36C26323P0152.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. UEI: EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

437-23-1-6058-0076

437C30062

36C26323P0152

AWARDED:

EFFECTIVE: 12-16-2022

36C26323Q0115

Mark Chase (TAG) (210) 706-8139

36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

X

811310

$11 Million

N/A

Fargo VA Medical Center 2101 Elm St

Fargo ND 58102

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

72XB4

EVOQUA WATER TECHNOLOGIES LLC

210 6TH AVE STE 3300

PITTSBURGH PA 15222

HA3GWLK3JK58

Y

Department of Veterans Affairs Financial Services Center PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

Perform full maintenance of Mar Cor water purification system and water monthly water testing at the Fargo VAMC facility per Statement of Work and Schedule below.

Invoices must be submitted electronically through:

http://www.tungsten-network.com/US/en/veterans-affairs/ All invoices must reference PO # 437C30062

$82,869.27 See CONTINUATION Page

X X

X 1 X SVC10881

11-11-2022

0001-4001

Donald Gilbert

NCO231SL3-4302

Table of Contents

SECTION A .................................................................................... Error! Bookmark not defined.

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

AND COMMERCIAL SERVICES ..................................... Error! Bookmark not defined.

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ACCOUNTING AND APPROPRIATION DATA

B.3 STATEMENT OF WORK

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2021)

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...22

C.4 52.223-99 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR

FEDERAL CONTRACTORS (OCT 2021) (DEVIATION)

C.5 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.7 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.8 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

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:

Mike Weitnauer

(612) 759-9111 michael.weitnauer@evoqua.com

b. GOVERNMENT: Contracting Officer 36C263

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506

St. Paul MN 55101

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

[X] 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.

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

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 YR $82,869.270000 $82,869.27

Full maintenance of the Mar Cor water purification system & monthly water testing in the VAMC Fargo facility per the Statement of Work.

Contract Period: Base POP Begin: 12-16-2022 POP End: 12-15-2023 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment

Funding/Req. Number: 1 $82,869.27 437-23-1-6058-0076

1.00 YR $87,012.730000 $87,012.73

water testing in the VAMC Fargo facility per the Statement of Work.

Contract Period: Option 1 POP Begin: 12-16-2023 POP End: 12-15-2024 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

1.00 YR $91,363.370000 $91,363.37

water testing in the VAMC Fargo facility per the Statement of Work.

Contract Period: Option 2 POP Begin: 12-16-2024 POP End: 12-15-2025 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

1.00 YR $95,931.540000 $95,931.54

Full maintenance of the Mar Cor water purification system & monthly water testing in the VAMC Fargo facility per the Statement of Work.

Contract Period: Option 3 POP Begin: 12-16-2025 POP End: 12-15-2026 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

1.00 YR $100,728.120000 $100,728.12

water testing in the VAMC Fargo facility per the Statement of Work.

Contract Period: Option 4 POP Begin: 12-16-2026 POP End: 12-15-2027 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

GRAND TOTAL $457,905.03

ACCOUNTING AND APPROPRIATION DATA

ACRN APPROPRIATION

REQUISITION

NUMBER AMOUNT

1 437-3630162-6058-850300 Facility Safety, Occupa-2580 Non-Medical Contract and-010050192

437-23-1-6058-0076 (P)

$82,869.27

B.3 STATEMENT OF WORK

The Contractor shall provide full maintenance of the water purification system & monthly water testing in the Fargo VAMC facility. The departments include hemodialysis and SPS. The Contractor shall maintain systems in accordance with manufacturer’s recommendations and frequency. The Contractor be on-call for emergency diagnostic service requests outside normal business hours, nights, holidays, and weekends during critical times when needed.

Place of Performance – The Fargo VA Medical Center, 2101 N Elm St, Fargo, ND 58102

Period of Performance –This will be procurement will be a Base Year with four (4) provisional option periods. Normal business hours are 8:00 am to 5:00 pm CT (Central Time) Monday thru Friday, except Federal holidays.

Room Locations: Dialysis 3C60 & SPS BB-09 (each is listed separately below).

Room Location: Dialysis 3C60

The services will need to be performed on Tuesdays or Thursdays from 12: 00 pm to 5:00 pm CT.

