AMDT_36C26123Q0504 0001 - Respiratory Fit Testing.pdf

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)

1 6

07-12-2023

NA

612MCP

Department of Veterans Affairs Network Contracting Office (NCO) 21 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan Park CA 95652

612MCP

Department of Veterans Affairs Network Contracting Office (NCO) 21 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan Park CA 95652

To all Offerors/Bidders

36C26123Q0504

06-12-2023

X

X X

July 17, 2023, 1:00 PM PST

See CONTINUATION Page

X 1

Solicitation 36C26123Q0504 is amended as follows:

a. The purpose of this Amendment is to change the Period of Performance from 07-01-2023 - 06-30-2028 to Period of Performance: 08-01-2023 -07-31-2028.

b. B.3 Statement of Work has been replaced with the revised B.3 Statement of Work.

c. Quote due date and time has been changed to no later than 07-17-2023 at 1:00 PM PST.

Angela Gerlitzki Contracting Officer

CONTINUATION PAGE

B.3 STATEMENT OF WORK

1. Overview:

1.1. This contract is to provide on-site respirator fit testing, training and certification to all Veterans

Affairs (VA) employees participating in the Occupational Safety & Health Administration (OSHA) Respiratory Protection Program at below San Francisco (SF) VA facilities. The contractor shall perform fit testing and training using OSHA-approved testing procedures and media and shall include supplies and labor to perform scheduled services Monday through Friday, excluding national holidays. Services shall be scheduled and coordinated in advance with each SF facility.

1.2. The Government anticipates that additional SF facilities may require the respiratory fit testing services described in this Statement of Work as the VA responds to changing mission requirements over time. When requested by the Contracting Officer, the Contractor shall negotiate in good faith to add other SF facilities to this IDIQ contract in accordance with the procedures in the Changes clause in FAR 52.212-4.

2. Place of Performance:

Healthcare System Facility Address VA San Francisco Healthcare System San Francisco Health Care

System 4150 Clement Street San Francisco, CA 94121

VA Mission Bay Research Center

1700 Owens Street San Francisco, CA 94158

Oakland VA CBOC 2221 Martin Luther King Jr.

Way Oakland, CA 94612

Eureka VA CBOC 930 W. Harris Street Eureka, CA 95501

Downtown VA CBOC 401rd Street 402 San Francisco, CA 94107

San Bruno VA CBOC 1001 Sneath Lane, Suite 300 San Bruno, CA 94066

Ukiah VA CBOC 630 Kings Court Ukiah, CA 95482

Santa Rosa (North) CBOC 3841 Brickway Blvd.

Santa Rosa, CA 95403

Santa Rosa (South) CBOC 2285 Challenger Way Santa Rosa, CA 95407

Clearlake VA CBOC 15145 Lakeshore Drive Clearlake, CA 95422

3. Qualifications and Duties of the Contractor: Contractor shall provide the following services and supplies in order to fulfill the contract requirements:

3.1. The contractor shall have the capability of performing annual respirator fit testing and training with administrative support services on a mass scale and as necessary to individualized groups.

3.2. Contractor shall demonstrate that it has at least 3 years of experience providing this type of service. References from at least 3 other clients shall be provided. Each reference will include company name, address, contact name and telephone number and a brief description of services and length of service.

3.3. Contractor personnel performing any of the actual work or administrative tasks shall have taken the OSHA Respiratory Protection Course #2225.

3.4. Contractor shall arrive at a VA facility within 8 hours for emergency service calls and be able to provide enough staff to completely train and fit-test 150 VA staff within 2 days.

3.5. Any sub-contractor included in the bid are subject to the same qualification requirements throughout this contract.

3.6. Contractor shall have a written version of their testing protocol.

3.7. Contractor shall provide written qualifications of the testing person(s) assigned to provide this service requirement at each facility. The personnel performing the services must also demonstrate at least 2 years of applicable experience. Any changes to personnel after award of the contract must be approved by the COR. All personnel must have the ability to communicate by cellular telephone with the COR.

3.8. Contractor personnel shall present a neat professional appearance and be easily recognized as the contractor’s employees. This may be accomplished by wearing distinctive clothing bearing the name of the company or by wearing appropriate badges that display the company’s name.

