36C24419Q0245-000.docx

36C24419Q0245

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

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

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 _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C24419Q0245 01-23-2019 Brittney J. Parker 610-384-7711 x3230 02-04-2019

9:00AM

00244 Department of Veterans Affairs Network Contracting Office 4 Services 1 1400 Black Horse Hill Road Coatesville

PA

19320 X X 238220 $15 Million X N/A X Department of Veteran Affairs Pittsburgh VA Medical Center University Drive C Pittsburgh

PA

15215 00244 Department of Veterans Affairs Network Contracting Office 4 Services 1 1400 Black Horse Hill Road Coatesville

PA

19320

Austin Payment Center Department of Veterans Affairs PO Box 149971 Austin

TX

78714-9971

(877) 353-9791

(512) 460-5429 See CONTINUATION Page Boiler Inspection and Preventative Maintenance Services Pittsburgh VAMC the contract resulting from this solicitation is anticipated to be a Firm-Fixed Price contract with a 12-month base and four 12-month option years.

Contractors are responsible for the correct SCA Wage and Determination classification of workers and comliance with all wage and hour laws.

All quotes must be submiited to Ms. Brittney Parker at Brittney.Parker@va.gov NLT 9:00AM 2/04/2019.

No questions will be accepted after 5:00PM 1/30/2019.

A site visit will be conducted Wednesday January 30, 2019.

Please refer to FAR clause 52.237-1 "Site Visit" for additional information.

$0.00 See CONTINUATION Page X X X Brittney J. Parker Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT: Contracting Officer 36C244 Brittney J. Parker, Brittney.Parker@va.g Department of Veterans Affairs Network Contracting Office 4 Services 1 1400 Black Horse Hill Road Coatesville PA 19320

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Austin Payment Center Department of Veterans Affairs

PO Box 149971 Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

Page 1 of Page 1 of VA Pittsburgh Healthcare System Boiler Preventative Maintenance Services

Performance Work Statement

Cost Schedule

The Contractor shall furnish all parts, materials, labor and transportation necessary to provide Boiler Preventative Maintenance Services in accordance with the Terms, Conditions and Specifications of the contract. The contract shall be for one (1) year from date of award with four (4) one-year options periods.

VA Pittsburgh Healthcare System (VAPHS), University Drive and Heinz Campuses:

Cost will be determined by the total of items 1 thru 5.

1. BASE YEAR

1/1/2019 – 12/31/2019 $________________ $__________________

2. OPTION YEAR 1

1/1/2020 – 12/31/2020 $_______________ $__________________

3. 2ND OPTION YEAR

1/1/2021 – 12/31/2021 $_______________ $___________________

4. OPTION YEAR 3

1/1/2022 – 12/31/2023 $_______________ $___________________

5. OPTION YEAR 4

1/1/2024 – 12/31/2024 $________________ $___________________

TOTAL $ __________________

Purpose

1. The VA Pittsburgh Healthcare System (VAPHS) has a requirement for all labor, equipment, parts, maintenance and travel to provide Boiler Preventative Maintenance Services.

2. Requirements include boiler systems inspection, calibration and tuning services at two campus locations in the Pittsburgh area. The Contractor will maintain and provide a record of all service activities performed.

Locations and Equipment Description

1. VAPHS Main Hospital, University Drive Campus University Drive C, Pittsburgh, PA 15240

a. Three (3) Tampella Water-Tube Boilers with Faber burners.

i. Boilers (B1, B2) rated for 25,00lbs/hr.

ii. Boiler (B3) rated for 15,000lbs/hr.

b. Primary fuel is natural gas with #2 fuel oil as the secondary source.

c. Fireye Nexus PPC6000 Combustion Control System; parallel position combustion control with oxygen trim and VFD control of combustion air blower.

d. Each burner is set up with four fuel profiles; Gas with VFD, Gas with VFD by-pass, oil with VFD and oil with VFD by-pass.

