36C24824Q0387 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 NUMBERE

D 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 amendmen t, 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) 675-21-2-6560-0035 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Orlando VA Healthcare System 13800 Veterans Way Orlando FL 32827 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Orlando VA Healthcare System 13800 Veterans Way Orlando FL 32827 To all Offerors/Bidders

36C24824Q0387

X X X 14:00, 02/06/2024 The purpose of this amendment is to:

A. Submit responses to contractor's questions. See continuation page.

B. Submit revised Performance Work Statement. See continuation page.

Rohan McKenzie Contracting Officer

CONTINUATION PAGE

A.1 GOVERNMENT’S RESPONSES TO CONTRACTOR’S QUESTIONS

(PWS,

Price/Cost Schedule Structure, etc.)

General Question

Is there currently an incumbent and if so, what is their name, the contract number, and the contract value?

The contract was awarded to Equipsystems, LLC, Contract Number 36C24819D0054. Please query the Federal Procurement Data System - Next Generation for Task Orders issued against the contract number.

A.2 PERFORMANCE WORK STATEMENT Revised 01-29-2024

Non-Critical Reusable Medical Equipment (NCRME) Cleaning and Disinfecting Services

1. Introduction:

a. This is a non-personal service contract for the procurement of services to provide NCRME. The Government shall not exercise any supervision or control over the contractor service providers performing the services herein. Such service provider shall be accountable solely to the contractor who, in turn is responsible to the government.

2. Purpose:

a. The purpose of this acquisition is to continue the standardized process for on-site NCRME at the Orlando Veterans Affairs Medical Center (OVAMC) at Lake Nona. Noncritical items are those that meet intact skin but not mucous membranes. Intact skin acts as an effective barrier to most microorganisms; therefore, the sterility of items meeting intact skin is "not critical."

3. Background:

a. There are two types of non-critical items located at OVAMC; patient care items and noncritical environmental surfaces. The purpose of cleaning before disinfection is the removal of visible soil (e.g., organic and inorganic material) from objects and surfaces and normally is accomplished manually or mechanically using water with detergents or enzymatic products. Thorough cleaning is essential before high-level disinfection and sterilization because inorganic and organic materials that remain on the surfaces of instruments interfere with the effectiveness of these processes.

b. In accordance with Medical Center Policy (MCP) 00Q-16, NCRME is cleaned by staff according to manufacturers’ instructions and local guidelines/procedures. As it is difficult for the health care workers responsible for reprocessing reusable devices to assess the amount and resistance of microbial contamination on the devices to be reprocessed, product labeling, professional practices, and institutional infection control procedures is needed to guide the persons who are responsible for reprocessing NCRME. Proper handling and reprocessing of reusable medical devices for the next patient is done by carefully adhering to general reprocessing steps.

4. Place of Performance:

a. Orlando Veterans Affairs Medical Center at Lake Nona, 13800 Veterans Way, Orlando, FL 32827.

b. Orlando VA Medical Center, 5201 Raymond Street, Orlando, FL 32803.

5. Performance Period:

a. The period of performance shall consist of one 12-month base period plus four 12-month option periods.

6. Scope:

a. Contractor shall plan, develop and implement an on-site NCRME Cleaning Program tailored to our facility’s specific needs and in accordance with MCP 00Q-16, Section 5.b.i. and ii. here-in, Price/Cost Schedule and ATTACHMENT D-LAKE NONA INVENTORY.

b. Contractor shall provide bi-annual deep cleaning and disinfectants for the below listed NCRME located in Radiology, Oncology and the Operating rooms.

i. Table 1. Orlando Veterans Affairs Medical Center Inventory at Lake Baldwin.

ii. Table 2. Orlando Veterans Affairs Medical Center Inventory at Lake Nona.

7. Hours of Operations:

a. The contractor shall provide cleaning and disinfection service between the hours of 7:00AM through 3:30PM Monday through Friday at the Lake Baldwin facility and bi-annual deep cleaning services between the hours of 5:00PM through 00:00, Monday through Friday. Service hours for cleaning, disinfection and bi-annual services for the Lake Nona facility are 5:00AM through 00:00, Monday through Saturday. The contractor and COR may agree on other written schedule prior to each period of performance.

