36C24623Q1096.docx

36C24623Q1096

RFQ 36C24623Q1096

Advanced Life Support (ALS) / Basic Life Support (BLS) Ambulance Service Salem Veterans Affairs Health Care System

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

658-23-2-085-0129 36C24623Q1096 07-2 -2023

DONALD V. HARRIS

08-04-2023

9AM

EDT

DONALD V. HARRIS

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

X 621910 $22.5 Million N/A X

DEPARTMENT OF VETERANS AFFAIRS

SALEM VA MEDICAL CENTER

1970 Roanoke Blvd

SALEM VA 24153

DONALD V. HARRIS

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATIN DRIVE

HAMPTON VA 23667

DEPARTMENT OF VETERANS AFFAIRS

FINANCIAL SERVICES CENTER

PO BOX 149971

AUSTIN TX 78714-9971

512-460-5049 512-460-5221 X See CONTINUATION Page

THIS CONTRACT REQUIRES PROVISION OF BASIC LIFE SUPPORT (BLS)

AND/OR ADVANCED LIFE SUPPORT (ALS) AMBULATORY SERVICES.

See CONTINUATION Page X

KEESHIA R. NEWMAN

CONTRACTING OFFICER

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C246

DONALD V. HARRIS

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

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

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

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

B.3 Performance Work Statement Advanced Life Support (ALS) / Basic Life Support (BLS) Ambulance Service Salem Veteran Affairs Medical Center (SVAMC) 1970 Roanoke Boulevard Salem, VA 24153

I. INTRODUCTION

A. The Salem Veterans Affairs Medical Center (SVAMC) provides diagnostic and therapeutic services in medicine, surgery, rehabilitation medicine, psychiatry, and skilled nursing home care. This facility also provides services to those Veterans not requiring hospitalization.

B. The contract requires provision of Basic Life Support (BLS) and/or Advanced Life Support (ALS) Ambulance Services, for emergent and/or scheduled transport, as well as ALS ambulance services on stand-by on the SVAMC campus during cardiac catheterization procedures. The contractor shall furnish twenty-four (24) hour ambulance service for the beneficiaries of the SVAMC at the following location: 1970 Roanoke Boulevard, Salem, VA 24153.

C. All services conducted in Virginia must comply with the Virginia Department of Human Resources, Virginia Office of Emergency Medical Services standards. All SVAMC required services conducted in Virginia, must comply with the rules and regulations required of firms, corporations, agencies, organizations, or associations providing emergency medical services within the Commonwealth of Virginia.

II. DEFINITIONS

A. Basic Life Support (BLS) - the type of care that first-responders, healthcare providers and public safety professionals provide to anyone who is experiencing cardiac arrest, respiratory distress, or an obstructed airway

B. Advanced Life Support (ALS) – a set of life-saving protocols and skills that extend beyond Basic Life Support (BLS). It is used to provide urgent treatment to cardiac emergencies such as cardiac arrest, stroke, myocardial infarction, and other conditions.

C. Advanced Life Support Transport - the provision of care by EMS personnel who are certified as an Emergency Medical Technician (EMT) - Enhanced, Advanced EMT, Intermediate, or Paramedic or equivalent as approved by the Board of Health.

D. Ambulance – (as defined by § 32.1-111.1 of the Code of Virginia) any vehicle, vessel or craft that holds a valid permit issued by the Office of EMS and that is specially constructed, equipped, maintained, and operated, and intended to be used for emergency medical care and the transportation of patients who are sick, injured, wounded, or otherwise incapacitated or helpless. The word "ambulance" may not appear on any vehicle, vessel, or aircraft that does not hold a valid EMS vehicle permit.

E. Board or State Board – The State Board of Health

F. Base Rates: The base rate shall constitute full compensation for one-way trips which do not exceed the mileage threshold as defined in this performance work statement. The Contractor shall receive the base rate quoted in the schedule for all one-way trips ordered.

