RFQ 36C26323Q1052 Medical Gas System Inspection Omaha VA.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

636-23-2-5058-0032

36C26323Q1052 08-28-2023

Joseph Bennett 319-688-3633 09-18-2023

12:00 PM CDT

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

1303 5th St, Suite 300

Coralville IA 52241

X 100

X

541350

$11.5 Million

N/A

X

36C636

Department of Veterans Affairs

Omaha VA Medical Center

VA Nebraska-Western Iowa HCS

4101 Woolworth Avenue

Omaha NE 68105

36C263

1303 5th St, Suite 300

Coralville IA 52241

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

877-489-6135 512-460-5540

See CONTINUATION Page

RFQ for Medical Gas System Inspection and Assessment for the

Grand Island CBOC and Omaha VA Medical Center.

Requirement is for a Firm Fixed Price Contract.

Term is 120 Calendar days from Notice To Proceed with

95% percent drawings due on day 90.

Issued under FAR Part 12 & 13.

See CONTINUATION Page

636-3630162-5058-854100-2543-010055592

X X

X X

Jesse Sweesy

VA-VHA-RPOC-2023-0042

36C26323Q1052

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 STATEMENT OF WORK

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (DEC 2022)

C.2 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.3 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.4 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.5 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.6 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.7 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

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

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JUN 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (MAR 2023)

E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

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 36C263

1303 5th St, Suite 300

Coralville IA 52241

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] Upon Receipt and Acceptance

4. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

5. INVOICING: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

Please contact the phone numbers or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge.

If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• e-Invoice Setup Information:

• e-Invoice email:

• FSC e-Invoice Contact Information:

• FSC e-invoice email: vafsccshd@va.gov

Tungsten e-Invoice set-up information: 877-489-6135 Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com FSC e-Invoice Contact Information: 877-353-9791 FSC e-Invoice email: vafsccshd@va.gov More information on the FSC electronic invoicing process can be found at http://www.fsc.va.gov/einvoice.asp.

6. VA ISSUED BADGE: Contract employees may be required to obtain a VA Flash Badge or Visitor Badge while physically located within the VA facility. Determination of badging will be made by the Omaha Project Manager. If required to obtain a VA Flash Badge, contract employees will be required to present 2 forms of government identification for verification of contract employee.

7. CONTRACTOR ATTIRE AND IDENTIFICATION. The Contractor shall wear industry clothing that enables easy recognition as a “Contract Employee.” Clothing shall present a neat, distinctive appearance; shall be clean and maintained in good repair; and shall be worn as designed by the manufacturer. The Contractor shall wear appropriate clothing with logo identifying the contractor’s and employee’s name. The Contractor’s attire and presentation shall be appropriate per industry standard.

8. EMERGENCY PROCEDURES. The Contractor shall take such safety precautions as necessary to protect the lives and health of occupants of the buildings. The Contractor shall comply with applicable Federal, State, Local and facility safety and fire regulations and codes which are in effect at the beginning of the contract period. The Contractor shall keep abreast of and comply with changes in these regulations and codes applicable to the contract. The Contractor shall follow applicable facility policies concerning fire and/or disaster events. The Contractor shall display approved warning devices in all areas where operations may cause traffic obstruction or personnel hazard.

B.2 STATEMENT OF WORK

IMPORTANT – MUST READ!!! The deliverables of this work may result in another future solicitation. A vendor who is awarded the contract to produce the deliverables described here, should assume they will NOT BE ABLE TO PARTICIPATE IN A FUTURE

SOLICITATION that is based on the same deliverables.

1. GENERAL DESCRIPTION:

This statement of work pertains to the inspection, assessment, and documentation of corrective actions needed for NWI’s medical gas, medical vacuum, and supporting medical gas systems for both the Omaha and Grand Island VAMCs. This solicitation is intended to provide the VA with a comprehensive understanding the current state of its medical gas, medical vacuum, and supporting medical gas systems at its two medical centers in relation to the minimum code requirements, respective equipment manufactures’ recommendations, VA design standards, and any other standards mentioned below in the scope. The primary objectives and deliverables of this contract are listed below. If clarifications are needed concerning the scope of this document, inquiries should be promptly sent to the Contract Officer who issued the solicitation for immediate clarification. The total square footage of both Grand Island VA and Omaha

VA is approximately 1.25 million square feet.

