36C25220Q0497.docx

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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 ATTA

CHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNAT

URE 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

36C25220Q0497 06-01-2020 Cannaday,Erika 414-844-4800 X43253 06-12-2020 10:00 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 561720 $19.5 Million N/A X 36C252 Milo C. Huempfner Veterans Affairs Health Care Center 2851 University Avenue Green Bay WI 54311 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 877-353-9791 512-460-5540 See CONTINUATION Page Selected contractor to provide janitorial services, in accordance with the Performance Work Statement, at Milo C.

Huempfner Veterans Affairs Health Care Center in Green Bay, Wisconsin. See Continuation Page.

The latest DOL Wage Determination (#15-4893, revision 10, dated 12/23/2019) shall apply to any award made from this Solicitation.

See CONTINUATION Page X

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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

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

a. CONTRACTOR: (Contractor’s Name)

(Address)

(City, State Zip)

(Point of Contact)

PHONE NUMBER ______________________________________

E-MAIL ADDRESS ______________________________________

DUNS NUMBER NO. ______________________________________

b. GOVERNMENT: ERIKA A CANNADAY, 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:

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

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

a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Payments shall be made in arrears upon receipt of a properly prepared invoice

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

d. 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) e-Invoice through the website at https://portal.Tungsten-Network.com/Login.aspx. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at 1-877-489-6135.

e. 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.

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

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 2018)

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

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

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

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

* Tungsten Network e-Invoice email: VA.Registration@Tungsten-Network.com

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

* FSC e-invoice 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:

OFFER REQUIREMENTS & INSTRUCTIONS:

See Section E.1. 52.212-1 Instructions to Offerors – Commercial Items (OCT 2018) and Section E.2. General Instructions to Offerors.

EVALUATION/BASIS OF AWARD:

This is a commercial item acquisition that will be conducted under the authority of FAR Part 13.5 Simplified Procedures 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. See 52.212-2 Evaluation – Commercial Items for a description of the factors that the Government will use to evaluate offers. Prospective contractors must furnish the information listed herein with their proposals to ensure they receive full consideration.

CONTRACT ADMINISTRATION:

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

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 erika.cannaday@va.gov no later than Wednesday, June 3, 2020, at 1:00 p.m. local time. Contracting will issue a consolidated response via solicitation amendment to Contract Opportunities, beta.sam.gov, to all parties.

SITE VISIT:

A site visit will be conducted on Tuesday, June 2 at 10:30 a.m. local time. All site visit participants are required to wear a mask and will need to follow social distancing guidelines, by staying six (6) feet apart from one another.

B.2 PRICE/COST SCHEDULE

Base Period: 7/1/2020 – 9/30/2020

Base Period Total Price: $

Option Year One: 10/1/2020 – 9/30/2021

Option Year One Total Price: $

Option Year Two: 10/1/2021 – 9/30/2022

Option Year Two Total Price: $

Option Year Three: 10/1/2022 – 9/30/2023

Option Year Three Total Price: $

Option Year Four: 10/1/2023 – 9/30/2024

Option Year Four Total Price: $

Total BASE PERIOD AND ALL OPTION YEARS PRICE: $

B.3 PERFORMANCE WORK STATEMENT

A. SCOPE OF WORK:

The Contractor shall furnish all the supplies, materials, machinery, appliances, supervision and labor necessary to provide complete janitorial service for the Milo C. Huempfner Outpatient Clinic (Clinic), in Green Bay Wisconsin The Clinic consists of approximately 161,000 square feet of health care clinic space.

The Contractor shall comply with applicable Federal, State, and local safety and fire regulations and codes. The Contractor shall keep abreast of and comply with changes in these regulations and codes applicable to the contract. The Contractor shall abide by all procedures and precautions that may be implemented by the VA based on VA issued guidance and/or CDC recommendations. These procedures are subject to change throughout the life of the contract.

