36C24519R0069-001.docx

36C24519R0069

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

36C24519R0069 07-15-2019 Kristine Stout 410-637-1507 08-02-2019 Department of Veterans Affairs

VAMC

10 N Greene St Baltimore

MD

21201 X X 485991 $15 Million X N/A X Department of Veterans Affairs VAMC(512) Warehouse 10 N Greene St Baltimore

MD

21201 Department of Veterans Affairs

VAMC

10 N Greene St Baltimore

MD

21201

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135

See CONTINUATION Page The contractor shall provide all labor, materials, equipment and management needed to provide wheelchair van services to the VA Maryland Healthcare System (VAMHCS).

The government intents to award, multiple Indefinite Delivery, Indefinite Quantity contracts for these services.

The CLINS for the Eastern Shore shall be considered separate from the CLINS for VAMHCS and contractors do not need to compete for both areas to be eligible for an award in the other area, or for the other CLINS. However, contractors are required to provide pricing for all of the CLINS for each area for which you choose to compete.

Questions must be submitted by 7/24/2019 to Kristine.Stout@va.gov Ordering Period 10/1/2019-9/30/2024 See CONTINUATION Page X Kristine Stout 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: Contracting Officer 36C245 Kristine Stout Department of Veterans Affairs

VAMC

10 N Greene St Baltimore MD 21201

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 Invoice Setup Information 1-877-489-6135 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Wheelchair van trips between Perry Point VAMC, Loch Raven, or the Baltimore VAMC

Fixed Price CLIN, no additional mileage allowed PSC V212 VAMHCS CLIN Ordering Period 10/1/2019 - 9/30/2020

Wheelchair van trip

Fixed Price; Flat rate, within the city limits in accoracne with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 50 Irving Sterrt Washington, DC

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 510 Butler Ave, Martinsburg, WV 25401

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 1201 Broad Rock Blvd, Richmond, VA 23249

Mileage rate

Fixed Price, per mile one way only per bullet 10 of the PWS PSC V212

Wait time Fixed Price per every 15 minutes if approved per bullet 11 of the PWS PSC V212

Attendents VAMHCS trips Fixed Price PSC 212

Flat rate for trips Originating and completing on the Eastern shore

Fixed Price; Flat rate, within the city limits in accordance with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212 Eastern Shore CLIN Ordering Period 10/1/2019 - 9/30/2020

Mileage rate Eastern Shore

Wheelchair trips between Perry Point, Baltimore, or Loch Raven and Eastern shore hospitals

Fixed Price, no additional mileage allowed PSSC V212

Wait time

Attendants Eastern Shore trips

Wheelchair van trips between Perry Point VAMC, Loch Raven, or the Baltimore VAMC

VAMHCS CLIN Ordering Period 10/1/2020 - 9/30/2021

Wheelchair van trip

Fixed Price; Flat rate, within the city limits in accoracne with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 50 Irving Sterrt Washington, DC

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 510 Butler Ave, Martinsburg, WV 25401

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 1201 Broad Rock Blvd, Richmond, VA 23249

Mileage rate

Wait time

Attendents VAMHCS trips

Flat rate for trips Originating and completing on the Eastern shore

Fixed Price; Flat rate, within the city limits in accordance with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212 Eastern Shore CLIN Ordering Period 10/1/2020 - 9/30/2021

Mileage rate Eastern Shore

Wheelchair trips between Perry Point, Baltimore, or Loch Raven and Eastern shore hospitals

Wait time

Attendants Eastern Shore trips

Wheelchair van trips between Perry Point VAMC, Loch Raven, or the Baltimore VAMC

VAMHCS CLIN Ordering Period 10/1/2021 - 9/30/2022

Wheelchair van trip

Fixed Price; Flat rate, within the city limits in accoracne with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 50 Irving Sterrt Washington, DC

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 510 Butler Ave, Martinsburg, WV 25401

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 1201 Broad Rock Blvd, Richmond, VA 23249

Mileage rate

Wait time

Attendents VAMHCS trips

Flat rate for trips Originating and completing on the Eastern shore

Fixed Price; Flat rate, within the city limits in accordance with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212 Eastern Shore CLIN Ordering Period 10/1/2021 - 9/30/2022

Mileage rate Eastern Shore

Wheelchair trips between Perry Point, Baltimore, or Loch Raven and Eastern shore hospitals

