20230804 W81K00-23-Q-0155-0003.pdf

W40M USA HCA

REGIONAL HEALTH CONTRACT OFF CENTRAL

POC: CHRISTOPHER A. GREGORY

3610 MCINDOE RD BLDG 1103

JBSA FORT SAM HOUSTON TX 78234

0011952712

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

The purpose of this amendment is to make the follow ing changes to the above referenced solicitation:

(a) The Requests for Information received in response to this solicitation have been answ ered by the Government.

(b) The pricing schedule has been updated.

(c) "Contract Requirements" have been updated to reflect that all gas cylinders/dew ars are ow ned by the Government.

(d) The solicitation response deadline has been extended to: 9 August 2023 at 11:00 AM Central Time.

(e) Reference Summary of Changes, Page 2, for all additional details of this amendment.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 31

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

16C. DATE SIGNED

BY 04-Aug-2023

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 W81K0023Q0155

X 9B. DATED (SEE ITEM 11)

21-Jul-2023

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 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

04-Aug-2023

CODE

W40M USA HCA

MEDICAL READINESS CONTR OFFICE WEST

3160 MCINDOE BLDG 1103

JBSA FT SAM HOUSTON TX 78234-4504

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

4. REQUISITION/PURCHASE REQ. NO.

CODE W81K00

FACILITY CODECODE

EMAIL:TEL:

W81K0023Q0155

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

SECTION SF 1449 - CONTINUATION SHEET

SOLICITATION/CONTRACT FORM

The required response date/time has changed from 08-Aug-2023 01:00 PM to 09-Aug-

2023 11:00 AM.

SUPPLIES OR SERVICES AND PRICES

CLIN 0001

The CLIN description has changed from Medical Grade Oxygen -OX-M-D/1201599 to OXYGEN, MEDICAL GRADE -OX-M-D.

The CLIN extended description has changed from:

Medical Grade Oxygen -OX-M-D/1201599

To:

The unit of issue has changed from Each to Cylinder.

CLIN 0002

The CLIN description has changed from OXYGEN, MEDICAL GRADE-OX-M-DD/12011565 to

OXYGEN, MEDICAL GRADE-OX-M-DD.

OXYGEN, MEDICAL GRADE-OX-M-DD/12011565

CLIN 0003

The CLIN description has changed from OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/ to

OXYGEN, MEDICAL GRADE-OX-M-DEY.

OXYGEN, MEDICAL GRADE-OX-M-DEY/1201046/

CLIN 0004

The CLIN description has changed from OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12 to

OXYGEN, MEDICAL GRADE-OX-M-E.

OXYGEN, MEDICAL GRADE-OX-M-E/1207476/12

CLIN 0005

The CLIN description has changed from OXYGEN, MEDICAL GRADE-OX-M-K/1201044 to

OXYGEN, MEDICAL GRADE-OX-M-K.

OXYGEN, MEDICAL GRADE-OX-M-K/1201044

CLIN 0006

The CLIN description has changed from CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12 to

CARBON DIOXIDE, MEDICAL GRADE CD-M-E.

CARBON DIOXIDE, MEDICAL GRADE CD-M-E/12

CLIN 0007

The CLIN description has changed from CARBON DIOXIDE, MEDICAL GRADE-M-K/12018 to

CARBON DIOXIDE, MEDICAL GRADE-M-K.

CARBON DIOXIDE, MEDICAL GRADE-M-K/12018

CLIN 0008

The CLIN description has changed from CARBON DIOXIDE, MEDICAL GRADE M-Q/12072 to

CARBON DIOXIDE, MEDICAL GRADE M-Q.

CARBON DIOXIDE, MEDICAL GRADE M-Q/12072

CLIN 0009

The CLIN description has changed from NITROGEN, MEDICAL GRADE-NI-M-DEY/120180 to

NITROGEN, MEDICAL GRADE-NI-M-DEY.

NITROGEN, MEDICAL GRADE-NI-M-DEY/120180

CLIN 0010

The CLIN description has changed from NITROGEN, MEDICAL GRADE-NI-M-K/1202221 to

NITROGEN, MEDICAL GRADE-NI-M-K.