8. Government’s Holidays:

a. The contactor shall not perform work on federal holidays, or when the government facility closes to closes due to local or national emergencies, administrative changes, or similar government directed facility closings. Government shutdowns occur when the government refuses passage of key bills resulting in the cession of some or all operations by the government. If the Department of Veteran of Affairs is affected by a government shutdown during the period of performance, the Contractor shall not provide services or submit claims against the government during and after the shutdown. Recognized federal holidays are listed in table 1.

a. Table 3.

Juneteenth National Independence Day

IIndeIndependence Day

Juneteenth National Independence Day

IIndeIndependence Day

9. Equipment Pick-up and Delivery:

a. Daily, during hours of operations, the contractor shall pick-up NCRME at each designated area for cleaning and disinfection.

b. Equipment shall be inspected to ensure that it is functioning properly before returning to its designated area provided by the COR.

c. The contractor shall coordinate with the COR for scheduling NCRME cleaning and disinfection during weekends, evenings and nights based on hours of operation described at paragraph seven (7).

d. The contractor’s staff working on site shall be trained by the contractor on the proper methodology to manage rolling stock equipment’s. All equipment will be thoroughly checked for proper working and movement procedures. Equipment found to be unsuitable for return to service is clearly flagged, turned into the COR and annotated on the monthly flagged equipment report.

10. Cleaning and Disinfection:

a. The contractor shall only use disinfectants listed in the Medical Center Policy (MCP) 00Q-16. Refer to ATTACHMENT A.

b. Safety Data Sheets for all approved disinfectants used for cleaning and disinfection shall be provided to the COR prior to contract performance period.

c. Prior to cleaning and disinfecting, contractor’s personnel shall always wear specialized Personal Protective Equipment (PPE) clothing for protection against hazards (e.g., gowns, lab coats, gloves, masks, and face shields provided to prevent exposure to blood and body fluids) to protect from exposure to a hazard (e.g., chemicals or microorganisms on contaminated items). PPE is worn when such hazardous exposure is likely to occur to the skin, eyes, nose or mouth. PPE may include gown, gloves, mask, eyeglasses, or face shield.

d. Minor adjustments, such as tightening of screws, bolts and rails, will be made at time of cleaning and disinfecting of equipment.

11. ID Bands and Markers:

a. The COR will provide a sanitize tag to be adhere to the equipment once cleaning and disinfection is completed by the contractor.

b. The contractor shall use ID bands to tag equipment before cleaning and disinfecting to ensure that it is returned to the originating department and area after cleaning and disinfecting.

12. Replacement parts:

a. Equipment such as IV poles and Over-the-Bed Tables utilize dual wheeled plastic casters. The contractor shall on an as needed basis, replace plastic casters with brand new casters. Since contract award, over 500 casters have been replaced with part number AY5001C.

b. Equipment such as foot stands, chairs and walkers utilize rubber tips. The contractor shall on an as needed basis replace rubber tips with brand new tips.

c. Contractor shall apply rust restoration and painting to stainless steel equipment without impacting mechanical parts.

13. Reports:

a. The contractor shall provide weekly mission critical reports to the COR. Reports included are Facility Inventory, Departmental Inventory, and Equipment Maintenance History which also includes replacements parts.

b. The contractor shall provide monthly Adenosine Triphosphate (ATP) testing report for NCRME to demonstrate the efficacy of the program. The most recent ATP testing had an acceptable rate of less than 30 using Hygiena EnSURE UI-trasnap based on the type of surface.

14. Performance Requirements Summary (PRS) Matrix:

a. The PRS is a performance indicator that is used to measure the acceptable quality of performance per performance period that must be met, who is going to check the measurements, and how these measures will define the success of our program.

b. Table 4.

PRS #1

Negative CPARS

PRS #2

Negative CPARS

PRS #3

Negative CPARS