36C25219Q0200.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

695-19-2-133-0247 36C25219Q0200 12-14-2018

PASHOLK,SUSAN

414-844-4846 12-21-2018

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

TOMAH VA MEDICAL CENTER

500 E VETERANS STREET

TOMAH WI 54660-3105

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

PATIENT LIFT PREVENTATIVE MAINTENANCE AT TOMAH VAMC

PER STATEMENT OF WORK

SERVICE CONTRACT LABOR STANDARDS APPLY

DOL WD 15-4929 (REV-7) 7-10-18 APPLIES AND IS ATTACHED

100% SB SET

ASIDE

VA POC CHRISTOPHER MICHAEL 605-315-0094

CO SUSAN PASHOLK 414-844-4846

695-3690160-133-825500-2580 01005555Y1 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:

The Certification & Accreditation (C&A) requirements of VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No C&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information Security

If there are any questions related to privacy, 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, 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 TUESDAY DECEMBER 19, 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. CONTACT COR CHRIS MICHAEL 605-315-0094 TO SCHEDULE A SITE VISIT.

PATIENT LIFT PREVENTATIVE MAINTENANCE

SUPPLIES OR SERVICES AND PRICES/COSTS

The Contractor shall provide all parts, equipment, material, labor and supervision, including travel costs, necessary to perform testing, preventative and corrective maintenance and all other necessary resources to accomplish the preventative maintenance inspections and repairs for the equipment and patient lift(s) as listed in Attachment A and this Statement of Work at the Tomah VA Medical Center, Tomah, WI.

BASE YEAR: DATE OF AWARD THORUGH DECEMBER 31, 2019

257 EA

OPTION YEAR 1: JANUARY 1, 2020 THROUGH DECEMBER 31, 2020

257 EA

OPTION YEAR 2: JANUARY 1, 2021 THORUGH DECEMBER 31, 2021

257 EA

OPTION YEAR 3: JANUARY 1, 2022 THROUGH DECEMBER 31, 2022

257 EA

OPTION YEAR 4: JANUARY 1, 2023 THROUGH DECEMBER 31, 2023

257 EA

Total Base and all Options

STATEMENT OF WORK/SPECIFICATIONS

The Contractor shall provide all parts, equipment, material, labor and supervision, including travel costs, necessary to perform testing, preventative and corrective maintenance and all other necessary resources to accomplish the preventative maintenance inspections and repairs for the equipment and patient lift(s) as listed in Attachment A and this Statement of Work at the Tomah VA Medical Center, Tomah, WI.

1. The Tomah VA Medical Center has approximately 257 separate ceiling mounted patient lifts that are installed throughout the Medical Center campus. Each of these patient lifts must be tested for weight and function annually and maintained according to manufacturer’s preventative maintenance manuals, schedules and requirements.

1.1. Refer to Attachment A, Patient Lift Inventory Schedule, for lift model number, PMI number, serial number and each lift location throughout the Tomah VA facility, by building and room number.

1.2. Scheduling of work shall be arranged with at least one, or all of the Point of Contacts below and in the following order; contract COR, Tomah VAMC BioMedical Technicians and the Tomah VA Medical Center Safe Patient Handling Champion.

1.2.1. See Table 1 below for Point of Contact information.

2. Contract Not to Exceed.

2.1. Quantity of ceiling lift systems serviced under this contract shall not exceed 300.

3. General Requirements.

3.1. Upon award of the contract, the Contractor shall coordinate with the COR and complete a report of conditions inventory, during the Contractors first scheduled preventative maintenance visit, of all patient lift systems, rail systems and related equipment at the Tomah VA Medical Center, and as listed in Attachment A, Patient Lift Inventory Schedule. Report of conditions shall include existing conditions and corrective maintenance performed, if any, on first scheduled visit, of patient lift, patient lift rail system and related equipment, with all model numbers, serial numbers and lift locations recorded by building and room. Report of conditions shall be provided to contract COR in digital form on removable digital media.

3.1.1. The completed report of conditions must be provided to the COR at a “Report of Conditions” meeting, which shall be coordinated by the COR and shall be attended by the COR, Contractor and all Contractor employees/sub-contractors.

3.2. The contractor’s FST (Field Service Technician) shall contact the COR/POC prior to performing service at this location and shall communicate to the COR of their presence on the Tomah VA Medical Center campus.

