36C25224B0003 0004.docx

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) 01-02-2024 585-24-1-6950-0001 585-21-111 Department of Veterans Affairs

GLAC (69D)

115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 Department of Veterans Affairs

GLAC-MILWAUKEE (69D)

Great Lakes Acquisition Center - HC 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 To all Offerors/Bidders

36C25224B0003 11-29-2023

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

Thursday, 01/11/2024 at 10:45 CST

585-3640162-6950-854200-3220 23NR3MA25

X Project 585-21-111 Upgrade Nurse Call Solicitation 36C25224B0003 - Amendment 0004

The bid due date/time has changed from Friday, 01/05/2024 to Thu rsday, 01/11/2024 at 10:45 a.m. CST.

See continuation pages and attachment for additional details.

Kristi Kluck Contracting Officer

SOLICITATION 36C25224B0003

AMENDMENT 004

January 2, 2024

AMENDMENT 003 hereby incorporates the following clarifications/change(s) into the solicitation package:

1. Vendor Questions and Answers

a. 12/6/2023 - We are working on the response to this solicitation and have a few questions about the final submittal process:

1.) QUESTION: Will the government confirm that this is an in-person delivery for a sealed bid at the date/time specified on the 1442?

VA REPLY: The bids do NOT need to be hand-delivered. As long as an offer is delivered in a sealed envelope, and received by the government NLT Friday, 12/29/2023 by 1045 CST it will be accepted.

2.) QUESTION: Also, will the government confirm the address and room that the sealed bid must be delivered to at the date/time specified on the 1442?

VA REPLY: Bids must be delivered to 115 S. 84th Street, Suite 101, Milwaukee, WI 53213, NLT Friday, 12/29/2023 at 1045 CST.

b. 12/08/2023:

1.) QUESTION: Please confirm that integration to the existing Stanley patient elopement system is not part of this bid and will be evaluated at a later date?

VA REPLY: This project does not include integration with the patient elopement system.

2.) QUESTION: Please confirm Integration with the existing Midmark system is only applicable in the 1st floor CLC and 4th floor East areas?

VA REPLY: Midmark system is only on 1st floor CLC and 4-East inpatient wing.

3.) QUESTION: Will configuration, software, and troubleshooting of the Midmark system be provided by the VA or their supplied partner?

VA REPLY: The nurse call system must have the capacity to directly integrate with the existing Midmark system. Integration service would be acquired by the VA.

4.) QUESTION: Will configuration, software, and troubleshooting of the Vocera system be provided by the VA or their supplied partner?

VA REPLY: The nurse call system must have the capacity to directly integrate with the existing Vocera system. Integration service would be acquired by the VA.

5.) QUESTION: Will VA personnel or their current provider be on-site to assist with existing nurse call system removal? Devices and cabling can be removed following general industry best practices but any decommissioning through software configuration or system device removal practices will need to be provided by that system’s representative.

VA REPLY: Contractor is responsible for demolition of existing physical devices including servers. VA personnel will be available to deprogram the existing system. Contractor shall coordinate demolition efforts with VA staff.

6.) QUESTION: If replacement devices for the existing TV and lighting controls in the patient rooms are required due to failed or damaged currently installed equipment, will it be acceptable to provide pricing at a future date?

VA REPLY: Replacing all bed connect module and patient station with pillow switch are included as part of this project. Refer to plan set published with Solicitation 36C25224B0003 on www.SAM.gov.

7.) QUESTION: Will manufacture specifications of system capabilities for battery backup be acceptable in lieu of provided a 3rd party UPS that is outside of system design?

VA REPLY: See revised Spec Section 27 52 23 2.1.I - The VA specifies that servers must have dual power supplies which are connected to facility UPS and commercial power. Contractor does not need to provide 3rd party UPS. If this does not answer the question, please resubmit the question with more detail.

8.) QUESTION: Proposed system requires a test environment alongside production. Can the nurse education rooms 3246, 3249, and 3250 be removed from the production infrastructure and used for the test system? Additional devices would be installed in these rooms to mirror the rest of the facility. This will allow for a better training environment as well.

VA REPLY: Yes.

9.) QUESTION: Third floor operatory rooms 3229, 3230, 3231, 3232, 3233, and 3234 do not have corridor light icons on the drawings. Should corridor lights be installed for each of these rooms?

VA REPLY: Include wall-mounted lights for each of these rooms.

10.) QUESTION: No corridor light icon in the hallway outside isolation room 4205. Please advise if one should be added or if the light in anti-room 4207 can be moved to the hallway.

VA REPLY: Move the nurse call light from the Anti-Room 4207 outside the Anti-room door in corridor 4212C.

11.) QUESTION: Please identify a new shared headend location for the devices to be installed on 5th and 6th floors. Waiting room 2188 shown on the drawings calls for a corridor light to be installed in the room with no other devices. Please verify.

VA REPLY: 5th and 6th floor nurse call devices shall be connected to the NCCP in room 4212.

12.) QUESTION: Waiting room 2188 shown on the drawings calls for a corridor light to be installed in the room with no other devices. Please verify.

VA REPLY: Delete the device shown in 2188.

13.) QUESTION: To provide proper disaster recovery options to the VA, multiple application servers will be required for system operation. This system design will require the use of a load balancer for proper traffic distribution. Will the VA provide a network load balancer and if so, please provide system information.

VA REPLY: See revised Spec Section 27 52 23, Part 2.0 virtual platform hosting; contractor shall provide a system that meets these requirements. VA will not purchase anything additional; contractor must provide what is needed for their new system to tie into the existing system.

14.) QUESTION: During the walkthrough, the headend location in room 1214 was identified to be unusable. Please confirm room 1218A is the new headend location.

VA REPLY: Room 1214 calls out for NCCP "Nurse Call Control Panel." Due to a current construction project, this NCCP shall be in room 1216.

15.) QUESTION: For patient rooms with bed connections on the headwall, multiple heights for currently installed locations were identified during walkthrough. Please confirm height of new bed connections for rough-in.

VA REPLY: Install each at the existing height.

c. 12/11/2023: QUESTION: Will the government accept FedEx delivery of hard copied proposals and guarantee bonds before bid due date of 12/29/2023 at 10:45am CST?

VA REPLY: Yes.

d. 12/11/2023 QUESTION: During the pre-bid walk through it was noted that new head walls were going in all over the hospital. It appears a project is going to install all new head walls in the hospital. The new head walls included only (2) single openings for the nurse call system. The new nurse call system will require (1) triple gang opening and (2) single gang openings. Who will be responsible for cutting in these additional openings in the millwork and installing the boxes?

VA REPLY: Contract requirements are based on existing conditions. If existing conditions require the contractor to modify existing headboards, the contractor is responsible for those costs.

e. 12/18/2023 QUESTIONS 1.) QUESTION: Will the Government provide the number of overhead paging zones and overhead PA amps that are currently deployed within the facility?

VA REPLY: The PA system is independent of the Nurse Call system.

2.) Will the Government reconfirm that the “advanced nurse call system shall provide a highly available (e.g. High Availability Disaster Recovery) solution that can recover from server failure automatically without any need for user intervention” as described in the 255223 TIL spec document?

VA REPLY: Contractor shall NOT reference the VA's TIL website for contract requirements. Project requirements are uniquely defined in Solicitation 36C25224B0003 published to www.SAM.gov.

3.) Will the Government reconfirm that the advanced nurse call system “shall include deployment across multiple data centers to support disaster recovery plans and able to achieve aggressive recovery point objectives (RPO) to minimize data loss and recovery time objectives to minimize downtime” as described in the 275223 TIL spec document?

VA REPLY: Contractor shall NOT reference the VA's TIL website for contract requirements. Project requirements are uniquely defined in Solicitation 36C25224B0003 published to www.SAM.gov.

4.) Will the Government reconfirm that the Toilet, Shower, and Lavatory Emergency Stations must all be waterproof (IP68) as described in the 275223 TIL spec document?

VA REPLY: Toilet, Shower, and Lavatory Emergency Stations must all be waterproof (IP68) as described in the specifications published with solicitation 36C25224B0003 on www.SAM.gov.

5.) Will the Government reconfirm that nurse calls equipment to be installed in the Mental Psychiatric Health units must be flush mounted to the walls using steel plate anti-ligature, vandal-proof, and flush mount nurse call devices as outlined in the 275223 TIL spec document?

VA REPLY: There are NO Mental Psychiatric Health units associated with this project. Contractor shall NOT reference the VA's TIL website for contract requirements. Project requirements are uniquely defined in Solicitation 36C25224B0003 published to www.SAM.gov.

6.) Will the Government be required that confirm that nurse call equipment must be readily available to ship within 7 days or less of the VA COR or CO approving shipment of product to being installation of said nurse call equipment?

VA Reply: Offerors shall submit their bid per the requirements of the plans and specifications published with solicitation 36C25224B0003 on www.SAM.gov.

7.) Will the Government reconfirm that the contractor must provide “Service Contract options to the VA” as described in the VA TIL spec on page 275223 – 25?

VA REPLY: Service contract options are not included in this construction contract. Reference revised specification included with Amendment.

8.) Will the Government reconfirm that the contractor must provide:

a. Fast response time, 2 hours after notification of the issue, provide a call back?

b. For Critical issues, have someone on-site 24 hours after the call back.

c. Two business days for Urgent issues.

VA REPLY: Service contract options are not included in this construction contract. Reference the revised specification in Amendment 4.

9.) Will the Government reconfirm that the contractor must provide:

a. Required On-Site Visits during the Two Year Guaranty Period.

b. The Contractor shall visit, on-site, for a minimum of eight (8) hours, once every 12 weeks, during the guaranty period, to perform system preventive maintenance, equipment cleaning, and operational adjustments to maintain the System according to the descriptions identified in this document.

VA REPLY: Service contract options are not included in this construction contract. Reference revised specification included with Amendment.

10.) Will the Government reconfirm that the contractor must provide the following minimum training times and durations:

a. 4 hours for nursing staff (in 1-hour increments) – split evenly over 1 week and day and night shifts. Coordinate schedule with Owner.

b. 2 hours for supervisors and system administrators/Engineering.

c. After ten months of operation, return to the site for 4 hours to review staff questions or issues.

VA REPLY: Reference Amendment 4 revised specification 27 52 23, Part 4.3.

11.) Will the Government reconfirm that the contractor must provide self-service repair training to enable electrical and Biomed staff to repair and replace nurse call parts immediately to prevent a patient room from being taken out of service?

VA REPLY: Reference Amendment 4 revised specification 27 52 23, Part 4.3.

f. 12/18/2023 QUESTIONS 1.) BID Specs Section 4.2 , Page 276, WARRANTY- The Bid docs discuss one year warranty for workmanship and defects, but then states a 2-year guarantee period in section 1.9 . Please confirm what is expected to be provided by the vendor ( a one-year warranty or two-year guaranty) VA REPLY: Per Spec 27 52 23, Part 4.2.B.1 (Amendment 4) - The Contractor warranty requires that all provided material and equipment will be free from defects, workmanship and will remain so for a period of one year from date of final acceptance of the System by the VA.

2.) BID Specs - Section 1.9 – Page 234 Warranties/Guaranty “The Contractor shall warrant the installation to be free from defect in material and workmanship for a period of two (2) years from the date of acceptance of the project by the Owner. The Contractor shall agree to remedy covered defects within four (4) hours of notification of major failures or within twenty-four (24) hours of notification for individual station related problems.”

VA REPLY: Per Spec 27 52 23, Part 4.2.B.1 (Amendment 4) - The Contractor warranty requires that all provided material and equipment will be free from defects, workmanship and will remain so for a period of one year from date of final acceptance of the System by the VA.

