36C24519R0053-016.docx

36C24519R0053

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C24519R0053 07-31-2019 Caitlin Hippensteel

304.263.0811 x3012 08-23-2019

2:00 PM EST

Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405 X 621910 $15 Million X N/A X Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 308B Martinsburg WV 25405 Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 308B Martinsburg WV 25405

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp http://www.fsc.va.gov/einvoice.asp See CONTINUATION Page The Contractor Shall provide Ambulance Services for Beckley and Clarksburg VAMC. All work shall be in accordance with the Performance of Work Statement.

Ordering Period:

/1/2019

9/30/2024 Wage Determinations are incorporated into section D of this solicitation.

All questions are due by 2:00 PM EST

8/6/2019 to caitlin.hippensteel@va.gov.

See CONTINUATION Page x X x Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contract Specialist 36C245 Caitlin E. Hippensteel Department of Veterans Affairs

VAMC (613)

Network Contracting Office (NCO) 5 510 Butler Avenue, Building 306A Martinsburg WV 25405

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp http://www.fsc.va.gov/einvoice.asp

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PRICE/COST SCHEDULE

The quantity listed in the below price schedule are based on Estimates. The minimum ceiling amount is $200.00 while the maximum ceiling amount is $25,000,000.00.

ITEM INFORMATION

Advanced Life Support (ALS) for Clarksburg, and Beckley VAMC.

0001AA

Clarksburg Advanced Life Support (ALS) One Way Only Year One: 10/1/2019 – 9/30/2020

0001AB

Beckley VAMC Advanced Life Support (25) miles from Beckley VAMC.

0001AC

ALS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

0001AD

ALS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

0001AE

ALS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

0001AF

ALS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

0001AG

ALS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

0001AH

ALS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Basic Life Support (BLS) for Beckley and Clarksburg VAMC

0002AA

Clarksburg VAMC Base Rate for BLS One Way Only

0002AB

Beckley VAMC BLS (25) miles from Beckley VAMC.

0002AC

BLS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

0002AD

BLS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

0002AE

BLS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

0002AG

BLS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

Wheelchair Van one way within 50 miles of Clarksburg VAMC

Minivan One Way Only Clarksburg VAMC

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 0001AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 0002AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 0003 and 0004. One way only.

Beckley ALS Mileage charge for each mile traveled outside the 25-mile threshold.

Beckley BLS Mileage charge for each mile traveled outside the 25-mile threshold.

Waiting Time (for each 15-minute increment). EA 1=15 min Year One: V

Advanced Life Support (ALS) for Clarksburg, and Beckley VAMC.

1001AA

Clarksburg Advanced Life Support (ALS) One Way Only Year Two: 10/1/2020 – 9/30/2021

1001AB

Beckley VAMC Advanced Life Support (25) miles from Beckley VAMC.

1001AC

ALS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

1001AD

ALS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

1001AE

ALS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

1001AF

ALS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

1001AG

ALS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

1001AH

ALS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Basic Life Support (BLS) for Beckley and Clarksburg VAMC

1002AA

Clarksburg VAMC Base Rate for BLS One Way Only

1002AB

Beckley VAMC BLS (25) miles from Beckley VAMC.

1002AC

BLS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

1002AD

BLS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

1002AE

BLS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC Year Two10/1/2020 – 9/30/2021

1002AG

BLS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

1002AH

BLS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Wheelchair Van one way within 50 miles of Clarksburg VAMC

Minivan One Way Only Clarksburg VAMC

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 1001AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 1002AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 1003 and 1004. One way only.

Beckley ALS Mileage charge for each mile traveled outside the 25-mile threshold.

Beckley BLS Mileage charge for each mile traveled outside the 25-mile threshold.

Waiting Time (for each 15 minute increment). EA 1=15 min

Advanced Life Support (ALS) for Clarksburg, and Beckley VAMC.

