Solicitation 36C25222Q0650.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. 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

VETERAN-OWNED

SMALL BUSINESS

(VOSB)

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

578-22-4-058-0200

36C25222Q0650 06-03-2022

Rob Knight Robert.Knight1@va.gov 06-13-2022

5:00 PM Local

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

115 S 84th Street, Suite 101

Milwaukee WI 53214-1476

X 100

X

541611

$16.5 Million

N/A

N/A

36C578

Department of Veterans Affairs

Edward Hines, Jr. VA Hospital

5000 South 5th Avenue

Hines IL 60141-3030

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

The purpose of this Contract is to provide consulting services for the planning and implementation of a Room

Service Program for the Hines VA Hospital, Hines, Illinois.

See Sections B.2 Price Schedule and B.3 Performance Work

Statement for specific requirements.

The Service Contract Labor Standards Act is applicable to this Contract. See Section D for the current Department of

Labor Wage Determination for Cook County, Illinois.

578-3620160-058-824300-2580 010024300

X 1

Robert Knight

36C25222Q0650

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

AMENDMENT NUMBER DATE

INSTRUCTIONS TO QUOTERS

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 firm-fixed-price contract where the contractor provides a price that is not subject to any adjustment on the basis of the contractor’s cost experience in performing the contract. (Note: The terms “offeror” and “quoter” are both used in this Solicitation. For the purposes of this Solicitation, these terms are interchangeable; there is no difference in meaning between the two.) The Government, in its sole discretion, may award a contract from the quotes received in response to this Solicitation, issue a new Solicitation, or cancel this

Solicitation without reissue.

VOSB SET-ASIDE: This requirement has been set aside for Veteran-Owned Small Businesses

(VOSBs), under the Veterans First Contracting Program (VFCP), pursuant to VAAR 819.7001 –

819.7009.

Eligibility and program requirements are set forth as follows:

VAAR 819.7003 Eligibility.

(b) At the time of submission of offers/quotes, and prior to award of any contracts, the offeror must represent to the contracting officer that it is a –

(1) VOSB . . . eligible under this subpart;

(2) Small business concern under the North American Industry Classification System (NAICS) code assigned to the acquisition [set forth in Block 10 of Page 1]; and

(3) VOSB . . . listed as verified in VIP database at: https://www.vetbiz.va.gov/.

LIMITATIONS ON SUBCONTRACTING: This Solicitation contains VAAR 852.219-77 VA

NOTICE OF LIMITATIONS ON SUBCONTRACTING – CERTIFICATE OF COMPLIANCE FOR

SERVICES AND CONSTRUCTION in Section C, which states:

(a) Pursuant to 38 U.S.C. 8127(k)(2), the offeror certifies that—

(1) If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows:

https://www.vetbiz.va.gov/

(i) [X] Services. In the case of a contract for services (except construction), the contractor will not pay more than 50% of the amount paid by the government to it to firms that are not VIP-listed

SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Other direct costs may be excluded to the extent they are not the principal purpose of the acquisition and small business concerns do not provide the service as set forth in 13 CFR 125.6.

(2) The offeror acknowledges that this certification concerns a matter within the jurisdiction of an

Agency of the United States. The offeror further acknowledges that this certification is subject to

Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

(3) If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

(i) Referral to the VA Suspension and Debarment Committee;

(ii) A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and

(iii) Prosecution for violating section 1001 of title 18.

(Emphasis added.)

Note: This limitation on subcontracting is applicable regardless of the proposed contract’s value.

18 U.S.C. § 1001(a) states: Except as otherwise provided in this section, whoever, in any matter with the jurisdiction of the executive, legislative, or judicial branch of the Government of the United States, knowingly and willfully—

(1) falsifies, conceals, or covers up by any trick, scheme, or device a material fact;

(2) makes any materially false, fictitious, or fraudulent statement or representation; or

(3) makes or uses any false writing or document knowing the same to contain any materially false, fictitious, or fraudulent statement or entry;

shall be fined [not more than $250,000 per individual and/or $500,000 per organization, per 18

U.S.C. § 3571] under this title, imprisoned not more than 5 years . . . or both.

