36C24721R0064 0003.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 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 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) 521-21-2-829-0033 n/a Department of Veterans Affairs Central Alabama Veterans Health Care 215 Perry Hill Road Montgomery

AL

36109-3798 Department of Veterans Affairs Central Alabama Health Care System East Campus 2400 Hospital Road Tuskegee

AL

36083-5001 To all Offerors/Bidders

36C24721R0064 07-23-2021

X x x ** HOUR & DATE for Receipt of Offers is EXTENDED to:

extended till 8/16/2021 @1:00 CST See CONTINUATION Page 521-3610160-829-820100-2580 0100C0088 x The purpose of this amendment is to exted the closing date to 8/16/2021 @ 1:00CST.

This amendment includes updated 52.212.

This amendment includes updated PWS.

This amendment includes Question and answers from Vendors.

This amendment includes updated Price/Cost schedule.

Question and answers submission will be closed on 10 August 2021 @ 3:00 PM CST in order to have enough time to respond before closing date.

Nothing follows/////////////////////////////////////////////////////////////////////////////////////////////////////////

Marcus Watts Contracting Officer

A.1 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

UNVERIFIED SDVOSBS WILL NOT BE CONSIDERED FOR AWARD

ADDENDUM to FAR 52.212-2 EVALUATION—COMMERCIAL ITEMS

(a) The Government will award ONE (1) Base + 4 Option Year Firm Fixed Price contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Past Performance Technical Capability Price Past Performance is more important than price. Technical Capability is more important than price. Past Performance is equal to Technical Capability and when combined is more important than price. All evaluation factors other than non- cost factors are significantly more important than cost or price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

EVALUATION CRITERIA for Advanced Life Support (ALS) Stretcher transportation, and Nonemergent Medical Services: Basis for award will be made by evaluating proposals using the following criteria listed.

Factor 1. Past Performance Past performance evaluation results in an assessment of the offeror’s probability of meeting the solicitation requirements. It considers each offeror demonstrated recent and relevant record of performance in supplying products and services that met the contract requirements:

There are two aspects to the past performance evaluation:

(a)Relevancy of contractual work performed and;

b) How well the contractual work was performed Relevant is defined as three (3) contracts awarded within the last five (5) years that include services that are similar is complexity, dollar value, contract type and degree of subcontract and teaming. The second aspect of the past performance evaluation is to determine how well the contractor performed on the contracts.

The government will review past performance information and determine the quality and usefulness as it applies to performance confidence assessment. Ensure your submissions include a point of contact who can speak on behalf of the company, the company name, address, telephone number(s), email address and contract dates. We have attached a past performance evaluation form for you to send to your references.

The Government may contact references, other than those identified by the offeror, and use the information received to evaluate the offeror’s past performance. The information evaluated may include data on efforts performed by other divisions, critical subcontractors, or teaming partners, if such resources will be brought to bear or significantly influence the performance of the proposed effort. Special emphasis will be placed on performance related to areas covered in the PWS for this solicitation. The government will also use information obtained from government data bases such as CPARS, PPIRS, and any other data base as necessary.

In the case of an offeror without a record of relevant performance history or for whom information on past performance is not available, the offeror may not be evaluated favorably or unfavorably on performance history.

Factor 2. Technical Capability Technical Capability - Offerors will be evaluated based on the capability of the items offered to the need of the Government in accordance with the PERFORMANCE WORK STATEMENT. Each proposal will be evaluated against the Performance Work Statement and the stated evaluation criteria.

Subfactor 1: Technical Narrative- The Narrative must clearly demonstrate the contractor's understanding of the requirement and technical capability to perform services according to the PWS.

However the narrative shall include listing of all vehicles, minimum of eight (8), that conform to the requirements listed in the performance work statement(PWS), a copy of the Fleet Maintenance Plan and a copy of the last vehicle inspection report. Further, the Offeror shall submit a photocopy of the business license with the Alabama Department of Public Health and proof of Liability insurance. May not be met through a proposed subcontractor but only through the resulting prime contractor.

Subfactor 2: Staffing Plan: The offeror shall submit EMT documentation on all personnel proposed to perform under the resulting contract. The listing shall be accompanied by a photocopy of ALL EMT licenses for the State of Alabama and the Driver’s record. EMT’s may be employees of the resulting prime.

Subfactor 3: Transition Plan: The offeror must submit documentation demonstrating how they will provide satellite offices in Birmingham and Huntsville, (or closest county available) Alabama within 60 days of award.