2. VAPHS, H.J. Heinz Campus, Community Living Center, Ambulatory Care Center 1010 Delafield Road, Pittsburgh, PA 15216

a. Four (4) Johnston Boilers, Fire Tube, PTFA400-4LG150S.

i. Boilers (B1, B2, B3, B4) each rated at 12,000lbs/hr.

b. Primary fuel is natural gas with #2 fuel oil as the secondary source.

c. Fireye Nexus PPC6000 Combustion Control System; parallel position combustion control with oxygen trim and VFD control of combustion air blower.

d. Each burner is set up with four fuel profiles; gas with VFD, gas with VFD by-pass, oil with VFD and oil with VFD by-pass.

VA Contact Information

1. VAPHS Utilities Supervisors:

a. University Dr. Campus: Charles Jennings, 412-360-3149, Cell: 412-735-4620

b. H.J. Heinz Campus: Richard Jenks Office, 412- 822-3231, Cell: 412-508-3180 General Requirements

1. The Contractor will be responsible for maintaining the boiler inspection service schedule and coordinating with the VAPHS Contracting Officer’s Representative (COR) no later than 15 days prior to a required service.

2. The Contractor will perform the following services in accordance with the requirements listed in this PWS:

a. Internal and external boiler system inspections – performed on cold, laid-up boilers, annually from June – August (See Page 5)

b. Tuning of boiler combustion control systems – performed on hot, operating boilers, annually from November – December (See Page 6)

c. Deaerator (DA) tank Inspections – services performed on hot, operating tank, annually from June – August (See Page 8)

d. Boiler and plant safety device testing – performed during hot, operating boiler condition, annually from June – August (See Page 9)

e. Calibration services (operating systems) – performed immediately prior to combustion tuning, annually from November – December (See Page 9)

The Contractor will follow the policy guidelines listed here:

f. Current issue of the National Board Inspection Code, Part RB, In service Inspection of Pressure-Retaining Items Code

g. American Society of Mechanical Engineers (ASME) Boiler and Pressure Vessel Code, Sections VI and VII, as applicable.

h. VHA Directive 1810, Boiler and Boiler Plant Operations

i. National Fire Protection Association (NFPA) 85, Boiler and Combustion Systems Hazard Code, latest edition.

j. National Fire Protection Association (NFPA) 70E, Standard for Electrical Safety in the Workplace

k. VHA Boiler Plant Safety Device Testing Manual, 5th edition.

Inspections will be scheduled and performed during periods when the COR determines that the boilers can be brought off-line, and when the VAPHS Utility Supervisor or his/her designate is available to monitor the inspections.

To maintain adequate steam service, typically only one boiler per campus is available at a time for servicing and inspection, therefore multiple site visits will be required to get all the boiler inspections completed.

Services will require the Contractor to perform confined space inspections of the boilers and feed water deaerators. The Contractor must submit to the COR, a confined space safety plan, including confined space certificates of training for those Contractor employees performing the inspections.

VAPHS will comply with any other reasonable Contractor preparation requirement provided the request is submitted in writing to the COR at least two weeks prior to the scheduled inspection date.

A schedule confirmation for inspection visits for the year will be submitted to the COR, or his designate, within 30 days of award of the contract. VAPHS reserves the right to alter the schedule as needed to maintain N+1 boiler redundancy.

