Solicitation 36C25222Q0659.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

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

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

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

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

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

SEE ADDENDUM

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

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

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

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

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

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

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

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

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

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

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

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

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

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

7. FOR SOLICITATION

INFORMATION:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C25222Q0659 06-07-2022

Rob Knight Robert.Knight1@va.gov 06-14-2022

7:00 AM Local

36C252

Department of Veterans Affairs

Great Lakes Acquisition Center (GLAC)

115 S 84th Street, Suite 101

Milwaukee WI 53214-1476

X 100

X

812332

$41.5 Million

N/A

N/A

36C537

Department of Veterans Affairs

Jesse Brown VA Medical Center

820 South Damen Avenue

Chicago IL 60612-3728

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

Floor mat delivery/exchange and floor pad cleaning services for the Jesse Brown VA Medical Center, Chicago, Illinois.

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

Statement for specific information.

The Service Contract Labor Standards statute applies to this requirement. See Section D for the applicable Department of

Labor Wage Determinations. These Wage Determinations will be periodically updated. The Contractor is responsible for ensuring compliance with the most current Wage Determinations.

X 1

Rob Knight

36C25222Q0659

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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

AMENDMENT NUMBER DATE

INSTRUCTIONS TO QUOTERS

The purpose of this Solicitation is to obtain quotes for the services set forth in Section B.3 Performance

Work Statement. 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.

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.

SMALL BUSINESS SET-ASIDE: This requirement has been set aside for Small Businesses pursuant to

FAR Subpart 19.5.

TIMELINE:

• Site Visit Deadline: As scheduled with the COR, see below. Deadline for all site visits is Friday, June 10, 2022, 3:00 p.m. Local Time.

• Solicitation Questions Deadline: Friday, June 10, 2022, 5:00 p.m. Local Time. Answers will be posted by Solicitation Amendment on Contract Opportunities.

• Solicitation Closes/Quotes Due: Tuesday, June 14, 2022, 7:00 a.m. Local Time.

SITE VISIT: Potential quoters may schedule a site visit with Contracting Officer’s Representative

Antoinette Byrd via e-mail at Antoinette.Byrd@va.gov. PLEASE NOTE THAT WHILE ON-CAMPUS, ALL PERSONS SHALL COMPLY WITH VA COVID PROTOCOLS, INCLUDING THE WEARING

OF MASKS INSIDE ANY VAMC BUILDING AND WHILE TRAVELING IN VEHICLES DURING

THE SITE VISIT. It is strongly suggested and expected that the potential quoter inspect the campus to be mailto:Antoinette.Byrd@va.gov 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 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 provides the services set forth in Section B.3 during the Period(s) of Performance set forth in Section B.2.

A high-performing contractor provides exemplary service with minimal oversight. 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.

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. The quote shall also include the following information:

a. Pictures of the floor mats to be provided under this Contract;

mailto:Robert.Knight1@va.gov https://sam.gov/content/opportunities mailto:Robert.Knight1@va.gov

b. Pictures of the delivery vehicle(s) that will transport the floor mats and floor pads;

c. Pictures of the facility(-ies) where the floor mats and floor pads are cleaned and disinfected; and

d. The name(s) of the personnel that will be picking up and delivering the floor mats and floor pads, including a brief synopsis of each person’s experience.

(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 certifications, and any incomplete responses shall be deemed ineligible for evaluation and award.):

a. 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 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.

b. 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.

c. 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. 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:

https://sam.gov/content/entity-information https://www.acquisition.gov/far/part-19#FAR_19_301 https://sam.gov/content/entity-information

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

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.

b. 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 https://sam.gov under Entity Information on the homepage of that website. 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:

https://sam.gov/

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.

c. 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 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 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;

https://www.sam.gov/ http://www.sam.gov/

(2) 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

(3) 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, including all vaping products, is prohibited on the entire campus, both inside and outside the VA Facility, as well as in private vehicles while on VA property.

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

SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

3.00 MO __________________ __________________

Floor Mat Delivery/Exchange and Floor Pad Cleaning Services in accordance with the Performance Work Statement

Contract Period: Base Year – 1st Quarter

POP Begin: 07-13-2022

POP End: 09-30-2022

PRINCIPAL NAICS CODE: 812332 - Industrial Launderers

PRODUCT/SERVICE CODE: S299 - Housekeeping – Other accordance with the Performance Work Statement

Contract Period: Base Year – 2nd Quarter

POP Begin: 10-01-2022

POP End: 12-31-2022 accordance with the Performance Work Statement

Contract Period: Base Year – 3rd Quarter

POP Begin: 01-01-2023

POP End: 03-31-2023 accordance with the Performance Work Statement

Contract Period: Base Year – 4th Quarter

POP Begin: 04-01-2023

POP End: 06-30-2023

Base Year Total: __________________

1001 12.00 MO __________________ __________________

Floor Mat Delivery/Exchange and Floor Pad Cleaning Services in accordance with the Performance Work Statement

Contract Period: Option Year 1

POP Begin: 07-01-2023

POP End: 06-30-2024

PRODUCT/SERVICE CODE: S299 - Housekeeping - Other

12.00 MO __________________ __________________

accordance with the Performance Work Statement

Contract Period: Option Year 2

POP Begin: 07-01-2024

POP End: 06-30-2025 accordance with the Performance Work Statement

Contract Period: Option Year 3

POP Begin: 07-01-2025

POP End: 06-30-2026 accordance with the Performance Work Statement

Contract Period: Option Year 4

POP Begin: 07-01-2026

POP End: 06-30-2027

GRAND TOTAL: __________________

[Rest of Page Intentionally Left Blank – End of Section B.2]

B.3 PERFORMANCE WORK STATEMENT

Floor Mat Delivery/Exchange and Floor Pad Cleaning Services for the

Jesse Brown VA Medical Center and Affiliated Facilities

A. Contract Overview. The purpose of this Contract is to provide floor mat delivery/exchange and floor pad cleaning services for the Jesse Brown VA Medical Center (“JBVAMC”), 820 S Damen Avenue, Chicago, Illinois 60612-3728, and other affiliated facilities set forth below. Clean, high quality, properly functioning floor mats are a necessary safety item for injury prevention. Properly cleaned floor pads are essential for ensuring facility cleanliness. The Contractor shall therefore strictly adhere to all requirements set forth in this Performance Work Statement.

1. Basic Contractor Responsibilities: The Contractor shall provide all supervision, personnel, equipment, material, parts, software, supplies, facilities, transportation, tools, materials, and other items necessary for execution of the work to be performed under this Contract. Any work found to be nonconforming to the terms of this Contract, in the sole judgment of the COR, shall be promptly corrected by the Contractor at no additional cost to the Government. 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.

2. Hours of Operation: Normal hours of facility operation (“Business Hours”) are Monday through

Friday, 7:30 a.m. – 4:30 p.m. Local Time, except for the following Federal Holidays (Note: Floor mats shall be delivered/exchanged outside of Business Hours unless prior approval is received from the COR, in the COR’s sole discretion, per Paragraph C.5, below.):

a. New Year’s Day;

b. Birthday of Martin Luther King, Jr.;

c. Washington’s Birthday;

d. Memorial Day;

e. Juneteenth National Independence Day;

f. Independence Day;

g. Labor Day;

h. Columbus Day;

i. Veterans Day;

j. Thanksgiving Day;

k. Christmas Day; and

l. Any other day declared a Federal Holiday by Presidential Proclamation.

B. Floor Mat Characteristics. The Contractor shall provide two types of floor mats – standard and brush

– with the following characteristics. Floor mat placement shall be in accordance with the Floor Mat

Placement Schedule at the end of this Performance Work Statement.

1. Quality: Each floor mat provided by the Contractor, both standard and brush, shall:

a. be high quality, commercial grade carpet floor mats certified “high traction” by the National

Floor Safety Institute (NFSI);

b. have skid-resistant, 90-mil rubber backing and borders;

c. be Americans with Disabilities Act (ADA) compliant;

d. be clean, sanitized, and completely free of stains, tears, fraying, holes, and lint;

e. lay completely flat;

f. be completely free of moisture, top and bottom, prior to placement; and

g. be black, charcoal, or dark-gray without patterns.

2. Carpet Tape: Where designated in the Floor Mat Placement Schedule, the Contractor shall use double-sided carpet tape on the underside of the designated floor mats to ensure these floor mats do not move. The double-sided carpet tape shall be residue-free, hardwood/tile-safe, with high tensile strength and high shear/stress resistance.

3. Standard Floor Mats: Standard floor mats shall have high-twist, heat-set solution, dyed nylon yarn with a 90-mil rubber backing.

4. Brush Floor Mats: Brush floor mats shall have extra-coarse nylon fiber combined with a high-twist, heat-set solution, dyed nylon yarn with a 90-mil rubber backing.

C. Floor Mat Delivery/Exchange.

1. Delivery/Exchange Locations: The Contractor shall pick up all soiled floor mats and replace each floor mat with a clean floor mat at the following locations, as detailed in the Floor Mat Placement

Schedule:

a. Site #1: Jesse Brown VA Medical Center, 820 S Damen Avenue, Chicago, Illinois 60612;

b. Site #2: Adam Benjamin Jr. VA Outpatient Clinic, 9301 Madison Street, Crown Point, Indiana 46307;

c. Site #3: A Safe Haven, 2750 Roosevelt Road, Chicago, Illinois 60608; and

d. Site #4: Auburn Gresham VA Clinic, 7731 S Halstead Street, Chicago, Illinois 60620.

2. Frequency: The frequency of floor mat delivery/exchange shall occur as set forth in the Floor Mat

Placement Schedule. Floor mat placement and frequency may change seasonally, as set forth in the Floor Mat Placement Schedule. The seasons are defined as follows:

a. Summer: May 1 – October 31; and

b. Winter: November 1 – April 30.

3. Size/Type: The size and type of floor mats shall be exchanged/delivered in accordance with the

Floor Mat Placement Schedule. Neither the Government, nor the Contractor, shall change the size or number of floors mats being delivered/exchanged without a properly awarded Contract modification in accordance with FAR 52.212-4(c).

4. Placement: Floor mats shall be placed in accordance with this Floor Mat Placement Schedule.

Specific placement shall be designated by the COR, in the COR’s sole discretion. The

Government may, at no additional cost, change the floor mat placement location. Any placement changes shall be communicated to the Contractor in writing.

5. Delivery/Exchange Days & Times: Floor mats shall be delivered/exchanged outside of Business

Hours unless prior approval is received from the COR, in the COR’s sole discretion.

6. Schedule: Within thirty (30) days of Contract award, the Contractor, in coordination with the

COR, shall provide the COR with a floor mat delivery/exchange schedule, to include dates and times. This schedule shall account for Federal Holidays, with the exception of Federal Holidays designated by Presidential Decree. The Contractor’s proposed schedule shall be approved by the

COR, in the COR’s sole discretion.

D. Floor Pad Cleaning.

1. Location: The Contractor shall provide floor pad cleaning services only to JBVAMC.

2. Pickup: When directed by the COR, the Contractor shall pick up soiled floor pads during the course of performing the weekly floor mat exchange/delivery. The Contractor shall maintain a count of the number of floor pads picked up and provide a written receipt to the COR prior to removing the floor pads from the facility.

3. Cleaning: The Contractor shall clean and sanitize the floor pads off-site from JBVAMC.

4. Delivery: The Contractor shall deliver the cleaned/sanitized floor pads to JBVAMC during the course of performing the weekly floor mat exchange/delivery.

5. Frequency: Floor pad cleaning services shall be provided on an as-needed basis, as directed by the COR. Historical use indicates that JBVAMC requires approximately 700 floor pads cleaned/sterilized per year, with pickups/deliveries typically occurring every other week.

Regardless of historical usage, however, the Price Schedule reflects a flat-rate for floor pad cleaning.

E. Quality Control.

1. Notice of Unacceptable Performance. If the Contractor’s performance under the terms of this

Contract is judged to be unacceptable by the COR, in the COR’s sole discretion, the COR shall inform the Contractor. This notice shall normally be communicated in writing unless circumstances necessitate oral communication.

2. Contract Discrepancy Report: If the COR determines, in the COR’s sole discretion, that formal written notice of deficient Contractor performance is required, the COR will prepare a Contract

Discrepancy Report (“CDR”) and send it to the Contractor’s program manager. The Contractor shall acknowledge receipt of the CDR in writing. The CDR will specify if the Contractor is required to prepare a Corrective Action Plan (“CAP”) to document how the Contractor will correct the unacceptable performance and avoid a recurrence. If a CAP is required, the CDR will state when the CAP is due to the COR. The COR will determine, in the COR’s sole discretion, whether the CAP is acceptable. If found acceptable, the COR will monitor Contractor performance for compliance with the CAP.

F. Additional Requirements.

1. Contractor Orientation: The Contractor, including all employees providing service under this

Contract, may be required to attend an orientation prior to beginning any work under this

Contract, in the COR’s sole discretion. This orientation may include the following topics:

Contract terms and conditions; performance monitoring; badging procedures; check-in/check-out procedures; fire and safety policies; severe weather procedures; disease transmission; infection control; disaster procedures; conduct of Contractor personnel on facility property; location of the

Contractor’s workspace; and any other topic deemed necessary by the COR. At the COR’s discretion, the Contractor may be responsible for providing some or all of this information/ training to its employees.

2. Check-in/Check-out Requirements: The Contractor shall comply with all facility check-in and screening requirements. Facemasks covering the mouth and nose shall be worn in all facility buildings at all times, unless otherwise notified by the COR or the facility check-in staff. Upon successful completion of the facility’s check-in and screening process, the Contractor shall check-in with the COR in accordance with procedures established by the COR. The Contractor shall check-out with the COR prior to leaving the facility in accordance with procedures established by the COR, advising the COR of the work completed and any problems/issues identified.

3. Employee Requirements: The Contractor shall ensure that the employees performing services under this Contract meet the following requirements:

a. All employees are fully trained, completely competent, and otherwise meet all legal requirements for performing these services at a Federal Government facility, including all training recommended or mandated by the Centers for Disease Control and Prevention

(CDC), the Occupational Safety and Health Administration (OSHA), The Joint Commission, and the Veterans Health Administration prior to beginning any work on-site. The Contractor shall maintain records of employee training and shall notify the COR at least 30 days prior to when annual employee training is due. The Contractor shall provide certification of annual training for each employee at the COR’s request.

b. All employees are physically and medically able to perform services under this Contract, to include the following: ability to lift 20 pounds; prolonged standing and walking; frequent bending at the waist; vaccinated for Hepatitis B or a letter of declination filed with the

Contractor; and a negative screening for tuberculosis. These requirements are cumulative to every other requirement set forth elsewhere in this Contract.

c. All employees shall have a clear criminal record, which means no felony convictions, or misdemeanor convictions for assaultive behavior or crimes of moral turpitude.

d. All employees shall be able to effectively communicate in English – speaking, reading, and writing. The purpose of this requirement is to ensure that all employees are able to understand any alerts or warnings, oral and written, issued by the facility.

e. All employees shall be healthy when performing services under this Contract; sick employees shall not report to work or shall depart the facility if becoming sick at work.

4. Employee Uniforms: The Contractor shall provide a uniform to its employees that is easily recognizable and clearly distinguishes them as Contractor employees. The Contractor shall not use scrubs as a uniform. The company-issued uniform shall have the name of the company clearly visible on the front of the uniform top. Uniforms shall present a professional appearance, be clean and maintained in good repair, and shall comply with all applicable safety regulations.

Contractor employees shall wear their Government-issued identification badges so that it is clearly visible on the front of their uniform.

5. Noninterference with Facility Functions: The Contractor shall perform its services under this

Contract in a manner that does not interfere with the facility’s functions, including maintaining all tools and equipment in an orderly fashion and cleaning the work area at the conclusion of a service visit. 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.

6. Access (Keys): If provided keys for access, the Contractor shall control and otherwise safeguard the keys provided. Loss of any keys shall be reported to the COR immediately. The Contractor shall be responsible for all costs associated with a lost key, including without limitation:

locksmith charges, rekeying, new keys, and/or new locks.

7. 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.

8. Safety – 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; proper placement of caution signs; and providing the COR with all Material Safety Data Sheets, as applicable, prior to beginning any work under this Contract.

9. Legal/Professional Standards Compliance: In addition to any other requirements set forth in this

Contract, the Contractor shall ensure that all work and any required recordkeeping performed under this Contract complies with all applicable laws, regulations, ordinances, rules, policies, professional standards, and OEM standards/recommendations, including without limitation: the

Veterans Administration (VA); the Veterans Health Administration (VHA); the Occupational

Safety and Health Administration (OSHA); the Environmental Protection Agency (EPA); the

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

Laboratories (UL); and The Joint Commission.

10. Photography: Photographs may be taken on facility grounds only during the performance of the services provided under this Contract; photographs shall not be taken for any other reason.

Photographs shall not contain any images or personal information of patients, Government employees, or other contractor employees.

11. 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.

[See Floor Mat Placement Schedule Next Page]

FLOOR MAT PLACEMENT SCHEDULE

Summer: May 1 – October 31

Winter: November 1 – April 30

Site #1: Jesse Brown VA Medical Center, 820 S Damen Avenue, Chicago, Illinois 60612

Floor mats shall be delivered/exchanged weekly, as follows:

Ogden Street Entrance

Floor Mat Size Floor Mat Type Number of

Floor Mats Location Taped (Y/N)

6’ x 6’ Brush 2 Handicap Entrance Y

6’ x 15’ Brush 3 After Entry Doors Y

6’ x 15’ Brush 2 Near Information

Desk Y

6’ x 8’

(Winter Only) Standard 1 Side Door N

Damen Street Entrance

Floor Mat Size Floor Mat Type Number of

Floor Mats Location Taped (Y/N)

3’ x 5’

(Winter Only) Standard 1

Customer Service

Desk N

6’ x 15’ Brush 2 Vestibule Y

6’ x 20’ Standard 1 Inside Front

Entrance Y

6’ x 15’ Brush 1

Old Polk Street

A…