2001AA

Clarksburg Advanced Life Support (ALS) One Way Only Year Three: 10/1/2021 – 9/30/2022

2001AB

Beckley VAMC Advanced Life Support (25) miles from Beckley VAMC.

2001AC

ALS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

2001AD

ALS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

2001AE

ALS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

2001AF

ALS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

2001AG

ALS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

2001AH

ALS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Basic Life Support (BLS) for Beckley and Clarksburg VAMC

2002AA

Clarksburg VAMC Base Rate for BLS One Way Only

2002AB

Beckley VAMC BLS (25) miles from Beckley VAMC.

2002AC

BLS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

2002AD

BLS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

2002AE

BLS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

2002AG

BLS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

Wheelchair Van one way within 50 miles of Clarksburg VAMC

Minivan One Way Only Clarksburg VAMC

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 2001AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 2002AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 2003 and 2004. One way only.

Beckley ALS Mileage charge for each mile traveled outside the 25-mile threshold.

Beckley BLS Mileage charge for each mile traveled outside the 25-mile threshold.

Waiting Time (for each 15-minute increment). EA 1=15 min

Advanced Life Support (ALS) for Clarksburg, and Beckley VAMC.

3001AA

Clarksburg Advanced Life Support (ALS) One Way Only Year Four: 10/1/2022 – 9/30/2023

3001AB

Beckley VAMC Advanced Life Support (25) miles from Beckley VAMC.

3001AC

ALS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

3001AD

ALS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

3001AE

ALS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

3001AF

ALS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

3001AG

ALS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

3001AH

ALS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Basic Life Support (BLS) for Beckley and Clarksburg VAMC

3002AA

Clarksburg VAMC Base Rate for BLS One Way Only

3002AB

Beckley VAMC BLS (25) miles from Beckley VAMC.

3002AC

BLS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

3002AD

BLS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

3002AE

BLS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

3002AG

BLS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

Wheelchair Van one way within 50 miles of Clarksburg VAMC

Minivan One Way Only Clarksburg VAMC

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3001AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3002AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3003 and 3004. One way only.

Beckley ALS Mileage charge for each mile traveled outside the 25-mile threshold.

Beckley BLS Mileage charge for each mile traveled outside the 25-mile threshold.

Waiting Time (for each 15-minute increment). EA 1=15 min

Advanced Life Support (ALS) for Clarksburg, and Beckley VAMC.

4001AA

Clarksburg Advanced Life Support (ALS) One Way Only Year Five: 10/1/2023 – 9/30/2024

4001AB

Beckley VAMC Advanced Life Support (25) miles from Beckley VAMC.

4001AC

ALS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

4001AD

ALS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

4001AE

ALS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

4001AF

ALS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

4001AG

ALS: One way from Beckley VAMC to 1 Medical Center Drive, Clarksburg, WV

4001AH

ALS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Basic Life Support (BLS) for Beckley and Clarksburg VAMC

4002AA

Clarksburg VAMC Base Rate for BLS One Way Only

4002AB

Beckley VAMC BLS (25) miles from Beckley VAMC.

4002AC

BLS: One way from Beckley VAMC to 1201 Broad Rock Blvd, Richmond, VA

4002AD

BLS: One way from Beckley VAMC to 1970 Roanoke Blvd., Salem, VA

4002AE

BLS: One way from Beckley VAMC to 1100 Tunnell Road, Asheville, NC

4002AG

BLS: One way from Beckley VAMC to 508 Fulton St. Durham, NC

4002AH

BLS: One way from Beckley VAMC to 1540 Spring Valley Dr. Huntington, WV

Wheelchair Van one way within 50 miles of Clarksburg VAMC

Minivan One Way Only Clarksburg VAMC

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3001AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3002AA. One way only.

Clarksburg mileage Rate for each mile traveled outside the 50-mile threshold for items 3003 and 3004. One way only.

Beckley ALS Mileage charge for each mile traveled outside the 25-mile threshold.

Beckley BLS Mileage charge for each mile traveled outside the 25-mile threshold.

