B05 Amdnment A0004-75H70126R00028.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NUMBER 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQUISITION NUMBER 5. PROJECT NUMBER (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

Previous edition unusable

A0004

JONG KIM, Contracting Officer

A. The purpose of this amendment is to provide 1) complete Q&As dated 8/4/2026, and 2) B01 Attachment J02-g 02_4119

SELECTIVE DEMOLITION.

B. The RFP closing date and time remain August 11, 2026, at 1:00 pm PDT.

C. All other terms and conditions of the solicitation remain unchanged.

Indian Health Service - DES Seattle 701 5th Avenue, Suite 1600 Seattle, WA 98104

75H70126R00028

1 4

08/04/2026

06/02/2026

Amend No.

Item

Date Submitted

Question Type

(Technical or Admin)

Question Response Date Response Responded By

EXAMPLE 0 11/23/2020 Technical Please provide drawings or plans for ??? 11/23/2020 IHS Response IHS POC

A0001 1 6/18/2026 Technical

Will power be provided for construction during standard daytime hours?

06/26/2026

Reggie - Yes, while power will be provided for construction activities, the hospital retains the right to prioritize electrical supply for patient care and critical operations at any time. IHS PM

A0001 2 6/18/2026 Technical

When sections of building are shut down for electrical work, what are the coordination requirements needed? What is the leadtime to request shutdown and what is the time that sections can be shut down for? 06/26/2026 yes, coordination wilth Facility Manager ( Reggie White) will have to take place. He will be familiar with the facility

IHS PM

A0001 3 6/18/2026 Technical

Can we get confirmation that areas being worked on will be clear of patients?

06/26/2026 yes, confirmation will be given. A schedule from the contractor will be submitted prior to start work. This will coordinate with the facility on scheduling. IHS PM

A0001 4 6/18/2026 Technical

Will only the prime contractor's superintendent be required to complete the IHS background investigation, or will other personnel be required to do so?

How long will the process take to complete? 06/26/2026

A listing of the contractors personnal will be given

IHS PM

A0001 5 6/18/2026 Technical

Will asbestos or other hazardous materials be encountered during work? If so, we will need clear information on locations and quantity in order to price this scope.

06/26/2026 no asbestos onsite

IHS PM

A0001 6 6/18/2026 Technical

Will additional chainlink fence need to be added to east side of the emergency low pressure gaseous oxygen inlet box (next to the building entry door and across from the new west access gate)? Will additional chainlink fence need to be added to connect the isolated bulk liquid oxygen tank to the main building to the east and the south in order to close the whole area off to the public?

06/26/2026

Reggie - Yes, additional chain-link fencing is required because of a lateral access route to the employee entrance passes directly between the bulk liquid O2 tank and the main building.

IHS PM

A0001 7 6/18/2026 Technical

Will any concrete sidewalk around the bulk liquid oxygen tank need to be replaced or expanded in addition to the new concrete walkway at the building entrance where the inlet box is located? 06/26/2026

Reggie - Yes, the existing concrete sidewalk must be replaced and widened. This expansion is required to accommodate the delivery of emergency cryogenic oxygen dewars. IHS PM

A0001 8 6/18/2026 Technical

At the mechanical room (MG-5), will the raised concrete pad need to be replaced or adjusted along with the medical air compressor and vacuum pump? 06/26/2026 existing housekeeping pad shall be used

IHS PM

A0001 9 6/18/2026 Technical

Please confirm allowable days and hours to work at the site. What is the lead time to request extended hours or weekend work if needed?

06/26/2026 allowable days of work are M-F 8-5pm. As noted in MG-1 Note F in

MEDICAL GAS GENERAL NOTES

IHS PM

A0001 10 6/18/2026 Technical

It was mentioned during the walk that the parking lot area to the north of the building (by the bulk oxygen tank) can be closed off and used as the staging area for the contractor for the duration of the project. Please confirm if this is correct. If not, what other locations would be suitable? 06/26/2026

Correct north of building or north of bulk oxygen tank will be staging area for contractor.

