S02_-_Exhibit_1_-_Statement_of_Objectives.pdf

EXHIBIT 1 – Statement of Objectives

STATEMENT OF OBJECTIVES

VISN04 – Regulated Medical Waste Removal Services

A. Objective: The intent of this solicitation is to establish a five (5) year Fixed Price (FP) Indefinite

Delivery/Indefinite Quantity (IDIQ) Contract for complete and comprehensive Regulated Medical

Waste (RMW) removal services to include pick-up, transport, sterilization and disposal for the

VISN04 Medical Centers and associated Veteran Community Clinics as specified in Section B., Paragraph 2. below. Funding will be provided through Task Orders issued by the participating

Medical Center(s).

This procurement shall be conducted IAW the Simplified Procedures for Certain Commercial

Items at FAR 13.5 and Acquisition of Commercial Items at FAR 12.

The guaranteed contract minimum, including the base year and any option years exercised is $5,000.00 and the maximum contract amount, including the base year and any option years exercised shall not exceed $5,000,000.00.

B. Scope of Work:

1. Definitions and Acronyms:

Regulated Medical Waste (RMW) - For this contract, RMW includes solid waste generated by the medical system, station, center, veteran community clinics (VCC), satellite support facilities, facilities and/or person in performance of medical system work such as diagnosis, treatment, research, testing for biological or pathogens, surgery, examinations or immunizations of human beings or animals.

From the point of generation, handling packaging, loading, transportation, documentation, treatment or rending RMW neutral and final disposal, RMW is strictly regulated by federal, state and local laws, directives, standards, ordinances, and regulations. This is a waste regulated and segregated from municipal waste streams because of the potential to cause injury, illness and spread of disease and is considered regulated medical waste. RMW may also be referred to as infectious waste and/or biomedical waste.

For purposes of this acquisition, RMW will consist of but not be limited to the following:

• All cultures and stocks of etiologic agents

• Waste blood and blood products

• Trace chemotherapeutic waste, sometimes referred to as Yellow Bag waste.

• Tissues, organs, body parts, blood and body fluids that are removed during surgery and autopsy of specific cases or patients with infectious diseases.

• Wastes that were in contact with pathogens in any type of lab work, including collection containers, culture dishes, slides, plates and assemblies of diagnostic tests and devices used to transfer, inoculate and mix cultures.

• Sharps, including hypodermic needles, suture needles, disposable razors, syringes, parteur pipettes, broken glass and scalpel blades.

• Disposable Sharps Containers

• Wastes that were in contact with the blood of patients undergoing hemodialysis at hospitals or independent treatment centers.

• Carcasses and body parts of all animals which were exposed to zoonotic pathogens.

• Animal bedding if it was in contact with animals that contained zoonotic agents.

• Pharmaceutical Waste

• Biological waste (e.g. vaccines) produced by pharmaceutical companies for human or veterinary use.

• Food and other products that are discarded because of contamination with etiologic agents.

• Discarded equipment and equipment parts that are contaminated with etiologic agents and are not to be discarded.

• High incident pathogen waste, biological agent or pathogen

• Microbiology waste, cultures, stocks of cultures, specimens, culture plates, trash cans, equipment, supplies, etc.

• Generally biosafety, the waste generated in labs is considered biosafety level 1 and 2. For this contract, the contractor is expected to be capable of RMW waste typical of level 3 and level 4 laboratory. Example would be Level 3 handling

West Nile virus, encephalitis, tick borne pathogens, hanta virus, etc. Example of level 4 would be Ebola, Lassa virus, biological war pathogens or any biological or man made pathogen with unknown with high risk of pathogenicity or transmission.

• Microbiology equipment could include lab equipment, centrifuge, incubator, tubes, parts of equipment, refrigerator, mobile lab, etc.

• RWM containing legionella bacteria or bacteria

• Disposable gloves (latex, non-latex, canvas, leather, neoprene, surgical gloves, etc.)

• Textiles such as bed linens, wash cloth, towels, disposable wipes, under pads, grossly soiled materials, etc. Includes clothing, shoes, pants, tops, shirts, jackets, etc.

• Dialysis waste, suction container and waste, intravenous bags, tubing used for transfusion

• Trash bags includes general red and yellow bag with the appropriate legal biohazard symbol or globally universal symbol designating RMW waste. Trash containers may be disposed of by station as old worn out containers or otherwise.

