36C26319Q0576-001.pdf

PAGE 1 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

SERVICE-DISABLED

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 SIGN 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. SIGNATURE 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 76

636-19-2-5058-0061

438-19-1-1115-0333

36C26319Q0576 06-06-2019

Travis Johnson 605-333-6822 06-17-2019

3:00 PM CST

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

X 100

X

541380

$15 Million

N/A

VA Medical & Regional Office Center

NETWORK 23 CONTRACTING OFFICE

Tungsten Network Electronic Invoicing http://www.tungsten-network.com/ customer-campaigns/veterans-affairs/

Fixed Price Indefinite Delivery Indefinite Quantity(IDIQ) Contract to provide Legionella and Dental Clinic Sampling Services to support the Sioux Falls VA and VA Nebraska- Western Iowa Health Care Systems. Review both Statement of Works for additional Information.

This Request for Quote (RFQ) is conducted under FAR Part 13.5, Simplified Procedures for Certain Commercial Items and FAR Part 12, Acquisition of Commercial Services. This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 2019-01 dated 01/22/2019. The Government intends to award a Fixed Price IDIQ Contract with four (4) (LPTA) source selection shall be used to evaluate offers.

Offerors shall review solicitation submission requirements for required documentation to be submitted with offers.

636-3690162-5058-855100-2543 010055592, 636-19-2-5058-0061 438-3690162-1115-850300-2580 0100501X3, 438-19-1-1115-0333

X X

Travis Johnson Contracting Officer

36C26319Q0576

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PRICE/COST SCHEDULE FOR SERVICES AT THE NEBRASKA-WESTERN IOWA

HEALTH CARE SYSTEM

B.4 PRICE/COST SCHEDULE FOR SERVICES AT THE SIOUX FALLS HEALTH CARE

SYSTEM

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2019)

C.3 52.216-18 ORDERING (OCT 1995)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984) 45

C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.11 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

C.12 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.14 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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 Travis Johnson

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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.

Tungsten Network Electronic Invoicing http://www.tungsten-network.com/ customer-campaigns/veterans-affairs/

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

The total minimum amount VA will order from the resulting contract shall be $20,000.00 per the lifetime of the contract. The total maximum amount VA will order from the resulting contract shall be $600,000.00 per the lifetime of the contract.

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

ESTIMATED

QUANTITY

UN

IT UNIT PRICE

ESTIMATED

AMOUNT

0.00 EA ________________

NWI Line Items for Legionella and Dental Clinic Testing Contract Period: Base POP Begin: 07-01-2019 POP End: 06-30-2020

0001AA

132.00 EA ________________

Provide materials for NWI Health Care professional and Dental Clinic to collect quarterly samples and follow up samples, and send the samples for testing for Legionella at VA Omaha Medical Center.

Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Base

0001AB

251.00 EA ________________

Supply of water sampling containers, information on proper collection of samples and follow up collection of samples for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Omaha Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Base

0001AC

10.00 EA ________________

Collection of water samples to test for Legionella in 5 cooling towers at the Omaha VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Base

0001AD

308.00 EA ________________

Quarterly and follow up collection of water samples and analysis of water samples to test for Legionella at the Grand Island Medical Center. Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Base

0001AE

110.00 EA ________________

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Grand Island Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Base

0001AF

6.00 EA ________________

Collection of water samples to test for Legionella in 3 cooling towers at the Grand Island VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Base

0001AG

70.00 EA ________________

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Lincoln Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Base

Sioux Falls Line Items for Legionella and Dental Clinic Testing Contract Period: Base

0002AA

160.00 EA ________________

Routine Legionella Sampling and TestingQuarterly, or every four months during each Period of Performance:

20 sample locations in Building 1 20 sample locations in Building 5 Contract Period: Base

0002AB

24.00 EA ________________

Non-Routine Legionella Sampling and Testing Contract Period: Base

0002AC

Routine Dental Clinic Testing Quarterly, or every four months during each Period of Performance:

40 samples will be divided over each of the three months of the quarter Contract Period: Base

0002AD

Non-Routine Dental Clinic Testing Contract Period: Base

NWI Line Items for Legionella and Dental Clinic Testing Contract Period: Option 1 POP Begin: 07-01-2020 POP End: 06-30-2021

1001AA

Provide materials for NWI Health Care professional and Dental Clinic to collect quarterly samples and follow up samples, and send the samples for testing for Legionella at VA Omaha Medical Center.

Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 1

1001AB

Supply of water sampling containers, information on proper collection of samples and follow up collection of samples for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Omaha Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 1

1001AC

Collection of water samples to test for Legionella in 5 cooling towers at the Omaha VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 1

1001AD

Quarterly and follow up collection of water samples and analysis of water samples to test for Legionella at the Grand Island Medical Center. Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 1

1001AE

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Grand Island Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 1

1001AF

Collection of water samples to test for Legionella in 3 cooling towers at the Grand Island VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 1

1001AG

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Lincoln Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 1

Sioux Falls Line Items for Legionella and Dental Clinic Testing Contract Period: Option 1

1002AA

Routine Legionella Sampling and TestingQuarterly, or every four months during each Period of Performance:

20 sample locations in Building 1 20 sample locations in Building 5 Contract Period: Option 1

1002AB

Non-Routine Legionella Sampling and Testing Contract Period: Option 1

1002AC

Routine Dental Clinic Testing Quarterly, or every four months during each Period of Performance:

40 samples will be divided over each of the three months of the quarter Contract Period: Option 1

1002AD

Non-Routine Dental Clinic Testing Contract Period: Option 1

NWI Line Items for Legionella and Dental Clinic Testing Contract Period: Option 2 POP Begin: 07-01-2021 POP End: 06-30-2022

2001AA

Provide materials for NWI Health Care professional and Dental Clinic to collect quarterly samples and follow up samples, and send the samples for testing for Legionella at VA Omaha Medical Center.

Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 2

2001AB

Supply of water sampling containers, information on proper collection of samples and follow up collection of samples for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Omaha Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 2

2001AC

Collection of water samples to test for Legionella in 5 cooling towers at the Omaha VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 2

2001AD

Quarterly and follow up collection of water samples and analysis of water samples to test for Legionella at the Grand Island Medical Center. Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 2

2001AE

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Grand Island Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 2

2001AF

Collection of water samples to test for Legionella in 3 cooling towers at the Grand Island VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 2

2001AG

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Lincoln Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 2

Sioux Falls Line Items for Legionella and Dental Clinic Testing Contract Period: Option 2

2002AA

Routine Legionella Sampling and TestingQuarterly, or every four months during each Period of Performance:

20 sample locations in Building 1 20 sample locations in Building 5 Contract Period: Option 2

2002AB

Non-Routine Legionella Sampling and Testing Contract Period: Option 2

2002AC

Routine Dental Clinic Testing Quarterly, or every four months during each Period of Performance:

40 samples will be divided over each of the three months of the quarter Contract Period: Option 2

2002AD

Non-Routine Dental Clinic Testing Contract Period: Option 2

NWI Line Items for Legionella and Dental Clinic Testing Contract Period: Option 3 POP Begin: 07-01-2022 POP End: 06-30-2023

3001AA

Provide materials for NWI Health Care professional and Dental Clinic to collect quarterly samples and follow up samples, and send the samples for testing for Legionella at VA Omaha Medical Center.

Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 3

3001AB

Supply of water sampling containers, information on proper collection of samples and follow up collection of samples for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Omaha Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 3

3001AC

Collection of water samples to test for Legionella in 5 cooling towers at the Omaha VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 3

3001AD

Quarterly and follow up collection of water samples and analysis of water samples to test for Legionella at the Grand Island Medical Center. Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 3

3001AE

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Grand Island Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 3

3001AF

Collection of water samples to test for Legionella in 3 cooling towers at the Grand Island VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 3

3001AG

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Lincoln Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 3

Sioux Falls Line Items for Legionella and Dental Clinic Testing Contract Period: Option 3

3002AA

Routine Legionella Sampling and TestingQuarterly, or every four months during each Period of Performance:

20 sample locations in Building 1 20 sample locations in Building 5 Contract Period: Option 3

3002AB

Non-Routine Legionella Sampling and Testing Contract Period: Option 3

3002AC

Routine Dental Clinic Testing Quarterly, or every four months during each Period of Performance:

40 samples will be divided over each of the three months of the quarter Contract Period: Option 3

3002AD

Non-Routine Dental Clinic Testing Contract Period: Option 3

NWI Line Items for Legionella and Dental Clinic Testing Contract Period: Option 4 POP Begin: 07-01-2023 POP End: 06-30-2024

4001AA

Provide materials for NWI Health Care professional and Dental Clinic to collect quarterly samples and follow up samples, and send the samples for testing for Legionella at VA Omaha Medical Center.

Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 4

4001AB

Supply of water sampling containers, information on proper collection of samples and follow up collection of samples for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Omaha Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 4

4001AC

Collection of water samples to test for Legionella in 5 cooling towers at the Omaha VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 4

4001AD

Quarterly and follow up collection of water samples and analysis of water samples to test for Legionella at the Grand Island Medical Center. Includes all necessary sampling equipment, collection of temperature readings, pH level readings, and residual biocide level readings for each sample, labor to collect samples, proper preparation and transportation of samples, analysis, report of analysis, and technical assistance on sample result interpretation.

Contract Period: Option 4

4001AE

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Grand Island Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 4

4001AF

Collection of water samples to test for Legionella in 3 cooling towers at the Grand Island VA Medical Center two times per year during time that the cooling towers are running (during the cooling season).

Contract Period: Option 4

4001AG

Supply of water sampling containers, information on proper collection of samples quarterly and follow-up for total colony forming units of heterotrophic water bacteria per milliliter of water count, and analysis of water samples for the Lincoln Medical Center Dental Clinic to ensure compliance with Safe Drinking Water Act.

Contract Period: Option 4

Sioux Falls Line Items for Legionella and Dental Clinic Testing Contract Period: Option 4

4002AA

Routine Legionella Sampling and TestingQuarterly, or every four months during each Period of Performance:

20 sample locations in Building 1 20 sample locations in Building 5 Contract Period: Option 4

4002AB

Non-Routine Legionella Sampling and Testing Contract Period: Option 4

4002AC

Routine Dental Clinic Testing Quarterly, or every four months during each Period of Performance:

40 samples will be divided over each of the three months of the quarter Contract Period: Option 4

4002AD

Non-Routine Dental Clinic Testing Contract Period: Option 4

ESTIMATED

GRAND TOTAL

B.3 PRICE/COST SCHEDULE FOR SERVICES AT THE NEBRASKA-

WESTERN IOWA HEALTH CARE SYSTEM

A. General Requirements:

1. Contractor to provide all labor, material, to test for legionella and performance dental water line testing at the VA Nebraska-Western Iowa Health Care System.

B. Scope of Work:

1. The purpose of this contract is to procure services for collecting and analyzing water samples for Legionella in accordance with VHA Directive 1061, “PREVENTION OF HEALTHCARE ASSOCIATED LEGIONELLA DISEASE AND

SCALD INJURY FROM POTABLE WATER DISTRIBUTION SYSTEMS” and for collecting and analyzing water samples to verify compliance with “Infection Control Standards for VA Dental Clinics,” 21 October 2013, and EPA Safe Drinking Water Act regulations in Dental Offices in the VA Nebraska Western Iowa Health Care System.

2. Services shall be provided to three VA Health Care locations:

a. Omaha VA Medical Center 4101 Woolworth Ave., Omaha, Nebraska 68105

b. Grand Island VA Medical Center 2201 North Broadwell Ave., Grand Island, Nebraska 68803

c. Lincoln VA Medical Center 600 South 70th St., Lincoln, Nebraska 68510

3. The contractor shall furnish all personnel, supervision, equipment, supplies, facilities, certifications, transportation, and resources necessary to perform Legionella water testing. The contractor must furnish all sample collection equipment. Containers must be sterile, appropriate for the analysis, properly preserved, and promptly transported to the laboratory under strict chain of custody procedures.

