S02. 36C26324Q0764 Med Gas.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

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

N/A; to be included on

IDIQ Contract Task Orders

36C26324Q0764 05-23-2024

Melissa Garrett 605.336.3230 x7289 06-06-2024

10:00 AM CDT

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W 22nd Street Sioux Falls SD 57105

X 100

X

541350

$11.5 Million

N/A

X

VA Nebraska-Western Iowa Health Care System 4101 Woolworth Ave Omaha NE 68105

NETWORK 23 CONTRACTING OFFICE

2501 W 22nd Street Sioux Falls SD 57105

Tungsten Electronic Invoicing VA Tungsten Number: AAA544240062 va.registration@tungsten-network.com Refer to VAAR Clause 852.232-72

See CONTINUATION Page

Medical Gas Maintenance Services for the VA Nebraska-Western Iowa Health Care System. Period of Performance: Ordering Period 1:07/01/2024-06/30/2025; Ordering Period 2:07/01/2025 -06/30/2026; Ordering Period 3:07/01/2026-06/30/2027;

Ordering Period 4:07/01/2027-06/30/2028; Ordering Period 5:

07/01/2028-06/30/2029. This solicitation and resulting Indefinite Delivery, Indefinite Quantity (IDIQ) contract are in accordance with Federal Acquisition Regulation (FAR) Part

13. Offerors shall be registered and active at System for Award Management (SAM) at https://beta.sam.gov at time of offer. Refer to Attachment labeled as Schedule for line items, Section B.2 (Statement of Work) for scope of work requested. This requirement is being solicitated as a Total Veteran-Owned Small Business Set-Aside. All questions must be inwriting and emailed to Melissa.Garrett@va.gov. All questions must be received no later than 10:00 AM CST May 30, 2024. All offerors shall fill out the certificate of compliance for limitations on sub-contracting (LOS) at C.10 and return with quote. Failure to sign LOS certificate will result in quote being unresponsive.

See CONTINUATION Page

To be cited on all task orders issued against awarded Indefinite Delivery, Indefinite Quantity (IDIQ) Contract.

X X

X 1(one)

Melissa Garrett

VA-VHA-RPOC-2023-0009

36C26324Q0764

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

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2023)

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

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2023)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 VAAR 852.219-74 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.9 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.11 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 43

C.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.13 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATIONS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

E.2 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

ADDENDUM to 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024)

36C26324Q0373

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:

Contractor Name:

SAM Unique Identity Number:

DUNS Number:

Point of Contact:

Phone Number:

Email Address:

b. GOVERNMENT: Contracting Officer 36C263

Contracting Officer: Melissa Garrett

Phone Number: 605.336.3230 x7289

Email Address: melissa.garrett@va.gov

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

3. INVOICES: Invoices shall be submitted in arrears:

Other [X] Monthly or an agreed upon time between the contractor and Nebraska-Western Iowa VA Technical Representative

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.

Tungsten Electronic Invoicing System VA Tungsten Number is: AAA544240062 va.registration@tungsten-network.com Refer to VAAR Clause 852.232-72

5. INVOICING INSTRUCTIONS:

In addition to information required for submission of a “proper” invoice in accordance with FAR 52.212-4 (g), all invoices must include:

• Name and Address of Contractor

36C26324Q0373

• Contractor’s Invoice Date and Invoice Number

• Contract Number, Task Order Number, and/or Purchase Order Number

• Date(s) of Service

• Cost of service, i.e., hourly rate, quantity, job cost, trip, etc.

• Total price

Electronic Invoice Submission Method. Invoice(s) shall be electronically submitted through the Tungsten Network: https://www.tungsten-network.com/customer-campaigns/veterans-affairs/.

The VA-FSC pays all associated transaction fees for VA orders.

The Tungsten direct vendor support number is 877-489-6135 for VA contracts. During Implementation (technical set-up) Tungsten will confirm your Tax Payer ID Number with the VA- FSC. This process can take up to five (5) business days to complete to ensure your invoice is automatically routed to your Certifying Official for approval and payment. https://www.tungsten-network.com/us/support/’. The VA-FSC pays all associated transaction fees for VA orders.

