RFQ 36C24823Q0711.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

TBD

36C24823Q0711 03-22-2023

Kim Tucker (813)816-8275 03-28-2023 3pm EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy, Suite 560 Tampa FL 33637 Kim Tucker kim.tucker1@va.gov

X

811210

$34 Million

N/A

X

Department of Veterans Affairs James A. Haley Veterans Hospital (90C) 13000 Bruce B. Downs Blvd

Tampa FL 33612

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page

Provide all labor, materials, travel, equipment, etc. to provide Preventative Maintenance Services for Dialysis Water Treatment Equipment.

The contractor shall perform preventative maintenance, disinfection, calibration, and service to ensure that equipment is in conformance with AAMI and OSHA in accordance with the Performance of Work Statement (PWS), dated 03/07/2023.

Enter all pricing in Section B.2 “Price Schedule”

Submit all questions by email to Kim.Tucker1@va.gov no later than Thursday, 03/24/23 at 3:00 PM EST.

The Government reserves the right to not respond to questions submitted after this time.

Please submit written proposals by email to Kim Tucker at Kim.Tucker1@va.gov no later than Tuesday, 03/28/23, 3:00 PM EST.

See CONTINUATION Page

TO BE PROVIDED

X X

X 1

Kim C. Tucker

36C24823Q0711

Table of Contents

SECTION A

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

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 STATEMENT OF WORK (SOW)

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2022)

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...30

C.5 52.247-5 FAMILIARIZATION WITH CONDITIONS (APR 1984)

C.6 52.247-21 CONTRACTOR LIABILITY FOR PERSONAL INJURY AND/OR

PROPERTY DAMAGE (APR 1984)

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 MANDATORY WRITTEN DISCLOSURES

C.9 WAGE DETERMINATION

C.10 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

52.212-1 - ADDENDUM – INSTRUCTIONS - PROPOSAL PREPARATION)

E.2 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

ADDENDUM to FAR 52.212-2, EVALUATION SIMPLIFIED ACQUISITION PROCEDURES

(JUL 2021)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

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

1998)

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:

b. GOVERNMENT: Contracting Officer 36C248 Kim Tucker Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy, Suite 560 Tampa FL 33637

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 [] 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 __________________ __________________

Contractor shall provide all management, tools, supplies, salt, equipment, labor, chemicals, disinfection, calibration, etc. to provide preventative maintenance service for the Dialysis Water Treatment Plant and Purification Equipment at the James A. Haley VAMC on 2Bwest for Hemodialysis in accordance with the Statement of Work (SOW), dated 03/7/23. Equipment Name and Description: 32486- WS01 23G-10500 RO. Serial No. 1285863. Contractor shall provide 40 lb. bags of salt included in the total annual preventative maintenance price Contract Period: Base POP Begin: 04-01-2023 POP End: 03-31-2024 PRINCIPAL NAICS CODE: 811210 - Electronic and Precision Equipment Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and Rebuilding of Equipment - Water Purification and Sewage Treatment Equipment equipment, labor, chemicals, disinfection, calibration, etc. to provide preventative maintenance service for the Dialysis Water Treatment Plant and Purification Equipment at the James A. Haley VAMC on 2Bwest for Hemodialysis in accordance with the Statement of Work (SOW), dated 03/7/23. Equipment Name and Description: 32486- WS01 23G-10500 RO. Serial No. 1285863. Contractor shall provide 40 lb. bags of salt included in the total annual preventative maintenance price Contract Period: Option 1 POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 811210 - Electronic and Precision Equipment Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and equipment, labor, chemicals, disinfection, calibration, etc. to provide preventative maintenance service for the Dialysis Water Treatment

