36C24720Q0789 0001.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 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)

07-07-2020

509-20-3-5081-0068

Department of Veterans Affairs Carl Vinson VA Medical Center 1826 Veterans Blvd.

Dublin GA 31021

Department of Veterans Affairs Carl Vinson VA Medical Center 1826 Veterans Blvd.

Dublin GA 31021 To all Offerors/Bidders

36C24720Q0789 07-07-2020

X x

The purpose of this amendment is to change items A. 3 and A. 6 of the SOW in the solicitation.

See attached SOW. Potential vendors will only be required to provide labor. All supplies and equipment will be provided by the Charlie Norwood VA Medical Center.

STATEMENT OF WORK

CLEANING SERVICES

A. GENERAL INFORMATION

1. Purpose: to clean approximately 247,000 square feet of building space, to include cleaning the exterior entrances, patios and walkways and waste removal at the Uptown Charlie Norwood VAMC 1 Freedom Way, Augusta, Georgia, 30904, Fisher House, and Downtown 950 15th Street, Augusta, Georgia, 30904.

2. Background: The Charlie Norwood VA Medical Center (CNVAMC) is a two division multi-bed facility, encompassing acute medical, surgical, psychiatric, and long-term care. The hospital is located in Augusta, Georgia and provides primary, secondary, and some tertiary care. Annually, the medical center serves thousands of patients. Satellite Community Based Outpatient Clinics (CBOC’s) are located in Athens, GA and Aiken, SC. Additionally, the VISN7 Procurement and Accounting functional areas, the Seamless Transition Center and the Veteran Center are serviced by CNVAMC.

3. Scope of Work: The Contractor shall provide all personnel, to perform general cleaning duties in areas indicated within this statement of work. Contractor shall provide public restroom cleaning and detailing at both divisions.

4. Performance Period: The performance period will be one base year with four 1-year options to renew.

5. Hours of Service: Work is to be accomplished after close of business, to assure no interference with patient care activities, 3:30pm-12am with exception of the Fisher House and restroom cleaning. Fisher House cleaning will be 8am-4:30pm. Restroom cleaning would be required 3X 7:00am-3:30pm and 3:30pm-12:00am.

Federal Holidays

6. The contractor shall furnish all labor personnel to provide housekeeping services to include cleaning the interior entrances, patios, stairwells, public restrooms, and waste removal for the Charlie Norwood VA Medical Center – Uptown and Downtown locations and the Fisher House. The contractor will accomplish all cleaning tasks according to the provided cleaning frequency tables. The Government shall provide all cleaning chemicals and paper products required to replenish all dispensers and plastic liners for all waste receptacles. All work performed by the contractor shall be performed in accordance with all applicable laws, regulations, instructions, and commercial practices. Total approximate square footage is 250,000 for the Charlie Norwood Uptown and Downtown locations and 16,800 square footage for the Fisher House.

Areas are as follows:

Downtown 2A Urology (13,613 Sq. Ft), 2B OT/ PT (13,613 Sq. Ft.), 4C Podiatry/ Dermatology (12,310 Sq. Ft.) 4D Specialty Care Clinic (12,226 Sq. Ft.), 5C Admin Offices (10,807 Sq. Ft), 6C-Respiratory Clinic (11,681 Sq. Ft), Downtown Elevators (750 Sq. Ft.) Uptown GC Primary Care Clinic, (16,641 Sq. Ft.), 1F Mental Health Clinic (20,516 Sq. Ft.) 2E Fiscal Offices (14,845 Sq. Ft.), 3E Primary Care Clinic (14,978 Sq. Ft), 3F Mental Health Out-Patient Clinic (14,105 Sq. Ft), 3G Out-Patient Clinic (13,398 Sq. Ft), Uptown Elevators (800 Sq. Ft.), Restrooms Downtown estimated (18,653 S. Ft), Uptown restrooms (19,893 Sq. Ft.). Stairwells Downtown (12,648 Sq. Ft), stairwells Uptown (9,426 Sq. Ft) In addition to assignments on the two campuses, housekeeping services are also requested for the Fisher House* (16, 800 Sq. Ft) on the Uptown Campus Overall total 247, 253 cleanable Sq. Ft. Estimated total labor hours is 41,600.

