36C25223B0014 0003.docx

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Z1DA--537-19-124 Upgrade Nurse Call Construction Jesse Brown VA Medical Center Chicago, IL.
Solicitation number
36C25223B0014
Issued by

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This document outlines a federal solicitation for an upgrade to the nurse call system at the Jesse Brown VA Medical Center in Chicago, Illinois. The solicitation seeks bids to install a new networked nurse call system across multiple hospital buildings to replace aging equipment and improve patient care functionality. Key requirements include VoIP-based devices with full duplex audio, integration with the facility network and phone system, and compliance with various technical standards and regulations. Bids are due on May 17, 2023 by 11:00 am local time. The selected contractor will be responsible for removing all existing nurse call equipment and cabling as part of the installation of the new system.

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5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE

OF YOUR

ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERE

D CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendmen t, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 537-19-124 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 To all Offerors/Bidders

36C25223B0014 05-08-2023

X X X Bid Opening Remains 5/17/2023 at 11am.

Amendment 00003 Changes:

Provided Pre-Bid RFI Responses.

See Page 2 for details.

Amendment of Solicitation Amendment 0003 Solicitation 36C25223B0014 Upgrade Nurse Call Project# 537-19-124 Jesse Brown VA Medical Center, Chicago, IL.

This amendment consists of:

1. Amendment provides Pre-Bid RFI responses.

Project Bid Opening remains 5/17/2023 at 11:00 pm Local Time.

The following changes are made on project specifications:

1. None

The following changes are made on project drawings:

2. None

GENERAL INFORMATION:

REMINDER: Project Bid Opening remains 5/17/2023 at 11:00 pm local time.

Location:

115 South 84th Street, Suite 101 Milwaukee, WI 53214 (ground floor-signs will be posted)

There are no further changes.

JB VAMC Upgrade Nurse Call 537-19-124

No.
Date Submitted
SUBJECT/COMMENT
Responder
Response
Included in Amendment #
1
3/31/2023
Confirm bid opening date.
CS
Bid opening date is 5/17/2023 at 11am.
3
2
3/31/2023
Requested full/scalable drawings
COR (Gregory Cohen)
COR tested the drawings and they are the correct size.
3
3
4/14/2023
The solicitation document indicate that the VA’s PC workstations are to be connected to the nurse call system. Please define the function of the PC Workstations relative to the nurse call system.
VES (Sam Vela)
Web based service or TRM approved
3
4
4/14/2023
The drawing notes on sheet E001 indicate to provide TV interface to the new nurse call patient stations in locations where the existing system has TV interface. The drawings do not indicate which existing locations have TV interface. Please specify which locations require TV interface.
COR (Gregory Cohen)
Every patient station in every patient room has TV and light control
3
5
4/14/2023
The drawing notes on sheet E001 indicate to provide room lighting control through the new nurse call patient stations in locations where the existing system has lighting control.

Please specify which locations require room lighting control.

COR (Gregory Cohen)
See #4
3
6
4/14/2023
The drawing notes on sheet E001 indicate to provide bed interface for nurse call button, room lighting control and TV control via 37-pin bed receptacle.

Please specify which locations require bed interface.

VES (Sam Vela)
Bed interface device depicted on drawings, symbol 15
3
7
4/14/2023
The drawing notes on sheet E001 indicate to provide PA system interface on units that currently have PA interface.

Please specify which floors or units have PA interface.

VES (Sam Vela)
Provide capability on all units.
3
8
4/14/2023
The drawing notes on sheet E001 indicate to provide PA system interface on units that currently have PA interface. Please specify PA interface functionality. Is the intent to provide manual voice announcements from nurse call desk consoles or is the intent to provide automated announcements of calls and alarms?
VES (Sam Vela)
Manual voice is the current system functionality.
3
9
4/14/2023
The Project Specifications (Page 275223 – 25, Item I.2) states “Provide (2) alarm jacks at each patient station”

Does this include patient stations in all areas of all buildings or the Bed Tower only?

VES (Sam Vela)
Refer to drawings.
3
10
4/14/2023
The drawings show a device described in the legend as Staff Terminal Station. Staff Terminal Station is not defined in the specifications.

Please describe the function of the Staff Terminal Station.

VES (Sam Vela)
Staff Terminal is a dynamic device that functions as a patient or procedure room communications tool while providing staff with “soft” touch-points to initiate an instantaneous notification of an in room need. Additionally this terminal may be used as a functional nurse call console. When configured as a patient or procedure room communications tool, user-configurable soft keys can be assigned per staff terminal. Specific needs such as Emergency, Staff Assist, Transport, Cleaning Needed, Order, Stat Order, etc. and speed dialing to any location can be initiated from the staff terminal soft keys.
3
11
4/14/2023
The drawings (sheet E001) states that the server is to connect to the PC workstations.

Is this in reference to the VA enterprise PC workstations? Please describe the function of the PC workstations relative to the nurse call system.

COR (Gregory Cohen)
See #3
3
12
4/14/2023
The Project Specifications (Section M, starting on Page 275234-27) specifies the inclusion of spare devices for Master Control (Annunciator), Touch Screen, Staff Station, Duty Station and Patient Stations).

Should spares be provided for all field devices or only those specified?

VES (Sam Vela)
Spares should not be required when systems are under manufacturer warranty
3
13
4/14/2023
The Project Specifications (starting on Page 275234-27) specifies Key Activated Switch, and four (4) emergency pushbuttons stations and a four-inch flush mounted ceiling microphone/speaker in Security Rooms in Mental Health areas. Ceiling mounted microphone/speaker stations nor key activated switches are not shown on the drawings.

