SF30 Amendment 36C24623Q0082 0003.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

0003 11/6/2022

659-23-1-6047-0008

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton VA 23667

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton VA 23667

To all Offerors/Bidders

36C24623Q0082

X

X X

05:30PM Easter Time, 11/08/2022

See CONTINUATION Page

The purpose of this amendment is to provide another revision of the Performance Work Statement and Price Schedule. The

Performance Work Statement and Price Schedule provided in this Amendment 0003 replace all previous Performance Work

Statements and Price Schedules. This amendment also extends the due date and time for quotes to Tuesday, November 8, 2022 at 05:30PM Eastern Time. Other terms and conditions remain unchanged.

Daniel Spaulding

Contracting Officer, NCO 6

CONTINUATION PAGE

A.1 PERFORMANCE WORK STATEMENT (Revised 2022.11.06)

PERFORMANCE WORK STATEMENT (AMENDMENT 0003 – REVISED 11.6.2022)

659-23-1-6047-0008

Any proposals MUST include ALL work to provide a complete and finished product. When work is completed with this project, it is expected the Government will be able to take full benefit of the finished product without additional work required

PLACE OF PERFORMANCE: W. G. Hefner Medical Center, 1601 Brenner Ave. Salisbury, NC 28144

ELECTRONIC SPECIFICATIONS AND DRAWINGS: There are no drawings or specifications required.

SPECIFICATIONS FOR GUARANTEE PERIOD SERVICES: Planned maintenance to be performed during normal business hours (7:00 a.m. - 5:00 p.m. Monday thru Friday).

CONTRACTOR TRADE: A professional mechanical contractor will bid as prime contractor.

SECURITY: The C&A requirements do not apply. This acquisition does not require services that involve connection of one or more contractor-owned it devices (such as a laptop computer or remote connection from a contractor system) to a VA internal trusted (i.e. non- public) network. A Security

Accreditation Package is not required.

Technical requirements:

1. This is a comprehensive service contract that covers the replacement and repair of all parts, components, refrigerant, oil, and other materials that may be needed, of the below listed equipment.

2. The service includes all labor to diagnose, repair and replace failed components covered under this contract.

3. The Contractor will provide emergency service and minor repairs seven (7) days a week 24 hours a day

4. The Contractor will provide the following preventative maintenance procedures as a part of this contract.

- Oil analysis once a year

- Annual visual inspection of condenser tubes including removal of heads, annual brush cleaning of condenser tubes, annual cleaning on condenser coils on air cooled chillers, replace belts on equipment with belts, and all materials and supplies required to carry out these procedures.

- Disposal of all used refrigerant they remove from equipment.

- Required to submit written reports on all repairs and preventive maintenance completed and refrigerant recovered.

- AIR COOLED CHILLERS will have one annual inspection consisting of leak testing machine, MEG compressor motor, test vent piping of all relief valves, tighten motor terminals and control terminals, check oil level, check differential pressure switch settings, check, and calibrate all machine all machine operating and safety controls, tighten oil heater heads, check operation of condenser fans, clean condenser coils, replace oil filter, provide tube services.

- There will be three inspections performed during the operation to include inspecting safety controls, review operating logs, check refrigerant charge, complete operating log temperatures, pressures, voltages, and amperage, check refrigerant filter temp drop at full load, and check oil filter drop.

