36C24924Q0337-RFQ-CeilingLift-Ward1B.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24924Q0337 07-05-2024

SASCHA HERTSLET-sascha.hertslet@va.gov 615-225-6664 07-26-2024

10:00 AM CDT

90C

Department of Veterans Affairs

Network Contracting Office 9

1639 Medical Center Parkway, Suite 204

Murfreesboro TN 37129

X 100

X

339113

800 Employees

N/A

Department of Veterans Affairs (VA)

Tennessee Valley Healthcare System

Alvin C. York VA Medical Center

3400 Lebanon Pike, Bldg 1, Ward 1B

Murfreesboro TN 37129

90C

Network Contracting Office 9

Department of Veterans Affairs

1639 Medical Center Parkway Suite 204

90C

FSC e-Invoicing Payment http://www.fsc.va.gov/fsc/einvoice.asp

Invoice Setup Information 1-877-489-6135

Invoice must be submitted electronically

Setup 1-877-489-6135

See CONTINUATION Page

This is a brand name RFQ conducted in accordance with (IAW)

FAR 13.106. See attached brand name justification.

Contract Type to be awarded is "Firm-Fixed Price."

This is an "all-or-none" single award type RFQ.

Award is anticipated within 10 business days after the solicitation closes.

Questions will be accepted no later than three business days before the close/end date of this RFQ.

Questions after that date and time will not be considered or responded to unless an amendment to the RFQ was issued extending the RFQ closing/end date.

**Read entire RFQ before completion and submission**

The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition.

See CONTINUATION Page

SASCHA HERTSLET

36C24924Q0337

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 STATEMENT OF WORK (SOW)

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 DELIVERY / PERFORMANCE SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

C.2 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...17

C.3 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.4 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

C.5 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB 2023)

C.6 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.7 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.8 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.6 52.237-1 SITE VISIT (APR 1984)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 ADDENDUM to 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C249

Department of Veterans Affairs

Network Contracting Office 9

1639 Medical Center Parkway, Suite 204

Murfreesboro TN 37129

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management

3. INVOICES: Invoices shall be submitted in arrears:

[X] UPON GOVT RECEIPT AND ACCEPTANCE OF ITEMS / SERVICES

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment

Requests.

See box 18a of the SF 1449.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 STATEMENT OF WORK (SOW)

A. GENERAL INFORMATION

1. Purpose: Procurement and installation of new ceiling lifts for the Tennessee Valley

Healthcare System (TVHS) Alvin C. York Medical Center (York campus).

2. Scope of Work: The contractor shall provide all resources necessary to accomplish the deliverables described in this statement of work (SOW), except as may otherwise be specified. Contractor shall procure, deliver, install, and test/ certify patient ceiling lifts for the York campus. Contractor shall furnish brand name Guldmann model GH3+ ceiling lift system described in the Price/Cost Schedule. Contractor shall provide all labor, travel, materials, parts, tools, and other components necessary to complete installation of provided ceiling lifts. Contractor shall provide post-installation weight testing/ certification of all ceiling lifts and provide on-site end-user training/ education services.

Contractor is required to provide a total of eighteen (18) ceiling lifts, with sixteen of those for patient rooms and two (2) of those for bariatric patient rooms with ceiling lift motors that have trainer module technology per this SOW with 770lb lifting capacity. The location for the ceiling lifts is the 1B ward at the York campus.

All work shall be coordinated with VA representatives, to include but not limited to

Engineering/ Biomedical Engineering personnel, Safe Patient Handling Coordinators, the

Contracting Officer Representative (COR), Contracting Officer (KO), and Logistics/

Warehouse personnel.

Contractor shall meet and or abide by all specific tasks and terms and conditions in the

General Requirements section of this SOW. Contractor shall provide ceiling lifts that meet the technical elements listed in the General Requirements section of this SOW.

3. Background: TVHS is currently renovating Ward 1B at the York Campus. Eighteen (18) new ceiling lifts are required to furnish Ward 1B before it may be opened. The lifts will be placed in 18 patient rooms. There are no existing lifts in this ward.