(Emphasis added.)

Any business that represents itself as a VOSB and fails to completely follow these requirements is subject to investigation and possible prosecution:

Wisconsin Man Sentenced to 78 Months for Fraud Scheme Involving Over $260 Million in Small

Business Contracts | USAO-EDWI | Department of Justice https://www.law.cornell.edu/uscode/text/18/1001 https://www.justice.gov/usao-edwi/pr/wisconsin-man-sentenced-78-months-fraud-scheme-involving-over-260-million-small https://www.justice.gov/usao-edwi/pr/wisconsin-man-sentenced-78-months-fraud-scheme-involving-over-260-million-small

Business Owner Sentenced for Fraud Scheme | USAO-WDMO | Department of Justice

Four Sentenced for Bribery and Scheme to Defraud VA and SBA | USAO-AK | Department of Justice

Federal jury convicts two Texas men on federal fraud and false statements charges | USAO-NM |

Department of Justice

TIMELINE:

• Site Visit Deadline: As scheduled, see below. Deadline for all site visits is Thursday, June 9, 2022, 3:00 p.m. Local Time.

• Solicitation Questions Deadline: Friday, June 10, 2022, 10:00 a.m. Local Time. Answers will be posted by Solicitation Amendment on Contract Opportunities.

• Solicitation Closes/Quotes Due: Monday, June 13, 2022, 5:00 p.m. Local Time.

SITE VISIT: Potential quoters may schedule a site visit with either Carol George, Carol.George@va.gov, or Amanda Henderson, Amanda.Henderson3@va.gov. PLEASE NOTE THAT

WHILE ON-CAMPUS ALL PERSONS SHALL COMPLY WITH VA COVID PROTOCOLS,

INCLUDING THE WEARING OF MASKS INSIDE ALL BUILDINGS AND WHILE TRAVELING IN

VEHICLES. It is strongly suggested and expected that the potential 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 a site visit is not required to submit a quote. In no case shall failure to attend a site visit or otherwise inspect the campus constitute grounds for a claim after contract award.

RFQ QUESTIONS: In order to maintain the integrity of this solicitation and subsequent award, all potential quoters shall submit questions regarding this solicitation via e-mail to Contracting Officer Rob

Knight at Robert.Knight1@va.gov. Answers will be issued via a consolidated response by solicitation amendment posted on Contract Opportunities, available at https://sam.gov/content/opportunities.

SUBMISSION OF QUOTE: Quoters shall submit their quote by e-mail to Contracting Officer Rob

Knight at Robert.Knight1@va.gov. 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. Quoters submitting responses via email that exceed 7 megabytes shall split their response into multiple email messages so as to not exceed the maximum allowable email size limitation.

The VA may not consider late responses due to undelivered e-mails that exceed 7 megabytes.

CONTENTS OF QUOTE: The purpose of this Solicitation is to obtain a high-performing contractor that can provide the services set forth in Section B.3 during the Period(s) of Performance set forth in Section

B.2. The Government, in its sole discretion, will award a contract to the responsible contractor whose quotation, conforming to the solicitation, is most advantageous to the Government, price and other factors considered.

The following factors will be used to evaluate conforming quotations. The order of the factors listed does not imply the relative importance of each factor: (1) Price; (2) Technical Capability; (3) Prior Experience;

(4) Administrative Information; and (5) Representations & Certifications.

https://www.justice.gov/usao-wdmo/pr/business-owner-sentenced-fraud-scheme https://www.justice.gov/usao-ak/pr/four-sentenced-bribery-and-scheme-defraud-va-and-sba https://www.justice.gov/usao-nm/pr/federal-jury-convicts-two-texas-men-federal-fraud-and-false-statements-charges https://www.justice.gov/usao-nm/pr/federal-jury-convicts-two-texas-men-federal-fraud-and-false-statements-charges mailto:Carol.George@va.gov mailto:Amanda.Henderson3@va.gov mailto:Robert.Knight1@va.gov https://sam.gov/content/opportunities mailto:Robert.Knight1@va.gov

The Government will evaluate quotations using the comparative evaluation process outlined in FAR

13.106-2(b)(3), where quotations will be compared to one another to determine which provides the best benefit to the Government based on the factors listed above. The Government reserves the right to consider a quotation other than the lowest price that provides additional benefit(s). Quotations may exceed minimum requirements of the solicitation. The Government reserves the right to select a quotation that provides benefit to the Government that exceeds the minimum requirements of the solicitation, even if that quote is not the lowest priced quote submitted, but is not required to do so. Each response must meet the minimum requirements of the solicitation. The Government is not requesting or accepting alternate quotations.

