36C26321Q0566 SF1449 Solicitation Document.pdf

PDF 1 MB Posted Jun 7, 2021

Attached to: S201--Temporary Hospital Housekeeping Service
Solicitation number: 36C26321Q0566
Issued by: Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 23

View the file

Other files

File	Type	Posted
36C26321Q0566 0001 SF30.pdf	PDF	Jun 7, 2021
36C26321Q0566 0001_1.docx	DOCX document	Jun 7, 2021
36C26321Q0566_1.docx	DOCX document	Jun 7, 2021

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 121

See Block 25

36C26321Q0566 06-07-2021

John Becker 605-336-3230 x7960 06-18-2021

3:00 PM CDT

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

John Becker, 605-336-3230 ext 7960 john.becker3@va.gov

X 100

561720

$19.5 Million

N/A

Multiple VA Facilities (see attached

Performance Work Statement and Price

Schedule for listing of VA facilities)

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

Tungsten Electronic Invoicing

VA Tungsten Number: AAA544240062 va.registration@tungsten-network.com

Refer to VAAR Clause 852.232-72

See CONTINUATION Page

TEMPORARY HOSPITAL HOUSEKEEPING SERVICE to support the VISN

23 VA Midwest Health Care Network for facilities located in

Iowa, Nebraska, North Dakota, and South Dakota.

Resultant contract will be a Blanket Purchase Agreement

(BPA). The intent is to procure services from established janitorial vendors. The quantity is estimated and there is no guarantee that the estimated quantity will be required or ordered or that conditions affecting the need will be stable or normal. The Government cannot predetermine a precise quantity that will be needed during the period of performance. Quantity is estimated and may fluctuate.

Offeror will identify the specific facility location when submitting an offer. One (1) BPA award per location.

Evaluation of Offers: Price Alone

Offerors shall be registered and active in the System for

Award Management (SAM) and verified in the VA VIP VetBiz systems prior to receipt of offers and prior to award.

The Department of Labor (DOL) Service Contract Act (SCA)

Wage Determinations (WD) apply to each location where services will be performed.

See CONTINUATION Page

Blanket Purchase Agreement (BPA); funded by orders issued against the awarded BPA

X X

X one(1)

John Becker

VA-VHA-2020-BEE57D1B

36C26321Q0566

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 BLANKET PURCHASE AGREEMENT (BPA) TERMS AND CONDITIONS

B.2 PRICE/COST SCHEDULE

OMAHA, NEBRAKSA

DES MOINES, IOWA

SIOUX FALLS, SOUTH DAKOTA

FARGO, NORTH DAKOTA

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

2018)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...36

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.8 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.9 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.11 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.13 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN

1997)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020)

(DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 RECORDS MANAGEMENT OBLIGATIONS

D.2 SCA WAGE DETERMINATION 2015-4969 REV 14 CASS COUNTY, NORTH

DAKOTA

D.3 WAGE DETERMINATION 2015-5005 REV 12 DOUGLAS COUNTY, NEBRASKA 66

D.4 SCA WAGE DETERMINATION 2015-5369 REV 11 MINNEHAHA COUNTY,

SOUTH DAKOTA

D.5 SCA WAGE DETERMINATION 2015-4999 REV 14 DES MOINES COUNTY, IOWA

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) 96

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.3 52.216-1 TYPE OF CONTRACT (APR 1984)

E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.6 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 BLANKET PURCHASE AGREEMENT (BPA) TERMS AND CONDITIONS

1. ADMINISTRATIVE DATA. A Blanket Purchase Agreement is hereby established between

Contractor and the Department of Veterans Affairs under the following terms and conditions incorporated in this BPA

Contractor:

Contractor DUNS:

Point of Contact (POC):

POC Title:

POC Email:

POC Phone:

Government:

Agency: Department of Veterans Affairs

Contracting Officer (CO): John Becker

CO Email: John.becker3@va.gov

CO Phone: 605-336-3230 x7960

2. DESCRIPTION OF AGREEMENT. Temporary Hospital Housekeeping Service to support

VA Health Care facilities located within the Veterans Integrated Service Network (VISN) 23, Midwest Health Care Network. The contractor shall furnish all services ordered for the identified VA facility for the stated period of performance to supply trained Hospital Housekeeping Aids.

• VA Central Iowa, 3600 30th Street, Des Moines IA 50310

• Fargo ND, 2101 Elm Street N, Fargo ND 58102

• VA Nebraska Western Iowa Health Care System o Omaha VA Medical Center, 4101 Woolworth Ave, Omaha NE 68105

• Sioux Falls SD, 2501 W. 22nd Street, Sioux Falls SD 57105

3. PERIOD OF PERFORMANCE. The period of performance is for an initial period of 120 days and includes one (1) option period for an additional 120 days for a maximum contract duration not to exceed 240 days in total.

