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36C24621Q0886
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36C24621Q0886

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

558-22-1-271-0003 36C24621Q0886 08-27-2021 Keyasha Williams 757-728-7158 09-08-2021

11AM

EDT

Contract Specialist Keyasha Williams Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 X X 621910 $16.5 Million N/A X Department of Veterans Affairs Durham VA Medical Center 508 Fulton Street Durham

NC

27705 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 See CONTINUATION Page This solicitation is for Beneficiary Travel Ambulance Services for VAMC Durham, North Carolina.

The point of contact for this action is Keyasha Williams Email: Keyasha.Williams@va.gov Period of Performance:

Base Year: 12 months starting from the date of contract award.

Option Year 1: 12 months starting from the end of the base year period of perfomance See CONTINUATION Page 558-3620160-271-829800 -2119-010041086 X X X Chinedu C. Nwauwa Contracting Officer Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS1
SECTION B - CONTINUATION OF SF 1449 BLOCKS3
B.1 CONTRACT ADMINISTRATION DATA3
B.2 PRICE/COST SCHEDULE4
ITEM INFORMATION4
B.3 PERFORMANCE WORK STATEMENT9
SECTION C - CONTRACT CLAUSES25
C.1 52.216-18 ORDERING (AUG 2020)25
C.2 52.216-19 ORDER LIMITATIONS (OCT 1995)25
C.3 52.216-21 REQUIREMENTS (OCT 1995)26
C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)27
C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)27
C.6 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)27
C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)27
C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS28
C.9 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)29
C.10 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)29
C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JUL 2021)31
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS39
D.1 WAGE DETERMINATION39
D.2 PRESENT/PAST PERFORMANCE SURVEY40
SECTION E - SOLICITATION PROVISIONS43
INSTRUCTIONS TO OFFERORS43
E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)46
E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)49
E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)49
E.4 52.233-2 SERVICE OF PROTEST (SEP 2006)51
E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (FEB 2021)51

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: TBD

b. GOVERNMENT: Contracting Officer 36C246 Chinedu Nwauwa Contract Specialist Keyasha Williams 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:

[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 after the receipt of proper invoicing

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:

AMENDMENT NO
DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT

0001A

1,000.00
TRP
__________________
__________________

BLS: Any Trip within twenty (20) Miles from the Durham VAHCS or the Greenville HCC (Load weight only). Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

Contract Period: Base POP Begin:

POP End:

0001B

60,000.00
MI
__________________
__________________

BLS Mileage: Rate per mile beyond the twenty (20) miles radius from the VAHCS or HCC (ONE WAY ONLY) - This rate is in addition to the rate per trip of Items #1) above. (Load Weight Only)

0001C

36.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Asheville VAMC, 1100 Tunnel Road, Asheville, NC 28805 (ONE WAY ONLY)

0001D

24.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Beckley VAMC, 200 Veterans Ave, Beckley, WV 25801 (ONE WAY ONLY)

0001E

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Fayetteville VAMC, 2300 Ramsey St., Fayetteville, NC 28301 (ONE WAY ONLY)

0001F

24.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Hampton VAMC, 100 Emancipation Dr., Hampton, VA 23667 (ONE WAY ONLY)

0001G

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Richmond VAMC, 1201 Broad Rock Blvd., Richmond, VA 23249 (ONE WAY ONLY)

0001H

36.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Salem VAMC, 1970 Roanoke Blvd., Salem, VA 24153 (ONE WAY ONLY)

0001I

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Salisbury VAMC, 1601 Brenner Ave., Salisbury, NC 28114 (ONE WAY ONLY)

0002A

36.00
TRP
__________________
__________________

ALS: Any Trip within twenty (20) Miles from the Durham VAHCS (Load weight only). Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

0002B

200.00
MI
__________________
__________________

ALS Mileage: Rate per mile beyond the twenty (20) miles radius from the Durham VAHCS (ONE WAY ONLY) - This rate is in addition to the rate per trip of Items #2) above. (Load Weight Only)