Waiting Time (for each 15-minute increment). EA 1=15 min

36C24519R0053

B.3 PERFORMANCE OF WORK STATEMENT

Purpose: The purpose of this requirement is to furnish 24-hour ambulance transportation service for the beneficiaries of the Louis A. Johnson VA Medical Center, Clarksburg, West Virginia and Beckley WV VA Medical Center. This will involve trips to and from any location within the Primary Service Area (PSA) of the Louis A. Johnson VA Medical Center and the Beckley VA Medical Center. The PSA are as followed:

Louis A Johnson VA Medical Center, Clarksburg, WV 26301 PSA includes the following counties in West Virginia: Wetzel, Monongalia, Marion, Preston, Tyler, Pleasants, Harrison, Taylor, Doddridge, Wood, Ritchie, Lewis, Barbour, Tucker, Upsher, Randolph, Webster, Braxton, Filmer, Calhoun, Wirt, Jackson, and Roane.

The VAMC Beckley, WV, PSA includes the following counties in West Virginia: Clay, Fayette, Greenbrier, McDowell, Mercer, Monroe, Nicholas, Pocahontas, Raleigh, Summers, and Wyoming, and Tazewell, VA.

Community-Based Outpatient Clinics (CBOCs) are included within the counties of Clarksburg and Beckley’s PSAs.

1) DEFINITIONS:

a) Basic Life Support (BLS): the level of medical care which is used for patients with life threating injuries or illnesses until they can be given medical care at a hospital. BLS is generally used in the pre-hospital setting and can be provided without medical equipment (IAW Specification KKK-A-1822C).

b) Advanced Life Support (ALS): S set of life-saving protocols and skills that extend BLS to further support the circulation and provide an open-airway and adequate ventilation (breathing) (must be IAW Specification KKK-A-1822C). Capabilities for, but not limited to, Endotracheal Intubation, IV therapy, Cardiac Monitoring, Defibrillation, and Intravenous and Cardiac Drug Therapy.

c) Wheelchair Van: a van capable of transporting a wheelchair bound patient with a driver and attendant that shall assist the patient as necessary; including but not limited to entering and exiting vehicles, entering locating and checking into appointments upon arrival at destination.

d) Minivan: Van capable of transporting a patient that is mostly ambulatory with the driver assisting the patient as necessary; including but not limiting to entering and exiting vehicles; entering, locating and checking into appointments upon arrival at destination.

e) Contracting Officer’s Representative (COR)

f) Administrative Officer on Duty (AOD)

g) Waiting: Waiting as used in this contract is defined as the time required and verified by authorized medical facility personnel for the Contractor to wait at designated pick-up and/or delivery points in performing contract services.

h) Waiting Grace Period: The Contract waiting grace period is defined as fifteen (15) minutes prior to the time waiting charges commence. The base rate for ambulance services shall include a fifteen (15) minute waiting grace period at origin and at destination.

g) Universal precautions is an approach to infection control to treat all human blood and certain human body fluids as if they were known to be infectious for HIV, HBV and other bloodborne pathogens, (Bloodborne Pathogens Standard 29 CFR 1910.1030(b) definitions).

h) Base Rate is defined as the rate paid for one-way transportation from a designated pick up point to a designated delivery point. This rate will be paid for all authorized one-way trips ordered under this contract action, with employees receiving at minimum the Department of Labor Service Contract Act wage rates (included in Section D – Contract Documents, Exhibits, or Attachments) during all phases of the trip made on behalf of the Government. The Base Rate shall constitute full compensation for one-way trips which do not exceed the “Mileage Threshold” as shown in the Schedule of Prices for the medical facility.

A. TASKING:

2) NUMBER OF PATIENTS: It is understood and agreed that only ONE patient will be transported on a trip unless specifically authorized or requested by the Department of Veterans Affairs. When, pursuant to the Department of Veterans Affairs authorization, more than one patient is transported concurrently on a trip, reimbursement shall be made only at the rates contained in the schedule of costs for transporting a single patient.