Base Period: 8/15/2021 to 12/14/2021

Option Period 1: 12/15/2021 to 4/14/2022

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

AMENDMENT NO DATE

5. AUTHORIZED FACILITY TECHNICAL REPRESENTATIVES.

a. The Primary and/or Secondary Facility Technical Representative will be responsible for technical monitoring of the contractor's performance and deliveries. The Facility mailto:John.becker3@va.gov

Technical Representative and the Contractor's Representative shall work together to ensure that all contractual requirements are being met. The Facility Technical Representative will interpret specifications or technical portions of the work. The Facility Technical Representative is not authorized to perform, formally or informally, any of the following actions:

(1) Promise, award, agree to award, or execute any contract, contract modification, or notice of intent that changes or may change this contract;

(2) Waive or agree to modification of the delivery schedule;

(3) Make any final decision on any contract matter subject to the Disputes Clause;

(4) Terminate, for any reason, the contractor's right to proceed;

(5) Obligate in any way, the payment of money by the Government. Only a warranted Contracting Officer is authorized to obligate funds on this or any other contract action.

b. The contractor shall immediately notify the Contracting Officer in writing if the Facility Technical Representative has taken an action (or fails to take action) or issues directions (written or oral) that the contractor considers to exceed the above limitations.

c. The contractor shall provide the Contracting Officer information copies of all correspondence to the Facility Technical Representative.

d. The authorized technical representative per location is identified below.

Location

Authorized Technical Representative

Central Iowa (Des Moines IA) Richard Erickson, 515.699.5999 x5918 Richard.Erickson@va.gov Joseph Chapman, 515-699-5808 Joseph.Chapman1@va.gov

Fargo ND Troy Pederson, 701.239.3700 x3090 or x4447 Troy.Pederson@va.gov James Engstrom, 701.239.3700 x2782 James.Engstrom2@va.gov

Nebraska Western Iowa Health Care System (Omaha

NE)

Abe Soto, 402-657-4149 abe.soto2@va.gov Charles Lisenby, 402-680-9514 Charles.Lisenby@va.gov

Sioux Falls SD Jodi Hensley, 605.336.3230 x7086 Jodi.Hensley@va.gov Dale Carlson, 605.336.3230 x6126 Dale.Carlson@va.gov

6. COVID RELATED FACILITY ENTRANCE PROCEDURES: Contract employees with be subject to COVID-related facility entrance procedures which includes testing and wearing appropriate face covering. Additional details will be provided by the site point of contact prior to arrival at the VA facility.

7. EMERGENCY PROCEDURES. The Contractor shall take such safety precautions as necessary to protect the lives and health of occupants of the buildings. The Contractor shall comply with applicable Federal, State, Local and facility safety and fire regulations and codes which are in effect at the beginning of the contract period. The Contractor shall keep abreast of and comply with changes in these regulations and codes applicable to the contract. The Contractor shall follow applicable facility policies concerning fire and/or disaster events. The Contractor shall display approved warning devices in all areas where operations may cause traffic obstruction or personnel hazard.

mailto:Richard.Erickson@va.gov mailto:Troy.Pederson@va.gov mailto:James.Engstrom2@va.gov mailto:abe.soto2@va.gov mailto:Charles.Lisenby@va.gov mailto:Jodi.Hensley@va.gov

8. EMPLOYEE IDENTIFICATION. All support BPA holder personnel will be required to wear company identification in order to distinguish themselves from Government employees.

When conversing with Government personnel during business meetings and over the telephone, contract employees shall identify themselves as such to avoid situations arising where sensitive topics might be better discussed solely between Government employees.

Where practicable, contract employees occupying collocated space with their Government program customer should identify their workspace area with their name and company affiliation.

9. VA EMPLOYEE BADGE. Contract employees shall be required to obtain a VA Non-PIV

Badge. Contract employees shall be required to complete required paperwork (OF306 and security packet forms). Contract employees will be required to provide Fingerprints at the nearest VA facility. Fingerprinting Adjudication involves a thorough background screening including a National Criminal History Check (NCHC) along with any self-declared information. Any discriminating information may result in a contract employee being unable to provide contract services.

1. Upon notification of contract award, the contractor and VA representative shall make appointments for contract employee fingerprinting.

2. Contractor employees shall complete required forms prior to the Fingerprint appointment. Contract employees shall be required to present two (2) valid forms of ID when arriving at their appointment.