Plant and Purification Equipment at the James A. Haley VAMC on 2Bwest for Hemodialysis in accordance with the Statement of Work (SOW), dated 03/7/23. Equipment Name and Description: 32486- WS01 23G-10500 RO. Serial No. 1285863. Contractor shall provide 40 lb. bags of salt included in the total annual preventative maintenance price Contract Period: Option 2 POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 811210 - Electronic and Precision Equipment Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and equipment, labor, chemicals, disinfection, calibration, etc. to provide preventative maintenance service for the Dialysis Water Treatment Plant and Purification Equipment at the James A. Haley VAMC on 2Bwest for Hemodialysis in accordance with the Statement of Work (SOW), dated 03/7/23. Equipment Name and Description: 32486- WS01 23G-10500 RO. Serial No. 1285863. Contractor shall provide 40 lb. bags of salt included in the total annual preventative maintenance price Contract Period: Option 3 POP Begin: 04-01-2025 POP End: 03-31-2026 PRINCIPAL NAICS CODE: 811210 - Electronic and Precision Equipment Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and equipment, labor, chemicals, disinfection, calibration, etc. to provide preventative maintenance service for the Dialysis Water Treatment Plant and Purification Equipment at the James A. Haley VAMC on 2Bwest for Hemodialysis in accordance with the Statement of Work (SOW), dated 03/7/23. Equipment Name and Description: 32486- WS01 23G-10500 RO. Serial No. 1285863. Contractor shall provide 40 lb. bags of salt included in the total annual preventative maintenance price Contract Period: Option 4 POP Begin: 04-01-2026 POP End: 03-31-2027 PRINCIPAL NAICS CODE: 811210 - Electronic and Precision Equipment Repair and Maintenance PRODUCT/SERVICE CODE: J046 - Maintenance, Repair, and

GRAND TOTAL __________________

B.3 STATEMENT OF WORK (SOW)

DIALYSIS WATER TREATMENT PREVENTATIVE MAINTENANCE SERVICE

03/07/2023

TABLE OF CONTENTS

1.0 GENERAL

1.1 Background

1.2 Scope of Work

1.3 Period of Performance

1.4 Place of Performance

2.0 DEFINITIONS/ACRONYMS/ABBREVIATIONS

3.0 REFERENCES

4.0 SPECIFIC REQUIREMENTS/TASKS

Table 1: List of Equipment in the Water Treatment Room Table 2: Frequency of Service

5.0 DELIVERABLES - SALT

6.0 SPECIAL INSTRUCTIONS

6.1 Schedule

6.2 Documentation

6.3 Government Responsibilities

6.4 Performance/Working Hours

6.5 Holidays

6.6 Kick-off Meeting

7.0 QUALIFICATIONS

8.0 TRAINING

9.0 VHA SUPPLEMENTAL CONTRACT REQUIREMENTS FOR COMBATTING COVID-19

ATTACHMENTS:

1. RECORDS MANAGEMENT CONTRACT LANGUAGE

STATEMENT OF WORK

1.0 GENERAL

1.1 Background: The Department of Veterans Affairs (VA), Veterans Health Administration (VHA) requires Reverse Osmosis (RO) Systems for VA Dialysis Centers throughout the United States, including Alaska, Hawaii and Puerto Rico. The requirement includes the Reverse Osmosis System, installation, all maintenance services (including corrective and preventive maintenance), and temporary (portable) RO Systems. The RO System is one of the most important systems used during dialysis treatment for Veterans with End State Renal Disease (ESRD). A RO System purifies the water used during dialysis by dissolving inorganic solids and removing bacteria and other infectious agents from treated city water. This critical water purification system ensures safe and effective dialysis treatment for Veterans

1.2 Scope of Work: The contractor shall provide all management, tools, supplies, equipment, labor, chemicals, laboratory services, maintenance of the Dialysis Water Treatment room to provide quality water intended for the use in the delivery of Hemodialysis for the James A. Haley Veterans’ Hospital (JAHVH), Tampa FL. Work shall comply with AAMI (Association for the Advancement of Medical Instrumentation) “Water Treatment Equipment for Hemodialysis Applications Standards” and “The Joint Commission” requirements.

1.3 Period of Performance: The period of performance for this contract shall be for a base period of one year followed by four – one year option periods

1.4 Place of Performance: The Contractor’s primary place of work performance will be at the James A. Haley Veterans’ Hospital at 13000 Bruce B Downs Blvd, Tampa, FL 33612.