4. Performance Period: Delivery should be completed within forty-five (45) days from date of award (or later if necessary due to Ward 1B construction timeline). Installation and post-installation testing/ certification shall be completed within forty-five (45) days of equipment delivery (or later if necessary due to Ward 1B construction timeline). The total period of performance (POP) is 90 days.

5. Type of Contract: Firm-Fixed-Price.

6. Place of Performance: Delivery will be made to the Alvin C. York Veterans’

Administration Medical Center, located at 3400 Lebanon Pike, Murfreesboro, TN 37129-

1237. Installation will be performed in Building 1, Ward 1B.

7. Hours of Operation: Warehouse deliveries are accepted between 8am and 3:30pm (CST), Monday through Friday, excluding holidays. Hospital normal hours of operation are between

8am and 4:30pm, Monday through Friday, excluding holidays.

Federal Holidays

New Year’s Day January 1st

Martin Luther King’s Birthday 3rd Monday in January

President’s Day 3rd Monday in February

Memorial Day Last Monday in May

Juneteenth June 19th

Independence Day July 4th

Labor Day 1st Monday in September

Columbus Day 2nd Monday in October

Veteran’s Day November 11th

Thanksgiving Day Last Thursday in November

Christmas Day December 25th

B. GENERAL REQUIREMENTS

Technical Elements: Contractor shall provide ceiling lifts that meet the technical specifications/ salient characteristics of this SOW (detailed below):

i. Lifting Capacity: All proposed ceiling lifts (to be installed) shall have a minimum lifting capacity of 770lb (350kg). Note: This is with exception to the two (2) trainer module motors to be provided.

ii. Emergency Stop Function: All proposed ceiling lifts shall have both an electrical and mechanical emergency stop. Mechanical emergency stop is required to be a pull cord stopping mechanism that may be reached from standing person’s height.

iii. All proposed ceiling lifts shall have an electronic soft start and soft stop function.

iv. Integrated Scale: All proposed ceiling lifts shall have a fully integrated digital scale that may be used to weigh patients. The ceiling lifts shall be able to zero and display patient weight on a display screen. Scale shall be able to display weights in both kilograms and pounds. The integrated scale accuracy specification shall meet or exceed +/- 0.5% at max load. Integrated scale shall be truly integrated, i.e., does not require additional attachment pieces to either the lifting bar, lifting strap/bar, or motor for scale functionality to work.

v. Ceiling lift integrated scale shall not lower/ decrease lifting height.

vi. Emergency Lowering: All proposed ceiling lifts shall have an emergency patient lowering option to safely lower patients from a standing person’s height without the use of tools or ladders in the event of lift malfunction.

vii. Positioning Locks: All proposed ceiling lifts shall have positioning locks that allows end-users to secure the lift system in any position along the rail system.

viii. All proposed ceiling lifts shall be motorized units.

ix. Hand Control/ Pendant: All proposed ceiling lifts shall have an integrated hand control or pendant that allows end-users to lift and lower patients. The hand control units shall have an LCD display screen. Hand control units shall have wireless option availability.

x. Battery: Proposed ceiling lifts shall only have one battery. Provided batteries shall have a life expectancy of at least 5 years (minimum specification). Provided batteries shall have a maximum charge time no greater than 5 hours.

xi. Battery Charging: All proposed ceiling lifts shall be able to charge the batteries while the lifting system is located at any point on the rail (rail charging). Ceiling lifts shall re-charge automatically without prompt or action required by end-users at any location along the rail system. The max charging time to recharge battery completely shall not exceed 4 hours.

xii. Lifting Straps: Minimum length of provided lifting straps for proposed ceiling lifts shall be ≥ 96 inches.

xiii. Proposed ceiling lifts shall be capable of lifting patients off the floor.

xiv. Display function: Ceiling lifts shall be able to display the following data: Total lift count, total hours, last/next service (PM) required.

xv. Ceiling lifts shall be 110/120V, 60Hz operating devices.

xvi. Ceiling lifts shall have a wireless interface / wireless network interface card (NIC).

