36C25224Q0649.docx

36C25224Q0649

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)

c. 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

None 36C25224Q0649 Broacha,Laura 414-844-4896 08-30-2024 10:30am

CDT

Department of Veterans Affairs

GLAC (69D)

115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 541620 $19 Million N/A X 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

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 X See CONTINUATION Page The Veteran’s Administration Iliana Health Care System (VAIHCS) seeks a contractor to perform airborne asbestos (clearance) sampling at its Danville, IL facility and airborne mold sampling at Danville, IL and at its

VAIHCS

Community Based Outpatient Clinics (CBOC) in Mattoon, IL, Springfield, IL, Decatur IL, Bloomington, IL, and Peoria, IL.

See attached schedule and Performance Work Statement for requirements.

100% Service-Disabled Veteran-Owned Small Business Set-aside.

See CONTINUATION Page 550-3640162-2957-850300-2580 010056100 X X Johnson, Ashley Contracting Officer

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:

2. 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. (Note: The terms “offeror” and “quoter” are both used in this Solicitation. For the purposes of this Solicitation, these terms are interchangeable; there is no difference in meaning between the two.)

3. SET-ASIDE (If any): See box 10 of STANDARD FORM 1449

4. SOLICITATION TIMELINE SUMMARY:

A. 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 Laura.Broacha@va.gov no later than MONDAY, AUGUST 26, 2024, AT 10:30 AM LOCAL CDT. Contracting will issue a consolidated response via solicitation amendment to https://sam.gov Contract Opportunities within 2 business days to all parties.

B. SOLICITATION CLOSES/QUOTES DUE:

See box 8 of STANDARD FORM 1449 or most recent Amendment.

C. SUBMISSION OF QUOTE:

See 52.212-1 Instructions to Offerors—Commercial Products and Commercial Services and addendum for specific instructions to offerors.

5. 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.

6. INVOICES:

a. All payments by the Government to the contractor will be made in accordance with: FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

b. Invoices shall be submitted monthly in arrears in accordance with: 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

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

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

e. The VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Network e-Invoicing network, for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten Network by submitting an email to VA.Registration@Tungsten-Network.com or calling 1-877-489-6135 for Enrollment.

f. 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.

g. 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.

h. 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.

i. 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.

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

* 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

7. FACILITY REQUIREMENTS: In addition to any other requirements set forth in this Contract, the Contractor, including its employees, agents, and subcontractors (collectively “the Contractor”), shall comply with the following facility requirements. Failure to comply with these requirements shall be considered a material breach of this Contract and may be a violation of Federal law resulting in charges answerable in the United States District Court.

a. Contractor is responsible to follow all on site facility policies

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

c. 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.

d. 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.

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

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

g. 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.

h. 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.

8. SECURITY & PRIVACY CONTROL:

The Authorization & Accreditation (A&A) requirements of VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No A&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information Security If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at (202) 461-6309. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at (304) 262-7733.

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.

B.2 PRICE/COST SCHEDULE

Contractor must provide firm-fixed unit pricing and total pricing for all line items listed in the following Price Schedule for all option years.

The total maximum amount of services acquired under this contract shall not exceed $550,000.00. The Contractor shall notify the Contracting Officer when they have invoiced for 80% of the contract ceiling amount.

The guaranteed minimum is $300.00 and will be met in the initial fiscal year of the contract award.

Contracting Officer will issue orders against this contract.

ITEM INFORMATION

Airborne asbestos sampling will be performed as a third-party monitor during clearance sampling at asbestos removals at the Danville (VAIHCS) facility only. Analysis will be performed using Phase Contrast Microscopy (PCM). Job (clearance) includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the airborne asbestos (clearance) sampling and analysis (5 air and 2 blanks maximum (PCM) samples per clearance job).

Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025 PRINCIPAL NAICS CODE: 541620 - Environmental Consulting Services PRODUCT/SERVICE CODE: F101 - Environmental Systems Protection - Air Quality Support

Additional Asbestos Samples and Analysis (above maximum in Line Item 0001): AHERA (40 CFRE Part 763 Appx. A subpart E) Transmission Electron Microscopy (TEM) laboratory analysis of asbestos samples at additional rates and/or quicker turn-around times are only necessary if the PCM fiber count exceeds the PEL (Permissible Exposure Limit) of 0.1 fiber/cc for clearance event. If clearance samples from an abatement fail the PCM fiber count, the contractor will have the choice to reclean the area and retest, or request the samples be tested by TEM.

Contract Period: Base POP Begin: 09-01-2024 POP End: 08-31-2025

Physical samples may also be submitted by VAIHCS for suspected asbestos containing materials for TEM analysis.

POP Begin: 09-01-2024 POP End: 08-31-2025

Mold sampling (air, swab, surface) and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection. Job includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the sampling and analysis (1 sample maximum per contaminant job).

POP Begin: 09-01-2024 POP End: 08-31-2025

Additional Mold Samples and Analysis: Mold sampling (air, swab, surface) and laboratory analysis.

POP Begin: 09-01-2024 POP End: 08-31-2025

Asbestos condition inspections every 6 months. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2024 POP End: 08-31-2025

Asbestos Inspection Survey updates. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2024 POP End: 08-31-2025

Airborne asbestos sampling will be performed as a third-party

Danville (VAIHCS) facility only. Analysis will be performed using Phase Contrast Microscopy (PCM). Job (clearance) includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the airborne asbestos (clearance) sampling and analysis (5 air and 2 blanks maximum (PCM) samples per clearance job).

Contract Period: Option 1 POP Begin: 09-01-2025 POP End: 08-31-2026

Additional Asbestos Samples and Analysis (above maximum in Line Item 0001): AHERA (40 CFRE Part 763 Appx. A subpart E) Transmission Electron Microscopy (TEM) laboratory analysis of asbestos samples at additional rates and/or quicker turn-around times are only necessary if the PCM fiber count exceeds the PEL (Permissible Exposure Limit) of 0.1 fiber/cc for clearance event. If clearance samples from an abatement fail the PCM fiber count, the contractor will have the choice to reclean the area and retest, or request the samples be tested by TEM.

Contract Period: Option 1 POP Begin: 09-01-2025 POP End: 08-31-2026

Physical samples may also be submitted by VAIHCS for suspected asbestos containing materials for TEM analysis.

POP Begin: 09-01-2025 POP End: 08-31-2026

Mold sampling (air, swab, surface) and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection. Job includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the sampling and analysis (1 sample maximum per contaminant job).

POP Begin: 09-01-2025 POP End: 08-31-2026

Additional Mold Samples and Analysis: Mold sampling (air, swab, surface) and laboratory analysis.

POP Begin: 09-01-2025 POP End: 08-31-2026

Asbestos condition inspections every 6 months. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2025 POP End: 08-31-2026

Airborne asbestos sampling will be performed as a third-party

Danville (VAIHCS) facility only. Analysis will be performed using Phase Contrast Microscopy (PCM). Job (clearance) includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the airborne asbestos (clearance) sampling and analysis (5 air and 2 blanks maximum (PCM) samples per clearance job).

Contract Period: Option 2 POP Begin: 09-01-2026 POP End: 08-31-2027

Additional Asbestos Samples and Analysis (above maximum in Line Item 0001): AHERA (40 CFRE Part 763 Appx. A subpart E) Transmission Electron Microscopy (TEM) laboratory analysis of asbestos samples at additional rates and/or quicker turn-around times are only necessary if the PCM fiber count exceeds the PEL (Permissible Exposure Limit) of 0.1 fiber/cc for clearance event. If clearance samples from an abatement fail the PCM fiber count, the contractor will have the choice to reclean the area and retest, or request the samples be tested by TEM.