IHS PM

A0001 11 6/18/2026 Technical

Could you provide the official site visitation attendance log?

06/26/2026

Yes.

IHS PM

A0001 12 6/18/2026 Technical

Is there a specific sequence of work that the IHS would like followed?

06/26/2026

As is pertains to the different locations. Contractor will submit a schedule and IHS will agree.

IHS PM

A0001 13 6/18/2026 Technical

Will updated plans be provided? There is a reference to documents dated Aug. 10, 2024 on Page 2 of the Update Report. Are the provided 2018 drawings the latest and greatest? 06/26/2026 yes, it will be submitted.

IHS PM

A0001 14 6/18/2026 Technical

How many project areas will there be, and will each area require a separate ICRA permit?

06/26/2026

Reggie - Yes, due to varying levels of clinical risks within the patient care areas, approximately 13 separate ICRA permits will be required across the designated project zones. IHS PM

A0001 15 6/18/2026 Technical

Please confirm if the IHS will be the AHJ? Are there any local or State permits that the contractor will need to pull?

06/26/2026

IHS will be AHJ

IHS PM

A0001 16 6/18/2026 Technical

Are there any TERO taxes required?

06/26/2026

There is no TERO tax. There is a 6% Navajo Nation tax

IHS PM

A0004 17 6/18/2026 Technical

Is there a basis of design for exterior lighting? More information would help so our proposal meets the intent of this scope.

08/04/2026

Exterior lighting is not included in the original drawings.

A/E

A0001 18 6/18/2026 Technical Can a qualified superintendent also serve the roles of site safety supervisor and QC manager (triple hat)? 06/26/2026

Yes.

IHS PM

A0004 19 6/18/2026 Technical

Will the IHS accept a substituted alternate manufacturer to Ohio Medical?

08/04/2026

Medical gas equipment - No substitutes/changes will be accepted.

The medical air compressor and medical vacuum pump may be substituted with a prior-approved equivalent that meets or exceeds the specified performance requirements.

A/E

A0001 20 6/19/2026 Admin

If the Native Owned business is not individually owned but rather entity owned by a federally recognized Indian Tribe, what can we use in lieu of "Controlling enterprises tribal enrollment cert of degree of Indian Blood documentation" as requested in Volume II, Submittal Part 1? Will our Charter of Incorporation or Articles of Organization suffice?

06/19/2026

Yes

IHS CO

A0001 21 6/19/2026 Admin

Can you please confirm a project manager, superintendent and safety are the only key personnel required for the project?

06/19/2026

The solicitation does not include a Key Personnel evaluation factor.

Offerors shall submit all information required by the solicitation. The Government will evaluate proposals based on the evaluation factors identified in the solicitation. Offerors are responsible for proposing a staffing approach sufficient to successfully perform all contract requirements.

IHS CO

A0004 22 6/19/2026 Technical

Do you have the specifications for paint for patch repair?

08/04/2026

The original drawings do not include patching or painting within the project scope. Additionally, the original project specifications did not include demolition, patching, or repair specifications. These requirements will need to be added. A general note will be added to the mechanical drawings stating: Conduct demolition work as required for the new installation in accordance with Specification Section 02 41 19 – Selective Demolition (see attached). Patch and repair all affected surfaces to match the existing adjacent finishes. Paint repaired areas in accordance with IHS requirements. The extent of painting (localized touch-up or painting of the entire wall or room) shall be as directed by IHS based on field conditions and the extent of the repairs.

A/E

A0001 23 6/19/2026 Technical

Could you provide the liquid oxygen supplier info to verify tank refurbishing?

06/26/2026

Current vendor that is familiar with bulk oxygen tank is Cook's Cryogenic Services. Kenny Cook Phone:480-988-5122 or 5123

IHS PM

A0004 24 6/19/2026 Technical

Can we provide an equal brand for medical equipment?