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

(1) Price: Complete the highlighted blanks in SECTION B.2 PRICE SCHEDULE.

(2) Technical Capability: The quotation shall detail how the contractor will provide the services detailed in Section B.3 Performance Work Statement during the Period(s) of Performance set forth in Section B.2

Price Schedule. In addition, the quote shall include a complete list of the personnel, with a summary of each person’s education and experience, that will be providing the consultation services for implementation of the Room Service Program detailed in Section B.3.

(3) Prior Experience: Submit information, if any, of contracts or subcontracts providing services similar to the requirements of this Contract. The quote shall specify if any of the prior contracts or subcontracts involved providing services to Department of Veterans Affairs healthcare facilities. 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.

(4) Administrative Information:

a. Complete SF1449 blocks 17a, 30a, 30b, and 30c on Page 1;

b. Complete Acknowledgment of Amendments (if any), on Page 2; and

c. Complete subsection 1a, Contractor information, under Section B.1, below.

(5) Representations & Certifications (Note: The Government will not consider quotes that do not provide the following information, and any incomplete responses shall be deemed ineligible for evaluation and award.):

a. A statement certifying that the quoter fully understands and will comply with all requirements under

Section B.3, Paragraph E Subcontracting Limitations Reporting if awarded the proposed contract.

b. Provide a copy of the quoter’s current Vendor Information Page (VIP) profile, available at VIP

Home · VetBiz Portal (va.gov);

c. Provide a copy of the quoter’s Small Business Program Representations under FAR 52.219-1(c), available at SAM.gov | Entity Information; this representation must include the NAICS code for this acquisition, set forth in Block 10 of Page 1; or in the alternative, you must provide a statement https://www.vetbiz.va.gov/vip/ https://www.vetbiz.va.gov/vip/ https://sam.gov/content/entity-information representing in good faith that your company meets the small business size standard corresponding to the

NAICS code identified in this Solicitation, pursuant to FAR 19.301-1.

d. Complete the certification found under clause VAAR 852.219-77(d), VA Notice of Limitations on

Subcontracting—Certificate of Compliance for Services and Construction, found in Section C.

e. Complete the representation found under provision FAR 52.204-24(d), Representation Regarding

Certain Telecommunications and Video Surveillance Services or Equipment, found in Section E.

f. Complete the representations and certifications as directed under provision FAR 52.212-3, Offeror

Representations and Certifications – Commercial Items, found in Section E.

Guidance on Section (5) Representations & Certifications

This section of Amendment 1 provides detailed guidance regarding submission of the

Representations & Certifications required in paragraph (5), above.

a. Section B.3 Performance Work Statement, Paragraph E Subcontracting Limitations Reporting, sets forth specific subcontracting reporting requirements for the lift of the proposed contract:

E. Subcontracting Limitations Reporting: In accordance with VAAR 852.219-77, the Contractor shall provide the following information to the Contracting Officer/Contract Specialist administering this

Contract (“CO”), unless specifically directed otherwise by that CO, in the CO’s sole discretion.

1. Subcontracts: The Contractor shall provide a complete copy to the CO via e-mail of any contracts entered into by the Contractor with another business, i.e., a subcontractor, to provide any aspect of the work to be performed under this Contract within seven (7) days after entering into such contract. If a business is similarly situated, i.e., another VOSB or SDVOSB, the Contractor shall so indicate and provide that business’ UEI number. If such contract was entered into prior to award of this Contract, the Contractor shall provide a complete copy of all such contracts within seven (7) days after the effective date of this Contract.