Please specify the locations with Security Rooms requiring this device configuration.

VES (Sam Vela)
Refer to drawings.
3
14
4/14/2023
During the pre-bid site visit walk-through, it was noted that Mental Health patient rooms located on the 7th floor of the Bed Tower had a “Nurse Call” key switch on the corridor wall outside of the patient room door.

Is it the intent to utilize these existing switches with the new nurse call system? Is so, please provide a description of the desired functionality of the “Nurse Call” key switch.

COR (Gregory Cohen)
Key switch is used to turn off Nurse Call system in that specific room, not cancel the alarm
3
15
4/14/2023
The specs (page 275223-22) state that the system may support an HL7 interface. The notes on drawing sheet E001 states to provide cutsheets and software licensing for HL7 interface.

Is HL7 interface licensing and deployment included in the scope of the project? If so, please specify desired HL7 functionality.

VES (Sam Vela)
Yes. Integration to the organizations ADT system via their interface engine enhances the user's nurse call experience by bringing in meaningful patient information.
3
16
4/14/2023
The notes on drawing sheet E001 states to provide cutsheets and software licensing for pocket page interface.

Is pocket page interface licensing and deployment included in the scope of the project?

VES (Sam Vela)
Yes. Pocket paging interface licensing is to be included.
3
17
4/14/2023
The specs state that the system may support integration with Nurse (aka Staff) Locator system. The notes on drawing sheet E001 states to provide cutsheets and software licensing for Nurse Locating System interface.

Is Nurse Locator System or Real Time Locator System (RTLS) integration licensing and deployment included in the scope of the project? If so, please specify brand and model of Nurse Locator System or RTLS.

VES (Sam Vela)
No. Not included in the scope of the project.
3
18
4/14/2023
The solicitation document states “System must be compatible with existing nurse call phone systems Cisco and SIP or WCTP compatible.”

Is phone system interface, licensing and deployment included in the scope of the project?

VES (Sam Vela)
Yes. Phone system interface licensing is to be included
3
19
4/14/2023
The solicitation document states “Ingress protection (IP) that the nurse call devices enclosure must be IP68 or technically equivalent.” IP68 means that the device is suitable for permanent submersion in water.

Please specify device types (ie: master stations, dome lights, patient stations, emergency stations, etc.) and locations where devices will be continually submersed and require device enclosures with the IP68 rating.

VES (Sam Vela)
Waterproof Pullcord Station shall comply with IP68.
3
20
4/14/2023
The Backbone Cabling Riser (sheet E501) does not show interconnection between buildings.

Should the bidder include costs to install fiber cables interconnecting the buildings or is the intent to utilize the VA network to provide interconnect between buildings.

VES (Sam Vela)
Provide new cabling as required for a turnkey installation.
3
21
4/14/2023
Will the facility be providing a resource for decommissioning the system or should bidders reach out to nurse call system support vendors to provide decommissioning of existing systems?
VES (Sam Vela)
The existing system must be fully functional until the new system is installed. The alternative would be to closedown the entire suite until construction in commissioned which is not an option. Therefore, decommissioning of the of the existing system should be included as part of this scope.
3
22
4/14/2023
The solicitation (Part 6, 2.a.) states “Normal construction hours (workday) 4:00PM to 6:00AM Monday through Friday except the following: Work affecting Dialysis, SPS, and Kitchen operations must be performed Saturday 10:00PM to 3:00AM. Work affecting in-patient and procedure rooms must be performed Saturdays 10:00AM to 4:00PM.” The drawing notes on Sheet E001 state that a maximum of four (4) patient rooms will be down at any one time and staff will provide only four (4) empty beds at a one time.

Should work in the Bed Tower, and any nursing units with patient rooms, be performed during the day, on weekdays, as to not disrupt sleeping patients at night and meet the overall project schedule?

VES (Sam Vela)
Normal construction work hours can only be modified with written approval of the VA Contracting Officer.
3
23
4/14/2023
The solicitation (Part 6, 7.a.) states the infection control risk classification to be Class IV. The ICRA Class IV designation requires that barriers must be constructed to prevent dust and pathogens from entering patient care areas.

Will construction of barriers be required for each group of four rooms, or barriers for up to four individual non-congruent rooms be required? Barrier construction at this rate may require that the overall project duration be extended.

COR (Gregory Cohen)
All Infection Control (IC) measures must be followed based on the IC Risk Assessment Matrix. Approximately 66% of work will be designated IC Class IV. Daily coordination with COR to determine work zones
3
24
4/14/2023
In the Network Nurse Call Device Cabling block on drawing sheet E001, the requirements for CAT5E and CAT6 cabling appear to describe the requirements for a specific brand of nurse call system.

Does this project have a specific minimal cable category requirement, or should the selected nurse call system manufacturers cable category requirements be utilized?

COR (Gregory Cohen)
Cat 6A is the mandatory cabling requirement for the entire system
3
25
4/14/2023
Relative to network cybersecurity and Risk Management Framework (RMF/VA Handbook 6500)

What is the FIPS 200 Impact level of the proposed nurse call system of this solution?

VES (Sam Vela)
Not applicable
3
26
4/14/2023
Relative to network cybersecurity and Risk Management Framework (RMF/VA Handbook 6500)

Will the proposed nurse call system need to be integrated into a Cisco Unity or Cisco CUCM?

VES (Sam Vela)
Not applicable
3
27
4/14/2023
Relative to network cybersecurity and Risk Management Framework (RMF/VA Handbook 6500)

What is the connection type (T-Base or SFP) for the nurse call system connections on the VA Network, & what speed is being provided?

VES (Sam Vela)
Standard ethernet connection from server to the network
3
28
4/14/2023
Relative to network cybersecurity and Risk Management Framework (RMF/VA Handbook 6500)

What type of IPS is required to the nurse call system interface with the VA Network?

VES (Sam Vela)
It should be allowed to use all anti-virus software and able to be updated, Microsoft patches included if on a Windows device
3
29
4/14/2023
Please confirm that we can install exposed conduit at glazed block walls.
VES (Sam Vela)
Where conduit can not be hidden in walls use wore mold.
3
30
4/14/2023
Please confirm patching method @ exposed conduit removal from glazed block walls.

Do we need to replace block at removal of existing Nurse Call- conduit anchorage points an device box removals or just patch holes.

VES (Sam Vela)
Remove exposed conduit complete with all anchorage and ancillary equipment where abandoned. Patch and repair walls as required to match existing conditions.
3
31
4/14/2023
Please confirm ,when we are required to remove ceramic wall tile in order to remove existing and install new conduit, do we just replace tile to match existing at tile area removal or do we have to replace entire wall corner to corner.
VES (Sam Vela)
Replace and patch to match existing. Protect existing devices to remain such that no damage can occur.
3
32
4/14/2023
Please confirm that we are to paint drywall ceiling & walls corner to corner where we have to patch drywall in order to remove existing and install existing conduit.
VES (Sam Vela)
Paint ceiling and walls corner to corner where we have to patch drywall. Protect existing devices to remain such that no damage can occur.
3
33
4/14/2023
Please confirm that you will allow isolated floor finish patching in lieu of replacing entire room or work area flooring.
VES (Sam Vela)
Replace and patch to match existing flooring to remain.
3
34
4/14/2023
Drawing E001/CONTRACTORS WORK STATEGY states that we are to re-use existing device back boxes where an existing device is to be replaced.

How are we to re-use existing device back box’s if we need to leave existing system and devices in place and operational while we install new system.

VES (Sam Vela)
There will be some instances where this may occur. An example might be when working in a space where the patient will not be at the start through the end of construction in a specific closed off area inaccessible patients.
3
35
4/14/2023
Please confirm that we can use j hooks and exposed cabling at accessible ceilings per E001/GENERAL NOTE #3 even though note under NURSE CALL SYMBOLS says “THE ENTIRE NURSE CALL SYSTEM SHALL BE INSTALLED IN RACEWAY(3/4” MINIMUM) WITHIN WALLS AND CEILINGS.”
VES (Sam Vela)
All cabling to be installed in conduit.
3
36
4/14/2023
PART 3:DETAILED PROJECT SCOPE says to remove old devices, conduits and cabling but GENERAL SHEET NOTE 2 says to re-use existing conduit.

How are we to re-use existing conduit while keeping existing system up and running while we install new Nurse Call system.

VES (Sam Vela)
It is acceptable to utilize existing conduit where it allows existing system to remain operational until new system is installed. An example might be closed areas from start through end of construction in a specific closed off area inaccessible patients.
3
37
4/14/2023
Can the Government please confirm that the nurse call system will connect to and communicate over the existing physical LAN in each building and that the existing physical LAN is interconnected between all buildings to provide for one enterprise networked system?
VES (Sam Vela)
No, contractors will need to run their own cable through the buildings
3
38
4/14/2023
Given that nurse call devices are governed by UL1069 as the Standard for Hospital Signaling and Nurse Call Equipment and specification section 2.3.C.2 states that all materials shall be listed, labeled or certified by UL, can the Government confirm that devices designed to meet the ingress protection requirements outlined by UL1069 for use in wet locations are technically equivalent to IP68? This was noted as being acceptable when asked as part of a prior solicitation and we would like to reconfirm.
VES (Sam Vela)
See #19
3
39
4/14/2023
Does the Government require the patient room audio stations to have the capability to call room to room and staff to staff? This was noted as being required when asked as part of a prior solicitation and we would like to reconfirm.
VES (Sam Vela)
Staff to staff is required, room to room is not required.
3
40
4/14/2023
Does the Government require the nurse call system to include a centrally located communication board on each unit for visibility of bed status, patient risks, active calls and reminders?
VES (Sam Vela)
Centrally located communication board is not mandatory.
3
41
4/14/2023
Is it mandatory for the nurse call system to provide a centrally located communication board on each unit for staff to monitor the following bed state items:

a. Brakes set

b. Bed exit alarm status

c. Side rail status

d. Head of bed angle

e. Patient weight

VES (Sam Vela)
The nurse call system must include the capability of transmitting this information but a single centrally located status board displaying this is not required.
3
42
4/14/2023
Is it mandatory that the nurse call system provide the native ability to integrate with beds without the need for additional software in order to provide the following capabilities:

a. Automatically set and monitor bed exit alerts based on fall risks inputted from EMR

b. The ability to monitor a patient’s heart and respiratory rate on status board and display alerts if values fall outside of the ‘normal’ range

c. The ability to monitor and display a patient’s MEWS and SIRS early warning score on a centrally located status board and provide an alert if scores decline

VES (Sam Vela)
It is not mandatory.
3
43
4/14/2023
Is it mandatory that the nurse call system have the capability for staff to set reminders that will notify them of upcoming clinical tasks such as turning, pain and IV checks, and rounding reset automatically by caregiver presence? This was noted as being required when asked as part of a prior solicitation and we would like to reconfirm.
VES (Sam Vela)
Confirmed.
3
44
4/14/2023
Is it mandatory that the nurse call system have a bi-directional HL7 interface to the EMR system?
VES (Sam Vela)
Not required.
3
45
4/14/2023
Is it mandatory that the nurse call system have a bi-directional digital data integration with the patient beds utilized by the Jesse Brown VA?
VES (Sam Vela)
Not required.
3
46
4/14/2023
Cabling: The solicitation states that all CAT 6a is required for the entire nurse call system, however, drawing sheet E001 under “network nurse call device cabling” specifies CAT 5e cable. Can the Government please clarify which cable type is required.
VES (Sam Vela)
See #24
3
47
4/14/2023
HL7 Interface: The specification states “the system may support downloading and updating of patient data from the hospital admission system via the HL7 standard”. Can the Government confirm whether or not ADT/HL7 is required to be included as part of a response to the solicitation or if the nurse call system need only to be capable of this type of interface?
VES (Sam Vela)
Not required.
3
48
4/14/2023
The specifications require that (1) spare HL interface unit be provided, can the Government please clarify what is required by this section?
VES (Sam Vela)
We do need ADT feed for tracking/reporting
3
49
4/14/2023
Please confirm whether reporting on all call types, and response time is necessary for this project.
VES (Sam Vela)
Not required.
3
50
4/14/2023
Would the Government agree that the nurse call system should be designed to combine the functionality of the patient station and staff terminal into one device that can be placed anywhere in the patient room in order to minimize hardware device costs as well as the number of backboxes and in-room cabling?
VES (Sam Vela)
No. The devices must be UL listed to work as a system and this may or may not have proprietary equipment.
3
51
4/14/2023
Please confirm the Nurse call system must include a dedicated room control board (RCB) setup which maintains a single point of failure. Any systems designed with a daisy chain or similar setup which does not ensure a single point of failure will not be accepted.
VES (Sam Vela)
It is not mandatory.
3
52
4/14/2023
Can the Government confirm that it will not allow nurse call vendors to incorporate proprietary equipment as part of their system’s backbone in lieu of standard “off the shelf” hardware?
VES (Sam Vela)
No. The devices must be UL listed to work as a system and this may or may not have proprietary equipment.
3
53
4/14/2023
Can the government confirm that it will not allow nurse call vendors to utilize proprietary power distribution systems as part of the nurse call system in lieu of standard “off the shelf” devices?
VES (Sam Vela)
No. The devices must be UL listed to work as a system and this may or may not have proprietary equipment.
3
54
4/14/2023
Can the Government please clarify the nurse call configuration within a typical patient room in medsurg (rm. 6672 for example)? The specifications state, “System hardware shall consist of a nurse call and code blue patient communications network comprised of nurse consoles, control stations, staff and duty stations…” and make no mention of “Staff Terminals”. However, the drawings indicate that rooms will be receiving “Staff Terminals”, please confirm whether or not staff terminals are required per the drawings.
VES (Sam Vela)
Item #16 on drawings are required Staff Terminal Stations
3
55
4/14/2023
The RFP documents direct full function dome lights for all locations and for the dome light to illuminate red for bath and shower calls. Can the Government confirm if single bulb dome light that illuminates white will suffice in ancillary areas like clinics and standalone bathrooms outside of patient rooms where enhanced dome light functionality isn’t required?
VES (Sam Vela)
Substitution not acceptable.
3
56
4/14/2023
Specification section 1.4.A.2 requires that the nurse call system FCC Communications Act of 1934 and section 2.0.F states the system “must meet all FCC requirements regarding equipment listing…”, however section 2.3.A strikes out FCC listed. Can the Government please confirm that the nurse call system must by FCC listed?
VES (Sam Vela)
System needs to meet all local and Joint Commission requirements
3
57
4/14/2023
Can the Government provide a project timeline that identifies the order of completion inclusive of required ICRA levels for each completion?
VES (Sam Vela)
We cannot provide an accurate timeline due to contractor manpower abilities
3
58
4/14/2023
Can the Government confirm they will provide virtual servers that meet the nurse call specifications?
VES (Sam Vela)
No, we will not provide virtual or physical servers
3
59
4/14/2023
Can the Government identify the building and floor for the nurse call servers and networking to be centrally located, hosted, and accessible to the existing physical LAN/VLAN?
VES (Sam Vela)
See #37
3
60
4/14/2023
Can the Government verify that each location of nurse call head end equipment across all buildings and floors will connect to the existing physical LAN/VLAN?
VES (Sam Vela)
See #37
3
61
4/14/2023
Work hours – please confirm this is a hybrid second shift
COR (Gregory Cohen)
Normal construction hours (workday) 4:00PM to 6:00AM Monday through Friday except the following: Work affecting Dialysis, SPS, and Kitchen operations must be performed Saturday 10:00PM to 3:00AM. Work affecting in-patient rooms, procedure rooms, and operation rooms must be performed Saturdays 10:00AM to 4:00PM. Work affecting Operation Rooms must be performed Saturday. The Superintendent must coordinate with the VA COR to identify rooms that will be unoccupied per work zone each workday.
3
62
4/14/2023
Bio Med Class 4 – project requires, dust walls, air containment, etc. Is Tenting not acceptable?
COR (Gregory Cohen)
Tenting is not acceptable. Follow all IC measures for Class IV level work
3
63
4/14/2023
Who is providing scheduling / room access on a daily basis. How do ensure there are minimum delays
COR (Gregory Cohen)
The Superintendent must coordinate with the VA COR to identify rooms that will be unoccupied per work zone each workday.
3
64
4/14/2023
1. Please issue construction drawings in full/scalable size and format. The issued set of construction drawings is in 11”x 8.5” size.
VES (Sam Vela)
Issued set has been confirmed correct size at 32" X 40".
3
65
4/14/2023
2. Will there be a location to park a job trailer on site? Or is there a space that will be made available for the contractor to use for onsite personnel?
COR (Gregory Cohen)
No on-site office is allowed. No on-site storage is allowed. Provide ‘just-in-time delivery and pickup’. Coordinate with COR for staging within the work zone 4 days prior to the beginning of the work.
3
66
4/14/2023
3. Spec 010000, 1.3: Specification lists bid alternates. Is this part of the bid? This is contradictory as the solicitation only asks for (1) number.
VES (Sam Vela)
This should be part of the base bid.
3
67
4/14/2023
4. Will the Government consider adjusting the award criteria from LP to LPTA so that the Government is given an opportunity to ensure that the low-price bidder is meeting the specs as written in the TIL, Drawings and other RFQ solicitation documentation?
VES (Sam Vela)
VES recommends maintaining LP criteria.
3
68
4/14/2023
5. Spec 013526, 1.9, B: As this has been a conflict on previous projects at other Federal sites, please confirm that the Certified Safety Professional or Construction Safety & Health Technician conducting random monthly inspections can be independently contracted or be from GC’s internal organization.
VES (Sam Vela)
Confirmed. Contractor employed safety specialist is suggested. VA Occupational Health and Safety will continue to conduct weekly site inspections and will maintain final authority
3
69
4/14/2023
6. Spec 014500: can the SSHO also be the onsite QC representative? As this is a night job and primarily focused on (1) trade with specialized and trained technicians, it might not be most effective for the project to have the additional costs for a permanent onsite individual. A separate QCM would still be provided and make regular site visits and perform QCM tasks.
VES (Sam Vela)
Yes, SSHO and QC representative can be the same person
3
70
4/14/2023
7. Spec 013526, 1.13: is TB screening still required?
VES (Sam Vela)
Yes.
3
71
4/14/2023
8. Section 1.4 References, Para 6.B. This section references VA handbook 6500. The handbook specifications note that last year’s directive updated the standards to follow Risk Management Framework (RM). Please confirm that RMF is to be followed for all aspects of this project. Please indicate if costs associated with RMF should be included as part of this proposal.
VES (Sam Vela)
Yes, RMF is to be followed for all aspects of this project
3
72
4/14/2023
9. Per the Contractor Work Phasing Strategy, a maximum of four (4) patient rooms will be down at any one time for installing the new nurse call. Will the Government confirm that 4 patient rooms will be made available per day for installing the new nurse call?
VES (Sam Vela)
The Superintendent must coordinate with the VA COR to identify rooms that will be unoccupied per work zone each workday. Room availability will be assessed based on current hospital operations
3
73
4/14/2023
10. Per the TIL, the Government has stated that a maximum of four (4) patient rooms will be down at any one time and made available for installing the new nurse call per night. The Government also stated these 4 patient rooms will likely be in separate areas and units of the hospital (e.g., 1 bed in the ER, 1 bed in step down and 2 beds in ICU). Will the Government confirm that this is the proper expectation for the bidders?
VES (Sam Vela)
Yes, confirmed.
3
74
4/14/2023
11. In the patient locations where a Bed Connection to the Nurse Call System is listed as being required, what brand of beds does the facility have?
VES (Sam Vela)
Stryker and Hillrom beds are used throughout the facility
3
75
4/14/2023
12. Would the Government consider modifying the contract specifications to allow for optional pricing of 5-years of hardware warranty, 5-years of remote help desk technical phone support and 5-years of licensing? By modifying the contract to allow for optional 5-year cost for these items to be included, the Government will have greater insight to the cost of ownership.
CS
No
3
76
4/14/2023
13. Will the Government confirm that the new Nurse Call system application software be installed on a single server housed/located within the hospital data center?
VES (Sam Vela)
BioMed prefers a production and test environment, otherwise it is up to the contractor, but it would provide added value
3
77
4/14/2023
14. Network Connection: Can the Government confirm that the new nurse call must be networked together and connected for all buildings? If so, must all these areas connect back to one central nurse call server? Drawing E501- shows a vertical fiber riser. Please confirm that the fiber is to terminate in the existing building’s IT closet as shown per the riser diagram and that all the building’s won’t be required to be “interconnected”.
VES (Sam Vela)
See #37
3
78
4/14/2023
15. Is any asbestos re-inspection or abatement to be included in this bid to the Government?
VES (Sam Vela)
Asbestos containing materials to be disturbed during demolition activities must be abated. Asbestos containing materials are listed in the Asbestos Survey Report. If the contractor suspects asbestos material in areas not identify in the survey, the contractor is responsible to test of the suspected material.
3
79
4/14/2023
16. Will the Government require nurse call master console to nurse call master console calling capability?
VES (Sam Vela)
Yes, confirmed.
3
80
4/14/2023
17. Per VA TIL 27 52 23, the new Nurse Call pull stations in bathrooms must also provide full duplex audio. Should all bathroom areas be equipped with full duplex audio pull cord stations?
VES (Sam Vela)
Maintain full duplex audio pull cord stations.
3
81
4/14/2023
18. Can the Government confirm that the new Nurse call system audio requirement is specifically requesting full duplex audio and that one way and two-way walkie talkie type voice functionality will NOT be accepted?
VES (Sam Vela)
Maintain full duplex audio.
3
82
4/14/2023
19. Are all audio devices in all bathroom locations required to be full duplex audio? and also alarm in these immediate zoned areas?
VES (Sam Vela)
Refer to drawings.
3
83
4/14/2023
20. In the drawings and specification documents, the Government has stated that the emergency pull cord station must have audio all-in-one device. Can the Government confirm that a single nurse call device must provide audio and pull cord all-in-one is required?
VES (Sam Vela)
Maintain full duplex audio pull cord stations. Where vendor is replacing existing devices one for one or adding device to maintain full duplex audio this contractor shall patch and repair walls to match existing.
3
84
4/14/2023
21. Does the government require that the patient room audio stations have the capability to call room to room and staff to staff?
VES (Sam Vela)
Staff to staff is required, room to room is preferred but not required.
3
85
4/14/2023
22. Can existing back boxes be reused for the nurse call system?
VES (Sam Vela)
YES, maintain existing system functionality so installation does not affect patient care until new system in fully functional.
3
86
4/14/2023
23. Please confirm that the Nurse Call interconnection between buildings (e.g., building‐to‐building) will be able to utilize existing fiber or copper cable network switches?
VES (Sam Vela)
See #121
3
87
4/14/2023
24. Will the Government confirm that new nurse call cabling is to be installed in ¾” conduit within the walls and ceilings?
VES (Sam Vela)
1" conduit minimum is required for nurse call low voltage cabling.
3
88
4/14/2023
25. Will the Government confirm that flex down the walls within the patient rooms be acceptable?
VES (Sam Vela)
The nurse call system must be installed in a complete and separate dedicated raceway system.
3
89
4/14/2023
26. Will the Government confirm that on-site Clinical Education Training Services are required as described in the TIL 27 52 23?
VES (Sam Vela)
Confirmed.
3
90
4/14/2023
27. Can existing conduit be reused for the nurse call system?
VES (Sam Vela)
YES, maintain existing system functionality so installation does not affect patient care until new system in fully functional.
3
91
4/14/2023
28. Can the Government confirm that the existing nurse call system needs to be maintained and remain fully operational and functioning during construction?
VES (Sam Vela)
Confirmed.
3
92
4/14/2023
29. Can the Government validate that the selected vendor will be responsible for removing all old equipment?
VES (Sam Vela)
Confirmed.
3
93
4/14/2023
30. The patient room shown during the site visit had a gyp. bd. ceiling. Can the government confirm whether all patient rooms have hard ceilings or if some ceilings are lay‐in?
VES (Sam Vela)
Some patient rooms have lay-in ceilings
3
94
4/14/2023
31. Is the Government requiring that the new nurse call system must already have an ERA approval in place prior to providing a bid? ERA approvals can take 3 to 9 months depending on particular software coding by the nurse call manufacturer. Not having an ERA approved in advance of bidding could delay a project 6 months or more.
VES (Sam Vela)
It would provide added value for the Nurse Call vendor to have an ERA already approved
3
95
4/14/2023
32. Will the Government confirm that the new Nurse Call Code Blue system must also be FDA 510K Class II listed as a medical device per the FAR and VAR references to FDA?
VES (Sam Vela)
Confirmed.
3
96
4/14/2023
33. Will the Government require nurse call devices to be FDA 510K registered as nurse call is identified by the FDA as a medical device?
VES (Sam Vela)
Confirmed.
3
97
4/14/2023
34. Can the Government clarify if the nurse call system needs to be FIPS 140‐2 certified or validated?
VES (Sam Vela)
Confirmed.
3
98
4/14/2023
35. Please confirm whether all in‐patient rooms have a pre‐manufactured headwall currently installed. If not, what percentage of rooms to do not have a pre-manufactured headwall currently in installed?
VES (Sam Vela)
Yes, all in-patient rooms have a pre-manufactured headwall currently installed
3
99
4/14/2023
36. Will the Government confirm that patient rooms light fixtures will have to be temporarily removed to access junction boxes and lighting fixtures reinstalled?
VES (Sam Vela)
Confirmed.
3
100
4/14/2023
37. Can the Government confirm that nurse call manufacturer must provide firmware free of charge for a period of two (2) years from date of acceptance by the VA and can be completed remotely?
VES (Sam Vela)
Having remote connectivity is acceptable, but not required
3
101
4/14/2023
38. Please provide the ICRA report for this project. Additionally, please clarify if the Nurse Call System installers must install the cabling in Mobile Containment Units with Negative Air Machines?
VES (Sam Vela)
In sterile surgical areas, yes. In non‐sterile surgical areas, please see the Contractor Work Phasing Strategy on drawing E001. Work in corridors are allowed to be without negative air machines, as long as no more than two (2) corridor ceiling tiles are removed at a time and the area is cleaned before moving onto the next area.
3
102
4/14/2023
39. Does the Nurse Call need to integrate with the VA's Active Directory?
VES (Sam Vela)
Yes.
3
103
4/14/2023
40. Will the Government confirm that the new Nurse Call system be FCC Part 68 compliance for interface to the wireless phone switch as described in the TIL 27 52 23 and TIL referenced subparts references?
VES (Sam Vela)
NC not FCC 68 compliance refers to mobile phones
3
104
4/14/2023
41. Is complete HL7 integration in-scope for this project or just licensing and with future capability to be provided?
VES (Sam Vela)
See #44
3
105
4/14/2023
42. Section 2.4, Para D.5 (Clinical Wireless Communicator) states that the System may connect to a wireless nurse communication system is approved. Is this interface required to be implemented for this project? If so, please specify the manufacturer and model of wireless nurse communication system and the specific functionality required.
VES (Sam Vela)
Personal Wireless Communicators will not be part of this bid; however, the new nurse call system must be able to interface with Personal Wireless Communicators that provides real time locating capabilities.
3
106
4/14/2023
43. Will the Government confirm that current overhead paging system is capable to integrate with a nurse call system for Code overhead paging?
VES (Sam Vela)
Current Nurse Call system does not integrate with hospital PA system
3
107
4/14/2023
44. Will the Government confirm if a RTLS Staff Duress nurse location system is already installed at the VA that must be integrated with immediately or is the Government asking that the nurse call just have the software include in the bid for a future RTLS nurse locator capability?
VES (Sam Vela)
RTLS software not required.
3
108
4/14/2023
45. Will the nurse call system be required to have a SIP interface for patient room call back?
VES (Sam Vela)
Yes.
3
109
4/14/2023
46. Will the Government confirm that ADT Integration, Pocket Paging, Messaging, RN to Bed Staff Assignment, EIS Logging, Reporting, and LAN Bridge software licensing and services for all of these must be included in the base bid as described in the TIL 27 52 23 and the drawings?
VES (Sam Vela)
Licenses and services for all software must be included.
3
110
4/14/2023
47. The TIL System Description, Para E. states that the nurse call System is to consist of the following interfaces when specifically approved by the TVE 0050P3B or shown on the drawings: a. Pocket Page Interface b. Computer Interface c. Printer Interface d. Wireless telephone network Interface e. Nurse Locating System Interface. Can the Government confirm that middleware is NOT allowed for these integrations? Also, can the Government confirm that the nurse call system must include all necessary licensing and services to enable these interfaces?
VES (Sam Vela)
Middleware is allowed with support warranty, but not desired. Licenses and services for all software must be included
3
111
4/14/2023
48. Section 2.1, Para L. states that when the System is approved to connect to LAN, WAN, Telephone, Public Address, radio paging, wireless systems, etc. that the System must meet UL 60950—1/2, FIPS 142 and FCC Part 14 and be approved by TVE‐0050P2B prior to contract bid. Is connection to LAN, WAN, Telephone, Public Address, radio paging, wireless systems, etc. required for this project?
VES (Sam Vela)
When the system in approved.
3
112
4/14/2023
49. Is the nurse call system required to have the capability to provide a Bi‐Directional transfer of information interface for VistA CPRS or Cerner for ADT information, Patient Status, Positioning, Rounding, Wound Care, Pain Assessment, and Patient Data?
VES (Sam Vela)
See #44
3
113
4/14/2023
50. Is integration with nurse Wireless Communicators such as Vocera to be included or is only the future capability of integration required?
VES (Sam Vela)
Yes
3
114
4/14/2023
51. Will the Government be responsible for temporarily removing the existing light fixtures located in many of the patient rooms so that the necessary access to the junction boxes for nurse call installation is provided to the nurse call installers? If not, will the Government require the contractor to handle the temporary removal of the existing light fixtures located in many of the patient rooms so the junction box can be accessed?
VES (Sam Vela)
Bidding contractor shall be responsible to modify and repair existing conditions where they interfere with nurse call installation scope of work.
3
115
4/14/2023
52. Are the annual reoccurring remote help desk technical support assurance/maintenance and the reoccurring license fees that are required for the out years / after the initial base contract period to be included in this solicitation response? Or will the 5-years of license and remote help desk phone support be a separate contract?
VES (Sam Vela)
All licensing and fees are to be included.
3
116
4/14/2023
53. Will the Government confirm that all new Nurse Call devices installed in the mental health areas must be installed in the walls so that they are flush mount with the drywall using steal plate anti-ligature, vandal‐proof and flush mount nurse call devices?
VES (Sam Vela)
Match existing conditions. Verify requirements in field prior to submitted bid.
3
117
4/14/2023
54. In Mental Health area and patient rooms, will the Government clarify if steel band barriers are located behind the drywall?
COR (Gregory Cohen)
Steel band barriers are not located behind the drywall in patient rooms and Mental Health area
3
118
4/14/2023
55. Will the Government confirm that all new mental health dome lights must be flush mount to the walls using steal plate anti-ligature, vandal‐proof and flush mount nurse call dome light devices?
COR (Gregory Cohen)
Dome lights in Mental Health ward currently are the same protruding, not flush, dome lights with a clear plastic cover, with tamper proof fasteners, to prevent interference. Contractor can imitate this method
3
119
4/14/2023
56. Will the Government confirm the approved use of middleware software to interconnect the new nurse call system to other systems such as Vocera, wireless nurse phones which connect to the VA Cisco PBX system, the VA Active Directory, and other VA systems such as the VA ADT system which is described in the TIL as being mandatory?
VES (Sam Vela)
See #110
3
120
4/14/2023
57. Will the Government require databases to be hosted on existing OI&T infrastructure or will the expectation be to separately host it on the Nurse Call isolated network?
VES (Sam Vela)
Nothing shall be housed on OI&T infrastructure
3
121
4/14/2023
58. Does the government have an existing firewall/Layer-3 switch between the isolated UL-1069 Nurse Call network and the OI&T network?
VES (Sam Vela)
Contractor can have a fiber or copper connection from the server only. All other networking infrastructure has to be provided
3
122
4/14/2023
59. Will the Government confirm that new Nurse Call System must be networked together or will the Government all each building to be installed as a stand-alone nurse call in each building or unit?
VES (Sam Vela)
Networked together.
3
123
4/14/2023
60. Will nurse call pillow speakers be required to operate both the patient room lighting and televisions in all patient rooms?
VES (Sam Vela)
Yes.
3
124
4/14/2023
61. Will the Government allow Nurse call system in patient room devices that utilize legacy dip-switch type programming or will the Government require the in-patient room devices be self-programming dip-switched technology?
VES (Sam Vela)
Newest technology required
3
125
4/14/2023
62. Will the Government confirm that managed services and 12-week onsite visits must be included as described in the TIL 27 52 23?
VES (Sam Vela)
Confirmed in specifications.
3
126
4/14/2023
63. Can the Government confirm that the Nurse Call System Corridor Lights must be capable of continuous supervision with status indication when controller or associated room devices are not operating properly?
VES (Sam Vela)
Not required.
3
127
4/14/2023
64. Can the Government confirm that the Nurse Call system must include real-time visibility of all events including date, time, unit, event type, recipients, status, delivery history, and action taken?
VES (Sam Vela)
Data logging visibility is acceptable. The system does not have to be real-time.
3
128
4/14/2023
65. Please confirm in which room the new vendor provided nurse call servers are to be installed?
COR (Gregory Cohen)
BioMed server room
3
129
4/14/2023
66. Will the Government be providing virtual servers for the nurse call system software to be in installed on?
VES (Sam Vela)
See #58
3
130
4/14/2023
67. Does the contractor need to provide physical servers to support the Nurse Call platform or will virtual servers be provided by the government? If yes, does the contractor need to provide a UPS to support the physical servers? How long does the UPS need to maintain uptime?
VES (Sam Vela)
Vendor to provide physical or virtual. Servers do not need to provide UPS
3
131
4/14/2023
68. Will the Government confirm that the Nurse Call Manufacturer must provide certification that they have all hardware equipment that this bid is requesting be readily available to ship within 30-days of an order being approved by the VA for installation?
VES (Sam Vela)
No, this is not a requirement outlined in the solicitation. All vendors must be able to meet the schedule.
3
132
4/14/2023
69. Will the Government confirm that the nurse call software, which provides unit level nurse to bed assignment controls and nursing reports, be installed on the existing VA PCs that are already running in the nursing units and that adding new standalone, single use PC’s for just the nurse call is NOT acceptable?
VES (Sam Vela)
See #3
3
133
4/14/2023
70. Does each Staff Terminal Station require the capability to display up to 990 workflows configurations?
VES (Sam Vela)
Yes, if required.
3
134
4/14/2023
71. Will the Government confirm that each bidder must include offsite certified and environmentally controlled secure storage costs included in the bid cost or will on-site storage space be provided?
VES (Sam Vela)
No on-site storage allowed per specification.
3
135
4/14/2023
72. Can the Government confirm that all Nurse Call system equipment must be manufactured in the USA or TAA?
VES (Sam Vela)
Yes.
3
136
4/14/2023
73. Is the nurse call system software required to be One ‐VA Technical Reference Model (TRM) (www.va.gov/trm) approved for installation within the Government?
VES (Sam Vela)
TRM necessary if the software must be loaded on VA computers. TRM is not necessary if a web interface will be used
3
137
4/14/2023
74. Is wire mold (surface mounted wire molding) acceptable for installation of new nurse call equipment or will all new nurse call equipment be required to be installed in the walls?
VES (Sam Vela)
New equipment should NOT be surface mounted or wire molded unless currently existing
3
138
4/14/2023
75. Where wire mold is currently installed, does all of this existing wire mold need to be replaced with new wire mold or can existing wire mold be reused?
VES (Sam Vela)
Replace wire mold with new. Patch and repair walls to match existing conditions where new work is completed.
3
139
4/14/2023
76. Can the Government confirm that the Nurse call system must be VoIP based and Analog nurse call systems will not be accepted?
VES (Sam Vela)
Confirmed.
3
140
4/14/2023
77. Will the Government confirm that the Pullcord and Pushbutton Shower Station devices must be Waterproof (IP68) as described in the TIL 27 52 23?
VES (Sam Vela)
See #19
3
141
4/14/2023
78. Will the Government require waterproof IP68 nurse call patent pull cord station, s as described in the TIL 27 52 23, be installed in bathrooms and showers where power washing is done by environmental services? If so, will the Government require each bidder to provide a written letter from the International Electrotechnical Commission (IEC) as proof that the nurse call system waterproof pull cords are IP68 or equivalent as rated by the IEC?
VES (Sam Vela)
See #19
3
142
4/14/2023
79. Will the Government confirm the "waterproof" referenced in the specs is referring to the IP68 waterproof emergency pull cord for the showers and bathrooms?
VES (Sam Vela)
See #19
3
143
4/14/2023
80. Can the Government confirm that the Nurse Call must allow for custom WAV files to be used for setting different sounds/tones?
VES (Sam Vela)
Not required.
3
144
4/14/2023

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