1. Contractor must provide 4-week schedule prior to every month service to the Dialysis (VHAFAR Dialysis Water Results) and Biomed email group (VHAFAR Biomed).

2. Contractor must supply AMMI stand test kit thru D&D Laboratory, INC.

3. Contractor will be responsible to provide 1 AMMI test kit per month for a total of 12 AMMI test kits during each contract year.

4. The monthly AMMI standard test kit needs to be delivered by the 1st week of each month.

5. Contractor must supply 3 additional AAMI standard test kits on hand to support any possible unforeseen issues.

6. The Contractor is responsible to setup delivery and payment of test kits via D&D Laboratory, INC.

7. Result of all tests must be provided via email to VHAFAR Dialysis Water Results and

VHAFAR Biomed.

8. If any negative, critical, or abnormal, water result are noted during testing, the results must be notified by the supporting agency to the defined Dialysis Email Group by phone (701) 232- 3241 ext.4500, immediately.

9. Fargo will deliver all test kits to D&D Laboratory, INC. by the end of the second week, if by the second week no test kit has been received, the supporting agency will notify the defined SPS Email Group and the SPS Department by phone, no AAMI standard test kit was received for that month.

10. Contract will provide all service report with-in 24hrs. via Dialysis email group of performing any service.

11. Vendor will provide signed service report also in the logbook located in the Dialysis Unit the day of service.

SCOPE OF WORK –

SPECIFIC TASKS -

a) Contractor must furnish all transportation, lodging, labor, tools, and materials necessary to accomplish the work outlined herein.

b) Contractor must provide both preventative maintenance/service and on-call emergency support for dialysis equipment and infrastructure.

c) Contractor must perform all work in strict accordance with the manufacturer's standards

d) Contractor must provide OEM certified licensed vendors and maintenance technicians. Only OEM certified parts will be used for repairs and Preventive maintenance. Evidence of this certification must be provided prior to any commencement of work.

e) The Contractor must be responsible for informing the COR of any uncorrected deficiencies and noting these on the service ticket. Notation must include the type of deficiency, date, and initials. Any deficiency which poses a hazard to patients, staff, or other equipment must immediately be called to the attention of the users and the

COR.

f) Contractor must furnish all labor, parts, tools, and equipment as applicable to perform water testing, sampling, and sanitizing of the Dialysis RO System and portable machines listed herein and associated software.

g) Contractor must test the functionality of the equipment upon completion of repair. If this is a test for repair, the test should ensure that damaged parts have been successfully repaired and all functions including, but not limited to those related to repaired parts, are operational. If this is a test for a routine PM service, inspection, etc., then the test should just ensure that the equipment is functioning within the guidelines of the OEM or the applicable standards (AMMI, OSHA, ASSE, JCAHO, NEFP, etc.).

h) Contractor must provide unscheduled emergency services as necessary. Emergency services must be arranged and approved by the Contracting Officer in the form of a contract modification prior to the commencement of any work.

i) Contractor must price parts (i.e., parts other than those replaced during the course of a standard systems visit as per manufacturer's specifications) per standard rates.

Any additional cost of parts has prior approval by the VA or payment will be denied.

j) Contractor must perform emergency services after 5:00 pm weekends or Holidays per the terms and conditions of this contract unless the water systems are down and cannot be utilized and other arrangements are made with Dialysis staff.

k) Contractor must respond to emergency services requests with a return phone call within one (1) hour by a contractor technician. On-site visits must be arranged at a time mutually agreeable by Dialysis staff and the Contractor.

Contractor must test water each month, with no more than 31 days between each test according to AMMI Standards.