3. The Contractor Point of Contact shall provide additional information in completing security processing forms.

4. Any new contract employee will be added and will follow the procedures above.

10. EMPLOYEE UNIFORMS. Unless otherwise noted, the contractor shall supply employee uniforms to contract employees.

Location Uniforms Provided by the VA or by the Contractor

Central Iowa (Des Moines IA) VA will supply uniforms

Fargo ND VA will supply uniforms

Nebraska Western Iowa Health Care System (Omaha

NE)

Contractor must supply uniforms

Sioux Falls SD Contractor must supply uniforms

11. OPTION TO EXTEND THE TERM OF THE BPA. The Government may extend the term of this BPA by written notice to the Contractor at any time prior to the expiration of the BPA, provided the Government gives the Contractor a preliminary written notice of its intent to extend at least thirty (30) days before the BPA expires. The preliminary notice does not commit the Government to an extension. If the Government exercises this option, the extended BPA shall be considered to include this option provision.

12. INDIVIDUALS AUTHORIZED TO PLACE ORDERS UNDER THE BPA.

John Becker, Contracting Officer Network Contracting Office 23 John.becker3@va.gov 605-336-3230 x7960

Travis Johnson, Branch Chief Network Contracting Office 23 Travis.Johnson2@va.gov 605-333-6822

13. EXTENT OF OBLIGATION: This Agreement places no obligation on the Government to purchase a minimum amount of supplies or services. The Government will be obligated only mailto:Travis.Johnson2@va.gov to the extent of the orders actually placed against the Blanket Purchase Agreement (BPA) by the Contracting Officer(s) listed below. The Vendor shall be responsible for verifying that only the authorized Contracting Officer(s) are placing orders.

14. PROCEDURE FOR PLACING ORDERS: All orders will be made through the Contractor’s

POC by the authorized Contracting Officer identified above. All BPA Orders shall be issued by the Contracting Officer identified above and signed by both, the Contractor and the Government.

a. Orders issued for performance under this BPA will be Fixed-Priced Orders.

b. The BPA holder shall furnish all resources to furnish the services set forth in the

Performance Work Statement (PWS) within the terms specified and at the price(s) stated. All orders will be issued at the rates in effect at the time the work is performed.

c. The BPA holder will not be paid more than the ceiling price of any individual order.

d. In the event the BPA holder provides less than the stated order amount set forth in the individual order, the total order shall be adjusted to reflect the actual amount expended and the final order price. In no case will the final price exceed the ceiling price of the order.

e. Notwithstanding any other provision, the BPA holder shall maintain sufficient accounting records for verification of the number of hours expended by contract employees in the performance of each order. It is further understood and agreed that the accounting records shall be available for Government review during the performance of the contract and until three years after final payment under the contract. In the event subcontract labor is included in the labor effort, the foregoing records provisions shall be included in all applicable subcontracts.

15. AVAILABILITY OF FUNDS. All BPA orders are subject to the availability of funds. No guarantee is made by the Government to indicate funds will be made available. All orders are subject to the availability of funds.

16. OBLIGATION OF FUNDS. This BPA does not obligate any funds. The Government is obligated only to the extent of authorized orders actually issued under the BPA by the Contracting Officer.

17. MAXIMUM BPA ORDER LIMIT. The maximum order amount is set forth in FAR Clause

52.216-19 (Order Limitations). The ceiling limits apply to the life of the contract and are as follows:

Location

Ceiling Limit over the Life of the Contract

Fargo ND $1,500,000.00

Sioux Falls SD $1,500,000.00

Nebraska Western Iowa Health Care System (Omaha NE)

$3,000,000.00

Central Iowa (Des Moines IA) $2,000,000.00

18. ESTIMATED QUANTITIES. The quantities referenced in the Price/Cost Schedule are estimated quantities only and does not provide a guarantee of an exact order to the contractor. Actual quantities will be referenced on Orders issued against the BPA. It is possible that no orders would be placed against locations identified on this BPA. If an order is placed, the minimum quantity shall be a request for 10 contract employees and any additional increase will be in increments of 5 contract employees, i.e., initial order of 10, increase at intervals of 5 up to the desired amount; i.e., 10, 15, 20, 25, 30, 35, etc. Unless the contractor agrees to a lesser amount.

19. INVOICING:

a. Invoices shall be submitted weekly, bi-weekly, or monthly in arrears. The specified schedule shall be agreed upon by the contractor and the Government. All payments by the Government to the contractor will be made in accordance with Federal Acquisition Regulation (FAR) 52.232-33, Payment by Electronic Funds Transfer— System for Award Management and VA Acquisition Regulation (VAAR) Clause 852.232-72.

Tungsten Electronic Invoicing VA Tungsten Number: AAA544240062 va.registration@tungsten-network.com

b. ELECTRONIC INVOICING: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

• VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

• More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

• FSC e-invoice email: vafsccshd@va.gov

• Tungsten e-Invoice set-up information: 877-489-6135

• Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

• FSC e-Invoice Contact Information: 877-353-9791

• FSC e-Invoice email: vafsccshd@va.gov

• More information on the FSC electronic invoicing process can be found at http://www.fsc.va.gov/einvoice.asp.