Factor 3. Price The price will be evaluated based on the overall price to determine if the proposed price is fair and reasonable. Unreasonable prices may be grounds for eliminating an offeror from competition.

· Price will be considered in the overall evaluation of the offered services to ensure award is made to the offeror presenting the best value to the Government. Acceptance may be made to an offeror that is not the lowest priced.

Performance Work Statement

DESCRIPTION OF WORK:

The sole Contractor must provide all supplies, materials, equipment, labor, supervision, management and transportation to furnish Advanced Life Support (ALS) Stretcher transportation, and Nonemergent Medical – Ambulette transportation to eligible Veteran Administration (VA) beneficiaries of the Birmingham Veterans Affairs Medical Care System which includes the state of Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee, and Virginia in accordance with all terms of the contract. Service will be made available twenty-four (24) hours a day, seven (7) days a week, yearly, including Federal and State holidays. The sole contractor will be able to provide all modes of transportation services described for acute medical, mental health, and nonemergency/ambulette transports. The Contractor must furnish at a minimum: six stretcher-bariatric capable ambulances for ALS/BLS; and a minimum of two stretcher and wheelchair Ambulettes, which are bariatric (large capacity) capable transportation services. The contractor shall be required to have a satellite office in both Birmingham Alabama and Huntsville, Alabama (or the closest county available). Further, one bariatric capable vehicle shall be housed at each satellite office. The contractor offering or proposing to offer Advanced Life Support (ALS) service must be licensed as emergency medical provider service operators Health Emergency Medical Services and will be EMS license https://www.alabamapublichealth.gov/ems/index.html, and authorized to operate by Alabama’s Public Service Commission, http://psc.alabama.gov/Transportation/transportation.htm in the state of Alabama.

The Contractor will provide Advanced Life Support (ALS) Ambulance Services, Basic Life Support (BLS) Services, as well as ambulette transportation service in accordance with (IAW) https://www.alabamapublichealth.gov/ems/rules-and-protocols.html to the following VA facilities:

Satellite 700 South 19th St. S Birmingham, AL 35233

Bessemer CBOC 975 9th Ave. SW Ste. 400 Bessemer, AL 32055

Birmingham VA Clinic 2415 7th Ave.

Birmingham, AL 35233

Childersburg CBOC 151 9th Ave. NW Childersburg, AL 35044

Gadsden CBOC 206 Rescia Ave.

Gadsden, AL 35906

Guntersville CBOC 101 Judy Smith Dr.

Guntersville, AL 35976

Huntsville VA Clinic 500 Markview Dr. NW Huntsville, AL 35805

Jasper CBOC 1454 Jones Dairy Rd.

Jasper, AL 35501

Anniston/Oxford CBOC 96 Ali Way Creekside South Oxford, AL 36203

Shoals Area CBOC 422 DD Cox Blvd.

Sheffield, AL 35660

Memphis VAMC 1030 Jefferson Avenue Memphis, TN 38104

Charlie Norwood VAMC 1 Freedom Way Augusta, GA 30904

Atlanta VAMC 1670 Clairmont Road Decatur, GA 30033

Tennessee Valley 3400 Lebanon Road Murfreesboro, TN 37129

Period of Performance: Date of award through one year for a base year, with four (4) option years. Vehicles must be ready for inspection prior to award.

This will be a Firm-Fixed Price contract.

DEFINITIONS:

Administrative Hours: Monday through Friday from 8:00 a.m. through 4:30 p.m. excluding holidays.

Administrative Officer on Duty (AOD): Administrative specialist in charge after the normal business hours and holidays

Advanced Life Support, Level 1 (ALS1): The transportation by ground ambulance vehicle and the provision of medically necessary supplies, an assessment by an ALS provider trained to the level of the emergency medical technician-intermediate or paramedic as defined in the national EMS education and practice blueprint or in accordance with state and local laws or the provision of one or more ALS interventions, that is, a procedure beyond the scope of an EMT-basic.

Advanced Life Support, Level 1 (ALS1)-Emergency: An emergency response is one that, at the time the ambulance provider or supplier is called, it responds immediately. An immediate response is one in which the ambulance provider/supplier begins as quickly as possible to take the steps necessary to respond to the call.

Advanced Life Support, Level 2 (ALS2): Transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including the administration of at least three separate administrations one or more different medications or the provision of at least one of the following ALS procedures:

Manual defibrillation/cardioversion Endotracheal intubation Central venous line Cardiac pacing Chest decompression Surgical airway Intraosseous line

Advanced Life support Assessment: Performed by an ALS crew as part of an emergency response that was necessary because the patient’s reported condition at the time of dispatch was such that only an ALS crew was qualified to perform the assessment.

