W81K00-22-Q-0096-Amendment 0001.pdf

W81K0022Q0096

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: GERALDINE I. HERNANDEZ

3551 ROGER BROOK DR BLDG 3600

FORT SAM HOUSTON TX 78234-6200

0011770431

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

1. The purpose of this Amendment is to:

a) Change the response time From: 31 July 2022, 10:00 AM, CST To: 05 August 2022, 10:00 AM CST.

b) Incorporate the follow ing: Statement of Objectives, FAR Clauses 52.219-14 and 52.228-5.

c) Provide response to questions recieved regarding the Solicitation.

3. NO OTHER QUESTIONS WILL BE ADDRESSED.

4. All other terms and conditions remain unchanged. .

1. CONTRACT ID CODE PAGE OF PAGES

1 8

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

16C. DATE SIGNED

BY 28-Jul-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W81K0022Q0096

X 9B. DATED (SEE ITEM 11)

01-Jul-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

X The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offer X is extended, is not extended.

Offer must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended by one of the following methods:

(a) By completing Items 8 and 15, and returning 1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN

REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE

CONTRACT ORDER NO. IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(B).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

27-Jul-2022

CODE

W40M USA HLTH CONTRACTING ACT

REGIONAL HEALTH CONTRACT OFF CENTRAL

2539 GARDEN AVENUE

FT SAM HOUSTON TX 78234-0000

W81K00 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 30 - BLOCK 14 CONTINUATION PAGE

The following have been added by full text:

REPLY TO QUESTIONS RECIVED

REPLY TO CONTRACTOR QUESTIONS

SAMMC JBSA - Fort Sam Houston Bulk Oxygen & Nitrogen

RFQ W81K00-22-Q-0096

1. Question: What is the current contract # for this requirement & who is the current provider?

Reply: W81K00-17-P-0767, Focus Medical Gasses, LLC

2. Question: What is estimated annual Bulk oxygen usage by tank (158,000 CCF Total Annually)?

9,000 Gallon 6,000 Gallon 3,000 Gallon

Reply: (See Statement of Objectives) - Vendor shall be able to provide medical gas that is medical grade United States Pharmacopeia (USP) rated by the Food and Drug Administration (FDA) to fill Brooke Army Medical Center’s three bulk oxygen and one bulk nitrogen tanks. There is a primary 9,000 gallon oxygen tank with a 6,000 gallon reserve tank that supports the main facility (Building 3551) and a 3,000 gallon Oxygen tank that supports the Hyperbaric Chamber (Building 3649). The nitrogen tank is 900 gallons and also supports the main facility. All gas manufacturers and fillers of medical gas must be registered with FDA as a drug manufacturer.

3. Question: What is estimated Bulk Oxygen daily usage (in inches) by tank?

Reply: We don’t record our daily usage in inches or gallons. We get billed monthly.

4. Question: What are the set points, FULL/TRYCOCK, REORDER, & LOW-LEVEL ALARM for the Bulk Oxygen tanks?

Reply: 9000- Liquid level 200 30” / 90 psi , 6000 Gallon- 90” 75 psi , 3000 Gallon 200 65” 0 psi Primary level gauge- range 0.200 Reserve level gauge- range 0.300 3000 gallon Hyperbaric primary level gauge- range 0-400

5. Question: When was the most recent annual inspection conducted for each Bulk Oxygen tank?

Reply: 30 June 2022

6. Question: When was the most recent annual inspection conducted for the Bulk Nitrogen tank?

Reply: 30 June 2022

7. Question: What are the set points, FULL/TRYCOCK, REORDER, & LOW-LEVEL ALARM for the Bulk Nitrogen Tank?

Reply: liquid level 23low level 15” 750 psi 0-150

8. Question: What is estimated Bulk Nitrogen daily usage (in inches)?

Reply: We don’t record our daily usage in inches or gallons.

9. Question: Has there been any history of vaporizers icing up due to high volume?

Reply: No, not that I’m aware of.

10. Question: Are all tanks GOV Owned, Contractor Owned, or a mix?

Reply: All tanks are Gov’t owned.

11. Question: Which tanks are horizontal and which are vertical?

Reply: 9000 Gal Oxygen.

12. Question: How will the facility account for Costs for Emergency Deliveries (i.e., same day delivery, weekends, & holidays) that are not due to the fault of the contractor? Request adding a CLIN to offset these costs as distribution is the highest cost in this industry.

Reply: If tanks are filled twice within the week, no emergency bills will be required.

13. Question: Are there provisions for a site visit for offerors?

Reply: No, not at this time.

14. Question: Is there a reason the GOV did not include any liability insurance requirement specific to 325120 which is Industrial Gas Manufacturing in this solicitation? This solicitation is assigned to NAICS 325120, yet there is no mention of liability insurance listed in the solicitation.

Reply: The FAR Clause in reference to your question is FAR 52.228-5, which was inadvertently omitted and will be incorporated in to the Solicitation by amendment.