20. PRECEDENCE. The terms and conditions included in this BPA apply to all purchases made pursuant to it. In the event of an inconsistency between the provisions of this BPA and the Contractor’s invoice, the provisions of this BPA will take precedence. The Contractor's unconditional acceptance of this BPA, including all terms and conditions herein shall be considered binding upon the delivery of the first BPA Order placed hereunder by the assigned Contracting Officer. Failure of the Contractor to comply with any of the terms and conditions of the BPA and/or any BPA Orders placed hereunder may be cause for the cancellation of this BPA.

21. GENERAL: The Terms and Conditions referenced at Federal Acquisition Regulation (FAR)

52.212-4 are hereby made part of this Agreement.

22. CANCELLATION OF BPA. The Government may cancel the BPA at any time by notifying the Contractor at least thirty (30) days in advance. BPA cancellation does not release the Contractor from their duty to continue BPA order performance on existing BPA orders.

http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.fsc.va.gov/einvoice.asp mailto:vafsccshd@va.gov

23. QUESTIONS: Questions regarding this BPA can be addressed by:

John Becker, Contract Officer 2501 W. 22nd Street Sioux Falls SD 57105 Phone: (605) 336-3230 x7960 John.becker3@va.gov

B.2 PRICE/COST SCHEDULE

OMAHA, NEBRAKSA

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

696.00 HR ______________ ______________

HOUSEKEEPING SUPERVISOR - OMAHA NEBRASKA VA

4101 Woolworth Avenue, Omaha, NE 68105 Number of Contract Employees Required: One (1)

Formula for Computing the Number of Hours: One contract employee for the period 8/15/2021 to 12/13/2021, 120 Days, 17 weeks, 2 days (5 work days/2 days off), 87 working days or 696 hours. Multiply the number of hours by the number of required employees.

Contract Period: Base POP Begin: 08-15-2021 POP End: 12-13-2021

20,880.00 HR ______________ ______________

HOUSEKEEPING AID - OMAHA NEBRASKA VA

4101 Woolworth Avenue, Omaha, NE 68105 Number of Contract Employees Required: Thirty (30)

Contract Period: Base

688.00 HR ______________ ______________

HOUSEKEEPING SUPERVISOR - OMAHA NEBRASKA VA

4101 Woolworth Avenue, Omaha, NE 68105 Number of Contract Employees Required: One (1)

Formula for Computing the Number of Hours: One contract employee for the period 12/14/2021 to 4/13/2022, 120 Days, 17 weeks,1 day (5 work days/2 days off), 86 working days or 688 hours. Multiply the number of hours by the number of required employees.

Contract Period: Option 1 POP Begin: 12-14-2021 POP End: 04-13-2022

20,640.00 HR ______________ ______________

HOUSEKEEPING AID - OMAHA NEBRASKA VA

4101 Woolworth Avenue, Omaha, NE 68105 Number of Contract Employees Required: Thirty (30)

Contract Period: Option 1

OMAHA NEBRASKA

Base Period Cost:

Option Period 1 Cost:

Total Cost:

DES MOINES, IOWA

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

QUANTITY UNIT UNIT PRICE AMOUNT

HOUSEKEEPING SUPERVISOR - DES MOINES IA VA

601 Highway 6 West, Des Moines IA 52246 Number of Contract Employees Required: One (1)

Contract Period: Base

13,920.00 HR ______________ ______________

HOUSEKEEPING AID - DES MOINES IA VA

601 Highway 6 West, Des Moines IA 52246 Number of Contract Employees Required: One (20)

Contract Period: Base

HOUSEKEEPING SUPERVISOR - DES MOINES IA VA

601 Highway 6 West, Des Moines IA 52246 Number of Contract Employees Required: One (1)

Contract Period: Option 1

13,760.00 HR ______________ ______________

HOUSEKEEPING AID - DES MOINES IA VA

601 Highway 6 West, Des Moines IA 52246 Number of Contract Employees Required: One (20)

Contract Period: Option 1

DES MOINES IOWA

Base Period Cost:

SIOUX FALLS, SOUTH DAKOTA

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

HOUSEKEEPING SUPERVISOR - SIOUX FALLS SD

2501 W 22nd Street, Sioux Falls SD 57105 Number of Contract Employees Required: One (1)

Contract Period: Base

10,440.00 HR ______________ ______________

HOUSEKEEPING AID - SIOUX FALLS SD

2501 W 22nd Street, Sioux Falls SD 57105 Number of Contract Employees Required: One (15)

Contract Period: Base

HOUSEKEEPING SUPERVISOR - SIOUX FALLS SD

2501 W 22nd Street, Sioux Falls SD 57105 Number of Contract Employees Required: One (1)

Contract Period: Option 1

10,320.00 HR ______________ ______________

HOUSEKEEPING AID - SIOUX FALLS SD

2501 W 22nd Street, Sioux Falls SD 57105 Number of Contract Employees Required: One (15)

Contract Period: Option 1

SIOUX FALLS SOUTH DAKOTA

Base Period Cost:

FARGO, NORTH DAKOTA

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

HOUSEKEEPING SUPERVISOR - FARGO ND

2101 Elm Street N, Fargo ND 58102 Number of Contract Employees Required: One (1)

Contract Period: Base

10,440.00 HR ______________ ______________

HOUSEKEEPING AID - FARGO ND

2101 Elm Street N, Fargo ND 58102 Number of Contract Employees Required: One (15)

Contract Period: Base

HOUSEKEEPING SUPERVISOR - FARGO ND

2101 Elm Street N, Fargo ND 58102 Number of Contract Employees Required: One (1)

Contract Period: Option 1

10,320.00 HR ______________ ______________

HOUSEKEEPING AID - FARGO ND

2101 Elm Street N, Fargo ND 58102 Number of Contract Employees Required: One (15)

Contract Period: Option 1

FARGO NORTH DAKOTA

Base Period Cost:

B.3 PERFORMANCE WORK STATEMENT

TEMPORARY HOSPITAL HOUSEKEEPING SERVICE

FOR VETERANS AFFAIRS (VA) MIDWEST HEALTH CARE (VISN 23)

1. General Information

1.1. General: This is a non-personal services contract to provide Temporary Hospital

Housekeeping Service for the Veterans Affairs (VA), Midwest Health Care (VISN 23) under 5 CFR Subpart E, Use of Private Sector Temporaries to support staffing shortages due to the COVID 19 pandemic.

1.2. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

Agencies shall train their employees in appropriate cleaning and disinfection procedures following Centers for Disease Control and Prevention (CDC) Guidance as well as for interaction with private sector temporaries to assure that the supervisory responsibilities identified in paragraph (a) of § 300.501 of this subpart are carried out by the temporary help service firm. At the same time, agencies must give technical, task-related instructions to private sector temporaries including orientation, assignment of tasks, and review of work products, in order that the temporaries may properly perform their services under the contract.

1.3. Period of Performance: 120-day base period with a 120-day option period in accordance with the authority, criteria, and conditions of 5 CFR Part 300, Subpart E, Use of Private Sector Temporaries, and agency procedures.

1.4. Places of Performance: VISN 23, VA Midwest Health Care Network

• VA Central Iowa Health Care System (Des Moines IA)

• Fargo VA Health Care System (Fargo ND)

• Omaha VA Medical Center (Omaha NE)

• Sioux Falls VA Health Care System (Sioux Falls SD)

1.5. Hours of Operation: Housekeeping provides services utilizing three (3) shifts for continual coverage for 24 hours per day including Federal holidays. The Government will only pay for hours worked. Contract employees may be subject to work weekends and overnight hours. The VA Technical Representative will provide a shift schedule to the Contractor. Any change to the schedule will be provided by the VA Technical Representative and will generally be provided one (1) week in advance.

1.6. Work Schedule: The contractor will be required to provide a specific number of Housekeeping Aides per shift. All work shall be coordinated between the VA Technical Representative or designated representative and the contractor POC or designated representative to avoid disruptions or conflicts between the Government functions and the provision of service under this contract. The contractor POC or designated representative will communicate with the VA Technical Representative or designated representative regarding the required services and completion of those services to validate work was accomplished as required. The Contractor shall maintain a Supervisor contact phone number 24/7.

1.7. Building/Space Type:

• Must be able to work with minimal supervision.

• Must have knowledge, skills, and ability to understand and execute verbal and written instructions. Must be able to absorb training and required cleaning procedures quickly.

• Must have basic understanding of housekeeping duties and the hospital required training.

https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=f4014adba425a9b55a8d83fd61b1f638&term_occur=999&term_src=Title:5:Chapter:I:Subchapter:B:Part:300:Subpart:E:300.504 https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=7247c02704a89a614519cb9f54bb462c&term_occur=999&term_src=Title:5:Chapter:I:Subchapter:B:Part:300:Subpart:E:300.504 https://www.law.cornell.edu/cfr/text/5/300.501 https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=3268ce1da74097b1a74cd6ff9f681a6b&term_occur=999&term_src=Title:5:Chapter:I:Subchapter:B:Part:300:Subpart:E:300.504 https://www.law.cornell.edu/definitions/index.php?width=840&height=800&iframe=true&def_id=7247c02704a89a614519cb9f54bb462c&term_occur=999&term_src=Title:5:Chapter:I:Subchapter:B:Part:300:Subpart:E:300.504

• Will be working in COVID-19 environment. Will be handling waste streams to include, sharps containers, biohazard red bag waste, trace chemo waste.

• Work hours will vary to include weekends.

• Must be able to work eight (8) hours when needed physically demanding walking standing twisting turning reaching to include pushing pulling or lifting items up to 50 pounds.

