36C25919Q0394-001.docx

36C25919Q0394

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.

DUNS:

DUNS+4:

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) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25919AP0685

660-19-R-5053-0017

06-11-2019 LaDonna Collins; ladonna.collins@va.gov 303-712-5779 07-09-2019 01:00pm MST 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

X

561720 $18 Million

X

N/A

George E. Wahlen Department of Veterans Affairs Medical Center 500 Foothill Drive Salt Lake City UT 84148-0001 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

Department of Veterans Affairs Financial Service Center PO Box 149971 Austin TX 78714-9971

This Request for Quote is a one (1) year base with four (4) Option Periods for Janitorial Services at the Salt Lake City VA Medical Center in Salt Lake City, Utah.

Address listed in block fifteen (15) above.

See Price/Cost Schedule and the Statement of Work (SOW) for requested Services.

Preferred Response method: email: ladonna.collins@va.gov

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B1 CONTINUATION BLOCKS 16 – 17b TO SF1449 B1.1 Continuation of Block 16: Contract administration matters shall be handled by:

Block 16. GOVERNMENT:

B1.2 Continuation of Block 17: Contract administration matters shall be handled by:

Block 17a: CONTRACTOR’S NAME/ADDRESS/CITY-STATE-ZIP AND BUSINESS IDENTIFICATION NUMBERS*:

Contractor Name:

Address:

City/State/Zip:

Contact Name:

Telephone Number:

Fax Number:

Email:

*DUNS Number: _______________________________

*Tax Identification Number (TIN): _________

*CAGE Code: ________________

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests. Invoices shall comply with FAR 32.905.

See: VA’s Electronic Invoice Presentment and Payment System.

http://www.fsc.va.gov/einvoice.asp

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B1.3 To receive a government contract, Contractors SHALL be registered in System for Award Management (SAM). A System for Award Management (SAM) check will be performed prior to award https://www.sam.gov/portal/public/SAM/.

B.2 PRICE/COST SCHEDULE

Janitorial services at the Salt Lake City VA Medical Center for weekend coverage.

Contract Period: Base POP Begins: 08-01-2019 POP Ends: 07-31-2020

Janitorial services at the Salt Lake City VA Medical Center for Fisher House.

Janitorial services at the Salt Lake City VA Medical Center for floor stripping, waxing and carpet cleaning.

Janitorial services at the Salt Lake City VA Medical Center for weekend coverage.

Contract Period: Option 1 POP Begins: 08-01-2020 POP Ends: 07-31-2021

Janitorial services at the Salt Lake City VA Medical Center for Fisher House.

Janitorial services at the Salt Lake City VA Medical Center for floor stripping, waxing and carpet cleaning.

Janitorial services at the Salt Lake City VA Medical Center for weekend coverage.

Contract Period: Option 2 POP Begins: 08-01-2021 POP Ends: 07-31-2022

Janitorial services at the Salt Lake City VA Medical Center for Fisher House.

Janitorial services at the Salt Lake City VA Medical Center for floor stripping, waxing and carpet cleaning.

Janitorial services at the Salt Lake City VA Medical Center for weekend coverage.

Contract Period: Option 3 POP Begins: 08-01-2022 POP Ends: 07-31-2023

Janitorial services at the Salt Lake City VA Medical Center for Fisher House.

Janitorial services at the Salt Lake City VA Medical Center for floor stripping, waxing and carpet cleaning.

Janitorial services at the Salt Lake City VA Medical Center for weekend coverage.

Contract Period: Option 4 POP Begins: 08-01-2023 POP Ends: 07-31-2024

Janitorial services at the Salt Lake City VA Medical Center for Fisher House.

Janitorial services at the Salt Lake City VA Medical Center for floor stripping, waxing and carpet cleaning.

B.3 STATEMENT OF WORK

Housekeeping & Floor/Carpet Cleaning Services

GENERAL.

The Contractor shall provide all labor, supervision, management support. Salt Lake City VA Healthcare System shall provide all equipment, supplies, materials, and transportation necessary to clean the VA Salt Lake City Healthcare System, Areas to be cleaned shall include all waiting areas, reception, all exam/treatment rooms, laboratory, all restrooms, and administrative support offices. One (1) base year with four (4) option years for renewal.

“Clean” shall be defined as free of dirt, dust, spots, marks, streaks, stains, smudges, scratches, mop strands, litter, debris, and other residue. Following cleaning procedures, finished areas shall have a uniform luster and the corners shall be clean.

WORK HOURS

2.1 Normal Work Hours: 8 Employees (64 hours a day) every Saturday and Sunday 7:00AM – 3:00PM, 1 Employee (8 hours a day) every Saturday and Sunday 3:00PM – 1100PM, 1 Employee (8 hours a day) every Saturday and Sunday11:00PM – 7:00AM. (Fisher House) at least 2 employees (18 hours a day) Monday, Tuesday, Wednesday, Thursday, Friday, 9:00AM – 7:30PM. 1 employee (8 hours a day) every Saturday and Sunday 11:00PM – 7:00AM. In addition to routine cleaning, contractor personnel shall be available all times during the normal work hours to respond to emergencies including (but not limited to) spills, bodily fluids, unsanitary restrooms, and outage of sanitary supplies.

2.2 National Holidays: Federal Government holidays observed, but not limited to, are: New Year’s Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day, and Christmas. The Federal Government will also observe any day specifically declared by the President of the United Sates to be a national holiday.

Period of Performance Base Year: 08/01/2019 through 07/31/2020 Option Year 1: 08/01/2020 through 07/31/2021 Option Year 2: 08/01/2021 through 07/31/2022 Option Year 3: 08/01/2022 through 07/31/2023 Option Year 4: 08/01/2023 through 07/31/2024

3. DESCRIPTION OF SERVICE

WEEKEND SERVICE:

3.1 The primary responsibilities for (Shift 1) include but are not limited to: Responding to routine customer requests via the pager, Operating Room (OR) / Cardiology room cleaning, discharge / terminal patient room cleaning, occupied patient room cleaning, patient ward coverage, Emergency Care Unit (ECU) coverage, Pulmonary blood gas room and break room, Blood draw, 5th floor doctor sleep rooms and general hospital cleaning identified below. The primary responsibilities for (Shift 2) include but are not limited to: Responding to routine customer requests via the pager, OR / Cardiology room cleaning, discharge / terminal patient room cleaning, patient ward trashing, ECU coverage, upkeep of the public restrooms, Bldg. #1 dust mop / spot mop (When all other major duties have been completed.) The primary responsibilities for (Shift 3) include but are not limited to: Responding to routine customer requests via the pager, OR / Cardiology room cleaning, discharge / terminal patient room cleaning, cleaning Hemodialysis, ECU coverage, removing cardboard from Bldg. 5, upkeep of the public restrooms. Bldg. #1 dust mop / spot mop (When all other major duties have been completed.)

Fisher house Cleaning:

The Fisher House is a 20-room hotel style facility where families may stay while their loved ones are receiving treatment at the medical center. It is located on the main VA campus adjacent to the Medical Center. It has common use areas for all residents to share; kitchen, dining room, living room, laundry room and outside patio. Some occupants only stay for one night, some may stay for a few weeks. Residents are responsible for most of their room cleaning responsibilities during their stay.

Assigned housekeepers will daily clean all common areas and any rooms where residents have checked out. This is a very high-end facility, comparable to a 4- or 5-star hotel and requires a very high level of daily cleaning.

Tasks include cleaning public restrooms, cleaning kitchen appliances, counters and floors, dining and living rooms furniture and floors. Cleaning shared use laundry rooms. Cleaning sleeping rooms and private restrooms when occupants check out, including stripping the beds of dirty linens and remaking them with fresh linens. Housekeepers will inspect dirty linens for stains and pre-treat the stains before placing them in a laundry bin. On weekends, housekeepers are occasionally required to wash linens in the resident laundry facility, when there are linen shortages. Housekeepers are required to keep the outside patio area clean and keep the side walk are in front of the building swept and cleared of snow as needed.

The Contractor will need to transport dirty linens to the VA laundry department.

The Contractor will be responsible to pick up clean linens from the VA laundry department.

The Contractor will notify the VA laundry department of any linen shortages. The Contractor needs to ensure enough linen has been cleaned to handle the weekend and holiday hours.

The contractor will provide a trained housekeeper every day, seven days a week, 365/366 days per year.

Minimum hourly requirement: 5,530.

Monday, Tuesday, Wednesday, Thursday, and Friday will require coverage from 9:00AM to 7:30PM with a total of 18 hours worked each day.

Saturday and Sunday will require coverage from 8:00AM to 4:30PM for a total of 8 hours worked each day.

Cleaning discharged rooms will be the 1st priority. The contractor will be provided a tracking sheet listing bed cleaning times, and other duties performed.

The Contractor must be able to turn a room over to acceptable standards in less than 1 hour.

The Medical Center will provide the necessary cleaning equipment and cleaning chemicals.

FLOOR STRIPPING, WAXING AND CARPET CLEANING:

3.2 Floor Maintenance. All floors, except carpeted areas, shall be swept, dust mopped, damp mopped, wet mopped, dry buffed, spray buffed, stripped and waxed, as needed, to ensure a uniform, glossy appearance free from dirt, debris, dust, scuff marks, heel marks, other stains and discoloration. Baseboards, corners, wall/floor edges and door edges shall be clean and free of any floor maintenance solutions. All hidden floor areas (behind and underneath furniture) shall be free of dirt and debris. If any furniture is moved during cleaning, it shall be carefully returned to its position without causing any damage. Carpeted areas shall be vacuumed or shampooed as needed to ensure that carpet is clean, and free from any visible lint, litter, stain, and other foreign matter. Spots shall be removed by carpet manufacturer’s approved methods as soon as noticed. Underneath the carpet shall be free of moisture, soil, and any foreign matter. All tears, burns, and ravels shall be brought to the attention of the COR.

3.3 Trash Pick-up. All trash containers shall be emptied and relined daily to ensure that no trash container is over flowing at any time. (Trash containers will be furnished by the government). If there are any objects such as boxes, cans, etc. placed near trash cans, the contractor employee shall enquire from the staff in the area if this material needs to be discarded and ensure the task is completed. All trash shall be delivered to the designated trash storage area. Trash receptacle shall be left clean, free of foreign matter and free of odors.

3.4 Drinking Fountains. The Contractor shall, daily, clean and disinfect all porcelain and polished metal surfaces, including the orifices and drains as well as exterior surfaces of the fountain. Drinking fountains shall be free of streaks, stains, spots, smudges, and any type of foreign mater.

3.5 Exam Tables. The Contractor shall clean and disinfect all exam tables daily. After cleaning, the base of the exam tables shall be free of dust, stains, and any foreign object.

3.6 Rest rooms. The Contractor shall daily maintain the restrooms in a clean and sanitary condition at all times. All areas of the restroom including the toilet seats and bowls, urinals, sinks, partitions, walls, mirrors, doors (including doorknobs), plumbing fixtures, underside of sinks and pipes, floors, soap dispensers, paper towel holders, faucets, trash cans, vents, light switches etc. shall be cleaned using a U.S. Environmental Protection Agency (EPA) approved hospital grade germicidal detergent. After cleaning, receptacles shall be free of deposits, dirt, streaks, and odor.

3.7 General Dusting. The Contractor shall clean and dust all horizontal and vertical surfaces including furniture to eliminate all stains and dust collection.

3.8 Stocking of restrooms. The Contractor shall ensure that the restrooms are stocked with all essential supplies including paper towels, toilet paper, hand soap, and other sanitary items. Supplies shall be provided by the Contractor.

