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This document is a Standard Form 30 Amendment of Solicitation/Modification of Contract for the Department of Veterans Affairs, specifically for the Loma Linda Veterans Affairs Health Care System's reverse osmosis, deionized water, and water softener system maintenance and service contract. The amendment (0003) updates the Statement of Work and adds a price sheet, with an effective date of 03-28-2025.

The contract requires a comprehensive maintenance and installation service for critical water systems at the Main Building and Ambulatory Care Center, involving deinstallation, installation, preventative maintenance, inspection, and repair of water treatment systems. The contract includes a base period from 04-15-2025 to 08-15-2025 for initial system installations, followed by subsequent maintenance periods through 03-31-2030, with options to extend. Services include monthly inspections, salt delivery, component replacements, water quality testing, and 24/7 emergency maintenance, adhering to AAMI ST108 standards for medical device water processing. The NAICS code is 811310 for commercial and industrial machinery repair and maintenance, with a product service code of J046 for water purification equipment maintenance.

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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 10

0003 03-28-2025

None

36C262

Department of Veterans Affairs

NCO 22 - Network Contracting

3601 S. 6th Avenue

Tucson AZ 85723

36C262

Department of Veterans Affairs

NCO 22 - Network Contracting

3601 S. 6th Avenue

Tucson AZ 85723

To all Offerors/Bidders

36C26225Q0494

X

X X

See CONTINUATION Page

X 1 (one)

The purpose of this amendment is to:

- Update the Statement of Work.

- Add a price sheet. Please use said price sheet when submitting an offer.

Please see following pages for price sheet and updated Statement of Work.

Koby Thiel

Contracting Specialist

STATEMENT OF WORK

LOMA LINDA VETERANS AFFAIRS HEALTH CARE SYSTEM REVERSE

OSMOSIS, DEIONIZED WATER, AND WATER SOFTENER SYSTEM

MAINTENANCE AND SERVICE

I. BACKGROUND

Loma Linda Veterans Affairs Health Care System requires deinstallation, installation, preventative maintenance, inspection, and repair services of reverse osmosis (RO), deionized water (DI), and water softener systems for the campus at its Main Building, 11201 Benton St, Loma Linda, CA 92357 and its Ambulatory Care Center, 26001 Redlands Blvd, Redlands, CA. 92373.

II. DESCRIPTION OF SERVICES

The contractor shall provide all labor, materials, and supervision necessary to install and deinstall systems as well as perform monthly maintenance per manufacturers specifications for each unit listed in section III, “Unit Locations”, of this Statement of Work (SOW). The contractor shall provide a copy of the manufacturer’s maintenance program per unit at the start of the performance agreement period. The contractor shall supply and maintain a maintenance log at each unit to record resin, membrane, filter, and media replacement, as well as water test dates with results and salt deliveries.

Systems shall be installed (with a delivery method of F.O.B Destination) in conjunction with the designated Loma Linda VA Medical Center POC are to be to the following specifications:

• Pretreatment o Thermostatic mixing valve to ensure optimal system feed water temperature.

o Sediment filtration to remove 98% of suspended solids 1 micron and larger.

o Water softening to aid in prolonging the RO membrane life by reducing hardness.

o Sampling ports and instrumentation required to meet compliance requirements set forth by AAMI ST1.

• Primary Treatment o 14400 GPD reverse osmosis system which removes contaminants from the water to produce AAMI ST108 compliant critical water.

o DI polisher to ensure conductivity is reduced below 0.1 micro siemens / cm.

o Sampling ports and instrumentation required to meet compliance requirements set forth by AAMI ST108.

o Configured for chemical disinfection.

• Storage & distribution:

o Polypropylene storage tank provides a Critical Water reserve to support peak demands.

o Stainless steel multi-stage distribution pump with variable speed control.

o Single-pass ultraviolet disinfection system to inhibit bacterial growth.

o Bacteria and endotoxin final filter to capture any remaining contaminants upstream of the department.

o Sampling ports and instrumentation required to meet compliance requirements set forth by AAMI ST108.