• Will wear required personal protection equipment (PPE)

1.8. Areas to be cleaned- which will include but will not be limited to:

• Exam Rooms

• Restrooms

• Waiting Areas

• Patient Rooms

• Operating Rooms

• Pharmacy

• Hemo-Dialysis Treatment Area

• Supply, Processing and Distribution Areas

• Hallways and Lobbies

• Elevators and Doors

• Reception Areas

• Offices

• Laundry Room

• Preparation and Sterilization

• Decontamination

• Doctors Lounge

• Hard Surface and Carpeted Floor Care

• House Keeping Aide Closet

• Heat Convectors, Radiators and Vents

• X-Ray Rooms

• Labs

• Public Areas

• Shower Areas

• Sinks

• Stairwell

• Windows

• Corridors

• Entryways

• Administration Areas

• Break Rooms

• Kitchen and Dining Areas

• Ice Machines and Water Dispensing Units

• Drinking Fountains

• Refrigerators

• Light Fixtures

1.9. Type of Contract: Blanket Purchase Agreement (BPA). Services to be ordered as needed. Quantities are estimated and actual use will be based upon staffing needs.

1.10. Contract Changes: Additional tasking required by changes in mission assignments must be documented by a written contract modification. If the contractor receives a request from VA personnel directing or requesting work that the contractor believes is not within the terms of the PWS or the contract, then the contractor must notify the Contracting Officer of the request. The only person that has the authority to modify the terms of the contract or request work for which compensation will be provided is a Contracting Officer.

1.11. Invoicing: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

1.11.1. VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

1.11.2. More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

1.11.3. Vendor e-Invoice Set-Up Information: Please contact the phone numbers or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• e-Invoice Setup Information:

• e-Invoice email:

• FSC e-Invoice Contact Information:

• FSC e-invoice email: vafsccshd@va.gov

1.11.4. Tungsten e-Invoice set-up information: 877-489-6135

1.11.5. Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

1.11.6. FSC e-Invoice Contact Information: 877-353-9791

1.11.7. FSC e-Invoice email: vafsccshd@va.gov

1.11.8. More information on the FSC electronic invoicing process can be found at http://www.fsc.va.gov/einvoice.asp.

2. Section 2: Definitions & Acronyms

2.1. Definitions:

• Aseptic Cleaning. Techniques and procedures used under sterile conditions.

Aseptic cleaning is the effort taken to clean the interior of building and keep people free from hospital micro-organisms.

• Centers for Disease Control & Prevention (CDC). The nation’s health protection agency that publishes key health information, including weekly data on all deaths and diseases reported in the US and travelers' health advisories. The CDC also fields special rapid-response teams to halt epidemic diseases

• Contractor. A supplier or vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime.

• Contracting Officer (CO). A person with the authority to enter into, administers, and/or terminates contracts and makes related findings. The Contracting Officer is the only individual who has the authority to contractually bind the Government. The Contracting Officer may designate a Government employee to act as his authorized technical representative.

• VA Technical Representative or designated representative. The person has been designated as the authorized representative of the Contracting Officer acting within the limits of his/her authority. This individual shall not be authorized to award, agree to, or sign any contract or modification thereto, or in any way to obligate the payment of money by the Government. The VA Technical Representative or designated representative advises the Contracting Officer on matters relating to this contract, verifies completion of the work, http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.tungsten-network.com/US/en/veterans-affairs/ http://www.fsc.va.gov/einvoice.asp mailto:vafsccshd@va.gov mailto:VA.Registration@Tungsten-Network.com certifies invoices related to completed work, and ensures compliance with all provisions of the contract.

• Corrective Action. Action taken by the Contractor to correct a deficiency and identify the cause(s) of the deficiency and provide documentation of correction

• Custodial Cleaning. Providing an array of cleaning functions that are vital to the daily operation of the facility to present a clean facility.

• Joint Commission (JC). A national organization dedicated to improving the performance, safety, and quality of patient care in health care facilities, and publishers of the Joint Commission on Accreditation Manuals.

• VA Technical Representative, designated representative, or Point of Contact (POC). An identified individual with subject matter expertise (SME) of VHA EMS proper cleaning procedures.

• Protection. This is preventing damages to surfaces and equipment caused by normal use or improper cleaning procedures.

• Quiet Zone. Means normally a noise level of less than 72.B (A) at five feet from the source in patient-occupied areas.

• Soil. Dust, dirt, stains, grease, smudges, streaks, spots, lint, odors, organisms, bodily fluids, or any agents that is injurious to health. Soil can be visible such as dust, or can be invisible such as organisms, and odors.

• Subcontractor. One that enters into a contract with a prime contractor. The Government does not have privity of contract with the subcontractor.

• Dwell Times: The amount of time that a sanitizer or disinfectant must be in contact with the surface and remain wet, in order to achieve the product’s advertised kill rate.

