SOW Rev4 Boiler PM PITT 05-08-2025.docx

?.## STATEMENT OF WORK

VA Pittsburgh Healthcare System Boiler Preventative Maintenance Services Statement of Work

1. Purpose

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

1.2. 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. The Contractor shall perform repairs of boiler equipment on an as needed basis.

2. Locations and Equipment Description

2.1. VAPHS Main Hospital, University Drive Campus

University Drive C, Pittsburgh, PA 15240

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

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

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

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

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

2.1.4. 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.

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

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

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

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

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

2.2.4. 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.

3. General Requirements

3.1. The Contractor shall be responsible for maintaining the boiler inspection service schedule and coordinating with the VAPHS Program Manager (PM) no later than 15 days prior to a required service.

3.2. The Contractor shall perform the following services at both facilities in accordance with the requirements listed in this Statement of Work (SOW):

3.2.1. Internal and external boiler system inspections – performed on cold, laid-up boilers, annually from June – August. (See Section 4)

3.2.2. Tuning of boiler combustion control systems – performed on hot, operating boilers, semi-annually in May and November. (See Section 5)

3.2.3. Deaerator (DA) tank Inspections – services performed with DA tank in bypass mode, annually from June – August. (See Section 7)

3.2.4. Boiler and plant safety device testing – performed during hot, operating boiler condition, semi-annually from June – August. (See Section 8)

3.2.5. Calibration services (operating systems) – performed immediately prior to combustion tuning, annually in October. Includes semi-annual calibration of certain equipment. (See Section 9)

3.3. The Contractor shall follow the policy guidelines listed here:

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

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

3.3.3. VHA Directive 1810, Boiler and Boiler Plant Operations (Most Recent Version)

3.3.3.1. See Attachment A

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

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

3.3.6. VHA Boiler Plant Safety Device Testing Manual, (Most Recent Edition).

3.3.6.1. See Attachment B

3.4. Inspections shall be scheduled and performed during periods when the Program Manager 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.

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

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

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

3.8. A schedule confirmation for inspection visits for the year shall be submitted to the Program Manager, 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.

4. Internal and External Boiler Inspections

4.1. The Contractor shall perform the following boiler services:

4.1.1. Review the boilers’ history, to include:

4.1.1.1. ASME stamping

4.1.1.2. Burner control and interlock test reports

4.1.1.3. Current operational state and overall general condition

4.1.1.4. Date of last inspection

4.1.1.5. Latest inspection certificate

4.1.1.6. National Board registration

4.1.1.7. Repair and modification log

4.1.1.8. Water testing reports

4.1.2. 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.

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

4.1.4. 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:

4.1.4.1. Bottom blow-off collection

4.1.4.2. Drains

4.1.4.3. Drum surfaces

4.1.4.4. External parts and surfaces

4.1.4.5. Feed water admission

4.1.4.6. Foundations

4.1.4.7. Gas side baffles

4.1.4.8. Gaskets and seals

4.1.4.9. Internal surfaces

4.1.4.10. Locking seals

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

4.1.4.12. Manways and hand holes

4.1.4.13. Nozzles

4.1.4.14. Nuts and bolts

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

4.1.4.16. Piping and pipe connections

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

4.1.4.18. Safety valves

4.1.4.19. Seating surfaces

4.1.4.20. Soot blowers

4.1.4.21. Stays and stayed plates

4.1.4.22. Steam separating internals

4.1.4.23. Tubes and tube ends

4.1.4.24. Valves

4.1.4.25. Vents

4.1.4.26. Water level gage glass

4.1.5. The Contractor shall recommend to the Program Manager, 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.

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

4.2. Contractor is responsible to provide all confined space retrieval equipment and contractor certified/trained attendant for all confined space entries.

