Solicitation 36C26321Q0663.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. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

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

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

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

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

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

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

SEE ADDENDUM

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

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

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

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

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

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

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

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

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

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

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 108

438-21-2-1115-0567

636-21-4-8862-0067

36C26321Q0663 07-26-2021

Angela Stewart 605-336-3230 x7804 08-02-2021 10:00am CDT

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105 Angela Stewart, angela.stewart438@va.gov 605-336-3230 x7804

X 100

X

541350

$8 Million

N/A

X

Iowa City VA Health Care System 601 Highway 6, West, Iowa City, IA 52246 Sioux Falls VA Health Care System 2501 W. 22nd St., Sioux Falls SD 57105

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

VA Financial Services Center via the Tungsten network reference VAAR clause 852.232-72

See CONTINUATION Page

Statement of Conditions and Life Safety Assessment Services to support the Sioux Falls VA Health Care System in Sioux Falls, SD and Wagner, SD and the Iowa City VA Health Care System in Iowa City, IA Period of Performance: Base period 09/01/2021 to 08/31/2022 Option 1: 09/01/2022 to 08/31/2023 Option 2: 09/01/2023 to 08/31/2024 Option 3: 09/01/2024 to 08/31/2025 Option 4: 09/01/2025 to 08/31/2026 This is a 100% Service Disabled Veteran Owned Small Business (SDVOSB) set-aside.

Contractors/Offerors are responsible for the correct SCA Wage and Determination classification of workers and compliance with all wage and hours laws.

Offerors must be verified as an SDVOSB in the VIP system and have an active SAM system registration at the time of submission of an offer and at the time of award.

This solicitation will result in a Firm Fixed Price contract See 52.212-2 within this document for evaluation factors.

$0.00 See CONTINUATION Page

438-3610162-1115-850300-2660-0100501X3; 438-21-2-1115-0567 636-3610162-8862-850300-2580-0400401X1; 636-21-4-8862-0067

X X

X one(1)

John Becker

VA-VHA-2020-BEE57D1B

36C26321Q0663

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

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

2018)

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

C.3 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 29

C.6 IT CONTRACT SECURITY

C.7 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION 2015-4983 REV 13

D.2 WAGE DETERMINATION 2015-5369 REV 12

D.3 WAGE DETERMINATION 2015-5373 REV 15

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) 80

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

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

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(Continuation from Standard Form 1449, block 18A.)

1. CONTRACT ADMINISTRATION. All contract administration matters will be handled by the following individuals:

a) Contractor Information Company Name and Address:

Data Universal Numbering System (DUNS) Number:

Contact Person(s) Name:

Contact Person(s) Email:

Contact Person(s) Telephone:

b) Government Information

Angela Stewart Contract Specialist Department of Veterans Affairs Network Contracting Office 23 (NCO 23) 2501 W. 22nd Street Sioux Falls, South Dakota 57105

2. CONTRACT 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, and VAAR 852.232-72, Electronic Submission of Payment Requests.

3. INVOICES: Invoices shall be submitted in arrears. Submission will be quarterly for the previous quarter of the period of performance and no later than 15 calendar days after the close of the period of performance being invoiced for. Invoices shall be based on the applicable fixed rates for services provided to VA as in accordance with the contract terms and conditions. The VA Technical Representative (VATR) will review all invoices submitted. The VATR is responsible for certifying invoices for payment for only those services received and deemed acceptable by VA.

4. GOVERNMENT INVOICE ADDRESS: All invoices shall be submitted by the contractor via the Tungsten Network (previously OB10) electronic invoicing system. Refer to the Tungsten Network website at http://www.tungsten-network.com/us/en/veterans-affairs-us/ for additional information for system registration, user guides, and help desk contacts.

5. ACKNOWLEDGEMENT OF AMENDMENTS: The offeror acknowledges receipt of Amendments to the Solicitation numbered and dated as follows:

Amendment Date http://www.tungsten-network.com/us/en/veterans-affairs-us/ http://www.tungsten-network.com/us/en/veterans-affairs-us/

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

0001 Base Period 455,885.00 SF __________________ __________________ Statement of Conditions and Life Safety Assessment in accordance with the Statement of Work for the Sioux Falls VA Health Care System in Sioux Falls, South Dakota. Cost shall be per square foot.

Contract Period: Base POP Begin: 09-01-2021 POP End: 08-31-2022

0002 Base Period 3,072.00 SF __________________ __________________ Statement of Conditions and Life Safety Assessment in accordance with the Statement of Work for the Sioux Falls VA Health Care System at the Community Bases Outpatient Clinic in Wagner, South Dakota. Cost shall be per square foot.