• System must monitor the following parameters:

o Cartridge filter health o Water Softener / Anti-Scalant performance o Chlorine removal efficacy o Reverse osmosis system performance o Deionization performance o Distribution pump status o Ultraviolet disinfection lamp health o Supply water conductivity o Leak detection with main feed water shutoff o Additional parameters reducing unplanned downtime o Must have 24/7 service, monitored by technicians o A Maintenance plan that meets AAMI ST108 standards and all requirements of this Statement of Work:

▪ Scope of testing determined by “AAMI ST108 – Water for the processing of medical devices”

▪ Acceptable Water quality determined by AAMI ST108

“Table 2 - Categories and performance qualification levels of water quality for medical device processing”

▪ Water quality monitoring per AAMI ST108 “Table 4

Water quality monitoring requirements”

▪ Frequency of testing per AAMI ST108 “Table 5 –

Frequency for water quality monitoring at water generation system” and “Table 6 – Frequency for water quality monitoring at point of water use”

▪ Monthly reports delivered and reviewed with end user

Inspections will be conducted twice a month on all membranes, resin, filters, UV lights, and media and replaced if needed. All inspections will be coordinated with the Facility Maintenance Point of Contact (POC). The contractor will also inspect salt levels and add salt as needed. The contractor will deliver bags of salt to reverse osmosis, deionized water, and water softener locations within the VA facility grounds as needed per the manufacturer’s specifications for each unit.

The contractor will deliver 50-pound salt bags during the inspections to maintain the following minimum amounts:

Main Building:

Unit # Building # Minimum Salt Bag

Amount

01 Main Building 10 bags

02 Main Building 10 bags

03 Main Building 20 bags

04 Main Building 10 bags

Ambulatory Care Center:

Unit # ACC Minimum Salt Bag

Amount

01 ACC 5 bags

02 ACC 5 bags

03 ACC 10 bags

04 ACC 5 bags

WATER SOFTNER/RO SYSTEMS: For medical necessity, reliability, and preventive maintenance all UV lights, resins, membranes, all filters, and media for all units will be replaced at least one time during the base year, first option year, and second option year period of performances regardless of the condition at the time of replacement.

DI SYSTEMS: Resin tanks will be changed at a minimum of four (4) times and filters two (2) times per period of performance year. The contractor will change the resin tanks and filters of all DI water system tanks with new ones regardless of their conditions at the time of replacement This includes any seals, washers, or gaskets necessary to perform the task and at no additional cost to the government.

Contractor shall provide notification to VA Engineering personnel by phone or e-mail at least 48 hours before delivery or maintenance service will be provided. Contractor shall be available 24 hours 7 days a week; 365 days to respond to emergency maintenance as needed. Response time for emergency service for equipment issues shall be no more than four (4) hours after the emergency call is placed and communicated. The contractor must provide an emergency telephone number for purposes of accepting service calls 24 hours/ 7 days a week. The contractor must acknowledge receipt of notification by calling the Facility

Program POC within two (2) hours of the originating call. Contractor is responsible for repairing and restoring reverse osmosis, deionized water, and water softener systems to full performance per manufacturer’s specifications.

Only those services specified herein are authorized under this contract.

Before performing any service or repairs of a non-contract nature, the

Program POC or Contracting Officer must be advised of the reasons for this additional work. If appropriate, the Contracting Officer or his/her designee may authorize the additional services or repairs under a separate purchase authorization. The contractor is cautioned that only the Contracting Officer may authorize additional services or repairs and that reimbursement will not be made unless this prior authorization is obtained.

III. UNIT LOCATIONS

Main Building:

1. Unit 1 located in the main Building, Kitchen, water softener and reverse osmosis.

2. Units 2 and 3 located in Main Building Third floor, two (2) each; water softeners for OER Room.

3. Unit 4 located in main Building, Third floor decontamination room in sterile processing service (SPS), water softener and reverse osmosis.

Ambulatory Care Center:

1. Unit 1 located in the decontamination unit.

2. Unit 2 located in the preparation area.

3. Unit 3 & 4 located behind the sterilizer.

IV. TESTING

1) Peracetic acid disinfection of the reverse osmosis system and the

Critical Water storage system, distribution system, and loop (billed as a separate line item based on actual frequency) o Requires scheduled equipment down time during dwell period of the disinfectant 2-4 hours

2) Replacement of all system filters including pretreatment, carbon, RO membranes, and endotoxin final filters at recommended intervals determined by routine monitoring.

