36C26219Q0864-004.pdf

STATEMENT OF WORK (SOW)

SERVICE TO REPLACE VICTAULIC COUPLINGS

VA LOMA LINDA HEALTHCARE SYSTEM

605-19-3-6022-1340

1. TITLE:

SERVICE to REPLACE Victaulic Couplings.

2. PLACE OF PERFORMANCE:

VA Loma Linda Healthcare System

11201 Benton Street

Loma Linda, CA 92357-1000

3. PERIOD OF PERFORMANCE:

Sixty (60) calendar days.

4. CONTRACT TYPE:

Firm-Fixed-Price (FFP)

5. OBJECTIVES / SCOPE:

5.1 Contractor shall provide all manner, means, methods, equipment, expertise, incidentals, labor, materials, parts, services, supervision, supplies, tools, transportation, and qualified personnel and certifications as necessary and required to REPLACE (remove existing and install new) Victaulic Couplings on the hospital heating system in accordance with manufacturer recommendations, current code(s), directives, regulations, and industry guidelines / standards to bring hospital in compliance with federal, state, local, OSHA, and

The Joint Commission requirements at/for the VA Loma Linda Healthcare System.

Additionally, Contractor shall remove and replace pipe insulation to tie-in work locations and adjust (cut and weld) respective pipe hangars / supports.

5.2 Deliverables:

A. Seventy (70) – 4” Victaulic Couplings.

B. Forty-One (41) – 5” Victaulic Couplings.

C. Ten (10) – 8” Victaulic Couplings.

5.3 Upon completion of all work, the Contractor will need to notify the designated VA POC

– VICTOR NICHOLSON for verification of work being performed in accordance with this Statement of Work (SOW).

6. LICENSING REQUIREMENTS:

6.1 Offeror must be certified and possess a current certification by the California State

License Board (CSLB) C-36 license.

6.2 Offeror must possess 30-hour Occupational Safety and Health Administration (OSHA) credentials for supervisor / manager / foremen personnel and 10-hour OSHA credentials for worker / laborer personnel.

7. SPECIAL REQUIREMENTS:

7.1 At time of quote submission, offeror must represent to the Contracting Officer that it is

1) an eligible SDVOSB,

2) Small Business concern under the designated North American Industry Classification

System (NAICS) code assigned to the solicitation,

3) registered in the System for Award Management (SAM) database, and

3) an SDVOSB listed and vetted in the CVE / VIP database.

8. CONTRACTOR QUALIFICATIONS & OTHER RESPONSIBILITIES:

8.1 Contractor shall obtain all necessary certifications and licenses required to perform this work. Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. Contractor shall be responsible for any injury to himself/herself, his/her employees, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by him/her or his/her employee’s fault or negligence. Contactor shall maintain personal liability and property damage insurance prescribed by the laws of the Federal Government.

8.2 The Government reserves the right to accept or reject Contractor’s employee for the rendering of services. Complaints concerning Contract Personnel’s performance or conduct will be dealt with by the Contractor and designated VA POC with the final decision being made by the Contracting Officer.

9. NOTIFICATION:

Contractor shall notify and coordinate ALL work activities with the designated VA Point of

Contact (POC) – VICTOR NICHOLSON at (909) 825-7084 x2896 or (909) 557-0688 (cell).

10. CHANGES:

10.1 The awarded Contractor is advised that only the Contracting Officer, acting within the scope of the contract has the authority to make changes which affect the contract in terms of quality, quantity, price or delivery.

10.2 In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment shall be made in the contract terms or price to cover any increase in costs incurred as a result thereof.

11. SECURITY REQUIREMENTS:

Contractor shall NOT have access to patient records, data, or VA computer systems.

However, the Contractor will be in access-controlled research buildings with active experiments and projects in progress.

12. RISK CONTROL:

Submission of VA “Infection Control Risk Assessment” (ICRA) permit(s) NOT

REQUIRED.