3) WAITING TIME: For time lost in waiting at either or both ends of a trip due to causes beyond the Contractor’s control, the Contractor will be reimbursed per quarter hour as proposed in the schedule for each quarter hour or fraction thereof in excess of one-quarter hour for the time reported to the designated Veterans Affairs personnel. If the pick-up point is other than the Veterans Affairs Medical Center; the Contractor will call the Travel Clerk first or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Officer of the Day (AOD) on duty during non-administrative hours (during evenings, nights, weekends, and holidays) as soon as it is anticipated that a delay may develop for which the Contractor expects to claim reimbursement. This call is only for the purpose of verifying the arrival time at the pick-up point and is not necessary if the Contractor anticipates no delay for which reimbursement will be claimed. The Contractor’s failure to notify the travel section when waiting beyond the grace period shall result in non-payment for waiting time.

4) COMPLETED TRIP: When ambulance service under the terms of this contract involves pick-up of a patient who is to be brought to this medical center or to another hospital and/or clinic for hospitalization or treatment, the trip will be considered complete by department of Veterans Affairs when the patient is delivered by ambulance personnel to the admitting/evaluation unit, a specified ward or unit, or to the location specified at the time the trip is requested.

5) NON-PICKUP OF PATIENT: When ambulance service involves a trip to or from Clarksburg or Beckley VA Medical Center medical center, patient’s residence or patient refusal, but due to unforeseen circumstances the patient is not available for pick-up, the Contractor will collect for the trip at the rates applicable under the schedule portion of this contract. The Department of Veterans Affairs reserves the right to substitute patients in these instances to prevent the “no-load” situation.

6) NON-ARRIVAL OF PATIENT: When ambulance service involves the pick-up of a patient scheduled to arrive by air and the ambulance driver finds such patient does not arrive as scheduled, the ambulance driver will contact the Travel Clerk, Supervisor, Patient Support Unit, or the AOD and inquire as to the status of the arrival. If appropriate, waiting time may be authorized for time lost in waiting in accordance with the rate applicable under the schedule of costs of this contract. If Contractor reported as scheduled and no patient is transported, Contractor will be reimbursed at the rates applicable under the schedule of costs of this contract.

7) PATIENT PICKUP AND DELIVERY FROM/TO VAMCs:

a) Ambulance drivers will report and sign-in at the Travel Clerk’s desk, Monday through Friday, from 8:00 AM through 4:30 PM and at the Admission Office from 4:30 PM to 8:00 AM Monday through Friday and weekends.

b) Transport of baggage with Veterans will occasionally be required.

c) Ambulance drivers will deliver and pick-up patients at designated locations, i.e., Emergency Room, Special Treatment Room, Clinic Area, Ward (if known). These locations will be designated when designated Veteran Affairs personnel make contact.

d) The ambulance personnel will report to the Nursing Station to (1) announce his/her arrival to pick-up and transfer the patient, and (2) obtain report of pertinent information regarding the patient’s condition from the primary nurse/physician.

e) When delivering a patient, the ambulance personnel will give report to appropriate nursing personnel and provide a copy of the run sheet which will be retained by the facility for the patient’s medical record.

f) In cases which the contractor's dispatchers prioritize their requests for services as an emergency and a rescue squad is dispatched, the dispatcher will notify the calling party at the VAMC of the patient’s location as soon as it becomes available.

g) Universal Precautions will be used on all Veteran Affairs patients.

8) PATIENT CUSTODY: The Contractor shall not release the patient from his/her custody, unless custody is released to a charge nurse on duty at the facility patient is being transported to, or to a designated point of contact at the patient’s residence. The Contractor shall take every reasonable measure to assure the well-being of the patient at their destination. The ambulance crew shall wait with the patient when transporting for scheduled appointments and provide assistance as needed, unless otherwise released by medical personnel at the location of the appointment.