1001A

1,000.00
TRP
__________________
__________________

BLS: Any Trip within twenty (20) Miles from the Durham VAHCS or the Greenville HCC (Load weight only). Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

Contract Period: Option 1

1001B

60,000.00
MI
__________________
__________________

BLS Mileage: Rate per mile beyond the twenty (20) miles radius from the VAHCS or HCC (ONE WAY ONLY) - This rate is in addition to the rate per trip of Items #1) above. (Load Weight Only)

1001C

36.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Asheville VAMC, 1100 Tunnel Road, Asheville, NC 28805 (ONE WAY ONLY)

1001D

24.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Beckley VAMC, 200 Veterans Ave, Beckley, WV 25801 (ONE WAY ONLY)

1001E

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Fayetteville VAMC, 2300 Ramsey St., Fayetteville, NC 28301 (ONE WAY ONLY)

1001F

24.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Hampton VAMC, 100 Emancipation Dr., Hampton, VA 23667 (ONE WAY ONLY)

1001G

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Richmond VAMC, 1201 Broad Rock Blvd., Richmond, VA 23249 (ONE WAY ONLY)

1001H

36.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Salem VAMC, 1970 Roanoke Blvd., Salem, VA 24153 (ONE WAY ONLY)

1001I

60.00
TRP
__________________
__________________

Flat Rate of Beneficiary one way between the Durham VAHCS and Salisbury VAMC, 1601 Brenner Ave., Salisbury, NC 28114 (ONE WAY ONLY)

1002A

36.00
TRP
__________________
__________________

ALS: Any Trip within twenty (20) Miles from the Durham VAHCS (Load weight only). Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

1002B

200.00
MI
__________________
__________________

ALS Mileage: Rate per mile beyond the twenty (20) miles radius from the Durham VAHCS (ONE WAY ONLY) - This rate is in addition to the rate per trip of Items #2) above. (Load Weight Only)

GRAND TOTAL
__________________

B.3 PERFORMANCE WORK STATEMENT

Performance Work Statement ALS/BLS Ambulance Service Veteran Affairs Medical Center Durham 508 Fulton Street Durham, North Carolina

INTRODUCTION

The Department of Veterans Affairs Medical Center, Durham North Carolina (VAMC) provides diagnostic and therapeutic services in medicine, surgery, rehabilitation medicine, psychiatry, and skilled nursing home care. This facility also provides ambulatory services to those veterans not requiring hospitalization. The contract will include a requirement for Basic Life Support (BLS) and/or Advanced Life Support (ALS) Ambulance Services. The contractor shall furnish twenty four (24) hour ambulance service for the beneficiaries of the Department of Veterans Affairs Medical Center (VAMC), Durham, North Carolina, Greenville HCC, and all Community Based Outreach Clinics (CBOC) of the Durham VAMC, and service coverage for the twenty-seven (27) counties within the Durham VAMC catchment area, which are: Alamance, Beaufort, Bertie, Carteret, Caswell, Chatham, Craven, Durham, Edgecombe, Franklin, Granville, Greene, Halifax, Hyde, Johnston, Martin, Nash, Orange, Pamilico, Person, Pitt, Rockingham, Vance, Warren, Washington, Wake, and Wilson.

All services conducted in North Carolina must be in compliance with the North Carolina Department of Human Resources, North Carolina Office of Emergency Medical Services standards. All VAMC Durham required services conducted in North Carolina, must be in compliance with the rules and regulations required of firms, corporations, agencies, organizations or associations providing emergency medical services within the State of North Carolina.

