file size exceeds 7MB then firms are required to send multiple emails with a sequence stating email 1 of __.

SF 330 forms are available on-line at: http://www.gsa.gov/portal/forms/type/SF

c. Submission of information incorporated by reference is not allowed.

d. Prospective firms shall address all selection criteria factors within their submitted SF 330 package.

e. Submissions are limited to 85 pages.

i. Absolutely no photographs shall be submitted.

ii. Title pages and tables of contents, if applicable, are excluded from the page count limitation.

iii. Pages submitted in excess of the limitations specified in this Notice will not be evaluated by NCO 1.

f. Telephone or Fax inquiries will not be accepted.

I. SF 330 PACKAGE CONTENTS:

a. The SF 330 submittal packages shall consist of a completed SF 330 parts I and II, specific information addressing each of the EIGHT selection criteria described in this Notice; the additional information required by this Notice and past performance questionnaire section A.

b. Respondents are required to meet all requirements in addition to those identified as selection criteria

c. SF 330 submittal packages not consistent with the requirements and selection criteria of this Notice may be determined unacceptable and removed from consideration.

d. Any SF 330 submittal package, modification, or revision, that is received at the designated NCO 1 office after the exact time specified for receipt is “late” and will not be considered unless it is received before award is made, the contracting officer determines that accepting the late submittal would not unduly delay the acquisition; and—There is acceptable evidence to establish that it was received at NCO 1 installation designated for receipt of submittal packages and was under NCO 1’s control prior to the time set for receipt of submittal packages; or It was the only submittal package received.

J. SF 330 PACKAGE PREPARATION:

a. Qualified A/E firms are required to submit ONE (1) electronic copy via email to Heather.Libiszewski-Gallien@va.gov.

SF 330 forms are available on-line at: http://www.gsa.gov/portal/forms/type/SF.

b. Electronic copy shall be in searchable PDF format of the SF 330 parts I and II, questionnaire Section A and additional information requested by this Notice.

c. A cover sheet should be included, clearly marked with the Respondent's name, complete address with 9 digit zip code, phone number, e-mail address, DUNs number, date of response, title and Notice identification.

d. Information not provided elsewhere in the SF 330 submittal package shall not be incorporated by reference.

e. A table of contents shall be provided for ready reference to sections and figures.

f. SF 330 submittal packages shall be consistent with the following structure and formatted accordingly:

SF 330 PART I – CONTRACT – SPECIFIC QUALIFICATIONS

1. Sections A through D

2. Section E

3. Section F

4. Section G

5. Section H

6. Section I

7. Questionnaire section A only

8. Other additional information and attachments

SF 330 PART II – GENERAL QUALIFICATIONS

(Note: Respondents shall clearly label additional information and attachments).

K. FAR and VAAR:

The FAR and VAAR citations referenced in this Special Notice can be accessed via the following internet links: https://www.acquisition.gov/far/index.html

L. ATTACHMENTS TO THE SPECIAL NOTICE:

Attachment 1 – Past Performance Questionnaire and Cover Letter

Project Statement of Work

END OF SPECIAL NOTICE

ATTACHMENT 1 - PAST PERFORMANCE QUESTIONAIRE AND COVER LETTER

Complete one set of letters and forms for each project identified in your firm’s SF 330 Section F, Example Projects Which Best Illustrate Proposed Team’s Qualifications for This Contract. Additional space or blank sheets may be added to answer any question.

Transmittal

Letter to

Accompany

Past

Performance

Questionnaire

FROM: [Insert Company Official Name, Title, and Company Name]

SUBJECT: Past Performance Questionnaire for Contract(s):

[Insert Company Name] is currently responding to Department of Veterans Affairs (NCO 1) request for SF 330, Architect-Engineer Qualifications for a complete design for VISN 1 Statement of Conditions and Life Safety Assessment. This Request for SF 330’s requires respondents to identify customers and solicit their response regarding [Insert Company Name] performance.

[Insert Company Name] is providing past performance data to NCO 1 relating to our performance on contract [Insert contract name/number] and have identified [Insert name of reference] as the point of contact for this contract.

