J065--Syracuse VAMC Medical Gas Outlet Testing

Closed Solicitation Posted Oct 6, 2021

Solicitation number: 36C24222Q0022
Agency: Veterans Integrated Service Network 2 Veterans Health Administration, Department of Veterans Affairs
Responses due: Oct 15, 2021, 10:00 AM ET
Set-aside: Service-Disabled Veteran-Owned Small Business

Opportunity facts

NAICS code: 811219 Other Electronic and Precision Equipment Repair and Maintenance
PSC: J065 Maint/Repair/Rebuild Of Equipment- Medical, Dental, And Veterinary Equipment And Supplies
Place of performance: Department of Veterans Affairs Syracuse VA Medical Center Syracuse, New York 13210, United States

Notice details come from SAM.gov. Updated Oct 13, 2021.

Notice text

2 versions

Update #2 · Latest · Oct 13, 2021

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)

(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

10/13/2021

528-22-1-7896-0007

Department of Veterans Affairs

Network Contracting Office (NCO) 2

2875 Union Road

Suite 3500

Cheektowaga NY 14227

Department of Veterans Affairs

Network Contracting Office (NCO) 2

2875 Union Road

Suite 3500

Cheektowaga NY 14227

To all Offerors/Bidders

36C24222Q0022

10-13-2021

One

The purpose of this amendment is to add a clause and an updated Statement of Work.

All other terms and conditions remain unchanged.

Kimberly Wiatrowski

Contracting Officer

Page 8 of 8

B.3 Statement of Work (SOW)

B.3.1 Scope

This firm fixed-price requirement is for the comprehensive Medical Gas System testing and maintenance at the Syracuse VA Medical Center located at 800 Irving Avenue, Syracuse, NY 13210. Period of Performance is 11-1-2021 to 10-31-2022 with a provision of four (4) options years. The Inspection is to be performed and completed annually within the month of November.

B.3.2 General

Contractor Shall furnish all materials and labor to provide the testing/evaluation of the Medical Gas System at the Syracuse VA Medical Center. All inspections and testing shall be conducted per the Original Equipment Manufacturers (OEM) guidelines and in accordance with the standards set forth in NFPA 99, 2012 Edition, NFPA 55, 2010 Edition, and as recommended in the ASSE 6000 Professional Qualifications Standard for Medical Gas Systems.

Contractor shall be authorized/trained to manipulate, troubleshoot, and repair OEM brands including Chemetron, Tri-Tech, Amico, Beacon Madaes, Ohio Medical, and Stryker for all listed equipment (section B.3.4), and have the ability to purchase OEM parts from said manufacturers.

Contractor shall, upon completion of all testing, prepare a detailed and specific report of results from all tests on all systems. Reports shall consist of date, time, location, system identification, test performed, technician name, test result, and corrective action (if necessary). Test reports shall be expected and delivered no later than 14 days after completion of testing.

The following system(s) shall be inspected/tested:

Medical-surgical vacuum systems:

Inspect for proper installation, configuration, labeling, signage, function and operation.

Inspect all medical-surgical vacuum locations for proper design, construction, and ventilation

Inspect vacuum exhaust for medical-surgical vacuum pumps to ensure proper installation and location

Inspect all vacuum indicators for proper labeling and function

Test local alarm signals for proper operation and activation

Test master alarm signals, pressure switches, and associated system monitoring components for proper operation and activation

Test all service and alarm indicator lamps and audible signals for proper operation and activation

Inspect and assess all medical-surgical vacuum systems for compliance with current applicable codes and standards

Provide recommendations for medical-surgical vacuum system improvements on a separate Medical Gas System Recommendations Report

All warning systems:

Inspect all master alarm panels for proper installation, location, configuration, labeling, function, and operation

Test all alarm points being monitored for proper operation and function

Inspect and assess master alarm panels for compliance with current applicable codes and standards

Inspect all area alarm panels for proper installation, location, configuration, labeling, function, and operation

Test all high-pressure and low-pressure area alarms for proper operation and function

Inspect and assess area alarm panels for compliance with current applicable codes and standards

Medical Gas Manifold Systems:

Inspect all medical gas manifold systems for proper installation, configuration, labeling, signage, function, and operation

Inspect all medical gas manifold system locations for proper design, construction, and ventilation requirements

Inspect vent discharge for medical gas manifold systems to ensure proper installation and location

Inspect all pressure indicators for proper labeling and function

Test local alarm signals for proper operation and activation

Test master alarm signals, pressure switches, and associated system monitoring components for proper operation and activation

