36C24623Q0383 0002.docx

AMENDMENT 0002 RFQ 36C24623Q0383

BLS AND ALS AMBULANCE SERVICES

FOR FAYETTEVILLE NC VA HEALTHCARE SYSTEM

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 spe cified 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 C

HANGES 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

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 SI

GNER

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, et c.)

(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) 3/29/2023 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C24623Q0383 03-16-2023

X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 1:00PM on March 31, 2023 See CONTINUATION page X

1. Request for Quotes (RFQ) No. 36C24623Q0383 is hereby amended to address the Government response to a contractor's question, see Page 2.

2. The PWS, Section B.3, has been replaced in its entirety by Amendment 0002, please see highlighted areas.

3. The closing date for proposals has been revised. All signed quotes and amend ments are now due by 1:00PM EST on March 31, 2023.

5. All other terms and conditions remain the same.

Stephanie Thompson Contracting Officer CONTINUATION PAGE Q.1. There is no "mileage threshold" actually provided in the solicitation. The Ambulance Solicitation (36C24623Q0383) states "beyond the established mileage thresholds" several times throughout the solicitation. I never saw where an actual "established" mileage threshold was provided in the solicitation or Amendment 0001. Without a mileage threshold established, it's difficult to provide a cost basis for the Base Rate for "any" of the CLIN's.

A.1. A mileage threshold has been addressed in the revised Performance Work Statement (PWS), Section B.3, which has been replaced in its entirety by this amendment.

B.3 PERFORMANCE WORK STATEMENT (PWS)

1.0 PURPOSE:

The Fayetteville NC VA Coastal Healthcare System requires a qualified contractor to furnish all labor, materials, insurance, licenses and equipment to provide safe and comfortable services necessary for both Special Mode Transportation for Beneficiary Travel eligible Veterans to include the Wilmington Healthcare Center catchment area and emergent inter-facility advanced life support (ALS)/basic life support (BLS) ground ambulance transport services for the Fayetteville NC VA Medical Center (FNCVAMC) Emergency Department as needed by FNCVAMC. The contractor shall furnish these services twenty-four (24) hours a day, seven (7) days a week for the beneficiaries of the Fayetteville VAMC Emergency Department, Fayetteville, NC. Contractor shall assist the patient as needed to access the vehicle for transportation. This may include, but is not limited to, bed to stretcher or stretcher to bed transfer when necessary.

The Fayetteville NC VA Coastal Healthcare System is seeking a Firm Fixed-Price contract vehicle to procure these services in a Base plus two option periods.

2.0 BACKGROUND:

The Department of Veterans Affairs Medical Center, 2300 Ramsey Street, Fayetteville, North Carolina, provides diagnostic and therapeutic services in medicine, surgery, rehabilitation medicine, psychiatry, and skilled nursing home care for the beneficiaries of the Department of Veterans Affairs. This facility also provides ambulance services to those veterans not requiring hospitalization. The Contractor shall provide STAT Basic Life Support (BLS) and/or Advanced Life Support (ALS) Ambulance Services. Contractor will respond and be onsite ready to deliver services 15 minutes from the requested service time.

4.0 REQUIREMENTS:

The Contractor shall provide the following Ambulance Services on an as-needed basis:

4.1 BASIC LIFE SUPPORT (BLS):

Basic Life Support (BLS) Services is defined as a basic level of pre-hospital and inter-hospital emergency care and non-emergency medical services that includes airway management, cardiopulmonary resuscitation (CPR), control of shock and bleeding and splinting of fractures, as outlined in the Basic Life Support national curriculum of the United States Dept. of Transportation and any modifications to that curriculum specified in rules adopted by the Department.

4.1a Staffing:

For BLS services, each ambulance shall be staffed by Emergency Medical Technicians with a current North Carolina EMT-B license or as required by local, state, or regional Government, or public entity by which the ambulance services are governed.

4.2 ADVANCED LIFE SUPPORT (ALS):

Advanced Life Support (ALS) Services is defined as an advanced level of pre-hospital and inter-hospital emergency care and non-emergency medical services that includes BLS, electrocardiography, cardiac defibrillation, cardiac monitoring, IV therapy, administration of drugs and solutions, use of adjunctive medical devices, trauma care, and other authorized techniques and procedures.

4.2a Staffing:

For ALS service, each ambulance shall be staffed by Advanced Emergency Medical Technician-Paramedics with a current North Carolina EMT-P license or as required by local, state, or regional Government, or public entity by which the ambulance services are governed.