3.9. All personnel must have the ability to communicate by cellular telephone with the COR.

3.10. Contractor shall provide OSHA compliant respirator protection training at the time of fit testing, on the proper fit and capabilities of the Government-owned respirator, proper use of respirators, including putting on and removing them, limitations of its use, protection factors, storage, how to inspect it, and when to replace the respirator. Note: for N-95 filtering face-pieces used for airborne infectious disease; replacement schedule shall comply with facility-specific infectious disease policies. This information will be obtained from facility-specific COR. Additionally, training may require adaptation to comply with facility specific policies and practices. Contractor shall submit training syllabus/materials to facility COR for evaluation, relevant updates, and approval. Contractor shall use this approved training to conduct the general awareness & OSHA respiratory protection training.

3.11. Contractor shall provide fit testing and all fit testing supplies (other than respirators) to perform, qualitative fit testing, with the approval of the COR, for N-95 disposable respirators, in compliance with Federal OSHA’s Respiratory Fit Testing Procedures, using OSHA-Accepted Fit Test Protocols. With the approval of the COR, the contractor can substitute quantitative fit testing in place of qualitative fit testing for the convenience of SF VA.

3.12. Contractor shall provide training at each clinical or non-clinical service location or CBOC whose personnel are being fit tested, to the Service level Respiratory Protection Officer (RPO), their backup, on the VA-provided Powered Air Purifying Respirator (PAPR) or Controlled Air Purifying Respirator (CAPR, MaxAir) for those employees that are unable to wear a tight-fitting respirator, or who are approved to wear the PAPR for other reasons. Written training copy will be provided to SF VA. This a Train-the-Trainer, in-person event for the RPO(s) of the various services who will carry out the training for the rest of their service personnel.

3.13. Contractor shall document all fit tests and training on a form presented to and approved by the

COR. Contractor will maintain a list of employees completed using tracking software of their choice with the approval by the COR. Scanned copies, separated out by Service and CBOC, of all completed forms and copies of training records shall be sent to the COR within 7 business days at the conclusion of the Fit Test Event for the Service. If required by the COR, they will also be mailed to: San Francisco VA Health Care System, Safety/IH (001ES), 4150 Clement Street, San Francisco, CA 94121. The Contractor shall maintain and track VA employees that have been trained, and fit-tested at all times during the performance of this contract and provide such list to the COR.

3.14. Contractor shall also provide fit testing every two weeks at new-comers orientation, provide scheduled service calls to fit test personnel, and update yearly fit testing/training progress and submit it to SF VA COR along with any goals. The contractor shall provide a final summary report to each SF VA at the end of each contract period that will show the results of the fit testing and training.

3.15. Contractor shall communicate with COR any week that fit testing is being conducted by email to discuss progress, performance, and improvement possibilities as Services or CBOCs are scheduled and completed.

3.16. Contractor shall send a copy of the Invoice to the COR for each facility prior to submitting the invoice electronically for payment.

4. Safety Requirements: Contractor shall provide all services in compliance with Federal and

California OSHA’s Respirator Protection standard and be conducted in accordance with 29 CFR, Part

1910.134 Respiratory Protection, guidance published by the National Institute for Occupational Safety and Health (NIOSH), and the American National Standards Institute (ANSI).

4.1. The Contractor shall ensure 100% compliance with Respiratory Protection Standards for all fit testing and training.

4.2. The Contractor shall perform work in strict accordance with existing relevant, accredited standards and codes in order to minimize the possibility of injury to personnel, or damage to Government equipment. Every effort will be made to safeguard human life and property.

4.3. The Contractor shall sanitize fit test hoods after each use.

5. Location of Fit Testing and Training:

5.1. Contractor shall provide training and fit testing at each Service department’s specified location so that employees do not have to leave their work areas. Alternative locations for the convenience of the Service and SF VA can be arranged with the approval of the COR.

5.2. Locations are to be coordinated in advance with the COR and/or department’s Supervisor-on-duty / Service Chief as specified by each facility COR.

5.3. The work is to take place at the locations listed on the San Francisco VA Facilities List.

5.4. Upon completion of fit testing, Contractor shall restore the training area to its previous condition to include furniture, generated trash, and other devices that are relocated to successfully complete fit testing.