• High Touch Areas: Surfaces within a patient room that require more frequent cleaning and disinfection due to having frequent contact with hands. High touch surfaces can be found on the CDC Environmental checklist for monitoring terminal cleaning.

• Two-Step Cleaning:

• Step One: Cleaning is the necessary first step of any disinfection process.

Cleaning removes organic matter, salts, and visible soils, all of which interfere with microbial inactivation. The physical action of scrubbing with detergents and surfactants and rinsing with water removes substantial numbers of microorganisms. If a surface is not cleaned first, the success of the disinfection process can be compromised. Removal of all visible blood and inorganic and organic matter can be as critical as the germicidal activity of the disinfecting agent. When a surface cannot be cleaned adequately, it should be protected with barriers.

• Step-Two Disinfection destroys most pathogenic and other microorganisms by physical or chemical means.

• Workday. The number of hours per day the Contractor provides services in accordance with the contract.

2.2. Acronyms:

CBI Compliance and Business Integrity EPA Environmental Protection Agency ID Identification IT Information Technology JC Joint Commission NEHA National Executive Housekeeping Association OSHA Occupational Safety and Health Agency POC Point of Contact PWS Performance Work Statement QASP Quality Assurance Surveillance Plan

VHA Veteran Health Administration VA Veterans Affairs

3. Section 3: Government Furnished Property, Equipment, and Services. The government will furnish all supplies and equipment Including cleaning supplies (chemicals, PPE, mops, equipment, and SDS).

3.1. The Government reserves the right to issue work attire under the contract, i.e., uniforms.

3.2. The Government reserves the right to sanitize work attire under the contract, i.e., washing of work attire.

4. Section 4: Contractor Furnished Items and Services.

4.1. The contractor shall provide a standard custodial type uniform which is easily recognizable and clearly distinguish them as the “Contractor” for employees and ensure all work meets performance standards specified in this Performance Work Statement (PWS) and referenced documents.

4.2. Uniforms shall present a neat, distinctive appearance; shall be clean and maintained in good repair; and shall be worn as designed by the manufacturer. Standard custodial type uniform is defined as collared work short (button-down or polo style) and pants or skirt of twill or similar material (no denim). The Contractor shall wear appropriate footwear that will cover the entire foot for safety purposes. The Contractor will not wear hats.

5. Section 5: Specific Tasks

5.1. Standards: Aseptic areas apply to all areas within the medical center. Contractor will be required to perform Two-Step Cleaning in accordance with Centers for Disease Control (CDC) guidance. https://www.cdc.gov/oralhealth/infectioncontrol/faqs/cleaning-disinfecting-environmental-surfaces.html.

5.2. There will be cases where a room requires a “COVID-19 terminal cleaning” in the case of discharge, an isolation room, sick patient or otherwise. Upon request from VA staff, the contracted staff shall perform a terminal clean to affected areas.

5.3. Tasks and Cleaning Standards. The Best Practice cleaning tasks will be required under this PWS.

5.3.1. Waste

5.3.1.1. Trash Removal: The Contractor shall pick up and empty all trash or waste receptacles. Waste will be deposited at established waste collection sites/holding areas at the facility for waste hauler pick up.

5.3.1.2. Regulated Medical Waste (RMW) ‘Red Bag’ Bio-hazardous: All receptacles lined with "Red Bags" (plastic bags containing bio-hazardous medical waste material) shall be serviced. The Contractor shall pick up the Red Bag waste and deposit it in specially designated, locked "infectious waste" bins or designated holding areas in a safe and timely manner, and in accordance with established standards and procedures. NOTE: Red Bags may not be used for any other purpose.

Under no circumstance will red bag waste be co-mingled with any other types of waste.

5.3.1.3. Recyclables: The Contractor shall pick up and empty all recycled collection receptacles and deposited them at established holding sites.

5.3.2. Supplies: The dispensers and supplies will be provided by the Government.

6. Contractor Personnel

6.1. Contract Supervisor at the Facility.

6.1.1. The Contractor shall supervise and train contract personnel. The supervisor shall develop and evaluate the environmental sanitation procedures in order https://www.cdc.gov/oralhealth/infectioncontrol/faqs/cleaning-disinfecting-environmental-surfaces.html https://www.cdc.gov/oralhealth/infectioncontrol/faqs/cleaning-disinfecting-environmental-surfaces.html to ensure compliance with all provisions contained in this contract. A supervisor shall be available by phone anytime employees are working on site.

6.1.2. The supervisor shall be available during duty hours to respond by telephone within five (5) minutes of notification by the VA Technical Representative or designated representative and shall be available to meet with VA Technical Representative or designated representative within one (1) hour after notification to discuss problems areas.

6.2. Housekeeping Staff. The contractor’s employees shall be English speaking and shall be able to read, write, speak, understand and communicate effectively in English.