4.2b Typical situations when Fayetteville NC VA Coastal Healthcare System would require ALS Services:

· Patients with IVs

· Patients requiring cardiac monitoring with defibrillator and pacing capabilities

· Establishing or maintaining IV to include antiarrhythmic, narcotics, vasopressors and IV fluids

· Monitoring/maintaining respiratory status to include intubation and pulse oximetry

4.3 CONTRACTOR PERSONNEL:

Contractor employees shall be courteous and conduct themselves in a business-like manner at all times while providing services under this agreement. The contractor shall ensure that the following personnel (Emergency Medical Technicians (EMT- Basic, Intermediate and Paramedics), Non-Emergency Attendant/ Drivers) requirements are met:

a) Ensure and certify that personnel performing the services required under this contract are properly licensed and fully trained in the use of the vehicle and equipment that will be used in the carrying out contracted services.

b) The contractor shall ensure minimum staffing requirements as mandated by the State of North Carolina are met. Each vehicle shall be operated with sufficient personnel for adequate patient care, at least one of whom shall be an Emergency Medical Technician (EMT B, I or P Level). Contractor must maintain records of each employee as to character and physical capabilities of performing the services of a driver and/or attendant.

Qualifications: The contractor must be licensed as advanced and basic care transport by the ambulance service by the State of North Carolina to provide Emergency Medical Services. The contractor must maintain licensure/certification with the State of North Carolina, throughout the life of the contract. License/certification lapses or expiration is grounds for termination of the contract of discontinuance of further ordering from this contractor. The contractor must maintain documentation demonstrating they meet all requirements of Federal, State, County or City codes regarding operation of this type of service. Documentation shall be made available to the VA immediately upon request for the duration of this contract. The contractor shall comply with the provisions of the Privacy Act of 1974, the Health Insurance Portability and Accountability Act (HIPAA) of 1996, as well as all applicable regulations pertaining to fire safety and blood borne pathogens, which will be provided by the Contracting Officer’s Representative (COR).

A record of each employee as to character, physical capabilities, and qualifications performing the duties of an ambulance driver or attendant must be maintained at the contractor's establishment and made available for inspection upon request of the contracting officer or COR.

A roster of Emergency Medical Technicians (EMT-All Levels), and Non-Emergency Attendant Drivers (EMTs and LPNs if used to provide these services) shall be furnished to the contracting officer or COR upon request, and shall contain the following information:

· Name

· EMT License Number

· Driver’s License Number

· Date of Initial Training

· Date of Refresher Training 4.3a Paramedics and EMTs Paramedics, EMTs and other medical personnel (as applicable), shall at all times meet the qualifications specified, as well as all applicable federal, state and local Government laws, regulations, and standards. They shall be certified, licensed, or otherwise officially recognized by local, state, or regional Government or public entity by which the emergency service is governed.

4.3b Non-Emergency Attendants/Drivers

i. Attendants/drivers shall be capable of administering oxygen and have successfully completed the Standards and Advanced First Aid Courses of the American Red Cross or US Bureau of Mines or equivalent. Proof in the form of a current certificate for the successful completion of such training must be provided upon request.

ii. All ambulance drivers shall have a valid driver’s license in accordance with state requirements for their place of operation and the services they perform.

4.3c Driver Conduct The following acts are not permissible by drivers which provide services under this agreement or while on Fayetteville NC VA Healthcare System premises:

i. Use of intoxicating liquors, narcotics, or controlled substances of any kind (excluding Dr.’s prescriptions which do not impair driving ability), while on duty or reporting for duty.

ii. Gambling in any form.

iii. Smoking and other uses of tobacco while on duty.

iv. Carrying of pistols, firearms, or concealed weapons.

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

vi. Spitting, or any other unsanitary, or offensive practice or behavior while on VAMC premises

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

viii. Stopping for personal business, including use of a restroom, while a patient is in the vehicle.

ix. The driver shall not leave the vehicle with the key in the ignition at any time.

x. Engaging a 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.

xi. Soliciting or accepting tips from customers, companions, or others at any time.

4.3d Certification/Licensing Requirements Prior to performing any services under this agreement, the Contractor shall provide evidence of required training, certifications, licensing, and any other qualifications of any personnel performing services under this agreement. If the Contractor wishes to add or replace personnel, it shall provide the above requirements to the COR for approval.

4.3e Tuberculosis (TB) Exposure Control Policy

i. Prior to performance any services under this agreement, the Contractor shall provide Fayetteville NC VA Healthcare System their policy on TB exposure and control, to include TB decontamination.

ii. The Contractor shall have its personnel tested for TB and provide each of these test results to the COR.

point of origin for all mileage calculations. Charges for travel within these mileage thresholds shall be billed at the base rate. Load weight only mileage for travel beyond the above referenced threshold shall be billed at the base rate plus the mile charge for each mile beyond the above specified thresholds.

Reimbursement for Mileage outside Contract Mileage Threshold - As stated above, reimbursement for mileage outside of the mileage threshold (load weight only) shall be billed at the base rate plus the mile charge for each mile beyond the mileage threshold as established above. Mileage shall be calculated using Bing Maps or an agreed upon equivalent.

The Base Rate shall constitute full compensation for load weight only trips which do not exceed the Mileage Threshold addressed above. The Contractor shall also receive the mileage charge proposed above (the “Mileage”) for any load weight only trips that extend beyond the mileage thresholds referenced above. In no event shall the Contractor receive reimbursement of mileage for trips made within the above referenced mileage threshold. For all load weight only trips.

4.4h Rates will apply twenty-four (24) hours a day seven (7) days a week. Payment for mileage traveled beyond the county limits will be limited to “One Way Only” for the distance over which the patient is transported. Mileage cost will be paid in addition to the applicable rate per trip for any trip entirely within the city and county limits. Trip mileage shall be determined by the latest edition of the Google standard Mileage Guide. The Contractor shall receive the base rate quoted in the schedule for all one-way trips ordered. The base rate shall constitute full compensation for one-way trips which go not exceed the mileage threshold as defined herein. The Contractor shall also receive reimbursement of mileage charges for any mileage less than the mileage threshold. The odometer reading at the time of the county line is crossed shall be provided and the odometer reading at the arrival of destination.

The contractor must maintain documentation demonstrating they meet all requirements of Federal, State, County or City codes regarding operation of this type of service.

4.5 ADDITIONAL SERVICES:

Contractor shall be required to transport patient luggage, medical records, medication, and comfort items from pickup points to destination at no additional cost to the Government. Luggage to be transported is restricted to a suitcase or travel case type bag when patients are transported to Fayetteville NC VA Healthcare System.

The ambulances used under the terms of this contract shall be licensed and meet the minimum requirements governing emergency vehicles that is mandated by the State of North Carolina. Licensure must be maintained in a status throughout the term of the contract and a copy of updates provided accordingly. The contractor must have an adequate number of vehicles to meet the requirements of this contract, along with the evidence of satisfactory vehicle inspection prior to use under this contract. Every ambulance operated must have at least two personnel. At least one person shall be -certified in cardiopulmonary resuscitation or first aid and the person in the emergency compartment shall be certified at the least as an emergency medical technician-basic and/or critical care, EMT-Paramedic preferred.

5.1a The Contractor shall have the capabilities to sufficiently handle simultaneous calls and meet or exceed the minimum time requirements (see section 6.3 under ORDERS).

5.1b BLS vehicles are required to have at a minimum an emergency technician (EMT) attending the patient and a driver meeting minimum ambulance driver requirements of the State of North Carolina.

5.1c Ambulances shall meet all current applicable Federal, State and local regulations and specifications including, but not limited to, licensing, registration, and safety standards. Appropriate licensing by the State of North Carolina is required.

5.1d Specifically, ALS vehicles are required to have at a minimum a paramedic attending the patient and an EMT, meeting requirements as a driver. Vehicles and equipment used in the performance of this contract must be clean, orderly, and in excellent operating condition always, and records of maintenance/preventive maintenance must be made available for inspection upon request. All vehicles shall be smoke free and have “No Smoking” signage posted. Contractor must present standard operating procedure for vehicle and equipment cleaning between patients and provide evidence of compliance with such cleaning processes subject to verification by the COR. The contractor shall notify the contracting officer of any vehicle and equipment added/changed/deleted after award of contract. The Department of Veteran Affairs reserves the right to thoroughly inspect contractor vehicles prior to award and at any time during performance of any awarded contract. Mechanical defects noted at the time of inspection must be corrected and the ambulance (s) re-inspected prior to use under the contract.

Every ambulance in service under this contract shall be equipped as required by the State of North Carolina and carry at least the minimal equipment necessary for the type of service to be provided, as determined by standards adopted by the State of North Carolina. Each emergency care vehicle shall have patient compartment facilities, oxygen and suction systems and equipment, environmental climatic equipment communications and additional systems equipment accessories and supplies as required by the applicable codes, rules and regulations established by Federal, State and Local regulating authorities. The contractor will be responsible for all medical and non-medical supplies needed to perform services. On Advanced Life Support vehicles, the contractor shall supply intravenous administration pump with the ability to maintain and administer at least two liquid medications in a precise volume-controlled manner.

5.2a The following equipment shall be supplied, but not limited to for proper patient care:

· Medication administration device

· Intravenous infusion pump that delivers a specific amount of fluids

· Medications

· Infusion modules

· Pump Infusion Sets

· Cardiac Monitor

· Defibrillator capable of delivering a minimum up to 200 joules biphasic, monitor 12-leads, synchronize cardioversion, and cardiac pacing

· Equipment to monitor waveform capnography of a breathing and/or tracheal intubated patient

An order is defined as one incidence of a request for service (BLS or ALS service). But for exceptions approved by authorized VA ordering employees, no more than one (1) patient will be transported per order.

Response Options

Service Level

6.6c Contractor is expected to meet the above response times, not meeting the above response times will result in a deduction from the trip value.

Minutes Late Deduction

61 or more Trip shall be at no cost to the VA *Trip value is the total of the basic trip plus any additional mileage, if applicable, for the scheduled trip.

For trips in which the Contractor is notified of a cancellation before the vehicle is dispatched, there will be no charge to the Government.

9.2 NO-SHOWS

A “no-show” is defined as an order that is cancelled after the Contractor has dispatched a vehicle and the vehicle is enroute or has arrived at the pick-up location, and there is no longer a need for this patient transport. The Contractor may request one-way reimbursement for no-shows, which are based on the base rate for the service (BLS, ALS), and one-way mileage (BLS, ALS) accrued enroute to the pick-up location at time of cancellation. Mileage for no-show cancellations shall be confirmed by the Contractor and reported to the COR or designee as soon as possible from the time of cancellation.

9.3 NO LOAD

When ambulance service under the terms of this contract involves a trip to or from a VA facility, but due to unforeseen circumstances the patient is not available for pick-up, the contractor shall collect No Load rates applicable under the pricing portion of this contract. The contractor shall notify the AOD or Transfer Coordinator at the time it becomes known that the patient is not available for pick-up. The VA reserves the right to substitute beneficiary requiring service at any time during the performance of the contract to prevent “No Loads”, delays, and cancellations. There shall be no additional charge to the VA when such changes occur. The contractor will not be eligible to collect the No Load rate when contractor refuses the transport at time of arrival.

9.4 ADDITIONAL CHARGES

There will be no additional charge for time spent at the site (during, or after the normal hours of coverage) awaiting the arrival of additional Contractor staff and/or delivery of parts.

With the exception of “no shows” defined in 9.2, the Contractor shall invoice for loaded (patient onboard) services and mileage only. Time data collection system must be electronic. Contractor shall submit an electronic invoice by the tenth day of each month for services that occurred the preceding month. Electronic invoices shall be submitted to the COR; invoices shall not include patient information. Also, a copy of the invoice along with secondary documentation shall be sent to Beneficiary Travel and must include the following information:

UNDER NO CIRCUMSTANCES ARE VA BENEFICIARIES, THIRD PARTY INSURANCES, MEDICARE OR MEDICAID TO BE BILLED FOR SERVICES PERFORMED UNDER THIS AGREEMENT WHICH ARE AUTHORIZED BY FAYETTEVILLE NC VA HEALTHCARE SYSTEM.

12.0 CONTRACTOR’S QUALITY CONTROL PROGRAM:

Contractor shall establish and maintain a complete Quality Control Program (QCP) to ensure the requirements of this agreement are provided as specified. The QCP shall address processes and procedures to ensure services are performed in accordance with all state and local standards and codes. Contractor’s QCP shall include the following at a minimum:

The Authorization and Accreditation (A&A) requirements of VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No A&A or MOU/ISA is required. Sensitive information exposure as part of this agreement involves applicable security controls within the facility as part of the Fayetteville NC VA Healthcare System /VA Information Security.

If there are any questions related to privacy, please have a member of your staff, or yourself, contact the VA Privacy Service at (202)461-6309. If there are any questions related to the Information Security, contact the Office of Cyber Security at (304)262-7733.

Where the agreement does not require Joint Commission accreditation or other regulatory requirements regarding worker competency, the Contractor must perform the required work in accordance with Joint Commission standards. The Contractor is required to develop and maintain the following for each Contractor employee working on this agreement:

Contractor will provide current copies of these records to the COR at time of agreement award and upon completion of the agreement or upon request, for each Contractor employee working on the contract.

