H366--Minneapolis VAMC Cleanroom & Hood Testing Sources Sought

The Minneapolis VA Healthcare System requires Clean Room and Pharmacy Hood Testing services in accordance with the draft Statement of Work (SOW) below.

This is a sources sought/proof of capability solicitation looking for vendors to perform the services per the SOW for market research purposes. No awards of a contract will be made from this announcement.

If you are a vendor that can complete the work described in the SOW with competitive pricing, please send your contact and organization information with a description of proof of capability to: brian.whalen-crichton@va.gov on or before October 16th, 2024 17:00 CT. Only emailed responses will be considered.

Additionally, please provide answers as appropriate to the following questions in the table below with your response to this sources sought. Failure to respond to the following questions may affect the acquisition strategy.

1.

Identify your organization's socio-economic category.

2.

State whether any of the requested services may be ordered against a government contract awarded to your organization (e.g Federal Supply Schedule (FSS), General Services Administration (GSA), etc.).

3.

State if subcontracting is contemplated for this requirement and what percentage of the work will be subcontracted and for what tasks.

4.

Does your organization or subcontracted organization have at least two technicians with the skills necessary to perform the work detailed in the Statement of Work? Does at least one of the technicians possess Certified National Board of Testing (CNBT) certification?

5.

Does your organization or subcontracting organization have an office within commuting distance (50 miles) of the VAMC with staff available to provide services in emergency situations?

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*If applicable, VAAR 852.219-75 VA Notice of Limitations on Subcontracting Certificate of Compliance for Services and Construction, will apply to the potential solicitation if set-aside for Veteran Owned Small-Businesses or Service Disabled Veteran Owned Small-Businesses.*

*If applicable, FAR 52.219-14 Limitations on Subcontracting, will apply to the potential solicitation if set-aside for Small-Businesses.*

STATEMENT OF WORK

PART A GENERAL INFORMATION

A.1 INTRODUCTION: This requirement is for testing and certification of the Minneapolis VA Healthcare System (MVAHCS) facility s primary engineering controls (PECs) and sterile compounding clean rooms used for preparation of Compounded Sterile Preparations (CSPs). PECs include biological safety cabinets (BSCs) and laminar airflow workstations (LAFWs) hoods. Testing and certification will be completed in accordance with United States Pharmacopeia (USP) Chapter and guidelines.

A.2 BACKGROUND: The MVAHCS is pursuing a contract for standardizing testing criteria appropriate for all PECs used pursuant to USP Chapter and Chapter standards using Controlled Environment Testing Association (CETA) Certified National Board of Testing (CNBT) certified individuals/companies to establish consistent PEC certification procedures using the Certification Guide for Sterile Compounding Facilities CAG-003-2006. Although USP states that certification procedures such as those outlined CAG-003-2006 shall be performed, the MVAHCS will be requiring that CAG-003-2006 be used in lieu of any other such as procedures that may exist.

The USP establishes standards for cleanroom design, environmental monitoring, competencies for the CSP preparation, handling, and storage. The Joint Commission (TJC) surveys VA facilities using the TJC Medication Management Chapter. The Food and Drug Administration (FDA) has the authority to inspect VA medical facilities under the Insanitary Conditions at Compounding Facilities: Guidance for Industry

Certification procedures defined in CETA CAG-003-2006 shall be performed by a CETA National Board of Testing (CNBT) certified testing individual/company no less than every 6 months or whenever the Pharmacy PEC or room is relocated or altered or when major service to the sterile compounding facility is performed.

This contract covers following at the MVAHCS:

1) Semi-annual testing and certification for pharmacy related Laminar Flow Workstations and Class II Biological Safety Cabinets (BSCs) (Type A and Type B)

2) Semi-annual testing and certification of pharmacy anterooms, Hazardous and Non-Hazardous buffer rooms, Hazardous Drug storage room, and a hazardous drug containment segregated compounding area (C-SCA).

3) Provide copies of finished reports within 14 business days.

4) Smoke testing with video recording provided on SD video card (or other electronic format) for PECs and any rooms without low wall returns (e.g., OR Satellite anteroom). Electronic format will be provided within 14 business days.

