S02 Final Combined Synopsis Solicitation 36C25621Q0053 Elevator Inspection Services.docx
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36C25621Q0053 Contract Opportunity Combined Synopsis/Solicitation Notice
PRODUCT SERVICE CODE
SUBJECT
CONTRACTING OFFICE'S
ZIP-CODE
SOLICITATION NUMBER
RESPONSE DATE/TIME/ZONE
ARCHIVE
DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
SET-ASIDE
NAICS CODE
CONTRACTING OFFICE
ADDRESS
POINT OF CONTACT
(POC Information Automatically Filled from User Profile Unless Entered)
DESCRIPTION
See Attachment
AGENCY'S URL
URL DESCRIPTION
AGENCY CONTACT'S EMAIL
ADDRESS
EMAIL DESCRIPTION
ADDRESS
POSTAL CODE
COUNTRY
ADDITIONAL INFORMATION
GENERAL INFORMATION
PLACE OF PERFORMANCE
* = Required Field Contract Opportunity Combined Synopsis/Solicitation Notice H959 Elevator Inspection Services Gulf Coast Veterans Health Care System Joint Ambulatory Care Center (JACC), Biloxi, MS 39531 and Pensacola, FL 32507 39531 36C25621Q0053 10-15-2020 14:00
EASTERN TIME, NEW YORK, USA
N
SDVOSBC
541350 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue BLDG T102 Biloxi MS 39531 C.Robert Oravetz / Contracting Officer Department of Veterans Affairs Network Contracting Office 16 Gulf Coast Veterans Health Care System 400 Veterans Avenue BLDG T102 Biloxi, MS 39531 Department of Veterans Affairs Gulf Coast Veterans Health Care System and Joint Ambulatory Care Center (JACC) Biloxi, MS 39531 Pensacola, FL 32507
USA
https://www.va.gov/
VA
christopher.oravetz@va.gov CO e-mail address This is a combined synopsis solicitation for commercial items, prepared in accordance with the format in Federal Acquisition Regulation (FAR 12.6) as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; offers are being requested and a written solicitation will not be issued.
Solicitation number 36C25621Q0053 is issued as a Request for Quote (RFQ). This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-96.
The Gulf Coast Veterans Health Care System (Biloxi, MS) and the Joint Ambulatory Care Center (JACC), Pensacola, FL is seeking a contractor that can provide the following services for the facilities: Elevator Inspection Services.
All work shall be completed in accordance with the Statement of Work entitled, “Elevator Inspection Services” dated 10/05/2020. The Statement of Work contained within this solicitation is a non-negotiable document. Offers/quotes shall not include edits, revisions, additions, deletions, alterations, or track change comments to the Statement of Work.
The associated North American Industry Classification (NAICS Code) for this requirement is 541350- Building Inspection Services. The associated size standard is $8 million.
This solicitation is set aside 100 % for Service-Disabled Veteran Owned Small Businesses (100% SDVOSB set aside). Offers shall only be accepted from Service-Disabled Veteran Owned Small Businesses (SDVOSB’s) with an active profile/registration in the Vendor Information Pages (VIP/VetBiz).
When preparing offers in response to this solicitation offerors shall refer to FAR 52.212-1 (Instructions to Offerors – Commercial Items) and Addendum to FAR 52.212-1 (Instructions to Offerors-Commercial Items). These sections contain specific instructions, guidance, format, and exact requirements for what constitutes a complete and responsive offer/quote.
PAGE
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.
DUNS:
DUNS+4:
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. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
520-21-1-543-0020 36C25621Q0053 10-05-2020 C. Robert Oravetz 228-523-5454 10-15-2020 14:00 36C256 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue BLDG T102 Biloxi MS 39531 X X 541350 $8 Million N/A X 36C256 Department of Veterans Affairs Gulf Coast Veterans Health Care System Engineering Service 400 Veterans Avenue Biloxi MS 39531 36C256 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue BLDG T102 Biloxi MS 39531
Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714 8972
(512) 460-5380 vafsccshd@va.gov See CONTINUATION Page Contractor shall provide elevator inspection services (Semi-annual inspections, annual inspections, and five year safety test for the elevators located at Gulf Coast Veterans Health Care System (Biloxi, MS) and JACC, Pensacola, FL.
