36C25218Q0785-001.docx

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 SI

GN 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. SIGN

ATURE 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

695-18-3-6093-0033 36C25218Q0785 03-27-2018

PASHOLK,SUSAN

414-844-4846 04-10-2018

NOON CENTRAL

Department of Veterans Affairs

GLAC (69D)

115 S 84TH STREET

Milwaukee WI 53214-1476 X X 541690 $15 Million X N/A X

CLEMENT J. ZABLOCKI VA MEDICAL CENTER

5000 W NATIONAL AVENUE

MILWAUKEE WI

53295 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

ELECTRICAL DISTRIBUTION SYSTEM MAINTENANCE AND TESTING

AT MILWAUKEE VAMC PER STATEMENT OF WORK

SERVICE CONTRACT LABOR STANDARDS APPLY

DOL WD 15-4899 (REV-5) 1/16/2018

APPLIES AND IS ATTACHED

100% SDVOSB SET ASIDE

VA POC RANDY GILMAN 414-384-2000 X41033

CO SUSAN PASHOLK 414-844-4846

695-3680162-6093-854100-2543 0100050190 X X x

SUSAN PASHOLK

CONTRACTING OFFICER

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(Continuation from Standard Form 1449, block 18A.)

1. Contract Administration: All task order administration matters will be handled by the following individuals:

a. CONTRACTOR: ______________________________________ (Contractor’s Name) ______________________________________ (Address) ______________________________________ (City-State-Zip) ______________________________________ (Point of Contact/Title)

PHONE NUMBER ______________________________________

FAX NUMBER ______________________________________

E-MAIL ADDRESS ______________________________________

DUNS NUMBER NO. ______________________________________

b. GOVERNMENT: SUSAN PASHOLK, CONTRACTING OFFICER

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:

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. Monthly 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.tungstennetwork.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 monthly, 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 eInvoicing 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 by the tenth (10th) of the following month services were performed to the Veterans Affairs Financial Services Center (VAFSC) eInvoice 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 1-877353-9791 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 IN ORDER 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 by e-mail to susan.pasholk@va.gov . A signed and dated 1449 must be included along with all other information requested herein by the due date and time. Offers 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 REQUIRED DOCUMENTATION: Contractor shall e-mail complete quote package with pricing information completed to susan.pasholk@va.gov:

1. Solicitation document with:

a. Contractor shall fill in the SF 1449 blocks 17a, 30a, 30b, and 30c.

b. Contractor shall fill in Pg. 2, 1(a).

c. Contractor shall fill in all unit and total costs under the PRICE/COST SCHEDULE or submit separately the spreadsheet with line items costs filled in.

2. Insurance, certifications, and documentation in accordance with the requirements within the performance work statement.

3. Quote documentation in accordance with 52.212-1; Instruction to Offerors

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.

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.

SECURITY & PRIVACY CONTROL

SPECIAL CONTRACT SECURITY REQUIREMENTS: Due to the increased emphasis on privacy and information security, the following special contract requirements are established and hereby made part of the contract entered into with the Department of Veterans Affairs.

Contractor Personnel must have Special Agreement Checks performed (SAC) prior to beginning work on this contract.

Contractor must sign Non-Disclosure (Attachment A).

Contractor computers must meet FIPS 140-2 like standards for password protection.

Privacy Training: Contractor and their sub-contractors assigned work under the contract are required to receive annual information security awareness training and patient privacy as established by HIPAA statues. Training must meet VHA’s and the Department of Health and Human Services Standards for Privacy of Individually-identifiable health information. Contractor shall provide documented proof to the contracting officer that all employees assigned work and/or having access to Protected Health Information have received annual training. Training can be obtained through http://www.ees-learning.net/

Contractor and all contractor employees performing work under this contract must sign Rules of Behavior for Automated Information Systems: Contractor personnel having access to VA Information Systems are required to read and sign the National VA Rules of Behavior statement which outlines rules of behavior related to VA Automated Information Systems. The National VA Rules of Behavior is signed as a component of the annual Information Security Awareness training.

If there are any questions related to the privacy awareness training, please have a member of your staff contact the VA Privacy Service at (202) 461-6309. If there are any questions related to the information security awareness training, please have a member of your staff contact the Office of Cyber Security at (304) 262-7733.