Contract Period: Base

0003 Base Period 568,972.00 SF __________________ __________________ accordance with the Statement of Work for the Iowa City VA Health Care System at the Iowa City VA Health Care System.

Cost shall be per square foot.

Contract Period: Base

BASE PERIOD TOTAL:

1001 Option Period 1 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the Sioux Falls VA Health Care System, in accordance with the Statement of Work for the Sioux Falls VA Health Care System in Sioux Falls, South Dakota. A new assessment is not needed for this option period. However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 1 POP Begin: 09-01-2022 POP End: 08-31-2023

1002 Option Period 1 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the SFVAHCS, in accordance with the Statement of Work for the Sioux Falls VA Health Care System at the Community Bases Outpatient Clinic in Wagner, South Dakota. A new assessment is not needed for this option period. However, the Government will

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 1 POP Begin: 09-01-2022 POP End: 08-31-2023

1003 Option Period 1 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the ICVAHCS, in accordance with the Statement of Work for the Iowa City VA Health Care System at the Iowa City VA Health Care System.

A new assessment is not needed for this option period.

However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 1 POP Begin: 09-01-2022 POP End: 08-31-2023

OPTION PERIOD 1 TOTAL:

2001 Option Period 2 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the Sioux Falls VA Health Care System, in accordance with the Statement of Work for the Sioux Falls VA Health Care System in Sioux Falls, South Dakota. A new assessment is not needed for this option period. However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 2 POP Begin: 09-01-2023 POP End: 08-31-2024

2002 Option Period 2 1.00 SF __________________ __________________

Life Safety Assessment, as requested by the SFVAHCS, in accordance with the Statement of Work for the Sioux Falls VA Health Care System at the Community Bases Outpatient Clinic in Wagner, South Dakota. A new assessment is not needed for this option period. However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 2

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

2003 Option Period 2 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the ICVAHCS, in accordance with the Statement of Work for the Iowa City VA Health Care System at the Iowa City VA Health Care System.

A new assessment is not needed for this option period.

However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 2

OPTION PERIOD 2 TOTAL:

3001 Option Period 3 386,323.00 SF __________________ __________________ Statement of Conditions and Life Safety Assessment in accordance with the Statement of Work for buildings 1, 5 and 51 of the Sioux Falls VA Health Care System in Sioux Falls, South Dakota. Cost shall be per square foot.

Contract Period: Option 3 POP Begin: 09-01-2024 POP End: 08-31-2025

3002 Option Period 3 3,072.00 SF __________________ __________________ accordance with the Statement of Work for the Sioux Falls VA Health Care System at the Community Bases Outpatient Clinic in Wagner, South Dakota. Cost shall be per square foot.

Contract Period: Option 3

3003 Option Period 3 568,972.00 SF __________________ __________________ accordance with the Statement of Work for the Iowa City VA Health Care System at the Iowa City VA Health Care System.

Cost shall be per square foot.

Contract Period: Option 3

OPTION PERIOD 3 TOTAL:

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4001 Option Period 4 1.00 SF __________________ __________________ Reassessment or new location Statement of Conditions and

Life Safety Assessment, as requested by the Sioux Falls VA Health Care System, in accordance with the Statement of Work for the Sioux Falls VA Health Care System in Sioux Falls, South Dakota.A new assessment is not needed for this option period. However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 4 POP Begin: 09-01-2025 POP End: 08-31-2026

4002 Option Period 4 1.00 SF __________________ __________________

Life Safety Assessment, as requested by the SFVAHCS, in accordance with the Statement of Work for the Sioux Falls VA Health Care System at the Community Bases Outpatient Clinic in Wagner, South Dakota. A new assessment is not needed for this option period. However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 4

4003 Option Period 4 1.00 SF __________________ __________________

Life Safety Assessment, as requested by the ICVAHCS, in accordance with the Statement of Work for the Iowa City VA Health Care System at the Iowa City VA Health Care System.

A new assessment is not needed for this option period.

However, the Government will use this Line Item to calculate the overall cost if a new location is established or a reassessment is needed. If a new location requires assessment or a reassessment is requested by the Government a bi-lateral modification shall be issued.