Internal and External Boiler Inspections

1. The Contractor will perform the following boiler services:

a. Review the boilers’ history, to include:

i. ASME stamping

ii. Burner control and interlock test reports

iii. Current operational state and overall general condition

iv. Date of last inspection

v. Latest inspection certificate

vi. National Board registration

vii. Repair and modification log

viii. Water testing reports

b. Inspect all boiler components, systems, sub-systems and related parts and equipment for cleanliness, proper installation and operation, code compliance and defects. A separate report will be prepared for each boiler.

c. Any safety related deficiencies discovered during any inspection or related service activity shall be reported to the COR, or his designate, immediately.

d. Defects include; but are not limited to, improper pressure, leaks, cracks, bulges, blisters, grooving, pitting, sagging, abnormal stress, improper alignment, obstructions, corrosion, wasting, warping, broken or missing parts, improper seating, scaling or flame impingement of the following boiler systems and components:

i. Bottom blow-off collection

ii. Drains

iii. Drum surfaces

iv. External parts and surfaces

v. Feed water admission

vi. Foundations

vii. Gas side baffles

viii. Gaskets and seals

ix. Internal surfaces

x. Locking seals

xi. Low water cutouts – mechanical and electrical (disassembled)

xii. Manways and hand holes

xiii. Nozzles

xiv. Nuts and bolts

xv. Operation of high-steam pressure cutouts (on hot boiler by raising steam pressure)

xvi. Piping and pipe connections

xvii. Refractory, burner throat, expansion joint and bull ring

xviii. Safety valves

xix. Seating surfaces

xx. Soot blowers

xxi. Stays and stayed plates

xxii. Steam separating internals

xxiii. Tubes and tube ends

xxiv. Valves

xxv. Vents

xxvi. Water level gage glass

e. The Contractor will recommend to the COR, or his designate, the use of non-destructive tests when inspection findings indicate the need for such tests to identify any conditions that could potentially impact safe boiler operating conditions.

f. Any required re-inspections will be conducted after corrective actions have been taken. The cost for re-inspections will be paid for under separate purchase agreements.

Prior to each site visit, VAPHS will prepare the boilers for inspection as follows:

a. Cool boiler to near ambient temperature

b. Open all manways, hand holes and furnace access doors

c. Remove loose materials (waterside and fireside)

d. Place electrical, steam and water lock-out/tag-out

e. Isolate connection piping

f. Provide illumination

g. Perform surface preparation

h. Repair cracked or damaged refractory Tuning of Boiler Combustion Control Systems

1. The Contractor will perform parallel position combustion system tuning services on all boilers, for each fuel profile, and provide a record of operating profiles to VAPHS as follows:

a. Record “as found” readings at each Fireye Nexus profile point.

b. Perform any necessary combustion system calibrations.

c. Complete Nexus auto oxygen trim procedure for each profile point. Adjust oxygen levels and flow values as needed, and verify trim function is working properly.

d. Check operation of the VFD, and download each profile.

e. Download all combustion profiles.

f. Set oxygen alarm settings low and high to cause boiler shutdown before reaching a level of 50 PPM.

g. Ensure high fire and turn down settings meet manufacture requirement of minimum 7 to 1 at 3.5% oxygen.

h. Ensure boilers pass PRV tests. (both PRV valves must lift under normal operating conditions)

i. All boilers must be able to lift both Safety Valves after tuning.

j. Update Nexus touchscreen with the latest software version.

k. Calibrate the combination oxygen/temperature probe, replace its filter and document the service.

l. Calibrate the AARELL-SCADA (Supervisory Control and Data Acquisition) system, and verify calibration with flow meters.

m. Provide any parts, test instruments, flash drives or storage discs to VAPHS.

The Contractor will record, at a minimum, the following data at all points on the combustion curve on a VAPHS designated MS Excel spreadsheet. The readings must include:

n. Outside air temperature

o. Oil

p. Sle

q. FGR

r. O2 NOx

s. O2 Anl

t. CO

u. Nox

v. Efficiency

w. Stack temperature

x. Oil supply

y. Oil pump

z. Oil return

If a tuning procedure cannot be completed due to system or component malfunction, the report must include the recommended repair actions needed, and a repair cost estimate.

The University Drive boilers B1 and B2 must be able to produce 25,000 lbs./hr. with all fuel sources after tuning. Boiler B3 must be able to produce 15,000 lbs./hr.

