36C26318Q0596-001.docx

36C26318Q0596

OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL

BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SI

GN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGN

ATURE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR

LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

636-18-2-5058-0022 36C26318Q0596 05-21-2018

MELANIE STOCKMAN

320-255-6309 06-11-2018 Noon local time Department of Veterans Affairs

NETWORK 23

CONTRACTING OFFICE

Melanie Stockman, Contracting Officer 4801 Veterans Drive St. Cloud MN 56303 X X 332410 750 Employees N/A X US Department of Veterans Affairs Nebraska Western Iowa VA HCS 4101 Woolworth Ave Omaha Nebraska NE 68105

SAME AS ISSUED BY/BLOCK 9

Department of Veterans Affairs Financial Service Center PO Box 149971 Austin TX 78714 877-353-9791 512-460-5540 See CONTINUATION Page Boiler Safety Repair-Omaha VA See schedule of items and specifications Contract completion time is 60 days ARO.

A site visit has been scheduled for 10AM local time on Tuesday, May 22, 2018. Meet at Omaha Boilerplant. Contact Jeffrey Fryman @ 402-346-8800 ext 3410 for questions on site visit.

This procurement is 100% set aside for Veteran Owned Small Businesses (VOSB).

See CONTINUATION Page 636-3680162-5058-855100-2543 010055592 X X X

ONE

MELANIE STOCKMAN

NCO2315L2-1814

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

RFQ NO. 36C26318Q0596

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C263 MELANIE STOCKMAN Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Melanie Stockman, Contracting Officer 4801 Veterans Drive St. Cloud MN 56303

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs Financial Service Center PO Box 149971

Austin TX 78714 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.219-11 VA Notice of Total Veteran-Owned Small Business Set-Aside. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

DESCRIPTION/SPECIFICATIONS

GENERAL

1. Contractor is to provide on-site supervision of Contractor personnel at all times when contract work is being performed. Supervision may be provided by a working foreman or work leader. All Contractors personnel or subcontractors shall wear, in plain sight; badges, tags or other label with company and employee name.

2. All equipment used by the contractor will meet all federal, state and local requirements. Government will not be held responsible for any repairs, replacement or loss of contractor equipment.

3. Contractor will be diligent to protect government property from damage. Contractor will be bonded/insured for repair/replacement of government property or any liability for damage to private property or harm to anyone physically. Any damage to VA Property or Equipment must be repaired or replaced to original condition.

4. Contractor will utilize products and chemicals that are considered “Green” to the greatest extent possible. Contractor will provide product information to owner one week prior to use for approval. Contractor will keep current Safety Data Sheets on all products used or stored on site.

5. All products, equipment and work areas will be kept clean and orderly. Storage of products and tools in the facility will be limited to one day’s work requirements.

6. Parking for contractor’s employees and/or subcontractors will be in designated areas only as determined by the COR.

7. Contractor supervisor is responsible to check in with the COR daily. Supervisor must have cell phone communication in order to respond to corrections in a timely manner and notify COR of any emergencies.

8. Completion Time: 60 days to complete contract after receipt of PO.

Specifications

This report details the results of the steam generation system safety device testing conducted at the Omaha VAMC in VISN 23. Tests were conducted for the Plant Devices and for One of the Steam Boilers (Boiler No. 1).

The references for the testing include:

VHA Boiler Plant Safety Device Testing Manual, Third Edition VHA Directive 1810 Boiler and Boiler Plant Operations

Reported are: results of each safety device tested, comments and recommendations for repairs. Boiler #2 was also inspected by a different independent contractor and it also failed for the same results. Boiler #1 and Boiler #2 are both Nebraska Boilers constructed by the same company and installed at the same time at the Omaha VA Facility in 1973.

The Veterans Health Administration regards boiler safety as so important that they require as a matter of policy that Medical Center Directors be notified if a boiler safety device is found to be non-functional. Each safety device installed on the boilers or serving the whole boiler plant mitigates risk or is part of a system to mitigate risk. Safety devices and systems must be properly installed, properly calibrated, properly tested and maintained to be effective in mitigating risk. Boiler plants inherently have the potential for catastrophic failure. When a device is found to be inadequate, prompt repair is essential to ensure a safe working environment. As this is a new installation, and has not yet been turned over to the VA for operation, it is recommended that all safety devices on this boiler be installed, adjusted and approved before completion of the installation contract.

The contractor shall furnish all labor, tools, parts, materials and equipment necessary to repair Boiler’s #1 and #2 per the Safety and Inspection Testing VHA Directive 2008-62 & Boiler Plant Safety Device Testing Manual 3rd Edition and provide written reports and checklists for the following boilers:

Boiler #1 - 1769 Ser# 2D1623 Boiler #2 - 1769 Ser# 2D1624

NOTE: Inspections were completed with the VHA Boiler Plant Safety Device Testing 3rd Edition. Since October 17th ,2017 we are currently using VHA Boiler Plant Safety Device Testing 4th Edition. All repairs will have to be completed using VHA Boiler Plant Safety Device Testing 4th Edition.

Listed below are the findings from the BEI report for Boiler #1 and they are the same findings found from the Independent Contractor for Boiler #2. Both Inspections were completed using VHA Boiler Plant Safety Device Testing 3rd Edition.

Plant Safety Device Test Results

Non-Recycle Steam

Pilot Gas Valve Vent Valve

Low Atomizing Media

Fuel Oil Valve Proof of

Low Fire Proving switch

Forced Damper Open

Combustion Air Pressure

Purge Airflow Proving

FD Fan Motor Current

Low Pilot Gas Pressure

4.1. Condensate Storage Tank High Water Alarm

Purpose: High water level may be an indication of condensate transfer pump failure that could lead to low water condition in the feedwater deaerator and in the boilers. There may be a failure of make-up water controls.

Recommended type of device: Conductivity probe type switch. Float type switches have high failure rate in this application where they are exposed to flash steam that causes seals to harden and prevent float movement.

Comments: This device must be replaced with the VA required Conductivity Probe type alarm.

4.2. Condensate Storage Tank Low Water Alarm

Purpose: Low water level is an indication of make-up water failure or condensate return failure. Immediate action must be taken to avoid plant shutdown.

Recommended type of device: Float type or conductivity probe type is acceptable.

4.3. Feedwater Deaerator High Water Alarm

Purpose: Warns of high water level before overflow occurs. High water may be due to failure of inlet water control valve system.

Recommended type of device: Conductivity probe type switch. Float type switches have high failure rate in this application where they are exposed to steam that causes seals to harden and prevent float movement.

Comments: This alarm has a set point approximately 6-inches above the (maximum allowable) 2/3 position. During any such time, extreme caution must be taken to ensure that the correct water level in the Deaerator is maintained.

4.6. Feedwater Deaerator Steam Safety Valve

Purpose: Serves as “sentinel” valve mounted on deaerator warning of excessive steam pressure. In combination with the safety valves on the steam pressure reducing station serving the deaerator, it protects the deaerator pressure vessel from overpressure.

Recommended type of device: ASME and National Board-rated steam safety valve.

Comments: This Valve was not tested at this time, due to the lack of a current NDT Status.

4.7. Safety Valve following a Steam Pressure Reducing Valve Station (PRV) Purpose:

Protect downstream steam systems from overpressure due to failure of PRV.

Recommended type of device: ASME and National Board-rated steam safety valve.

Comments: This Valve was not tested at this time. There is no manual bypass valve currently installed at the reducing station. This valve was installed during the June plant shutdown after the inspection was completed.

4.8. Boiler Plant Building Combustible and Carbon Monoxide Monitor Purpose: Warns of presence of combustibles or carbon monoxide in the building. This can be the result of flue gas leaks in the boiler setting or breeching and improper burner adjustments.

Recommended type of monitoring system: Multiple sensors located near potential sources and in locations where personnel are normally working. Industrial-type automatic system.

Recommend 2 combustible sensors high in the plant, CO monitors close to the boilers near potential flue gas leak points and in personnel rooms (particularly those with exhaust systems).

Comments: There are portions of a sensing system remaining in operation in the plant, however this system is obsolete, no repair parts are available, and it is failing. This system must be replaced with a modern one, with the proper capability for calibration, testing and adjustment.

4.9. Provisions for Admission of Combustion Air into the Boiler Plant Building Purpose: Air from outside the building is necessary for proper combustion in the boilers.

There must be provisions for supplying this air.

Recommended type of outside air admission system: The preferred system in cold climates is a heating and ventilating unit that brings in 100% outside air and heats it to at least 60 degrees F. This should be interlocked with the burners so that they can’t fire unless the H&V unit is running. In milder climates, louvers in the building wall are acceptable. They should be interlocked with the burner controls so that they are proved open for the burners to fire.

Comments: Either a fixed opening, or an interlocked, louvered opening for each boiler must be provided to ensure adequate air supply to the boilers. These openings should total at least 1.5-times the air inlet area of each boiler.

4.10. Control Air Pressure Interlock (Compressed Air)

Purpose: Shuts down boiler if pneumatic control system pressure is below normal. This can result from compressed air system failures.

Recommended type of interlock: UL listed mercury or sealed snap-acting switch.

Comments: The level control system for the Deaerator requires compressed air for operation. A Low Pressure Switch and Alarm should be installed to warn the plant operators of a loss of compressed air.

4.11. Oil Liquid Relief Valve – Pump Set

Purpose: Protect oil pumping system from overpressure. Overpressure may be due to failure of back pressure regulator (pressure control valve) or starting the pump with the discharge valves closed.

Recommended type of device: Liquid relief valve sized for maximum pump capacity and designed to shut tight.

Comments: Only one of the two pumps is plumbed for testing. There is no view port in place on either valve discharge piping. The "deadhead" pressure was limited to 170 psig, and re-seats at about 165 psig.

5.2.3. High Steam Pressure Limit Switch (Non-recycling)

Purpose: Causes shut down of burner if boiler steam pressure exceeds set point. Does not allow burner to automatically restart when pressure decreases.

Recommended type of pressure switch: Switch must be UL and FM approved for this service.

Comments: The switch functions correctly, but is wired into the "Run" circuit for the Burner Management System. There is no Safety Shutdown, nor is there any annunciation of the outage.

5.3.1. Low Pressure Gas Fuel Cutoff Switch (LPFCS)

Purpose: Shuts down the burner if the fuel pressure drops to the set point. This can be the result of a pressure regulator failure or clogged fuel filter.

Recommended type of pressure switch: UL and FM approved for gas fuel service.

Comments: Cannot set to correct (80%) set point. The gas pressure regulator exhibits excessive "dip", to a pressure below the allowable set point. Also, this device is wired in the "Run" circuit for the Burner Management System, and generates a "Normal" shutdown, with no annunciation.

It must be configured as a Running Interlock, with proper annunciation.

Comments: Cannot set to correct (80%) set point. The gas pressure regulator exhibits excessive "dip", to a pressure below the allowable set point. Also, this device is wired in the "Run" circuit for the Burner Management System, and generates a "Normal" shutdown, with no annunciation.

It must be configured as a Running Interlock, with proper annunciation.

5.3.6. Automatic Pilot Gas Shutoff Valves – Leak Test

Purpose: Open-shut, normally closed solenoid valves that operate to start and stop the fuel flow to the pilot burner. It is essential to have two valves in series with an automatic vent in between and with leak test connections.

Recommended type of fuel valves: UL and FM approved for the fuel service.

Comments: The upstream valve did not leak. The downstream valve is not testable as currently plumbed.

5.4.1. Low Pressure Oil Fuel Cutoff Switch (LPFCS)

Purpose: Shuts down the burner if the fuel pressure decreases to the set point of the switch. The pressure decrease can be the result of a pressure regulator failure or clogged filter.

Recommended type of pressure switch: UL and FM approved for fuel service.

Comments: The set point is too low. This switch is in the "Run" circuit. It must be wired as a Running Interlock, generate a Safety Shutdown, and produce the proper annunciation.

5.4.3. Low Oil Atomizing Media Pressure Switch (LAMPS)

Purpose: Shuts down the burner if the atomizing media (steam or compressed air) pressure at the entrance to the atomizing valve train is insufficient for proper atomization of the fuel oil.

Recommended type of pressure switch: UL listed for burner service.

Comments: The set point is adequate, for the current header pressure in normal operation. This switch is in the "Run" circuit. It must be wired as a Running Interlock, generate a Safety Shutdown, and produce the proper annunciation.

5.4.4. Automatic Oil Fuel Shutoff Valves – Leak Test

Purpose: Open-shut, normally closed valves that operate to start and stop the fuel flow to the main burner. Valves must shut tightly to prevent unburned fuel from collecting in the boiler when the burner is not firing. It is essential to have two valves in series and with leak test connections.

Recommended type of fuel valves: UL and FM approved for fuel service.