9) RATES: Rates will apply twenty-four hours per day seven days a week. Payment for mileage traveled beyond the primary services area limits will be limited to “One Way Only” for the distance over which the patient is transported. Such mileage costs will be paid in addition to the applicable rate per trip for any trip entirely within the county limits. Trip mileage shall be determined by the latest edition of the Bing.Com Maps. The Contractor shall receive the base rate proposed in the schedule for all one-way trips ordered. The base rate shall constitute full compensation for one-way trips which do not exceed the mileage threshold as defined herein. The odometer reading at the time of the county line is crossed shall be provided and the odometer reading at the arrival of destination.

10) MILEAGE: For all trips ordered under this solicitation “Mileage Threshold” is considered to be 50 miles one way based upon primary. Any trips beyond 50 miles will be subject to mileage. Mileage must be documented on the trip sheet if claimed on the invoice. Allowable charges for mileage: Threshold areas of coverage shall not exceed 5% of the current standard Rand McNally Mileage Guide or its equivalent. Mileage is determined using Bing Maps.

11) PAYMENT: Upon receipt of itemized statement payment will be processed. Itemized statement includes date, patient’s name, mileage, ALS or BLS, and use of oxygen. Charges are to be broken down for each run, total charge each run, and total charge per month.

12) TELEPHONE SYSTEM: The Contractor shall have telephone coverage to accept calls from the Clarksburg and Beckley VAMC seven (7) days a week/24 hour a day, Sunday through Saturday. The contractor shall have sufficient telephone capacity to ensure immediate communication access between the Clarksburg and Beckley VAMC and the Contractor’s facility for the purposes of scheduling and/or canceling trip requests as well as handling other emergencies. If the Contractor’s place of business is located beyond the local telephone call zone, the Contractor shall accept telephone orders for service on a collect basis or provide a toll-free number.

13) TOLL CHARGES:

a) It is agreed and understood that the prices proposed in the schedule do not include any ferry, bridge, tunnel, or road toll charges. Any such legitimate toll charges incurred shall be limited to one way only and shall be listed separately on the Contractor’s invoice.

b) If Contractor’s place of business is located beyond the local telephone call zone of this medical center, Contractor agrees to provide a toll-free telephone number or will accept telephone orders for service on a collect basis.

14) ORDERS FOR SERVICES:

a) Only the Contracting Officer or Ordering Officer shall make requests for service by telephone or Fax. Confirmation of each telephone authorization shall be faxed as soon as possible following the call for service. Request for services will be made to the telephone number specified by the Contractor or to one back-up number in the event of no answer at the primary number specified. All contacts from the Contractor will be with the Travel Clerk a, Transportation Assistant Mobility Manager or the Administrative Officer of the Day (AOD) at during non-administrative hours.

b) If the Department of Veterans is unable to establish telephone contact with the Contractor for Basic Life Support (BLS) service within five (5) minutes or if the Contractor fails to furnish BLS ambulance service within a reasonable time, 30 minutes after receiving a request or within 30 minutes of the scheduled pick-up time, the Department of Veterans Affairs reserves the right to obtain the service from another source and to charge the Contractor with any excess costs which may result there from. The Department of Veterans will be the sole judge in determining when to order service from another source.

c) Advanced Life Support (ALS) will be furnished for only life-threatening transport. If the Department of Veterans Affairs is unable to establish telephone contact with the Contractor for life threatening Advanced Life Support (ALS) service within five (5) minutes at the numbers specified, or Contractor fails to furnish an ALS ambulance within thirty (30) minutes after receiving a request, the Department of Veterans reserves the right to obtain service from another source and to charge the Contractor with any excess costs which may result. If, within five (5) minutes after receiving a request for ALS service, the Contractor determines they are unable to provide this service within thirty (30) minutes, the Contractor will contact the Harrison County EMS at 911 to respond to the call, providing them with the location and the need for an ALS unit. The Contractor will inform the Department of Veterans Affairs of their inability to meet the contractual needs and confirm they have contacted the Harrison County EMS to provide this service. The Contractor will furnish qualified Advanced Cardiac Life Support (ACLS) personnel who are competent to perform ACLS protocols.

d) All ALS ambulance transports will be staffed by at least one (1) currently licensed paramedic (EMT-P).

