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H946--LOUISVILLE VAMC WATER SAFETY PROGRAM
Solicitation number
36C24925Q0276
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This is a Request for Quote (RFQ) issued by the Department of Veterans Affairs Network Contracting Office 9 for a Water Safety Management Program at the Robley Rex VA Medical Center in Louisville, Kentucky. The solicitation (36C24925Q0276) is a 100% service-disabled veteran-owned small business (SDVOSB) set-aside for a five-year Blanket Purchase Agreement (BPA) from July 1, 2025, through June 30, 2030, with one-year ordering periods allowing for annual price escalation.

The comprehensive water safety program requires quarterly Legionella validation testing, monthly critical water testing, web-based monitoring and data collection, cooling tower testing, annual water safety management plan audits, and maintenance of potable water analyzers. Key deliverables include detailed reporting, web platform capabilities, and compliance with VA directives and national standards like ASHRAE Guideline 12-2023. The solicitation requires extensive documentation, technical expertise in water quality management, and laboratory accreditation. Questions are due by May 28, 2025, at 1:00 PM CT, and quotes are due by June 4, 2025, at 1:00 PM CT, with an anticipated contract value of $19.0 million.

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36C24925Q0276

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

603-25-3-5093-0030 36C24925Q0276 05-14-2025 Nicole McVey 615-225-6502 06-04-2025 13:00

CDT

Department of Veterans Affairs Network Contracting Office 9 Attn: Nicole McVey 1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 X X 541380 $19.0 Million

NET 15

N/A X Department of Veterans Affairs Robley Rex VA Medical Center 3400 Lebanon Pike 800 Zorn Ave.

Louisville KY 40206 Network Contracting Office 9 Department of Veterans Affairs 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129

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 Water Safety Management Program for the Robley Rex VA Medical Center. Request for Quote IAW FAR Part 13.5.

This RFQ will result in a Blanket Purchase Agreement (BPA) with a period of performance of 07/01/2025 through 06/30/2030. The BPA will consist of 5 (five) one-year ordering periods which will allow for price escalation each year.

Wage Determination No. 2015-4717 Rev, 28 dated 12/23/2024 is applicable to the base period.

X X Shawn M. Hendricks.

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS3
B.1 STATEMENT OF WORK3
B.2 PRICE/COST SCHEDULE20
ITEM INFORMATION20
B.3 TERMS AND CONDITIONS23
SECTION C - CONTRACT CLAUSES25
C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)25
C.2 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)25
C.3 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)25
C.4 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)26
C.5 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)26
C.6 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)28
C.7 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)30
C.8 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)31
C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (JAN 2025) (DEVIATION FEB 2025)31
SECTION D – WAGE DETERMINATION39
SECTION E - SOLICITATION PROVISIONS51
E.1 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)51
E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)51
E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)52
E.4 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)54
E.5 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)55
E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION FEB 2025)55
E.7 EVALUATION OF QUOTES71

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 STATEMENT OF WORK

WATER SAFETY MANAGEMENT SERVICES

I. INTRODUCTION

The mission of the Robley Rex Veterans Affairs Medical Center at 800 Zorn Avenue, Louisville, KY, is to provide the highest quality health care to our nation’s veterans. To accomplish this mission, we must protect the health and safety of patients, employees, and visitors.

The Veterans Health Administration currently has one of the most comprehensive Legionella prevention policies in the country and Robley Rex VA Medical Center has meticulously reviewed their Legionella prevention activities to verify compliance with VHA requirements. In an effort to maintain our facility programs, the Robley Rex Veterans Affairs Medical Center at 800 Zorn Avenue and associated replacement medical center at 4906 Brownsboro Rd, Louisville, KY intends to contract the continual maintenance of a Water Safety Management program, including continuous monitoring, maintenance of monitoring equipment, and water quality testing with the goal of preventing Legionella associated with building water systems for each building in which patients, visitors and/or staff lodges over-night, and associated chiller system cooling towers.

Additionally, the Veterans Health Administration has taken additional measures to increase safety for sterilized surgical products through processing and monitoring of utility water and "Critical Water" as identified in AAMI ST108:2023, Water for the Reprocessing of Medical Devices. To achieve this, the Robley Rex VA Medical Center has deployed an Evoqua water quality management system to provide for critical water. As the station is moved to the new Brownsboro campus, it is intended to produce its own critical water without an Evoqua system though monitoring Critical Water will still be an integral part of meeting these goals.

II. REFERENCES

A. The Water Safety Management Plan is based upon the principles and requirements specified within this Statement of Work and VHA Directive 1061(4) as amended October 21, 2024, as well as the VA requirements and national standards, regulations and policies listed below:

1. ASHRAE Guideline 12-2023, Managing the Risk of Legionellosis Associated with Building Water Systems. https://www.ashrae.org/technical-resources/standards-and-guidelines/read-only-versions-of-ashrae-standards.