Contractor must use these testing parameters:

(i) Utility Water (Flushing/Washing/Rinsing)

a. Hardness (mg/L)

b. Conductivity (µS/cm) (mg/l=ppm)

(ii) pH

(iii) Chlorides (mg/L)

(iv) Bacteria (cfu/mL) Rinse water only

(v) Endotoxin (EU/mL). Rinse water only

(vi) Final Rinse/Steam

a. Hardness (mg/L)

b. Conductivity (µS/cm) (mg/l=ppm)

(vii) pH

(viii) Chlorides (mg/L)

(ix) Bacteria (cfu/mL)

(x) Endotoxin (EU/mL)

DELIVERY SCHEDULE OR DELIVERABLES –

A TDS calculation must be performed by the vendor at each preventative maintenance interval. At completion, a report must be left for the Dialysis staff and will consist of, but not be restricted to:

a) Incoming TDS

b) Product TDS

c) Product pH

d) Product flow rates (GPM/LPM)

e) Con. flow Rate (GPM/LPM)

f) Recirculation flow rate (GPM/LPM)

g) Pump Pressure (PSI)

h) Percent rejection

i) Percent recovery

j) Sterilant used

k) Residual of sterilant used (neg.)

j. Contractor must have access to unique and/or high-quality manufacturer's replacement parts (OEM). The Contractor must furnish only new standard parts (manufactured by the maker of the equipment. All parts must be of current manufacture and must have full versatility with presently installed equipment.

k. Scheduled systems maintenance services to the RO & DI equipment will be provided according to manufacturer's recommendations in accordance with the contract. Such service will be provided at equal intervals during the term of the contract. In no instance shall more time elapse for maintenance services than the time specified in this contract. The Contractor is responsible for scheduling all systems service visits specified in this contract. Any deviations from this schedule must be approved in advance by the COR.

Water purification system in the Hemodialysis unit maintenance Inventory:

1 ea. Water Purification Unit-CWP 100 S Serial Number:1378045 2 ea. MHX Portables Serial Numbers:13757530 and 1375731

SCHEDULE OF SERVICES

Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the months shown and will depend upon when the service is due.

Qt y

Description

Part # Service

Frequency

2 3 4 5 6 7 8 9 10 11 12

1 System Performance Review SI0002 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

2 Rental Carbon Tanks, 14X47,

3.61 cu.ft.

930-03-047 Semi- Annually

2 2

1 Disinfect System 4000-0060 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Clean Membranes (Large Central)

4000-0062 Semi- Annually

1 1

1 Inspect & Replace RO Pre- Filter

SI5000 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 20", 5M ME40170 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

2 Inspect & Replace Pyrogen SI5120 Semi- Annually

2 2

2 20",.05M 279-20-005 Semi- Annually

2 2

1 Inspect & Replace Vent Filters SI5110 Annually 1

1 10", .2M 276-20-513 Annually 1

2 Rental DI Tanks, 14X47, 3.61 cu.ft.

930-01-047 Semi- Annually

2 2

1 LAL Water Test TIR34 3035770 Annually 1

1 Bacteria Water Test TIR34 3035769 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Full Panel TIR34 3035768 Annually 1

1 TOC Test TIR (loop Feed) 3035771 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 pH Test TIR 3035773 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

32363-MH01-MH02 MHX Portables Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the months shown and will depend upon when the service is due.

Qty Description Part # Service Frequen cy Sample Frequency of Schedule of Services

1 2 3 4 5 6 7 8 9 10 11 12 2 Portable Performance Review 4000-0089 Monthly 2 2 2 2 2 2 2 2 2 2 2 2 2 MHX PM Kit 4000-1093 Annually 2 2 KIT,PM,MHX,CHECK VALVE 3035238 Annually 2 2 Inspect & Replace RO Pre Filter SI5000 Monthly 2 2 2 2 2 2 2 2 2 2 2 2 2 FILTER,5M,9-7/8IN ME40696 Monthly 2 2 2 2 2 2 2 2 2 2 2 2 2 Inspect & Replace 1 Carbon Block 4000-0073 Quarterly 2 2 2 2

PTG-520® Filter 2 Carbon Block PTG 3027145 Quarterly 2 2 2 2 2 AAMI (Customer to Pull) AAMI TEST Semi-

Annually 2 2

2 TEST, Bacteria (CUSTOMER TO PULL) Kit must have 12 sample tubes

Bacteria

TEST

Monthly 2 2 2 2 2 2 2 2 2 2 2 2

1 LAL Water Test Must have 7 sample tubes

LAL TEST Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 AWQA Test Must have 3 sample tubes

AWQA Test Semi- Annually 1 1 1 1

32363-WS01 CWP 100s Services Service Description

Review Operation’s Logbook Review Operation’s Logbook for completeness, issues and trends. Record any issues in the service report.