1. GENERAL REQUIREMENTS

A. Any and all equipment, machinery, linens, etc. taken with patients from the VA Medical Center must be returned to the Medical Center. The Contractor is responsible for furnishing linen and blankets for use in the ambulance. Clean and fresh linen and blankets must be used for each patient. The Medical Center will not furnish linen or participate in a linen exchange program. The following items must be provided on each ambulance:

· 2 sheets, disposable or cloth

· 2 pillowcases, disposable or cloth for each pillow

· 2 cloth towels

Universal Precautions will be used on all VA patients.

B. If the contractor fails to furnish ambulance 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 cost which may result. The VAMC will be the sole judge in determining when to order service from another source.

When conditions, neither foreseeable and/or controllable by the Contractor occur, such as but not limited to 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 Administrative Officer of the Day (AOD). The COR will make a determination as to whether such delays in service will be excused.

C. For excusable time lost in waiting at either or both ends of a trip, the contractor will be reimbursed at the rate of one-fourth the hourly rate for each quarter hour. As soon as a delay is anticipated, the contractor will contact the transportation office at (919)286-0411, extension 6240 Monday thru Friday 8:00 a.m. to 4:30 p.m. During other than normal duty hours, the contractor shall contact the Administrative Officer of the Day (AOD) at (919)286-0411, extension 6250.

D. Unless specifically authorized by the Chief, Health Administration Service or his/her designee, the driver is to take the shortest distance available. The contractor will be reimbursed accordingly if advised to take the most expeditious route regardless of mileage.

E. If a BLS unit is requested and dispatched and after arrival at the pick-up point, the crew feels an ALS unit is needed, approval must be granted by an official of the Medical Center prior to transporting the patient if ALS rates are to be applied.

F. Requests for services will be made in writing or by telephone under the authority of the Chief, Health Administration Service, typically by the Travel Clerk, Contracting Officers Technical Representative (COR), or AOD. The contractor will be informed of that time and location for pick-up and drop-off of the patient. The contractor shall notify the VAMC of any delays in the transporting of patients.

G. On evenings and weekends the contractor shall have the right staff units in accordance with the typical demand requirements of the Medical Center. Reduction in available units during the evening and weekend does not relieve the contractor of the responsibility to provide ambulance services when requested.

H. In accordance with the North Carolina Office of Emergency Medical Services, each ambulance shall be equipped as outlined for vehicles designated to provide Advanced Life Support (ALS) and Basic Life Support (BLS) services.

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

J. Each contractor operating in North Carolina must comply with inspections and reporting as required by the North Carolina Office of Emergency Medical Services.

K. Adherence to schedules is of the utmost importance. Contractor shall pick up the customer as near to the scheduled pickup time as possible. If Contractor arrives earlier than the scheduled pickup the driver shall wait at the pickup location until fifteen (15) minutes past the scheduled pickup time before calling the dispatcher for instructions.

L. Contractor shall report to the COR any and all vehicle breakdowns or other problems, which may cause service disruptions immediately. When a breakdown occurs, it is the responsibility of the Contractor’s to provide a back-up vehicle to minimize any delay or inconvenience to the customer(s).

M. The Contractor shall be required to maintain 95% on time performance on a daily basis. Trips shall be considered “on-time” as long as they arrive at the destination on or before the scheduled arrival time.

2. TERM OF CONTRACT.

The contract is to be effective for 12 months plus one-year option renewal period that may perform no services after the end of Option Year 1, each year until the Contracting Officer authorizes such services in writing. The workload is estimated to be:

BASE YEAR(12 months)
Option Year 1(12 months immediately after end of Base Year)

3. PATIENT PICK-UP AND DELIVERY FROM/TO VAMC

A. Ambulance drivers will report to the floor in which the patient is located. The Durham VA Medical Center is staffed 24 hours a day, seven days a week. The contractor will follow the following protocol.

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

· When delivering a patient, after checking in at the assigned floor, the driver will take patient to specified location in the facility and provide report to appropriate nursing personnel along with a copy of the run which will be retained by the facility for the patient’s medical record.