Wait time

Attendants Eastern Shore trips

Wheelchair van trips between Perry Point VAMC, Loch Raven, or the Baltimore VAMC

VAMHCS CLIN Ordering Period 10/1/2022 - 9/30/2023

Wheelchair van trip

Fixed Price; Flat rate, within the city limits in accoracne with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 50 Irving Sterrt Washington, DC

Ordering Period 10/1/2022 - 9/30/2023

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 510 Butler Ave, Martinsburg, WV 25401

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 1201 Broad Rock Blvd, Richmond, VA 23249

Mileage rate

Wait time

Attendents VAMHCS trips

Flat rate for trips Originating and completing on the Eastern shore

Fixed Price; Flat rate, within the city limits in accordance with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212 Eastern Shore CLIN Ordering Period 10/1/2022 - 9/30/2023

Mileage rate Eastern Shore

Wheelchair trips between Perry Point, Baltimore, or Loch Raven and Eastern shore hospitals

Wait time

Attendants Eastern Shore trips

Wheelchair van trips between Perry Point VAMC, Loch Raven, or the Baltimore VAMC

VAMHCS CLIN Ordering Period 10/1/2023 - 9/30/2024

Wheelchair van trip

Fixed Price; Flat rate, within the city limits in accoracne with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 50 Irving Sterrt Washington, DC

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 510 Butler Ave, Martinsburg, WV 25401

Wheelchair van trip between Perry Point, Baltimore or Loch Raven and 1201 Broad Rock Blvd, Richmond, VA 23249

Mileage rate

Wait time

Attendents VAMHCS trips

Flat rate for trips Originating and completing on the Eastern shore

Fixed Price; Flat rate, within the city limits in accordance with bullet 10 of the PWS, trips beyond the city limit may include mileage charges. PSC V212 Eastern Shore CLIN Ordering Period 10/1/2023 - 9/30/2024

Mileage rate Eastern Shore

Wheelchair trips between Perry Point, Baltimore, or Loch Raven and Eastern shore hospitals

Wait time

Attendants Eastern Shore trips

B.3 PERFORMANCE WORK STATEMENT

1. General Information The Government requires a contractor to provide wheelchair van transportation to include medical equipment necessary for the transportation of eligible beneficiaries of the Veterans Administration Maryland Health Care System (VAMHCS) to VA Medical Centers and Clinics, 10 North Greene Street, Baltimore MD 21201, Perry Point MD 31902, 3900 Loch Raven Blvd. Baltimore MD 21218 which includes but is not limited to, a medical center, emergency room, geriatric long term care, hospice and psychiatric care. In addition, it supports three Community Based Outpatient Clinics (CBOCS), East Baltimore County 5235 King Avenue, Rosedale MD 21237, Fort Meade 2479 5th Street Fort Meade, MD 2075, and Glen Burnie 808 landmark Dr. Suite 128 2106. These locations are subject to change during the life of this contract if the VA moves a CBOC due to lease expiration. The use of VAMHCS throughout this document shall be interpreted as the Veterans Administration Maryland Health Care System and all five CBOCs associated with it. We have a current average of 1,500 that may increase to 2,000 one-way transports a month, however these figures are for estimate purposes only, and not imply a minimum or guarantee. The Contractor shall provide Wheelchair coverage for these VAMHCS locations, 24 hours per day/7 days per week, 365 days per year. Contractor shall be responsible for correct wage tiles and compliance with all applicable wage and hour laws.

The VAMHCS also has a requirement for wheelchair van transportation to VA Medical Centers and CBOC’s for the serviceable area surrounding the Cambridge CBOC located at 830 Chesapeake Dr. 21613 and the Pocomoke CBOC located at 101 Market Street Pocomoke MD 21851. We have a current average of 10-15 round trip transports a day, however these figures are for estimate purposes only, and not imply a minimum or guarantee. The Contractor shall provide Wheelchair coverage from 8:00 AM to 4:30 PM Monday through Friday. The government intents to evaluate and award these routes as separate CLINS, which a contractor can choose to provide a proposal for, or not. Throughout this contract these CLINS will be referred to as Eastern Shore. Contractors can also choose to only propose on the routes for these locations, without proposing on the VAMHCS CLINS.