System Performance Review

As part of this preventative maintenance agreement, the Contractor will inspect Customer’s water system and record the findings on the service report. Listed below are the items included in the System Performance Review. Customer must review the service report in its entirety.

• Inspect & Record RO Control Panel Data

Inspect RO control panel by checking the system control panel for correct operation and indicators on the panel, which includes control switches, indicator lamps, meters and local alarms. Record any issues in the service report.

● Inspect & Record RO System Readings Data Inspect Reverse Osmosis Water System (“RO”) and record RO readings prior to the Vendor service technician servicing the system.

● Inspect & Record Blend Valve Performance Data

Inspect RO control panel by checking the system control panel for correct operation and indicators on the panel, which includes control switches, indicator lamps, meters and local alarms. Record any issues in the service report.

● Inspect & Record Booster Pump Performance Data

Inspect blend valve performance data by checking the blend valve operation to validate that it is producing the correct temperature per the temperature gauge. Record blend valve temperature.

● Inspect & Record Softener Data

Inspect carbon filters by checking the operation of carbon filter 1 and carbon filter 2, including pressure drops and if necessary, ensure all timer settings are accurate. Record carbon filter 1 and carbon filter 2 filter pre and post pressures and chlorine levels post carbon filter 1 and 2, and, if necessary, if necessary, ensure all timer settings are accurate.

● Inspect & Record Cartridge Filter Data

Inspect RO remote alarms for correct operation, including audible and visual alarms. Record any issues in the service report.

● Inspect & Record RO Remote Alarms Data

Pretreatment Rebuild Tank Head (2850, NHWBP) 1 Softener Head, 2 carbon Heads, 1 Organic Scavenger

The Contractor will rebuild Customer’s pretreatment filter head.

This includes a piston assembly and the seals and spacers for the head.

Water Softener exchange, 4 cu. ft.

The Contractor will exchange the Customer’s designated media tank by removing the media and replacing tank with required amount of media and replace the riser. The Contractor will dispose of all media.

Carbon Filter exchange, 7 cu. Ft. The Contractor will exchange Customer’s carbon filter by removing and replacing it with another tank. New carbon and gravel. The Contractor will replace the riser if needed.

The minimum standard for acid washed carbon is carbon with a mesh size of 12x40 and an iodine number of at least 950. The Contractor will dispose of all Media.

Cleaning and Disinfection Clean Membranes

To maintain the quality of water produced by the RO, the Contractor will clean the RO Membranes using Low and High pH cleaners. The Contractor will rinse the system and use the correct test strips to verify that all chemical is clear from the system unless Customer is otherwise notified. The cost of the cleaning agents and test strips used in connection with cleaning the RO Membranes are included in the price of this agreement.

Preventive Maintenance Kits CWP Year 4 Preventative Maintenance Kit

The Contractor will furnish AMMI test kit , preventative maintenance kit and perform the preventative maintenance for the given year for the CWP and perform the services. The Contractor must be certified by the OEM to perform the work along with the maintenance technicians must certified by the OEM. Only OEM certified parts will be used for repairs and Preventive maintenance. Evidence of this certification must be provided prior to any commencement of work.

Replacement Filters Inspect and replace System Filters The Contractor will remove the old pre-filter and replace it with a new pre-filter.

Inspect and replace RO Pre Filter The Contractor will remove the old pre-filter and replace it with a new pre-filter.

Inspect and replace Pyrogen Filter The Contractor will remove the old pre-filter and replace it with a new post filter.

Water Testing AAMI Water Test City Water (Customer to Pull)

Customer to draw an AAMI sample from a designated source and send it to the appropriate lab for analysis.

AAMI Test RO Product (Customer to Pull) Customer to draw an AAMI sample from a designated source and send it to the appropriate lab for analysis.

LAL Water Test (Customer to Pull)

Customer to pull water samples for LAL test and send the samples to the appropriate lab. This is a very sensitive test. This service may only be completed on certain days and times.

Bacteria Water Test (Customer to Pull) Customer to pull water samples for Bacteria test and send the samples to the appropriate lab.

