36C25921Q0809 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 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) 554-22-132 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

36C25921Q0809 10-19-2021

X X X

X This amendment is for the following:

A) Post the Site Visit Attendance and Document sheets.

B) Post the Answers to Questions submitted by deadline, with ref erence drawings.

C) Update the Statement of Work to reflect the required compliance of “VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors" and add clause FAR 52.223-99.

All proposals to be sent via email to Christina.Beeler-Blackburn@va.gov.

All other terms and conditions remain the same.

A.1 Statement of Work Reconfigure Rooms for Dialysis & Prosthetics in Building G Project Number 554-22-132 Rocky Mountain Regional Veterans Affairs Medical Center (RMRVAMC)

1.0 – OBJECTIVE:

The Department of Veteran’s Affairs has a requirement to make several changes in building G at the Rocky Mountain Regional VA Medical Center located at 1700 N. Wheeling St, Aurora CO 80045.

2.0 – STATEMENT OF WORK

Contractor shall reference attached document (Dialysis & Prosthetics Detail SOW) of modifications to be performed. Work shall be performed in Building G (known as Clinic Building North or CBN).Work consists primarily of, but is not limited to, installation of new sink, replacement of sink, installation of new flooring, installation of new door.

3.0 GENERAL:

Contractor and/or Sub-contractors shall attend a pre-bid walkthrough of the work before submitting a bid. The date and time of this walkthrough will be determined by the Contracting Officer. Contractor and/or subcontractors shall be responsible for making any clarification requests that arise at the pre-bid walkthrough directed to the VAMC’s COR prior to the bidding of work.

The Department of Veterans Affairs (VA) requires strict adherence to the Code of Federal Regulations 29, Part 1926. This includes the requirement that the contractor have a “Competent Person” on the job at all times (must have a 30-hour OSHA card), and that all contractor employees have received a minimum of ten (10) hours of OSHA construction safety training.

Contractor must submit a Site-Specific Safety Plan (SSSP) to include Activity Hazard Analysis (AHA) or Job Hazard Analysis (JHA) for each construction activity. This plan shall detail fire, construction and health-related safety measures, in addition to listing training records for all employees for the previous year.

This project shall conform 100% to all VA standards and specifications, OSHA, AIA Construction Guidelines, Joint Commission Environment of Care Standards, and applicable building codes. In addition, any part of any VA specification that is not up to current design and construction practice shall be brought to the attention of the CO and COR for further evaluation. Design is to follow all information outlined in VA Technical Information Library (TIL) located at http://www.cfm.va.gov/til/dGuide.asp unless otherwise approved in writing by VA.

Contractor shall completely prepare site for building operations, including any necessary demolition and removal of existing materials and structures, and furnish labor and materials to perform all work. Actual dimensions shall be verified by contractor before start of work. All utility shutdowns shall be coordinated with COR at least 14 days prior.

4.0 PROJECT MANAGEMENT:

Based on the above list of work items the general contractor selected must successfully manage a variety of trades and tasks, coordinate just-in-time delivery of materials, get those materials to the job site, and schedule the necessary labor to construct various parts of this project in a timely fashion. Therefore, a critical aspect of this contract is construction management including but not necessarily limited to:

5.0 - APPLICABLE DOCUMENTS:

VA Barrier Free Design Standard -2017 Architectural Barriers Act Accessibility Standards (ABAAS) - 2015 VA Baraiatric Safe Patient Handling and Mobility Guidebook - 2015 VA Architectural Design Manual – 2014

G2-305 FLOORING PLAN

Prosthetics Layout Dialysis & Prosthetics Detail SOW VA Specification sections include but are not limited to:

Further VA specification sections available at the VA Technical Information Library: https://www.cfm.va.gov/til/spec.asp

6.0 - CODE & REGULATION COMPLIANCE:

The Contractor shall comply with public laws and statutes including all changes and amendments to federal, state and local environmental statutes and regulations in effect the date of issuance of this delivery order, including applicable portions of the documents cited in the basic contract and below:

1. NFPA 99-2015 Healthcare Facilities Codes.

1. 29 CFR 1910 Occupational Safety and Health Standards

1. 29 CFR 1926 Occupational Safety and Health Standards

1. ANSI/ASSE Z359

1. Acquiring permits for and managing hot work operations

1. Coordinating with VA construction personnel and other VA hospital personnel to maintain acceptable conditions for all on-going hospital functions affected

7.0 SUBMITTALS:

Contractor shall submit the following:

· Cost-Loaded Schedule within ten (10) calendar days of Notice to Proceed (NTP).

· Site-specific Safety Plan within ten (10) calendar days of NTP.

· Copies of manufacturer’s specifications for all materials and equipment planned for installation

· Dimensioned shop/site drawings and manufacturer’s details as noted in VA Specifications

· Inspection reports, manufacturer approval certificates and warranties as noted in specifications

· Site superintendent OSHA-30, and tradesmen/laborer OSHA-10 certificates. The site superintendent that meets these requirements must be on-site anytime work is being performed.

Copies of the certifications shall be provided to the COR within ten (10) calendar days prior to start of work.

8.0 DELIVERABLES:

Contractor shall submit the following:

1. Inspection reports and maintenance logs.

1. Dimension shop drawings, manufacturer’s details, and as-built drawings.

9.0 RESOURCES:

The Government will not furnish any resources for the fulfillment of services required under this contract. Contractor must provide all tools, equipment, materials, transportation, professional expertise, personnel, and supervision required under this contract.

10.0 TECHNICIAN/INSPECTOR QUALIFICATIONS:

The Government reserves the right to accept or reject Contractor’s staff for cause. Documented prior the work, Contractor shall provide technicians throughout the contract qualified to perform work. The Contractor shall notify the Government within 3 business days if it intends to replace a technician. At the time of notification, the Contractor shall submit all required certifications for all personnel working on the contract. In the event new, or replacement, personnel become involved in the contract, the Contractor must submit all required certification. Additions or changes in personnel require written approval of the Government. The Contractor shall have a back-up technician available in the event the primary technician is unable to perform his/her duties.

The Contractor shall ensure their personnel and subcontractor-personnel meet the privacy standards as set forth by HIPAA (Health Insurance Portability and Accountability Act of 1996) with respect to personal and confidential information that they may come upon, while contract work is being performed.

11.0 PERSONNEL ASSIGNMENTS:

The Contractor shall assign the appropriate quantity and type of personnel to successfully complete all functions specified in this SOW. The Contractor shall maintain throughout the life of this contract, a current list of technicians and their credentials available for inspection by the Government at any time.

12.0 ACCEPTANCE STANDARDS:

The VA reserves the right to dispute completion of contract scope if contract work is found not in accordance with manufacturer recommendations, is not satisfactorily executed, or if the system is not properly tested and inspected to achieve certification. All work completed by the Contractor must be reviewed and approved by the VA.

13.0 HOURS OF WORK:

Construction activities shall be conducted during off hours including nights and weekends to lessen the impact on the facility excluding Federal Holidays and any other day declared a federal holiday by the President of the United States listed below. Contractor’s work shall not interfere with the functions of the facility. Barricades, ICRA containment provisions shall be arranged to allow patients and staff unimpeded acces (including wheelchairs and patient beds where applicable) to services and resources within the facility.

If a holiday falls on Sunday, the following Monday will be observed as the National Holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a National Holiday by the U.S. Government agencies.

Upon arrival at the station, Contractor shall check-in with the COR and/or designee.

If contract work is delayed due to inclement weather the contractor shall inform the COR of said delay and submit an updated schedule.

All contractors and subcontractors must comply with current CDC and VA COVID protocols and procedures throughout the duration of the project. All contractors and their subcontractors must wear a face covering at all times while on VA property. The covering is to cover the nose and mouth continuously. Daily COVID-19 screenings may be required upon arrival to the worksite, per facility directives.

“VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

1. Contractor employees who work in or travel to VHA locations must comply with the following:

1. Documentation requirements:

0. If fully vaccinated, shall show proof of vaccination

0. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination

0. If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

0. Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

0. Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

1. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the following website: COVID-19 Screening Tool. Regularly check the website for updates.

1. Contractor employees who work away from VA locations, but who will have direct patient contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

1. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.”

All VA campuses are Tobacco Free, this includes but is not limited to vaping and smokeless tobacco products.

14.0 MEETINGS:

A kick-off meeting and site walk will be held at a date and time specified by the COR to review project scope, site, and requirements, as well as provide answers to any questions.

Contractor shall begin work within ten (10) days of Notice to Proceed (NTP). Contractor shall meet with the COR weekly following NTP to provide progress-updates and attend a closeout meeting at period of performance end.

15.0 BADGES AND PARKING:

All Contractor personnel are required to comply with VAAR 852.273-74 (Available online at VA Technical Information Library) which covers the following requirements: Background checks, and the wearing of identification (I.D.) badges issued by the VA RMRVAMC while on VA property. Contractor must acquire PIV badge for all staff onsite prior to work beginning. Failure of the background check may result in specific personnel not being allowed to work on VA premises and the Contractor will need to provide replacement personnel. Contractor to take into account lead-time on PIV Badging process.

It is the responsibility of the Contractor’s personnel to park in the appropriate designated parking areas. The designated parking area will be specified by COR upon award of contract.

16.0 KEYS:

Under no circumstances are Contractor personnel to remove VA keys from VA premises. Lost keys shall be replaced by contractor at costs beginning at $250.00/key. Cost to replace lost keys varies based on scope of access provided by keys.

17.0 PERIOD OF PERFORMANCE:

Period of performance including lead time for materials and submittals: ninety (90) calendar days from NTP.

********** End of Statement of Work ********* 52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors.

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS (OCT 2021) (DEVIATION)

(a) Definition. As used in this clause - United States or its outlying areas means—

(1) The fifty States;

(2) The District of Columbia;

(3) The commonwealths of Puerto Rico and the Northern Mariana Islands;

(4) The territories of American Samoa, Guam, and the United States Virgin Islands; and

(5) The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

(b) Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

(c) Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor workplace locations published by the Safer Federal Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

(d) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause) A.2 List of Attachments

See attached document: G2-305 FLOORING PLAN.

See attached document: Prosthetics Layout.

See attached document: 08.AG.102.

See attached document: S05- Questions and Answers.

See attached document: S04- Site Visit Attendance.

See attached document: Site Visit Meeting Doc.