- PACKAGE UNITS AND SPLIT SYSTEMS will receive a total of four inspections which will consist of the following, inspect evap coil, inspect drain pan and drain lines, clean drain pans, check for refrigerant leaks, report all leaks to owner, check and calibrate safety controls and overloads, MEG test compressor motor and record readings, check the main starter tighten all starter terminals and check contacts for wear, check oil levels for compressor, tighten motor terminals and control terminals, check crank case heaters, check external interlocks, lube bearings, inspect and adjust belts, check damper operation, inspect filters and change as needed, record refrigerant pressures, temps, super heat, and sub cooling, check for proper refrigerant charge. The vendor will provide a report to the customer representative following each regular inspection or emergency call and report uncorrected deficiencies

EQUIPMENT LIST:

AIR COOLED CHILLERS

- MICU – McQuay model#AGZ020As12-ER10 serial#STNU0350037

- OR- McQuay model# AGZ035DHHNN-ER10 serial# STU1012001701

- OR - McQuay model # AGZ030DHHNN Serial # STNU110900020

- Laundry- Diakin model#AGZO60EDSEMNN00 SERIAL#stnu170800189

- Credit Union - Trane model# RTAA080AYT01A3DOB serial# U08L02426

- Portable-McQuay model #AWS260CDSEWNN serial #STNU130900145

- Lab - Trane model # CGAM052AE02AX08 serial # U111<25627

- Hospice - York model# YCAL0066FE17XE serial# SEXM-936470

- Audiology-Carrier model# CSAA017UBL00 serial# K16J69233

PACKAGE UNITS AND SPLIT SYSTEMS

- Travel pay - York model # J10YCC00A2TLA2 serial # N1H0201834

- PACU - Trane model# 2TTA3060A3000AA serial# 9091KD64F

- Core Clinic- Carrier model# CSAA021UBLOO serial# 0810G50463

- Building Seven- Carrier model # 50DJ008 serial # 2192G20381

- Building seven- Carrier model# 50DJ004 serial# 1992G13745

- Building five - York model# J104CC00A25L Serial# N1H0201834

- Building 6- York model# YLAA0100SE17XFBSXXQHSXBLXCXX32SE

Serial# 11552B01922346

TB, Flu, OSHA, COVID-19 REQUIREMENTS, AND BADGING REQUIREMENTS:

TB -The Contractor shall comply with the Federal/California OSHA Blood borne

Pathogens Standard. Negative Results WITHIN 90 DAYS are required for badging.

The Contractor shall:

a) Have methods by which all employees are educated as to risks associated with blood borne pathogens.

b) Have policies and procedures which reduce the risk of employee exposure to blood borne pathogens.

c) Have mechanisms for employee counseling and treatment following exposure to blood borne pathogens.

Provide appropriate personal protective equipment/clothing such as gloves, gowns, masks, protective eyewear, and mouthpieces for the employee during performance of the contract.

Flu - Flu Shot or Mask (November 30th to March 31st)

• The Contractor shall comply with the W. G. Hefner Medical Center VA Directive

1192 requirements for Flu Shots. All Construction Contractors and Maintenance

Contractors working on Site must either have a Flu Shot or wear a mask regardless of interaction with patient areas.

• Personnel must produce a flu shot record or will have to wear a mask while on property.

OSHA - The Contractor shall comply with the Federal Guidelines. A minimum of 10 hours training is required.

COVID-19 - Every person badged will produce evidence of vaccine doses (2 for vaccines requiring 2 doses: 1 for vaccines requiring 1).

• Those whom the contractor determines to be exempt shall be tested at the contractor's expense once a week. The Contractor is responsible for reporting the test results to the COR.

• In neither case, vaccination, or testing, will the cost be the government responsibility nor is vaccination or testing grounds for any maintenance delays.

• All contractors will follow the station's current masking guidance.

• Disregarding COVID protocols outlined here is grounds for immediate ejection from campus.

Per current VA guidelines mandatory COVID-19 screenings are being enforced at entrances throughout all VA Medical centers and associated Health Care Centers (HCC) and Community Based Outpatient Clinics (CBOC).

Facilities are also enforcing singular entrance to buildings where the screenings are being done to all who enter. If you are contracted to perform work within a timeframe of the current COVID- 19 outbreak, please make appropriate preparations.

Facilities are enforcing the wearing of face mask while on government property.

Performance of contractual duties is required unless there are interruptions or reasons to prohibit performance. In that circumstance, please work with the Contracting Officer

(CO) and Contracting Officer Representative (COR) for guidance.