The H.J. Heinz campus boilers B1, B2, B3 and B4 must be able to produce 12,000 lbs./hr. with all fuel sources after tuning.

Contractor Documentation Requirements

1. The Contractor will provide a record of all inspections, test findings and recommendations utilizing National Forms NB-6, NB-7, or other VAPHS approved forms.

2. Any safety related deficiencies discovered during any inspection or related service activity shall be reported to the COR, or his designate, immediately.

3. Reports must contain the following information on all boiler systems and components:

a. General condition and a pass or fail grade.

b. Corrective action recommendations for all deficiencies.

c. Sketches and/or photographs as needed or requested to illustrate deficient systems or components requiring service or repair.

d. All test data, including any calculations used.

e. Non-destructive test results, including sketches, where applicable or as requested.

4. All boiler inspection, testing and calibration activities will be documented and provided to VAPHS in both hard copy and digital formats.

5. Hard copy documentation will be maintained in 3-ring binders with spine labeling that includes year of performance and campus location.

6. Documentation will include:

a. A table of contents in MS Excel or PDF format

b. MS Excel spreadsheet listing each task by completion date and next due date

c. A copy of the current contract

d. Copies of any required manufacturer’s representative certifications

e. Copies of all employee certifications

f. Contractor’s health and safety plan, including confined space certificates

g. Test and inspection template forms

h. History of all test and inspection forms organized by boiler number

Combustion Tuning Records Requirements

1. The Contractor will provide a tuning report for each boiler in MS Excel, Word or PDF format for both “as found” and “post tuning” results for each fuel source, at all 12 fuel curve points.

2. Each report must contain the following test result information:

a. Boiler number

b. Fuel source used (natural gas or fuel oil)

c. Ambient air temperature in Fahrenheit

d. Firing rate profile point

e. Nexus oxygen percentage, ambient temperature and stack temperature at each profile point

f. Nexus comparison of percentage of oxygen at each profile point

g. Carbon monoxide PPM at each profile point (must be under 50 PPM)

h. Percentage of carbon dioxide at each profile point

i. Fuel and steam flow at each profile point, for all four fuel profiles

j. Oxygen alarms for all fuel profiles

k. Rate of gas supply to burner, in PSI

l. Rate of gas out of burner regulator, in PSI

m. Gas pressure at burner manifold inches of water

n. Wind box pressure

o. Combustion efficiency

p. PRV operation

q. Calibration record for steam, feed water, gas and oil flow meters

Deaerator (DA) Tank Inspections

1. The Contractor will review the feed water deaerator history to include:

a. Date of last inspection

b. Current inspection certificate

c. ASME stamping

d. National Board registration number

e. Construction materials used

f. Extent of post-weld treatment

g. History of repairs and modifications

h. Overall condition

2. The Contractor will inspect all deaerator systems to include:

a. External parts, accessories and piping for cleanliness, leakage, proper operation and code compliance

b. Proper operation of pressure gages and thermometers

c. Non-condensable gas vent line is open and has the proper orifice installed

d. Support structure integrity and thermal expansion allowance capability

e. Safety valve installation, pressure capacity and settings

3. The Contractor will perform pressure operation tests to confirm proper operation at set pressures to verify that the deaerator can withstand pressure prior to testing the valves in-situ.

Boiler and Plant Safety Device Testing

1. The Contractor will perform boiler plant safety device testing annually at each campus location. Testing will include all boiler plant auxiliary equipment. Safety device testing will be performed in accordance with Attachment 2, Boiler and Associated Plant Safety Device Test Manual dated December 2018.

