36C26220R0128 0007 - QandA and RFP Updates.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 19

0007 09-28-2020

None

36C262

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

36C262

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

To all Offerors/Bidders

36C26220R0128

09-24-2020

X

X X

X 1

The purpose of this amendment is to extend the proposal due date to 10/16/2020 at 4:00pm PST and to incorporate the following changes:

1. Provide answers to questions asked up to 9/10/2020. Please see attached Question and Answer Document. Additional questions will not be accepted after this amendment.

2. Update the following in RFP 36C26220R0128: PWS sections 4.11, 6.1.2, 6.1.3; Section C – Contract Clauses;

Section D – Attachments; Section F – Lease. Please see attached document with all updates.

All other terms and conditions remain unchanged.

Alice McGruder

Contracting Officer

Question and Answer – Amendment 0007

1) QUESTION: Amendment 4 did not answer the question if the new contractor will inherit the patient’s last Primary Care vesting visit. The references indicated vesting procedures for new patients. Will the contractor inherit the existing vesting date of all currently enrolled veterans or will the new contractor be required to vest every patient beginning on day 1 of the new contract?

ANSWER: Yes, the contractor will inherit the existing vesting date of all currently enrolled veterans

2) QUESTION: The current CLINs starts at 4447 enrollees, but current billable enrollment is 3,572. Will the government adjust the CLINs to accurately reflect billable enrollment?

Doing so will save the government a considerable amount of money over the life of the contract, as contractors are forced to plan to staff at a higher level than will be required.

We do not believe that this clinic can grow by 900 patients in the first year and therefore the cost to the government will continue to cascade over the ten-year life of the contract.

ANSWER: The CLINs will remain unchanged. The contractor is expected to staff to PACT PCMM guidelines for those patients assigned in PCMM. Please reference section 2.1. MINIMUM PATIENT ALIGNED CARE TEAM (PACT) STAFFING

REQUIREMENTS of the PWS.

3) QUESTION: Page 14 – to clarify question pertaining to p17, 2.2, can board eligible physician candidates be considered for VA credentialing and hiring?

ANSWER: ANSWER: No, per section 2.2 – “Physicians performing under this contract shall be board certified by the ABMS in Internal Medicine and/or Family

Practice or the BOS in Internal Medicine and/or Family Practice. Physicians shall be licensed in the state where the Outpatient Site of Care (i.e. CBOC) is located”

4) QUESTION: Will use of telemedicine be allowed in the form of VVC or telephone visits to provide care for the veterans during and after COVID?

ANSWER: Please reference the following sections in the PWS:

SECTION 6.2.2.1.4 Billable Roster - which includes Primary credit cod of 338

(Telephone Primary Care) and secondary credit code 179 (Real Time Clinical Video

Telehealth to Home Provider Site)

5) QUESTION: Will VVC visits be eligible for vesting during and after COVID?

ANSWER: Please reference the following sections in the PWS:

SECTION 6.2.2.1.4 Billable Roster - which includes Primary credit cod of 338

(Telephone Primary Care) and secondary credit code 179 (Real Time Clinical Video

Telehealth to Home Provider Site)

6) QUESTION: Please confirm that if a contractor proposes the existing facility it will need to meet the same seismic standards as a different location and cannot be grandfathered.

ANSWER: The contractor is required to comply with the terms and conditions of its contract with VA when providing CBOC services to VA. To the extent the contractor has questions about its obligations with respect to California state law, the contractor should seek guidance from its legal counsel or guidance from the

State of California.

7) QUESTION: In the last question answered in amendment 4, the government was asked about 90 vs. 180 day start up conflict in the RFP. The government replied with the following “Section 6.1.2 – total of (83 days to have all start-up requirements in place +

90 days for the commencement of medical care +7 days raining & resolution of any last-minute challenges = 180 days). The answer is unclear. Will contractors be expected to begin seeing patients 90 days or 180 days after award?

ANSWER: Section 6.1.2 has been updated to the following: “The Contractor shall have one hundred and twenty (120) days from contract award to commencement of the provision of medical care to local veterans. However, the Contractor shall have all start-up requirements in place and ready to commence operation NLT one hundred and thirteen (113) calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges.” The contractor is expected to begin seeing patients 120 days after award.