BADGING REQUIREMENTS FOR SALISBURY VAMC:

All contract workers are required to obtain and wear a Personal Identification Verification

(PIV) Badge. The badge must always be visible while worker is on the VA Medical Center campus.

1. This document applies to all new and renewal of badges. Badging is required prior to new Contractors beginning newly awarded Maintenance Contracts.

2. Badges are renewed just prior to their expiration. It is the duty of the Contract

Supervisor to ensure badges are renewed prior to expiration. Updated OSHA, TB testing, and flu shot (if during flu season) will be required for renewals.

3. Two (2) forms of Identification are required:

a. Valid State ID.

b. WorkVisa

c. INS Social Security card with "Valid for Work Purposes Only".

d. Non- U.S. Passport with INS paperwork validating their right to work in the

US.

e. Naturalized Card: Must be carried by the worker always while on property.

PAYMENTS:

Payments will be made in arrears following the receipt of the invoice and the monthly summary report.

8.5 SPECRAl CONTRACT REQUIREMENTS

1.0 KEY PERSONNEL

Key personnel will be identified in the proposal and shall be considered key personnel essential for the successful completion of the work performed under the contract. The contractor agrees that such personnel shall not be removed, diverted or replaced from the work without prior written approval of the Contracting Officer. The contractor shall submit written notice of proposed personnel changes to the Contracting Officer for approval at least thirty {30) business days in advance.

2.0 WORK HOURS

The services covered by this contract shall be furnished by the contractor as defined herein.

The contractor shall not be required, except in case of emergency, to furnish such services on a Federal Holiday or during off duty hours as described below.

The following terms have the following meanings:

(1) Normal working hours: Monday through Friday, 7:00 a.m. - 5:00 p.m., excluding federal holidays.

(2) Federal Holidays: The 11 holidays observed by the Federal Government are:

New Year's Day Martin Luther King's Day President's Day Memorial Day

Juneteenth Day Independence Day Labor Day Columbus Day

Veterans Day Thanksgiving Christmas

Any other day specifically declared by the President of the United States to be a federal holiday. When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

3.0 FSS RFQ INTRODUCTORY LANGUAGE

The terms and conditions of the contractor's FSS contract (including any contract modifications) apply to all Blanket Purchase Agreements (BPA) and task or delivery orders issued under the contract because of this RFQ. When a lower price has been established, or when the delivery terms, FOB terms, or ordering requirements have been modified by the BPA or task/delivery order, those modified terms will apply to all purchases made pursuant to it and take precedence over the FSS contract. Any unique terms and conditions of a BPA or order issued under the contract that are not a part of the applicable FSS contract will govern. In the event of an inconsistency between the terms and conditions of a BPA or task/delivery order and the Contractor's

FSS terms, other than those identified above, the terms of the FSS contract will take precedence.

4.0 BILLING AND PAYMENT

Invoices shall be submitted monthly, in arrears, and shall include at a minimum:

Date of invoice, Contract Number, Purchase Order Number, Vendor Name, Invoice

Number CUN & Date of service.

All Invoices from the contractor shall be submitted electronically in accordance with

VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

The contractor shall submit payment requests in electronic form via VA's Electronic

Invoice Presentment & Payment System. See Web site at http://www.fsc.va.gov/einvoice.asp

5.0 CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS)

(a) FAR 42.1502 direct all Federal agencies to collect past performance information on contracts. The Department of Veterans Affairs has implemented use of the

Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR 42.15.

(b) The past performance evaluation process is a totally paperless process using CPARS.

CPARS is a web-based system that allows for electronic processing of the performance evaluation report. Once the report is processed, it is available in the Past Performance

Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

(c) Please furnish the Contracting Officer with the name, position title, phone number, and email address for each person designated to have access to your firm's past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state whether or not the Contractor agrees with the evaluation, before returning the report to the Assessing Official. The report information must be protected as source selection sensitive information not releasable to the public.

