36C24622Q0373 0001.docx

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V222--Wheelchair Service Contract (VA-22-00043658)
Solicitation number
36C24622Q0373
Issued by

About this file

This is a solicitation for wheelchair van transportation services. The Department of Veterans Affairs is seeking a contractor to provide wheelchair accessible transportation for eligible veterans within the Fayetteville, North Carolina VA healthcare system coastal region. Services will include 24-hour on-demand wheelchair van transportation to and from the Fayetteville VAMC as well as approved community medical facilities. The contractor must furnish all required vehicles and drivers to transport veterans in accordance with the terms of the agreement. The initial base period of performance is from April 1, 2022 through September 30, 2022 with two one-year option periods and one additional six-month option period. The solicitation includes a price schedule with rates for transportation services to nine different VA facilities in the region. Proposals are due by March 9, 2022.

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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 NUMBERE

D 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 amendmen t, and is received prior to the opening hour and date specified.

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

D. OTHER

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) 36C246 Amber Hess Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 36C246 Amber Hess Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24622Q0373 03-01-2022

X

See CONTINUATION Page Amendment 0001 is to update the quantity totals for Line Items 0001-3012

Angel Rhone Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1,625.00
EA
__________________
__________________

Base Rate: Fayetteville VA Medical Center 2300 Ramsey Street Fayetteville, NC 28301 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

3,600.00
EA
__________________
__________________

Base Rate- within a 20-mile radius Fayetteville VA Health Care Center 7300 S. Raeford Road Fayetteville, NC 28304 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,250.00
EA
__________________
__________________

Base Rate- within a 20-mile radius Wilmington VA Health Care Center 1705 Gardner Road Wilmington NC 28405 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

250.00
EA
__________________
__________________

Base Rate: within a 20-mile radius Jacksonville Community Based Outpatient Clinic 4006 Henderson Drive Jacksonville, NC 28546 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00
EA
__________________
__________________

Base Rate: within a 20-mile radius Hamlet Community Based Outpatient Clinic 100 Jefferson St Hamlet NC 28345 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00
EA
__________________
__________________

Base Rate- within a 20-mile radius Sanford Community Based Outpatient Clinic 3112 Tramway Road Sanford NC 27332 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00
EA
__________________
__________________

Base Rate: within a 20-mile radius Robeson Community Based Outpatient Clinic 139 Tree Hunts Dr Pembroke NC 28372 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00
EA
__________________
__________________

Base Rate: within a 20-mile radius Goldsboro Community Based Outpatient Clinic 2610 N. Hospital Road Goldsboro NC 27534 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00
EA
__________________
__________________

Base Rate: within a 20-mile radius Brunswick County Community Based Outpatient Clinic 18 Doctors Circle, Units 2&3 Supply NC 28462 Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50,000.00
MI
__________________
__________________

Rater Per Mile Beyond Twenty (20) miles radius- one way only Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

50.00
HR
__________________
__________________

Wait Time When approved and verified only Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

75.00
EA
__________________
__________________

Cancellation Fee- After dispatch only and must have approval Contract Period: Base POP Begin: 04-01-2022 POP End: 09-30-2022

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

6,500.00
EA
__________________
__________________

Base Rate: Fayetteville VA Medical Center

Fayetteville, NC 28301 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

14,400.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

7300 S. Raeford Road Fayetteville, NC 28304 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

5,000.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

1705 Gardner Road Wilmington NC 28405 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,000.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

4006 Henderson Drive Jacksonville, NC 28546 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

100 Jefferson St Hamlet NC 28345 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

3112 Tramway Road Sanford NC 27332 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

139 Tree Hunts Dr Pembroke NC 28372 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

2610 N. Hospital Road Goldsboro NC 27534 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

18 Doctors Circle, Units 2&3 Supply NC 28462 Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100,000.00
MI
__________________
__________________

Rater Per Mile Beyond Twenty (20) miles

Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

100.00
HR
__________________
__________________

Wait Time

Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

150.00
EA
__________________
__________________

Cancellation Fee-

Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

6,500.00
EA
__________________
__________________

Base Rate: Fayetteville VA Medical Center

Fayetteville, NC 28301 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

14,400.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

7300 S. Raeford Road Fayetteville, NC 28304 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

5,000.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

1705 Gardner Road Wilmington NC 28405 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,000.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

4006 Henderson Drive Jacksonville, NC 28546 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

100 Jefferson St Hamlet NC 28345 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

3112 Tramway Road Sanford NC 27332 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

139 Tree Hunts Dr Pembroke NC 28372 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

2610 N. Hospital Road Goldsboro NC 27534 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

18 Doctors Circle, Units 2&3 Supply NC 28462 Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100,000.00
MI
__________________
__________________

Rater Per Mile Beyond Twenty (20) miles

Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

100.00
HR
__________________
__________________

Wait Time

Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

150.00
EA
__________________
__________________

Cancellation Fee-

Contract Period: Option 2 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

6,500.00
EA
__________________
__________________

Base Rate: Fayetteville VA Medical Center

Fayetteville, NC 28301 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

14,400.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

7300 S. Raeford Road Fayetteville, NC 28304 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

5,000.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

1705 Gardner Road Wilmington NC 28405 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

1,000.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

4006 Henderson Drive Jacksonville, NC 28546 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

100 Jefferson St Hamlet NC 28345 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate- within a 20-mile radius

3112 Tramway Road Sanford NC 27332 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

139 Tree Hunts Dr Pembroke NC 28372 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

2610 N. Hospital Road Goldsboro NC 27534 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100.00
EA
__________________
__________________

Base Rate: within a 20-mile radius

18 Doctors Circle, Units 2&3 Supply NC 28462 Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

100,000.00
MI
__________________
__________________

Rater Per Mile Beyond Twenty (20) miles

Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

100.00
HR
__________________
__________________

Wait Time

Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

150.00
EA
__________________
__________________

Cancellation Fee-

Contract Period: Option 3 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE

1,625.00

3,600.00

1,250.00

250.00

50.00

50.00

50.00

50.00

50.00

50,000.00

50.00

75.00

6,500.00

14,400.00

5,000.00

1,000.00

100.00

100.00

100.00

100.00

100.00

100,000.00

100.00

150.00

6,500.00

14,400.00

5,000.00

1,000.00

100.00

100.00

100.00

100.00

100.00

100,000.00

100.00

150.00

6,500.00

14,400.00

5,000.00

1,000.00

100.00

100.00

100.00

100.00

100.00

100,000.00

100.00

150.00

CONTINUATION PAGE

Amendment 0001 is issued to correct quantities for the CLINs 0001-3012.

Proposals remain due at 2:00 PM EST March 9, 2022.

All other terms and conditions of the solicitation remain the same herein.

File details come from the government source that posted it. Updated .