NITROGEN, MEDICAL GRADE-NI-M-K/1202221

CLIN 0011

The CLIN description has changed from NITROGEN, MEDICAL GRADE-NI-M-T/1201807 to

NITROGEN, MEDICAL GRADE-NI-M-T.

NITROGEN, MEDICAL GRADE-NI-M-T/1201807

The pricing detail quantity has increased by 51.00 from 25.00 to 76.00.

CLIN 0012

The CLIN description has changed from NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120 to

NITROUS OXIDE, MEDICAL GRADE-NS-M-K.

NITROUS OXIDE, MEDICAL GRADE-NS-M-K/120

CLIN 0013

The CLIN description has changed from LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1 to

LIQUID NITROGEN, MEDICAL GRADE NI.

LIQUID NITROGEN, MEDICAL GRADE NI-LTR/1

The unit of issue has changed from Each to Pound.

CLIN 0014

The CLIN description has changed from LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/ to

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK.

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK/

The unit of issue has changed from Each to Cubic Feet.

CLIN 0015

The CLIN description has changed from DRY ICE/4496774 to DRY ICE.

DRY ICE/4496774

CLIN 0018

The CLIN description has changed from HAZMAT/4477685 to HAZMAT.

HAZMAT/4477685

CLIN 0019

The CLIN description has changed from METAL WRENCH/4461008 to METAL WRENCH.

METAL WRENCH/4461008

CLIN 0020

The CLIN description has changed from PAINT/STENCIL/4459534 to PAINT/STENCIL.

PAINT/STENCIL/4459534

CLIN 0021

The CLIN description has changed from UTRASONIC TEST/4459416 to UTRASONIC TEST.

UTRASONIC TEST/4459416

CLIN 0022

VALVE-NEW

CLIN 0023

The CLIN description has changed from VALVE-REPAIR/4496560 to VALVE-REPAIR.

VALVE-REPAIR/4496560

CLIN 0025

The CLIN description has changed from CARBON DIOXIDE REGULATOR/4477342 to CARBON

DIOXIDE REGULATOR.

CARBON DIOXIDE REGULATOR/4477342

CLIN 1001

MEDICAL GRADE -OX-M-D.

CLIN 1002

OXYGEN, MEDICAL GRADE-OX-M-DD.

CLIN 1003

OXYGEN, MEDICAL GRADE-OX-M-DEY.

CLIN 1004

OXYGEN, MEDICAL GRADE-OX-M-E.

CLIN 1005

OXYGEN, MEDICAL GRADE-OX-M-K.

CLIN 1006

CARBON DIOXIDE, MEDICAL GRADE CD-M-E.

CLIN 1007

CARBON DIOXIDE, MEDICAL GRADE-M-K.

CLIN 1008

CARBON DIOXIDE, MEDICAL GRADE M-Q.

CLIN 1009

NITROGEN, MEDICAL GRADE-NI-M-DEY.

CLIN 1010

NITROGEN, MEDICAL GRADE-NI-M-K.

CLIN 1011

NITROGEN, MEDICAL GRADE-NI-M-T.

CLIN 1012

NITROUS OXIDE, MEDICAL GRADE-NS-M-K.

CLIN 1013

LIQUID NITROGEN, MEDICAL GRADE NI.

CLIN 1014

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK.

CLIN 1015

CLIN 1018

CLIN 1019

CLIN 1020

CLIN 1021

CLIN 1022

CLIN 1025

DIOXIDE REGULATOR.

CLIN 2001

MEDICAL GRADE -OX-M-D.

CLIN 2002

OXYGEN, MEDICAL GRADE-OX-M-DD.

CLIN 2003

OXYGEN, MEDICAL GRADE-OX-M-DEY.

CLIN 2004

OXYGEN, MEDICAL GRADE-OX-M-E.

CLIN 2005

OXYGEN, MEDICAL GRADE-OX-M-K.

CLIN 2006

CARBON DIOXIDE, MEDICAL GRADE CD-M-E.

