36C24524Q0182.pdf

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. UEI: EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C24524Q0182

Mark Smith 410-642-2411 03-06-2024 3pm EST

Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101, Room 26 Perry Point MD 21902

X

621910

$22.5 Million

N/A

X

Hershel Woody Williams VAMC 1540 Spring Valley Dr, Huntington WV 25704

Contracting Officer (90C)

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

Contractor shall provide ambulance services in accordance with the Statement of work.

Questions shall be submitted by 2/26/2024 3pm EST.

Questions submitted after the specified date will not be addressed.

Send responses to Mark Smith | mark.smith25@va.gov.

See CONTINUATION Page

540-3640160-042-829800-2119 010041088

X X

X 1

Mark Smith VA-VHA-RPOE-2024-0006 Contracting Officer

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 STATEMENT OF WORK STATEMENT

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

B.4 SINGLE AWARD TASK ORDER CONTRACTS (SATOC)

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.9 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ... 29

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 SUPPLEMENTAL INSTRUCTIONS TO OFFERORS

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.4 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.5 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.6 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.10 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

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 Mark Smith Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C)

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award

Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly 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.

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

AMENDMENT NO DATE

B.2 STATEMENT 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. This will involve trips to and from any location within the Primary Service Area (PSA) of the Louis A.

Johnson 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.

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

DEFINITIONS:

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).

Advanced Life Support (ALS): 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, Critical Care Transport (CCT}: specialty care patient transportation when medically necessary, for a critically ill or injured patient needing critical care paramedic (CCP) skills, between medical care facilities, and provided by an authorized ambulance service that is approved by the department to provide critical care transportation and staffed by one or more critical care paramedics or other health care professional in an appropriate specialty area.

Wheelchair Van: a van capable of transporting a wheelchair bound patient with a driver 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.

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.

Contracting Of f icer's Representative (COR)

Administrative Of f icer on Duty (AOD)

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

A. TASKING:

NUMBER OF PATIENTS: It is understood and agreed that only ONE patient will be transported on a trip unless specif ically authorized or requested by the Department of Veterans Af fairs. When, pursuant to the Department of Veterans Af fairs 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. Regardless of the number of patients transported concurrently on a single trip, the Contractor shall be reimbursed for only the Base Rate (Item 1) for one trip. An Authorized of f icial of the Department of Veterans Af fairs may, when in the best interest of the veteran, allow a relative or caregiver to accompany the veteran, but caregiver/relative will have to provide their own transportation home.

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 f raction thereof more than one-'quarter hour for the time reported to the designated Veterans Af fairs personnel. If the pick-up point is other than the Veterans Af fairs Medical Center; the Contractor will call the Travel Clerk f irst or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Of f icer 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.

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 when the patient is delivered by ambulance personnel to the admitting/evaluation unit, a specif ied ward or unit, or to the location specif ied at the time the trip is requested.

NON-PICKUP OF PATIENT: When ambulance service involves a trip to or f rom this 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 Af fairs reserves the right to substitute patients in these instances to prevent the "no-load” situation.

NON-ARRIVAL OF PATIENT: When ambulance service involves the pick-up of a patient scheduled to arrive by air and the ambulance driver f inds such patient does not arrive as scheduled, the ambulance driver will contact the the Travel Clerk f irst or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Of f icer of the Day (AOD) on duty during non-- administrative hours (during evenings, nights, weekends, and holidays) 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.

PATIENT PICKUP AND DELIVERY FROM/TO VAMCs:

Ambulance drivers will report and sign-in at the Travel Clerk or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Of f icer of the Day (AOD) on duty during non-- administrative hours (during evenings, nights, weekends, and holidays).

Transport of baggage with Veterans will occasionally be required.

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 Af fairs personnel make contact.

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 f rom the primary nurse/physician.

When delivering a patient, the ambulance personnel will give report to appropriate nursing personnel. When requested, a run sheet of that run shall be faxed or sent electronically to the VA Medical Center.

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.