xvii. Notifications/ Alarms: Proposed ceiling lifts shall have the following notifications and alarms:

1. Scale overload notification (visual on display).

2. Battery low notification (visual and audible sounds).

3. Visual display for when scale requires service.

xviii. Rehabilitation Training Function: Proposed ceiling lifts shall have a rehabilitation training function or mode that allows up to 220lb (100kg) of weight relief for a minimum of 30 minutes. The training function shall allow patients to conduct gait training, balance training, and sitting and standing exercise training with weight relief.

xix. Lifting Speed: Proposed ceiling lift shall have a minimum lifting speed specification of 5.5cm/s at max capacity load.

xx. Proposed patient lifts shall not beep or flash during normal operation to avoid alarming staff and or patients.

xxi. There shall be disposable lifting sling options available for the proposed ceiling lifts.

xxii. Overload Protection: Proposed ceiling lifts shall have an overload protection mechanism.

xxiii. Proposed ceiling lifts shall accommodate 2-point hanger bars that do not have easily breakable parts, such as rubber flaps.

xxiv. Ceiling Lift Systems shall be capable of lifting 770lb with one motor (not dual motors).

xxv. Ceiling Lift System fixed rails shall be recessed into the ceiling to allow for a higher lift height. The fixed rails of the ceiling lift system shall be flush with the ceiling.

1. Specific Tasks and Capabilities:

i. Contractor is required to provide a total of eighteen (18) ceiling lifts, with sixteen

(16) of those for patient rooms and two (2) of those for bariatric patient rooms with ceiling lift motors that have trainer module technology per this SOW with 770lb lifting capacity. The two bariatric room rail systems must connect to a second railing system in the bariatric room bathroom, allowing access to the toilet, shower, and sink.

ii. Contractor shall provide installation labor (and travel) to install all provided ceiling lifts. Contractor shall provide turnkey installation of all ceiling lifts. Contractor shall be able to provide all qualified labor (personnel), materials, equipment, travel, and services necessary to install ceiling lifts in the locations determined by TVHS.

Contractor shall be able to install all lift components, including but not limited to rails/ tracks, motors, lift chassis, lifting bars, hand controls, integrated scales, attachment hardware, and all other equipment necessary for safe operation of the provided ceiling lifts. Contractor shall connect all ceiling lifts to electrical power outlets (Contractor is not responsible for running power).

• If a ceiling grid is already in place, Contractor is responsible for moving and reconfiguring the ceiling grid to appropriately fit and work with the recessed ceiling lift rails. Contractor shall put the reconfigured ceiling grid and ceiling tiles back in, returning the ceiling to its original condition with the ceiling lift system in place.

iii. Contractor shall complete testing and certification (weight/ safety testing) of all installed ceiling lifts prior to VA acceptance. Contractor shall be able to certify that all ceiling lifts are safe for patient use after the completion of post-installation testing/ certification. Contractor will provide evidence of testing of all provided/ installed ceiling lift systems.

iv. Contractor shall coordinate post-installation weight testing/ certification of ceiling lifts with the COR.

v. Contractor shall provide 2-weeks of on-site training for end-users of the provided ceiling lift systems, if requested.

• Training shall include hands-on lift use and be extensive enough to prepare attendees to train others. Training shall include/ cover each new type of equipment and slings that are provided as part of this contract.

• Contractor Clinical Staff will provide training events as needed on weekends and will also coordinate with unit/area managers.

• End-user training shall be provided at no additional cost to TVHS (Government).

vi. Contractor shall provide personnel that are authorized/ certified installers of the Original Equipment Manufacturer (OEM) of the provided lifts, no exceptions.