Contractor (or Representative) shall sign-in upon arrival at Building___, Room ____ at the Downtown Division, and Building ___ , Room ____, at the Uptown Division, at the beginning of each visit.

a. The Contractor shall take such safety and security precautions as necessary to protect the property, lives and occupants of the building.

b. The Contractor shall immediately correct any fire and safety deficiencies caused by his personnel. If the Contractor fails or refuses to correct deficiencies promptly, the Contracting Officer may issue an order stopping all or any part of the work and hold the Contractor in default of the contract.

c. All materials and equipment used in performance of this contract shall be stored or secured in an approved storage area at the end of the workday. During the workday, all materials and equipment not being used shall be stored or secured in an approved storage area.

d. The Contractor will comply with applicable federal, state and local regulations during the performance of this contract including the Charlie Norwood VAMC Blood-borne Pathogen Exposure Control Plan. (See Attachment B).

e. The Contractor will consider the clinical environment and instruct his/her personnel in applicable safety precautions and special requirements. These requirements may include but are not limited to such conditions as the cleaning of human secretions, blood, etc., both floor and wall stain removal. Contractor will be notified of isolation areas that need terminal cleaning. These areas require the use of gloves, gowns, and masks provided by the Charlie Norwood VAMC.

f. All accumulated waste is to be removed, daily, from the premise and disposed in accordance with local, state and federal regulations.

g. An EPA registered phenolic germicide type cleaning solution shall be used by the contractor in the execution of this contract, provided by Charlie Norwood VAMC.

i. Most cleaning will be accomplished after close of business, to assure no interference with patient care activities 3:30pm-12am with exception of the Fisher House and public restroom assignments. Fisher House and restroom assignments will be 8am-4:30pm.

j. All work performed under this contract will be subject to inspection. The COR shall be the designated official responsible for verifying contractor compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. On occasion a Medical Center inspection team will perform random inspections of the quality of work being performed.

k. All work performed under this contract shall conform to the JCAHO Standards for Infection Control and Management of Environment.

l. The Contractor shall provide janitorial services in accordance with the Janitorial Cleaning Schedule Checklist.

m. The VA will furnish an exterior dumpster(s) for waste collection.

n. The government POC for this contract is Russell Van Horn, Chief, Environmental Services, who may be reached at 706-733-0188, Ext, 3319. The COR will be Rafer Belton, EMS Supervisor Ext. 3322.

B. SPECIFICATIONS:

1. Building Security.

a. Keys. The contractor shall be provided keys or allowed access to all areas and rooms requiring cleaning. Keys provided to the contractor shall not be duplicated. In the event a key is lost or duplicated, all locks and keys on that system shall be replaced by the Government. The contractor shall be responsible for the total cost involved in replacing keys and cores. The contractor shall be responsible for immediately reporting the occurrence of a lost key to the Contracting Officer Technical Representative (COTR) or his/her designee.

b. Contractor employees shall not allow any unauthorized person the use of any key in their possession. They shall not open locked rooms or areas to permit entrance by persons other than contractor employees performing assigned duties. All rooms/areas required to be locked shall not be left unattended during the cleaning process and shall be relocked by contractor personnel after completing cleaning duties.

c. Contractor personnel shall turn off all lights in unoccupied areas after cleaning is performed. Ensure areas are secured, windows are closed and locked and the alarm is set. The Contracting Officer or designee shall be notified of any unlocked doors or windows during his/her duty hours.

d. Contractor is responsible for ensuring all contracted personnel have required background investigation completed and have PIV authentication process and badge issued prior to beginning work at any location. Contractor may be required to procure background checks at their own expense if they fail to comply with instructions provided by the government.

JANITORIAL CLEANING SCHEDULE CHECKLIST

Charlie Norwood VAMC Augusta, GA. 30904

1. RESTROOMS, TO INCLUDE PUBLIC RESTROOMS, ON DAY AND EVENING SHIFTS AT BOTH DIVISIONS.

CLEANING FUNCTION FREQUENCY

partitions

2. LOUNGES, WAITING ROOMS, LOBBIES, OFFICES, GUEST ROOMS CONFERENCE ROOMS

CLEANING FUNCTION FREQUENCY

3. CORRIDORS

CLEANING FUNCTION FREQUENCY

4. ENTRANCES, ELEVATORS, STAIRWELLS

CLEANING FUNCTION FREQUENCY

5. EXAM ROOMS, NURSING STATION, LAB, PHARMACY, STORAGE ROOMS

CLEANING FUNCTION FREQUENCY

Empty and clean trash receptacles and replace liners Daily

Using a damp cloth dust all horizontal surface Daily

6. OTHER:

CLEANING FUNCTION FREQUENCY

7. FEDERAL HOLIDAYS: Contractor employees may not work on the following list of Federal Holidays or designated a holiday by Executive order. Contractor employees may not work on days designated by the Medical Center Director of Charlie Norwood Veterans Affairs Medical Center (CNVAMC) to close the Aiken Community Based Outpatient Clinic (CBOC) to protect the safety of patients and staff for such things as disasters; mechanical errors endangering lives, etc.

B. VA INFORMATION SYSTEM SECURITY/PRIVACY CLAUSE

PER REVIEW OF VA HANDBOOK 6500.6, CONTRACT SECURITY, APPENDIX A- INFORMATION SECURITY AND PRIVACY CHECKLIST:

· “The C&A requirements do not apply and a Security Accreditation Package is not required.”

· Acquisition of this service does not involve the storage, generating, transmitting, or exchanging of VA sensitive information to the vendor

· There may exist exposure to VA sensitive information, in particular to sensitive personal information (SPI) while implementing contractual services Minimum Statutory Requirements Prohibition on unauthorized disclosure: Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1). See VA Handbook 6500.6, Appendix C, paragraph 3.a.

Requirement for data breach notification: Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access, the contractor/subcontractor shall immediately and simultaneously notify the COR, the designated ISO, and Privacy Officer for the contract. The term ‘security incident’ means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. See VA Handbook 6500.6, Appendix C, paragraph 6.a Requirement to pay liquidated damages in the event of a data breach: Consistent with the requirements of 38 U.S.C. §5725, a contract may require access to sensitive personal information. If so, the contractor is liable to VA for liquidated damages in the event of a data breach or privacy incident involving any SPI the contractor/subcontractor processes or maintains under this contract.

The contractor/subcontractor shall provide notice to VA of a “security incident” as set forth in the Security Incident Investigation section above. Upon such notification, VA must secure from a non-Department entity or the VA Office of Inspector General an independent risk analysis of the data breach to determine the level of risk associated with the data breach for the potential misuse of any sensitive personal information involved in the data breach. The term 'data breach' means the loss, theft, or other unauthorized access, or any access other than that incidental to the scope of employment, to data containing sensitive personal information, in electronic or printed form, that results in the potential compromise of the confidentiality or integrity of the data. Contractor shall fully cooperate with the entity performing the risk analysis. Failure to cooperate may be deemed a material breach and grounds for contract termination.

Each risk analysis shall address all relevant information concerning the data breach, including the following:

(1) Nature of the event (loss, theft, unauthorized access);

(2) Description of the event, including:

(a) date of occurrence;

(b) data elements involved, including any PII, such as full name, social security number, date of birth, home address, account number, disability code;

(3) Number of individuals affected or potentially affected;

(4) Names of individuals or groups affected or potentially affected;

(5) Ease of logical data access to the lost, stolen or improperly accessed data in light of the degree of protection for the data, e.g., unencrypted, plain text;

(6) Amount of time the data has been out of VA control;

(7) The likelihood that the sensitive personal information will or has been compromised (made accessible to and usable by unauthorized persons);

(8) Known misuses of data containing sensitive personal information, if any;

(9) Assessment of the potential harm to the affected individuals;

(10) Data breach analysis as outlined in 6500.2 Handbook, Management of Security and Privacy Incidents, as appropriate; and

(11) Whether credit protection services may assist record subjects in avoiding or mitigating the results of identity theft based on the sensitive personal information that may have been compromised.

Based on the determinations of the independent risk analysis, the contractor shall be responsible for paying to the VA liquidated damages in the amount of $37.50 per affected individual to cover the cost of providing credit protection services to affected individuals consisting of the following:

(1) Notification;

(2) One year of credit monitoring services consisting of automatic daily monitoring of at least 3 relevant credit bureau reports;

(3) Data breach analysis;

(4) Fraud resolution services, including writing dispute letters, initiating fraud alerts and credit freezes, to assist affected individuals to bring matters to resolution;

(5) One year of identity theft insurance with $20,000.00 coverage at $0 deductible; and

(6) Necessary legal expenses the subjects may incur to repair falsified or damaged credit records, histories, or financial affairs (see VA handbook 6500.6, appendix c, paragraph 7.a, 7.d)

INVOICES: Payment will be made upon receipt of a properly prepared detailed invoice, prepared by the Contractor, validated by the Contracting Officer’s Representative (COR), and submitted electronically through OB-10.

A properly prepared invoice will contain:

· Invoice Number and Date

· Contractor’s Name and Address

· Accurate Purchase Order Number

· Supply or Service provided

· Total amount due