Universal Precautions will be used on all Veteran Af fairs patients.

When patient has completed an appointment weather on site at Louis a Johnson VA Medical Center or on a Care in the community appointment pickup will be completed within an hour of appointment being completed.

PATIENT CUSTODY: The Contractor shall not release the patient f rom 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. When assistance is no longer required, the ambulance crew will be released by medical personnel at the location of the appointment.

RATES: Rates will apply twenty-four hours per day, seven days a week. Payment for mileage traveled beyond the county 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 def ined herein. The Contractor shall also receive reimbursement of mileage charges for any mileage less than the mileage threshold.

MILEAGE: For all trips ordered under this solicitation "Mileage Threshold" is considered to be 50 miles one way. 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.

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.

Upon receipt of itemized statement, invoices will be reviewed and processed within 15 calendar days by the individual VA then turned into Tungsten so that we can receive electronic payment within 30 days of actual receipt of the itemized statement by the VA.

TELEPHONE SYSTEM: The Contractor shall have telephone coverage to accept calls f rom the Clarksburg seven (7) days a week/24 hour a day. The contractor shall have suf f icient telephone capacity to ensure immediate communication access to Clarksburg 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-f ree number.

TOLL CHARGES:

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.

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.

ORDERS FOR SERVICES:

Contractor will supply Clarksburg VAMC with two ALS staffed and equipped ambulances and two BLS staffed and equipped ambulances at any given time to respond within 30 minutes of call intake. When those four resources are concurrently engaged on VA contract ambulance transports, the 30-minute timeliness guideline will be lifted starting with the 5th concurrent transport request.

Personnel authorized by the Contracting Officer Representative 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 primary and back-up telephone numbers specified by the Contracting Officer Representative. 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.

A list of authorized ordering personnel shall be made available upon award of the contract.

Employees may be added or deleted from the list during the term of the contract at the discretion of the Contracting Officer and the COR. The Contractor shall be notif ied of such changes as they occur.

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. In no instance will the Contractor be required to furnish more than six (6) ambulances at one time.

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 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 911 and the closet emergency unit determined by the 911 center to respond to the call.

All ALS ambulance transfers will be staf fed by at least one (1) currently licensed ALS personnel.

RESPONSE TIME: The Contractor shall maintain at a minimum, a 95% compliance rate on response to pick-up or deliver during the contract year.

Contractor shall provide a monthly report to the Transportation Assistant which identif ies each request for service by patient name, time of receipt of call, whether BLS or ALS unit requested, time of arrival, and time elapsed f rom receipt of call and time of arrival. Other pertinent information as necessary may be included.

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-of f ' to Veteran Af fairs clinicians or designees.

GOVERNMENT OWNED EQUIPMENT OR SUPPLIES: 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 f rom 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 Af fairs Medical Centers.

RECORDS: At the option of the Government, the Contractor may be required to transport records with patients f rom station to station.

INCIDENT REPORT: Should an incident and/or accident occur involving the welfare of a benef iciary, the Contractor shall immediately notify the Travel Clerk or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Of f icer of the Day (AOD) on duty during non-- administrative hours (during evenings, nights, weekends, and holidays). A written report of the incident shall be f iled with the Travel Clerk or the Contracting Of f icer's Representative by the close of business the next business day. The Department of Veteran Af fairs reserves the right to conduct patient satisfaction surveys to ensure quality service is being provided. A copy of any survey will be provided to the contractor.

PATIENT WELFARE AND ABUSE

The contractor shall be held responsible for patient welfare during transport. The contractor shall be held 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 benef iciary.

The Government requires the contractor to exercise extreme caution and care in the handling of patients. Any abuse of patients will be grounds for default and/or termination of the contract.

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 notify the Travel Clerk or Transportation Assistant during administrative hours (7:30AM through 4:00PM, Monday through Friday) or the Administrative Of f icer of the Day (AOD) on duty during non--administrative hours (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.

