36C24618Q9436-0001000.docx

36C24618Q9436

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE

OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

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

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

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

D. OTHER

BY

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 08-28-2018 None Anthony D. Long Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 Anthony D. Long Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 To all Offerors/Bidders

36C24618Q9436

X X X August 31, 2018 See CONTINUATION Page X The purpose of this modification is to inform the offerors who submitted a proposal for solicitation number 36C24618Q9436, that the protest has been dismissed based on corrective action taken by the agency. The solicitation has been extended until 31 August 2018 to allow those offerors to resubmit revised technical and price quotations for this solicitation. No new proposals will be accepted from new offerors for this solicitation.

CONTINUATION PAGE

B.3 SCHEDULE OF SUPPLIES/SERVICES

The Contractor shall provide wheelchair van transportation services to eligible beneficiaries for the Salisbury VAMC. This is a Firm Fixed-Price Requirements Type contract. The maximum contract quantity including the base period and any option periods exercised shall not exceed 350,000 Trips.

BASE PERIOD SEPTEMBER 1, 2018 THROUGH SEPTEMBER 30, 2018 (1-Month)

CLIN

NO.

trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #0001).

66668 miles

hr

ea

TOTAL BASE YEAR: $_________________________

OPTION YEAR ONE: OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #1001).

450,000 miles

hr

ea

TOTAL OPTION YEAR 1: $________________________

OPTION YEAR TWO: OCTOBER 01, 2019 THROUGH SEPTEMBER 30, 2020

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #2001).

450,000 miles

hr

ea

TOTAL OPTION YEAR 2: $_______________________

OPTION YEAR THREE: OCTOBER 01, 2020 THROUGH SEPTEMBER 30, 2021

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #3001).

450,000 miles

hr

ea

TOTAL OPTION YEAR THREE: $________________________________

OPTION YEAR FOUR: OCTOBER 01, 2021 THROUGH SEPTEMBER 30, 2022

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #4001).

450,000 miles

hr

ea

TOTAL OPTION YEAR FOUR: $____________________________

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

36C24618Q9436 07-31-2018

ANTHONY D. LONG

757-315-3956 -2018 10:00 am est Anthony D. Long Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 X X Y 485991 $15 Million

NA

X N/A X Department of Veterans Affairs 1601 Brenner Avenue Salisbury NC 28144 Anthony D. Long Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971 X Wheelchair Van Service for the Salisbury VA Medical Center, Salisbury, NC for period of performance.

September 2018 through 30 September 2018, with four (4) one (1) year option periods.

This requirement is set-aside 100% for Service Disabled Veteran Owned Small Business. To be considered, the company must be a verified SDVOSB in vetbiz.gov See attached Schedule of Service.

X X X Anthony D. Long

CONTRACTING OFFICER

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 36C246 Anthony D. Long Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

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.

Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 Limitations on Subcontracting - Monitoring and Compliance

This solicitation includes VA Acquisition Regulation (VAAR) 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set- Aside. Accordingly, any contract resulting from this solicitation will include this clause.

The contractor is advised in performing contract administration functions, the CO 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. 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 CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. 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 CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

B.2 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO 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. 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 CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. 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 CO to assess the contractor compliance with the subcontracting commitments.

B.3 SCHEDULE OF SUPPLIES/SERVICES

The Contractor shall provide wheelchair van transportation services to eligible beneficiaries for the Salisbury VAMC. This is a Firm Fixed-Price Requirements Type contract. The maximum contract quantity including the base period and any option periods exercised shall not exceed 450,000 Trips.

BASE PERIOD SEPTEMBER 1, 2018 THROUGH SEPTEMBER 30, 2018 (1-Month)

CLIN

NO.

trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #0001).

66668 miles

hour

each

Base Period Total

OPTION YEAR ONE: OCTOBER 1, 2018 THROUGH SEPTEMBER 30, 2019

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #1001).

450,000 miles

hour

each

Option Year One Total

OPTION YEAR TWO: OCTOBER 01, 2019 THROUGH SEPTEMBER 30, 2020

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #2001).

450,000 miles

hour

each

Option Year Two: Total

OPTION YEAR THREE: OCTOBER 01, 2020 THROUGH SEPTEMBER 30, 2021

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #3001).

