PAGE 1 OF 1. REQUISITION NO.

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

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

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 CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

None

607-26-2-6653-0012

36C25226Q0501 06-24-2026

Coleman, Michele 202-461-8019 07-23-2026

5:00 PM

36C252 Department of Veterans Affairs Great Lakes Acquisition Center (NCO 12) 115 South 84th Street, Suite 101

Milwaukee WI 53214-1476

X

811310

$12.5 Million

N/A

N/A

36C607

William S. Middleton Veterans Hospital Building 17 2500 Overlook Terrace

Madison WI 53705-2254

36C252

Department of Veterans Affairs 36C252 Great Lakes Acquisition Center - HC 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

Remove and Replace Well Pressure Tank

The Service Contract Labor Standards statute applies to this to this acquisition. See Section D for the applicable Wage Determination.

See CONTINUATION Page

X 1

Ashley Johnson

36C25226Q0501

SECTION B - CONTINUATION OF SF 1449 BLOCKS

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

QUOTERS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED HEREIN

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

FOR AWARD.

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

Amendment Number Date

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:

SAM UEI NUMBER:

Contractor’s Relevant Experience/Past Performance Point of Contact (if different than above):

NAME:

E-MAIL ADDRESS:

(b) GOVERNMENT: Michele Coleman, Concordant Contractor Ashley Johnson, Contracting Officer

Department of Veterans Affairs Great Lakes Acquisition Center (36C252) 115 S 84th Street, Suite 100 Milwaukee, Wisconsin 53214-1476

2. ACQUISITION OF COMMERCIAL ITEMS: The services to be procured from this Request for Quote (RFQ) will be acquired from the commercial marketplace using the procedures set forth in Federal Acquisition Regulations (FAR) Part 12 – Acquisition of Commercial Products and Commercial Services. FAR Parts 13, 14, and 15 will not be used. The procedures in FAR Part 12 allow the Government to procure commercial goods and services using streamlined procurement procedures that resemble commercial practices. Note: The terms “offeror” and “quoter” are both used in this RFQ. For the purposes of this RFQ, 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.

3. CONTRACTOR RESPONSIBILITY: Only responsible prospective contractors are eligible to have their quotes considered for award. Pursuant to FAR 9.104-1: To demonstrate responsibility, a prospective contractor must—

(a) Have adequate financial resources to perform the contract, or the ability to obtain them (see 9.104-3(a));

(b) Be able to comply with the required or proposed delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments;

(c) Have a satisfactory performance record (see 9.104-3(b) and part 42). Do not determine a prospective contractor responsible or nonresponsible based solely on a lack of relevant performance history;

(d) Have a satisfactory record of integrity and business ethics (see part 42);

(e) Have the necessary organization, experience, accounting and operational controls, and technical skills, or the ability to obtain them (including, as appropriate, such elements as production control procedures, property control systems, quality assurance measures, and safety programs applicable to materials to be produced or services to be performed by the prospective contractor and subcontractors) (see 9.104-3(a));

(f) Have the necessary production, construction, and technical equipment and facilities, or the ability to obtain them (see 9.104-3(a)); and

(g) Be otherwise qualified and eligible to receive an award under applicable laws and regulations (see also inverted domestic corporation prohibition at 9.108).

See Subpart 9.1 - Responsible Prospective Contractors for additional information regarding contractor responsibility.

Note: In practical terms, a responsible prospective contractor must be active in the System for Award Management without exclusions, as reported on SAM.gov | Entity Information; and certified as an SDVOSB or VOSB (if the requirement has been set aside), as reported by the Small Business Administration at Small Business Search.

https://www.acquisition.gov/far-overhaul/far-part-deviation-guide/far-overhaul-part-9#FAR_Subpart_9_1 https://sam.gov/content/entity-information https://search.certifications.sba.gov/advanced?page=0

4. SMALL BUSINESS SET-ASIDE (if any): This requirement has not been set aside for any small business types; all businesses regardless of size are eligible to have their quotations considered in response to this RFQ. The NAICS code for this requirement is 811310, and the small business threshold set by the SBA for this NAICS code is $12.5 million. Reference Box 10 of Standard Form 1449, above.