13. IDENTIFICATION, PARKING, SMOKING, AND VA REGULATIONS:

Contractor’s shall ALWAYS wear visible identification issued by VA Police during the entire time they are on the VA Healthcare System campus. It is the responsibility of the

Contractor to park only in appropriately designated parking areas. Parking information is available from the VA Loma Linda Police. The VA shall not validate or make reimbursement for parking violations of the Contractor’s personnel under any circumstances.

Smoking is prohibited throughout the VA Healthcare System campus except in designated smoking areas. Possession of weapons is prohibited while on the VA Loma Linda

Healthcare System campus. Enclosed containers, including tool kits, shall be subject to search / seizure. Violations of VA regulations may result in citation answerable in the United

States Federal District Court, not at/in the local district, municipal, or state court.

14. GOVERNMENT (VA) DESIGNATED POINT OF CONTACT (POC):

Name: VICTOR NICHOLSON

Department: Facilities Management Service (FMS)

Address: 11201 Benton Street

Loma Linda CA 92357

Phone: (909) 557-0688 (cell)

Fax:

Email: victor.nicholson@va.gov

CONTRACTOR:

The Contractor shall provide a point of contact for all contract administration.

Name:

Title:

Address:

Phone:

Fax:

Email:

15. NORMAL WORKING HOURS:

Monday through Friday from 7:00AM through 4:00PM Pacific, with exceptions to National mailto:victor.nicholson@va.gov

Federal Holidays. All work is expected to be performed during normal hours of coverage unless requested or approved in advance by the COR and at no additional cost.

If any work is performed after-hours, Contractor shall report to the Graphic Control / Pipe

Shop at the start and finish of each workday while work is being performed.

Before commencement of work, the Contractor shall coordinate with the designated VA POC and NCO 22-L Contracting to agree on a sequence of procedures and means of access to premises and building. All work performed, to include material and equipment delivery, shall be made with minimal interference to Government operations and personnel.

16. OVERTIME AND NATIONAL FEDERAL HOLIDAYS:

Any overtime or holiday pay that may be entitled to the Contractor’s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the

Government. When one of the holidays fall on a Sunday, the following Monday will be observed as a National Federal Holiday. When one of the holidays fall on a Saturday, the preceding Friday will be observed as a National Federal Holiday.

New Year’s Day January 1

Martin Luther King ‘s Birthday Third Monday in January

President’s Day Third Monday in February

Memorial Day Last Monday in May

Independence Day July 4

Labor Day First Monday in September

Columbus Day Second Monday in October

Veterans Day November 11

Thanksgiving Day Fourth Thursday in November

Christmas Day December 25

17. INFORMATION SECURITY:

In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the C&A requirements DO NOT apply to this requirement, and a Security Accreditation Package is not required. The nature of this requirement is technical; however, there is no information to be protected.

18. INVOICE AND PAYMENT:

Payment to the Contractor will be made in arrears monthly for services performed upon submission of a proper invoice for work completed and accepted. Final payment will be withheld until all noted discrepancies are corrected and as-build drawings are approved by the Government (VA). VA-FSC processes / pays all associated transactions for / on VA orders. To successfully submit an invoice to VA-FSC please review “How to Create an

Invoice” within the how to guides. All invoices submitted to the VA-FSC should mirror your current submission of invoice, with the below items required. The VA-FSC requires specific information in compliance with the Prompt Pay Act and Business Requirements.

20.1 Your firm’s Tax Payer ID Number (TIN)

20.2 Your firm’s “Remit Address” information

20.3 The VA Purchase Order (PO) number

20.4 Your firm’s contact information: (Personal Name, Email, and Phone)

20.5 Your VA point of contact information: (Personal Name, Email, and Phone)

20.6 The Period of Performance dates (Beginning and Ending)

20.7 All discount information if applicable (Percent and Date Terms)

For additional information, please contact:

Department of Veteran Affairs Financial Service Center

Phone: 1-877-353-9791

Email: vafsccshd@va.gov

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mailto:vafsccshd@va.gov