75H71221R00015 P00002.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

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

2. AMENDMENT/MODIFICATION NUMBER

P00002

Amendment to the Scope of Work (SOW) attached.

Phoenix Area Indian Health Service Two Renaissance Square, 40 North Central Ave Suite 507 Attn: Division of Acquisition Mgmt Phoenix AZ 85004-4450

75H71221R00015

04/19/2021

04/19/2021

Amendment to the proposal due date is now 3 MAY 21, 1300 PT.

Performance Scope of Work

Replacement of the HVAC Building Automation Control System

General:

Replacement and upgrade of the HVAC building automation system with supporting hardware installation and startup to increase the efficiency air exchange rates of the HVAC filtration to mitigate COVID19 airborne hazards.

Location:

Fort Duchesne IHS Indian Health Clinic 6932 E. 1400 S.

Fort Duchesne, UT 84026 Lat. 40.2822417 Long. -109.8712278

Background:

Fort Duchesne IHS Clinic is in need of the replacement of the building automation system for its Heating, Ventilation, and Air Conditioning (HVAC) system. The HVAC control system software and the variable air volume (VAV) controls are no longer supported due to its age. The HVAC control system hardware cannot communicated with supported HVAC software systems. HVAC air exchange rates are not at optimum due to manual control of VAVs throughout the clinic.

Description of services to be provided:

A) Contractor to provide engineering, installation, calibration, terminations, software programming, and start up for complete operational building automation system.

B) Contractor to provide install new control system.

C) Contractor shall provide and installed web-enabled software system.

D) Contractor to provide software maintenance agreement.

E) Contractor shall provide and install the following item:

1. Outside Air Temperature Sensor

2. Specified control and monitoring of mechanical equipment below:

Existing Boiler System: Start and Stop Control Existing Boiler System: Status.

Existing Boiler System: Supply Temp. Sensor Existing Boiler System: Pump Control Existing Boiler System: Emergency Kill Switch Trip.

Existing Air Cooling System: Start and Stop Control Existing Air Cooling System: Status

Existing Air Handling Unit (AHU): VFD Fan Control – Start and Stop and Status.

Existing Air Handling Unit (AHU): Damper Control.

Existing Air Handling Unit (AHU): Heating Coil Control.

Existing Air Handling Unit (AHU): Colling Coil Control Existing Air Handling Unit (AHU): Pre- and Final-Filter Differential Pressure Readings.

Existing Air Handling Unit (AHU): Air Temperature: Read Entering, Mixing, and Leaving.

Existing Air Handling Unit (AHU): Freezer-stat: Identifies freezing of coils Existing Air Handling Unit (AHU): High Duct Static Sensor: Status.

Existing Air Handling Unit (AHU): Duct Pressure Sensor Reading Existing Air Handling Unit (AHU): Replacement of Damper Actuator.

Twenty- Six (26) VAV with reheat Coil Control: Replace existing DDC Controllers and Damper Actuator.

Twenty- Six (26) VAV with reheat Coil Control: Reuse existing reheat control valve/actuator.

Twenty- Six (26) VAV with reheat Coil Control: Discharge Air Temperature and Room Temp Sensors.

Fire and Smoke Sensors: Connection to existing smoke sensors.

F) Contractor shall provide third-party test and balance for quality control and measurement of new HVAC system.

G) Performance is estimated to occur between: To be determined upon agreement.

To be furnished with bid:

1. The following deliverables shall be provided with bid:

a) Propose work to provide cost schedule detailing breakdown of services delivered.

b) Estimated dates and times for work to be completed.

2.0 To be furnished after award:

1. The following deliverables shall be provided after award.

a. Installation of proposed upgrades and replacements.

b. Operation and Maintenance Manuals.

c. Startup and Troubleshooting of HVAC system.

3.0 Attachments

1. Three (3) drawings of existing HVAC control system layout.

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@ l!fi::I, IOxlO NEa<. 1211 CFII

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GENERAL NOTES:

I. ~lE INSTAII.AllON OF NEW EQUPIENT

111H 1.CCA110N OF ElllSIING OUC1S, VAY BOllES. CAlWAUC, Pl'ING AND S1RUC1URAL IEll!ERS.

2. ElllSIING VAY BOllES. AND EllHAUST FANS ANO

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3. ElllSIING DUCT SYSlEII 10 BE a.EANED AS

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4. ~lE EXACT I.CCA110N OF NEW GRIII.Ea,_MQSiUiS~ W1H ElllSIING

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5. IIOOFY /ll'GIIADE CON1ROI.S ON All. ElCIS1ING IIOTtwZED uAMPERS. FIRE/91DHE DAMPERS, FANS. VAY BOllES. IIOroRlmJ VALVES, ANO

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GENERAL NOTES:

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Contract No.161-02-0005

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@ IIG:::l, 10x10 NECK, 145 ml

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FT DUCHESNE HEALTH CENTER

HV AC UPGRADES

FORT DUCHESNE, UTAH

Contract No.161-02-0005

0 U.S. DEPARTMENT

OF HEALTH AND

HUMAN SERVICES

INDIAN HEALTH SERVICE

ENGINEERING SERVICES

SEATTLE / DAUAS

SHEET ,nu:

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