4. NUMBER OF PATIENTS

A. Only one patient shall be transported on a trip unless specifically authorized by the VAMC. When, pursuant to the Department of Veterans Affairs authorization, more than one patient is transported concurrently on a trip, reimbursement shall be made at the rate not exceeding the cost of transporting a single patient. No more than one psychiatric patient shall be transported at one time. If the patient is being committed by a physician no law enforcement escort is needed. Regardless of the number of patients transported concurrently on a single trip beyond the mileage threshold, 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 will result in the most economical charge to the Government.

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

5. RATES:

A. For all one-way trips within a 20 mile radius of the Durham VAMC, the Contractor will receive the flat rate awarded for that trip. The Contractor will also receive the mileage charge awarded for any one-way trips in excess of the flat rate outside the 20-mile radius of the Durham VAMC or the Greenville HCC. In no event shall the Contractor receive reimbursement for the mileage charge for any mileage inside the 20-mile radius of the Durham VAMC or the Greenville HCC. Mileage charges are only applicable outside the 20-mile radius of the Durham VAMC or the Greenville HCC.

B. Payment for mileage travel beyond the 20-mile radius of the Durham VAMC or the Greenville HCC shall be limited to the distance. One-Way mileage for travel beyond the twenty (20) mile threshold shall be at the base rate plus the mileage for each mile beyond twenty (20) miles. Mileage shall be calculated using the current www.bingmaps.com guide or an agreed upon equivalent.

1. Toll Charges:

1. It is agreed and understood that the prices quoted in the schedule do not include any ferry, bridge, tunnel or road toll charges. Any such legitimate toll charges incurred shall be limited to two way only and shall be listed separately on Contractor’s trip tickets.

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 Durham VAMC.

6. 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 shall be replaced by the contractor.

B. The contractor shall exercise extreme caution and care in the handling of patients. Any abuse of patients shall be grounds for default action or termination of the contract.

C. The contractor must take into consideration that he will be transporting ill patients. Drivers of vehicles are required to observe speed limits, vehicles should be swept clean and the exteriors washed periodically, and drivers will refrain from smoking. Drivers are to escort patients in need of assistance to and from point of pick-up and destination.

7. INCIDENT REPORT

A. Contractor shall immediately report all medical incidents or accidents, including those where there is no apparent injury to the patient, which occurs while transporting VA beneficiaries. A written report from the driver documenting the facts of the incident/accident shall be provided to the Contracting Officer Technical Representative (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.

B. 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.

8. EQUIPMENT SPECIFICATIONS – VEHICLES

A. The ambulance (Emergency Medical Services Vehicle) under the terms of this contract will be licensed and meet the minimal vehicle requirements as established by the North Carolina office of Emergency Medical services

· North Carolina Office of Emergency Medical Services, pertaining to ambulance services and (OMES Rules and Regulations) and must be a licensed EMS Provider in the State of North Carolina. All applications apply in which are applicable to the needs and requirement of the Department of Veterans Affairs, Durham VAMC. http://www.ncdhhs.gov/dhsr/EMS/ems.htm

B. The VA reserves the right to inspect the contractor’s equipment and vehicles or require documentation of compliance with contract specifications, and State Laws, rules, regulations and guidelines governing Emergency Medical Transport Vehicles (ambulances). 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. The VA reserves the right to restrict the Contractor’s use of equipment and vehicles which are in need of repair, unclean, unsafe, contain damages to the interior or exterior body, and are not in compliance with contract requirements. 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.

9. EMERGENCY VEHICLES REQUIRED FOR THIS CONTRACT

· BASIC LIFE SUPPORT AMBULANCE (BLS) shall be defined as a Class B Emergency Medical Services (EMS) vehicle. BLS is defined in the “Rules of Regulations of the Board of the North Carolina Office of Emergency Medical Services” (see Sec. 10A NCAC 13P). The Class B EMS vehicle is primarily intended for the response to the location of a call for the delivery of basic life support, and for the transportation of patients who require such care.