Contract Period: Option 4

OPTION PERIOD 4 TOTAL:

GRAND TOTAL

Base Period Total:

Option Period 1 Total:

Option Period 2 Total:

Option Period 3 Total:

Option Period 4 Total:

B.3 PERFORMANCE WORK STATEMENT (PWS)

I. Title: Statement of Conditions/Life Safety Assessment services to support the Sioux Falls

VA Health Care System and Iowa City VA Health Care System

II. General Overview: Contractor shall update The Joint Commission Statement of Conditions for the Sioux Falls VA Health Care System and Iowa City VA Health Care System. Contractor shall determine NFPA 101-2021 Life Safety Code (LSC) deficiencies in accordance with NFPA 101 and 101A Guide on Alternative Approaches to Life Safety and VA requirements (most current edition).

III. Definitions or Acronyms:

A. CO – Contracting Officer B. ICVAHCS – Iowa City VA Health Care System C. SOC – Statement of Conditions; The Statement of Conditions (SOC) references the

“Joint Commission Comprehensive Accreditation Manual for Hospitals”, specifically “Standard LS.01.01.01”; this administrative standard requires ICVAHCS to design and manage the physical environment to comply with the Life Safety Code. The elements of performance focus on the SOC (a tool that helps to identify, track and correct deficiencies in Life Safety Code).

D. TJC – The Joint Commission E. SFVAHCS – Sioux Falls VA Health Care System F. VA-TJC Agreement (as updated, use the most current version) – Attachment

A G. VATR – VA Technical Representative

IV. Place of Performance:

Services will be performed at:

A. Sioux Falls VA Health Care System, 2501 W. 22nd Street, Sioux Falls, SD 57105

i. Wagner Community-Based Outpatient Clinic, 400 West Highway 46, Wagner, SD 57380

B. Iowa City VA Health Care System, 601 Highway 6 West, Iowa City IA 52246-2208

The Contractor is responsible for providing services, between the hours of 6:00am and 5:00pm Monday thru Friday, except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. Services may be provided after-hours if there is less impact to patient care and approved by the VATR.

Contractor will be required to travel to SFVAHCS and ICVAHCS to perform surveys and inspections. The Contractor is responsible for all travel expenses for all employees. This includes all travel the Contractor deems necessary before and after the date of the surveys and inspections, as well as the actual date of surveys and inspections. Contractor is also responsible for any travel they need to attend meetings, conferences, and training required.

V. Period of Performance:

This will be a single award Firm Fixed Priced Contract for overall period of performance of 09/01/2021 to 08/31/2026. There will be one (1) base period and up to four (4) option periods for this contract:

Period Period Begins Period Ends Base Period 09/01/2021 08/31/2022 Option Period 1 09/01/2022 08/31/2023 Option Period 2 09/01/2023 08/31/2024 Option Period 3 09/01/2024 08/31/2025 Option Period 4 09/01/2025 08/31/2026

Exercise of option periodss will be made at Government’s discretion based on continued need for services, Contractor performance, and availability of funds in a given fiscal year.

VI. Qualifications: Contractor shall provide the VA with proof of the following qualifications prior to contract award and upon request:

A. Fire Protection Engineer shall have at least 5 years’ experience, performing Fire Life Safety Assessments.

B. Fire Protection Engineer shall be onsite to perform the assessments.

C. Fire Protection Engineer shall have conducted at least 3 Hospital assessments.

D. Fire Protection Engineer shall be able to accurately assess Hospital Occupancy, Ambulatory Occupancy, Business Occupancy and Special Purpose Industrial Occupancy.

E. Shall be able to provide AUTO CAD drawings, SOC binder with required documents.

F. All assigned surveyors must have documented experience with NFPA 101 Life

Safety Code and NFPA 99 Health Care Facilities Code. Assigned surveyors will have at least five years of fire protection engineering experience with demonstrated experience in evaluating complex healthcare facilities with respect to The Joint Commission accreditation standards.

G. The Government reserves the right to accept or reject Contractor’s staff for the rendering of services. Complaints concerning Contract Personnel’s performance or conduct shall be dealt with by the Contractor, VATR and the final decision made by the Contracting Officer.

Failure to submit any of the required information, statements, or certifications may result in rejection of the quote without further consideration for award or termination of the contract after award.

VII. Scope of Work Statement of Conditions & Life Safety Assessment SFVAHCS

A. General Requirement.

For each of the Buildings listed in Table 1:

1. perform a Life Safety Survey to identify, list and detail all physical deficiencies with regard to most current life safety standards;

2. identify, list and detail deficiencies in the inspection, test, drill, and maintenance records of Life Safety systems, critical utility systems and fire drills;

3. assign proper occupancy based on use and construction;

4. provide an updated set of documents to meet the accreditation requirements of TJC, including a complete set of up-to-date Life Safety Assessment Drawings including those items on the VA-TJC Agreement and an up-to-date Basic Building Information form for each building that the SFVAHCS can use to update the extranet information.