2. OSHA Safety and Health Topics: Legionellosis (Legionnaires' Disease and Pontiac Fever) https://www.osha.gov/SLTC/legionnairesdisease/index.html

3. Safe Drinking Water Act (SDWA) http://water.epa.gov/lawsregs/rulesregs/sdwa/index.cfm

4. Department of Veterans Affairs Engineering Standard ES-2019-001 Cooling Tower Water Systems. https://imlive.s3.amazonaws.com/Federal%20Government/ID293504132959832944226088339409599925869/Standard%20Document%20ES-2019-001%20Cooling%20Tower%20Water%20Systems%2012-02-21.pdf

5. ANSI/AAMI ST108:2023, Water for the processing of medical devices.

6. Department of Veterans Affairs GD-1061-3.0 Routine Environmental Sampling of Building Potable Water Systems for Legionella and Other Parameters in Water in Accordance with VHA Directive 1061. https://vaww.hefp.va.gov/sites/default/files/files/2021-04/Guidance%20Document_Routine%20Legionella%20Testing%20for%20Buildings_April%202021.pdf

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

B. Definitions

1. Utility Water. Water that comes from the tap that may require further treatment.

2. Critical Water. Water that is extensively treated to ensure micro-organisms, inorganic, and organic materials are removed.

3. Steam. water that is heated via a boiler or steam generator until it changes from liquid phase to vapor phase. Steam can be fed from a central location within the hospital such as a boiler plant or created via a steam generator within a sterilizer.

4. Point of Use. Refers to the closest point in the distribution loop where the water is exposed to a medical device during processing or the distal fixture in a potable water loop.

5. Potable Water Analyzer (PWA). Refers to continuous monitoring analyzers connected to the potable water system.

6. Conductivity Analyzer (CA). Refers to the continuous monitoring analyzers connected to Sterile Processing System (SPS) Critical Water systems.

7. Potable Water. Water that has been treated and delivered in a manner so that it meets EPA guidelines intended for direct or indirect human consumption. This is often referred to as City Water and serves as the source of utility water.

8. Total Heterotrophic Aerobic Bacteria (THAB). For this PWS, the term is interchangeable with Heterotrophic Plate Count (HPC), Standard Plate Count (SPC), Aerobic Plate Count (APC), and Total Plate Count (TPC). This is the microbiological testing method used to estimate the total count of aerobic heterotrophic bacteria in water. HPC method does not indicate the specific heterotrophic bacteria present or their sources. Instead, HPC testing indicates the culturable organisms present.

III. SCOPE OF WORK

A. ANNUAL AUDIT

The contractor shall provide an annual audit of the existing Water Safety Management Program (WMP) to evaluate for deficiencies and provide recommendations to improve the WMP for a complete, defensible program. The WMP Audit will include:

1. Review of WMP document to ensure structure and contents meet the requirements of VHA Directive 1061(4) as amended October 21, 2024 .

2. Site visit at each facility included in the existing WMP to review property documents that provide evidence that the WMP is being followed at each facility. The following documentation will be reviewed:

a. Paper log sheets that contain information connected to WMP;

b. Work tickets or other information contained in an electronic maintenance management program;

c. Building automation or energy management program reports;

d. Other clinical records such as, but not limited to; Infection Prevention, Dialysis, other Laboratory reports; and

e. Other reports that capture defensible information for both potable and utility water systems.

3. Verification report that highlights the findings of the audit, which will contain:

a. Highlights of the program,

b. Potential concerns of the program, if any

c. Suggested changes to align the existing WMP with VHA Directive 1061(4) and other references outlined above.

4. Presentation of findings to the Water Safety Management Team during one quarterly meeting each year. This presentation may occur remote via TEAMS.

B. QUARTERLY POTABLE WATER LEGIONELLA VALIDATION TESTING (SAMPLING)

1. The contractor will provide all labor, materials, and equipment necessary to complete environmental Validation Testing of the potable water.

2. The contractor’s laboratory must be accredited by a recognized regional, national or international accrediting body as follows:

a. In accordance with a laboratory accreditation standard (e.g., ISO/IEC 7025:2017, General Requirements for the Competence of Testing and Calibration Laboratories). Examples of such accrediting bodies include the National Environmental Laboratory Accreditation Program (NELAP); the American Association for Laboratory Accreditation (A2LA); and the Environmental Microbiology Laboratory Accreditation Program (EMLAP). A copy of this shall be provided to the COR.

b. Include Legionella testing method(s) that will be used on facility water samples in the laboratory’s scope of accreditation, as documented on the laboratory’s accreditation certificate.

c. Demonstrate proficiency by the Centers for Disease Control and Prevention (CDC) Environmental Legionella Isolation Techniques Evaluation (ELITE) program or the Public Health England (PHE) Legionella External Quality Assessment (EQA) scheme at performing the culture of Legionella from environmental samples. A copy of this shall be provided to the COR.

d. Accredited and deemed to be proficient to detect Legionella in water samples by Polymerase Chain Reaction (PCR). A copy of this shall be provided to the COR.

3. The contractor’s Sampler competency must be evaluated at least annually or when a new contract is implemented. The Sampler’s competency document must be provided to the COR annually or when new Sampler is assigned. Under no circumstance shall a Sampler be assigned who has not been deemed competent.

4. Legionella environmental testing shall occur at a minimum of once per Federal fiscal year quarter within the first month of the quarter. The laboratory will provide a report indicating the analytical results for each sample submitted. Results will be calculated in terms of colony forming units (CFU/mL). All samples shall be properly preserved, and protocol records kept for final QA/QC. Results shall be provided within 10-14 days of sample receipt and shall be immediately uploaded into the web-based data management site and emailed in PDF format to the client point of contact.

5. The contractor shall collect water samples for testing from at least:

a. Eight (8) Hot-water distillate outlets,

b. Two (2) Hot-water pure locations; no mixing valve present,

c. Eight (8) Cold-water distillate outlets, and

d. Two (2) from an ice machine or other pure cold-water source with no mixing valve present.

For a total of 20 samples per quarter and 80 samples per year per building listed in appendix A.

6. Additional samples may be required as determined by the COR for an additional per sample charge. Submit the additional per-sample charge in the bid proposal. A minimum of two weeks advance notification shall be provided if additional samples are required to be included with routine quarterly samples.

7. At the time of sampling, the contractor shall test and document the following for each sample: water temperature, level of residual biocide, and pH. The laboratory shall use:

a. Legionella 11731 ISO spread plate method for Legionella pneumophila and non-pneumophila species:

(1) Measures L. pneumophila serogroup 1, L. pneumophila serogroup 2-15, and non-pneumophila species.

(2) Inoculated at the laboratory – overnight shipment recommended.

(3) Limit of Detection (CFU/ml) = 1

(4) Reports: 10 days after laboratory receives samples.

b. Polymerase Chain Reaction (PCR) to screen for negative samples. Any positive PCR shall be reported within 4 days of sampling.

8. Emergent Retests

a. Additional emergent retest samples may be required following corrective action for a positive routine quarterly sample. This shall be collected with 48 hours. Submit the additional emergency per-sample charge in the quote.

b. Due to the critical nature following the initial culture method a rapid response is essential. For retest sampling the laboratory shall use a multi-reaction (multiplex) real-time PCR (rtPCR) for the detection of Legionella pneumophila sg 1, Legionella pneumophila sg 2-15, and non-pneumophila species, Dipslide culture method, and a standard Legionella 11731 ISO spread plate method.

(1) rtPCR results are expected 1-2 days after sampling.

(2) Dip Slide method shall report results within 2-5 days for Legionella detection.

(3) Legionella 11731 ISO spread plate method shall meet the requirements of paragraph B.7.a above.

C. AIR CONDITIONING COOLING TOWER LEGIONELLA VALIDATION TESTING

1. Quarterly Samples. Sample the Chiller Plant System for Legionella by culture methodology within seven (7) days of startup and each quarter during periods when the cooling tower is operational or operational-ready at sample points identified in Appendix B. Startup sample may count as one quarterly sample. Quarterly samples may be coordinated with building samples.

2. Two Week Tests. Conduct HPC testing from a water sample taken from the cooling tower system at least every two weeks that the unit is operational in accordance with VHA DIRECTIVE 1061(4). VA USRO shall collect the specimen and express (2-day shipping) mail to lab for analysis using contractor supplied sample containers and packaging.

D. WEB-BASED MONITORING AND DATA COLLECTION

The web-based data management system shall provide the following functions:

1. All information stored in the system is available 24/7 via password protected access

2. WMP-related reports (including validation testing results, meeting minutes, verification reports, and service provider reports) can be stored and available for immediate access by all users

3. Customized charts, reports, views and data entry screens as requested

4. Management dashboards with industry benchmarking

5. Send text or email alerts for data that is outside of set parameters

6. Data collection via tablets and other hand-held devices

7. Automated data collection via continuous monitoring equipment (equipment not included)

8. Validation test results immediately uploaded into this system

9. Exportable data to excel and other formats

The software platform must meet the following minimum criteria:

1. A cloud computing service model where the provider offers use of application software to a client and manages all needed physical and software resources on an enterprise-class platform specialized for building water systems.

2. Capable of monitoring all sensor data from the potable water quality monitoring system.

3. Tables and graphs that can be plotted based on user selected time intervals and system parameters

4. Supports manual data entry via computer and mobile devices, automatic uploading of all water and microbiological test results, documentation of water management plans and activities, and automated sensor monitoring, as specified in VA directive 1061 current edition.

5. Administrative functionality to control user access rights, and automated alert notifications.

6. Data storage for a minimum of five years.

7. Exportable data to excel and other formats

The software platform must meet the following Infrastructure Reliability and Information Security Management requirements:

1. The web application host will provide a service level agreement (“SLA”) with a service commitment to a monthly uptime percentage of at least 99.95%. Provide Host Documentation.

2. The web application will be hosted at a datacenter compliant with FedRAMP requirements at the moderate impact level and in accordance with the Federal Cloud Computing Strategy. Provide Host Documentation.

3. The database will be securely backed up hourly for disaster recovery purposes and provide a minimum durability of 99.999999999% and uptime of 99.999%. Provide Host Documentation.

4. The web applications will be hosted as a Software-as-a-Service (SaaS) data delivery model. This will enable easy access to all data in a highly secure environment via the Internet using any internet connected device including personal computers and mobile devices.

5. The web application will employ at a minimum TLS 1.2 with 128-bit AES encryption and authentication.

6. The web application will be delivered by way of a secure login-protected environment with registered HTTPS security provisions.

The software platform must meet the following minimum Application-Level Security requirements:

1. A user account and password of adequate complexity will be required for each individual user who accesses the system. New user accounts may only be created by administrators with the appropriate level of authorization.

2. Administrators shall have the ability to easily remove access from users no longer authorized to use the application.

3. All edits, deletions, or changes to existing data will be logged with the date and time, user committing the change, and all original data will be preserved. This audit trail will be available to users with the appropriate level of access.

4. The web application shall have varying levels of access for data collectors, operators, site managers, water management team members, and administrators.

5. Users can be restricted by region or facility. A user restricted to a specific facility shall only be able to view data and information pertaining to that facility.

The software platform must meet the following minimum Data Collection requirements:

1. Administrators will be able to add, edit, or remove sample points in the system as needed.

2. A web page will be available in the application for data collectors to enter test results.

3. The required testing frequency of each sample point can be configured as daily, weekly, or monthly. Alerts can be issued if required sample is missing.

4. The system will allow data to easily be exported to a suitable format for offline use.

5. Time-series charts will be provided in real-time for all data recorded in the system. Charts will show alert limits and can be easily customized based on predefined specifications.

6. A daily summary report will be generated in real-time by the web application, indicating total number of samples tested by region and facility, total number of samples out of specification for chlorine and temperature, as well as chlorine range and average temperature for each facility.

7. The web application will allow for the storage of electronic documents online. The storage capability will include automated document versioning and all versions of all documents will be retained.

8. The web application data will be time-stamped with the time it was entered as well as the time the user records it. Edits or changes to the data are logged so the original values can always be recovered.

9. The web application will have the ability to track customer service requests. Requests can be entered by plant personnel or by authorized contractors/vendors and tracked through the system until they are completed which makes it easy to marry equipment operations with equipment repair and maintenance.

10. Viewer rights will be determined based on the direction set forth by the client so those who have access can only see or do what they are authorized to see or do, and no one will have a view into areas that are outside the scope of their roles and responsibilities.

11. The client may reclassify any properties, as and when required, from high risk to low risk or vice versa.

The software platform must meet the following minimum Mobile requirements:

1. A mobile application will be available for data entry on modern smartphones, including Apple IOS, Google Android, and Windows Phone operating systems.

2. Data can be entered, viewed, and edited on the mobile application by users with the appropriate level of access.

3. To enable resilient operation in the field, the mobile application will operate with or without an active internet connection. In the absence of an internet connection, data will be stored on the local device and synchronized with the remote server upon restoration of internet access.

4. The mobile application will be capable of reading QR codes (barcoding) affixed to sample points to identify the sample and minimize data input errors. The web application will be capable of printing QR codes for the associated sample points.

The software platform must meet the following minimum Alerts requirements:

1. Alert levels can be set for each individual parameter at every sample point in the system. Alert levels can be easily adjusted at any time by users with the appropriate authorization.

2. Alerts shall be issued electronically, by email, upon entry of any data exceeding predefined alert limits.

3. Each user account can be configured to receive alert emails by region or facility.

4. Alerts will be clearly indicated when viewing data in the web application.

5. The web application will incorporate a work order system that will allow alerts to be prioritized and corrective actions to be logged. Users will be able to view the alert and work order history by region or facility for which they are authorized, down to the individual sample points.

The software platform must meet the following minimum Remote Data Acquisition requirements:

1. A system will be provided to allow rapid deployment of remote sensors throughout the facility. The sensors will upload data at regular intervals to the remote servers and the data will be easily accessible in the web application.

2. The system will be capable of acquiring data from sensors with the following outputs types; current, voltage, resistance, and pulse.

3. The data acquisition system will be capable of both Ethernet and 4G cellular connectivity.

4. The data acquisition system will issue alerts electronically, by email, when a sensor reading exceeds predefined alert limits.

The software platform must meet the following minimum Laboratory Integration requirements

1. All Legionella and water chemistry test results will be available online immediately upon completion of the test.

2. An executive summary dashboard will be provided in the web application to graphically display Legionella test results and trends.

E. MONTHLY PORTABLE ANALYZER MAINTENANCE AND CALIBRATION

The PWA systems must be properly calibrated and maintained to ensure accurate and reliable performance on an ongoing basis. The Flat Monthly Fee for each system must include:

1. Monthly refreshment of test reagents for the chlorine analyzer

2. Consumable parts for system components to include:

a. Chlorine Analyzer – reagents, tubing/cuvette kits, replacement cuvettes, check valve sets and check valve flushing kits

b. Replacement pH cartridges (yearly).

c. Cellular data connection service for PWAs and CAs.

d. Training associated with PWAs, CAs, and cellular modems.

3. Calibration of PWAs and CAs in accordance with manufacturers recommendations.

F. MONTHLY STERILE PROCESSING CRITICAL WATER TESTING

1. Conduct monthly sampling at the generating point and points of use in accordance with reference 5, ANSI/AAMI ST108:2023, Water for the processing of medical devices, tables 5 and 6.

2. Perform quarterly analysis of utility water at the generating point and points of use in accordance with reference 5, ANSI/AAMI ST108:2023, Water for the processing of medical devices, tables 5 and 6. This may be done in conjunction with a monthly critical water sample.

3. Critical Water points of use listed in Appendix C.

4. Emergent Retesting as required. Contractor proposed pricing for single retesting as needed based on results of routine critical water samples.

G. WATER SAFETY MANAGEMENT PLAN update for Zorn Campus to include SPS.

1. The contractor shall update the current Water Safety Management Plan to include requirements for SPS in accordance with reference (5), ANSI/AAMI ST108:2023, Water for the processing of medical devices.

2. The update shall follow the outline per section H below.

H.WATER SAFETY MANAGEMENT PLAN for New Hospital under Option Year 1 and revision to current WMP.
1.The contractor will develop a Water Safety Management Plan for prevention of Legionella to identify risk and recommended implement control measures both from an engineering and environmental controls standpoint. The Water Safety Management Plan shall be based upon the principles and requirements specified within this Statement of Work and VHA Directive 1061(4).
2.General Water Safety Management Plan Principles and Requirements (at a minimum but is not limited to):
a.Principles and Requirements Approach – Principles and practices shall be applied to each site. Although each site may differ in size and complexity, the intent is to develop a standardized approach toward ensuring control points and control point activities are appropriately in place, inspection, testing and monitoring practices are consistent and trending and reporting of data are consistent, measurable, and defendable.
b.Conduct Hazard Analysis – Collect and evaluate information on hazards associated with the building water systems and clinical processes to decide which hazards are significant and must be addressed.
c.Determine Critical Control Points (CCP) – These are steps within a process at which biological, chemical or physical factors can be controlled to prevent or eliminate a hazard or reduce it to an acceptable level. CCPs are those locations in the building water system at which hazard controls are applied. This shall also include the inspection and review of current plumbing fixtures at points of use (i.e. shower heads, faucets, drinking fountains, etc.) to determine compliance with requirements and standards noted above. Consideration should be given to hands-free fixtures and related water conservation devices that present conflict with infection control practices.
d.Identify critical limits for each CCP – This is a maximum, minimum or range of values to which a biological, chemical or physical parameter must be controlled to prevent, eliminate or reduce to an acceptable level the occurrence of the hazard.
e.Establish a system to monitor control of CCPs – This will include the development and implementation of planned sequence of observations, testing and measurement to assess whether a CCP is under control and to produce an accurate record for future use in verification. In this step in the process, a set of procedures shall be developed describing a continuous process of monitoring all of the CCP activities.
f.Establish Corrective Actions to be taken when monitoring indicates that a particular CCP is not under control or is out of range – Development of a procedure that defines the actions necessary to correct the conditions at a CCP when monitoring shows that results are falling outside the critical limits.
g.Establish procedures for verification that confirms the Water Safety Management plan is working effectively – Development of procedures that determine the validity of the Water Safety Management plan and if it is operating as required.
h.Establish procedures for maintenance of documentation and records appropriate to validation of the Water Safety Management plan is working effectively – Development of procedures that directs the management of documentation and records to validate the implementation and effectiveness of the Water Safety Management plan.
3.Water Safety Management Plan Development – A Water Safety Management Plan shall be produced for each site that shall include, at a minimum, the following:
a.Membership of the Water Safety Committee/Team, including their respective titles, roles, and contact information, shall be listed.
b.Schematic (single line) diagrams of the site distribution of domestic water systems (hot and cold). Diagrams must include how water is distributed, circulated, stored, heated and cooled, treated and monitored. The diagram must also identify any areas in which water is processed differently, i.e., hemodialysis and sterile processing.
c.Hazard analysis summaries shall list the name and number of each processing step in the building water system and the potential hazard(s) for each processing step. Indicate whether the team judges the risk at each step to be significant (Yes or No) and briefly state the basis for that decision. List hazard control that is currently applied or could be applied to prevent, eliminate or reduce the hazard at each control point. Critical control points (CCPs) shall be selected and indicated in the hazard analysis summaries and indicated on the process flow diagrams.
d.A monitoring schedule shall document each CCP, the frequency with which each CCP is monitored, and the timeframe within which corrective actions shall be taken when critical limits are exceeded.
e.Process schematic diagrams for the potable water system and the utility water system of each building. Schematically show stepwise how potable (domestic) and utility water (non-potable) is processed in the buildings and indicate critical control points in the schematics. Processing steps shall be named and numbered.
f.An equipment device maintenance procedure shall be developed for each potable or utility water device identified in the process flow diagram.
g.A validation summary shall include the justification and, when available, scientific evidence used to validate the selection of each CCP and each critical limit selected by the Water Safety Committee/Team. The selection of critical limits shall comply with VHA’s directives.
h.A verification schedule shall list all verification activities and the frequency with which they will be performed.
i.Procedures for management of documentation and records of monitoring and verification activities.
j.Planned responses to disruptions in water service shall be documented in the Water Safety Management plan.
k.Water Treatment and Management Program – The facility has cooling towers and/or evaporative condensers that provide cooling and/or refrigeration for HVAC systems and therefore require the development of a Water Treatment and Management Program for those devices. The Water Treatment and Management program shall include the following elements:
(1)Identification of individuals or positions those are responsible for implementing the Water System Treatment Management Program.
(2)A site plan showing location of the equipment and possible sources of contamination.
(3)Documentation that a plan relative to design, installation and start-up of the equipment has been developed.
(4)Equipment diagrams showing the locations of maintenance points and monitoring points for critical limits
(5)Written policies and procedures that include:
i.A description of proactive water treatment and management procedures that establish treatment and critical limits
ii.A description of reactive water treatment procedures when critical limits are exceeded.
iii.A description of proactive activities and management procedures to minimize the risk of exceeding critical limits
iv.Treatment monitoring schedule
v.Maintenance schedule
vi.Frequency of tasks
vii.Responsible persons
viii.A procedure to record and regularly review all Water Safety Management Program activities.
4.Contractor Requirements: The following will be required by the contractor:
a.Provide a complete Water Safety Management Plan in accordance with paragraphs H.2 and H.3, above.
b.Provide an overview of the plan development process and Water Safety review with the facility’s Water Safety Committee/Team before performing the hazard assessment and walk through.
c.Conduct an initial water systems inventory review.
d.Review of water systems relevant operational, maintenance, and other practices related to the water systems.
e.Onsite walk through to confirm and further develop the water system inventory which shall include photos, testing of hot/cold chlorine, chloramine and/or other biocide residuals, and water temperature checks.
(1)The site Water Safety Committee/Team in conjunction with the contractor will determine the number of microbiological and water chemistry tests required for each building. The number and types of tests performed can vary widely (from none to extensive). The contractor shall, if required, provide water testing for microbiological characteristics and individual laboratory analytical reports for each test conducted and summary laboratory analytical reports for each round of testing.
(2)The contractor must be able to provide CDC-ELITE certified Legionella testing from a culture-based method, such as ISO 11731 Spread Plate Method. Samples must be properly processed as the microbiological characteristics of water begin to change as soon as a water sample enters a sample bottle, which could possibly result in erroneous test results. The possibility of having to remediate based upon false positive results or the alternative possibility of not remediating when action is required cannot be allowed. Currently, VHA adheres to the CDC recommendation of a 1 liter water sample per test; therefore the laboratory must be able to test for Legionella using this sample size.
(3)Testing shall include compliance with VA Directives and Safe Drinking Water Act (SDWA) – for hot and cold potable/non-potable water systems.
i.Preparation of the initial draft Water Safety Management Plan and associated procedures and Water Treatment Management Program in accordance with the General Principles and Requirements and plan developments procedures identified in the Statement of Work and referenced standards, regulations and policies identified in paragraph II.A above.
ii.In addition to the training identified below, the selected contractor shall maintain ongoing communication with the facility’s Water Safety Committee/Team throughout the plan development. This will include a daily briefing during the onsite assessment of any significant CCPs that are outside recommended critical limits.
iii.Conduct formal review session(s) of draft plan(s) and procedures with each facility Water Safety Committee/Team.
f.The selected contractor shall develop a corrective action plan and recommended feasible solutions or exclusions for each site based on the hazard assessment. The corrective action plan and recommend timeline for completion will be reviewed with the facility’s Water Safety Committee/Team. These recommendations shall consider risk to patients in conjunction with Legionella risk.
(1)Recommendations shall include, but need not be limited to:
i.Inspection and maintenance changes,
ii.Equipment design and upgrades, and
iii.Recordkeeping requirements/improvements.
g.Additionally, the contractor shall identify any infrastructure improvement projects needed to eliminate and/or reduce hazards related to growth of Legionella. The project list shall include projects such as; pipe replacement, temperature and water quality sensors, cross connection locations, elimination of dead-end legs, and scald guard protection devices, but not limited to this specific list. Project lists shall include respective project scopes and budgetary cost estimates, to correct system deficiencies and maintain compliance with VA design and directive requirements to maintain safe drinking water for our patients, visitors, and staff.
I.SPECIFIC WORK PROCESS
1.The work processes for the development, implementation, and regular review of the Water Safety Management Plan will require the following approach for full implementation and on-going verification. The Water Safety Management plan will be reviewed annually with ongoing measuring and monitoring by the Water Safety Committee/Team between formal reviews. The following Schedule Table shows a general breakdown of the schedule.
SCHEDULE TABLE
INITIAL MILESTONS
TIMELINE (COMPLETION TIME)
Kickoff Meeting
Within 1 (one) week after Notice to Proceed (NTP)
Onsite Hazard Assessment and Water Safety Committee/Team Training
Within 7 (seven days after NTP
Draft Facilities Plans
Within 30 (thirty) days after Onsite Hazard Assessment
VA Review Draft Plans
Within 14 (fourteen) days after receipt of Draft Plans
Final Plan
Within 7 (seven days after receipt of VA comments
Final Plan Review & Training with Onsite Water Safety Committee/Team
Within 14 (fourteen) days after finalized plan
2.Medical Center Requirements: The following will be provided by the Medical Center:
a.Onsite Water Safety Committee/Team
i.Each facility shall determine who will oversee the plan and make key decisions with the managing of the Water Safety Management plan. Team members shall participate in the scope review meeting before the onsite hazard assessment and the final review summary and training. At a minimum this team shall include representation as prescribed in VHA Directive 1061, current edition.
ii.Each facility shall provide a knowledgeable site engineer, familiar with the water systems, to accompany the contractor during the onsite hazard assessment walk through.
b.Engineering drawings showing rooms and mechanical spaces as well as the following:
i.Cooling towers
ii.Water mains
iii.Water heaters
iv.Showers and locker rooms, including inpatient and on-call staff areas
v.Ice machines
vi.Secondary water treatment systems
vii.SPS Critical Water generation and points of use.
c.Existing relevant operation policies, preventative maintenance schedules, water sampling, Legionella evaluation plans, and mitigation plans.
J.DELIVERABLES
1.The contractor shall provide a complete documented and defensible Water Safety Management Plan. The final Water Safety Management Plan shall consist of the following, at minimum:
a.Members of the Water Safety Committee/Team, including their respective titles, roles, and contact information, shall be listed.
b.Process flow diagrams for the potable water system and the utility water system. Schematically show stepwise how potable (domestic) and utility water (non-potable) is processed in each building. Processing steps shall be named and numbered.
c.Hazard analysis summaries shall list the name and number of each processing step in the building water system and the potential hazard(s) for each processing step.
d.A monitoring schedule shall document each CCP, the frequency with which each CCP is monitored, and the timeframe within which corrective actions shall be taken when critical limits are exceeded.
e.An equipment device maintenance procedure shall be developed for each potable or utility water device identified in the process flow diagram.
f.A validation summary shall include the justification and, when available, scientific evidence used to validate the selection of each CCP and each critical limit selected by the Water Safety Committee/Team. The selection of critical limits shall comply with VHA’s directives.
g.A verification schedule shall list all verification activities and the frequency with which they will be performed.
h.Procedures for management of documentation and records of monitoring and verification activities.
i.Written response plans for disruptions in water service shall be included in the Water Safety Management plan.
j.Water Treatment and Management Program covering all water based equipment.
k.The final report should also include a presentation of any recommended secondary water treatment measures as well as recommendations/guidance for obtaining permits required for those campuses/facilities/buildings not having a previous history of legionella contamination. This should be presented as options with consideration of treatment effectiveness, risk of environmental hazard presented by the treatment option, and life cycle cost analysis to include recurring maintenance and operation costs.