· ADVANCED LIFE SUPPORT AMBULANCE (ALS) shall be defined as a Class C Emergency Medical Services (EMS) vehicle. ALS is defined in the “Rules of Regulations of the North Carolina Office of Emergency Medical Services” (see Sec. 10A NCAC 13P). The Class C EMS vehicle is primarily intended for the response of the call, delivery of basic and advanced life support, and for the transportation of patients who require such care.

· EMERGENCY MEDICAL CARE VEHICLE shall have patient compartment facilities, oxygen, suction systems and equipment, and additional systems equipment, accessories, and supplies (see Sec. 10A NCAC 13P .0207), as well as environmental climatic equipment, and communications.

· BASIC LIFE SUPPORT AMBULANCE (BLS) (North Carolina) shall be defined as an Ambulance Service that includes the necessary equipment to render basic emergency medical care and services as outlined by the North Carolina Office of Emergency Medical Services.

· ADVANCED LIFE SUPPORT AMBULANCE (ALS)(North Carolina) shall be defined as Ambulance Service that includes the necessary equipment and staff to render advanced life support services as outlined by the North Carolina Office of Emergency Medical Services.

· Each ambulance shall have patient compartment facilities, oxygen and suction systems and environmental climatic supplies as required by the North Carolina Office of Emergency Medical Serviceshttp://www.ncdhhs.gov/dhsr/EMS/ems.htm

· On evenings and weekends the contractor shall have the right staff units in accordance with the typical demand requirements of the Medical Center. Reduction in available units during the evening and weekend does not relieve the contractor of the responsibility to provide ambulance services when requested.

· In accordance with the North Carolina Office of Emergency Medical Services, each ambulance shall be equipped as outlined for vehicles designated to provide Advanced Life Support (ALS) and Basic Life Support (BLS) services.

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

· Each contractor operating in North Carolina must comply with inspections and reporting as required by the North Carolina Office of Emergency Medical Services.

10. DRIVER/ATTENDANTS

CONTRACTOR SHALL INSURE THAT:

· A record of each employee as to character and physical capabilities of performing the duties of an ambulance driver and/or attendant shall be maintained and made available for inspection upon request.

· All attendants providing EMS services shall be in accordance with the North Carolina Office of Emergency Medical Services pertaining to EMT-D, EMT-I and EMT-P http://www.ncdhhs.gov/dhsr/EMS/credcomp.htm

· Perform their duties with due regard for the safety, comfort and convenience of customers and their property.

· Comply with all applicable Federal and State laws, regulations and licensing requirements, including drug testing.

· Have and maintain a current Driver’s License, valid in the State in which service provider’s facility is located, with less than five current points, none of which were assessed for “Reckless Driving.”

· Contact the Contactor’s dispatcher before leaving the designated location without picking up the customer(s) and when encountering problems such as customer(s) not being ready, incorrect addresses or addresses which are inaccessible to wheelchairs.

· Wear clothing that is clean and neat in appearance and display an AOPC approved name tag stating the driver’s name and Contractor’s company name.

· Ensure that no playing of audio/visual equipment in vehicles will be allowed without the approval of all customers aboard unless such equipment is used by a passenger with a headset.

· Ensure its personnel comply with 49 Code of Federal Regulations (CFR) Parts 40, 653 and 654 on Substance Abuse Prevention, which are respectively incorporated herein by reference and made part of this contract.

· At no time shall the Contractor leave vehicles on VA premises unless a pick-up or delivery is in process. Contractor employees shall conduct themselves in a businesslike manner at all times while on VA premises. When transporting patients to or from VAMC Durham, the driver, acting for the Contractor, shall ensure that the patient’s luggage and medical record (when appropriate) is properly accounted for and delivered with the patient.