2. DELIVERABLES:

1) The contractor shall provide the following deliverables: Comprehensive validation of

NWI’s medical gas, vacuum, instrument air, and support gases drawings. This validation will involve editing and updating existing As-built system drawings (drawings for

Medical Gas, Vacuum, WAGD, and Supporting Gases - Instrument Air, SPS Air, Dental Vacuum, etc.) provided to the contractor by the facility. The 95% drawings shall be due within 90 days of the issuance of Notice to Proceed for presentation to the

VA. The Contractor shall have 30 days thereafter to deliver the full 100% As.built drawings set to include any corrections, edits, and other requested items per the

VA during drawing reviews, During these 30 days, the VA and contractor shall meet at least weekly to review drawings and discuss changes to ensure the 120-day final completion timeframe is achieved. These drawings will be updated and provided to the

VA in three formats:

a. Printed deliverable

b. PDF deliverable

c. Digital deliverable with file convertible format to AutoCAD

d. No USB deliverables can be accepted. CDs and SharePoint are acceptable.

The drawings shall be comprehensive (i.e., all system component’s locations and their corresponding components. All efforts shall be made to document a comprehensive system As.built drawing set using reasonably feasible methods without the use of significant invasive investigation work to validate the locations and characteristics of difficult infrastructure to explore) and outline exactly where compliance deficiencies exist (e.g., pipe labeling, valve positions, plumbing metallurgy, stand-off distances from AHU/RTU inlets, electrical systems providing/not providing power where necessary, etc.) as well as the exact locations of any underground piping (e.g., x-ray surveys with location accuracy within 5 ft in all axes), medical air outside intakes, medical vacuum discharge outlets outside, ESOCs, and any not-in-use abandoned-in-place medical gas infrastructure. Compliance shall be based upon NFPA 99 2021 and the facility’s input to the contractor regarding the risk assessment category level (1-4) of the respective systems and space in question – if you do NOT know what this means, submit an RFI. Real time support shall be given to the contractor regarding the space and system categories. Examples of such system deficiencies include the following items but shall not be limited exclusively to the below list of areas of interest:

a. Fire penetrations of medical gas infrastructure (i.e., Medical Gas, Vacuum, WAGD, and Supporting Gases - Instrument Air, SPS Air, Dental Vacuum, etc.).

a. Vertical between floors

b. Horizontal across floors and occupancy changes (assistance to be provided by facility staff with Life Safety Drawings for both Omaha and

Grand Island).

c. Fire caulking present or absent.

b. Medical gas plumbing/infrastructure contacting, resting, or supporting other infrastructure that it should not be.

c. Annotations of electrical feeds serving both source equipment, alarm systems, and related accessories from the correct corresponding power system (i.e., life safety, critical, equipment, optional, etc.)

d. Ambient HVAC conditions for source equipment that are unacceptable with

OEM temperature specifications.

e. Dental systems incorrectly alarmed based on category classification per NFPA

99 2021 Chapter 4, 6, and 15 (classification assistance to be provided by the facility based on occupancy type and type of services rendered).

2) Comprehensive digital medical gas outlet inventory on a Microsoft Excel format for both the Omaha and Grand Island VAMCs outlining/listing the below information. This comprehensive digital outlet inventory will be based on field gathered results and information from physical validation of equipment (i.e., not based upon existing facility documentation – this is only a guide…).

a. Outlet location

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

b. Medical Gas Type of each outlet

i. Oxygen

ii. Nitrogen

iii. Medical Air

iv. Carbon Dioxide

v. Nitrous Oxide

vi. Medical Vacuum

vii. WAGD (waste anesthetic gas disposal)

viii. Helium (where applicable)

ix. Other medical gas systems classified as Support Gases per NFPA 99

2021 codes (and any other gas not listed here in this document)

1. Instrument Air

2. Dental vacuum

3. Sterile Processing Air Systems

c. Zone valve boxes

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

ix. Specific rooms and floor areas controlled by each zone valve boxes

d. Area alarm panels

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

ix. Specific rooms and floor areas controlled by each zone valve boxes

x. Testing of alarms shall be considered

xi. Electrical power panel serving it on the Essential Electrical

System

e. Source valves

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

f. Emergency Supply Oxygen Connections

i. Stand-off distances for truck connections

ii. Pad locations for supporting liquid oxygen.

