Fire Door Repair - Draft SOW Dated 01-24-2023.pdf

DRAFT

Statement of Work Fire Door Repairs, Mather and Martinez VA Clinics

1. General Information

a. Background: To stay complaint with EC.02.03.05 EP25 Fire Safety Systems for Joint

Commission we had a subject matter expert inspect the fire doors in buildings 700, 650, 726 19 and 22. After the inspections we found doors, door openings and door frames that are out of compliance and need to be repaired. The doors require repairs and recertification to comply with references listed below.

b. The Contractor shall provide all labor, materials, equipment, and necessary supervision to make all fire doors, fire rated frames complaint per EC.02.03.05 EP25 at Mather and Martinez VAs.

c. The Contractor shall perform all maintenance requirements at the following location:

• Mather VA: (Buildings: 700, 650 and 726) 10535 Hospital Way, Mather, CA 95655

• Martinez Outpatient Clinic (Buildings: 19 and 22) 150 Muir Road, Martinez, CA 94553

d. Period of Performance: 90 Days ARO

e. All travel costs associated with the performance of this contract are the responsibility of the Contractor and are provided at no additional cost to the Government.

f. References: NFPA 101-2012, NFPA 80-2010 and NFPA 105-2010.

2. Scope of Work

Price Schedule (Fill out the Services eCMS Line Template to input your pricing information)

A. Mather VA Repairs

Description Qty

Smoke Seal S-88 13 EA Brush Astragal (Pair) 1 EA Perimeter Adj. 2 EA Adj. W/ Lorient Intumescent 14 EA

NGP GAP90 36" 6 EA

NGP GAP90 48" 6 EA

NGP GAP90 84" 4 EA

Closer LCN 4040 XP 3 EA Holes or Missing Fasteners 3 EA 4 1/2" Hinges (set of 3) 2 EA

Lockset Cyl. 1 EA Rated Glass 28" X 29" 2 EA Rated Glass 4" X 25" 3 EA Rated Glass 17 7/8" X 33" 2 EA Fire Pin 2 EA Stainless Steel Edge Guard 36" "L" 1 EA Von Duprin 99 SVR Fire Exit Device 4 EA Don Jo Angle Filler Strike Plate 1 EA Door Replacement - Pair 20 Min. 1 EA Door Label 8 EA Frame Label 11 EA Armor Plate Label 2 EA Site Visit/Travel (if applicable) 1 EA Recertification/Relabeling, 1 EA All doors that failed inspection

A. Martinez VA Repairs Description Qty U/I Smoke Seal S-88 9 EA

Astragal Seal S-88 1 EA

Perimeter Adj. 2 EA Adj. W/ Lorient Intumescent 7 EA

NGP GAP90 36" 1 EA

NGP GAP90 48" 1 EA

NGP 9590 Undercut Door Shoe 36" 9 EA NGP 9590 Undercut Door Shoe 48" 6 EA Closer Norton 7500 2 EA Holes or Missing Fasteners 8 EA Lockset Cyl. Schlage ND Passage 1 EA Adj./Repair Hardware 4 EA Fire Pin 1 EA Stainless Steel Edge Guard 36" "L" 4 EA Fire Exit Device - Von Duprin 9947 CVR 36" 1 EA Deadbolt Filler Plate 2 EA Door Replacement - Single 90 Min. Hollow Metal Primed Site Visit, per day charge (if applicable)

1 EA

1 EA

Door Label 1 EA Frame label 1 EA

B. Inspection results to reference required repairs

3. Documentation

a. Send completed reports to the COR within 5 days of work being completed and before invoicing.

RECORDS MANAGEMENT OBLIGATIONS

A. Applicability

This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

B. Definitions

“Federal record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. includes VHA records.

2. does not include personal materials.

3. applies to records created, received, or maintained by Contractors pursuant to their VHA contract.

4. may include deliverables and documentation associated with deliverables.

C. Requirements

1. Contractor shall comply with all applicable records management laws and regulations, as well as

National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR

Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of

44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, the Contractor shall maintain all records created for

Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law.

Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. VHA and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VHA or destroyed except in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage, or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, the Contractor must report to VHA. The agency must report promptly to

NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records, or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records, and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records, and/or equipment is no longer required, it shall be returned to VHA control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand-carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is

EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material, and/or records generated under, or relating to, contracts. The

Contractor (and any sub-contractor) is required to abide by Government and VHA guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VHA policy.

8. The Contractor shall not create or maintain any records containing any non-public VHA information that is not specifically tied to or authorized by the contract.

9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

10. The VHA owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which VHA shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with or otherwise handle records are required to take VHA-provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

[Note: To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.]

D. Flow down of requirements to subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms, and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the

Contractor.

- - - END OF STATEMENT OF WORK - - -

VHA Supplemental Contract Requirements for Combatting COVID-19

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the

COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

https://www.va.gov/covid19screen/ https://www.va.gov/covid19screen/

4. For indefinite delivery contracts: Contractor agrees to comply with VHA

Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.