36C25618Q0628-00001000.docx

36C25618Q0628

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 ITE M 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 r eference 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

BY

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) 00001 None Department of Veterans Affairs Veterans Health Administration Network Contracting Office 16 2575 Keystone Crossing Fayetteville AR 72703 Department of Veterans Affairs Veterans Healthcare System of the Ozarks Network Contracting Office 16 2575 Keystone Crossing Fayetteville AR 72703 To all Offerors/Bidders

36C25618Q0628 04-30-2018

X X X X Repair/Upgrade Air Handling Unit Amendment 00001

100% SDVOSB Set Aside

See Details Below

James A Smith Page 2 | 9

CONTINUATION PAGE

A. Amendment 00001 is issued to incorporate revised Sections B2., B.3, B.4, and B.5 dated 4/30/2018.

Revision Dated 4/30/2018

B.2 PRICE SCHEDULE

Provide all labor, materials, and supplies to provide service repair/upgrade air handling unit (AHU). Incudes sterile processing department (SPD) test adjust and balance TAB of air flow. Work performed shall be in accordance with the Performance Work Statement identified below.

1 Pre-heat Steam Coil 1 EA $______________ $____________ Per Daikin McQuay Specifications.

2 50’ Steam Line, Insulation 1 EA $______________ $____________ And steam trap

3 Two-way Siemens Steam Value 1 EA $______________ $____________ Per Daikin McQuay OEM Specifications.

4 900’ Wiring and conduit for 1 EA $______________ $____________ Government Furnished Variable Frequency Drive (VFD) and Government Furnished Motor, As well as a 100 Amp breaker

5 Motor Pulley for 12,500 cfm 1 EA $______________ $____________

6 Labor to install parts identified 1 EA $______________ $____________ In CLINS 1 thru 5, labor to install 25 HP motor and 25 HP VFD, clean reheat coils, and connect AHU to Siemens BAS

7 Test, Adjust, and Balance (TAB) 1 EA $______________ $____________ Airflow, in SPD to ensure VHA Directive Compliance

GRAND TOTAL: _______________________________

B.3. PERIOD OF PERFORMANCE

Work shall be scheduled in phases. These work schedules shall be coordinated with the COR/Project Engineer. All work shall be completed no later than 60 days after notification of award.

B.4 PERFORMANCE WORK STATEMENT (PWS)

Repair / Upgrade Air Handling Unit (AHU) #104 + Sterile Processing Department (SPD) Test Adjust and Balance TAB of the Air Flow in Building 7 Alexandria VA Health Care System Pineville, Louisiana

The Government Owned Air Handling Unit is a Daikin McQuay CAH025GVDM (Serial number FBO121100235) System. All parts shall be O.E.M. recommended new parts compatible with the Daikin McQuay system. No substitutes shall be acceptable.

1. PURPOSE: The Alexandria VA Health Care System requires repair work to be done on (air handling unit) AHU #104 (located in the second floor mechanical room in Building 7 – Room 2M8) The unit is a Daikin McQuay CAH025GVDM (serial number FBO121100235, 10,360 cfm at 7.5” w.g. tsp and 53.1F d.b. / 52.9F w.b. cooling coil discharge) as well as a TAB (Test, Adjust, and Balance) of the airflow in the Sterile Processing Department (SPD) area (in the basement of Building 7). AHU #104 is constant volume, running 24/7/365.

The Contractor shall furnish all contract oversight, management, Technically Trained Personnel, uniforms, equipment, tools, materials, supplies, storage, insurances and transportations necessary to provide proper repair of AHU #104 as well as Air Adjusting, Balancing, and Testing Services for Alexandria HCS in accordance with this SOW. This is a non-personal services contract. The Contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose of fulfilling the PWS and shall be considered employees of the Contractor.

Government Furnished Equipment (GFE)

25 HP 208 V Motor. Baldor Reliance Super-E Motor, Cat. #EM2531T-8, HP 25, RPM 1770, AMPS 69.5, Class F, Phase 3, Frame 284T.

25 HP VFD. 25 HP Danfoss VFD with Mechanical Bypass.

LOCATION:

All contract services will be performed at the following location:

Alexandria VA Health Care System (Alexandria VA HCS) 2495 Shreveport Highway Pineville, LA 71360

All work will be coordinated with the Alexandria VA HCS’s Contracting Officer Representative, COR.

The work involves 2 steps.

Step 1: Remove existing 20 HP Motor in AHU #104.

Install 25 HP 208 V Motor, Government Furnished Equipment (GFE). Baldor Reliance Super-E Motor, Cat. #EM2531T-8, HP 25, RPM 1770, AMPS 69.5, Class F, Phase 3, Frame 284T, rebuilt in like-new condition.

Furnish and install Pre-Heat Steam Coil per Daikin McQuay specification.

Furnish and install approximately 50’ of steam line, insulation, and Steam Trap per code.

Furnish and install Two-Way Siemens actuated Steam Valve per Daikin McQuay specification.

Connect to BACnet Building Automated System (BAS) by Siemens to control VA requested set points.

Remove existing 20 HP Variable Frequency Drive (VFD).

Install 25 HP VFD, Government Furnished Equipment (GFE). 25 HP Danfoss VFD with Mechanical Bypass, still in package (new).

Furnish and install conduit and wire for VFD and Motor installation per NEC.

· 100’ of 1 ¼” conduit (VFD to Disconnect)

· 30’ of 1 ¼” steel flex (not aluminum)

· (2) 1 ¼” ridged coupling

· 10 couplings 1 ¼” steel EMT

· 4 connectors 1 ¼” steel EMT with insulated throat

· (8) 1 ¼” steel flex connectors for insulated throats

· 675’ of #3 THHN copper wire

· 225’ of #8 THHN

· (2) 100 Amp rated 3-pole non-fusable safety disconnect

· Remove 225 Amp breaker in MCC (2M8).

· Furnish and install 100 Amp breaker.

Furnish and install adjustable Motor Pulley to ensure proper Amps and air flow (12,500 cfm). Provide required belts.

Modify any duct work that needs to be relocated due to new steam line installation for reheat coil.

Perform Cleaning of all Reheat Coils (approximately 25) in ceilings of conditioned areas in SPD. Verify full flow to all reheats. Correct any deficiencies.

After installation of new motor, VFD, pulleys, etc. and connection of electrical supply, leak and flow test steam will be conducted by the contractor to verify proper system operation (which includes alignment). Contractor is to verify all graphics and programming is operational and visible on VA digital work stations.

A one year warranty covering parts and labor will be provided by the contractor for the repair/upgrade of AHU #104.

The VA retains all parts from this contract. Contractor will be responsible for the disposal of contract debris, trash, and dunnage.

Step 2: Measure airflow into and out of each room in the SPD area.

Testing and balancing shall be in accordance with applicable standards and the March 2011 Department of Veterans Affairs HVAC Design Manual, including addendums.

All work is to be completed by a National Environmental Balancing Bureau (NEBB) certified testing and balancing technician or Certified member of Associated Air Balance Counsel (AABC). I copy of either certification shall be submitted with quote.

2. SCHEDULING ARRANGEMENTS: Except by special alternative arrangement, scheduled work will be performed only during VA HCS’s normal working hours (8:00 a.m. to 4:30 p.m. Monday through Friday excluding federal holidays). Contractor will be required to work outside of VA HCS’s normal working hours to reduce disruption to patient care. Contractor shall provide a work schedule within 1 week of contract award, approved by VA HCS’s COR.

3. FEDERAL HOLIDAYS: Federal holidays are any calendar days designated by statute or executive order as federal holidays. Federal holidays consist of New Year’s Day, Martin Luther King Jr.’s Birthday, Presidents Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, and Christmas.

4. CONTRACTOR PERSONNEL REQUIREMENTS: At all times during performance of Services, in accordance with this SOW, the Contractor must ensure Contractor personnel:

1. Be able to function professionally amongst the general public in a hospital and health care environment.

1. Maintain a professional appearance. Proper PPE to include steel-toed shoes, hard hat and safety/eye protection will be required in accordance with OSHA requirements.

1. Shall not engage in loud or boisterous behavior or use profane or abusive language.

1. Maintain decorum at all times. During the performance of services, care and consideration must be given to VA visitors and staff. All Services must be performed with minimal disturbance or hindrance to VA Health Care System visitors and staff.

1. While not a requirement, Contractors are encouraged to wear Contractor branded clothing for ease in distinguishing contractor personnel from a distance.

1. Be compliant with VA Safety and OSHA regulations.

1. Be compliant with parking requirements at each VA Health Care System and park only in the designated parking areas as assigned by the COR.

5. DOCUMENTATION: Contractor shall provide this VA HCS with individual Service Reports, prior to leaving this station, which describes the maintenance and/or repair services performed on the equipment that day, including all parts used. All Service Reports are to be signed by the Contractor’s representative. Each signed Service Report is to be delivered to the COR prior to the contractor leaving the VA.

The Final Service Report is to summarize all work completed, all parts installed, and all testing completed as well as test results. The Final TAB Report shall include but not limited to CFM readings, air exchanges per hour (with pass/fail notated), and temperature & humidity readings. In addition, each area shall be tested for positive/negative pressure. The Final TAB Report shall include all applicable licenses and certificates of the technicians that worked on the TAB as well as the calibration certificate of equipment used by contractor. The Final Service Report and the Final TAB Report must be submitted electronically and in printed form and must be delivered within one week of completion of the repair and air TAB. All manuals associated with the new parts will be given to the COR along with the Final Service Report and the Final TAB Report.

6. SUBSTITUTE EQUIPMENT: Not Applicable

7. PARTS: All parts will be O.E.M. recommended parts. A list of high mortality parts shall be provided to the COR so they may be stocked on site by VA HCS. This list shall include name of part(s) with all identifier numbers.

8. SOFTWARE UPDATES: Not Applicable

9. CALIBRATION OF CONTRACTOR’S EQUIPMENT: Contractor must provide this VAHSC with certification attesting that all gauging and measurement equipment used has been calibrated either according to the manufacturer’s specifications or within the last twelve months against a standard that is traceable to the National Bureau of Standards. Such certification shall be provided with the Final Service Report.

10. QUALIFICATION OF CONTRACTORS: All work is to be completed by a National Environmental Balancing Bureau (NEBB) certified testing and balancing technician or Certified member of Associated Air Balance Counsel (AABC). Contractor shall provide name of technician that will be preforming services and a copy of their NEBB certification and applicable license or a copy of their AABC certification and applicable license. I copy of either shall be submitted with quote. Failure to provide these requirements shall result in the Contractor being determined unresponsive and shall receive no further consideration. The Contract shall not replace the certified technician identified above without prior approval of the Contracting Officer.

11. RESPONSE TIME AND GUARANTEED UP TIME: Not applicable

12. ANNUAL CERTIFICATION: Not Applicable

13. PROTECTION FROM DAMAGE FEDERAL FACILITY: Contractor shall provide all labor, materials, and equipment necessary for protection of VA HCS, furnishings, equipment and buildings from damage, and shall replace or repair any damage due to work performed under this contract equal to its original construction and finish.

14. ADDITIONAL SERVICES: Additional services outside of this PWS are not authorized. Any request for additional services shall be addressed through written contract modification signed by the Contracting Officer. The contractor shall not accept any direction for additional services outside the PWS from any person other than the Contracting Officer. Any billing resulting from unauthorized service will not be paid by the government.

15. CHECK IN/OUT PROCEDURES: Prior to commencement of, and immediately after each service visit, the Contractor or Contractor’s authorized repair technicians must check in and out with the VA HCS COR. Due to heightened security requirements, the Contractor and/or his authorized service personnel will be required to wear a VA issued ID Badge which will be obtained at the beginning of the contract and turned in upon contract completion. Two forms of state or federal issued identification, with the same name (one with a photo), are required along with fingerprints to obtain a VA Badge. If needed, a temporary VA Badge will be signed for upon arrival and turned in when leaving. All Badges must be worn at or above the waist facing forward. A temporary Badge must be turned in before leaving the premises; otherwise the person signing for it will be required to pay for the unreturned ID Badge.

16. LIABILITY INSURANCE: Contractor must provide written confirmation that Contractor has adequate insurance protection against negligent work and other forms of liability upon request by the contracting officer (CO). The nature and level of protection must be acceptable to this VA HCS.

17. SITE VISIT: A onetime site visit is scheduled for 10:00 AM CST May 14, 2018. All vendors planning to attend site visit are required to email susan.foreman@va.gov no later than 02:00 PM CST May 11, 2018 the company name attending and a list of attendees. No individual not on the list will be allowed to attend the site visit.

B.5 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.219-10. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

B. There are no other revisions or changes as a result of this amendment.

C. Contractors are required to acknowledge all amendments with submission of offer.