450,000 miles

hour

each

Option Year III Total

OPTION YEAR FOUR: OCTOBER 01, 2021 THROUGH SEPTEMBER 30, 2022

CLIN

NO.

14,400 trips

per mile beyond the 20 miles "Radius· LOADED MILES ONLY (One way only. This rate is in addition to the rate per trip in line item #3001).

450,000 miles

hour

each

Option Year III Total

B.4 DESCRIPTION/SPECIFICATIONS/WORK STATEMENT

1. GENERAL INFORMATION

The Department Veterans Affairs, W.G. “Bill” Hefner VA Medical Center (VAMC) located in Salisbury, North Carolina has a requirement to provide Wheelchair Van Transportation for eligible Veterans located in the Salisbury VA Health Care System (VAHCS) catchment area of North Carolina and occasional trips to other VAMC’s outside of SVAHCS catchment area in North Carolina for special care and treatment not provided by this VAMC. The services shall be provided twenty-four (24) hours a day, seven (7) days a week, to include Federal holidays.

The Contractor shall furnish all management, supervision, labor, materials, equipment, specified supplies, and resources necessary to provide Wheelchair Van transportation for wheelchair bound and to other eligible special need Veterans. This includes one way and/or round-trip transportation services on an as needed basis from the Veterans’ place of residence to the –designated facility within the SVAHCS or private facilities in the community. Any eligible Veteran, who requires medical services at multiple facilities on the same day, will be picked up at their residence and will be transported to location of each medical appointment and returned to their place of residence.

(a) Requests for services shall be made in writing or by telephone by the VA Medical Center Health Administration Service Officer or his designee. All trips for which the VA is the payee will be furnished at contract prices regardless of who initiates the call.

(b) Patient Pick-Up and Delivery From/To VAMC: Wheelchair Van drivers shall report to the VAMC Salisbury Travel Office to check in for each transport. After Business hours Admissions (AOD) will direct contractor to the pick-up location in the facility. The Department is staffed 24 hours a day seven days a week. The contractor shall follow the following protocol:

(1) Report to the personnel at the respective Nursing Station and announce his arrival to pick-up and transfer patients from the primary nurse/physician.

(2) When delivering a patient, after checking in at the Centralized check in or Admission Department, the driver shall take patient to specified location in the facility and provide report to appropriate nursing personnel along with a copy of the run sheet, which will be retained by the facility for the patient’s medical record.

(c) Transport of baggage with veterans shall occasionally be required.

(d) Standard Precautions shall be used on all VA patients. Definition: All persons have the ability to transmit disease from any body fluid. Everyone must treat all body fluids as infectious in order to protect themselves as well as others. Standards precautions apply to all body fluids except sweat regardless if they contain visible blood or not. (See attachment 8 for description of Hand Hygiene required by all contractors’ driver employees in the commission of this contract).

(e) If the contractor fails to furnish wheelchair van service within one hour after receiving a VAMC request for service, the VAMC reserves the right to obtain the services from another source and to charge the contractor any excess costs which may result there from. The COR will be the sole judge in determining when to order service from another source.

NOTE: The contractor shall notify the COR immediately of any delays in the transporting of patients.

2. NUMBER OF PATIENTS

It is understood and agreed that only two patients shall be transported on a trip unless specifically authorized by the VAMC. When, pursuant to VA authorization, more than one patient is transported concurrently on a trip, reimbursement shall be made at the rates contained under the Pricing Schedule for transporting a single patient. Regardless of the number of patients transported concurrently on a single trip beyond the Mileage Radius, the Contractor shall be reimbursed at the Mileage Rate for only one trip to the longest distance traveled with any one patient on that particular trip. The contractor shall ensure that the pick-ups and drop-offs are scheduled so that the total distance traveled shall result in the most economical charge to the Government.

An authorized official of the Department of Veterans Affairs Medical Center, Salisbury, NC may, in the interest of the patient, allow a relative to accompany him/her at no extra charge to the Government.

3. PATIENT WELFARE AND ABUSE

(a) 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.

(b) The Government shall exercise extreme caution and care in the handling of patients. Any abuse of patients will be grounds for default action or termination of the contract.