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 NOON CENTRAL MONDAY APRIL 2, 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 task order. 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 task order. 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 task order price to cover any increase in cost incurred thereof.

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. SITE VISITS MUST TAKE PLACE PRIOR TO NOON ON MONDAY APRIL 2, 2018. TO SCHEDULE A SITE VISIT, CONTACT COR RANDY GILMAN 414-384-2000 X41033.

LIMITATIONS ON SUBCONTRACTING – MONITORING AND COMPLIANCE

This solicitation includes 852.219-10. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

INSPECTION AND TESTING OF THE ELECTRICAL POWER DISTRIBUTION SYSTEM

SUPPLIES OR SERVICES AND PRICES/COSTS

The Contractor shall provide all labor, supervision, materials, tools, and equipment necessary to provide maintenance, inspection, testing, and calibration of the Electrical Power Distribution System and all of its components as well as the inspection and testing of the Load Shed located at the Clement J. Zablocki Medical Center, Milwaukee, WI as defined in the Statement of Work (SOW).

BASE YEAR: DATE OF AWARD THROUGH MARCH 31, 2019

CLIN DESCRIPTION QTY UNIT PRICE

Perform Maintenance, Inspection, Testing, and Calibration of the Electrical Power Distribution System per NETA requirements and Statement of Work for all areas marked Base Year on Attachment A. 1 JOB $__________

Perform inspection and testing of the Emergency Generator Load Shed per the Scope of Work 1 JOB $__________

TOTAL BASE YEAR $_________________

OPTION YEAR 1: APRIL 1, 2019 THROUGH MARCH 31, 2020

CLIN DESCRIPTION QTY UNIT PRICE

Perform Maintenance, Inspection, Testing, and Calibration of the Electrical Power Distribution System per NETA requirements and Statement of Work for all areas marked Option Year 1on Attachment A. 1 JOB $__________

Perform inspection and testing of

Shed per the Scope of Work 1 JOB $__________

TOTAL OPTION YEAR 1 $__________________

OPTION YEAR 2: APRIL 1, 2020 THROUGH MARCH 31, 2021

CLIN DESCRIPTION QTY UNIT PRICE

Perform Maintenance, Inspection, Testing, and Calibration of the Electrical Power Distribution System per NETA requirements and Statement of Work for all areas marked Option Year 2 on Attachment A. 1 JOB $__________

Perform inspection and testing of

Shed per the Scope of Work 1 JOB $__________

TOTAL OPTION YEAR 2 $_________________

TOTAL FOR BASE PLUS TWO OPTION YEARS $_________________________

STATEMENT OF WORK/SPECIFICATIONS

1.0 DESCRIPTION OF SERVICES

The Contractor shall provide all labor, supervision, materials, tools, and equipment necessary to provide maintenance, inspection, testing, and calibration of the Electrical Power Distribution System and all of its components as well as the inspection and testing of the Load Shed located at the Clement J. Zablocki Medical Center, Milwaukee, WI as defined in the Scope of Work (SOW).

2.0 GENERAL OVERVIEW

This Statement of Work (SOW) describes the requirements for the inspection, testing, and calibration of the Electrical Power Distribution System and all of its components at the VA Medical Center in Milwaukee, Wisconsin (MVAMC). These work items are referenced hereafter as “Maintenance and Testing” in this document.

This SOW describes the requirements for the Qualified Professional Electrical Contractor – known hereafter as “Contractors” in this document. Contractors who are contracted by VHA Medical Center to perform maintenance and testing of the Electrical Power Distribution System, and all of its components shall meet all requirements stated in Section 3, Scope of Work.

This SOW describes the requirements to establish maintenance and testing reports.

3.0 SUMMARY/SCOPE OF WORK

3.1 Work items, definitions, and references shall comply with the latest edition of the ANSI/NETA – Maintenance Testing Specifications, MTS-2015.

3.2 Contractors shall immediately report deficiencies that they deem critical or catastrophic to the Contracting Officer Representative (COR), and Chief or Facilities Management Service (Chief Engineer) for immediate action.

