Attachment A - SOW Elevator Inspections_rv.docx

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Attached to
H139--Elevator Inspection Services POP 8/1/2026-7/31/2031
Solicitation number
36C25926Q0525
Issued by

About this file

This is a Statement of Work (SOW) for Elevator Inspection Services at the Sheridan VA Health Care System in Sheridan, Wyoming. The contract is structured as an Indefinite Delivery Indefinite Quantity (IDIQ) for 60 months, consisting of an initial base year and four one-year ordering periods, with a period of performance from August 1, 2026 to July 31, 2031. The contractor must provide certified Qualified Elevator Inspector (QEI) personnel to conduct annual, semi-annual, and five-year inspections on fourteen elevators and one wheelchair lift, including Dover, Otis, Thyssen Krupp, Langley, and Harmar Summit brands. All inspections must comply with ASME A17.1, NFPA Life Safety and Fire Codes, OSHA regulations, and applicable state and local safety standards.

The contractor shall coordinate all work with the Contracting Officer's Representative (COR), providing a minimum of two weeks' notice before performing work during standard VA business hours (7:30 a.m. to 4:00 p.m., Monday through Friday, excluding federal holidays). Inspection reports must be submitted to the COR within 45 calendar days of inspection in both printed and electronic format (PDF/Excel/Word), and all safety-related deficiencies must be reported immediately during the inspection visit. The contractor is responsible for all personnel, labor, supervision, equipment, tools, materials, supplies, insurance, and transportation. A five-year inspection is due before August 13, 2026. Performance requirements include 100% compliance with inspection standards, scheduling coordination, personnel certification, safety protocols, and timely reporting to achieve a satisfactory Contractor Performance Assessment Reporting System (CPARS) rating.

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Other files

File Type Posted
Attachment 1 - Price Schedule_rv.xlsx XLSX spreadsheet
36C25926Q0525 0001.docx DOCX document
Amendment Questions and Answers.docx DOCX document
36C25926Q0525.docx DOCX document
Attachment 3 - LOS 852.219-75 - SERVICES.docx DOCX document
Attachment 4 - 1449.docx DOCX document
Attachment 1 - Price Schedule.xlsx XLSX spreadsheet
52.222-48 EXEMPTION FROM APPLICATION OF THE SERVICE.docx DOCX document
52.222-52 EXEMPTION FROM APPLICATION OF THE SERVICE CONTRACT LABOR STANDARDS.docx DOCX document
Attachment 2 - DOL 2015-5411 WY Sheridan rv28 5.12 02.pdf PDF

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STATEMENT OF WORK

Elevator Inspection Services Sheridan VAMC The contractor shall provide Elevator Inspection services in accordance with the terms and conditions stated within this “Statement of Work” (SOW). All work shall be coordinated with the Sheridan VA Health Care System’s (VA HCS) Contracting Officer’s Representative (COR).

1. PURPOSE: Contractor shall provide all certified and trained personnel, labor, supervision, equipment, tools, materials, supplies, insurance, and transportation necessary to perform annual, semi-annual, and five-year elevator inspections.

a. The VA Elevator Maintenance Contractor will operate the elevator, while “Elevator Inspection Services Contractor (Contractor) witnesses, documents, and certifies the results. An Indefinite Delivery Indefinite Quantity (IDIQ) 60-month contract is anticipated with an initial Base year and four (4) 1-year ordering periods.

2. GENERAL REQUIREMENTS:

a. Contractor personnel performing inspection services shall have current Qualified Elevator Inspector (QEI) Certification.

b. Contractor shall determine and certify if the equipment is in safe operating condition, that it has not been altered except in conformity to the applicable codes or regulations, and that each elevator performs in accordance with all applicable inspection requirements.

c. The contractor shall perform to the standards in accordance with the “SOW”.

d. The VA Elevator Maintenance Contractor shall remove parts where necessary for the Elevator Inspection Services Contractor (Contractor ) to inspect and determine the exact condition of other parts which could not otherwise be determined.

e. Contractor shall take such safety precautions as determined by Sheridan VA Fire/Safety and Engineering departments and local, state and federal safety regulations and guidelines to be reasonably necessary to protect the lives and health of occupants of the building.

f. Work requiring shutdown, interruption, infection control, or potential interruption of power to critical areas of the Medical Center will require coordination and planning with the COR. Contractor shall provide at least two weeks’ notice to the COR for scheduling. Major shutdowns may have to occur on weekends.

3. SAFETY COMPLIANCE: Contractor shall provide inspection services in compliance with current American Society of Mechanical Engineers (ASME) A17.1 requirements, National Fire Protection Agency (NFPA) Life Safety and Fire Codes, Occupational Safety and Health Administration (OSHA) rules and regulations and following all local, state, and federal occupational safety and health codes and regulations.

4. SCHEDULING ARRANGEMENTS: Except by special alternative arrangements, scheduled work will be performed only during VA HCS normal working hours (7:30 a.m. to 4:00 p.m. Monday through Friday excluding federal holidays).

a. Contractor shall coordinate with the COR to schedule services.

b. A minimum of two weeks’ notice is required prior to performing the work.

c. Work must be conducted when the COR or COR designate is available on site to monitor the work.

d. Five-Year Periodic Inspection to be performed and is due before 8/13/2026.

5. CHECK IN/OUT PROCEDURES:

a. Prior to commencement and immediately after each service visit, the contractor must check in/out with the COR.

b. Contractor performing services will be required to wear an ID Badge.

c. ID Badge must be signed for at check-in and returned, after each visit.

6. FEDERAL HOLIDAYS: Federal holidays are any calendar days designated by statute or executive order as federal holidays.

7. CONTRACTOR REPORTING: Contractor shall provide to the COR with individual service reports, which describes the inspection services performed on the equipment, within 45 calendar days of inspection. The inspection report shall include information as outlines in ASME 17.2.

a. All safety-related deficiencies shall be immediately reported to the COR, during the inspection visit.

b. All maintenance checklists shall be submitted to COR within 1 week of completion of work including any recommendations for items needing repaired/replaced.

8. DELIVERABLES

a. All equipment listed in the SOW shall be inspected annually and semi-annually.

a. The Annual Periodic Inspection includes semi-annual inspection requirements.

b. 5-year inspections are required on fourteen (14) elevators.

a. 5-year inspections include the annual inspection requirements.

c. Five-year inspection due before 8/13/2026.

d. Contractor shall provide a comprehensive report for each elevator inspection and shall be received by COR within 45 days of inspection.

a. Provide one (1) printed and bound copy of the inspection report.

b. Provide one (1) electronic file of the inspection report in PDF/Excel/Word.

9. RESPONSE REQUESTS: Contractor shall only respond to requests for service from the COR or the Contracting Officer. If service is requested from any other source the Contractor is to advise the caller of this requirement and refuse to respond. Any billing resulting from unauthorized service will not be paid by the government.

10. LOCATION

Sheridan VA Health Care System , 1898 Fort Road, Sheridan, WY 82801 -8320

11. EQUIPMENT INVENTORY

Manufacturer
SERIAL NUMBER
BUILDING
ELEVATOR PUMP
Annual (A)

Semi-Annual (SA) 5-year (5)

Dover Elevator
EE5040
1
Hydraulic
A, SA, 5
Dover Elevator
FM5382
4
Hydraulic
A, SA, 5
Dover Elevator
EU0503
6
Hydraulic
A, SA, 5
Dover Elevator
FD6373
7
Hydraulic
A, SA, 5
Dover Elevator
FE3299
8
Hydraulic
A, SA, 5
Dover Elevator
BE3301
35
Freight (Drum)
A, SA
Dover Elevator
FE3300
64
Hydraulic
A, SA, 5
Dover Elevator
ED7502
71

Controls in Bldg. 9

Hydraulic
A, SA, 5
Dover Elevator
FB6072
71N
Hydraulic
A, SA, 5
Dover Elevator
BP6376
86 (B86 1)
Traction
A, SA, 5
Dover Elevator
BDL095
86 (B86 2)
Freight (Traction)
A, SA, 5
Dover Elevator
ED7312
86A (B86 3)
Hydraulic
A, SA, 5
Otis Elevator
230912
7
Freight (Traction)
A, SA, 5
Thyssen Krupp Elevator
CCE729
3
Traction
A, SA, 5
Thyssen Krupp Elevator
EDR184
B64
Hydraulic
A, SA, 5

Langley Freight Elevator

M10265
31
Laundry

(Material Lift)

A, SA

Harmar Summit, CPL Series, Hercules Ameriglide
Unknown
B2
Wheel Chair Lift
A, SA

13. LIABILITY INSURANCE: Contractor must provide the COR with written confirmation that Contractor has adequate insurance protection against negligent work and other forms of liability. The nature and level of protection must be acceptable to COR.

14. PERFORMANCE STANDARDS

The table below defines the Performance Standards and Acceptable Levels of Performance associated with this effort.

PERFORMANCE OBJECTIVE
PEFORMANCE STANDARD
PERFORMANCE

REQUIREMENTS

MONITOR
ACCEPTABLE LEVEL OF PERFORMANCE
ELEVATOR INSPECTIONS FOR SAFE OPERATIONS
Conduct thorough inspection of Sheridan equipment IAW ASME-A17.1 and the NFPA Life Safety and Fire Code and applicable State Codes.
Provide Inspections Services IAW the SOW
VA Facility Safety Officer
100% COMPLIANCE

Passing VA Facility Safety Officer inspection will result in a “Satisfactory” Contractors Annual Performance Rating (CPARS)

Failure to pass the VA Safety Officer inspections will result in an “Unsatisfactory” CPARS.

SCHEDULING
Scheduling coordinated with the COR as outlined in this SOW.
A. Contractor shall schedule and coordinate all work with the COR
COR
100% COMPLIANCE

results in a Satisfactory CPARS

COMMUNICATION
Reporting of safety issues
All safety-related deficiencies shall be immediately reported to the COR, during the inspection visit.
COR
100% COMPLIANCE

results in a Satisfactory CPARS

REPORTING
Inspection report shall be received by COR within 45 days of inspection.
Reporting will address and include all attributes as outlined in this SOW
COR
99% of reports provided timely results in a Satisfactory CPARS
CERTIFICATION OF PERSONNEL
Contractor personnel performing work shall have current QEI Certification
QEI Certification
COR
100% COMPLIANCE

results in a Satisfactory CPARS

SAFETY
Compliance with VA HCS, ASME, NFPA, OSHA, and local, state, federal safety regulations
Safety protocols shall be followed.

All safety-related deficiencies shall be immediately reported to the COR, during the inspection visit.

COR and Safety Officer
100% COMPLIANCE

results in a Satisfactory CPARS

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

Unacceptable Performance: When unacceptable performance occurs, the COR shall work with the Contracting Officer (CO) inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case, the COR shall document the discussion and place it in the COR file.

To ensure that the contractor receives impartial, fair, and equitable treatment under this contract, the COR will work with the contractor to increase performance to an acceptable level. When the COR and CO determines formal written communication is required, the COR and CO shall prepare a Notification (Letter or Concern (LOC), Cure Notice, Show Cause Notice) and present it to the Contractor.

1. The contractor shall acknowledge receipt of the LOC Notice in writing.

2. The LOC will specify if the contractor is required to prepare a corrective action plan (CAP) to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The Notice will also state how long after receipt the contractor shall present this corrective action plan to the CO.

3. The Government shall review the contractor's corrective action plan to determine acceptability.

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

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