B. CLEANING SERVICES

Cleaning Services outlined below shall be completed in accordance with this Performance Work Statement and Appendix A, Frequency of Work.

1. Maintain Floors.

1.1 Sweep and Mop Floor. All floors, except carpeted areas, shall be swept, dust mopped, damp mopped, or wet mopped using a microfiber mopping, not a double bucket loop mopping, system to ensure they have a uniform, glossy appearance and are free from dirt, debris, dust, scuff marks, and other discolorations. Grout on wall and floor tiles shall also be free of dirt, scum, mildew, and residue. Floors shall have a uniform appearance without streaks, detergent residue, or any evidence of soil, stain, film or standing water. Baseboards, corners, and wall/floor edges shall also be cleaned. Floor maintenance solutions shall be removed from all surfaces, including baseboards, furniture, and trash receptacles. Chairs, trash receptacles, and other items shall be moved to maintain floors underneath and returned to their original location.

Contractor shall mop using only clean water and appropriate cleaning agents, changing the water after each room/space. Soiled mop heads shall be replaced after each room/space cleaning and laundered after each shift. Straw or push brooms will be used only in sweeping exterior areas. All adhering matter will be removed through the use of a putty knife or other appropriate tool.

1.2 Strip, Scrub, Seal, and Wax Floors. Floors shall be stripped, scrubbed, and waxed to maintain sanitary conditions and a clean, uniform glossy appearance free of scuff marks, wax build-up and other stains or discolorations. A non-skid wax is required. Stripping shall be accomplished using a non-ammoniated finish remover. A minimum of five (5) coats of finish should be applied. Any splash on baseboards, walls, etc. will be removed. Additional finishing may be required in heavy traffic areas between regularly scheduled finishing to keep the floor protected and provide an even appearance. Terrazzo floors will be honed and buffed to maintain uniform appearance.

2. Maintain Carpets and Floor Mats.

2.1 Vacuum Carpets. Vacuum carpeted areas. After vacuuming, the carpeted area shall be free of all visible dirt, debris, litter and other foreign matter. Area and throw rugs are included to receive this service. All tears, burns, and raveling shall be brought to the attention of the COR (Contracting Officer Representative).

2.2 Clean/Shampoo Carpets. Shampoo carpeted areas to create a uniform in appearance free of stains and discoloration. Any spots or stains shall be removed by carpet manufacturer’s approved methods as soon as noticed. A heavy-duty spot remover may be required in heavily soiled areas. All cleaning solutions shall be removed from baseboards, furniture, trash receptacles, chairs and other similar items. Chairs, trash receptacles, and other items shall be moved to clean carpets underneath and returned to their original location.

2.3 Vacuum and Clean Floor Mats. Vacuum and clean interior and exterior floor mats. After vacuuming or cleaning, mats shall be free of all visible lint, litter, soil and other foreign matter. Soil and moisture underneath mats shall be removed, and mats returned to their normal location.

3. Remove Trash. All trash receptacles inside and outside the building shall be emptied and returned to their initial location. All trash containers shall be fitted with a disposable clear plastic liner. All plastic liners for trash receptacles shall be replaced with new ones when receptacles are emptied. All accumulated non-infectious trash will be collected in clear liners at least daily and deposited in the dumpster designated by the COR. All infectious trash will be double bagged in red bags and placed in the red, plastic, sealable containers for disposal in accordance with conformance standards. Bio-hazard trash shall be placed in the soiled utility room or designated area for scheduled pick-up. The Contractor shall change out sharps containers in exam room, medication room, or any other designated area when 2/3 full and place sharps container(s) in soiled utility room for scheduled pick-up.

Trash and recyclable receptacles shall be cleaned with a detergent wash and be free of foreign matter, and free of odors.

4. Empty/Clean Recycling. All recycling containers will be emptied and returned to their initial location. Cardboard boxes will be broken down and placed within the recycling dumpster on the loading dock. Cans, paper and other recyclables placed in or near a trash receptacle shall be removed and placed within the recycling dumpster on the loading dock.