3.3 Maintenance, inspection and testing shall be performed on the Electrical Power Distribution System as per the following:

· ANSI/NETA MTS-2015 Maintenance, inspection, testing, and calibration requirements for all equipment as identified at the following link: http://www.netaworld.org/standards/ansi-neta-mts

· ANSI/NETA MTS-2015 Reference Tables and Appendix A (Definitions) for all required maintenance, inspection and testing requirements (Attachment 1)

· Equipment Inventory Part 1, 2, and 3 (Attachment A)

4.0 INSPECTION AND TESTS

The following testing will be completed each year on the items listed on the Equipment Inventory List:

4.1 System Function Tests

For all equipment as described throughout the Statement of Work.

4.2 Infra-Red Scanning (IR Scanning)

IR Scanning for all equipment as described throughout the Statement of Work.

4.3 Thermographic Survey

This work shall be performed while the Electrical Power Distribution System is energized. The contractor shall take all appropriate safety precautions before, during, and after scanning the system.

An infrared scanning camera shall be used to identify and document exceptions in the Electrical Power Distribution System. The objective will be to identify exceptions such as any loose, broken, or corroded connections within the system, short circuits, overloads, load imbalances, or faulty, mismatched, or improperly installed components. Problem connections shall be replaced with new connectors, and/or tightened with a torque wrench in accordance with the manufacturer’s specifications.

4.4 Test Conditions

· Contractor will de-energize/re-energize all Electrical Power Distribution Systems Equipment (EPDSE)

· Contractor to rack (Remove/Reinstall) and test all EPDSE

· All testing to be performed on weekends during the day, evenings and nights as required for safe and continuous operation of the medical center.

· Contractor shall ensure adequate staff (5-6 staff per test) will be allocated to this contract in order to complete all work according to approved schedule.

· After completing maintenance, testing, inspection and calibration of each device in the electrical distribution equipment the contractor shall place an adhesive label on each device containing their company name, test results and date of the services performed. The label must be in a format approved by the COR before using.

5.0 ITEMS TO BE INSPECTED

See Attachment A

NOTE: A one-line diagram drawing will be given the Contractor upon award.

6.0 CONTRACTOR QUALIFICATIONS

6.1 Contractors shall have at least three (3) years of experience as an Electrical Contractor with the properly trained and licensed permanent staff required to perform the proposed work. Electrical Contracting (i.e., the construction, repair, and maintenance of industrial and commercial electrical distribution systems) shall be the primary interest/specialty of the Contractor’s core business operation.

6.2 Contractors shall be licensed to perform the tests indicated in this SOW and have personnel that are certified by the InterNational Electrical Testing Association (NETA) as NETA Certified Technicians (or an equivalent certification) and have completed the Occupational Safety & Health Administration (OSHA) approved 10-hour construction safety training. There shall be at least one OSHA certified person present at the job sites at all times.

Contractors shall have safety training – either on-the-job or class-room type - in electrical safety outlined in the OSHA Standard 29 Code of Federal Regulations (CFR) 1910 Subpart S – Electrical, and the NFPA 70E – Standard for Electrical Safety in the Workplace. Each of the contractors on-site crew leaders shall hold a current certification, Level III or higher, in electrical testing. This certification shall be in accordance with ANSI/NETA ETT-2000, Standard for Certification of Electrical Testing Personnel. Field service personnel of the manufacturer of the equipment being evaluated shall be certified by the manufacturer to perform these electrical tests and inspections.

6.3 Contractor must provide copies of certification and training certificates/licenses for all employees who will be performing the tasks listed within this SOW. Training certifications or equivalent shall be submitted to the VA Contracting Officer with bid submittal.

6.4 Contract must submit a sample page(s) showing the format of the report they will be using for the final report and the data they will be including.

6.5 Contractors shall have a verifiable track record of working in the maintenance, inspection, and testing of complex Electrical Power Distribution Systems including medium and low voltage switch gear/switchboards, low voltage controls, backup generators, automatic transfer switches, wiring, transformers and other electrical appurtenances and their components in healthcare, industrial, educational, and/or commercial facilities for a minimum of three (3) years. Contractor must have verifiable experience with Eaton circuit breakers per the attached Inventory List.