2.0 DEFINITIONS/ACRONYMS/ABBREVIATIONS:

a) CFR – Code of Federal Regulation

b) Contracting Officer (CO) – VA official with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

c) Contracting Officer's Representative (COR) – VA official responsible for providing contract oversight and technical guidance to the Contracting Officer. Responsibilities include certification of invoices, placing orders for service, providing technical guidance, overseeing technical aspects of the contract. All administrative functions remain with the Contracting Officer.

d) Contractor –refers to both the prime Contractor and his/her employees, and any sub-contractor and their employees.

e) E.O. – Executive Order

f) FSE – Field service engineer

g) Fixed-price contract- is a type of contract that provides for a price that is not subject to any adjustment on the basis of the contractor's cost experience in performing the contract.

h) FAR, Federal Acquisition Regulation

i) NICET – National Institute for Certification in Engineering Technology

j) National Fire Protection Association (NFPA) - is a United States trade association, albeit with some international members, that creates and maintains private, copyrighted standards and codes for usage and adoption by local governments.

https://en.wikipedia.org/wiki/United_States

k) Out-Patient Clinic (OPC) - the part of our VA hospital system designed for the treatment of veteran’s outpatients with health problems who visit the VA for diagnosis or treatment out in their local community.

l) Preventative Maintenance (PM)

m) Performance of Work Statement (PWS) - is a performance of work for performance-based acquisitions that describes the required results in clear, specific and objective terms with measurable outcomes

n) Quality Assurance Surveillance Plan (QASP) – an organized written document used for quality assurance surveillance. The document contains specific methods for performing surveillance of the Contractors continuous performance.

o) Quality Control and Quality Control Plan (QCP) – Those actions taken by the Contractor to control the production of goods or services, so they will meet the requirements of the contract.

p) Solar Reflectance Index (SRI) -- The measure of constructed surface's ability to reflect solar heat, as shown by a small temperature rise

q) VAAR, Veteran Affairs Acquisition Regulation

r) Weekends, Holidays, Evenings and Nights Hours – WHEN

3.0 REFERENCES

a) E.O., 12902, 13514, 13693, 13834, 13990

b) FAR 23 & 36, Sustainable Acquisitions

c) FAR 52.211-6, Brand Name or Equal

d) VAAR 823, Sustainable Acquisition Policy

e) NFPA 10, Portable Fire Extinguisher

f) NFPA 30, Flammable Combustible liquids

g) NFPA 70E, Standard for Electrical Safety in the Workplace

h) NFPA 99, Health Care Facilities Code, Latest Edition

i) NFPA 101, Life Safety Code, Latest Edition

j) NFPA 203, Guide on Roof Coverings and Roof Deck Constructions

k) VA Architectural Design Manual, Chapter 1.6 Sustainable Design

l) Design ASHRE, American Society of Heating, Refrigerating and Air-Conditioning

Engineers Manual

m) ICC, International Building Code, Latest Edition

n) The Joint Commission Accreditation Manual for Hospitals, Latest Edition.

o) OSHA Standard 29 CFR Part 1910, Subparts: D, H, I, J, K, L, P & Z.

p) OSHA - Safety and Health Regulations for Construction Part 1926 Subpart E

q) International Electrical Testing Association (NETA) – Maintenance & Testing

Specifications

4.0 SPECIFIC REQUIREMENTS/TASKS

4.1 The contractor shall provide James A Haley with services, supplies and maintenance of the dialysis water system to included delivery and installation of salt.

4.2 The contractor shall perform preventative maintenance, disinfection, calibration and service to ensure that equipment listed below functions in conformance with the latest published editions of AAMI and OSHA. The contractor shall provide and utilize procedures and checklists with worksheet originals indicating work performed and actual values obtained (as applicable) provided to the COR at the completion of the PM. Preventive maintenance procedures shall be submitted to COR for approval prior to initiation of this service contract. Reviewing operating system diagnostics to ensure that the system is operating to the manufacturer's specifications; Calibrating and lubricating the equipment; Performing remedial maintenance of non-emergent nature; Testing and replacing faulty or worn parts and/or parts which are likely to become faulty, fail, or become worn; Inspecting all cables and bushings and replacement as necessary; Measuring, adjusting, aligning, and calibrating as necessary for optimal performance; Inspecting and replacing where indicated electrical wiring and cables for wear and fraying; Inspecting and replacing where indicated all mechanical components including but not limited to devices, cables and mounting hardware, chains, belts, bearings and tracks, interlocks, clutches, motors, and keyboards for mechanical integrity, safety, and performance; Returning the equipment to full and proper operating condition; Providing documentation of service performed. Parts and assemblies will be repaired or replaced as necessary. An electrical safety inspection will be done at the time of the preventive maintenance and results will be documented.

4.3 Contractor shall provide services and supplies to maintain the dialysis water treatment room’s equipment (See Table 1). In addition to the below equipment there are various pressure gauges, sample ports, automatic/mechanical valves, pressure regulators and backwash timers and apparatuses located in the water treatment room that shall be included as part of the equipment to be maintained.

Table 2: List of Equipment in the Water Treatment Room

Equipment Manufacturer Serial Number Remote Alarm RA 6 MLE80ba2166C Booster Pump Grundfos Multi Media Filter Mar Cor Purification Inc. 3024917 Water Softener brine tank and components

Mar Cor Purification Inc. 3024918

Carbon Tank Worker Mar Cor Purification Inc. 3024919 Carbon Tank Polisher Mar Cor Purification Inc. 3024953 RO System Mar Cor Purification Inc. 23G Storage Tank Mar Cor Purification Inc. 3024923 DI Diverter System Mar Cor Purification Inc.

UV Meter Aqua Azul Corp UV Light Aqua Azul Corp IJ-15-11-777-BF-1-C Water Pump (2 Each) redistribution pump

Grundfos C4JZ20126P11032

Pump/UV Control Box

4.4 The contract shall include one (1) comprehensive scheduled maintenance inspection

(preventive maintenance) to be performed at a mutually agreeable time scheduled through the COR

Table 2: Frequency of Service

4.5 Contractor shall perform at a minimum the below listed scheduled maintenance, deliverables, and corrective actions.

4.5.1 Sanitizing of storage tank and distribution loop piping with disinfectant that meets manufacturer recommendation and AAMI standards and verifying with correct test strips that all chemical is clear from the system to be performed monthly or as needed.

4.5.2 Provision and exchange of pre-RO filter cartridges. Filters to be exchanged monthly. Supply to be provided every 6 months or as needed.

4.5.3 Provision and exchange of all other filters to be performed annually or as needed.

4.5.4 Cleaning of the RO membranes with Low and High pH cleaners and verifying with correct test strips that all chemical is clear from the system to be performed quarterly or as needed.

4.5.5 Collection of product water from the RO and shipment to the appropriate lab for AAMI analysis to be performed semi-annually or as needed.

4.5.6 Inspection and replacement of UV Lamp, UV Quartz Sleeve, and UV O-rings annually or as needed.

4.5.7 Inspect and tighten all electrical screws in the control box and high voltage wires to starter motor as necessary.

4.5.8 Inspect ECM-100 controller/monitor for accuracy and recalibrate as necessary.

4.5.9 Provision and exchange of mixed bed DI tanks. System will have a minimum of 2

DI tanks. Exchange to be performed a minimum of every 6 months.

4.5.10 Cleaning of the temperature blending valve screen and salt tank to be performed annually or as needed.

4.5.11 Re-bedding of central RO carbon tanks to be performed annually or as needed.

Qty Description CLINS Part # Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov

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

25 40lb bag of Salt 1025 Q 3021652 Monthly 25 25 25 25 25 25 25 25 25 25 25 25

1 Clean Membranes 1005 L 4000-0062 Quarterly 1 1 1 1

1 Disinfect Membranes Included 4000-0064 Quarterly 1 1 1 1

1 Disinfect Loop/Storage Tank 1005 O 4000-0065 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Inspect & Replace RO Pre-Filter 1005 C SI5000 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