RESPONSE TIME:

The Contractor shall provide and respond to all emergency calls in accordance with all Federal, State, and Local regulations governing dispatch of emergency medical (ambulance) vehicles and medical care of on-board patients, to include the use of sirens and other measures to ensure timely arrival at the designated Beckley or Clarksburg VA Medical Facility.

The Contractor shall maintain at a minimum, a 95% compliance rate on response to pick-up or deliver during the contract year. If the Contractor fails to provide service within the time frames specified herein, Failure of the Contractor to perform in accordance with this compliance rating may constitute sufficient cause for termination of the contract for cause (see FAR Clause 52.212-4(m)).

Contractor shall provide a monthly report to the Transportation Assistant which identifies each request for service by patient name, time of receipt of call, whether BLS or ALS unit requested, time of arrival, and time elapsed from receipt of call and time of arrival. Other pertinent information as necessary may be included. This report, in conjunction with Veteran Affairs records, shall be used for calculation of late fees to be deducted from Contractor’s invoice, if applicable.

15) REPORTING REQUIREMENTS: For all scheduled appointments for patients’ entrance to the building will be in the Emergency Room entrance. Direct admissions will enter through the emergency entrance. Ambulance personnel will stop at the Emergency Department desk to let the clerk and nurse know the patient has arrived and to get any additional instructions. Emergent patients will enter the emergency entrance and need to have a “warm hand-off” to Veteran Affairs clinicians or designees.

16) EQUIPMENT OR SUPPLIES: Any and all government equipment, linens, etc., taken with patients must be returned. The Contractor shall furnish all linens, blankets, and supplies. The VA Medical Center will not participate in a linen exchange program or any supply exchange program. The Contractor shall not be permitted to borrow medical equipment from the Medical facilities. The Contractor shall provide all medications required while in transport, sheets, and blankets and other equipment and supplies required for use while in transport, for direct patient care. Contractor shall at no time and under any circumstances exchange supplies, equipment, and/or medications with Veteran Affairs Medical Centers.

The contractor shall beheld responsible for patient and/or Government property during transport. Any damaged or lost wheelchairs, walkers, crutches or personal belongings will be replaced by the contractor at no additional cost to the Government or beneficiary.

17) RECORDS: At the option of the Government, the Contractor may be required to transport records with patients from station to station.

18) INCIDENT REPORT: Should an incident and/or accident occur involving the welfare of a beneficiary, the Contractor shall immediately notify the Travel Clerk, Supervisor, or the Administrative Officer (AOD) during evenings, nights, weekends, and holidays. This notification will be made by telephone within one (1) hour. A written report of the incident shall be filed with the Travel Clerk or the Contracting Officer’s Representative by the close of business the next business day. The Department of Veteran Affairs reserves the right to conduct patient satisfaction surveys to insure quality service is being provided. A copy of any survey will be provided to the contractor.

19) PATIENT WELFARE AND ABUSE

a. The Government requires the contractor to exercise utmost caution and care in the handling of patients. Any abuse of patients will be grounds for default action or Termination of the contract.

b. In the event a patient's condition worsens during transport, the Contractor shall transport the patient to the closest facility appropriate for the required care and promptly notify the Travel Clerk, Transportation Assistant, or AOD if during evenings, nights, weekends, and holidays. In the event a patient should expire during transport the Contractor shall notify the Travel Clerk, Transportation Assistant, or AOD if during evenings, nights, weekends, and holidays and return to the VA Medical Center Emergency Room.

20) JOINT COMMISSION STANDARDS: The Contractor must perform ALS and BLS ambulance services in accordance with the Joint Commission standards. A copy of these standards may be obtained from the Joint Commission, One Renaissance Blvd., and Oakbrook Terrace, IL 60181.