4.3. Prior to each site visit, VAPHS shall prepare the boilers for inspection as follows:

4.3.1. Cool boiler to near ambient temperature

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

4.3.3. Remove loose materials (waterside and fireside)

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

4.3.5. Isolate connection piping

4.3.6. Provide illumination

4.3.7. Perform surface preparation

4.3.8. Repair cracked or damaged refractory

5. Tuning of Boiler Combustion Control Systems

5.1. The Contractor shall 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:

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

5.1.2. Perform any necessary combustion system calibrations.

5.1.3. 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.

5.1.4. Check operation of the VFD and download each profile.

5.1.5. Download all combustion profiles.

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

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

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

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

5.1.10. Update Nexus touchscreen with the latest software version.

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

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

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

5.2. The Contractor shall 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:

5.2.1. Outside air temperature

5.2.2. Oil

5.2.3. Sle

5.2.4. FGR

5.2.5. O2 NOx

5.2.6. O2 Anl

5.2.7. CO

5.2.8. Nox

5.2.9. Efficiency

5.2.10. Stack temperature

5.2.11. Oil supply

5.2.12. Oil pump

5.2.13. Oil return

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

5.4. 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.

5.5. 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.

6. Reports

6.1. Boiler System and Component Reports – Inspections/Calibrations

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

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

6.1.3. Reports shall contain the following information on all boiler systems and components:

6.1.3.1. General condition and a pass or fail grade.

6.1.3.2. Corrective action recommendations for all deficiencies.

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

6.1.3.4. All test data, including any calculations used.

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

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

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

6.1.6. Documentation shall include:

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

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

6.1.6.3. A copy of the current contract

6.1.6.4. Copies of any required manufacturer’s representative certifications

6.1.6.5. Copies of all employee certifications

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

6.1.6.7. Test and inspection template forms

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

6.2. Combustion Tuning Records Requirements

6.2.1. The Contractor shall 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.

6.2.2. Each report shall contain the following test result information:

6.2.2.1. Boiler number

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

6.2.2.3. Ambient air temperature in Fahrenheit

6.2.2.4. Firing rate profile point

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

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

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

6.2.2.8. Percentage of carbon dioxide at each profile point

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

6.2.2.10. Oxygen alarms for all fuel profiles

6.2.2.11. Rate of gas supply to burner, in PSI

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

6.2.2.13. Gas pressure at burner manifold inches of water

6.2.2.14. Wind box pressure

6.2.2.15. Combustion efficiency

6.2.2.16. PRV operation

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

7. Deaerator (DA) Tank Inspections

7.1. The Contractor shall review the feed water deaerator history to include:

7.1.1. Date of last inspection

7.1.2. Current inspection certificate

7.1.3. ASME stamping

7.1.4. National Board registration number

7.1.5. Construction materials used

7.1.6. Extent of post-weld treatment

7.1.7. History of repairs and modifications

7.1.8. Overall condition

7.2. The Contractor shall inspect all deaerator systems to include:

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

7.2.2. Proper operation of pressure gages and thermometers

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

7.2.4. Support structure integrity and thermal expansion allowance capability

7.2.5. Safety valve installation, pressure capacity and settings

7.2.6. Non-Destructive Testing shall be provided by the Contractor in the final year of the contract, prior to July 2030. Specific scheduling will be coordinated with the Program Manager in the final year of the contract. The Contractor is responsible for confined space entry, weld and metal site prep.

7.3. The Contractor shall 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.

8. Boiler and Safety Device Training

8.1. The Contractor shall perform boiler plant safety device testing semi-annually at each campus location. Testing will include all boiler plant auxiliary equipment. Safety device testing will be performed in accordance with Attachment B, Boiler Safety Device Testing Manual - 5th Edition_December 2018_Final or the most recent edition.