(d) When your Contractor Representative(s) (Past Performance Points of Contact) are registered in CPARS, they will receive an automatically generated email with detailed login instructions. Further details, system requirements, and training information for CPARS are available at www.cpars.gov. The CPARS User Manual, http://www.fsc.va.gov/einvoice.asp http://www.cpars.gov/ registration for online training for Contractor Representatives may be found at this site.

(e) Within 60 days after the end of a performance period, the Contracting Officer will complete an interim or final past performance evaluation and the report will be accessible at www.cpars.gov Contractor Representatives may then provide comments in response to the evaluation, or return the evaluation without comment. Comments are limited to the space provided in Block 22. Your comments should focus on objective facts in the Assessing Official's narrative and should provide your views on the causes and ramifications of the assessed performance. In addition to the ratings and supporting narratives, blocks 1-17 should be reviewed for accuracy, as these include key fields that will be used by the Government to identify your firm in future source selection evaluations. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating, "No Comment" in Block 22, and then signing and dating Block 23 of the form. Without a statement in Block 22, you will be unable to sign and submit the evaluation back to the Government. If you do not sign and submit the CPAR within 30 days, it will automatically be returned to the

Government and will be annotated: "The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment." Your response is due within 30 calendar days after receipt of the

CPAR.

(f) The following guidelines apply concerning your use of the past performance evaluation:

(1) Protect the evaluation as "source selection information." After review, transit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the Contracting Officer for instructions.

(2) Strictly control access to the evaluation within your organization.

Ensure the evaluation is never released to persons or entities outside of your control.

(3) Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determination, production readiness reviews, or other similar purposes.

http://www.cpars.gov/

(g) If you wish to discuss a past performance evaluation, you should request a meeting in writing to the Contracting Officer no later than seven days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 30- day review period.

(h) A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been completed.

6.0 CONTRACT ADMINISTRATION

Notwithstanding the Contractor's responsibility for total management during the performance of this contract, the administration of the contract will require maximum coordination between the Government and the Contractor.

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the

Contracting Officer on all matters pertaining to contract administration. Only the

Contracting Officer is authorized to make commitments or issue changes that shall affect price, quantity, or quality of performance of this contract.

The COR shall be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.

In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer without authority, no adjustment shall be made in the contract price to cover an increase in costs incurred as a result thereof

POINTS OF CONTACT

Contracting Officer (CO)

Daniel Spaulding

Department of Veterans

Affairs VISN 6 Network

Contracting Office 100

Emancipation Drive, Building

Hampton, Virginia 23667

Daniel.spaulding@va.gov

757-728-6011 Fax 757-728-3132

Contracting Officer’s Representative (COR)

Donald Fechtner

W. G. Hefner Medical Center

1601 Brenner Ave

Salisbury, NC

A.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QTY UNIT UNIT PRICE AMOUNT

12.00 MO __________________ __________________

CHILLER MAINTENANCE SERVICE for equipment located at the Salisbury VA Medical Center. See Performance Work Statement.

Contract Period: Base POP Begin: 11-21-2022 POP End: 11-20-2023 the Salisbury VA Medical Center. See Performance Work Statement.

Contract Period: Option 1 POP Begin: 11-21-2023 POP End: 11-20-2024 the Salisbury VA Medical Center. See Performance Work Statement.

Contract Period: Option 2 POP Begin: 11-21-2024 POP End: 11-20-2025 mailto:Daniel.spaulding@va.gov the Salisbury VA Medical Center. See Performance Work Statement.

Contract Period: Option 3 POP Begin: 11-21-2025 POP End: 11-20-2026 the Salisbury VA Medical Center. See Performance Work Statement.

Contract Period: Option 4 POP Begin: 11-21-2026 POP End: 11-20-2027

GRAND TOTAL __________________