3) Regeneration of deionization polishing tanks and replenishment of anti-scalant or softener salt

4) Replacement of ultraviolet irradiation systems’ lamp(s) and quartz sleeve(s) at annual intervals.

5) Emergency service labor and replacement components included for items under warranty.

6) Emergency service labor and replacement components billed separately for items not under warranty

7) 24/7/365 emergency service call center with a 2-hour phone response time from a service technician.

8) Reports provided for all services performed

V. Sampling

1. The vendor will provide two weeks testing and then Monthly moving forward the following elements, Ph, Alkaline, Hardness, HPC, LAL, TOC, COND, CU, FE, MN, Chloride, Zinc, Nitrate, Phosphate, sulfate, silicate, TDS and Total Chlorine residual and temperature.

2. Regular Sampling: the contractor team will collect water samples at regular intervals as per ANSI/AAMI ST108 standards. These samples will be taken from ten critical test points in the treatment process to ensure comprehensive analysis. Blended supply, after softener after carbon filter after RO membranes and critical cold supply critical cold return, and critical hot supply and critical hot return and critical point of use faucet, utility hot faucet and utility cold faucet.

3. The testing points must include Microbiological Contaminants testing:

Microbiological testing is crucial to evaluating the presence of microorganisms in the water that could compromise the sterility of medical devices.

a.) Chemical/Physical Parameters: Testing focuses on assessing important parameters such as pH, conductivity, and residual disinfectants such as chlorine which can interfere with the effectiveness of cleaning agents, or indicate maintenance needs to be performed.

b.) Organic Contaminants: Organic contaminants, such as TOC (Total Organic

Carbon) can provide a favorable environment for microbial growth.

c.) Corrosive Agents: Chloride, nitrate, and iron are examples of corrosive agents that can corrode even stain.

New Year’s Day 01 January

Martin Luther King’s Birthday 3rd Monday in

January President’s Day 3rd Monday in

February

Memorial Day Last Monday in May

Juneteenth 19 June

Independence Day 04 July

Labor Day 1st Monday in September

Columbus Day 2nd Monday in October

Veterans Day 11 November

Thanksgiving Day 4th Thursday in November

Christmas Day 25th of December

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.

VII. BADGES AND PARKING

All contractor personnel are required to wear I.D. badges during the entire time he/she is on Government property. I.D. badges must have an identification picture and shall state the name of the individual and the company he/she represents.

It is the responsibility of the contractor’s personnel to park in the appropriate designated parking areas. Parking information is available from Police

Service. Loma Linda will not validate or make reimbursement for parking violations of the contractor’s personnel under any circumstance.

VIII. OVER AND ABOVE REPAIR:

Upon discovery of over and above repairs or unforeseen requirements, Contractor shall immediately notify the POC. Parts shall not be procured nor installation or repairs initiated until approval is obtained from the Contracting

Officer and appropriate Facilities Staff/POC. Charges for repair, labor and parts shall originate only when required and upon prior approval being granted by the

Contracting Officer.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 EA

Contractor to install a new critical water system in accordance with (IAW) the Statement of Work (SOW) for the main building.

Contract Period: Base POP Begin: 04-15-2025

POP End: 08-15-2025 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment

1.00 EA

Contractor to install a new critical water system IAW the SOW for the Ambulatory Care Center.

Contract Period: Base POP Begin: 04-15-2025 POP End: 08-15-2025 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment

11.50 MO

Contractor to perform preventative maintenance on critical water system IAW the SOW for the main building.

Contract Period: Base POP Begin: 04-15-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

11.50 MO

system IAW the SOW for the Ambulatory Care Center.

Contract Period: Base POP Begin: 04-15-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

12.00 MO

Contract Period: Option 1

POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment

Contract Period: Option 1 POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

Contract Period: Option 2 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

Contract Period: Option 2 POP Begin: 04-01-2027 POP End: 03-31-2028 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

Contract Period: Option 3 POP Begin: 04-01-2028 POP End: 03-31-2029 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment

Contract Period: Option 3 POP Begin: 04-01-2028 POP End: 03-31-2029 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

Contract Period: Option 4 POP Begin: 04-01-2029 POP End: 03-31-2030 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

Contract Period: Option 4 POP Begin: 04-01-2029 POP End: 03-31-2030 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

GRAND

TOTAL

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