5. General Spot Cleaning. Perform spot cleaning on a continual basis. Spot cleaning is removing, or cleaning smudges, fingerprints, marks, streaks, spills, and other blemishes from washable surfaces of all walls, partitions, vents, grillwork, doors, door guards, door handles, push bars, kick plates, light switches, temperature controls, and fixtures. After spot cleaning, the surface shall have a clean, uniform appearance, free of streaks, spots, and other evidence of soil.

6. General Dusting. All surfaces must be dusted or cleaned to eliminate dust collection. All furniture, medical and other equipment is also to be kept free from dust.

7. Clean Air-Conditioning/Heating Vents. All heating and air conditioning ventilation grates/grilles/louvers/covers shall be kept free from dust and dirt and shall be cleaned on an as needed basis.

8. Clean Fluorescent Light Fixture Diffusers. All plastic diffusing lenses for ceiling mounted fluorescent light fixtures will be kept in a clean condition (on both sides of diffuser) and free of dust, dirt, and dead insects.

9. Clean Interior Glass/Mirrors. Clean all interior glass, including glass in doors, partitions, walls, display cases, directory boards, and stairs. After glass cleaning, there shall be no traces of film, dirt, smudges, water, or other foreign matter.

10. Clean Interior Windows. Clean glass windows throughout the area. After surfaces, have been cleaned, all traces of film, dirt, smudges, water and other foreign matter shall be removed from frames, casings, sills, and glass.

11. Clean Drinking Fountains. Clean and disinfect all porcelain and polished metal surfaces, including the orifices and drain, as well as exterior surfaces of fountain. Drinking fountains shall be free of streaks, stains, spots, smudges, scale, and other obvious soil.

12. Restrooms.

12.1 Clean and Disinfect. Clean and disinfect all surfaces of sinks, toilet bowls, lavatories, dispensers, plumbing fixtures, partitions, dispensers, doors, walls, and other such surfaces, using a germicidal detergent and a microfiber rag. After cleaning, surfaces will be free of deposits, dirt, streaks, and odors. Disinfect all surfaces of partitions, stalls, stall doors, entry doors, including handles, kick plates, ventilation grates, metal guards, and wall areas adjacent to wall mounted lavatories and toilets. Soiled microfiber rags shall not be immersed in cleaning solution. Plunge all sinks and urinals, when clogged.

12.2 De-scale sinks, toilet bowls and urinals. De-scaling shall be performed to keep areas free of scale, soap films, and other deposits. After de-scaling, surfaces shall be free from streaks, stains, scale, scum, urine deposits, and rust stains.

13. Clean/Disinfect Examination Room/Lab Room Furniture. Patient examination tables, visitor chairs, and blood draw chairs in all examination rooms or lab rooms will be cleaned and disinfected with Food and Drug Administration/Environmental Protection Agency (FDA/EPA) approved germicidal detergent.

14. Clean/Disinfect Operation Rooms, Pre-Post Op rooms, Gastrointestinal (GI) procedural rooms, sterile processing services (SPS), pharmacy, dialysis and oncology rooms. Operating rooms should be damp dusted every morning prior to the rooms being setup for cases by Operating Room staff, cleaned in between procedures according to Association of periOerative Registered Nurses (AORN) guidelines (https://aornguidelines.org/guidelines/content?sectionid=173715702&view=book), and an end of day terminal cleaning in all Operating Rooms. Terminal cleaning is required in pharmacy IV rooms, in accordance with the United States Parmacopeia (USP) guidelines, USP 797 (https://www.usp.org/compounding/general-chapter-797). Terminal clean is required in Sterile Processing Service (SPS), gastrointestinal (GI) procedures rooms, dialysis/oncology treatment rooms and Pre-Post Operation rooms.