15. How will the GOV validate that the offeror has the necessary liability insurance if it is not part of the solicitation and not included as part of the bid package? It is important to note that there are very few underwriters that will insure small business for compressed gases under NAICS 325120/221210.

Reply: See question 15.

16. Will the GOV confirm that the offeror must have and provide proof of Liability insurance specific to NAICS 325120 at time of bid submission? It is important to note that there are very few underwriters that will insure small business for compressed gases under NAICS 325120/221210.

Reply: See question 15.

17. Question: PG. 63 of 98“Contractor must be licensed to transport and handle liquid Oxygen and Liquid Nitrogen.”Will the GOV affirm that the Prime Contractor that must be licensed in the State of Texas at the time of Bid Submission, as well as provide a copy of their licensure as part of the bid package?] Reply: See question 15.

18. Question: Will the GOV add VAAR 852.219-78 Limitations of Subcontracting – Certificate of Compliance which requires that the Prime Contractor affirms that“the offeror certifies that it will take ownership or possession of the item(s) with its personnel, equipment, or facilities in a manner consistent with industry practice”?

NOTE: “Industry practice as determined by the Compressed Gas Association (CGA) and the Gas and Welders Distributors Association (GAWDA) compliance sections require adherence to State Licensure requirements, which ensures capable SDVOBSs are accountable and relates directly to the statutory requirement of Prime Contractors having to be licensed within the State of Texas Department of State Health ServicesTitle 25 Ch 229 Rule §229.423 to distribute medical grade liquid oxygen (a prescription drug).

Reply: The clause you reference is a clause specific to the Veterans Administration, the FAR Clause reference is 52.219-14 which was inadvertently omitted and will be incorporated in to the Solicitation.

19. Question: PG. 79 of 98 LPTA -What is the GOV’s rationale (contained in the contract file) for evaluating by Lowest Priced Technically Acceptable for a health care service as critical as Medical Grade Gas for Human Consumption (Oxygen being a prescription drug)? For example, the VAMC Rocky Mountain Regional (CO) has an active RFQ with evaluation as “most advantageous to the GOV considering price and other factors:” Caution-https://sam.gov/opp/7e4c977b47cd44eda5f0227b971e889f/view < Caution-https://sam.gov/opp/7e4c977b47cd44eda5f0227b971e889f/view > 6830--Bulk Oxygen Delivery and Tank Rental for Rocky Mountain Regional VA Medical Center -36C25922Q0435

Reply: The technical requirements have been addressed in the Statement of Objectives “Offerors shall demonstrate the ability to meet the requirements of the solicitation via the submission of a written capability statement with their quote. The technical requirement will be reviewed to determine if the contractor understands and meets the government needs.” Once this has been evaluated as acceptable, Price will be the next Factor for evaluation.

20. Question: PG. 62 OF 98“Contractor must be in compliance with DOT regulations regarding transporting of medical gas to the facility, to include cylinder structure and color-coded requirements according to AR 700-68, Storage and Handling of Liquified and Gaseous Compressed Gasses and their Full and Empty Cylinders.”This appears to be specific to medical gases. Can the GOV confirm if there is any requirement for medical cylinders as part of the back up on the either the bulk Medical Liquid Oxygen or Medical Liquid Nitrogen system(s)?

Reply: Yes, we have backup cylinders.

21. Question: How does the GOV want offerors to account for costs associated with the “Estimated two deliveries per week” as listed in the description on the schedule of items? Will the GOV consider adding a CLIN for normal deliveries? There is no CLIN for normal deliveries yet there is a potential for (2) deliveries per week on both bulk medical liquid oxygen and bulk medical liquid nitrogen. By adding a CLIN for delivery fee, the GOV is allowing offerors to better manage costs of distribution (the highest cost) and thus provide a better cost for Oxygen and Nitrogen product.

Reply: The contractor is required to submit invoices for the gas fill.

22. Question: PG. 63 of 98“Contractor shall be able to have on site repairmen available to make repairs to the existing bulk systems as required.” Other than the repair CLIN 0001AE & subsequent years for Labor Only, can the GOV clarify how the GOV will require the Contractor to invoice for parts and materials to perform repair if the GOV confirms that the bulk systems are government-owned?

Reply: The Contractor is required to summit invoices.

23. Question: PG. 62 of 98 Technical Capability:“The technical quotation shall not exceed 10 pages”What is the GOV rationale for only ten pages?

Reply: The government has established that 10 pages is adequate enough for offerors to outline their proposals against the evaluation factors. In a competitive environment is important to standardize so that all offerors are rated equally and fairly.

24. Question: “Estimated 2 deliveries per week” is that to refill all (3) Bulk Oxygen tanks each delivery? How many times during the past year has there been (2) deliveries in a week if the tanks are monitored by telemetry?

Reply: The tanks will be filled as needed based on the telemetry monitoring. If the tanks need filling twice a week, then it will be required.

25. Question: PG. 62 of 98 under Salient Characteristics: “BAMC has four bulk medical liquid oxygen tanks, 9,000 gallons tank, a 3,000-gallon tank and a reserve 6,000 tank, plus a bulk liquid nitrogen tank (900) gallon.” Is there a fourth bulk liquid oxygen tank and, if so, what is the size?

Reply: There are only (3) liquid oxygen sizes listed elsewhere in the RFQ. No. only 3 Oxygen tanks.

26. Question: Are the Bulk Oxygen tanks collocated or are the located to specific buildings on site?

Reply: All located together.

27. Question: Can the GOV provide a facility schematic depicted where each Oxygen & Nitrogen Tank is located on site?

Reply: I can provide you a location, all are located together.

28. Question:. Estimated 2 deliveries per week”, Please confirm this is the actual estimate for (1) tank for an estimated quantity of 6,000 CCF for one year? How many times during the past year has there been (2) deliveries in a week if the tank is monitored by telemetry?

Reply: I don’t have that answer.

29. Question:. What is utilized as the Reserve system for the Bulk Medical Liquid Nitrogen?

Reply: Cylinders.

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 31-Jul-2022 10:00 AM to 05-Aug-2022 10:00 AM.

The following have been added by reference:

52.219-14 (Dev) Limitations on Subcontracting (DEVIATION 2021-O0008) SEP 2021 52.228-5 Insurance - Work On A Government Installation JAN 1997

The following have been added by full text:

STATEMENT OF OBJECTIVES

Bulk Liquid Medical Gases (Oxygen and Nitrogen); San Antonio Military Medical Center

The successful offeror shall provide all materials, labor, transportation, and any other items necessary to provide bulk oxygen and nitrogen (medical-grade) to San Antonio Military Medical Center, JBSA - Fort Sam Houston, Texas, in accordance with the statement of objectives and salient characteristics listed herein.

The Government will order items on as-needed basis, and shall only pay for the actual quantity (as measured per hundred cubic feet) ordered, received, and accepted by the Government. The quantities listed herein represent anticipated volumes for the period of performance listed.

The successful offeror must demonstrate their ability to comply with the following:

1. Vendor shall be able to provide medical gas that is medical grade United States Pharmacopeia (USP) rated by the Food and Drug Administration (FDA) to fill Brooke Army Medical Center’s three bulk oxygen and one bulk nitrogen tanks. There is a primary 9,000 gallon oxygen tank with a 6,000 gallon reserve tank that supports the main facility (Building 3551) and a 3,000 gallon Oxygen tank that supports the Hyperbaric Chamber (Building 3649). The nitrogen tank is 900 gallons and also supports the main facility. All gas manufacturers and fillers of medical gas must be registered with FDA as a drug manufacturer.

2. Vendor shall be able to deliver Monday through Friday (with the exception federal or training holidays) between the hours of 7:00am and 15:30 pm twice a week. Vendor shall be available to make emergency deliveries of oxygen and nitrogen within 24 hours after Government notification, with an emergency contact system in place in the event of catastrophic or emergency situations. Standards may not diminish during any catastrophic events affecting the vendor's main supply system.

3. Vendor shall have other centrally located FDA certified sites to support facility requirement in the event of emergency situation, i.e. hurricanes, flooding, tornadoes, etc.

4. All oxygen and nitrogen shall be manufactured, process, packed, transported, and stored according to

FDA Current Good Manufacturing Practice (CGMP) regulations and all labeling shall comply with FDA labeling requirements.

5. Vendor shall monitor each tank remotely (such as via solar or satellite monitoring system) to manage levels of medical gas with documented results provided monthly to BAMC on-site representative.

6. Vendor must be certified to perform and complete Food and Drug Administration (FDA) annual inspection for bulk liquid oxygen and nitrogen.

a. Each tank must be tested according to FDA standards during each onsite tank refill; each tank requires an itemized inspection certificate (minimum of 1 inspection per month per tank).

b. Each tank shall have an annual FDA-complete inspection.

7. Vendor shall have trained and certified staff to perform any required/emergency maintenance and inspections at the local site or available within 4 hours of time of notification. Historical data indicates up to 54 hours of repairs (Labor only) may be needed per period of performance.

8. Medical grade liquid oxygen shall be 99% pure at time of testing/certification prior to installation into the in-line system. Valid certificate of medical grade analysis must be provided when requested by the Government.

9. Vendor shall provide packing list at time of installation/delivery that includes amount of gas (per hundred cubic feet) per tank to ensure proper payment.

10. Vendor shall be licensed to transport and handle liquid oxygen and liquid nitrogen. Vendor shall be in compliance with Department of Transportation regulations regarding transporting medical gas to the facility, to include cylinder structure and color coded requirements according to Army Regulation (AR) 700‐68, Storage and Handling of Liquefied and Gaseous Compressed Gasses and their Full and Empty Cylinders.

The following have been deleted:

STATEMEN OF WORK

(End of Summary of Changes)