1 Filter, 5M, 20" Included ME42108 Monthly 1 1 1 1 1 1 1 1 1 1 1 1

3 Inspect & Replace Pyrogen 1005 D SI5120 Annually 3

3 Filter, .05M, 20" Included 279-20-005 Annually 3

1 Inspect & Replace Vent Filters 1005 S SI5110 Annually 1

1 Filter, .2M, 10" Included 276-26-513 Annually 1

1 Inspect & Replace UV Lamp and Quartz Sleeve 1025 Q 4000-0077 Annually 1

1 UV Lamp 1025 Q ME40450A Annually 1

1 UV Quartz sleeve 1025 Q 1239692 Annually 1

2 UV Orings 1025 Q 165-64-726 Annually 2

1 AAMI Water Test City Water (Cust to Pull) 1011 B AAMI TEST Semi-Annually 1 1

1 AAMI Test RO Product (Cust to Pull) 1011 C AAMI TEST Semi-Annually 1 1

Service Frequency

4.5.12 Calibration of booster pump pressures and expansion tank air pressure to be performed annually or as needed.

4.5.13 Perform and provide parts for annual preventive maintenance on RO system per manufacture guidelines.

4.6 The contractor shall guarantee all resin used in tanks must be from a 510K medically approved plant. Proof of 510K certification must be provided. System is to be sanitized as needed following any work performed. The contractor shall present any equipment or materials replaced to the VA COR for inspection and/or evaluation prior to its removal or disposal.

4.7 The Contractor will provide all replacement parts required for restore the Dialysis water system to fully operational condition and within the manufacturer's specifications. All parts must meet or exceed manufacturer’s factory specifications to maintain compatibility with systems presently in place and with future performance/reliability upgrades. Parts removed (replaced) by the Contractor become property of the Contractor. In the event of a system failure of RO System:

Contractor shall install carbon if applicable, and DI Tanks setup capable of supplying adequate amount of water to continue treatment and provide a minimum of one megohm-cm or greater specific resistivity at 25 °C within four hours of notification of RO failure.

4.8 The VA shall not provide service manuals or service diagnostic software to the Contractor. The Contractor shall obtain, have on file, and make available to its FSE(s), all operational and technical documentation (e.g., operational and service manuals, schematics, and parts lists) which are necessary to meet the performance requirements of this contract. The location and listing of the service data manuals, by name, and/or the manuals themselves shall be provided to the CO upon request.

Any charges for parts, manuals, tools, or software required to successfully complete any service required are included within this contract and it’s agreed upon price unless specifically stated in writing otherwise.

5.0 DELIVERABLES – SALT: Contractor shall supply bagged salt for the water softener located in the Water Treatment Room 2B 241 (Hemodialysis). Salt shall be delivered directly to brine tanks utilizing the contractor’s own labor personnel and equipment.

Contractor shall fill brine tank with sufficient quantity of salt to minimize the number of trips and visually check softeners and brine tanks for correct operation and perform hardness test on softeners product water to ensure hardness levels are acceptable. The contractor shall clean any residue or spillage as a result of the work performed.

6.0 SPECIAL INSTRUCTIONS:

6.1 Schedule: All routine work shall be scheduled through the Dialysis Equipment Technicians or Dialysis Supervisor. The contractor shall check in with the VA Police Dispatch office after hours, upon arrival at the facility to obtain proper identification and access prior to initiating work. The contractor shall contact the Biomedical Department or Dialysis Supervisor at 813-972-2000 ext. 2993 or ext. 6870 to notify them they are on-station, and also prior to leaving the station, the contractor shall contact them to provide a written copy of services and/or products supplied and report observations on the equipment and product quality. In order to be easily recognizable, all contractor personnel shall wear distinctive identification, such as, nametag, badge, uniform, patch, etc. On approved overtime, contractor shall report to Hospital Police, E.R. Lobby.

6.2 Documentation: At the conclusion of each repair or scheduled maintenance visit, the contractor shall provide a written service report indicating the date of service, the Bar Code Number (EE#), the model, serial number, and location of the equipment serviced, the name of the service representative, the hours worked (arrival and departure), the services performed, and parts replaced. The reports will be delivered to Biomedical Engineering for signature when work is complete. During non-standard hours, report will be taken to Hospital Police, Dialysis Equipment Technicians, or Dialysis Supervisor for signature. Additionally, service personnel shall log all arrivals and departure in a service log provided by James A Haley.