4. The contractor shall collect and analyze water samples from distal points (sinks and showers) and ice or water from ice machines at the three VA facilities included. Specific distal point locations for sampling will be determined by the VA Technical Representative.

5. Testing of the buildings’ hot and cold-water distribution system(s) for L.

pneumophila must be performed quarterly (once per Federal Fiscal Year quarter, plus or minus ten calendar days from the date of the last performance of regular quarterly service). Extensions may be granted for unforeseen conditions and for other factors outside of the contractor’s control.

6. Water samples must be taken from outlets on the hot water distribution system and outlets on the cold water distribution system from each building for each quarterly testing cycle. NOTE: “Outlets” are the points in the water distribution system where the end user comes in contact with the water (e.g., faucet, showers, and ice machines). Water samples will be taken at first “draw” to catch the water that comes out immediately from the outlet and will routinely be at least 250 ml. At the time each water sample is taken, test, measure, and document the following for each sample: water temperature after it reaches a stable temperature, level of residual biocide (performing the proper testing for the site based on the type of biocide), and pH. The documentation needs to be provided with the analysis results.

7. Non-routine sampling (outside of the quarterly sampling) may be conducted as needed.

8. For non-routine sampling, the contractor must be able to sample within twenty-four hours of being notified of the need to sample. Samples of at least 1000 ml may be required. Water samples will be taken at first “draw” to catch the water that comes out immediately from the outlet. Swab sampling will be conducted along with the water sampling for non-routine sampling. Swab sampling will be done in accordance with VHA direction and in accordance with direction from the laboratory where the samples will be analyzed.

9. The specific sampling location and type of sample (e.g. hot water or cold water) will be specified by the VA Technical Representative. Specific distal points sampled will vary per quarter, so communication with the VA Technical Representative will be required before the round of sampling each quarter or before non-routine sampling in order to ensure that the contractor knows the locations of sampling.

10. Sampling of cooling towers will be conducted two times per year during the period in which they are running at each of the locations.

C. Sample Collection, Storage, and Transferring of Analysis:

1. Samples will be collected, stored, and transferred as directed by the VA

Technical Representative. For routine testing, water samples need to be at 250

ml. For non-routine testing, water samples of at least 1000 ml will be required.

Water samples will be taken at first “draw” to catch the water that comes out immediately from the outlet. Each water sample will be collected in a sterile, unused, HDPE or HDPP plastic leak-proof container provided by the testing laboratory. The following parameters will be measured and logged with each water sample is collected.

a. Water temperature upon reaching a stable temperature, and

b. Level of residual biocide, and

c. pH.

2. Samples will be stored and transferred for analysis in a manner that will maintain the integrity of the samples. Samples will be secured to prevent cross contamination. Samples need to arrive at the testing laboratory within the time frame defined by the testing laboratory.

D. Sample Analysis and Reporting:

1. The testing laboratory processing the water samples for Legionella must be certified by the Centers for Disease Control and Prevention (CDC) Environmental Legionella Isolation Techniques Evaluation (ELITE) program as proficient at performing the culture of Legionella from environmental samples.

2. The laboratory must have environmental microbiology accreditation by a nationally recognized accrediting body, such as Environmental Microbiology Laboratory Accreditation Program (EMLAP), or National Environmental Laboratory Accreditation Program (NELAP).

3. The testing laboratory shall have qualified technical support staff for consultation relative to water sample collection, testing, and interpretation of results.

4. The limit of detection must be < = 1 CFU/ml. The full 250 ml volume of potable water must be concentrated for routine quarterly testing.

5. The full 1000 ml volume of potable water must be concentrated for non-routine testing. Cooling tower water does not require concentration.

6. The testing laboratory must retain samples that test positive for Legionella for thirty calendar days and must release them to the VA as requested.

7. The testing laboratory must also be able to determine if the Legionella detected in environmental samples is the species Legionella pneumophila and whether it is serogroup 1. Quantify L. pneumophila and identify the presence or absence of other Legionella species. NOTE: rapid testing method, such as polymerase chain reaction (PCR) and direct fluorescent antibody (DFA) are not permitted.