• Surgical Room Air Filters. These filters are HEPA fabric and have metal frames and rubberized gaskets.

The acronyms defined and listed below are used in this contract and outlined for reference in this contract for benefit of contractor and government employees using this contract.

CBOC - Community-Based Outpatient Clinic

CLIN – Contract Line Item Number

CO – Contracting Officer

FCOR – Facility Contracting Officer Representative

FPOC – Facility Point of Contact

GEMS – Green Environmental Management System

IDC – Indefinite Delivery Contract

IDIQ – Indefinite Delivery/Indefinite Quantity

QASP – Quality Assurance Surveillance Plan

RCRA – Resource Conservation and Recovery Act

RMW – Regulated Medical Waste

SOO – Statement of Objectives

TSDF – Treatment, Storage, Disposal Facility

VA – Department of Veterans Affairs

VAMC – VA Medical Center

VCC – Veteran Community Clinics

VCOR – VISN04 Contracting Officer Representative

VHA – Veteran’s Health Administration

VISN04 – Veterans Integrated Service Network – 04

2. Place of Performance: Performance of services shall occur at the following VA locations:

a. Altoona VAMC 2907 Pleasant Valley Blvd.

Altoona, PA 16602

i. DuBois CBOC 5690 Shaffer Rd.

DuBois, PA 15801

ii. Johnstown CBOC 598 Galleria Drive Johnstown, PA 15904

iii. State College CBOC 2581 Clyde Ave.

State College, PA 16801

b. Butler VAMC

325 New Castle Road Butler, PA 16001

i. Butler HCC 353 North Duffy Road Butler, PA 16001

c. Coatesville VAMC

1400 Black Horse Hill Road Coatesville, PA 19320

i. Delaware County VA Clinic 4883 West Chester Pike Newtown Square, PA 19073

ii. Spring City Outpatient Clinic 11 Independence Drive Spring City, PA 19475

d. Erie VAMC 135 East 38th St.

Erie, PA 16504

i. Ashtabula County CBOC 2044 Lambros Lane Ashtabula, OH 44004

ii. Crawford County CBOC 16954 Conneaut Lake Road Meadville, PA 16335

iii. Venango County CBOC 464 Allegheny Boulevard Franklin, PA 16323

iv. Warren County CBOC 3 Farm Colony Drive Warren, PA 16365

e. Lebanon VAMC

1700 South Lincoln Ave.

Lebanon, PA 17042

i. Berks County VA Clinic 2762 Century Blvd.

Wyomissing, PA 19610

ii. Cumberland County VA Clinic

5070 Ritter Road

Mechanicsburg, PA 17055

iii. Lancaster VA Clinic

212 Willow Valley Lakes Drive Suite 208 Willow Street, PA 17584

iv. York VA Clinic 2251 Eastern Blvd.

York, PA 17402

f. Philadelphia VAMC 3900 Woodland Ave.

Philadelphia, PA 19104

i. Camden CBOC 300 S Broadway Suite 103 Camden, NJ 08103

ii. Gloucester County CBOC 211 County House Road Sewell, NJ 08080

iii. Horsham CBOC 433 Caredean Drive Horsham, PA 19044

iv. Philadelphia Dialysis Center 4219 Chestnut Street

v. Philadelphia VA Nursing Home 3461 Civic Center Blvd.

vi. West Philadelphia Clinic 6332 Market Street Suite 100 Philadelphia, PA 19139

g. VA Pittsburgh Healthcare System (VAPHS)

i. University Drive (UD) Campus

University Drive West Dock

Pittsburgh, PA 15240

ii. H.J. Heinz (HJH) Campus 1010 Delafield Road B50 Pittsburgh, PA 15215

h. Wilkes-Barre VAMC

1111 East End Blvd.

Wilkes-Barre, PA 18711

i. AOPC 3110 Hamilton Blvd.

Allentown, PA 18103

ii. Sayre CBOC 1537 Elmira Street Sayre, PA 18840

iii. Williamsport CBOC 1705 Warren Ave.

Suite 304 Williamsport, PA 17701

i. Wilmington VAMC **

1601 Kirkwood Highway Wilmington, DE 19805 **PLEASE NOTE: The only service required from 4/1/2019 – 9/30/2019 is RMW pickup at the Wilmington VAMC. Wilmington VAMC Sharps removal service and CBOC Sharps and RMW removal service will not start until 10/1/2019 as current contracts do not expire until 9/30/2019. **

i. Atlantic County CBOC (“Northfield”) 1909 New Rd.