Contractor shall be responsible for supervising the daily services provided under this agreement; and shall provide and document orientation and training programs for all employees regarding safety, equipment management, and patient confidentiality appropriate to the service provided.

Contractor shall provide orientation to designated staff regarding agency policy and procedures, and any agency processes necessary for cooperative functioning between the agency and Fayetteville NC VA Healthcare System. Up-dates and refreshers shall be provided upon request and when policy or procedures change.

Contractor may be requested to take part in training in conjunction with Fayetteville NC VA Healthcare System staff to ensure emergency response quality.

Emergency Medical Technicians providing emergency services on this contract must meet the following training requirements:

a. Have completed training in accordance with the standard published by the US Department of Health and Human Services (PL 93-154) and follow State of North Carolina Statutes requiring a minimum of 110 hours, with at least 20 hours of supervised clinical supervision, including 10 hours in a hospital emergency department. EMTs must also meet ongoing re-certification requirement standards determined by the State of North Carolina.

b. Evidence of the "equivalent" training program successfully completed by the EMT must be submitted to the contracting officer before award. Failure to provide the requested evidence of training will result in an offer of being determined non-responsive and that offer will not be considered for award.

16.1 The EMT must 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. Current and updated certifications of EMTs providing service under this contract must be submitted to the contracting officer. Emergency Medical Technicians (all Levels) providing emergency services on this contract must have the following qualifications:

a. Have completed the required all emergency medical technicians (all levels) re-certification training. State of North Carolina Office of EMS requires EMTs to have a minimum of 72 CME hours to be recertified every four years. The rules shall provide that all re-certification training provide didactic and skills practice components, including a field internship experience aboard an advanced life support permitted ambulance. The EMTs (all levels) must 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.

b. Must possess:

a. EMT – B Card

b. EMT – I Card (Note: Does not apply to this acquisition if all personnel manning the ambulance meet all state requirements for performing the duties as assigned)

c. EMT – P Card

16.2 Drivers providing service under this contract shall have a valid ambulance personnel license with a driver designation as required by Federal, State and local law.

16.3 Contractor shall ensure each ALS and BLS driver who operates a permitted vehicle meets qualifications as required by the State of North Carolina and shall be responsible for assuring that its drivers are knowledgeable and competent in emergency vehicle operations and thoroughly familiar with the vehicles assigned.

16.4 Attendant/driver must have successfully completed standard and advanced first aid courses including use of cardiopulmonary resuscitation techniques (CPR) of the American Heart Association, or equivalent; can safely use all associated equipment, such as wheelchair lifts, and fire extinguishers; and been fully briefed and trained in passenger assistance techniques. Proof in the form of a current certificate that first aid training has been successfully completed must be available upon request. All contractor employees must be enrolled periodically in “refresher” continuing education or advanced training programs as approved and required by the State of North Carolina, Office of Emergency Medical Services. Such refresher training shall be submitted to the contracting officer upon request for verification of compliance. In no instance may this continuing education training be less frequent than every two years.

17.0 HHS/OIG:

To ensure that the individuals providing services under the agreement have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the Contractor is required to check the Health and Human Services - Office of Inspector General (HHS/OIG), List of Excluded Individuals/Entities on the OIG Website (www.hhs.gov/oig) for each person providing services on this agreement. Further, Contractor is required to certify all persons listed in Contractor’s proposal have been compared to the OIG list and are NOT listed. During performance of the agreement, Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

20.0 SERVICE DELIVERY SUMMARY: Contractor service requirements are summarized into performance standards that relate directly to mission essential items. The maximum deviations briefly describe the acceptable levels of service needed for each requirement; which are critical to mission success. Refer to the Performance Matrix in 23.3d.

21.0 QUALITY ASSURANCE: Contractor shall ensure services are performed in accordance with accepted commercial practices. Fayetteville NC VA Healthcare System will evaluate the Contractor’s performance and approve all services per the COR/designee in accordance with the QASP.

22.0 INSURANCE COVERAGE: Throughout the effective period of this contract, the contractor shall possess insurance coverage in the minimum amounts to satisfy contract clause 852.237-7, Indemnification and Insurance, or State of North Carolina requirements, whichever are higher. Any lapse in required coverage could result in discontinuance of further ordering. Prior to the start of contract performance, the contractor must submit to the contracting officer their certificate of insurance coverage evidencing required levels.

23.0 CONTRACTING OFFICER REPRESENTATIVE (COR):

Emergent Services –

NAME: TBD

PHONE:

EMAIL:

Ambulance Services –

NAME: TBD

PHONE:

EMAIL:

END OF PERFORMANCE WORK STATEMENT