Contract Period: Option 2 POP Begin: 09-01-2026 POP End: 08-31-2027

Physical samples may also be submitted by VAIHCS for suspected asbestos containing materials for TEM analysis.

POP Begin: 09-01-2026 POP End: 08-31-2027

Mold sampling (air, swab, surface) and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection. Job includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the sampling and analysis (1 sample maximum per contaminant job).

POP Begin: 09-01-2026 POP End: 08-31-2027

Additional Mold Samples and Analysis: Mold sampling (air, swab, surface) and laboratory analysis.

POP Begin: 09-01-2026 POP End: 08-31-2027

Asbestos condition inspections every 6 months. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2026 POP End: 08-31-2027

Airborne asbestos sampling will be performed as a third-party

Danville (VAIHCS) facility only. Analysis will be performed using Phase Contrast Microscopy (PCM). Job (clearance) includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the airborne asbestos (clearance) sampling and analysis (5 air and 2 blanks maximum (PCM) samples per clearance job).

Contract Period: Option 3 POP Begin: 09-01-2027 POP End: 08-31-2028

Additional Asbestos Samples and Analysis (above maximum in Line Item 0001): AHERA (40 CFRE Part 763 Appx. A subpart E) Transmission Electron Microscopy (TEM) laboratory analysis of asbestos samples at additional rates and/or quicker turn-around times are only necessary if the PCM fiber count exceeds the PEL (Permissible Exposure Limit) of 0.1 fiber/cc for clearance event. If clearance samples from an abatement fail the PCM fiber count, the contractor will have the choice to reclean the area and retest, or request the samples be tested by TEM.

Contract Period: Option 3 POP Begin: 09-01-2027 POP End: 08-31-2028

Physical samples may also be submitted by VAIHCS for suspected asbestos containing materials for TEM analysis.

POP Begin: 09-01-2027 POP End: 08-31-2028

Mold sampling (air, swab, surface) and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection. Job includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the sampling and analysis (1 sample maximum per contaminant job).

POP Begin: 09-01-2027 POP End: 08-31-2028

Additional Mold Samples and Analysis: Mold sampling (air, swab, surface) and laboratory analysis.

POP Begin: 09-01-2027 POP End: 08-31-2028

Asbestos condition inspections every 6 months. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2027 POP End: 08-31-2028

Asbestos Inspection Survey updates. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2027 POP End: 08-31-2028

Airborne asbestos sampling will be performed as a third-party

Danville (VAIHCS) facility only. Analysis will be performed using Phase Contrast Microscopy (PCM). Job (clearance) includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the airborne asbestos (clearance) sampling and analysis (5 air and 2 blanks maximum (PCM) samples per clearance job).

Contract Period: Option 4 POP Begin: 09-01-2028 POP End: 08-31-2029

Additional Asbestos Samples and Analysis (above maximum in Line Item 0001): AHERA (40 CFRE Part 763 Appx. A subpart E) Transmission Electron Microscopy (TEM) laboratory analysis of asbestos samples at additional rates and/or quicker turn-around times are only necessary if the PCM fiber count exceeds the PEL (Permissible Exposure Limit) of 0.1 fiber/cc for clearance event. If clearance samples from an abatement fail the PCM fiber count, the contractor will have the choice to reclean the area and retest, or request the samples be tested by TEM.

Contract Period: Option 4 POP Begin: 09-01-2028 POP End: 08-31-2029

Physical samples may also be submitted by VAIHCS for suspected asbestos containing materials for TEM analysis.

POP Begin: 09-01-2028 POP End: 08-31-2029

Mold sampling (air, swab, surface) and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection. Job includes all labor, supervision, travel, materials, parts, and equipment necessary to perform the sampling and analysis (1 sample maximum per contaminant job).

POP Begin: 09-01-2028 POP End: 08-31-2029

Additional Mold Samples and Analysis: Mold sampling (air, swab, surface) and laboratory analysis.

