36C25022B0006 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

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

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

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendmen t, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 583-22-201 36C250 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 36C250 Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 To all Offerors/Bidders

36C25022B0006 01-28-2022

X X X 17 Feb 2022 at 14:00est X Description of Amendment #1:

Provide responses to Request for Information (RFI), no RFI's will be accepted from this point.

Added new Statement of Work, Phase II, Gastroenterology (GI) has been removed.

Contractors need not have attended the Site Visit to provide a Bid.

Bid Due Date has been changed to 17 February at 14:00 est.

All other Terms and Conditions remain the same.

Christopher Lee Scope of Work

The Contractor will mobilize to the Richard L. Roudebush VA Medical Center (VAMC) Sterile Processing Services (SPS) department to upgrade the Reverse Osmosis (RO) water treatment system capabilities to be compliant with TIR34 requirements. Work to be completed within SPS will require construction of a new mechanical space to house the upgraded RO system and converting preexisting SPS decontamination areas into new non-hazardous material storage area. The upgrade will also include the installation of polyvinyl chloride (PVC) tubing and sampling ports to allow monitoring of RO water entering the existing automated endoscope reprocessors (AERs).

All work will be performed within Building 1 at the Richard L. Roudebush VA Medical Center, located at 1481 West 10th Street, Indianapolis, IN 46202. The RO system will be upgraded with the SPS decontamination area located in the basement of the A-Wing.

The Contractor shall complete all work within 240 days following Notice to Proceed.

The work will primarily be completed during regular business hours of 7 AM to 5 PM, but second, third, or weekend shifts will be required to complete infection control requirements and to expedite completion in clean areas. The work will be completed in a manner to limit disturbance to VAMC operations and to expedite completion.

A. The Contractor shall provide all necessary services (i.e., labor, materials, tools, equipment, and competent supervision) to perform all work as noted below to meet the scope objectives and requirements, and to provide the required outcome in terms of overall quality, timeliness, and documentation. The Contractor shall be responsible for obtaining and coordinating the services of all third-party subcontractors performing services on site as part of the contract to accomplish the following:

a. Before a negative pressure containment room is constructed to house the construction, all workers present must utilize full-level SPS Personal Protective Equipment (PPE) consisting of the following: full body suit, boot covers, beard and hair covers, nitrile gloves, and face shield. Due to COVID-19 response, a face mask will be required as per VAMC directives. Following completion of the negative pressure containment room, Level D PPE may be utilized in the construction area during completion of the work. Disassembly of the containment area will require the upgrade of PPE to SPS-appropriate levels.

b. A temporary, solid barrier, containment room will be constructed before the start of construction activities. The solid walls will be, at minimum, constructed of a corrugated vinyl material that can be disposed of following completion of the work. The barrier will be sealed at the floor, at any junctions, and at the ceiling to create a negative environment and prevent the escape of particulate matter.

Full negative air will be required as well as a HEPA filter that will remove 99% of particulates. Negative pressure will be maintained within this containment room and measured using a Magnehelic®, or similar, differential pressure monitor. VA personnel will confirm removal of particulates by utilizing a particulate meter and documenting negative pressure readings. The effectiveness of the negative-pressure containment room will be required and signed off by VA-personnel prior to the start of demolition activities.

This temporary barrier will be constructed within both SPS and the area where a new engineering space doorway is to be installed, in the adjacent hallway prior to the start of any demolition or construction work.

c. Demolition activities will be completed in a method that will prevent the generation of excess dust within the SPS area. The Contractor shall be responsible for the removal of all materials associated with the demolition/ carpentry activities. To reduce the potential for cross-contamination, all materials will be mobilized to SPS utilizing a covered cart. The wheels of the cart must be dry brushed/decontaminated prior to entry into SPS area. For ease of decontamination, if possible, prepare an additional room within the containment area, but outside of the construction zone, using a zipper wall to prevent dust accumulation on carts/to reduce decontamination needed of carts when removing demolition materials and equipment

d. Prior to demolition work, all surfaces to be part of the demolition process (walls, ceilings, floors), will be scanned for utilities. If high voltage utilities are discovered to be present, the Contracting Officer Representative (COR) will organize relocation using VA-personnel prior to demolition of that area. Other utilities discovered that do not need to be relocated during the work will be protected from construction damage. If utilities are damaged during completion of the work will be replaced by the Contractor prior to the system being signed-over to VA-ownership and operation.