CLIN 2007

CARBON DIOXIDE, MEDICAL GRADE-M-K.

CLIN 2008

CARBON DIOXIDE, MEDICAL GRADE M-Q.

CLIN 2009

NITROGEN, MEDICAL GRADE-NI-M-DEY.

CLIN 2010

NITROGEN, MEDICAL GRADE-NI-M-K.

CLIN 2011

NITROGEN, MEDICAL GRADE-NI-M-T.

CLIN 2012

NITROUS OXIDE, MEDICAL GRADE-NS-M-K.

CLIN 2013

LIQUID NITROGEN, MEDICAL GRADE NI.

CLIN 2014

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK.

CLIN 2015

CLIN 2018

CLIN 2019

CLIN 2020

CLIN 2021

CLIN 2022

CLIN 2023

CLIN 2024

VALVE-SAFETY

CLIN 2025

DIOXIDE REGULATOR.

CLIN 3001

MEDICAL GRADE -OX-M-D.

CLIN 3002

OXYGEN, MEDICAL GRADE-OX-M-DD.

CLIN 3003

OXYGEN, MEDICAL GRADE-OX-M-DEY.

CLIN 3004

OXYGEN, MEDICAL GRADE-OX-M-E.

CLIN 3005

OXYGEN, MEDICAL GRADE-OX-M-K.

CLIN 3006

CARBON DIOXIDE, MEDICAL GRADE CD-M-E.

CLIN 3007

CARBON DIOXIDE, MEDICAL GRADE-M-K.

CLIN 3008

CARBON DIOXIDE, MEDICAL GRADE M-Q.

CLIN 3009

NITROGEN, MEDICAL GRADE-NI-M-DEY.

CLIN 3010

NITROGEN, MEDICAL GRADE-NI-M-K.

CLIN 3011

NITROGEN, MEDICAL GRADE-NI-M-T.

CLIN 3012

NITROUS OXIDE, MEDICAL GRADE-NS-M-K.

CLIN 3013

LIQUID NITROGEN, MEDICAL GRADE NI.

CLIN 3014

LIQUID OXYGEN, MEDICAL GRADE OX-M-BULK.

CLIN 3015

CLIN 3016

CYLINDER MAINTENANCE VARIOUS

CLIN 3017

DELIVERY

CLIN 3018

CLIN 3019

CLIN 3020

CLIN 3021

CLIN 3022

CLIN 3023

CLIN 3024

VALVE-SAFETY

CLIN 3025

CLIN 3026

DELIVERY FFP BULK GAS

DELIVERIES AND PERFORMANCE

The following Delivery Schedule item for CLIN 0011 has been changed from:

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30-SEP-2024 25 EVANS

EVANS ARMY COMMUNITY HOSPITAL

1650 COCHRANE CIRCLE

FORT CARSON CO 80913

FOB: Destination

HT0787

DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

30-SEP-2024 76 EVANS

EVANS ARMY COMMUNITY HOSPITAL

1650 COCHRANE CIRCLE

FORT CARSON CO 80913

FOB: Destination

HT0787

The following have been added by reference:

52.204-27 Prohibition on a ByteDance Covered Application JUN 2023

The following have been added by full text:

W81K0023Q00155-0001 RFIS

(a) The below requests for information (RFIs) were received in response to this solicitation; the Government provides the following responses:

(1) Question: Line 0013 Liquid Nitrogen – [Our] pricing is per dewar (not per liter) please clarify the government owned dewar sizes.

Answer: Please provide pricing in accordance with the updated units of measurement (Uom) and quantities listed in the pricing schedule of this amendment.

(2) Question: Line 0014 has a unit of measure "each" Please clarify the unit of measure for the estimated annual volume of "22,704". CLIN 0014 [our] bulk oxygen pricing is per CCF, per hundred standard cubic feet.

Answer: The respective UoM has been updated within the pricing schedule.

(3) Question: Please clarify if any of the gases require contractor owned assets, and if so, please provide line items for cylinder rental for each gas if applicable. Cylinder rental is priced per cylinder, per day, please provide the number of annual rental days so that the government can compare offers and extended totals.