B. Tasks.

1. Conduct a Statement of Condition and Life Safety survey and assessment (hereinafter

“Survey”) of each of the structures in Attachment 1 to determine compliance with the most current edition of NFPA 101 and associated TJC standards within Life Safety (LS) accreditation requirements as modified by agreements made between the Veterans Health Administration and TJC. Record any identified deficiencies of compliance and note in a final report. These Surveys are intended, in part, to fulfill the Medical Centers’ requirements listed in TJC Standard LS.01.01.01 EP2.

2. Evaluate current floor plans for each building listed below and establish smoke or fire compartments. Perform on site investigation of the structures and existing assemblies that can be used to establish boundaries within the building. Based on this inspection and evaluation, amend, correct and/or produce the SFVAHCS new life safety drawings to achieve compliance with the most current TJC Standard LS.01.01.01 EP3 and as modified by the most current VA-TJC Agreement.

a. Life Safety Drawings or report shall include a color-coded legend including, but not limited to the following: 1hr assembly, 2hr assembly, smoke barrier, hazardous areas, suite’s, equivalencies, square footage and exit to grade.

b. Life Safety Drawings shall include the following information, but not limited to:

A. Fire pumps B. Fire main valves C. Locations of fire pull stations D. Sprinkler and non-sprinklered areas E. Fire alarm annunciator panels F. Med gas alarm panels G. Fire/Smoke door and window locations H. Fire/smoke door swings I. Fire/smoke door Ratings in Rated Walls J. Occupancy K. Occupancy Count L. Egress / Exit Locations Indicating Required & Provided Width M. Exit Signage with Directional Arrows N. Fire Extinguishers (wall mounted, cabinet mounted, floor mounted, etc.)

O. Fire Alarm Pull Stations P. Elevators, Stairs and Ramps Q. Travel Distance to Exit on Common Path of Travel R. Exit Location Separation Respective to Overall Diagonal Length of

Building S. Dead End Corridors T. Floor Mounted Casework, Equipment or Obstacles to Egress U. Locations of all Fire Walls

V. Locations of all Area Separation Walls W. Locations of all Smoke Barriers and Smoke Compartments X. Locations of all Combination Fire Wall / Smoke Barriers Y. Locations of all Smoke Resistive Walls Z. Locations of Suite boundaries for Suite of rooms with internal corridors not part of exit access corridor system (both sleeping and non-sleeping) AA. Suite Names BB. Locations of all Areas of Refuge CC. Fire alarm control Panel (FACP) Locations DD. Room Name and Number EE. Key Plan FF. Legend that clearly defines all features of fire safety GG. Locations of all chutes and shafts and applicable ratings HH. Locations of all Hazardous Storage Areas II. Identify any approved equivalencies or waivers

c. Findings of deficiencies for the SFVAHCS Survey will be identified and recorded in a consistent and understandable report. Each deficiency shall reference the appropriate NFPA, Joint Commission or other applicable standard. Each finding must include at a minimum: a description of the deficient condition; a reference to the specific standard’s section and paragraph; the location to include building, floor, and specific area, e.g. room number or location relative to a specified landmark; comments or amplifying information for clarification if necessary.

d. Review all existing Equivalencies for the SFVAHCS to ensure continued accuracy and compliance. Deficiencies will be documented and reported in writing.

e. If, during the course of the Survey and document/records reviews, a condition requiring an equivalency is identified without a corresponding approved equivalency, then provide all the documentation necessary to allow the VAHCS to submit an equivalency request in accordance with VHA and TJC requirements and procedures.

3. Review and assess the SFVAHCS’s Basic Building Information (BBI) and/or statement of conditions. Amend and correct the facility’s existing BBI to achieve compliance with the most current TJC Standard LS.01.01.01 EP7 and as modified by agreements established between the Veterans Health Administration and TJC.