Personnel that are not certified/ authorized installers of the ceiling lift OEM are not permitted to execute ceiling lift installations (not acceptable to VA). Installers must have current certification to work on Guldmann overhead lift and rail systems.

vii. Contractor shall coordinate with the COR and Engineering Service to install the provided ceiling lifts into eighteen (18) patient rooms. Contractor shall work with the COR and Engineering Service in terms of scheduling ceiling lift installations as to not negatively impact construction activities.

viii. Contractor shall provide hoist, hand control, charging rails, lifting hanger/ bar, integrated scale, and any other component for each lift.

ix. Contractor shall be able to coordinate with TVHS Engineering Service to verify access to mechanical, HVAC, and fire systems components during the installation process.

x. Contractor shall be able to install the ceiling lifts without introducing any new obstacles in the rooms or impairing any normal operations in patient care rooms.

xi. Contractor shall be able to install the ceiling lifts without requiring relocation of existing lights, sprinklers, televisions, medical systems, or other fixtures.

xii. Contractor shall be able to install all necessary mounts, braces, and other components needed to support full lift functionality and safety.

xiii. Contractor shall provide for each ceiling lift system a full-coverage warranty that covers all parts and labor requirements for a minimum of one-year.

xiv. Contractor shall ensure all proposed ceiling lifts shall meet all Underwriters Laboratory requirements, life safety codes, national electric codes, fire safety codes, and all other applicable federal, state, and local codes.

xv. Contractor shall provide ceiling lifts shall meet ISO 10535 requirements (Hoists for the transfer of disabled persons – Requirements and test methods).

xvi. Contractor is responsible for ensuring ceiling lift installation meet VA Handbook H-

18-8 Seismic Design Requirements.

xvii. Contractor is responsible for ensuring ceiling lift installations meet requirements of VA Directive 7512 Seismic Safety of VA Buildings and VA Master Design Specification 13.05.041 Seismic Restraint Requirements for Non-Structural Components.

xviii. Contractor is responsible for ensuring all ceiling lift installations comply with Patient

Safety Alert AL 14-07 (to include the checklist for Installation and Relocation). The installation checklist must be filled out for each installed lift, in addition to any checklist required by the manufacturer, and supplied to the COR.

xix. Contractor shall mitigate any new hazards created by installation of motor/hoist.

xx. Contractor shall meet construction safety requirements, safety training requirements, dust control requirements from the Infection Control Risk Assessment (ICRA), TB testing, electrical safety requirements, and Above Ceiling Permit requirements including re-sealing any penetrations of fire barriers.

xxi. Contractor shall provide evaluation of existing structure where ceiling lifts are needed to assure that workable systems are installed and comply with VA design requirements and relevant standards.

xxii. Contractor shall coordinate with any construction contractors to ensure construction timelines are not hindered and product is delivered and installed at appropriate times.

2. Terms and Conditions

i. If additional parts, labor, travel, and/or repairs are necessary outside the scope and pricing of the original contract, the Contractor shall contact the CO before completing such work. The Contractor shall be liable for any additional parts, labor, travel, and/or repairs (including labor hours) provided that are outside the scope and pricing of the original contract unless 1) the CO has been contacted about the additional parts and/or repairs required and 2) a corresponding contract modification has been put in place to cover and account for the additional parts and/ or work required.

ii. The Contractor shall be able to have all necessary service level access (or provide

OEM FSEs with such access) to complete the requested work detailed in the SOW.

iii. The Contractor shall provide a listing of all Recalls, Safety Alerts, and Field

Engineering Change notices pertaining to the proposed ceiling lifts over the past 24 months.

iv. The offering vendor certifies that the proposed ceiling lifts shall withstand normal hospital power interruptions, including generator testing, without manual intervention and that normal device operation will be restored automatically, without loss of data once power is restored. The offering vendor shall specify and provide power conditioning if required.

v. The offering vendor shall confirm that the performance of the proposed ceiling lifts shall not be affected by EMI radiated or conducted through the power lines from another device.

vi. All work shall be performed in a professional manner by an authorized service representative. If any deficiencies are found due to negligence of the service representative, the contractor shall be required to correct the deficiency to a fully operational status in accordance with manufacturer specifications at no additional cost to the Veteran Affairs (VA).

vii. The contractor shall be able to read, write, speak, and understand English. All contractor representatives shall be sufficiently fluent in the English language to effectively communicate with THVS representatives.