2. Special Contract Requirements

The Contractor shall have all necessary licenses and/or permits required to perform this service at the time of submission of proposal and throughout the life of the contract. The Contractor shall take all precautions necessary to protect persons and property from injury or damage during the performance of this contract. The Contractor shall be responsible for any injury to himself, his employees, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by his or his employees’ fault or negligence. The Contractor shall maintain personal liability, automobile liability, and property damage insurance. as prescribed by evidence of coverage is required before commencing work under this contract (copy of Certificate of Insurance), and it may not be changed or cancelled without thirty calendar days prior written notice to the CO.

All vendors proposing on the VAMHCS RFP/CLIN’s should have a location within a 2.5 hour radius of the Baltimore VA Medical Center. The Vendor should be able to adequately service all VA medical Centers and CBOC’s successfully with advanced notice. This includes all of our above-mentioned locations in the surrounding counties as well as our locations on the Eastern Shore.

All vendors proposing on the Eastern Shore RFP/CLIN’s should have location within a 2.5 hour radius of the Cambridge VA Outpatient Clinic. The Vendor should however be able to adequately provide service originating within that radius to all VA medical Centers and CBOC’s successfully with advanced notice.

3. Service to be provided

The Contractor shall be required to pick-up patients from the main VAMHCS defined above and other points of origin of travel and transport him/her to VA Maryland Health Care clinic appointments and return them to their residence or to other places/locations in a timely manner.

A request for services will be made by the designated VAMHCS Travel Office or Administrative Officers of the Day (AOD) or other approved requester in writing, fax, and or telephone.

The Contractor shall furnish to the Contracting Officers Representative (COR) on a daily basis, the previous days invoices that will include pick-up and drop-off times for all trips. This information may be dropped off or emailed to the Baltimore and Perry Point VAMC Travel Office on the first trip of the day.

Hours of operation for the VAMHCS Travel Office will be 6:00am to 6:00pm Monday through Friday, except Federal holidays. Federal holidays include New Year’s Day, Martin Luther King Day, Presidents Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day and other specifically designated days by the President of the United States to be a national holiday.

Off Duty Business Hours: 6:01PM to 5:59AM, Monday through Friday, all day Saturday and Sunday and Federal Holidays. When a Holiday falls on a Sunday, the following Monday will be observed as a Legal Holiday. When a Holiday falls on a Saturday, the Preceding Friday is observed by the US Government Agencies.

4. Contractor Employees:

(a) The VAMHCS reserves the right to restrict any Contractor employee from performing services under this contract who do not meet the required qualifications for the services they are required to perform and who violates Federal regulations, applicable regulations, or are identified as a potential threat to the security, safety, health and/or operational mission of the VA Maryland Health Care System and its’ veteran population. The restriction of such Contractor personnel shall not relieve the Contractor from performing all the required services in accordance with all terms, conditions, and schedules contained herein.

(b) The Contractor shall provide qualified personnel as required by contract specifications to accomplish all services under this contract.

(c) Contractor personnel performing services to the VAMHCS shall at all times conduct themselves in a professional manner, maintain personal hygiene, wear clean, neat uniforms and be identified by having the company name and employee name affixed to the uniform. The Contractor shall be responsible for furnishing all vehicles, personnel, equipment and supplies, vehicle fuel, uniforms, nametags and/or badges for performance of services under this contract. Employee identifications shall be worn in clear view above the waist. Contractor personnel shall not smoke in vehicles.

5. Attendants/Driver

(a) Qualified driver, which will also serve as the attendants when needed, shall be courteous and treat each passenger with dignity and respect.

(b) The Contractor shall maintain a record of each employee as to character and physical capabilities of performing the duties of a driver and/or attendant able to perform para-transit, and be made available for inspection upon request. All drivers and/or attendants shall wear uniforms with badges, which identify them as the contract’s employee. The Contractor shall conduct training, at least semi-annually for its employees, which will include safety and courtesy procedures and policies. Drivers must be certified in CPR training.

(c) The COR may, in the best interest of the beneficiary, authorize a relative or caregiver to accompany him/her. A relative is defined as a spouse, parent, son, daughter, brother sister, uncle, aunt, niece or nephew of the beneficiary by blood or marriage. The Contractor shall not charge for transporting a relative that is acting as an attendant.

(d) The Contractor shall, when directed by the ordering office, be required to furnish an additional attendant in the transportation of patients. The Contractor shall be paid at the rate specified in the contract.

(e) In the event of a weather related and/or national emergencies declared by the Federal Government, the COR reserves the right to act in the best interest of the Federal Government and the services received therein.

6. Vehicle

(a). Vehicle must be of quality and model conditions to assure the patient’s complete high quality transportation (i.e., functioning heater and air conditioning, etc.) and emergency first aid kits as well as meet minimum standards for maintenance and staffing of all non-emergency van vehicles.

(b). Each Passenger Vans must be equipped with lifts and or ramps with tie down straps and drivers properly trained in proper tie down procedures.

(c). Each vehicle shall be equipped with additional extension belts at all times to accommodate any size patient including bariatric patients or patients with oversized motorized scooters. Patients shall not be transported until properly secured by seat belt. Equipment certification is the sole responsibility of the Contractor. A trained person shall be identified to the COR as equipment certifier.

(d). Each vehicle must be inspected and maintained daily to assure the safety of all passengers and respected items; and as required by federal, state, and local law in the area in which the vehicle operates. The Contractor will not be allowed to use vehicle, equipment and or drivers in performance of this contract that do not have current valid inspection/and license as required by the applicable, federal, state, and/or local law. Each vehicle must be thoroughly cleaned on a routine basis to ensure a healthy and clean passenger environment for the beneficiaries. Smoking shall not be allowed while transporting patients; no texting/and or answering cell phones while the vehicle is operational (moving). Hands free verbal communication is acceptable.

(e). Each vehicle used in the performance of this contract shall be licensed and meet minimum vehicle requirements as maintained by the State of Maryland.

(f). The VAMHCS reserves the right to accept or reject any vehicle as determined by the VAMHCS inspection team/and or the COR. Inspections would occur at the pickup or drop-off location, normally this would be a VA facility. In the event of an unacceptable finding, the VAMHCS reserves the right to obtain service from another source and to charge the Contractor with any excess cost which may result thereof.

7. Number of Patients

(a) Vehicles equipped to do so can provide transportation for up to five (5) wheelchair patients and sedan car/van two (2) patients can be transported on a trip unless specifically authorized by the COR.

(b) The Contractor must ensure that the pick-ups and drop-offs are scheduled so that the total distance traveled will result in the most economical charge to the VAMHCS; which will be closely monitored by the COR.

8. Toll Charges

Price listed in the schedule do not include any ferry, bridge, tunnel and road toll charges. Any such legitimate toll charges incurred shall be limited to ONE WAY ONLY and shall be listed separately on the economical charge to the VAMHCS.

9. Waiting Time

For time lost in waiting at either or both ends of a trip due to causes beyond his/her control, the Contractor will be reimbursed at the rate of one-fourth (1/4) the hourly rate quoted in his/her offer for each quarter hour (15 minutes) or fraction thereof in excess of one quarter hour from the time his/her reports to the designated person. If the pick-up is other than at the VAMHCS, the Contractor shall announce the reimbursement. In no event shall the Contractor wait more than fifteen (15) minutes for a patient without authorization from the COR or designee. This call is only for the purpose of certifying his/her arrival time at the pick-up point and is not necessary if the Contractor anticipates no delay from which he will claim reimbursement.

10. Rates

Rates will apply to any trip requested by an authorized caller. Payment for mileage traveled beyond the city limits will be limited to “one way only” -- 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 not entirely within the city limits. Trips within the city limits will be billed at the flat trip rate. Trips outside the city limits shall only bill mileage driven, one way, in excess of 10 miles. The VA shall use Google maps or an equivalent to verify mileage billed, the billable mileage should be no more than 3 miles over the Google maps mileage to allow for occasional detours or quick routes.

For the purpose of this contract city limits is defined as the city or county in which the Veteran is picked up. For example - trips Originating at the Perry Point VAMC, and ending destination within Cecil county would be considered within the city limits and entitled to no additional mileage.

11. Customer Service

The VAMHCS has high standards regarding customer service and the Contractor shall apply said standards in the course of this contract; all applicable written directives, instruction memorandums and or policy established in the course of this contract shall apply. The Contractor shall be properly notified and updated of the same. A customer service statement of the VAMHCS core values with contact number is placed in each vehicle used for transporting.

(a) At no time shall the Contractor leave vehicles (MV) on VAMHCS premises unless a pickup/and or delivery is in process.

(b) The Contractor shall conduct his/her self in a businesslike, professional manner at all times while on VAMHCS premises; obey all institutional rules and are subject to authority while on site. The Contractor shall provide and maintain a dispatcher - direct line to enhance client timely pick up.

(c) When transporting patients to or from the VAMHCS and related facilities, the driver will ensure that the patient’s luggage, medical records, medications, and prosthetic devices are properly cared, accounted for and delivered with the patient.

(d) The Contractor is subjected to a minimum 98% compliance rate regarding incidents. Failure to perform and or be in compliance with this contract rate may constitute sufficient cause for early termination of the contract for causes. The Contractor is allowed two (2) incidents as determined by the COR/and or designee per month.

(e) If the contractor falls below minimally successful on-time arrival rate of 98% per month; The Government can impose a disincentive for each late patient arrival to VAMHCS clinic appointments at a rate of one-quarter (1/4) the unit charge per trip (one-way). Additionally, If the on time arrive rate falls below 98% Government can impose a disincentive of the base rate for each late patient arrival that resulted in the cancellation of the patient’s appointment. The Contractor is allowed the breakdown of a van one (1) time in a six (6) month period as an exception to late arrivals.

12. Contract Value

The minimum guarantee for each awarded contract will be $10,000, and will be provided as part of the first TO. The maximum value of all task orders among all awardees will be $15,000,000.

13. Contractor Quality Control Program

The contractor shall provide a quality control and monitoring plan to the government at the kickoff of the awarded contract.

14. Contractor Personnel Security Requirements

All contractor employees who require access to the Department of Veterans Affairs' computer systems shall be the subject of a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract, the contractor will be responsible for the actions of those individuals they provide to perform work for VA.

1. Position Sensitivity - The position sensitivity has been designated as low risk.

1. Background Investigation - The level of background investigation commensurate with the required level of access is minimum background investigation.

3. Contractor Responsibilities

1. The contractor shall bear the expense of obtaining all background investigations. If the investigation is conducted by the Office of Personnel Management (OPM), the contractor shall reimburse VA within 30 days.

1. The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a U.S. citizenship and are able to read, write, speak and understand the English language.

1. VA Office of Security and Law Enforcement will provide required forms to the contractor. These shall be submitted by the contractor or their employees within 30 days of receipt: Forms may include:

1. Standard Form 85P, Questionnaire for Public Trust Position

1. Standard Form 85P-S, Supplemental Questionnaire for Selected Positions

1. FD 258, U.S. Department of Justice Fingerprint Applicant Chart

1. VA Form 0710, Authority for Release of Information Form

1. Optional Form 306, Declaration for Federal Employment

1. Optional Form 612, Optional Application for Federal Employment

1. The contractor, when notified of an unfavorable determination by the Government, shall withdraw the employee from consideration from working under the contract.

1. Failure to comply with the contractor personnel security requirements may result in termination of the contract for default.

1. After contract award and prior to contract performance, the contractor shall submit a letter to the Contracting Officer providing the following information:

1. List of names of contractor personnel.

1. Social Security Number of contractor personnel.

1. Home address of contractor personnel or the contractor’s address.

1. Billing information for the program office, The Contractor shall adhere to the Health Insurance Portability and Accountability ACT (HIPAA).

Prior to award of a contract the Contractor shall furnish to the CO, a certificate of insurance which shall contain an endorsement to the effect that cancellation of; any material change in said insurance coverage which adversely affect the interests of the Government in such insurance coverage shall be effective unless thirty (30) days written notice of the cancellation or change is furnished to the CO and/or COR.

36C24519R0069

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 52.216-18 ORDERING (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 10/1/2019 through 9/30/2024.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

(End of Clause)

C.2 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $50, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of $5000;

(2) Any order for a combination of items in excess of $10,000; or

(3) A series of orders from the same ordering office within 1 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 1 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

C.3 52.216-22 INDEFINITE QUANTITY (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after 12/31/2024.

(End of Clause)

C.4 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond 9/30/2019. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond 9/30/2019, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of Clause)

C.5 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

The Contractor shall not make reference in its commercial advertising to Department of Veterans Affairs contracts in a manner that states or implies the Department of Veterans Affairs approves or endorses the Contractor’s products or services or considers the Contractor’s products or services superior to other products or services.

(End of Clause)

C.6 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)

The offeror agrees, if awarded a contract, to use the service-disabled veteran-owned small businesses or veteran-owned small businesses proposed as subcontractors in accordance with 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, or to substitute one or more service-disabled veteran-owned small businesses or veteran-owned small businesses for subcontract work of the same or similar value.