VEHICLES:

BASIC LIFE SUPPORT AMBULANCE (BLS) per West Virginia § 64-48-8 is classif ied as a Class B Emergency Medical Services (EMS) vehicle. The Class B EMS vehicle is primarily intended for the response to the location of a call, the delivery of basic life support, and for the transportation of patients who require care. An EMS Agency may not use a Class B EMS vehicle for the delivery of advanced life support on a regular basis, but advanced life support level personnel and equipment may be added to a Class B vehicle for the purpose of increasing a patient's level of care during a transport when assistance is requested f rom a basic life support vehicle and crew.

ADVANCED LIFE SUPPORT AMBULANCE (ALS) per West Virginia § 64-48-8 is classified as a Class C EMS vehicle. The Class C EMS vehicle is primarily intended for the response to the location of a call, the delivery of basic and advanced life support, and for the transportation of patients who require advanced life support. An EMS Agency may use a Class C EMS vehicle as a Class B EMS vehicle provided that all requirements for the operation of a Class B EMS vehicle are met. It may also be utilized for specialized life support services (Class D) if the proper additional equipment is added to the vehicle for the form of specialized life support being provided.

EMERGENCY MEDICAL CARE VEHICLE shall have patient compartment facilities, oxygen, suction systems and equipment and additional systems equipment, accessories and supplies as well as environmental climate equipment and communications.

BASIC LIFE SUPPORT AMBULANCE (BLS) (WEST VIRGINIA} shall be def ined as an

Ambulance Service that includes the necessary equipment to render basic emergency medical care and services as outlined by the West Virginia Of f ice of Emergency Medical Services.

e} ADVANCED LIFE SUPPORT AMBULANCE (ALS) (WEST VIRGINIA) shall be def ined as Ambulance Service that includes the necessary equipment and staf f to render advanced life support services by the West Virginia Of f ice of Emergency Medical Services.

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

Each contractor operating in West Virginia must comply with inspections and reporting as required by West Virginia Of f ice of Emergency Medical Services.

The Contractor shall ensure the availability of mobile radio and /or cellular telephone communication with all vehicles providing transportation service at all times.

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 based on the ambulance complexity.

b) Each advanced life support (ALS) vehicle will have certif ied ALS providers, 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.

PATIENT RIGHTS: The Contractor shall be courteous to Veteran Af fair benef iciaries.

Patients may bring a reasonable amount of belongings such as a personal suitcase.

MISCELLANEOUS:

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 f rom vehicle and properly secured with Emergency personnel, the running vehicle will be removed f rom the Emergency Department exit door to prevent environmental hazards due to exhaust fumes.

Contractor employees shall always conduct themselves in a business-like manner while on VAMC premises and while transporting patients.

When transporting patients to or f rom medical facilities, the driver, acting for the Contractor will ensure the patient's luggage, medical records, medications, and prosthetic devices are properly accounted for and delivered with the patient as required.

When requested the 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.

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

TRAINING

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 paragraph (2) (c), (1) Through (8).

Contractor Furnished Training.

Upon request the Contractor shall submit to the Contracting Of f icer written certif ication 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 employee 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.

AII formal training required shall be administered (i.e., taught, presented) by persons who are certif ied as being qualif ied to instruct or teach, the specif ic subjects or topics required.

Certif ication to instruct the specif ic subject shall be in the form of a certif icate issued by an accredited institution of learning (school, college, university), a governmental (Federal, State, County, etc.) educational certif ication body (agency, board, commission), or by documentation that the person instructing has suf f icient experience in/with the subject to be able to instruct the subject in an authoritative, practical and current manner.

In addition to the formal training, the Contractor shall provide 16 hours of orientation training for each employee fourteen (14) days af ter 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)

Contractor Furnished Training - The Contractor shall submit to the Contracting Of f icer written certif ication of the follow-up orientation.

The EMT/Paramedics must be enrolled in 'ref resher'' 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 "ref resher'' training must be equivalent to that developed by the Department of Transportation or National Highway Safety Administration.

Evidence of successful completion for "ref resher'' training must be provided to the Contracting Of f icer for inspection.