Test all service and alarm indicator lamps and audible signals for proper operation and activation

Inspect and assess medical gas manifold systems for compliance with current applicable codes and standards

Valves and Valve Boxes:

Inspect all source valves for proper location, configuration, labeling, and function

Test all source valves for leakage

Inspect and assess all source valves for compliance with current applicable codes and standards

Inspect all main line valves for proper location, configuration, labeling, and function

Test all main line valves for leakage

Inspect and assess all main line valves for compliance with current applicable codes and standards

Inspect all zone valves and zone valve boxes for proper location, configuration, pressure and vacuum indicators, labeling, and function

Test all zone valves for leakage

Inspect and assess all zone valves and zone valve boxes for compliance with current applicable codes and standards

Station Outlets and Inlets (Including Drop Hoses):

Inspect all station outlets and inlets for proper location, labeling, function, and operation

Test all station outlets and inlets for leakage

Testing of at least 90 percent of station outlets and inlets shall be achieved in order to fulfill the requirements of this program

Inspect and assess all station outlets and inlets for compliance with current applicable codes and standards

Provide recommendations for station outlet and inlet improvements on a separate Medical Gas Systems Recommendations Report

Medical Gas Pipeline Testing:

The medical gas pipeline shall be tested for particulates

The medical gas pipeline shall be tested for purity

Assess pipeline particulate and purity test results for compliance with current applicable codes and standards

Booms, Flexible Ceiling Columns and Orbiter Medical Gas Hose:

Verify hose connections/DISS, ensure no leaks are present and check hose condition

5.1.14.2.3.1 Manufactured Assemblies Employing Flexible Connection(s) Between the User Terminal and the Piping System

Non-stationary booms and articulating assemblies, other than head walls utilizing flexible connectors, shall be tested for leaks, per manufacturer s recommendations, every 18 months or at a duration as determined by a risk assessment

The system pressure to non-stationary booms and articulating arms shall be maintained at operating pressure until each joint has been examined for leakage by effective means of leak detection that is safe for use with oxygen

Safe working condition of the flexible assemblies shall be confirmed

D.I.S.S. connectors internal to the boom and assemblies shall be checked for leakage

Leaks, if any, shall be repaired (if permitted), or the components replaced (if required), and the equipment retested prior to placing the equipment back into service

Additional testing of non-stationary booms or articulating arms shall be performed at intervals defined by documented performance data

Anesthetic Gases

Environmental evaluation per OSHA, Department of Health and Human Services (DHHS), National Fire Protection Association (NFPA), The Joint Commission (TJC), and National Institute for Occupational Safety and Health (NIOSH) specs and recommendations

High- and low-pressure leaks, ambient levels, vacuum inlets and ventilation (positive negative pressure and N2O recirculation)

Each anesthetizing area shall be tested using a patient simulation on a breathing circuit

A 50 percent O2/N2O fresh gas delivery along with 1 or more anesthetizing agents shall be activated during the simulation

All nitrous oxide supply connections, anesthetic vaporizers, flow meters and the anesthesia machine components shall be tested for leaks

A TWA of the anesthetic fugitive gases shall be recorded for the breathing zone.

All leaks shall be documented, and plant operators shall be notified immediately for any areas which exceed the NIOSH/OSHA maximum allowable concentrations for waste gases

B.3.3 Schedule

All work shall be performed during normal business hours Monday through Friday, from 7:00am to 4:00pm, excluding federal holidays. Unless emergency work is required, no work shall be planned on federal holidays. All work shall not interfere with patient and/or staff operations. The Syracuse VA Medical Center must maintain its operation 24 hours per day, 7 days per week. Therefore, any work must be scheduled and coordinated with the facility point of contact. Federal holidays are listed below:

New Year s Day

Memorial Day

Columbus Day

Christmas Day

Martin Luther King Day

Independence Day

Veteran s Day

President s Day

Labor Day

Thanksgiving Day

Juneteenth

To also include any day the President declares a holiday.

B.3.4 Equipment List

DESCRIPTION

QUANTITY

Medical Gas Inlets/Outlets

1,537

Hose/Booms

Waste Anesthetic Gas Systems

B.3.5 Safety

a) No tools or equipment shall be left unattended.

All work areas must be clean at the close of the day and shall be left in the same condition as before work started.

Contractor shall obtain all necessary licenses and/or permits associated with this procurement. Contractor shall take all precautions necessary to protect persons and property from injury or damage.