(c) The contractor shall take into consideration that he/she will be transporting ill patients. Drivers of vehicles are required to observe speed limits, cars should be swept clean and the exteriors washed regularly, and drivers shall not smoke in vehicles while transporting patients. Drivers are to escort patients in need of assistance to and from point of pick-up and destination.

(d) Drivers shall not talk on a cell phone or use any hand-held device/s while transporting patients.

4. INCIDENT REPORT

Should an incident and/or accident occur involving the welfare of a VAMC patient, i.e., accident while in the vehicle or while getting into the vehicle; emergency medical condition of the patient; damage to the vehicle itself; the contractor shall file a report immediately to the Chief, Health Administration Service with a copy to the Contracting Officer (CO) and the Contracting Officer’s Representative (COR).

5. WHEELCHAIR VAN VEHICLE REQUIREMENTS:

The wheelchair van under the terms of this contract will be licensed and meet the minimal vehicle requirements as established by the North Carolina Department of Health, Department of Motor Vehicles and Department of Transportation.

a. The VA reserves the right to inspect the contractor’s equipment and vehicles or require documentation of compliance with State Laws, rules, regulations and guidelines governing wheelchair van transport vehicles.

b. VA inspections of contractor facilities shall in no way constitute a warranty by the VA that the contractor’s vehicles and equipment are properly maintained.

c. The VA reserves the right to restrict the Contractor’s use of equipment and vehicles which are in need of repair, unclean, unsafe, damages on the interior or exterior body, and are not in compliance with contract requirements.

d. The restriction of such equipment and vehicles shall not relieve the contractor from performing in accordance with the strict intent and meaning of the contract without additional cost to the VA.

6. WHEELCHAIR SECUREMENT REQUIREMENTS FOR VEHICLES

a. All wheelchair securement systems (for occupied or unoccupied wheelchairs) shall be designed to be stable in all manners of normal driving, and to secure the wheelchair during an accident.

b. All Wheelchair tie-downs must be installed in accordance with manufacturer instructions. Backing plates, as supplied by the tie-down manufacturer, are acceptable.

c. Wheelchair securement devices shall not be attached to van doors.

d. All wheelchair restraints (for occupied or unoccupied wheelchairs) shall hold the wheelchair stable in all manners of driving. Installation of wheelchair restraints shall be installed according to the restraint manufacturer’s installation instructions. After installing the restraint system, the wheelchair shall be properly positioned and restrained in the vehicle and tested for motion. The wheelchair shall not be able to move more than ½ inch in any direction while driving under normal conditions.

e. Wheelchair securement systems intended for use while the wheelchair is occupied shall not be attached to any part of the wheelchair designed for easy removal (e.g., foot rest or arm rest), or to the cross-member of the wheelchair. Patient shall be secured in the wheelchair at all times when he is being transported to and from vehicle, as well as being driven in a wheelchair van.

f. Wheelchair restraints for use by driver of a motor vehicle must be operable (into and out

of) the restraint solely by the driver, without the need of assistance. When the wheelchair is restrained in the driver’s position, there must be audible or visual signal to the driver that assured the driver that the wheelchair is fully restrained by the restraint system.

g. Vehicles equipped with a transfer seat shall have a tie-down system to secure the unoccupied wheelchair and be placed in such a position as to allow adequate client transfer. The tie-down shall be operable by the client and shall be clearly labeled, “for unoccupied wheelchair only”, unless unit has been safety tested and approved for occupant use.

h. The only positions acceptable for a wheelchair occupant shall be a forward facing or side facing. Securement systems for passengers shall conform to all other wheelchair tie-down requirements.

i. A seat belt restraint system shall be provided at each driver and passenger position. Anchorages for occupied restraints shall either be directly to the vehicle or be mounted to suitable points on the wheelchair or wheelchair restraints, provided that such belts comply with the 30 MPH/20G force testing. Do not anchor to any movable or removable parts of the motor vehicle.

j. Additional chest straps, body positioners or other equipment may be added when necessary to assist in a patient’s balance and stabilization.

k. All wheelchair securement systems, in conjunction with a safety belt system, shall keep the wheelchair and occupant securely restrained in the event of a 30 MPH/20G frontal collision.

l. All wheelchair securement systems shall be installed according to the manufacturer’s specifications and instructions.

m. No one shall be allowed to be transported from a three-wheeled scooter-type wheelchair.

n. On some vehicles, occupant restraint attachment points may be in the roof area. This type of attachment may require reinforcement to facilitate proper mounting support.