e. The preexisting Environmental Management Services (EMS) space within SPS decontamination will be converted into the new engineering space. The Contractor will provide carpentry services to complete the demolition and reinstallation of drywall to modify the footprint of the space. The current dimensions of the EMS space are 6FT 0IN by 6FT 8IN, with a doorway entering directly into SPS decontamination. The new dimensions of this space will be 7FT 0IN by 7FT 9IN with a 42-inch metal, fire-rated door, installed for entry directly from the adjacent, non-SPS hallway. The floor sink located within this space will be converted into a floor drain, to be utilized by the new sterile water system.

f. A new EMS storage space will be created in the area directly adjacent in SPS decontamination where there is currently a handwashing sink and a flush sink, mounted on a chase wall. Following confirmation of no utilities behind this chase wall, the chase wall will be demolished, and both the handwashing sink and flush sink removed. The proposed dimensions of this space are 6FT 5IN by 5FT 9IN, allowing for a bump in to install the handwashing sink outside the EMS closet space. The door to this EMS space will be the same as the preexisting EMS door, to be confirmed in the field and following COR-approval.

g. The handwashing sink will have its piping rerouted and the sink itself will be re-installed in the location as shown in contract documents. Piping associated with the handwashing sink will be wall-mounted in the EMS space and will be covered with a bumper or other means to prevent tampering or damage during normal EMS activities. Piping to-be-installed will match current installed piping, which is assumed to be ½-inch steel pipe, which will be confirmed in the field prior to removal and install. The handwashing sink will have both cold and hot water feed following installation.

h. A new floor sink will be installed in the corner of the new EMS closet, utilizing drainage piping from the previous fixtures. Floor demolition may be required to locate and tie-into drainage for the final installation of the floor sink. Additional concrete work may be required following install to repair the flooring to its previous state, improved with the floor sink. The floor sink is proposed to be installed in the corner of the new EMS space, as noted in contract documents, but the location may be modified following COR-approval.

i. A four-outlet electrical box will be installed on each new wall within the engineering space and to the to-be-constructed EMS space. VA personnel will be on hand to accommodate questions and provide information on where to tap into the electrical source.

j. Both spaces will be confirmed to have fire suppression. A preexisting fire sprinkler should be present in the previous EMS space converted to an engineering space. As needed, a tie-in and piping length to be utilized for a sprinkler in the new EMS-space will be installed as needed following field confirmation of a lack of fire suppression in the new EMS space.

k. A new central sterile water system will be installed that will be compliant with TIR34 requirements and capable of producing a minimum of 10,000 gallons per day of treated RO water. The system to be installed may be a NuStream filtration PG 44 or equivalent system capable of meeting TIR34 requirements, following COR review approval. The water system will be installed in the new engineering space area following system approval by the COR. The system to be installed will provide anti-scalant pretreatment injections, membranes to remove up to 99% of legionella and other bacterium and have up to 200-gallon storage of treated water. The system will be provided power separate from the four-outlet electric power boxes.

Piping for this new RO system will consist of PVC piping that will exit the engineering space into the adjacent hallway ceiling, where a shut-off valve will be installed for future O&M and will enter SPS decontamination through the double doorway. This entry will be fire-stopped with COR-approved material following install to maintain the fire wall enclosing the entire department. The piping will be wall mounted the entire perimeter of SPS decontamination to provide a closed loop to and from the RO system. Surface-mount piping install may be completed outside of the SPS negative-pressure construction zone by utilizing a HEPA cart. Tie-ins to equipment will be completed using PVC tubing that will allow flushing and sampling during equipment operation. Sample ports will be required for 10-pieces of equipment in SPS decontamination.

l. The new RO system will be installed in its entirety and brought on-line to confirm operation prior to decommissioning the current RO system being utilized. Existing RO piping located in the ceiling of SPS decon will be drained and decommissioned in-place prior to tying in the new RO system piping. Components of the previous RO system that are classified as unnecessary by the project COR will be removed and disposed of as appropriate.

The commissioning of the new system and tying in new components shall be completed overnight or during weekend work hours to limit disturbance to the department.

m. The Contractor shall provide, at minimum, eight (8) days of system start-up and user training following installation of the new RO system. Following the upgrade and training, O&M guidance will be provided to ensure the system will continue working in the manner described above.

n. Demolition, installation, and/or painting activities may require second or third shift staffing, dependent on the SPS schedule and construction of the infection control barrier. Proposed construction schedule will be provided two-weeks prior to mobilization for approval by SPS management and COR.

