36C25025Q0115 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 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 reference 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

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) 12-17-2024 506-25-2-525-0001 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 Y Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 To all Offerors/Bidders

36C25025Q0115 12-17-2024

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 12-24-2024 11:59am EST See CONTINUATION Page The purpose of this modification is to answer questions submitted and to extend the

RFQ

submission date to give all interested parties time to digest answers and reply to RFQ.

Green Road VA Clinic 2500 Green Road Ste 200 Ann Arbor, MI 48105 is included by this amendment.

Submissions are due no later than 12/26/2024 at 3:30 PM

EST

Email Daniel.Leaverton at Daniel.Leaverton@va.gov Lisa Bailey Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

TO PROVIDE INSPECTIONS, TESTING, & MAINTENENACE OF ALL OUR MEDICAL GAS SYSTEMS at the Ann Arbor VAMC and the Green Road VA Clinic Contract Period: Base POP Begin: 01-01-2025 POP End: 12-31-2025 PRINCIPAL NAICS CODE: 541380 - Testing Laboratories and Services PRODUCT/SERVICE CODE: J045 - Maintenance, Repair, and Rebuilding of Equipment - Plumbing, Heating, and Waste Disposal Equipment

TO PROVIDE INSPECTIONS, TESTING, & MAINTENENACE OF ALL OUR MEDICAL GAS SYSTEMS at the Ann Arbor VAMC and the Green Road VA Clinic.

Contract Period: Option 1 POP Begin: 01-01-2026 POP End: 12-31-2026

PRODUCT/SERVICE CODE: J045 - Maintenance, Repair, and Rebuilding of Equipment - Plumbing, Heating, and Waste Disposal Equipment

TO PROVIDE INSPECTIONS, TESTING, & MAINTENENACE OF ALL OUR MEDICAL GAS SYSTEMS at the Ann Arbor VAMC and the Green Road VA Clinic.

Contract Period: Option 2 POP Begin: 01-01-2027 POP End: 12-31-2027

PRODUCT/SERVICE CODE: J045 - Maintenance, Repair, and Rebuilding of Equipment - Plumbing, Heating, and Waste Disposal Equipment

TO PROVIDE INSPECTIONS, TESTING, & MAINTENENACE OF ALL OUR MEDICAL GAS SYSTEMS at the Ann Arbor VAMC and the Green Road VA Clinic.

Contract Period: Option 3 POP Begin: 01-01-2028 POP End: 12-31-2028

PRODUCT/SERVICE CODE: J045 - Maintenance, Repair, and Rebuilding of Equipment - Plumbing, Heating, and Waste Disposal Equipment

TO PROVIDE INSPECTIONS, TESTING, & MAINTENENACE OF ALL OUR MEDICAL GAS SYSTEMS at the Ann Arbor VAMC and the Green Road VA Clinic.

Contract Period: Option 4 POP Begin: 01-01-2029 POP End: 12-31-2029

PRODUCT/SERVICE CODE: J045 - Maintenance, Repair, and Rebuilding of Equipment - Plumbing, Heating, and Waste Disposal Equipment

A.2 STATEMENT OF WORK

1. Contract title Medical Gas Inspection, Testing, & Maintenance

2. Expectations This contract is for the work listed below. All work will be performed by the Contractor and all materials will be provided by the Contractor unless noted that the VA “will provide.” The job site location is Ann Arbor VA Medical Center, 2215 Fuller Rd., Ann Arbor, MI. 48105 and Green Road VA Clinic. 2500 Green Road Ste 200 Ann Arbor, MI 48105.

3. Background

Perform annual inspections, testing and monthly preventative maintenance of our medical gas systems.

4. Scope of work Equipment to have maintenance performed per Manufacturers Specs.

Triplex EMSE Claw Vacuum System, Location: 1E/DB61 Duplex Powerex Lab Vac System, Location: 1E/DB61 Hexaplex Powerex 5HP Scroll System, Location: 1E/DB61 Hexaplex Powerex 10HP Scroll System, Location: 1E/DB61 Quadruplex Powerex 5HP Scroll System, Location: 1W/B432 Duplex Powerex 4HP Cal Air Comp., Location: 1W/Bi-Interstitial Duplex Powerex 5HP Lubricated Vacuum System, Location: 1W/F20 Duplex Powerex 7.5HP Scroll System, Location: 1W/F201 Duplex Amico 10HP Lubricated Vacuum System, Location: 1W/SB-1 Powerex Scroll Lab Air System, Location: Bld. 22/Penthouse Squire Cogswell Lab Vacuum System, Location: Bld. 31/Penthouse Duplex Quincy QRDS5D240 Dental Air,Location: 1W/B400

Required elements for:

A) Specific Tasks on Monthly Basis

1) Perform Monthly visual inspections of all equipment listed above.

2) Provide a written report of inspections for each piece of equipment inspected within 10 days of inspection to COR.

3) If repairs are needed beyond the routine maintenance, please provide written quote with description of work to include labor & materials.

4) All work needs to be scheduled in advance with the Pipe Shop Supervisor.

B) Specific Tasks on Quarterly/Annual Maintenance

1) Perform maintenance per manufacturers recommendations for each piece of equipment listed above.