The request for SF 330 instructs that respondents provide customers with the attached questionnaire. Please complete the questionnaire and email it by 11:00AM EST on October 23, 2020 directly to the NCO 1 Contracting Office Contracting Officer.

E-mail: Heather.Libiszewski-Gallien@va.gov

The information contained in the completed Past Performance Questionnaire is considered sensitive and cannot be released to [Insert Company Name]. Please direct any questions about the acquisition or the attached questionnaire to the VISN 1 NCO point of contact identified above.

Thank you, [Insert Company Official Name and Title]

A. GENERAL INFORMATION

A-E FIRM TO BE EVALUATED:

Firm Name:

Address:

Telephone:

Email address:

Point of Contact:

Page 1 of

Firm Cage Code:

Firm Tax ID Number:

Firm DUNS Number:

Project Title:

Description of Project:

Description of A-E Firms’ Responsibilities:

Contract Number:

Dollar Amount:

Contract Period of Performance:

The A-E Firm performed as the Prime Contractor/Sub-Contractor/Consultant/Team Member

Percent of work performed by A-E Firm: Other (Please describe)

B. EVALUATOR INFORMATION:

Evaluator’s Company or Agency Name:

Address:

Evaluator’s Name:

Title of Evaluator:

Telephone:

E-mail:

C. SEND COMPLETED QUESTIONAIRE (SECTIONS B through D) TO:

E-mail: Heather.Libiszewski-Gallien@va.gov

D. PERFORMANCE INFORMATION: Choose the appropriate rating that most accurately describes the A/E’s performance or situation. PLEASE PROVIDE A NARRATIVE EXPLANATION FOR ALL RATINGS OF Marginal or Unsatisfactory on page 7 under Narrative Summary.

Corrective actions being taken by the contractor appear to be effective or Corrective actions taken were effective.

A-E FIRM’S NAME: PROJECT NAME:

Contract Period of Performance:

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

Place an “X” in the appropriate column using the definitions matrix on page 4.

Item

FACTORS TO BE RATED

Design Services:

Follow-On Construction Support Services:

LEED (If Applicable):

BIM (If Applicable):

Owner’s Representative on Design/Build Projects (If Applicable):

Overall:

Number of A/E Design Errors & Omissions on Project:

Increased Project Cost Due to A/E Design Errors & Omissions:

CONTRACTOR’S NAME:

PROJECT NAME

Contract Period of Performance:

Note: Include this information on each page of the questionnaire form to ensure there is no mix up in information among contracts surveyed for respective primes/subs, etc.

NARRATIVE SUMMARY (Use this section to explain any rating from the previous page)

STATEMENT OF WORK

Statement of Conditions & Life Safety Assessment VISN 1

A. General Requirement.

1. For each of the healthcare, ambulatory, and lodging facilities listed in Attachment 1: perform a Life Safety Survey to identify, list and detail all physical deficiencies with regard to relevant life safety standards; identify, list and detail deficiencies in the inspection, test, drill, and maintenance records of Life Safety systems, critical utility systems and fire drills; provide an updated set of documents to meet requirements of The Joint Commission’s (TJC) standards in LS.01.01.01. The goal of this project is to help prepare each Medical Center within the VA New England Healthcare System for the FY21 TJC survey prior to TCJ surveyors’ arrival.

B. Tasks.

1. Conduct a Statement of Condition and Life Safety survey and assessment (which will be subsequently referred to as Survey or areas to be Surveyed) of each of the healthcare, ambulatory, and lodging facilities in Attachment 1 to determine compliance with the most recent edition of NFPA 101 and associated TJC standards within Life Safety (LS) accreditation requirements as modified by agreements made between the Veterans Health Administration and TJC. Record any identified deficiencies of compliance. These Surveys are intended, in part, to fulfill the Medical Centers’ requirements listed in TJC Standard LS.01.01.01 EP2.