6.6 Contractors shall have ready access to the latest versions of the following references:

· NFPA 70, National Electrical Code

· NFPA 70B, Recommended Practice for Electrical Equipment Maintenance

· NFPA 70E, Standard for Electrical Safety for the Workplace

· NFPA 99, Health Care Facilities Code

· NFPA 110, Standard for Emergency and Standby Power System

· OSHA Standard 29 CFR 1910, Subparts I, J, K &

· InterNational Electrical Testing Association, Inc. (ANSI/NETA MTS- 2015) Standard for Maintenance Testing Specifications for Electrical Power Distribution Equipment and Systems

· Operating/Maintenance manuals and specifications of the electrical equipment to be maintained and tested – These documents may be obtained from the VHA Medical Center. If not available, they shall be obtained from the equipment manufacturers

6.7 Contractors shall be equipped with all necessary tools, test equipment, and Personal Protective Equipment (PPE) including Hazard Risk Category 3 Arc Flash Suits meeting ASTM F 1506 Standard for Electrical Safety to perform the work safely, effectively, and in a timely manner. All tools, test equipment, and PPE shall also comply with the requirements of OSHA Standard 29 CFR 1910, Subpart I, and/or NFPA 70E as applicable. All instruments and test equipment utilized for this work shall meet the requirements of ANSI/NETA MTS-2015. Prior to the start of work, the contractor shall provide the MVAMC with documentation stating that all instruments and test equipment have been calibrated within the last 12 months. Dated calibration labels shall be visible on all instruments and test equipment.

6.8 When performing work under the provisions of this contract, the Contractor’s employees must strictly observe the requirements of all applicable Department of Veterans Affairs, U.S. Department of Labor Occupational Safety and Health Administration, U.S. and Wisconsin Environmental Protection Agencies, and VA Medical Center rules, regulations, and policies. Including but not limited to, rules and regulations pertaining to fire safety, infection control (ICRA), lock, and tag out procedures, and confined space entry within in the VA Medical Center.

7.0 REPORTS

A written ESR report shall be provided to the COR noting the work performed and shall be provided to the VA within 7 days of completion. In addition, each ESR must, at a minimum, document the information listed below legibly and in complete detail. A written report is required upon completion of all work performed under this agreement. Failure to provide written reports could result in delay of payments. Reports must be submitted in original copy. No carbon copies will be accepted.

· Company’s name, addresses, telephone, & FAX numbers.

· Name and signature of contractors who performed the maintenance and testing.

· VA Work Contract Number, name of VA Contracting Officer. Date and Time of Work

· Copies of Contractor’s Valid Licenses, Professional and Training Certificates

· Descriptions and Model Numbers of specialized tool and equipment used, such as torque wrench or infrared scanning camera.

· Location (to include building and room number), Type, Name and Name Plate Information of Electrical Equipment maintained and tested.

· Descriptions of work items Test Data

· Reference Materials such as equipment manufacturer’s specifications

· Remarks on conditions of electrical equipment, including a listing of all deficiencies, if any.

· Recommended corrective actions, if any

7.1 Submit two (2) hard copies of the final report and (1) CD-ROM containing an electronic copy of the report in Microsoft Word Format and all reference materials either by scanning or other file transfer methods. All reference materials shall be included in the electronic version of the report, either through scanning or other means of electronic text import methods. The report must include an Enclosure Condition Assessment Report (transformer enclosure/pedestal), a legible 1 Line Diagram with updated notes if necessary, and the reports for each of the tests conducted.

Contractor can break down schematics into sections with COR approval.

7.2 The contract must submit a list of panels, breakers, etc. that were found to not be on Attachment A to the COR with a cost estimate to test them. No work is to be performed on any items NOT on Attachment A.

8.0 HOURS OF OPERATION

8.1 Normal hours of operation are Monday through Friday from 8:00 am to 4:30 pm, excluding holidays. However, services will mostly be performed during the evening, midnight shifts 4:30 pm and 7:00 am during the week and all shifts during the weekend, unless otherwise requested or approved by the COR or his/her authorized designee. Work will be scheduled to have minimal impact on patient care services.

Dates for services must be selected in advance and provided to the COR within thirty (30) days of notice of award. The dates of service must be mutually agreed upon by both the Contractor and the COR.

8.2 Federal and National Holidays observed by the VAMC are:

New Year's Day Labor Day Independence Day Memorial Day Thanksgiving Day Christmas Day M L King's Birthday Columbus Day President's Day Veterans Day Independence Day

8.2.1 Also included would be any other day specifically declared by the President of the United States to be a National Holiday.