Northfield, NJ 08225

ii. Cape May County CBOC

1 Monro Avenue Cape May, NJ 08204

iii. Cumberland County CBOC (“Vineland”) 79 West Landis Avenue Vineland, NJ 08360

iv. Kent County CBOC 1198 S. Governors Ave.

Suite 201

Dover, DE 19904

v. Sussex County CBOC (“Georgetown”) 21748 Roth Ave.

Georgetown, DE 19947

After contract award, addresses may be changed, locations may be deleted, and/or additional locations may be added via bilateral contract modification.

3. Frequency of Pickups:

SITE PICK-UP

FREQUENCY -

ESTIMATED

ANNUAL

VOLUME –

RMW

ESTIMATED

ANNUAL

VOLUME –

SHARPS

ESTIMATED

ANNUAL

VOLUME –

TRACE CHEMO

Altoona VAMC Biweekly (every 2 weeks)

17,288 LBS (included in RMW Volume)

535 LBS

DuBois CBOC Monthly 431 LBS (included in RMW Volume)

N/A

Johnstown CBOC Monthly 375 LBS (included in RMW Volume)

N/A

State College CBOC Monthly 292 LBS (included in RMW Volume)

N/A

Butler VAMC Weekly 1,276 LBS (included in RMW Volume)

N/A

Butler HCC Weekly 8,695 LBS (included in RMW Volume)

N/A

Coatesville VAMC Biweekly (every 2 weeks)

96 LBS 6,242 LBS 96 LBS

Delaware County VA Clinic

As needed (Approx. Once every 3 months)

10 LBS 100 LBS 10 LBS

Spring City As needed (Approx. Once every 3 months)

10 LBS 100 LBS 10 LBS

Erie VAMC Weekly 590 LBS 4,926 LBS 16,178 LBS

Ashtabula County

CBOC

Monthly N/A 472 LBS N/A

Crawford County

CBOC

Monthly N/A 300 LBS N/A

Venango County

CBOC

Monthly N/A 42 LBS N/A

Warren County

CBOC

Monthly N/A 180 LBS N/A

Lebanon VAMC Twice Weekly 218,749 LBS

(included in RMW Volume)

7,380 LBS

ESTIMATED

ANNUAL

VOLUME –

RMW

ESTIMATED

ANNUAL

VOLUME –

SHARPS

ESTIMATED

ANNUAL

VOLUME –

TRACE CHEMO

Berks County VA Clinic

Monthly 377 LBS (included in RMW Volume)

N/A

Cumberland County VA Clinic

Monthly 2,895 LBS (included in RMW Volume)

N/A

Lancaster VA Clinic Monthly 1,740 LBS (included in RMW Volume)

N/A

York VA Clinic Monthly 517 LBS (included in RMW Volume)

N/A

Philadelphia VAMC Weekly 118,789 LBS 13,241 LBS 9,366 LBS

Camden CBOC Monthly 140 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

Gloucester County

CBOC

Monthly 414 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

Horsham CBOC Monthly 340 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

Philadelphia Dialysis Center

Weekly 11,600 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

Philadelphia VA Nursing Home

Weekly 432 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

West Philadelphia Clinic

Weekly 400 LBS (included in Philadelphia VAMC Sharps Volume above)

N/A

VAPHS UD Campus Twice Weekly 396,808 LBS 45,638 LBS 11,458 LBS

VAPHS HJH

Campus

Weekly 3,724 LBS 4,142 LBS N/A

Wilkes-Barre

VAMC

Weekly 33,848 LBS 24,589 LBS 4,117 LBS

AOPC Biweekly (every 2 weeks)

457 LBS (included in Wilkes-Barre VAMC Sharps Volume above)

N/A

Sayre CBOC Monthly 363 LBS N/A N/A

ESTIMATED

ANNUAL

VOLUME –

RMW

ESTIMATED

ANNUAL

VOLUME –

SHARPS

ESTIMATED

ANNUAL

VOLUME –

TRACE CHEMO

Williamsport CBOC Weekly N/A 500 LBS N/A

Wilmington VAMC Weekly 45,857 LBS 11,101 LBS 1,376 LBS

Atlantic County

CBOC

(“Northfield”)

Monthly 157 LBS 157 LBS N/A

Cape May County

CBOC

Monthly 127 LBS 127 LBS N/A

Cumberland County CBOC (“Vineland”)

Monthly 137 LBS 137 LBS N/A

Kent County CBOC Monthly 233 LBS 233 LBS N/A

Sussex County

CBOC

(“Georgetown”)

Monthly 329 LBS 329 LBS N/A

4. Period of Performance: April 1, 2019 to March 31, 2024

5. Background: Currently the VISN04 Medical Centers utilize multiple contracts to provide

RMW services. The VISN04 Medical System will use this contract to cover multiple stations, medical and laboratory services, facilities and other support entity’s various VISN04 locations to deliver medical services, these delivered services include RMW management.

The consolidation of these contracts into one (1) VISN04 contract will provide economy of scale, improved efficiencies, consistency and standardization. Refer to Exhibit 4 – Medical

Center and VCC History, for each Medical Center and VCC’s RMW history and current disposal methods.

6. General Requirements:

a. The Contractor shall provide all labor, material, equipment, maintenance, repair, supplies, transportation, management, expertise and supervision necessary to perform complete and comprehensive RMW removal services to include but not limited to pick-up, transportation, sterilization and disposal for of the VISN04 Medical Centers and associated VCC’s listed in Section B., Paragraph 2. above.

b. The Contractor shall comply with all applicable VA, VHA, Federal, State, and Local directives, standards, ordinances, laws and regulations throughout the course of contract execution.

c. The contract shall provide each facility a choice between one (1) of three (3) methods of services that are defined below. Contractor shall provide pricing for all CLIN options identified in the Price/Cost Schedule (Exhibit 2). Some facilities are requesting pricing for several methods of Sharps removal to determine the best method for that facility. Each facility will decide on the final method of disposal at the time of award. Proposals must be priced by weight (per pound) of RMW processed for each Medical Center and VCC as structured in the Price/Cost Schedule. Per pound pricing is to be all inclusive. There will be no separate charges for supplies not listed in the contract (i.e. truck rental, laboratory analysis, etc.).

Methods of Service:

i. RMW Service 1: This service will provide all labor, material, equipment, maintenance, repair, supplies, transportation, management, expertise and supervision necessary to perform RMW pick-up, transport, sterilization and disposal for the Medical Center and applicable Veteran’s Community Clinics

(VCC) serviced by Medical Center. Sharps waste will not be separated; it will be included in the non-sharps RMW. This service will not incorporate reusable sharps containers. The RMW will be consolidated to a central location at each facility for Contractor pick-up. Pricing will be a flat rate per pound for all RMW removal to include trace chemo and disposable sharps containers.

ii. RMW Service 2: This service will provide all labor, material, equipment, supervision necessary to perform RMW pick-up, transport, sterilization and disposal for the Medical Center and applicable VCC’s serviced by the Medical

Center. Sharps waste will be separated from non-sharps RMW. Contractor will provide reusable sharps containers. VA employees will collect and distribute reusable sharps containers throughout the Medical Center and applicable VCC’s and consolidate the collected full containers to a central location at each facility for pick-up by Contractor. The non-sharps RMW will also be consolidated to a central location at each facility for Contractor pick-up. This service to include the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing will be a flat rate per pound for RMW removal to include trace chemo and a separate flat rate for reusable sharps containers removal.

iii. RMW Service 3: This service will provide all labor, material, equipment, supervision necessary to perform RMW pick-up, transport, sterilization and disposal for the Medical Center and applicable VCC’s serviced by the Medical

Center. Sharps waste will be separated from non-sharps RMW. Contractor will provide reusable sharps containers. Contractor will collect and distribute reusable sharps containers throughout the Medical Center and applicable VCC’s.

Reusable sharps containers, located in areas where Contractor is not permitted entry, will be collected and distributed by VA employees. The sharps containers collected by VA employees and the non-sharps RMW will be consolidated to a central location at each facility for pick-up by Contractor. This service to include the hardware and installation required to mount sharps containers to walls, floors, or carts by the contractor. Pricing will be a flat rate per pound for

RMW removal to include trace chemo and a separate flat rate for reusable sharps container removal.

d. Qualifications:

i. Permits, Licenses, Registrations and Certifications: Prior to contract award, the

Contractor shall provide to Contracting Officer all applicable federal, state and local certifications, permits, licenses and registrations required to process and dispose of RMW to include Sharps. Certifications, permits, licenses and/or registrations shall be unencumbered with no current possibility of suspension or termination. All permit, license, registration and certification fees shall be borne by the Contractor.

ii. The contractor is expected to be expert at the laws and codes regulating all steps of the regulated Medical Waste responsibilities, tasks, duties, processes and for this contract include contractor compliance with what their subcontractors and those companies subordinate to contractor or subcontractor.

iii. Insurance: The Contractor shall furnish the Contracting Officer with copies of the insurance policies required by federal, state, and local jurisdictions to perform this contract to include liability insurance. These policies may not be changed or canceled without written consent of the CO.

iv. Renewals: A copy of each federal, state and local certification, permit, license, registration and applicable insurance renewals shall be delivered to FCOR, VCOR and CO no less than five (5) business days prior to their current expiration date.

Contractor will not perform nor invoice for services performed without current certifications, permits, licenses, registrations and insurance coverage.

v. History: The Contractor shall provide evidence demonstrating the Contractor’s ability and competence in the RMW industry.

e. Prior to the start the period of performance, the contractor shall work with the FCORs to establish the number and types of supplies, containers, and equipment required for each facility. This is subject to change throughout the term of the contract based on the needs of the facility.

f. The scheduling of services at participating facilities shall be coordinated with and approved by the FCOR. The FCOR shall be notified in advance of any schedule deviations, including federal holiday disruptions, to determine an alternate pick-up schedule. Changes to the regularly scheduled pick-up times shall be coordinated with and approved by the FCOR. Contractor shall reschedule and complete missed pick-ups within one day of the missed pick-up unless other arrangements are approved by the

FCOR. VISN04 reserves the right to increase and/or adjust the frequency of pickups to meet the needs of the facilities.

g. Work Hours/Holidays:

i. Normal Work Hours: Monday to Friday, 4:00 AM to 4:30 PM (Contractor to verify hours with each FCOR)

ii. National Holidays: Ten holidays observed by the Federal Government are:

New Year’s Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day, and any other day specifically declared by the President of the

United States to be a national holiday.

h. If a facility elects to transition from a disposable to a reusable sharps container program, the transition (e.g. installation of mounting brackets or floor holders) shall be scheduled in advance with FCOR approval.

i. Title to all RMW provided to the contractor shall pass from the Government to the contractor at point of loading such RMW on the contractor’s truck at each VA facility.

j. Contractor shall inform the FCOR immediately of any hazardous materials (EPA or DOT

HM listed) found in RMW streams that would impact contract performance and to ensure hazardous materials are not disposed improperly.

k. Contractor will be responsible for any violations or imposed fines associated with contract performance.

l. Contractor shall provide annual documented on-site training to VA staff to include:

federal, state, and local regulations, proper handling of RMW, interim storage requirements, proper identification and labeling of wastes, use and handling of containers and proper segregation of medical sharps waste from other medical waste, etc. Training to be coordinated with the FCOR. Several training sessions may be required at each facility to capture those employees working outside of normal business hours. Contractor shall provide additional training to VA staff throughout the year as needed. Contractor shall provide online/electronic access to training materials for training purpose for those who cannot attend regularly scheduled training sessions. The contractor shall obtain signatures of all trainees and issue certificates of completion to all trainees who have successfully completed the training. Signatures and copies of each certificate shall be provided to the COR electronically within 30 calendar days of completion of training.

m. Weighing System:

i. Contractor shall provide and utilize a certified weighing system to enable proper billing for waste poundage disposed.

ii. The contractor shall charge only for the net weight of waste excluding weight for the containers. Scales shall be provided at each site, and calibrated as needed.

iii. All containers shall be weighed in the presence of the FCOR or designated VA employee.

iv. The Contractor shall provide documentation supporting/demonstrating weighing equipment is tested at least annually for accuracy, properly maintained, calibrated, and operated.

v. Credit shall be provided to the VA whenever it is determined that over-charges result from defective weighing equipment.

n. Contractor shall provide Medical Center and VCC specific RMW disposal/collection history for the previous month to FCOR and CO by the end of each month. This shall include: date(s) of pickups, (1) weight (in pounds) of waste picked up at each facility at each pickup and the total weight picked up for the month, and should be broken down to include the weights of each category of RMW (net and gross weight): (a) general

RMW, (b) trace chemotherapeutic waste, and (c) sharps, itemized by Medical Center and each VCC. If the facility chooses a reusable sharps waste plan, contractor shall provide Medical Center with gross sharps waste, weight of reusable sharps containers, net weight of sharps waste (no container weight included) Pounds of plastic waste diverted from a landfill during the month attributed to using a reusable sharps container instead of a disposable, one-time use container.

o. FCOR shall identify and provide any additional data requirements to Contractor.

p. Contractor shall submit Medical Center specific monthly fee invoices to the FCOR and electronically at http://www.tungsten-network.com/US/en/veterans-affairs/. Invoice shall include at a minimum:

• Contractor name and address

• Contractor invoicing point of contact telephone number and email address

• Invoice number and date

• Purchase order number covering the invoiced dates of service

• Date(s) of service http://www.tungsten-network.com/US/en/veterans-affairs/

• Location(s) of service

• Weight (in pounds) of collected RMW. Recorded weights must be itemized by: general RMW, trace chemotherapeutic waste, and sharps waste.

• Amount due Contractor for RMW provided services

q. Contractor shall provide each FCOR Medical Center specific documents required by VA, VHA, Federal, State, and Local directives, standards, ordinances, laws and regulations

(e.g. manifest and destruction documents).

i. Manifest Requirements:

• Contractor shall sign, date and furnish a copy of the shipping manifest to the FCOR or his/her identified representative prior to removal of RMW from the facility.

• Contractor shall certify the manifest data matches the load to be removed.

• Contractor shall maintain a copy of the manifest.

• Manifest shall include all Federal, State and Local requirements and at a minimum provide:

• Transport number

• Handling permit number

• US DOT #

• Transport company

• Quantities

• Processing facility

• Date

• Contractor personnel

ii. Certificate of Destruction: The Contractor shall obtain a “Certification of

Destruction/Recycling” document from the final Treatment, Storage, Disposal Facility (TSDF) and submit it to the FCOR along with the

Medical Center’s monthly invoice.

r. The contractor shall conduct an annual sharps inventory (sharps container type/size and location) on the existing containers at the site and provide a copy of the inventory to

FCOR and CO.

s. RMW Containers:

i. RMW containers to include reusable sharps containers shall meet all VA, VHA, Federal, State, and Local directives, standards, ordinances, laws and regulations.

ii. Reusable containers shall be cleaned, sanitized and disinfected off-site prior to re-use.

iii. Refer to Exhibit 4 - Medical Center and VCC History, for a list of the current brand, type and sizes of reusable sharps containers in use at those facilities utilizing a reusable sharps container program.

iv. The Contractor shall supply all packaging materials. Packaging materials consist of shipping tape, shipping labels, returnable containers, boxes and RMW approved red or yellow bags.

v. The Contractor shall supply all package content identification labels and placards as required by VA, Federal, State and Local directives, standards, ordinances, laws and regulations.

vi. RMW containers shall be labeled in accordance with all VA, VHA, Federal, State, and Local directives, standards, ordinances, laws and regulations.

vii. The Contractor shall provide extra brackets, sharps container holders and keys for the sharps brackets to the FCOR upon request.

viii. The contractor shall provide zip ties, closures, locks, and latches for the containers.

t. Transportation:

i. The contractor shall acquire and maintain all Federal, State and Local certifications, permits, licenses and registrations required to handle and/or transport RMW. All permit, license, registration and certification fees shall be borne by the Contractor.

ii. Regulated medical waste shall be removed using only properly permitted and licensed trucks and drivers.

iii. Contractor shall ensure all vehicles are labeled as required by law and regulations.

iv. The contractor is solely responsible for all spills or leaks occurring during the performance of the contract. The Contractor shall clean-up and disinfect spills and/or leaks to the satisfaction of the Government in a manner which satisfies the applicable federal, state and local laws and regulations, at no cost to the

Government.

v. Spills or leaks that occur during the transportation of the materials shall be reported to federal, state and local authorities as mandated by applicable VA, VHA, Federal, State, and Local directives, standards, ordinances, laws and regulations and to the FCOR within two (2) hours of occurrence. If spill occurs outside of normal business hours it must be reported to the Medical Center’s police department. If spills or leaks occur, a spill report shall be provided to the

FCOR and shall include the following information:

• Identify item spilled (quantity, and manifest numbers) and brief synopsis of event.

• If amount spilled was reportable to federal/state/local authorities, and if so, provide a report copy to the FCOR

• Exact location of spill

• Containment, clean-up procedures and plans initiated and/or completed

• Disposal location of clean-up residue/supplies

• If personal injury occurred include detailed narrative of injury

• Names and telephone numbers of all contacted federal/state/local officials.

• Narrative summarizing all on-scene visits made by federal/state/local officials

u. Disposal:

i. The contractor shall acquire and maintain all applicable federal, state and local certifications, permits, licenses and registrations required to process and dispose RMW. If the Contractor changes the location of the disposal site, a new permit shall be obtained and a copy shall be submitted to the FCOR and VCOR for acceptance. All permit, license, registration and certification fees shall be borne by the Contractor.

ii. Contractor shall dispose of RMW in a manner that leaves no future expense potential to the VA or the federal government

iii. The Contracting Officer and/or VCOR may inspect the Contractor’s facility and operation for compliance. Such inspections shall be scheduled within four business days of request.

v. Quality Assurance & Performance Monitoring:

i. Performance monitoring will be conducted by the VCOR and FCORs of any discrepancies or deviations from the requirements of this Statement of

Objectives and the Quality Assurance Surveillance Plan (QASP) attached to the solicitation.

ii. The Contractor shall inform the Contracting Officer, FCOR and VCOR of any issue(s) affecting the quality of service to include proposed resolution.

w. Safety/Emergency Plans: Contractor shall submit the following plans with their quote:

i. A written safety plan that details actions to be taken to protect the staff of VA, the contactor, and surrounding communities in the event of any accidental spills or leaks that occur while the Contractor is performing work under this contract for the Government.

ii. A written emergency plan that outlines a formalized response to any accidental spills or leaks that occur while the Contractor is performing work under this contract for the Government.

x. Contingency Plan: Contractor shall submit the following plan with their quote: a contingency plan to meet contract requirements for regulated medical waste disposal in cases where such waste cannot be handled by or at the primary transportation and/or processing facilities due to interruption of services. The Contractor shall incur all costs associated with fulfilling this contingency plan.

y. Diversion Program:

i. The VA is bound by Executive Order 13101, Greening the Government through

Waste Prevention, Recycling, and Federal Acquisition to fully comply with the

Resource Conservation and Recovery Act (RCRA) federal requirement.

ii. The Contractor’s services shall support VISN04 Medical Centers and VCC’s local

Green Environmental Management System (GEMS) programs and comply with all applicable VA, Federal, State, and Local directives, standards, ordinances, laws and regulations.

iii. The contractor shall submit a Diversion Program customized for each Medical

Center and associated VCC’s designed to improve the Medical Center’s diversion rate. The Contractor, in cooperation with the FCOR, shall seek improvements, new techniques and methods, new recycling markets, guidance on waste management specifically RMW and Sharps, etc. to increase recyclable waste.

iv. In coordination with the FCOR, Contractor shall provide tools and training to include recycling procedures or waste minimization.

z. The Contractor shall attend a mandatory post-award meeting with the Contracting

Officer, VCOR and FCORs. This required meeting shall be coordinated by the Contracting

Officer. This post-award meeting is to familiarize the contractor and the Government team to each other and to the review the terms and conditions of this contract.

aa. The Contractor shall schedule meeting with each FCOR prior to commencement of work to discuss scheduling of services, supplies, documentation, and any other topics the

FCOR deems necessary.

bb. The C&A requirements do not apply, and a Security Accreditation Package is not required.

7. Constraints:

a. Contractor shall obey established fire, safety, environmental and security regulations and ensure Contractor employees are trained in accordance with but not limited to applicable OSHA standards and other applicable federal, state and local directives, standards, ordinances, laws and regulations.

b. Contractor employees working on VA property shall be familiar with and obey established fire, safety, environmental and security regulations.

c. Contractor must follow each Facility’s infection control and prevention policy.

d. Contractor employees shall wear a distinctive uniform at all times. The Contractor shall ensure Contractor employees look neat and wear applicable safety equipment/clothing to include identification badge/pass when required by the FCOR.

e. Contractor shall notify the FCOR, VCOR and CO in writing of any imposed violations while performing this contract within one (1) business day of issuance.

f. Contractor may be required to periodically interrupt their work so as not to interfere with Medical Center and/or VCC operations, including utility services, fire protection/suppression and passage of facility patients, personnel, equipment and carts.