11. EMERGENCY MEDICAL TECHNICIAN (EMT):

A. Contractor Emergency Medical Technicians (EMTs) who perform emergency services on ambulances servicing the Durham VAMC shall have the qualifications/training in accordance with the published standards of the North Carolina Department of Health under the regulating requirements for local EMS Systems supported by the Department of Health.

· The “equivalent” training program successfully completed by the EMT shall be submitted to the Contracting Officer for appropriate action.

· The EMT shall be certified, licensed or otherwise officially recognized by the Local, State, or Regional Government or public entity where the emergency ambulance service is operated, or by which it is governed.

· The EMT shall be enrolled periodically in “refresher” continuing education, or advanced training programs as required by the Local or State government entity in which the service is rendered to veterans, but in no instance shall this be less frequently than every three years. Such “refresher” training shall be equivalent of that developed by the Department of Transportation, National Highway Safety Administration. Proof of such refresher training must be submitted to the Contracting Officer and COR.

12. PARAMEDICS

A. Paramedics providing emergency services on ambulances servicing the VAMC Durham shall have the following qualifications:

· Complete training in accordance with the standards published by the Department of Health and to be licensed in the state of North Carolina, of the equivalent thereof.

· The paramedic shall be certified, licensed or otherwise officially recognized by the local, state, or regional government or public entity where the emergency ambulance service is operated, or by which it is governed governs it. Proof of such certification must be submitted to the Contracting Officer.

· The paramedic shall be enrolled periodically in “refresher” continuing education, or advanced training programs as required by the local or state government entity in which the service is rendered to veterans, but in no instance shall this be less frequently than every three (3) years. Such “refresher” training shall be equivalent to that developed by the Department of Transportation, National Highway Safety Administration. Proof of such refresher training must be submitted to the Contracting Officer for appropriate action.

B. Paramedics providing emergency services on ambulances servicing the VAMC Durham, North Carolina shall be required to have the following qualifications:

· Complete training in accordance with the standards published by the North Carolina Office of Emergency Medical Services.

· Shall be certified, licensed or otherwise official recognized by the local, state, or regional government or public entity where the ambulance service is operated, or by which is governed governs it. Proof of such certification must be submitted to the Contracting Officer.

· Paramedic refresher and continuing education or advanced training programs must be completed as required by the North Carolina Office of Emergency Medical Services.

13. TOLL CHARGES

A. Prices in quoted in the schedules do not include any ferry, bridge, tunnel, or road charge. Any such legitimate toll charges incurred shall be limited to ONE WAY ONLY and shall be listed separately on Contractor’s invoices.

B. If Contractor’s place of business is located beyond the local telephone call zone of the hospital; the Contractor agrees to accept telephone orders for service on a collect basis. It is estimated that all orders will be placed by telephone.

C. Service Provider shall be responsible for all county, cities, local or state fees imposed on the Service Provider during performance of this contract.

14. PATIENT CUSTODY

A. Contractor shall not release the patient from his/her custody, unless custody is released to charge nurse on duty at the facility patient is being transported, or to a designated point of contact at the patient’s residence. Contractor shall take every reasonable measure to assure the well being of the patient at their destination. Patients brought in by ambulance for a scheduled clinic appointment shall be delivered directly to that specific clinic, released to the custody of clinic personnel, and picked up, as ordered, in the clinic after the appointment by the ambulance crew.

15. CONDUCT

The following acts are not permissible, while providing services under this contract or while on VA premises:

· Use of intoxicating liquors, narcotics or controlled substances of any kind (excluding doctors’ prescriptions which do not impair drive’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).

· Gambling in any form.

· Carrying of pistols, firearms or concealed weapons.

· Smoking and other uses of tobacco while on duty.

· Resorting to physical violence to settle a dispute with a fellow employee, customer(s) or the general public while on duty.

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

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

· Stopping for personal business, including use or 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.

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

· Soliciting or accepting tips from customer, companions or others at any time.