21) VEHICLES:

Ambulance used under this contract shall be licensed and shall meet the minimum vehicle requirements as mandated by the West Virginia Department of Transportation and the primary service area Governments listed within this PWS.

Ambulances shall meet all current applicable Federal Specification No. KKK-A-1822F , State and local specifications and regulations including, but not limited to, licensing, registration, and safety standards are required.

The contractor must provide inspection reports on all vehicles that will be used in the performance of this contract. New vehicles must be reported before being used for this contract.

The contractor operating in West Virginia must comply with inspections and reporting as required by West Virginia Office of Emergency Medical Services.

Vehicles shall be clean and maintained in good repair in accordance with manufacturer’s instructions and specifications, at all times during the performance of this contract, and shall contain - The Contractor shall ensure the availability of mobile radio and /or cellular telephone communication with all vehicles providing transportation service at all time.

22) AMBULANCE MEDICAL EQUIPMENT:

a) Each emergency medical care vehicle will have patient compartment facilities, oxygen and suction systems and equipment, environmental climate equipment, communications equipment, and any additional systems, equipment, accessories, and supplies as required by the State of West Virginia.

b) Each advanced life support (ALS) vehicle will have certified paramedics, patient compartment facilities, oxygen, heart monitor, suction systems, and intravenous IV equipment, environmental climate equipment, communications equipment, and any additional systems, equipment, accessories, and supplies as required by the State of West Virginia.

23) PATIENT RIGHTS: The Contractor shall be courteous to Veteran Affair beneficiaries and shall not smoke/vape while transporting patients. Patients may bring a reasonable number of belongings such as a personal suitcase.

24) MISCELLANEOUS:

a) At no time will the Contractor leave vehicles on VAMC premises unless a pick-up or delivery is in process. Once a patient has been removed from vehicle and properly secured with Emergency personnel, the running vehicle will be removed from the Emergency Department exit door to prevent environmental hazards due to exhaust fumes.

b) Contractor employees shall conduct themselves in a business-like manner at all times while on VAMC premises and while transporting patients.

c) When transporting patients to or from Medical facilities, the driver, acting for the Contractor will ensure that the patient’s luggage, medical records, medications, and prosthetic devices are properly accounted for and delivered with the patient as required.

d) Contractor shall provide a “Run Sheet” as part of the patient’s permanent record. This Run Sheet shall include a record of the patient’s vital signs, medications used, oxygen use, patient’s emotional attitude, and any changes in the patient’s condition. The list stated here shall not be construed to be as all-inclusive; the Contractor shall provide all pertinent information.

25) CONFIDENTIALITY: Protects printed and sensitive data in accordance with the provisions of the Privacy Act of 1974 and other applicable laws. Protects the data from unauthorized release or from loss and alterations.

26) TRAINING:

1. To be eligible to perform under this contract, each contract employee must meet the minimum training required outline below and minimum contractor furnished training outlined in section 27 of this PWS.

2. Contractor Furnished Training.

(a)The Contractor shall submit to the Contracting Officer written certification that each contract employee has been trained in the subject areas outlined in paragraph C prior to assignment under this contract. For replacement or new employees’ documentation of prior training must be submitted or the individual contract employee must complete the required training before being employed in support of this contract.

(b)All formal training required shall be administered (i.e., taught, presented) by persons who are certified as being qualified to instruct or teach, the specific subjects or topics required. Certification to instruct the specific subject shall be in the form of a certificate issued by an accredited institution of learning (school, college, university), a governmental (Federal, State, County, etc.) educational certification body (agency, board, commission), or by documentation that the person instructing has sufficient experience in/with the subject to be able to instruct the subject in an authoritative, practical and current manner.