viii. The contractor shall present a neat appearance commensurate with that required of a professional. Contractor personnel shall comply with medical treatment facility policies regarding personal appearance and conduct.

ix. Safety shall be performed in accordance with NFPA 99, Chapter 7. This regulation can be reviewed in full text at the Biomedical Engineering Section. When required, the contractor’s service representative shall comply with the Occupational Safety and

Health Administration lockout/tagout standards while performing maintenance on equipment. The VA and the contractor’s service representative shall exchange hazard communication information before the commencement of any repair.

x. All correspondence, service reports and invoicing shall be in English and clearly legible.

xi. Impaired Contractor personnel: At any time during the performance of this contract, the Contracting Officer, Contracting Officer Representative (COR) or Director of the medical treatment facility may direct the contractor to immediately remove any contractor employee whose actions or impaired state raises reasonable suspicion that clear and present danger of physical harm exists to a patient, medical treatment facility personnel and equipment or to the impaired individual. This provision shall be used in emergency situations only and not for the purpose of bringing performance issues or other non-urgent concerns to the attention of the contractor.

xii. Smoking Policy Enforcement: Smoking is prohibited within TVHS and its clinics and within 15 meters of any building.

xiii. Contractor shall not breach any firewalls during installation of these lifts. Any fire barrier that must be penetrated must be discussed with VA safety personnel and must immediately have fire barrier repaired. An Above Ceiling Permit must be filled out before ceiling work, and the COR will check the ceiling after ceiling work, to make sure any fire barrier penetration was repaired.

xiv. When possible, the installations shall allow for ceiling lift motors to be removed from their rails without having to drop the complete rail from the ceiling.

xv. Ceiling lifts must include safeguards to prevent patients from being trapped or hurt, such as emergency stop buttons or emergency lowering devices in case of power failure. Use of emergency lowering devices must not require tools or ladders.

3. Installation Locations and Details Chart

Item # Bldg Area Room # Room

Type

Lift

Capacity

Scale

1 1 Ward 1B B313 Single

Bariatric

Yes

2 1 Ward 1B B314 Single Yes

3 1 Ward 1B B315 Single Yes

4 1 Ward 1B B321 Single

Isolation

Yes

5 1 Ward 1B B322 Single Yes

6 1 Ward 1B B323 Single Yes

7 1 Ward 1B B324 Single Yes

8 1 Ward 1B B330 Single Yes

9 1 Ward 1B B331 Single Yes

C. CONTRACT AWARD MEETING

The contractor shall not commence performance on the tasks in this SOW until the CO has conducted a kickoff meeting or has advised the contractor that a kickoff meeting is waived.

Note: Contractor shall be responsible for all costs and expenses associated with contract award/ kickoff meeting.

D. CHANGES TO STATEMENT OF WORK

Any changes to this SOW shall be authorized and approved only through written correspondence from the CO. A copy of each change will be kept in a project folder along with all other products of the project. Costs incurred by the contractor through the actions of parties other than the CO shall be borne by the contractor.

E. SECURITY

PER REVIEW OF VA HANDBOOK 6500.6, CONTRACT SECURITY, APPENDIX A-

INFORMATION SECURITY AND PRIVACY CHECKLIST:

10 1 Ward 1B B339 Single Yes

11 1 Ward 1B B340 Single Yes

12 1 Ward 1B B347 Single

Isolation

Yes

13 1 Ward 1B B348 Single Yes

14 1 Ward 1B B349 Single Yes

15 1 Ward 1B B350 Single Yes

16 1 Ward 1B B353 Single Yes

17 1 Ward 1B B354 Single Yes

18 1 Ward 1B B355 Single

Bariatric

Yes

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

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

3. There may exist exposure to VA sensitive personnel information (SPI) while implementing contractual services.

Minimum Statutory Requirements

1. 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. See VA Handbook 6500.6, Appendix C, paragraph 3.a.