For additional information, please contact:

• Tungsten Support, Phone: 1-877-752-0900, Email: va.registration@tungsten-network.com

• Department of Veterans Affairs Financial Service Center, Phone: 1-877-353-9791, Email: vafscched@va.gov

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

AMENDMENT NO DATE

mailto:va.registration@tungsten-mailto:va.registration@tungsten-mailto:vafscched@va.gov

B.2 STATEMENT OF WORK

1. GENERAL DESCRIPTION:

This Performance Work Statement pertains to the inspection, servicing, and maintaining for Nebraska-Western Iowa (NWI) VA Health Care System’s medical gas, medical vacuum, and supporting medical gas systems for both the Omaha and Grand Island VAMCs. This contract is intended to provide the VA with a comprehensive IDIQ service list for medical gas system repairs and up-keep. Note: if clarifications are needed concerning the Scope of this document and/or is contract format, inquiries should be promptly sent to the Contract Officer who issued the Sources Sought.

2. DELIVERABLES:

The contractor shall provide individual cost line-item breakouts for the following services of indefinite quantity outlined on the Excel attachment for medical gas system maintenance and upkeep. A comprehensive equipment inventory all of which shall be covered under the purview of this service IDIQ is available for review as well. Complete facility drawings are available upon request as well if needed for cost estimation purposes.

3. SALIENT CHARACTERISTICS OF SUPPLY ITEMS:

01: Air Star 100

1) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 46 inches; width = 34.5 inches; height = 24.5 inches

c) Weight – Approximately 450 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See page 86 on the attached equipment inventory list for details.

2) Applicable model/make/catalog number – Air Techniques Duplex / Model #: MJOO5-

23050127

3) Manufacturer name – Air Star 100

02: Air Techniques

1) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 46 inches; width = 34.5 inches; height = 24.5 inches

c) Weight – Approximately 450 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See page 87 on the attached equipment inventory list.

2) Applicable model/make/catalog number – Air Techniques Duplex / Model #: MJ005-

23050126

3) Manufacturer name – Air Techniques / MOJAVE – MMC-M

03: Ohio Medical

4) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 88 inches; width = 80 inches; height = 80 inches

c) Weight – Approximately 2800 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 81 through 83 on the attached equipment inventory list for details.

5) Applicable model/make/catalog number – Triplex Ohio Medical Air / Model #: AS1000B-ST-

3-DD

6) Manufacturer name – Ohio Medical

04: Ohio Medical

7) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 63 inches; width = 34 inches; height = 83 inches

c) Weight – Approximately 1000 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 84 through 85 on the attached equipment inventory list for details.

8) Applicable model/make/catalog number – Duplex Ohio Medical / Model #: D500B-T3

9) Manufacturer name – Ohio Medical

05: Ohio Medical

10) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 116 inches; width = 64 inches; height = 72 inches

c) Weight – Approximately 4250 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 37 through 39 on the attached equipment inventory list for details.

11) Applicable model/make/catalog number – Sixplex Ohio Medical Air / Model #: AS500B-ST6-

DD

12) Manufacturer name – Ohio Medical

06: Ohio Medical

13) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 64 inches; width = 50 inches; height = 98 inches

c) Weight – Approximately 1400 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 50 through 52 on the attached equipment inventory list for details.

14) Applicable model/make/catalog number – Duplex Ohio Medical Air / Model #: AS750B-ST2-

DD

15) Manufacturer name – Ohio Medical

07: Powerex Medical Air

16) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 58 inches; width = 52.8 inches; height = 27.3 inches

c) Weight – Approximately 2200 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 34 through 36 on the attached equipment inventory list for details.

17) Applicable model/make/catalog number – Quadplex Powerex Medical Air / Model #:

MSQ05A42P

18) Manufacturer name – Powerex

08: Ohio Medical

19) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 113 inches; width = 65 inches; height = 78 inches

c) Weight – Approximately 4700 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 40 through 41 on the attached equipment inventory list for details

20) Applicable model/make/catalog number – Quadplex Ohio Medical / Model #: C750B-T4

21) Manufacturer name – Ohio Medical

09: Ohio Medical

22) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 88 inches; width = 49 inches; height = 64.4 inches

c) Weight – Approximately 2100 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 56 through 59 on the attached equipment inventory list for details.

