J045--Boilers Semi-Annuals/Annuals for the VA Loma Linda Healthcare System

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers 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:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(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 electronic communication 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

is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not,

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.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES

SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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 letter

or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to

the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print)

(Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign)

(Signature of Contracting Officer)

0001

36C262

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

To all Offerors/Bidders

36C26222Q0339

X

This amendment is issued to post RFIs and VA responses.

The reason we are requiring Cleaver-Brooks certification is that four (4) of the boilers at the VA Loma Linda Healthcare

System are new boilers that are still under warranty. All services and parts must be through an authorized service

provider to maintain the warranty on these systems.

All other terms and conditions remain unchanged.

PETER KIM

Contracting Officer

Page 3 of 3

DESCRIPTION

1. This is a combined synopsis/solicitation for commercial services/items prepared in accordance with the format in FAR Subpart 12.6 in conjunction with FAR Part 13, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a separate written solicitation will not be issued.

1.A. Project Title: To perform Boiler Plant Annuals and Semi-Annuals Inspections, and Safety Testing at the VA LL Healthcare System

1.B. Project Location: VA Loma Linda Healthcare System, 11201 Benton Street, Loma Linda, CA 92357

1.C. Solicitation Type - Number: Request for Quotes (RFQ) - 36C26222Q0339.

1.D. Set Aside: This solicitation is 100% set aside for Service-Disabled Veteran Owned Small

Businesses IAW Public Law 109-461, 38 USC Section 8127

1.E. Applicable NAICS code: 238220, Plumbing, Heating, and Air-Conditioning Contractors

1.F. Small Business Size Standard: $16.5 Million

1.G. Type of Contract: Firm Fixed Price

1.H. Period of Performance: Base year and up to four (4) one (1) year option periods.

1.I. Wage Determination: SCA WD 2015-5629 Rev 17

2. Key solicitation milestones are:

2.A. Site Visit: A site visit is scheduled for February 1, 2022, at 10:00 AM PDT at VA Loma Linda Healthcare System (VALLHS), 11201 Benton Street, Loma Linda, CA 92357. Participants will meet at the front of the medical center main doors at 11201 Benton Street, Loma Linda, CA 92357. Participants must wear masks and practice social distancing.

Please email isaac.shimizu@va.gov to indicate that you are participating in the site visit. No later than January 31, 2022 12:00 PM PDT. Ensure to reference solicitation # 36C26222Q0339- VAGLL Boilers SITE VISIT within subject line of the email.

Attendance is NOT mandatory, but highly encouraged so offeror(s) can inspect the site where services are to be performed and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent the information is reasonably obtainable.

2.B. Submit any questions regarding this procurement via email to isaac.shimizu@va.gov no later than 12:00 PM PDT, Tuesday, February 8, 2022. No questions will be answered after this date/time unless determined to be in the best interest of the Government as determined by the Contracting Officer. Telephonic questions will not be accepted or returned. RFI responses will be responded to as necessary in amendment format which will be posted to contract opportunities at https://sam.gov/.

2.C. Submit written offers in accordance with the following instructions, as well as Addendum to FAR 52.212-1, Instruction to Offerors. Oral offers will not be accepted. Complete and submit enclosure 2 via email no later than 12 PM, February 18, 2022 to isaac.shimizu@va.gov. Ensure the following are completed and/or included in the offer packet:

2.C.1. Vendor Information

2.C.2. Acknowledgement of amendments

2.C.3. Concurrence/non-concurrence with solicitation terms, conditions, and provisions

2.C.4. Schedule of services

2.C.5. FAR 52.212-3, Offeror Representations and Certifications -- Commercial Items

2.C.6. VAAR 852.219-77, VA Notice of Limitations on Subcontracting Certificate of Compliance for Services and Construction (enclosure 3)

2.C.7. Documentation to verify offeror is an authorized Cleaver Brooks Service Provider and Distributor.

2.C.8. Copy of California C4 contractor s license or equivalent.

3. Scope. VA Loma Linda Health Care System located at 11201 Benton Street, Loma Linda, CA 902357 is seeking a contractor to perform the Boiler annuals semi-annuals inspections & safety testing for the following (3) Boilers Cleaver Brooks Cable 400-horse power located in boiler plant (2) Cleaver Brooks Clear Fire Condensing boiler 700 located at Cancer Center (1) Cleaver Brooks Clear Fire-700 Condensing Boiler located at Valor Building.(1) Cleaver Brooks Clear Fire -750 Condensing Boiler located at CLC#2. The inspection, calibration, and testing will occur be performed on an annual and semi-annual basis. Contractor shall perform all testing in accordance with the VHA Boiler Safety Device Testing Manual (Fifth Edition), VHA Directive 1810, and all other applicable laws / regulations. The Contractor must be a authorized Cleaver Brooks Service Provider and Distributor.

3.A. Specific Requirements.

3.A.1 The Contractor shall have, but not limited to the following qualification, experience and certifications:

Shall possess a valid California C4 contractors license, or equivalent

Technicians shall have completed at least a one (1) year trade school and have five (5) years successful experience in this field. The experience shall be largely with institutional and industrial boiler plants similar in design to the VALLHS plant.

Technician must demonstrate knowledge and familiarity with NFPA 85, Boiler and Combustion Systems Hazards Code and VHA Boiler Plant Safety Device Testing Manual, 5th Edition 2018.

3.A.2. The contractor shall provide all necessary parts, labor, materials, equipment and transportation to perform the maintenance service which shall include the following tasks in accordance with VHA Directive 1810 and Boiler Plant Safety Device Testing Manual 5th Edition:

Perform all annuals and semi-annuals with the VA employee verifying the tasks are being complete. Contractor will perform proper lockout tagout on all equipment being worked on.

Contractor will ear proper protective equipment.

Contractor will provide inspector for annual certification of boilers.

Contractor will open DA and surge tanks inspect and pressure clean tanks.

Contractor will install new door seals on both tanks.

Contractors will provide list of all calibrated gauges.

Contractor will perform (1) annual and (1) semiannual yearly.

Adjust burner combustion settings and calibrate oxygen trim.

Calibrate instrumentation, monitoring, and control systems.

Calibrate pressure gages and thermometers. (or replace)

High-steam pressure cut-out (recycle)

High-steam pressure cut-out (non-recycle)

Steam safety valves (raise boiler pressure until valve pops)

Check gas vent for leaks

High-gas fuel pressure cut-off

Low-gas fuel pressure cut-off

Gas fuel safety shut off valves proof of closure

Leak test gas fuel safety shut off valves

High-fuel oil pressure cut-off

Low-fuel oil pressure c

Fuel oil safety shut off valves proof of closure

Leak test fuel oil safety shut off valves

Check operation of Liquid Petroleum Gas pilot

Low-pilot gas pressure cut-out

Forced draft fan motor interlock

Forced draft fan damper wide open for purge

Boiler outlet damper wide open for purge

Purge air flow interlock

Timing for pre-purge

Timing for post-purge

Igniter timing

Low fire position interlock

Combustion air interlock

Main flame out; i.e., time to close valves

Ignition flame out; i.e., it is time to close valves

Minimum igniter flame test

Scanner not sensing ignition spark

Low-oxygen alarm and/or cut-out

Pre-purge setting of flue gas recirculation damper

Interlock of building outside air damper with burner control

Check furnace pressure

Open condensate tank drain /pressure wash inside of tank

Inspect condensate tank install new door gaskets

Open deaerator tank drain /pressure wash inside of tank

Inspect deaerator tank install new door gaskets

Calibrate all gauges and certify them

Tune-up Boiler on Fuel-oil and operate

Tune-up Boiler on natural gas and operate

The following equipment is located at the following buildings in hospital area.

Equipment model# serial# location

BOILER CBLE-200-400-200 SERIAL #T2194-1-1 BOILER PLANT

BOILER CBLE-200-400-200 SERIAL #T2194-1-2 BOILER PLANT

BOILER CBLE-200-400-200 SERIAL #T2194-1-3 BOILER PLANT

DEAERATOR 2194-7-1 SERIAL SM 1400 BOILER PLANT

SURGE TANK 2194-8-1 SERIAL SRG-1400 BOILER PLANT

BOILER CFC-E 700-750 SERIAL#604369500257 VALOR BUILDING

BOILER CFC-E 700-750 SERIAL#604724300206 REHAB CENTER

BOILER CFE-E-700-750 SERIAL#604369500248 CANCER CENTER

BOILER CFE-E-700-750 SERIAL#604369500247 CANCER CENTER

CALIBRATE ALL TRANSMITTERS AND PRESSURE GAUGES ON BOILERS AND TANKS IN BOILER PLANT

1.Contractor will check in for coronavirus daily

2.Contractor will check in with plant operator daily

3.Contractor will provide schedule of work being perform.

4.Contractor will provide proper safety protocol for operation of equipment.

5.Contractor will fill wear proper personnel equipment.

6.Contractor will properly lockout and tagout electrical to boilers.

7.Contractor will properly lockout and tagout all inlet and outlet water lines.

8.Contractor will depressurize water softener before opening.

9. Contractor will remove sea and install new seals on all equipment in boiler plant.

10.Contractor will perform tune up on fuel oil.

11.Contractor will perform tune up on natural gas.

12.Contracor will perform calibrations on all gauges and thermometers.

13.Contractor will perform all this tasks as per manufacture specifications.

14. Contractor will perform all task as per VHA Directive 1810.

15. Contractor will perform tasks as per Boiler device safety testing manual 5thEdition.

16. Contractors will clean up trash and properly dispose of properly.

17. Contractor will operate boilers and tanks to verify proper operation.

18. Contractor will provide all paperwork pertaining to job.

19. Contractor will provide semiannual and annual documentation.

20. Contractor will provide list of all calibrated gauges.

Upon completion of full testing, contractor will submit an engineering report for our records. The engineering report will summarize work completed, detail corrective action required and recommended actions.

4. Place of Performance: VA Loma Linda Healthcare System (VALLHS), 11201 Benton Street, Loma Linda, CA 92357.

4.A. Period of Performance: Base year and up to four (4) one (1) year option periods. As follows:

5. CHANGES:

The awarded Contractor is advised that only the Contracting Officer, acting within the scope of the contract has the authority to make changes which affect the contract in terms of quality, quantity, price or delivery.

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 shall be made in the contract price to cover any increase in costs incurred as a result thereof.

6. VA POLICY:

Possession of weapons is prohibited. Enclosed containers, including tool kits, are subject to search. Violations of VA regulations may result in citations answerable in the United States (Federal) District Court.

7. SAFETY AND FIRE PREVENTION:

All personnel employed by the Contractor in the performance of this contract, or any representative of the Contractor entering the VAGLAHS shall comply with applicable Federal, State, and VA safety and fire regulations and codes, which are in effect during the performance period of the contract.

8. PARKING POLICY:

It is the responsibility of Contractor personnel to park only in designated parking areas. Parking information is available from the VA Police. The VA shall not validate or make reimbursement for parking violations of the Contractor s personnel under any circumstances.

9. IDENTIFICATION BADGES:

All Contractor personnel are required to wear identification (I.D.) badges during the entire time they are on the VA Healthcare System grounds. I.D. badges must have an identification picture and shall state the name of the individual and the company represented.

10. SMOKING POLICY:

Smoking is not permitted within or around the VA Healthcare System facilities, except in designated areas.

11. NORMAL WORKING HOURS:

Contractor will shall be performing services between the hours of 8:00 AM through 4:00 PM Monday through Friday, with exceptions to National Holidays.

12. OVERTIME AND NATIONAL HOLIDAYS:

Any overtime or holiday pay that may be entitled to the Contractor s employees shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government.

The Contractor is not required to provide service on the following U.S. Government holidays nor shall the Contractor be paid for these days:

New Year s Day

January 1

Martin Luther King s Birthday

Third Monday in January

President s Day

Third Monday in February

Memorial Day

Last Monday in May

Independence Day

July 4

Labor Day

First Monday in September

Columbus Day

Second Monday in October

Veterans Day

November 11

Thanksgiving Day

Fourth Thursday in November

Christmas Day

December 25

13. Insurance Coverage:

13.A. The Contractor agrees to procure and maintain, while the contract is in effect, Workers Compensation and Employee s Public Liability Insurance in accordance with Federal and State of California and/or Nevada laws. The Contractor shall be responsible for all damage to property, which may be done by him, or any employee engaged in the performance of this contract.

13.B. The Government shall be held harmless against any or all loss, cost, damage, claim expense or liability whatsoever, because of accident or injury to persons or property of others occurring in the performance of this contract.

13.C. Before commencing work under this contract, the Contracting Officer shall require the Contractor to furnish certification from his/her insurance company indicating that the coverage specified by FAR 52.228-5 and per FAR subpart 28.307-2 has been obtained and that it may not be changed or canceled without guaranteed thirty (30) day notice to the Contracting Officer.

13.D. Contractor is required to provide copies of proof of workers Compensation and Employee Public Liability Insurance within fifteen (15) calendar days after notification of contract award.

13.E. VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

13.E.1. Contractor employees who work in or travel to VHA locations must comply with the following:

13.E.1.a. Documentation requirements:

13.E.1.a.1. If fully vaccinated, shall show proof of vaccination

13.E.1.a.1.i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination

13.E.1.a.2. If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor s order or an FDA approved over-the-counter test.

13.E.1.a.3. Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

13.E.1.a.4. Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

13.E.2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the following website: COVID-19 Screening Tool. Regularly check the website for updates.

13.E.2.a. Contractor employees who work away from VA locations, but who will have direct patient contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

13.E.3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

14. The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2022-02 Effective January 14, 2022. The following provisions and clauses apply to this solicitation and can be found in enclosure 1.

14.A. FAR 52.212-1, Instructions to Offerors Commercial Items

14.B. FAR 52.212-2, Evaluation Commercial Items

14.C. FAR 52.212-4, Contract Terms and Conditions Commercial Items

14.D. FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes Or Executive Orders Commercial Items

14.E. VAAR 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside

14.F. VAAR 852.219-74, Limitations on Subcontracting Monitoring and Compliance

14.G. FAR 52.233-2, Service of Protest

14.H. VAAR 852.233-70, Protest Content/Alternative Dispute Resolution

14.I. VAAR 852.233-71, Alternative Protest Procedure

14.J. VAAR 852.237-70, Contractor Responsibilities