2. 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

3. 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 considering 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)

Information System Security

The contractor shall ensure adequate LAN/Internet, data, information, and system security in accordance with VA standard operating procedures and standard contract language, conditions laws, and regulations. The contractor’s firewall and web server shall meet or exceed the government minimum requirements for security. All government data shall be protected behind an approved firewall. Any security violations or attempted violations shall be reported to the VA project manager and the VBA Headquarters Information Security Officer as soon as possible. The contractor shall follow all applicable VA policies and procedures governing information security, especially those that pertain to certification accreditation.

Security Training

All contractor employees and subcontractors under this contract or order are required to complete the

VA's on-line Security Awareness Training Course and the Privacy Awareness Training Course annually. Contractors must provide signed certifications of completion to the CO during each year of the contract. This requirement is in addition to any other training that may be required of the contractor and subcontractor(s).

Contractor Personnel Security

All contractor employees who require access to the Department of Veterans Affairs' computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Security and Investigations Center (07C). The level of background security investigation will be in accordance with VA Directive 0710 dated September 10, 2004, and is available at: http://www.va.gov/pubs/asp/edsdirec.asp (VA Handbook 0710, Appendix A, Tables 1 -

3). Appropriate Background Investigation (BI) forms will be provided upon contract (or task order) award and are to be completed and returned to the VA Security and Investigations Center (07C) within 30 days for processing. Contractors will be notified by 07C when the BI has been completed and adjudicated. These requirements are applicable to all subcontractor personnel requiring the same access. If the security clearance investigation is not completed prior to the start date of the contract, the employee may work on the contract while the security clearance is being processed, but the contractor will be responsible for the actions of those individuals they provide to perform work for the VA. If damage arises from work performed by contractor personnel, under the auspices of the contract, the contractor will be responsible for resources necessary to remedy the incident.

The investigative history for contractor personnel working under this contract must be maintained in the databases of either the Office of Personnel Management (OPM) or the Defense Industrial

Security Clearance Organization (DISCO). Should the contractor use a vendor other than OPM or

Defense Security Service (DSS) to conduct investigations, the investigative company must be certified by OPM/DSS to conduct contractor investigations.

Background Investigation

a. Contractor Responsibilities

1. The contractor shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of Personnel Management (OPM) through the VA, the contractor shall reimburse the VA within 30 days.

2. Background investigations from investigating agencies other than OPM are permitted if the agencies possess an OPM and Defense Security Service certification.

The Vendor Cage Code number must be provided to the Security and Investigations

Center (07C), which will verify the information and advise the contracting officer whether access to the computer systems can be authorized.

3. The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a U.S. citizenship and are able to read, write, speak, and understand the English language.

4. After contract award and prior to contract performance, the contractor shall provide the following information, using Attachment B, to the CO:

(a) List of names of contractor personnel.

(b) Social Security Number of contractor personnel.

(c) Home address of contractor personnel or the contractor's address.

5. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

6. Failure to comply with the contractor personnel security requirements may result in termination of the contract for default.

7. Further, the contractor will be responsible for the actions of all individuals provided to work for the VA under this contract. If damages arise from work performed by contractor provided personnel, under the auspices of this contract, the contractor will be responsible for all resources necessary to remedy the incident.”

b. Government Responsibilities

1. The VA Security and Investigations Center (07C) will provide the necessary forms to the contractor or to the contractor's employees after receiving a list of names and addresses.

2. Upon receipt, the VA Security, and Investigations Center (07C) will review the completed forms for accuracy and forward the forms to OPM to conduct the background investigation.

3. The VA facility will pay for investigations conducted by the OPM in advance. In these instances, the contractor will reimburse the VA facility within 30 days.

4. The VA Security and Investigations Center (07C) will notify the contracting officer and contractor after adjudicating the results of the background investigations received from OPM.

5. The contracting officer representative will ensure that the contractor provides evidence that investigations have been completed or are in the process of being requested.

F. CONFIDENTIALITY AND NONDISCLOSURE

It is agreed that:

1. The preliminary and final deliverables and all associated working papers, application source code, and other material deemed relevant by the VA which have been generated by the contractor in the performance of this task order are the exclusive property of the U.S. Government and shall be submitted to the CO at the conclusion of the task order.