LAL Water Test (Customer to Pull)

Customer to pull water samples for LAL test and send the samples to the appropriate lab. This is a very sensitive test.

This service may only be completed on certain days and times.

Bacteria Water Test (Customer to Pull) Customer to pull water samples for Bacteria test and send the samples to the appropriate lab. This is a very sensitive test.

This service may only be completed on certain days and times.

Full Panel TIR34

TOC Test TIR (loop Feed) pH Test TIR

Extended Coverage CWP Extended Coverage The CWP Extended Coverage agreement includes repair or replacement of certain parts, emergency service, labor and travel during normal business hours with respect to the covered CWP.

The CWP Extended Coverage agreement also includes an annual system review and parameter check, one annual Preventative Maintenance Kit, a semiannual pre-filter replacement, and a semiannual endotoxin filter. It does not include pretreatment equipment or cleaning and disinfection unless otherwise expressly set forth herein. The Contractor will replace or repair any items on the CWP that are covered under the warranty of the CWP. The Contractor is available for servicing equipment 24/7. The emergency service in this agreement only covers service calls that are completed Monday - Friday 8:00AM to 5:00PM (excluding holidays). The Contractor will respond by telephone within 48 hours of the initial call. Emergency service calls that are performed outside of this time period will be charged based on time and materials. The emergency service does not cover the cost of membranes, bacteria issues, and equipment issues that are from lack of care by the facility or acts of nature or are otherwise excluded from the Contractor’s warranty. The CWP Extended Coverage agreement includes media and media tanks. The Contractor will replace or repair any parts which prove defective during the term of this agreement, but the Contractor will have no obligation to repair or replace parts which fail due to

(i) external causes, including, without limitation, accident, vandalism, natural disaster, acts-of- God, power failure, or electric power surges.

(ii) abuse, misuse, or neglect or use of unauthorized third-party consumables and accessories.

(iii) usage not in accordance with product instructions;

or

(iv) servicing or repair not authorized by the Vendor.

This is only a guidance of some of the preventative maintenance that should be performed on the CWP.

Customer should follow what is stated in the product manual to maintain compliance.

Miscellaneous Annual Cleaning of Temperature Blending Valve Annual Calibration of Booster Pump

VALVE,SOLENOID,BRS,1-1/4",FNPT,NC,24VDC

32363-MH01-MH02 MHX Portables

Portable Performance Review As part of this preventative maintenance agreement, the

Contractor will inspect Customer’s portable water system.

The Contractor’s service technician will document any issues in the service report that he or she believes may affect Customer’s water. Customer must review the service report in its entirety.

Preventive Maintenance MHX PM Kit

The Contractor will service the MHX Annual PM Kit as it is listed in the OEM Manual. Provided by Contractor.

Replacement Filters Inspect & Replace RO Pre Filter The Contractor will remove the old pre-filter (s) and replace it with a new pre- filter (s).

Inspect & Replace 1 Carbon Block PTG-520® Filter The Vendor will remove and discard carbon block 1

(worker), and rotate carbon block 2 (polisher) into position 1 and install new carbon in position 2.

Water Testing AAMI (Customer to Pull) Customer to draw an AAMI sample from a designated source and send it to the appropriate lab for analysis.

TEST,MICROBIOLOGY,SERVICE (CUSTOMER TO PULL) Customer to pull water samples for Bacteria & LAL test and send the samples to the appropriate lab. This is a very sensitive test. This service may only be completed on certain days and times.

Post Treatment

Room Location: SPS BB-09

The services will need to be performed Tuesday or Thursday starting at 5:00 pm, or when SPS completes last run.

12. Contractor must provide 4-week schedule prior to every month service to the SPS (VHAFAR SPS Water Testing) and Biomed email group (VHAFAR Biomed).

13. Contractor must supply AMMI stand test kit thru D&D Laboratory, INC.

14. Contractor will be responsible for completing one (1) AMMI standard test kit and will provide SPS with one (1) AMMI test kit to be completed by SPS monthly. Kit to be delivered to SPS by the 1st week of each month.

