RFQ Amendment 36C25920Q0734 0001.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

442-21-1-072-0010 Y 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25920Q0734

X X X 9/23/2020 at 12:00pm MDT See CONTINUATION Page X The purpose of this amendment is to delete paragraph 2.5 of the Performance Work Statement (PWS The closing date of 9/23/2020 at 12:00pm MDT remain the same.

All other terms and conditions remain the same.

Timothy J. Myers Contracting Officer

CONTINUATION PAGE

B.2 PERFORMANCE OF WORK STATEMENT

Medical Equipment Moving Services Cheyenne Department of Veterans Affairs Medical Center 2360 East Pershing Blvd.

Cheyenne, Wyoming 82001

1. Description of Services This statement of work (PWS) defines the actions for the contractor to provide Moving Services for Medical Equipment. A moving contract is required to facilitate moves throughout the facility and its entities.

2. Scope of Work The contractor shall provide all personnel, equipment, tools, materials, vehicles, supervision, certifications, and other services to provide moving services for medical equipment from the Cheyenne VAMC to other VA Outpatient sites or vice versa identified in paragraph 11. The contractor shall perform to the standards in accordance with this PWS.

2.1. Requirements: Moving staff and equipment will be provided on an as-needed basis. The moving contractor can anticipate a minimum moving total weight of 300 lbs and above per move during the VA business hours of 8 a.m. and 4:30 p.m Monday to Friday.

2.2 Contractor shall move all items (i.e. exam tables, hospital beds, ultrasound cart.) as outlined by the Contractor Officer Representative (COR) or other identified representatives of the Cheyenne VA Medical Center and its entities (Sidney, NE; Rawlings, WY; Fort Collins, CO; and Loveland, CO.).

2.3 Contractor shall report to COR for identification of items to be moved, location of identified items, and area in which items will be moved to. Contractors will provide a move list and quote based on contract prices to corroborate with COR instructions and the Price/Cost Schedule.

2.4 Contractor will provide between 3 and 4, personnel as requested by COR, to handle all moving jobs to ensure proper safety. The Cheyenne VAMC will notify contractor at least seven working days prior to move detail being requested. If a move detail has already been requested and scheduled the Cheyenne VAMC reserves the right to cancel move request and will provide a forty-eight (48) hour notification of cancellation.

2.5 The Cheyenne VAMC estimates (48) hours per year of scheduled work. Pay rate will be hourly and the schedule of these man hours will be determined by the Cheyenne VAMC using the notification guidelines set forth above.

3. Specific Tasks Contractor is required to furnish the following items:

3.1 All tools needed to properly move a variety of items as instructed. These tools include, although are not limited to: pallet jacks, desk jacks, dolly, moving skates and traps, moving truck. When moving truck is used and will travel more than 15 miles a fuel surcharge will be allowed.

3.2 Specialty moving materials, tools, and supplies, including but not limited to padding, packing, crating, dollies/hand trucks, and any other type of equipment commonly used for moving services activities, as required for the safe transportation of the property.

3.3 All personal protective equipment (PPE), i.e.: safety boots, gloves, etc. for movers are to be worn when moving identified items.

3.4 All personnel are expected to have working knowledge of moving tools being utilized and knowledge of proper moving safety techniques.

3.5 The Cheyenne VAMC will relocate and stage large items via forklift that cannot be moved by moving personnel. Any items that need to be transported by vehicle will be loaded and unloaded by contractor. Contractor will provide, in price, the vehicles/trucks necessary for meeting the transportation and delivery needs of the individual move.

4. Performance Monitoring COR, POC or (designee) is present for each facility move. The COR, POC, (or designee) oversees all moves in the facility and moves to Cheyenne VAMC entities mentioned above. Performance is measured by direct observation of movers. Any negative performance will be directly reported to the moving organizational structure. Currently there are one scheduled move date per month with additional moves added as needed.

5. Security Requirements Contractors may be required at times to enter sensitive areas in the process of moving furniture and other items. At no time will contractors have access to patient records, data or VA computer systems. All patient sensitive information is to be secured by staff prior to movers entering any area. Contractors will check-in with VA police to get visitor badges for each move day.

6. Government-Furnished Equipment (GFE)/Government-Furnished Information (GFI).

There will be no Government-Furnished Equipment (GFE) or Government-Furnished Information (GFI) used by contractors.

Points of Contact: Russell Sheats Biomed – 307-778-7550 ext. 7430 Equipment Managers - ext. 7266 & 7606

7. Other Pertinent Information or Special Considerations.

N/A

a. Identification of Possible Follow-On Work.

Any additional work that may result from completion of this contract, which may be added at a later date as a modification to this contract, or that may be helpful to the contractor in determining the best overall approach for the contract.

b. Identification of Potential Conflicts of Interest (COI) No COIs identified.

c. Identification of Non-Disclosure Requirements Contractors should not be privy to any information that requires non-disclosure. However, contractors should not discuss any information that may be overheard regarding patients in the performance of their duties.

d. Packaging, Packing and Shipping Instructions.

N/A

e. Inspection and Acceptance Criteria The COR is responsible for certifying that the work done under the contract is performed time and to standard. They are also responsible to assure the inspection and acceptance of products provided incidental to services.

8. Risk Control

8.1 All personal protective equipment (PPE) i.e.: safety boots, gloves, etc. for movers to be worn when moving identified items.

8.2 All personnel are expected to have working knowledge of moving tools being utilized and knowledge of proper moving safety techniques.

8.3 The Cheyenne VA Medical Center will relocate and stage large items via forklift that cannot be moved by personnel. Any items that need to be transported by vehicle will be loaded and unloaded by contractor. Contractor will provide in price the truck for moving. The Cheyenne VAMC will provide personnel any needed forklift or vehicle.

9. Protection of Property

a. Contractor shall protect all items from damage. The Contractor shall take precaution against damage to the buildings, grounds and furnishings. The contractor shall repair or replace any items related to buildings or grounds, and furnishings. The Contractor shall repair or replace any items related to buildings of ground damaged accidentally, or on purpose due to actions by the Contractor, utilizing materials of the same quality, size texture, grade and color to match adjacent existing work.

b. To ensure that the Contractor shall be able to repair or replace any items, components, on building or grounds damaged due to negligence and/or actions taken by the Contractor. The Contractor shall communicate with the COR to resolve all repairs beyond simple surface cleaning. Concurrence of the COR is required before the Contractor may perform any significant repair work. In all cases, repairs shall utilize materials of the same quality, size, texture, grade and color to match adjacent existing work.

c. The Contractor shall be responsible for the security of the areas in which the work is always being performed prior to completion.

d. Contractor shall provide floor protection while working in all VA facilities. All material handling equipment shall have rubber wheels.

10. Invoicing All invoices must be submitted through the Tungsten network portal. Any questions regarding how to set up an account or use this portal, must be directed to the Tungsten customer service line.

https://www.tungsten-network.com/trending/online-invoicing-portal

11. Place of Performance Cheyenne VAMC, and locations of potential VA Outpatient sites for moving delivery and pick-up:

Cheyenne VA Medical Center, 2360 East Pershing Blvd. Cheyenne, WY 82001 Sidney VA Outpatient Clinic, 1116 10th Ave Sidney, NE 69462 Rawlins VA Outpatient Clinic, 1809 East Daley Street, Rawlins, WY 82301 Fort Collins VA Outpatient Clinic, 2509 Research Blvd, Fort Collins, CO 80526 Loveland VA Outpatient Clinic, 5200 Hahns Peak Drive, Loveland, CO 80538

12. Period of Performance