Contractor will provide all parts, tools, test equipment, software, labor, travel, and equipment necessary to provide the services performed under this contract. Equipment used in performance of the contract by contractor employees will function in conformance with the latest published edition of the applicable standards including the NSF, NIH, EPA, Joint Commission, UL, OSHA, CDRH, CETA and VA standards.

Contractor shall ensure that the MVAHCS equipment functions in conformance with the most up to date published edition of the applicable standards including but not limited to the following: NSF, NIH, EPA, Joint Commission, UL, OSHA, CDRH, CETA and VA standards.

B.3 SCOPE OF WORK:

B.3.1 PEC Testing and Certification

The contractor shall test and certify each PEC to the most current version of IEST RP CC002 (Unidirectional-flow, clean-air devices) and to the manufacturer s specifications. The contractor shall use a NIST traceable or comparable currently calibrated piece of equipment to perform all testing. In the case of equipment failure on the day of scheduled certification service, the contractor shall have back up equipment available to complete the testing on the same day or reschedule service within 5 business days. The contractor shall report each individual face velocity reading and the average of those readings, the downstream concentration reading of the HEPA filter leak test and the results of the induction leak test and back-streaming test. Any failures shall be reported directly to the identified site point of contact(s) (POCs) as soon as practicable.

If there is a need to perform work on a specific date, in order to maintain the standards/certifications listed in the current SOW (including the VA standards), then the contractor will need to provide someone to perform that work (equipment cert. expiration dates included). In the event the contractor is unable to perform work on the originally scheduled date, the contractor shall complete work within 2 business days. The contractor should have a minimum of two technicians whose primary assigned coverage area includes the MVAHCS location. If the contractor cannot complete rescheduled work within 2 business days, then the contractor could be considered in default of their contractual obligations. Even though the current contract does not specify sickness coverage, it does specify response time standards that must be maintained. Due to patient safety, if sufficient units fail and contractor is not able to meet the needs to repair and/or certify the units, the VA has the right to obtain services from another contractor to meet the needs of patient care and safety.

Horizontal laminar flow cabinets shall be certified according to The Institute of Environmental Sciences RP-CC-002 Testing Laminar Air Flow Devices. All on-site certifications for Biological Safety Cabinets (BSCs) must be accomplished in accordance with the most current National Sanitation Foundation/American National Standards Institute (NSF/ANSI) Standard 49 Class II (laminar flow) Biosafety Cabinetry. The list of tests includes, but is not limited to:

HEPA filter leak test

Cabinet leak test

Inflow velocity test to include exhaust airflow volume rate

Airflow Smoke pattern test recorded and provided electronically (e.g., SD card or other format)

Electrical leakage and ground circuit resistance and polarity tests

Lighting intensity test

Vibration test

Noise level test

Ultraviolet (UV) lamp test

Airflow Visualization Tests (Pass / Fail)

Downflow Test

View retention Screen Test

Work Opening Edge Retention Test

Sash/Window Seal Test

Site Installation Tests (Pass/Fail)

Sash Height Low/High Alarm

Exhaust Airflow/Pressure Alarm(B2 Only)

Blower Interlock Alarm Verification (B2 Only)

Exhaust Performance Alarms

Laminar Flow Hoods certifications must be accomplished in accordance with the most current version of the National Sanitation Foundation/American National Standards Institute (NSF/ANSI) Standard 49 Class II Biosafety Cabinetry, Annex F, test method A-D, 1992 or most current issue.

Certification stickers will be placed on each PEC ONLY when the unit meets certification standards and not beforehand. PECs will not be stickered as passing certification before all calculations have been completed. For each PEC passing the required certification tests, the contractor will supply each unit with a certification sticker with the following information:

Company name and address

Unit make, model and serial number

Report number

Location (room number)

Certification date

Recertification date

Technician name and signature

Smoke testing must be done under static and dynamic conditions. Dynamic conditions within the PEC will verify unidirectional flow and confirmation of First Air . The contractor will ensure videotaping is NOT done when patient-specific information is visible.

Contractor will immediately notify a POC of any failures of the anterooms, HD and/or Non-HD buffer rooms, C-SCA, hazardous drug storage rooms and/or BSC/LAFW upon completion of testing. Contractor will place out of service notice on failed unit.

B.3.2 Non-viable Particle Counts

For the PECs, non-viable particle counts samples will be performed in accordance with USP .

B.3.3 USP and USP Testing for Pharmacy Anterooms, HD and Non-HD Buffer Rooms, Hazardous Drug Storage Room, and C-SCA.

The contractor will provide comprehensive room testing and certification services every 6 months for anterooms, HD and Non-HD buffer rooms, C-SCA, and hazardous drug storage room to include:

HEPA filter integrity testing

Airflow profiling and uniformity testing

Particulate monitoring

Room pressurization monitoring

Temperature and Humidity monitoring

Air pattern analysis

Written Report

Smoke testing and video recording for rooms without low air returns (e.g., OR Satellite anteroom)

B.3.3.1 Air Changes per Hour

The contractor shall calculate the total room volume for each anteroom, buffer room, hazardous drug storage room, and containment segregated compounding area (C-SCA). A sketch of the room with dimensions, exhaust/supply diffuser locations and equipment locations shall be included in the report. The report provided will specify pressure differentials, flow rates detailing returns and supply that were obtained during the testing. The contractor shall calculate air changes per hour (ACPH) for each anteroom, buffer room, hazardous drug storage room, and C-SCA and including ACPH from HVAC and ACPH contributed from PEC, and include their findings in the report. In the event that a room does not meet USP and USP requirements for ACPH the identified site POC(s) shall be informed immediately.

B.3.3.2 Pressure Requirements

The contractor shall include in their report differential pressure readings from each anteroom, buffer room, C-SCA, and hazardous drug storage room to all surrounding areas. The report shall indicate whether the room is required to be a negative or positive pressure room per USP and USP. The contractor shall report all pressures to an accuracy of 0.0001 water column (4 decimal places). Pressure differentials will be reflected on a report showing the sketch of the room(s).

B.3.3.3 Nonviable Particle Testing

The contractor shall perform environmental nonviable particle testing semiannually (e.g. every 6 months). The contractor shall derive the minimum number of sampling locations using Annex A in the ISO 14644-1.2 standard. Testing shall be performed by qualified operators using current, state-of-the-art electronic equipment with results of the following:

ISO Class 5: Not more than 3520 particles 0.5 µm and larger size per cubic meter of air for any area primary engineering control (BSC or LAFW).

ISO Class 7: Not more than 352,000 particles 0.5 µm and larger size per cubic meter of air for any buffer area or hazardous compounding ante room.

ISO Class 8: Not more than 3,520,000 particles 0.5 µm and larger size per cubic meter of air for any non-hazardous compounding ante room.

Report Requirements: All of the following information shall be included in the report for clean room certification and meet the requirements to show compliance with USP and USP requirements for engineering controls. Pass/Fail notifications should be included on a per-test basis where applicable.

Executive summary or summary of findings.

Room number and/or location

Room type (e.g. anteroom, HD buffer room, Non-HD Buffer Room, C-SCA, or hazardous drug storage room)

Date of testing

Date of next required certification

Standards used to test room

Notes

Room sketch (location of supply/exhaust diffusers, equipment, room dimensions, ceiling HEPAs)

Total room area and volume

Room humidity and temp with locations tested

Air changes per hour

Pressure differentials

Nonviable particle counts with locations tested

HEPA filter integrity testing results with locations in ceiling

Smoke test and video recordings where required per USP

B.3.4 Report Distribution

The contractor will immediately notify identified POCs with any results indicating failure.

A formalized written report including all required aspects specified in this Statement of Work will be provided in a timely manner with receipt by identified points of contact no more than 14 business days from certification evaluation. All completed reports will be provided via email to the following points of contact:

TBD

Contractor will be notified by facility of any updates to identified POC list on an as needed basis.

INSPECTIONS:

The contractor (or Representative) shall contact the facility identified POC(s) to schedule work and prior to the beginning of work. Scheduling of work will be at the direction of facility identified POC(s) to ensure services are incorporated into current facility certification cycles.

