36C24718Q0144-00001001.docx

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 ITE M 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 r eference 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

BY

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) 00001 Department of Veterans Affairs Tuscaloosa VA Medical Center 3701 Loop Road East Tuscaloosa AL 35404-5088 Department of Veterans Affairs Tuscaloosa VA Medical Center 3701 Loop Road East Tuscaloosa AL 35404-5088 To all Offerors/Bidders

36C24718Q0144

X X X 679-3680160-098-820100-2531 0100561Z7 X This amendment revises the SOW.

The responses due date remains unchanged at on or or before December 26, 2017 at 2PM CST>

All other terms and conditions remain unchanged.

This is 100% Total Set-Aside for SDVOSB.

Pamela G. Frazier Contracting Officer

STATEMENT OF WORK

Tuscaloosa Veterans Affairs Medical Center

RELOCATION SERVICES CONTRACT

1.0 OVERVIEW

Tuscaloosa Veterans Affairs Medical Center (TVAMC) requires commercial moving and relocation services located at 3701 Loop Road East, Tuscaloosa, Alabama 35404 and its off-site facility Selma Outreach Clinic located at 206 Vaughan Memorial Drive, Selma, Alabama 36701. In order to perform all vital functions, and support TVAMC, this Statement of Work (SOW) has been written to provide direction and guidance required by our Moving Services Program.

TVAMC complex is comprised of over 1 million square feet located in multiple buildings (29) and housed on approximately 125 acres. Buildings range from one to four stories many with basements. Larger buildings have loading docks.

In addition to the Tuscaloosa campus there are two off-site locations in Selma, Alabama which is approximately 70 miles from the TVAMC.

2.0 OBJECTIVE

The Contractor shall furnish all contract oversight, management; supervisory and technically trained personnel; uniforms; equipment, materials, and supplies necessary to provide commercial office moving and relocation services for TVAMC. This includes, but is not limited to the following, providing all labor, materials, and equipment necessary to accomplish the work as stated herein, e.g. Furniture installation, routine moving services activities, special furniture cleaning and repair, special moving activities; furnishing all vehicles, insurance, drivers, supervision, maintenance, equipment, and operating supplies/services required for the safe transport of the property, and performing all services necessary to provide moving and relocation services. Relocation services are requested for up to 75 working days of the year and will be scheduled in advance by the COR.

3.0 CONTRACTING TASKING/REQUIREMENTS

A. The Contractor shall designate an on-site working supervisor. An on-site supervisor will act as point of contact and maintain a cell phone or other means of communication at no additional expense to the TVAMC. The working supervisor will coordinate each moving service activity with the Interior Design Section, Resources Management Service Line COTR. The onsite supervisor will be responsible for directing the activity and safety of crew members.

B. The Contractor shall provide a standard crew consisting of a minimum of three persons of which one member is required to be a supervisor. The contractor shall provide crews sufficient to perform the assigned tasks.

C. The Contractor shall provide sufficient personnel/crews based on workload as required to accomplish assigned tasks. Requests for additional personnel/crews will be made by COTR a minimum of five calendar days in advance of the moving service activity.

D. The Contactor shall ensure all crew members are in proper uniform throughout their tour of duty. Uniforms should include shirt with company name or logo, long pants and steel toed shoes. Supervisors and crew members who are not in proper uniform shall not work at TVAMC.

E. The Contractor shall ensure all crew members are physically able to perform all duties required by this contract. (i.e.) Lifting 300 plus pounds. Lifting, bending, squatting and standing for excessive periods of time.

G. The Contractor shall provide, operate, manage, and maintain a trained, uniformed Moving Services crew for TVAMC for the following tasks:

I. MOVING SERVICES FURNITURE INSTALLATIONS/RECONFIGURATIONS

Furniture installations and reconfigurations include, but are not limited to the following, free-standing, panel-hung systems, and modular wall hung furniture disassembly, relocation, reassembly, and reconfigurations; the disassembly and reassembly of shelving. All furniture installations and reconfigurations require an approved concept plan provided by COTR.

II. MOVING SERVICES ACTIVITIES

Moving activities include, but are not limited to, moving miscellaneous free-standing furniture items such as: file record boxes; employee property such as boxed files, records, and computers; equipment; filing cabinets of various types and sizes; carpet tile pallets to a different location; delivering and picking up empty moving boxes; minor furniture repair; and disposal of designated items such as removal of trash from work sites.

A: No personal items will be removed/relocated without the owner’s permission. Once obtained, the move crew members will only move/relocate personal items that were placed and secured by the owner. The move crew member will not box or secure any personal property on behalf of the owner.

B: Any and All confidential files will not be moved/relocated unless those said files have been properly secured by the requesting TVAMC staff member or personally escorted by the requesting TVAMC staff member to the new location. The TVAMC staff member is responsible for securing and maintaining that security during the requested move.

H. The Contractor shall ensure that crew members have the technical training in assembly and disassembly of all types of furniture and specialized equipment before performing such tasks.

I. The Contractor shall ensure all moving service activities are performed in a safe manner.

J. The Contractor shall be responsible for the protection of Government property. Storage rooms containing Government property shall be secured at all times.

K. The Contractor shall be responsible for damage to property and insured to repair and/or replace damaged property and personnel.

L. The Contractor shall be responsible for maintaining reusable furniture products, parts and components in a designated area by TVAMC, in a clean, protected, and organized manner.

4.0 DELIVERABLES – CONTRACT DATA REQUIREMENTS LIST (CDRLS)

A. Concept plans will be designed by the COTR and given to the contractors to use as a guide for the work needing completion that day/week. Completed concept plans for the week must be returned to the COTR on Fridays.

B. Weekly invoices must be submitted to COTR on Fridays for payment to be remitted the following Monday.

C. Weekly time sheets with work completed must be submitted to COTR on Fridays for payment validation. The supervisor and COTR will sign weekly time sheets for validation of work performed.

5.0 GOVERNMENT INSPECTION/ACCEPTANCE OF ITEMS

TVAMC Interior Designer or a designee will accomplish furniture installations requiring a final inspection. The contractor will correct deficiencies at no additional cost to the government.

6.0 GOVERNMENT FURNISHED MATERIALS, EQUIPMENT AND SERVICES

The Government shall furnish the following materials, equipment and services:

A. Cardboard boxes for movement of employee’s personal belongings.

7.0 CONTRACTOR FURNISHED MATERIALS, EQUIPMENT AND SERVICES

A. A cellular telephone or other 2 way communication devices for the on-site supervisor and crew members.

B. Padding, packing and/or crating materials, dollies, hand trucks, moving truck and any other type of equipment commonly used for moving services activities as required for the safe transportation of property.

C. To include specialty materials and supplies such as: shrink wrap, tape, hand tools, tape measures, etc.

8.0 PERSONNEL SPECIFICATIONS/REQUIREMENTS

The Contractor is responsible for ensuring that its company and staff maintain any generally required professional certification, accreditation, license, bond, and proficiency relative to their area of expertise. The Contractor shall provide the TVAMC documentation of such records and updates throughout the Contractual Period. The Government will not pay for expenses to meet these requirements.

The on-site working supervisor is responsible for management and oversight of all crew members; escort of additional, non-badged crew members; and ensures that property is boxed, crated, tagged/identified, loaded, and protected in a manner suitable for the type and complexity of the move.

To be eligible to perform under this contract, each crew member shall meet the following:

A. The ability to meet and deal with the general public in a friendly and customer service oriented manner.

B. The ability to read, understand and apply printed rules, detailed orders, instructions and furniture drawing layouts.

C. Familiarity with a variety of commercial furniture product assembly & disassembly, parts and components.

D. Expected to be physically able to perform the functions required in the performance of their assigned duties, such as but not limited to, Lifting 300 plus pounds, bending, squatting and standing for excessive periods of time.

E. Maintain a neat, clean appearance and be in proper uniform at all times. Proper uniform should include shirt with company name and or logo, long pants and steel toed shoes.

F. The onsite supervisor is required to obtain/maintain a 30 hour OSHA card and all other labor crew must obtain/maintain a 10 hour OSHA card at no additional expense to the TVAMC. In the event of a staff change, the new employee must complete and submit certification before working in the facility.

G. The Contractor and all employees working at the TVAMC, including unpaid, are required to comply with CM 11-30, Tuberculosis Control Plan, policy and procedure. Workers are to be advised that proof of TB Skin Testing is a condition of their employment, including obtaining required tuberculin skin tests (TSTs) and follow-up, as appropriate; attending educational sessions; and using safe work practices to prevent exposure to Mycobacterium TB.

Workers may consult the Infection Control Preventionist (ICP) for questions and concerns in regards to TB Skin testing.

References: CM 11-30, Tuberculosis Control Plan; Joint Commission (JC) Standard: Infection Control 01.02.0, EP1; JC Standard: IC 02.01.01, EP7 Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care settings, 2005. MMWR 2005; 54 (No. RR-17).

H. The Contractor will be responsible for ensuring compliance by its employees with the security regulations of the Veteran’s Administration where work is performed under this Contract. Contracted employees will have to self-register at https://www.tms.va.gov/learning/user/SelfRegistrationUserSelection.do. Once registered, enroll in class va10176 VA Privacy and Information Security Awareness and Rules of Behavior. Contractors must provide signed certifications of completion to the Contracting Officer Representative (COR) during each year of the contract life.

I. All contractors/vendors must report to bldg. 5 2nd floor to be checked in and badged before entering the Facility and must return to same location to be checked out and return badge upon completion of their day. The badge must be worn at all times while working at the facility.

J. No unauthorized Photography or Video on medical center premises. Per VA Regulations 1.218(b) (23) Use of recording devices of any kind to record patients or employees is strictly prohibited.

K. Upon completion or termination of the applicable contract(s) or agreement(s), return and/or destroy, at Covered Entity’s option, VA information gathered, created, received, or processed during the performance of the contract(s) or agreement(s). No data will be retained by Business Associate, or contractor, subcontractor, or other agent of Business Associate, unless retention is required by law and specifically permitted by Covered Entity. As deemed appropriate by and under the direction of Covered Entity, Business Associate shall provide written assurance that all VA information has been returned to Covered Entity or destroyed by Business Associate. If immediate return or destruction of all data is not possible, Business Associate shall notify Covered Entity and assure that all VA information retained will be safeguarded to prevent unauthorized Uses or Disclosures.

L. Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

M. The C&A requirements do not apply, and that a Security Accreditation Package is not required.

9.0 WORK ASSIGNMENTS

Work assignments will be made by the responsible COTR as needed to accomplish TVAMC’s mission.

A. STANDARD CREW - Work assignments for the following day will be available at the close of business each day.

10.0 CONTRACT WORK HOURS

The contract normal work hours will be 8:00am to 4:30pm Monday- Friday excluding Government holidays. The Government has the option to modify the normal work week, days and hours, as necessary for the accomplishment of TVAMC mission. WHEN (weekend, holiday, evening and nights) hours may be needed to accomplish a job, contractors will need to be available. In addition to WHEN hours all contracted employees are expected to be able to respond in 30 minutes or less to the TVAMC for on-call/emergency operations.

11.0 QUALITY CONTROL

The Contractor shall specify personnel that will serve as a single point of contact for all Quality Control issues. This person must be approved by the COTR.

12.0 POINTS OF CONTACT

The Contractor will identify personnel by name and working telephone number who can be contacted regarding moving services requirements. The contractor will provide this information within 14 calendar days after date of contract award. If at any time this information changes after that point the COTR is to be notified immediately and updated of the changes in personnel and contact information.

13.0 PERIOD OF PERFORMANCE

This contract consists of one (1) base year and four (4) one year contract option periods to coincide with the beginning/end of each fiscal year.

14.0 PLACE OF PERFORMANCE

Tasks performed under this contract are primarily performed at TVAMC site within buildings or between buildings with an exception of the two (2) Selma, AL satellite clinics.

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