Comments: No leak was detected in the upstream valve. The downstream valve is not plumbed to be testable for leakage.

5.4.5. Automatic Oil Fuel Shutoff Valves – Proof of Closure (POC) Purpose: Proof that the valves are closed is provided by electrical switches in the valves that sense the position of the valves, open or closed. The switches are in an electrical circuit to the burner management control system. The valves must be “proven” closed before the burner management control allows the ignition sequence to start.

Recommended type of POC switch: The switch is furnished with UL and FM approved automatic fuel safety shut off valves.

Comments: The POC switches functioned correctly, but the wiring is not readily accessible for testing. This wiring must be routed through an appropriate junction- which can be readily accessed for the required semiannual testing.

5.5.6. Low-Fire Proving Switch

Purpose: Signals the burner management programmer that the fuel and air flow are at a low fire position prior to ignition of pilot burner.

Recommended type of control: Sealed snap-acting switch actuated by lever contacting fuel valve control arm. See VA Master Specifications for alternatives.

Comments: This switch breaks with a 18% Firing Rate set point. This must be corrected to no more than 5%. Ensure that all possible slippage points in the mechanism are adequately secured (drilled and pinned), such that the switch is actually proving the valve/damper position for light off.

5.5.7. Forced Draft Damper Wide-Open Pre-Purge Proving Switch Purpose: Signals the burner management programmer that the forced draft damper is properly positioned to achieve full flow of pre-purge air.

Recommended type of control: Position switch actuated by lever arm attached to damper.

Comments: This switch has a correct set point, and is wired to the controller, correctly. All possible slippage points in the mechanism must be adequately secured (drilled and pinned), such that this switch is actually proving the damper position.

5.5.8. Combustion Air Pressure Switch

Purpose: Signals the burner management programmer that there is combustion air pressure that will cause airflow.

Recommended type of switch: UL and FM approved differential pressure switch.

Comments: The set point for this device is too low to provide any protection. Additionally, the range of signal (7.4 to 0.9) prevents providing any protection at other than low fire. The possibility of different tap points into the fan housing (to achieve a "flatter" signal) should be investigated. Consider implementing a tachometer feedback system to monitor fan speed (independent of the VFD). The existing plumbing for this switch is not configured for testing. Install the appropriate test ports and valves, per the manual, and make the isolation valves Lockable Only in the Open Position- and keep locked except when testing.

5.5.9. Pre-Purge Airflow Proving Switch

Purpose: Signals the burner management programmer that there is sufficient pre-purge air flow.

Recommended type of switch: UL and FM approved differential pressure switch. The switch must be piped so that the differential pressure is sensed from the boiler furnace to the boiler outlet. There must be no movable pressure restriction, such as a damper or burner register, between the sensing points.

Comments: The set point is below the required (80%) minimum value. The switch is not plumbed to allow proper testing. Plumb as outlined in the Safety Device Testing Manual, with the required Lock Only in the Open Position valves and test ports.

5.5.10. Forced Draft Motor Interlock

Purpose: Signals to burner management programmer that proper power supply is flowing to the forced draft fan motor.

Recommended type of interlock: Current relay on all power phases. Auxiliary contact on motor starter is not acceptable because it does not prove that power is flowing to the motor.

Comments: Install the correct components, and wire as a running interlock- with the correct annunciation.

5.5.11. Minimum Pilot Flame Test and Low Pilot Gas Pressure Switch Purpose: The pilot gas pressure must be sufficient to provide a pilot flame sufficiently large to quickly ignite the main flame.

Recommended type of interlock: UL and FM approved pressure switch.

Comments: The propane pilot system should be evaluated, and the two pilot fuels configured to operate at the same pressure. This switch must then be set to 80% (minimum) of that regulated pressure. Also, this device is wired in the "Run" circuit for the Burner Management System, and generates a "Normal" shutdown, with no annunciation. It must be configured as a Running Interlock, with proper annunciation.

5.5.12. Propane Pilot Backup System

Purpose: Alternate pilot burner fuel for igniting main oil burner when natural gas is not available for the pilot burner (igniter).

Recommended type of system: Portable tanks located outside the building connected to pilot burners with permanent piping.

Comments: See notation at Low Pilot Gas Pressure (5.5.11.)