5.5. Contractor shall maintain the training area in a clean and presentable manner while conducting training and fit testing.

5.6. Contractor shall comply with 100% fit-test completion rate for N-95 respirators at each facility by

August 30th of each calendar year for required wearers, as identified, and provided by each affected Service or CBOC via an employee list. Should VA scheduling conflicts result in less than 100% completion, Contractor shall provide a list of the required employees, not fit tested along with a plan of how to accomplish this fit testing by the end of the calendar year, and corrective action recommendations provided for the Service to prevent noncompliance in the future.

6. Delay in Performing Contract Services: Contractor should fully understand that the participating

VA employees are responsible for providing patient care, thus making advance scheduling a challenge. Contractor shall work closely with the designated COR and staff of the VA to ensure that scheduling is utilized for optimum results. Contractor shall provide documentation of delays to provide contract services to the COR for a concurring signature from the COR. Contractor’s personnel are responsible for proper documentation of delays. The document must state the scheduled time that services were required, the reason for the delay, and the actual time that contract services could be provided.

7. Test Equipment: The SF Veterans Affairs Health Care System will not furnish parts and/or test equipment (other than respirator masks) for the performance of this contract. Contractor shall provide the appropriate equipment and/or supplies necessary to complete all work.

8. Contractor Responsibilities:

8.1. The Contractor shall obtain, if necessary, all licenses and/or permits required to perform the work.

8.2. The Contractor shall take all precautions necessary to protect people and property from injury or damage during the performance of this contract.

8.3. The Contractor shall be responsible for any injury to its employees, and others as well as any damage to personal or public property that occurs during the performance of this contract that is caused by its employees’ fault or negligence.

9. Badges: All Contractor personnel shall wear identification (I.D.) badges the entire time they are on the SF VA grounds or CBOCs. I.D. badges must have an identification picture and must state the name of the individual and the company they represent. Individuals must wear a visitor identification badge provided by the SF VA.

10. Normal Work Hours: Normal work hours for the purpose of this contract are between the hours of 6:00 a.m. and 6:00 p.m., Monday through Friday, excluding national holidays.

11. Other Than Normal Working Hours:

11.1. On rare occasions it may become necessary for the Contractor’s personnel to provide contract services during other than normal work hours, weekends, or national holidays. Emergency services provided during these hours will be paid at the rates specified in the Price Schedule.

11.2. Contractor shall obtain authorization from the Contracting Officer or the Contracting Officer’s

Representative (COR) in advance for any work performed outside of normal working hours. If this authorization is given for the convenience of the Contractor, the rates for services shall be paid at the normal rates specified in the Price Schedule.

11.3. The Contractor shall provide emergency service on an as required basis. This emergency service shall be provided as often as needed on a 24-hour basis, weekends, and legal holidays included.

The Contractor shall be capable of responding to an emergency situation within two (2) hours after the notification of an issue.

12. Government Holidays: The Contractor is not required to provide service on the following National holidays, not shall the Contractor be paid for these holidays.

12.1. The following national holidays observed by the Federal Government:

12.1.1. New Year’s Day 1 January

12.1.2. Martin Luther King’s Birthday Third Monday in January

12.1.3. President’s Day Third Monday in February

12.1.4. Memorial Day Last Monday in May

12.1.5. Juneteenth Day 19 June

12.1.6. Independence Day 4 July

12.1.7. Labor Day First Monday in September

12.1.8. Columbus Day Second Monday in October

12.1.9. Veterans Day 11 November

12.1.10. Thanksgiving Day Fourth Thursday in November

12.1.11. Christmas Day 25 December

12.2. If a holiday falls on Sunday, the following Monday shall be observed as the National Holiday.

When a holiday falls on a Saturday, the preceding Friday is observed as a National Holiday by U.S. Government agencies. Also included would be any day specifically declared by the President of the United States.

13. Smoking Policy: Smoking is not permitted on SF VA grounds.

14. Parking and Violations: Contractor shall ensure its personnel park in the appropriate designed parking areas; information on the parking is available from the COR. The Government will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

Possession of weapons is prohibited. Enclosed containers, including tool kits, are subject to search.

Violations of government regulations may result in citations answerable in the United States (Federal) District Court.

END OF STATEMENT OF WORK

B.3 STATEMENT OF WORK