9. Equipment Calibration

9.1. The Contractor shall calibrate the following chart recorders, and steam, water and fuel-oil flow meters and submit the calibration records to the Program Manager or his designate:

9.1.1. University Dr. Campus (Semi-Annual Calibrations):

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

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

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

9.1.1.4. Qty 3 – Fuel oil: Aqua Metro Contoil Fuel Oil, model DN 15-50

9.1.1.5. Provide Services to Plant Master and SCADA System to include software updates.

9.1.2. H.J. Heinz Campus (Semi-Annual Calibrations):

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

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

9.2. The Contractor shall also calibrate the following VAPHS equipment annually and semi-annually as indicated:

9.2.1. Qty 2 - Bacharach PCA3 265 Combustion Analyzer (Annually)

9.2.2. Qty 4 - Ashcroft 30 PSI and Ashcroft 300 PSI digital pressure gauges. (Annually)

9.2.3. Qty 2 Drager X-am 2500 Portable Gas Detection Monitor. (Semi-Annually)

9.2.4. Heinz Campus Sensalert 0611-057, 1209-092 CO and Combustion Monitoring System with 4 CO and 4 Combustion sensors. (Semi-Annually).

9.2.5. University Drive Sensidyne 0606-003, 0911-171 CO and Combustion Monitoring Systems with 4 CO and 4 Combustion sensors. (Semi-Annually).

9.2.6. Heinz Campus Qty 1 Haloguard III 1-D2C2-3+ALS(4) Refrigerant Monitoring System test and calibrate (Semi-Annually).

9.2.7. University Drive Qty 2 Haloguard IR 1741-113+ALS(4), 1741-113+ALS(4) Refrigerant Monitoring System test and calibrate (Semi-Annually)

10. Equipment Evaluation and Repairs

10.1. The Contractor shall be capable of providing evaluation and repairs to equipment deficiencies identified during inspections, testing, calibration, tuning, or through equipment failure. Repairs are defined as unscheduled work to repair or modify a boiler and/or ancillary equipment, or to correct recurring system and/or equipment malfunction(s).

10.2. Equipment Evaluation: The Contractor shall provide a service technician for diagnostics and troubleshooting of any boiler or ancillary equipment issues on an “as needed” basis. This evaluation and resulting estimate shall be provided at no additional cost to the Government.

10.2.1. Upon discovery of any equipment deficiencies or malfunctions which require repairs not covered elsewhere in this contract, the Contractor shall provide a service technician for diagnostics and troubleshooting so an estimate for repairs can be provided. Scheduling for this evaluation shall be coordinated with and approved by the Program Manager. This evaluation shall be at no additional cost to the government.

10.2.2. Following the equipment evaluation, the Contractor shall provide a detailed estimate to the Program Manager and Contract Officer for review. The estimate must include a breakdown of all parts, labor (adhering to established service rate), and a schedule for completion of services.

10.3. Repairs

10.3.1. A separate line item will be included to establish a service rate for standard (non-emergency) repairs. The Contract Officer will review the Contractor provided estimate from the equipment evaluation to confirm adherence with the established hourly rate. The Contract Officer will evaluate the parts portion of the estimate separately before determining whether to proceed with any repairs. The Government reserves the right to obtain these services from other vendors.

10.3.2. Prior to engaging in any service or repair under this section the contractor shall obtain written approval from the Contracting Officer in the form of a Task Order. A separate task order will be issued for any repairs covered under this section. Any work performed without Contract Officer authorization shall not be approved for payment and considered an Unauthorized Commitment.

10.3.3. Upon completion of any repairs, the Contractor must conduct complete re-testing, inspection, calibration, tuning and/or otherwise as appropriate and document the repair and reinspection on a post-service report provided to the Program Manager.

11. Emergency Evaluation and Repairs

11.1. The Contractor shall be capable of providing emergency evaluation and repairs to equipment deficiencies identified during inspections, testing, calibration, tuning, or through equipment failure.

11.2. Emergency Evaluation: The Contractor shall provide a service technician for diagnostics and troubleshooting of any boiler or ancillary equipment issues determined to be an emergency by the Program Manager on an “as needed basis”.