Appendix A

Inpatient/Lodging Buildings (Main Bid Item)

603 Louisville

Bldg No
Function Title
Bldg Type
Yr Built
Yr Reno
# Flrs
Historic
Total GSF
1
Main Hospital
Building
1952
1989
12

475,198

24
Domiciliary
Building
2014

14,428

603 Louisville Building Owned Totals
489,626
Bldg No
Function Title
Bldg Type
Yr Built
Yr Reno
# Flrs
Historic
Total GSF
B
New Hospital

(under construction)

Building
2026

1,084,481

603 Louisville Building Owned Totals
1,084,481

Appendix B

Zorn Campus Chiller Plant System Sample Points

Bldg No
Function Title
21
Chiller Supply Header
21
Chiller Return Header
21
Cooling Tower Basin 1
21
Cooling Tower Basin 2

Brownsboro Campus Chiller Plant System Sample Points

Bldg No
Function Title
D
Cooling Economizer
D
Chiller Supply Header
D
Chiller Return Header
D
Cooling Tower Basin 1
D
Cooling Tower Basin 2

Appendix C

Sterile Processing Points of Use Zorn Campus

Bldg No
Room
Function Title
1
SB-4
Utility Water Supply
1
SB-4
Critical Water Generation
1
A018
Critical Water Sinks
1
A018
Washer-Disinfectors
1
A018
Ultrasonic Sinks
1
A018b
Cart Wash

* Medivators are considered under utility water

Sterile Processing Points of Use Brownsboro Campus

Bldg No
Room
Function Title
B
To be determined
Utility Water Supply
B
To be determined
Critical Water Generation
B
To be determined
Critical Water Sinks
B
To be determined
Washer-Disinfectors
B
To be determined
Ultrasonic Sinks
B
To be determined
Cart Wash

* Medivators are considered under utility water

(End of Statement of Work)

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1.00
YR
______________
______________

WATER SAFETY MANAGEMENT PROGRAM TO INCLUDE:

1 ANNUAL REASSESSMENT OF WATER MANAGEMENT PROGRAM REVIEW,

160 EA QUARTERLY LEGIONELLA VALIDATION TESTING OF WATER SYSTEM,

8 EA EMERGENT RETEST - LEGIONELLA VALIATION TESTING OF WATER SYSTEM PVT PREMIUM,

48 EA BI-MONTHLY COOLING TOWER TESTING (4 SAMPLES MONTHLY FOR 12 MONTHS),

12 EA TECHNICIAN TRIP FEE (TRAVEL CHARGE),

216 EA LAB TECH WATER SAMPLE COLLECTION,

4 EA WEB-BASED DATA WATER MANAGEMENT PLAN - STERILE PROCESSING (1 PER QUARTER), *24 EA CRITIAL WATER SAMPLING AT FIRST POINT OF GENERATION (2 MONTHLY FOR 12 MONTHS), *60 EA CRITICAL WATER SAMPLE AT OTHER POINTS OF USE (4 MONTHLY SAMPLES FOR 12 MONTHS + 12 RETESTS), *28 EA UTILITY WATER SAMPLE FOR FIRST POINT OF USE (7 QUARTERLY SAMPLES FOR 4 QUARTERS), *20 EA CRITICAL WATER TESTING FOR OTHER POINTS OF USE & MEDIVATORS (3 QUARTERLY SAMPLES FOR 4 QUARTERS + 8 RETESTS), 12 EA STERILE SPWA SYSTEM SERVICE, 36 EA PWA ADVANCED MONITORING SYSTEM SERVICE 2.0, 1 JB TECHNICAL SUPPORT AND START-UP, 1 JB SPWA MONITORING SYSTEM (CONDUCTIVIY AND TEMP).

*ROBLEY REX VA MEDICAL CENTER WILL COLLECT THE SAMPLES FOR ITEMS PRECEDED BY AN ASTERISK.