The inspection shall be through and shall conform to manufacturer and industry standards. The contractor will immediately notify POCs listed above with any results indicating failure. The contractor will remain onsite for a reasonable amount of time (up to 3 hours) to allow VA Engineering to work on any potential HVAC issues related to the failure. If the failure cannot be completed by the VA Engineering Staff in a reasonable amount of time the contractor will return within a week to assist with fixing the failed item and reinspect. The contractor will not schedule a repair without notification to a POC. If a specific area or unit cannot be inspected due to day to day operation of the Hospital, the contractor will come back to the site as needed to complete the certification per the contract at no extra expense to the VA.

Testing Frequency:

Certification procedures defined in CETA CAG-003-(current version) shall be performed by a CETA National Board of Testing (CNBT) certified testing individual/company no less than every 6 months or whenever the PEC or room is relocated or altered or when major service to the sterile compounding facility is performed.

STATEMENT OF WORK PART C SUPPORTING INFORMATION

C.1 Place of Performance

Facility Name

Address

Minneapolis VAMC

One Veterans Drive, Minneapolis MN 55417

C.2 Specific Pharmacy Rooms and PEC Information

The following are to be tested and certified semi-annually (2 times per year) according to USP and USP requirements. Contractors are encouraged to request a tour prior to bidding.

The Following Pharmacy Areas and Equipment to be Tested and Certified Semiannually

Area

Required Inspections

Main Compounding Suite

Rooms:

BR-118 (Anteroom): 2 Certifications/year

ISO 7

195.15 ft2 (1561.2 cu ft)

Ceiling HEPAs = 4 with port access

ACPH

Pressure Differentials

Temperature / Humidity

BR-118B Non-HD Buffer Room: 2 Certifications/year

ISO 7

292.21 sq (2314.3 cu ft)

Ceiling HEPAs = 5 with port access

Pressure Differentials

Temperature / Humidity

BR-118C HD Buffer Room: 2 Certifications/year

ISO 7

260 ft2 (2319 cu ft)

Ceiling HEPAs = 5 with port access

Pass throughs with HEPAs = 2

Pressure Differentials

Temperature / Humidity

Equipment:

BR-118B Laminar Flow Hoods

Quantity: 3

NuAire: NU-240-630

NuAire: NU-240-630

NuAire: NU-301-630 likely to be replaced with model NU-240-630 in near future

Inspection/Certification per year: 6 (2 each)

To include static and dynamic smoke testing with video

BR-118C Biological Safety Cabinets

Quantity: 3

NuAire A2 BSC: NU-543-500

NuAire A2 BSC: NU-543-500

NuAire B2 BSC: NU-560-400

Inspection/Certification per year: 6 (2 each)

To include static and dynamic smoke testing with video

HD Storage Room (C-SCA)

Room:

BR-119: 2 Certifications/year.

Unclassified

206.8 ft2 (2319 cu ft)

ACPH

Pressure Differentials

Temperature / Humidity

Equipment:

BSC

Quantity: 1

NuAire A2 BSC: NU-543-500

Inspection/Certification per year: 2

To include static and dynamic smoke testing with video

OR Satellite Pharmacy

Rooms:

2R-103A (Anteroom): 2 Certifications/year

ISO 8

50.55 sq ft (404 cu ft)

Ceiling HEPAs = 1 with port access

ACPH

Pressure Differentials

Temperature / Humidity

Smoke study with video required à No low wall air return.

2R-103B (Non-HD Buffer Room): 2 certifications/year

ISO 7

101.26 sq ft (810 cu ft)

Ceiling HEPAs = 2 with port access

ACPH

Pressure Differentials

Temperature / Humidity

Equipment:

2R-103B Laminar Flow Hood

Quantity: 2

NuAire: NU-301-430

NuAire: NU-301-430

Inspection/Certification per year: 6 (2 each)

To include static and dynamic smoke tests with video

C-SCA (Back-up HD Compounding)

Room:

3F-117A: 2 Certifications/year

Unclassified

187.5 ft2 (1560 cu ft)

Ceiling HEPAs = 4 with port access

ACPH

Pressure differentials

Temperature / Humidity

Equipment:

BSCs

Quantity: 2

NuAire A2 BSC: NU-540-400

NuAire A2 BSC: NU-543-600

Inspection/Certification per year: 4 (2 each)

To include static and dynamic smoke tests with video

Additional testing and certification will be required if the VA determines there is sufficient reason such as failure of equipment or modification based on the needs of the VA for patient care. Anticipate additional recertification of 2 PEC units per year related to repair work (e.g., replacement of a HEPA filter, replacement of an electronic control panel, etc.)