7. EQUIPMENT TO BE FURNISHED BY THE CONTRACTOR

Contractor shall furnish and install communication or radio equipment in their wheelchair vans which allow them to be in communication with their dispatcher at all times.

**This does not include the use of cell phones**

8. PERSONNEL QUALIFICATIONS – Licensing of employees

1. All contractor personnel performing contract services shall meet the qualifications and be licensed as specified in the contract, as well as any qualifications required by Federal, State, County and local government entities from the place in which they operate. The qualifications of such personnel shall also be subject to review by the VA Chief of Staff and approval by the VA Facility Director. The Contractor shall provide the COR an updated list of drivers by the fourth day of each month when additions or deletions have been made during the previous month. The Contractor shall ensure that all drivers providing services under this contract shall have less than three (3) current points on their driver’s license, none of which were assessed for “Reckless Driving.” VA Medical Center Hampton reserves the right to order the removal from service under this contract, any driver who violates the provisions of this section. Contractor shall provide a copy of the state driver’s license as supporting documentation.

1. The Contractor shall maintain a record of each employee to include, current driving records and physical capabilities of performing the duties of a wheelchair vehicle driver. The Contractor shall make these records available for inspection upon request by the Contracting Officer or the Contracting Officer’s Representative (COR).

1. Drivers shall not transport the Salisbury VAMC beneficiaries if they appear to be ill or under the influence of drugs or alcohol. Drivers shall not transport anyone who insists on smoking during the transport; this includes drivers and attendants as well. Drivers shall display professional manners at all times. Rude or obscene behavior or language shall not be accepted.

1. Drivers shall wear appropriate attire with a picture identification (ID) badge that clearly identifies the company they work for. Drivers shall secure all beneficiaries and passengers with approved security devices prior to transport.

1. Contractor shall demonstrate to the Salisbury VAMC that their attendants are adequately trained in the safe and proper transport of beneficiaries.

1. Contractor shall immediately notify the COR of any vehicle breakdowns or other problems that can result in service disruption.

1. Non-Emergency Attendant/Drivers shall be capable to administer oxygen and have successfully completed the American Red Cross Adult First Aid/CPR/AED courses. Proof in the form of a current certificate that such training have been successfully completed shall be submitted with the Contractor’s offer and available upon request.

1. The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel:

- professional liability insurance

- Health examinations

- Criminal Background Checks

- Wheelchair Certification

- Disciplinary Actions

- Employee Handbook receipt

- Social security payments

Personnel shall be considered employees of the contractor.

9. CONDUCT:

The following acts are not permissible by drivers that provide services under this contract.

a. Use of intoxicating liquors, narcotics or controlled substances of any kind (excluding doctor’s prescriptions which do not impair driver’s driving ability) while on duty or reporting for duty while under the influence of liquors, narcotics or controlled substance of any kind excluding doctors’ prescriptions which do not impair driver’s driving ability).

b. Gambling in any form.

c. Smoking and other uses of tobacco while on duty. Both Beneficiaries and Contractor are prohibited from smoking in vehicles.

d. Carrying of pistols, firearms or concealed weapons.

e. Resorting to physical violence to settle a dispute with a fellow employee, beneficiaries or the general public while on duty.

f. Spitting in prohibited places or any other unsanitary, offensive or insensitive practices or behavior.

g. Use of loud, indecent or profane language and/or making threatening or obscene gestures toward beneficiaries or other employees.

h. Stopping for personal business, including excessive use of restroom facilities, while vehicle is occupied by a passenger. The driver shall not leave the vehicle with the key in the ignition at any time.

i. Engaging beneficiaries in a verbal confrontation in an attempt to settle a disagreement. Should a disagreement arise, the driver shall contact his dispatcher/supervisor via the radio system.

j. Soliciting or accepting tips from beneficiaries, companions or others at any time.

k. Drivers who accumulate two (2) unrelated, substantiated complaints in a 1-month period shall be prohibited from providing any further services under this contract. The VA reserves the right to bar any driver from transporting VA beneficiaries should he/she violate any terms of this contract.