Equipment Calibration

1. The Contractor will calibrate the following chart recorders, and steam, water and fuel-oil flow meters and submit the calibration records to the COR or his designate:

University Dr. Campus:

a. Qty 5 – Steam flow meters: ABB Vortex Master, model FSV430

b. Qty 3 – Natural gas boiler flow meters: ABB Vortex Master

c. Qty 3 – Feed water: ABB Process Master, model FEP300

d. Qty 3 – Fuel oil: Aqua Metro Contoil Fuel Oil, model DN 15-50 H.J. Heinz Campus:

a. Qty 5 – Steam: Rosemount M# 1151DP4J12B1D1

b. Qty 5 – Chart Recorders: Hayes Republic Model # D-02100-B0

2. The Contractor will also calibrate the following VAPHS equipment annually:

a. Qty 2 - Bacharach PCA3 265 Combustion Analyzer

b. Qty 2 - Ashcroft 30 PSI and Ashcroft 300 PSI digital pressure gauges

Qualifications

1. Non-destructive testing:

a. Contractor’s inspectors must hold a commission from the National Board of Boiler and Pressure Vessel Inspectors.

b. Contractor’s employees have passed any required Pennsylvania sanctioned boiler inspection examinations.

c. Contractor has adopted and administers one or more sections of the American Society of Mechanical Engineers (ASME), Boiler and Pressure Vessel Code.

d. Contractor has a representative serving as a member of the ASME Conference Committee.

e. Contractor is underwritten by an insurer licensed and qualified by the state of Pennsylvania to write boiler or pressure vessel insurance policies.

f. Contractor’s boiler inspectors must hold a Level II, American Society for Non-Destructive Testing (ASNT) certification.

Combustion tuning:

g. The Contractor’s tuning technicians must be factory authorized and trained by the equipment manufacturer.

h. Certificates of training for the Fireye, Nexus PPC6000 Combustion Control System, Fireye, Burner LogiX Integrated Burner Management Controls, and Fireye 550 and 650 must be provided.

i. Technicians must possess a minimum of five years’ experience with parallel position combustion control systems and fire tube boilers.

Invoices

Payment to the Contractor shall be made monthly, in arrears, upon receipt of a properly prepared invoice. Payment for services will be at the rates specified in the Schedule of Supplies/Services. All monthly invoices from the contractor will be electronically submitted to the following through the Tungsten Network within 30 days of the end of each month’s services:

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-8971 Customer Support Help Desk (877-353-9791)

The information page for the Financial Service Center of the Department of Veterans Affairs that includes information regarding electronic invoice submission can be referenced at:

http://www.fsc.va.gov/einvoice.asp

NOTE: Invoices for payment may be rejected if all information required by FAR Clause 52.212-4(g) is not included. Invoices without the required information will be returned.

Invoices must be approved by the Contracting Officer’s Representative prior to payment release. Invoices without the required information will be returned.

All invoices must include the assigned purchase order number and be submitted within 10 days following the month of service.

Failure to comply with all terms and conditions of this contract shall result in invoices/claims submitted for reimbursement during that period to be considered incomplete. Interest penalties imposed under the Prompt Payment Act shall not apply to incomplete invoices or invoices received after the established invoice due date.

Contractor will identify and assign personnel to be the liaison for billing purposes.

The Department of Veterans Affairs Financial Service Center (FSC) is the designated agency office for invoice receipt in accordance with the Prompt Payment Act (5 CFR Part 1315). FSC or its designated representative may contact the vendor to provide specific instructions for electronic submission of invoices. The vendor shall be responsible for any associated expenses. FSC may utilize third-party contractors to facilitate invoice processing.

Contractor Remittance Address: All payments by the Government to the Contractor will be made by Electronic Funds Transfer (EFT).

Contracting Officer’s Representative (COR)

The COR responsibilities include all responsibilities outlined in the COR delegation letter, as well as surveillance of services required under this Contract; determining the adequacy of Contractor performance according to the specifications of this Contract; acting as the Government’s representative; ensuring compliance with Contract requirements insofar as the work is concerned; and advising the CO of any Contract issues.