iii. Electrical outlets to accommodate temporary equipment

iv. Electrical power panel serving it on the Essential Electrical

System at the outlet to provide electrical power for emergency equipment per VHA 7515(1)

g. Main line valves

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

h. Riser valves (where applicable)

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

i. Service valves and any other visible isolation valves

i. Room number (or Hallway)

ii. Floor

iii. Building

iv. Department

v. Active/Inactive (pressurized or not pressurized)

vi. Manufacturer

vii. Model

viii. Serial number (where applicable)

3) Comprehensive medical gas and (support gases) source equipment inventory list with the following information (Microsoft Excel file). This comprehensive digital inventory will be based on field gathered results and information from physical validation of equipment (i.e., not based upon existing facility documentation).

a. Manufacturer

b. Model

c. Serial number

d. Location

e. Salient Equipment Characteristics (e.g., duplex, simples, triplex, quadplex, etc.)

f. Identification of which electrical panel is provide power to the equipment on the Essential Electrical System where applicable.

g. Other pertinent equipment and location characteristics (i.e., intake and discharge locations for medical air and vacuum lines)

h. Note: this list will include compressors and vacuum pumps that classify as medical grade (i.e., hospital grade compressors – not compressors for pneumatic tools outside of a healthcare setting)

i. Bulk Oxygen tanks - Reserve and primary

ii. ESOCs – Emergency oxygen supply connections

iii. Master Alarm panels

iv. Medical Air Compressors

v. Medical Vacuum Compressors

vi. Dental Air Compressors

vii. Instrument Air Compressors (SPS departments)

viii. Dental Vacuum Compressors

ix. Dental Laboratory Compressors

x. Booms and articulating assemblies (e.g., catheter lab)

Note: Booms constitute medical equipment where hose lines are not visible – conceal behind surfaces.

xi. Compressed Gas Cylinders and associated manifolds

1. Nitrous oxide

2. Oxygen

3. Nitrogen

4. Carbon Dioxide

5. Medical Air

6. Helium

7. Support Gases and any other Compressed gases not listed above for the direct purposes of medical gas uses.

8. Fire barriers based on allowable storage volumes.

9. HVAC ventilation based on code height stipulations

a. Known manifolds.

i. Two Nitrous Oxide

ii. Two Nitrogen

iii. Two Oxygen

iv. One carbon dioxide

4) List of required corrective actions on existing Medical Gas Infrastructure to get facility compliant with the below listed design manual, codes, and compliance materials. This list shall be based on the results of a thorough facility(s) evaluation and inspection

a. NFPA 99 2021 Chapters (or latest adopted publication at time of award since

NFPA 2024 is pending publication soon)

b. VA Plumbing Design Manual dated 01-JAN-2023 (or latest adopted publication at time of award)

c. VHA Directive 7515(1) dated 6-JAN-2020 (or latest adopted publication at time of award)

d. ASSE/IAPMO/ANSI Series 6000 Annex D

5) List of recommended optional corrective actions based on the premises of improving efficiency system reliability, above-and-beyond code compliance, and overall system resiliency. These recommendations can range from suggestions on improving ambient HVAC conditions for mechanical spaces housing source equipment, electrical redundancy adjustments, UPS installations, relocation of intake and discharge vacuum lines from AHU intakes, installation of more equipment to improve system redundancy, installation of isolation valves to improve overall system maintenance ease, retrofits of existing bulk tank equipment to allow for more system versatility and functionality, and any other observations made by the contractor during inspection that would greatly improve overall system performance and reliability.

6) Documented list of medical gas equipment that is no longer actively in use (where obvious) across NWI that should be reviewed for removal/decommissioning with the proper plug and abandonment in-place procedures followed. This list shall, at minimum, identify the list of old (not in use) wall outlets, zone valve boxes, area alarm, isolation valves, area alarm panels, master panels, and other relevant equipment that is not in use pertaining to the medical gas system.