10. COMMUNICATION SYSTEM:

The Contractor shall maintain sufficient telephone capacity to ensure immediate communication access between Salisbury VA Medical Center and the Contractor’s facility for the purposes of conducting business in the performance of the contract.

11. GENDER

For the purpose of equal rights, wherever the masculine gender is used in this solicitation, and the resulting contract, it shall be considered to include both masculine and feminine gender.

12. QUALITY CONTROL PROGRAM

1. Contractor shall establish and maintain a complete Quality Control Program (QCP) to assure that the requirements of this contract are provided as specified. Contractor shall identify his management concept for ensuring compliance with all contract requirements. Contractor shall furnish copies of these records if requested by the Contracting Officer or COR. The Contractor’s QCP shall include at a minimum the following:

1. An inspection plan outlining all services defined in this contract. The inspection Plan shall specify the areas to be inspected on both a scheduled and unscheduled basis, how often inspections shall be accomplished, and the title of the individual(s) who shall perform inspections.

1. The QCP shall include the methods for identifying and preventing deficiencies in the quality of services being performed before the level of performance becomes unacceptable.

1. The QCP shall have on-site records of all inspections conducted by the Contractor and corrective action taken.

1. The QCP shall have on-site records of all vehicle maintenance and repairs performed on vehicles used in the performance of this contract.

13. TRANSPORTATION REQUEST

1. TRANSPORTATION REQUEST: VA will FAX a transportation request to the Contractor for next day transportation requirements by 4:00 pm daily. The VA transportation office will maintain a log for all trips on the request. Conformation of receipt of the transportation request will be made by 4:30 each day. Orders, requests, or changes will only be made by the travel Clerk, AOD, or authorized party specified by the Chief, Health Administrative Service. Changes will be made by telephone, fax or email and will be confirmed immediately upon receipt. A list of authorized ordering personnel positions will 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 VA Medical Center Salisbury. The Contractor will be notified of such changes as they occur.

1. SAME DAY TRANSPORTATION REQUEST: During the course of the day, it may become necessary to add beneficiaries to the Contractor’s list. When this occurs, the VA will fax, telephone or email the request to the contractor. The transportation office will maintain a log for all same day trips (including weekend and holidays) which will include the beneficiaries name, location/destination, time of call and requested transport time. The contractor will immediately confirm the request and confirm the time the beneficiary is to be transported.

1. TRANSPORT AND DELIVERY: Contractor shall be on time for its scheduled transports. Beneficiaries will be transported, within 15 minutes of the scheduled transport time. The Contractor shall transport and deliver beneficiary to the specific clinic where the beneficiary’s treatment is being provided. This includes transports at any location (i.e. clinic or ward area at the Salisbury VA Nursing Homes and private residences). In no instance will the Contractor drop beneficiaries off in the hall or entrance of the VA. Adherence to schedules is of utmost importance. If the veteran is not at the location, unable or refuses to be transported the contractor shall be reimbursed for a one-way trip after VA has authorized Contractor to leave without the beneficiary.

1. All drivers shall report to the Travel Clerk or AOD on duty at the time a beneficiary is delivered to the Salisbury VA Medical Center and drop off the trip ticket for that trip. Trip tickets shall be delivered to the travel office no later than 6:00 pm for all trips completed between 5:00 am and 6:00 pm each day. Trip tickets for all trips completed after 6:00 pm will be dropped off by 6:00 am the next business day. Trips completed on weekends and holidays shall be delivered to the travel office no later than 6:00 am the next business day. Trip tickets shall indicate date of trip, transport, and delivery points, veteran’s name, charges, driver’s name or number, and if same day service, the person’s name that ordered the service.

1. Courtesy calls shall be made to patients 45 minutes before scheduled pick-ups, information will be provided by travel clerk when pick-up is scheduled.

14. CANCELLATIONS:

a. The contractor shall not charge for scheduled trips cancelled sixty (60) minutes prior to transport time. For trips scheduled for the same day, there shall be no charge to the Government for cancellations made prior to the vehicle being dispatched.

b. On trips within the "Mileage Radius" there shall be no charge to the Government for cancellations of at least thirty (30) minutes prior to scheduled pick-up time. Outside the city limits there shall be no charge to the Government prior to the vehicle being dispatched. A "no show" is defined as a trip, which is canceled upon the contractor's arrival at the pick-up point. The cancellation fee shall not exceed the normal cost of scheduled transportation.