8) QUESTION: With regard to physical security the VA references attachment Real

Property Memorandum 2018-02 Physical Security Standards for Leased Facilities

(Existing Space and Lease Construction Projects) VAIQ 7866496. This document addresses window film added to existing glazing to protect the perimeter shell, in doing so the document under Structure references the GSA guidelines for performances standards. The GSA guidelines for physical security require barriers to protect or defend the perimeter at entrance points. Are both window film and barriers required?

ANSWER: Correction - the Real Property Memorandum is not approved. Please see attached VA Handbook 0730 and Physical Security Design Manual (PSDM).

Handbook 0730 is a law enforcement document and not limited to physical security.

The facility must comply with Handbook 0730 for the law enforcement aspects of the facility, and the PSDM will only complement those requirements.

9) QUESTION: As we consolidated our understanding of the space requirements we have found a significant discrepancy in the size of the VA Lease space requested and the specific rooms requested to be included within the VA leased Space as well as the hallways required to support access to the space.

Section F of the Solicitation the Government requires:

• 15 mental health offices at 125 square feet each totaling 1,875 square feet

• 1 mental health storage room at 100 square feet

• 2 group therapy rooms at 300 square feet each totaling 600 square feet

• A reception area to accommodate 2 check-in stations and a security guard

• A dedicated waiting room

Section 4.1 Space Requirements requires:

• General space requirements for the clinic will be based on PG 18-9 (dictates size of waiting room and reception area)

In Amendment 004:

• The VA requests the number of bathrooms required per code which = 2 bathrooms (one each for Male and Female) based on up to 25 males and 25 females in the space.

• Space requires a separate entrance only accessible by authorized personnel

When you add all the square footage requirements of the Mental Health offices, storage and group therapy rooms this total 2,575 which ties exactly to the VA leased space requirements as shown in the Request for Lease Proposal document (Attachment D21

Section F).

The conflict arises when we take into account the additional reception area, the dedicated waiting room, the 2 bathrooms and the hallways required to provide access to the rooms outlined above as well as the required exits. When added together, the square footage is more than double than the 2,575 square foot requested in the Lease Proposal Document.

Please provide either an explanation of the discrepancy or an updated detailed space requirement that aligns with the size of the space requested in the Lease Proposal

Document.

ANSWER: Please see attached Updated Section F and Attachment D21. Changes are highlighted in Yellow.

10) QUESTION: In section F item 1.01.4 is states that: “offices shall be soundproof to maintain confidentiality”. In PG-18-3 it recommends a minimum Sound Transmission

Class (STC) rating of 45 and the VA provides a recommendation to achieve this rating by

“using construction such as a double layer of 16 mm (5/8 in.) gypsum board (GB) on both sides of 100 mm (4 in.) nominal metal studs and 64 mm (2 1/2 in.) sound attenuation blankets between the studs. These should extend above conventional lay-in ceilings to the underside of walk-on deck/platforms”. Is the guidance in PG-18 adequate for the VA leased space? If Not, please provide the appropriate minimum Sound Transmission Class

(STC) Rating for the Mental Health offices and Group Rooms.

ANSWER: Please refer to attached “PG-18-3 Noise Transmission Control” for best method to use. Please do not divert from these standards. These design and construction procedures are mandatory where specific statutes and/or regulatory references are included in the Topic text.

11) QUESTION: In Section F paragraph 1.06 Labor Standards of the Solicitation is specifically identifies that the Davis-Bacon Act applies to the VA Leased space. It is also noted that the Solicitation for the Primary Care CBOC does not contain reference to the same Labor Standards or related applicable Davis Bacon Act construction Federal

Acquisition Regulation (FAR). According to [Section 4.11 of the Solicitation], an offeror must provide substantial construction work in accordance with detailed specifications that appears to be physically and functionally segregable from service work set forth in the

Statement of Work and [the agency] will pay, directly or indirectly, for this construction work.

a. As such, please confirm that the Davis-Bacon Act and related FAR clauses also applies to any of that work set forth in the Solicitation as it relates to the

Escondido primary care clinic (CBOC) and that Davis Bacon Act wages should be used for pricing work under Section 4.11.