2. The CO will be the sole authorized official to release verbally or in writing, any data, the draft deliverables, the final deliverables, or any other written or printed materials pertaining to this task order. No information shall be released by the contractor. Any request for information relating to this task order presented to the contractor shall be submitted to the CO for response.

3. Press releases, marketing material or any other printed or electronic documentation related to this project, shall not be publicized without the written approval of the CO.

[END OF STATEMENT OF WORK]

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NO.

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

16.00 EA __________________ __________________

GULDMANN BRAND - GH3+ 770 Lb Capacity - 4M X 4M Full Room Traverse Ceiling Lift

System.

Includes: Integrated Scale, Positioning Lock, CLM Clinical & Service Data Technology, LED Hand Control, Hanger Bar, plus 1 Basic Hi Large Sling with Padded Leg

PRODUCT/SERVICE CODE: 6530 - Hospital Furniture, Equipment, Utensils, and Supplies

MANUFACTURER PART NUMBER (MPN): 552154

2.00 EA __________________ __________________

GULDMANN BRAND- GH3+ 605 lb. Capacity (System rated at 1100 lbs.) Trainer with 4m x

4m XY into Bathroom Ceiling lift system.

Includes: Full Room Traverse System, Complete with Trainer Module, Integrated Scale, CLM

Clinical & Service Data Technology, LED Hand Control, Hanger Bar, plus 1 Basic Hi Large Sling with Padded Leg

MANUFACTURER PART NUMBER (MPN): 556424

1.00 JB __________________ __________________

ENGINEERING DESIGN PLANS /SHOP DRAWINGS - SEE SOW.

16.00 EA __________________ __________________

Installation, Standard Room – Ceiling lift System by Guldmann-certified installers. - See SOW.

PRODUCT/SERVICE CODE: N065 - Installation of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

2.00 EA __________________ __________________

Installation – Bariatric Rooms with bathroom access – Ceiling lift system by Guldmann-certified installers -See SOW.

PRODUCT/SERVICE CODE: N065 - Installation of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

1.00 JB __________________ __________________

In-House End-User Training by Guldmann-certified Trainer

1.00 YR __________________ __________________

3G Program- Preventative Maintenance for CLINS 0001 & 0002

[Start Date is Government’s Acceptance Date then ends one-year later]

PRODUCT/SERVICE CODE: J065 - Maintenance, Repair, and Rebuilding of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

OPTION YEAR 1 - 3G Program- Preventative Maintenance for CLINS 0001 & 0002

OPTION YEAR 2 - 3G Program- Preventative Maintenance for CLINS 0001 & 0002

OPTION YEAR 3 - 3G Program- Preventative Maintenance for CLINS 0001 & 0002

OPTION YEAR 4 - 3G Program- Preventative Maintenance for CLINS 0001 & 0002

GRAND TOTAL __________________

Instructions: Offeror to complete unit price, amount, and grand total. Failure to complete will deem offeror “NonResponsive” and be excluded from evaluation for award.

B.4 DELIVERY / PERFORMANCE SCHEDULE

Instructions for Offerors: If different from SOW, complete/provide an estimated delivery/performance schedule indicating either a specific date (e.g. 5/10/202x) or a range (e.g.

90 days ARO) as to when the government can expect the item in their possession.

If services, such as installation, configuration, etc., are required, the response must consider that too, and must give details anticipated work breakdown timeframe.

For example (this is not all inclusive), “Items expected to be delivered 30 days ARO with an additional 15 days to coordinate and complete the 2-days required for installation” Or, “All products and services will be completed within 45 days ARO.”

SECTION C - CONTRACT CLAUSES

C.1 ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.2 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR

2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within the effective period of the contract; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 30 calendar days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause)

C.3 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

C.4 VAAR 852.211-72 TECHNICAL INDUSTRY STANDARDS (NOV 2018)

(a) The Contractor shall conform to the standards established by: TVHS Engineering Office as to Patient Ceiling Lift Installation.