08/04/2026

Refer to the response to Question No. 19.

A/E

A0001 25 6/19/2026 Technical

What are going to be your ICRA wall requirements?

06/26/2026

Reggie - ICRA wall requirements vary by clinical risk level, ranging from basic 6-mil plastic barriers to durable modular containment walls.

All barrier types must comply with fire codes governed by NFPA 101, NFPA 241, NFPA 701.

IHS PM

A0001 26 6/19/2026 Technical

Do you have a phasing plan you would like the GC to follow?

06/26/2026

GC will submit a schedule and IHS will review an approve

IHS PM

A0001 27 6/19/2026 Technical

Are we replacing the fence and gate around outside oxygen tank or just reusing the exsisting one?

06/26/2026

Yes, see item #6.

IHS PM

A0001 28 6/19/2026 Technical

Please confirm that there is an 8% TERO tax.

06/26/2026

There is no TERO tax. There is a 6% Navajo Nation tax

IHS PM

A0001 29 6/19/2026 Technical

Is there any work hour restrictions?

06/26/2026 allowable days of work are M-F 8-5pm. As noted in MG-1 Note F in

MEDICAL GAS GENERAL NOTES

IHS PM

A0001 30 6/19/2026 Technical

Is IHS going to provide the medgas third party inspector?

06/26/2026

No

IHS PM

A0001 31 6/19/2026 Technical

Does IHS want commissioning?

06/27/2026

No

IHS PM

A0001 32 6/19/2026 Technical

Are we replacing the exsisting low voltage wiring or reusing the exsisting low voltage wire?

06/26/2026 refer to Wilson & Company report. #7. Sheet E-1, c iii, d iii

IHS PM

A0001 33 6/22/2026 Technical

May the QCM assume the responsibilities of the SSHO on this project?

(Reference: Section H.6 Key Personnel, Page 15, Paragraph (b))

06/26/2026

Yes, QCM can assume responsibilities of SSHO

IHS PM

A0001 34 6/22/2026 Technical

May the QCM assume the responsibilities of the Superintendent on this project?

(Reference: Section H.6 Key Personnel, Page 15, Paragraph (b); Section H.8 Superintendent on Site, Page 16)

06/26/2026

QCM can't assume responsibilities of the Superintendent.

IHS PM

A0001 35 6/22/2026 Technical

May the SSHO assume the responsibilities of the Superintendent on this project?

(Reference: Section H.6 Key Personnel, Page 15, Paragraph (b); Section H.8 Superintendent on Site, Page 16)

06/26/2026

SSHO can't assume responsibilities of the Superintendent.

IHS PM

A0001 36 6/22/2026 Technical

Are there any known activities, shutdowns, tie-ins, testing, or inspections anticipated to occur outside normal working hours?

(Reference: Section C.5 Work Hours, Page 4, Paragraph 5.1; Section H.1 Work Hours, Page 13)

06/26/2026

If outside hours are anticipated. Facility will work with contractor

IHS PM

A0001 37 6/22/2026 Technical

In the event the Medical Code Update Report, construction drawings, specifications, and referenced codes conflict, please clarify the order of precedence for design and construction requirements.

(Reference: Section C.1 Project Background, Page 4; Attachment J02 Medical Code Update Report)

06/26/2026 revisions are reported on drawings and are highlighted in red.

Reference are in letter from Wilson & Company. Under subject Medical Gas Upgrade Construction Drawings: no other update or reissue to the Crownpoint Health Care Facility Medical Gas upgrade Construction Documents dated August 10th, 2018. This report will be attached.

IHS PM

A0004 38 6/22/2026 Technical

If existing conditions require additional work not specifically identified in the Medical Code Update Report but necessary to achieve a code-compliant medical gas system, should such work be included in the base bid or addressed through contract modification?