B. Prior to start of work, the Contractor is responsible for verifying existing conditions and maintaining current conditions of the VAMC during and following completion of the repairs.

a. Contractor shall mobilize equipment and materials without interfering with the normal flow of vehicle and pedestrian traffic at the Medical Center.

b. Every precaution shall be taken to prevent injury to materials during transportation and delivery to the work site. Under no condition shall materials to be utilized for the RO system upgrades be dropped, bumped or dragged. If, in the process of transportation, unloading or handling, any material is damaged, it shall be rejected and immediately removed from the site.

c. Materials associated with RO system upgrades shall be stored in a manner which will assure the protection of the material from damage and to keep it clean prior to and during install, as stipulated by installation location.

d. It shall be the responsibility of the Contractor to keep the construction areas clean and the surrounding areas free from damage. If during work, surrounding areas are damaged, the Contractor will be responsible for any repairs/replacements that are required.

e. It is the responsibility of the Contractor to understand and comply with all applicable city, county, state, and federal codes, laws, ordinances, standards, rules and regulations.

C. All work will be performed so as to minimize outages and disruption to the VAMC during normal business hours following approval of the COR.

a. Availability of all utility systems must be restored by 6 AM each day unless otherwise approved by the COR and/or CO. Any work completed shall be subject to the approval of the COR during active construction prior to the RO system being brought into service.

b. Outages to water, steam, electricity, air handlers, controls, or any system that could affect the operation of the Medical Center, to include comfort of the staff and patients, must be coordinated a minimum of 14 days in advance and all affected staff notified of planned outage schedule. Any emergency outages require approval of the VAMC Director and may be declined if the request is found to be due to a lack of advance planning, at the discretion of the Director.

D. Following installation, the Contractor shall provide a field drawing of what was installed, including a breakout of piping schematics for the to be installed pneumatic valves and controller system. If, following COR approval, any items were changed, a list of modified items shall be supplied for additional COR and CO review and approval.

SAFETY

A. The Contractor shall be thoroughly familiar will all rules and regulations governing safety. A 30-hour OSHA “Competent Person” shall be present for all work and all additional workers shall have a minimum of a 10-hour OSHA Certification. All welders, pipefitters, carpenters, electricians, etc. performing work must present a valid certification for their respectable trade.

B. All work associated with this project shall be in compliance with all VA regulations concerning Safety, Infection Control Requirements, Interim Life Safety Measure Requirements, Parking, Personnel Access, and proper removal/safe disposal of construction waste and debris as listed in the specifications and drawings. The Contractor shall abide by all Infection Control Risk Assessment (ICRA) requirements that are put into place by the VA infections prevention team. The COR shall provide requirements and forms to Contractor.

C. All work will be performed in accordance with ICRA, but it will still be the responsibility of the Contractor to keep the construction areas clean and to not damage the existing equipment. If during the work, equipment is damaged, the Contractor will be responsible for any repairs/replacements that are required.

D. Starting October 1, 2019, the VAMC campus has become a “Smoke-free” zone. No smoking is allowed on the grounds of any VA-related health care facilities by patients, visitors, volunteers, contractors, vendors and employees. The new smoke-free policy applies to cigarettes, cigars, pipes, any other combustion of tobacco, and e-cigarettes, vape pens and e-cigars.

SECURITY

E. The contractor, their personnel, and their subcontractors shall be subject to the Federal laws, regulations, standards, and VA Directives and Handbooks regarding information and information system security as delineated in this contract.

F. The contractor shall wear a VAMC badge at all times when they are on VA property. General Contractor’s or subcontractor’s employees shall not enter the project site without an appropriate badge. Contractor personnel may be subject to inspection of their personal effects when entering or leaving the project site. Before starting work the General Contractor shall give two weeks’ notice to the COR so that security arrangements can be provided for employee badging.

G. Health screenings may be required of those entering VA property, dependent on VA directives, Federal emergency response, and CDC testing guidelines. Health screening may be used in an attempt to identify a potential health impact that may be transferrable to VA personnel or patients prior to documentable symptoms. In the event that health screening activities are implemented at the Facility Level, the Contractor, their personnel, and their subcontractors must adhere to all Facility directions and guidelines at all times when they are on VA property. Prior to starting work, the Contractor shall give three days’ notice to the COR so that current health screening activities at the VA Facility may be identified and communicated to Contractor personnel prior to mobilization (i.e., restricted entrances, limited delivery windows, etc.).

ATTACHMENT

Attachment: RFI Responses