6.3 Government Responsibilities: The government will make the equipment available in accordance with the established schedule for the work.

6.4 Performance/Working Hours: The Contractor shall perform all repairs during normal VA business hours, 6:00 AM - 5:00 PM, Monday to Friday, except Federal Holidays, unless otherwise specified. Contractor may work outside normal business hours by arrangement with Contracting Officer’s Representative (COR) and the Contracting Officer (CO) if such services are provided without additional charge to the Government. All work that is to be completed during WHEN hours will be done at no extra cost to the Government. Contractor shall remove all parts and debris daily from the JAHVH Campuses work site, and contractor is responsible for a complete daily clean-up and debris removals until inspections are completed. Contractor shall submit a daily report of progress on the service to the COR or authorized personnel.

6.5 Holidays: There are eleven Federal Holidays as follows:

New Year’s Day January 1 Martin Luther King Day 3rd Monday in January President’s Day 3rd Monday in February Memorial Day Last Monday in May Juneteenth June 19th

Independence Day July 4 Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans Day November 11 Thanksgiving Day Last Thursday in November Christmas Day December 25

If a holiday falls on Sunday, the following Monday will be observed as the National Holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a National Holiday by the U.S. Government agencies. Also, included would be any day specifically declared by the President of the United States of America as a National Holiday

6.6 Kick-off Meeting: The contractor shall commence work only when the Contracting Officer (CO) has conducted a “kick-off” meeting or has elected to waive the meeting.

This meeting is very beneficial to the success of the project. Various aspects of work details can be discussed so there is a consistent understanding among all parties.

Roles and responsibilities of the Contracting Officer’s Representative (COR) are issued by the CO at the meeting. The nature of some small projects may not require a “kick-off” meeting with the CO. This will be determined on a case-by-case basis by the CO.

7.0 QUALIFICATIONS: Each respondent must have an established business, with an office and full-time staff to include a "fully qualified" field service engineer (FSE) and a "fully qualified" FSE who will serve as backup. "Fully qualified" is based upon training and on experience in the field. For training, the FSE(s) has successfully completed a formalized training program of the equipment identified. For field experience, the FSE(s) has a minimum of two years’ experience with respect to scheduled and unscheduled preventive and remedial maintenance of Dialysis water systems. The FSE(s) shall be authorized by the Contractor to perform the maintenance services. All work shall be performed by "fully qualified" competent FSE(s). The Contractor shall provide written assurance to the competency of their personnel and a list of credentials of approved FSE(s) for each make and model the Contractor services at the VA. The Contracting Officer (CO) may authenticate the training requirements, request training certificates, or credentials from the Contractor at any time for any personnel who are servicing or installing any VA equipment. The CO and/or Contracting Officer's Representative (COR) specifically reserves the right to reject any of the Contractor's personnel and refuse them permission to work on the VA equipment. If subcontractors are used, the CO must approve them in advance. The Contractor shall submit any proposed change in subcontractor(s) to the CO for approval/disapproval.

8.0 TRAINING:

8.1 The contractor shall provide yearly training to COR and assigned designees with the equipment function, routine maintenance and water testing.

8.2 The Certification and Accreditation (C&A) requirements do not apply. A Security Accreditation Package is not required for this SOW.

9.0 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.

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.

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

ATTACHMENT 1

RECORDS MANAGEMENT CONTRACT LANGUAGE

The following standard items relate to records generated in executing the contract and should be included in a typical Electronic Information Systems (EIS) procurement contract:

1. Citations to pertinent laws, codes and regulations such as 44 U.S.C chapters 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

2. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

3. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government IT equipment and/or Government records.

4. 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 by the Freedom of Information Act.

5. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

6. The Government Agency owns the rights to all data/records produced as part of this contract.

7. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

8. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

9. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

10. 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, this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

SECTION C - CONTRACT CLAUSES

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

PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

(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. 4701 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…