36C26119Q0995-0001000.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 ADM

INISTRATIVE 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 d ate 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 3

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) 08-08-2019 None Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Pacific Islands Health Care System 459 Patterson Rd Honolulu

HI 96819-1522

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Pacific Islands Health Care System 459 Patterson Rd Honolulu HI 96819-1522 To all Offerors/Bidders

36C26119Q0995 08-06-2019

X X 8/14/2019 5:00 p.m. PST X The purpose of this Modification is to amend solicitation 36C26119Q0995 as follows

1) SOW has been updated on section 5. Emergency Maintenance.

2) The Price Cost schedule has been updated with the addition of a new emergency repair CLIN.

3) Invoicing has been changed from Quarterly to Monthly.

All other terms and conditions remian unchanged

Daniel Szambelan Contracting Officer

CONTINUATION PAGE

B.1 STATEMENT OF WORK

1. SERVICES:

Contractor shall furnish all tools, labor, parts, materials, supervision, and travel to provide preventive maintenance, calibration services, and as needed, emergency repair service at an hourly fixed rate to maintain the equipment as identified in Section B in accordance with the OEM specifications. All parts to be replaced under normal preventive maintenance (PM) as defined in the OEM’s service manual will be included under this contract. Repair parts outside of those included in the PM will be provided by VHA and repair service will be billable on an hourly basis and paid by govt credit card outside of the contract.

2. DEFINITIONS/ACRONYMS:

required to maintain the equipment in such condition that it may be operated in accordance with its intended design and functional capacity with minimal incidence of malfunction or operative conditions. Service shall consist of calibration and testing in accordance with the manufacturer’s latest established service procedures to ensure operation of equipment within manufacturer’s or VA’s performance specifications, whichever is the most rigorous. PM includes cleaning, inspecting lubricating and testing all equipment. All equipment shall be operated at least one complete operating cycle at the end of each PM.

E. FSE-Field Service Engineer. A person who is authorized by the contractor to perform maintenance (corrective and/or preventive) services on the VA Outpatient Clinic premises.

F. ESR-Vendor Engineering Service Report. A documentation of the services rendered for each incidence of work performance under the terms and conditions of the contract.

G. Acceptance Signature-VAOPC employee who indicates FSE demonstrated service conclusion/status and user has accepted work as complete/pending as stated in ESR.

H. Authorization Signature- COT’S signature; indicates COTR accepts work status as stated in ESR.

3. CONFORMANCE STANDARDS:

Contractor Shall provide services and material to ensure that the equipment functions in conformance with the latest requirements of NFPA-99, JCAHO, NEC, OSHA, CAP, Federal and VA specifications and requirements as applicable. The equipment shall be maintained such that it meets or exceeds the performance specifications as established in the OEM’s technical specifications. Additional performance specifications that exceed the OEM specifications shall be specified in writing by the VA.

4. PREVENTIVE MAINTENANCE (PM):

A. Preventative maintenance inspection s hall be performed annually. The date and time of the inspections will be arranged by the contractor’s service representative in least 1 week in advance by contacting the COR or his/her designee.

B. The contractor shall ensure that PM services are performed to ensure that the equipment listed in Section B is maintained in accordance with the Statement of Work (SOW), Paragraph 3, and Conformance Standards. The contractor shall provide and utilize procedures and checklists with worksheet originals indicating work performed and actual values obtained (as applicable) which shall be provided to the COR at the completion of each PM. The contractor’s PM procedure and checklist shall match the OEM’s recommend PM inspection procedure.

C. The contractor shall perform PM services in accordance with, and during the hours defined in the preventive maintenance schedule established herein. All exceptions to the PM schedule shall be arranged and approved in advance with the COR.

D. Any charges for parts, services, manuals, tools, or software required to successfully complete scheduled PM are included within this contract, and it’s agreed upon price, unless specifically stated in writing otherwise.

E. The contractor shall furnish documentation, including all measurement and calibration data to certify that the system is performing in accordance with the Conformance Standards.

5. EMERGENCY MAINTENANCE:

A. The CO, COR or designated alternate has the authority to approve/request a service call from the contractor at the fixed hourly rate paid by govt credit card outside of the contract. Any parts that are required to make repairs outside of the normal preventative maintenance not covered in the OEM specifications shall be approved by the CO, COR or designated alternate prior to any work being started. If the repairs will be over the micro purchase threshold for services (currently $2,500.00) only the CO shall approve emergencies repairs.

6. HOURS OF COVERAGE:

A. Normal hours of coverage are (Monday through Friday) from 7:00 am to 5:00pm, excluding Federal Holidays. All services/repairs will be performed during normal hours of coverage unless requested and /or approved by the COR.

B. Federal Holidays are: New Year’s Day, Martin Luther King Jr.’s Day, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day, Christmas Day, and any day designated by the President of the United States as a Federal Holiday.

C. Work performed outside the normal hours of coverage at the request of COTR will be billed at the Emergency Repair fixed hourly rate listed in Section B. Billing will include services time plus one (1) hour for travel time, and will exclude parts as they are included in Section B. A separate purchase order will be issued if necessary to cover the cost(s) associated with any additional call back service as described herein.

D. Work performed outside of the normal hours of coverage at the request of the FSE and approved by the COR will not be billed at the Emergency Repair fixed hourly rate.

Such time is considered normal hours of coverage for each individual occurrence.

7. SERVICE MANUALS:

The VA shall not provide service manuals or service diagnostic software to the contractor for use in providing services under this contract. The contractor shall obtain, have on file, and make available to its FSE’s all operational and technical documentation, (such as: operational and service manuals, schematics, and parts list), which are necessary to meet the performance requirements of this contract. The location and listing of the service data manuals, by name, and or the manuals themselves shall be provided to the COR upon request.

8. DOCUMENTATION/REPORTS:

The documentation will be included equipment down time and detailed description s of the scheduled and unscheduled maintenance procedures performed, including replaced parts and prices (for outside normal working hour services) required to maintain the equipment in accordance with conformance standards. Such documentation shall meet the guidelines as set forth in the conformance standards. In addition, each ESR must at a minimum document the following data legibly and in complete detail.

A. Name of Contractor B. Name of FSE who performed services.

C. Contractor Service ESR Number/Log Number.

D. Date, Time (starting and ending), House-On-Site for service call.

E. VA Purchase Order Numbers (s) (if any) covering the call, if outside normal working hours.

F. Description of Problem Reported by COR/User.

G. Identification of Equipment to be serviced included the following: Equipment ID# or EE# from the bar-code, Manufacturer’s Name, Device Name, Model#, Serial #, and any other Manufacturer’s identification numbers.

H. Itemized Description of Service(s) Performed (including Costs associated with after normal working hour services), including: Labor and Travel, Parts (with part numbers) and Materials and Circuit Location of problem/corrective action.

I. Total Costs to be billed.

J. Signatures from the following:

i. FSE performing series described.

ii. VA Employee who witnessed service described.

K. Equipment downtime, calculated in accordance with Conformance Standards.

NOTE: ANY ADDITIONAL CHARGES CLAIMED MUST APPROVED BY THE

COTR BEFORE SERVICE IS COMPLETED!

9. REPORTING REQUIREMENTS:

The contractor shall report to Biomedical Engineering to “check-in” upon arrival and prior to performance of work under this contract. This check-in is mandatory and can be accomplished in person or by phone contact. When the service(s) is/are completed, the FSE shall document the services rendered on a legible ESR(s). The FSE shall be required to check out the biomedical Engineering Department (location to be specified at time of contract award) and submit the ESR (s) to the COR. All ESRs shall be submitted to the equipment user for an “acceptance signature” and to the COR for an “authorization signature.” If the COR is unavailable, a signed accepted copy of the ESR will be sent to the COR within 5 business days of work completion.

FAILURE TO COMPLY, EITHER IN WHOLE OR IN PART, WITH EITHER THE

NOTIFICATION OR ESR REQUIREMENTS WILL BE DEEMED SIGNIFICANT NONCOMPLIANCE WITH THE CONTRACT AND MAY BE JUSTIFICATION FOR

TERMINATION OF THE CONTRACT.

10. ADDITIONAL CHARGES:

There will be no additional charge for time spent at the site during, or after the normal hours of coverage awaiting the arrival of additional FSE and/or delivery of parts.

11. REPORTING REQUIRED SERVICES BEYOND THE CONTRACT SCOPE:

The contractor shall immediately, but no later than 24 consecutive hours after discovery, notify the CO and COR, (in writing), of the existence or the development of any defects in, or repairs required to the scheduled equipment which the Contractor considers he/she is not responsible for under the terms of the contract. The contractor shall furnish the CO and COR with a written estimate of the cost to make necessary repairs.

12. CONDITION OF EQUIPMENT:

The contractor accepts responsibility for the equipment described in Section B, in “as is” condition. Failure to inspect the equipment prior to contract award will not relieve the contractor from performance of the requirements of this contract.

13. COMPETENCY OF PERSONNEL SERVICING EQUIPMENT:

A. Each respondent must have an established business with an office and full-time staff. The staff includes a “fully qualified” FSE and a “fully qualified” FSE who will serve as the backup.

B. “Fully Qualified” is based upon training and on experience in the field. For training, the FSE9s) shall have successfully completed a formalized training program, for the equipment identified in Section B. For field experience, the FSE(s) shall have a minimum of two years of experience, with respect to scheduled and unscheduled preventive and remedial maintenance on equipment identified in Section B.

14. TEST EQUIPMENT:

Prior to commencement of work on this contract, the contractor shall provide the VAPOC with a copy of the current calibration certification of all test equipment that is to be used by the contractor in performing work under the contract. This certification shall also be provided on a periodic basis when requested by the VAOPC. Test equipment calibration shall be traceable to a national standard.

15. IDENTIFICATION, PARKING, SMOKING, CELLULAR PHONE USE AND VA

REGULATIONS:

The contractor’s FSE shall wear visible identification at all times while on the premises of the VAOPC. It is the responsibility of the contractor to park in the appropriate designated parking areas.

Information on parking is available from the VA Police-Security Service. The VAOPC will not invalidate or make reimbursement for parking violations of the contractor under any conditions.

Smoking is prohibited inside any buildings at the VAOPC. Cellular phones and two-way radios are not to be used within six feet of any medical equipment. Possession of weapons is prohibited.

Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in a citation answerable in the United States (Federal) District Court, not a local district state, or municipal court.

16. COMPLIANCE WITH OSHA BLOODBORNE PATHOGENS STANDARD:

The contractor shall comply with the Federal/California OSHA Bloodborne Pathogens Standard. The contractor shall:

A. Have methods by which all employees are educated as to risks associated with bloodborne pathogens.

B. Have policies and procedures that reduce the risk of employee exposure to bloodborne pathogens.

C. Have mechanisms for employee counseling and treatment following exposure to bloodborne pathogens.

D. Provide appropriate personal protective equipment/clothing such as gloves, gowns, masks, protect eyewear, mouthpieces for the employee during performance of the contract.

17. Location of equipment:

Mather 10535 HOSPITAL WAY, MATHER CA

7734511

McClellan OPC 5342 DUDLEY BLVD, MCCLELLAN

LJ14002008

Martinez OPC 150 MUIR ROAD, MARTINEZ CA

F9207A9063

Mare Island OPC 201 WALNUT AVENUE, MARE ISLAND CA

Oakland OPC 2221 MARTIN LUTHER KING JR WAY, OAKLAND

Redding OPC 351 HARTNELL AVENUE, REDDING CA

18. Security Requirements:

The contractor employees shall not have access to VA sensitive or computer information and will not require routine access to VA Facilities. The contractor employees shall require intermittent access only and will be escorted by VA employees while at VA Facilities. No background investigation is required.

A flash badge shall be obtained from the VA Facility Human Resource office. The flash badge will be worn while the Contractor employee(s) is on-site and will be returned to the HR office, upon completion of that job.

19. Electronic Invoicing:

An itemized invoice shall accompany each service order from the contractor. This invoice must show item number, description, quantity, unit, unit price, and totals for each design (advanced and basic) used. All invoices shall include contract number, purchase/delivery order number and detail of services provided. The itemized invoices submitted for payment through OLCS shall include the contract number, purchase/delivery order number and detail of services provided. All invoices will be submitted in accordance with these instructions.

VA uses a third party invoicing provider named Tungsten to provide us with electronic invoices. Please register with Tungsten so you can submit your invoice electronically to us for processing as it is a federal mandate. Contractor will need to go to the Tungsten website http://www.tungsten-network.com/uk/en/ for the registration process.

Invoices will be electronically submitted to the Tungsten website at http://www.tungsten-network.com/uk/en/ Tungsten direct vendor support number is 877-489-6135 for VA contracts.

The VA-FSC pays all associated transaction fees for VA orders. During Implementation (technical set-up) Tungsten will confirm your Tax Payer ID Number with the VA-FSC. This process can take up to 5 business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. In order to successfully submit an invoice to VA-FSC please review “How to Create an Invoice” within the how to guides. All invoices submitted through Tungsten to the VA-FSC should mirror your current submission of Invoice, with the following items required. Clarification of additional requirements should be confirmed with your Certifying Official (your CO or buyer). The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements.

For additional information, please contact:

Tungsten Support Phone: 1-877-489-6135 Website: http://www.tungsten-network.com/uk/en/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email: vafscched@va.gov

B.2 PRICE COST SCHEDULE

BASE + 4 Year SERVICE CONTRACT SERVICE: CONTRACTOR SHALL PROVIDE THE FOLLOWING SERVICES: CONTRACTOR SHALL COMPLETE PREVENTATIVE MAINTENANCE SEMI-ANNUALLY FOR MEDICAL LASERS LISTED IN SOW (2 PM SERVICES PER CONTRACT YEAR) PER MANUFACTURER AND VA SPECIFICATIONS.

MATHER

MCCLELLAN

MARTINEZ

MARE ISLAND

OAKLAND

REDDING

Contractor shall only bill for actual services provided. Hourly rate shall include all incidentals. Part costs shall be separate.

40 hrs per year EST.

Base Period Total

Option Period One (1) Total

Option Period Two (2) Total

Option Period Three (3) Total

Option Period Four (4) Total

Contract Value GRAND TOTAL