16. COMMUNICATION SYSTEM

Contractor’s Communication System shall consist of:

· Telephone System

1. Contractor shall have sufficient telephone capacity to ensure immediate communication access between the Durham VAMC and the Contractor’s facility for the purposes of canceling trip requests as well as handling other emergencies. If the Contractor’s place of business is located beyond the local telephone call zone, the Contractor shall accept telephone orders for service on a collect basis or provide a toll free.

· The Contractor shall have telephone coverage to accept calls from Durham VAMC seven (7) days a week/24 hours a day Sunday through Saturday.

· Vehicle Communication

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

17. COMPLAINTS

Complaints against behavior or courtesy shall be taken by VAMC Durham may result in requiring Contractor to remove offender from the provisions of contracted services. Offenders who accumulate five (5) unrelated, substantiated complaints in a 12 month period shall be prohibited from providing any further services under this contract. The COR shall monitor the service provided. Contractor shall cooperate with the COR in providing information and answering questions in a timely manner when requested. Contractor shall refer complaints received directly from the customer(s) to the COR. All complaints received by the COR and forwarded to the Contractor shall be investigated promptly. After investigation and disposition, Contractor shall respond to the COR within five (5) working days after receipt by the Contractor.

17. PERFORMANCE STANDARDS SUMMARY

ID
Performance Objective
Performance Threshold
Method of Surveillance
1
The Contractor shall perform the General Requirements that meet the requirements of PWS Section1
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
2
The Contractor shall perform the Patient Pick-Up and Delivery that meet the requirements of PWS Section 2, 3 & 4
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
3
The Contractor shall adhere to the Patient Welfare and Abuse and Incident Reporting that meet the requirements of PWS Sections 5
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
4
The Contractor shall adhere to Vehicle specifications that meet the requirements of PWS Sections 6 & 7
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
5
The Contractor shall adhere to Personnel requirements that meet the requirements of PWS Sections 8, 9 & 10
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
6
The Contractor shall adhere to Patient Custody that meet the requirements of PWS Sections 12
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
7
The Contractor shall adhere to Conduct that meet the requirements of PWS Sections 13
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints
8
The Contractor shall maintain a Communication System that meet the requirements of PWS Section 14
The Contractor successfully performs the required services throughout the period of performance
CO/COR periodic inspection and documentation of unacceptable performance or customer complaints

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SECTION C - CONTRACT CLAUSES

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

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

C.1 52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from start of the period of performance through end of the periof of performance.

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

(c) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of Clause)

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

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 2 trips, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

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

(1) Any order for a single item in excess of 2500 trips;

(2) Any order for a combination of items in excess of 4000 trips; or

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

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

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

C.3 52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated" or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

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

(End of Clause)

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed two (2) years.

(End of Clause)

C.6 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

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

(End of Clause)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

FAR Number
Title
Date
52.203-17
CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS
JUN 2020
52.204-4
PRINTED OR COPIED DOUBLE-SIDED ON POSTCONSUMER FIBER CONTENT PAPER
MAY 2011
52.204-9
PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL
JAN 2011
52.204-13
SYSTEM FOR AWARD MANAGEMENT MAINTENANCE
OCT 2018
52.204-18
COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE
AUG 2020
52.224-1
PRIVACY ACT NOTIFICATION
APR 1984
52.224-2
PRIVACY ACT
APR 1984
52.228-5
INSURANCE—WORK ON A GOVERNMENT INSTALLATION
JAN 1997
52.232-40
PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS
DEC 2013
52.237-3
CONTINUITY OF SERVICES
JAN 1991
852.204-70
PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL
MAY 2020
852.242-71
ADMINISTRATIVE CONTRACTING OFFICER
OCT 2020

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

C.9 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to the Contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement’s skills, experience, and credentials meet or exceed the requirements of the contract. If the employee of the Contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days notice, the Contractor shall provide the maximum notice practicable under the circumstances. The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the agreement of the parties.

(End of Clause) C.10 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance…

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