(End of Clause) C.7 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes FAR 52.219-14 Limitations on Subcontracting.

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records or other proprietary data are retained and to review such business records regarding the Contractor's compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

(End of Clause) C.8 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes the clause: 852.215-70 Service-disabled veteran-owned and veteran-owned small business evaluation factors. Accordingly, any contract resulting from this solicitation will include the clause 852.215-71 Evaluation factor commitments.

(b) The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) to assist in assessing Contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the Contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor compliance with the subcontracting commitments.

(End of Clause)

C.9 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

(a) Indemnification. The Contractor expressly agrees to indemnify and save the Government, its officers, agents, servants, and employees harmless from and against any and all claims, loss, damage, injury, and liability, however caused, resulting from, arising out of, or in any way connected with the performance of work under this contract. Further, it is agreed that any negligence or alleged negligence of the Government, its officers, agents, servants, and employees, shall not be a bar to a claim for indemnification unless the act or omission of the Government, its officers, agents, servants, and employees is the sole, competent, and producing cause of such claims, loss, damage, injury, and liability. At the option of the Contractor, and subject to the approval by the Contracting Officer, insurance coverage may be employed as guaranty of indemnification.

(b) Insurance. Satisfactory insurance coverage is a condition precedent to award of this contract. In general, a successful bidder must present satisfactory evidence of full compliance with State and local requirements, or those below stipulated, whichever are the greater. More specifically, workers’ compensation and employer’s liability coverage will conform to applicable State law requirements for the service defined, whereas general liability and automobile liability of comprehensive type shall, in the absence of higher statutory minimums, be required in the amounts per vehicle used of not less than $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. State-approved sources of insurance coverage ordinarily will be deemed acceptable to the Department of Veterans Affairs, subject to timely certifications by such sources of the types and limits of the coverages afforded by the sources to the bidder.

(End of Clause)

C.10 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

(a) Definitions. As used in this clause—

(1) Contract financing payment has the meaning given in FAR 32.001;

(2) Designated agency office means the office designated by the purchase order, agreement, or contract to first receive and review invoices. This office can be contractually designated as the receiving entity. This office may be different from the office issuing the payment;

(3) Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods and formats identified in paragraph (c) of this clause. Facsimile, email, and scanned documents are not acceptable electronic forms for submission of payment requests;

(4) Invoice payment has the meaning given in FAR 32.001; and

(5) Payment request means any request for contract financing payment or invoice payment submitted by the contractor under this contract.

(b) Electronic payment requests. Except as provided in paragraph (e) of this clause, the contractor shall submit payment requests in electronic form. Purchases paid with a Government-wide commercial purchase card are considered to be an electronic transaction for purposes of this rule, and therefore no additional electronic invoice submission is required.

(c) Data transmission. A contractor must ensure that the data transmission method and format are through one of the following:

(1) VA’s Electronic Invoice Presentment and Payment System at the current website address provided in the contract.

(2) Any system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) and chartered by the American National Standards Institute (ANSI).

(d) Invoice requirements. Invoices shall comply with FAR 32.905.

(e) Exceptions. If, based on one of the circumstances in this paragraph (e), the Contracting Officer directs that payment requests be made by mail, the Contractor shall submit payment requests by mail through the United States Postal Service to the designated agency office. Submission of payment requests by mail may be required for—

(1) Awards made to foreign vendors for work performed outside the United States;

(2) Classified contracts or purchases when electronic submission and processing of payment requests could compromise the safeguarding of classified or privacy information;

(3) Contracts awarded by contracting officers in the conduct of emergency operations, such as responses to national emergencies;

(4) Solicitations or contracts in which the designated agency office is a VA entity other than the VA Financial Services Center in Austin, Texas; or

(5) Solicitations or contracts in which the VA designated agency office does not have electronic invoicing capability as described above.

(End of Clause)

C.11 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

The contractor shall obtain all necessary licenses and/or permits required to perform this work. He/she shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract. He/she shall be responsible for any injury to himself/herself, his/her employees, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by his/her employees fault or negligence, and shall maintain personal liability and property damage insurance having coverage for a limit as required by the laws of the State of Maryland. Further, it is agreed that any negligence of the Government, its officers, agents, servants and employees, shall not be the responsibility of the contractor hereunder with the regard to any claims, loss, damage, injury, and liability resulting there from.

(End of Clause)

C.12 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

The contracting officer reserves the right to designate representatives to act for him/her in…