36C25018Q9337-0004000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2.

AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE

OF PAGES

10A. MODIFICATION OF

CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV.

11/2016) is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITE M 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR

43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes r eference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS

ENTERED INTO

PURSUANT TO AUTHORITY OF:

D. OTHER

BY

Contractor

16C. DATE SIGNED

14.

DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME

AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS

OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 07-06-2018 552-18-3-6115-0031

NONE

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 Dayton VA Medical Center 3140 Governor’s Place Blvd. Suite 210 Kettering OH 45409-1337 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 Dayton VA Medical Center 3140 Governor’s Place Blvd. Suite 210 Kettering OH 45409-1337 To all Offerors/Bidders

36C25018Q9337 07-06-2018

X X X

JULY 2018, 1600 HOURS

X The purpose of this Solicitation Amendment is to hereby:

A. Revise the Performance Work Statement. Specifically, change the Period of Performance to 6 months (15Aug18-14Feb19), remove option years, and remove work to be completed Annually;

B. Add FAR Clause 52.217-8, Option to Extend Services;

C. All other terms and conditions remain the same.

Contract Specialist: Donna Sizemore, Contractor, TAG, (937) 268-6511 ext 2324, donna.sizemore@va.gov

ADAM WEBER

Contracting Officer

VA-VHA-SAOC-2016-38C45735

PERFORMANCE WORK STATEMENT (PWS)

Contract Number:

Task Order Number:

Follow-on to Contract and Task Order Number:

1) Contracting Officer’s Representative (COR)

Fax Number:

2) Contract Title: Emergency Housekeeping Services – 17 Buildings

3) Background: Dayton VAMC has seventeen buildings with administrative areas that need housekeeping services to alleviate the burden of shortage of housekeeping staff.

4) Scope: The contractor shall provide housekeeping services for (Dayton Veterans Affairs Medical Center). Services to include all labor, supervision, and management to provide cleaning of treatment areas and administrative support offices. The service will consist of housekeeping for building 330, 115, 310, 322, 307, 315, 340, 341, 126, 128, 127, 408, 409, 411, 305, 302, 120. All services will be performed at Dayton VA Medical Center, 4100 W Third street Dayton, Ohio 45428.

5) Specific Tasks: Contractor will perform cleaning services in administrative and non-direct patient care areas.

A. WORK HOURS:

1. Second shift Work Hours: (Mon. thru Fri. 2:30pm to 11:00pm)

2. National Holidays: The ten holidays observed by the Federal Government are: New Years Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day and Christmas Day and any other day specifically declared by the President of the United States to be a national holiday.

B. SPECIFICATIONS:

1. Contractor’s Personnel:

a. Contract Manager: The contractor shall provide a contract manager who shall be responsible for the performance of the contract. The contract manager shall have full authority to act on behalf of the contractor on all contract matters relating to the daily operation of this contract. The contract manager shall be able to read, write, speak, and understand English. The contract manager or alternate(s) shall be available during normal business hours and be able to meet, either in-person or telephonically, with VA personnel designated by the Contracting Officer within 24 hours to discuss deficiencies.

b. Contractor Employees: Contractor personnel shall present a neat appearance and be easily recognized as contract employees. This may be accomplished by wearing distinctive clothing bearing the company name and/or by wearing appropriate badges that prominently display the contractor’s company name and the employee’s name. Jeans, shorts and sandals are not considered appropriate or safe attire for this setting.

c. All Contractor Employees must display their government issued security (PIV) Badge at all times.

d. The contractor shall not employ persons for work on this contract if such an employee is identified to the contractor by VA Police or Contracting Officer as a potential threat to the health, safety, security, general well-being, or mission of the medical center and the VA.

e. The contactor shall not employ any person who is presently an employee of the U.S. Government when and if the employment of that person would create either a conflict of interest or the perception of such a conflict.

2. Building Security:

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

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

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

3. Safety:

a. The contractor shall display warning signs that have been approved by the COTR in all areas where housekeeping operations may cause traffic obstruction or personnel hazard.

b. The cleaning of lobbies and corridors resulting in a temporary wet or slippery floor surface shall be accomplished so that it will not be necessary for personnel or patients to cross the wet surface to gain access to other areas (1/2 of the hallway or area at a time). The contractor must comply with all Life Safety Regulations.