C. Deliverables

1. Documents/Plans/Reports

a. Provide draft copies of the final Survey reports and documents to the SFVAHCS

VATR with the completed life safety drawings. SFVAHCS subject matter experts will review draft copies and verify or otherwise provide notes for correction or clarification. Respond to SFVAHCS comments and/or questions regarding the draft copies. Ensure the Safety Program Manager is copied on all correspondences. It is anticipated that all inquiries will be answered by telephone, teleconference and /or email, i.e. additional trips by the contractor’s employees are not anticipated in order to complete this task unless an oversight by the contractor’s employees necessitates another site visit. The goal is to have all questions answered, concerns successfully addressed, and a full set of draft Survey documents approved by the SFVAHCS within thirty-five calendar days after completion of each respective Survey. Subsequently, the Contractor will finalize and submit all documents to the SFVAHCS VATR within ten calendar days of SFVAHCS approval of the Survey.

2. After completion and acceptance of all the required reports, provide a summary document of best-practices and common deficiencies found during the survey to the SFVAHCS’s points of contact (POCs).

3. Distribute all draft reports, final reports and other required documents via standard electronic mail system or other efficient electronic file transfer system. At no time will the contractor have access to or connect any devices to the VA information network. Clearly name all files based on the files’ contents and specific medical center. Draft document files’ names will contain the word “draft.” Contractor will also provide all final reports and documents on high quality CD-R or DVD disks to the POC.

a. All reports, calculations, and documents shall be identified with the full Medical Center name and dates of survey. All work in progress documents will display the word “DRAFT” on each sheet or page. All reports and documents will be provided electronically in a standard MS Word format and PDF format.

b. Final reports shall be named “final.”

4. Provide updated and accurate Life Safety Drawings in Portable Document Format (.pdf) and AutoCad computer-aided design drawing format (.dwg). Each component listed in tasks in 2.B.2.b shall be separated by layers in CAD. Contractor shall provide all applicable layers, images, and plot styles to the SFVAHCS. The files must be clearly annotated and formatted for 11 x 17 and 22 x 34 (ANSI D) size printing. Documents or portions of documents provided by the contractor shall not be password-protected, locked, or otherwise rendered non-editable by the SFVAHCS. Contractor shall provide four 11 x17 copies of life safety drawings and two 22 x 34 copies of the life safety drawings.

5. Support the SFVAHCS with writing equivalency requests required for deficiencies found during the Life Safety inspections of the SFVAHCS. Equivalency requests shall be prepared in the required VA format. A copy of the format will be provided by the SFVAHCS. Equivalency request documents shall be provided to the Chief, Engineering Services and the POC.

6. Table 1 is a list of the buildings to be Surveyed and for which Life Safety drawings will be assessed, updated and produced.

7. The SFVAHCS VATR will provide existing documents prior to the start of each respective survey, coordinate local security and safety requirements for the contracted employees, present EC and LS records for review, ensure escorted access to all surveyed areas, and provide reviews, comments and approval of draft survey reports.

8. The on-site portion of the sit investigation quantities and team shall be appropriate for size of facility and should plan daytime and night hours to minimize disruption to patient care. Site evaluation for the SFVAHCS is expected to take no more than 10 business days. Contractor shall assign a sufficient number of qualified surveyors to complete all required on-site tasks within 10 business days.

9. Contractor shall submit a schedule of work and timeframe for completion upon award in accordance with the VATR order of priority.

a. All contract activities are expected to be completed in the first six months or less of the base period and each option period of performance.

i. BASE PERIOD Exception: the ground floor of building 5 shall be completed within three months of the start of the base period of performance.

D. Table 1: SFVAHCS Building Numbers and Use

Building # Building Use Building Square Footage Building 1 Business, Mental Health in-patient and out-patient 52816

Building 5 Business, Assembly, Dental, Warehouse, Health Care, Surgery, Nursing Home and more…

330610

Building 51 Integrated Health 2897 Building 16 Business 6104 Building 17 Business 4094 Building 28 Research 5818 Building 38 Business 24445 Building 7 Engineering Shops 3780 Building 8 Laundry 7108 Building 9 Mechanic Shop 4148

Building 11 Boiler Plant 6662 Building 19 Gas House 120 Building 24 Auxiliary Power Unit 226 Building 27 Electrical Switchgear 1198 Building 50 Generator Building 1662 Building 51 Emergency Management 1162

Building T15 Storage 3035 Wagner CBOC Clinic 3072

* The applicable unit prices shall be applicable to future buildings and construction.

E. BADGES AND PARKING

1. All Contractor personnel are required to wear identification (I.D.) badges issued by the SFVAHCS Engineering office during the entire time they are on the SFVAHCS grounds.

2. It is the responsibility of the Contractor’s personnel to park in the appropriate designated parking areas. Parking information is available from the SFVAHCS security office. The SFVAHCS shall not validate or make reimbursement for parking violations of the Contractor’s personnel under any circumstance.