g. Contractor shall not block access to areas of the facility during RMW pick-up.

h. Contractor shall not leave collection devices such as carts or racks unsecured or unattended during RMW pick-up.

i. If the Contractor elects to change the brand of reusable sharps containers utilized at a facility, the Contractor will be responsible for costs incurred and must: 1) Remove and dispose of the sharps containers and mounting brackets currently in use; 2) Contractor shall repair any damage caused by removal of existing containers and/or brackets, ensuring they comply with any VA or Medical Center policies and procedures regarding construction, demolition, and repair work. The mounting surfaces shall be restored to the original condition and shall include but not be limited to removal of anchors, drywall repair, tile repair, partition repair and painting; and 3) Install brackets for new brand following FCOR approval of the restoration and repairs. Installation of new brackets shall be scheduled with the FCOR and completed prior to the commencement of the period of performance on the contract.

j. Contractor employees and representatives shall not release, publish, or disclose sensitive information to unauthorized personnel, and shall protect such information in accordance with pertinent laws and regulations governing the confidentiality of sensitive information. All personnel assigned to this contract are required to take proper precautions to protect privacy information from disclosure in the case that such disclosures are made. The Privacy Officer has determined a Business Associate

Agreement is not required.

k. Contractor shall ensure Contractor employees and representatives comply with VA procedures governing site and building access and security. The FCOR will provide to

Contractor the participating Medical Center’s escort requirements. The Contractor shall ensure Contractor employees and representatives comply with the security regulations of VA, VHA and other Government installations where work is performed under this contract.

l. At contract expiration or termination, Contractor coordinates with VISN04 and incoming

Contractor to ensure smooth transition of equipment, materials and services and there are no risks to public health or safety of persons.

m. Fuel Surcharge: The Government will not make additional payments for fuel surcharges under this contract.

n. For this contract, the contractor is responsible for delivery of service. It is understood that this contract attempts capture the details of all law and requirements. Laws change and it is expected the contractor shall provide expertise, guidance, and compliance with all laws including how RMW is generated, handled, processed for shipping, action of generator turning over waste to transport, transport to processing facilities, processing facility treating the waste, storage of waste, final disposition of waste, and documentation require to certify the waste was legally and properly treated.

o. Each site may have additional specific requirements to meet their station needs for these services. Additional information may be provided at the order level, and will be agreed upon by the FCOR and Contractor at the time of order award.

8. Government Responsibilities:

a. Government Furnished Property will not be provided.

b. The Government will provide access to areas and escorts when required by FCOR.

c. FCOR’s and FPOC’s, when applicable, will be identified for each participating Medical

Center. A VISN04 Contracting Officer Representative and alternate will also be appointed. A list of these individuals will be provided to the Contractor after Contract award.

9. Orders: This is a Fixed Price (FP) Indefinite Delivery/Indefinite Quantity (IDIQ) contract (see

FAR 52.216-22).

a. Task Order Procedures:

i. This contract type allows the Veteran Affairs Network Contracting Office 4 (NCO

4) Contracting Officers to place orders with the contractor on an as needed basis. In accordance with the Federal Acquisition Regulation (FAR) Clauses 52.216-18, Ordering. NCO 4 will obligate the funding and order the services by issuing a task order.

ii. The contractor shall initiate work when directed by a Task Order issued by the Contracting Officer. No work under any Task Order shall be performed unless specifically authorized by the Contracting Officer. Approval of a Task Order shall not constitute approval to exceed any item listed in the contract or general provisions of the contract. The contractor shall not exceed the task order amount, or change the task order without prior written approval of the Contracting Officer.

b. Task Order Issuance Procedure: The terms that apply to the issuance of Task Orders under this contract are set forth below:

i. The estimated weight of RMW to be removed at each facility shall be set forth in each task order. The contractor shall not exceed the RMW weight and total amount obligated for each task order without prior written approval of the Contracting Officer. The total amount of all task orders shall not exceed the maximum contract amount of $5,000,000.00.

c. Task Order Pricing: Task order prices shall be Fixed-Price (FP) as agreed to in the contractor’s schedule and individually funded. The Unit Price is an all-inclusive cost. If the contract Period of Performance (POP) is extended using FAR Clause 52.217-8, the specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

d. Task Order Performance Period: Each task order shall have an established period of performance or delivery date. Individual Task order shall not exceed a 12-month period.