4. SPECIFICATIONS:

4.1 Building Security.

4.1.1 The Contractor will be provided keys to only their Housekeeping Closets to include Supply and Equipment Rooms. Access to all Clinic areas and rooms requiring cleaning will be provided by onsite VE Medical Staff. The Contractor shall immediately report the occurrence of a lost key to the Contracting Officer Representative (COR) or his/her designee.

4.1.2 Contractor employees shall not allow any unauthorized person the use of any key in their possession. They shall not open locked rooms or areas to permit entrance by persons other than contractor employees performing assigned duties. All rooms/areas required to be locked shall not be left unattended during the cleaning process and shall be relocked by contractor personnel after completing cleaning duties.

4.1.3 Contractor personnel shall turn off all lights in unoccupied areas after cleaning is performed. Contractor personnel shall ensure areas are secured and windows are closed and locked. The Contracting Officer Representative (COR) shall be notified of any unlocked doors or windows during his/her duty hours.

4.2 Safety.

4.2.1 The Contractor shall display warning signs that have been approved by the COR in all areas where housekeeping operations may cause traffic obstruction or personnel hazard.

4.2.2 The cleaning of lobbies and corridors resulting in a temporary wet or slippery floor surface shall be accomplished so that it will not be necessary for personnel or patients to cross the wet surface to gain access to other areas (1/2 of the hallway or area at a time). The Contractor shall comply with all Life Safety Regulations. A copy of the Life Safety Code can be obtained at (http://www.nfpa.org/catalog/product.asp?pid=10112)

4.3 Handling/Cleaning of VA Furniture/Equipment

4.3.1 Equipment that is plugged in for recharging shall not be unplugged.

4.3.2 The Contractor shall clean all Podiatry tables and equipment (except console), all examination tables, and all other furniture and equipment within the clinic. To access the areas underneath and around furniture, the Contractor might need to move some furniture. The contractor shall be responsible for returning any moved furniture to its original spot after cleaning.

4.3.3 All tasks accomplished by Contractor personnel shall be done to preclude damage or disfigurement of furniture and building structure. The Contractor shall correct any damage caused by his/her employees to any part of the building or equipment or any area covered by this contract.

5. CONTRACTOR FURNISHED EQUIPMENT/SUPPLIES

5.1 The Contractor shall furnish the personnel necessary to perform all services required. All the Contractor’s personnel shall be able to read, write and speak English without the use of an interpreter.

5.2 The Contractor shall furnish the supplies necessary to perform all services required. Supplies and equipment shall comply with VA, federal or state Occupational Safety and Health Standards and fire regulations.

5.3 All items shall be approved by the facilities Infection Control Committee (ICC) and the COR prior to being used. The Contractor shall obtain Material Safety Data Sheets, Occupational Safety and Health Administration (OSHA) Form 20 for all chemical products used and shall provide a copy to the COR. New supplies or changes in previously approved materials shall require product literature and may require samples.

NOTE: Aerosol sprays shall be approved by the COR before use, and shall not be used in patient treatment areas.

5.4 Contractor personnel shall not use steel wool, abrasive metal cleaners, or any other cleaning materials or supplies which could cause damage to government property. At no time shall chairs, wastebaskets, brooms, mops, or any other items normally placed on the floor be placed on any surface of furniture or equipment.

5.5 All containers of cleaning chemicals and similar products shall be conspicuously marked (preferably with a factory label), to identify contents. All other labels shall be removed or defaced. Materials bearing a Department of Transportation (DOT) red label (flammable) shall not be used. No unlabeled chemicals shall be permitted for use anywhere within the facility.

5.6 All equipment shall comply with current safety standards. All equipment shall be cleaned with an EPA approved hospital grade germicidal disinfectant each day prior to storage.

5.7 All electrically operated equipment shall be equipped with hospital quiet-type motor, be third-wire grounded, and equipped with an appropriate length of Underwriters Laboratories (UL) approved three-conductor cord. Extension cords are prohibited.

5.8 All wheeled and movable equipment shall be equipped with protective non-marking wheels and rubber bumpers or guards around the entire perimeter. No part of the equipment (except fixed handles) shall protrude beyond the rubber bumpers.

5.9 When not in use, equipment shall be stored in designated areas only. Trash containers shall be washed each day prior to storage.

5.10 Supplies and equipment shall not be transported in trash cart, mop buckets, etc. All materials not immediately used shall be properly stored.

5.11 An EPA approved hospital grade germicidal detergent shall be used for all cleaning activities within the clinic. In the event of an outbreak of Methicillin Resistant Staphylococcus Aureus (MRSA), Clostridium Difficile (C-Diff) or other major Hospital Acquired Infection (HAI), the COR will instruct contractor on proper cleaning procedures.

5.12 Stripping Compound shall be purely synthetic, non-ionic, biodegradable, and contain no animal or vegetable soaps, abrasives, bleach, alcohol, ammonia, or other ingredients which would produce harsh, harmful, or noxious odors or fumes, either in use or in storage. Stripping Compound shall be capable of completely removing all soap build-up and floor finishing film (except for peracrylic type finishes). Stripping Compound shall contain approximately 12% or more active ingredients, exclusively or dilution; it shall have a pH of not less than seven or more than 11.0. It is permissible to use a special detergent stripper specially designed for use in automatic scrubber equipment, so long as it meets the above requirements.

5.13 Carpet Shampoo shall be used in accordance with manufacturers’ recommendations.

5.14 Mop heads shall be laundered after each use. Disposable mop heads may be made of non-woven fabric or a listless fabric consisting of textile fibers or a combination of fibers and yam and be clear or neutral in color. Oil based treatments shall not be used. The chemical treatment shall not have a “flashpoint” of less than 330º Fahrenheit and shall be free of specifiable matter. The compound shall not heat spontaneously under service conditions. Total treatment residue in mop heads shall contain no carbon residue.

5.15 Vacuum Cleaners shall have hospital grade micro static impaction type filtration system which shall filter out all dust and bacteria particles larger than 0.3 micros. All vacuum equipment (i.e. tank, hose and bag) shall be cleaned daily with an EPA approved hospital grade germicidal detergent. Vacuum filters shall be cleaned weekly.

5.16 Trash carts shall be of such size that will not block width or block passageways for building evacuation. All trash collection containers shall be thoroughly cleaned and disinfected daily using an EPA approved hospital grade germicidal detergent.

5.17 Wet Floor Signs shall contain easily understood directions and guidance in English and Spanish.

6. STANDARDS OF CLEAN:

1. Ceilings – Clean; free of dust and spots; paint intact; vents clean and free of dust and lint; light bulbs operable; all ceiling tiles in place.

2. Walls – Clean, no lint; paint intact; free of finger marks and stains.

3. Floors – Clean, free of dust, lint and stains; no floor finish build-up or accumulation of soil in corners; free of heel and scuff marks; free of discolored floor finish; high luster.

4. Cove Bases – Clean and clear; no floor finish build-up; no mop marks; no accumulation of soil in corners; intact around room (firmly affixed to wall with no signs of being loose at juncture with floor.)

5. Doors – Clean, free of marks; finish intact; kick plate clean and shiny; top is free of dust and lint; edges are clean; handle or knob is clear and clean; hinge facing and door frame are clean; door vent is clean and free of dust and lint; window frame is clean and free of dust and lint (inside and outside).

6. Windows – Clear and clean, not in need of immediate washing; frame clean; glazing intact, clean; paint in good condition.

7. Window Drapes – Free of lint; properly hung on tracks; not faded; no stains, yellowing or tears; pulleys and pull cords intact and working; pins installed correctly in drapes and on carriers.

8. Chairs – Clean, free of lint and dust.

9. Television Sets – Clean, free of dust and lint; shelf clean, free of dust and lint.

10. Toilets – Toilet bowl clean inside and outside; no stains, streaks or residue; toilet seat clean, free of spots, stains or streaks and tightly fastened to toilet; plumbing fixtures clean, free of dust, spots and streaks; plumbing connections to toilet free of alkali buildup and dirt; base of toilet free of soil build-up and stains.

11. Sinks – Clean inside, outside and underneath; free of spots and streaks; plumbing fixtures on top and underneath free of dirt, spots and streaks; base of plumbing fixtures free of alkali build-up.

12. Mirrors – Clean, free of spots and streaks; frame top and edges free of dust and lint; shelf clean, free of spots and streaks.

13. Shower Stalls – Walls clean, free of soil build-up on caulking; caulking intact; fixtures free of spots and streaks; door frame and glass free of dust, lint, spots and streaks; horizontal crossbars above door free of dust, lint, spots and streaks.

14. Dispensers – Soap and paper towel dispensers are clean, free of dust and lint on top and underneath, free of spots and streaks; supplies replenished.

15. Refrigerators – Clean, free of dust spots and stains; shelves and facing clean and free of spots, spills and stains; freezer clear and free of stains; motor vent clean and free of dust and lint. Refrigerator door gasket is clean, intact.

16. Countertops – Clean, free of dust, stains and finger marks.

17. Telephones – Clean, free of dust and lint; receiver, mouthpiece and dial free of dust and lint.

18. Drinking Fountains – Stainless steel free of spots and streaks.

19. Vents – Free of dust, fingerprints, marks, stains and spider webs.

20. Lights – Dust-free, insect-free, no stains.

21. Waste Receptacles – Clean inside and out; liner in place; must not be dented or cracked.

22. Housekeeping Closets – Orderly; sink clean; floors and walls clean; equipment clean; door locked; no boxes on floors; no storage within 18” of ceiling; no personal items.

23. Furniture – Clean and polished; cushions clean.

24. Carpeting – No stains; dust free.

25. Elevators – Metal shined; floors cleaned and litter-free; tracks, buttons and vents clean.

26. Fans – Dust free, clean.

27. Equipment – Clean, polished, stored properly. Filters, brushes, batteries checked and serviced properly; cords and hardware tight and intact.

28. Stainless Steel, Corner Plates, etc. – Clean, shiny; no smudges.

29. Stairwells – Dust-free and clean; handrails cleaned.

30. Housekeeping Cart – Clean; locks intact; chemicals labeled and locked when not in use.

7. QUALITY ASSURANCE:

7.1 All reported deficiencies will be corrected within 14 days of the date of notification. A member of Environmental Management Services will conduct monthly inspections/ acceptance of the contractor’s products, frequency of cleaning and compliance with all requirements before certifying any invoice(s). Following is the summary of performance standards for services described herein. Requirements not listed on this table but listed elsewhere in this statement of work are still in full force and effect

– This table shall not supersede any other requirements already stated.

*Mandatory Training shall include:

VHA Privacy and HIPPA Training – 1 hour Code of Ethical Behavior – 30 minutes Infection Prevention and Control – 30 minutes Life Safety – 1 hour Fire and Safety – 1 hour Hazard Communications – 30 minutes The contractor shall be responsible for initial training and annual refresher training covering the topics above. The training shall be provided to the contract personnel before contractual work begins. Contract personnel and alternates who are hired after the contract has been activated will receive training within 5 days of their employment.

Records of all personnel training shall be maintained by the Contracting Officer and transmitted to the COR within 5 days of such training. (The COR will coordinate the trainings with contract POC).

A member of Environmental Management Services will conduct monthly inspections/ acceptance of the contractor’s products, frequency of cleaning and compliance with all requirements before certifying any invoice(s).

8. Contract Authority

8.1 Contractor employees shall not be considered government employees in any part of this contract.

8.2 The contractor shall provide a project manager or supervisor to supervise and control contractor personnel.

8.3 The Government will not direct or control contractor personnel.

8.4 Contracting Officer shall be the only one with authority to make changes to the contract and will be executed bilaterally in accordance with FAR 52.212-4 C

8.5 Contractor employees shall have the ability to get a Personal Identification Verification (PIV) badge.

9. PERSONAL HYGIENE AND CLOTHING:

1. In performance of this contract, contractor personnel shall be neat, clean, and well-groomed and shall otherwise exercise good personal hygiene. Appropriate and professional attire shall always be worn. Athletic and athletic-style garments (i.e., jogging suits, sweat suits, running shorts, tee-shirts) shall not be worn by contractor’s employees.

10. SMOKING POLICY:

1. Smoking is not permitted within or around the VA, except in designated areas.

11. CELLULAR PHONES:

1. Cellular phones are not acceptable in all areas, as they may interfere with medical equipment. Contractor shall verify with the SL POC areas, where cellular phones cannot be used.

12. LANGUAGE AND SEXUAL HARASSMENT:

1. Contractors are expected to use appropriate language. Obscene language is not permitted, and all individuals are expected to be courteous. This requirement includes any conversation that can be overheard on federal property. There is a zero tolerance for sexual harassment (implied, verbal, suggestive, or physical).

13. PERSONNEL QUALIFICATIONS:

1. All work shall be performed by “Fully Qualified” personnel to perform the tasks associated with the specified actions noted for housekeeping. Contractor shall insure that any contractor personnel driving a contractor’s vehicle on VA property hold a valid Driver’s License, appropriate insurance coverage (automotive and worker’s liability) and will be assumed to have no outstanding legal impediments.

2. The Government reserves the right to accept or reject Contractor’s staff for the rendering of services. Complaints concerning Contract Personnel’s performance or conduct shall be dealt with by the Contractor or SL POC with the final decision being made by the Contracting Officer.

3. PERSONNEL POLICY: The Contractor shall be responsible for protecting their personnel providing services under this contract. To carry out this responsibility, the Contractor shall provide the following for these personnel:

a. The Contractor agrees to procure and maintain Workers Compensation and Employee’s Public Liability Insurance in accordance with the laws of the governing state.

b. Public Liability Insurance: The Contractor shall comply with all applicable Federal and State laws regarding liability for the injury or death of an employee in performing the work under this contract and shall hold the Government harmless against any or all loss, cost, damage, claim expense or liability for accident or injury to persons or property occurring in the performance of this contract.

c. Before commencing work under this contract, the Contractor shall furnish an insurance certificate indicating coverage has been obtained and it may not be changed or canceled without a thirty (30) days’ notice to the Contracting Officer. The Contracting Officer may waive the requirement if he determines that insurance certifications now on file are acceptable, however, new certifications shall be furnished prior to the expiration date.

4. The Contractor shall follow all existing local, state, federal laws/regulations relevant to fringe benefits and premium pay for their employees. Such personnel shall not be considered VA employees for any purpose.

5. The Contracting Officer or her designee shall notify the Contractor of any noncompliance with the foregoing provisions and the action to be taken. After receipt of such notice, the Contractor shall immediately correct the conditions to which attention has been directed. Such notice, when served on the Contractor or his representative at the site of work, shall be deemed sufficient of the purposes aforesaid. If the Contractor fails or refuses to comply promptly, the Contracting Officer may issue a Stop-Work Order for all or any part of the work and hold the Contractor in default as provided elsewhere in this contract.

14. EVALUATION FACTORS FOR SUCCESSFUL OFFER:

1. The selection committee will rate the following factors as “Acceptable” or “Unacceptable”. The successful solicitation must have an “Acceptable” rating in all categories. The evaluation factors in the order of their priority are as follows. Proof of Experience = 50%, Past Performance = 40%, Price = 10%.

15. PROTECTION OF PROPERTY:

1. The contractor shall protect and preserve from loss, damage, or harm, all materials, supplies, and equipment of every description of Government owned property.

2. If, as determined by the Government SL POC, any materials, equipment, supplies or work performed is not adequately performed, the contractor shall correct, without additional cost to the Government.

3. Any costs incurred due to a work stoppage, which is due to contractor failure, shall not be chargeable to the Government.

4. Contractor shall repair all damage incurred due to contractor negligence during movement of materials, furniture, equipment, at no additional cost to the Government. The finished repaired surface/product shall match the original in construction and finish quality.

16. OVERTIME AND HOLIDAYS:

1. Any overtime and/or holiday pay that may be entitled to the Contractor’s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government.

17. BADGES AND PARKING:

1. Contractor personnel are required to wear identification (I. D.) badges issued by the VA Security Office during the entire time they are on the VA Healthcare System grounds. It is the responsibility of the Contractor’s personnel to park in the appropriate designated parking areas.

2. Parking information is available from the VA Healthcare System Security Office. The VA Healthcare System shall not validate or reimburse for parking violations under any circumstance. Parking may be a problem at some sites and should be coordinated through the SL POC.

18. SECURITY ACCREDITATION PACKAGE

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

b. To ensure proper protect and handling of any VA sensitive information that the contractor will encounter in the normal course of their duties, all contract personnel will be required to complete VHA Privacy and HIPAA Training (the COR will coordinate the training with contract POC).

36C25919Q0394

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QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) FOR

Weekend Hospital Housekeeping Services, AT

Salt Lake City VA Medical Center

The contractor will be evaluated in accordance with the following:

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

· What will be monitored?

· How monitoring will take place.

· Who will conduct the monitoring?

· How monitoring efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor through contract modification. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

2. GOVERNMENT ROLES AND RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (CO) – The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned CO:

Organization or Agency: Department of Veterans Affairs, Environmental Management Service

b. Contracting Officer’s Technical Representative (COR) – The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

Assigned COR:

3. CONTRACTOR REPRESENTATIVES

The following employees of the contractor serve as the contractor’s program manager for this contract.

4. PERFORMANCE STANDARDS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets or does not meet these standards.

The Performance Requirements are listed below in Section 6. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the standard and assign a rating.

5. INCENTIVES/DEDUCTS

The Government shall use past performance as incentives. Incentives shall be based on exceeding, meeting, or not meeting performance standards (if you include any monetary incentives, this requires approval through the Department’s SPE).

6. METHODS OF QA SURVEILLANCE

Various methods exist to monitor performance. The COR shall use the surveillance methods listed below in the administration of this QASP.

Option Year(s) 1 – 4 Contract Weekend Hospital Housekeeping Services

Inspections

Other performance evaluation factors will be monitored that are not quantified by numerical measurements which include: employee customer service comments; contractor relationship with call center staff; compliance with call center employee conduct and responsibility policy.

The contractor is responsible for performance of ALL terms and conditions of the contract, the elements above represent those that will be subject to ongoing reporting by the COR in accordance with this plan.

a. DIRECT OBSERVATION. 100% surveillance

b. PERIODIC INSPECTION. Inspections scheduled quarterly or as needed.

c. VALIDATED USER/CUSTOMER COMPLAINTS. Customer complaint data is compiled quarterly and reviewed by the Facilities Operations Specialist – any validated complaints against a Contractor that are not resolved within the required seven-day period will be further investigated.

d. Verification and/or documentation provided by Contractor.

7. RATINGS

Metrics and methods are designed to determine if performance exceeds, meets, or does not meet a given standard and acceptable quality level. A rating scale shall be used to determine a positive, neutral, or negative outcome. The following ratings shall be used:

The Government shall document positive performance. Any report may become a part of the supporting documentation for any contractual action.

b. When unacceptable performance occurs, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case the CO shall document the discussion and place it in the contract file. When the CO determines formal written communication is required, the CO shall prepare a Contract Discrepancy Report (CDR), and present it to the contractor's program manager.

The contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability.

Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

9. FREQUENCY OF MEASUREMENT

a. Frequency of Measurement.

During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Assessment Meetings.

The COR shall meet with The Contractor semi-annually to assess performance and shall provide a written assessment.

B.3 DELIVERY SCHEDULE

Environmental Management Services 500 Foothill Drive Salt Lake City, UT 84148 0001

USA

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the…