S01 36C26223Q1034 0001 Amend.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

36C262-23-AP-3596

36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297

36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297

To all Offerors/Bidders

36C26223Q1034

06-14-2023

X

X X

6/23/2023 3:00 PM PDT

See CONTINUATION Page

X 1

Medical Gas Inspection and Repair

The purpose of this amendment is to:

1. Publish revised Statement of Work.

2. Post answer to questions received.

3. Add the following statement: The offeror must complete certification/fill-in required for VAAR 852.219-75. The formal certification must be completed, signed, and returned with the offeror's bid, quotation, or proposal. The Government will not consider offers that do not provide certification, and all such responses will be deemed ineligible for evaluation and aawrd.

4. The response date is changed to June 23, 2023, at 3:00 PM PDT.

Anita Amodia Contracting Officer

VA-VHA-RPOW-2023-0052

CONTINUATION PAGE

STATEMENT OF WORK

Contracting Officer’s Representative (COR).

Name: Neil Caluya Section: Engineering Service Maintenance & Repairs Address: 3350 La Jolla Village Drive, San Diego, CA 92161

Phone Number: 858-642-1156 Fax Number:

E-Mail Address: Neil.Caluya@VA.GOV

Contract Title: Medical Gas Inspection and Repair

Place of Performance: VASDHS, 3350 La Jolla Village Drive, San Diego CA 92161

Period of Performance: Within 3 Months of Award Date

Contract Type: Firm Fixed Price

Background The VASDHS at 3350 La Jolla Village Drive, San Diego CA, CA 92161 is part of the Desert Pacific Healthcare Network (VISN 22), and is one of the most diversified tertiary health care providers in the VA. It is a teaching hospital, providing a full range of patient services, with state-of-the art technology as well as education and research.

Scope To test the VA San Diego Medical Gas System for a condition of compliance with NFPA 99 Healthcare Facilities Code.

Specific Tasks The basis of work for this SOW is to conduct an annual inspection of VA San Diego’s Medical Gas System. The inspection must be conducted by certified medical gas inspectors. Inspectors must verify all medical gas systems including but not limited to patient terminal outlets/inlets, alarm systems (master, area, and local), shut off valves (zones, isolation, service, source, and main), and source equipment.

Report all findings. Any previous changes made to the medical gas system shall be re-certified as directed by NFPA 99.

A. Scope:

1. Task 1: Test all positive and negative pressure medical gases accordance with the most current NFPA99 requirements. Conduct the following tests:

a. Standing Pressure Test NFPA 5.1.12.4.2

b. Cross-connection Test NFPA 5.1.12.4.3

c. Valve Test NFPA 5.1.12.4.4

d. Alarms NFPA 5.1.12.4.5

e. Piping Purge Test NFPA 5.1.12.4.6

f. Piping particulates Test NFPA 5.1.12.4.7

g. Piping Purity Test NFPA 5.1.12.4.8

h. Medical Air Purity Test NFPA 5.1.12

2. Task 2: Evaluation of Findings and Recommendations

a. Prepare written Statement of Findings and Recommendations.

3. Task 3: Repair findings

a. Provide an addition 200 hours of labor and repairs to keep the facility medical gas system operating in optimum conditions during the contract.

These 200 hours of labor are for repair services, not included in the labor to conduct the required NFPA inspections/testing. It will be used for additional testing of the system on all faulty, or damaged devices/equipment identified during inspections and emergency malfunctions. The 200 hours is the normal business hour rate and holiday/emergency/after-hours rates will be adjusted and calculated from the normal working hours total dollar value. Labor will be prorated based on normal working hour to emergency and holiday response hours and invoiced immediately after additional work is completed.

4. Task 4: Service calls

a. Provide unlimited service calls on-site, for repair service, as needed throughout the contract life. When the medical gas system requires repair or malfunctions occur, the contractor shall repair and provide parts, not to exceed $10,000.00 per current annum of contract. This includes the cost, of parts at cost to vender along with shipping and handling. Part will be invoiced separately and at the time of install or acceptance.

Deliverables:

Contractor shall provide the following:

1. Contractor shall provide an electronic format report and a paper copy of the Medical Gas System. Results shall define the scope of the work performed and shall include details of actions and methods used to perform inspection and recommendations.

During data collection, Contractor shall report discrepancies in existing system.

Performance Monitoring:

VASDHS project COR shall monitor Contractor work based on the following criteria but not limited to:

1. Knowledge of Medial Gas System inspection procedures, and NFPA 99 requirements.

2. Ability to perform work and provide reports at the specified dates.

3. Proven exemplary work history in medical facility systems.

4. Contractor certification to perform work in Medical Gas Systems.

5. Familiarity with VA procedures and specifically, the VASDHS facility.

6. Employee qualifications and experience in performing required work.

7. Past similar work on-site or within other VA facilities or Federal entities of comparable size.

Safety Precautions

1. Contractor shall comply with all applicable Federal, State, and local requirements regarding workers’ health and safety. The requirements include, but are not limited to, those found in NFPA 99, Centers for Disease Control and Prevention (CDC), Federal and State Occupational Safety and Health Act (OSHA) statutes and regulations, such as applicable provisions of Title 29, Code of Federal Regulations (CFR), Parts 1910 and 1926, CFR 1910.132(d)(1)(iii), 29CFR1910.137.