Changes to Pharmacy PEC or rooms will be communicated in a timely manner to contractor and facility costs will be adjusted accordingly based on these changes. Contractor to provide unit based costs for services to allow for adjustments in equipment.

C.3 Period of Performance

Contract period is from date of award for five (5) years (base year plus 4 option years). Performance is to begin 15 calendar days from date of award.

C.4 Special Considerations

C.4.1 Contract Employee Conduct

Employees of the contractor and sub-contractors shall conduct themselves in a professional manner at all times while on medical center property. The contractor shall ensure all personnel working on this contract are aware of Medical Center rules pertaining to employee behavior and conduct.

Employee clothing and shoes shall be non-shedding and cleaned of all dirt and debris before entering the medical center. Employees shall wear closed toed shoes, long pants, tall sock (e.g., no ankle socks), and shirts that cover the shoulders and upper arms at all times while in the medical center.

Employee shall be void of make-up, artificial nails, nail polish, and jewelry (hand, wrist, neck, ear, and facial piercing).

Physical or verbal misconduct may be grounds for removing employees from Medical Center property, or grounds for arrest by the VA Police.

Employees may be banned from Medical Center property as a result of inappropriate or illegal behavior. The contractor shall not be entitled to any compensation from the Government for any costs resulting from employee misconduct (including, but not limited to, delays in contract completion) and may be held liable for costs incurred by the Government as a result of employee misconduct.

Smoking: Smoking is prohibited on VA property unless otherwise not

C.4.2 Contractor Furnished Materials

All materials and tools to complete the work identified.

All necessary personnel protective equipment (PPE) required for entering cleanrooms.

C.4.3 Government Furnished Materials and Services

The contractor will adhere to MVAHCS hand hygiene and garbing Standard Operating Procedures. The MVAHCS will provide oversight and verification of contractor personnel completion of donning of garb/PPE and hand hygiene prior to testing/sampling. If the contractor s staff arrive not wearing clean non-shedding clothing, the MVAHCS will provide surgical scrubs for contractor staff to change into prior to donning garb/PPE to enter sterile compounding areas and hazardous drug storage room.

All equipment must be wiped down per Pharmacy procedures prior to entering sterile compounding areas and hazardous drug storage room.

The MVAHCS will, on rare occasion, provide office or meeting space to discuss test results, projects, or plans and may also provide desk phone as needed.

C.4.4 Qualifications of Key Personnel

All cleanroom performance testing must be supervised by a technician with a CETA National Board of Testing (CNBT) certification. A copy of the certification must be attached to the bid documentation for the supervisor or project manager of the team that will be performing work at the facility.

C.4.5 Security Requirements

Vendor personnel will be escorted at all times on site.

C.4.6 Additional Considerations

Need contractor to be within 50 miles of MVAHCS to accommodate potential emergency situations in the sterile compounding areas that may impact quality of patient care.

Local facility POC(s) will provide the contractor with additional facility specific procedures which include: check in and check out procedures; contractor badging requirements; parking procedures; and any additional facility specific procedures. The contractor will be expected to adhere to those procedures.

Services are to be performed during the hours between 7:00 AM and 4:30 PM Central Standard Time (CST), excluding federal holidays, unless scheduled at other mutually agreeable times. Due to the workload of the pharmacy during business hours, the contractor may need to work after 4:00 PM CST to accommodate the compounding schedule at the pharmacy. Contractors that are willing to perform after-hours work should include this information in their bid documentation. If a contractor is willing to perform services after 4:00pm CST this service must be included within the bid pricing as no extra charge. The ability to perform work after hours is not required; however, preferences will be given to contractors that offer flexible work hours.

C.4.7 Contract Monitoring and Oversight Management

Quality control and administrative oversight of the overall contract agreement and basic processes of contract operations are the primary responsibilities of the COR. COR s will be responsible for placing task orders for service.