36C25521Q0277 0001.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 NUMBERED 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 amendment, 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) 03-25-2021 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048 To all Offerors/Bidders

36C25521Q0277

X X X

Wednesday, April 7, 2021. 10am CST X The purpose of this amendment is to provide a revised Statement of Work.

Denise Maynard Contracting Officer

Eastern Kansas Healthcare System 4101 4th Street Leavenworth, KS 66048 February 12, 2021

Project Title: Mobile Sterile Processing Services Unit

1) PROJECT DESCRIPTION

Eastern Kansas Health Care System is seeking to lease a Mobile Surgical Processing Services Unit (MSPSU) The facility’s Sterile Processing Services (SPS) will be closed for approximately 10 months for a HVAC renovation project. The use of an MSPSU will allow the facility to continue to perform decontamination, manual cleaning, and sterilization procedures during the renovation project. The MSPSU will be located on the West side of the main hospital at the Leavenworth facility. The unit will be needed approximately beginning May 1st 2021.

2) STATEMENT OF WORK

MSPSU:

The selected vendor will deliver, set-up and certify a fully enclosed functioning Mobile Sterile Processing Services unit that includes:

1. 3 Bay Decontamination Sink with Acu-sinQ™ Enzymatic Dosing System

1. Two Vision Washers – Electric – Approximately 24 sets per hour.

1. Caviwave Pro with DaVinci capabilities

1. Pass Thru Window

1. Four Prep and Pack Tables

1. Two Steam Sterilizers – Approximately 18 – 20 total sets per hour capacity

1. V-Pro Max VHP Low Temp Sterilizer

1. RO/DI Water System (for final rinse on washers)

1. Two Steam Generators

1. ProConnect™ Response Center

1. Hand wash sink with eye wash

1. Water treatment system

1. Sterile room HVAC system

1. Decontamination room

1. Emergency Exit stairs and platform

Power:

The selected vendor shall be responsible for providing an MSPSU that includes:

• Electrical Service: 480VAC, 3‐phase, (2) 250 AMP

• Configuration: 4 wire (L1, L2, L3, G)

• Frequency: 60hz

• Shoreline Cable: (2) cables will be provided; facility end hard wired 100’ if possible.

• Disconnects must be within 50’ of the front/nose of the unit Request this be 100’ if possible.

• Earth ground provided; installation per NEC Article 250

• (1) single point female bayonet type located directly under the roadside power connection

• (1) 20’ ground cable with (2) clamps The facility will provide:

Electrical Service: 208/240VAC, 2 pole, total of 70/80 amps 1‐Phase Service disconnection and termination of shoreline and ground cables to facility Power for cold weather package Power for piping heat tape Emergency power Termination wiring from emergency power source to MSPSU connection Appropriate cable covers and fencing

Cold Weather Package:

The selected vendor will provide:

Hot Weather Package:

Plumbing:

• External lines must be facility protected

• Minimum 40 psi dynamic at SPD

The facility will provide:

Water Testing:

The selected vendor will provide water testing services and a monthly report showing compliance with AAMI guidelines and standard TIR34.

Fire Alarm and Sprinkler System:

Conventional analog fire alarm system with local audible visual, horn‐strobe alarm devices for occupant warning.

2 zones with detection and pull stations

The facility will provide:

Dedicated sprinkler supply 143 GPM at SPD Residual Pressure 46 psi minimum at SPD Termination wiring from trailer fire alarm dry contacts to facility Certification of system via third party

Security alarm:

The selected vendor will supply:

Intrusion alarm system on MSPSU exterior doors Exterior audible alarm at the trailer.

Security alarm dry contacts The facility will provide:

Termination wiring from MSPSU intrusion alarm dry contacts to facility

Telephone and data:

The selected vendor will supply:

• two unmanaged IT switches:

• 1 switch dedicated to trailer equipment

• 1 switch dedicated to Customer equipment The facility will provide:

Integrated Medical Equipment:

The selected vendor will supply and maintain:

· 3 Bay Decontamination Sink with Acu-sinQ™ Enzymatic Dosing System

· Two Vision Washers – Electric

· Caviwave Pro with DaVinci capabilities

· Pass Thru Window

· Four Prep and Pack Tables

· Two Steam Sterilizers – Approximately 18 – 20 total sets per hour capacity

· V-Pro Max VHP Low Temp Sterilizer

· RO/DI Water System (for final rinse on washers)

· Two Steam Generators

· ProConnect™ Response Center

Heating and cooling system:

The selected vendor will supply:

Nominal ¾” pipe(s) at front and rear of unit The facility will provide:

Connection and routing of ¾” condensate drains

Unit Anchoring:

The selected vendor will provide:

8) at 5,000 lb. tensile capacity (2 each per corner). (For wind rating. If in Seismic zone it is 10,000 LB. tensile capacity).

Strapping and hardware attaching each trailer tie down ring to its corresponding ground anchor point

The facility will provide:

Anchor points to be located on the ground at 30‐45 degrees from the unit tiedown points

Education:

Provide in-service education and support for facility staff on use of all trailer/equipment

3. ADDITIONAL INFORMATION

Please provide:

· Capabilities of your system that are not listed above

· Floorplans, schematics and technical information

· All necessary unscheduled and preventative maintenance of equipment, per OEM standard, that is included with the unit

· Point of contact for service

· Cleaning instructions

· Include delivery and set-up as specified above

· Include pick-up at the end of the lease