7) Comprehensive list of bulk cryogenic systems listing salient equipment characteristics as well as a flow diagram schematic outlining the process flow of oxygen from the tank camber to the pads source valve(s).

a. Vaporizers

b. Reserve Tank

c. Bulk Tank

d. Valve configurations, etc.

e. Estimated daily oxygen usages for respective facilities based on last 12-months of product delivery amounts (note: current VISN contractor for tank rentals is McGowen)

8) The contractor shall also provide lumpsum cost estimations rounded within 25% cost accuracy (two significant figures is preferred where feasible) that are broken out in the following manner:

a. One cost estimate shall be the one-time costs necessary for restoring NWI’s medical gas system to compliance with referenced codes, VHA Directives, and

VA Design Manuals mentioned prior only.

b. Another cost estimate shall include the recommended one-time corrective repair actions to re-establish high system reliability assuming a preventative maintenance program is in-place after completion of such recommended one-time repair items (i.e., this shall be based on reasonability achievable means with the intention of allowing the system to be maintained primarily on a regular preventative maintenance program with low risk of catastrophic component failure (i.e., premature equipment failure). Equipment should be able to function for five years reliably assuming OEM maintenance is implemented diligently. Do NOT list an entire system replacement cost as this is infeasible… However, if certain elements are suspected of being significantly damaged with a high probability of failure in the next 3-12 months due to excessively differed maintenance, such equipment shall be listed on the cost estimate deliverable as a line item. Do not get hung up on this item, NWI is looking for system information for budgetary purposes only. The cost estimates are not considered as bids to do such repair/maintenance items.

The costs estimates are just to be used for projecting budget expenses and assessing overall system state and condition).

c. The final cost estimate shall be for recurring preventative maintenance on

NWI’s medical gas infrastructure based on the equipment schedule compiled by the contractor under this scope of work. The cost estimate shall assume a full custody-handover basis of NWI’s medical gas infrastructure (i.e., contractor assumes all liability of system upkeep, emergency service calls, require maintenance and inspection intervals per NFPA 99 2021 or latest editions, ASSE minimum standards, and any/all other required system upkeep action for compliance and safe operation stipulated by the VHA).

What does full custody mean? – Any time something breaks or is not working, the contractor shall be liable to repair without additional allocated funds.

3. PERFORMANCE LOCATION:

a. Department of Veterans Affairs Nebraska-Western Iowa Health Care System, Omaha Division Medical Center, 4101 Woolworth Avenue, Omaha, NE 68105

i. Building 1

ii. Building 101

iii. Building 6

iv. Building 25

v. Any buildings with medical gas equipment not limited to the above

b. Department of Veterans Affairs Nebraska-Western Iowa Health Care System, Grand Island Division Medical Center, 2201 N Broadwell Ave, Grand Island, NE

68803

i. Building 1

ii. Building 8

iii. Building 7

iv. Any buildings with medical gas equipment not limited to the above

4. PERFORMANCE PERIOD:

a. All deliverables and services are due 120 calendar days or less beginning with the issuance of a Notice to Proceed from the VA Contracting Officer.

The Term of this contract is 120 calendar days from issuance of the Notice to Proceed. Any offeror who submits an offer is committing to completing the work in no more than 120 calendar days. However, this contract also has set progress deadlines as discussed in the deliverables above (90 days for 95% completion on drawings and 30 more days for full completion and final acceptance which include any final edits and comments between the

VA and the contractor).

b. Prior to the issuance of the notice to proceed, the contractor shall provide a detailed day-to-day and week-to-week work schedule to the COR within seven days after award. The schedule must be agreed upon and approved between the

COR and the contractor prior to issuance of the notice to proceed.

5. HOURS OF SERVICES:

a. Normal Operational Hours (i.e., 06:00-17:00)

i. Services and inspections that are unable to be performed during regular business hours shall be performed on return visits or else be performed after-hours to not disrupt clinical operations of the facility. Clinicians may require advanced notice to relocate patients in rooms where necessary work must be performed to achieve the deliverable objectives.

ii. Normally, work will not be done on federal holidays. A list of federal holidays is at Federal Holidays (opm.gov).

iii. Any work scheduled outside of normal operational hours must be arranged and approved by the Nebraska-Western Iowa VA Health Care System

Engineering with at least 24 hours of advanced notice prior to work being performed.