(c) In addition to the formal training, the Contractor shall provide 16 hours of orientation training for each employee fourteen (14) days after his or her initial assignment to duty. This orientation may be accomplished while the employees are on duty. The Contractor shall certify to the COR as to the completion of the orientation for each employee within 45 days following assignment to duty. The follow-up orientation should include the following subjects and instructional time periods as well as other subjects as may be required:

(1) Accident and incident reporting (2 hours)

(2) Safe operation of emergency vehicles (2 hours)

(3) Quality Assurance (2 hours)

(4) Fire and emergency preparedness planning (2 hours)

(5) Handling patient complaints (1 hour)

(6) Infection control (2 hours)

(7) Universal precautions (policy and procedure) (2 hours)

(8) Safety and occupational health procedures (3 hours)

3. Contractor Furnished Training - The Contractor shall submit to the Contracting Officer written certification of the follow-up orientation.

4. The EMT/Paramedics must be enrolled in 'refresher" continuing education, or advanced training programs as required by the local or state government entity in which the service is rendered to veterans or, a yearly basis. Such "refresher" training must be equivalent to that developed by the Department of Transportation or National Highway Safety Administration. Evidence of successful completion for "refresher" training must be provided to the Contracting Officer for inspection.

5. Contractors must complete training courses “VA Privacy and Information Security Awareness and Rules of Behavior” and “HIPAA and Privacy Training” on an annual basis while performing under this contract. All documentation must be submitted to the Contracting Officer Representative.

27) PERSONNEL REQUIREMENTS:

(1) Contractor’s employees Education/Experience:

Possess a high school education or equivalency, and have two (2) years of experience demonstrating the ability to meet and deal with the general public, to read, understand and apply printed rules, detailed orders, instructions, and training materials; to maintain pose and self- control under stress; and to construct and write clear, concise, accurate and detailed reports as determined by successful, high level of performance with other customers. Any type of military service may be credited toward meeting the requirements. In lieu of the above, each employee shall have two years of relevant education at a residency school above the high school level, or any combination of relevant education above the high school level and relevant experience totaling two (2) years.

(2) Drivers:

(a) Education/Experience: Possess a high school education or equivalency, and have two (2) years of experience demonstrating the ability: to meet and deal with the general public; to read, understand and apply printed rules, detailed orders, instructions, and training materials: to maintain pose and self-control under stress; and to construct and write clear, concise, accurate and detailed reports as determined by successful, high level of performance with other clientele.

(b) Possesses a valid West Virginia operator's license issued by the State of West Virginia, has not, within the last three years, been convicted of reckless driving or driving under the influence of alcohol or controlled substances and has not had a driver’s license suspended under the point system issued by the state. Possess a valid American Red Cross standard first aid and personal safety course card or its equivalent. Drivers must provide full name, date of birth, and social security number to the Department of Veteran prior to operating vehicles with Veteran Affair beneficiaries. Proof in the form of a current certificate that such first aid training has been successfully completed must be available upon request.

(c) Possess a working knowledge of route specific to the area and knowledge of the nearest hospital available.

(d) Contractor must provide an annual statement that drivers are screened, trained and competent to safely transport patients. This annual statement of driver competency must include any advanced certifications, such as Advanced Cardiac Life Support or specialized training to assist and secure patients by stretcher or wheelchair.

(3) Attendants-Emergency Medical Technician (EMT) and Paramedics Prices proposed in the schedule shall include the services of a minimum of two (2) Emergency- Medical Technicians (EMTs) for BCLS and a minimum of one EMT and one Paramedic for every ACLS Service. In the event the VA Medical Center determines it necessary for the patient to have more than one ACLS attendant at bed side during transport, the Contractor must provide the additional attendant. In the event that the patient being transported requires mechanical ventilation, and the Contractor is responsible for his or her own mechanical ventilator and the care of the patient during transport. In the event that the patient being transported requires accompaniment by an RN, and the Contractor does not supply the RN, an RN will accompany the patient during transport. The RN's responsibilities during transport will be clearly outlined in written physician orders. In the event of emergency, the care of the patient in transport will be the responsibility of the EMT/Paramedic.