B.3.6

Contractor shall follow all Centers for Disease Control (CDC) COVID-19 Prevention recommendations at all times while at the Syracuse facility. This shall include but not be limited to handwashing, social distancing and wearing a CDC approved face covering at all times.

B.3.7 VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

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

a. Documentation requirements:

1) If fully vaccinated, shall show proof of vaccination

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

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.

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.

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.

52.223-99 Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors.

ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS (OCT 2021) (DEVIATION)

Definition. As used in this clause -

United States or its outlying areas means

The fifty States;

The District of Columbia;

The commonwealths of Puerto Rico and the Northern Mariana Islands;

The territories of American Samoa, Guam, and the United States Virgin Islands; and

The minor outlying islands of Baker Island, Howland Island, Jarvis Island, Johnston Atoll, Kingman Reef, Midway Islands, Navassa Island, Palmyra Atoll, and Wake Atoll.

Authority. This clause implements Executive Order 14042, Ensuring Adequate COVID Safety Protocols for Federal Contractors, dated September 9, 2021 (published in the Federal Register on September 14, 2021, 86 FR 50985).

Compliance. The Contractor shall comply with all guidance, including guidance conveyed through Frequently Asked Questions, as amended during the performance of this contract, for contractor workplace locations published by the Safer Federal Workforce Task Force (Task Force Guidance) at https:/www.saferfederalworkforce.gov/contractors/.

Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (d), in subcontracts at any tier that exceed the simplified acquisition threshold, as defined in Federal Acquisition Regulation 2.101 on the date of subcontract award, and are for services, including construction, performed in whole or in part within the United States or its outlying areas.

(End of clause)

Update #1 · Oct 6, 2021

SUBJECT*

Syracuse VAMC Medical Gas Outlet Testing

GENERAL INFORMATION

CONTRACTING OFFICE S ZIP CODE*

14227

SOLICITATION NUMBER*

36C24222Q0022

RESPONSE DATE/TIME/ZONE

10-15-2021 10:00 am EASTERN TIME, NEW YORK, USA

ARCHIVE

90 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS

SET-ASIDE

SDVOSBC

PRODUCT SERVICE CODE*

J065

NAICS CODE*

811219

CONTRACTING OFFICE ADDRESS

Department of Veterans Affairs

Network Contracting Office (NCO) 2

2875 Union Road

Suite 3500

Cheektowaga NY 14227

POINT OF CONTACT*

Kimberly Wiatrowski

PLACE OF PERFORMANCE

ADDRESS

Department of Veterans Affairs

Syracuse VA Medical Center

800 Irving Avenue

Syracuse NY

POSTAL CODE

13210

COUNTRY

ADDITIONAL INFORMATION

AGENCY S URL

www.va.gov

URL DESCRIPTION

Department of Veterans Affairs

AGENCY CONTACT S EMAIL ADDRESS

Kimberly.wiatrowski@va.gov

EMAIL DESCRIPTION

Contract Specialist

DESCRIPTION

COMBINED SYNOPSIS/SOLICITATION MEDICAL GAS OUTLET TESTING FOR THE SYRACUSE VA MEDICAL CENTER 800 IRVING AVENUE, SYRACUSE, NY 13210

(i) This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6. Streamlined Procedures for Evaluation and Solicitation for Commercial Items and 13 Simplified Procedures for Certain Commercial Items as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued.

(ii) This solicitation is issued as a request for quote (RFQ). Request for Quote will be submitted through Contract Opportunities - https://beta.sam.gov RFQ reference number 36C24222Q0022.

(iii) This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2021-07.

(iv) This procurement is being issued as a competitive Service-Disabled Veteran Owned Small Business Set-Aside. The North American Industry Classification System (NAICS) code is 811219 Other Electronic and Precision Equipment Repair and Maintenance with a small business size standard of $22 million. The government intends to award a Firm Fixed Price contract from this solicitation.

(v) The Contractor shall provide pricing to provide Medical Gas Outlet Testing See applicable salient characteristics/requirements below:

Pricing for Medical Gas Outlet Testing:

LINE ITEM

DESCRIPTION

QUANITY

UNIT

UNIT PRICE

TOTAL PRICE

0001

BASE PERIOD: Medical Gas Outlet Testing to be performed in the month of November.

11/1/2021 to 10/31/2022

1001

Option Year 1: Medical Gas Outlet Testing to be performed in the month of November.

11/1/2021 to 10/31/2022

2001

Option Year 2: Medical Gas Outlet Testing to be performed in the month of November.

11/1/2021 to 10/31/2022

3001

Option Year 3: Medical Gas Outlet Testing to be performed in the month of November.