8. The contractor shall provide all sample analysis reports via e-mail to the VA Technical Representative. Notification of any positive sampling results must be provided by the contractor within two working days of making the determination.

9. Analytical reports shall include a signed copy of the chain of custody, identification of sampling locations and conditions, including the specific outlet temperature of water at the time the sample was collected, pH, biocide residual levels, method detection limits, and a description of test methodology.

10. Sample reports need to be provided in a format that can be copied into the VHA Legionella sampling results reporting form. Sample analysis reports must be provided within fifteen calendar days of the lab receiving the samples. If the fifteenth day falls on a weekend or federally observed holiday, the reports shall be provided no later than the next business day.

E. Procedures and Requirements for Sampling for Safe Drinking Water Compliance for Dental Waterlines:

1. The laboratory that processes the water samples shall be certified by the Environmental Protection Agency or a State environmental protection agency to perform environmental sampling that includes heterotrophic bacterial testing.

2. The testing laboratory shall utilize the Standard Spread Plate Method 9215C using R2A agar. The laboratory shall provide an outline of their actual testing procedures.

3. The testing laboratory shall have qualified technical support staff for consultation relative to water sample collection, testing, and interpretation of results.

4. Sampling equipment and lab analysis will be provided to Dental Clinics for testing their waterlines for compliance with the EPA Safe Drinking Water Act standard for potable water and the “Infection Control Standards for VA Dental Clinic,” dated 21, October 2013. Sampling analysis will be for total colony forming units (cfu) of heterotrophic water bacteria per milliliter of water.

5. The contractor shall furnish sterile bottles that are appropriate for the analysis, properly preserved, and promptly transported to the VA Nebraska Western Iowa Health Care System Dental Clinics.

6. The contractor shall furnish appropriate shipping containers with cold packs for the transportation of samples to the laboratory. The bottles will be marked to indicate what facility they are supplied to and a unique identifying number for that facility and for the sample.

7. Comprehensive instructions on how samples will be collected, preserved, and transported to the laboratory for analysis will be provided to each facility covered under the contract. The laboratory will follow strict chain of custody procedures upon the receipt of the samples from the facilities.

8. Sampling is required on a quarterly basis for each waterline in each Dental Clinic.

9. Non-routine sampling (outside of the quarterly sampling) may be conducted as needed.

10. For non-routine testing, sampling bottles and supplies must be provided to the requesting Dental Clinic within two business days of being notified of the need to sample.

11. Sampling results will report the number of colony forming units of heterotrophic water bacteria per milliliter of water (cfu/ml), readings of less than 10 or greater than 500 may be recorded as <10 cfu/ml or > 500 cfu/ml.

12. The contractor shall provide all sample analysis reports via e-mail to the VA Technical Representative within ten calendar days of receiving the sample. If the tenth day falls on a weekend or federally observed holiday, the reports shall be provided no later than the next business day.

13. Analytical reports shall include a signed copy of the chain of custody, identification of sampling locations, method detection limits, and a description of test methodology.

F. Hours of Operation:

1. The contractor shall conduct work on-site during normal business hours which are Monday through Friday 8:00 AM to 4:30 PM. The contractor and VA Technical Representative shall together determine when work may be performed.

2. On-site services shall not be performed on federal holidays:

a. New Year’s Day

b. Labor Day

c. Martin Luther King Jr.’s Birthday

d. Columbus Day

e. President’s Day

f. Veteran’s Day

g. Memorial Day

h. Thanksgiving Day

i. Independence Day

j. Christmas Day

G. Contractor Personnel Security and Conduct Requirements:

1. The contractor shall be responsible for ensuring compliance by its employees with all VA procedures governing building access and security. Contractor personnel shall be escorted by VA personnel at all times. The VA Technical Representative will assist the contractor personnel in obtaining requisite identification badges to enter the facilities and collect samples.

2. Contractor employees shall present a professional appearance at all times and their conduct shall not reflect discredit upon the United States and or the VA/VHA. The Government may, at its sole discretion, direct the contractor to remove any contractor employee from U.S. VA/VHA facilities for misconduct or for security reasons. Removal does not relieve the Contractor of the responsibility to continue providing the services required under any Contract. The Contracting Officer will provide the contractor with a written explanation to support any request to remove an employee. The Contractor shall not employ any person who is an employee of the United States Government if that employment would appear to cause a conflict of interest.

3. Employees of the contractor and sub-contractors shall conduct themselves in a professional manner at all times while on VA property.

4. Physical or verbal misconduct may be grounds for removing employees from VA property, or grounds for arrest by the VA Police. Employees may be banned from VA property as a result of inappropriate or illegal behavior. The contractor shall not be entitled to any compensation from the Government for any costs resulting from employee misconduct (including, but not limited to, delays in contract completion) and may be held liable for costs incurred by the Government as a result of employee misconduct.

5. Smoking: Smoking is prohibited in all buildings and within 30 feet of any facility entrance on Medical Center property. Designated smoking areas shall be used by general contractor and sub-contractor employees.

OBJECTIVES:

The Sioux Falls VA health Care System located at 2501 W 22nd Street, Sioux Falls, South Dakota 57105 has a requirement for a contractor to provide Legionella and Dental Clinic Sampling and Testing Services.

The purpose of this contract is to procure services for collecting and analyzing water samples for Legionella and Dental Clinic water sampling. This contract will adhere to the following standards for water testing in their respective areas. VHA Directive

1061, “PREVENTION OF HEALTHCARE-ASSOCIATED LEGIONELLA DISEASE

AND SCALD INJURY FROM POTABLE WATER DISTRIBUTION SYSTEM.”

“Infection Control Standards for VA Dental Clinics,” October 2015, and EPA Safe Drinking Water Act regulations in Dental Offices in the Sioux Falls VA Health Care System. A summary of expected sample collection and analysis activities is attached as Attachment A. VHA Directive 1061 is attached as Attachment B.

“Infection Control Standards for VA Dental Clinics” is attached as Attachment C.

B.4 PRICE/COST SCHEDULE FOR SERVICES AT THE SIOUX FALLS

HEALTH CARE SYSTEM

1. Legionella Sampling Requirements:

a. General Procedures for Legionella Sampling:

The contractor shall furnish all personnel, supervision, equipment, supplies, facilities, certifications, transportation, and resources necessary to perform Legionella water testing.

The contractor must furnish all sample collection equipment. Containers must be sterile, appropriate for the analysis, properly preserved, and promptly transported to the laboratory under strict chain of custody procedures.

The contractor shall collect and analyze water samples from distal points (sinks and showers) and ice or water from ice machines at the Sioux Falls VA Health Care System (SFVAHCS) located at 2501 W 22nd Street, Sioux Falls, South Dakota 57105. Specific distal point locations for sampling will be determined by the VA Technical Representative. The VA Technical Representative will generate a list of twenty sample locations in Building 1 and another twenty sample locations in Building 5 which will be tested quarterly, or every four months.

The SFVAHCS has three cooling towers which require quarterly Legionella testing while in operation.

1. East chiller.

2. West chiller.

3. Building 38 chiller.

Testing of the building’s hot and cold-water distribution system(s) for L. pneumophila must be performed quarterly (once per federal fiscal year quarter), plus or minus ten calendar days from the date of the last performance of regular quarterly service. Extensions may be granted for unforeseen conditions and for other factors outside of the contractor’s control.

Water samples must be taken from outlets on the hot water distribution system and outlets on the cold-water distribution system from each building for each quarterly testing cycle. NOTE:

“Outlets” are the points in the water distribution system where the end user comes in contact with the water (e.g., faucet, showers, and ice machines). Process for water testing must be the following:

1. Water samples for bacterial culture will be taken at first “draw” to catch the water that comes out immediately from the outlet and will be 250 ml for bacteria culture.

2. The contractor will allow temperatures to reach either maximum hot or maximum cold and document maximum temperature.

3. Contractor will then sample for chloramine level and pH.

Contractor is required to correctly label the sample and sample sites. Contractor is required to provide the finished report in English and ensure the reports accuracy prior to submission to owner. Contractor is required to provide definitions for any abbreviations used in reports.

Reports shall be provided via one hardcopy and one digital copy.

Contractor is required to provide the following information in accordance with the Center for Engineering and Occupational Safety and Health (CEOSH) Water Safety Management Tool for the persons sampling and for each laboratory utilized in analysis:

1. Samplers Registration:

a. Last Name

b. First Name

c. Occupation

d. Vendor Name

e. Are you registering as a Water Sampler (yes or no)

f. Training Source of sampler

g. Date training completed

h. Competency Evaluation Date

i. Name of Person who performed competency evaluation

j. List any restrictions

2. Laboratory Registration:

a. Laboratory Name

b. Address, City, State, Zip

c. Telephone (with area or country code)

d. Fax

e. Email

f. Contract Number

g. Legionella Certificates

i. CDC Elite and/or PHE-EQA

h. Notate any Environmental Certificates from list below:

i. NELAP

ii. A2LA

iii. ACLASS

iv. L-A-B

v. PJLA

vi. EMLAP

vii. OTHER

i. Lab Legionella Limit Detection (CFU/ml format)

Non-routine sampling (outside of the quarterly sampling) may be conducted as needed.

For non-routine sampling, the contractor must be able to sample within twenty-four hours of being notified of the need to sample. Samples of at least 1000 ml may be required. Water samples will be taken at first “draw” to catch the water that comes out immediately from the outlet. Swab sampling may be conducted along with the water sampling for non-routine sampling. Swab sampling will be done in accordance with VHA direction and in accordance with direction from the laboratory where the samples will be analyzed.

The specific sampling location and type of sample (e.g. hot water or cold water) will be specified by the VA Technical Representative. Specific distal points sampled will vary per quarter, so communication with the VA Technical Representative will be required before the round of sampling each quarter or before non-routine sampling to ensure that the contractor knows the locations of sampling.

b. Sample Collection, Storage, and Transferring of Analysis:

Samples will be collected, stored, and transferred as directed by the VA Technical Representative or by the laboratory. For routine sampling, water samples need to be 250 ml.

For non-routine sampling, water samples of at least 1000 ml may be required. Water samples will be taken at first “draw” to catch the water that comes out immediately from the outlet.

Each water sample will be collected in a sterile, unused, HDPE or HDPP plastic leak-proof container provided by the testing laboratory. The following parameters will be measured and logged with each water sample that is collected: water temperature upon reaching a stable temperature, level of residual biocide and type of biocide measured, and pH. Samples will be stored and transferred for analysis in a manner that will maintain the integrity of the samples.

Samples will be secured to prevent cross-contamination. Samples need to arrive at the testing laboratory within the time frame defined by the ELITE laboratory.

c. Sample Analysis and Reporting:

The testing laboratory processing the water samples for Legionella must be certified by the Centers for Disease Control and Prevention (CDC) Environmental Legionella Isolation Techniques Evaluation (ELITE) program as proficient at performing the culture of Legionella from environmental samples. The limit of detection must be < = 1 CFU/ml. The full 250 ml volume of potable water must be concentrated for routine quarterly testing. The full 1000 ml volume of potable water must be concentrated for non-routine testing. The testing laboratory must retain samples that test positive for Legionella for thirty calendar days and must release them to the healthcare system if requested. Information about ELITE certified laboratories can be found at https://wwwn.cdc.gov/elite/Public/MemberList.aspx. The testing laboratory must also be able to determine if the Legionella detected in environmental samples is the species Legionella pneumophila and whether it is serogroup 1. Quantify L. pneumophila and identify the presence or absence of other Legionella species. NOTE: rapid testing method, such as polymerase chain reaction (PCR) and direct fluorescent antibody (DFA) are not permitted.

In addition to the CDC ELITE certification, the laboratory must have environmental microbiology accreditation by a nationally recognized accrediting body, such as EMLAP, NELAP, etc. Proof of certification must be provided before acceptance of contract.

The contractor shall provide all sample analysis reports via e-mail to the VA Technical Representative. Notification of any positive sampling results will be made within two calendar days of making this determination. Analytical reports shall include a signed copy of the chain of custody, identification of sampling locations and conditions, including the specific outlet temperature of water at the time the sample was collected, pH, biocide residual levels, method detection limits, and a description of test methodology.

The final report submitted to the VA Technical Representative shall be in Microsoft Excel spreadsheet format and include:

1. Sample ID.

2. Sample date.

3. Floor number.

4. Room number.

5. Sample source.

a. Faucet.

b. Shower.

c. Etc.

6. Sample type.

a. Hot water.

b. Cold water.

7. Sample volume in milliliters (ml).

8. Water temperature in degrees Fahrenheit.

9. Biocide type.

10. Biocide level.

11. pH.

12. Name of individual taking the sample.

13. Date sample sent to laboratory.

14. Date report sent to POC and COR.

15. Was Legionella detected in the sample.

a. Yes or no.

b. If yes, provide species and serogroup with concentrations in CFU/ml.

16. Name of the laboratory used for Legionella testing.

17. Lab sample Id.

18. Was sample stored for future molecular typing.

a. Yes or no.

b. If yes, what is the storage end date.

Sample analysis reports must be provided within fifteen calendar days of the lab receiving the samples. If the fifteenth day falls on a weekend or federally observed holiday, the reports shall be provided no later than the next normal business day.

The testing laboratory shall have qualified technical support staff for consultation relative to water sample collection, testing, and interpretation of results.

2. Dental Sampling Requirements:

a. Laboratory Requirements:

1. The laboratory that processes the water samples will be certified by the Environmental Protection Agency or a State environmental protection agency to perform environmental sampling. Proof of certification must be provided before acceptance of the contract. The laboratory will utilize the Standard Spread Plate Method9215C using R2A agar. Sampling results will report the number of colony forming units of heterotrophic water bacteria per milliliter of water (cfu/ml), readings of less than 10 or greater than 500 may be recorded as <10cfu/ml or >500 cfu/ml.

b. Sampling Requirements:

1. Sampling is required on a quarterly basis for waterlines in the SFVAHCS Dental Clinic. The Dental Clinic is located at the Sioux Falls VA Health Care System at 2501 W 22nd St, Sioux

Falls, SD 57105. Each quarter forty samples need to be tested by the contractor. The forty samples will be divided over the three months of the quarter so that it will have the least amount of disruption to Dental Clinic workload. The samples will be collected by the VA Dental Clinic staff.

2. Non-routine sampling (outside of the quarterly sampling) may be conducted as needed. For non-routine sampling bottles and supplies must be received by the requesting Dental Clinic within two business days of being notified of the need to sample.

c. Contractor shall provide:

1. The contractor shall furnish sterile bottles with preservative that are appropriate for the analysis, and promptly transported to the SFVAHCS Dental Clinic. The contractor shall furnish appropriate shipping containers and ice packs for the transport of samples to the laboratory that will ensure that samples maintain the appropriate temperature while in transit. The bottles will be marked to indicate what facility they are supplied to and a unique identifying number for that facility and the sample. Comprehensive instructions on how samples will be collected, preserved, and transported to the laboratory for analysis will be provided to each facility covered under the contract. The laboratory will follow strict chain of custody procedures upon receipt of the samples from the facilities.

d. Reporting:

1. The contractor shall provide all sample analysis reports via email to the VA Technical Representative within ten calendar days of receiving the samples. If the tenth day falls on a weekend or federally observed holiday, the reports shall be provided no later than the next normal business day. Notification of any positive sampling results will be made within two calendar days of making the determination.

2. Analytical reports shall include a signed copy of the chain of custody, identification of sampling locations, method detection limits, and a description of test methodology.

3. The testing laboratory shall have qualified technical support staff for consultation relative to water sample collection, testing, and interpretation of results.

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

ITEMS (OCT 2018)

(a) Inspection/Acceptance.