15. Contractor must supply 3 AAMI standard test kits on hand to support any possible unforeseen issues.

16. Contractor is responsible to setup delivery and payment of test kits via D&D Laboratory, INC.

17. Result of all tests must be provided via email to VHAFAR Dialysis Water Results and VHAFAR

Biomed.

18. If any negative, critical, or abnormal, water result are noted during testing, the results must be notified by the supporting agency to the defined SPS Email Group and the SPS Department by phone immediately.

19. Fargo will deliver all test kits to D&D Laboratory, INC. by the end of the second week, if by the second week no test kit has been received, the supporting agency will notify the defined SPS Email Group and the SPS Department by phone, no AAMI standard test kit was received for that month.

20. All tanks will be exchange tanks.

Covered Equipment Equipment Name Serial Number/Brand Equipment Description SPS System 12-1234814-02 E4-4400-DLX, 460,6, H R (PA)

Schedule of Services Month of service is provided to give an estimate of the frequency of service visits; service may or may not happen on the months shown and will depend upon when the service is due.

Qty

Description

Part # Service

Frequen cy

1 System Performance Review SI0002 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

2 Rental Carbon Tanks, 14X47, 3.61 cu.ft. 930-03-

Semi-Annually 2 2

1 Disinfect System 4000-0060 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Clean Membranes (Large Central) 4000-0062 Semi-Annually 1 1

1 Inspect & Replace RO Pre-Filter SI5000 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 20", 5M ME40170 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

2 Inspect & Replace Pyrogen SI5120 Semi-Annually 2 2

2 20",.05M 279-20-

Semi-Annually 2 2

1 Inspect & Replace Vent Filters SI5110 Annually 1

1 10", .2M 276-20-

Annually 1

2 Rental DI Tanks, 14X47, 3.61 cu. ft. 930-01-

Semi-Annually 2 2

1 LAL Water Test TIR34 3035770 Annually 1

1 Bacteria Water Test TIR34 3035769 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Full Panel TIR34 3035768 Annually 1

1 TOC Test TIR (loop Feed) 3035771 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 pH Test TIR 3035773 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

SCOPE OF WORK –

SPECIFIC TASKS -

a) Contractor must furnish all transportation, lodging, labor, tools, and materials necessary to accomplish the work outlined herein.

b) Contractor must provide both preventative maintenance/service and on-call emergency support for

SPS RO System equipment and infrastructure.

c) Contractor must perform all work in strict accordance with the manufacturer's standards, AAMI, and VA National SPS Standards.

d) Contractor must provide certified licensed vendors and maintenance technicians

e) The Contractor must be responsible for informing the COR of any uncorrected deficiencies and noting these on the service ticket. Notation must include the type of deficiency, date, and initials.

Any deficiency which poses a hazard to patients, staff, or other equipment must immediately be called to the attention of the users and the COR.

f) Contractor must furnish all labor, parts, tools, and equipment as applicable to perform water testing, sampling, and sanitizing of the SPS RO System and portable machines listed herein and associated software.

g) Contractor must test the functionality of the equipment upon completion of repair. If this is a test for repair, the test should ensure that damaged parts have been successfully repaired and all functions including, but not limited to those related to repaired parts, are operational. If this is a test for a routine PM service, inspection, etc., then the test should just ensure that the equipment is functioning within the guidelines of the OEM or the applicable standards (AAMI, OSHA, ASSE, JCAHO, NEFP, etc.).

h) Contractor must provide unscheduled emergency services as necessary. Emergency services must be arranged and approved by the Contracting Officer in the form of a contract modification prior to the commencement of any work.

i) Contractor must price parts (i.e., parts other than those replaced during the course of a standard systems visit as per manufacturer's specifications) per standard rates.

j) Contractor must perform emergency services to include after 5:00 pm or on Sundays per the terms and conditions of this contract unless the water systems are down and cannot be utilized and other arrangements are made with SPS staff.

k) Contractor must respond to emergency services requests with a return phone call within one (1) hour by a contractor technician. On-site visits must be arranged at a time mutually agreeable by SPS Chief and the Contractor.

l) Contractor must test water each month, with no more than 31 days between each test according to

AMMI Standards.