11/1/2021 to 10/31/2022

4001

Medical Gas Outlet Testing to be performed in the month of November.

11/1/2021 to 10/31/2022

(vi) Description of the Requirement: See attached Statement of Work.

(vii) Awardee shall coordinate with the Contracting Officer s Representative (COR) prior to performance.

Place of Performance:

Syracuse VA Medical Center

800 Irving Avenue

Syracuse, NY 13210

(viii) The provision at FAR 52.212-1, Instructions to Offerors-Commercial Items (JUN 2020), applies to this acquisition.

The following provisions are included as addenda to FAR 52.212-1:

52.252-1 Solicitation Provisions Incorporated by Reference (FEB 1998)

52.204-7 System for Award Management (OCT 2018)

52.204-16 Commercial and Government Entity Code Reporting (AUG 2020)

(ix) The provision at FAR 52.212-2, Evaluation Commercial Items (OCTOBER 2014), applies to this acquisition.

Evaluation will be determined based on Best Value to the Government IAW FAR Subpart 13.106-1(a)(2). The government shall award this procurement to the vendor with the lowest priced quote that is technically acceptable and has acceptable, or neutral, past performance. Vendors with no past performance shall be rated as neutral.

PRICE

Provide pricing information by including a completed version of the table found in section (v) of this document with your response to this combined synopsis/solicitation.

TECHNICAL

Please provide a maximum 5-page capability statement that indicates the vendor has the trained personnel, equipment, and track record of working experience to provide Medical Gas Outlet Testing and be able to meet all the requirements of the attached Statement of Work.

The capability statement shall include the following information:

Solicitation number for this requirement as 36C24222Q0022.

Name, address and telephone number of offeror

PAST PERFORMANCE

(a) Each offeror will be evaluated on his/her performance under existing and prior contracts for similar services. The Government will focus on information that demonstrates quality of performance relative to the size and complexity of the procurement under consideration. Contractors without past performance will receive a neutral rating.

The Government shall request the contractor provide a list of contracts completed during the past three (3) years. Include the following information for each contract:

a)Â Â Â Â Â Â Â Â Â Â Â Name and address of contracting activity

b)Â Â Â Â Â Â Â Â Â Â Â Name and telephone number of contract person

c)Â Â Â Â Â Â Â Â Â Â Â Dates of contract performance

The Government reserves the right to make award without discussions.

52.212-2 EVALUATION COMMERCIAL ITEMS (OCT 2014)

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(x) The provisions at FAR 52.212-3, Offeror Representations and Certifications-Commercial Items apply to this acquisition. * All firms or individuals submitting a quote shall include a completed copy of this provision OR have current Representations and Certifications in the System for Award Management (SAM - https://beta.sam.gov). Representations, Certifications, and SAM must be current at award. IF NOT CURRENT AND/OR YOU DO NOT SUBMIT A COMPLETED COPY OF THIS PROVISION, YOUR QUOTE WILL BE CONSIDERED NON-RESPONSIVE.

(xi) The clause at FAR 52.212-4, Contract Terms and Conditions-Commercial Items, applies to this acquisition. The following clauses are included as addenda to FAR 52.212-4:

52.204-13 System for Award Management Maintenance (OCT 2018)

52.204-18 Commercial and Government Entity Code Maintenance (AUG 2020)

52.217-9 Option to Extend the Term of the Contract (MAR 2000)

52.228-5 Insurance-Work on a Government Installation (JAN 1997)

CL-120 Supplemental Insurance Requirements

52.232-18 Availability of Funds (APR 1984)

52.232-40 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013)

52.237-2 Protection of Government Buildings, Equipment, and Vegetation (APR 1984)

852.212-70 Provisions and Clauses Applicable to VA Acquisition of Commercial Items (APR 2020) applicable provisions and clauses noted in blue below:

852.203-70 Commercial Advertising (MAY 2008)

852.270-1 Representatives of Contracting Officer (JAN 2008)

852.232-72 Electronic Submission of Payment Requests (NOV 2018)

852.219-10 VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (JUL 2019)

852.219-74 Limitations on Subcontracting (JUL 2018)

852.219-77 VA Notice of Limitations on Subcontracting Certificate of Compliance for Services and Construction (SEP 2021) (DEVIATION)

VAAR PART 852 SOLICITATION PROVISIONS AND CONTRACT CLAUSES

Subpart 852.2 Text of Provisions and Clauses

852.219-77 VA Notice of Limitations on Subcontracting Certificate of Compliance for Services and Construction.

As prescribed in 819.7009(b), insert the following clause:

VA NOTICE OF LIMITATIONS ON SUBCONTRACTING CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (SEP 2021) (DEVIATION)

Pursuant to 38 U.S.C. 8127(k)(2), the offeror certifies that

If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows: [Contracting Officer check the appropriate box below based on the predominant NAICS code assigned to the instant acquisition as set forth in FAR 19.102.]

X Services. In the case of a contract for services (except construction), the contractor will not pay more than 50% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Other direct costs may be excluded to the extent they are not the principal purpose of the acquisition and small business concerns do not provide the service as set forth in 13 CFR 125.6.

General construction. In the case of a contract for general construction, the contractor will not pay more than 85% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 85% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

Special trade construction contractors. In the case of a contract for special trade contractors, the contractor will not pay more than 75% of

the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-

11. Any work that a similarly situated subcontractor further subcontracts will count towards the 75% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

Referral to the VA Suspension and Debarment Committee;

A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and

Prosecution for violating section 1001 of title 18.

The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract. The Contracting Officer may, at their discretion, require the Contractor to demonstrate its compliance with the limitations on subcontracting at any time during performance and upon completion of a contract if the information regarding such compliance is not already available to the Contracting Officer. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed.

The offeror further agrees to cooperate fully and make available any documents or records as may be required to enable VA to determine compliance with the limitations on subcontracting requirement. The offeror understands that failure to provide documents as requested by VA may result in remedial action as the Government deems appropriate.

Offeror completed certification/fill-in required. The formal certification must be completed, signed, and returned with the offeror s bid, quotation, or proposal. The Government will not consider offers for award from offerors that do not provide the certification, and all such responses will be deemed ineligible for evaluation and award.

Page 14 of 14

Certification:

I hereby certify that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror].

Printed Name of Signee:

Printed Title of Signee:

Signature:

Date:

Company Name and Address:

(End of clause)

852.242-71 Administrative Contracting Officer (OCT 2020)

(xii) The clause at FAR 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Order- Commercial items, applies to this acquisition.

52.204-10, Reporting Executive Compensation & First-Tier Subcontract Awards (Oct 2018)

52.204-14, Service Contract Reporting Requirements (Oct 2016)

52.209-6, Protecting the Government s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment (OCT 2015)

52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (Mar 2020)

52.219-28, Post Award Small Business Program Representation (Mar 2020)

52.222-3, Convict Labor (June 2003)

52.222-21, Prohibition of Segregated Facilities (APR 2015)

52.222-26, Equal Opportunity (Sept 2016)

52.222-35, Equal Opportunity for Veterans (OCT 2015)

52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014)

52.222-37, Employment Reports on Veterans (FEB 2016)

52.222-50, Combating Trafficking in Persons (Jan 2019)

52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011)

52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008)

52.232-33, Payment by Electronic Funds Transfer System for Award Management (OCT 2018)

52.222-41, Service Contract Labor Standards (AUG 2018)

52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014)

52.222-55, Minimum Wages under Executive Order 13658 (DEC 2015).

52.222-62 Paid Sick Leave Under Executive Order 13706 (JAN 2017)

(xiii) The Service Contract Act of 1965 does apply to this procurement.

A Site Visit is scheduled for Friday October 8, 2021 at 10:00 am EST. Potential vendors shall meet in the main lobby of the Syracuse VA Medical Center 800 Irving Avenue, Syracuse NY 13210. Kindly RSVP by October 7, 2021 10:00 am est. by email to Kimberly.wiatrowski@va.gov.

(xiv) N/A

(xv) This is an open-market Total Service-Disabled Veteran Owned Small Business Set-Aside combined synopsis/solicitation for Medical Gas Outlet Testing for the Syracuse VA Medical Center as defined herein.Â Â The government intends to award a contract as a result of this combined synopsis/solicitation that will include the terms and conditions set forth herein. To facilitate the award process, all quotes must include a statement regarding the terms and conditions herein as follows:

"The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition."

"The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:"

The Quoter shall list exception(s) and rationale for the exception(s).

Submission shall be received not later than 10:00 AM EST, Friday October 15, 2021. The government shall only accept electronic submissions via email, please send all quotations to Kimberly.Wiatrowski@va.gov. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). RFI s shall not be accepted after October 12, 2021 @ 10:00 am EST.

(xvi) Any questions or concerns regarding this solicitation shall be forwarded in writing via e-mail to Kimberly Wiatrowski, Contracting Officer at Kimberly.Wiatrowski@va.gov.