G. CO – Contracting Officer

H. COR – Contracting Officer’s Representative

I. Certification – a credential issued by the Office of EMS for a specified period to a person who has successfully completed an approved training program.

J. EMS – Emergency Medical Services

K. Emergency Medical Services Vehicle or EMS Vehicle - Any vehicle, vessel, aircraft, or ambulance that holds a valid emergency medical services vehicle permit issued by the Office of EMS that is equipped, maintained, or operated to provide emergency medical care or transportation of patients who are sick, injured, wounded, or otherwise incapacitated or helpless.

L. License - An authorization issued by the Office of EMS to provide emergency medical services in the state as an EMS agency.

M. Mileage Rate – Mileage rate for ambulance transportation services is the rate paid for each mile traveled beyond the specified Mileage Threshold. This rate applies to loaded, one-way transportation outside of the 25-mile radius of Veterans Affairs Medical Center Salem, Danville CBOC, Stanton CBOC Wytheville CBOC and Tazewell CBOC, Virginia. In no event shall the Contractor receive this rate for miles traveled within the specified mileage threshold.

N. Mileage Threshold – The mileage threshold is defined as a 25-mile radius of each of the following facilities: Veterans Affairs Medical Center Salem, Danville CBOC, Stanton CBOC, Wytheville CBOC and Tazewell CBOC, Virginia using the MapQuest internet version (internet address: http://www.mapquest.com). For all one-way trips outside the mileage threshold and except trips to other VA Medical Centers under VISN 6, the Contractor will receive the flat rate awarded for that trip and if applicable the awarded mileage rate for one-way distance beyond the mileage threshold. In no event shall the Contractor receive reimbursement for mileage rate for trips inside of the 25-mile radius of Veterans Affairs Medical Center Salem, Danville CBOC, Stanton CBOC, Wytheville CBOC and Tazewell CBOC, Virginia. Mileage rates are only applicable outside the 25-mile radius of the Veterans Affairs Medical Center Salem, Danville CBOC, Stanton CBOC, Wytheville CBOC and Tazewell CBOC, Virginia.

O. No Load/Cancellation: Occurs when service is requested, and the contractor responds and arrives at the pick-up point, but a patient is not transported.

P. Outside PSA: Trips that are not described in the PSA. Trips may be taken to other VA Medical Centers within VISN 6. The VA Medical Centers in VISN 6 are as follows: Hampton VA Medical Center, Hampton Virginia; Hunter Holmes McGuire VA Medical Center, Richmond, VA; Durham VA Medical Center, Durham, North Carolina; Charles George VA Medical Center, Asheville, North Carolina; W.G. Hefner VA Medical Center, Salisbury, North Carolina; Fayetteville VA Medical Center, Fayetteville, North Carolina.

Q. Patient - A person who needs immediate medical attention or transport, or both, whose physical or mental condition is such that he is in danger of loss of life or health impairment, or who may be incapacitated or helpless as a result of physical or mental condition or a person who requires medical attention during transport from one medical care facility to another

R. PWS – Performance Work Statement

S. Primary Service Area (PSA): Salem VA Health Care System Primary Service Area: Areas in the Commonwealth of Virginia consisting of the following counties: Alleghany, Amherst, Appomattox, Augusta, Bath, Bedford, Botetourt, Campbell, Carroll, Craig, Floyd, Franklin, Giles, Grayson, Henry, Highland, Montgomery, Patrick, Pittsylvania, Pulaski, Roanoke, Rockbridge, Smyth, Tazewell, and Wythe. For the purpose of this contract, the mileage threshold is defined as within 25-mile radius of the Veterans Affairs Medical Center Salem, Danville CBOC, Stanton CBOC, Wytheville CBOC and Tazewell CBOC, Virginia

T. Standard of Care - The established approach to the provision of basic and advanced medical care that is considered appropriate, prudent and in the best interests of patients within a geographic area as derived by consensus among the physicians responsible for the delivery and oversight of that care. The standard of care is dynamic with changes reflective of knowledge gained by research and practice.

U. QASP – Quality Assurance Surveillance Plan

V. Stand-by - The emergency vehicle and crew do not leave the scene for the duration of the event due to the potential hazards or high risk of injury during the patient procedures.

W. TJC – The Joint Commission

X. Travel Clerk – SVAMC agent responsible for setting up scheduled transport during normal business hours.

Y. Administrative Officer of the Day (AOD) – SVAMC agent responsible for setting up scheduled or emergency transports during Weekends, Holidays, Evenings and Nights.

III. GENERAL REQUIREMENTS

A. All equipment, machinery, linens, etc. taken with patients from the SVAMC must be returned to the SVAMC. 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 SVAMC 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

B. Universal Precautions will be used on all SVAMC\ patients.

C. If the contractor fails to furnish ambulance service within one hour after receiving a SVAMC request for service, the SVAMC reserves the right to obtain the services from another source and to charge the contractor any excess cost which may result. The SVAMC will be the sole judge in determining when to order service from another source.

D. 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 AOD. The COR will determine as to whether such delays in service will be excused.

E. 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 (fifteen minutes). As soon as a delay is anticipated, the contractor will contact the Travel Clerk at (540) 982-2463 extension 2809 Monday thru Friday 8:00 a.m. to 4:30 p.m. During other than normal duty hours, the contractor shall contact the AOD at (540) 982-2463 extension 2173.

F. 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.

G. 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, AOD, or COR. The contractor will be informed of the time and location for pick-up and drop-off of the patient. The contractor shall notify the SVAMC of any delays in the transporting of patients.

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

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

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

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

M. STAND-BY ALS Services:

1. The Contractor shall provide ALS Ambulance and crew on stand-by on the SVAMC Campus while cardiac catheterization procedures are being performed on patients in the hospital. ALS requirements are:

i. A ground ambulance equipped with an ALS equipment package. An ALS equipment package may be transferred to a ground ambulance not otherwise equipped to provide the needed level of ALS patient care from another appropriately equipped EMS vehicle. This transfer must include all items required for the type of ALS equipment package that the attendant-in-charge is authorized to use.

ii. The attendant-in-charge must be certified as an advanced life support level provider or an equivalent approved by the Office of EMS.

iii. An attendant must be certified as an emergency medical technician or an equivalent approved by the Office of EMS in addition to the attendant-in-charge. The attendant must not serve as the attendant-in-charge. An operator may serve as the attendant if certified as an emergency medical technician or an equivalent approved by the Office of EMS.

iv. An ALS provider may provide care if the required EMS personnel do not respond to a call to fully staff the ambulance that has responded to the scene. The extenuating circumstances of the call must be documented in writing. Based on extenuating circumstances and documentation, the EMS agency or the EMS provider may be subject to enforcement action.

2. The contractor will be contacted by telephone each day services are required; a minimum of one (1) hour notice prior to the requested time of arrival will be provided.

3. It is estimated that services may be required daily, Monday – Friday.

4. The contractor shall dispatch ALS ambulance in such a fashion as to ensure timely arrival (i.e., within ten (10) minutes of requested time due.)

5. Upon arrival the contractor will check in with the COR located in the Catheterization Lab, Building 143, Room IEF 169.

6. When transport becomes necessary, the contractor shall transport the patient to Lewis Gale Medical Center, 1900 Electric Road, Salem, Virginia or to another facility approved by the SVAMC Chief of Medicine or Chief of Cardiology.

7. Contractor cannot refer patients to any other facility other than those approved by SVAMC Chief of Medicine or Chief of Cardiology.

8. The contractor will remain until they are released by the COR or designated personnel.

IV. TERM OF CONTRACT.

A. The contract is effective for one year from date of award plus one renewal period each year until the Contracting Officer authorizes such services in writing. The term of contract is estimated to be:

Base Year: 15 September 2023 – 14 September 2024 Option Year 1: 15 September 2024 – 14 September 2025 Option Year 2: 15 September 2025 – 14 September 2026

V. PATIENT TRANSPORT FROM SVAMC

A. Ambulance drivers will report to the AOD, located in the Emergency Department. The AOD is staffed 24 hours a day, seven days a week. The contractor will follow the following protocol.

1. Report to the AOD

2. Announce their arrival to pick-up and transfer patient

3. Obtain report of pertinent information regarding patient’s condition from the primary physician.

VI. NUMBER OF PATIENTS

A. Only one patient shall be transported on a trip unless specifically authorized by the SVAMC.

VII. PATIENT WELFARE

A. The contractor shall be held responsible for patient’s 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 is required to observe speed limits; vehicles should be swept clean, and the exteriors washed periodically. Drivers are to escort patients in need of assistance to and from point of pick-up and destination.

VIII. 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 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.

IX. EQUIPMENT SPECIFICATIONS – VEHICLES

A. The ambulance under the terms of this contract will be licensed and meet the minimum vehicle requirements as established by the Virginia office of Emergency Medical services.

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 Services 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.

X. EMERGENCY VEHICLES REQUIRED FOR THIS CONTRACT

A. BASIC LIFE SUPPORT AMBULANCE (BLS) shall be defined as a Class B Emergency Medical Services (EMS) vehicle. The Class B EMS vehicle is primarily intended for the response to the location of a call for the delivery of basic life support, and for the transportation of patients who require such care.

B. ADVANCED LIFE SUPPORT AMBULANCE (ALS) shall be defined as a Class C Emergency Medical Services (EMS) vehicle. 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.

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

D. 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.

XI. TOLL CHARGES

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

XII. 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.

XIII. CONDUCT

A. The following acts are not permissible while providing services under this contract or while on SVAMC premises:

1. 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).

2. Gambling in any form.

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

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

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

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

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

8. 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.

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

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

XIV. COMMUNICATION SYSTEM

A. Contractor’s Communication System shall consist of:

1. Telephone System

2. Contractor shall have sufficient telephone capacity to ensure immediate communication access between the SVAMC 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.

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

4. Vehicle Communication

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

XV. COMPLAINTS

A. Complaints against behavior or courtesy received by the COR 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.

B.4 SPECIAL CONTRACT REQUIREMENTS

1. NO SMOKING

Per VHA Directive 1085 Dated 3/15/19 All VA Health Care Facilities shall be smoke free. This directive applies to all patients, visitors, contractors, volunteers, and vendors.

2. QUALITY ASSURANCE SURVEILLANCE PLAN

The Government intends to utilize a Quality Assurance Surveillance Plan (QASP) to monitor the quality of the contractor’s performance. The oversight provided for in the order and in the QASP will help to ensure that service levels reach and maintain the required levels throughout the contract term. Further, the QASP provides the Facility POC with a proactive way to avoid unacceptable or deficient performance, and provides a verifiable input for the required Past Performance Information Assessments. The QASP will be finalized immediately following award and a copy provided to the Contractor after award. The QASP is a living document and may be updated by the Government as necessary.

3. CONTRACTOR PERFORMANCE ASSESSMENT REORTING SYSTEM (CPARS)

(a) FAR 42.1502 direct all Federal agencies to collect past performance information on contracts. The Department of Veterans Affairs has implemented use of the Contractor Performance Assessment Reporting System (CPARS) to comply with this regulation. One or more past performance evaluations will be conducted in order to record your contract performance as required by FAR Subpart 42.15 Contractor Performance Information.

(b) The past performance evaluation process is a totally paperless process using CPARS. CPARS is a web-based system that allows for electronic processing of the performance evaluation report. Once the report is processed, it is available in the Past Performance Information Retrieval System (PPIRS) for Government use in evaluating past performance as part of a source selection action.

(c) Please furnish the Contracting Officer with the name, position title, phone number, and email address for each person designated to have access to your firm’s past performance evaluation(s) for the contract no later than 30 days after award. Each person granted access will have the ability to provide comments in the Contractor portion of the report and state whether or not the Contractor agrees with the evaluation, before returning the report to the Assessing Official. The report information must be protected as source selection sensitive information not releasable to the public.

(d) When your Contractor Representative(s) (Past Performance Points of Contact) are registered in CPARS, they will receive an automatically-generated email with detailed login instructions. Further details, system requirements, and training information for CPARS are available at www.cpars.gov. The CPARS User Manual, registration for online training for Contractor Representatives may be found at this site.

(e) Within 60 days after the end of a performance period, the Contracting Officer will complete an interim or final past performance evaluation and the report will be accessible at www.cpars.gov Contractor Representatives may then provide comments in response to the evaluation, or return the evaluation without comment. Comments are limited to the space provided in Block 22. Your comments should focus on objective facts in the Assessing Official’s narrative and should provide your views on the causes and ramifications of the assessed performance. In addition to the ratings and supporting narratives, blocks 1-17 should be reviewed for accuracy, as these include key fields that will be used by the Government to identify your firm in future source selection evaluations. If you elect not to provide comments, please acknowledge receipt of the evaluation by indicating, “No Comment” in Block 22, and then signing and dating Block 23 of the form. Without a statement in Block 22, you will be unable to sign and submit the evaluation back to the Government. If you do not sign and submit the CPAR within 30 days, it will automatically be returned to the Government and will be annotated: “The report was delivered/received by the contractor on (date). The contractor neither signed nor offered comment in response to this assessment.” Your response is due within 30 calendar days after receipt of the CPAR.

(f) The following guidelines apply concerning your use of the past performance evaluation:

(1) Protect the evaluation as “source selection information.” After review, transit the evaluation by completing and submitting the form through CPARS. If for some reason you are unable to view and/or submit the form through CPARS, contact the Contracting Officer for instructions.

(2) Strictly control access to the evaluation within your organization. Ensure the evaluation is never released to persons or entities outside of your control.

(3) Prohibit the use of or reference to evaluation data for advertising, promotional material, pre-award surveys, responsibility determination, production readiness reviews, or other similar purposes.

(g) If you wish to discuss a past performance evaluation, you should request a meeting in writing to the Contracting Officer no later than 7 days following your receipt of the evaluation. The meeting will be held in person or via telephone or other means during your 30-day review period.

(h) A copy of the completed past performance evaluation will be available in CPARS for your viewing and for Government use supporting source selection actions after it has been completed.

4. BILLING AND PAYMENT

Contractor shall submit invoice monthly, in arrears, via payment request in electronic form via VA’s Electronic Invoice Presentment and Payment system https://authentication.tungsten-network.com/login . The following information must be included on all submitted invoices. Invoices submitted without the following information may be rejected for payment. Invoices shall include at a minimum:

• Date of invoice

• Invoice number

• Contract number

• Obligation number

• Vendor name

• CLIN and dates of service

5. CONTRACT ADMINISTRATION

Notwithstanding the Contractor's responsibility for total management during the performance of this contract, the administration of the contract will require maximum coordination between the Government and the Contractor.

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements of this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitments or issue changes that shall affect price, quantity or quality of performance of this contract.

The COR shall be responsible for the overall technical administration of this contract.

IN THE EVENT THE CONTRACTOR EFFECTS ANY SUCH CHANGE AT THE DIRECTION OF ANY PERSON OTHER THAN THE CONTRACTING OFFICER WITHOUT AUTHORITY, NO ADJUSTMENT SHALL BE MADE IN THE CONTRACT PRICE TO COVER AN INCREASE IN COSTS INCURRED AS A RESULT THEREOF.

POINT OF CONTACT

Contract Specialist (CS)

DONALD V. HARRIS

Contracting Officer (CO)

KEESHIA R. NEWMAN

COR

TBD

6. ESTIMATED QUANTITIES

The Government will award a requirement type contract to acquire services. A realistic estimated total quantity is included in the schedule of services. This estimate is not a representation that the estimated quantity will be required or ordered, or that conditions affecting requirements will be stable or normal. Task orders will be issued for performance as a not to exceed basis. All unit prices shall be fixed.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

A0428 BLS: Any trip within twenty-five (25) Miles from Salem VAMC or outlying CBOCs as stated in PWS. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (One way) Contract Period: BASE POP Begin: 09-15-2023 POP End: 09-14-2024 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

A0425 BLS: Mileage rate for distance beyond the mileage threshold (Shall be for loaded miles and one way only)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0420 BLS: Wait times hours (when required)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

No Load/cancellation (occurs when service is requested, contractor responds, but patient is not transported).

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Richmond VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Hampton VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Asheville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Fayetteville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Salisbury VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Durham VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0426 ALS: Any one-way trip within twenty-five (25) Miles from the Salem VAMC or outlying CBOCs as stated in PWS. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. This also include occasional emergency orders

POP Begin: 09-15-2023 POP End: 09-14-2024

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

STAND-BY ALS: The Contractor shall provide ALS Ambulance and crew on stand-by on the VAMC Campus for cardiac catheterization procedures

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0425 ALS: Mileage rate for distance beyond the mileage threshold (Shall be for loaded miles and one way only)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

0420 ALS: Wait times hours (when required)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

No Load/Cancellation (occurs when service is requested, contractor responds, but patient is not transported).

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0428 BLS: Any trip within twenty-five (25) Miles from Salem VAMC or outlying CBOCs as stated in PWS. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (One way)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0425 BLS: Mileage rate for distance beyond the mileage threshold (Shall be for loaded miles and one way only)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

A0420 BLS: Wait times hours (when required)

POP Begin: 09-15-2023 POP End: 09-14-2024

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

No Load/cancellation (occurs when service is requested, contractor responds, but patient is not transported).

Contract Period: OPTION 1 POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Richmond VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Hampton VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Asheville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Fayetteville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Salisbury VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Durham VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0426 ALS: Any one-way trip within twenty-five (25) Miles from the Salem VAMC or outlying CBOCs as stated in PWS. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. This also include occasional emergency orders

POP Begin: 09-15-2024 POP End: 09-14-2025

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

STAND-BY ALS: The Contractor shall provide ALS Ambulance and crew on stand-by on the VAMC Campus for cardiac catheterization procedures

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0425 ALS: Mileage rate for distance beyond the mileage threshold (Shall be for loaded miles and one way only)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

0420 ALS: Wait times hours (when required)

POP Begin: 09-15-2024 POP End: 09-14-2025

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

No Load/Cancellation (occurs when service is requested, contractor responds, but patient is not transported).

POP Begin: 09-15-2024 POP End: 09-14-2025

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

A0428 BLS: Any trip within twenty-five (25) Miles from Salem VAMC or outlying CBOCs as stated in PWS. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (One way) Contract Period: OPTION 2 POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0425 BLS: Mileage rate for distance beyond the mileage threshold (Shall be for loaded miles and one way only)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0420 BLS: Wait times hours (when required)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

No Load/cancellation (occurs when service is requested, contractor responds, but patient is not transported).

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Richmond VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Hampton VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Asheville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Fayetteville VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Salisbury VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0428 BLS: Flat rate, any trip from Salem VAMC or outlying CBOCs to Durham VAMC. Includes arrival and acceptance of patient at point of departure and delivery of patient to destination. (one way)

POP Begin: 09-15-2025 POP End: 09-14-2026

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

A0426 ALS: Any one-way trip within…