3.3. Inspections, testing, preventative maintenance and any required corrective maintenance must be completed by personnel who are qualified/certified to inspect and maintain each of the types of patient lift systems listed in Attachment A “Patient Lift Inventory Schedule” and shall have a minimum of three years’ experience in performing the required work under this contract and with each of the types of lift systems as follows;

3.3.1. Guldman GH2

3.3.2. Hill-Rom, Likorall 242 ES

3.3.3. Hill-Rom, Likorall 242 S R2R

3.3.4. Hill-Rom, Likorall 242 ES R2R

3.3.5. Hill-Rom, Likorall 243 ES

3.3.6. Hill-Rom, Likorall 250 ES

3.4. Upon contract award, Contractor shall provide the COR with the necessary documentation that demonstrates the required qualifications stated in Line Item 3.3.

3.5. The contractor shall obtain all other necessary licenses and/or permits required to perform all work under this contract.

3.6. Common parts should be available to allow contractor personnel to complete most required work without delays associated with waiting for parts or leaving campus to acquire any necessary or additional parts.

3.7. Contractor is responsible to replace any items damaged by the contractor, sub-contractor, their employees or equipment at no extra charge to the Government.

3.8. Contractor is responsible to clean up areas after each maintenance inspection/corrective action is complete and keep work areas clean always.

3.9. Contractor shall not interrupt any utility service while performing under this contract.

3.10. Contractor must notify COR in advance of any operation that requires cutting of or opening of ceiling assemblies or any work that creates excessive debris, dirt and dust. Any operation of this type will be subject to Infection Control Risk Assessment requirements, which shall be established at the kick-off meeting and clarified as necessary along the way.

3.11. Any part and/or service not covered by this service contract will not be installed without first procuring a formal purchase order from the local facility. The Contractor shall always consult with the COR if any additional service or parts, that are not part of this contract, are required for any patient lift system to function safely and correctly.

3.12. Contractor personnel must conduct their work in a manner that does not interfere with the normal functions of the facility and will stop work if asked by the CO/COR as required if interruptions do occur. Hours of work may need to be limited to daytime on units where patients sleep and night time in areas where patients would be exposed to risk by daytime work.

3.13. The Contractor is responsible for supplying, completing, and submitting all reports required or requested by any additional Federal, State, or local codes as they pertain to any work performed under this contract.

3.14. The Contractor will be required to furnish the medical center with all required SDS (safety data sheets) for all chemicals used during inspection, testing and maintenance of patient lifts systems.

3.15. No hot electrical work shall be performed. Any electrical work that is necessary must be coordinated with the COR and the facility electricians. All OSHA and Facility lockout/tagout procedures shall be followed.

3.16. Inspection of patient lift structure and function must meet the manufacturer’s requirements as described in the lift instructions and service manuals, including, but not limited to; moving parts, rollers, bearings, end stops, electrical connections, and clearances. Functional inspection will include all normal functions of the lift.

3.17. Each weight test must include a full lifting cycle at maximum rated load capacity, with the weights attached appropriately to the hanger bar so that the entire system is tested.

3.18. Common parts should be available to allow contractor personnel to complete most required work without clearing the same room multiple times.

3.19. All surplus patient lift system parts and accessories shall be the sole property of the Tomah VA Medical Center and shall not be removed from the medical center grounds. Excess patient lift parts and accessories shall be turned over to the Tomah VA Medical Center. All patient lift system batteries that have been determined to have failed and marked for disposal or non-use, shall be turned over to the Tomah VA Medical Center.

3.20. Any new patient lift parts, batteries or accessories supplied by the Contractor for installation shall be new and in undisturbed factory packaging. Battery replacements shall not be used batteries and shall not be re-used or installed into any facility patient lift systems.

3.21. Contractor shall not interrupt any utility service or fire alarm service while performing under this contract.

3.22. No weight testing will occur in patient rooms where the patient is present. Contractor will coordinate with the COR, Nursing staff and any other service staff to ensure that empty rooms are available for work.

3.23. All Contractor FST’s (Field Service Technicians) shall obtain and display contractor identification badges. Identification shall be worn visible always by the Contractor and all Service technicians while on premises.

4. Scope.

4.1. The Contractor shall provide all parts, equipment, material, labor and supervision, including travel costs, necessary to perform testing, preventative and corrective maintenance and all other necessary resources to accomplish the preventative maintenance inspections and repairs for the equipment and patient lift(s) as listed in Attachment A, “Patient Lift Inventory Schedule”., or except as may otherwise be specified in this statement of work.

4.2. Contractor shall perform required weight and function tests, preventative and corrective maintenance of approx. 257 patient ceiling lift systems throughout the Tomah VA Medical Center in accordance with the following;

4.2.1. Each of the installed Patient Lift Manufacturers preventative maintenance manuals, schedules, requirements and patient lift service manual checklists (See Attachment E).

4.2.2. ISO 10535: 2006, Hoist for the Transfer of Disabled Persons.

4.2.3. Patient Safety Alert AL 14-07 Addendum and associated checklists (See Attachment B). Checklists are as follows.

4.2.3.1. Corrective and Preventative Maintenance Checklist for Ceiling Mounted Patient Lifts. (See Attachment C)

4.2.3.2. Installation or Relocation Checklist for Ceiling Mounted Patient Lifts (See Attachment D).

4.2.3.3. Contractor shall be required to receive all necessary signatures for above checklists to be compliant with Line item 4.2.3.

4.2.4. If there are conflicts with all the above maintenance requirements, the most stringent maintenance requirement shall apply.

4.3. Contractor shall install new maintenance stickers on all equipment listed in Attachment A – Patient Lift Inventory Schedule. The new patient lift stickers shall be installed at the data plate end of the patient lift and shall have lettering that is easily legible by the naked eye.

4.3.1. Information on sticker shall be as follows and in the order as follows;

4.3.1.1. The Tomah VA Medical Centers assigned PMI number.

4.3.1.2. Contractors name and contact information

4.4. Contractor shall install and maintain an additional dynamic patient lift sticker system that shall contain the following information. This sticker shall be placed at the data plate end of each lift system;

4.4.1. Date of current service completion and date of next service due. Date format shall be MM/DD/YYYY.

4.4.2. Name/Initials of FST (Field Service Technician) that performed equipment maintenance and service.

4.5. Equipment sticker in line item 4.3 above shall be removed at each maintenance cycle and replaced with a new sticker. New sticker shall duplicate the information stated in line 4.3.1 and 4.4.2 above.

4.6. The Contractor shall ensure the proper functioning and safety of all patient lift systems at the completion of each inspection/repair cycle.

4.7. Any changes to this SOW shall be authorized and approved only through written correspondence from the Contracting Officer in coordination with the Contracting Officers Representative. Costs incurred by the contractor through the actions of parties other than the Contracting Officer shall be borne by the contractor.

4.8. Notwithstanding, the Contractor shall perform no additional work without the prior written authorization of the Contracting Officer. Any additional work, which may be performed by the Contractor without this approval, will be performed by the Contractor at no additional cost to the Government.

5. Contract Deliverables. Scope of the Work shall include, at the minimum, the following tasks/deliverables;

5.1. Documentation, which shall be referenced as the FSR (Field Service Report) for purposes of this SOW, to include all the following;

5.1.1. The FSR shall be the record of all inspections, tests, all preventative maintenance performed and any required corrective maintenance performed.

5.1.2. The FSR must include the date of inspection, testing and PM (Preventative Maintenance)/CM (Corrective Maintenance), the serial number and Facility PMI (Preventative Maintenance Inspection) number of the lift or trolley system being tested and name of FST (Field Service Technician) who performed all work.

5.1.3. The completed manufacturer’s annual inspection checklist, Attachment E – “Likorall Service Manual, all Sizes”, shall be provided as an attachment to the FSR.

5.1.4. If applicable, the completed Corrective and Preventative Maintenance Checklist for Ceiling Mounted Patient Lifts (Attachment C), with Contractor and VA Representatives’signatures, shall be provided as an attachment to the FSR.

5.1.5. If Applicable, the completed Installation or Relocation Checklist for Ceiling Mounted Patient Lifts (Attachment D), with signatures, shall be provided as an attachment to the FSR.

5.1.6. Additionally, any observations of importance for the safety of the hoist, the room number of the lift’s location, and any corrective actions taken shall be notated.

5.1.7. All of the above documentation shall be provided to the COR in digital format on removable digital media.

5.2. A photo must be taken of the weight test of each lift at 100% capacity, with the lift identifier sticker included. Photos shall be time/date stamped. Photos must be supplied on removable digital media as an additional deliverable.

5.3. Contractor must notify COR immediately, separately from certification forms, of any damage that jeopardizes the safety of the hoist system and any corrective action required to fix the patient lift so it can be put it back into service.

5.4. Contractor will provide all necessary parts, labor, shipping and travel to correct any deficiencies identified by all tests and maintenance checklists.

5.5. Work will be insured, warranted and certified for 12 months following the completion of the testing and maintenance.

5.6. If the contractor requires a longer period to complete the field service report, a written justification shall be sent to the end user and the Contracting Officer for approval.

(1) Hardcopy at discretion of COR

· Digital Copy to COR

· Standard Distribution*

7 Days After Service Completion

* Standard Distribution: 1 copy of the transmittal letter without the deliverable to the Contracting Officer shall be Emailed.

6. Performance Monitoring and Quality Assurance

6.1. The Tomah VA Medical Center Biomedical Engineering Dept. shall randomly inspect approx. 7% of patient lifts after each testing, maintenance and service cycle for this contract.

6.2. If said inspections yield results contrary to what was indicated on each corresponding FSR for that cycle, the COR shall do the following;

6.2.1. Contact the Contracting Officer and provide supporting documentation that indicates Contractor non-performance.

6.2.2. Consult and coordinate with Contracting Officer, Contractor and subject matter experts (Biomedical Engineering) to oversee the implementation of a Contractor provided plan that will indicate how non-performance will be corrected and what time frame corrections will be completed in.

6.2.3. Coordinate an additional follow-up inspection with the subject matter experts (BioMedical Engineering) to verify that corrections have been completed successfully.

6.2.4. Coordinate with the subject matter experts (BioMedical Engineering) for an additional (3%) random inspections for each testing, maintenance and service cycle, in addition to the standard 7% inspections, until performance measures are met for two consecutive testing, maintenance and service cycles by the Contractor per contract requirements.

6.3. All the measures indicated in Line Item 8.2 and its sub-items will be addressed by the Contractor at no additional cost to the Government.

7. Security Requirements.

7.1. All FST’s (Field Service Technician(s)) shall obtain contractor ID badges from the COR. Identification shall be worn visible always by the Contractor and all Service technicians while on premises.

7.2. During normal working hours of operation, Monday through Friday, the contractor shall sign in with the work order Clerk located in B40 when arriving on campus to perform work and sign out with the work order Clerk when work is complete.

7.3. During other than normal hours of operation, the contractor shall sign in and out with the Fire Department located on the east end of B36.

8. Hours of Coverage.

8.1. Normal hours of coverage are Monday through Friday from 7:30 am to 4:30 pm, excluding holidays. All service/repairs will be performed during normal hours of coverage unless requested or approved by the COR or their designee.

8.2. All PM services shall be on a date and time mutually agreed upon between the Contractor and the COR.

8.3. Federal Holidays observed by the VAMC are:

9. Risk Control

9.1. The Contractor shall take all necessary precautions to protect government property and shall repair any damage caused by their efforts.

9.2. All work affecting patients shall be coordinated in advance by the Government and the Contractor to have minimal impact on the patients.

10. Place of Performance.

10.1. Tomah VA Medical Center, 500 E. Veterans St., Tomah, WI. 54660.

11. Period of Performance.

11.1. Within thirty (30) days of the award of this contract, the Contractor and the Government shall agree upon a date for the annual testing to take place.

11.2. All work is to take place during the normal hours of operation defined herein, unless agreed upon by the COR in advance, and at no additional cost to the Government.

11.3. Support is to occur as scheduled and at the request of the government and as required during the period of performance.

11.4. Work shall be completed in a timely manner and a performance schedule shall be coordinated with the Government upon contract award.

11.5. The performance schedule shall be reviewed at the end of each option year by the COR and Contractor and revised as needed.

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 LIMITATIONS ON SUBCONTRACTING – MONITORING AND COMPLIANCE (JUL 2018)

(a)This solicitation includes 852.219-14.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6. The Contractor is advised that in performing contract administration functions, the Contracting Officer 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.

(c) 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 Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) 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 Contracting Officer to assess the Contractor’s compliance with the limitations on subcontracting or percentage of work performance requirement.

(End of Clause)

C.9 852.232-72 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.10 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.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUTES OR EXECUTIVE ORDERS--COMMERCIAL ITEMS

(OCT 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) 52.204-23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (JUL 2018) (Section 1634 of Pub. L. 115-91).

(3) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (Nov 2015).

(4) 52.233-3, Protest After Award (AUG 1996) (31 U.S.C. 3553).

(5) 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 2018) (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 (Oct 2018) (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.

X_ (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

__ (17)(i) 52.219-9, Small Business Subcontracting Plan (Aug 2018) (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 (Aug 2018) of 52.219-9.

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

_X (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)(i) 52.222-26, Equal Opportunity (Sept 2016) (E.O. 11246).

(ii) Alternate I (FEB 1999) of 52.222-26.

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

(ii) Alternate I (JULY 2014) of 52.222-35.

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

(ii) Alternate I (JULY 2014) of 52.222-36.

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

_X (32) 52.222-40, Notification of Employee Rights Under the…