36C25218Q0658-003.docx

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.

DUNS:

DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

585-18-2-6025-0159 36C25218Q0658 05-22-2018

PASHOLK,SUSAN

414-844-4846 06-11-2018

NOON CENTRAL

Department of Veterans Affairs

GLAC (69D)

115 S 84TH STREET

Milwaukee WI 53214-1476 X X 811219 $20.5 Million X N/A X

OSCAR G. JOHNSON VA MEDICAL CENTER

325 EAST H STREET

IRON MOUNTAIN MI 49801

Department of Veterans Affairs

GLAC (69D)

115 S 84TH STREET

Milwaukee WI 53295-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 See CONTINUATION Page

UNINTERRUPTIBLE POWER SYSTEM MAINTENANCE AT IRON MOUNTAIN

MI, VA MEDICAL CENTER PER STATEMENT OF WORK

SERVICE CONTRACT LABOR STANDARDS APPLY

DOL WD 15-1871(REV-6) 1/16/2018 APPLIES AND IS ATTACHED

100% SMALL BUSINESS SET ASIDE

VA POC RICK JONES 609-774-3300 X32220

CO SUSAN PASHOLK 414-844-4846

585-3680162-6025-851100-2543 010050190 X X x

SUSAN PASHOLK

CONTRACTING OFFICER

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA (continuation from Standard Form 1449)

1. CONTRACT ADMINISTRATION: All contract administration matters will be handled by the following individuals:

DUNS NUMBER NO. ______________________________________

b. GOVERNMENT: SUSAN PASHOLK

DEPARTMENT OF VETERANS AFFAIRS

GREAT LAKES ACQUISITION CENTER

115 S. 84TH ST., STE 100

MILWAUKEE WI 53214

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

a. FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM – SYSTEM FOR AWARD

3. INVOICES: Invoices shall be submitted in arrears in accordance with:

a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)

b. Semi-Annually in arrears.

4. GOVERNMENT INVOICE ADDRESS (See SF1449 Block 18):

a. All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)

b. Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

c. VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten Network e-Invoice, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.

d. For assistance setting up e-Invoice, the below information is provided:

i. * Tungsten Network e-Invoice Setup Information: 1-877-489-6135

* Tungsten Network e-Invoice email: VA.Registration@ob10.com <http://VA.Registration@ob10.com/>

* FSC e-Invoice Contact Information: 1-877-353-9791

* FSC e-invoice email: vafsccshd@va.gov <http://va.gov/>

5. INVOICES:

a. Payments shall be made semi-annually in arrears upon receipt of a properly prepared invoice.

b. In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Network e-Invoicing network, for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten Network by submitting an email to VA.Registration@Tungsten-Network.com or calling 1-877-752-0900 option 2 for Enrollment.

c. Contractor shall submit an electronic invoice to the Veterans Affairs Financial Services Center (VAFSC) e-Invoice through the website at https://portal.Tungsten-Network.com/Login.aspx. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at 1-877-489-6135.

d. All invoices shall reference the vendor name and address, customer name, contract number, appropriate obligation/funding order number, description of services provided, quantity, unit price, and total invoice amount (any additional info). Invoices shall also include any payment discount terms.

e. For questions regarding invoice receipt or payment, please call VAFSC directly at 1-877-353-9791 or email vafsccshd@va.gov

OFFERORS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED HEREIN PRIOR TO THE TIME SPECIFIED IN BLOCK 8 OF SF 1449 TO BE CONSIDERED FOR AWARD.

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

Offers may be submitted electronically to the following email address: susan.pasholk@va.gov. A signed, dated and scanned 1449 must be included along with all other information requested herein by the due date and time. Offers may also be submitted through the regular mail and must be received by the date and time specified in Block 8. CAUTION - LATE Submissions, Modifications, and Withdrawals: See provision 52.212-1. All offers are subject to all terms and conditions of this solicitation.

SPECIAL NOTES

In order to maintain integrity of this solicitation and subsequent award date, all offerors are advised that any question and answer requests must be submitted in a written form via e-mail to the Contracting Officer susan.pasholk@va.gov no later than 7:00 AM CENTRAL THURSDAY MAY 31, 2018. Contracting will issue a consolidated response via solicitation amendment posted to www.fbo.gov within 2 business days to all parties.