8.2.2 When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday.

8.2.3 The optimal holidays to work on would be any Federal Holidays.

9.0 SECURITY REQUIREMENTS

All contractors working at Milwaukee VAMC shall be fingerprinted prior to being allowed to work on campus. Contractor ID badges can be obtained from PIV office typically 3-5 days after approved SAC form is received and finger prints clear. ID badges are required for contractor employees working at VAMC Milwaukee.

10.0 PROTECTION OF GOVERNMENT PROPERTY

During work execution, the Contractor shall take special care to protect Government property including furniture, walls, baseboards, and other surfaces. Accidental splashes shall be removed immediately. Damage resulting from the Contractor operations shall be repaired by the Contractor, including painting, refinishing, or replacement, if necessary, at no additional cost to the Government. The Contractor shall be responsible to meet OSHA/Safety requirements in the performance of the work. This shall include, but not limited to, taking all the necessary precautions to protect the patients, visitors, and/or staff at each location. The Contractor shall be held responsible for any injuries and /or damage, which may be caused as a result of the Contractors failure to adhere to these requirements.

Damage

Extreme caution shall be exercised to prevent damage to the building and its contents. Any damage must be reported to the COR immediately for appropriate action. Any damage caused by the contractor will be repaired and/or replaced to the satisfaction of the VA at the Contractor’s expense.

11. CONFORMANCE STANDARDS

Contract service shall ensure that the equipment functions in conformance with the latest published edition of the applicable EPA, NFPA-96, UL, OSHA, VA, JCAHO, state, local, federal, and all applicable regulations for the work identified herein.

12. MANDATORY CHECK-IN REQUIREMENTS

The Contractor shall be required to report to the Facilities Management Office, Bldg 70, Wing E or the Graphics Center, Bldg 113 to log in for services performed under this contract. This check in is mandatory. The FSE shall also be required to log out with the above or as specified by the COR. ALL reports shall be submitted to the COR for an “Acceptance Signature.” If the COR is unavailable, a signed, authorized copy of the report will be sent to the Contractor after the work can be reviewed, if requested or noted on the report.

Telephone Number & Extension:

414-384-2000 ext. 41033

Contractor – Provide telephone number(s) to call for your service:

The Contractor will attend a pre-work orientation meeting prior to the commencement of work on site. The VA will schedule this meeting and it will include discussions of the following topics: (The VA will provide information to the Contractor regarding these topics and will document the meeting)

· Fire and Safety

· Infection Control

· Disaster Procedures

· Security

The Contractor will be responsible to ensure that Contractor employees coming to the work site will receive the information required above.

The Contractor will be responsible to ensure Contractor employees providing work on this contract are fully trained and completely competent to perform the required work.

13. DEFINITIONS/ACRONYMS

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.

ASTM – American Society for Testing and Materials

Authorization Signature – the COR’s signature; indicates that the COR accepts work status as stated on the ESR.

CO – Contracting Officer

COR – Contracting Officer’s Representative

EPA – Environmental Protection Agency

ESR – Employee/Vendor Service Report – A documentation of the services rendered for each incidence of work performance under the terms and conditions of the contract.

FSE – Field Service Employee - A person who is authorized by the Contractor to perform services on the VAMC premises.

NFPA – National Fire Protection Association

OSHA – Occupational Safety and Health Administration

VAMC – Department of Veterans Affairs Medical Center

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:

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 52.228-5 INSURANCE - WORK ON A GOVERNMENT INSTALLATION

(JAN 1997)

a) The Contractor shall, at its own expense, provide and maintain during the entire performance of this contract, at least the kinds and minimum amounts of insurance required in the Schedule or elsewhere in the contract.

(b) Before commencing work under this contract, the Contractor shall notify the Contracting Officer in writing that the required insurance has been obtained. The policies evidencing required insurance shall contain an endorsement to the effect that any cancellation or any material change adversely affecting the Government’s interest shall not be effective --

(1) For such period as the laws of the State in which this contract is to be performed prescribe; or (2) Until 30 days after the insurer or the Contractor gives written notice to the Contracting Officer, whichever period is longer.

(c) The Contractor shall insert the substance of this clause, including this paragraph (c), in subcontracts under this contract that require work on a Government installation and shall require subcontractors to provide and maintain the insurance required in the Schedule or elsewhere in the contract. The Contractor shall maintain a copy of all subcontractors’ proofs of required insurance, and shall make copies available to the Contracting Officer upon request.