(Reference: Section B.2 Incidental Payment Items, Page 3; Attachment J02 Medical Code Update Report)

08/04/2026

We agree that additional work may be required if unforeseen existing conditions are encountered. If such conditions arise, promptly notify IHS and Rock Gap Engineering, document the existing conditions and the additional work required, and submit a Change Order for review and approval before proceeding with the work.

A/E

A0001 39 6/22/2026 Technical

Please provide any available as-built drawings for the existing medical gas systems.

(Reference: Section E.2 Inspection of Site, Page 7, Paragraph (c)) 06/26/2026

As-built can be submitted.

IHS PM

A0001 40 6/22/2026 Technical

Is the Medical Code Update Report intended to represent the complete scope of work, or are there additional deficiencies expected to be addressed under this contract?

(Reference: Section C.1 Project Background, Page 4; Attachment J02 Medical Code Update Report)

06/26/2026

Medical code update report represents the complete scope of work.

IHS PM

A0001 41 6/22/2026 Technical

Will temporary medical gas systems be required during construction activities or planned shutdowns?

(Reference: Section C.8 Coordination with Occupants, Page 5; Section C.9 Work Restrictions, Page 5)

06/26/2026 no

IHS PM

A0001 42 6/22/2026 Technical

Will third-party testing, certification, and verification of the medical gas systems be required under this contract? If so, please identify the required certifying agency.

(Reference: Section E.3 Inspection and Acceptance, Page 7)

06/26/2026

Yes, it will be under this contract. This report is part of the Rock Gap Engineering LLC, 2018, Medical gas Upgrade Project specifications.

Report will be attached IHS PM

A0001 43 6/22/2026 Technical

Are there any known hazardous materials that may be encountered during demolition activities?

(Reference: Section C.3 Work Covered by Contract Documents, Page 4) 06/26/2026 no known hazardous material will be encountered.

IHS PM

A0001 44 6/22/2026 Technical

Will the Government provide designated staging, laydown, and material storage areas for contractor use?

(Reference: Section D.1 Packaging and Marking, Page 6, Paragraph (c)) 06/26/2026

Correct north of building or north of bulk oxygen tank will be staging area for contractor.

IHS PM

A0001 45 6/22/2026 Technical

Please identify any anticipated utility or medical gas shutdown restrictions and required notification periods.

(Reference: Section C.9 Work Restrictions, Page 5, Paragraph 9.1) 06/26/2026

Oxygen is offline, Medical Gas is decomission for service and medical Vacuum is rarely used. At ER and OR, they are using portable units.

IHS PM

A0001 46 6/22/2026 Technical

Please clarify whether all medical gas alarms, master alarms, area alarms, and monitoring devices are included in the project scope.

(Reference: Attachment J02 Medical Code Update Report / Construction Drawings)

06/26/2026

All medical gas equipment schedule and medical air compressor and medical vacuum pump are noted on print. If noted in red, then updated scheduled in report by Wilson & Company. IHS PM

A0001 47 6/22/2026 Technical

Please confirm whether existing medical gas source equipment (vacuum pumps, air compressors, manifolds, and bulk oxygen systems) is included in the upgrade scope, or if work is limited to piping and distribution systems.

(Reference: Attachment J02 Medical Code Update Report / Construction Drawings)

06/26/2026 vacuum pump, air compressors will be replaced, manifold tie in exiting piping is also in scope. Bulk Oxygen will be refurbished.

IHS PM

A0001 48 6/22/2026 Technical

Please identify any anticipated phasing requirements for patient care areas that may impact sequencing and temporary services.

(Reference: Section H.7 Project Management, Page 15; Section C.8 Coordination with Occupants, Page 5)

06/26/2026

A schedule of construction will be submitted to IHS for approval. IHS will try to adhere to the scheduling. It's unpredictiable is patient room will be occupied during those scheduling. IHS PM

The Government will not accept any further questions or inquiries concerning this RFP.