VIII. Scope of Work – ICVAHCS A. Scope: Contractors will provide a Statement of Conditions inspection/survey of all

Building 1 and Building 50 located at 601 HWY 6 West, Iowa City, Iowa, Iowa City VA. Services will include inspecting and surveying all floors/ceilings, walls, and doors/doorways. Contractor will perform a thorough evaluation of each room/area for fire safety ratings/characteristics, resulting in a classification of rooms/areas.

Contractor shall provide an SOC binder meeting Joint Commission standards and VA requirements at the end of survey. Contractor shall provide technical support and drawing updates as requested by the ICVAHCS.

B. Description of Services/Introduction: The Contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other items and non-personal services necessary to perform the SOC as defined in this Performance Work Statement except for those items specified as Government furnished property and services. The Contractor shall perform to the standards in this contract. Vendor will prepare a SOC in compliance with TJC for Building 1 (Hospital, Ambulatory, Business, and Industrial occupancy) and Building 50 (Business and Industrial occupancy) at the ICVAHCS. Contractor shall determine NFPA 101-2021 Life Safety Code (LSC) deficiencies and perform a Fire Safety Evaluation System (FSES) assessment in accordance with NFPA 101A Guide on Alternative Approaches to Life Safety and VA requirements. This assessment will be accomplished by conducting a thorough on-site evaluation of fully sprinklered Building 1 (539,657 SQFT) and fully sprinklered Building 50 (29,315 SQFT) by Fire Protection Engineers that shall be on location. Life Safety Drawings and SOC documents shall be prepared by Fire Protection Engineers (FPE). Contractor shall conduct the initial Survey between September 1, 2021 and September 23, 2021.

C. Objectives: Contractor shall:

i. Conduct a physical on-site survey of the listed buildings to determine compliance with the most current edition of NFPA 101 Life Safety Code, VA Fire Protection Design Manual most recent edition, and VHA-Joint Commission Clarification Document requirements.

ii. Review and verify areas for the appropriate occupancy classification for each room or suite to determine ratings of structure according to most current NFPA codes and VA requirements. Verify all suites are correct and/or needed according to most current NFPA Code and VA requirements.

iii. Assess all fire and smoke, barrier walls and dampers and make a determination whether they are required, or they shall be decommissioned.

Assess all cross-corridor doors and make a determination on whether they are required. Some areas may require coordination with staff for off duty hour inspections. Verify that barriers are complete and needed.

iv. Assess and make determinations on new and existing 7.3 Exit Access Corridors and 7.1 egress path impediments interpretation from current Code Requirements. Assess Common paths of travel in all areas. Assess Travel distances to Exits in all areas.

v. Verify all electrical closets and transformer rooms are correctly rated according to most current NFPA Code and VA requirements.

vi. Verify all exit stair or passageway areas, including signage, are compliant with most current NFPA Code and VA requirements.

vii. Verify distances to exits and distances to next barrier are compliant with most current NFPA Code and VA requirements.

viii. Conduct a survey of 100% of all fire and smoke barrier walls and ceilings to confirm location and construction. This shall be accomplished everywhere the ceilings and walls are accessible.

ix. Identify and document with pictures and include code reference for any deviations from most current NFPA Code, VA requirements, or other regulatory requirements, so that work orders and Survey Plan for Improvement (SPFI) can be developed. Pictures will not contain any PII and PHI. (Staff or Patient Information)

x. Review our electronic Joint Commission data and assist in its update.

xi. Review and verify Equivalencies are compliant and are needed or need to be updated according to most current NFPA Code and VA requirements.

xii. Verify all fire, smoke, and corridor doors meet the most current NFPA Code and VA requirements. Assess no doors locked in the path/direction of egress.

xiii. Review and verify all fire extinguisher locations meet most current NFPA

Code and VA requirements. Assess travel distances to Fire Extinguishers.

Assess Fire Extinguisher heights for compliance.

xiv. Review and verify all room numbers, locations, and labeling are consistent with most current NFPA Code and VA requirements.

xv. Review and verify all room numbers are noted properly on Life Safety Drawings.

xvi. The reports and data shall be provided in a format using Microsoft Word, Adobe Acrobat, and AutoCAD Architecture (2017 or earlier).

xvii. All letters and numbers shall be readable on 11”x17” paper drawings.

xviii. Review and verify that all recessed sprinklers have been approved by the

Authority Having Jurisdiction. Document every location in writing with justification and approval.

xix. SOC binder will be labeled and constructed according to the most current Joint Commission standards. All equivalencies and justifications shall be documented in writing and inserted in the SOC binder. This is to include:

1. Statement of Qualifications

2. General building description including height, size, construction classification, and occupancy

3. Information provided by the Medical Center regarding any equivalencies approved by The Joint Commission (if any)

4. Life Safety Assessments

5. Floor plan drawings showing the current room layout, room numbers, fire walls, smoke barrier walls, smoke compartment names or designations, and occupancy classification for each floor. Also identify suites, hazardous rooms, and keynote any special life safety features according to most current NFPA codes and VA requirements.