4. Handling/Cleaning of VA Furniture/Equipment: (make sure all functions performed at the location are included such as radiology, LAB etc.)

a. Equipment that is plugged in for recharging shall not be unplugged.

b. Podiatry tables and equipment (except console), and examination tables and all other furniture and equipment shall be cleaned in accordance with the government requirements. The contractor shall be responsible for moving and returning the furniture when cleaning it or behind it.

c. All tasks accomplished by the contractor personnel shall be done so as to preclude damage or disfigurement of furniture and building structure. The contractor shall correct any damage caused by his employees to any part of the building or equipment or any area covered by this contract.

5. Frequency of Services Required: (ensure all functions are included such as medical waste removal, common sharp containers, entrance ways, floor mats, outside areas)

Daily

· Exam Rooms/Lab - Dust desks, chairs, file cabinets and furniture. Empty all waste, clean and disinfect trash receptacles; inside and out. Wipe exam rooms foot rests. Mop floors.

· Reception area - trash, dust chairs and counters, clean floors.

· Lobbies - vacuum floors, dust chairs. Clean, disinfect and polish water fountain, front doors glass, frame and thresholds. Spot clean walls and magazine racks.

· Restrooms - sanitization cleaning of lavatories, all fixtures, floors, toilet seat & bowl (inside and out), mirrors, soap dispensers, trash cans. Underside of sinks and pipes, faucets, paper towel holders, walls, doorknobs, ledges and light switches.

NOTE: All restroom floors shall be damp mopped with hospital grade germicide solution; changed after each restroom.

· Hospital grade germicide will be used on sinks and toilets. Refill all dispensers.

· All areas - replace trash liners as required, not less than twice per week. Spot clean all doors, door frames, and areas around light switches. Thoroughly clean all glass.

· Floors - shall be dust mopped and wet mopped with disinfectant/detergent as stated in specifications.

· Break room – shall be dust mopped and wet mopped. All counters, sinks and tables to be cleaned using disinfectant/detergent.

Weekly or as Needed

· Buff floors - Fridays

· All medical waste receptacles need to be wiped down on Tuesdays. Thoroughly clean soiled walls, carpets and chairs.

· Light fixtures, damp wiping of handrails, door frames, fire extinguishers.

· All air vents shall be dusted.

· All window ledges and blinds shall be cleaned and dusted.

Monthly or as Needed

· Windows - inside, window sills, window blinds.

· All light fixtures shall be wiped down.

Semi-annual or as Needed

· Hard-surface floor care (stripping and waxing).

· Carpet care (shampooing). No dust building-up in corners, edges or under or behind furniture. Spot/stains are to be promptly removed.

C. GOVERNMENT FURNISHED EQUIPMENT/SUPPLIES

(paper towels, toilet paper, hand soap, hand sanitizer, detergent, disinfectant) solution, power equipment and any other supplies needed to accomplish daily tasks.

D. CONTRACTOR FURNISHED EQUIPMENT/SUPPLIES

1. The contractor shall be furnished the supplies necessary to perform all services required. Supplies and equipment shall meet the specifications below and comply with VA, federal or state Occupational Safety and Health Standards and fire regulations. Contractor furnished items shall be subject to use by VA employees. A listing of these items follows, paper towels, toilet paper, hand soap, hand sanitizer, power equipment, etc.).

2. All items shall be approved by the facilities Infection Control Committee (ICC) and the COTR prior to being used. The contractor shall obtain Material Safety Data Sheets, Occupational Safety and Health Administration (OSHA) Form 20 for all chemical products used and must provide a copy to the COTR. New supplies or changes in previously approved materials shall require product literature and may require samples.

NOTE: Aerosol sprays shall not be used in patient treatment areas.

3. Contractor personnel shall not use steel wool, abrasive metal cleaners, or any other cleaning materials or supplies which could cause damage to government property. At no time shall chairs, wastebaskets, brooms, mops, or any other items normally placed on the floor be placed on any surface of furniture or equipment.

4. All containers of cleaning chemicals and similar products shall be conspicuously marked (preferably with a factory label), to identify contents. All other labels must be removed or defaced. Materials bearing a Department of Transportation (DOT) red label (flammable) shall not be used. No unlabeled chemicals are permitted for use anywhere within the facility.

5. All equipment shall be cleaned with a disinfectant/detergent each day prior to storage.

6. All electrically operated equipment shall be equipped with hospital quiet-type motor, be third-wire grounded, and equipped with an appropriate length of UL approved three-conductor cord. Extension cords are prohibited.

7. When not in use, equipment shall be stored in designated areas only. Trash containers shall be washed each day or as needed prior to storage.