The COR cannot authorize deviations from the terms and conditions of this Contract. In the event the Contractor deviates without written approval from the CO, such deviation shall be at the risk of the Contractor, and any cost related thereto shall be borne by the Contractor. The COR will be designated at the time of Contract award and appointed in writing by the CO to assist in the discharge of CO responsibilities when the CO is unable to be directly involved with the Contract work. The CO and CORs will meet at least quarterly to review invoices and address Contractor performance issues. The following is the designated COR:

Contract Administrative Representative (Contact Person)

The Contractor gaining award of this Contract shall provide the name, address, telephone number, facsimile number, and email address of authorized Contractor representative(s) who have the binding authority to act on behalf of the Contractor on administrative and/or performance matters pertaining to this Contract. The Contractor shall maintain this list and submit any changes thereof to the COR or CO as changes occur.

Special Contract Requirements

1. Contractor’s Responsibilities and Insurance Requirements: The Contractor shall obtain all necessary licenses and/or permits required to perform this work. He/She shall take all precautions necessary to protect persons and property from injury or damage during the performance of this Contract. He shall be responsible for any injury to himself, his employees, or others, as well as for any damage to personal or public property that occurs during the performance of this Contract that is caused by his or his employees’ fault or negligence. The Contractor shall maintain personal liability, automobile liability, and property damage insurance, as prescribed by the laws of the state of Pennsylvania, and in accordance with VAAR 852.228-71, Indemnification and Insurance. Evidence of coverage is required before commencing work under this Contract (copy of Certificate of Insurance), and it may not be changed or cancelled without thirty (30) calendar days prior written notice to the CO.

3. Safety Requirements: To protect the lives and health of occupants of the buildings, the Contractor in the performance of this Contract shall take such safety precautions as the CO, or his designate, may determine to be reasonably necessary. The CO, or his designate, will notify the Contractor of any non-compliance with the foregoing provisions and the action to be taken. The Contractor shall, after receipt of such notice, immediately correct the conditions to which attention has been directed. Such notice, when served on the Contractor or his representative shall be deemed sufficient for the purpose aforesaid. If the Contractor fails or refuses to comply promptly, the CO may issue an order, stopping all or any part of the work, and hold the Contractor in default. Noncompliance may result in Contract termination.

4. Interference with Normal Functions: The Contractor’s personnel are required to interrupt their work at any time so as not to interfere with the normal functioning of the medical facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment and emergency and/or service carts. These interruptions should only be occasional. Any interruptions considered to be excessive should be brought to the attention of the CO.

5. Disposal of Hazardous Waste: The Contractor shall not dispose of any hazardous materials at any location on the medical facility premises except as specified by the CO.

6. Sales of Companies or Name Changes: If the Contractor, gaining award of the Contract, wishes the VAPHS to recognize a successor in interest to its Contract or a name change, he will submit a written request to the Contracting Officer in accordance with FAR 42.1203.

7. HIPAA Compliance: Contractor must adhere to the provisions of Public Law 104-91, Health Insurance Portability and Accountability Act (HIPAA) of 1966 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI).

8. Subcontracting Requirements: Any subcontractor utilized by the Contractor for the provision of services required under this Contract must meet the same qualifications specified herein for the Contractor and must be approved by the CO before providing services. The Contractor must obtain approval from the CO for any subcontractor(s) to be utilized for the provision of services required under this Contract. If this Contract is to be awarded to a large business, a subcontracting plan will be submitted by the successful offeror in accordance with FAR 52.219-8 and FAR 52.219-9 for approval prior to award. The minimal subcontracting goals are as follows: Service-Disabled Veteran-Owned Small Business - 3%; Veteran-Owned Small Business - 5%; Small Business – 17.7%; Small Disadvantaged Business - 5%; Women-Owned Small Business - 5%; and Hubzone Small Business - 3%.