2. In the performance of this contract, Contractor shall take such safety precautions as necessary while operating in construction area. Contractor shall provide all necessary tools, equipment, labels, and Personal Protective Equipment (PPE) to perform the work safely, effectively, and timely.

Other Pertinent Information or Special Considerations

1. Contractor employees will notify the VA Representative before entering a designated permit required confined space so that appropriate precautions may be taken. In addition, there are special precautions to be taken when working on 2S Mental Health unit or other locations of this facility. If required, Contractor shall keep tools and materials under their control at all times. The facility will be functional during contractor operation. Contractor shall therefore schedule the work accordingly and coordinate operation with the facility construction safety manager and project’s COR.

Several inspections will be conducted in locations that may require additional personal protective equipment. Contractors will notify the VA representative at any time the contractor is on VA grounds.

2. VASDHS La Jolla facility is Federal property. Contractor shall coordinate with the facility Engineering Service if warranted for access in restricted spaces or any required support in the performance of this work. The designated COR shall coordinate the request.

3. If work will be conducted in areas identified as containing asbestos materials.

Contractor shall comply with the public laws and statues including all changes and amendments of Federal, State, and local environmental statutes and regulations governing Asbestos containing materials-ACM, to include:

• 29 CFR 1926.1101 Asbestos Regulations for the Construction Industry.

• 29 CFR 1910.134 Respiratory Protection Standard.

• EPA, Asbestos Hazard Emergency Response Act (AHERA) protocols.

• Guidance for Controlling Asbestos-Containing Materials in Buildings, EPA

560/5-85-024.

4. Contractors shall be licensed, qualified, and certified to meet all EPA regulations under National Emission Standards for Hazardous Air pollutants-NESHAPS and all applicable federal, state, and local regulations.

Acceptance Criteria: The COR can perform inspection of the work performed without the presence of the contractor and determine whether the work performed is within standards expressed in this scope of work. It is VA prerogative to hire an independent qualified third party to check the validity of the work conducted.

Contractor Qualifications & Other Responsibilities: Contractor shall obtain all necessary 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 employees’ fault or negligence. Contractor shall maintain personal liability and property damage insurance prescribed by the laws of the Federal Government.

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 COR with the final decision being made by the Contracting Officer.

Safety Requirements:

1. All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering on VASDHS shall comply with applicable Federal, State, and VA safety and fire regulations and codes, which are in effect during the performance period of the contract.

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

3. Contractor shall comply with all applicable Federal, State, and local requirements regarding workers’ health and safety. The requirements include, but are not limited to, those found in Federal and State Occupational Safety and Health Act (OSHA) statutes and regulations, such as applicable provisions of Title 29, Code of Federal Regulations (CFR), Parts 1910 and 1926, NFPA 70E, NEC, NFPA 99, Article 130.7 29 CFR 1910.132(d)(1)(iii), 29CFR1910.137

4. Contractor shall provide all necessary tools, and Personal Protective Equipment (PPE) to perform the work safely, effectively, and timely.

5. The VAMC San Diego building 1, main building, contains asbestos. Any worker entering these asbestos containing areas must have an asbestos certification of no less than 16 hours and a valid fit test certification. Certifications must be presented to the VA project manager before any work in an asbestos area may begin.

Changes: 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.

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 price to cover any increase in costs incurred as a result thereof.

VA Policy: Possession of weapons is prohibited. Enclosed containers, including tool kits, are subject to search. Violations of VA regulations may result in citations answerable in the United States (Federal) District Court.

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

Identification Badges: All Contractor personnel are required to wear identification (I.D.)

badges during the entire time they are on the VA Healthcare System grounds. I.D. badges must have an identification picture and shall state the name of the individual and the company represented.

Smoking Policy: Smoking is not permitted within the VA Healthcare System facilities campus.

Normal Working Hours: Normal hours of operation are Monday through Friday from 7:30 am to 4:00 pm Pacific time. All work is expected to be performed generally during normal hours of coverage unless requested or approved by the COR or his/her designee.

Before commencement of work, the Contractor shall confer with the VA COR and Contracting Officer to agree on a sequence of procedures; means of access to premises and building. All work performed, to include delivery of materials and equipment, shall be made with minimal interference to Government operations and personnel.

Work performed outside the normal hours of coverage must be approved by the COR or his/her designee.

Overtime and National 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.

The Contractor is not required to provide service on the following U.S. Government holidays nor shall the Contractor be paid for these days:

New Year’s Day January 1 Martin Luther King ‘s Birthday January Third Monday President’s Day February Third Monday Memorial Day May Last Monday Juneteenth June 19 Independence Day July 4 Labor Day September First Monday Columbus Day October Second Monday

Veterans Day November 11 Thanksgiving Day November Fourth Thursday Christmas Day December 25