Contractors must complete training courses "VA Privacy and Information Security Awc1reness 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 Of f icer Representative.

PERSONNEL REQUIREMENTS:

All personnel must meet certif ication, testing and training by the West Virginia Emergency Medical Vehicle Operator (EMVO). Certif ications of all personnel under this contract shall be provided to the

VA.

SAFETY COMPLIANCE:

It shall be the responsibility of the VHA to correct or resolve and hazardous or unsafe residential situations (i.e, defective ramps, porches, wheelchairs, etc.) in order to protect the well-being of the VA patients.

CONTRACTOR PROCEDURES FORMS AND REPORTS: Evidence of insurance coverage in the amount stated must be submitted prior to contract award. The contractor must maintain a record of the following procedures, reports, etc. and forward this information upon request if updated information is required af ter contract award.

List of all vehicles, inspection reports of vehicles, driver's licenses, DOT permits, and other applicable licenses.

Education training records of contractor employees, orientation, and ongoing training.

Written operating plan and procedures for:

Accident and incident reporting Safe operation of vehicles Quality Assurance Equipment maintenance and management

Fire and emergency preparedness planning Handling patient complaints Infection Control Universal precautions (policy and procedures) Safety and occupational health procedures Emergency procedures to be followed in case of break down when in route.

Patient conf identiality, HIPAA/Privacy Act

HOURS OF OPERATION AND HOLIDAYS OBSERVED: Normal Medical Center working hours is Monday through Friday 8:00AM to 4:30PM. Of f duty hours Friday through Monday, weekends and holidays; however, the contractor is required to provide service 24 hours a day, 7 days a week, including normal duty hours and of f duty hours, weekends and holidays.

The eleven holidays observed by the Federal Government are: New Year's Day, Dr. Martin Luther King's Birthday, Presidents Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving, Christmas, and any other day specif ically declared by the President of the United States to be a national holiday. Pricing remains the same for holiday transportation.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

250.00 EA _______________

ALS Transport - Emergent, within 35miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

75.00 EA _______________

ALS Transport - All other pre-scheduled/non-emergent trips.

Within 35miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

15.00 EA _______________

ALS Transport - Ventilator Patient Surcharge.

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

40.00 EA _______________

BLS Transport - Emergent, within 35miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

2,000.00 EA _______________

BLS Transport - All other pre-scheduled/non-emergent trips.

Within 35miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

5,000.00 EA _______________

Wheelchair/Van Transports. Within 35miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

40.00 EA _______________

ALS/BLS Bariatric Transport Surcharge.

Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

300,000.0

EA _______________

Mileage starting at greater than 35 miles Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

50.00 EA _______________

Oxygen During Transport Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

150.00 EA _______________

Wait Time - Each Hour (60 Minutes) Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 -

GRAND TOTAL __________________

B.4 SINGLE AWARD TASK ORDER CONTRACTS (SATOC)

Quantities listed are estimated only and are not guarantees.

This is a Fixed Price Indefinite Delivery Indefinite Quantity (IDIQ) Contract. Accordingly, funds are not obligated on this contract at award; rather, funds are obligated via task orders issued against the contract. Task orders shall only be issued by a warranted VA Contracting Officer (CO). VA CO will issue task orders to the contractor authorizing services via Standard Form 1449. Each task order shall clearly identify the dollar amount authorized under the individual task order and the period of performance of the individual task order. When a task order period of performance is completed, additional services shall not be provided unless a new task order is issued in accordance with this IDIQ.

The minimum dollar amount guaranteed under this contract for the performance period of one year is $2,500.00. The maximum dollar amount or contract ceiling for this contract is $3,500,00.

The maximum amount is not guaranteed. The combined total of all orders placed against this contract cannot exceed the maximum amount/ceiling of this contract.

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered;

and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, f ires, f loods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identif ication Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notif ied of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212- 5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract f inancing or invoice payment or that the Government has otherwise overpaid on a contract f inancing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability.