36C25621Q1481 0002.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) 00502

ALEXANDRIA VA HEALTH CARE SYSTEM

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

PO BOX 69004

ALEXANDRIA LA 71306-9004

00502

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

SHREVEPORT HIGHWAY

PINEVILLE LA 71360-4004

To all Offerors/Bidders

36C25621Q1481 08-18-2021

X x x 8/25/ 2021 15:00 Central See CONTINUATION Page x

The intent of this amendment #0002, is to change the Statement of Work (SOW) and pricing schedule in order to better reflect the work load for the Lock Out/Tag Out requirement for the New Orleans VA MC.

The hour and date for receipt of Offers is extended to 8/25/2021 15:00 CST.

Note: The options have been removed from this solicitation.

All other terms and conditions are unchanged.

PERFORMANCE WORK STATEMENT (PWS)

LOCKOUT/TAGOUT (LOTO) PROGRAM

Southeast Louisiana Veterans Health Care System, Facility Management Service

Part 1 General Information

1. GENERAL: This is a non-personnel services contract to provide LOCKOUT/TAGOUT (LOTO) program with real-time updating capability via a tablet or other electronic mobile device. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.1. Description of Services/Introduction: The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personnel services necessary to furnish a LOCKOUT/TAGOUT program as defined in this Performance Work Statement except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

1.2. Background: Furnish a LOTO program for equipment with multiple (2 or more) energy sources. The program addresses the practices and procedures necessary to disable machinery or equipment, thereby preventing the release of hazardous energy while the employees perform servicing and maintenance activities. The real-time updating capability feature enables the user the ability to update LOTO procedures and collect data in the field or onsite.

1.3. Objectives: * Identify equipment or systems that are subject to LOTO (up to 800)

1.4. Scope: LOCKOUT/TAGOUT procedures to be developed includes the isolation of any prime movers, machinery and equipment from mechanical, hydraulic, pneumatic, chemical, electrical, thermal or other energy sources.

1.5. Period of Performance: The period of performance shall be for one (1) Base Year of 12 months.

1.6. General Information

1.6.1. Quality Control: The contractor shall develop and maintain an effective Quality Control System (QCS) which includes a written Quality Control Plan (QCP) to ensure services are performed in accordance with this PWS. The QCP shall implement standardized procedure/methodology for monitoring and documenting contract performance to ensure all contract requirements are met. The Contractor’s QCP must contain a systematic approach to monitor operations to ensure acceptable services/products are provided to the Government. The QCP, as a minimum, shall address continuous process improvement, procedures for scheduling, conducting and documentation of inspection; discrepancy identification and correction; corrective action procedures to include procedures for addressing Government discovered non-conformances; procedures for collecting and addressing customer feedback/complaints. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor’s quality control program is the means by which he assures himself that his work complies with the requirement of the contract. The QCP is to be delivered in the contractor’s proposal. Upon approval by the Contracting Officer Representative, the contractor shall receive the contracting officer’s acceptance in writing of any proposed change to his Quality Control System (QCS).

1.6.2. Quality Assurance: The Contracting Officer Representative (COR) shall develop the Quality Assurance Surveillance Plan (QASP) to evaluate the contractor’s performance under this contract. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s).

1.6.3. Recognized Holidays: The contractor is not required to perform services on recognized federal holidays.

1.6.4. Hours of Operation: The contractor is responsible for conducting business, between the hours of 7:30 am – 4:00 pm Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. For other than firm fixed price contracts, the contractor will not be reimbursed when the government facility is closed for the above reasons. The Contractor must at all times maintain an adequate workforce for the uninterrupted performance of all tasks defined within this PWS when the Government facility is not closed for the above reasons. When hiring personnel, the Contractor shall keep in mind that the stability and continuity of the workforce are essential.

1.6.5. Place of Performance: The work to be performed under this contract will be performed at 2400 Canal St., New Orleans, SLVHCS.

1.6.6. Type of Contract: The government will award a firm, fixed-priced contract.

1.6.7. Security Requirements:

1.6.7.1. Contractor personnel performing work under this contract will be required to obtain a security clearance. The site supervisor will be required to get a non-PIV badge in order to perform work unescorted.

1.6.7.2. C&A requirements do not apply, and a Security Accreditation Package is not required.

1.6.7.1. Physical Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.6.8. Special Qualifications: The contractor is responsible for ensuring all employees possess and maintain current professional certification during the execution of this contract. All work described in this PWS shall be conducted by qualified personnel. Minimum qualifications consist of one of the following certifications: Occupational Health and Safety Technologist (OHST), Certified Safety Professional or holds an institutional degree(s) in Mechanical and/or Electrical Engineering. They must have a minimum of 3 years’ experience in developing Lock Out-Tag Out procedures and have experience in database building. All technicians must have expert knowledge (minimum of 3 years’ experience) in lockout/tagout procedures as mandate by OSHA and working knowledge of building and campus utility systems and be capable of gathering, interpreting, and utilizing electrical and mechanical information as well as energy source data when necessary by inspections, tracing lines, and referencing diagrams.

1.6.9. Post Award Conference/Periodic Progress Meetings: The Contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officer’s Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.6.10. Contracting Officer Representative (COR): The (COR) will be identified by separate letter. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the Contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and Contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of Contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the Contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.6.11. Key Personnel: The follow personnel are considered key personnel by the government (to be provided upon award): contract manager, site superintendent, LOTO instructor. The contractor shall provide a contract manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The contract manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract. The contract manager or alternate shall be available between 7:00 am – 4:00 pm, Monday thru Friday except Federal holidays or when the government facility is closed for administrative reasons. The site superintendent shall oversee day to day equipment surveying and be responsible for and provide escort for any other contractors and subcontractors. An alternate site supervisor may be necessary in case the site supervisor is out. This will place the burden of escorting contractor staff on the contractor and not on VA personnel. The LOTO instructor will provide training to VA personnel at the discretion of the VA.

1.6.12. Identification of Contractor Employees: The Contractor shall provide each employee an Identification (ID) Badge, which includes at a minimum the Company Name, the Employee name, and indicate their job title. ID Badges shall be worn at all times during which the employee is performing work under this contract. Each Contractor employees shall wear the ID Badge in a conspicuous place on the front of exterior clothing and above the waist except when safety or health reasons prohibit. The Contractor shall be responsible for the collection of ID Badges upon completion of the contract or termination of employee. A listing of issued identification cards shall be furnished to the COR prior to the contract performance date and updated as needed to reflect Contractor personnel changes. All contract personnel attending meetings and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

PART 2

DEFINITIONS & ACRONYMS

2. Definitions and Acronyms:

2.1. Definitions:

2.1.1. Contractor. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

2.1.2. Contracting Officer. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

2.1.3. Contracting Officer’s Representative (COR). An employee of the U.S. Government appointed by the contracting officer to administer the contract. Such appointment shall be in writing and shall state the scope of authority and limitations. This individual has authority to provide technical direction to the Contractor as long as that direction is within the scope of the contract, does not constitute a change, and has no funding implications. This individual does NOT have authority to change the terms and conditions of the contract.

2.1.4. Defective Service. A service output that does not meet the standard of performance associated with the Performance Work Statement (PWS).

2.1.5. Deliverable. Anything that can be physically delivered, but may include non-manufactured things such as meeting minutes or reports.

2.1.6. Key Personnel. Contractor personnel that are evaluated in a source selection process and that may be required to be used in the performance of a contract by the Key Personnel listed in the PWS. When key personnel are used as an evaluation factor in best value procurement, an offer can be rejected if it does not have a firm commitment from the persons that are listed in the proposal.

2.1.7. Physical Security. Actions that prevent the loss or damage of Government property.

2.1.8. Quality Assurance (QA). The government procedures to verify that services being performed by the Contractor are performed according to acceptable standards.

2.1.9. Quality Assurance Surveillance Plan (QASP). An organized written document specifying the surveillance methodology to be used for surveillance of contractor performance.

2.1.10. Quality Control (QC). All necessary measures taken by the Contractor to assure that the quality of an end product or service shall meet contract requirements.

2.1.11. Subcontractor. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

2.1.12. Work Day. The number of hours per day the Contractor provides services in accordance with the contract.

2.1.12. Work Week. Monday through Friday, unless specified otherwise.

2.2. Acronyms:

PART 3

GOVERNMENT FURNISHED PROPERTY, EQUIPMENT, AND SERVICES

3. Government Furnished Items and Services:

3.1. Services: The Government will provide access to areas not accessible by the site superintendent’s non-PIV badge.

3.3. Utilities: The Government will make all utilities in the facility available for the contractor’s use in performance of tasks outlined in this PWS. The Contractor shall instruct employees in utilities conservation practices. The contractor shall be responsible for operating under conditions that preclude the waste of utilities, which include turning off the water faucets or valves after using the required amount.

PART 4

CONTRACTOR FURNISHED ITEMS AND SERVICES

4. Contractor Furnished Items and Responsibilities:

4.1. General: The Contractor shall furnish all supplies, equipment, facilities, and services required to perform work under this contract that are not listed under Section 3 of this PWS.

4.2. Computer: The Contractor shall provide a computer for installation of Lockout/Tagout software program. The computer operating system is Windows 10 based with Microsoft Office Professional Plus 2013 or newer.

4.2.1 Software: the LOTO program software will be Microsoft based and be approved by VA OIT prior to install.

PART 5

SPECIFIC TASKS

5. Specific Tasks: The contractor shall provide services for the implementation of a LOCKOUT/TAGOUT program at the New Orleans VA Medical Center, New Orleans, LA. Program shall address all of the following elements:

5.1. Phase I: Equipment/System and Energy Source Identification

5.1.1. To include building assessment of site equipment to determine energy source information for identification.

5.1.2. Information shall be submitted in an electronic format indicating at a minimum: Equipment name, name used for use, specific identifier, model number and serial number, manufacturer, location, hazards matrix to be addressed through procedure, date identified.

5.1.3. Submission shall be an excel or spreadsheet document.

5.1.4. Complete within ninety (90) calendar days after award.

5.1.5. The site supervisor must remain on site until this phase is completed

5.2. Phase II: Development of Machine/Equipment Specific LOTO Procedures

5.2.1. All procedures shall adhere to OSHA requirements

5.2.2. No procedures may violate building codes, equipment manufacturer maintenance or use requirements/recommendations, NFPA, ASME, ASSE, ANSI, or any other regulatory body pertaining to the maintenance and use of the equipment

5.2.3. Procedures

5.2.3.1. Must identify all equipment at the New Orleans VA campus (New Orleans, LA) that requires LOTO procedures (2 or more energy sources present).

5.2.3.2. Procedures must be written in compliance with relevant energy isolation and lockout-tag out sections of 29 CFR 1910

5.2.3.3. Must be developed for machine-specific use (procedures developed for individual pieces of equipment; not generic procedures)

5.2.3.4. Must be mounted at point of use

5.2.3.5. Must be created in a non-proprietary format (like MS Excel, MS Word, etc.)

5.2.3.6. Must deliver all source files (example: 1 unique MS Excel file for each procedure created)

5.2.3.7. Outdoor or rugged environment procedure placard format

5.2.3.7.1. Must come with 5+ year warranty

5.2.3.7.2. Must have a 100 lb. or greater pull force to protect in high winds

5.2.3.7.3. Must have stainless steel mounting hardware to protect from elements

5.2.4. Content Minimums of LOTO Procedure

5.2.4.1. Definitions clearly outlined

5.2.4.2. Stipulations for Authorization of use

5.2.4.3. Lock out Procedure and Techniques

5.2.4.4. Steps for system/equipment shutdowns

5.2.4.5. Steps for system/equipment Isolations of energy

5.2.4.6. Steps for system/equipment Lockout Device Application

5.2.4.7. Steps for system/equipment identification of Stored Energy

5.2.4.8. Verification of Isolation

5.2.4.9. Steps for system/equipment Removal of Lockout Devices and restoration of equipment

5.2.4.10. Location of disconnects identified and noted

5.2.4.11. Listing of the specific lockout device required

5.2.4.12. Description of the equipment being evaluated with unique identifier (asset number or equipment number)

5.2.4.13. Source to isolated for the specific equipment

5.2.4.14. Location

5.2.4.15. Date of Procedure

5.2.4.16. Date of last procedure review

5.2.4.17. Pictures of the equipment in question

5.2.4.18. Equipment Identifier

5.2.4.19. Equipment Name

5.2.4.20. Equipment location

5.2.4.21. Building Identifier

5.2.5. Policy Minimum Content

5.2.5.1. Processes for shift changes, outside contractors

5.2.5.2. Training

5.2.5.3. Retraining

5.2.5.4. Inspections

5.2.5.5. Hazardous Analysis method

5.2.5.6. Tag out Procedures

5.2.5.7. Evaluation sheets for all noted inspections including but not limited to:

5.2.5.7.1.1. Periodic Inspection Checklist

5.2.5.7.1.2. Specific energy control procedures

5.2.5.7.1.2.1. Identified by number of unique identifier for each procedure

5.2.5.7.1.3. Energy Source Evaluation

5.2.5.7.1.4. Hazardous Energy Control procedures

5.2.5.7.1.5. Control hazardous energy written procedure evaluation

5.2.5.7.1.6. All evaluation sheets shall be submitted for approval prior to implementation

5.2.5.7.1.6.1. Word document or word processing document. PDF is not allowed for draft submissions

5.2.5.7.1.6.2. Submittal sheet for each submission indicating the submission being made, who drafted it and basis of draft, date of draft, indication of revisions.

5.3. Six (6) binders of all procedures and policy shall be submitted as a deliverable to the VA in addition to an electronic copy annually (to include updates).

5.3.1. Upon approved customer reviews for each procedure, the contractor may proceed to the next phase for that procedure (i.e. the contractor does not have to wait until all procedures have been reviewed and approved before moving to the next phase).

5.3.2. Contractor shall have staff available to meet with VA for review of the procedures as developed and presented. This may include: visits to the equipment itself, face to face meetings, virtual meetings, teleconferences, etc. The contractor shall maintain minutes from each meeting and indicated all revisions and suggestions made by VA in minutes. Minutes shall be submitted for approval to VA prior to implementation

5.3.3. Complete within sixty days (60) calendar days after Phase I

5.3.3.1. May occur in tandem with Phase I and Phase III as assessments are completed

5.4. Phase III: Generate LOTO Procedures (equipment/machine specific) and Policy

5.4.1.1.1.1. Font: Times New Roman, size 10 to 12, black

5.4.2. Complete within seven (7) calendar days after procedure approval received per procedure.

5.5. Phase IV: Attach LOTO Procedures and Devices to Equipment

5.5.1.1. The contract shall install all developed procedures to the equipment assessed.

5.5.2. Each procedure must be attached to the appropriate equipment within fourteen (14) calendar days of review, approval and receipt of procedure per procedure.

5.5.2.1. Grouped installation may be scheduled ahead of time with COR.

5.6. Phase V: Provide electronic LOTO program (software, hardware/application) and desktop policy.

5.6.1. Proposed software/hardware application must be submitted to the VA for approval prior to implementation. A 6550 Security document will need to be submitted and the system vetted through VA OIT for approval. The contractor is encouraged to submit this software request as soon as possible as the approval times on this system may exceed three (3) months.

5.6.2. The contractor shall provide staff as necessary to provide documentation and meet with OIT staff to determine networking capabilities and system requirements.

5.6.3. The contractor shall include licenses for up to 100 machines (desktop or tablets).

5.6.3.1. Please note, VA has

5.6.4. Administrative rights for the software will be transferred to the VA no later fourteen (14) calendar days after “go live” date. The contractor shall allow for no fewer than 5 administrators for the system. Administrator training shall occur on the system no less ten (10) calendar days prior to “go live” date.

5.6.5. Any equipment required to implement the system including but limited to: infrastructure, (network cabling), server, server licenses, monitors, peripherals, power, uninterruptible power supply, rack, etc. shall be provided by the contractor.

5.6.6. Policy submission must be reviewed by VA prior to implementation. Policy must be a Microsoft Word or Word processing document (no pdf), size 10 – 12 font, black, Times New Roman font.

5.6.7. System support shall be provided by the contractor on a per month basis after go live date until the anniversary of the base contract. Subsequent services for system support (license updates, 24/7 end user support (person or telephone), quarterly system maintenance, warranty items).

5.6.8. All support systems shall include warranty for one (1) year or shall adhere to manufacturer warranty, whichever is greater.

5.6.9. Must allow for tracking of auditing records of procedures

5.6.10. Must allow for tracking of auditing records of authorized employees

5.6.11. Must allow for updates and changes

5.6.12. Must track the lockout-tagout process (what equipment is locked out, by who, how long did process take, how long was equipment in service, how long did it take to restore equipment to service)

5.6.13. Must be exportable – meaning all the audit data collected must be able to be exported to a common format (MS Excel or MS Word for example)

5.6.14. System must be sustainable and manageable

5.6.15. Complete within eighty (80) calendar days after Phase II

5.7. Phase VI: Provide LOTO training to SLVHCS Staff (up to 80 employees) over multiple sessions

5.7.1. Documentation.

5.7.1.1. All training shall be documented via sign in sheets. All VA staff participating in the training must print and sign the attendance sheet. The Contractor shall be responsible for ensuring that all VA staff in attendance sign the attendance sheet at: the beginning of the training; returning from lunch breaks.

5.7.1.2. The Contractor shall provide a testing means to demonstrate adeptness of students with the subject material. All attendees must pass with a percentage of 80% or higher. Should the contractor have their own means of testing aptitude and subject knowledge, method and sample of testing shall be given to the VA for review and approval. Testing must be given the final day of the class.

5.7.1.3. The VA shall disclose, at the conclusion of the review, those who have viewed the materials in order to preserve the integrity of the materials should the Contractor choose to reuse the materials. Those who have viewed the materials and are included in the training must receive a different testing method or material.

5.7.1.4. All students who participate in the training and pass the final examination shall be given certified documents by the trainer. This can be in the form of a certificate that shall note the following at a minimum:

5.7.1.4.1. Name of the Student

5.7.1.4.2. Name of the Instructor and Instructor Certification (Qualification)

5.7.1.4.3. Dates of Class

5.7.1.4.4. Brief description of the class

5.7.1.5. The Contractor shall submit a copy of the training material as well as training schedule and syllabus, divided by topics, to the VA for approval.

5.7.1.6. Electronic copies of all documents shall be provided via a CD or via email. All electronic copies shall be followed by bound, hard copies.

5.7.2. Training shall be provided for no more than twenty (20) students in any given period.

5.7.2.1.1. All students must attend all sessions. Exceptions will be allowed at the discretion of the VA.

5.7.3. The Contractor may provide more than one trainer for any given session. This must be disclosed to the VA prior to beginning any training. A physical trainer must be present at all times.

5.7.3.1. At no point is it allowable for the training to be virtual. An instructor shall be on site at all times for the duration of the training sessions.

5.7.4. Syllabus. A detailed training syllabus outlining:

5.7.4.1. Topics of discussion

5.7.4.2. Number of examples to be presented

5.7.4.3. Estimated duration for each task

5.7.4.4. Training Schedule

5.7.5. Complete within fourteen (14) calendar days after Phase V

5.8. Phase VII: LOTO devices

5.8.1. The contractor shall provide an initial set of LOTO devices, that are not already in the VA inventory, and signage for use of VA staff.

5.8.2. Minimum devices to be included in this contract:

5.8.2.1. Red lock out Padlock, different key type, thermoplastic body material, clearly stamped on lock that it is a safety lock out device – Qty 100

5.8.2.2. Circuit Breaker Lockout 120/277, clamp on lockout, steel – Qty 50

5.8.2.3. Lockout Hasp – Qty 100

5.8.2.4. Single Pole Breaker Lockout, Clamp on – Qty 50

5.8.2.5. Plug Lockout, Polypropylene, 220/550 Voltage, 1" Max. Cord Dia. – Qty 50

5.8.2.6. Ball Valve Lockout, Polypropylene, Red – Qty 20

5.8.2.7. Cable Lockout, Thermoplastic Polyurethane, 6 ft., Adjustable Cable Lockout Style – Qty 50

5.8.2.8. DIN Style Miniature Breaker Lockout, 120/277, Pin-Out, Standard Lockout Type, Nylon – Qty 20

5.8.2.9. Butterfly Valve Lockout, Red, Fits Handle Size: 2" to 4" Thickness, Nylon – Qty 20

5.8.2.10. Gate Valve Lockout, Polypropylene, Red – Qty 20

5.8.2.11. Plug Lockout, Thermoplastic, 125/250/600 Voltage, 1-1/4" Max. Cord Dia. – Qty 20

5.8.2.12. Circuit Breaker Lockout, 480/600, Clamp-On Lockout Type, Polypropylene and Nylon – Qty 20

5.8.2.13. Lockout Cinch Sack Cover; Fits Odd Size and Large Electrical Connectors and Hoist Controls – Qty 20

5.8.2.14. Battery/Cable Connector Lockout, Polycarbonate, 12V, 18V, 24V, 36V, 48V, 72V, 80V Voltage – Qty 15

5.8.2.15. Multi-Pole Breaker Lockout, 120/240, Bar Clamp Lockout Type, Steel/Plastic – Qty 15

5.8.2.16. Group Lock Box – Qty 12

5.8.2.17. Push Button Lockout, Fits Button Dia. 22.5mm, Steel, Acrylic, Silver – Qty 15

5.8.2.18. Air Line Regulator Lockout, Max. Number of Padlocks 1, Padlock Shackle Max. Dia. 9/32" – Qty 10

5.8.2.19. Lock out Kits are an acceptable substitute and shall be included as a potential option. Acceptable Kit options are:

5.8.2.19.1. Electrical – Qty 10

5.8.2.19.2. Mechanical/Valve – Qty 20

5.8.2.19.3. Electrical/Mechanical combination kit – Qty 40

5.8.2.20. All kits shall include toolbox for holding all materials

5.8.3. Additional devices may be quoted separately upon completion of assessment and equipment recommendations.

5.8.4. This list is subject to change based on recommendations from the completed assessment.

5.8.5. LOTO Stations – Custom designed storage locker/station for each of the shops (5 each)

PART 6

APPLICABLE PUBLICATIONS

6. Applicable Publications (Current Edition)

6.1. The Contractor must abide by all applicable regulations, publications, manuals, and local policies and procedures.

6.1.1 Control of Hazardous Energy (Lockout/Tagout) – 29 CFR 1910.147

6.1.2 Lockout/Tagout Electrical Safe Work Practice Standard – 19 CFR 1910.333

6.1.3. US Department of Health and Human Services (DHHS), National Institute for Occupational Safety and Health (NIOSH) Publication 83-125 (1983, September)

PART 7

ATTACHMENT/TECHNICAL EXHIBIT LISTING

1. Attachment/Technical Exhibit List:

0. Attachment 1/Technical Exhibit 1 – Performance Requirements Summary

TECHNICAL EXHIBIT 1

Performance Requirements Summary

The contractor service requirements are summarized into performance objectives that relate directly to mission essential items. The performance threshold briefly describes the minimum acceptable levels of service required for each requirement. These thresholds are critical to mission success.

7.2. Attachment 2/Technical Exhibit 2 – Deliverables Schedule

TECHNICAL EXHIBIT 2

DELIVERABLES SCHEDULE

B.4 SCHEDULE OF SERVICES AND PRICING

The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform LOCKOUT/TAGOUT program as defined in this Performance Work Statement (PWS) except for those items specified as government furnished property and services. The contractor shall perform to the standards in this contract.

BASE YEAR: EFFECTIVE ONE YEAR AFTER DATE OF AWARD

- Generate LOTO Policy

- Provide LOTO Desktop Policy

- Equipment and Energy Source Identification

- Attach LOTO Procedures and Devices to Equipment

- Generate LOTO Procedures

- Development of Machine Specific LOTO Procedures

TOTAL FOR BASE YEAR: ___________________