15. Stock (Janitorial) Examination Room/Restroom Supplies. Contractor shall ensure examination rooms/restrooms are stocked sufficiently with supplies, so that the soap dispensers, lotion dispensers, sanitizer solutions, paper towels, and toilet paper do not run out. Supplies shall be stored in designated areas and shall be kept up off surface of the floors. No overstocking shall be allowed.

16. Exterior Cleaning. Remove all debris from all entrances and exits and within a 6-foot radius, including around trash receptacles, exterior seating, and sidewalks on a daily basis. Outside entrance areas should also be swept and scrubbed of stains and spillage.

17. Break Rooms. Clean and disinfect all sinks, tables, chairs and polished metal surfaces, including the orifices and drain, as well as exterior surfaces of cabinets, refrigerators and ice machines. Sinks shall be free of streaks, stains, spots, smudges, scale, and other obvious soil. Clean the insides of microwaves.

18. Isolation Cleaning. Properly clean and disinfect all affected areas of the Clinic according the standards established at the Clement J. Zablocki VA Medical Center in Milwaukee in cases of suspected cases where Contact, Airborne, or Droplet precautions are implemented. These cases could include but are not limited to VRE, MRSA, Clostridium Difficile (C-Diff), and Tuberculosis.

19. Privacy Curtains

19.1. Soiled Privacy Curtains. When notified by a staff member that a curtain needs to be replaced, contact Environment of Care staff to receive a clean curtain, supplied by the VA. Take down soiled patient curtains and place in Linen bags. Hang clean curtain and bring soiled curtains to the soiled linen room.

19.2. Regular Changing of Privacy Curtains. Exam room and clinic privacy curtains are exchanged with clean curtains, supplied by the VA, semi-annually in GI, Oncology, Ambulatory Procedure Clinic (APC), Post Anesthesia care Unit (PACU) and Dialysis. Annually in all other areas, or if visibly soiled at any time.

C. JANITORIAL CLOSETS

1. All designated janitorial closets will be kept clean and orderly. No food or drink in storage closet or cart.

2. Mop heads and bristles on brooms will be stored clean and free of debris.

3. Mop buckets, buckets, and miscellaneous containers will be free of standing liquid and debris.

4. Cleaning chemicals should be stored below eye level and below any paper products. Supplies will be stored in cabinets off the floor. Brooms and mops can be hanging from wall hooks.

5. Electrical equipment stored in the clinic will be in working order. No broken or unsafe equipment will be stored in the janitorial closets/clinic.

6. Corrugated cardboard shipping containers, wood shelving and pallets are prohibited from use in storage and janitorial supply rooms.

D. SCHEDULING

1. Normal business hours for the clinic are 6:00am to 11:00 pm, Monday through Friday. The contractor will have access to the clinic Monday through Friday from 6:00 a.m. to 12:00 a.m. Cleaning MUST occur between the hours of 6:00 a.m. and 12:00 am, Monday through Friday, excluding legal holidays.

2. The Contractor shall be responsible to provide the required number of employees necessary to perform all services defined in Section B herein within the time periods specified. Contractor personnel will be required to immediately respond to any emergencies, such as spills or vomit, that may occur during normal clinic hours.

3. Contractor shall provide at least one supervisor, which shall be assigned to the clinic daily as the main contact between the VA and the Contractor. Supervisor must be available during cleaning work hours. The name of the supervisor shall be provided to the COR prior to commencement of services and the COR will be notified of any changes in the designation of the Supervisor. The Supervisor shall be responsible to notify the COR no later than 8:00 am each workday, of any delay or absence of any employee and to advise the COR daily what corrective action will be immediately taken to meet the contract requirements. If an employee is not able to be on site on any given day, the Contractor will locate a substitute as soon as possible so that the work schedule is maintained at all times.

3. The ten legal holidays observed by the Federal Government are:

When one of the above designated legal holidays falls on a Sunday, the following Monday will be observed as a legal holiday. When a legal holiday falls on a Saturday, the preceding Friday is observed as a holiday by U.S. Government agencies.