6. Make recommendations on how to correct any noncompliant items that are not correctable by simple, straight forward methods.

7. Prepare a preliminary Plan For Improvement (PFI) in the draft submittal for any items that are not correctable under our work order system. After receiving the Medical Center's input, complete the PFI for inclusion in the final SOC documents.

xx. Iowa City Engineering department will provide the most current Architectural AutoCAD drawings for all aforesaid buildings and a required standard Iowa City VA AutoCAD sheet drawing, 30x42 half sheet size, “15x21”. Drawings shall be drafted in accordance with the Iowa City CAD Standards Guide, dated June 2014.

xxi. Provide an exit conference after all surveys are completed with Iowa City VA Hospital Leadership, Safety Office, and Engineering staff to discuss findings and trends for a total of two hours. Included in the exit conference will be a spread sheet with a list of deficiencies including locations. All minor deficiencies that are best corrected through normal maintenance efforts or work orders shall be provided by separate letters and lists.

xxii. Deficiencies will only be included in the draft SOC documents. Must include pictures (pictures will not contain any PII or PHI of staff or patients) of deficiencies with listed code violation and location. Five draft copies of the SOC PDF drawings, CAD drawings, and preliminary PFI documents will be submitted for review. These drafts shall be submitted to the VA by October 23, 2021.

xxiii. Iowa City VA shall review and have recommendations for changes to drafts to the Vendor by November 10, 2021.

xxiv. The VA shall receive the one Master, four numbered copies and two computer discs of the Final SOC documents. These SOC documents shall include any equivalencies that pertain to Iowa City VA property. These documents shall be received by November 27, 2021. Final payment made after all documents received on November 27, 2021.

IX. Contract Modification: The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes, which will affect price, quantity, or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than 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 costs incurred as a result thereof.

X. Corrective Action or Reassessments:

a. If surveys or inspections indicate corrective action is required, Contractor shall provide the VA written notice of the nature of the corrective action needed and a budgetary cost estimate for such corrective action.

b. If reassessments are necessary, Contractor shall provide such reassessment as requested by VA in a supplemental modification to this contract.

c. Any additional charges claimed must be approved by the Contracting Officer before service commences. Any additional work performed by the Contractor without the prior written approval of the CO will be performed by the Contractor at no additional cost to the Government.

XI. General Requirements:

A. It shall be understood that, throughout performance of the contract, the Contractor’s personnel, while on VA property, shall adhere to all requirements and regulations that govern the VA Health Care System and its property.

B. Among all other requirements, the VA Health Care System and its property is now entirely smoke-free.

C. Contractor and their personnel shall follow all U.S. Department of Veterans Affairs (VA) policies, standard operating procedures, applicable laws, and applicable regulations while on VA property. Violations of this may result in citation and disciplinary measures for persons violating the law.

D. Contractor and their personnel shall wear visible identification at all times while they are on premises.

E. VA does not provide parking spaces at the work site; the Contractor must obtain parking at the work site if needed. It is the responsibility of the Contractor to park in the appropriate designated parking areas. VA shall not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

F. Possession of weapons is prohibited.

G. Contractor shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract.

H. All parts and services provided by the Contractor shall be warrantied for one (1) year from the date installed or service provided.

XII. Security Requirements: Contractor shall submit SAC fingerprints, obtain a non-PIV badge(s) and complete privacy training as required by VA.

XIII. Limitations on Subcontracting: By submission of an offer and execution of a contract, the Offeror/Contractor agrees in performance of the contract in the case of a contract for Services, it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 50 percent subcontract amount that cannot be exceeded.

An independent contractor shall be considered a subcontractor. “Similarly Situated” means that entity subcontracted to is same type of entity as the Prime Contractor (i.e., SDVOSB subcontracts to SDVOSB, small business subcontracts to small business).