2) All material to perform preventative maintenance will be OEM approved and is provided by contractor.

3) Provide a written report of inspections for each piece of equipment inspected within 10 days of inspection to COR.

4) If repairs are needed beyond the routine maintenance, please provide written quote with description of work to include labor & materials.

5) All work needs to be scheduled in advance with the Pipe Shop Supervisor.

C) Specific Tasks on Annual Inspection/Testing of Medical Gas Booms

1) Ann Arbor VAMC has a total of 27 Booms with Medical Gas Systems.

2) All Booms are required to be tested every 3 years.

3) 1/3 (9) of all booms will be tested each year.

4) Pipe Shop Supervisor will determine which Booms will be scheduled to be tested each year.

5) Provide a written report of inspections for each piece of equipment inspected within 10 days of inspection to COR.

6) If repairs are needed beyond the routine maintenance, please provide written quote with description of work to include labor & materials.

7) All work needs to be scheduled in advance with the Pipe Shop Supervisor.

8) These Annual Inspection/Tests will take place in July of each year.

D) Specific Tasks on Annual Inspections/Testing of All Medical Gas Systems.

1) Perform Annual Inspections/Testing of all related Medical Gas Systems throughout facility.

2) Provide a written report of inspections for each piece of equipment inspected within 10 days of inspection to COR.

3) If repairs are needed beyond the routine maintenance, please provide written quote with description of work to include labor & materials.

4) All work needs to be scheduled in advance with the Pipe Shop Supervisor.

5) These Annual Inspection/Tests will take place in June of each year.

6) The list of equipment above is included in this requirement along with the following: all associated piping, master alarm panels, area alarm panels, zone valves, medical gas outlets, manifolds, & bulk oxygen tank & reserve tank & manifold.

5. Responsibilities

Contractor will be responsible for providing all required equipment which includes but not limited to:

1) Rigging Equipment.

2) Lifts.

3) Carts or dollies required to transport equipment, materials, and tools.

4) All necessary tools

5) All necessary PPE.

6) Personal Lockout/Tagout locks.

6. VA staff requirements VA staff will provide:

1) Lockout/Tagout of effected equipment.

2) Guidance of location of eyewash/safety showers, alarm pull stations, building exits, emergency procedures.

3) Guidance on vehicle and equipment staging.

4) Verify work has been completed by VA standards.

5) Scheduling & notifying staff in advance of work.

7. Conformance standards All work in the State of Michigan is required to be performed by a medical gas technician with a 6040 certification. All labor practices conform to OSHA rules: proper PPE and Safety Training are required.

8. Parts All materials will be OEM approved and installation work will have a standard warranty period of one year from the date of installation.

9. Reporting requirements When necessary for the Contractor, (or Sub-Contractors), to be onsite at the Ann Arbor Campus, they shall be required to report to the Plumbing Shop Supervisor in Building 32 to log in during normal working hours. Before or after normal working hours report to the Utility Systems Repairer Operator on duty. This check in is mandatory. Normal working hours are Mon. – Fri. 7am.-3:30pm. Excluding Federally Observed Holidays.

10. Safety Requirements If on the Ann Arbor Campus during the performance of this contract, the Contractor shall take such safety precautions as OSHA may determine to be reasonably necessary to protect the lives and health of occupants of the building. The Contracting Officer shall notify the Contractor of any safety issues and the action necessary to correct these issues. Such notice, when served on the Vendor or his representative at the work site shall be deemed sufficient for the corrective actions to be taken. If the Contractor fails or refuses to comply promptly, the Contracting Officer may issue an order stopping all or part of the work and hold the Contractor in default.

Medical Equipment Listed:

Triplex EMSE Claw Vacuum System, Location: 1E/DB61

- 1TCB5S120

- 42461911 Duplex Powerex Lab Vac System, Location: 1E/DB61

- LVPDT04024P1

- (H)07/07/15-5805775-863 Hexaplex Powerex 5HP Scroll System, Location: 1E/DB61

- LSH0505S5528134

- (H)11/14/13-5528134-547 Hexaplex Powerex 10HP Scroll System, Location: 1E/DB61

- MSH10B64P5

- (H)06/30/15-5805775-809 Quadruplex Powerex 5HP Scroll System, Location: 1W/B432

- MSQ05044P5

- (H)06/30/15-5805775-799 Duplex Powerex 4HP Cal Air Comp., Location: 1W/Bi-Interstitial

- CAT 20040DCAD

Duplex Powerex 5HP Lubricated Vacuum System, Location: 1W/F20

- VTD05044K1HT

- (H)09/17/18-6171554-420 Duplex Powerex 7.5HP Scroll System, Location: 1W/F201

- MSD07544P5

- (H)09/18/18-6171554-421 Duplex Amico 10HP Lubricated Vacuum System, Location: 1W/SB-1

- V-RVL-D-200P-TH-N-100-46063-M

- Q5914 Powerex Scroll Lab Air System, Location: Bld. 22/Penthouse

- STD0503S5666755

- (H)07/25/14-5666755-349 Squire Cogswell Lab Vacuum System, Location: Bld. 31/Penthouse

- DONT HAVE

Duplex Quincy QRDS5D240 Dental Air,Location: 1W/B400

- DONT HAVE