Contract Period: Base POP Begin: 07-01-2025 POP End: 06-30-2026 PRINCIPAL NAICS CODE: 541380 - Testing Laboratories and Services PRODUCT/SERVICE CODE: H946 - Other Quality Control, Testing, and Inspection - Water Purification and Sewage Treatment Equipment

1.00
YR
______________
______________

WATER SAFETY MANAGEMENT PROGRAM TO INCLUDE:

160 EA QUARTERLY LEGIONELLA VALIDATION TESTING OF WATER SYSTEM,

8 EA EMERGENT RETEST - LEGIONELLA VALIATION TESTING OF WATER SYSTEM PVT PREMIUM,

48 EA BI-MONTHLY COOLING TOWER TESTING (4 SAMPLES MONTHLY FOR 12 MONTHS),

12 EA TECHNICIAN TRIP FEE (TRAVEL CHARGE),

216 EA LAB TECH WATER SAMPLE COLLECTION,

4 EA WEB-BASED DATA WATER MANAGEMENT PLAN - STERILE PROCESSING (1 PER QUARTER), *24 EA CRITIAL WATER SAMPLING AT FIRST POINT OF GENERATION (2 MONTHLY FOR 12 MONTHS), *60 EA CRITICAL WATER SAMPLE AT OTHER POINTS OF USE (4 MONTHLY SAMPLES FOR 12 MONTHS + 12 RETESTS), *28 EA UTILITY WATER SAMPLE FOR FIRST POINT OF USE (7 QUARTERLY SAMPLES FOR 4 QUARTERS), *20 EA CRITICAL WATER TESTING FOR OTHER POINTS OF USE & MEDIVATORS (3 QUARTERLY SAMPLES FOR 4 QUARTERS + 8 RETESTS), 12 EA STERILE SPWA SYSTEM SERVICE, 36 EA PWA ADVANCED MONITORING SYSTEM SERVICE 2.0, 1 JB TECHNICAL SUPPORT AND START-UP, 1 JB SPWA MONITORING SYSTEM (CONDUCTIVIY AND TEMP).

*ROBLEY REX VA MEDICAL CENTER WILL COLLECT THE SAMPLES FOR ITEMS PRECEDED BY AN ASTERISK.

Contract Period: Option 1 POP Begin: 07-01-2026 POP End: 06-30-2027

PRODUCT/SERVICE CODE: H946 - Other Quality Control, Testing, and Inspection - Water Purification and Sewage Treatment Equipment

1.00
YR
______________
______________

WATER SAFETY MANAGEMENT PROGRAM TO INCLUDE:

160 EA QUARTERLY LEGIONELLA VALIDATION TESTING OF WATER SYSTEM,

8 EA EMERGENT RETEST - LEGIONELLA VALIATION TESTING OF WATER SYSTEM PVT PREMIUM,

48 EA BI-MONTHLY COOLING TOWER TESTING (4 SAMPLES MONTHLY FOR 12 MONTHS),

12 EA TECHNICIAN TRIP FEE (TRAVEL CHARGE),

216 EA LAB TECH WATER SAMPLE COLLECTION,

4 EA WEB-BASED DATA WATER MANAGEMENT PLAN - STERILE PROCESSING (1 PER QUARTER), *24 EA CRITIAL WATER SAMPLING AT FIRST POINT OF GENERATION (2 MONTHLY FOR 12 MONTHS), *60 EA CRITICAL WATER SAMPLE AT OTHER POINTS OF USE (4 MONTHLY SAMPLES FOR 12 MONTHS + 12 RETESTS), *28 EA UTILITY WATER SAMPLE FOR FIRST POINT OF USE (7 QUARTERLY SAMPLES FOR 4 QUARTERS), *20 EA CRITICAL WATER TESTING FOR OTHER POINTS OF USE & MEDIVATORS (3 QUARTERLY SAMPLES FOR 4 QUARTERS + 8 RETESTS), 12 EA STERILE SPWA SYSTEM SERVICE, 36 EA PWA ADVANCED MONITORING SYSTEM SERVICE 2.0, 1 JB TECHNICAL SUPPORT AND START-UP, 1 JB SPWA MONITORING SYSTEM (CONDUCTIVIY AND TEMP).

*ROBLEY REX VA MEDICAL CENTER WILL COLLECT THE SAMPLES FOR ITEMS PRECEDED BY AN ASTERISK.

Contract Period: Option 2 POP Begin: 07-01-2027 POP End: 06-30-2028

PRODUCT/SERVICE CODE: H946 - Other Quality Control, Testing, and Inspection - Water Purification and Sewage Treatment Equipment

1.00
YR
______________
______________

WATER SAFETY MANAGEMENT PROGRAM TO INCLUDE:

160 EA QUARTERLY LEGIONELLA VALIDATION TESTING OF WATER SYSTEM,

8 EA EMERGENT RETEST - LEGIONELLA VALIATION TESTING OF WATER SYSTEM PVT PREMIUM,

48 EA BI-MONTHLY COOLING TOWER TESTING (4 SAMPLES MONTHLY FOR 12 MONTHS),

12 EA TECHNICIAN TRIP FEE (TRAVEL CHARGE),

216 EA LAB TECH WATER SAMPLE COLLECTION,

4 EA WEB-BASED DATA WATER MANAGEMENT PLAN - STERILE PROCESSING (1 PER QUARTER), *24 EA CRITIAL WATER SAMPLING AT FIRST POINT OF GENERATION (2 MONTHLY FOR 12 MONTHS), *60 EA CRITICAL WATER SAMPLE AT OTHER POINTS OF USE (4 MONTHLY SAMPLES FOR 12 MONTHS + 12 RETESTS), *28 EA UTILITY WATER SAMPLE FOR FIRST POINT OF USE (7 QUARTERLY SAMPLES FOR 4 QUARTERS), *20 EA CRITICAL WATER TESTING FOR OTHER POINTS OF USE & MEDIVATORS (3 QUARTERLY SAMPLES FOR 4 QUARTERS + 8 RETESTS), 12…

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