8. Supplies and equipment shall not be transported in trash barrels, mop buckets, etc. All materials not immediately used shall be properly stored.

9. The disinfectant/detergent shall be currently Environmental Protection Agency (EPA) registered as a hospital grade germicidal (pseudomonicidal and staphylocidal), fungicidal and viricidal at the recommended use dilution. The manufacturer’s labeled instructions for use dilution should be followed. The disinfectant/detergent used shall be compatible in use with the microorganisms which may be prevalent in the local area. In the event of an outbreak of Methicillin Resistant Staphlococcus Aureus (MRSA), Clostridium Difficile (C-Diff) etc., COTR will instruct contractor on proper cleaning procedures.

10. Mop heads shall be laundered after each use. Disposable mop heads may be made of non-woven fabric or a listless fabric consisting of textile fibers or a combination of fibers and yam and be clear or neutral in color. No oil based treatments are allowable. The chemical treatment shall not have a “flashpoint” of less than 330º Fahrenheit and shall be free of specifiable matter. The compound shall not heat spontaneously under service conditions. Total treatment residue in mop heads shall contain no carbon residue.

11. Vacuum Cleaners shall have hospital grade micro static impaction type filtration system which shall filter out all dust and bacteria particles larger than 0.3 micros. All vacuum equipment (i.e. tank, hose and bag) shall be cleaned daily with hospital disinfectant/detergent. Vacuum filters shall be cleaned weekly.

12. Trash collection containers shall be rigid, with a smooth interior finish, equipped with a snug fitting cover and hard rubber, non-marking, silent running casters. All trash containers shall meet local base fire regulations. Trash carts shall be of such size that will not block width or block passageways for building evacuation. All trash collection containers shall be thoroughly cleaned and disinfected daily.

13. The double bucket mopping or microfiber system shall be used. Buckets shall be constructed of non-porous, acid resistant, seamless material.

14. Signs shall contain easily understood directions and guidance in English and Spanish.

15. When routine facility’s defects (dripping faucet, loose door, loose window frames, etc.) are found, they shall be reported to the COTR or his/her representative.

16. All areas are to be pre-inspected by the contractor and shall receive cleaning, protection and beautification in keeping with the minimum standards established by the government.

CLEANING FREQUENCY CHART

X

X

X

Spot-clean all walls (room and stalls)

X

X

X

Replace string on call buttons

X

Deep clean grout (walls and floors)

X

Clean cove base

Stop and refinish tile floors

Top scrub and recoat

Buff tile floors

X

X

High dust walls/wall art

X

X

Wash Walls/Cabinet/Fronts, etc.

X

Dust all flat surfaces (i.e. file and general cabinet tops, refrigerator tops, window sills, etc.)

X

X

Furniture/Furnishings

X

X

Light Fixtures and Vents (clean exterior, remove dead bugs and dust)

X

X

X

X

Other exterior glass

E. QUALITY ASSURANCE: The Government will receive and investigate complaints from various customers located at Dayton VA Medical Center. All information received will be provided either verbally and/or in writing to the contractor for appropriate action.

G. Areas of work that will be performed: The following buildings will be serviced.

1. Building 115

2. Building 330

3. Building 310

4. Building 322

5. Building 307

6. Building 315

7. Building 340

8. Building 341

9. Building 126

10. Building 128

11. Building 127

12. Building 408

13. Building 409

14. Building 411

15. Building 305

16. Building 302

17. Building 120

6) Performance Monitoring: On site monitoring shall be conducted by selected Contract Manager supervisor Monday through Friday with weekly QA inspections and document discrepancies and resolve.

7) Security Requirements: No contractor access to a VA Information System Hardware or Software is performed under this contract. No contractor access to a VA Information System VA Protected Health Information (PHI), nor VA Personally Identifiable Information (PII) is allowed or performed on this contract. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards and VA Directives and Handbooks as VA personnel regarding information and information system security. Dayton VA PIV Badge.

8) Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI): Supplies and equipment needed to perform cleaning services shall be in accordance with Paragraph 5) Specific Tasks, C. and D. as stated above.

9) Other Pertinent Information or Special Considerations: N/A

10) Risk Control: N/A

11) Place of Performance: Dayton VA Medical Center; Buildings 330, 115, 310, 322, 307, 315, 340, 341, 126, 128, 127, 408, 409, 411, 305, 302, 120.

12) Period of Performance 8/15/2018 – 2/15/2019

13) Delivery Schedule: N/A