Contractor shall refer to Statement of Work, the Schedule of Services (Price/Cost Schedule), and all other requirements and conditions within this solicitation that pertain to the execution of services and the completion of tasks/deliverables.
Contractor shall refer to FAR 52.212-1 and FAR 52.212-2 when submitting offers/quotes in response to this solicitation.
Solicitation is set aside 100% for Service-Disabled Veteran Owned Small Businesses (SDVOSB's).
See FAR 52.212-1 for specific requirements regarding close date & time and submission protocols.
See CONTINUATION Page X X X
C. ROBERT ORAVETZ
VA-VHA-SAOC-2018-7292E378
Table of Contents
| SECTION A | 3 |
| A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS | 3 |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 5 |
| B.1 CONTRACT ADMINISTRATION DATA | 5 |
| B.2 PRICE/COST SCHEDULE & ITEM INFORMATION | 6 |
| B.3 STATEMENT OF WORK | 13 |
| SECTION C - CONTRACT CLAUSES | 20 |
| C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 20 |
| C.1-A GRAY MARKET PREVENTION LANGUAGE | 20 |
| C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 20 |
| C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) | 21 |
| C.4 52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND VEGETATION (APR 1984) | 21 |
| C.5 52.246-4 INSPECTION OF SERVICES—FIXED-PRICE (AUG 1996) | 21 |
| C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) | 22 |
| C.7 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018) | 23 |
| C.8 VAAR 852.237-75 KEY PERSONNEL (OCT 2019) | 24 |
| C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JUN 2020) | 24 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 31 |
| SECTION E - SOLICITATION PROVISIONS | 31 |
| E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 37 |
| E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (DEC 2019) | 37 |
| E.3 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED BY REFERENCE (JAN 2008) | 38 |
| E.4 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014) | 38 |
| E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (JUN 2020) | 40 |
36C25621Q0053
Page 1 of
Page 1 of
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 36C256 C. Robert Oravetz Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue BLDG T102 Biloxi MS 39531
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] |
| 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or |
| [] |
| 52.232-36, Payment by Third Party |
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [] |
| b. Semi-Annually | [] |
| c. Other | [X] Monthly for completed services only. |
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.
Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714 8972 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
| AMENDMENT NO |
| DATE |
B.2 PRICE/COST SCHEDULE & ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 2.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Base POP Begin: 11-01-2020 POP End: 09-30-2021
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Base
| 2.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein.
In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Base
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Base
SUBTOTAL – BASE YEAR
| 2.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 1 POP Begin: 10-01-2021 POP End: 09-30-2022
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 1
| 2.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein.
In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 1
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 1
SUBTOTAL – OPTION YEAR ONE
| 2.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 2 POP Begin: 10-01-2022 POP End: 09-30-2023
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 2
| 2.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein.
In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 2
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 2
SUBTOTAL – OPTION YEAR TWO
| 2.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 3 POP Begin: 10-01-2023 POP End: 09-30-2024
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 3
| 2.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein.
In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 3
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 3
SUBTOTAL – OPTION YEAR THREE
| 2.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4 POP Begin: 10-01-2024 POP End: 09-30-2025
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4
| 2.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Semi-annual Inspections of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: Two (semi-annual) inspections per year conducted in April and November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein.
In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Annual Inspection of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One (annual) inspection per year conducted in November.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4
| 1.00 |
| JB |
| __________________ |
| __________________ |
BILOXI:
TASK/DELIVERABLE: Five-year safety (load) test of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – BILOXI" FREQUENCY: One five-year safety (load) test to be conducted in May 2025.
LOCATION: Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4
| 1.00 |
| JB |
| __________________ |
| __________________ |
PENSACOLA:
TASK/DELIVERABLE: Five-year safety (load) test of elevators and dumbwaiters listed in table “AUTOMATIC ELEVATORS – JACC CLINIC” FREQUENCY: One five-year safety (load) test to be conducted in May 2025.
LOCATION: Joint Ambulatory Care Center (JACC), 790 Veterans Way, Pensacola, FL 32507 Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct Semi-annual Inspections of elevators and dumbwaiters listed herein. In accordance with all Statement of Work Requirements (terms, conditions, provisions, specifications, and schedules) to include required reporting. Preparation, execution, and submission of required reports shall be included in the cost of this line item.