ANSWER: Yes, the Davis Bacon Act applies to all construction work necessary to meet the requirements specified in the PWS for the contractor-operated portion of the Escondido CBOC. Please see updated language in

PWS section 4.11 – highlighted in yellow.

b. Please also expressly identify the portion of the work for which the requirements of FAR 52.222-6 applies, when FAR 52.222-6 will be incorporated into the

Solicitation, and which wage determination(s) will be incorporated into the

Solicitation so offerors can have a common basis for pricing the portion of work subject to FAR 52.222-6.

ANSWER: The Davis Bacon Act applies to all construction work that will be performed under this procurement for both the contractor-operated portion of the CBOC and the space in the CBOC that is leased to VA. FAR 52.222-6 has been incorporated into the solicitation. Contractors shall follow Davis-

Bacon Wage Determination - General Decision Number: CA20200001 09/04/2020

12) QUESTION: In paragraph 4.11 of the solicitation is Specifically states that “Contractor shall provide space that meets the standards outlined in the PACT Space module Design

Guide. The VA’s response to questions in the original Q&A states that the contractor does not need to comply with the on-stage/off-state design and the PACT Zone requirements which are both part of the PACT Space module design. Please confirm if the contractor does or does not need to comply with the PACT Space Module Design

Guide as shown in the solicitation.

ANSWER: The contractor does not need to comply with the on-stage/off-stage portion of the design.

RFP 36C26220R0128 UPDATES

PWS Updates – Highlighted in Yellow

PWS Section 4.11 SPACE REQUIREMENT: Contractor shall provide space that meets the standards outlined in the PACT Space Module Design Guide. PACT space standards are found in the PACT Space Module Design Guide at http://www.cfm.va.gov/til/dGuide/dgPACT.pdf.

Accessibility design standards are defined in the VA Barrier Free Design Standard

At: http://www.cfm.va.gov/til/etc/dsBarrFree.pdf. These documents are to be used by VA as a reference in defining the specific space requirements for this solicitation and by Contractors in designing space that supports accessibility and the PACT model of care. General space requirements for the Clinic will be based on PG 18-9 at https://www.cfm.va.gov/til/space/spChapter265.pdf. For any buildout/construction that might be required to prepare space for performance of this contract, Davis Bacon Wages

(https://www.dol.gov/agencies/whd/government-contracts/construction) must be paid to any personnel working on the buildout/construction of the space and certified payrolls for all buildout/construction workers and certified payrolls for all construction work are due to the COR and Contracting Officer, no later than 10 business days prior to the clinic opening.

PWS Section 6.1.2 The Contractor shall have one hundred and twenty (120) days from contract award to commencement of the provision of medical care to local veterans. However, the

Contractor shall have all start-up requirements in place and ready to commence operation NLT one hundred and thirteen (113) calendar days from contract award. The final seven (7) days will be used for training and resolution of any last minute or unexpected technical or personnel related challenges. The Contractor shall comply with the following contract requirements prior to commencement of clinical operations:

PWS Section 6.1.3 The VA will provide training to the Contractor at the VA relative to data reporting needs, computer system access to VISTA, CPRS, eligibility issues, billing procedures and medical referral procedures within one hundred and nineteen (119) calendar days of contract award. The Contractor is responsible to provide future training to his/her personnel after the initial one hundred and twenty (120) calendar days of the contract award. The Contractor shall provide documentation of training prior to Pathology and Laboratory Medicine providing access to VISTA laboratory software options. The Contractor shall be responsible for attendance and performance regarding training sessions. Training will be coordinated by the COR and the

Contractor's designee. After contract performance begins, VA staff is readily available by telephone and e-mail to answer questions and provide guidance.

http://www.cfm.va.gov/til/dGuide/dgPACT.pdf http://www.cfm.va.gov/til/etc/dsBarrFree.pdf https://www.cfm.va.gov/til/space/spChapter265.pdf https://www.dol.gov/agencies/whd/government-contracts/construction

SECTION C: CONTRACT CLAUSES – Updates

Added by Full Text

FAR 52.222-6 CONSTRUCTION WAGE RATE REQUIREMENTS (AUG 2018)

(a) Definition.—“Site of the work”—

(1) Means—

(i) The primary site of the work. The physical place or places where the construction called for in the contract will remain when work on it is completed; and

(ii) The secondary site of the work, if any. Any other site where a significant portion of the building or work is constructed, provided that such site is-

(A) Located in the United States; and

(B) Established specifically for the performance of the contract or project;