3.) BID Spes Section 1.9 - For system correction times - clarification needed - Is it four hours from when the VA reaches out to the contractor that the defect issue is resolved? Also confirm that this is only during standard business hours. example. say VA reaches out at 4 pm for an issue, standard working day are until 5:00 does this allow for contractor to provide solution/remedy by next morning for 11 am?

VA REPLY: Refer to Spec Section 27 52 23, Part 4.2 B.4.a.3 (Amendment 4) for emergency calls, 4 hours from when VA contacts the contractor no matter when. The nurse call system shall be treated as any other life safety system in this regard.

4.) Require clarification on SLA for issues that occur by staff or patients? say patient physically breaks a device. do they also fall under the same one-day response time frame?

VA REPLY: This contract includes Dept of Labor (DOL) Construction Wage Rate requirements and are applied to warranty actions. DOL Service Wage Rates do not apply to this contract. Any problem caused by improper use, accidents, other vendor ,contractor, or owner tampering or negligence, for which the Contractor is not directly responsible and does not control, is not part of the warranty.

5.) BID Specs Section 4.2 – Page 278 – Required Onsite visits – Two year

a. Define equipment cleaning. Is these just head end gear, or including devices in patient/staff rooms?

b. Define exact requirements for system maintenance.

c. Is the 8 hours once every 12 weeks service inspection required during standard business hours?

VA REPLY: Per Amendment 4, the revised Spec Section 27 52 23 has deleted the original Part 4.2.B.4.b.

6.) Bid specs , page 279 - Define service contract options requirements as the contract requires a 2-year period with defined SLA. Does the vendor have to meet both the service contract requirements and the warranty provisions.

VA REPLY: The verbiage in Spec section 27 52 23 4.2 C that states "Provide Service Contract options to the VA. Provide “Fast” response time, 2 hours after notification of issue, provide call back. For “Critical” issues have someone on site by 24 hours after call back. Two business days for “Urgent” issues" has been deleted in the revised spec included in Amendment 4.

There is no service agreement under this contract, however, there is a 1-year warranty period (27 52 23 4.2B1).

7.) If contractor arrives onsite and notices that system issue is caused by improper use, accidents, other vendor ,contractor, or owner tampering or negligence, for which the Contractor is not directly responsible and does not control. - Please confirm this will be billable back to VA for time/ labor.

VA REPLY: Assuming this question refers to a warranty call, then the contractor will not be called to the site until VA has confirmed that the issue is covered under the warranty and is the responsibility of the contractor. Contractor can submit a claim to VA for consideration if they do not agree it is a valid warranty issue.

8.) Bid specs Page 248 – VOCERA Paging Equipment - Paging Integration- What is really expected from the nurse call vendor to integrate all pagers. Nurse call vendor shall demonstrate integration capability outlined in page 248 only. VA OIT team will provide required support to modify/reprogram the individual pagers. The pagers are not covered under the 2 year warranty. Correct?

VA REPLY: Contractor is responsible for ensuring that their nurse call solution can fully integrate with Vocera. Any warranty covered under this system is for one year. If this doesn't answer the question, please resubmit a more concise and detailed question.

NOTE: All references in this amendment to Specification Section 27 52 23 are related to the revised version attached to this amendment. The version included in the original solicitation, or a previous amendment, is hereby superseded.

THE DEADLINE FOR SUBMITTING QUESTIONS WAS DECEMBER 19, 2023. NO FURTHER QUESTIONS WILL BE ACCEPTED.

The bid due date has changed from Friday, 01/05/2024 to THURSDAY, 01/11/2024 at 10:45 a.m. CST. Hard copies of all bids and guarantee bonds must be submitted prior, or at the actual bid opening.

ATTACHMENTS -

See attached document: S06 004 Att1 Spec 27 52 23_2023.12.29 585-21-101 Upgrade Nurse Call System.