Advanced Life Support (ALS) Transports: Ground transports requiring higher level of care on an ambulance equipped with Advance Life Support System and qualified staff as required by the State of Alabama, Department of Public Health, Office of Emergency Medical Services to provide Emergency Medical Services.

Basic Life Support Transports: Ground transports requiring non-invasive life support measures on an ambulance equipped and staffed as required by the State of Alabama, Department of Public Health, Office of Emergency Medical Services to provide Emergency Medical Services Ambulance and Ambulette Service Area: To encompass the states of Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee, Virginia, and other areas defined.

Ambulance: A vehicle that:

(a) is specifically designed for transporting the sick or injured;

(b) contains a stretcher, lines, first aid supplies, oxygen equipment, and other lifesaving equipment required by state or local laws; and

(c) is staffed with personnel trained to provide first aid treatment. The ambulance is designed and constructed to afford relative safety and comfort, and to avoid aggravation of the patient’s condition. It must meet the standards required by Federal, State, and local laws. See https://www.alabamapublichealth.gov/ems/rules-and-protocols.html and http://www.alabamaadministrativecode.state.al.us/docs/hlth/420-2-1.pdf

Ambulance Services: Services provided by a licensed ambulance provider in the ground or air transportation of a sick or injured person in a specially designed and equipped vehicle as defined above (Ambulance), which includes a trained ambulance attendant who is licensed or certified as required by state law.

Ambulatory Patient -A non-emergency VA beneficiary who does not require the use of an ambulance, wheelchair, or stretcher van, whose handicap prevents use of normal modes of transportation, such as a car, van or taxi, or prevents the person from entering/exiting a normal vehicle without special assistance. A VA facility clinician determines if the patient requires special mode transportation based on a medical impairment or special need.

Ambulatory Through The-Door: From pick-up point, patients will be taken to the authorized destination or appointment. All patients must always be attended by an authorized responsible party. When the destination is other than a VA facility, patient will be taken directly to their destination and presented to their caregiver. When transporting to another Health Care facility (either VA or Private) the patient must be presented to a staff member. Patient must not be left at the entrance or in the hallway of the facility or outside their place of origin.

Ambulette: A specially equipped van or similar vehicle for transporting disable, convalescent, or people with limited mobility in nonemergency circumstances.

Bariatric Transport – Treating and transporting with specialized lifting and monitoring equipment for a bariatric patient, who can be severely obese weighing between 350 and 550 pounds.

Base Rate – ALS Ambulance Transport: The base rate will consist of the all-inclusive rate for ALS ambulance transport with no additional charges for miles until miles are greater than 150 miles from the patient pickup point.

Base Rate – BLS Ambulance Transport: The base rate will consist of the all-inclusive rate for BLS ambulance transport with no additional charges for miles until miles are greater than 150 miles from the patient pickup point.

Base Rate – Ambulette Transport: The base rate will consist of the all-inclusive rate for Ambulette transport with no additional charges for miles until miles are greater than 150 miles from the patient pickup point.

Bed Confinement: A patient is considered bed-confined if he/she is:

Unable to get up from bed without assistance Unable to ambulate, and Unable to sit in a chair or wheelchair

Birmingham Veteran Affairs Health Care System: Birmingham Veterans Affairs Health Care System includes the state of Alabama, Florida, Georgia, Mississippi, South Carolina, Tennessee, and Virginia Community Based Outpatient Clinics: Clinics operated by or under the auspices of the Veteran Affairs Medical Center.

Contracting Officer Representative (COR): Main point of contact for normal day-to-day service matters. Works closely with the contracting officer in monitoring contract compliance. Furnishes technical guidance and advice, and monitors the services provided by the contractor. Advises the contracting officer regarding contractor performance and recommends required contract modifications.

Durable Medical Equipment (DME): Medical equipment that is ordered by a provider for use in the home, such as walkers, wheelchairs, etc.

Emergency Services: Services provided after the sudden onset of a medical condition manifesting itself by acute symptoms of such severity (including severe pain) that the absence of immediate medical attention could reasonably be expected to result in placing the patient’s health in serious jeopardy, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part.

Escort/Caregivers - An escort/caregiver is defined as an individual, not employed by the Contractor, who provides direct care to the patient being transported via special mode.

Ground Ambulance Services: Ambulance services provided by a vehicle designed to operate on the ground, including water and land.

Mental Health Patient – Standard patients require one attendant and one driver for a total of two personnel.

Mileage Rate – ALS Ambulance Transport: The mileage rate will be added to the ALS Ambulance Transport base rate after 150 miles have been reached. The mileage rate will be applied to all miles exceeding 150 miles for the trip.

Mileage Rate – BLS Ambulance Transport: The mileage rate will be added to the BLS Ambulance Transport base rate after 150 miles have been reached. The mileage rate will be applied to all miles exceeding 150 miles for the trip. For example: a trip total mileage is 200 miles. For the first 150 miles the base rate will be paid. For the additional 50 miles, the mileage rate per mile will be calculated and paid.

Mileage Rate – Ambulette Transport: The mileage rate will be added to the Ambulette Transport base rate after 150 miles have been reached. The mileage rate will be applied to all miles exceeding 150 miles for the trip.

Multiple Riders - Multiple riders is defined as, more than one patient is transported simultaneously in one vehicle at any given point during a trip.

Non-Administrative Hours: Monday through Friday from 4:30 p.m. to 8:00 a.m., all Saturdays, Sundays and Federal/State holidays.

Nonemergency Medical Transport: All scheduled transportation, regardless of origin and destination, that does not meet the defined criteria of an emergency. By definition, hospital discharge trips, trips to and from end stage renal disease (ESRD) facilities for maintenance dialysis, trips to and from other outpatient facilities for chemotherapy or radiation therapy, and other diagnostic and therapeutic services are scheduled runs and, therefore, are considered to be “nonemergency” services.

Reportable Incidents: The “provider” must notify the BVAMC whenever a trip interruption of greater than 15 minutes occur or any accident, incident, safety problems, moving violations, and patient(s) unbolting their selves.

Dry Run: Sometimes called a “Rescue Assist” is when any ambulance response is requested and made by the supplier; however, the patient declines to be transported; or it is found the ambulance is not needed, the agreed upon discounted fee applies.

Specials: Are defined as patients who require two attendants not including the driver. As additional services such as monitors, medication, etc. required for transport.

Special Mental Health Patient: Mental Health patient transport where two attendants and one driver for a total of three personnel are required.

Specialty Care Transport (SCT): Medically necessary for a recipient, whose condition requires ongoing care that must be provided by one or more health professionals in an appropriate area such as nursing, medicine, respiratory care, cardiovascular care or paramedic with additional training.

STAT: Abbreviation of the Latin word statim, which means in medical jargon “instantly” or “immediately” in an emergency. Usually used for patients of an active heart attack, stroke, gunshot wound, etc.

Stretcher Patient - A non-emergency patient whose severe mobility impairment requires him or her to remain in a lying (supine) position, unable to sit in an upright position for prolonged periods of time. A VA facility clinician determines the patient's need for stretcher transport.

Travel Unit Personnel: VA Travel Unit Employees authorized to coordinate authorized transportation at VA expense. Travel Unit Personnel include: Administrative Officer on Duty (AOD), Beneficiary Travel Staff (Program Support Assistant), and Contracting Officer Representative (COR).

Urgent Trip Interruptions: A delay in the transporting of a patient due to a weather emergency, natural disaster, vehicle disablement; illness or incapacitation of attendees, etc.

Wait Time: Paid to the transportation provider. After an initial 30-minute arrival interval, calculated per 15-minute intervals. Must obtain authorization.

Wheelchair Patient - A non-emergency VA beneficiary confined to a wheelchair or scooter, using a wheelchair or scooter for mobility or with mobility impairments, whose handicap prevents use of normal modes of transportation such as car, van, or taxi. A VA facility clinician determines the patient needs wheelchair transport.

DELIVERY:

Ambulance and Ambulette Transportation services must be furnished on an as needed" basis twenty-four (24) hours every day of the year, to include federal and state holidays. The contractor must provide all labor, equipment, vehicles, fuel, materials and supplies and supervision necessary to perform all tasks, including administrative support and supervision.

***NOTE: THE CONTRACTOR WILL NOTIFY THE PATIENT AND THE TRAVEL UNIT BY TELEPHONE OF ANY DELAYS IN THE TRANSPORTING OF PATIENTS. THE VA WILL ESTABLISH PRIORITIES WHEN NECESSARY. ***

QUALIFICATIONS:

The contractor must be licensed to provide ambulance service by the State of Alabama, Department of Public Health, Office of Emergency Medical Services to provide Emergency Medical Services in accordance with Alabama Public Health, Alabama Emergency Medical Services: Rules, Protocols, and Guidelines https://www.alabamapublichealth.gov/ems/rules-and-protocols.html

Title 34, Chapter 35, Transient Merchants Code of Alabama | FindLaw

State of Alabama, Alabama Department of Public Health, Administrative Code, Chapter 420-2- 1, Emergency Medical Services, http://www.alabamaadministrativecode.state.al.us/docs/hlth/420-2-1.pdf

The contractor must maintain Licensure, Certification, Certificate of Public Convenience Necessity (COPCN) with the State of Alabama, as applicable, throughout the life of the contract in accordance with Alabama Code Title 37, Chapter 3.

Code of Alabama | FindLaw

In the event the license/certification/COPCN lapses or expires, this could be cause for termination of the contract or discontinuance of further ordering from the contractor.

The contractor must maintain documentation demonstrating they meet all requirements of Federal, State, and County or City codes regarding operation of this type of service. Documentation must be made available to the VA immediately upon request for the duration of this contract.

The contractor must 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 VHA regulations pertaining to fire safety, and blood borne pathogens, which will be provided by the COR.

JOINT COMMISSION STANDARDS:

The contractor must perform required services in accordance with the standards of The Joint Commission (JC); “or an equivalent body,” established principles and ethics of the medical profession established by the American Medical Association (AMA) and American College of Emergency Physicians (ACEP) The contractor must adhere to Veterans Health Administration (VHA) regulations and the policies, procedures, and regulations of the Medical Staff bylaws of the Birmingham Veterans Affairs Medical Care System.

The contractor, upon request, must provide quality data and information related to services provided and participate in Birmingham VAMC Performance Improvement Programs when requested to do so. Upon request the contractor must also provide documentation of the competency of staff that will be providing the contracted services.

The contractor must be responsible for ensuring contractor employees providing work on this contract are fully trained and completely competent to perform the required work; they must also be required to maintain records that document competence/performance level of employees working on this contract. Upon request the contractor must provide a current copy of the competence assessment checklist and annual performance evaluation to the Contracting Officer’s Technical Representative (COR) for each contractor employee working on this contract.

HEALTH INFORMATION PORTABILITY AND ACCOUNTABILITY ACT (HIPPAA):

The contractor must 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 VHA regulations.

The contractor must not maintain and/or share sensitive or patient identifiable information in any form or for any purpose, other than what is needed to perform its obligation under the established business agreement.

CONTRACTOR PERSONNEL:

The contractor must ensure that the following personnel (Emergency Medical Technicians (EMT), Paramedic, Non-Emergency Attendant/ Drivers) requirements are met:

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.

The contractor must ensure minimum staffing requirements as mandated by the State of Alabama are met. Each vehicle must be operated with enough personnel for adequate patient care, at least one of whom must be an Emergency Medical Technician (EMT).

Contractor employees must conduct themselves in a businesslike manner, meet qualifications specified in this PWS, and meet qualifications required by Federal, State, County and local government entities identified in this PWS. Contractor must submit certification of training, as required and in compliance with local, state, and federal regulations.

Contractor must maintain records of each employee as to character and physical capabilities of performing the services of a driver and/or attendant.

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 Paramedics, Registered Nurses (RN), Emergency Medical Technicians (EMT), and Non-Emergency Attendant Drivers (EMTs and LPNs if used to provide these services) must be furnished to the contracting officer or COR initially within three days of contract award, and upon request during contract performance. It will contain the following information:

Name, date of birth, and social security number Copy of national criminal background check Copy of 10-panel drug screen, repeated annually (or a 5-panel screen and annual random pool if Transportation Provider is subject to DOT drug testing requirements).

Basic first aid (CPR may also be required) Certification, to included date of initial training, expiration date, and refresher training date.

Assisting passengers with disabilities certificate, such as Passenger Assistance Safety and Sensitivity (PASS) Documentation of any grievances received For each driver, Prior driving record for previous five years, to be updated annually, or upon request by BVAMC A copy of driver’s license for each driver, to be updated as the license expires and is renewed For each driver, any accidents or moving violations

If the Contractor proposes to add or replace personnel to perform contract services, the Contractor must submit the required evidence of training, certifications, licensing and all other qualifications, designated in this PWS, to the designated COR for approval. At no time must the Contractor utilize add-on or replacement personnel to perform contract services without prior approval of the COR or Contracting Officer.

Personnel must be able to communicate with persons from a variety of social economic, ethnic, and religious backgrounds.

Contractor Employees shall not be considered government employees for ANY purpose under the contract.

TRAINING:

Employees will have all necessary training required and certified to perform the requirements contained in this PWS. Personnel must have documented training as required. Records of training and certifications must be maintained and available for VA inspection upon request. Emergency Medical Technicians- Intermediate and Paramedics providing emergency services on this contract must meet the following training requirements:

Have completed training in accordance with the standard published by the and follow Alabama Statutes (Code of Alabama, Title 34, Chapter 18 Medical Technicians, Article 1, Article 2, and Article 3 Code of Alabama | FindLaw

EMTs must also meet ongoing recertification requirement standards determined by the State of Alabama, Alabama Public Health, Alabama Emergency Medical Services: Rules, Protocols, and Guidelines https://www.alabamapublichealth.gov/ems/rules-and-protocols.html

Evidence of the "equivalent" training program successfully completed by the EMT must be submitted to the contracting officer, immediately upon request.

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 or designated representative.

Paramedics providing emergency services on this contract must have the following qualifications:

Must possess EMT – P Card.

Evidence of the "equivalent" training program successfully completed by the Paramedic with a copy States of Alabama and Alabama Certification Certificate must be submitted to the contracting officer or COR.

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

Contractor must ensure each ALS driver who operates a permitted vehicle meets qualifications and will be responsible for assuring that its drivers are knowledgeable and competent in emergency vehicle operations and thoroughly familiar with the vehicles assigned.

Ambulance drivers must complete at least a 16-hour course of instruction on driving an authorized emergency vehicle, as defined by State of Alabama, Department of Public Health, Office of Emergency Medical Services to provide Emergency Medical Services (Reference Title 31, Chapter 11, Rule 511-9-2, Emergency Medical Services) and the State of Alabama, Alabama Department of Public Health, (Reference Administrative Code, Chapter 420-2-1, Emergency Medical Services, and Patient Care Protocols, Eighth Edition, January 2016).

Attendant/driver must have successfully completed standard and advanced first aid courses including use of cardiopulmonary resuscitation techniques (CPR) and Advanced Cardiac Life Support (ACLS) of the American Red Cross, U.S. Bureau of Mines, or equivalent; be able to 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.

Drivers must wear appropriate uniform and identification that clearly identifies them by name, title, job performed, and company name. All drivers must have a valid “Class D” Operator's License issued by the State of Alabama Department of Transportation.

Drivers providing services must have less than five (5) current points on their driver’s license, none of which for “Reckless Driving.

All contractor employees must be enrolled periodically in “refresher” continuing education or advanced training programs as approved and required by the State of Alabama, Department of Public Health, Department of Emergency Medical Services. Such refresher training must 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.

VEHICLES:

The ALS and BLS ambulances used under the terms of this contract must be licensed and meet the minimum requirements governing emergency vehicles that is mandated by State of Alabama, Department of Public Health and Department of Emergency Medical Services, and local authorities. Licensure must be maintained and current throughout the term of the contract. An initial copy of ALL vehicle licenses shall be provided prior to contract award. A copy of ALL updates shall be provided within three-days of the update to the COR. The vehicles must be clearly marked and visibly aesthetic.

All ambulette transportation vehicles will:

be manufactured within the past five years have functioning mechanisms which ensure that all access doors are capable of being opened from the inside and remain closed and secure during travel.

have a functioning speedometer indicating speed in miles per hour and a functioning odometer correctly indicating distance in tenths of a mile.

be equipped with operational air conditioning heating systems. If the air conditioning system becomes inoperable during a day when the elevated temperature is forecast to reach 79 degrees or more, the vehicle shall be immediately pulled from service at the termination of the current trip and will not again be used for service under this contract until the air conditioning system has been repaired.

have unobstructed vision on all sides.

be equipped with a communication system where contact with the vehicle can be made during all hours of operation. Beepers are not an acceptable substitute.

not have leaks of any kind.

have operable seat belts on all seats.

have a fully charged, certified and non-expired fire extinguisher.

Maintain securement devices to secure Ambulance stretcher gurney beneficiaries.

have a backup for all lift capacity. The lift shall incorporate an emergency method of deploying, lowering to ground level with a lift occupant, and raising and stowing the empty lift if the power to the lift fails.

have a fixed seat position or a fixed secured floor or sidewall stretcher gurney lock must be approved for each ambulatory or stretcher gurney restricted passenger being transported, according to the passenger’s needs.

Be equipped to contain biohazard bodily fluids, secretions, and disposable containments, and provide decontamination to vehicles as needed.

The contractor must identify vehicles to be used exclusively for VA contract work. Identified vehicles must be available for inspection and approval by the VA. Contractor must have vehicles ready for work at the time of award. Additional vehicles may be used for work only after the vehicle(s) has been inspected and approved by the VA.

All 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. The Contracting officer or the COR may authorize substitution of vehicles during work in emergency situations without prior inspection as authorized. The Transportation Provider must establish, maintain, and provide to the CO or COR within three days of request, or as otherwise required by the contract, the following records and related information:

Manufacture and model Model year Vehicle Identification Number Odometer reading at the time the vehicle enters service under this contract Type of vehicle (minibus, wheelchair van, stretcher van etc.)

Capacity (number of passengers) License Tag number Certificate of Insurance (see FAR Clause 52.228-10) Copy of Vehicle Registration Special Equipment Compliance with all applicable Federal, State and local laws and Department of Highway Safety & Motor Vehicles for Non-Emergent Transport.

All Vehicles must be equipped with GPS systems which have the following capabilities: Line Mapping – step by step directions.

Have functioning mechanisms which ensure all access doors are capable of being opened from the inside; and during travel, remain closed and secure.

Have a functioning speedometer indicating speed in miles per hour and a functioning odometer correctly indicating distance in tenths of a mile.

Be equipped with operational air conditioning and heating systems.

Have exterior free of grime, oil or other substances, free from rust, cracks, breaks, dents and damaged paint that noticeably detract from the overall appearance of the vehicle.

Be equipped with hubcaps or wheel covers.

Have all body molding in place, or if removed, holes must be filled and painted.

Have a passenger compartment free of dirt, torn upholstery or floor coverings, damaged or broken seats, protruding sharp edges, and vermin or insects.

Have an unobstructed vision on all sides.

Be equipped with an operable two-way radio and/or cellular telephone communication system, which affords contact with the vehicle(s) during all hours of operation. Beepers are not considered an acceptable substitute. If using a two- way radio, a base station for a scheduler must be provided at the VA.

Meet all safety and mechanical standards established by Local, State and Federal statutes and regulations.

Have windows and doors, which can be opened and closed in accordance with manufacturer standards.

Not have leaks of any kind.

Be equipped with a functioning horn.

Have operable seat belts on all seats.

Have fully charged, certified and non-expired fire extinguisher.

Wheelchair vehicles must have wheelchair tie down straps and effective securement devices to secure both wheelchair and wheelchair customers.

In addition to wheelchairs, vehicles must have the ability to transport VA patients with three-wheeled electric carts, medic chairs, bariatric stretchers and other approved transport devices.

Transport vehicles must have approved restraining devices that allow the patient to ride on three-wheeled carts, wheelchairs, medic chairs, stretchers, and other approved transport devices while in transport or describe alternate means to transport and accommodate the patient and their transport device.

Transportation Provider’s Fleet will demonstrate an ability to restrain patients and all associated equipment traveling with the patients.

Have a backup lift for all capacity to include Bariatric Patients. The lift must incorporate an emergency method of deploying, lowering to ground level with a lift occupant, and raising and stowing the empty lift, if the power to the lift fails.

A fixed seat position or a fixed secured floor or sidewall wheelchair lock must be approved for each ambulatory or wheelchair restricted passenger being transported, according to the passenger’s needs.

Contractor must have an adequate number of vehicles to meet the requirements of this contract. Contractor must have a minimum of eight (8) Ambulances.

Every ambulance operated is required to be staffed with the required number of trained personnel in accordance with the requirements listed in section 420-2-1-.19 Provider Service Staffing at the link below:

http://www.alabamaadministrativecode.state.al.us/docs/hlth/420-2-1.pdf Nonemergency/Ambulette transport vehicle must be staffed by at least one person, who meet the requirements of state and local laws where the services are being furnished and must Must have successfully completed and be certified in standard and advanced first aid courses including use of cardiopulmonary resuscitation techniques (CPR) at a minimum and Be legally authorized to operate all equipment on board the vehicles.

Advanced Life Support (ALS) vehicles must be staffed by at least two people, who meet the requirements of state and local laws where the services are being furnished and where at least one of whom must:

Be legally authorized to operate all lifesaving and life-sustaining equipment on board the vehicles Be certified as an EMT-Intermediate or an EMT-Paramedic by the state or local authority where the services are being furnished to perform one or more ALS services.

All vehicles must be smoke free and have “No Smoking” signage posted.

The contractor must notify the contracting officer of any vehicle and equipment added/changed/deleted after award of contract.

The VA reserves the right to inspect the Transportation Provider’s equipment and vehicles or require documentation of compliance with stated specifications, State laws, policies, regulations and guidelines governing medical transport vehicles, prior to award and at any time during performance of any awarded contract. VA inspections of contractor equipment will not constitute a warranty that the contractor's vehicles and equipment are properly maintained. The VA reserves the right to restrict the use of equipment and vehicles, which are not in compliance with stated requirements. Mechanical defects noted at the time of inspection must be corrected immediately and the ambulance (s) re-inspected prior to use under the contract. The restriction of such equipment and vehicles will not relieve the contractor from performing in accordance with the strict intent and meaning of the government’s needs as contained in this SOW and without additional cost to the VA.

The COR or designee may also review vehicles when at Birmingham VAMC area. If requests are denied, the CO will be informed.

AMBULANCE MEDICAL EQUIPMENT:

Every ambulance in service under this contract must be equipped as required by the State of Alabama 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 Alabama. Ambulances and medical equipment may be subject to periodic inspection by the CO, COR, or representative.

Each emergency care vehicle must have patient compartment facilities, Ventilator, EKG/ECG monitor with the ability to continuously monitor BP, HR, Respiratory rate, and cardiac defibrillator, pacer, Oxygen Saturation monitor. 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.

When a patient is transported with VA owned equipment, the equipment must be returned to the VAMC, at the same point of origin, within 24 hours in the same condition as it was released. If government equipment is not returned within 24 hours, contractor is liable for replacement cost of the equipment, which will be deducted from the vendor’s service fee.

INSURANCE COVERAGE:

Throughout the effective period of this contract, the contractor must possess insurance coverage in the minimum amounts to satisfy contract clause for the State of Alabama, Department of Public Health, Office of Emergency Medical Services to provide Emergency Medical Services, whichever is higher. Any lapse in required coverage could result in contract termination. Prior to the start of contract performance, the contractor must submit to the contracting officer their certificate of insurance coverage evidencing required levels.

ORDERING SERVICE:

VA Beneficiary Travel Staff (Transfer Coordinator) or Beneficiary Travel Supervisor or Administrative Officer on Duty (AOD) will make requests for services. ALS or Nonemergency/Ambulette mode of transport will be discussed and determined by the contractor and the VA clinical personnel. The contractor will transport per its policies and standard industry practices. If mode of transport differs from what was agreed upon, the contractor must submit documentation explaining the reasons for alternate course of action.

Authorized personnel will place scheduled and unscheduled transportation requests via telephone, and fax to the contractor’s dispatch office. The request for services will specify the originating point, final destination, and any special needs required. Only such travel specified is authorized.

The Contractor will ensure that requests for services are received from authorized personnel. Services rendered in response to requests from other than authorized personnel will be at the risk of the Contractor and any cost related thereto will be borne by the Contractor. In addition to the COR, the Beneficiary Travel Office Transfer Coordinator, Beneficiary Travel Supervisor, and A.O.D.’S are designated by the Contracting Officer to order required services.

****The contractor is responsible for providing all routing directions to drivers prior to arrival at the pickup location****.

When transporting patient(s) leaving the healthcare facility, the contractor may be required, if necessary to transport items specific to the patient to include, but not limited to boxes, luggage, medical records, medications, prosthetic devices, comfort items, and/or durable medical equipment at no additional cost to the VA. The contractor will only be responsible to transport belongings that are clean, contained in appropriate packaging, the size and weight of which one person can reasonably handle.

When transporting patients to a VA Community Nursing Home, upon arrival at the nursing home, the driver must give the VA Nursing Home Packet that accompanies the patient to the responsible Nursing Home staff member. The driver must sign and date the packet’s signature form. If there are any discrepancies between the address listed on the Nursing Home Packet and the address listed in the trip request, the driver must clarify the correct destination address with the VA travel office, or AOD if after hours.

When transporting a patient to a local hospital, upon arrival at the hospital, the driver must give the hospital the copy of the medical information accompanying the patient and a copy of the ambulance run sheet listing history of present illness, vital signs, and medical actions or medications provided during transport.

RESPONSE TIME:

Response time will be calculated from the receipt of the telephonic request for service. At the time of the request, the contractor must acknowledge their ability to provide the service within the requested response time. If the contractor cannot provide the service for any reason, they must notify the VA staff person requesting the service of their inability to provide the service.

Response times will be based upon whether the transportation requested is Standard, STAT or ambulette transport. Unless otherwise agreed upon, a Standard response time is up to 45 minutes.