(2) Except as provided in paragraph (3) of this definition, includes any fabrication plants, mobile factories, batch plants, borrow pits, job headquarters, tool yards, etc., provided-

(i) They are dedicated exclusively, or nearly so, to performance of the contract or project; and

(ii) They are adjacent or virtually adjacent to the “primary site of the work” as defined in paragraph (a)(1)(i), or the “secondary site of the work” as defined in paragraph (a)(1)(ii) of this definition;

(3) Does not include permanent home offices, branch plant establishments, fabrication plants, or tool yards of a Contractor or subcontractor whose locations and continuance in operation are determined wholly without regard to a particular Federal contract or project. In addition, fabrication plants, batch plants, borrow pits, job headquarters, yards, etc., of a commercial or material supplier which are established by a supplier of materials for the project before opening of bids and not on the Project site, are not included in the “site of the work.”

Such permanent, previously established facilities are not a part of the “site of the work” even if the operations for a period of time may be dedicated exclusively or nearly so, to the performance of a contract.

(b)

(1) All laborers and mechanics employed or working upon the site of the work will be paid unconditionally and not less often than once a week, and without subsequent deduction or rebate on any account (except such payroll deductions as are permitted by regulations issued by the

Secretary of Labor under the Copeland Act (29 CFR Part 3)), the full amount of wages and bona fide fringe benefits (or cash equivalents thereof) due at time of payment computed at rates not less than those contained in the wage determination of the Secretary of Labor which is attached hereto and made a part hereof, or as may be incorporated for a secondary site of the work, regardless of any contractual relationship which may be alleged to exist between the Contractor and such laborers and mechanics. Any wage determination incorporated for a secondary site of the work shall be effective from the first day on which work under the contract was performed at that site and shall be incorporated without any adjustment in contract price or estimated cost.

Laborers employed by the construction Contractor or construction subcontractor that are transporting portions of the building or work between the secondary site of the work and the primary site of the work shall be paid in accordance with the wage determination applicable to the primary site of the work.

(2) Contributions made or costs reasonably anticipated for bona fide fringe benefits under section 1(b)(2) of the Construction Wage Rate Requirements statute on behalf of laborers or mechanics are considered wages paid to such laborers or mechanics, subject to the provisions of paragraph (e) of this clause; also, regular contributions made or costs incurred for more than a weekly period (but not less often than quarterly) under plans, funds, or programs which cover the particular weekly period, are deemed to be constructively made or incurred during such period.

(3) Such laborers and mechanics shall be paid not less than the appropriate wage rate and fringe benefits in the wage determination for the classification of work actually performed, without regard to skill, except as provided in the clause entitled Apprentices and Trainees.

Laborers or mechanics performing work in more than one classification may be compensated at the rate specified for each classification for the time actually worked therein; provided that the employer’s payroll records accurately set forth the time spent in each classification in which work is performed.

(4) The wage determination (including any additional classifications and wage rates conformed under paragraph (c) of this clause) and the Construction Wage Rate Requirements

(Davis-Bacon Act) poster (WH-1321) shall be posted at all times by the Contractor and its subcontractors at the primary site of the work and the secondary site of the work, if any, in a prominent and accessible place where it can be easily seen by the workers.

(c)

(1) The Contracting Officer shall require that any class of laborers or mechanics which is not listed in the wage determination and which is to be employed under the contract shall be classified in conformance with the wage determination. The Contracting Officer shall approve an additional classification and wage rate and fringe benefits therefor only when all the following criteria have been met:

(i) The work to be performed by the classification requested is not performed by a classification in the wage determination.

(ii) The classification is utilized in the area by the construction industry.

(iii) The proposed wage rate, including any bona fide fringe benefits, bears a reasonable relationship to the wage rates contained in the wage determination.

(2) If the Contractor and the laborers and mechanics to be employed in the classification

(if known), or their representatives, and the Contracting Officer agree on the classification and wage rate (including the amount designated for fringe benefits, where appropriate), a report of the action taken shall be sent by the Contracting Officer to the Administrator of the:

Wage and Hour Division

U.S. Department of Labor

Washington, DC 20210

The Administrator or an authorized representative will approve, modify, or disapprove every additional classification action within 30 days of receipt and so advise the Contracting

Officer or will notify the Contracting Officer within the 30-day period that additional time is necessary.