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitment or issue changes that will affect price, quantity or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred thereof.

AUTHORITY

This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 13.5 for Certain Commercial Items in which simplified acquisition procedures in FAR Part 13 will be used. FAR Part 14 and 15 will not be used.

The Lowest Price Technically Acceptable source selection process will be used for this FAR 13.5 procurement. This means award will be made on the basis of the lowest evaluated price of quotes meeting or exceeding the acceptability standards for non-cost factors. See 52.212-2 Evaluation – Commercial Items (Section E) for a description of the factors in addition to price that the Government will use to evaluate offers. Prospective contractors must furnish the information listed herein with their quotations to ensure they receive full consideration.

SITE VISIT

It is strongly suggested, and expected that the offeror inspect the campus to be serviced to fully understand the nature of the work and the conditions under which the work is to be performed. In no case shall failure to inspect the campus constitute grounds for a claim after contract award. TO SCHEDULE A SITE VISIT, CONTACT COR RICK JONES AT 906-774-3300 X32220. SITE VISITS MUST BE SCHEDULED TO TAKE PLACE PRIOR TO MAY 31, 2018.

UPS SYSTEM MAINTENANCE

PRICE SCHEDULE

The contractor shall provide all labor, tools, materials, supplies, appropriate equipment and supervision, necessary to perform preventative maintenance and testing of five (5) uninterruptible powers systems (UPS) and five (5) Government owned battery charging systems and batteries located at the Oscar G. Johnson VAMC, Iron Mountain, MI as outlined in this statement of work (SOW).

Price quoted in the schedule of items is to include all labor tools, materials, supplies, and equipment to accomplish the work as specified. Offerors must provide costs for the base year plus ALL Option Years to be considered for award.

BASE PERIOD: AUGUST 1, 2018 THROUGH JULY 31, 2019:

CLIN DESCRIPTION QTY UNIT UNIT TOTAL

PRICE PRICE

Total Base Year $_____________

OPTION PERIOD ONE: AUGUST 1, 2019 THROUGH JULY 31, 2020:

CLIN DESCRIPTION QTY UNIT UNIT TOTAL

PRICE PRICE

Total Option Year One $_____________

OPTION PERIOD TWO: AUGUST 1, 2020 THROUGH JULY 31, 2021:

CLIN DESCRIPTION QTY UNIT UNIT TOTAL

PRICE PRICE

Total Option Year Two $_____________

OPTION PERIOD THREE: AUGUST 1, 2021 THROUGH JULY 31, 2022:

CLIN DESCRIPTION QTY UNIT UNIT TOTAL

PRICE PRICE

Total Option Year Three $_____________

OPTION PERIOD FOUR: AUGUST 1, 2022 THROUGH JULY 31, 2023:

CLIN DESCRIPTION QTY UNIT UNIT TOTAL

PRICE PRICE

4002 Provide all labor, tools, materials, supplies And appropriate equipment necessary to Perform battery replacements on (2) UPSs As listed in this Statement of Work.

1 JOB $ __________

Total Option Year Four $_____________

TOTAL FOR BASE AND FOUR OPTION YEARS $______________________

STATEMENT OF WORK

MAINTENANCE OF UNINTERRUPTIBLE POWER SUPPLY (UPS) OSCAR G JOHNSON VAMC IRON MOUNTAIN MI

1. DESCRIPTION OF SERVICES:

The contractor shall maintain and repair five (5) government-owned uninterruptible power systems and (5) Government owned emergency power standby system battery systems (chargers and Batteries) at the OGJVAMC Iron Mountain, MI, in accordance with this statement of work. Semi-annual maintenance is to be completed in the months of April and October of each contract year.

2. CONFORMANCE STANDARDS:

Contract service shall ensure that the equipment functions in conformance with the latest published edition of NFPA-99, NFPA 110, UL, OSHA, VA, and CDRH standards.

The equipment covered by this contract shall be maintained in accordance with the manufacturer's standards/specifications. Preventive Maintenance (PM) inspection, testing and repairs shall be performed in accordance with the manufacturer's specifications and schedule for PMs. Emergency repairs shall be paid separate from this contract according to section 1.4.

3. EQUIPMENT IDENTIFICATION.

NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS) MANUFACTURER – Liebert MODEL # 47SA100JAC01090 100kVA;

SERIAL NUMBER # M17C1A 0004

BATTERIES – (QTY-36) Enersys # 12HX540-FR

EQUIPMENT I.D. NUMBER – EE # 23824

LOCATION - Electrical Vault, Sub-basement, Bldg.

NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS) MANUFACTURER – LIEBERT MODEL #Data-Safe dry cell model#12-HX-150-FR; 100kVA; SERIAL NUMBER – #2101200300210C010001 BATTERIES – (QTY – 48) Data-Safe dry cell model#12-HX-150-FR;

EQUIPMENT I.D. NUMBER – EE # 16415

LOCATION – Sub-basement, Bldg 1

NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS) MANUFACTURER – MYERS MODEL #C&D Technologies VRLA model# Tel 12-125-BST; 2.4kVA;

SERIAL NUMBER – #SM111432-001

BATTERIES – (QTY-8)

LOCATION – B103

EQUIPMENT I.D.# 18927

NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS) MANUFACTURER – EATON

MODEL # 9355-15

SERIAL NUMBER - #BK112JBA05

BATTERIES – (QTY - 4)

LOCATION – 2307

EQUIPMENT I.D.# 22774

NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS) MANUFACTURER – LIEBERT MODEL #Data-Safe dry cell model#12HX500; 100kVA; SERIAL NUMBER – #D11BAA0010

BATTERIES – (QTY 40)

EQUIPMENT I.D. NUMBER – EE #16466

LOCATION – Boiler Plant, Bldg. 2

NAME/DESCRIPTION OF EQUIPMENT – HOPPECK – BATTERY CHARGER AND BATTERIES

NAME/DESCRIPTION OF EQUIPMENT – HOPPECK – BATTERY CHARGER AND BATTERIES

NAME/DESCRIPTION OF EQUIPMENT – HOPPECK – BATTERY CHARGER AND BATTERIES

NAME/DESCRIPTION OF EQUIPMENT – SAFE POWER SYSTEMS BATTERY CHARGER AND BATTERIES

NAME/DESCRIPTION OF EQUIPMENT – HINDLE POWER SYSTEMS BATTERY CHARGER AND BATTERIES

4. OPERATIONAL UPTIME REQUIREMENTS:

The equipment listed 1.1.1 Equipment Identification shall be operable and available 7 days a week, 24 hours a day. Emergency repairs/phone support required to maintain proper operation shall be performed in accordance with section 1.4. Emergency repairs will be paid separate from this contract as outlined in section 1.4. Repeated failure to meet this requirement can subject the contractor to DEFAULT action.

Scheduled maintenance shall be scheduled/performed during normal work hours are 7:00am to 4:30pm Central Time, Monday through Friday, excluding federal holidays.

5. HOURS OF OPERATION:

Normal hours of coverage are Monday through Friday, 7:00am to 4:30pm Central Time excluding federal holidays. All service/repairs shall be performed during normal hours unless otherwise scheduled with the COR.

Work performed outside the normal hours of coverage at the request of COR will be billed at the price listed in the Price Schedule.

Note: Hardware/software update/upgrade installations, where applicable, will be scheduled and performed outside normal hours of coverage at no additional charge to the Government (unless it would be detrimental to equipment up-time; to be determined by the COR).

Federal Holidays observed by the VAMC are:

New Year’s Day Labor Day Martin Luther King Day Columbus Day

6. UNSCHEDULED MAINTENANCE (EMERGENCY REPAIR SERVICE):

a. Contractor shall maintain the equipment in accordance with 1.1 Conformance Standards, and the manufacturer’s specifications. As part of the Preventative Maintenance service, Contractor shall provide all calibrating, testing, cleaning, oiling, adjusting, or replacement parts to maintain the equipment in accordance with manufacturers specifications. All required parts to complete preventative maintenance service shall be included under this contract, excluding batteries, unless otherwise directed under this statement of work.

b. The CO or COR has the authority to approve/request a service call from the Contractor. Service calls for emergency repairs other than those related to the preventative maintenance and inspection services shall be paid separately from this contract. Emergency repairs will require a written estimate upon discovery of issue; quote submitted shall include cost of parts, labor, travel and any delivery charges to resolve issue. CO or COR approval of written estimate is required prior to parts being ordered and work performed. Failure to obtain CO or COR approval prior to performance of work or ordering of parts will not obligate the government.

c. Response time: Contractor must respond with a phone call to the COR or his/her designee within one (l) hour after receipt of telephoned notification to discuss the issue and to provide technical support to fix and/or stabilize the issue. If the problem cannot be corrected by phone, the contractor will commence work within six (6) hours after receipt of this second notification, and will proceed progressively to completion without undue delay. Emergency repairs will be at the request of the COR, will require a written estimate upon discovery of issue and resolution required including cost of parts, labor and any delivery charges. COR approval is required prior to parts being ordered and work performed.

7. SCHEDULED MAINTENANCE:

The contractor shall perform PM Service twice a year, in the months of April and October, to ensure that equipment listed in the schedule performs in accordance with Section 1.1, Conformance Standards, and the manufacturer’s specifications. The contractor shall provide and utilize procedures and checklists with worksheet originals indicating work performed and actual values obtained provided to the COR at the completion of the PM. The contractor shall provide written description of Preventive Maintenance Inspections (PMI). This description shall include an itemized list of the procedures performed, including electrical safety. PM services shall include, but need not be limited to, the following:

7.1 UPS SERVICES

1. Check for proper air flow, excessive heat, noise and vibration.

2. Verify correct status indications on the equipment.

3. Check instrumentation panel for proper operation and review the equipment alarm logs.

4. Record the equipment meter readings.

5. Check air filters

6. Inspect and replace, where indicated, electrical wiring and cables for wear and fraying

7. Check capacitors for blown fuses, swelling and leakage, check circuit breaker operation.

8. Check power waveforms.

9. Calibrate the circuits as required and torque power connections as required.

10. Providing documentation of services performed

7.2 BATTERY SERVICES

1. Inspect terminals and connections for corrosion.

2. Inspect batteries for cracks, leaks and swelling.

3. Clean batteries and racks.

4. Records all cell voltages.

5. Check ripple voltage and ripple current.

6. Check ambient temperature.

7. Torque all connections.

8. Verify that the float voltage is properly set.

9. Load test each battery with a resistive load.

10. Provide documentation (Electronic) of test results and services performed.

7.3 BATTERY REPLACEMENT (October 2022 - To be performed in Option Year 4 only) Contractor shall provide all labor, tools, materials, supplies and appropriate equipment, to replace the Batteries on 2 UPSs; including the removal and disposal of the old batteries, installation of the new batteries And testing and verification of proper function of the UPSs following the installation. The UPSs listed below will require the new batteries to be installed during the October 2022 visit.

1) NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS)

MANUFACTURER – LIEBERT

MODEL - NX,,,38SA060A0A00

SERIAL NUMBER – #2101200300210C010001

BATTERIES - #Data-Safe dry cell model#12-HX-150-FR; 100kVA; 48 batteries

EQUIPMENT I.D. NUMBER – EE # 16415

LOCATION – Sub-basement, Bldg 1

2) NAME/DESCRIPTION OF EQUIPMENT - Uninterruptible Power Supply (UPS)

MANUFACTURER: LIEBERT

MODEL # 47SA100JAC01090 100kVA

BATTERIES – 36 BATTERIES ENERSYS

SERIAL NUMBER #M17C1A

EQUIPMENT ID NUMBER – EE#23824

LOCATION – ELECTRICAL VAULT, SUB-BASEMENT, BLDG 1

8. PARTS:

The Contractor shall furnish and replace all worn or defective parts to meet uptime requirements as part of the maintenance contract. The Contractor shall have ready access to all parts, including unique and/or high mortality replacement parts in the event of an emergency repair requirement. All parts supplied shall be compatible with existing equipment. Batteries are excluded from this requirement except as outlined in this statement of work. The contractor shall use new parts. All parts shall be of current manufacturer and have complete versatility with the presently installed equipment. All parts shall perform identically to the original equipment specifications and shall not be installed without specific approval by the Contracting Officer or COR.

9. SERVICE MANUALS/TOOLS/EQUIPMENT:

The VAMC shall not provide tools, (test) equipment, service manuals or service diagnostic software to the contractor. The contractor shall obtain, have on file, and make available all operational and technical documentation which are necessary to meet the performance requirements of this contract. The location and listing of the service data manuals, by name and/or the manuals themselves shall be provided to the Contracting Officer upon request.

10. DOCUMENTATION/REPORTS:

The documentation will include detailed descriptions of the inspection and test procedures performed along with the results and recommendations to maintain proper function of the systems. Such documentation shall meet the guidelines as set forth in the Conformance Standards Section. The reports shall be sent electronically to the COR within 2 weeks of completion of the visit/work.

1. Name of contractor and FSE who performed services.

2. Contractor service ESR number/log number.

3. Date, time (starting and ending), equipment downtime and hours on-site for service call.

4. VA purchase order number(s) covering the call if outside normal working hours

5. Description of problem reported by COR/user (if applicable). Documentation shall be provided to COR within 1 week of testing and prior to invoicing

6. Identification of equipment to be serviced, and Invoice ID number, manufacturer’s name, device name, model number, serial number, and any other manufacturer’s identification numbers.

7. Itemized description of service performed (including costs associated with after normal working hour services) including: labor and travel, parts (with part numbers) and Materials and circuit location of problem/corrective action

8. Total Cost to be billed (if applicable—i.e., part(s) not covered or service rendered after normal hours of coverage)

9. Signature of FSE performing service described and VA Employee who witnessed service described.

10. MSDS: The contractor shall provide current Material Safety Data sheets (MSDS) for all hazardous materials brought into the building. This information will be provided to the COR.

11. Safety Hazards: The Contractor shall immediately notify the COR of any recognized safety hazard that might severely affect building occupants.

12. Deficiencies: Devices that cannot be calibrated, tested, or serviced in accordance with the manufacturer’s recommendations shall be reported as a deficiency and reported to the COR before contractor leaves the premises.

13. Emergency Service Calls: Defined as any service call that relates to the repair of the system outside of the regular required services. Coverage for emergency service calls is not included in this contract.

14. Damage to Equipment: Any damage to VA property caused by the contractor shall be repaired by the Contractor at no additional cost to the VAMC.

NOTE: ANY ADDITIONAL CHARGES CLAIMED MUST BE APPROVED BY THE CO BEFORE SERVICE IS COMMENCED

11. GENERAL INFORMATION:

11.1 ARRIVAL (CHECK-IN/CHECK-OUT):

The Contractor shall be required to report to Engineering Service to log in and check in with the VA Police to receive an identification badge. This check in/check out is mandatory. The badge must be worn & visible at all times while on VA property.

POC: Rick G Jones, M&R Supervisor, Engineering Telephone No. 906-774-3300 Ext. 32220

11.2 ADDITIONAL CHARGES:

There will be no additional charge for time spent at the site (during, or after the normal hours of coverage) awaiting the arrival of additional FSE and/or delivery of parts.

11.3 REPORTING REQUIRED SERVICES BEYOND THE CONTRACT SCOPE:

The Contractor shall immediately, upon discovery, notify the COR while onsite of the existence or the development of any defects in, or repairs required, to the scheduled equipment which the Contractor considers he/she is not responsible for under the terms of the contract. Written notice shall be provided to the CO and COR within 24 hours of discovery. The Contractor shall furnish the CO and COR with a written estimate of the cost to make necessary repairs.

11.4 CONDITION OF EQUIPMENT:

The Contractor accepts responsibility for the equipment described in Description of Services in 1.1.1 Equipment Identification. “as is" condition. Failure to inspect the equipment prior to contract award will not relieve the Contractor from performance of the requirements of this contract.

12. COMPETENCY OF PERSONNEL SERVICING EQUIPMENT:

Work must be performed by contractor personnel who are qualified to complete work as outlined in this statement of work. Contractor personnel must have training and experience that demonstrates proficiency in understanding the function, hazards, theory and maintenance of the equipment listed in this statement of work.

13. TEST EQUIPMENT:

Prior to commencement of work on this contract, the Contractor shall provide the VAH with a copy of the current calibration certification of all test equipment, which is to be used by the Contractor on VAH's equipment. This certification shall also be provided on a periodic basis when requested by the VAH. Test equipment calibration shall be traceable to a national standard.

14. IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS:

A. The Contractor shall wear visible identification at all times while on the premises of the VAMC.

B. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VAMC will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

C. Smoking is prohibited inside any buildings at the VAMC. Smoking shelters are provided.

D. Possession of weapons is prohibited.

E. Enclosed containers, including tool kits, shall be subject to search.

F. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state or municipal court.

15. DEFINITIONS/ACRONYMS:

A. Biomedical Engineer(ing) - Supervisor or designee.

B. CO - Contracting Officer

C. COR - Contracting Officer's Representative

D. PM - Preventive Maintenance Inspection. Services which are periodic in nature and are required to maintain the equipment in such condition that it may be operated in accordance with its intended design and functional capacity with minimal incidence of malfunction or inoperative conditions.

E. FSE - Field Service Engineer. A person who is authorized by the contractor to perform maintenance (corrective and/or preventive) services on the VAH premises.

F. ESR - Vendor Engineering Service Report. A documentation of the services rendered for each incidence of work performance under the terms and conditions of the contract.

G. Acceptance Signature - VA employee who is authorized to sign-off on the ESR which indicates that the PM has been concluded or is still pending completion, or that the Emergency Repair has been accomplished or is still in a pending status.

H. Authorization Signature - COR's signature; indicates COR accepts work status as stated in ESR.

I. NFPA - National Fire Protection Association.

J. CDRH - Center for Devices and Radiological Health.

K. VAMC - Department of Veterans Affairs Medical Center

QUALITY ASSURANCE SURVEILLANCE PLAN FOR

UPS SYSTEM & BATTERY CHARGING SYSTEM EQUIPMENT

INTRODUCTION

This Quality Assurance Surveillance Plan (QASP) has been developed to evaluate contractor actions while implementing this SOW. It is designed to provide an effective surveillance method of monitoring contractor performance for each listed objective on the Service Delivery Summary (SDS) in the maintenance contract.

The QASP provides a systematic method to evaluate the services the contractor is required to furnish.

This QASP is based on the premise the government desires to maintain a quality standard in operating, maintaining, and repairing facilities and that a service contract to provide the service is the best means of achieving that objective.

The contractor, and not the government, is responsible for management and quality control actions to meet the terms of the contract. The role of the government is quality assurance to ensure contract standards are achieved.

In this contract the quality control program is the driver for product quality. The contractor is required to develop a comprehensive program of inspections and monitoring actions. The first major step to ensuring a “self-correcting” contract is to ensure that the quality control program approved at the beginning of the contract provides the measures needed to lead the contractor to success.

Once the quality control program is approved, careful application of the process and standards presented in the remainder of this document will ensure a robust quality assurance program.

QUALITY ASSURANCE SURVEILLANCE PLAN

UPS System & EQUIPMENT (UPS)

All UPS Systems (UPS) and Battery Charging System equipment is maintained and repaired.

Equipment is in proper working order and maintained in accordance with manufacturer’s recommendations and standard commercial practices.

1.1., 1.4., 1.5.

and 1.9.

100% of all equipment is properly working.

Service Call Response

3.4.

95% of all service calls are satisfactorily completed within required time.

SURVEILLANCE: The government quality assurance (QA) person will receive complaints from base personnel and pass them to the contractor's quality control inspector (QCI) for correction.

STANDARD: One (1) customer complaint is permitted each Quarter. If more than 1 customer complaint is received the QA shall notify the contracting officer for appropriate action in accordance with FAR 52.212.4, Contract Terms and Conditions-Commercial Items (Oct 2003) or the appropriate Inspection of Services clause.

PROCEDURES: Any base employee that observes unacceptable services, either incomplete or not performed, for any of the above performance objectives should immediately contact the QA and the QA will complete appropriate documentation to record the complaint. The QA will consider the customer complaint valid upon receipt from the customer. The QA should inform the customer of the approximate time the unacceptable performance will be corrected and advise the customer to contact the QA if not corrected. The QA will consider customer complaints as resolved unless notified otherwise by the customer. The QA shall verbally notify the Contractor’s Quality Control Inspector (QCI) to pick up the written customer complaint. The QCI will be given two hours after verbal notification to correct the unacceptable performance. If the QCI disagrees with the complaint after investigation of the site and challenges the validity of the complaint, the QCI will notify the QA. The QA will conduct an investigation to determine the validity of the complaint. If the QA determines the complaint as invalid, he will document the written complaint of the findings and notify the customer. The QA will retain the annotated copy of the written complaint for his/her files. If after investigation the QA determines the complaint as valid, the QA will inform the QCI and the QCI will be given an additional hour to correct the defect. A defect will not be recorded if proper and timely correction of the unacceptable condition(s) is accomplished. The QCI shall return the written customer complaint document, properly completed with actions taken, to the QA, who will file the complaint for monitoring future recurring performance.

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oamm/oa/ars/policyreg/vaar/index.cfm C.2 FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN 2017) is incorporated by reference.

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS--COMMERCIAL ITEMS:

C.3 The following clauses are incorporated by reference:

52.232-40 PROVIDING ACCELERATED PAYMENT TO DEC 2013

SMALL BUSINESS SUBCONTRACTORS

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 calendar days prior to contract expiration.

(End of Clause)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

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

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

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

(End of Clause)

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008)

The bidder or offeror agrees that if a contract is awarded to him/her, as a result of this solicitation, he/she will not advertise the award of the contract in his/her commercial advertising in such a manner as to state or imply that the Department of Veterans Affairs endorses a product, project or commercial line of endeavor.

(End of Clause)

C.7 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)

(a) Definitions. As used in this clause—

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

(2) Designated agency office has the meaning given in 5 CFR 1315.2(m).

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

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

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

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

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

(1) VA’s Electronic Invoice Presentment and Payment System. (See Web site at http://www.fsc.va.gov/einvoice.asp.)

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org) includes additional information on EDI 810 and 811 formats.

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

(e) Exceptions. If, based on one of the circumstances below, the contracting officer directs that payment requests be made by mail, the contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office. Submission of payment requests by mail may be required for:

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

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

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

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

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

(End of Clause)

C.8 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

The contractor shall obtain all necessary licenses and/or permits required to perform this work. He/she shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract. He/she shall be responsible for any injury to himself/herself, his/her employees, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by his/her employees fault or negligence, and shall maintain personal liability and property damage insurance having coverage for a limit as required by the laws of the State of WISCONSIN. Further, it is agreed that any negligence of the Government, its officers, agents, servants and employees, shall not be the responsibility of the contractor hereunder with the regard to any claims, loss, damage, injury, and liability resulting there from.

(End of Clause) (End of Addendum to 52.212-4) C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS (JAN 2018)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(3) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(4) 52.233-4, Applicable Law for Breach of Contract Claim (OCT 2004)(Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[Contracting Officer check as appropriate.] __ (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

__ (2) 52.203-13, Contractor Code of Business Ethics and Conduct (Oct 2015) (41 U.S.C. 3509)).

__ (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (June 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

X_ (4) 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2016) (Pub. L. 109-282) (31 U.S.C. 6101 note).

__ (5) [Reserved].

__ (6) 52.204-14, Service Contract Reporting Requirements (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

__ (7) 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (Oct 2016) (Pub. L. 111-117, section 743 of Div. C).

X_ (8) 52.209-6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (Oct 2015) (31 U.S.C. 6101 note).