23) Applicable model/make/catalog number – Quadplex Ohio Medical / Model #: C750B-T2

24) Manufacturer name – Ohio Medical

Ohio Medical

25) Essential/significant physical, functional, or performance characteristics.

a) Compatibility – Must be compatible to Ohio Medical’s communication systems to master panels

b) Dimensions – Length = 58 inches; width = 52.8 inches; height = 27.3 inches

c) Weight – Approximately 4700 lbs

d) Industry Standard – American Society of Sanitation Engineers

e) Purpose – Medical Gas Infrastructure for clinical care services

f) Governing Body or Organization – National Fire Protection Association 99 and 101

Complete generic identification – See pages 40 through 41 on the attached equipment inventory list for details.

26) Applicable model/make/catalog number – Quadplex Ohio Medical / Model #: C750B-ST4

27) Manufacturer name – Ohio Medical

4. 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

5. TASK ORDER MINIMUMS & MAXIMUMS:

The contractor shall be issued an indefinite number of task orders once the contract’s prices negotiations for the individual line items is established with the awardee. The guaranteed minimum of a single task order amount shall be $150,000.00 with a maximum of $1,500,000.00. Task Orders can be issued unilaterally by the VA.

6. PERIOD OF PERFORMANCE:

a. Ordering Period 1: 1-JUL-2024 to 30-JUN-2025

b. Ordering Period 2: 1-JUL-2025 to 30-JUN-2026

c. Ordering Period 3 :1-JUL-2026 to 30-JUN-2027

d. Ordering Period 4: 1-JUL-2027 to 30-JUN-2028

e. Ordering Period 5: 1-JUL-2028 to 30-JUN-2029

(There are no option years for this contract)

7. CONTRACTING OFFICER REPRESENTATIVE (COR):

The Contractor shall not accept any instructions issued by any other person(s) other than the Contracting Officer. The Government may appoint a COR or Technical Representative. If so, a Delegation of Authority letter will be forwarded to the using service and the Contractor after the contract has been signed. The Delegation of Authority will identify the individual(s) as the COR(s). A COR is someone that is designated and authorized in writing (Delegation of Authority) by the Contracting Officer to perform specific technical or administrative duties. The COR/Technical Representative is not authorized to grant permission(s) to change the scope of the project. The COR/Technical Representative that is assigned for this contract will ensure that the supplies/services provided by this company are received based on the contractual terms and conditions.

Finally, the COR/ Technical Representative will ensure that your invoices are received and paid on-time.

Location Nebraska-Western Iowa (NWI) VA Health Care System

Technical Representative:

Josiah D. Curley – M&O Unit Supervisor

Phone: 402-995-5545 & 918-581-4171

E-mail: Josiah.Curley@va.gov

8. HOURS OF SERVICES:

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

i. Preventive maintenance services and inspections shall be performed on weekdays during normal business hours between 06:00 CST to 17:00 CST unless other arrangements have been made with the appropriate representatives.

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 48 hours of advanced notice prior to work being performed and at least 14 days of advanced notice prior to any work requiring a system outage.

9. 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 - John Albers - 402-659-8983 & 712-828-0075

John.Albers@va.gov

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

Griffin.Walsh@va.gov

3. Tertiary - Josiah Curley - 308-395-3243 & 918-581-4171

Josiah.Curley@va.gov

ii. Grand Island VA Medical Center Contacts:

1. Primary - William Sis - 308-382-3660 & 918-613-1621 William.Sis@va.gov

2. Secondary - Josiah Curley - 308-395-3243 & 918-581-4171 Josiah.Curley@va.gov

3. Tertiary - Griffin Walsh 402-995-3741 & 531-232-9231 Griffin.Walsh@va.gov

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

iii. Omaha VA Medical Center

1. Primary - AC Plant at 402-995-3280 & 402-208-9560

2. Secondary - Boiler Plant at 402-995-4830

iv. Grand Island VA Medical Center

1. Primary - Boiler Plant Operators at 308-395-3400 & 308-395-6875 https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/ mailto:John.Albers@va.gov mailto:Josiah.Curley@va.gov mailto:Josiah.Curley@va.gov

10. 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 2024 Chapters 5, 11, and 15, NFPA 55 2023, VA Plumbing Design Manual Chapter 8, and VHA Directive 7515(1).

Also, the contractor must be able to furnish on-site technicians with the following active/valid certifications capable of performing 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) 6010 Medical Gas System

Installer

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

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

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

Verifier

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

Technician

11. CONTRACTUAL REQUIREMENTS AND PERFORMANCE CRITERIA:

i. The contractor personnel shall report to VA personnel listed in Section 8 to sign-in every time work is being performed on site.

ii. The contractor personnel shall report to VA personnel listed in Section 8 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.

