36C25222Q0624.docx

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

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

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

695-22-3-6093-0046 36C25222Q0624 05-26-2022 Pasholk,Susan 414-844-4846 06-13-2022 10:00

CDT

36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee

WI

53214-1476 X 541350 $8 Million N/A X 36C252

CLEMENT ZABLOCKI VA MEDICAL CENTER

Department of Veterans Affairs

5000 W NATIONAL AVENUE

MILWAUKEE

WI

53295 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

ELECTRICAL DISTRIBUTION SYSTEM TESTING AND INSPECTION PER

STATEMENT OF WORK AT MILWAUKEE VAMC

100% SDVOSB SET-ASIDE

VA POC: PERRY SCOTT 414-384-2000 X41030

CO: SUSAN PASHOLK 414-844-4846

BASE YEAR: JUNE 1, 2022 - MAY 31, 2023

OPTION ONE: JUNE 1, 2023 - MAY 31, 2024

See CONTINUATION Page 695-3620162-6093-854100-2543 010050190 X X

SUSAN PASHOLK

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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

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:

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

a. CONTRACTOR:

CONTRACTOR NAME _____________________________________

ADDRESS _____________________________________

CITY-STATE-ZIP _____________________________________

POINT OF CONTACT/TITLE _____________________________________

UNIQUE ENTITY INDENTIFIER _____________________________________

DUNS NUMBER NO. _____________________________________

b. GOVERNMENT: SUSAN PASHOLK, CONTRACTING OFFIER

CONTRACTING OFFICE CODE: 36C252

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 FOR AWARD MANAGEMENT (OCT 2018)

3. INVOICES:

a. Invoices shall be submitted in arrears in accordance with: 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. 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 Veterans Affairs (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.

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 Veterans Affairs Financial Services Center (VAFSC) 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/veteransaffairs/ to begin submitting electronic invoices, free of charge.

d. As of July 1, 2020, the VA10091 form has been eliminated and the VAFSC is requiring our vendors to update and add their information in the Customer Engagement Portal (CEP) at https://www.cep.fsc.va.gov/. This is for new vendors being added to FMS only.

e. 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

5. ACQUISITION OF COMMERCIAL ITEMS:

This Request for Quote (RFQ) solicitation is issued 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. From this RFQ, the Government intends to award a firm fixed price contract where the contractor provides a price that is not subject to any adjustment on the basis of the contractor’s cost experience in performing the contract.

6. SITE VISIT:

It is strongly suggested and expected that the offeror inspect the campus to be serviced to fully understand the nature of the work and the conditions under which the work is to be performed. In no case shall failure to inspect the campus constitute grounds for a claim after contract award.

SITE VISIT IS SCHEDULED FOR THURSDAY JUNE 2, 2022, AT 9:00 AM LOCAL TIME. ALL INTERESTED PARTIES TO MEET COR PERRY SCOTT (414-384-2000 X41030) AT FM OFFICE ROOM E250.

PLEASE NOTE: WHILE ON CAMPUS, ALL PERSONS WILL BE REQUIRED TO WEAR MASKS INSIDE ANY VAMC BUILDING AND WHILE TRAVELING IN VEHICLES FOR PURPOSES OF THE SITE VISIT.

7. RFQ QUESTIONS:

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 (CO) susan.pasholk@va.gov no later than FRIDAY JUNE 3, 2022, AT NOON LOCAL TIME. Contracting will issue a consolidated response via solicitation amendment to https://sam.gov Contract Opportunities within 2 business days to all parties

8. CONTRACTING OFFICER AUTHORITY:

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.

9. IDENTIFICATION, PARKING, SMOKING AND VA REGULATIONS:

a. All VA property is considered Federal property and all Federal laws are applicable.

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

c. All VA facilities are drug free. Possession of drugs, to include Marijuana and all Marijuana bi-products are prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

d. All contractor personnel are required to adhere to all VA rules and regulations.

e. Smoking is prohibited on the entire campus, both inside and outside the VA Facility

f. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

g. VHA DIRECTIVE 1192: This Veterans Health Administration (VHA) directive establishes policy and provides guidance for the prevention of seasonal influenza in VHA facilities through the vaccination or masking of health care personnel (HCP). AUTHORITY: Title 38 United States Code (U.S.C.) 7301(b), 7318(b). Contractor is responsible in ensuring that all aspects of this directive are implemented, including providing face masks and influenza vaccines for all employees working at a VA facility.