__ (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

__ (10) [Reserved].

__ (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (Nov 2011) (15 U.S.C. 657a).

__ (ii) Alternate I (Nov 2011) of 52.219-3.

__ (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

__ (ii) Alternate I (JAN 2011) of 52.219-4.

__ (13) [Reserved] X_ (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (Nov 2011) (15 U.S.C. 644).

__ (ii) Alternate I (Nov 2011).

__ (iii) Alternate II (Nov 2011).

__ (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

__ (ii) Alternate I (Oct 1995) of 52.219-7.

__ (iii) Alternate II (Mar 2004) of 52.219-7.

__ (16) 52.219-8, Utilization of Small Business Concerns (Nov 2016) (15 U.S.C. 637(d)(2) and (3)).

__ (17)(i) 52.219-9, Small Business Subcontracting Plan (Jan 2017) (15 U.S.C. 637(d)(4)).

__ (ii) Alternate I (Nov 2016) of 52.219-9.

__ (iii) Alternate II (Nov 2016) of 52.219-9.

__ (iv) Alternate III (Nov 2016) of 52.219-9.

__ (v) Alternate IV (Nov 2016) of 52.219-9.

__ (18) 52.219-13, Notice of Set-Aside of Orders (Nov 2011) (15 U.S.C. 644(r)).

__ (19) 52.219-14, Limitations on Subcontracting (Jan 2017) (15 U.S.C. 637(a)(14)).

__ (20) 52.219-16, Liquidated Damages—Subcon-tracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

__ (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Nov 2011) (15 U.S.C. 657 f).

X_ (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C. 632(a)(2)).

__ (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (Dec 2015) (15 U.S.C. 637(m)).

__ (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (Dec 2015) (15 U.S.C. 637(m)).

_X (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

__ (26) 52.222-19, Child Labor—Cooperation with Authorities and Remedies (Jan 2018) (E.O. 13126).

X_ (27) 52.222-21, Prohibition of Segregated Facilities (Apr 2015).

X_ (28) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

__ (29) 52.222-35, Equal Opportunity for Veterans (Oct 2015)(38 U.S.C. 4212).

X_ (30) 52.222-36, Equal Opportunity for Workers with Disabilities (Jul 2014) (29 U.S.C. 793).

__ (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

__ (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (Dec 2010) (E.O. 13496).

_X (33)(i) 52.222-50, Combating Trafficking in Persons (Mar 2015) (22 U.S.C. chapter 78 and E.O. 13627).

__ (ii) Alternate I (Mar 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

__ (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (Executive Order 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

__ (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA–Designated Items (May 2008) (42 U.S.C. 6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (ii) Alternate I (May 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

__ (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016) (E.O. 13693).

__ (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN 2016) (E.O. 13693).

__ (38)(i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Oct 2015) of 52.223-13.

__ (39)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-14.

__ (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007) (42 U.S.C. 8259b).

__ (41)(i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514).

__ (ii) Alternate I (Jun 2014) of 52.223-16.

_X (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011) (E.O. 13513).

__ (43) 52.223-20, Aerosols (JUN 2016) (E.O. 13693).

__ (44) 52.223-21, Foams (JUN 2016) (E.O. 13693).

__ (45)(i) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

__ (ii) Alternate I (JAN 2017) of 52.224-3.

__ (46) 52.225-1, Buy American—Supplies (May 2014) (41 U.S.C. chapter 83).

__ (47)(i) 52.225-3, Buy American—Free Trade Agreements—Israeli Trade Act (May 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

__ (ii) Alternate I (May 2014) of 52.225-3.

__ (iii) Alternate II (May 2014) of 52.225-3.

__ (iv) Alternate III (May 2014) of 52.225-3.

__ (48) 52.225-5, Trade Agreements (OCT 2016) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

X_ (49) 52.225-13, Restrictions on Certain Foreign Purchases (June 2008) (E.O.’s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

__ (50) 52.225-26, Contractors Performing Private Security Functions Outside the United States (Oct 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

__ (51) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

__ (52) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

__ (53) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

__ (54) 52.232-30, Installment Payments for Commercial Items (Jan 2017) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

_X (55) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (Jul 2013) (31 U.S.C. 3332).

__ (56)…