6.3. Prior to beginning performance under this contract, the Contractor shall provide the following:

6.3.1.1. List of employees who will provide services under this contract.

6.3.1.2. Name, telephone number and address of the supervisor.

6.3.1.3. If Shift Leads will be used, provide the listing with phone numbers.

6.4. The Contractor shall notify the VA Technical Representative or designated representative in writing (Email) whenever there is a change of personnel appointed to fulfill supervisory or shift leader function or when there is a planned absence of key personnel. The contractor supervisor shall, in the absence of the Contractor, act as the Contractor Representative. He/she shall have full authority to act for the Contractor on all matters relating to daily operations of this contract.

6.5. The Contractor shall not consume food, snacks, or drinks products except during specified break periods in appropriate designated break areas only.

6.6. The Contractor shall adhere to the VHA smoke-free campus policy.

6.7. The Contractor shall also be responsible for adhering to all requirements under the

Privacy Act due to the possibility that confidential medical record information may be accessible and/or visible to contractor employees during performance of their daily duties. The Contractor shall obtain a signed “Confidentiality Certificate” from each employee prior to allowing them to start work under this contract. The contractor shall keep a copy of confidentiality certificate on site for inspection purposes.

6.8. The Contractor is required to have physical examination prior to work on this contract. The Contractor shall not be assigned to this contract if not in good physical health or pose a risk to patients. The Contractor who acquires a communicable illness shall not perform service under the contract and shall be free of illness before returning to work. The Contractor will inform the VA Technical Representative or designated representative, if their employee was at risk of exposing Veterans, visitors or VHA employees to a communicable disease.

6.9. Contract employees must remain in the designated work area during their shift.

6.9.1. Any area vacated must be staffed with a contract employee during the designated shift.

6.9.2. Coordination must be made with the VA Technical Representative.

6.9.3. Contract employees may be reassigned to a different area based upon the facility’s needs and may be made by the VA Technical Representative or designated representative.

6.9.4. Contract employees can only be dismissed from duty by the Contractor or his/her designated representative.

6.9.5. If dismissed, the Contractor will not be entitled to payment.

7. Housekeeping Safety Training Requirements

7.1. Contract employees shall be medically cleared prior to contract performance.

Contractor shall provide documentation to the VA Technical Representative. See requirements identified below.

7.2. Contractor-Furnished Safety Training: The Office of Occupational Safety and Health has identified the minimum worker safety standards and related training that are required by respective State Laws and that are applicable to all employees. All Contractors providing service at VA facilities shall follow these established Code of Regulations “General Industry Safety Orders (OSHA) section listed below, as a condition of contract award:

7.2.1. Section 3203 Title 8 “Illness and Injury Prevention Program.” Exception:

Employers having fewer than 10 employees shall be permitted to communicate to and instruct orally in general safe work practices with specific instructions with respect to hazards unique to the employees’ job assignments, as compliance with subsection (a) (3).

7.2.2. Section 5193 Title 8. “Blood Borne Pathogens”

7.2.3. Section 5194 Title 8. “Hazard Communication”

7.3. The above-listed orders establish minimum standards and apply to-employment’s and places of employment as defined by Labor Code Section 6303; provided, however, that when the Occupational Safety and health Standards Board has adopted or adopts safety orders applying to certain industries, occupations or employment’s exclusively, in which like conditions and hazards exit, those orders shall take precedence wherever they are inconsistent with the General Industry Safety Orders hereinafter set forth.

7.4. The above-listed orders, effective 1 July 1991, require the employer to develop, implement and document written programs, as well as requiring initial and recurring employee training and record keeping. The Contractor shall provide to the VA Technical Representative or designated representative an annual written certification that each employee has received the State-required safety training; that each employee has received the Hepatitis B vaccination; or provide a written certification from any employee who declines the Hepatitis B vaccination.

7.5. Hepatitis B Vaccination: The final rule on Occupation Exposure to Blood Borne Pathogens, 29 CFR Part 1910.1030, states “employers shall make available the Hepatitis B vaccine and vaccination series to all employees who have occupational exposure, and post-exposure evaluation and follow-up to all employees who have had an exposure incident. Under the terms of this contract, the Contractor shall either provide, at no expense to the Government, the required vaccination defined herein, or have a letter of declination on file with the Contractor.

7.6. All contract employees need to be screened for tuberculosis prior to employment.

7.7. All contract employees need to be medically cleared to wear respiratory protection.

7.8. All contract employees shall be cleared for fitness of duty to perform physical tasks required for the job such as lifting a minimum of 50 lbs., prolong standing walking and frequent bending.

7.9. All contract employees shall comply with VA policy regarding influenza vaccine for staff and contractors.

This is the start of the file's text. The full file is on GovTribe.

File details come from the government source that posted it. Updated Jun 7, 2021.