10. VHA SUPPLEMENTAL CONTRACT REQUIREMENTS FOR COMBATTING COVID-19

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

1. For indefinite delivery contracts: Contractor agrees to comply with VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.

11. SECURITY & PRIVACY CONTROL:

The Authorization & Accreditation (A&A) requirements of VHA Handbook 6500.6 apply to this requirement. 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.

Visitor Passes:

Issuance of visitor passes is the responsibility and at the discretion of each Facility Director. Visitor passes may be issued to individuals requiring short-term access to a VA facility for a period not to exceed 15 days in a 365-day period. Visitor passes are issued on a daily basis and expire at the end of the day of issuance. Visitor passes are issued following, at a minimum, review of one valid and current State or Federal government issued photo ID. Visitors must be escorted in areas restricted to the general public.

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information is subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor / subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor’s employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data

- General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor’s information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA’s information is returned to the VA or destroyed in accordance with VA’s sanitization requirements. VA reserves the right to conduct on-site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract. (STOP)

d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract.

e. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor / subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.

f. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the contractor or third party or terminate the contract for default or terminate for cause under Federal Acquisition Regulation (FAR) part 12.

g. If a VHA contract is terminated for cause, the associated BAA must also be terminated and appropriate actions taken in accordance with VHA Handbook 1600.01, Business Associate Agreements. Absent an agreement to use or disclose protected health information, there is no business associate relationship.

h. The contractor/subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.

i. The contractor/subcontractor’s firewall and Web services security controls, if applicable, shall meet or exceed VA’s minimum requirements. VA Configuration Guidelines are available upon request.

j. Except for uses and disclosures of VA information authorized by this contract for performance of the contract, the contractor/subcontractor may use and disclose VA information only in two other situations: (i) in response to a qualifying order of a court of competent jurisdiction, or (ii) with VA’s prior written approval. The contractor / subcontractor must refer all requests for, demands for production of, or inquiries about, VA information and information systems to the VA contracting officer for response.

k. Notwithstanding the provision above, the contractor/subcontractor shall not release VA records protected by Title 38 U.S.C. 5705, confidentiality of medical quality assurance records and/or Title 38 U.S.C. 7332, confidentiality of certain health records pertaining to drug addiction, sickle cell anemia, alcoholism or alcohol abuse, or infection with human immunodeficiency virus. If the contractor/subcontractor is in receipt of a court order or other requests for the above mentioned information, that contractor/subcontractor shall immediately refer such court orders or other requests to the VA contracting officer for response.

l. For service that involves the storage, generating, transmitting, or exchanging of VA sensitive information but does not require C&A or an MOU-ISA for system interconnection, the contractor/subcontractor must complete a Contractor Security Control Assessment (CSCA) on a yearly basis and provide it to the COR.

4. SECURITY INCIDENT INVESTIGATION

a. The term “security incident” means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. The contractor/subcontractor shall immediately notify the COR and simultaneously, the designated ISO and Privacy Officer for the contract of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access.

b. To the extent known by the contractor/subcontractor, the contractor/subcontractor’s notice to VA shall identify the information involved, the circumstances surrounding the incident (including to whom, how, when, and where the VA information or assets were placed at risk or compromised), and any other information that the contractor / subcontractor considers relevant.

c. With respect to unsecured protected health information, the business associate is deemed to have discovered a data breach when the business associate knew or should have known of a breach of such information. Upon discovery, the business associate must notify the covered entity of the breach. Notifications need to be made in accordance with the executed business associate agreement.

d. In instances of theft or break-in or other criminal activity, the contractor/subcontractor must concurrently report the incident to the appropriate law enforcement entity (or entities) of jurisdiction, including the VA OIG and Security and Law Enforcement. The contractor, its employees, and its subcontractors and their employees shall cooperate with VA and any law enforcement authority responsible for the investigation and prosecution of any possible criminal law violation(s) associated with any incident. The contractor/subcontractor shall cooperate with VA in any civil litigation to recover VA information, obtain monetary or other compensation from a third party for damages arising from any incident, or obtain injunctive relief against any third party arising from, or related to, the incident.

5. LIQUIDATED DAMAGES FOR DATA BREACH

a. Consistent with the requirements of 38 U.S.C. §5725, a contract may require access to sensitive personal information. If so, the contractor is liable to VA for liquidated damages in the event of a data breach or privacy incident involving any SPI the contractor/subcontractor processes or maintains under this contract.

b. The contractor/subcontractor shall provide notice to VA of a “security incident” as set forth in the Security Incident Investigation section above. Upon such notification, VA must secure from a non-Department entity or the VA Office of Inspector General an independent risk analysis of the data breach to determine the level of risk associated with the data breach for the potential misuse of any sensitive personal information involved in the data breach. The term 'data breach' means the loss, theft, or other unauthorized access, or any access other than that incidental to the scope of employment, to data containing sensitive personal information, in electronic or printed form, that results in the potential compromise of the confidentiality or integrity of the data. Contractor shall fully cooperate with the entity performing the risk analysis. Failure to cooperate may be deemed a material breach and grounds for contract termination.

c. Each risk analysis shall address all relevant information concerning the data breach, including the following:

(1) Nature of the event (loss, theft, unauthorized access);

(2) Description of the event, including:

(a) date of occurrence;

(b) data elements involved, including any PII, such as full name, social security number, date of birth, home address, account number, disability code;

(3) Number of individuals affected or potentially affected;

(4) Names of individuals or groups affected or potentially affected;

(5) Ease of logical data access to the lost, stolen or improperly accessed data in light of the degree of protection for the data, e.g., unencrypted, plain text;

(6) Amount of time the data has been out of VA control;

(7) The likelihood that the sensitive personal information will or has been compromised (made accessible to and usable by unauthorized persons);

(8) Known misuses of data containing sensitive personal information, if any;

(9) Assessment of the potential harm to the affected individuals;

(10) Data breach analysis as outlined in 6500.2 Handbook, Management of Security and Privacy Incidents, as appropriate; and

(11) Whether credit protection services may assist record subjects in avoiding or mitigating the results of identity theft based on the sensitive personal information that may have been compromised.

d. Based on the determinations of the independent risk analysis, the contractor shall be responsible for paying to the VA liquidated damages in the amount of $_37.50 per affected individual to cover the cost of providing credit protection services to affected individuals consisting of the following:

(1) Notification;

(2) One year of credit monitoring services consisting of automatic daily monitoring of at least 3 relevant credit bureau reports;

(3) Data breach analysis;

(4) Fraud resolution services, including writing dispute letters, initiating fraud alerts and credit freezes, to assist affected individuals to bring matters to resolution;

(5) One year of identity theft insurance with $20,000.00 coverage at $0 deductible; and

(6) Necessary legal expenses the subjects may incur to repair falsified or damaged credit records, histories, or financial affairs.

6. TRAINING

a. All contractor employees and subcontractor employees requiring access to VA information and VA information systems shall complete the following before being granted access to VA information and its systems:

(1) Sign and acknowledge (either manually or electronically) understanding of and responsibilities for compliance with the Contractor Rules of Behavior, Appendix E relating to access to VA information and information systems;

(2) Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training;

(3) Successfully complete the appropriate VA privacy training and annually complete required privacy training; and

(4) Successfully complete any additional cyber security or privacy training, as required for VA personnel with equivalent information system access [to be defined by the VA program official and provided to the contracting officer for inclusion in the solicitation document – e.g., any role-based information security training required in accordance with NIST Special Publication 800-16, Information Technology Security Training Requirements.]

b. The contractor shall provide to the contracting officer and/or the COR a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within 1 week of the initiation of the contract and annually thereafter, as required.

c. Failure to complete the mandatory annual training and sign the Rules of Behavior annually, within the timeframe required, is grounds for suspension or termination of all physical or electronic access privileges and removal from work on the contract until such time as the training and documents are complete. This User Agreement contains rights and authorizations regarding my access to and use of any information assets or resources associated with my performance of services under the contract terms with the Department of Veterans Affairs (VA). This User Agreement covers my access to all VA data whether electronic or hard copy ("Data"), VA information systems and resources ("Systems"), and VA sites ("Sites"). This User Agreement incorporates Rules of Behavior for using VA, and other information systems and resources under the contract.

AND:

A dial-in connection is not considered essential to the program mission. If access to the device is required, it can be done via site-to-site VPN access, if authorized for the vendor.

If the contract is awarded to a vendor with a current approved national VA site-to-site VPN, the MOU/ISA for that VPN would cover access to the system via the approved VPN.

12. FACILITY CHECK-IN/OUT REQUIREMENT:

The Contractor shall be required to report to The Graphics Center, Bldg. 113 to sign-in in the Logbook. This check-in is mandatory. The FSE shall be required to log-out at Graphics Center.

Upon completion of each service visit, the Contractor shall complete a written report as noted in the Statement of Work. The Field Service Engineer (FSE) shall also be required to log out with the above or as specified by the Contracting Officer Representative (COR). ALL reports shall be submitted to the COR for an “acceptance signature”. If the COR is unavailable, a signed, authorized copy of the Report will be sent to the Contractor after the work can be reviewed (if requested or noted on the Report).

VA Contact Person(s): Perry Scott Telephone Number & Extension(s): 414-384-2000 EXT. # 43931

Contractor- Provide telephone number(s) to call for your service: _____________________ Provide name(s) of authorized contact person(s): ___________________________________

SUPPLIES OR SERVICES AND PRICES/COSTS

INSPECTION AND TESTING OF THE ELECTRICAL POWER DISTRIBUTION SYSTEM

LINE ITEM INFORMATION

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

Contract Period: Base POP Begin: Date of Award POP End: 05-31-2023

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: H259 - Equipment and Materials Testing - Electrical and Electronic Equipment Components

Triennial Testing per the Scope of Work

Contract Period: Base POP Begin: Date of Award POP End: 05-31-2023

PRODUCT/SERVICE CODE: H259 - Equipment and Materials Testing - Electrical and Electronic Equipment Components

BASE YEAR TOTAL $_________________

Perform Maintenance, Inspection, Testing, and Calibration of the Electrical Power Distribution System per NETA requirements and Statement of Work for all areas marked.

Option Year 1 on Attachment B.

Contract Period: Option 1 POP Begin: 06-01-2023 POP End: 05-31-2024

PRODUCT/SERVICE CODE: H259 - Equipment and Materials Testing - Electrical and Electronic Equipment Components

OPTION YEAR 1 TOTAL $_________________

STATEMENT OF WORK

INSPECTION AND TESTING OF THE ELECTRICAL POWER DISTRIBUTION SYSTEM

The Contractor shall provide all labor, supervision, materials, tools, and equipment necessary to provide maintenance, inspection, testing, and calibration of the Electrical Power Distribution System, located at the Clement J. Zablocki Medical Center, Milwaukee, WI 53295 as defined in the Statement of Work (SOW).

1.0 GENERAL OVERVIEW

A. This Statement of Work (SOW) describes the requirements for the inspection, testing, and calibration of the Electrical Power Distribution System and all of its components at the VA Medical Center in Milwaukee, Wisconsin (VAMC). These work items are referenced hereafter as “Maintenance and Testing” in this document, in accordance with VHA Directive 1028, dated February 24, 2020. Reference Attachment D.

B. This SOW describes the requirements for the Qualified Professional Electrical Contractor – known hereafter as “Contractors” in this document. Contractors who are contracted by VHA Medical Center to perform maintenance and testing of the Electrical Power Distribution System, and all of its components shall meet all requirements stated in Section 9 Contractor Qualifications.

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

2.0 GENERAL TASKS

A. Work items, definitions, and references shall comply with the latest edition of the American National Standards Institute (ANSI)/International Electrical Testing Association (NETA) – Maintenance Testing Specifications, MTS-2015.

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

C. Defective/worn equipment or repairs required to bring equipment into proper working condition shall be noted on the daily report and brought to the COR or VA Facilities Management Supervisor’s attention immediately upon discovery.

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

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

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

3. Equipment Inventory (Attachments A, and B)

E. Outages for inspections shall be confirmed & scheduled a minimum of 8 (eight) weeks in advance. Contractor is responsible for submitting outage requests to the COR, see Attachment C. Services shall be performed in the months of October and November of each contract year. Contractor shall coordinate with the COR on activities/events, dates, times, buildings, impacts, and seasonal considerations, when drafting schedule.

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

G. Contractor shall be responsible for providing temporary power sources during outages based on direction given by the COR.

H. With assistance from the VAMC Facilities Management Electrical Team Personnel, the contractor shall be responsible for the investigation and preparation of outages.

3.0 INSPECTION AND TESTS

1. Contractor shall perform System Function Tests for all equipment listed on Attachments A, B, as described throughout the Statement of Work.

2. Contractor shall perform Infra-Red Scanning (IR Scanning) For all equipment listed on Attachments A, B, as described throughout the Statement of Work per ANSI/NETA.

4.0 BASE YEAR SPECIFIC TASKS

Base Year consists of testing of the substation, and four (4) main transformers of the main hospital (Bldg. 111). See Attachment A for equipment list.

5.0 OPTION YEAR 1 SPECIFIC TASKS

Option Year 1 consists of testing of campus medium voltage feeders, transformers, high voltage pedestals/switches, and incoming feeders from transformers to specific buildings. See Attachment B for equipment list.

7.0 CONTRACT DELIVERABLES/DOCUMENTATION

A written Engineering Service Report (ESR) shall be provided to the COR noting the work performed and shall be provided to the VA within 7 days of completion of service. In addition, each ESR must, at a minimum, document the information listed below legibly and in complete detail. A written report is required upon completion of all work performed under this agreement. Failure to provide written reports could result in delay of payments.

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

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

C. VA Work Contract Number, name of VA Contracting Officer. Date and Time of Work D. Copies of Contractor’s Valid Licenses, Professional and Training Certificates E. Descriptions and Model Numbers of specialized tool and equipment used, such as torque wrench or infrared scanning camera.

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

G. Descriptions of work items Test Data H. Reference Materials such as equipment manufacturer’s specifications I. Remarks on conditions of electrical equipment, including a listing of all deficiencies, if any.

J. Recommended corrective actions, if any.

Submit two (2) hard copies of the final report and one electronic version in a mutually agreed format. The report must include an Enclosure Condition Assessment Report (transformer enclosure/pedestal), a legible 1 Line Diagram with updated notes if necessary, and the reports for each of the tests conducted.

Contractor can break down schematics into sections with COR approval.

8.0 HOURS OF OPERATION

A. Normal hours of operation are Monday through Friday from 7:00 am to 3:30 pm Local Time, excluding national holidays. Services shall be performed outside normal hours of operation, to include evenings, and weekends; unless otherwise requested or approved by the COR or his/her authorized designee. Work shall be scheduled to have minimal impact on patient care services.

B. National Holidays observed by the VAMC are:

National Holidays

New Year's Day Labor Day Independence Day Memorial Day Thanksgiving Day Christmas Day

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

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

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

9.0 CONTRACTOR QUALIFICATIONS

A. Any Contractor technician(s) who perform service under this contract shall have at least three (3) years of experience as an Electrical Technician. Contractor shall have properly trained and licensed permanent staff required to perform the proposed work. Electrical Contracting (i.e., the construction, repair, and maintenance of industrial and commercial electrical distribution systems) shall be the primary interest/specialty of the Contractor’s core business operation. Contracting Officer will verify this via responsibility checks.

B. Contractor shall be licensed to operate in the State of Wisconsin and have personnel that are certified by the National Electrical Testing Association (NETA) as NETA Certified Technicians (or an equivalent certification) and have completed the Occupational Safety & Health Administration (OSHA) approved 10-hour construction safety training. There shall be at least one OSHA certified person present at the job sites at all times.

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

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

E. Contractor shall submit a sample page(s) showing the format of the report they will be using for the final report and the data they will be including.

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

G. Contractor shall have ready access to the latest versions of the following references:

1. NFPA 70, National Electrical Code

2. NFPA 70B, Recommended Practice for Electrical Equipment Maintenance

3. NFPA 70E, Standard for Electrical Safety for the Workplace

4. NFPA 99, Health Care Facilities Code

5. NFPA 110, Standard for Emergency and Standby Power System

6. OSHA Standard 29 CFR 1910, Subparts I, J, K &

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

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

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

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

10.0 PROTECTION OF GOVERNMENT PROPERTY

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

11.0 CONFORMANCE STANDARDS

A. This Statement of Work describes the requirements for the Qualified Electrical Contract Professionals’ - known as “Contractors” in this document, hereafter. Contractors who are contracted by VHA Medical Center to perform maintenance and testing of the Electrical Power Distribution System and shall meet all requirements stated herein. The work described in this specification shall be performed by an electrical power distribution systems infrared electrical testing consultant. whose primary business is in high, medium and low voltage testing. This project requires specialized testing of selected existing primary and secondary components of the electrical distribution system, as specified herein and as noted in NFPA 70B for testing and maintenance, (cleaning, measuring, testing, calibrating, maintaining), infrared inspections and ultrasonic testing of electrical equipment and NFPA 110 for the required two-year testing. This includes all incoming building service equipment, i.e.: primary switches, and secondary main building services listed in attached spreadsheets.

B. Any item found to be out of tolerance, or in any other way defective as a result of the required testing, shall be reported to the Contracting Officers Representative (COR) immediately. Repairs/replacements are not covered under this contract. Purchase Orders will be issued and/or solicited for repair and replacement work to be completed. After appropriate corrective action is completed the item shall be re-tested.

C. All existing equipment, apparatus and work shall be tested to insure its proper and safe operation in accordance with the specifications of the stamen of work, and manufacturer's standards.

D. All equipment shall be tested and inspected in accordance with the latest applicable NETA standards, American…