POP Begin: 09-01-2028 POP End: 08-31-2029

Asbestos condition inspections every 6 months. Includes location: Danville (VAIHCS) only.

POP Begin: 09-01-2028 POP End: 08-31-2029

B.3 STATEMENT OF WORK STATEMENT OF WORK/PERFORMANCE WORK STATEMENT

Performance Work Statement (PWS) The Veteran’s Administration Illiana Health Care System (VAIHCS) seeks a contractor to perform airborne asbestos (clearance) sampling at its Danville, IL facility and hazardous air testing, including airborne mold sampling, at Danville, IL and its VAIHCS Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL.

1. SCOPE:

Airborne asbestos sampling shall be performed as a third-party monitor during clearance sampling in areas where asbestos has been removed at the Danville facility only. Physical asbestos samples may be provided for suspected ACM. Analysis shall be performed using either Phase Contrast Microscopy (PCM) or Transmission Electron Microscopy (TEM) depending on the needs and specifications of VAIHCS. The asbestos triennial survey and periodic condition inspection updates are required as well.

Contaminant sampling (air, bulk, dust, wipe, vacuum, etc.), including Airborne Silica Analysis, and laboratory analysis performed at the Danville (VAIHCS) location and at any associated (VAIHCS) locations including Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL. Airborne mold sampling may be performed at the Danville facility or any of the CBOCs. Respond to request for testing within 6 hours and complete the testing within 24-72 hours. Verbal results of sampling will be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection.

The contractor must furnish all labor, supervision, travel, materials, parts, and equipment necessary to provide airborne asbestos (clearance) sampling at its Danville, IL facility and hazardous air testing, including airborne silica and mold sampling, at Danville, IL and its VAIHCS Community Based Outpatient Clinics (CBOCs) in Bloomington, IL, Decatur, IL, Mattoon, IL, Peoria, IL, and Springfield IL.

2. CONTRACT DELIVERABLES:

a. The contractor shall be expected to respond to a request for testing within 6 hours and complete the testing within 24-72 hours.

b. Verbal results of sampling shall be expected within 24 hours of sample collection, and a written report of results of sampling to be provided within 72 hours of sample collection.

c. Contract shall include services with accredited laboratory analysis to expedite testing of physical samples collected by VA employees.

d. Contractor shall provide services to include:

i) Update the 2018 Asbestos Inspection Survey and conduct baseline reassessments every 3-years. See Addendum A for statement of work for the 3-year survey.

ii) Asbestos condition inspections every 6 months

iii) Air/asbestos clearance testing for construction projects, and

iv) Indoor air sampling or studies on microbiological, chemical, and physical conditions to include mold or other toxic air contaminants.

e. The Contractor shall develop and maintain an effective Quality Control Plan (QCP) to ensure services are performed in compliance with all applicable, federal, state, and local government policies, regulations, procedures, specifications, etc., that apply to the work of this nature.

f. The contractor shall obtain and keep current all licenses, OSHA training, permits, etc., that shall be required by the above-mentioned agencies to accomplish the work.

g. The Contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services such as testing/sampling issues, equipment failures, etc.

h. The Contractor’s QCP should demonstrate how the work complies with the requirement of the contract.

i. The QCP is to be provided with the Contractor’s proposal and included as an evaluation factor. After acceptance of the QCP the Contractor shall obtain the Contracting Officer’s Representative (COR’s) acceptance in writing of any proposed change to the QCP.

j. There shall not be any government-furnished equipment or information required for this contract. Contractor shall furnish all labor, materials, equipment, Personal Protective Equipment (PPE), insurance and supervision to complete work in a professional manner, comply with the VAIHCS’s criteria, and meet all Federal, state, and local regulations.

3. COMPETENCIES AND QUALIFICATIONS OF PERSONNEL:

a. The person performing the sampling shall be licensed as an Air Sampling Professional by the Illinois Department of Public Health.