11.2.1. The purpose of the emergency evaluation is to identify the parts and labor needed for any repairs required to restore normal boiler function as soon as possible. The contractor shall provide a detailed estimate including a breakdown of all parts, labor (adhering to established service rate), and a schedule for completion of services. The Contractor shall provide the emergency response and estimate at no additional cost to the Government.

11.2.2. The Contractor shall provide the emergency evaluation within four hours of request. The Contractor must be capable of providing the emergency evaluation during all hours (24-hour availability), on weekends, and on holidays.

11.3. Emergency Repairs: The Contractor shall provide emergency repair services on an “as needed” basis. Following the emergency evaluation and receipt of the contractor provided estimate for emergency repairs, the Contract Officer will determine whether to proceed. The Government reserves the right to obtain these services from other vendors.

11.3.1. A separate line item will be included to establish a service rate for emergency repairs. The Contract Officer will review the Contractor provided estimate from the emergency evaluation to confirm adherence with the established hourly rate. The Contract Officer will evaluate the parts portion of the estimate separately before determining whether to proceed with any repairs.

11.3.2. Prior to engaging in any service or repair under this section the contractor shall obtain written approval from the Contracting Officer in the form of a Task Order. A separate task order will be issued for any repairs covered under this section. Any work performed without Contract Officer authorization shall not be approved for payment and considered an Unauthorized Commitment.

11.3.3. Upon completion of any repairs, the Contractor must conduct complete re-testing, inspection, calibration, tuning and/or otherwise as appropriate and document the repair and reinspection on a post-service report provided to the Program Manager.

12. Contractor Qualifications

12.1. Non-destructive testing:

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

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

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

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

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

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

12.2. Combustion tuning:

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

12.2.2. 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.

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

12.3. Equipment Calibration:

12.3.1. Licensure for Bradley & Rockwell Allen software services.

13. Site Specific Requirements

13.1. The Contractor gaining award of this Contract shall provide the name, address, telephone 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 Program Manager as changes occur.

13.2. Contractor’s Responsibilities and Insurance Requirements: The Contractor shall obtain all necessary licenses and/or permits required to perform this work. The Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this Contract. They 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 their employees’ fault or negligence.

13.3. 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 Contract Officer or Pittsburgh Program Manager may determine to be reasonably necessary. The Contract Officer or Program Manager 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 Contract Officer may issue an order, stopping all or any part of the work, and hold the Contractor in default. Noncompliance may result in Contract termination.

13.4. Identification: A compliant ID badge must be always worn by Contractors while on VA premises.

13.5. 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 Contract Officer.

13.6. 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 Contract Officer.

13.7. 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).

14. Contract Type and Task Orders

14.1. The resulting contract will be a single award Indefinite Delivery Indefinite Quantity (IDIQ) contract with fixed price task orders authorizing the requested services as needed. The IDIQ will be established for a five-year period. Task orders may vary in size and will only be issued and awarded by a Contract Officer.

14.2. Task order pricing shall be determined by using the line items and rates established in this IDIQ contract.

14.3. Task Order Process

14.3.1. The Pittsburgh VA Medical Center will identify a need for services and request an order under this contract.

14.3.2. The Contract Officer will compare the requested line items, quantities, and pricing to the IDIQ contract, all pricing shall be determined directly from the IDIQ contract less any applicable discounts.

14.3.3. The Contract Officer will create the task order and issue the order by written notification to the Contractor.

14.3.3.1. Only a Contract Officer is authorized to approve services. No payment will be made for services performed without Contract Officer approval. Any unauthorized services performed will be considered an unauthorized commitment.

14.3.4. To facilitate closeout of individual orders placed under this IDIQ, the contractor shall submit final invoices within 30 days of completion of any order.

14.4. Services under $2,500.00 may be purchased using the Government Purchase Card as an alternate to Contract Officer issued task orders.

15. 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 Program Manager 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 Program Manager 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: ____________________