Small Business Set-aside Eligibility Requirements:

(a) Small Business Size Standards: Per FAR 19.201-1(a)(1), “To be eligible for award as a small business concern, an offeror is required to represent in good faith— (i)(A) That it meets the small business size standard corresponding to the North American Industry Classification System (NAICS) code identified in the solicitation . . . .”

(b) Socioeconomic Program Eligibility: Per FAR 19.201-1(a)(2): “To be eligible for award as a small business concern under a socioeconomic program listed in this part, the small business concern has to be certified by SBA for that program (see 19.101(a)(2)(i) (“SBA certifies offerors as veteran-owned small business [VOSB], service-disabled veteran-owned small business [SDVOSB], HUBZone small business, and women-owned small business concerns under the WOSB Program. SBA certifications can be found in the Small Business Search (SBS) website,” available at Small Business Search.)). (Emphasis added.)

(c) Small Business Concern Eligibility: Per FAR 19.101(a)(2)(i), “To be eligible as a small business concern . . . an offeror is required to represent in good faith that it meets the definition,” of that term. Per FAR 2.101, a “small business concern means a concern, including its affiliates, that is independently owned and operated, not dominant in its field of operation, and qualified as a small business under the criteria and size standards in 13 CFR part 121,” available at Code of Federal Regulations: 13 CFR Part 121.)).

5. SOLICITATION TIMELINE (See also FAR 52.212-1 Addendum, below):

• Site Visit: A site visit is scheduled for Wednesday, July 8, 2026, at 9:00 am Local Time at the William S. Middleton Memorial Veterans Hospital, 2500 Overlook Terrace Madison, WI 53705.

Contractors are required to meet the COR or escort at the Main Desk in the Lobby by 9:00 am CST. The COR will provide a sign-in sheet to collect interested party information at the site visit.

• Solicitation Questions Deadline: Solicitation questions are due by 1:00 p.m. Local Time on Monday, July 13, 2026. Answers will be posted by Solicitation Amendment on Contract Opportunities.

• Solicitation Closes/Quotes Due: Quotes are due by 5:00 p.m. Local Time on Thursday, July 23, 2026. Reference Box 10 of Standard Form 1449, above, or most recent Solicitation Amendment, as applicable.

a. SITE VISIT: PLEASE NOTE THAT WHILE ON-CAMPUS ALL PERSONS SHALL COMPLY WITH ALL FACILITY DIRECTIVES. It is strongly suggested that the potential quoter inspect the campus to be serviced to fully understand the nature of the work and the https://search.certifications.sba.gov/advanced?page=0 https://www.ecfr.gov/current/title-13/chapter-I/part-121 https://www.ecfr.gov/current/title-13/chapter-I/part-121 conditions under which the work is to be performed. In no case shall failure to attend a site visit or otherwise inspect the campus constitute grounds for a claim after contract award.

b. 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 Contract Specialist Michele Coleman at Michele.Coleman@va.gov. Answers will be issued via a consolidated response by solicitation amendment posted on Contract Opportunities, available at https://sam.gov/.

c. SUBMISSION OF QUOTE: Quoters shall submit their quote by e-mail to Contract Specialist Michele Coleman at Michele.Coleman@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.

Quote Contents: See FAR 52.212-1 below for a complete explanation of quote contents requirements.

Quote Evaluation Procedures: See FAR 52.212-2 below for a complete explanation of quote evaluation procedures.

6. INVOICE SUBMISSION AND PAYMENT: Use of the invoicing procedures set forth in this Contract are 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.

Note: Under no circumstances will a late payment be grounds for termination of this Contract.

Note: The contractor is responsible for the proper, timely submission of all invoices for work that has been completed under this Contract and accepted by the Government.

(a) Electronic Submission of Invoices: Invoices must be submitted after all work is completed for stand-alone Contracts or monthly in arrears for long-term Contracts, in accordance with: VAAR 852.232-72 Electronic Submission of Payment Requests. Invoices shall not be submitted for work not yet performed.

(b) Payment in Arrears: Payment will be made in arrears upon receipt of a properly prepared invoice.

Advance payment for work not yet performed is not authorized under this Contract.

(c) Electronic Accounts: Before an invoice can be submitted or payment rendered, all contractors must establish a payment account with the Department of Veteran Affairs Financial Services Center (VAFSC) and register with the Tungsten Network for free electronic submission of invoices.

mailto:Michele.Coleman@va.gov https://sam.gov/ mailto:Michele.Coleman@va.gov

(1) VAFSC Payment Account: A VAFSC payment account is established via the VAFSC Customer Engagement Portal at VAFSC Customer Engagement Portal. For assistance, VAFSC customer service is available at (877) 353-9791, option 2, or e-mail at vafsccshd@mail.va.gov.

(2) Tungsten Network: Registration with the Tungsten Network may be accomplished at Tungsten Network Registration. Additional information and assistance may be found at Introduction - Simplified Invoicing with the Tungsten Network. Tungsten Network support is available at (877) 489-6135 or e-mail at VA.Registration@Tungsten-Network.com.

Contractors shall submit an electronic invoice by the tenth (10th) of the following month services were performed or goods delivered via the Tungsten Network through the website at Tungsten Network Portal.

(d) Invoice Contents: All invoices must reference the contractor’s name and address, customer name, Contract number, appropriate obligation/funding order number, description of services or supplies provided, quantity, unit price, and total invoice amount (any additional info). Invoices must also include any payment discount terms.

(e) Electronic Payment: 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.

(f) Overpayment: If a contractor becomes aware that the Government has overpaid on an invoice payment, the contractor shall contact the contracting office as soon as practicable to coordinate remittance of the overpayment amount. See FAR 52.212-4(i)(4) for additional information.

7. CONTRACTING OFFICER’S REPRESENTATIVE/POINT OF CONTACT: A Contracting Officer’s Representative (COR) may be designated, in writing, to serve specified technical and administrative functions on behalf of the Contracting Officer. Typical responsibilities include technical evaluation of quotes received in response to a Request for Quotes (RFQ), verifying that all work is satisfactorily completed under this Contract, certification of invoices submitted for work performed under this Contract, and providing input for Contractor performance evaluations. For smaller or less complex requirements, a facility Point of Contact (POC) may be used instead of a formally designated COR.

8. CONTRACT SCOPE AND UNAUTHORIZED COMMITMENTS: 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/POC 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(d). 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 authority and no adjustment will be made in the Contract price to cover any increase in cost incurred thereof.

https://www.cep.fsc.va.gov/ mailto:vafsccshd@mail.va.gov https://registration.tungsten-network.com/start https://us.tungsten-network.com/customer-campaigns/veteransaffairs/ mailto:VA.Registration@Tungsten-Network.com https://portal.tungsten-network.com/Login.aspx

9. 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 experience in performing the Contract. The Contractor must not perform any work outside the scope of this Contract without a properly awarded bilateral modification, in accordance with FAR 52.212-4(d).

10. NONPERSONAL SERVICES CONTRACT: This Contract is not a personal services contract, as described in FAR 37.201-2 (Characteristics of personal services contracts). VA personnel will not exercise any supervision or control over Contractor personnel performing work under this Contract.

Such personnel must be accountable solely to the Contractor, which in turn is responsible to the Government for execution of the services under this Contract.

11. ADDITIONAL SERVICES OR SUPPLIES: In the event that the Government determines that additional services or supplies are required to meet evolving facility requirements in line with the services or supplies already being provided under the Contract, the Government may request a quote from the Contractor for such additional services or supplies, in the Government’s sole discretion. The Contracting Officer, in the Contracting Officer’s sole discretion, may award a bilateral contract modification for such additional services or supplies in accordance with FAR 52.212-4(d). Any modifications that authorize such additional services or supplies under this paragraph shall be considered within the scope of the Contract.

12. MODIFICATIONS: Any changes to this Contract shall be made by a modification issued on a Standard Form 30 in accordance with FAR 52.212-4(d). There are two types of modifications:

unilateral and bilateral.

(a) Unilateral Modifications: A unilateral modification is a modification that is signed only by the Contracting Officer and becomes effective as soon as it is sent to the Contractor. Unilateral modifications are used, for example, to make administrative changes (a change that does not affect the substantive rights of the parties, such as a change in the paying office or appropriation data), make changes authorized by a clause (such as exercising an Option Period under FAR 52.217-8 or 52.217-9), or issue termination notices.

(b) Bilateral Modifications: A bilateral modification (supplemental agreement) is a modification that is signed by the Contractor and countersigned by the Contracting Officer using the same procedures as award of this Contract. Bilateral modifications are used to reflect an agreement of the parties that modifies substantive terms of this Contract, such as changes to the price, quantity, or quality of deliverables.

There are two basic types of bilateral modifications: in-scope and out-of-scope. An in-scope modification means that the change(s) being effected by the modification should have been reasonably contemplated by the contractors that submitted a quote in response to an RFQ. An out-of-scope modification means that the contractors could not have reasonably contemplated the change(s) being made by the modification. The purpose for determining whether a bilateral modification is in-scope or out-of-scope is because this determination drives the procedures to be used for processing the modification. An in-scope modification means that the parties can agree to a change in terms without additional approvals and notices being given. An out-of-scope modification is considered a sole source acquisition and requires following sole source procedures.

13. CONTRACT CLOSEOUT: Once the Contractor has completed all obligations under this Contract, and the facility has accepted all deliverables as being in conformance with applicable terms and conditions, the Contractor must submit a final invoice to close out the Contract. Once that invoice has been accepted by the facility and paid by the Government, the contracting office will deobligate any unused funds remaining against the Contract via a unilateral modification and complete a closeout of the Contract file.

14. 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.

15. FACILITY REQUIREMENTS: In addition to any other requirements set forth in this Contract, the Contractor, including its employees, agents, and subcontractors (collectively “the Contractor”), must 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 tobacco products, e-cigarettes, and vaping products—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). Contractors are responsible for providing face masks and influenza vaccines for all employees working at a VA facility. If Directive 1192.01 is applicable, the Contractor, in conjunction with the COR, is responsible for ensuring that all aspects of this directive are implemented.

16. RECORDS MANAGEMENT OBLIGATIONS:

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

(a) Applicability: This section applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

(b) Definitions: “Federal Record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal Record:

1. includes VA records;

2. does not include personal materials;

3. applies to records created, received, or maintained by Contractors pursuant to their VA contract; and

4. may include deliverables and documentation associated with deliverables.

(c) Requirements:

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. The facility and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of the facility or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting

Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to the facility. The agency must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in this Contract. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to the facility’s control, or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in this Contract. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and the facility’s guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with the facility’s policy.

8. The Contractor shall not create or maintain any records containing any non-public facility information that are not specifically tied to or authorized by the Contract.

9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

10. The facility owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which the facility shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training.

The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training. The facility, in coordination with the COR/POC, will provide any required training under this subparagraph.

(d) Flow-down of requirements to Subcontractors:

1. The Contractor shall incorporate the substance of this section, its terms and requirements including this paragraph, in all subcontracts under this Contract and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.

17. FACILITY SECURITY, SAFETY, AND PRIVACY REQUIREMENTS:

(a) Badging/Access: Contractors shall coordinate all badging, background checks, and fingerprinting with the COR or otherwise designated facility POC. Reference VA Handbook 0710 Personnel Vetting Program, VA Handbook 0735 Homeland Security Presidential Directive 12 (HSPD-12) Program, and VA Directive 0735 Homeland Security Presidential Directive 12 (HSPD-12) Program.

Contractors must strictly comply with all direction given by the COR/POC and facility personnel during the badging/access process, including fingerprinting and background investigations as required. Contractors shall be responsible for all expenses related to the badging/access process, including reimbursement to the VA, as applicable. Failure to comply with this requirement will be considered a material breach of this Contract.

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

(c) Check-in/Check-out Requirements: The Contractor must comply with all facility check-in and screening requirements. Upon successful completion of the facility’s check-in and screening process, the Contractor must check-in with the COR/POC. The Contractor must check-out with the COR/POC, or their designee, at the conclusion of such work, prior to departing the VA facility, advising them of the work completed and any problems/issues identified.

(d) Building Security and Keys: The Government may provide the Contractor with keys to access the required rooms for services provided under this Contract, as applicable. The Contractor shall not lend keys or open locked rooms or areas to permit entrance by persons other than the Contractor’s assigned staff. The Contractor shall be responsible for securing areas upon completion of duties.

Keys must not be duplicated. Any keys lost by the Contractor will be replaced by the Government, and the Contractor will be charged the replacement value of the lost key and for any expenses incurred for rekeying caused by the lost key. The Contractor must notify the COR/POC of any lost or suspected lost key as soon as possible.

(e) Noninterference with Facility Functions: The Contractor must 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, as applicable.

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

(g) 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. If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at (202) 273-5070 or e-mail at privacyservice@va.gov.

(h) Safety – Infection Control Risk Assessment (ICRA) Requirements: During the performance of this Contract, the Contractor must follow all ICRA requirements, as set forth by the infection control staff.

(i) Safety – OSHA and CDC Requirements: The Contractor must comply with all OSHA and CDC requirements while performing work under this Contract, including without limitation: use of personal protective equipment; proper placement of caution signs; and providing the COR/POC with all Material Safety Data Sheets, as applicable, prior to beginning any work under this Contract.

(j) Patient Confidentiality: The Contractor must 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/POC’s direction, in their sole discretion, the Contractor must obtain a signed Confidentiality Certificate from each employee and maintain that Certificate for inspection purposes.

(k) 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 must not contain any images or other personal information of patients, Government personnel, or other contractor personnel. Any violation of this policy is grounds for immediate revocation of that person’s access to the facility.

(l) Legal/Professional Standards Compliance. All work performed under this Contract must comply with all applicable laws, regulations, ordinances, rules, and professional standards, specifically including without limitation: the Centers for Disease Control and Prevention (CDC); the Occupational Safety and Health Administration (OSHA); the Environmental Protection Agency (EPA); the National Fire Protection Association (NFPA); the Food and Drug Administration (FDA); and The Joint Commission.

mailto:privacyservice@va.gov https://www.justice.gov/opcl/privacy-act-1974

(m) Protection of Government Property: The Contractor must 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 personnel 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 must immediately be reported to the COR/POC.

18. PERSONNEL REQUIREMENTS FOR SERVICES CONTRACTS: The following requirements apply to all Contractor personnel, including subcontractor personnel, performing services at a VA facility, including the surrounding campus.

(a) Proper Training: All personnel must be fully trained, thoroughly competent, and otherwise meet all legal requirements for performing 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 onsite.

(b) Physically Capable: All personnel shall be physically and medically able to perform the services under this Contract.

(c) Legally Capable: All personnel shall be legally capable of working in the United States. Anyone found to be undocumented or otherwise working illegally will be remanded to the proper authorities.

(d) Behavior Standards: While onsite, all personnel shall behave appropriately. Contractor personnel shall not be rude, argumentative, or confrontational with anyone. Any violation of this policy is grounds for immediate revocation of that person’s access badge and a permanent ban from the premises.

(e) Clear Criminal Record: All personnel shall have a clear criminal record, which means no felony convictions or misdemeanor convictions for assaultive behavior or crimes of moral turpitude, nor any active criminal warrants.

(f) Communicating in English: All personnel shall be able to effectively communicate in English— speaking, reading, and writing. The purpose of this requirement is to ensure that all personnel are able to understand any alerts or warnings, oral and written, issued by the facility.

(g) Healthy at Work: All personnel shall be healthy when performing services under this Contract;

sick personnel must not report to work or shall depart the facility if becoming sick at work.

(h) Appropriate Clothing: All personnel shall wear clothing appropriate for the services being performed and that clearly distinguishes them as Contractor personnel. Clothing shall present a neat appearance, be clean and maintained in good repair, and be worn as designed by the manufacturer. Contractor personnel shall not wear scrubs.

(i) Identification Badge: All personnel shall wear their Government-issued identification badge, if issued, so that it is clearly visible from the front, above the waist and below the face.

[Remainder of Page Intentionally Left Blank – End of Section B.1]

B.2 PERFORMANCE WORK STATEMENT

Well Pressure Tank Replacement William S. Middleton Memorial Veterans Hospital

1.0 Purpose

The purpose of this Performance Work Statement (PWS) is to establish the performance requirements for the removal and replacement of the well pressure tank at the William S. Middleton Memorial Veterans Hospital. The contractor shall furnish all labor, materials, equipment, and supervision necessary to deliver a fully operational and compliant well pressure tank system.

2.0 Background

The well pressure tank serves as a critical component of the emergency backup water supply system for the Madison VA campus. Without a functioning pressure tank, the well cannot operate, resulting in the loss of the campus’s emergency water source. Replacing the tank is essential to maintaining life-safety readiness and emergency preparedness capabilities.

3.0 Scope

The contractor shall remove the existing well-pressure tank and install a new pressure tank with operational capacity equal to or greater than the current unit. All work shall comply with VA Master Specifications Division 33-11-13 and applicable federal, state, and local regulations.

Work shall take place at:

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace, Building 17 Madison, WI 53705

4.0 Performance Requirements

4.1 Required Outcomes

The contractor shall deliver a fully functional and compliant well-pressure tank system that:

• Meets or exceeds operational performance requirements.

• Passes all water quality, chlorination, and functionality tests.

• Is installed in accordance with VA Master Specifications 33-11-13.

• Is accepted by the COR after inspection and verification of performance.

4.2 Performance Standards

• Compliance with A.S.M.E. Section VIII Division I design standards.

• Construction with SA515 GR70 carbon steel.

• Interior lining: Series 21 epoxy.

• Exterior coating: N140 epoxy.

• Installation includes required couplings, manhole, flange, lift plugs, saddle supports, and all gaskets.

• Full compliance with OSHA, VHA, and regulatory safety requirements.

Performance will be measured through:

• Inspection by the COR

• Verification of documentation and test results

• Acceptance of delivered system functionality

5.0 Contractor Tasks

The contractor shall perform the following tasks:

Task 1 – Removal and Disposal

Remove and dispose of the existing well pressure tank in accordance with all applicable environmental and disposal regulations.

Task 2 – Delivery

Deliver the new well pressure tank and all associated components to the hospital Engineering Department.

Delivery must be coordinated with the COR to avoid onsite storage.

Task 3 – Installation

Install the new well pressure tank, associated piping, and required controls according to VA Master Specifications.

Task 4 – Chlorination

Chlorinate the new tank and associated piping per VA Master Specifications 33-11-13.

Task 5 – Testing and Verification

• Fill and test the new tank and controls to ensure full operational functionality.

• Submit two water samples to the Wisconsin State Laboratory of Hygiene.

• Provide documentation demonstrating successful compliance with safety and operational requirements.

Task 6 – Project Coordination

• Schedule installation and testing with the COR.

• Notify the COR at least 10 business days before equipment delivery.

• Provide all labor, equipment, tools, and project management required for execution.

6.0 Government-Furnished Information (GFI)

The VA Engineering Department will provide relevant schematics and documents necessary for the contractor to complete the work.

7.0 Performance Monitoring

The COR will monitor contractor performance through routine communication, periodic inspections, and final acceptance review. All work must meet contract requirements prior to acceptance.

8.0 Security Requirements

The contractor is not required to access PHI and is therefore not required to complete VA privacy or security training.

9.0 Safety and Risk Control

The contractor shall:

• Comply with OSHA, VHA safety protocols, and all applicable safety requirements.

• Ensure all personnel adhere to facility-specific safety rules.

• Immediately report any incidents or unsafe conditions to the COR.

10.0 Place of Performance

William S. Middleton Memorial Veterans Hospital 2500 Overlook Terrace Madison, WI 53705 Engineering Department

POC: TBD

11.0 Period of Performance

August 1, 2026 – March 17, 2027 Normal work hours: Monday–Friday, 8:00 AM to 5:00 PM.

Milestones

a. Part Delivery: Within 22 weeks of contract start, no later than January 11, 2027.

b. Installation: Within 45 days after delivery, no later than March 17, 2027.

c. Completion: All testing and documentation must be completed within the period of performance.

d. Equipment Condition: All delivered equipment must be new, undamaged, and installation-ready.

e. Reporting: Any delivery delays, shortages, or damages must be reported immediately to the COR.

12.0 Inspection and Acceptance

The COR will inspect and verify that all work meets contract and performance requirements. Acceptance will occur only after successful completion of installation, testing, documentation review, and compliance with operational standards.

13.0 Delivery Requirements

Delivery, installation, chlorination, and testing must be completed within 199 business days after contract award.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1.00 JB __________________ __________________

Well Pressure Tank Replacement IAW the performance work statement.

Removal and Disposal Description: Contractor shall remove and properly dispose of the existing well pressure tank in accordance with all applicable environmental, safety, and disposal regulations. All labor, equipment, and materials required for safe removal are included under this CLIN.

Contract Period: Base POP Begin: 08-01-2026 POP End: 03-17-2027 PRINCIPAL NAICS CODE: 811310 - Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance PRODUCT/SERVICE CODE: J043 - Maintenance, Repair, and Rebuilding of Equipment - Pumps and Compressors

1.00 JB _____________________ __________________

Delivery, Storage, and Project Coordination

Description: Contractor shall receive the new well pressure tank and all associated components at their own facility, store the equipment until installation, and provide required submittals for COR approval. This CLIN includes coordination activities such as scheduling installation and testing with the COR, providing required notifications, and furnishing all labor, equipment, tools, and project management necessary through delivery-to-contractor and pre installation phases

Contract Period: Base

POP End: 03-17-2027

1.00 JB __________________ __________________

Installation, Chlorination, Testing, and Verification

Contractor shall install the new well pressure tank, associated piping, and controls in accordance with VA Master Specifications. This CLIN includes chlorination of the tank and piping per VA Master Specification 33 11 13;

filling, testing, and verification of full operational functionality; water sampling and submission to the Wisconsin State Laboratory of Hygiene; and all documentation demonstrating compliance with safety and operational requirements.

Contract Period: Base

POP End: 03-17-2027

GRAND TOTAL __________________

SECTION C - CONTRACT CLAUSES

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

PRODUCTS AND COMMERCIAL SERVICES (DEVIATION OCT 2025)

(a) Definitions. The clause at Federal Acquisition Regulation (FAR) 52.202-1, Definitions, is incorporated by reference.

(b) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(c) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(d) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(e) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal, or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause FAR 52.233-1, Disputes, which is incorporated in this contract by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence. Examples of occurrences include acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. When an excusable delay occurs, the Contractor shall—

(1) Notify the Contracting Officer in writing as soon as possible;

(2) Remedy the delay as quickly as possible; and

(3) Notify the Contracting Officer when the occurrence is over.

(g) Invoice. The Government will handle invoices according to the Prompt Payment Act (31 U.S.C.

3903) and 5 CFR part 1315. The Contractor shall submit invoices to the address designated in the contract to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b).

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees, and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to…