12. GENERAL REQUIREMENTS:

i. All contractors performing work on our VA property on a recurring basis longer than 180 days must be vetted by Personal Identification Verification (PIV) badging.

There will be a cost associated ($75.00) with this application requiring a background check for which contractors should account when submitting any formal bids.

ii. All contractors must complete and submit a quality assurance surveillance plan.

iii. 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/Technical Representative for documentation and service our tracking.

iv. 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.).

v. All work shall be done safely and in accordance with OSHA Regulations, VA Directives, and the State of Nebraska Regulations. The contractor is 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.

vi. At no time will contractors leave left-over 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.

vii. The vendor will provide a general schedule of any proposed inspection and assessment work on the medical gas systems and list of calendar days where the contractor’s qualified technician will be on-site to perform work to Nebraska- Western Iowa VA Health Care System Engineering Services department within five (5) days of the start of the contract’s performance period. The maintenance schedules must also be approved by Nebraska-Western Iowa VA Health Care System Engineering Services department.

viii. Prior to the start of the contracting period, the primary contractor will be required to meet with the COR/Technical Representative five (5) days 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.

13. REQUIRED CERTIFICATIONS, COMPETENCIES, & TECHNICAL EVALUATION

CRITERIA

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

b. American Society of Sanitary Engineering (ASSE) 6010 Medical Gas System

Installer

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

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

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

Verifier

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

Technician

g. The contractor shall demonstrate five years of acceptable competency performing services of similar scope pertaining to medical gas and vacuum systems.

h. The contractor must demonstrate and acknowledge competency in the listed reference documents for this scope of work’s mission objectives.

14. 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.

15. 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.

a. Among all other requirements, the VA Health Care System and its property is now entirely smoke-free.

b. No weapons are permitted on the premises.

c. Among all other requirements, the VA Health Care System and its property is now entirely smoke-free. Contractor and their personnel shall follow all U.S.

Department of Veterans Affairs (VA) policies, standard operating procedures, applicable laws, and applicable regulations while on VA property. Violations of this may result in citation and disciplinary measures for persons violating the law.

d. Contractor and their personnel shall wear visible identification at all times while they are on premises.

e. VA does not provide parking spaces at the work site; the Contractor must obtain parking at the work site if needed. It is the responsibility of the Contractor to park in the appropriate designated parking areas.

f. VA shall not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

g. Contractor shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract.

16. SECURITY REQUIREMENTS

a. Background investigations and special agreement checks: All contractor personnel working on VA property consistently for greater than 180 days are subject to the same level of investigation as VA employees who have access to VA Sensitive Information and will be required to obtain a PIV badge. The level of background investigation commensurate with the level of access needed to perform the performance work statement is PIV badging.

b. This requirement is applicable to all subcontractor personnel requiring the same access.

c. Following contract award, the Contracting Officer will provide the Contractor with forms to complete and guidance regarding the background process.

d. The Contractor shall follow all VA rules and regulations regarding information security to prevent disclosure of sensitive information to unauthorized individuals or organizations.

e. The Contractor may have access to Protected Health Information (PHI) and Electronic Protected Health Information (EPHI) that is subject to protection under the regulations issued by the Department of Health and Human Services, as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA); 45 CFR Parts 160 and 164, Subparts A and E, the Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”); and 45 CFR Parts 160 and 164, Subparts A and C, the Security Standard (“Security Rule”). Pursuant to the Privacy and Security Rules, the Contractor must agree in writing to certain mandatory provisions regarding the use and disclosure of PHI and EPHI.

f. The Contractor shall have access to some privileged and confidential materials of VA. These printed and electronic documents are for internal use only, are not to be copied or released without permission, and remain the sole property of VA.

Some of these materials are protected by the Privacy Act of 1974 (revised by PL 93-5791) and Title 38. Unauthorized disclosure of Privacy Act or Title 38 covered materials is a criminal offense.

g. The Contracting Officer (CO) shall be the sole authorized official to release in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to this contract. The Contractor shall release no information. Any request for information relating to this contract presented to the Contractor shall be submitted to the CO for response.

h. Contractor personnel recognize that in the performance of this effort, Contractor personnel may receive or have access to sensitive information, including information provided on a proprietary basis by carriers, equipment manufacturers and other private or public entities. Contractor personnel agree to safeguard such information and use the information exclusively in the performance of this contract.