4. SECURITY & PRIVACY CONTROL:

The C&A requirements do not apply; therefore, a Security Accreditation Package is not required.

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).

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 onsite inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures follow VA directive requirements.

Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor while 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.

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.

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.

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.

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.

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.

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.

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.

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.

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 COTR.

5. CONTRACTING OFFICER’S REPRESENTATIVE (COR):

Scheduling of work shall be arranged with the COR (Contracting Officers Representative) or contract ACOR (Alternate Contracting Officers Representative).

6. SERVICE HOURS AND FEDERAL HOLIDAYS:

a. Normal hours of coverage are Monday through Friday from 7:30 am to 4:30 pm, excluding holidays. All work shall be performed during normal hours of coverage unless otherwise requested or approved by the COR or their designee.

b. All contract work shall be on a date and time mutually agreed upon between the Contractor and the COR.

c. Federal Holidays observed by the VAMC are:

7. PLACE OF PERFORMANCE:

a. Airborne asbestos (clearance) sampling:

· Danville Facility: 1900 E. Main St., Danville, IL 61832-5100

b. Hazardous air testing, including airborne mold sampling:

· Danville Facility: 1900 E. Main St., Danville, IL 61832-5100

· VAIHCS Community Based Outpatient Clinics (CBOCs):

· Bloomington VA Clinic, 207 Hamilton Road, Bloomington, IL 61704-7527

· Decatur VA Clinic, 792 North Sunnyside Road, Decatur, IL 62522-1156

· Matoon VA Clinic, 501 Lakeland Boulevard, Suite D, Mattoon, IL 61938-5283

· Bob Michel Department of Veterans Affairs Outpatient Clinic, 7717 North Orange Prairie Road, Peoria, IL 61615-9323

· Springfield VA Clinic, 5850 South 6th Street, Suite A, Springfield, IL 62703-5162

ADDENDUM A

Update Asbestos Baseline Survey

I General Description Provide professional services for project Update Asbestos Baseline Survey. The competent firm shall complete the following in accordance with professional standard practices and U.S. Department of Veterans Affairs (VA) standards.

II Project Scope Services The competent firm shall complete a baseline asbestos management survey for the Veterans Affairs Illiana Health Care System (VAIHCS) facility in Danville, IL. Services include, but are not limited to the following:

1. Review of previous Asbestos Survey and other Asbestos Documentation:

a. The previous asbestos survey and other asbestos documentation shall be used as a reference only to locate and identify all previously discovered or presumed ACM.

b. It shall be verified through site inspection that each homogeneous area where ACM has been identified as being removed, has been removed completely.

c. Any presumed ACM (PACM) that has not been properly tested positive for ACM and there is a reasonable chance that it may contain asbestos, shall have a sample taken in accordance with ASHARA sampling criteria for verification.

d. Consolidate all information from prior survey, inspection/re-inspection, and six-month surveillance reports to be included in the new report.

2. Investigation: Verify on-site conditions, as-built documents, and all asbestos-related documentation used by VAIHCS.

3. Survey Narrative: Based on the competent firm’s site investigations, a narrative report defining the proposed survey approach, options and recommendations will be provided for COR approval.

a. Once submitted, a meeting will be held to discuss preliminary schedule and sampling method review and coordination plan with VAIHCS staff for access to each location.

b. Once coordination is confirmed, a second meeting will be held to review the final schedule and sampling method review.

c. Survey narrative must be approved by the COR before the survey begins.