5.5.13. Outlet Stack Damper Wide-Open Pre-Purge Proving Switch Purpose: Signals the burner management programmer that the outlet damper is properly positioned to achieve full flow of pre-purge air.

Recommended type of control: Position switch actuated by lever arm attached to damper.

Comments: The outlet damper on the boiler appears to be stuck in the open position, with the switch blocked into place by the damper arm. This switch appears to be wired in series with the Low Water Cutout (in the "Run" circuit.). There is no annunciation or safety shutdown- even if the switch functions. This damper should be either made operable/testable, permanently fixed open (by welding), or removed.

Additionally, there is another stack damper on the roof. That damper has had all pneumatic lines cut, as well as the wiring to the proof-of-open switch. This damper should be removed completely, or welded open.

5.5.14. Furnace Pressure Interlock

Purpose: Shuts down boiler if furnace pressure is higher than normal.

Recommended type of interlock: UL listed mercury or sealed snap-acting switch.

Comments: Unless all outlet dampers are either removed or welded open, a furnace pressure interlock must be provided. It must be configured as a Running Interlock, with proper annunciation.

5.5.16 Burner Tuning

The burner was found, at low fire, to be operating with more than 16% O2 in the exhaust.

This represents over 300% Excess Air (or, over 4-times the air required to burn the fuel, perfectly.) This resulted in a Carbon Monoxide (CO) level in excess of 600 PPM. VA regulations require all burners to be operating at or below 200 PPM at all conditions. The Air Fuel Ratio was adjusted to bring the excess O2 at low fire below 10% (excess air below 100%). This eliminated all but a trace (4 PPM) of CO generation.

Final Report: A final report shall be provided to the COR within fourteen calendar days of work being performed. All reports shall be presented in a format acceptable to the Joint Commission and include the following:

An individual listing of all devices/system inspected and tested. This listing should also include the location.

Result of any testing performed (i.e. Pass/Fail) Listing of all deficiencies or repairs needed Cross reference to The Joint Commission requirements

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008)

The bidder or offeror agrees that if a contract is awarded to him/her, as a result of this solicitation, he/she will not advertise the award of the contract in his/her commercial advertising in such a manner as to state or imply that the Department of Veterans Affairs endorses a product, project or commercial line of endeavor.

(End of Clause)

C.2 VAAR 852.211-70 SERVICE DATA MANUALS (NOV 1984)

(a) The successful bidder will supply operation/maintenance (service data) manuals with each piece of equipment in the quantity specified in the solicitation and resulting purchase order. As a minimum, the manual(s) shall be bound and equivalent to the manual(s) provided the manufacturer's designated field service representative as well as comply with all the requirements in paragraphs (b) through (i) of this clause. Sections, headings and section sequence identified in (b) through (i) of this clause are typical and may vary between manufacturers. Variances in the sections, headings and section sequence, however, do not relieve the manufacturer of his/her responsibility in supplying the technical data called for therein.

(b) Title Page and Front Matter. The title page shall include the equipment nomenclature, model number, effective date of the manual and the manufacturer's name and address. If the manual applies to a particular version of the equipment only, the title page shall also list that equipment's serial number. Front matter shall consist of the Table of Contents, List of Tables, List of Illustrations and a frontispiece (photograph or line drawing) depicting the equipment.

(c) Section I, General Description. This section shall provide a generalized description of the equipment or devices and shall describe its purpose or intended use. Included in this section will be a table listing all pertinent equipment specifications, power requirements, environmental limitations and physical dimensions.

(d) Section II, Installation. Section II shall provide pertinent installation information. It shall list all input and output connectors using applicable reference designators and functional names as they appear on the equipment. Included in this listing will be a brief description of the function of each connector along with the connector type. Instructions shall be provided as to the recommended method of repacking the equipment for shipment (packing material, labeling, etc.).

(e) Section III, Operation. Section III will fully describe the operation of the equipment and shall include a listing of each control with a brief description of its function and step-by-step procedures for each operating mode. Procedures will use the control(s) nomenclature as it appears on the equipment and will be keyed to one or more illustrations of the equipment. Operating procedures will include any preoperational checks, calibration adjustments and operation tests. Notes, cautions and warnings shall be set off from the text body so they may easily be recognizable and will draw the attention of the reader. Illustrations should be used wherever possible depicting equipment connections for test, calibration, patient monitoring and measurements. For large, complex and/or highly versatile equipment capable of many operating modes and in other instances where the Operation Section is quite large, operational information may be bound separately in the form of an Operators Manual. The providing of a separate Operators manual does not relieve the supplier of his responsibility for providing the minimum acceptable maintenance data specified herein. When applicable, flow charts and narrative descriptions of software shall be provided. If programming is either built-in and/or user modifiable, a complete software listing shall be supplied. Equipment items with software packages shall also include diagnostic routines and sample outputs. Submission information shall be given in the Maintenance Section to identify equipment malfunctions that are software related.

(f) Section IV, Principles of Operation. This section shall describe in narrative form the principles of operation of the equipment. Circuitry shall be discussed in sufficient detail to be understood by technicians and engineers who possess a working knowledge of electronics and a general familiarity with the overall application of the devices. The circuit descriptions should start at the overall equipment level and proceed to more detailed circuit descriptions. The overall description shall be keyed to a functional block diagram of the equipment. Circuit descriptions shall be keyed to schematic diagrams discussed in paragraph (i) below. It is recommended that for complex or special circuits, simplified schematics should be included in this section.

(g) Section V, Maintenance. The maintenance section shall contain a list of recommended test equipment, special tools, preventive maintenance instructions and corrective information. The list of test equipment shall be that recommended by the manufacturer and shall be designated by manufacturer and model number. Special tools are those items not commercially available or those that are designed specifically for the equipment being supplied. Sufficient data will be provided to enable their purchase by the Department of Veterans Affairs. Preventive maintenance instructions shall consist of those recommended by the manufacturer to preclude unnecessary failures. Procedures and the recommended frequency of performance shall be included for visual inspection, cleaning, lubricating, mechanical adjustments and circuit calibration. Corrective maintenance shall consist of the data necessary to troubleshoot and rectify a problem and shall include procedures for realigning and testing the equipment. Troubleshooting shall include either a list of test points with the applicable voltage levels or waveforms that would be present under a certain prescribed set of conditions, a troubleshooting chart listing the symptom, probable cause and remedy, or a narrative containing sufficient data to enable a test technician or electronics engineer to determine and locate the probable cause of malfunction. Data shall also be provided describing the preferred method of repairing or replacing discrete components mounted on printed circuit boards or located in areas where special steps must be followed to disassemble the equipment. Procedures shall be included to realign and test the equipment at the completion of repairs and to restore it to its original operating condition. These procedures shall be supported by the necessary waveforms and voltage levels, and data for selecting matched components. Diagrams, either photographic or line, shall show the location of printed circuit board mounted components.

(h) Section VI, Replacement Parts List. The replacement parts list shall list, in alphanumeric order, all electrical/electronic, mechanical and pneumatic components, their description, value and tolerance, true manufacturer and manufacturers' part number.

(i) Section VII, Drawings. Wiring and schematic diagrams shall be included. The drawings will depict the circuitry using standard symbols and shall include the reference designations and component values or type designators. Drawings shall be clear and legible and shall not be engineering or productions sketches.

(End of Clause) C.3 VAAR 852.219-11 VA NOTICE OF TOTAL VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

(a) Definition. For the Department of Veterans Affairs, “Veteran-owned small business or VOSB.”—

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more veterans;

(ii) The management and daily business operations of which are controlled by one or more veterans;

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document;

(iv) The business has been verified for ownership and control pursuant to 38 CFR 74 and is so listed in the Vendor Information Pages database, (https://www.vip.vetbiz.gov): and

(v) The business will comply with subcontracting limitations in 13 CFR 125.6, as applicable

(2) “Veteran” is defined in 38 U.S.C. 101(2).

(b) General.

(1) Offers are solicited only from verified veteran-owned small business concerns. All service-disabled veteran-owned small businesses are also determined to be veteran-owned small businesses if they meet the criteria identified in paragraph (a)(1) of this section. Offers received from concerns that are not veteran-owned small business concerns shall not be considered.

(2) Any award resulting from this solicitation shall be made to a verified veteran-owned small business concern.

(c) Agreement. A veteran-owned small business concern agrees that in the performance of the contract, the concern will comply with the limitation on subcontracting requirements in 13 CFR §125.6.

(d) A joint venture may be considered a veteran-owned small business concern if the joint venture complies with the requirements in 13 CFR 125.15, provided that any reference therein to SDVO SBC is to be construed to apply to a VA verified SDVOSB and/or VOSB as appropriate.