XIV. National Archives and Records Administration (NARA) Records Management

Language for Contracts:

a. Citations to pertinent laws, codes and regulations such as 44 U.S.C. Chapter 21, 29, 31 and 33; Freedom of Information Act (5 U.S.C. 552); Privacy Act (5 U.S.C. 552a); 36 CFR Part 1222 and Part 1228.

b. Contractor shall treat all deliverables under the contract as the property of the U.S.

Government for which the Government Agency shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest.

c. Contractor shall not create or maintain any records that are not specifically tied to or authorized by the contract using Government ‘IT’ equipment and/or Government records.

a. 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 by the Freedom of Information Act.

b. Contractor shall not create or maintain any records containing any Government Agency records that are not specifically tied to or authorized by the contract.

c. The Government Agency owns the rights to all data/records produced as part of this contract.

d. The Government Agency owns the rights to all electronic information (electronic data, electronic information systems, electronic databases, etc.) and all supporting documentation created as part of this contract. Contractor must deliver sufficient technical documentation with all data deliverables to permit the agency to use the data.

e. Contractor agrees to comply with Federal and Agency records management policies, including those policies associated with the safeguarding of records covered by the Privacy Act of 1974. These policies include the preservation of all records created or received regardless of format [paper, electronic, etc.] or mode of transmission [e-mail, fax, etc.] or state of completion [draft, final, etc.].

f. No disposition of documents will be allowed without the prior written consent of the Contracting Officer. The Agency and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. Records may not be removed from the legal custody of the Agency or destroyed without regard to the provisions of the agency records schedules.

g. 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 this contract. The Contractor (and any sub-contractor) is required to abide by Government and Agency guidance for protecting sensitive and proprietary information.

XV. Service Contract Labor Standards Requirement: Contractor shall provide hourly wages in accordance with U.S. Department of Labor (USDOL) Wage Determinations and FAR Subpart

22.10 (Service Contract Labor Standards); USDOL Wage Determinations are attached in Section D below.

For guidance on Service Contract Labor Standards and to find the nearest USDOL resource, please refer to https://www.dol.gov/whd/local/index.htm.

XVI. Invoicing Submissions: In addition to regulations set forth in FAR 52.212-4 (Contract Terms and Conditions – Commercial Items) (g) “Invoice” and VAAR 852.232-72 (Electronic Submission of Payment Requests), Contractor shall submit final invoice on any services performed no later than 30 days after end of the period of performance of contract. This ensures that closeout of contracts is in compliance with FAR 4.804-1(b).

XVII. VETS-4212 Reporting Requirement: As this solicitation/contract has the following clauses checked off in Section C, FAR 52.212-5 (Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items), the completion of VETS-4212 reporting on an annual basis is required:

• FAR 52.222-35, Equal Opportunity for Veterans

• FAR 52.222-37, Employment Reports on Veterans

Please refer to https://www.dol.gov/agencies/vets/programs/vets4212 for guidance on completing the required VETS-4212 report.

XVIII. Service Contract Reporting: Service Contract reporting, to be completed by the contractor, is required for service contracts and orders as following are checked off under Section C, FAR 52.212-5 (Contract Terms and Conditions Required to Implement Statutes or Executive Orders--Commercial Items):

• FAR 52.204-14, Service Contract Reporting Requirement

• FAR 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery

Contracts (as applicable)

The contractor is to report their, and their first-tier sub-contractors’, direct labor hours expended and total amount invoiced for the services performed under a specific contract.

The contractor shall report the information via the System for Award Management (SAM) at https://beta.sam.gov. The information is collected through SAM and included in the agency service contract inventory.

Contractors shall log in annually to their SAM profile to complete the service contract inventory reporting requirements. Contractors performing on covered contracts must report their information between October 1 and October 31 each year. Agencies are required to review contractor input and work with them to make revisions, if and as necessary, by November 30 each year.

https://www.dol.gov/whd/local/index.htm https://www.dol.gov/agencies/vets/programs/vets4212 https://beta.sam.gov/

Further guidance can be provided by Contracting Officer upon Contractor request.

XIX. Post-Award Conference: Upon award of contract, Contractor shall attend a post-award conference via conference call with the Contracting Officer (CO), Contracting Officer Representative (COR), and COR designated representatives from VA facility.

XX. Documenting Performance: The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using the Contractor Performance Assessment Reporting System (CPARS) at https://www.cpars.gov.

If contractor performance is not satisfactory, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case, the CO shall document the discussion and place it in the contract file. When the COR and the CO determines formal written communication is required, the COR shall prepare a Contract Discrepancy Report (CDR), and present it to CO.