36C24720Q0354-0001000.docx

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) 03-17-2020 None Department of Veterans Affairs Tuscaloosa VA Medical Center 3701 Loop Road East Tuscaloosa AL 35404-5088 Department of Veterans Affairs Tuscaloosa VA Medical Center 3701 Loop Road East Tuscaloosa AL 35404-5088 To all Offerors/Bidders

36C24720Q0354 03-17-2020

X X X Tuesday, March 24, 2020 @ 10:00 AM CST See CONTINUATION Page X This amendment accomplishes the following:

1. Change line item 2 to read 4,000lbs and removed sharps

2. Updated Statement of Work (attached)

3. Due date extended to Tuesday, March 24, 2020 @ 10:00 AM CST

All other terms and conditions remain the same.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

PROVIDE LABOR, SUPERVISION, AND EQUIPMENT FOR A REUSABLE SHARPS CONTAINER PROGRAM AND A REGULATED MEDICAL WASTE CONTAINER PROGRAM, AS DIRECTED IN THE STATEMENT OF WORK Contract Period: Base POP Begin: 04-01-2020 POP End: 03-31-2021

PROVIDE SERVICES FOR COLLECTION, WEIGH, TRANSPORT AND DISPOSAL OF REGULATED MEDICAL WASTE AS DIRECTED IN THE STATEMENT OF WORK.

PROVIDE REUSABLE, SANITIZED SHARPS CONTAINERS AS NEEDED

PROVIDE LABOR, SUPERVISION, AND EQUIPMENT FOR A REUSABLE SHARPS CONTAINER PROGRAM AND A REGULATED MEDICAL WASTE CONTAINER PROGRAM, AS DIRECTED IN THE STATEMENT OF WORK Contract Period: Option 1 POP Begin: 04-01-2021 POP End: 03-31-2022

PROVIDE SERVICES FOR COLLECTION, WEIGH, TRANSPORT AND DISPOSAL OF REGULATED MEDICAL WASTE AS DIRECTED IN THE STATEMENT OF WORK.

PROVIDE REUSABLE, SANITIZED SHARPS CONTAINERS AS NEEDED

PROVIDE LABOR, SUPERVISION, AND EQUIPMENT FOR A REUSABLE SHARPS CONTAINER PROGRAM AND A REGULATED MEDICAL WASTE CONTAINER PROGRAM, AS DIRECTED IN THE STATEMENT OF WORK Contract Period: Option 2 POP Begin: 04-01-2022 POP End: 03-31-2023

PROVIDE SERVICES FOR COLLECTION, WEIGH, TRANSPORT AND DISPOSAL OF REGULATED MEDICAL WASTE AS DIRECTED IN THE STATEMENT OF WORK.

Contract Period: Option 2 POP Begin: 04-01-2022 POP End: 03-31-2023

PROVIDE LABOR, SUPERVISION, AND EQUIPMENT FOR A REUSABLE SHARPS CONTAINER PROGRAM AND A REGULATED MEDICAL WASTE CONTAINER PROGRAM, AS DIRECTED IN THE STATEMENT OF WORK Contract Period: Option 3 POP Begin: 04-01-2023 POP End: 03-31-2024

PROVIDE SERVICES FOR COLLECTION, WEIGH, TRANSPORT AND DISPOSAL OF REGULATED MEDICAL WASTE AS DIRECTED IN THE STATEMENT OF WORK.

PROVIDE REUSABLE, SANITIZED SHARPS CONTAINERS AS NEEDED

PROVIDE LABOR, SUPERVISION, AND EQUIPMENT FOR A REUSABLE SHARPS CONTAINER PROGRAM AND A REGULATED MEDICAL WASTE CONTAINER PROGRAM, AS DIRECTED IN THE STATEMENT OF WORK Contract Period: Option 4 POP Begin: 04-01-2024 POP End: 03-31-2025

PROVIDE SERVICES FOR COLLECTION, WEIGH, TRANSPORT AND DISPOSAL OF REGULATED MEDICAL WASTE AS DIRECTED IN THE STATEMENT OF WORK.

PROVIDE REUSABLE, SANITIZED SHARPS CONTAINERS AS NEEDED

STATEMENT OF WORK

Regulated Medical Waste and Sharps Removal Services

Tuscaloosa VA Medical Center

A. GENERAL INFORMATION:

1. Title of Project: Regulated Medical Waste and Sharps Removal Services

2. Location of Services: Tuscaloosa VA Medical Center, 3701 Loop Road East, Tuscaloosa, AL 35404

3. Location of Sharps/Bio-Hazard Containers:

3. Period of Performance: Base Plus Four (4) Option Years as follows:

Base Year: April 1, 2020 – March 31, 2021 Option Year #1: April 1, 2021 – March 31, 2022 Option Year #2: April 1, 2022 – March 31, 2023 Option Year #3: April 1, 2023 – March 31, 2024 Option Year #4: April 1, 2024 – March 31, 2025

4. Type of Contract: Firm Fixed Price

5. Days and Hours of Operation: The Tuscaloosa VAMC business days and hours are Monday through Friday 8:00 am- 4:30 pm, Central Standard Time, excluding Federal Holidays. Federal Holidays are New Year’s Day, Martin Luther King Birthday, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day, and Christmas Day.

B. GENERAL REQUIRMENTS:

1. The contractor shall provide all labor, supervision, transportation, supplies, equipment necessary to pick up and transport regulated medical waste (RMW) to include the pickup of sharps and bio-hazard waste.

2. The contractor shall collect, transport, and dispose of RMW and sharps. Should be treated by autoclaving or by means as regulated by the Alabama Department of Environmental Management, and in accordance with Federal, State and local laws and regulations.

3. Pickup of full sharps and RMW shall be once every other week on Wednesdays from the cage located in Building 3. Twice per week the contractor should pick up from all units as listed in the above table. Contractor is to check in with the COR or Chief EMS.

4. This medical facility has as estimated 4,000lbs pounds of RMW that is disposed of per year.

5. Types of RMW include, but are limited to the following:

a. Pathological Waste

NOTE: PLEASE BE ADVISED that all personnel of the awarded contractor MUST have a completed ‘Tuberculosis Skin (TB) Test’ in order to work in patient areas. The TB Skin Test will be at the expenses of the contractor and proof of the test must be submitted to the Contracting Officer Representative (COR) prior to any on-site services conducted at the TVAMC.

C. SPECIFIC SERVICES:

1. Provide and Service Reusable Sharps Containment System:

a. Contractor shall provide labor, transportation, collection, removal, treatment and destruction services including a reusable sharps containment system compliant with Centers for Disease Control (CDC) and National Institute for Occupational Safety and Health (NIOSH) guidelines for the storage, transport and shipment of regulated medical waste.

b. A minimum of 90 containers is needed bi-weekly at the TVAMC. For start up purposes, a total of 196 containers are needed as follows:

· 2 gallon – 64

· 4 gallon – 36

· 8 gallon – 96

c. Contractor shall provide rigid puncture resistant sharps containers that meet the American Society for Testing Materials (ASTM) Standard F2131-01 "Standard Specification for Puncture Resistance of Materials Used in Containers for Discarded Medical Needles and Other Sharps".

d. Contractor shall provide sharps containers that include appropriate sizes and shapes, opening types (vertical drop) and closures (locking mechanism), mounting brackets, carts with casters (to hold and transport), training, and replacement for sharps collection and containment of Sharps Waste (defined below).

e. Sharps containers shall be of the type that lends itself to privacy of patient information (example- be of solid red in color). Each container shall meet all requirements of The Occupational Safety and Health Administration (OSHA) regulation 29 CFR 1910.1030 'Bloodborne Pathogens" and be registered as a sharp waste container with the Food and Drug Administration (FDA).

f. Contractor shall provide labor, tools, materials, supplies, appropriate equipment, transportation, and supervision necessary to pick up, store, transport, decant, and clean/sterilize containers as well as destroy, dispose of, document, and invoice for waste removed from the containers. Special function items such as, but not limited to, funnel tops, traps, wall cabinets and related hardware, shall be supplied by the contractor at no additional cost to the VA.

g. "Sharps infectious Waste" shall be considered for the purpose of this contract to include hypodermic needles, syringes and scalpel blades. The term does not include any hazardous waste, radioactive waste, or pharmaceuticals. The Medical Center will be responsible for the segregating of all waste in accordance with Federal, State, and Local requirements.

h. The Contractor shall provide a supply of clean/sterilized, dry and free of odors, reusable sharps containers to be kept on site to be used in the event that a container does become full prior to the contractor's scheduled exchange visit and an Environmental Management Service (EMS) staff member will then replace full container with a new empty one. Exact storage location to be determined by EMS.

i. Contents of containers shall be transported off station and disposed of as RMW. The contaminated reusable sharps containers shall be cleaned, disinfected, and sterilized for reuse. Reusable sharps containers shall not be cycled through more than 500 times or as stated and allowed by applicable and current regulations. The cost of any replacement sharps containers shall be at the Contractor's expense.

j. All containers shall be clearly labeled with Biohazard symbol and the word "BIOHAZARD' displayed on them along with barcode.

k. The contractor will provide red bags/liners for the re-useable plastic containers as needed, or upon request. We will require 8- and 15-gallon bags, using an estimated 1,200 bags per year for each size.

l. In additional to re-useable containers, contractor will provide red bags for use in emergencies.

2. Provide Regulated Medical Waste (RMW) collection and disposal services:

a. Contractor shall provide services including the provision of containers and labels for regulated medical waste; pickup of all regulated medical waste streams to include sharps; storage and transport; decanting, examination, appropriate treatment, disposal, and documentation of quantities and weights of waste; cleaning of containers; and provision of legal manifest which accurately documents the chain of custody from point of pickup to final disposition.

b. The estimated quantity of waste pickup is established in Section B2 Price/Cost Schedule.

c. Contractor will pick up medical waste and sharps from the units as listed in Section A3 and take to building 3 locked cage. The contractor will pick up and dispose of RMW and sharps from the containers behind Building 3 in the locked cage.

d. Regulated Medical Waste containers: Containers shall be made of rigid plastic construction designed to prevent puncture by needles and other sharps, capacity not to exceed 96-gallons, (minimum of 26 wheeled totes are needed in the catchment area) and shall include locking safety handles along with appropriate bio-hazard warning symbols approved by the State and Federal regulatory agencies. Contractor shall maintain the re-used containers and equipment in a state of satisfactory repair (no broken wheels or lids, sharp points) and appearance (free of dirt/old paper stickers) as determined by the COR. Contractor shall have containers disinfected inside and out and free of moisture using the Centers for Disease Control (CDC) approved disinfectant before returning them to the medical center or clinics for use. Safety Data Sheet (SDS) information shall be provided by the contractor to the COR prior to use.

e. Medical waste and sharps should be disposed of by autoclaving.

D. SAFETY REQUIREMENTS AND TRAINING:

a. Contractor vehicles, carts, materials, or supplies shall not be left unattended. Vehicles shall be parked only in designated area as provided by EMS staff.

b. Contractor shall ensure that its staff who drive on VA property are professional, comply with all facility policies such as zero tolerance for sexual harassment and violence in the workplace, drug-free workplace, safety, and be appropriately dressed.

c. Contractor shall ensure that facility standards are followed along with The Joint Commission standards. Contractor is solely responsible for any and all spills or leaks during the performance of the contract.

d. The Contractor agrees to clean up such spills and/or leaks to the satisfaction of the Government in a manner which satisfies the applicable regulations, at no cost to the Government.

e. The Contractor shall report to the VA Safety Officer via the COR all spills, regardless of quantity and all personnel exposures. Such reports shall first be reported by telephone within 30 minutes following the incident and shall have a follow up in writing no later than seven (7) days after the initial report. When reporting a spill, the following information shall be furnished (1) quantity spilled; (2) exact location of spill; (3) containment procedures initiated; (4) clean-up and disposal procedures; (5) personal injury involved; (6) assistance required; and (7) a narrative summarizing all on-scene visits made by local, state, and federal officials.

f. Contractor shall not dispose of any chemical containers contaminated by cleaning chemicals in any location in the facility except as specified by the COR.

g. Contractor shall comply with all applicable federal, state, county regulations on workers' safety standards and related training.

h. All Contractor personnel involved in the performance of this contract shall have received training regarding the handling of infectious materials, and emergency procedures to be followed in case of a spill before starting work under this contract.

i. Certification of such training shall be provided within (fifteen) 15 days of receiving notice of award of the contract. Certification for any new contract employees shall be provided to the Contracting Officer within thirty (30) days of receipt of the training.

E. CONTRACTOR SUBMITTALS:

a. Prior to commencement of any work, the Contractor and employees working on this contract shall submit to the COR and/or Contracting Officer:

1. Contractor shall be properly licensed by Federal, State and Local authorities to provide pickup, removal and disposal of bio-hazardous waste and insured.

2. Contractor shall attach copies of licenses, permits, and proof of insurance indicated above with their quote at time of offer due date and shall maintain all required licensing, permitting, and insurance throughout the life of the contract.

3. Contractor shall provide name, address, contact name and telephone number of all disposal facilities to be used under this contract, with their offer at time of offer due date.

4. Contractor shall make complete distribution of the waste to a reliable licensed facility approved by all Federal, State, and Local regulatory bodies for disposal.

5. The contractor shall identify a person who shall be responsible for the performance of work. The name and phone number shall be provided to the Contracting Officer at the time of offer.

6. The contractor shall establish and maintain a complete quality control program to assure the requirements of the contract are provided as specified. The contractor shall provide a copy of their quality control program to the Contracting Officer at the time of offer.

7. The contractor shall develop and submit to the Contracting Officer, a copy of their contingency plan in the event of vehicle breakdown, disposal facility breakdown, natural disaster, or employee strike at the time of offer. The contingency plan will include notification procedures for informing the Contractor Officer Representative (COR)/generator of any actuation of the contingency plan to prevent possible violation of interstate laws.

F. CONTRACTOR QUALIFICATIONS:

a. All personnel of the awarded contractor MUST have a completed “Tuberculosis Skin (TB) Test” in order to work in patient areas. The TB Skin Test will be at the expense of the contractor and proof of the test must be submitted to the Contracting Officer Representative (COR) prior to any on-site services conducted at the TVAMC.

b. Contractor must provide a copy of the State Department of Environmental Management, Notification of Permit by Rule Operations Solid Waste Collection Operation Permit, Transporter Permit.

G. MANIFEST DOCUMENTATION/REPORT:

a. Contractor will make pickups at the designated pick up points between the hours of 8 am and 2:30 p.m. (weekdays).

b. The contractor shall provide tracking of medical waste from the point of pickup, through use of an EPA, DEQ for applicable state, and DOT approved manifest system.

c. The Contractor shall provide hard copy documentation (manifest sheets) to the COR, indicating time and date of pickup, time and date of autoclaving, and weight of each container received at the time of pick up.

d. Contractor staff shall engage only authorized EMS staff (COR or designee) to sign manifests of waste in accordance with DOT and state requirements. Contractor shall provide final copy of manifests within two (2) weeks after the end of the month of service.

e. Contractor shall provide the weights of medical waste processed for each facility site at the end of each month. These weights may be included on the monthly invoice but must be provided monthly.

f. Contractor will provide all the necessary labels to designate the type of medical waste contained in each container (medical waste)

H. INVOICES:

a. Payment will be made upon receipt of a properly prepared detailed invoice, prepared by the Contractor, validated by the Contracting Officer's Representative (COR), and submitted to VA FSC, P. 0. BOX 149971, AUSTIN, TX 78714 VIA THE OBI0 online electronic invoicing system.

b. In order to submit electronic invoices, all VA vendors must register with Tungsten Network (formerly OB10) by submitting an email to VA.Registration@oblO.com or calling 1-877-752-0900 option 2 for Enrollment.

c. Contractor shall submit an electronic invoice by the tenth of the following month services were performed to the Veterans Affairs Financial Services Center (VAFSC) e-Invoice through the website at http://www.tungsten network.com/us/en/veterans-affairs-us/. For questions regarding the submission of VA electronic invoices, OB I 0 customer service may be contacted at 1-877-489-6135.

d. For questions regarding invoice receipt or payment, please call VAFSC directly at l -877-353-9791 or email vafsccshd@va.gov

e. A properly prepared invoice will contain:

· Invoice Number and Date

· Contractor's Name and Address

· Accurate Purchase Order Number (PO# will change each option year)

· Supply or Service provided

· Itemization of pounds collected and disposed of

· Price per pound or per service, as applicable

· Dates of Service performed

· Total amount due

I. QUALITY CONTROL/ASSURANCE (CONTRACTOR):

a. The contractor shall establish and maintain a complete quality control/assurance program to assure the requirements of the contract are provided as specified.

b. The contractor shall provide a copy of their quality control/assurance plan to the Contracting Officer with their quote at time of offer due date.

J. QUALITY/PERFORMANCE REQUIREMENTS SUMMARY:

a. As stated above, the contractor shall be responsible for their own internal Quality Control Program. The Government will perform surveillance of the contractor's performance using the Performance Work Statement and the Performance Requirements Summary (see Technical Exhibit 1) on the next page to determine if the contractor exceeds, meets, or does not meet these standards. The fact that the government is performing surveillance of the contractor's performance does not in any way relieve the contractor from performing their own surveillance and maintaining acceptable quality levels.

b. Performance Requirements Summary Matrix:

1. The government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Technical Exhibit 1

K. BASIS OF AWARD: Award will be made to the Lowest Price Technically Acceptable (LPTA) contractor meeting the contractor qualifications and submittals referenced above.

END OF PERFORMANCE WORK STATEMENT