Contractor shall follow all VA rules and regulations regarding information security to prevent disclosure of sensitive information to unauthorized individuals or organizations as enumerated in this section and elsewhere in this Contract and its subparts and appendices.

i. Contractor shall limit access to the minimum number of personnel necessary for contract performance for all information considered sensitive or proprietary in nature.

j. If the Contractor is uncertain of the sensitivity of any information obtained during the performance this contract, the Contractor has a responsibility to ask the CO.

k. Contractor shall train all their employees involved in the performance of this contract on their roles and responsibilities for proper handling and nondisclosure of sensitive VA or proprietary information. Contractor personnel shall not engage in any other action, venture or employment wherein sensitive information shall be used for the profit of any party other than those furnishing the information. The sensitive information transferred, generated, transmitted, or stored herein is for VA benefit and ownership alone.

l. All terminated personnel are denied physical and electronic access to all data, program listings, data processing equipment and systems.

17. CHANGES TO CONTRACT

Only those services specified herein are authorized. Before performing any service of a non-contractual nature, Contractor shall contact the COR/Technical Representative and Contracting Officer and identify the reason(s) for the additional work and/or service. All changes shall have prior written authorization from a VA Contracting Officer in the form of a written modification.

18. GRAY MARKET PREVENTION LANGUAGE

1. Gray market items are Original Equipment Manufacturers’ (OEM) goods sold through unauthorized channels in direct competition with authorized distributors.

This procurement is for a services contract for maintenance of medical equipment for VA Health Care Systems. No remanufactures or gray market items will be acceptable.

2. The Contractor shall be an OEM, authorized dealer, authorized distributor, or authorized reseller for the proposed medical supplies, medical equipment, and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM’s warranty and service are provided and maintained by the OEM.

All software licensing, warranty and service associated with the medical supplies, medical equipment and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

3. The delivery of gray market items to the VA in the fulfillment of an order/award/contract constitutes a breach of contract. Accordingly, VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at VA’s election, allowing the Contractor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA Health Care System upon discovery of such items.

19. NATIONAL ARCHIVES AND RECORD 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 [e-mail, fax, etc.] or state of completion [draft, final, etc.].

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.

20. SERVICE CONTRACT LABOR STANDARDS REQUIREMENTS

a. Contractor shall provide hourly wages in accordance with U.S. Department of Labor (USDOL) Wage Determinations and FAR Subpart 22.10 (Service Contract Labor Standards); USDOL Wage Determinations are attached in Section D below and updated versions will be attached as part of option year exercises or task orders issued against IDIQ contract or BPA as applicable.

b. For guidance on Service Contract Labor Standards and to find the nearest USDOL resource, please refer to https://www.dol.gov/whd/local/index.htm.

21. POST-AWARD CONFERENCE

https://www.dol.gov/whd/local/index.htm

a. Upon award of contract, Contractor shall attend a post-award conference via conference call with the Contracting Officer (CO), Technical Representative, and Technical Representative designated representatives from VA facility.

B.3 PRICE/COST SCHEDULE

INDEFINITE QUANTITY CONTRACT

ESTIMATED QUANTITY. The quantity referenced in the Attached Schedule is estimated and does not provide a guarantee of an exact order to the contractor. Actual quantities will be referenced on Orders issued against the Indefinite Quantity Contract.

MINIMUM AND MAXIMUM ORDER LIMIT. The minimum and maximum order amount is set forth in FAR Clause 52.216-19 (Order Limitations). The ceiling limits apply to the life of the contract and are as follows:

• MINIMUM ORDER LIMIT: Guaranteed minimum is $150,000 and will be awarded at time of contract award via the initial Task Order.

• MAXIMUM ORDER LIMIT: Contract maximum is $1,500,000.00 over the lifetime of the contract.

OBLIGATION OF FUNDS. This Indefinite Quantity Contract does not obligate any funds. The Government is obligated only to the extent of authorized orders actually issued through the Indefinite Quantity Contract. Only warranted Contracting Officers from Network Contracting Office (NCO) 23, Department of Veterans Affairs can issue Task Orders against this single award Indefinite Quantity Contract.

For the Line Items, see attached document titled SCHEDULE.

See attached document: SCHEDULE.

See attached document: DELIVERY.

SECTION C - CONTRACT CLAUSES

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

PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(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)…