(e) Any veteran-owned small business concern (non-manufacturer) must meet the requirements in 19.102(f) of the Federal Acquisition Regulation to receive a benefit under this program.

(End of Clause)

C.4 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012)

(a) Definitions. As used in this clause—

(1) Contract financing payment has the meaning given in FAR 32.001.

(2) Designated agency office has the meaning given in 5 CFR 1315.2(m).

(3) Electronic form means an automated system transmitting information electronically according to the Accepted electronic data transmission methods and formats identified in paragraph (c) of this clause. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests.

(4) Invoice payment has the meaning given in FAR 32.001.

(5) Payment request means any request for contract financing payment or invoice payment submitted by the contractor under this contract.

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

(c) Data transmission. A contractor must ensure that the data transmission method and format are through one of the following:

(1) VA’s Electronic Invoice Presentment and Payment System. (See Web site at http://www.fsc.va.gov/einvoice.asp.)

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org) includes additional information on EDI 810 and 811 formats.

(d) Invoice requirements. Invoices shall comply with FAR 32.905.

(e) Exceptions. If, based on one of the circumstances below, the contracting officer directs that payment requests be made by mail, the contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office. Submission of payment requests by mail may be required for:

(1) Awards made to foreign vendors for work performed outside the United States;

(2) Classified contracts or purchases when electronic submission and processing of payment requests could compromise the safeguarding of classified or privacy information;

(3) Contracts awarded by contracting officers in the conduct of emergency operations, such as responses to national emergencies;

(4) Solicitations or contracts in which the designated agency office is a VA entity other than the VA Financial Services Center in Austin, Texas; or

(5) Solicitations or contracts in which the VA designated agency office does not have electronic invoicing capability as described above.

(End of Clause)

C.5 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause) C.6 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE (JAN 2008) The following provisions or clauses incorporated by reference in this solicitation must be completed by the offeror or prospective contractor and submitted with the quotation or offer. Copies of these provisions or clauses are available on the Internet at the Web sites provided in the provision at FAR 52.252-1, Solicitation Provisions Incorporated by Reference, or the clause at FAR 52.252-2, Clauses Incorporated by Reference. Copies may also be obtained from the contracting officer.

[Contracting officer shall list all FAR and 48 CFR Chapter 8 (VAAR) provisions and clauses incorporated by reference that must be completed by the offeror or prospective contractor and submitted with the quotation or offer.] (End of Provision)

(End of Addendum to 52.212-4)

C.7 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2018)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(3) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(4) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203-13, Contractor Code of Business Ethics and Conduct (OCT 2015) (41 U.S.C. 3509).

[] (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards (OCT 2016) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved] [] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[X] (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (OCT 2015) (31 U.S.C. 6101 note).

[] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Jul 2013) (41 U.S.C. 2313).

[] (10) [Reserved] [] (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

[] (ii) Alternate I (NOV 2011) of 52.219-3.

[] (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (ii) Alternate I (JAN 2011) of 52.219-4.

[] (13) [Reserved] [] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

[] (ii) Alternate I (NOV 2011).

[] (iii) Alternate II (NOV 2011).

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

[] (ii) Alternate I (Oct 1995) of 52.219-7.

[] (iii) Alternate II (Mar 2004) of 52.219-7.

[] (16) 52.219-8, Utilization of Small Business Concerns (NOV 2016) (15 U.S.C. 637(d)(2) and (3)).

[] (17)(i) 52.219-9, Small Business Subcontracting Plan (JAN 2017) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (NOV 2016) of 52.219-9.

[] (v) Alternate IV (NOV 2016) of 52.219-9.

[] (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

[] (19) 52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)).

[] (20) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

[] (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

[X] (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C 632(a)(2)).

[] (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (DEC 2015) (15 U.S.C. 637(m)).

[] (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (DEC 2015) (15 U.S.C. 637(m)).

[X] (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

[X] (26) 52.222–19, Child Labor—Cooperation with Authorities and Remedies (JAN 2018) (E.O. 13126).

[X] (27) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

[X] (28) 52.222–26, Equal Opportunity (SEP 2016) (E.O. 11246).

[X] (29) 52.222-35, Equal Opportunity for Veterans (OCT 2015) (38 U.S.C. 4212).

[X] (30) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793).

[X] (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38…