(End of Clause) 28.307-2 -- Liability.

(a) Workers’ compensation and employer’s liability. Contractors are required to comply with applicable Federal and State workers’ compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer’s liability section of the insurance policy, except when contract operations are so commingled with a contractor’s commercial operations that it would not be practical to require this coverage. Employer’s liability coverage of at least $100,000 shall be required, except in States with exclusive or monopolistic funds that do not permit workers’ compensation to be written by private carriers. (See 28.305(c) for treatment of contracts subject to the Defense Base Act.)

(b) General liability.

(1) The contracting officer shall require bodily injury liability insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence.

(2) Property damage liability insurance shall be required only in special circumstances as determined by the agency.

(c) Automobile liability. The contracting officer shall require automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing the contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $5,000,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

(d) Aircraft public and passenger liability.When aircraft are used in connection with performing the contract, the contracting officer shall require aircraft public and passenger liability insurance. Coverage shall be at least $200,000 per person and $500,000 per occurrence for bodily injury, other than passenger liability, and $200,000 per occurrence for property damage. Coverage for passenger liability bodily injury shall be at least $200,000 multiplied by the number of seats or passengers, whichever is greater.

(e) Vessel liability. When contract performance involves use of vessels, the contracting officer shall require, as determined by the agency, vessel collision liability and protection and indemnity liability insurance.

SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employer’s liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

C.7 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.8 VAAR 852.203-71 DISPLAY OF DEPARTMENT OF VETERANS AFFAIRS HOTLINE POSTER (DEC 1992)

(a) Except as provided in paragraph (c) below, the Contractor shall display prominently, in common work areas within business segments performing work under VA contracts, Department of Veterans Affairs Hotline posters prepared by the VA Office of Inspector General.

(b) Department of Veterans Affairs Hotline posters may be obtained from the VA Office of Inspector General (53E), P.O. Box 34647, Washington, DC 20043-4647.

(c) The Contractor need not comply with paragraph (a)>a above if the Contractor has established a mechanism, such as a hotline, by which employees may report suspected instances of improper conduct, and instructions that encourage employees to make such reports.

(End of Clause)

C.9 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016) (DEVIATION)

(a) Definition. For the Department of Veterans Affairs, “Service-disabled Veteran-owned small business concern or SDVSOB:”

(1) Means a small business concern:

(i) Not less than 51 percent of which is owned by one or more service-disabled Veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more service-disabled Veterans or eligible surviving spouses (see VAAR 802.201 Surviving Spouse definition);

(ii) The management and daily business operations of which are controlled by one or more service-disabled Veterans (or eligible surviving spouses) or, in the case of a service-disabled Veteran with permanent and severe disability, the spouse or permanent caregiver of such Veteran;

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document;

(iv) The business has been verified for ownership and control pursuant to 38 CFR 74 and is so listed in the Vendor Information Pages database, (https://www.vip.vetbiz.gov); and

(v) The business will comply with subcontracting limitations in 13 CFR 125.6, as applicable.

(2) “Service-disabled Veteran” means a Veteran, as defined in 38 U.S.C. 101(2), with a disability that is service-connected, as defined in 38 U.S.C. 101(16).

(b) General.

(1) Offers are solicited only from verified service-disabled Veteran-owned small business concerns. Offers received from concerns that are not verified service-disabled Veteran-owned small business concerns shall not be considered.

(2) Any award resulting from this solicitation shall be made to a verified service-disabled Veteran-owned small business concern.

(c) Agreement. A service-disabled Veteran-owned small business concern agrees that in the performance of the contract, the concern will comply with the limitation on subcontracting requirements in 13 CFR § 125.6.

(d) A joint venture may be considered a service-disabled Veteran owned small business concern if the joint venture complies with the requirements in 13 CFR 125.15, provided that any reference therein to SDVO SBC is to be construed to apply to a VA verified SDVOSB as appropriate.

(e) Any service-disabled Veteran-owned small business concern (non-manufacturer) must meet the requirements in FAR 19.102(f) of the Federal Acquisition Regulation to receive a benefit under this program.

(End of Clause)

C.10 852.232-72 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.11 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.12 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.] _X_ (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].

_X_ (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.