Answer: The Government owns all cylinders and dewars; it will not require the rental of any units under the contract resulting from this solicitation.

The following have been modified:

ATTACHMENT 1

Additional Contract Requirements

(a) Delivery Location: The Contractor shall provide services and support for medical gasses at Evans Army Community Hospital, 1650 Cochrane Circle, building 07500. The Contractor shall provide all labor and materials to deliver and refill Government-owned cylinders/dewars.

(b) Deliveries shall be made with following frequency:

(1) On a weekly basis to Evans Army Community Hospital (Evans ACH), building 07500. The Contractor shall exchange empty sizes “C”, “CDEY”, “D”, “E”, “DD”, and “K” Oxygen cylinders for full cylinders of the same type; Exchange empty size “E” and “K” Carbon Dioxide cylinders for full cylinders of the same size.

(2) Refill as needed sizes “10-LDB”, and 35-LD Liquid Nitrogen Canisters; Exchange empty sizes “T”, “K”, and “CDEY” Compressed Nitrogen for full ones of the same size.

(3) On a weekly basis to Evans Army Community Hospital, the Contractor shall refill as needed size “35-LD” Liquid Nitrogen canisters located within Evans ACH.

(4) On an as needed basis deliver full “K” Oxygen cylinders provided by Evans ACH to the Fort Carson Veterinary Clinic building 6190 and pick up empty cylinders.

(c) Bulk and individual gas tanks and cylinders shall be filled to maximum functional capacity at each filling procedure unless otherwise specified or as agreed upon in a written document.

(d) In the event of a catastrophic or emergency situation, the contractor shall have an emergency contact system established.

(e) The Contractor shall inform the Government POC of any changes in delivery schedules one week in advance.

(1) At the time of delivery, the Contractor shall provide a legible signed and dated receipt that identifies the number and type of cylinders exchanged, the amount of Liquid Nitrogen replaced, the amount of Liquid Oxygen used to refill the Primary and Alternate Liquid Oxygen Tanks, and any maintenance conducted on medical gas equipment. This document shall be counter-signed by a facility representative supervising the delivery.

(2) The Contractor shall provide a minimum of 24-hour notice to the COR/Alternate COR, if it is unable to make a delivery of Liquid Oxygen for the Primary and Alternate Liquid Oxygen Tanks at an agreed upon date and time.

(3) The Contractor shall have an established system to identify each lot of gasses delivered in the event there is a recall.

(f) The Contractor shall conduct maintenance as needed on Government-owned cylinders/dewars. As part of the maintenance the Contractor shall, as needed, scrape and replace labels, and document lot numbers for FDA tracking.

(g) The Delivery Driver shall have at all times Personal Protection Equipment (PPE) required to safely load, unload, and handle medical gas cylinders, Liquid Oxygen, Liquid Nitrogen and other medical gasses.

(h) The Contractor shall be responsible for testing of Government-owned cylinders/dewars for safety as well as hydrostatic testing.

(i) Quality Assurance Specifications and Requirements: The Contractor shall be registered with and certified by the Food and Drug Administration (FDA) to produce medical grade gasses. All medical gasses delivered shall be manufactured, processed, packed, transported, and stored according to the FDA’s “Current Good Manufacturing Practice for Medical Gasses, Pharmaceutical Quality/Manufacturing Standards (CGMP)” regulations. All labeling for medical gas cylinders shall comply with the FDA’s labeling regulation, 21CFR201.328, Labeling of Medical Gas Containers. All medical gasses delivered shall be medical-grade and shall meet or exceed the standards cited in the current edition of the United States Pharmacopeia/National Formulary (U.S.P.). A valid Certificate of Analysis (COA) shall be provided with each delivery of medical gas provided. The certificate shall include, at a minimum, the following:

(1) Supplier’s name, complete address, and name of product

(2) An Air Liquefaction Statement where appropriate

(3) Lot number and other unique identification number

(4) Actual analytical results for full U.S.P. monograph testing

(5) Signature of authorized supplier representative and date

(j) Safety Data Sheets (SDS) shall be provided to the facility COR upon request. Copies of all inspection reports shall be provided to the COR upon completion. All Contractor-owned equipment shall be maintained, repaired, or replaced in accordance with the FDA’s Current Good Manufacturing Practices Regulations.