(b) The Contractor shall submit proof of conformance to the standard. This proof may be a label or seal affixed to the equipment or supplies, warranting that the item(s) have been tested in accordance with the standards and meet the contract requirement. Proof may also be furnished by the organization listed above certifying that the item(s) furnished have been tested in accordance with and conform to the specified standards.

(c) Offerors may obtain the standards cited in this provision by submitting a request, including the solicitation number, title and number of the publication to: TVHS Engineering Office

(d) The offeror shall contact the Contracting Officer if response is not received within two weeks of the request.

(End of Clause)

C.5 VAAR 852.212-71 GRAY MARKET AND COUNTERFEIT ITEMS (FEB

2023)

(a) No used, refurbished, or remanufactured supplies or equipment/parts shall be provided.

This procurement is for new Original Equipment Manufacturer (OEM) items only. No gray market items shall be provided. Gray market items are OEM goods intentionally or unintentionally sold outside an authorized sales territory or sold by non-authorized dealers in an authorized sales territory.

(b) No counterfeit supplies or equipment/ parts shall be provided. Counterfeit items include unlawful or unauthorized reproductions, substitutions, or alterations that have been mismarked, misidentified, or otherwise misrepresented to be an authentic, unmodified item from the original manufacturer, or a source with the express written authority of the original manufacturer or current design activity, including an authorized aftermarket manufacturer. Unlawful or unauthorized substitutions include used items represented as new, or the false identification of grade, serial number, lot number, date code, or performance characteristics.

(c) Vendor shall be an OEM, authorized dealer, authorized distributor, or authorized reseller for the proposed equipment/system, verified by an authorization letter or other documents from the

OEM. All software licensing, warranty and service associated with the equipment/system shall be in accordance with the OEM terms and conditions.

(End of Clause)

C.6 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT

REQUESTS (NOV 2018)

(a) Definitions. As used in this clause—

(1) Contract financing payment has the meaning given in FAR 32.001;

(2) Designated agency office means the office designated by the purchase order, agreement, or contract to first receive and review invoices. This office can be contractually designated as the receiving entity. This office may be different from the office issuing the payment;

(3) Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods and formats identified in paragraph (c) of this clause. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests;

(4) Invoice payment has the meaning given in FAR 32.001; and

(5) Payment request means any request for contract financing payment or invoice payment submitted by the contractor under this contract.

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a

Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

(c) Data transmission. A contractor must ensure that the data transmission method and format are through one of the following:

(1) VA’s Electronic Invoice Presentment and Payment System at the current website address provided in the contract.

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National

Standards Institute (ANSI).

(d) Invoice requirements. Invoices shall comply with FAR 32.905.

(e) Exceptions. If, based on one of the circumstances in this paragraph (e), the Contracting

Officer directs that payment requests be made by mail, the Contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office.

Submission of payment requests by mail may be required for—

(1) Awards made to foreign vendors for work performed outside the United States;

(2) Classified contracts or purchases when electronic submission and processing of payment requests could compromise the safeguarding of classified or privacy information;

(3) Contracts awarded by contracting officers in the conduct of emergency operations, such as responses to national emergencies;

(4) Solicitations or contracts in which the designated agency office is a VA entity other than the VA Financial Services Center in Austin, Texas; or

(5) Solicitations or contracts in which the VA designated agency office does not have electronic invoicing capability as described above.

C.7 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT

2020)

The Contracting Officer reserves the right to designate an Administrative Contracting Officer

(ACO) for the purpose of performing certain tasks/duties in the administration of the contract.

Such designation will be in writing through an ACO Letter of Delegation and will identify the responsibilities and limitations of the ACO. A copy of the ACO Letter of Delegation will be furnished to the Contractor.

(End of Clause)

C.8 VAAR 852.247-73 PACKING FOR DOMESTIC SHIPMENT (OCT 2018)

Material shall be packed for shipment in such a manner that will insure acceptance by common carriers and safe delivery at destination. Containers and closures shall comply with regulations of carriers as applicable to the mode of transportation.

(End of Clause)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by…