4. Asbestos Management Survey

a. Scope of survey shall encompass each of the below permanent buildings owned and maintained by Veterans Affairs Illiana Health Care System (VAIHCS):

Notes: A: Building has an attic, B: Building has a basement, C: Building has a crawlspace, *: Not in previous Asbestos Survey

b. Verify the results from lab analysis after sample is taken.

c. All demolition, if required and approved by the COR, shall be coordinated through the COR in advance and kept to the minimum required level to identify and if necessary, sample each Asbestos-Containing Material (ACM)/Asbestos-Containing Building Material (ACBM)/presumed Asbestos-Containing Material (PACM) homogeneous area.

d. All demolition required for bulk sample collection shall be done in an inconspicuous location approved and coordinated by the COR in advance and per 40 CFR 763.86.

e. Any demolition that is not in an inconspicuous location, or approved by the COR shall be repaired to match original condition immediately after all survey work (Inspection, sampling, etc.) in that area is complete.

f. Areas of inspection include all areas where ACM may likely be present, including, but not limited to the following:

i. floor tile and mastic

ii. ventilation ducts (both inside and outside the ductwork)

iii. plumbing insulation, fixtures, and piping

iv. electrical equipment

v. roofing

vi. walls, ceilings, and other building components and millwork

vii. equipment within utility rooms, generator rooms, elevator rooms, etc.

viii. areas containing debris likely to contain asbestos such as crawlspaces, basements, above ceilings, etc.

ix. window caulking

x. fire doors and any fire-protection building components.

g. Survey procedures, demolition, report of findings, or any other related task as part of this project shall be in accordance with all Federal, State, and local laws, regulations, and procedures, including, but not limited to:

i. The Asbestos Hazard Emergency Response Act (AHERA)

ii. The Asbestos School Hazard Abatement Reauthorization Act (ASHARA)

iii. 40 Code of Federal Regulations (CFR) 763 ASBESTOS, Subpart E: ‘Asbestos Containing Materials in Schools’

iv. 40 CFR Subpart M: ‘The National Emission Standard for Hazardous Air Pollutants (NESHAP)’

v. Illinois Title 77; Chapter I; Subchapter p; Part 855

h. All existing, exposed, and accessible thermal system insulation (TSI) that contains asbestos to receive a proper label per Federal and VA regulations. The label shall be of such quality that they can be expected to remain adhered for 20 years. Label shall be approved by the COR in advance.

i. A physical assessment shall be performed per 40 CFR 763.88 and documented in the report to validate completion by an Illinois-licensed Asbestos Building Inspector

j. Inspection to be performed per 40 CFR 763.85 by an Illinois-licensed Asbestos Building Inspector.

k. The competent firm shall be responsible to clean any areas that become contaminated during investigative work, sampling, etc.

l. The competent firm is responsible for properly disposing of all generated ACM waste at an authorized disposal site in accordance with federal, state, and local laws. An authorized site must be approved by the COR in advance.

m. Re-test areas that the Contracting Officer Representative (COR) determines need further verification.

n. Inform the COR as early as possible if there are any mechanical rooms/spaces that do not have proper signage regarding the presence of ACM per Federal regulations.

o. Show which homogeneous areas are tested positive.

5. Report:

a. Physical Assessment Details.

i. Documentation method to include spreadsheets using Microsoft © Excel allowing VAIHCS staff to update as ACM/ACBM is abated in the future.

1. Clearly show, and separate, those areas which are tested positive and those which are tested negative.

ii. Identifies all areas that were not accessible during the survey. Any inaccessible areas to be verified through COR.

iii. Specify the types of ACM and approximate amounts present for each homogeneous area with detail sufficient to the COR to easily identify in the future.

iv. Specify whether each homogeneous area of ACM is ‘Friable’ or ‘Non-friable’.

v. Specify the condition of all friable ACM as ‘Good’, ‘Damaged’, or ‘Significantly Damaged’.

vi. Specify the condition as Distributed Damage, Localized Damage, or Salient Area.

vii. To include a Hazard Assessment.

1. Prioritize by risk of occupant exposure and level of potential disturbance.

2. Specify Potential for Damage due to Contact, Vibration, and Air Erosion.

3. Assign a Hazard Rank to each homogeneous area.

b. Drawing sheets.

i. Drawings to be created using standard CAD software, such as Autodesk© AutoCAD©, or BIM© Revit© or another equivalent CAD software once approved by the COR. If software other than Autodesk© AutoCAD© is used, the files must be converted for use with Autodesk© AutoCAD©.

ii. Drawing sheets shall be provided to COR as ‘.pdf’ files for the report and separate ‘.dwg’ files.

iii. Testing locations to be identified on drawing sheets and detailed with positive or negative ACM result. Attach the corresponding lab results.

iv. Details on drawings to be drawn using standard industry CAD images per the National CAD Standards (NCS).

v. Drawings shall contain sufficient detail as determined by COR, to properly understand and identify area detail, type of material sampled, and exact location where samples were taken.

vi. CAD files for each floor layout will be provided by the VA COR.

c. Testing-Laboratory.

i. Shall be a NVLAP-accredited lab per 40 CFR 763.87. A lab meeting appropriate accreditation as required by asbestos laboratory regulations that are not NVLAP- accredited shall be approved by the COR in advance.

ii. Include all analysis certificates of each test of each sample taken.

d. Methods and Strategies.

i. A strategy for bulk sampling shall be used that minimizes sampling costs. The method shall be approved by the COR in advance.

ii. Identifies disposal procedures as necessary for proper disposal of any waste. Identifies authorized disposal site for hazardous waste.

iii. Include demolition methods and strategies used.

e. Photographs.

i. Photographs shall be taken of each location identified to be containing asbestos, each location where samples were taken, and clearly show the location where each of those samples were taken. Each photo shall be labeled in a manner to be easily identified on the drawings and report documents.

ii. Photos shall be retaken if further verification is needed by the COR.

f. Cost Estimate.

i. The competent firm shall include a cost estimate for the removal of all homogeneous areas that are identified as Significantly Damaged, Damaged, or ACM is recommended to be abated.

g. Recommendations for Compliance.

i. The competent firm shall include recommendations for maintaining all ACM/ACBM within compliance with VA Design Manual ‘Asbestos Abatement Design Manual for New Hospitals, Replacement Hospitals, Ambulatory Care, Clinical Additions, Energy Centers, Outpatient Clinics, Animal Research Facilities, Laboratory Buildings’ (July 2011), the VAIHCS Operations and Maintenance (O&M) Plan, and all state and federal regulations.

III Overall Survey Process The Asbestos Surveyor shall develop a formal schedule and establish the sampling-methods to complete a full asbestos baseline survey for all identified VAIHCS owned and maintained property. These submissions shall be based on all documentation and material furnished by the VA, all informal survey reviews/discussions, and all applicable VA Design Criteria, Design Guides, Design Standards, etc. The following formal reviews and meetings with the COR will be completed:

1. Kick-off meeting to discuss project goals, criteria, Asbestos survey design quality control, and to establish the protocol and agenda for the survey. This is also when all certification documentation for all employees working on this project shall be submitted.

2. One review session for the preliminary schedule and sampling-method review.

3. One review session for the final schedule and sampling-method review.

VA Design Guide and Codes: All components of the survey shall comply with this Statement of Work and the current editions of all applicable VA Program Guides, VA Handbooks, and VA Master Specifications.

IV General Design Services and Requirements Existing Site conditions - The competent firm must analyze and verify existing site conditions.

1. Design Standards and Manuals - The competent firm is to follow applicable VA Design Manuals, VA Standards, VA Design Guides, VA Handbooks, local, state, and Federal codes, and regulations. VA standards can be located at http://www.cfm.va.gov/TIL/.

2. Project Management and Quality Control - The competent firm awarded the project as either prime or subcontractor shall lead the project and act as the primary quality control firm and final binder of contract documents.

V Services (General) Specific to this contract, the competent firm will provide:

1. Professional and Technical Accuracy - The competent firm shall be responsible for the professional and technical accuracy of all work and material furnished as…