(k) The Contractor shall deliver medical gas cylinders in compliance with state and federal regulations. The Contractor shall ensure that all cylinders/canisters have lot numbers and cylinder/canister size clearly labeled upon delivery.

(l) The delivery receipt shall be signed by the Contractor at the time of delivery and presented to the facility representative monitoring the delivery for verification and signature.

(m) The Contractor shall ensure that medical gasses, Oxygen, Carbon Dioxide, and Compressed Nitrogen be, at a minimum, 99.9% pure upon delivery.

(n) The Contractor shall ensure that each portable medical gas cylinder be conspicuously marked with labeling identifying its contents (21CFR201.328 (1)).

(o) Vendor shall be registered with the U.S. Food and Drug Administration.

(p) Cylinders shall be color coded according to the Food and Drug Administration (FDA) guidance noted in the “2016 Medical Gas Container Closure Rule”, pages 5-6. Table of colors are listed below:

Medical Gas: Color:

Medical Air Yellow Carbon Dioxide Gray Helium Brown Nitrogen Black Nitrous Oxide Blue Oxygen Green Mixture or Blend Colors corresponding to each component gas

(q) Contractor shall be licensed to transport and handle medical gasses in liquid and aerosol form. Vendor shall be in compliance with DOT regulations regarding transporting medical gas to the facility to include cylinder structure and color coded requirements in accordance with MIL-STD-101B, chapter 5.1.5 as referenced in Army Regulation 700- 68.

(r) The vendor shall paint, which includes all lettering, stenciling, affixing of decals, metal lettering and/or number stamping when required by applicable regulation, and ensuring all caps are the same color as the cylinders.

(s) The Contractor’s price for gas shall include the furnishing, at no additional cost, of all services which are required at every filling of a cylinder to comply with applicable regulations, specifications, and normal good practices. Such services shall include, but not be limited to: tags indicating cylinder is “Full”, “In-Use”, or “Empty”;

inspection, testing, evaluation, and cleaning services required at and every filling. 1.4.21. The Contractor shall notify the Government when cylinders are no longer serviceable. Prior to disposing of non-repairable government-owned cylinders, parts, fittings, and appurtenances, the Contractor shall notify the COR. The Contractor shall make disposition in accordance with the COR’s instructions.

(t) Contractor shall make all records available ON-LINE (web access) including delivery history and account information.

(u) Contractor shall have an emergency contact system in the event of catastrophic or emergency situations that may occur during or after normal business hours.

(v) Observed Federal Holidays: The Contractor is not required to perform services on recognized Federal Holidays. The recognized federal holidays include:

New Year’s Day Independence Day Labor Day Martin Luther King Jr. Day Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Juneteenth Day Christmas Day

(w) Hours of Operation: The Contractor shall be responsible for providing services between the hours of 7:00 AM until 3:00 PM Monday through Friday, except federal holidays, when the Government facility is closed due to local or national emergencies, administrative closings, or Government directed closings. Vendor must be available to make emergency deliveries within three (3) hours of notification, as required or as mission dictates. Deliveries shall be made on a weekly basis and in the event an emergency delivery is needed, the order will be placed by the COR/Alternate COR only.

(x) License and Insurance Requirements: The Contractor shall ensure that delivery drivers performing work under this contract have current a Commercial Driver’s License (CDL), proper identification, and sufficient valid insurance to enter the installation.

(y) Installation Access: The Contractor shall coordinate with, and present documents to, the COR to obtain FC Form 2036-E, Request for a Fort Carson Installation Access Control Card, to avoid having the delivery driver to obtain a 24 hour pass each time he/she enters the installation.

(z) Facilities: The Government will provide a loading/unloading dock for vendor to deliver and retrieve gas cylinders. The Government will provide access to bulk oxygen area for refill of liquid oxygen tanks.

(End of Summary of Changes)