Public tenders for construction in Perryville United States

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Y--PROJECT NO. 512-531 CONSTRUCT NEW RESIDENTIAL REHABILITATION AND TREATMENT PROGRAM (RRTP) BUILDING NO. 371

Department of Veterans Affairs, VA Maryland Health Care System | Published November 30, 2015  -  Deadline January 14, 2016
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The U.S. Department of Veteran Affairs, VA Maryland Health Care System at the VA Medical Center, Perry Point, Maryland is seeking services of a qualified Service-Disabled Veteran Owned Small Business to provide all labor, materials, equipment and supervision required to construct a new Residential Rehabilitation Treatment Program (RRTP) Building No. 371 located to the west of Building 364, across Avenue "D" from Building 80H at the VA Medical Center, Perry Point, MD 21902, in Cecil County, in accordance with drawings and specifications. A 22,800 SF single-story facility shall house up to 35 residents from the existing 24H Building. The building will consist of office space and treatment rooms for medical staff. Site related construction consists of new on-grade parking (15 vehicles) and entrance/exit driveways, site lighting, curb, gutters, sidewalks and site landscaping, a storm water management pond and access road. Service connections for electrical, communications, chilled water, steam, sanitary, domestic, and fire shall be provided to the new building. The main structure of the new building is steel post and beam frame with brick base exterior insulated finish system (EIFS). The main roof structure will be a light gage steel truss system covered in plywood deck with asphalt shingles. The interior partitions are metal stud and drywall construction. Background Investigations, Security Clearance, and Employee Identification will be required for all contractor employees. Proper identification (valid citizen and non-citizen ID cards, valid passport or naturalization papers) will be required to access the VA Medical Center. All work is to be completed within approximately 365 calendar days after date of receipt of notice to proceed. This includes final inspection and clean-up. The NAICS Code for this procurement is 236200. To be considered a small business under this code the SBA size standard must not exceed $36.5 Million. The construction cost range for the project is between $5,000,000 and $10,000,000. The solicitation package is estimated to be posted on FBO, which can be accessed at http://www.fbo.gov on or about December 10, 2015. The Government will not provide paper copies of the solicitation. Bidders will be responsible for downloading their own copy of the solicitation package, drawings and subsequent amendments, if any. The solicitation will be issued pursuant to the authority of Public Law 109-461, 38 U.S.C. 8127 and 8128. Telephone, written, facsimile, or e-mail requests for the solicitation will NOT be honored. Potential bidders MUST register at Federal Business Opportunity located at FBO.gov in order to receive notifications and/or changes to the solicitation. Potential bidders are responsible for monitoring this site for the release of the solicitation package and any other pertinent information. The Interested Vendors List (IVL) will be activated and may be accessed and printed from the FBO website. A "Mandatory" pre-bid conference will be scheduled. The date will be announced in the solicitation package. The bid opening will be on or about January 13, 2016. The deadline for receipt of questions is 10 calendar days prior to bid opening. All questions must be submitted in writing to the Contracting Officer. All interested parties MUST be registered in the System For Award Management located at (SAM.gov) and have completed Online Representations and Certifications Application (ORCA); and Vendor Information Pages (VIP) Database located at VetBiz.gov and be "verified" prior to submitting your bid. The Contracting Officer for this procurement is Sandra A. Anderson, (410) 642-1747, email: sandraa.anderson@va.gov and the Project Engineer is Lynn Butler, (410) 642-2411 x 5169, email: Lynn.Butler@va.gov. All bidders must ensure that their firms have the ability to provide 100% Performance and Payment Bonds, and 20% Bid Guarantee. Award of contract will be SUBJECT TO THE AVAILABLITY OF FUNDS.

C--A/E SERVICES PROJECT NO. 512A5-16-301 UPGRADE FIRE ALARM SYSTEM CAMPUS WIDE PERRY POINT

Department of Veterans Affairs, VA Maryland Health Care System | Published April 14, 2016  -  Deadline May 12, 2016
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ARCHITECT-ENGINEER (A/E) DESIGN SERVICES: This A/E Services contract is being procured in accordance with the Brooks Act (Public Law [PL] - 582) and implemented in the Federal Acquisition Regulation (FAR) Subpart 36. Firms will be selected for negotiation based on demonstrated competence and qualifications for the required work. VA Maryland Healthcare System is seeking qualified A/E firms to provide professional services necessary to develop complete drawings, specifications, cost estimates, project phasing site visits and construction period administration associated with upgrading the Fire Alarm System at the Perry Point Veterans Affairs Medical Center, within the constraints of the construction budget consistent with the Veterans Affairs (VA's) project team goals as prioritized during project meetings and field surveys. Conduct preliminary project scope meetings and site survey investigations to develop the necessary elements for conceptual layout schemes with proposed alternatives consistent with the VA's project team goals as prioritized during preliminary project meetings, field surveys and studies. This project will engage an architectural/engineering firm (A/E) to provide Schematic Design, Design Development, Contract Drawings, Specifications, Construction Cost Estimate, and Construction period services. The A/E will develop a design to complete the following but not limited to: Surveying the proposed site, existing conditions, verifying record drawings, verifying and analyzing utility systems within the Perry Point VA Medical Center in conjunction with preparation of schematic design and design development. This project consists of preparing complete construction and demolition drawings with specifications for bid purposes. The drawings shall meet all applicable federal, state and local governing codes. Drawings shall be stamped by disciplines by registered architects and engineers. The Architect/Engineer performing the work shall perform an investigative study on the current campus wide fire alarm system which is installed in 46 buildings at the Perry Point VA campus. The A/E shall check system integration and determine the effectiveness of the existing Fire Alarm System in those buildings and the current fire monitoring system installed at the fire house and redundant fire monitoring system at the boiler plant. The A/E shall provide recommendations for Upgrade based on findings of the investigative study. The Architect/Engineer's recommendations shall meet below requirements for this system: o System shall be capable of Station wide fire monitoring with redundant monitoring. Primary monitoring at the fire station and redundant monitoring at the boiler plant. o System shall be installed parallel to the current system until fully tested and certified o Fully addressable fire alarm system capable of transmitting data which will provide the exact location and device type back to fire control monitoring panels in the fire house and boiler plant. o Continuous software and hardware self-checks, including 'watchdog' circuit to ensure proper functioning. o New system shall meet the most recent VA FIRE PROTECTION DESIGN MANUAL and NFPA 72, Proprietary, UL 1076, & NFPA 13 and 17 and all other local and national fire protection codes. The A/E shall provide meeting notes / minutes for meetings and conference calls. The A/E shall obtain all permits and FCC application for equipment frequency allocation. The A/E shall obtain all environmental and other necessary permits that would be required prior to construction commencing - including but not limited to: o Maryland Historic Trust o Section 106 for Historic Preservation o Maryland Dept. of the Environment (MDE) o Maryland Dept. of Natural Resources (DNR) The A/E shall base their design to meet the following sustainable energy requirements: o USGBC LEED: Design elements to qualify for LEED Silver, with no formal certification required. o Executive Order 13514 o EPACT 2005 o EISA 2007 o VA HVAC Design Manual o VA Sustainable Design & Energy Reduction Manual (April 2010 or later) The A/E shall hire an IH Consultant. The IH prepares the asbestos survey inspection drawings and the abatement design field drawings. The A/E prepares the asbestos drawings based on the IH findings. Scope of Work for Industrial Hygiene Consultant Hired directly by the A/E. The goal of this project is to obtain a cost estimate that will reflect replacing the component as a stand alone project (i.e., not as part of another project) and all other additional costs for this replacement including but not limited to asbestos removal, required phasing, special field conditions and/or temporary equipment needed during the construction. The completed report shall then be submitted for approval to the Project Engineer. The drawings shall meet all applicable federal, state and local governing codes. Drawings shall be stamped by the discipline of a registered architect and engineer of the prime SDVOSB Firm. THIS PROCUREMENT IS A 100% SET-ASIDE FOR SERVICE DISABLED VETERANS OWNED SMALL BUSINESS FIRMS. All interested parties MUST be registered "ACTIVE" in the System for Award Management (SAM) Database (www.SAM.gov) and Vendor Information Pages (VIP) at: www.vetbiz.gov database as a "Verified" SDVOSB firm if contractor is a SDVOSB, and must have current record in the Online Representations and Certifications Application (ORCA) prior to the response date of the solicitation. Failure of a proposed SDVOSB to be verified by the CVE at the time the SF330 is submitted will result in their elimination as a proposed contractor. The proposed services will be obtained by a Negotiated Firm-Fixed Price Contract. The NAICS Code for this acquisition is 541330 and the applicable Small Business Size Standard is not more than $14.0M average annual gross revenues for the past three fiscal years. The construction cost range for this project is between $5,000,000 and $10,000,000. The following evaluation criteria in accordance with FAR 36.6 will be used during the A/E selection process: (1) Professional qualifications necessary for satisfactory performance of required services; (2) Specialized experience and technical competence in the type of work required, including, where appropriate, experience in energy conservation, pollution prevention, waste reduction, and the use of recovered materials; (3) Capacity to accomplish the work in the required time; (4) Past performance on contracts with government agencies and private industry in terms of cost control, quality of work, and compliance with performance schedules; (5) Location in the general geographical area of the project and knowledge of local conditions and codes. Firms will be evaluated by the A/E Evaluation Board, scored, and ranked according to score. The three most qualified firms will be invited to interview with the selection board, and will again be scored. The firm with the highest score will be selected and asked to negotiate a fair and reasonable price. Due to the need of multiple site visits and coordination on design reviews, consideration is limited to A/E firms with a working office located within a 120 miles radius of the VA Medical Center, Perry Point, Maryland 21902. This distance is determined according to www.randmcally.com.\ Interested firms that meet the requirements listed in this announcement are invited to submit one (1) copy and one CD-ROM of SF 330 Part I and Part II to the Contracting Officer, Attn: Sophie Spencer, VA Medical Center, Building 101B, Room 8, Laundry Drive, Perry Point, MD 21902, and reference the announcement number and project title listed NLT 10:00 AM (EDT), May 12, 2016. SF 330 Forms can be obtained at: http://www.gsa.gov/Portal/gsa/ep/formslibrary. Fax submissions will not be accepted. Interested parties shall ensure current State Licensing, and shall have current registration in the System for Award Management (SAM) Database (www.SAM.gov) at the time of submission of SF 330 Forms. In addition to current annual Representations and Certifications must be filed online at https://orca.bpn.gov. THIS IS NOT A REQUEST FOR PROPOSAL. A solicitation will only be issued to the top ranked qualified SDVOSB A/E firm. Point of Contact is Sophie Spencer, 410-642-2411 x 2923, or Sophie.spencer@va.gov.

C--A/E SERVICES PROJECT No. 512A5-16-304 REPLACE BOILER No. 2 PERRY POINT - DESIGN

Department of Veterans Affairs, VA Maryland Health Care System | Published March 16, 2016  -  Deadline April 15, 2016
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ARCHITECT-ENGINEER (A/E) DESIGN SERVICES: This A/E Services contract is being procured in accordance with the Brooks Act (Public Law [PL] - 582) and implemented in the Federal Acquisition Regulation (FAR) Subpart 36. Firms will be selected for negotiation based on demonstrated competence and qualifications for the required work. VA Maryland Healthcare System is seeking qualified A/E firms to professional services necessary to develop complete drawings, specifications, cost estimates, project phasing site visits and construction period administration associated with the replacement of Boiler Number 2, and miscellaneous other upgrades and corrections within Building 315. This project will engage an architectural/engineering firm (A/E) to provide Schematic Design, Design Development, Contract Drawings, Specifications, Construction Cost Estimate, and Construction period services. The A/E will develop a design to complete the following but not limited to: " Replace Boiler Number 2 completely. o The replacement boiler should be capable of producing between 5000 lbs/hr of steam and 32000 lb/hr at 95 psig. " Designer to verify sizing of new boiler. Detailed production and usage data is available for the past 10 years, as well as design loads for additional planned construction. o Planning for access for installation of new boiler shall be included in the design o Identify for salvage for VA use the existing burner assembly as well as any controls or other equipment the VA decides it would like to keep. " Evaluation and redesign of de-aeration and boiler feed water make-up. o Evaluate and redesign feedwater and chemical feed systems to be capable of 100% make-up at maximum design loading conditions " Replacement of all building 315 floor drains and connection to sanitary sewer. " Replacement of sch 40 boiler feedwater piping with sch 80 seamless piping. " Removal of abandoned #6 oil heating system and all abandoned fuel piping and equipment. " Relocation of boiler chemical treatment tanks to old oil heating room. o Expansion of this space may be necessary o Design piping to fill chemical tanks from the adjacent loading dock " Removal of all abandoned piping within the plant " Correct drainage at building loading pit. The goal of this project is to completely replace boiler number two with a modern boiler capable of being a full sized back-up boiler as well as a primary summer boiler for low summer loads. The drawings shall meet all applicable federal, state, and local governing codes. Drawing shall be stamped by discipline by registered architects and engineers of the prime SDVOSB Firm. THIS PROCUREMENT IS A 100% SET-ASIDE FOR SERVICE DISABLED VETERANS OWNED SMALL BUSINESS FIRMS. All interested parties MUST be registered "ACTIVE" in the System for Award Management (SAM) Database (www.SAM.gov) and Vendor Information Pages (VIP) at: www.vetbiz.gov database as a "Verified" SDVOSB firm if contractor is a SDVOSB, and must have current record in the Online Representations and Certifications Application (ORCA) prior to the response date of the solicitation. Failure of a proposed SDVOSB to be verified by the CVE at the time the SF330 is submitted will result in their elimination as a proposed contractor. The proposed services will be obtained by a Negotiated Firm-Fixed Price Contract. The NAICS Code for this acquisition is 541330 and the applicable Small Business Size Standard is not more than $14.0M average annual gross revenues for the past three fiscal years. The construction cost range for this project is between $1,000,000 and $5,000,000. The following evaluation criteria in accordance with FAR 36.6 will be used during the A/E selection process: (1) Professional qualifications necessary for satisfactory performance of required services; (2) Specialized experience and technical competence in the type of work required, including, where appropriate, experience in energy conservation, pollution prevention, waste reduction, and the use of recovered materials; (3) Capacity to accomplish the work in the required time; (4) Past performance on contracts with government agencies and private industry in terms of cost control, quality of work, and compliance with performance schedules; (5) Location in the general geographical area of the project and knowledge of local conditions and codes. Firms will be evaluated by the A/E Evaluation Board, scored, and ranked according to score. The three most qualified firms will be invited to interview with the selection board, and will again be scored. The firm with the highest score will be selected and asked to negotiate a fair and reasonable price. Due to the need of multiple site visits and coordination on design reviews, consideration is limited to A/E firms with a working office located within a 120 miles radius of the VA Medical Center, Perry Point, Maryland 21902. This distance is determined according to www.randmcally.com.\ Interested firms that meet the requirements listed in this announcement are invited to submit one (1) copy and one CD-ROM of SF 330 Part I and Part II to the Contracting Officer, Attn: Sandra Anderson, VA Medical Center, Building 101B, Room 9, Laundry Drive, Perry Point, MD 21902, and reference the announcement number and project title listed NLT 2:30 PM (EDT), April 15, 2016. SF 330 Forms can be obtained at http://www.gsa.gov/Portal/gsa/ep/formslibrary. Fax submissions will not be accepted. Interested parties shall ensure current State Licensing, and shall have current registration in the System for Award Management (SAM) Database (www.SAM.gov) at the time of submission of SF 330 Forms. In addition to current annual Representations and Certifications must be filed online at https://orca.bpn.gov. THIS IS NOT A REQUEST FOR PROPOSAL. A solicitation will only be issued to the top ranked qualified SDVOSB A/E firm. Point of Contact is Sandra Anderson, 410-642-2411 x6005, or sandraa.anderson@va.gov

Y--PROJECT NO. 512-530 360 Warehouse Renovation and Expansion

Department of Veterans Affairs, VA Maryland Health Care System | Published June 29, 2016  -  Deadline July 14, 2016
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The U.S. Department of Veteran Affairs, VA Maryland Health Care System at the VA Medical Center, Perry Point, Maryland is seeking services of a qualified Service-Disabled Veteran Owned Small Business to provide all labor, materials, equipment and supervision required to renovate and expand Bldg. 360 Warehouse at the VA Medical Center, Perry Point, MD 21902, in Cecil County, in accordance with drawings and specifications. The proposed project involves the renovation of an existing warehouse of approximately 36,198 GSF and the construction of a new adjoining warehouse of approximately 19,500 GSF. The renovation includes new wall layouts and minor interior finishes. The new building is single story, steel framed with metal panel exterior skin and roof. Both buildings require new mechanical, electrical and plumbing systems. New storage shelving is also included as well as a new exterior parking and exterior utilities. The main structure of the new building is steel post and beam frame with brick base exterior insulated finish system (EIFS). The main roof structure will be a light gage steel truss system covered in plywood deck with asphalt shingles. The interior partitions are metal stud and drywall construction. Background Investigations, Security Clearance, and Employee Identification will be required for all contractor employees. Proper identification (valid citizen and non-citizen ID cards, valid passport or naturalization papers) will be required to access the VA facilities. All work is to be completed within approximately 365 calendar days after date of receipt of notice to proceed. This includes final inspection and clean-up. The NAICS Code for this procurement is 238990. To be considered a small business under this code the SBA size standard must not exceed $15.0 Million. The construction cost range for the project is between $5,000,000 and $10,000,000. The solicitation package is estimated to be posted on FBO, which can be accessed at http://www.fbo.gov on or about July 14, 2016. The Government will not provide paper copies of the solicitation. Bidders will be responsible for downloading their own copy of the solicitation package, drawings and subsequent amendments, if any. The solicitation will be issued pursuant to the authority of Public Law 109-461, 38 U.S.C. 8127 and 8128. Telephone, written, facsimile, or e-mail requests for the solicitation will NOT be honored. Potential bidders MUST register at Federal Business Opportunity located at FBO.gov in order to receive notifications and/or changes to the solicitation. Potential bidders are responsible for monitoring this site for the release of the solicitation package and any other pertinent information. The Interested Vendors List (IVL) will be activated and may be accessed and printed from the FBO website. A "Mandatory" pre-bid conference will be scheduled. The date will be announced in the solicitation package. The bid opening will be on or about August 12, 2016. The deadline for receipt of questions is 10 calendar days prior to bid opening. All questions must be submitted in writing to the Contracting Officer. All interested parties MUST be registered in the System For Award Management located at (SAM.gov) and have completed Online Representations and Certifications Application (ORCA); and Vendor Information Pages (VIP) Database located at VetBiz.gov and be "verified" prior to submitting your bid. The Contracting Officer for this procurement is Marvin A. Nunez, (410) 642-2411 x5671, email: marvin.nunez@va.gov. All bidders must ensure that their firms have the ability to provide 100% Performance and Payment Bonds, and 20% Bid Guarantee. Award of contract will be SUBJECT TO THE AVAILABLITY OF FUNDS.

Y--PROJECT NO. 512A5-13-329 - POTABLE WATER SYSTEM IMPROVEMENTS

Department of Veterans Affairs, VA Maryland Health Care System | Published March 14, 2016  -  Deadline April 29, 2016
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THIS PROCUREMENT IS A FULL AND OPEN COMPETITION. VISN 5 Network Contracting anticipates the award of a Lowest Price Technically Acceptable (LPTA) contract for Construction for Project No. 512A5-13-329 for a Potable Water System Improvements Project located at the VA Maryland Healthcare System, VA Medical Center located at Perry Point (Cecil County), and Maryland 21902. Contractor will be responsible to provide all supervision, labor, materials, and equipment in accordance with the design drawings and specifications that will be issued with this solicitation. The intent of this project is to make improvements to the potable water system serving the entire campus in accordance with design drawings and specifications that will be provided in the solicitation. All work shall include but not limited to the following: o Construct a new Water Treatment Plant adjacent to the existing plant o Demolition of the existing Water Treatment Plant o Renovations to the Raw Water Pumping Station o Cleaning of the Secondary Intake o Instrumentation and Control Improvements for enhanced system operations o Asbestos abatement (if required) o Install drainage outside building to properly capture and convey storm water runoff o Electrical o Mechanical (Plumbing, fire protection and HVAC) o Demolition and Removal of exciting structure The existing water system was constructed in the early 1900's and has undergone several upgrades over the years, however, much of the original structures are still in service. This project will correct Facility Conditions Assessment (FCA) deficiencies and provide for a more reliable and safer source of potable water to the patients, staff and visitors of the Medical Center. Background Investigations, Security Clearance, and Employee Identification will be required for all contractor employees and subcontractors. Proper identification (valid citizen and non-citizen ID cards, valid passport or naturalization papers) will be required to access the VA Medical Center. The NAICS code for this procurement will be 237110 for the Water and Sewer Line and Related Structures Construction. The current small business size standard for 237110 is $36.5M All work is to be completed within approximately 540 calendar days after date of receipt of notice to proceed. This includes final inspection and clean-up. The construction cost range for the project is between $10,000,000 and $15,000,000. The Government will not provide paper copies of the solicitation. Offerors will be responsible for downloading their own copy of the solicitation package, drawings and subsequent amendments, if any. Telephone, written, facsimile, or e-mail requests for the solicitation will NOT be honored. A "Mandatory" pre-bid conference will be scheduled. The date will be announced in the solicitation package. The deadline for receipt of questions will be announced in the solicitation package. All questions must be submitted in writing to the Contracting Officer on the Request for Information Form that will be provided with the solicitation package. Potential offerors MUST register at FedBizOpps www.fedbizopps.gov in order to receive notifications and/or changes to the solicitation. Potential offerors are responsible for monitoring this site for the release of the solicitation package and any other pertinent information. The Interested Vendors List (IVL) will be activated and may be accessed and printed from the FedBizOpps website. All interested parties MUST be registered "ACTIVE" in the System for Award Management (SAM) Database (www.SAM.gov) and Vendor Information Pages (VIP) at: www.vetbiz.gov database as a "Verified" SDVOSB firm if contractor is a SDVOSB, and must have current record in the Online Representations and Certifications Application (ORCA) prior to the response date of the solicitation. The Contracting Officer for this procurement is Sandra A. Anderson, (410) 642-2411 x6005, email: sandraa.anderson@va.gov and the Project Engineer is Matthew Hargrove, (410) 642-2411. All interested contractors must ensure that their firms have the ability to provide 100% Performance and Payment Bonds, and 20% Bid Guarantee. The Request for Proposal will be issued on or about March 28, 2016. Award of contract will be SUBJECT TO THE AVAILABLITY OF FUNDS.

Y--PROJECT NUMBER 512A5-14-302 REPLACE NURSE CALL SYSTEM AT VA MEDICAL CENTER PERRY POINT, MARYLAND

Department of Veterans Affairs, VA Maryland Health Care System | Published April 23, 2015  -  Deadline May 8, 2015
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Construction Project 512A5-14-302 100% Set-Aside for Service-Disabled Veteran-Owned Small Business (SDVOSB) VISN 5 Network Contracting anticipates the award to Replace Nurse Call System at Perry Point, MD VA Medical Center Evaluation Factors and Significant sub factors that establish the requirements of acceptability IAW FAR 15.101-2 Lowest Price Technically Acceptable Source Selection Process 1. Manufacturers Qualifications: The manufacturer of the nurse call equipment shall have manufactured a nurse call system for at least three years. a. Contractor shall provide information showing the manufacturer's nurse call equipment has been installed in a facility more than three years ago. b. Contractor shall provide Point of Contact information of the facility where the nurse call equipment was installed to include: Facility Name, Contact person, Phone #, Email Address. 2. Proposed Nurse Call Equipment: Materials and equipment furnished shall be of current production by a manufacturer regularly engaged in the manufacture of the proposed nurse call equipment, and for which replacement parts are available. a. Contractor shall provide 'data sheets' for the proposed nurse call equipment they will be installing. b. Perry Point VAMC utilizes the following beds that the proposed system shall interface with (see Nurse Call System Design, Section 27 52 23 in attached Scope of Work and Specifications): 1. Hill Rohm - Model Care Assist 2. Sizewise - Models Navigator and Evolution 3. Stryker - Model ZOOM1125 c. Contractor shall provide Point of contact information to include: Company Name, Contact person at the company, Phone #, Email Address, mailing address, and website information for the company that supplies replacement parts. d. Each patient station shall have the ability to connect a separate and isolated auxiliary alarm to it such as infusion pumps and ventilation equipment (Section 27 52 23 in attached Scope of Work) e. The Proposed Nurse Call System shall be compatible and scalable for future wireless communication interface. 3. Product Qualifications: Contractor shall have installed, in satisfactory operating condition, nurse call equipment on at least three installations within the last three years. a. Contractor shall provide the contract #, dollar value, Point of contact information of the facility where installation occurred to include: Facility Name, Contact person, Phone #, Email Address. 4. Technician Qualifications: Installation of the nurse call system shall be provided by individuals/technicians who have been trained and certified by the manufacturer to install the proposed nurse call equipment. a. Contractor shall provide a copy of the manufacturer's certification for all individuals/technicians who will be installing the proposed nurse call equipment. 5. Service Qualifications: There shall be a permanent service organization maintained or trained by the manufacturer which will render satisfactory service for the proposed nurse call system installation within 8 hours of receipt of notification that service is needed. a. Contractor shall provide Point of contact information to include: Company Name, Contact person at the company, Phone #, Email Address, physical address for the company for the company that will provide service. b. Contractor shall provide a certificate stating the service organization is authorized by the manufacturer of the proposed nurse call system to service their equipment. 6. All work will be in accordance with attached drawings and specifications. 7. All interested parties MUST have current registration in the System for Award Management (SAM) database at https://www.sam.gov/prtal/public/SAM/ at the time of proposal submission. Only SDVOSB firms currently verified in the Veterans Information Pages (VIP) at www.vetbiz.gov are eligible to submit proposals. SDVOSB firms may register in VIP at http://vip.vetbiz.gov. SDVOSB firms that submit proposals on SDVOSB set-asides that are NOT listed on VIP will be deemed NONRESPONSIVE. Note: IAW CFR Title 48, 852.219-10 VA Notice of total service-disabled veteran-owned small business set-aside. (4) "Construction by special trade contractors, at least 25 percent of the cost of the contract performance incurred for personnel will be spent on the concern's employees or the employees of other eligible service-disabled veteran-owned small business concerns." Construction Cost Range: Between $1,000,000 and $5,000,000 Project Duration: 24 Months after date of receipt of Notice to Proceed. This includes final inspection and clean-up U.S. Small Business Administration NAICS size standard for 238990 is 15 Million. Employee Identification and Security Clearance will be required for all contractor employees. Proper identification (valid citizen and non-citizen ID cards, valid passport or naturalization papers) will be required to go through the required access for VA Medical Center. The Request for Proposal (RFP) Solicitation will be issued on or about May 15, 2015. All information for this solicitation will be posted on FedBizOpps http://www.fedbizopps.gov. The Government will not provide paper copies of the solicitation. Offerors will be responsible for downloading their own copy of the solicitation package, drawings and subsequent amendments, if any. The solicitation will be issued pursuant to the authority of Public Law 109-461, 38 U.S.C. 8127 and 8128. Telephone, written, facsimile, or e-mail requests for the solicitation will NOT be honored. Potential offerors MUST register at FedBizOpps www.fedbizopps.gov in order to receive notifications and/or changes to the solicitation. Potential offerors are responsible for monitoring this site for the release of the solicitation package and any other pertinent information. The Interested Vendors List (IVL) will be activated and may be accessed and printed from the FedBizOpps website. Contractor will be required to submit documentation that specifies the contractor in question has no more than three serious, or one repeat, or one willful OSHA or EPA violation(s) in the past 3 years and has an Experience Modification Rate (EMR) of equal to or less than 1.0. The Contracting Officer for this procurement is Nochelle Elliott, (410) 642-2411 extension 2818, email: nochelle.elliott@va.gov. All interested contractors must ensure that their firms have the ability to provide a bid guarantee and 100% Performance and Payment Bonds. All evaluation criteria submitted will be verified by the Government. Award of contract will be SUBJECT TO THE AVAILABLITY OF FUNDS.

C--VA245-16-R-0076 512A5-16-303 UPGRADE MEDICAL GAS SYSTEM/DESIGN SERIVES

Department of Veterans Affairs, VA Maryland Health Care System | Published May 23, 2016  -  Deadline June 24, 2016
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THIS PROCUREMENT IS A 100% SET-ASIDE FOR SERVICE DISABLED VETERANS OWNED SMALL BUSINESS FIRMS. All interested parties MUST be registered "ACTIVE" in the System for Award Management (SAM) Database (www.SAM.gov) and Vendor Information Pages (VIP) at: www.vetbiz.gov database as a "Verified" SDVOSB firm if contractor is a SDVOSB, and must have current record in the Online Representations and Certifications Application (ORCA) prior to the response date of the solicitation. Failure of a proposed SDVOSB to be verified by the CVE at the time the SF330 is submitted will result in their elimination as a proposed contractor. The proposed services will be obtained by a Negotiated Firm-Fixed Price Contract. The NAICS Code for this acquisition is 541330 and the applicable Small Business Size Standard is not more than $14.0M average annual gross revenues for the past three fiscal years. The construction cost range for this project is between $1,000,000 and $5,000,000. The following evaluation criteria in accordance with FAR 36.6 will be used during the A/E selection process: (1) Professional qualifications necessary for satisfactory performance of required services; (2) Specialized experience and technical competence in the type of work required, including, where appropriate, experience in energy conservation, pollution prevention, waste reduction, and the use of recovered materials; (3) Capacity to accomplish the work in the required time; (4) Past performance on contracts with government agencies and private industry in terms of cost control, quality of work, and compliance with performance schedules; (5) Location in the general geographical area of the project and knowledge of local conditions and codes. Firms will be evaluated by the A/E Evaluation Board, scored, and ranked according to score. The three most qualified firms will be invited to interview with the selection board, and will again be scored. The firm with the highest score will be selected and asked to negotiate a fair and reasonable price. Due to the need of multiple site visits and coordination on design reviews, consideration is limited to A/E firms with a working office located within a 120 mile radius of the Perry Point Campus, Perryville, Maryland. This distance is determined according to www.randmcally.com. Interested firms that meet the requirements listed in this announcement are invited to submit one (1) copy and one CD-ROM of SF 330 Part I and Part II to the Contracting Officer, Attn: Theresa Moyer, VA Medical Center, Building 101B, Room 1, Laundry Drive, Perry Point, MD 21902, and reference the announcement number and project title listed NLT 2:30 PM (EDT), June 23, 2016. SF 330 Forms can be obtained at: http://www.gsa.gov/Portal/gsa/ep/formslibrary. Fax submissions will not be accepted. Interested parties shall ensure current State Licensing, and shall have current registration in the System for Award Management (SAM) Database (www.SAM.gov) at the time of submission of SF 330 Forms. In addition to current annual Representations and Certifications must be filed online at https://orca.bpn.gov. THIS IS NOT A REQUEST FOR PROPOSAL. A solicitation will only be issued to the top ranked qualified SDVOSB A/E firm. Point of Contact is Theresa Moyer, 410-642-2411 x2853, or Theresa.moyer@va.gov.

Y--MODERNIZATION OF TRACTION ELEVATORS PROJECT NO. 512A5-14-303

Department of Veterans Affairs, VA Maryland Health Care System | Published April 30, 2015  -  Deadline May 15, 2015
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THIS PROCUREMENT IS A 100% SET-ASIDE FOR SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS (SDVOSB) FIRMS. VISN 5 Network Contracting anticipates the award of a firm-fixed-price contract for Modernization of Traction Elevators for Building 23H (P-1 and P-2), Project No. 512A5-14-303 at the VA Maryland Healthcare System, VA Medical Center located at Perry Point, Maryland 21902. Contractor will be responsible to provide all supervision, labor, materials, and equipment to modernize two existing traction elevators. After modernization each elevator shall have the capacity to lift a live load of 4000 pounds (exclusive of the weight of the car and ropes) at a speed 200 fpm. All work shall be in accordance with the Scope of Work that will be provided in the solicitation package. All work unless otherwise noted will be in accordance with drawings and specifications that will be issued with the solicitation package. Employee Identification and Security Clearance will be required for all contractor employees. Proper identification (valid citizen and non-citizen ID cards, valid passport or naturalization papers) to go through the required access for VA Medical Center. All work is to be completed within approximately 180 calendar days after date of receipt of notice to proceed. This includes final inspection and clean-up. The applicable North American Industry Classification System Code for this procurement is 238290. To be considered a small business under this code the SBA size standard must not exceed $15.0 Million. The construction cost range for the project is between $500,000 and $1,000,000. The Request for Proposal (RFP) solicitation will be issued on or about May 15, 2015. All information for this solicitation will be posted on FedBizOpps http://www.fedbizopps.gov. The Government will not provide paper copies of the solicitation. Offerors will be responsible for downloading their own copy of the solicitation package, drawings and subsequent amendments, if any. The solicitation will be issued pursuant to the authority of Public Law 109-461, 38 U.S.C. 8127 and 8128. Telephone, written, facsimile, or e-mail requests for the solicitation will NOT be honored. Potential offerors MUST register at FedBizOpps www.fedbizopps.gov in order to receive notifications and/or changes to the solicitation. Potential bidders are responsible for monitoring this site for the release of the solicitation package and any other pertinent information. The Interested Vendors List (IVL) will be activated and may be accessed and printed from the FedBizOpps website. All interested parties MUST be registered in the Vendor Information Pages (VIP) database, available at www.vetbiz.gov. Additionally, firms must apply for and receive verification from the Department of Veteran Affairs for Center for Veterans Enterprise (CVE) in accordance with 38 CFR Part 74 and VAAR 819.70. Offerors must be both VISIBLE and VERTIFIED by the Department of Veteran Affairs Center for Veterans Enterprises prior to the due date of proposals. Failure to be both VERTIFIED by CVE and VISIBLE inVetBiz by the due date for proposals shall result in the offeror's proposal being deemed non-responsive. Lastly, prospective offerors shall be registered in the System for Award Management (SAM) database prior to the receipt of their proposal. The Contracting Officer for this procurement is Sandra A. Anderson, (410) 642-2411 x6005, email: sandraa.anderson@va.gov . All interested contractors must ensure that their firms have the ability to provide 100% Performance and Payment Bonds. Award of contract will be SUBJECT TO THE AVAILABLITY OF FUNDS.

Q--CNH Martinsburg - Virginia counties

Department of Veterans Affairs, VA Maryland Health Care System | Published September 8, 2015  -  Deadline September 14, 2015
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Nursing Home Performance Work Statement (PWS) 1. TERM OF CONTRACT: a. Federal Acquisition Regulation (FAR) - Basic Ordering Agreements. In accordance with FAR 16.703, Basic Ordering Agreements, this is a Basic Ordering Agreement (BOA) for the time period of (1 year) from date of award plus (4) one year options. A contract is formed, in accordance with the terms and conditions of this BOA, when the Department of Veterans Affairs (VA) agrees to place a patient in the Community Nursing Home (CNH) and the CNH agrees to accept the patient. Upon acceptance by the Contractor of beneficiaries of VA, all clauses and terms and conditions of this BOA shall apply and become a part of the resultant contract during such time as a VA patient remains in that CNH at the expense of VA. b. Orders. VA personnel designated in writing will issue written authorizations for Veterans to the contractor. Location primarily will be selected based on the Veteran's needs and proximity to the Veteran's home. c. A BOA shall be changed only by modifying the agreement itself and not by individual orders issued under it. Modifying a basic ordering agreement shall not retroactively affect orders previously issued under it. See FAR 16.703(c)(2). d. Services Rendered at VA Per Diem Rates. Upon acceptance of a VA patient by the CNH, if and when requested by the VA Contracting Officer or authorized representative, the Contractor shall furnish all supplies and services herein described, at the per diem rates for the services specified on the MEDICARE PRICING Table in the Schedule of Items of this BOA. VA rates are generally based on CMS RUGs rates. See Section D.1 (Contract Documents, Exhibits or Attachments) for RUGs Descriptions. VA is only obligated to pay for patients that are placed in accordance with this BOA. 2. SERVICES: a. The services specified in the Sections entitled Schedule of Supplies/Services and Special Contract Requirements may be changed by written modification to this contract. The services to be performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the medical staff by laws of the VA facility. 3. Background a. Introduction. The Community Nursing Home (CNH) program is a key component of the Veterans Health Administration (VHA) continuum of care. The Contractor agrees to provide in accordance with the terms and conditions stated herein to the U.S. Department of Veterans Affairs VA Martinsburg Health Care System, in Martinsburg, WV at the prices specified in the section titled Schedule of Items of this BOA. Nursing home facilities in the CNH program shall cooperate with VA staff in referral of appropriate veterans for care and accept veterans of which they have the capability/capacity to provide care. The term, "facilities," shall include but not be limited to rooms, wards, sections, eating areas, drinking fountains, entrances, and other like areas. VA shall have the right to inspect the CNH and all appurtenances by authorized VA representative(s) to ensure that acceptable standards are maintained and that the necessary care to maintain the well-being of the patient is rendered. DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK 1. Under the authority of Public Law 104-262 and 38 USC § 1720, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to the Martinsburg Veterans Affairs Medical Center, the services and prices specified in the section titled Schedule of Items of this agreement. Nursing Homes in the CNH program shall ensure that care meets the health needs and promotes the maximum well-being of VA patients. Nursing home care will be furnished to ensure the total medical, nursing, and psychosocial needs of VA beneficiaries. Full attention shall be given to motivating and educating patients to achieve and maintain independence in the activities of daily living. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care 2. All nursing homes in VA's CNH program must have current Center for Medicare and Medicaid Services (CMS) certification (Medicare and/or Medicaid) and must maintain a current and unrestricted state nursing home license. Changes in the status of the licensure will be immediately reported to the Martinsburg VA Medical Center Home and Community Programs at 304-263-0811 ext. 3268. The CNH also must report immediately to the Martinsburg VAMC the following conditions: (a) De-certification for Medicare and Medicaid Programs; (b) SSA findings of CNH not in substantial compliance with standards 3. State Licensure; Access to CNH Quality of Care Reports (QASP Indicator #1). The CNH must maintain a current and unrestricted state license to operate as a skilled nursing facility. Changes in the status of the licensure will be immediately reported to the Martinsburg VA Home and Community Care Department at 304-263-0811 ext. 3268. VA will monitor the professional care and administrative management of services provided to VA beneficiaries, through one or any combination of the following methods: reviews of State agencies reports; on-site inspection of the CNH by VA staff; and/or on-site monitoring of VA patients. The CNH shall provide VA with copies of all State agency reports when requested, and cooperate fully with VA's quality improvement or quality assurance program functions, including VA's on-site inspection and monitoring. The VA Contracting Officer shall make all final determinations as to the Contractor's reasonable cooperation with VA and compliance with these requirements. a. It is agreed that the CNH shall provide VA with copies of all state agency reports when requested, and cooperate fully with VA's quality improvement/quality assurance program functions relating to this agreement, including VA's on-site inspection and monitoring. The VA Contracting Officer shall make all final determinations as to the contractor's reasonable cooperation with VA and compliance with these requirements. 4. VA Authorizations. Authorization for nursing home care will be submitted on VA Form 10-7078, "Authorization and Invoice for Medical and Hospital Services." Each authorization validity period will be noted on the VA Form 10-7078 with a beginning and end date. Any extension to the original authorization validity period, regardless of the number of days, requires a new VA Form 10-7078 5. VA often has a particular need for specialty care services in the CNH program. The VA requires CNHs to have bed capacity to ensure their ability to take referrals when requested. The CNH also must be able to accept VA referrals in a timely fashion (ideally within 24 hours of request). 6. The nursing home shall accept referrals and shall provide all services specified in this contract for any person determined eligible by the VA Under Secretary for Health regardless of race, color, religion, sex or national origin of the person for whom such services are ordered. 7. Primary care/provider (medical doctor, nurse practitioner, and/or physician assistant) visits will be available at the rate of one (1) visit per month. Laboratory, x-ray, and other special services will be available to VA patients as needed. In addition, the care provided will include room, meals, nursing care, and other services or supplies commensurate with the VA-authorized level of care, without extra charge. Duly authorized representatives of VA will provide quality oversight visits to veterans placed to assure continuity of care and to assist in the veterans' transition back into the community. These visits do not substitute nor relieve the CNH in any way of the responsibility for the daily care and medical treatment of the veteran. The per diem rate(s) established in this BOA will include the cost of nursing care, room and board, meals, primary medical care, one (1) provider visit per month and needed consultation, drugs and routine supplies, laboratory, x-ray, and other special services authorized by VA, unless otherwise specifically excepted (see Schedule of Items in this BOA for details regarding per diem rates and coverage). Full attention shall be given to motivating and educating patients to achieve and maintain independence in the activities of daily living. Every effort shall be made to keep patients ambulatory and to achieve an optimal level of self-care. 8. Primary Medical Coverage. The assigned CNH provider is the primary medical provider during the nursing home stay and is responsible for writing or approving admission and all other orders as soon as the veteran arrives at the CNH. The CNH provider is responsible for general medical care, urgent evaluation and intervention. Provider visits will be according to the Center for Medicare and Medicaid Services (CMS) guidelines. The assigned nursing home provider will provide timely care following the most current CMS guidelines; arranging 24/7 access for patient care; arranging easy access to staff for consultation; providing timely response to calls and arranging for timely provider back-up according to OBRA guidelines (42 CFR 483.40, OBRA Guidelines). The CNH physician visits are part of the all-inclusive CNH rate. 9. Provider visits, laboratory, x-ray, and other special services for VA patients will be at the same frequency as that provided to other patients at the CNH receiving the same or comparable level of care. In addition, the care provided will include room, meals, nursing care, and other services or supplies commensurate with the VA authorized level of care, without extra charge. 10. VA developed quality of care standards utilizing CMS inspection criteria that are followed by VA in its selection of nursing homes. See VHA Handbook 1143.2 which outlines threshold standards and VA exclusionary criteria that must be met which includes: evaluation of data provided by the Centers for Medicare and Medicaid's (CMS) On-Line Survey Certification and Retrieval System (OSCAR) and the Minimum Data Set (MDS) Nursing Home Quality Indicator (QI) Profile, and CNH staffing levels. These data elements are reported in CMS' Nursing Home Compare at http://www.medicare.gov/nhcompare/home.asp. Current quality measure and current individual MDS information will be made available by the contractor to the VAMC. The VA will use an exclusionary review tool developed by VHA. The standards of the exclusionary review state that a contracted community nursing homes are to be excluded from our program when they fail four of our(7) criteria. The failure criteria includes: (3) or more tags with an Oscar Level of G-L or the equivalent of scores of 3 or higher on Medicare compare; total health care deficiencies are greater than twice the state average; Oscar levels of E-L or nursing home compare scores of 2 or higher on any of the following tags: F221, F222, F223, F225, F226, F241 and F491; RN hours per resident per day are below the state average; total number of staffing hours are below the state average; Oscar levels E-L or nursing home compare scores of (2) or higher found under any of the following tags: F353, F495, F496, F497, F498, F499; and (4) or more CMS quality measures are greater than the state average. 11. Corrective Action Plan (QASP Indicator #2): The CNH will cooperate with timely development of Corrective Action Plans (CAPs) related to identified deficiencies and related to State, Federal or VA surveys. The CNH will develop in the time period specified by VA timely and appropriate CAPs for VA surveys or investigation of complaints related to quality of care or sentinel events. A sentinel event may include but is not limited to the following: 1) a fall resulting in death or injury; 2) elopement resulting in missing patient; 3) patient abuse confirmed or under suspicion; 4) medication error resulting in patient illness or injury; 5) death or patient injury related to restraint (including side rails) use; or 6) death related to unconfirmed or suspicious cause. The CNH will also supply related documents or data as specified by VA. The CAPs will include but are not limited to the following criteria and shall: a. contain elements detailing how the CNH will correct the deficiency as it relates to the individual; b. indicate how the CNH will act to protect residents in similar situations; c. include the measures the CNH will take or systems that will be altered to ensure that the problem will not recur. The CNH must look at the system and determine if a change to the existing system will work, if a new system is necessary, or if a system does not exist and must be developed; d. indicate how the CNH plans to monitor performance to make sure that solutions are permanent. The CNH must develop a quality assurance tool for ensuring that correction is achieved and sustained. This tool must be implemented. Failure to implement a quality assurance tool to sustain compliance will reflect that the CNH has an ineffective quality assurance system e. provide dates when corrective action will be completed. 12. In those cases of serious deficiencies affecting the health or safety of Veterans, or in cases of continued uncorrected deficiencies, VHA will take one or more of the following actions in accordance with the terms and conditions of the BOA and applicable procurement regulations: a) Increase VA staffing monitoring until the state survey agency clears the deficiency; b) Suspend placement of Veterans to the nursing home; c) Remove or transfer Veterans under VA agreement from the nursing home; d) Not renew the BOA; e) Terminate the BOA. 13. Termination of Services. VA reserves the right to remove any or all VA patients from the CNH at any time when it is determined to be in the best interest of VA or the patients without additional costs to the Government. 14. Emergency Care; Financial Responsibility; Advanced Directives. In emergencies, nursing home staff will utilize the 911 local emergency systems for any resident. Advance directives/living wills shall be adhered to according to CNH physician's orders. While under VA contract, Service connected Veterans may qualify for VA coverage of emergency care provided by the Martinsburg VA Medical Center when contacted by the nursing home within 48 hours of being sent out via 911. This includes the cost of necessary transportation for such care. 15. HIPAA Compliance. HIPAA compliance is required. The Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). In accordance with HIPAA, the Contractor may be required to enter into a Business Associate Agreement (BAA) with VA, but VACO has recognized CNH Facilities as an entity that does not require a BAA as long as they are conducting health care on VA's behalf. The CNH care program qualifies as a medical service, so no BAA is required. 16. Life Safety Code. The CNH's building shall conform to the most recent standards of the Life Safety Code (National Fire Protection Association Standard #101) in effect on the date of the BOA award and compliance with all applicable Federal, State and local regulations. The administrator of the CNH is required to notify the VA Contracting Officer in writing at least thirty (30) calendar days prior to any planned facility changes that could impact the Life Safety Code and other safety features of the facility which were in existence at the time this BOA became effective. The VA Contracting Officer will notify the VA Safety Manager responsible for the Life Safety Code inspection of the CNH and he/she will review (inspect the facility if required) the proposed changes and provide necessary approval or disapproval of the CNH to house veterans during and/or after the proposed changes. These changes may include but are not limited to: a. Interior changes requiring VA approval. Some examples of facility changes that require the VA Contracting Officer notification are as follows: interior finish, corridor partitions/walls, patient room doors, linen or trash chutes, exits, emergency lighting, fire alarm systems, automatic sprinklers, smoke barrier walls or doors, oxygen systems, compressed gas storage, HVAC, electrical and fuel gas systems; b. Automatic sprinkler system. All VA contracted CNH facilities are to be fully-equipped with a fully-automatic sprinkler system installed in accordance with the National Fire Protection Association's (NFPA) standards and be 100% sprinkled; c. Natural disasters. In the event of a natural disaster (flood, tornado, etc.), the CNH shall communicate all action plans to VA. The action plans will at a minimum identify temporary transfers of location, dates, and names of veterans transferred; and d. Major construction; additions; and renovations. Major construction including building additions or other renovations which may affect physical plant integrity; SHALL MEET latest NFPA 101 Life/Safety Code requirements as well as any additional VA CNH construction standards in place at time of renovation or alteration. 17. Acceptable Safety and Sanitation Practices. Acceptable safety and sanitation practices shall be observed throughout the facility. The CNH will address employee and patient safety practices through staff orientation, training and adherence to related policy or procedures to provide a safe and clean environment. 18. Re-admission to the VA Hospital and Emergency Care; Notification of Death of Veterans; CNH Responsibility to Veteran's Belongings or Personal Effects (QASP Indicator #3). VA beneficiaries who begin to require more than the level of care authorized by VA will be readmitted to an appropriate VA facility, as determined and authorized by VA. a. When such an admission is not feasible because of the nature of the emergency, hospitalization in a non-Federal facility may be accomplished provided VA authorization is obtained. VA authorization must be obtained within 48 hours of admission of the patient to a non-Federal facility. If hospitalization of a non-emergency nature is required, readmission to a VA Medical Center may be accomplished as soon as the patient's condition is sufficiently stabilized to permit admission to a VA Medical Center. b. In the event of a death of any veteran, the Contractor agrees to notify VA immediately of the death. In the event a death of a VA beneficiary while receiving nursing home care, the CNH will promptly notify the VA facility which authorized admission and immediately assemble, inventory, and safeguard the patient's personal effects. The funds, deposits, and effects left by the VA patients upon the premises of the CNH shall be delivered by the CNH to the person(s) entitled thereto under the laws currently governing the CNH for making disposition of funds and effects left by patients, unless the beneficiary died without leaving a will, heirs or next of kin capable of inheriting. c. When disposition has been made, the itemized inventory with annotation as to the disposition of the funds and effects will be immediately forwarded to the VA facility authorizing admission. Should a deceased patient leave no will, heirs, or next of kin, his/her personal property and funds wherever located vests in and becomes the property of the United States in trust. In these cases, the CNH will forward an inventory of any such property and funds in its possession to the VA facility authorizing admission and will hold them (except articles of clothing necessary for proper burial) under safeguard until instructions are received from VA concerning disposition. CMS regulations require retention of nursing home records for five (5) years when there is no requirement in State law. 19. Leave of Absence (LOA) - Bed-Hold Statement. To hold the CNH bed for the Veteran, VA may authorize up to 5 days while the Veteran is hospitalized; however, if the Veteran is not expected to return within 5 days, only if the VAMC is notified, will 48 hours of bed hold be granted. If the Veteran returns to the facility and the CNH places the Veteran under his Medicare, the CNH will not be eligible to receive a bed hold. The CNH physician may authorize a pass (days away from the nursing home) from the CNH according to the CNH policies for long-term placements. The leave must be part of a therapeutic plan and approved by VA. Leave days at VA expense are limited to two days within a calendar month. Leave days at VA expense are limited to 6 days per calendar year. Exceptions may be approved by the VA facility Geriatric and Extended Care designee a. Bed-hold will begin the date the resident leaves the CNH and full per diem will only resume on the date of readmission to the CNH. Absences of fifteen (15) consecutive calendar days or more, whether in a VA or in a non-Federal facility require a new authorization from VA. The nursing home is responsible to notify the family if a bed hold is required for a longer period. The family would then make arrangements with the home to hold the bed. VA will reimburse the CNH 70% per day of the lowest RUG rate for bed hold and LOA. 20. Reportable Events (QASP Indicator #4). VA requires CNHs to report to the CNH Coordinator at VA any of the following events within 24 hours or immediately the first business day after a weekend or holiday: 1) sentinel events; 2) when there is a pending change of ownership of the CNH; 3) when there is a change of nursing home administrator or Director of Nursing/Director of Nursing Service; 4) substantiated allegations of mistreatment, neglect, abuse or misappropriation of CNH veterans or property; 5) elopements of CNH veterans pursuant to state regulations; 6) infectious outbreaks; 7) resident to resident or resident to staff altercations involving a CNH veteran resulting in any injury that is other than minor; 8) copies of annual surveys or substantiated complaint investigations conducted by a State oversight agency; and 9) adverse events. Reporting shall include date of occurrence and patient disposition and outcome. A sentinel event may include, but is not limited to the following: 1) a fall resulting in death or injury; 2) elopement resulting in a missing patient; 3) patient abuse confirmed or under suspicion; 4) a medication error resulting in patient illness or injury; 5) death or patient injury related to restraint (including side rails) use; or 6) death related to an unconfirmed or suspicious cause. When an adverse event occurs involving a CNH Veteran which is not determined to be a Sentinel Event( but that the State requires that the occurrence be reported to the State), such event is also to be reported to VA's CNH program office. Some adverse events, such as minor medication errors without catastrophic outcomes, are managed by the CNH in the context of their quality improvement programs. It is not necessary for nursing homes to report such incidents to the CNH program office. 21. VA Actions Regarding Serious Quality of Care Deficiencies. In cases of serious deficiencies affecting the health or safety of veterans or in cases of continued uncorrected deficiencies, VA will take one or more of the following actions: a. Increase VA staffing monitoring until the State survey agency clears the deficiency; b. Suspend placement of veterans in the CNH; c. Remove or transfer veterans under the BOA from the subject CNH; d. Terminate the BOA. It is agreed that duly authorized representatives of VA will provide supervisory visits to Veterans placed to assure the continuity of care and to assist in the Veteran's transition back into the community. It is understood that these visits do not substitute nor relieve the nursing home in anyway of their responsibility for the daily care, medical treatment of the Veteran, and transitioning Veterans back into the community. 22. VA Staff Access to CNH Records (QASP Indicator #5). All medical records concerning the veteran's care in the CNH will be readily accessible to VA. The CNH is required to provide VA staff access to information in the electronic medical record of the Veteran if requested. Upon discharge or the death of a patient, medical records will be retained by the CNH for a period of at least five (5) years following termination of care. Patient records will be maintained in conformance with the Privacy Act of 1974 (5 U.S.C. § 552a). A medical record shall be maintained for each patient, which includes at least the following: a. VAHCS Referral Package to the CNH: 1) Copy of Physician Orders for Nursing Home Care; CPRS Notes; Discharge Summary including History & Physical information with Medication List; Rehabilitation Progress Notes; and Veteran Demographic Record which includes next of kin information. 2) Copy of Authorization Agreement (VAF 10-7078). 23. The VA beneficiary will be provided nursing home care at the expense of the VA for a period not in excess of that stated in the nursing care and treatment plan received from the VA unless an extension of the authorization is provided in writing by the placing VA facility. The authorization agreement, VA Form 10-7078 will terminate whenever a VA patient is hospitalized for fifteen (15) calendar days or more, whether in a VA or in a non-Federal facility. A new authorization agreement will be required for the return of the patient to the CNH. a. Level of Care Classification Effective Records: The level of care classification and associated per diem rate will remain in effect for each placement until and unless one of the following events takes place: 1. The recipient is discharged and subsequently qualifies for a new admission assessment. 2. The nursing home submits an assessment requesting a change in the level of care classification and VA approves it. Classification changes may also occur based on a determination by VA. VA will make the determination whether classification changes require re-admission to VA. 24. Nursing Home Clinical Record: The CNH must maintain clinical records on each veteran in accordance with accepted professional standards and practice. The clinical record must be: complete, accurately documented, readily accessible, systematically organized, and legible. Clinical records must contain at a minimum: 1) Sufficient information to identify the resident; 2) A record of the veteran's assessments, including those assessments performed by services under the BOA with the CNH; 3) Minimum Data Set (MDS) information 4) The plan of care and services including medication administration, provided by CNH staff and services provided under the BOA with the CNH; 5) Interdisciplinary progress notes to include effect of care provided, veterans' response to treatment, change in condition, and changes in treatment; 6) Medical practitioner orders which are signed and dated; 7) Allergies; 8) Person to contact in an emergency situation; 9) Name of attending medical practitioner; and 10) Advanced directives if available. a. Clinical Record Safeguards: The CNH must safeguard clinical record information against loss, destruction, or unauthorized use. If the CNH maintains a veteran's record by computer, electronic signatures are acceptable. If attestation is done on computer records, safeguards to prevent unauthorized access and to provide for reconstruction of information must be in place. 25. VA Health Care System Consultation/Resources. For assistance with VHA non-urgent clinic or specialty appointments/consultations, Admissions and transportation needs, please contact the VA Community programs office at 304-263-0811 ext. 3268 . For after hours assistance, please contact the VAMC Administrator on duty 304-263-0811. 26. Charitable Contributions. The CNH will not solicit contributions, donations, or gifts from patients or family members. Note: Established charitable fundraising activities of a CNH fall outside the scope of this language. 27. Minimum Quantities. It is impossible to determine the exact or estimated amount, which will be expended under this BOA. No obligation will be incurred by VA under this BOA, until authorizations are issued for nursing home care of specific beneficiaries. VA agrees to make payment on a timely basis for services rendered in accordance with such authorizations upon receipt of proper invoices submitted by the CNH as outlined in this BOA. VA will make payment for the day a recipient enters the CNH but not the day the recipient leaves a CNH unless entrance and departure are on the same day, then payment will be made for one (1) day. 28. Medicare-Based Rates. The Resource Utilization Grouping (RUG) rate(s) will include the cost of medical care, medications, laboratory, x-ray, therapy (ies), and other special services authorized by VA, unless otherwise specifically exempted. VA will contract for appropriate Medicare categories of care using Resource Utilization Groups (RUGs-IV) as a reference. A description of the RUGs-IV systems can be found in 42 CFR Parts 409, et al. 29. Medicare Rate Determination. The per diem rate is established by the current Medicare rate for Medicare- approved nursing homes including the cost of supplies, services, and equipment. Rates established after the Effective Date of this BOA will require a modification to the BOA. The RUGS IV rates include room, board, and routine nursing care, rehabilitation therapy (including physical, speech and occupational therapy), respiratory therapy, oxygen therapy, medical and nursing supplies (including items such as urological and colostomy supplies), most oral medications, most items of durable medical equipment (excluding ventilators), x-rays, and routine laboratory tests (see Schedule of Items in this BOA for details on rates). Any additional requests for payment to the all-inclusive per diem rates must be pre-approved. 30. The CNH's Minimum Data Set (MDS) Assessment for Medicare: The CNH's Minimum Data Set (MDS) assessment will be completed on the same schedule as the current Medicare MDS-Scheduled assessments, including close of therapy (COT) assessments. Classification changes will be provided to and approved by VA, dependent on projection for short-term or long-term residence, and adhering to the most current MDS frequency guidelines from Medicare or as requested. The applicable per diem rate will continue until the next assessment. VA will make the determination whether classification changes require readmission to VA. This request should be submitted on the Level of Care Authorization Form provided to the facility. VA staff will audit approximately 20% of the MDS assessments. The Level of Care classification and associated per diem rates will remain in effect for each placement until and unless one of the following events takes place: a. Re-hospitalization that may be associated with a change in level of care; b. Need for more intensive therapy; c. Significant change in condition; or d. Classification changes may also occur based on a determination by VA. 31. Rehabilitation Criteria. All therapy provided will be individual therapy, rather than group therapy, unless otherwise ordered by the authorizing VA facility. Therapy services requires pre-approval by VA before services are provided. Medical criteria will be used for physical therapy, occupational therapy, and speech therapy. Therapy must be skilled, related to Medicare criteria. a. Description of Rehabilitative Therapy. The concept of rehabilitative therapy includes recovery or improvement in function and, when possible, restoration to a previous level of health and well-being. Therefore, evaluation, re-evaluation and assessment documented in the Progress Report should describe objective measurements which, when compared, show improvements in function, or decrease in severity, or justification for an optimistic outlook to justify continued treatment. Covered therapy services shall be skilled rehabilitative therapy services requiring the skills of a licensed therapist. b. Evaluations/re-evaluations should consider the following: Establishment of treatment goals specific to the patient's disability or dysfunction and designed to specifically address each problem identified in the evaluation; design of a plan of care addressing the patient's disorder, including establishment of procedures to obtain goals, determining the frequency and intensity of treatment; continued assessment and analysis during implementation of the services at regular intervals; instruction leading to establishment of compensatory skills; selection of devices to replace or augment a function (e.g., for use as an alternative communication system and short-term training on use of the device or system); and patient and family training to augment rehabilitative treatment or establish a maintenance program. Education of staff and family should be ongoing. 32. VA Payments. Payments made by VA under any contract pursuant to this BOA, constitute the total cost of nursing home care. No additional charges will be billed to Medicare (with the exception of hospice), Medicaid, or private insurance, the beneficiary or his/her family, either by the CNH or any third party furnishing services or supplies required for such care, unless and until specific prior authorization in writing is obtained from the VA facility authorizing placement. The patient, family and any other entitlement programs (e.g., Medicare, Medicaid, etc.) will not be billed for uncovered services or costs during the VA contract period. This constitutes double-billing and Federal fraud. 33. CNH Billing (QASP Indicator #6). Invoices for board, care and ancillary services shall be submitted promptly to the authorizing facility by the 15th calendar day following the end of the month in which services were rendered. The CNH will promptly notify the VA CNH Coordinator and/or VA CNH staff regarding any change in Veteran status: discharge, transfer, against medical advice (AMA), hospitalization, death and/or any changes in payer source and any ability to complete timely billing. All invoices must include the full name and address of the CNH and shall reflect the patient's name, social security number, number of days billed, dates of services, RUG category(ies), and agreed upon RUG rate (s). Failure to include this information may result in delayed payment. Invoices shall be sent on the UB-04 forms along with appropriate supporting clinical documentation to the Martinsburg VAMC Non VA Care (NVCC)/Fee 510 Butler Ave. Martinsburg, WV 25405 a. Pre-approved services billed by CMS procedures or CPT codes: All services which are pre-approved by VA as additional to the all-inclusive per diem rate must be billed according to CMS procedures or CPT codes. The CNH will be reimbursed based on local guidelines and VA pricing schedules. b. High cost drugs: VHA community programs office should be contacted regarding Medications exceeding $1500 per month. Payment for these medications will require pre-authorization or may be provided by the VAMC. The contractor may be required to provide additional documentation regarding rationale for the prescription. The VA reserves the right to deny payment for medication when it is determined by the VA that the medication is of no clinical benefit to the Veteran and if VA preapproval was not requested and obtained prior to the administration of such medication. c. Invoices: Corrected invoices must be submitted for additional payment of any ancillary costs or changes to the original billing. All corrected invoices must include all items that are affected by the change and should include the CNH corrected END DESCRIPTION/SPECIFICATION/STATEMENT OF WORK
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