36C24125Q0439 0002.docx

DOCX document 216 KB Posted

Attached to
V999-- VT Transportation Broker Federal contract opportunity
Solicitation number
36C24125Q0439
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 1

About this file

This document is an Amendment to a Solicitation/Modification of Contract for a Veterans Affairs Transportation Broker services contract. The solicitation (36C24125Q0439) is for transportation services in Vermont, covering five one-year ordering periods from February 1, 2026, through January 31, 2031, with a minimum annual guarantee of $1,500.00 and an ordering ceiling of $5,500,000.00.

The pricing schedule includes multiple transportation service types with one-way base rates for Basic Life Support (BLS) and Advanced Life Support (ALS) transports within and outside Vermont, ranging from $100-$150 per transport. Additional services include bariatric transport, wheelchair accessible transport ($1,500), taxi base rates, mileage rates for different transport types, waiting time charges, and administrative fees. The contract structure includes an administrative fee of $1 for the first 1,600 transports and $3 for additional transport increments beyond 1,600. All quotes must be submitted electronically to Sterling.Mathews@va.gov, with prices consistent across the five ordering periods, with some minor variations in base rates.

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36C24125Q0439 0006.docx DOCX document
36C24125Q0439 0005.docx DOCX document
36C24125Q0439 0004.docx DOCX document
36C24125Q0439 0003.docx DOCX document
36C24125Q0439 0001.docx DOCX document
36C24125Q0439.docx DOCX document

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5. PROJECT NUMBER (if applicable)

CODE

7.

ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF

PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED

STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF

CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF

SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 05-07-2026 405-25-2-7061-0064 None Department of Veterans Affairs VAMC Togus 1 VA Center Augusta ME 04330 Department of Veterans Affairs VAMC Togus 1 VA Center Augusta ME 04330 To all Offerors/Bidders

36C24125Q0439

X X X

The purpose of this amendment is to provide an updated Price Schedule

All quotes must be submitted electronically to Sterling.Mathews@va.gov before the time before the time and date in box #8.

Minimum annual guarantee: $1,500.00 with an ordering ceiling of $5,500,000.00 Sterling Mathews

VA-VHA-RPOE-2022-333915

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBE R
DESCRIPTION OF SUPPLIES/SERVIC ES

QUANTIT

Y

UNI

T

UNIT PRICE

AMOUNT

150.00
ea

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period One POP Begin: 02-01-2026 POP End: 01-31-2027

150.00
ea

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way Contract Period: Ordering Period One POP Begin: 02-01-2026

150.00
ea

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

150.00
ea

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

15.00
ea

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

1,500.00
ea

Page of

Wheel Chair Accessible Transport - one way base - Contract Period: Ordering Period One POP Begin: 02-01-2026 POP End: 01-31-2027

0007
800.00
ea

Taxi Base Only, no mileage included Contract Period: Ordering Period One POP Begin: 02-01-2026

0008
8,000.00
mi

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

0009
8,000.00
mi

Mileage Rate for BLS Transport Services over the base mileage transport rate

0010
30,000.00
mi

Mileage Rate for All other Modes of Transportation Contract Period: Ordering Period One

0011
10.00
ea

Waiting Time (more than 30- minutes shall be paid in 15- minute increments).

0012
1.00
ea

Administrative Fee- for the first 1,600 transports Contract Period: Ordering Period One

POP End: 01-01-2027

0013
3.00
ea

Page of

Additional 500 Administrative Fee- For additional transports beyond 1600, in increments of 300 (billed at transports counts of 1,601, 1,901, and 2,201) Contract Period: Ordering Period One POP Begin: 02-01-2026 POP End: 01-31-2027

1001
100.00
ea

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Two POP Begin: 02-01-2027 POP End: 01-31-2028

1002
100.00
ea

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way Contract Period: Ordering Period Two POP Begin: 02-01-2027

1003
100.00
ea

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

1004
100.00
ea

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

1005
10.00
ea

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

1006
1,500.00
ea

Wheel Chair Accessible Transport - one way base - Contract Period: Ordering Period Two

POP End: 01-31-2028

1007
250.00
ea

Taxi Base Only, no mileage included Contract Period: Ordering Period Two POP Begin: 02-01-2027

1008
8,000.00
mi

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

1009
8,000.00
mi

Mileage Rate for BLS Transport Services over the base mileage transport rate

1010
30,000.00
mi

Mileage Rate for All other Modes of Transportation Contract Period: Ordering Period Two

1011
10.00
ea

POP End: 01-01-2028

1012
1.00
ea

Administrative Fee- for the first 1,600 transports Contract Period: Ordering Period Two

1013
3.00
ea

Additional 500 Administrative Fee- For additional transports beyond 1600, in increments of 300 (billed at transports counts of 1,601, 1,901, and 2,201)

POP End: 01-31-2028

2001
100.00
ea

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Three POP Begin: 02-01-2028 POP End: 01-31-2029

2002
100.00
ea

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way Contract Period: Ordering Period Three POP Begin: 02-01-2028

2003
100.00
ea

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

2004
100.00
ea

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

2005
10.00
ea

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

2006
1,500.00
ea

Wheel Chair Accessible Transport - one way base - Contract Period: Ordering Period Three

POP End: 01-31-2029

2007
250.00
ea

Taxi Base Only, no mileage included Contract Period: Ordering Period Three POP Begin: 02-01-2028

2008
8,000.00
mi

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

2009
8,000.00
mi

Mileage Rate for BLS Transport Services over the base mileage transport rate

2010
30,000.00
mi

Mileage Rate for All other Modes of Transportation Contract Period: Ordering Period Three

2011
0.00
ea
2012
1.00
ea

Administrative Fee- for the first 1,600 transports Contract Period: Ordering Period Three

2013
3.00
ea

Additional 500 Administrative Fee- For additional transports beyond 1600, in increments of 300 (billed at transports counts of 1,601, 1,901, and 2,201)

POP End: 01-31-2029

3001
100.00
ea

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Four POP Begin: 02-01-2029 POP End: 01-31-2030

3002
100.00
ea

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way Contract Period: Ordering Period Four POP Begin: 02-01-2029

3003
100.00
ea

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

3004
100.00
ea

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

3005
10.00
ea

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

3006
1,500.00
ea

Wheel Chair Accessible Transport - one way base - Contract Period: Ordering Period Four

POP End: 01-31-2030

3007
250.00
ea

Taxi Base Only, no mileage included Contract Period: Ordering Period Four POP Begin: 02-01-2029

3008
8,000.00
mi

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

3009
8,000.00
mi

Mileage Rate for BLS Transport Services over the base mileage transport rate

3010
30,000.00
mi

Mileage Rate for All other Modes of Transportation Contract Period: Ordering Period Four

3011
10.00
ea

POP End: 01-31-2031

3012
1.00
ea

Administrative Fee- for the first 1,600 transports Contract Period: Ordering Period Four

3013
3.00
ea

Additional 500 Administrative Fee- For additional transports beyond 1600, in increments of 300 (billed at transports counts of 1,601, 1,901, and 2,201)

POP End: 01-31-2030

4001
100.00
ea

One-way base rates for transports terminating inside Vermont for Basic Life Support (BLS)Transport Services including Oxygen- One Way Contract Period: Ordering Period Five POP Begin: 02-01-2030

4002
100.00
ea

One-way base rates for transport terminating outside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy One Way Contract Period: Ordering Period Five POP Begin: 02-01-2030

4003
100.00
ea

One-way base rates for transports terminating inside Vermont for Advanced Life Support (ALS) Transport Services including Oxygen, Cardiac Monitoring Unit and IV Therapy

4004
100.00
ea

One-way base rates for transports terminating outside Vermont for Basic Life Support (BLS) Transport Services including Oxygen One Way

4005
10.00
ea

Bariatric Transport-One Way - Vermont Due to variables the price to be negotiated at service request.

4006
1,500.00
ea

Wheel Chair Accessible Transport - one way base - Contract Period: Ordering Period Five

POP End: 01-31-2031

4007
250.00
ea

Taxi Base Only, no mileage included Contract Period: Ordering Period Five POP Begin: 02-01-2030

4008
8,000.00
mi

Mileage Rate for (ALS) Transport Services over the base mileage transport rate

4009
8,000.00
mi

Mileage Rate for BLS Transport Services over the base mileage transport rate

4010
30,000.00
mi

Mileage Rate for All other Modes of Transportation Contract Period: Ordering Period Five

4011
10.00
ea
4012
1.00
ea

Administrative Fee- first 1,600 transports Contract Period: Ordering Period Five POP Begin: 02-01-2030

4013
3.00
ea

Additional 500 Administrative Fee- For additional transports beyond 1600, in increments of 300 (billed at transports counts of 1,601, 1,901, and 2,201)

GRAND TOTAL

VT Transportation Broker

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