2. Monthly Subcontracting Limitations Report: The Contractor shall provide a monthly

Subcontracting Limitations Report the CO via e-mail by the tenth (10th) day of the month for the previous month. The Subcontracting Limitations Report shall include the following information, subject to change in the CO’s sole discretion:

a. A copy of all invoices submitted by any business to the Contractor for performing any of the work under this Contract from the previous month; and

b. A copy of the most recent invoice submitted by the Contractor via the Tungsten Network for payment under the terms of this Contract with a breakdown of the amounts to be paid other businesses, including the business name, performing work under this Contract. If a business is similarly situated, i.e., another VOSB or SDVOSB, the Contractor shall so indicate and provide that business’ UEI number.

3. Truthful, Accurate Reporting: By entering into this Contract, the Contractor acknowledges that these Subcontracting Limitations Reporting Requirements concern a matter within the jurisdiction https://www.acquisition.gov/far/part-19#FAR_19_301 of an Agency of the United States. The Contractor further acknowledges that all information provided under this Subcontracting Limitations Reporting Paragraph is subject to Title 18, United

States Code, Section 1001. That Contractor further acknowledges that it has an affirmative duty to provide truthful, accurate information under this Paragraph. The Contractor further acknowledges that false or misleading information willfully submitted under this Paragraph shall be grounds for termination of this Contract for cause, debarment, civil penalties, and criminal prosecution.

4. Failure to Submit Information: In the event the Contractor fails to timely submit any of the information required under this Paragraph, the Contractor shall be in material breach of this

Contract, and the CO may take such remedial action as is permitted under the terms of this

Contract, including termination of this Contract for cause.

Each quote must contain a statement certifying that your company fully understands and will comply with all requirements of this Paragraph.

b. Your company’s VIP profile is available at VIP Home · VetBiz Portal (va.gov). Scroll down the page until you see:

Enter your business information and provide a copy of your company’s profile details.

c. Your company’s Small Business Program Representations under FAR 52.219-1(c) is available at

SAM.gov | Entity Information. Enter your company’s information on this screen to find the SAM profile:

Select your company, then select Reps and Certs (FAR/DFARS) on the left side of the page:

https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title18-section1001&num=0&edition=prelim https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title18-section1001&num=0&edition=prelim https://www.vetbiz.va.gov/vip/

Scroll down the page until you reach FAR 52.219-1:

Click on FAR 52.219-1 and scroll down until you reach 52.219-1(c):

Provide a copy of this table with the quote. This representation must include the NAICS code for this acquisition, set forth in Block 10 of Page 1.

If this representation does not include the NAICS code for this acquisition, you must provide a statement representing in good faith that your company meets the small business size standard corresponding to the NAICS code identified in this Solicitation, pursuant to FAR 19.301-1.

d. The next required certification, VAAR 852.219-77, is found in Section C under this heading:

VAAR 852.219-77 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING –

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION

The certification it requires is found at the end of the clause:

Certification:

I hereby certify that if awarded the contract, [insert name of offeror___________________________] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror

Printed Name of Signee: _________________________________

Printed Title of Signee: ________________________________

Signature: ______________________________________________

Date: ___________________________________________________

Company Name and Address: _______________________________

By way of example, this certification may be submitted as follows:

Certification:

I hereby certify that if awarded the contract, ABC Corporation will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of ABC Corporation.

Printed Name of Signee: John Doe

Printed Title of Signee: President, ABC Corporation

Signature: Digitally Signed /John Doe/

Date: December 8, 2021

Company Name and Address: ABC Corporation

123 Main Street, Anytown, Illinois 54321

e. The next requirement is a representation found in Section E, FAR 52.204-24(d):

52.204-24 REPRESENTATION REGARDING CERTAIN

TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR

EQUIPMENT

The first paragraph of FAR 52.204-24 states:

The Offeror shall not complete the representation at paragraph (d)(1) of this provision if the Offeror has represented that it ‘‘does not provide covered telecommunications equipment or services as a part of its offered products or services to the Government in the performance of any contract, subcontract, or other contractual instrument’’ in paragraph

(c)(1) in the provision at 52.204–26, Covered Telecommunications Equipment or

Services—Representation, or in paragraph (v)(2)(i) of the provision at 52.212–3, Offeror

Representations and Certifications–Commercial Items. The Offeror shall not complete the representation in paragraph (d)(2) of this provision if the Offeror has represented that it

‘‘does not use covered telecommunications equipment or services, or any equipment, system, or service that uses covered telecommunications equipment or services’’ in paragraph (c)(2) of the provision at 52.204–26, or in paragraph (v)(2)(ii) of the provision at 52.212–3.

