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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. E-MAIL ADDRESS 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:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 67

695-21-2-6243-0010

36C25221Q0070 10-22-2020

Rob Knight Robert.Knight1@va.gov 11-12-2020

5:00 PM

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

115 S 84th Street, Suite 101

Milwaukee WI 53214-1476

X 100

X

811219

$22 Million

N/A

N/A

36C252

Department of Veterans Affairs

Milo C. Huempfner VA Outpatient Clinic, Green Bay, WI

John H. Bradley VA Outpatient Clinic, Appleton, WI

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

115 S 84th Street, Suite 101

Milwaukee WI 53214-1476

Department of Veterans Affairs

Financial Services Center

PO Box 149971

Austin TX 78714-9971

877-353-9791 512-460-5540

Testing, Certification, Preventive Maintenance, and Additional

Services: Pharmacy Rooms, Hoods, Biosafety Cabinets, and

High Efficiency Particulate Air Filter Banks for the Milo C.

Huempfner VA Outpatient Clinic, Green Bay, Wisconsin, and the

John H. Bradley VA Outpatient Clinic, Appleton, Wisconsin

See Section B.2 Price Schedule and Section B.3 Performance

Work Statement for specific requirements.

Base Year: January 1, 2021 - December 31, 2021

Option Year 1: January 1, 2022 - December 31, 2022

Option Year 2: January 1, 2023 - December 31, 2023

Option Year 3: January 1, 2024 - December 31, 2024

Option Year 4: January 1, 2025 - December 31, 2025

695-3610162-6243-850300-2520 010032300

X 1

Susan Pasholk

36C25221Q0070

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

INSTRUCTIONS TO QUOTERS

B.2 PRICE SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

2018)

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

C.3 52.216-18 ORDERING (OCT 1995)

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 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.8 52.219-6 NOTICE OF TOTAL SMALL BUSINESS SET-ASIDE (DEVIATION 2019-01)

C.9 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.10 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.11 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (OCT 2020)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO QUOTERS – COMMERCIAL ITEMS 43

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

1998)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (DEC 2019)

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

E.5 52.237-1 SITE VISIT (APR 1984)

E.6 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (AUG 2020)

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:

ADDRESS:

CITY-STATE-ZIP:

POINT OF CONTACT/TITLE:

PHONE NUMBER:

FAX NUMBER :

E-MAIL ADDRESS:

DUNS NUMBER:

b. GOVERNMENT: SUSAN PASHOLK, CONTRACTING OFFICER

ROBERT KNIGHT, CONTRACT SPECIALIST

CONTRACTING OFFICE CODE: 36C252

DEPARTMENT OF VETERANS AFFAIRS

GREAT LAKES ACQUISITION CENTER

115 S. 84TH ST., STE 100

MILWAUKEE WI 53214

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER SYSTEM – SYSTEM FOR

AWARD MANAGEMENT (OCT 2018)

3. INVOICES:

a. Invoices shall be submitted monthly in arrears in accordance with:

852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Payments shall be made in arrears upon receipt of a properly prepared invoice.

c. In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services

Center (VAFSC). VAFSC has partnered with Tungsten Network e-Invoicing network, for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all

VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten

Network by submitting an email to VA.Registration@Tungsten-Network.com or calling 1-877-

752-0900 option 2 for Enrollment.

d. Contractor shall submit an electronic invoice by the tenth (10th) of the following month services were performed to the Veterans Affairs Financial Services Center (VAFSC) e-Invoice through the website at https://portal.Tungsten-Network.com/Login.aspx. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at

1-877-489-6135.

e. All invoices shall reference the vendor name and address, customer name, contract number, appropriate obligation/funding order number, description of services provided, quantity, unit price, and total invoice amount (any additional info). Invoices shall also include any payment discount terms.

4. GOVERNMENT INVOICE ADDRESS: (See SF1449 Block 18):

a. All invoices from the contractor shall be submitted electronically in accordance with:

852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

c. VA’s Electronic Invoice Presentment and Payment System – The Veterans Affairs Financial

Services Center (VAFSC) uses a third-party contractor, Tungsten Network e-Invoice, to transition vendors from paper to electronic invoice submission. Please go to this website:

http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.

d. As of July 1, 2020, the VA10091 form has been eliminated and the VAFSC is requiring our vendors to update and add their information in the Customer Engagement Portal (CEP) at https://www.cep.fsc.va.gov/. This is for new vendors being added to FMS only.

e. For assistance setting up e-Invoice, the below information is provided:

* Tungsten Network e-Invoice Setup Information: 1-877-489-6135

* Tungsten Network e-Invoice email: VA.Registration@Tungsten-Network.com

* FSC e-Invoice Contact Information: 1-877-353-9791

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

5. CONTRACTING OFFICER AUTHORITY: The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contracting

Officer’s Representative (“COR”) has no authority to change or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitment or issue changes that will affect price, quantity or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than mailto:VA.Registration@Tungsten-Network.com https://portal.tungsten-network.com/Login.aspx http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/ https://www.cep.fsc.va.gov/ mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred thereof.

6. ON-CAMPUS REQUIREMENTS: During any visit to any VA facility under the terms of this

Contract, the Contractor, including its employees, agents, and subcontractors (collectively “the

Contractor”), shall comply with all VA policies. Failure to comply with VA policies may be a violation of Federal law and may result in charge(s) answerable in the United States District Court.

Specific policies include, but are not limited to:

a. Contractor Orientation: The Contractor shall attend an orientation prior to beginning any work under this Contract, at the COR’s discretion. This orientation may include the following topics:

Contract terms and conditions; performance monitoring; badging procedures; safety; fire procedures; severe weather procedures; infection control; and other disaster procedures.

b. Check-in/Check-out Requirements: The Contractor’s employees and/or agents shall report in-person to the COR, Room 1S042, upon arrival and before departing the facility.

c. Safety – Infection Control Risk Assessment (“ICRA”) Requirements: During the performance of this Contract, the Contractor shall follow all ICRA requirements, as set forth by the infection control staff. In particular, strict compliance with all COVID-19 requirements is mandatory, including adherence to all screening procedures, wearing of a protective facemask, and maintaining a six-foot social distance.

d. Safety – Occupational Safety and Health Administration (“OSHA”) Requirements: The

Contractor shall comply with all applicable OSHA requirements while performing work under this Contract at any VA facility, including: use of personal protective equipment; respiratory protection; proper placement of caution signs; an occupational health program; and providing the

COR with all Safety Data Sheets, as applicable, prior to beginning any work under this Contract.

e. Identification: The Contractor shall comply with all facility requirements to obtain proper VA identification/badging prior to beginning any work under this Contract. The Contractor may be required to provide fingerprints, two (2) forms of identification, and other documentation, and be accompanied by the COR to obtain identification/badging, in accordance with each facility’s visitor requirements. The Contractor shall wear visible identification and company uniforms, if issued, at all times while on the premises of any VA facility. Each VA facility has its own access requirements and has the authority to deny facility access to anyone based on these requirements.

f. Parking: It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VA will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

g. Drug-free Policy: All VA facilities are drug-free.

h. Non-smoking Policy: Smoking is prohibited on the entire campus, both inside and outside the VA

Facility.

i. Weapons Prohibited: Possession of any type of weapon on VA property is prohibited. Enclosed containers, including tool kits, are subject to search without consent while on VA property.

j. Protection of Government Property: The Contractor shall take care to protect persons and personal/Government property while on VA property, including removal of all trash and debris at the completion of any job, and otherwise keeping the work area clean at all times. The Contractor shall be liable for any injuries and/or damage caused by the Contractor, including its employees and agents (including any subcontractors), to include all reasonable costs for medical treatment and/or damage repair. Any injuries and/or damage caused by the Contractor shall immediately be reported to the COR.

k. VHA DIRECTIVE 1192.01: This Veterans Health Administration (VHA) directive establishes policy and provides guidance for the prevention of seasonal influenza in VHA facilities through the vaccination or masking of health care personnel (HCP). AUTHORITY: Title 38 United States

Code (U.S.C.) 7301(b), 7318(b). Contractor is responsible for providing face masks and influenza vaccines for all employees working at a VA facility. If Directive 1192.01 is applicable the

Contractor, in conjunction with the COR, is responsible in ensuring that all aspects of this directive are implemented.

7. SECURITY & PRIVACY CONTROL: The Authorization & Accreditation (A&A) requirements of

VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No A&A or MOU/ISA is required. Sensitive information exposure as part of this contract involves applicable security controls within the facility as part of the VA Information

Security. If there are any questions related to privacy, please have a member of your staff contact the

VA Privacy Service at (202) 461-6309. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at (304) 262-7733.

[Remainder of Page Intentionally Left Blank]

INSTRUCTIONS TO QUOTERS

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

AMENDMENT NUMBER DATE

ACQUISITION OF COMMERCIAL ITEMS: This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 12 Acquisition of Commercial Items and FAR Part 13 Simplified

Acquisition Procedures. FAR Part 15 will not be used. The procedures in Part 12 used in conjunction with Part 13 allow the Government to procure services resembling those in the commercial marketplace and streamline the procurement process. From this RFQ, the Government intends to award a hybrid contract consisting of both firm-fixed price and indefinite delivery/indefinite quantity elements. In both cases, the contractor shall provide a price that is not subject to any adjustment on the basis of the contractor’s cost experience in performing the contract.

TIMELINE:

• Site Visit: Wednesday, November 4, 2020, at 10:30 a.m. Local Time.

• Solicitation Questions Deadline: Thursday, November 5, 2020, by 5:00 p.m. Local Time.

Answers will be posted by Solicitation Amendment on Contract Opportunities.

• Solicitation Closes/Quotes Deadline: Thursday, November 12, 2020, by 5:00 p.m. Local Time.

SITE VISIT: The meeting point for the site visit is the main entrance Lobby at the Milo C. Huempfner

VA Outpatient Clinic, 2851 University Avenue, Green Bay, Wisconsin 54311-5855. Entrants will have to pass through screening questions, use hand sanitizer, wear face masks covering the nose and mouth when in the building, and otherwise observe all COVID-19 precautions. The POC for this site visit is

Mike Trost, available at Michael.Trost@va.gov. It is strongly suggested and expected that the quoter inspect the campus to be serviced to fully understand the nature of the work and the conditions under which the work is to be performed, but attending the site visit is not required to submit a quote. In no case shall failure to attend the site visit or otherwise inspect the campus constitute grounds for a claim after contract award.

SUBMITTAL OF QUESTIONS/QUOTES: In order to maintain integrity of this solicitation and subsequent award date, all quoters are advised that all questions and quotes must be submitted in a written form via e-mail to Rob Knight, Contract Specialist, at Robert.Knight1@va.gov, by the deadlines noted under Timeline, above. Answers will be posted by Solicitation Amendment on Contract Opportunities.

Receipt of quotes will be acknowledged via e-mail.

Quotes must include the following information to be evaluated for contract award. Incomplete quotes shall be considered non-conforming and will not be considered, pursuant to FAR 13.106-2(b)(3).

mailto:Michael.Trost@va.gov mailto:Robert.Knight1@va.gov

(1) Price: The Government will evaluate the price by: (1) adding the total of all firm fixed price line item prices, including all options, to reach a firm fixed price contract total price; and (2) multiplying the indefinite delivery/indefinite quantity rate by the maximum number of hours shown per line, including all options, and adding the totals for each line to reach an indefinite delivery/indefinite quantity contract total price. These firm fixed price and indefinite delivery/indefinite quantity totals will be added together to reach a total contract price.

a. Complete SCHEDULE OF SUPPLIES/SERVICES AND PRICES/COSTS

b. Fill in SF 1449: Blocks 17a, 30a, 30b, and 30c on Page 1

c. Fill in 1(a) on Page 2.

d. Fill in Price Schedule.

(2) Technical Capability: The quotation will be evaluated to the extent to which it can meet and/or exceed the Government’s requirements as detailed in Sections B.2 – Price Schedule and B.3 –

Performance Work Statement. The quote should include the following:

a. How the quoter will meet the Emergency Service Calls response time of twenty-four (24) hours, as set forth in Performance Work Statement Paragraph C.4.b.ii.

b. A primary and secondary vendor Project Manager with contact information for managing and coordinating services.

(3) Documentation:

a. A copy of the NSF International Biosafety Cabinet Field Certifier certification for each service technician that will be conducting the testing and certification of the Biosafety

Cabinets; and

b. A copy of the Controlled Environment Testing Association’s National Board of Testing

(“CNBT”) for Sterile Compounding Facilities accreditation for each service technician that will be performing services in clean rooms, operatories, processing areas and related healthcare environments.

(4) Prior Experience: Submit information, if any, of contracts providing services similar to the requirements of this Contract. Information should include contract number, dates of service, and a point-of-contact with a telephone number or e-mail address. For evaluation purposes, a lack of prior experience will not disqualify a company.

(5) Representations & Certifications: Verification that all required representations and certifications are complete/current, in accordance with:

a. FAR 52.204-24 Representation Regarding Certain Telecommunications and Video

Surveillance Services or Equipment; and

b. FAR 52.212-3 Offeror Representations and Certifications – Commercial Items.

Please limit graphics or excessively large files during quote submission. The VA has a maximum allowable incoming email size limitation including attachments of seven (7) megabytes. Offerors submitting responses via email which exceed seven (7) megabytes shall split their response into multiple email messages so as to not exceed the maximum allowable email size limitation. The VA is not responsible for late responses due to undelivered e-mails that exceed seven (7) megabytes.

Offerors are solely responsible for ensuring that their questions/quotes are received on time.

OFFERORS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED HEREIN

PRIOR TO THE TIME SPECIFIED IN BLOCK 8 OF SF 1449 IN ORDER TO BE CONSIDERED

FOR AWARD.

B.2 PRICE SCHEDULE

Base Period: January 1, 2021 – December 31, 2021

ITEM

NO.

DESCRIPTION

(Firm Fixed Price)

QTY UNIT

UNIT

PRICE

TOTAL

PRICE

Testing, Certification, and Preventive Maintenance Services in accordance with the Performance Work Statement

12 MO $_____ $_____

ITEM

NO.

DESCRIPTION

(Indefinite-Delivery Indefinite-Quantity)

EST.

QTY

UNIT

UNIT

PRICE

0002 Normal Service Calls (During Business Hours) 20 HR

0003 Emergency Service Calls (During Business Hours) 20 HR

0004 Emergency Service Calls (Outside Business Hours) 20 HR

Base Period Firm Fixed Price Total: _______________

Option Year 1: January 1, 2022 – December 31, 2022

ITEM

NO.

DESCRIPTION

(Firm Fixed Price)

QTY UNIT

UNIT

PRICE

TOTAL

PRICE

Testing, Certification, and Preventive Maintenance Services in accordance with the Performance Work Statement

12 MO $_____ $_____

ITEM

NO.

DESCRIPTION

(Indefinite-Delivery Indefinite-Quantity)

EST.

QTY

UNIT

UNIT

PRICE

1002 Normal Service Calls (During Business Hours) 20 HR

1003 Emergency Service Calls (During Business Hours) 20 HR

1004 Emergency Service Calls (Outside Business Hours) 20 HR

Option Year 1 Firm Fixed Price Total: _______________

Option Year 2: January 1, 2023 – December 31, 2023

NO.

DESCRIPTION

(Firm Fixed Price)

QTY UNIT

UNIT

PRICE

TOTAL

PRICE

Testing, Certification, and Preventive Maintenance Services in accordance with the Performance Work Statement

12 MO $_____ $_____

ITEM

NO.

DESCRIPTION

(Indefinite-Delivery Indefinite-Quantity)

EST.

QTY

UNIT

UNIT

PRICE

2002 Normal Service Calls (During Business Hours) 20 HR

2003 Emergency Service Calls (During Business Hours) 20 HR

2004 Emergency Service Calls (Outside Business Hours) 20 HR

Option Year 2 Firm Fixed Price Total: _______________

Option Year 3: January 1, 2024 – December 31, 2024

ITEM

NO.

DESCRIPTION

(Firm Fixed Price)

QTY UNIT

UNIT

PRICE

TOTAL

PRICE

Testing, Certification, and Preventive Maintenance Services in accordance with the Performance Work Statement

12 MO $_____ $_____

ITEM

NO.

DESCRIPTION

(Indefinite-Delivery Indefinite-Quantity)

EST.

QTY

UNIT

UNIT

PRICE

3002 Normal Service Calls (During Business Hours) 20 HR

3003 Emergency Service Calls (During Business Hours) 20 HR

3004 Emergency Service Calls (Outside Business Hours) 20 HR

Option Year 3 Firm Fixed Price Total: _______________

Option Year 4: January 1, 2025 – December 31, 2025

NO.

DESCRIPTION

(Firm Fixed Price)

QTY UNIT

UNIT

PRICE

TOTAL

PRICE

Testing, Certification, and Preventive Maintenance Services in accordance with the Performance Work Statement

12 MO $_____ $_____

ITEM

NO.

DESCRIPTION

(Indefinite-Delivery Indefinite-Quantity)

EST.

QTY

UNIT

UNIT

PRICE

4002 Normal Service Calls (During Business Hours) 20 HR

4003 Emergency Service Calls (During Business Hours) 20 HR

4004 Emergency Service Calls (Outside Business Hours) 20 HR

Option Year 4 Firm Fixed Price Total: _______________

Contract Firm Fixed Price Total: _______________

B.3 PERFORMANCE WORK STATEMENT

Testing, Certification, Preventive Maintenance & Additional Services:

Pharmacy Rooms, Hoods, Biosafety Cabinets, and High Efficiency Particulate Air Filter Banks

A. Overview. The purpose of this Contract is to provide for testing, certification, preventive maintenance, and additional services as required for Pharmacy Rooms, Hoods, Biosafety Cabinets

(“BSCs”), and High Efficiency Particulate Air (“HEPA”) Filter Banks (collectively, “Equipment”) located at the Milo C. Huempfner VA Outpatient Clinic, 2851 University Avenue, Green Bay, Wisconsin 54311-5855 (“Green Bay”) and the John H. Bradley VA Outpatient Clinic, 10 Tri-Park

Way, Appleton, Wisconsin 54914-1658 (“Appleton”). This Contract contains both firm fixed price and indefinite delivery/ indefinite quantity elements, which are delineated below.

1. Basic Contractor Responsibilities: The Contractor shall provide all personnel, equipment, material, parts, software, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary for execution of the work to be performed under this Contract. All work shall be performed in a neat and professional manner, including the removal of all trash and debris at the completion of any and all work, including without limitation: replaced filters; replaced parts; and used PPE.

2. Non-interference with Facility’s Functions: The Contractor shall interrupt its work at any time so as to not interfere with the normal functioning of the facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment and carts. In the event of an emergency, Contractor services may be stopped and rescheduled to a date and time mutually satisfactory to the Contractor and the COR, at no additional cost to the Government.

3. Equipment/Parts/Software: All equipment, parts, and software provided by/through the

Contractor shall be new and meet or exceed Original Equipment Manufacturer (“OEM”) recommendations/requirements. The Contractor shall not use rebuilt or used parts without the express, written approval of the COR.

4. OEM Specifications/Requirements: All work performed under this Contract shall be conducted in accordance with OEM specifications and requirements, in addition to all other requirements.

5. Test Equipment Calibration Certification: Prior to commencement of any work under this

Contract, the Contractor shall provide the COR with a copy of the current calibration certification of all test equipment to be used by the Contractor on the Equipment. This calibration certification shall also be provided on a periodic basis when requested by the COR. Test equipment calibration shall be traceable to a national standard and shall be calibrated as required.

6. Hours of Operation: Normal hours of facility operation are 8:00 a.m. – 4:30 p.m. Local Time

(“Business Hours”), Monday through Friday, except for the following Federal Holidays

(“Business Days”):

a. New Year’s Day;

b. Martin Luther King, Jr. Birthday;

c. President’s Day;

d. Memorial Day;

e. Independence Day;

f. Labor Day;

g. Columbus Day;

h. Veterans’ Day;

i. Thanksgiving Day;

j. Christmas Day; and

k. Any other day designated as a Federal Holiday by Presidential Decree.

B. Testing/Certification/Preventive Maintenance Services. All work performed under this Paragraph is governed by the regulations for Firm Fixed Price Contracts, FAR 16.202. (Note: The Contractor is not be required to go on the roof of the VA facilities for any work performed under this Paragraph.)

1. Equipment Testing/Certification Standards: All testing and certification of the Equipment shall comply with the specifications, requirements, and/or guidelines, as applicable, of: the most recent edition of United States Pharmacopeia (“USP”) 797; the most recent edition of USP 800; the

Controlled Environment Testing Association (“CETA”); and the OEM.

2. Equipment Testing/Certification Specifics.

a. Pharmacy Rooms: There are three (3) Pharmacy Rooms located at Green Bay – Room

Numbers 1E021, 1E022, and 1E023 – comprised of two compounding rooms and one anteroom. Testing/certification shall be conducted semiannually in January and July and include:

i. Air changes per hour;

ii. Pressure gradients;

iii. Visual smoke tests;

iv. Environmental sampling; and

v. Testing/Certification for five (5) HEPA filters, as set forth in the following schedule:

HEPA Bank # HEPA Filter Location

Room Size –

Square Feet

(Approximate)

HFB 10 1E023 – Pharmacy Hood in IV Prep 192

HFB 11 1E022 – Pharmacy Hood in Chemo Prep 174

HFB 12 1E023 – Pharmacy IV Prep 192

HFB 13 1E022 – Pharmacy Chemo Prep 171

HFB 14 1E021 GB – Pharmacy Anteroom 268

b. Biosafety Cabinets: Testing/certification shall be conducted semiannually in January and

July.

i. Two (2) BSCs located in the Green Bay Pharmacy Rooms;

ii. One (1) BSC located in the Green Bay Lab, Room 1D104; and

iii. One (1) BSC located in the Appleton Lab, Room 153E.

c. HEPA Filter Banks: Testing/certification shall be conducted annually in January, as set forth in the schedule below, and include:

i. HEPA filter testing/certification;

ii. Air changes per hour; and

iii. Pressure gradients.

HEPA Bank # HEPA Filter Location

Room Size –

Square Feet

(Approximate)

Department

HFB 1 2C246 – Green Bay 480 Surgery OR 3

HFB 2 2C249 – Green Bay 480 Surgery OR 2

HFB 3 2C243 – Green Bay 242 Surgery OR 4

HFB 4 2C221 – Green Bay 446 Surgery OR 1

HFB 5 2C239 – Green Bay 458 Surgery OR 5

HFB 6 2C225 – Green Bay 506 Surgery Cysto

HFB 7 2C245 – Green Bay 657 Surgery Clean

Corridor

HFB 8 2C233 – Green Bay 1,051 Surgery Clean

Corridor

HFB 9 2C237 – Green Bay 1,037 Surgery Clean

Corridor

HFB 17 2C229 – Green Bay 718 Surgery Clean

Corridor

HFB 18 2C224.1 – Green Bay 313 Surgery Clean

Vestibule

HFB 16 1C233 – Green Bay 110

Primary Care

Negative

Pressure Room

HFB 19 1B029 – Green Bay 113

Specialty Clinic

Negative

Pressure Room

d. Air Changes Per Hour and Pressure Gradient Testing: Testing shall be conducted annually in January for Green Bay and July for Appleton, as set forth in the following schedule:

Location Room Size – Square Feet

(Approximate) Department

2C132 – Green Bay 15,165 (cubic feet) PACU

1G008 – Green Bay 1,063 Sterile Processing

1G011 – Green Bay 1,521 Sterile Processing

1G025 – Green Bay 141 Sterile Processing

1G020/1G023 –

Green Bay 214/803

Sterile Processing (one open area)

1G004 – Green Bay 65 Sterile Processing –

Female Toilet

1G006 – Green Bay 67 Sterile Processing – Male

Toilet

1G019 – Green Bay 60 Sterile Processing –

Female Toilet

1G017 – Green Bay 65 Sterile Processing – Male

Toilet

1G010 – Green Bay 126

Sterile Processing

Sterilizer Equipment

Room

1B037 – Green Bay 156 Specialty Clinic Clean

Utility

1C136 – Green Bay 153 Primary Care Clinic 1

Clean Storage.

1C240 – Green Bay 153 Primary Care Clinic 2

Clean Storage

1C416 – Green Bay 153 Primary Care Clinic 4

Clean Storage

1F026 – Green Bay 83 Imaging/Radiology Clean

Storage

2B017 – Green Bay 137 GI Clinic Clean Storage

2G126 – Green Bay 116 Eye Clinic Clean Storage

2F211 – Green Bay 80 Podiatry Clinic Clean

Storage

2E008 – Green Bay 206 Dental Clinic Clean

Storage

150 – Appleton 2,169 (cubic feet) GIP Storeroom

3. Preventive Maintenance Standards: All preventive maintenance shall comply with OEM specification/requirements and include, at a minimum (where appropriate): cleaning; lubrication;

checking all alarms for proper function; checking sash integrity; and pre-filter replacement.

4. Testing/Certification/Preventive Maintenance Schedule: The Contractor, in coordination with the

COR, shall develop a comprehensive plan (the “Plan”) for providing Testing, Certification, and

Preventive Maintenance Services within thirty (30) days of Contract award. This Plan shall include specific dates, Equipment, and the testing/certification/preventive maintenance that will be conducted on each date. All work performed under this Contract shall be performed on

Business Days. The Contractor shall contact the COR at least seven (7) days prior to the normal testing/inspection cycle set forth in the Plan, and at least eight (8) hours prior to any Additional

Services to be provided, as defined below.

5. Equipment Failure: In the event any piece of Equipment fails to be certified or is in otherwise need of repair, the Contractor shall notify the COR prior to departing the facility. The Contractor shall follow-up within five (5) Business Days by providing a written report detailing the reasons for certification failure or repair, including provision of a quote if requested by the COR.

6. Documentation.

a. Certification Stickers: The Contractor shall document all certifications performed by placing a certification sticker on the certified Equipment immediately after certification. The certification sticker shall be in accordance with the most recent edition of NSF/ANSI 49.

b. Certification Reports: The Contractor shall document all certifications by providing written reports to the COR detailing each Equipment certification or test performed within thirty (30)

Business Days after completion of such certification. The Certification Reports shall include the following information:

i. Name of Contractor;

ii. Name and signature of service technician who performed the services;

iii. Date, time (starting and ending), and equipment tested/certified;

iv. Identification of Equipment tested/certified, including: ID number (if any), manufacturers name, model, serial number(s), room location, and any other manufacturer's identification numbers; and

v. The results of testing/certification for each piece of Equipment, including all readings and measurements found and a description of the visual condition of each piece of

Equipment.

C. Additional Services. All work performed under this Paragraph is governed by the regulations for

Indefinite-Delivery Indefinite-Quantity Contracts, FAR 16.504 & 16.505. No work shall commence under this Paragraph until a Task Order covering such work has been issued.

1. Purpose: The purpose of Additional Services is to provide for services not covered under Testing/

Certification/Preventive Maintenance Services, including without limitation: repairs; retesting/ recertification; and decontamination. Any work provided under this Paragraph is denoted

“Normal Service Calls” and “Emergency Service Calls” in Section B.2 Price Schedule.

2. Availability: Due to the critical nature of the Equipment for patient healthcare, the Contractor shall provide Emergency Service Call coverage every day of the year.

3. Government Point-of-Contact: The Government’s point-of-contact for this Paragraph shall be the

COR or Alternate COR, as may be designated. Only the COR and Alternate COR are authorized to request Additional Services under this Paragraph.

4. Response Times.

a. Telephone Calls.

i. During Business Hours, the Contractor shall return all telephone calls within thirty (30) minutes of receipt.

ii. Outside Business Hours, the Contractor shall return all telephone calls within two (2) hours of receipt.

b. Service Calls: In the event a problem cannot be remedied by a telephone call, the COR or

Alternate COR will make the decision as to whether an on-site Service Call is needed and notify the Contractor.

i. For Normal Service Calls, the Contractor shall arrive during Business Hours at a scheduled time that is mutually agreeable to both parties.

ii. For Emergency Service Calls, the Contractor shall arrive on-site, ready to begin work, within twenty-four (24) hours of such request being made, ready to begin work.

5. Additional Services Reporting: The Contractor shall document all Additional Services performed by providing a written report to the COR detailing the services provided. The Additional

Services Report shall include the following information:

a. Name of Contractor;

b. Name and signature of service technician who performed the services;

c. Date and time (starting and ending);

d. Identification of Equipment serviced, including: ID number (if any), manufacturers name, model, serial number(s), room location, and any other manufacturer's identification numbers;

and

e. A detailed statement of services performed and the outcome, e.g., repair successfully completed, Equipment recertified.

6. Invoices: Invoices rendered under this Paragraph shall bill the Government for the time expended by the Contractor performing Repair Services at the rates set forth in the Price Schedule.

Invoices for Repair Services must be submitted in accordance with the invoicing procedures set forth in Section B.1 in order to ensure timely payment.

7. Task Orders: This paragraph does not authorize the Contractor to perform any Repair Services; a separate Task Order will be issued authorizing such work. Per FAR 52.216-18(b), “All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.”

8. Order Limitations: The Government shall not order, and the Contractor shall not deliver, any

Repair Services that exceed the maximum set forth in the Price Schedule, above, for that particular contract period.

D. Service Technician Requirements. Copies of the certifications and any other documentation of training and/or accreditation required under this Paragraph shall be submitted to the COR for each service technician before that service technician is allowed to perform any work under this Contract.

1. All service technicians shall be properly trained and certified to OEM standards for the

Equipment they are servicing.

2. The service technician conducting the testing and certification of the Biosafety Cabinets shall be currently certified as a Biosafety Cabinet Field Certifier by NSF International.

3. All service technicians performing services in clean rooms, operatories, processing areas and related healthcare environments shall be currently accredited by the Controlled Environment

Testing Association’s National Board of Testing (“CNBT”) for Sterile Compounding Facilities.

E. Legal/Professional Standards Compliance. All work performed under this Contract shall comply with all applicable laws, regulations, ordinances, rules, professional standards, and OEM standards/ recommendations including, but not limited to: The Joint Commission (TJC); the Occupational Safety and Health Administration (OSHA); the Environmental Protection Agency (EPA); the National

Electrical Code (NEC); the National Fire Protection Association (NFPA); Underwriters Laboratories

(UL); the American National Standards Institute (ANSI); the American Society of Heating, Refrigerating, and Air-Conditioning Engineers (ASHRAE); Institute of Environmental Sciences and

Technology (IEST); the Center for Devices and Radiological Health (CDRH); United States

Pharmacopeia (USP); the International Organization for Standardization (ISO); and NSF

International.

SECTION C - CONTRACT CLAUSES

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

ITEMS (OCT 2018)

(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 FAR

52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the

Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds

Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other

Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by

EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act

(31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the

Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the

Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the

Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in

32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law.

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