E. CONTRACTOR FURNISHED PROPERTY AND SUPPLIES:

1. The Contractor shall furnish all necessary supplies, except as specified in Section B.15 and B.19. This includes furnishing restroom supplies such as toilet tissue, multifold and roll paper towels, and hand soap. The Contractor shall also furnish plastic liners for all waste receptacles and hazardous waste bags.

NOTE: The COR has the authority to approve all supplies for use and Safety Data Sheet (SDS) sheets are required to be given to the COR prior to use of the product in the facility request.

Soap dispensers shall not be of the refillable type, where topping off of a dispenser reservoir is done from a larger bulk container. Soap dispensers will be of the design that refills come in disposable bags. Soap should be an antimicrobial soap. Literature on the medicated hand soap used at this facility and throughout the clinics must be provided upon request.

2. Contractor shall be responsible for ensuring all equipment, tools, and supplies used meet the necessary safety requirements and that employees have full working knowledge of their use.

3. Contractor shall provide sufficient staffing necessary to perform all services herein in the healthcare environment.

F. SAFETY

1. The Contractor shall consider the health care clinical environment and instruct his/her employees on applicable safety precautions and special requirements, to include cleaning of human bodily fluids from various surfaces and moving of known infectious materials.

2. Housekeeping carts will not be left unattended or parked in public areas to include in doorways or obstructing handrails.

3. Wet floor signs will be used to designate wet areas on floor and picked up when floor is dry, or it becomes a hazard.

4. Contractor shall be responsible to provide Safety Data Sheets (SDS) to the COR. These data sheets must be kept current at all times. COR must be notified when chemicals are no longer in use in the building. All disinfectants used in the cleaning of the facility will be FDA/EPA approved. All cleaning agents used must be in original containers or clearly labeled.

5. Contactor shall not dispose of any chemical containers contaminated by cleaning chemicals in any public location in the clinic except as specified by the COR.

6. Contractor shall immediately report any fire and/or safety deficiencies caused by his/her personnel to the COR. Failure to take immediate action to correct any deficiencies could result in default action against the contractor.

7. All material and equipment will be secured and stored properly during the workday, and will be removed from the facility, or stored properly at the end of the workday.

8. Manufacturers container labels are to be maintained intact and legible at all times

G. 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. Damage to the building, its contents or loss of Government property, in excess of $100,000 will require a Report of Survey or Investigative Report by the Clinic. Government personnel will conduct the investigation. The responsible party will be required to replace and/or submit payment for damage or loss.

H. THE JOINT COMMISSION REQUIREMENTS

1. Contractor will attend a pre-work orientation meeting, which may be conducted by telephone, prior to the commencement of work onsite. The COR will schedule this meeting and it will include discussion of the following topics:

· Fire and Safety

· Infection control

· Emergency Management

· Emergency reporting

VA will provide information to the contractor regarding these topics and will document the meeting.

2. The Contractor is responsible to provide and ensure that Contractor employees coming to the work site and will receive any applicable Occupational Safety and Health Administration training. Initial training and annual documentation of employee training covering the following topics must be provided to the COR:

Standard

(i) Equipment Use

3. 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.

I. CONTRACTOR PERSONNEL GENERAL REQUIREMENTS

1. Contractor’s personnel shall be dressed in contractor-issued uniforms at all times while performing under this contract. They shall wear visible identification while on the VA premises, including the company and employee’s name. Personal hygiene and grooming shall be maintained at all times.

2. Contractor’s employees must be courteous and respectful of the staff and/or any patients, and visitors at all times.

3. Only VA authorized personnel shall have access to building.

4. It is the responsibility of the contractor to park in the appropriate parking areas, as designated by the COR. The Clinic will not invalidate or make reimbursement for parking violations of the contractor under any conditions.