(3) In the event the Contractor, the laborers or mechanics to be employed in the classification, or their representatives, and the Contracting Officer do not agree on the proposed classification and wage rate (including the amount designated for fringe benefits, where appropriate), the Contracting Officer shall refer the questions, including the views of all interested parties and the recommendation of the Contracting Officer, to the Administrator of the

Wage and Hour Division for determination. The Administrator, or an authorized representative, will issue a determination within 30 days of receipt and so advise the Contracting Officer or will notify the Contracting Officer within the 30-day period that additional time is necessary.

(4) The wage rate (including fringe benefits, where appropriate) determined pursuant to paragraphs (c)(2) and (c)(3) of this clause shall be paid to all workers performing work in the classification under this contract from the first day on which work is performed in the classification.

(d) Whenever the minimum wage rate prescribed in the contract for a class of laborers or mechanics includes a fringe benefit which is not expressed as an hourly rate, the Contractor shall either pay the benefit as stated in the wage determination or shall pay another bona fide fringe benefit or an hourly cash equivalent thereof.

(e) If the Contractor does not make payments to a trustee or other third person, the Contractor may consider as part of the wages of any laborer or mechanic the amount of any costs reasonably anticipated in providing bona fide fringe benefits under a plan or program; provided, That the

Secretary of Labor has found, upon the written request of the Contractor, that the applicable standards of the Construction Wage Rate Requirements statute have been met. The Secretary of

Labor may require the Contractor to set aside in a separate account assets for the meeting of obligations under the plan or program.

(End of clause)

The following Yellow Highlighted Clauses have been added by Reference to

FAR 52.252-2

FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR

Number

Title Date

52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST DEC 2011

52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER

RIGHTS AND REQUIREMENT TO INFORM

EMPLOYEES OF WHISTLEBLOWER RIGHTS

APR 2014

52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED

PAPER

MAY 2011

52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE

MAINTENANCE

JUL 2016

52.207-3 RIGHT OF FIRST REFUSAL OF EMPLOYMENT MAY 2006

52.222-7 WITHHOLDING OF FUNDS MAY 2014

52.222-8 PAYROLLS AND BASIC RECORDS AUG 2018

52.222-9 APPRENTICES AND TRAINEES JULY 2005

52.222-10 COMPLIANCE WITH COPELAND ACT

REQUIREMENTS

FEB 1988

52.222-11 SUBCONTRACTS (LABOR STANDARDS) MAY 2014

52.222-12 CONTRACT TERMINATION-DEBARMENT MAY 2014

52.222-13 COMPLIANCE WITH CONSTRUCTION WAGE RATE

REQUIREMENTS AND RELATED REGULATIONS

MAY 2014

52.222-14 DISPUTES CONCERNING LABOR STANDARDS FEB 1988

52.222-15 CERTIFICATION OF ELIGIBILITY MAY 2014

52.232-18 AVAILABILITY OF FUNDS APR 1984

52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL

BUSINESS SUBCONTRACTORS

DEC 2013

852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO

BENEFICIARIES

JAN 2008

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR

ATTACHMENTS

Updated Attachment D21 – Section F Lease – Escondido

Added Attachment D22 – Davis-Bacon Act Wage Determination

Added Attachment D23 – VA Handbook 0730

Added Attachment D24 - Physical Security Design Manual (PSDM)

Added Attachment D25 - Physical Security Design Manual for Life Safety PG-18-3 Noise

Transmission Control

UPDATES TO SECTION F – HIGHLIGHTED IN YELLOW

SECTION F - VA SPACE REQUIREMENT -REAL PROPERTY LEASE

SECTION 1

Contractor/Lessor shall provide space within the Premises for VA exclusive use to provide services to eligible veterans as defined by VA eligibility criteria. The space shall be contiguous or co-located and be integrated with the proposed Capitated Community Outpatient Clinic (CBOC) with turnkey improvement, fully serviced, and fully furnished consistent with the customary standards of the CBOC. The VA shall have a leasehold interest in the space together with rights to the unrestricted use of common area parking and other areas as set forth in the Contract.