9. Department of Labor Wage Determination: Service Contract Act DOL Wage Determination No. 2015-4235 Rev. 9 applies to the resultant Contract from this solicitation. FAR 52.222-43, Fair Labor Standards Act and Service Contract Act—Price Adjustment (Multiple Year and Option Contracts) applies to the resultant Contract; therefore, the offeror shall not include in his proposed option year prices any allowance for any contingency to cover increased costs for which adjustment is provided under FAR 52.222-43.

VHA Health Directives - Influenza and Tuberculosis

VHA Directive 1192 requires all health care personnel (HCP) to participate in the seasonal influenza prevention program and outlines the key implementation steps. Health care personnel is defined in VHA Directive 1192 as all VA licensed and unlicensed, clinical and administrative, paid and unpaid, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, students, researchers, volunteers, and trainees who work in VHA locations. HCP covered by the policy are expected to receive annual influenza vaccination. Those HCP unable or unwilling to be vaccinated are required to wear a face mask throughout the influenza season. Masks are available at entrances throughout the medical center.

It is the responsibility of the contractor to ensure that all contract staff is compliant with the requirements outlined in VHA Directive 1192. The contractor shall maintain the following documentation:

- Documentation of vaccination, e.g., signed record of immunization from a health care provider or pharmacy, or a copy of medical records documenting the vaccination.

- Completed Health Care Personnel Influenza Vaccination Form (Attachment B of VHA Directive 1192) if unwilling or unable to receive the vaccine.

The contractor is required to submit annual certification to the Contracting Officer’s Representative (COR) that all contract staff performing services at VA facilities are in compliance with VHA Directive 1192.

See HEALTH CARE PERSONNEL INFLUENZA VACCINATION FORM below.

Tuberculosis Screening- VHA Directive 2011-036, Safety and Health During Construction. Contractor must certify annually to the COR(s) that all Contractor employees working at VAPHS facilities have a documented screening for latent Tuberculosis within the last 12 months. If screening for latent Tuberculosis is positive, clearance from a physician is required prior to working at VAPHS. Contractor employees that fail to meet this requirement will not be permitted to work at VAPHS facilities and may be asked to leave VAPHS property without notice until the requirement is met.

HEALTH CARE PERSONNEL INFLUENZA VACCINATION FORM

I received the seasonal influenza vaccine this flu season (required documentation is attached.)

I decline to receive seasonal influenza vaccine at this time for the following reason:

Select the single answer that best fits your reason:

I do not like needles.

I have a philosophical or religious reason for not receiving the vaccine.

I have an allergy to the vaccine or one of its components.

I am concerned about the side effects/safety of the vaccine.

I have never had the flu and don’t think I will this season.

I have another reason. (Please explain)

I acknowledge that VHA policy requires health care personnel to receive the influenza vaccine every year. I understand that if I decline to receive the vaccine and/or to provide proof of vaccination by November 30 or within two weeks of beginning employment if after November 30, I must wear a face mask according to requirements and guidelines within the Directive 1192, Seasonal Influenza Prevention Program.

I have read and fully understand the information on this form and have been given the opportunity to have my questions answered.

Signature: ______________________________ Date: ___________

Name (print): _____________________________ Last 4 SS# _______

Contractor Name: ____________________

Quality Assurance and Surveillance Plan

PURPOSE:

This QASP provides a systematic method to evaluate performance for the stated contract.

This QASP explains the following:

a. What will be monitored?

b. How monitoring will take place?

c. Who will conduct the monitoring?

d. How monitoring efforts and results will be documented?

This QASP does not detail how the Contractor accomplishes the work. Rather, the QASP is created with the premise that the Contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the Contractor. Copies of the original QASP and revisions shall be provided to the Contractor and Government officials implementing surveillance activities.

1. GOVERNMENT ROLES AND RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance activities:

a. Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the Contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the Contractor’s performance.

b. Contracting Officer’s Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the Contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

1. CONTRACTOR REPRESENTATIVES

The following employees of the Contractor serve as the Contractor’s program manager for this contract.

a. Program Manager _____________________________________.

b. Other Contractor Personnel _______________________________________________.