5. If the COR provides keys for access, it shall be the contractor’s responsibility to safeguard and control keys provided. If key is lost, rekeying of Clinic will be at the Contractor’s expense. If the COR provides building access code, it shall be the contractor’s responsibility, to arm the system when work completed. If alarm is not set and security guard is called to respond, the overtime expenses for security guard to set alarm will be at the Contractor’s expense.

6. Smoking is prohibited on all VA campus grounds.

7. Possession of weapons is prohibited.

8. All employees of the Contractor must be bonded under the Contractor's Company Name and proof of bonding shall be submitted no later than fifteen (15) days prior to commencement of work.

9. The following annual training is required for all contractor employees under this contract:

a. Privacy Training: For contractors and sub-contractors who do not have access to VHA computer systems, this requirement is met by receiving VHA National Privacy Training, other VHA approved privacy training or contractor furnished training that meets the requirements of the HHS standards. Training can be obtained through http://www.insidetms.va.gov/. An account must be set up in order to access the training site by visiting the http://www.insidetms.va.gov/ page and contacting the local TMS Administrator, contacting the VA TMS Help Desk by phone at 1-866-496-0463. Contractor shall provide documented proof to the contracting officer that all contractor employees servicing a VA contract have received annual training.

b. VA Cyber Security Awareness Training: Contractor personnel are required to receive VA training on Cyber Security. Training can be obtained through http://www.insidetms.va.gov/. An account must be set up in order to access the training site by visiting the http://www.insidetms.va.gov/ page and contacting the local TMS Administrator, contacting the VATMS Help Desk by phone at 1-866-496-0463. Contractor shall provide documented proof to the contracting officer that all contractor employees servicing a VA contract have received annual training.

c. Rules of Behavior for Automated Information Systems: Contractor personnel are required to read and sign a Rules of Behavior statement which outline rules of behavior related to VA Automated Information Systems. The COR will provide, through the facility ISO, the Rules of Behavior to the Contractor for the respective facility.

10. Pursuant to recommendations by the Joint Commission, Center for Disease Control and Prevention (CDC), and Veterans Health Administration (VHA), the contractor is required to submit proof of the following health examinations for each contractor or subcontractor employee working at the Clinic:

· Annual TB Test and recent (within the last year) chest x-ray,

· Evidence of hepatitis B immunity, of vaccine or titer

· MMR proof of 2 vaccines or titer

· Varicella proof of vaccine or titer

· Tdap one time or Td proof of vaccine or titer

· Hepatitis A Proof of vaccine or titer

· Annual Influenza vaccine

11. Contractor personnel are required to stop their work at any time so as not to interfere with the normal functioning of the facility, including utility services, fire protection systems, and passage of patients, personnel, equipment, and carts.

J. BACKGROUND CHECKS

All contractor and subcontractor employees shall be the subject of a background investigation. The contractor is encouraged to have its employee immediately download the background investigation packet from http://www.va.gov/vabackground_investigations upon notification of contract award but no later than fifteen (15) days after notification of award. A contractor’s employee shall not commence working at VA until the Contracting Officer receives notification from the VA Office of Security and Law Enforcement that the contract employee’s application was received complete. A favorable adjudication from the VA Office of Security and Law Enforcement must be received in order for a contractor employee to continue contract performance. This requirement is applicable to all subcontractor personnel.

a. The contractor shall bear the expense of obtaining background investigations. If the Office of Personnel Management (OPM) conducts the investigation, the contractor shall reimburse VA within 30 days. If timely payment is not made within 30 days from date of bill for collection, then VA shall deduct the cost incurred from the contractors 1st month’s invoice(s) for services rendered.

b. The contractor shall provide, at the request of VA, a listing of contractor personnel performing services under the contract in order for the background investigation process to commence. This list will include name (first, middle, last) social security number; date of birth; city, state, and country of birth.

c. The contractor or their employees shall submit a complete background investigation packet within fifteen (15) days of award. Additional guidance and information in completing the required forms, and examples of the forms, can be found at http://www1.va.gov/VABackground_Investigations/page.cfm?pg=2.

The following required forms must be submitted to the VA Office of Security and Law Enforcement before contract performance begins:

(iii) Standard Form 86A (EG), Continuation Sheet for Questionnaire

(iv) Electronic Fingerprint Form. Fingerprinting is required with the background investigation. Fingerprinting can be done at a local VA Facility. The Electronic Fingerprint Verification Form must be submitted with the above required forms.

d. The Contractor shall inform the contract employee that when filling out Standard Form 85, that there should be no gaps in employment history. Any gaps in employment history on Standard Form 85 may result in OPM rejecting the documentation for investigation and delay contract performance.

e. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract, and at the request of the VA, submit another employee for consideration.

K. SECURITY TRAINING

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.

1. Privacy Training: Contractor and their sub-contractors assigned work under the task order are required to receive annual training on 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 VA upon request that all employees assigned work and/or having access to Protected Health Information have received annual training. Information on fulfilling the training requirement as stated in this paragraph can be found at https://www.ees-learning.net. For contractors and sub-contractors who do not have access to VHA computer systems, this requirement is met by receiving VHA National Privacy Training, other VHA approved privacy training or contractor furnished training that meets the requirements of the HHS standards.

2. Rules of Behavior for Automated Information Systems: Contractor personnel having access to VA Information Systems are required to read and sign a Rules of Behavior statement, which outline rules of behavior related to VA Automated Information Systems. The COR will provide, through the facility ISO, the Rules of Behavior to the Contractor for the respective facility.

3. VA Information Security Awareness Training: Each contractor assigned work under the task order is required to receive and document completion of VA training on Information Security. The requirements for fulfilling this provision can be found at https://www.ees-learning.net. Contractor shall provide documented proof to the assigned VA Information Security Officer prior to access being granted, and yearly after that, for all contractor employees servicing a VA contract.

4. If providing medical services, Contractor employee will attend Computerized Patient Record System (CPRS) training prior to providing any patient care services, including on-call/emergency coverage at VA. The contractor employee will document patient care in CPRS to comply with all VA and Joint Commission standards.

As VA routinely reviews and updates policies and procedures covering contractor computer access, security requirements may change during the term of this contact and new policies and procedures may be implemented unilaterally during the term of this contract.

L. REPORTING REQUIREMENTS

The Contractor shall be required to report to COR or designated alternate each day. This check in is mandatory. Contractor’s log at the site will include the name of the employees on site, date, times in and out and a brief description of services performed on a daily basis. Report/sign in shall be in the format required by the COR.

· VA Contact Person: Scott Herman, COR

· Location: Green Bay Health Care Center, 2851 University Ave, Green Bay, WI 54311

· Telephone Number & Extension(s): 920-431-2500, 72687

· Contractor -- Provide telephone number(s) to call for your Service

· Provide name(s) of authorized contact person

At the discretion of the COR or Contracting Officer, the Contractor may be required to submit an ongoing report of services rendered under the terms of the contract. The contractor may be required to submit a report which shall include but not be limited to 1) dates and times when services were performed, 2) a list of the areas where services were performed, and 3) type(s) of services and brief description of the work.

M. CONFORMANCE STANDARDS All work shall be performed and equipment shall function in conformance with the latest published editions of VA safety standards, manufacturers/industry standards, FDA, OSHA, The Joint Commission, and all other applicable national standards.

N. QUALITY CONTROL The contractor shall develop and maintain a quality control program to ensure custodial services are performed in accordance with commonly accepted commercial practices. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services.

The contractor's Quality Control Manual must outline the specific methods by which the assessment of conditions is made, and a plan of improvement formulated to ensure a positive first impression exists throughout the outpatient clinic.

O. PERFORMANCE OBJECTIVES

Floors, baseboards, corners and wall edges are free of dirt, dust and debris. Trash is empty; plastic liners are replaced each time trash is emptied. Trash containers are free of odors and visible dirt. Trash is emptied into outdoor trash collection container. Ash containers are emptied and free of ashes, odors and stains. Glass and mirrors have no traces of film, dirt, smudges, or water. Drinking fountains are disinfected and free of streaks, stains, spots, smudges, scale and other deposits. Carpets are free of dirt, debris, litter and other foreign matter. Dust is not visible. Recycling containers are emptied; plastic liners are placed each time recycling is emptied.

Not to exceed 3 COR-validated customer complaints per month.

Restrooms are disinfected and free of dirt, deposits, streaks and odors. Showers are disinfected and free of soap films, scum and other deposits. Toilets are disinfected and free of scale, stains, scum and other deposits. Floors are free of litter, dirt, dust and debris. Supplies are adequate until next service.

Not to exceed 3 COR-validated customer complaints per month.

Floors have a glossy uniform appearance free of scuffmarks, heel marks, wax build-up, and other stains and discoloration. Windows are free of film, dirt, smudges, water, and other foreign matter. Carpets are free of stains and discoloration.

Not to exceed 3 COR-validated customer complaints for the quarter.

for the quarter.

P. QUALITY ASSURANCE The government will periodically evaluate the contractor’s performance in accordance with the Quality Assurance Surveillance Plan.

APPENDIX A

ESTIMATED WORKLOAD FREQUENCY

*In accordance with manufacturers specifications

I. Wastebaskets, Receptacles, Dumpsters and Recycling Containers

1. Empty all exterior ashtrays/trash receptacles and replace sand as needed (VA to provide sand or sand substitute).

Daily

d. Replace red liner in infectious waste receptacles and clear liner in non-infectious waste receptacles.

e. Replace all needle boxes when two-thirds full, and place in Infectious control waste room

f. Remove debris/trash from the area 10 foot surrounding the dumpsters and place trash in dumpsters. Weekly Daily

Daily

Daily

II. Floors

A. Tile

3. *Scrub all ceramic floor tiles.

4. *Strip rinse and refinish all tile floors.

5. *Machine scrub all tile floors and apply FIVE coats of floor finish.

Monthly Every (6) six months or as needed Annually

7. Sweep all floors and areas outside employee and patient entrances.

8. Honing and buffing of Terrazzo.

9. Physical Therapy Cork floor, vacuumed

10. Physical Therapy Cork floor, cleaned and water extracted

11. Remove moisture, rain and snow that is tracked past entrance walk off mats

Daily Annually Daily Monthly As needed

B. Carpet

5. Remove spots for all carpeting immediately when notified.

6. Vacuum all office, staff rooms and conference rooms

As needed Weekly and as needed

C. Stairs

1. Dust mop all stairs

2. Wet mop all stairs and stair wells, utilizing an approved general cleaning solution

3. Dust all high area’s

4. Remove scuff marks

5. Wipe down hand rails

6. Wipe down walls

7. Wipe down glass on sides of stairs

D. Elevators

1. wipe down walls on inside of elevators

2. Wipe down outside of elevator doors

3. Dust all high area’s 4 Vacuum all carpeted elevators

5. Sweep and mop all cargo elevators

6. Vacuum door guides

III. Spot Cleaning

Daily

Daily Daily Daily

Daily Daily

7. Inspect and Dust/Vacuum blinds.

Monthly

IV. Furniture

3. Vacuum upholstered furniture.

Weekly/as needed

V. Clean and Disinfect

5. Wash and sanitize all sinks, including fixtures and pipes.

6. Clean and sanitize surfaces and contents of the family waiting room

Daily

VI. General Cleaning

6. Clean light fixture diffusers.

7. Clean employee break room and break areas

As needed

VII. Stock Supplies

*”As needed” indicates occasional additional need for services that will not be regular additional requirements.

The frequency of service may change based on VA issued guidance and/or CDC recommendations and are subject to change throughout the life of the contract

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

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/oal/library/vaar/

(End of Clause)