15. WAITING TIME:

Wait time is defined as the amount of time the patient transport spends waiting after a scheduled transport time. Wait time will only be authorized for patients with appointments at the Salisbury CBOCs, (Winston, Charlotte, Hickory) Fee Base appointments and other VA Medical Centers. Wait time is calculated by clinic check in and checkout times as logged in on the “Contract Wait Times Verification Sheet” (See attached) by the Medical Facility Front Office Attendant. Wait time for Dialysis Patients will not exceed four hours. VA has sole decision on wait time hours.

1. In no instance is a beneficiary to wait longer than thirty (30) minutes after scheduled transport time or receipt of a transport order for an unscheduled transport. When a beneficiary shall wait longer than 30 minutes, Contractor shall be charged for each quarter hour or fraction thereof in excess of 30 minutes at the rate quoted in the proposal for wait time. If rescheduling of an appointment is necessary due to failure by the Contractor to transport within the 30 minutes, the Salisbury VAMC will not pay for the round-trip transport.

1. For time lost in waiting after the first 30 minutes at either end or both ends of the trip due to causes beyond control, the contractor shall be reimbursed at the rate specified in the schedule of supplies and services. If the transport is other than at the designated area, the Contractor shall call the Transportation Assistant or Medical Administrative Officer (AOD) on duty as soon as the Contractor anticipates that a delay may develop for which he/she expects to claim reimbursement. This call is only for the purpose of verifying his arrival time at the transport point and is not necessary if the Contractor anticipates no delay for which he shall claim reimbursement.

1. In order to keep waiting time at an absolute minimum, the Contractor shall immediately notify the Travel Clerk or AOD on duty when all vehicles are in service. All wait time charges shall be supported by Notification to the Travel Clerk or AOD that the driver (vehicle) is in a waiting status. At this point, information concerning reason for wait shall be provided.

1. Wait Times Invoice Verification: The Contractor shall use the “Contract Wait Times Verification Sheet” for all Veteran transports. The Contractor shall be responsible for submitting the Contract Wait Times Verification Sheets that coordinate with all wait times costs, listed on its monthly invoice, to receive payment for monthly invoiced wait times. The Contract Wait Times Verification Sheets shall be completed and signed ONLY by the Medical Center Front Office Attendant. The Medical Center Front Office Attendant is the person signing in and signing out the Veteran to and from his/her medical appointment. If the Contractor fails to provide the completed and signed Contract Wait Times Verification Sheets as backup documentation against the wait times listed on its monthly invoices, payment shall be delayed or withheld for those wait time costs until the proper documentation is submitted together with its monthly invoice.

16. SERVICE DISRUPTION:

0. The Contractor shall immediately report any and all vehicle breakdowns or other problems that may cause service disruptions to the COR. When breakdowns occur, the contractor shall provide a back-up vehicle to minimize any delay or inconvenience to the beneficiaries. When conditions, neither foreseeable and/or controllable by the Contractor occur, such as severe storms, flooding, hazardous road and travel conditions, time and distance requirements shall be considered secondary to safety precautions. Delays or exceptions to the required quality of services shall be reported to the Travel Clerk or AOD.

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1. Contractor shall immediately report all medical incidents and accidents, including those where there is no apparent injury to the beneficiary, which occurs while transporting VA beneficiaries. The driver shall provide a written report documenting the facts of the incident/accident to the COR within 24 hours of the occurrence. The written report shall include the names, addresses, and telephone numbers of any witnesses as well as any applicable Police Reports. Any accident involving major damage, serious personal injury or loss of life shall be reported to the COR immediately. Records shall be kept for three (3) years for each accident a vehicle is involved in, including the repair work required to return the vehicle to service.

17. NUMBER OF BENEFICIARIES:

1. Generally, only two (2) beneficiaries will be transported on a trip. However, when more than two beneficiaries are transported on a trip, the VA will be notified for approval. If Contractor transports more than two beneficiaries without approval, payment for extra beneficiary will not be made. With proper approval, the VA will allow the Contractor to charge on a per beneficiary basis when more than two beneficiaries are transported. The Contractor shall ensure that transports and deliveries are scheduled so that the total distance traveled shall result in the most economical charge to the Government.