NOTE: IN ADDITION TO THE GOVERNMENT’S CAPITATED CBOCS REQUIREMENTS SPECIFIED IN THE

SOLICITATION; THE GOVERNMENT INTENDS TO AWARD ONE (1) SEPARATE LEASE FOR SPACE TO BE

OCCUPIED BY VA STAFF. OFFERORS ARE REQUIRED TO COMPLETE A SEPARATE LEASE PROPOSAL

FOR THE CLINIC UTILIZING THE REQUEST FOR LEASE PROPOSAL (RLP) DOCUMENTS PROVIDED IN

SECTION D14-D18 OF THE RFP.

1.01 SPACE REQUIREMENTS:

Clinic hours are Monday-Friday 8:00am to 4:30pm and extended hours twice a week. The Contractor shall provide keys and/or electronic entry card access to the suite, including external building access for all VA employees.

ESCONDIDO CBOC MENTAL HEALTH SPACE:

1.01.1 A separate area for a VASDHS staffed Mental Health Clinic in the same building as the Primary

Care area.

1.01.2 15 mental health Offices 125 square feet each. One mental health office shall have a tile floor (no carpet) so injections may be administered in this room.

1.01.3 Offices shall be capable of supporting standard office equipment (power outlets, phone lines, computer connections).

1.01.4 Offices shall be soundproof to maintain confidentiality.

1.01.5 Offices and reception areas shall have panic buttons that will notify security when assistance is necessary.

1.01.6 1 Mental Health Storage Room 100 square feet in the Mental Health Clinic space.

1.01.7 Mental Health Clinic shall have a separate entrance and only be accessible from the outpatient clinic area by authorized personnel.

1.01.8 The clinic shall have its own reception desk, 200 square feet, with two check in windows and an additional space for security staff with a computer and two monitors for a total of three separate work areas at the reception desk.

1.01.9 The reception area shall be enclosed and only accessible by authorized personnel.

1.01.10 The clinic shall have its own waiting room, 310 square feet.

1.01.11 Security cameras shall be installed throughout the Mental Health clinic with the monitors set up in the Mental Health reception area. The security cameras shall revert to the

VASDHS Medical Center Police Operations room after clinic closing until the clinic reopens.

1.01.12 Provide a separate color copier in the Mental Health space for use by Mental Health.

1.01.13 Two (2) group therapy rooms are required and shall be 300 square feet each.

1.01.13.1 A White Board in both Mental Health Group Therapy Rooms.

1.01.13.2 One Group Therapy Room shall have Video Tele Conferencing capabilities and a television. There are no special requirements for wall color or backdrops.

1.01.13.3 The contractor shall provide furniture for this room.

1.01.13.4 The group therapy room shall be soundproof. This room will require a telephone, a door with a lock.

1.01.14 Telemental Health Space: One of the 15 Offices provided by the contactor will be used for Telemental health another will be needed for possible telehealth expansion. The

Telemental health equipment will be provide by the VASDHS. The Contractor shall provide all furniture for the entire clinic.

1.01.15 Consistent with the Milliman and Robertson Criteria for Referral to Psychiatry, the contractor shall provide treatment for the less severe mental disorders within the context of the primary care contract. In the Primary Care context, the care provided by the mental health staff is primarily meant to be case management, assessment and brief treatment, for common mental conditions that can be managed in primary care (examples include uncomplicated depression, anxiety and at-risk substance use.) See Handbook 1160.01

“Uniform Mental Health Services” at:

http://vaww1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762 for specific integrated care requirements.

VA has final approval over the suitability of space offered by the contractor.

1.02 EXPRESS APPURTENANT RIGHTS

The Government shall have the non-exclusive right to the use of Appurtenant Areas and shall have the right to post Rules and Regulations Governing Conduct on Federal Property, Title 41, CFR, Part 102-74, Subpart C, within such areas. The Government will coordinate with Lessor to ensure signage is consistent with Lessor’s standards. Appurtenant to the Premises and included in the Lease are rights to use all parking space as required by applicable code. In addition, the Lessor shall provide such additional parking spaces as required by the applicable code of the local government entity having jurisdiction over the

Property.

1.03 RENTAL CONSIDERATION FOR SIMPLIFIED LEASES

In consideration for the Lease, the grant of all associated rights, express or implied, and the performance or satisfaction of all of the Lessor's other obligations set forth herein, the Government shall pay the Lessor annual rent for the space upon delivered for occupancy and use by the Government. Payment shall be made monthly in arrears. Rent for a lesser period shall be prorated based on a 30-day calendar month.

Rent shall be paid by Electronic Funds Transfer to an account to be designated by Lessor. The Rent is calculated on a Full-Service Gross (FSG) basis, which includes but not limited to utilities, janitorial services, all operating expenses, taxes, maintenance, and parking. The Rent Schedule reflects an all-inclusive rental rate and there shall be no other adjustment throughout the Term, except as provided elsewhere in the Contract.

http://vaww1.va.gov/vhapublications/ViewPublication.asp?pub_ID=1762

1.04 TERMINATION RIGHTS

The Government may terminate this Lease, in whole or in parts, by providing not less than 180 days’ prior written notice to the Lessor. The effective date of the termination shall be the day following the expiration of the required notice period or the termination date set forth in the notice, whichever is later.

No rental shall accrue after the effective date of termination.

1.05 RENEWAL RIGHTS

a. This Lease may be renewed at the option of the Government at the rental rate(s) set forth in this Lease;

all other terms and conditions of this Lease, as same may have been amended, shall remain in full force and effect during any renewal term.

b. Termination rights outlined “Termination Rights (Simplified)” paragraph apply to all renewal terms.

1.06 LABOR STANDARDS

The following Labor Standards shall apply to the Escondido Lease:

LABOR STANDARDS (OCT 2016)

Davis-Bacon Act of 1931 shall apply when the cost of construction, alteration, or repair of VA occupied space is anticipated to be $2,000 or more. The following FAR clauses shall apply to all work performed prior to the Government's acceptance of space as substantially complete. Full text versions of these clauses are available upon request from the LCO. Full text versions are also available at https://www.acquisition.gov/?q=browsefar.

52.222-4 Contract Work Hours and Safety Standards Act—Overtime Compensation

52.222-5 Construction Wage Rate Requirements - Secondary Site of the Work

52.222-6 Construction Wage Rate Requirements

52.222-7 Withholding of Funds

52.222-8 Payrolls and Basic Records

52.222-9 Apprentices and Trainees

52.222-10 Compliance with Copeland Act Requirements

52.222-11 Subcontracts (Labor Standards)

52.222-12 Contract Termination–Debarment

52.222-13 Compliance with Construction Wage Rate Requirements and Related Regulations

52.222-14 Disputes Concerning Labor Standards

52.222-15 Certification of Eligibility https://www.acquisition.gov/?q=browsefar

1.07 SUMMARY PRICING SCHEDULE:

BASE YEAR: October 15, 2020 – October 14, 2021

CLIN No. Description of Services Unit – Net

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

Price

0001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 1: October 15, 2021 – October 14, 2022

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

1001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 2: October 15, 2022 – October 14, 2023

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

2001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 3: October 15, 2023 – October 14, 2024

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

3001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR4: October 15, 2024 – October 14, 2025

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

4001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 5: October 15, 2025 – October 14, 2026

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

5001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 6: October 15, 2026 – October 14, 2027

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

6001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 7: October 15, 2027 – October 14, 2028

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

7001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 8: October 15, 2028 – October 14, 2029

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

8001 Mental Health Space NSF 3,910 $_____________ $ ______________

OPTION YEAR 9: October 15, 2029 – October 14, 2030

Square

Feet (NSF)

Estimated

NSF

Unit Price Estimated Total

Price

9001 Mental Health Space NSF 3,910 $_____________ $ ______________

BASE PERIOD ESTIMATED TOTAL $_______________________

OPTION YEAR 1 ESTIMATED TOTAL $_______________________

OPTION YEAR 2 ESTIMATED TOTAL $_______________________

OPTION YEAR 3 ESTIMATED TOTAL $_______________________

OPTION YEAR 4 ESTIMATED TOTAL $_______________________

OPTION YEAR 5 ESTIMATED TOTAL $_______________________

OPTION YEAR 6 ESTIMATED TOTAL $_______________________

OPTION YEAR 7 ESTIMATED TOTAL $_______________________

OPTION YEAR 8 ESTIMATED TOTAL $_______________________

OPTION YEAR 9 ESTIMATED TOTAL $_______________________

AGGREGATED COST FOR BASE + ALL OPTION YEARS $_______________________