36C25923R0033 0005.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) 554-23-103 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

36C25923R0033 02-02-2023

X X X

March 16, 2023 1:00 PM MT See page 2.

CONTINUATION PAGE

This amendment is created to provide the following:

1. Documentation from Site Visit 2 February 24, 2023 – site visit notes and attendance.

2. Answers to questions which were submitted after Site Visit 1.

3. To extend the proposal due date to March 16, 2023 at 1:00 PM MT. Proposals shall be submitted via email to ilze.karklins-powers@va.gov

RFI

Project 554-23-103Replace OR Booms RMR VAMC

All referenced documents below may be found on SAM.gov, Notice ID: 36C25923R0033.

1. Can we get reflective ceiling plans in CAD format for the following utilities?

Answer. Yes, in pdf format, see “03 Reflected Ceiling Plans.pdf”

a. HVAC, See “03 HVAC mechanical.pdf”.

b. Plumbing, See “03 Plumb Med Gas.pdf“.

c. Medical gases See “03 Plumb Med Gas.pdf“.

d. Electrical and the existing steel structure with the corresponding details. (length, diameter, etc.)

See “03 Power.pdf” and “03 Lighting.pdf” and “03_DAT_Med Equip Support Steel_Unistrut_AS-Builts – opt.pdf”.

2. Can we get the “stamped” engineering drawings for the existing super-structure that include;

a. Maximum down force

b. Tensile force Answer. A good amount of structural information may be found in these three documents: ”03 Structural Steel.pdf”, “03_DAT_Med Equip Support Steel_Unistrut_AS-Builts – opt.pdf”, and “03 Equip and Lighting Mounting.pdf”.

3. Requirement 2.11.1 states: “Design, fabricate and install intermediate structural supports Q36.” Can the super-structure be used in its current location considering a greatly improved workflow design?

Answer. The Contractor shall determine the suitability of the super-structure for the new Booms. Modify and correct as required to meet applicable codes and equipment manufacturer’s recommendations.

4. Is it possible to get the structural detail drawings and drill hole pattern for the existing Amico equipment?

Answer. See “03 Equip and Lighting Mounting.pdf”.

5. Please provide quantities required and types of services that are required in each boom (i.e., med gas, electrical, data ports, telemetry etc.)

Answer. Please see section 2 of Statement of Work, these requirements are listed per boom in each specification. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

6. Who will be responsible for removing the low voltage devices and cabling from booms? (i.e., nurse call, data, telemetry) Answer. Contractor will be responsible for this work. Nurse call work is required to be a Rauland 5 certified vendor.

7. Who will be responsible for re-installing the low voltage devices and cabling in the booms once the new booms are installed?

Answer. Contractor will be responsible for this work. Nurse call work is required to be a Rauland 5 certified vendor.

8. Requirement 2.11.2 states: “Install provided mounting plate.”

a. Who will provide the mounting plate?

b. How many will be provided?

c. Can CAD drawings of the plate be provided?

Answer. See updated SOW section below

0. Structural

0. As required, fabricate and install intermediate structural supports Q36

0. Install and provide mounting plates Q36

9. Requirement 2.16.7 specifies a “26” LED Surgical Display Monitor”

a. Please provide quantity of displays by room number.

Answer. No 26” display monitors are included, existing 26” display monitors will be reused in GI rooms 1-4, bronch room, and both ERCP rooms. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

10. Requirement 2.16.8 specifies a “32” LED Surgical Display Monitor”

a. Please provide quantity of displays by room number.

Answer. 22 total quantity - 3 in each OR room 1-5, 4 in OR 6, and 3 in OR 7.

11. The NAICS code stated on the solicitation is 236220. If so, is this the only code applicable for this project? If the SDVOSB does not have this code, are they ineligible to submit?

Answer: NAICS 236220 with a size standard of $45M is the NAICS applicable for this project. If the SDVOSB does not have this NAICS in SAM, it can be added by the SDVOSB as long as it is qualified for the NAICS and meets the size standard requirement.

12. Does this solicitation have to be an SDVOSB set-aside?

Answer: Yes

13. 2.11 refers to Q36. What is Q36?

Answer. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

14. Does the Stryker Switchpoint Video Integration (VI) system currently installed meet current VHA cybersecurity requirements? If not, can this solicitation be revised to include VI technology that complies with current data security and resolution specifications?

Answer. Yes, it does, it has a nationally approved ERA document for enterprise risk analysis. ERA RA-992.

15. How does the Rocky Mountain VA plan on communicating with Cerner/Oracle?

Answer. Currently the Stryker OR integration system communicates with VistA through a compass router, it will communicate the same way to Cerner, through a compass router.

16. Requirement 2.4.1 specifies a “Video Upgrade Kit”. Does this refer to a cabling kit or an endoscopic camera system (camera control unit, camera heads, etc.)? Please provide details.

Answer. See updated scope of work section 2.4 for specifications. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

17. Requirement 2.4.6 specifies a “4K Display Package”. Does this refer to a cabling kit or 4K monitors and imaging as well? Please provide details.

Answer. See updated scope of work section 2.4 for specifications. See “SOW r2 proj 554-23-103 Replace OR Booms.docx” (amendment 2).

18. Requirement 2.16.6.5 specifies; “Include 4K-ready cabling that is pre-wired in production and that can connect to the existing Stryker integration system”. Because it is an A/V-based integration system, 4K-ready cabling may not be compatible with the Stryker system from any vendor including Stryker. Will this requirement be revised?

Answer. No, it needs to be compatible with our existing Stryker Video integration system.

19. Is the Rocky Mountain VA considering an IP-Based Integration Solution that is scalable and modular to avoid further forklift upgrade needs in the future?

Answer. Our current Stryker OR video integration system is IP-based with ample IP space for future expansion.

20. Under Instructions, Conditions and Other Statements to Bidders/Offerors, Factor 1-Past Performance the VA is defining recency as a project completed in the past 5 years from the due date of the solicitation. Would the VA please consider making this 8 or 10 years from the due date.

Answer. The VA will consider completed projects within 9 years from the due date.

21. Are existing structural drawings available for existing structures that support existing booms and suspensions available?

Answer. Structural information may be found in these three documents: ”03 Structural Steel.pdf”, “03_DAT_Med Equip Support Steel_Unistrut_AS-Builts – opt.pdf”, and “03 Equip and Lighting Mounting.pdf”.

22. Will a structural evaluation on the existing structures be required to mount the new equipment? Answer. Yes.

23. Are existing mechanical drawings and as-built drawings available for the med gas system?

Answer. See “03 Plumb Med Gas.pdf“.

24. Are existing electrical drawings, as-built drawings and single line diagrams available for the electrical system.

Answer. See “03 Power.pdf” and “03 Lighting.pdf”.

a. If so, will a memo styler report or official state of CO wet stamp drawings be required to validate the structures?

Answer. Provide a licensed structural engineers evaluation or design of the Contractor’s proposed means of supporting the new Booms.

25. Who will be responsible for removing fixture for code blue, back pulling cable associated with code blue, pulling cable back into new boom, terminate cable and test code blue system? If this is to be incorporated into proposal is there a preferred vender that the VA has used to complete this work.

Answer. Contractor will be responsible for this work.

26. Who will be responsible for removing data plates, back pulling cable associated with data plate, pulling cable back into new boom, terminate cable and test data? If this is to be incorporated into proposal is there a preferred vender that the VA has used to complete this work.

Answer. Contractor will be responsible for this work.

27. Who is responsible for removing and re-installing auxiliary components from booms and flat panels suspensions – Example (light source, camera, monitors, accessories (baskets, IV poles)), etc.?

Answer. The contractor will be responsible for this for this work.

28. It was noted that several booms have 4 duplex outlets (8 total plugs) on one circuit. This does not meet the national electrical code.

a. Does the VA want this addressed as part of this project?

Answer. Yes. Receptacles, single or duplex, mounted in the surgical booms shall be wired one or two to a circuit.

b. If so, would electrical engineering drawings and submittals be required?

Answer. Engineering drawings are not required. Submittals are required.

c. Will 30 panel readings be required if additional circuit is added to boom?

Answer. Panel readings are not required. Use existing spare circuit breakers.

29. How many rooms can be down at one time?

Answer. One OR room, one GI/minor procedure room, and one ERCP/bronch room can be scheduled to be down at one time. Rooms might need to be completed on specific days of the week to avoid days with heavy case load and reduce patient care impact. Schedule will need to be discussed and planned at least 2 months in advance to plan around patient care workload.

30. For ICRA, can air scrubber be dumped into return duct in room or recycled within OR?

Answer. Ensure that construction work areas are negative with respect to surrounding rooms. The VA is able to assist you be controlling supply and return air flow rates. Protect return air grilles from dust entering the return air system. HEPA filter machines may recirculate within an OR or medical procedure room.

31. Can you confirm that the scope of the OR 7 Additional Video and Monitoring Package (section 2.4) is as follows:

a. Mount the 26” monitor to the wall in OR 7’s control room using a dual-arm mount that can articulate away from the wall as well as up and down

b. Add the “Video Upgrade Kit” and “4K Display Package” to the existing Stryker SPI 3 Integration System as an output card

c. Connect the Video Upgrade Kit to the monitor in the control room via DVI and fiber-optic cables, installing new conduit and back boxes as needed

d. Program the Stryker SPI 3 Integration System to add the new output card to the home screen so that any source connected to the Stryker system can be pushed to the new monitor in the control room Answer. Please see updated scope of work section 2.4 for specifications. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

32. In section 2.0 – Statement of Work, paragraph one mentions “remove all existing light and equipment booms and provide and install new light and equipment booms”, are the monitors on the spring arms and the boom mounted monitors (on the rails of the booms) also to be replaced?

Answer. Please see each room specification in scope of work, some existing 26” monitors are being reused in GI rooms 1-4, both ERCP rooms, and bronch room, in OR 7 2 existing 60” monitors will be reused, all other 32” monitors not specified as being reused by existing will be replaced, see 32” 4K monitor specification in section 2.17.6 of scope of work. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

33. In section 2.16.2.1, it calls for a surgical light of 29.6in. As there is no standard surgical light diameter and the size of surgical lights vary between the major manufacturers, would a slight deviation from this size be an acceptable alternate? For example, the Amico Ice30M is 30in in diameter, only a 0.4in difference that will have no clinical or construction impact.

Answer. Yes, within 0.5 inch of diameter specification would be acceptable.

34. Where will workers be able to bring material into the building and can an overall floor plan showing this location be provided?

Answer. We have one loading dock. It is available for use by Contractors, at the Service Level below the Visitor’s North Parking Garage. This loading dock provides access to the Concourse Service Level. Use the East 17th Place Entrance. See “Drawings proj 554-23-103.pdf”.

35. Can equipment shop drawings be provided for what is currently in place in the rooms being worked on?

Answer. See “03 Equipment.pdf”.

36. Please advise where the demo’d equipment and debris will need to be taken to, the description in the SOW is not specific enough to determine how much time it will take.

Answer. For construction debris, the Contractor shall remove debris off site and dispose of properly. For equipment carefully removed by the Contractor and turned over to the VA, it shall be palletized and delivered to Supply Chain Management Service, Warehouse, Building K, Service Level.

37. Can you confirm that cabling through the booms to connect the Stryker, Olympus, and Siemens equipment to either the integration systems (for the ORs) or directly to the monitors (for the GI/Bronch/ERCP rooms) needs to be back-pulled, re-pulled, and reconnected by the contractor?

Answer. Yes, that will work will need to be done by the contractor.

38. Please advise if the quantities indicated in the SOW (r2) should supersede quantities determined from a takeoff. For example, the 4k monitors, item 2.17.6, have a quantity of 22 listed however I am coming up with a quantity of 29 ea. (4 in each OR and 1 in ERCP2). I will point out that the equipment SOW actually never directly indicates to provide these monitors but simple indicates that a monitor arm that can support a 32” monitor be provided. Several locations call to receive an existing 26” monitor, so it appears the remaining locations would get new monitors.

Answer. 22 total quantity, 3 in each OR room 1-5, 4 in OR 6, and 3 in OR 7, SOW states using existing 26” monitors for GI rooms 1-4, ERCP 1 and 2 (correction to the SOW, it should state using existing 26” monitor for this room), and bronch. It states in SOW specifications using two existing 60 inch monitors in the OR7. See “SOW r2 proj 554-23-103 Replace OR Booms.docx”.

39. The required salient feature in section 2.17 of the updated SOW states:

a. We find these requirements to be overly restrictive because only Stryker can control the current Stryker OR Integration system. Draeger’s system is open-architecture and compatible with any vendor that will accept our technology “handshake.” In the interest of “fair and open competition,” can this requirement be removed?

Answer. No, it must be compatible to integrate with the current Stryker system in place, the VA does not plan to remove or replace our current OR integration system due to vendor incompatibility.

b. If not, will the COR require that Stryker make their system available to other vendor’s devices for integration?

Answer. No, that would be up to Stryker not the VA.

40. Per 2.17.6.1 of the updated SOW, OLED technology is required for the OR monitors. This requirement is overly restrictive as only one vendor currently provides this outdated technology.

a. In the interest of fair and open competition, can the requirement be revised to state; OLED or comparable technology?

Answer. Yes, this can be revised to OLED or comparable technology

b. If not, will the VAMC get a written confirmation from the vendor that they will replace the OLED monitors at no charge if “burn-in” occurs within 3 years?

Answer. See answer 40.a.

41. Will resoliciting this procurement under the surgical and medical instrument NAICS code be considered?

Answer. The VA has reviewed the Statement of Work and does not find it appropriate to resolicit the requirement under a surgical and medical instrument NAICS code. The solicitation will continue under NAICS 236220 Commercial and Institutional Building Construction.

See attached document: Site Visit 2 Meeting Doc.

See attached document: attendance 1 of 2 Feb 24 2023.

See attached document: attendance 2 of 2 Feb 24 2023.