Contract Period: Option 4
SUBTOTAL – OPTION YEAR FOUR
| GRAND TOTAL |
| __________________ |
Base Period Total
Option Year One (1) Total
Option Year Two (2) Total
Option Year Three (3) Total
Option Year Four (4) Total
Contract GRAND TOTAL
For the purposes of the award of this Contract, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows: The evaluation will consider the possibility that the option can be exercised at any time, and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price of all proposals relative to each other, and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.
B.3 STATEMENT OF WORK
STATEMENT OF WORK
ELEVATOR INSPECTION SERVICES
As of DATE _10/05/2020_____
Contract Number:
Task Order Number:
| IFCAP Tracking Number: |
| 520-21-1-543-0020 |
Follow-on to Contract and Task Order Number:
1. Contracting Officer’s Representative (COR). .
Name: Brandon O’Neal Section: Engineering Address: 400 Veterans Ave, Biloxi MS 39531 Phone Number: (228) 523-5373 E-Mail Address: brandon.oneal@va.gov
2. Contract Title: Elevator Inspection
3. Background: Yes. Semi-annual inspections, annual safety tests, and 5-year load test are required on elevators.
4. Scope. Contractor to furnish all labor, materials, equipment, parts, tools, supplies, personnel, and supervision required to conduct semi-annual inspections, annual safety tests, and five-year load test of elevators and dumbwaiters listed herein in accordance with all the terms, conditions, provisions, specifications, and schedules listed herein.
· This Scope of Work covers all semi-annual inspections of elevators and dumbwaiters and annual tests of governors and safety devices on the listed equipment herein during the period of October 1 through September 30 for the base year period and all renewal option years and/or periods. Inspections and documentation shall be in accordance with the American Society of Mechanical Engineers A17.1 Section X, A17.2, A17.3, A17.4 most recent edition, and addenda standard.
· Pursuant to ASME A17.1 Section 1000, ASME A17.2, and ASME A17.3, the contractor must provide proof of QE-1 certification. A copy of this certificate must be provided with the bid.
· In order to become fully aware of the Scope of Work, offerors should thoroughly review the specifications prior to submitting their bid. Failure to understand the contract requirements shall not relieve the successful bidder from performing in accordance with the strict meaning and intent of the specifications.
5. Specifications/Characteristics:
SEMI-ANNUAL INSPECTIONS: (Conducted in April each year)
The inspections shall be thorough and cover all items specified in “Report of Inspection of Elevators” VA Form 10-6166 (attached) upon completion of the inspection. Inspection should cover any other parts and assemblies not listed that may be brand specific in order to make a proper inspection. Parts shall be removed where necessary to determine their exact condition, which could not otherwise be determined, and the equipment shall be cleaned where necessary to make the proper inspection.
1. Furnishing and Installing Minor Parts: Parts removed as required to conduct these inspections and thus damaged by removal will be replaced by the inspector at no cost. These parts include minor items costing less than $10.00 (exclusive of installation charge) such as retaining clips, insulators, wire connectors, fuses or fuse links, nylon wire ties, seals, (lead, plastic, or aluminum), etc.
2. The inspection company is required to furnish the tools and labor to perform the semi-annual no-load tests. The elevator maintenance contractor will not be performing any services during the semi-annual inspection.
ANNUAL SAFETY TEST: (Conducted in November each year)
1. An annual safety test will be performed on elevators/dumbwaiters listed below and cover the following:
| Safeties shall be subjected to a running test; |
| Slowest operating speed at no-load test; |
| Phase 1 – Lobby Key Switch check; and |
| Phase 2 – Service Check |
2. The elevator maintenance company is required to furnish the tools and labor to perform the annual no-load tests. The inspection contractor will witness and certify all tests.
3. Inspection shall be made in accordance with the Safety Code for Elevators, ASME A17.1 Section X latest edition. Elevators are to be run at slow speed.
FIVE YEAR SAFETY TEST: (To be conducted in May 2025)
A five-year safety test will be performed on elevators and dumbwaiters listed below. Safeties shall be subjected to the ASME testing standards for car and counter weights. Governors and oil buffers will be tested also. The five-year safety test will be performed on all elevators (traction and hydraulic). All work to be performed in accordance with Rule 1002.3, 5-year inspection test requirements, ASME A17.1 latest edition.
1. At a minimum, elevators/dumbwaiters at all stations shall have the following inspection points covered in accordance with ASME A17.1 Section X, plus A17.2 for the full load tests:
1. Test car safety devices and overspeed governor with 100% contract load at contract speed.
2. Test car brake and emergency power operation with 125% contract load.
3. Testing and calibration of overspeed governor jaw and overspeed switch tripping speeds.
4. Attach metal test tags. Seal and tag all safety devices and oil buggers.
5. Test oil buffers by running onto the car buffers with contract load at inspection speed.
6. Test oil buffers by running onto the counterweight buffers with the car empty running at inspection speed in the up direction.
7. Test terminal, normal and emergency limits.
8. Test leveling zone and leveling speeds with contract load.
9. Test door pressure and kinetic energy.
10. Record the following:
a. Capacity;
b. Speed empty up and down;
c. Speed loaded up and down;
d. Safety jaw tripping speed;
e. Overspeed governor tripping speed;
f. Safety slide on the rails;
g. Governor pull through;
h. Governor plate speed;
i. Car level after test;
j. Buffer return time;
k. Complete firefighters service check as applicable, and
l. Complete safety rope pull out as applicable.
11. Perform all inspections and tests in strict accordance with ANSI/ASME A17.1, Section X, plus A17.2.
12. List code violations observed during tests.
13. A five-year load test is required based on DIV II – 210.2.
2. Testing requires 50-lb test weights. No fifty-five-gallon drums filled with water or 1000-lb weights will be accepted for use on load tests.
3. The elevator maintenance company is required to furnish weights, tools, and labor to perform the five-year full load test. The elevator inspection contractor will witness and certify all tests. The VA elevator maintenance contractor will also be present to witness the inspection.
REPORTS:
The contractor shall complete the attached VA Form 10-6166 for each elevator inspected. For all items on the attached forms which are not applicable, the notation “NA” shall be made. The contractor shall clearly identify all deficiencies, (indicating what adjustments, repairs, or replacements are necessary to correct the trouble encountered. Contractor shall identify the problem, identify possible causes, submit photos (where applicable), indicate if shutdown is warranted as well as a time frame in which repairs should be made. The contractor shall justify all recommendations and furnish specifications sufficient to enable the VA to purchase materials required for any repairs (including a cost estimate). The contractor shall also advise the VA whether the elevator parts have been kept clean and lubricated where necessary. (Please create on a separate spreadsheet entitled: “Deficiencies to be Corrected” and submit per the requested information above).
1. Reports will be prepared and submitted in original and PDF, not later than 15-working days following the inspection. Reports should be forwarded to the following address:
VA Gulf Coast Veterans Health Care System Chief Engineer (138) 400 Veterans Avenue Biloxi, MS 39531
SAFETY REQUIREMENTS:
In the performance of this contract, the Contractor shall take such safety precautions as the Contracting Officer or his designee may determine to be reasonably necessary to protect the lives and health of occupants of the building. This shall include following OSHA guidelines for Elevator Maintenance Safety. Specifically, when an elevator is taken out of services for testing, doors on all floors shall be clearly labeled “OUT OF SERVICE” and barricaded. The Contracting Officer or his designee will notify the Contractor of any noncompliance with the foregoing provisions and the action to be taken. The Contractor shall, after receipt of such notice, immediately correct the conditions to which attention has been directed. Such notice, when served on the Contractor or his representative at the site of work, shall be deemed sufficient for the purpose aforesaid. If the Contractor fails or refuses to comply promptly, the Contracting Officer may issue an order, stopping all or any part of the work, and hold the Contractor in default in accordance with the Default Clause in this contract.
SCHEDULE OF INSPECTIONS AND WORK HOURS:
1. Semi-Annual inspections and annual safety tests will be made during the months indicated in this Scope of Work for the base period and any renewal option periods exercised. The Contractor shall notify the COR (in writing or e-mail), at least 30-days in advance to coordinate the time and date of the inspection. The VA elevator maintenance contractor shall accompany the contractor as an observer during the entire time of each inspection.
2. All work performed under this contract shall be performed during the normal administrative working hours of Monday through Friday, exclusive of holidays, 8:00 a.m. to 4:30 p.m. The contractor will allocate no less than one day for inspections at the JAC Facility located at 790 Veterans Way, Pensacola Florida and two days at 400 Veterans Ave, Biloxi VAMC. Upon arrival to perform the inspection, the Contractor will check in at the Engineering Office, Building 10, with the COR, who will identify the number of personnel to conduct the inspection and secure temporary badges for the inspection only. Service tickets must be signed and dated indicating the work is complete or incomplete at the end of the inspection.
AUTOMATIC ELEVATORS - BILOXI
BILOXI DIVISION
| Bldg |
| Location |
| Serial # |
| Type |
| Type Note |
| Make |
| 1 |
| P1 |
| 3275762 |
| Passenger |
| Traction |
| MCE |
| 1 |
| P2 |
| 3275765 |
| Passenger |
| Traction |
| MCE |
| 1 |
| P3 |
| 3278459 |
| Passenger |
| Hydraulic |
| MCE |
| 1 |
| P4-Morgue |
| 2017086894 |
| Passenger |
| Hydraulic |
| MCE |
| 2 |
| P1 |
| 3277554 |
| Passenger |
| Hydraulic |
| MCE |
| 2 |
| P2 |
| 3277552 |
| Passenger |
| Hydraulic |
| MCE |
| 3 |
| P1 |
| 3275768 |
| Passenger |
| Traction |
| MCE |
| 3 |
| P2 |
| 3275771 |
| Passenger |
| Traction |
| MCE |
| 3 |
| S3 |
| 3275697 |
| Service |
| Traction |
| MCE |
| 3 |
| P4 |
| 3275740 |
| Passenger |
| Traction |
| MCE |
| 3 |
| P5@ER |
| ER3678 |
| Passenger |
| Traction |
| MCE |
| 3 |
| PADCLEAN #2 |
| 128033 |
| Dumbwaiter |
| Traction |
| DA Matot |
| 3 |
| PADDIRTY #1 |
| 128026 |
| Dumbwaiter |
| Traction |
| DA Matot |
| 3 |
| LAB DW #3 |
| 128034 |
| Dumbwaiter |
| Traction |
| DA Matot |
| 5 |
| P1 |
| CP52670 |
| Passenger |
| Hydraulic |
| Montgomery |
| 14 |
| P1 |
| 19292 |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 14 |
| P2 |
| 19264 |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 15 |
| P1 |
| 16344 |
| Passenger |
| Hydraulic |
| MCE |
| 15 |
| P2 |
| 16335 |
| Passenger |
| Hydraulic |
| MCE |
| 15 |
| S3 |
| 16336 |
| Service |
| Hydraulic |
| MCE |
| 17 |
| P1 |
| 3277134 |
| Passenger |
| Hydraulic |
| MCE |
| 19 |
| P1 |
| 3263207 |
| Passenger |
| Hydraulic |
| MCE |
| 19 |
| P2 |
| 3263209 |
| Passenger |
| Hydraulic |
| MCE |
| 25 |
| P1 |
| 052901A |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 25 |
| S2 |
| 052901B |
| Service |
| Hydraulic |
| Elevator Controls |
| 25 |
| P3 |
| 052902 |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 25 |
| P4 |
| 052903A |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 25 |
| P5 |
| 052903B |
| Passenger |
| Hydraulic |
| Elevator Controls |
| 28 |
| P1 |
| EAK808 |
| Passenger |
| Hydraulic |
| TKE |
| 28 |
| P2 |
| EAK809 |
| Passenger |
| Hydraulic |
| TKE |
| 28 |
| P3 |
| EAK810 |
| Passenger |
| Hydraulic |
| TKE |
| 30 |
| P7 |
| 3289622 |
| Passenger |
| Traction |
| MCE |
| 30 |
| P8 |
| 3289620 |
| Passenger |
| Traction |
| MCE |
| 30 |
| P9 |
| 3289625 |
| Passenger |
| Traction |
| MCE |
| 30 |
| S10 |
| 3289629 |
| Service |
| Traction |
| MCE |
| 53 |
| P1 |
| CP-52668 |
| Passenger |
| Hydraulic |
| Miprom |
| 56 |
| Pier |
| 113813 |
| Passenger |
| Traction |
| Wheel-O-Vator |
AUTOMATIC ELEVATORS – JACC CLINIC
PENSACOLA (JACC) DIVISION
| Bldg |
| Location |
| Serial # |
| Type |
| Type Note |
| Make |
| 1G104 |
| JAC #1 |
| EV4261 |
| Passenger |
| Traction |
| TKE |
| C181A |
| JAC #2 |
| EV4262 |
| Passenger |
| Traction |
| TKE |
| 1G101 |
| JAC# 3 |
| EV4263 |
| Passenger |
| Traction |
| TKE |
| 1G101 |
| JAC# 4 |
| EV4264 |
| Passenger |
| Traction |
| TKE |
| REPORT OF INSPECTION OF ELEVATORS |
| DATE OF INSPECTION |
TO
Director Field Operations VISN 16, Station 520 Veterans Administration Central Office Washington, D.C. 20420
Name and location of Station
Building Name and Number
| No. of Stops |
| No. of Openings |
Elevator Number and Type
Rated Capacity
LBS: PERSONS:
Manufacturer Serial No. and Year Installed
| Rated Speed (fpm) |
| Actual Speed (fpm-tach) |
1. CONDITION OF EQUIPMENT (Check)
| ITEM |
| GOOD |
| FAIR |
| POOR |
| ITEM |
| GOOD |
| FAIR |
| POOR |
MACHINE
ELECTRONIC TUBES & TRANSISTORS
WORM AND GEAR
RESISTANCES
WORM & GEAR THRUST BEARING
RECTIFIERS
SHEAVE SHAFT BEARINGS
CONTACT INSULATORS
WORM SHAFT PACKING & SEALS
CONTACT HOLDERS
BEDPLATE
CONTACT SPRINGS
MAIN MOTOR
BRAIDED & WIRE CONNECTORS
MOTOR FIELDS, BRUSHES & HOLDERS
MACHINE ROOM VENTILATION
COMMUTATOR AND SLIP RINGS
ELECTRIC WIRING
MOTOR GENERATOR
LIGHTING IN MACHINE ROOM
EXCITER
HEATING IN MACHINE ROOM
MOTOR GENERATORS FIELD BRUSHES & HOLDERS
CLEARANCE AROUND MACHINE ROOM EQUIPMENT
BRAKE, PINS, LINING, DRUM
MAIN LINE SWITCH LOCATION
GOVERNOR & RELEASING CARRIER
CONDITION OF MACHINE ROOM FLOOR
SELECTOR, CABLE, SWITCH, & TAPE
GUARDING OF EXPOSED EQUIPMENT
CONTROLLER
PROJECTIONS, RECESSES
RELAY PANELS
HOISTWAY VENTING
RELAYS AND CONTACTS
PIT LADDER
OVERLOADS
GROUNDING OF EQUIPMENT
FUSES AND FUSE LINKS
ELECTRICAL PROTECTIVE DEVICES
MAGNET COILS
CYLINDER AND PLUNGER
CAPACITORS
PUMPS, VALVES, PIPING, & TANKS
CROSSHEAD, SHOES, CARTOP
CAR ENCLOSURE
CAR DOORS, OPERATOR
CAR OPERATING PANEL
GUIDE RAILS AND SUPPORTS
CAR CANOPY
1. CONDITION OF EQUIPMENT (Continued)
| ITEM |
| GOOD |
| FAIR |
| POOR |
| ITEM |
| GOOD |
| FAIR |
| POOR |
OVERHEAD BEAMS
CAR EMERGENCY EXIT CONTACTS
SHEAVES AND BEARINGS
CAR FLOORING
HANGERS AND DOOR GIBS
CAR LIGHTING
INTERLOCKS AND CLOSERS
CAR VENTILATIONS
LEVELING SWITCHES AND VANES
CAR CAPACITY PLATE
TOP CAR OPERATING DEVICE
CAR TELEPHONE BOX
TRAVELING CABLE
CAR CERTIFICATE FRAME
LIMIT SWITCHES
HOISTWAY DOOR PANELS AND FRAMES
CWT, TIE RODS, & COTTER PINS
HANGER COVERS
BUFFERS (CAR & CWT)
FASCIA PLATES
GUARD FOR COUNTERWEIGHT
TOE GUARDS
GOVERNOR TENSION SHEAVE & GUARD
HEADERS
GOVERNOR TENSION SHEAVE WEIGHT
HOISTWAY SILLS
SAFETY
FIREPROOFING UNDER PLATFORM
PIT ACCESS DOOR
NUMERAL ON EQUIPMENT
CAR PHOTO-ELECTRIC RAYS
HALL LANTERNS
CAR DOORS CONTACTS
HALL PUSH BUTTONS
CAR SAFETY EDGE
DISPATCHING PANEL
FACEPLATES AT STATIONS
HOISTWAY ACCESS SWITCH
CAR POSITION INDICATOR
PAINTING OF EQUIPMENT
HALL POSITION INDICATOR
EMERGENCY ELECTRIC POWER EQUIPMENT
| ARE MANUAL & PARTS LIST AVAILABLE? |
| YES NO |
| ARE TOOLS AVAILABLE? |
| YES NO |
2. CONDITION OF ROPES
| LOCATION |
| MATERIALS |
| NUMBER |
| SIZE AND CONSTRUCTION |
| USED LIFE |
(in months)
EST. ADD. LIFE
(in months) NO. OF BROKEN WIRES (per rope lay)
HOISTING
DRUM COUNTERWEIGHT
CAR COUNTERWEIGHT
GOVERNOR – CAR
GOVERNOR – CWT
COMPENSATING
SAFETY
CONTRACT NO.
| NAME OF CONTRACT COMPANY |
| SIGNATURE OF INSPECTING OFFICER |
We certify that the contractor has complied with all requirements of the contract and specifications.
DATE
| SIGNATURE OF ENGINEERING OFFICER |
| SIGNATURE OF DIRECTOR |
SECTION C - CONTRACT CLAUSES
| FAR Number |
| Title |
| Date |
| 52.212-4 |
| CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS |
| OCT 2018 |
ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.
The following clauses are incorporated into 52.212-4 as an addendum to this contract:
C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):
http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/
(End of Clause)
C.1-A GRAY MARKET PREVENTION LANGUAGE
(a) Gray market items are Original Equipment Manufacturer’s (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable.
(b) Vendor 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.
(c) The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA’s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.
| FAR Number |
| Title |
| Date |
| 52.204-13 |
| SYSTEM FOR AWARD MANAGEMENT MAINTENANCE |
| OCT 2018 |
| 52.204-18 |
| COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE |
| JUL 2016 |
C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)
The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.
(End of Clause)
C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)
(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.
(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.
(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.
(End of Clause)
| FAR Number |
| Title |
| Date |
| 52.232-18 |
| AVAILABILITY OF FUNDS |
| APR 1984 |
| 52.232-40 |
| PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS |
| DEC 2013 |
C.4 52.237-2 PROTECTION OF GOVERNMENT BUILDINGS, EQUIPMENT, AND VEGETATION (APR 1984) The Contractor shall use reasonable care to avoid damaging existing buildings, equipment, and vegetation on the Government installation. If the Contractor's failure to use reasonable care causes damage to any of this property, the Contractor shall replace or repair the damage at no expense to the Government as the Contracting Officer directs. If the Contractor fails or refuses to make such repair or replacement, the Contractor shall be liable for the cost, which may be deducted from the contract price.
(End of Clause)
C.5 52.246-4 INSPECTION OF SERVICES—FIXED-PRICE (AUG 1996)
(a) Definitions. "Services," as used in this clause, includes services performed, workmanship, and material furnished or utilized in the performance of services.
(b) The Contractor shall provide and maintain an inspection system acceptable to the Government covering the services under this contract. Complete records of all inspection work performed by the Contractor shall be maintained and made available to the Government during contract performance and for as long afterwards as the contract requires.
(c) The Government has the right to inspect and test all services called for by the contract, to the extent practicable at all times and places during the term of the contract. The Government shall perform inspections and tests in a manner that will not unduly delay the work.
(d) If the Government performs inspections or tests on the premises of the Contractor or a subcontractor, the Contractor shall furnish, and shall require subcontractors to furnish, at no increase in contract price, all reasonable facilities and assistance for the safe and convenient performance of these duties.
(e) If any of the services do not conform with contract requirements, the Government may require the Contractor to perform the services again in conformity with contract requirements, at no increase in contract amount. When the defects in services cannot be corrected by reperformance, the Government may (1) require the Contractor to take necessary action to ensure that future performance conforms to contract requirements and (2) reduce the contract price to reflect the reduced value of the services performed.
(f) If the Contractor fails to promptly perform the services again or to take the necessary action to ensure future performance in conformity with contract requirements, the Government may (1) by contract or otherwise, perform the services and charge to the Contractor any cost incurred by the Government that is directly related to the performance of such service or (2) terminate the…
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