2. Surveys will include the following items: verification of compliance with NFPA 101, NFPA 99 chapter titled “Features of Fire Protection” and TJC standards within the LS accreditation requirements; visual verification of the continuity of accessible areas of at least ten smoke barriers assemblies and ten fire barrier assemblies in each building 100,000 square feet and over; visual verification of the continuity of accessible areas of at least five smoke barriers assemblies and five fire barrier assemblies in each building under 100,000 square feet; verification of the fire rating integrity of all accessible areas of vertical shafts which traverse multiple floors regardless of occupancy; evaluation of the full means of egress for the subject occupancies as defined by NFPA 101.

3. Findings of deficiencies for each Medical Center’s Survey will be identified and recorded in a consistent and understandable format. Each finding must include at a minimum: a description of the deficient condition; a reference to the specific standard’s section and paragraph; the location to include building, floor, and specific area, e.g. room number or location relative to a specified landmark; comments or amplifying information for clarification if necessary.

4. During physical inspection of all areas Surveyed, evaluate existing Fire Protection Features Drawings for accuracy and completeness. Based on this inspection and evaluation, amend, correct and/or produce each facility’s existing drawings to achieve compliance with the most current TJC Standard LS.01.01.01 EP3 and as modified by agreements established between the Veterans Health Administration and TJC.

5. Review the inspection, maintenance, testing records for Life Safety systems for all patient care areas in each facility (not only those areas in Attachment 1) for completeness and compliance with TJC LS requirements as modified by agreements established between the Veterans Health Administration and TJC. This review will also examine inspection, maintenance, testing records for compliance with NFPA 99 chapter titled “Features of Fire Protection.” This review will also examine inspection, maintenance, testing records for compliance with the following TJC standards: EC.02.03.05 (fire safety equipment and building features); EC.02.05.07 (emergency power systems); and EC.02.05.09 (medical gas and vacuum systems). This review will also examine fire drill records as required in EC.02.02.03. Document all deficiencies to include: a description of the deficient condition; a reference to the specific standard’s section and paragraph; comments or amplifying information if necessary.

6. Review all existing Equivalencies for each Medical Center to ensure continued accuracy and compliance. Deficiencies will be documented and reported in writing.

7. If, during the course of the Surveys and document/records reviews, a condition requiring an equivalency is identified without a corresponding approved equivalency, then provide all the documentation necessary to allow the facility points of contact to submit an equivalency request in accordance with VHA and TJC requirements and procedures.

8. Review and assess each Medical Center’s Basic Building Information (BBI). Amend and correct each facility’s existing BBI to achieve compliance with the most current TJC Standard LS.01.01.01 EP7 and as modified by agreements established between the Veterans Health Administration and TJC.

9. Provide draft copies of the final Survey reports and documents to the VISN 1 Safety Program Manager and the Points of Contact (POCs) for each respective Medical Center within fourteen calendar days after completion of each site survey. Medical Center and VISN 1 subject matter experts will review draft copies and verify or otherwise provide notes for correction or clarification. Respond to Medical Center and VISN 1 POCs comments and/or questions regarding the draft copies. Ensure the VISN 1 Safety Program Manager is copied on all correspondences. It is anticipated that all inquiries will be answered by telephone, teleconference and /or email, i.e. additional trips by the contractor’s employees are not anticipated in order to complete this task unless an oversight by the contractor’s employees necessitates another site visit. The goal is to have all questions answered, concerns successfully addressed, and a full set of draft Survey documents approved by each Medical Center within thirty-five calendar days after completion of each respective Survey. Subsequently, the contractor will finalize and submit all documents to the VISN 1 Safety Program Manager and POCs of each respective Medical Center within ten calendar days.

10. After completion and acceptance of all the required reports, provide a summary document of best-practices and common deficiencies found during the surveys to the VISN 1 Safety Program Manager.

11. All reports and documents shall be identified with Medical Center name and dates of survey. All draft documents will display the word “DRAFT” on each sheet or page. Unless otherwise noted or agreed upon, all reports and documents will be provided electronically in a standard MS Word format.

12. Provide updated and accurate Fire Protection Features Drawings in Portable Document Format (.pdf) and AutoCad computer-aided design drawing format (.dwg). The files must be clearly annotated and formatted for 15 x 22 or 22 x 34 (ANSI D) size printing. Documents or portions of documents provided by the contractor shall not be password-protected, locked, or otherwise rendered non-editable by the VA.

13. Distribute all draft reports, final reports and other required documents via standard electronic mail system or other efficient electronic file transfer system. At no time will the contractor have access to or connect any devices to the VA information network. Clearly name all files based on the files’ contents and specific medical center. Draft document files’ names will contain the word “draft.” Contractor will also provide all final reports and documents on high quality CD-R or DVD disks to the VISN 1 Safety Program Manager.

14. Support the facilities and VISN 1 Safety Program Manager with writing equivalency requests required for deficiencies found during the Life Safety inspections of the facilities. Equivalency requests shall be prepared in the required VA format. A copy of the format will be provided by the VISN 1 Safety Program Manager. Equivalency request documents shall be provided to the respective facility for comments and the VISN 1 Safety Program Manager for review and submittal to VA Central Office.

C. Additional Information.

1. Attachment 1 is a preliminary list of the facilities to be Surveyed and for which Life Safety drawings will be assessed, updated and/or produced. Each Medical Center will provide the surveyor with accurate information describing the buildings to be Surveyed and required Life Safety drawings to be updated or produced no later than ten calendar days prior to the start date of the Survey. The updated information will deviate by no more than 5% of the total square footage listed in Attachment 1 for each Medical Center.

2. Each Medical Center will appoint one primary and up to three secondary points of contact (POCs) to provide existing documents prior to the start of each respective survey, coordinate local security and safety requirements for the contracted employees, present EC and LS records for review, ensure escorted access to all surveyed areas, and provide reviews, comments and approval of draft survey reports.

3. The on-site portion of the Surveys for each Medical Center Site is expected to take no more than 5 business days. The contracted firm will assign a sufficient number of qualified surveyors to complete all required on-site tasks within 5 consecutive business days unless otherwise mutually agreed upon by the respective Medical Center’s primary POC and the contracted firm.

4. Submit a schedule of work and timeframe for completion for each Medical Center in the contract proposal. The Order of Priority in Attachment 2 shall be used to develop the timeframe and schedule. The schedule will be finalized when contract is awarded. Subsequent proposed deviations from the Order of Priority will be discussed between the contractor and VA Network contacts to develop mutually agreeable changes. These deviations shall not be considered changes to the terms of the contract or authorizations to obligate the VA to pay costs beyond the terms of this contract.

5. A copy of the agreements made between the Veterans Health Administration and TJC will be provided upon award of the contract.

6. Existing Fire Protection Features Drawings in Portable Document Format (.pdf) and/or computer-aided design drawing format (.dwg) will be provided by each facility no later than ten calendar days prior to the start of the respective Surveys.

7. Each Medical Center will provide applicable existing equivalencies no later than ten calendar days prior to the start of each respective Survey.

8. Each Medical Center will provide copies of the existing BBI no later than ten calendar days prior to the start of each respective Survey.

9. Qualifications for this project are delineated in Attachment 3.

10. The final reports and documents must be completed for all medical centers within six months of the notice-to-proceed date.

11. Establish a quality control plan specifying standards for both performance and quality. The quality control plan will be provided to the CO and COR no later than the notice-to-proceed. The CO and COR will conduct surveillance of the contractor’s performance to ensure products delivered achieve the standard or mitigation plans are put into place early to avoid corrective measures later in the contract period.

12. Proposed Price of this project is to be fully inclusive. Upon award of the contract, change orders and additional costs may only be committed and approved by a VA Contracting Officer.

13. Network technical contacts:

DRAFT

Attachment 1 Statement of Work Life Safety Assessment VISN 1 Task Order XXXXXXXXXX

Medical Center sites subject to Life Safety surveys for accreditation.

Medical Centers and associated addresses:

VA Boston Healthcare System Brockton Campus 940 Belmont Street Brockton MA 02401

VA Boston Healthcare System Jamaica Plain Campus 150 South Huntington Ave Boston MA 02130

VA Boston Healthcare System West Roxbury Campus 1400 VFK Parkway West Roxbury MA 02132

Bedford VA Medical Center 200 Springs Road Bedford MA 01730

VA Connecticut Healthcare System West Haven Campus 950 Campbell Ave West Haven CT 06516

VA Connecticut Healthcare System Newington Campus 555 Willard Ave Newington CT 06111

Providence VA Medical Center 830 Chalkstone Ave Providence RI 02908

VA Central Western Massachusetts Healthcare System 421 North Main Street Northampton MA 01053

Manchester VA Medical Center 718 Smyth Road Manchester NH 03104

White River Junction VA Medical Center 215 North Main St White River Junction VT 05009

VA Maine Healthcare System 1 VA Center Augusta, ME 04330

Attachment 2 Statement of Work Life Safety Assessment VISN 1 Task Order XXXXXXXXXX

MEDICAL CENTER SITE SURVEYS ORDER OF PRIORITY

1. Brockton & Jamaica Plain, MA

2. West Roxbury, MA

3. West Haven, CT

4. Providence, RI

5. White River Junction, VT

6. Manchester, NH

7. Togus, ME

8. Northampton, MA

9. Bedford, MA

Attachment 3 Statement of Work Life Safety Assessment VISN 1 Task Order XXXXXXXXXX

DESIRED QUALIFICATIONS

The firm selected must have experience, capability, and willingness to commit the resources necessary to plan, organize, and successfully complete tasks within the timeframe specified.

Qualified firm: Directly employs or can demonstrate a professional partnership with a firm who employs at least five fire protection engineers, each with a BS in Fire Protection Engineering and a professional engineering registration in field of fire protection. The firm has satisfactorily completed ten Statement of Conditions surveys and/or Life Safety Assessments in preparation for TJC Surveys for a level 1 complexity healthcare facility within the past five years.

The assigned project manager will have a current professional certification in the fields of fire safety, healthcare accreditation, NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code and/or other relevant expertise. The project manager will have at least 10 years of demonstrated experience in evaluating life safety systems in healthcare occupancies with respect to TJC and CMS standards. The same project manager or equally competent and qualified professional must remain on the firm’s project staff for the entire contract and must review progress and maintain quality assurance of the required tasks, reports and documents.

The lead on-site Surveyors for each facility must have a current professional certification in the fields of fire safety, healthcare accreditation, NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code and/or other relevant expertise. The lead on-site Surveyors will have at least 10 years of fire protection work experience with demonstrated experience in evaluating life safety systems in in level 1 complexity healthcare facilities with respect to TJC and CMS standards. The lead on-site Surveyor for each facility will have successfully completed at least ten fire protection designs and/or reviews, and ten life safety assessment projects involving all aspects of fire protection and life safety as the lead Surveyor in level 1 complexity healthcare facilities. The same on-site lead Surveyor for each Medical Center, or equally competent and qualified professional, must remain on the firm’s project staff until the completion of each respective Survey and final delivery of all required reports and documents.

All assigned surveyors must have a current professional certification in the fields of fire safety, healthcare accreditation, NFPA 101 Life Safety Code, NFPA 99 Health Care Facilities Code and/or other relevant expertise. Assigned surveyors will have at least five years of fire protection work experience with demonstrated experience in evaluating life safety systems in in level 1 complexity healthcare facilities with respect to TJC and CMS standards

References for all personnel assigned to the project must be submitted in the proposal package. The VA must approve substitution of any assigned surveyors.

If any of the personnel named in the bid package are unable to perform their assigned roles, the contractor shall promptly notify the CO in writing or email, provide a detailed explanation of the circumstances necessitating the proposed substitution and a complete resume for the proposed substitution. All substitutions must meet the qualification standards specified in the above paragraphs. No substitutions shall be made without written or email approval by the CO or their designated representative.