Contractor must use these testing parameters:

1. Utility Water (Flushing/Washing/Rinsing)

a. Hardness (mg/L)

b. Conductivity (µS/cm) (mg/l=ppm)

2. pH

3. Chlorides (mg/L)

4. Bacteria (cfu/mL) Rinse water only

5. Endotoxin (EU/mL). Rinse water only

6. ii Final Rinse/Steam

a. Hardness (mg/L)

b. Conductivity (µS/cm) (mg/l=ppm)

7. pH

8. Chlorides (mg/L)

9. Bacteria (cfu/mL)

10. Endotoxin (EU/mL)

DELIVERY SCHEDULE OR DELIVERABLES –

A TDS calculation must be performed by the Contractor at each preventative maintenance interval. At completion, a report must be left for the SPS staff and will consist of, but not be restricted to:

a. Incoming TDS

b. Product TDS

c. Product pH

d. Product flow rates (GPM/LPM)

e. Con. flow Rate (GPM/LPM)

f. Recirculation flow rate (GPM/LPM)

g. Pump Pressure (PSI)

h. Percent rejection

i. Recovery

j. Sterilant used

k. Residual of sterilant used (neg.)

m) Contractor must have access to unique and/or high-quality manufacturer's replacement parts

(OEM). The Contractor must furnish only new standard parts (manufactured by the maker of the equipment. All parts must be of current manufacture and must have full versatility with presently installed equipment.

n) Scheduled systems maintenance services to the SPS RO equipment will be provided according to manufacturer's recommendations, AAMI, and VA National SPS Standards in accordance with the contract. Such service will be provided at equal intervals during the term of the contract. In no instance shall more time elapse for maintenance services than the time specified in this contract.

The Contractor is responsible for scheduling all systems service visits specified in this contract. Any deviations from this schedule must be approved in advance by the COR.

System Performance Review The Contractor will inspect Customer’s water system, which includes inspection of the items listed below. The Contractor’s service technician will document any issues in the service report that he or she believes may affect Customer’s water. Customer must review the service report in its entirety. Listed below are the items included in the System Performance Review.

• Inspect & Record Control Panel Data

Inspect control panel on the RO by checking the system control panel for correct operation and indicators on the panel, which includes control switches, indicator lamps, meters and local alarms. Record any issues in the service report.

Cleaning and Disinfection Disinfect System

To maintain the quality of water produced by the RO, the Contractor will disinfect the RO Membranes. The cost of supplies used in connection with disinfecting the RO Membranes are included in the price of this agreement.

Clean Membranes (Large Central)

To maintain the quality of water produced by the RO, the Contractor will clean the RO Membranes. The cost of supplies used in connection with cleaning the RO Membranes are included in the price of this agreement.

Replacing Filters Inspect & Replace RO Pre-Filter The Contractor will remove the old pre-filter and replace it with a new pre-filter.

Inspect & Replace Pyrogen The Contractor will remove the old pyrogen and replace it with a new pyrogen.

Inspect & Replace Vent Filters The Contractor will remove the old pre-filter and replace it with a new pre-filter.

Post Treatment

LAL Water Test TIR34 The Contractor will pull water samples for the LAL test and send the samples to the appropriate lab.

Bacteria Water Test TIR34

The Contractor will pull water samples for the Bacteria test and send the samples to the appropriate lab.

Full Panel TIR34

TOC Test TIR (loop Feed) pH Test TIR

All tanks must be exchange tanks, no rebedding onsite All used tanks must be removed same day of service.

Other Related Services (Not Included in the Scope of Work): Any services not expressly stated in this statement of work are not authorized. Services such as inspection, Original Equipment Manufacturer (OEM) required maintenance, or other maintenance and repair vital to the continued functioning of the systems may be added only after written modification from the Contracting Officer, unless they are inclusive to the requested services. No other person, including the COR or any other VA personnel, is authorized to request additional work be performed by the contractor. Any additional services performed that are not authorized by the Contracting Officer may not be approved for payment.

SECTION C - CONTRACT CLAUSES

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

PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered;

and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212- 5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C. 40118, Fly American; and 41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) [Reserved]

(u) Unauthorized Obligations.

(1) Except as stated in paragraph (u)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government authorized end…