1. For transportation of Salisbury VAMC beneficiaries to the airports upon request, the Attendants shall remain until the Salisbury VAMC beneficiary safely boards the aircraft (or checks in). If a Salisbury VAMC attendant accompanies a beneficiary, Contractor attendant may leave after the beneficiary and the Salisbury VAMC attendant are transported to the airport. Contractor personnel shall assist veteran and attendant in anyway after arriving at the airport if requested to do so. If the Contractor is required to park at the airport and free parking arrangements cannot be made with airport security, Contractor shall submit receipt to the Salisbury VAMC with daily trip tickets.

18. BASE & MILEAGE RATE COMPENSATION

For all one-way trips ordered under this contract, the Contractor shall receive the base rate. The base rate shall constitute full compensation for one-way trips, which do not exceed the mileage threshold as defined herein. The mileage threshold for Salisbury VAMC is a twenty (20) mile radius from pick up point. (I.e. if required to pick up a Veterans at the Salisbury VAMC, the mileage threshold will be a twenty (20) mile radius from that point). The Contractor shall also receive the base rate plus mileage for any trip in excess of the mileage threshold.

Mileage Rate - Mileage rate for wheelchair van services is the rate paid for each mile traveled beyond the specified Mileage Threshold for each applicable medical facility. This rate applies to one-way transportation only. In no event shall the Contractor receive this rate for miles traveled within the specified Mileage Threshold. The contractor shall ensure that pick-ups and drop-offs are scheduled and managed so that the total distance will result in the most economical charge to the Government.

Mileage Threshold – Mileage included in the base rate for transport of Veterans. Mileage Threshold will be defined as the first twenty (20) miles of a loaded one-way Veterans transport. This rate applies to one-way transportation only. In no event shall the Contractor bill for miles traveled within the specified Mileage Threshold.

Mileage Dispute - In case of dispute over the distance which the Veterans is transported to arrive at a specific destination. Mileage will be defined and measured by the current www.mapquest.com guide.

1. Disaster Plan:

1. In case of a disaster, natural or man-made, Contractor shall utilize maximum available resources to assist in the emergency transport of beneficiaries either to or from the Salisbury VAMC.

1. Contractor’s performance shall be in conformance with all Federal, state, and local laws to include

19. REGULATIONS

Department of Transportation, 49 CFR, and Parts 27, 37, 38, 571 and VA Standards. All regulations of the State Public Service Commission (PSC) (of where the Contractor’s facility is located) governing the control, operation of and licensing of the transportation contractor are incorporated herein by reference. All records submitted to and/or compiled by the PSC regarding inspections, safety, records, and manifests, etc. may be reviewed prior to awarding a contract and periodically throughout the term of contract.

20. COMPLAINTS HANDLING:

The COR will monitor the service provided. The Contractor shall cooperate with the COR in providing information and answering questions related to any and all incidents. All complaints received by the COR and forwarded to the Contractor shall be investigated promptly. After investigation and disposition, the Contractor shall respond to the COR in writing within five (5) working days after receipt by the Contractor. The Contractor shall also provide a copy of the written disposition to the Contracting Officer at the same time as the COR.

21. BENEFICIARY WELFARE AND ABUSE:

The Contractor shall be responsible for beneficiary welfare during the transport of beneficiaries to or from VA Medical Center Hampton. Contractor shall ensure that the beneficiary's belongings are properly accounted for and delivered with the beneficiary. The Government expects The Contractor to exercise extreme caution and care in handling of beneficiaries. Any abuse of beneficiaries shall be grounds for default action and/or termination of contract.

22. INFECTION CONTROL REQUIREMENTS:

1. Tests shall be current within the past year.

1. Tuberculosis Testing - All contractor personnel shall provide documentation of a Purified Protein Derivative (PPD) test performed within the past year. In case of a past positive PPD test, a negative chest radiographic report to rule out active tuberculosis shall be provided. The PPD test shall be repeated annually.

1. OSHA Regulation Concerning…