What this paragraph means is that you do not complete the representations set forth in subparagraph

52.204-24(d) if your company has already made those representations with its SAM registration. You can check your company’s SAM registration via SAM.gov | Entity Information. Under your company’s entity information page, there will be a menu on the left side where you can check the current Representations and Certifications made with your SAM registration:

Under that list of Reps and Certs, you should find the representation made for FAR 52.204–26, as referenced in the first paragraph of FAR 52.204-24, above. Click on the hyperlink for 52.204-26, and it will provide the representation made for your company. Here is an example:

In this case, the quote does not require the FAR 52.204-24(d) representations be completed. Instead, the quote should reference the company’s SAM registration and the representations already made under FAR

52.204-26.

f. The final requirement is also found under Section E, FAR 52.212-3:

52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS

The first paragraph on FAR 52.212-3 states:

The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically in the System for

Award Management (SAM) accessed through https://www.sam.gov. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (v) of this provision.

Current SAM registration is a requirement for contract award; this requirement cannot be waived.

Accordingly, assuming that your company’s SAM registration is current, you will reference FAR 52.212-

3(b), which states:

(b)(1) Annual Representations and Certifications. Any changes provided by the Offeror in paragraph (b)(2) of this provision do not automatically change the representations and certifications in SAM.

(2) The offeror has completed the annual representations and certifications electronically in SAM accessed through http://www.sam.gov. After reviewing SAM information, the

Offeror verifies by submission of this offer that the representations and certifications currently posted electronically at FAR 52.212–3, Offeror Representations and

Certifications—Commercial Items, have been entered or updated in the last 12 months, are current, accurate, complete, and applicable to this solicitation (including the business size https://www.sam.gov/ http://www.sam.gov/ standard(s) applicable to the NAICS code(s) referenced for this solicitation), at the time this offer is submitted and are incorporated in this offer by reference (see FAR 4.1201), except for paragraphs _______________.

In other words, if no representations and certifications made for your company’s annual SAM registration have changed, you do not need to submit anything more for this paragraph. If, however, a representation or certification needs to be updated, you need to update it here, as well as in SAM.

In summary, section (5) Representations & Certifications requires the following:

(1) a statement certifying that the quoter fully understands and will comply with all requirements under Section B.3, Paragraph E Subcontracting Limitations Reporting if awarded the proposed contract;

(2) a copy of your company’s current VIP profile showing a VOSB verification;

(3) a copy of your company’s small business representations under FAR 52.219-1 that includes the

NAICS code for this acquisition, or in the alternative, you must provide a statement representing in good faith that your company meets the small business size standard corresponding to the

NAICS code identified in this Solicitation, pursuant to FAR 19.301-1;

(4) a completed VAAR 852.219-77 certification;

(5) a statement that the representation made for FAR 52.204-26 of your company’s SAM registration is current, and therefore no FAR 52.204-24 representation is required; and

(6) a statement that the representations and certifications made for your company’s SAM registration are current, unless there is a representation or certification that needs to be updated

[Rest of Page Intentionally Left Blank – End of Instructions to Quoters]

B.1 CONTRACT ADMINISTRATION DATA (continuation from Standard Form 1449)

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:

OFFICE NUMBER:

E-MAIL ADDRESS:

UEI / DUNS:

b. GOVERNMENT: Rob Knight, Contracting Officer

Contracting Office Code: 36C252

Department of Veterans Affairs

Great Lakes Acquisition Center

115 S 84th Street, Suite 100

Milwaukee, Wisconsin 53214-1476

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 FOR AWARD MANAGEMENT (OCT 2018).

3. INVOICES: Use of the invoicing procedures set forth in this Contract is mandatory and supersede any other invoicing procedures otherwise used by the Contractor. Invoice payment, including the calculation of late fees when applicable, shall be conducted in accordance with current Department of

Veterans Affairs policies and procedures at the time an invoice is submitted. Under no circumstances shall a late payment be grounds for termination of this Contract.

a. Invoices shall be submitted monthly in arrears in accordance with: VAAR 852.232-72

ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018). The Contractor may submit invoices for partial performance under each Line Item Number in Section B.2 Price

Schedule, so long as the aggregate of invoices submitted under each Line Item Number does not exceed the total price for each respective Line Item Number.

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

c. 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’s 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 VAAR

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: If the contractor receives a request from VA personnel directing or requesting work that the Contractor believes is not within the scope of the Contract, the Contractor must notify the COR and the Contracting Officer of the request.

Only the Contracting Officer is authorized to issue changes or modifications that will affect price, quantity, or quality of performance of this contract. Additional tasking required by changes in mission assignments must be documented by a bilateral contract modification, in accordance with FAR

52.212-4(c). In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without 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 authority and no adjustment will be made in the contract price to cover any increase in cost incurred thereof.

6. FIRM-FIXED-PRICE CONTRACT: This Contract is a firm-fixed-price contract, as defined in

FAR 16.202-1. As such, the prices set forth in Section B.2 Price Schedule are, “not subject to any adjustment on the basis of the contractor’s cost experience in performing the contract.” The

Contractor shall not perform any services outside the scope of this Contract without a properly awarded bilateral modification, in accordance with FAR 52.212-4(c).

7. NONPERSONAL SERVICES CONTRACT: This Contract is a nonpersonal services contract, as defined in FAR 37.101. VA personnel will not exercise any supervision or control over Contractor personnel performing work under this Contract. Such personnel shall be accountable solely to the

Contractor, which in turn is responsible to the Government for execution of the services under this

Contract.

8. GOVERNMENT LIABILITY: The Federal Tort Claims Act (FTCA), 28 U.S.C. §§ 2671-2680, prescribes a uniform procedure for handling of claims against the United States, for money damages only, on account of damage to or loss of property, or personal injury or death, caused by the negligent or wrongful act or omission of a Government employee while acting within the scope of his or her office or employment, under circumstances where the United States, if a private person, would be liable in accordance with the law of the place where the act or omission occurred. Under the FTCA, the federal government acts as a self-insurer. See Claims Under the Federal Tort Claims Act - Office of General Counsel (va.gov) for additional information.

9. FACILITY REQUIREMENTS: In addition to any other requirements set forth in this Contract, the

Contractor, including its employees, agents, and subcontractors (collectively “the Contractor”), shall comply with the following facility requirements. Failure to comply with these requirements shall be considered a material breach of this Contract and may be a violation of Federal law resulting in charges answerable in the United States District Court.

a. 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.

b. Drug-free Policy: All VA facilities are drug-free. Possession of non-prescribed drugs, including alcohol, marijuana, and CBD products, is prohibited.

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

Facility.

d. 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.

e. VHA DIRECTIVE 1192.01 (Seasonal Influenza Policy): 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 https://www.law.cornell.edu/uscode/text/28/part-VI/chapter-171 https://www.va.gov/ogc/ftca.asp https://www.va.gov/ogc/ftca.asp 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 for ensuring that all aspects of this directive are implemented.

10. VETERANS HEALTH ADMINISTRATION SUPPLEMENTAL CONTRACT

REQUIREMENTS FOR COMBATTING COVID-19:

a. Contractor employees who work in or travel to VHA locations must comply with the following documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug

Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer’s Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

b. Contractor employees are subject to the following COVID-19 screening requirements:

1) Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool.

Check regularly for updates.

2) Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces.

Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

c. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA facilities.

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

11. SECURITY & PRIVACY CONTROL:

a. Badging/Access: All contractor personnel must obtain a Flash Badge. A Flash Badge applies to common access to VA physical facilities only for a period of 180 consecutive or aggregate days or less in a 365-day period.

All contractor employees are subject to the same level of investigation as VA employees. The level of access needed to perform in accordance with the statement of work is: One ID compliant with PIV Guidelines. This requirement is applicable to all subcontractor personnel requiring the same access.

Flash Badges allow access to common VA physical facilities. Flash Badges do not allow access to VA information systems or restricted areas. Flash Badges may be issued to contractors who have a verified need to access common areas only. Flash Badges are issued following, at a minimum, the completion of an identity verification using one Form I-9 approved identity document with a photo. Flash Badges are valid for a period not to exceed one (1) year from the issuance date. Flash Badge must be visible at all times while on site.

If Contractor needs to work in sensitive/restricted areas (e.g., computer room/communications closets) appropriate VA staff must escort contractors while onsite.

b. Physical Security: The Contractor shall not permit its employees, including subcontractor employees, to open desk drawers, cabinets, or to use office equipment, including the use of non-pay telephones, for any purpose other than required for normal performance of duties under this

Contract.

c. Network/Data Security: The Contractor shall not connect any computing or data storage devices to the VA facility’s networks, except for publicly available Wi-Fi.

d. Contract Security: 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, nor is an A&A or MOU/ISA 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.

e. Patient Confidentiality: The Contractor shall adhere to all requirements of the Privacy Act due to the possibility that confidential medical record information may be accessible and/or visible to

Contractor employees while performing work under this Contract. The Privacy Act prohibits the disclosure of a record about an individual from a system of records, absent the written consent of the individual, unless the disclosure is pursuant to a statutory exception. See Privacy Act of 1974 for additional information regarding the Privacy Act. At the COR’s direction, in the COR’s sole discretion, the Contractor shall obtain a signed Confidentiality Certificate from each employee and maintain that Certificate for inspection purposes.

https://www.justice.gov/opcl/privacy-act-1974

B.2 PRICE SCHEDULE

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 JB __________________ __________________

Performance of Phase 1: RSP Plan Development

Contract Period: Base Year

POP Begin: Contract Award

POP End: 06-30-2023

PRINCIPAL NAICS CODE: 541611 - Administrative Management and

General Management Consulting Services

PRODUCT/SERVICE CODE: R410 - Support - Professional: Program

Evaluation/Review/Development

Performance of Phase 2: RSP Implementation

Contract Period: Base Year

POP Begin: Contract Award

POP End: 06-30-2023

PRINCIPAL NAICS CODE: 541611 - Administrative Management and

General Management Consulting Services

Performance of Phase 3: Go-Live Support

Contract Period: Base Year

POP Begin: Contract Award

POP End: 06-30-2023

PRINCIPAL NAICS CODE: 541611 - Administrative Management and

General Management Consulting Services

Performance of Phase 4: RSP Operational Follow-up

Contract Period: Option Year 1

POP Begin: 07-01-2023

POP End: 06-30-2024

PRINCIPAL NAICS CODE: 541611 - Administrative Management and

General Management Consulting Services

GRAND TOTAL __________________

[End of Section B.2]

B.3 PERFORMANCE WORK STATEMENT

Room Service Program Consulting Services for the Hines VA Hospital

A. Contract Overview. The purpose of this Contract is to provide consulting services for the planning and implementation of a Room Service Program in accordance with Nutrition and Food Services directives and guidance at the Hines VA Hospital, 5000 South 5th Avenue, Hines, Illinois 60141-

3030 (“Hines”).

1. Room Service Program: The Hines Room Service Program (“RSP”) will provide dine-on-demand services to Veterans in accordance with industry best practices that are applicable to the

Department of Veterans Affairs (“VA”). Under the RSP, the Veteran will be able to place an order for fresh food from a menu of options, consistent with their medical condition and treatment regimen, and be served at a time of their choice within a service window of 6:00 a.m. to 6:00 p.m., or other times to be determined. Implementation of the RSP is expected to improve Veteran satisfaction with food services and their overall hospital experience, improve clinical outcomes due to improved food intake, reduce food costs and waste, and improve VA employee morale.

2. Nutrition and Food Services: Hines Nutrition and Food Services (“NFS”) provides comprehensive, innovative, evidence-based nutrition and food services to Veterans. The goal of

NFS is to improve the overall health and well-being of the Veterans served while enhancing their experience at Hines with appetizing, nutritious food.

3. Contract Deliverables: All deliverables under this Contract shall become and remain the property of Hines. The Contractor shall have no right, title, or interest in any of the deliverables.

B. Background. Hines provides both inpatient and outpatient care to Veterans across a broad spectrum of specialties, including without limitation: primary care; behavioral health; blind and low vision rehabilitation; cardiology; geriatrics; oncology; oral surgery; orthopedics; palliative/hospice care;

physical therapy; podiatry; and spinal cord injury/disorders. Hines has 487 beds with an average occupancy of 322 Veterans. The nutritional requirements for these Veterans must account for varying medical conditions, including diabetes, dysphagia, food allergies, and provider-ordered dietary requirements or restrictions.

Currently, Hines provides inpatient meal service bedside and to a few dining rooms. Trayline service is conducted in the main kitchen and one satellite kitchen. Food production is cook-serve from one main kitchen located in Building 200, which provides food service to Veterans in Buildings 200, 113, 128, and 228. Additionally, food from the main kitchen is transported in hotel pans via insulated

Cambro carts to the satellite kitchen located in Building 217, where it is plated and served to Veterans in Buildings 217 and 221. Hines serves approximately 360,000 inpatient meals per year, not including meals and snacks that support bulk nourishment, outpatient areas, and medical resident programs.

Nutrition and food service communication uses Room Service Connect, a module of the Hospitality

Suite from Computrition. In addition, Hines may add Computrition’s Tray In Motion Elite.

Computrition’s system uses HL7 to interface with the VA’s Computerized Patient Record System

(“CPRS”), a component of the Veterans Integrated System Technology Architecture (“VistA”), in order to update patient records with diet information and ensure that each patient’s dietary needs are met. Hines anticipates retaining the Computrition system during its transition from VistA to Cerner.

C. Room Service Program Committee. At the outset of performance under this Contract, a Room Service

Program Committee (“RSP Committee”) shall be established. The RSP Committee will be composed of NFS staff appointed by the NFS Chief and the COR. The Contractor shall designate employees who will serve as the primary points of contact for the RSP Committee. The RSP Committee shall be the primary interface between Hines and the Contractor for planning and implementation of the RSP.

The RSP Committee shall be consulted during all phases of planning and implementation of the RSP for its input and concurrence.

D. Room Service Program Phases. Planning and implementation of the RSP shall occur in four phases, with the actions and deliverables for each phase specified below.

1. Phase 1: RSP Plan Development: The purpose of Phase 1 is to develop a specific, actionable plan to implement the Hines RSP. The Contractor shall make an initial site visit to gather the necessary information for formulation of the RSP Plan.

The RSP Plan shall include a detailed timeline that will enable a fully operational RSP within twelve (12) months from Contract award and include discrete, objective, measurable intermediate objectives and ultimate goals. The Contractor shall deliver the finalized RSP Plan within one (1) month of Contract award, subject to acceptance by the RSP Committee, in its sole discretion. The RSP Plan shall include, at a minimum, the following:

a. Operational Parameters: Operational parameters for the RSP shall include:

i. Hours of operation;

ii. Patient populations included in the program;

iii. Enhanced dining alternatives for those patients not eligible for RSP dining, including without limitation, the long-term care residents located in Building 217;

iv. Communication system procedures for patient meal orders using both a primary and at least one backup system;

v. Fail-safe mechanism for patients that do not order a meal;

vi. Coordination/interface with patient records to ensure that all patient dietary needs and restrictions are met;

vii. Cart and food distribution systems between kitchens and to each patient; and

viii. Food production incorporating blast chilling and conventional production.

b. RSP Staffing: A roster of required staffing for implementing the RSP. Each roster position shall include a job description that includes specific tasks, a facility-specific training manual, and a detailed training facility-specific plan. The Contractor shall provide each training manual and training plan electronically in PDF format and hard-copy in a binder.

c. Workflow Development: A complete, specific, detailed model of the RSP workflow. The model shall include staffing positions and staffing schedules required for the RSP.

d. Culinary Program: A complete RSP culinary program, which shall consist of the following components:

i. Room Service Menu: A full room service menu, to…