6. NEBRSAKA-WESTERN IOWA VA HEALTH CARE SYSTEM CONTACT

INFORMATION:

a. Normal Work Hours (i.e. 06:00-17:00):

i. Omaha VA Medical Center contacts:

1. Primary – Josiah Curley 402-995-5545 & 918-581-4171

Josiah.Curley@va.gov

2. Secondary - Griffin Walsh 402-995-3741 & 531-232-9231

Griffin.Walsh@va.gov

3. Tertiary - Plumbers / Pipefitters 402-995-3017

ii. Grand Island VA Medical Center Contacts:

1. Primary - Josiah Curley 402-995-5545 & 918-581-4171

Josiah.Curley@va.gov

2. Secondary - William Sis 308-382-3660 & 918-613-1621

William.Sis@va.gov https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/

3. Tertiary - Boiler Plant Operators 308-395-3400

b. After-Hours Work (i.e. outside of 06:00-17:00):

i. Omaha VA Medical Center

1. Primary - Boiler Plant Operators 402-995-4830

2. Secondary - AC Plant Operators 402-995-3280

ii. Grand Island VA Medical Center

1. Primary - Boiler Plant Operators 308-395-3400

7. REQUIRED CERTIFICATIONS & COMPETENCIES

Any contractor personnel performing work on NWI campuses in relation to the medical gas system shall adhere to the requirements outline in NFPA 99 2021 Chapters 3, 4, 5, 6, 11, and

15, NFPA 55 2023, VA Plumbing Design Manual (Chapter 8 for Medical Gas and Vacuum), and VHA Directive 7515(1). Also, the contractor must be able to furnish an on-site technician (or group equivalency with more than one individual) at all times (zero tolerance) with the following active/valid certifications capable of performing or supervising the required exploratory inspection and evaluation work per ASSE/IAPMO/ANSI Series 6000-

2021.

a. American Society of Sanitary Engineering (ASSE) 6005 Medical Gas Specialist

b. American Society of Sanitary Engineering (ASSE) 6020 Medical Gas Inspector

c. American Society of Sanitary Engineering (ASSE) 6030 Medical Gas Verifier

d. American Society of Sanitary Engineering (ASSE) 6035 Bulk Medical Gas System

Verifier

e. American Society of Sanitary Engineering (ASSE) 6040 Medical Gas Maintenance

Technician

8. CONTRACTUAL REQUIREMENTS AND PERFORMANCE CRITERIA:

i. The contractor personnel shall report to one of the above listed VA site representatives to sign in every time work is being performed on site.

ii. The contractor personnel shall report to one of the above listed VA site representatives to sign out before departing the VA facility at the end of each week.

iii. The contractor personnel shall wear an identification badge provided by VA when working under the resulting contract on Federal property.

iv. The general contractor (not agents thereof) shall be required to have an on-site representative while contractor personnel are performing work.

9. GENERAL REQUIREMENTS:

i. The prime contractor shall provide documentation for all service actions received at the VA Nebraska-Western Iowa Health Care System Omaha

VA Medical Center in Omaha, NE and the Grand Island VA Medical Center in Grand Island, NE after inspection and assessment work is completed. A weekly summary of service provided shall be emailed to the COR for documentation and service our tracking at the end of each week while work is actively being performed. A brief daily meeting between the VA COR and the prime contractor supervisor will be required and coordinated between the prime contractor and the VA COR.

ii. The contractor will apply in their inspection and assessment of the Medical

Gas Systems in the Nebraska-Western Iowa VA Health Care System industry standards, federal regulations, VA Directives and State of

Nebraska Regulations (i.e., NFPA codes, VHA DIRECTIVES, ASSE, etc.).

iii. All work will be done safely and in accordance with OSHA Regulations, VA

Directives, and the State of Nebraska Regulations. The contractor will be responsible for ensuring that workplace safety regulations (i.e. OSHA) are always adhered and that a clean, non-cluttered workspace is maintained upon completion of any installation and maintenance work.

iv. At no time will contractors leave leftover equipment on location when work being performed is not continual 24-hour work unless the Department of

Veteran Affairs Personnel has given written permission to the contractor to do so.

v. Prior to the start of the contracting period of performance, the primary contractor will be required to meet with the COR and CO prior to the beginning of the contract to hold an award kickoff meeting to discuss the contents contained within the performance work statement to ensure that questions, concerns, and expectations are brought up prior to the start of work to remove any contractual ambiguity during the performance period with the VA.

vi. The Prime Contractor will have a Supervisor present during performance of all of the work performed on the VA NWI Premises.

10. GENERAL REQUIREMENTS

The contractor’s personnel, while on VA property, shall adhere to all requirements and regulations that govern the VA Health Care System and its property. Among all other requirements, the VA Health Care System and its property is now entirely smoke-free. No weapons are permitted on the premises.

Contractor employees may be required to obtain a VA Contractor Badge PRIOR to performing work on VA premises. The VA COR will assist Contractor employees in the process of obtaining VA Contractor Badges.

All Contractor employees are subject to the same level of investigation as VA employees who have access to VA Sensitive Information. A background investigation commensurate with the level of access needed to perform the

Statement of Work will be performed. Contractor employees will be required to submit fingerprints. The Contractor and Contractor employees may be required to fill out forms requiring personal information and may be required to take a course or courses. This requirement is applicable to all subcontractor personnel requiring the same access. The VA COR will assist the contractor in these processes.

The Contractor and its employees are responsible for the safekeeping of VA

Badges. Lost badges will be replaced at the expense of the Contractor. Lost

Badges will be reported immediately to the VATR. VA Badges must be returned to the VA immediately (within the same day) upon the Contractor learning or determining a Contractor employee will be leaving the project permanently or for an extended period or is determined to longer have a need to be on VA property.

Contractor badges if provided shall be worn by all Contractor employees while working on VA premises.

11. NATIONAL ARCHIVES AND RECORDS ADMINISTRATION (NARA) RECORDS

MANAGEMENT LANGUAGE FOR CONTRACTS

a. Citations to pertinent laws, codes, and regulations such as 44 U.S.C. Chapter 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.

b. 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.

c. 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.

d. 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.

e. Contractor shall not create or maintain any records containing any Government

Agency records that are not specifically tied to or authorized by the contract.

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

g. 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.

h. 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 [email, fax, etc.] or state of completion [draft, final, etc.].

36C26321P0052

i. 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.

j. 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.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 JB __________________ __________________

Comprehensive validation of NWI’s medical gas, vacuum, instrument air, and support gases drawings per scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings MANUFACTURER PART NUMBER (MPN): Fill in:

LOCAL STOCK NUMBER: Fill in:

Comprehensive digital medical gas outlet inventory on a Microsoft

Excel format for both the Omaha and Grand Island VAMCs outlining/listing the information listed in the scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

Comprehensive medical gas and (support gases) equipment inventory list with the following information (Microsoft Excel file) per the scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

List of required corrective actions on existing Medical Gas

Infrastructure to get facility compliant with the below listed design manual, codes, and compliance materials per the scope of work’s details PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

List of recommended optional corrective actions based on the premises of improving efficiency system reliability, above-and-beyond code compliance, and overall system resiliency per the scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services

PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

Documented list of medical gas equipment that is no longer actively in use (where obvious) across NWI that should be reviewed for removal/decommissioning with the proper plug and abandonment in-place procedures followed per the scope of work’s details PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

Comprehensive list of bulk cryogenic systems listing salient equipment characteristics as well as a flow diagram schematic outlining the process flow of oxygen from the tank camber to the pads source valve(s) per the scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

Comprehensive list of bulk cryogenic systems listing salient equipment characteristics as well as a flow diagram schematic outlining the process flow of oxygen from the tank camber to the pads source valve(s) per the scope of work’s details.

PRINCIPAL NAICS CODE: 541350 - Building Inspection Services PRODUCT/SERVICE CODE: J047 - Maintenance, Repair, and Rebuilding of Equipment - Pipe, Tubing, Hose, and Fittings

GRAND TOTAL __________________

B.4 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

0001-

SHIP TO: Department Of Veterans Affairs Omaha VA Medical Center 4101 Woolworth Avenue.

Omaha, NE 68105

USA

All lines 120 Days from

NTP

MARK

FOR:

Josiah Curley

(402) 995-5545 Ext. 205545 josiah.curley@va.gov

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…