Required Services (Tasks)

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Favorable Contractor performance evaluation.

Disincentive:

Unfavorable Contractor performance evaluation.

Ratings:

Metrics and methods are designed to determine rating for a given standard and acceptable quality level. The following ratings shall be used:

EXCEPTIONAL:

Performance meets contractual requirements and exceeds many to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with few minor problems for which corrective actions taken by the contractor were highly effective. Note: To justify an Exceptional rating, you should identify multiple significant events in each category and state how it was a benefit to the GOVERNMENT. However, a singular event could be of such magnitude that it alone constitutes an Exceptional rating. Also, there should have been NO significant weaknesses identified.

VERY GOOD:

Performance meets contractual requirements and exceeds some to the Government's benefit. The contractual performance of the element or sub-element being assessed was accomplished with some minor problems for which corrective actions taken by the contractor were effective.

Note: To justify a Very Good rating, you should identify a significant event in each category and state how it was a benefit to the government. Also, there should have been no significant weaknesses identified.

SATISFACTORY:

Performance meets contractual requirements. The contractual performance of the element or sub-element contains some minor problems for which corrective actions taken by the contractor appear or were satisfactory. Note: To justify a Satisfactory rating, there should have been only minor problems, or major problems the contractor recovered from without impact to the contract. Also, there should have been NO significant weaknesses identified.

MARGINAL:

Performance does not meet some contractual requirements. The contractual performance of the element or sub-element being assessed reflects a serious problem for which the contractor has not yet identified corrective actions. The contractor's proposed actions appear only marginally effective or were not fully implemented. Note: To justify Marginal performance, you should identify a significant event in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. A Marginal rating should be supported by referencing the management tool that notified the contractor of the contractual deficiency (e.g., Management, Quality, Safety or Environmental Deficiency Report or letter).

UNSATISFACTORY:

Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the element or sub-element being assessed contains serious problem(s) for which the contractor's corrective actions appear or were ineffective.

Note: To justify an Unsatisfactory rating, you should identify multiple significant events in each category that the contractor had trouble overcoming and state how it impacted the GOVERNMENT. However, a singular problem could be of such serious magnitude that it alone constitutes an unsatisfactory rating. An Unsatisfactory rating should be supported by referencing the management tools used to notify the contractor of the contractual deficiencies (e.g. Management, Quality, Safety or Environmental Deficiency Reports, or letters).

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Annual Boiler and DA Tank Inspections between June & August

Annual Boiler Combustion Control System Tuning between November & December Contract Period: Base POP Begin:

POP End:

Annual Equipment Calibration between November & December

Annual Safety Device Testing between June & August

Annual Boiler and DA Tank Inspections between June & August Contract Period: Option 1

Annual Boiler Combustion Control System Tuning between November & December

Annual Equipment Calibration between November & December

Annual Safety Device Testing between June & August

Annual Boiler and DA Tank Inspections between June & August Contract Period: Option 2

Annual Boiler Combustion Control System Tuning between November & December

Annual Equipment Calibration between November & December

Annual Safety Device Testing between June & August

Annual Boiler and DA Tank Inspections between June & August Contract Period: Option 3

Annual Boiler Combustion Control System Tuning between November & December

Annual Equipment Calibration between November & December

Annual Safety Device Testing between June & August

Annual Boiler and DA Tank Inspections between June & August Contract Period: Option 4

Annual Boiler Combustion Control System Tuning between November & December

Annual Equipment Calibration between November & December

Annual Safety Device Testing between June & August

B.3 DELIVERY SCHEDULE

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

412-822-3231 Charles.Jennings@va.gov

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

1.00

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

1.00

Pittsburgh VA Medical Center University Drive Center Pittsburgh, PA 15240

USA

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

C.2 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage.