36C24723R0105 Final.pdf

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

679-23-3-785-0020

36C24723R0105 07-10-2023

Matthew Durden 770-496-4200 x473324 07-17-2023

11:59 EDT

36C247

Department of Veterans Affairs

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

2008 Weems Road

Tucker GA 30084

X 100

X

621910

$22.5 Million

N/A

Department of Veterans Affairs

Tuscaloosa VA Medical Center

Resources Services Line

3701 Loop Rd

Tuscaloosa AL 35404

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

FMS-VA-2(101)

Financial Services Center

PO Box 149971

Austin TX 78714-9971

See CONTINUATION Page

AMBULANCE TRANSPORTATION SERVICES

NON-EMERGENT AND EMERGENT SERVICES

TUSCALOOSA VA MEDICAL CENTER

SEE PERFORMANCE WORK STATEMENT FOR REQUIREMENT SPECIFICATION

PRICING PERIOD: 09/01/2023 - 08/31/2028

Proposals shall be emailed to Matthew Durden;

matthew.durden@va.gov and be received before 11:59PM EST;

July 17, 2023.

The guaranteed minimum under this contract is $500,000.00 for the initial fiscal year in which this contract was awarded.

The contract’s stated maximum or ceiling amount is $9,750,000

See CONTINUATION Page

X X

X ONE

Jason Compton

Contracting Officer

36C24723R0105

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

B.4 PERFORMANCE WORK STATEMENT

B.5 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.7 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.8 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

C.11 MANDATORY WRITTEN DISCLOSURES

C.12 SUPPLEMENTAL INSURANCE REQUIREMENTS

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.2 BUSINESS ASSOCIATE AGREEMENT BETWEEN THE DEPARTMENT OF

VETERANS AFFAIRS VETERANS HEALTH ADMINISTRATION, TUSCALOOSA VA

MEDICAL CENTER, AND

D.2 QASP

D.3 WAGE DETERMINATION

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

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 Jason Compton

Department of Veterans Affairs

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] monthly, 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.

Financial Management System https://www.fsc.va.gov/einvoice.asp https://www.fsc.va.gov/einvoice.asp

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

NUMBER

DESCRIPTION

OF SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

1,600.00 EA __________________ __________________

Trips and Services - Basic Life Support

Pricing Period One POP Begin: 09-01-2023 POP End: 08-31-2024

400.00 EA __________________ __________________

Trips and Services - Advanced Life Support

Pricing Period One

20,000.00 MI __________________ __________________

Estimated Mileage for ALS and/or BLS trips

Pricing Period One

115.00 EA __________________ __________________

Wait Time - per 15 Minutes (1/4 HR)

Pricing Period One

Year Total:_____________

Trips and Services - Basic Life Support –

Pricing Period Two POP Begin: 09-01-2024 POP End: 08-31-2025

Trips and Services - Advanced Life Support –

Pricing Period Two

Estimated Mileage for ALS and/or BLS trips –

Pricing Period Two

Wait Time - per 15 Minutes (1/4 HR) –

Pricing Period Two

Pricing Period Three POP Begin: 09-01-2025 POP End: 08-31-2026

Pricing Period Three

Period Three

Pricing Period Three

Pricing Period Four POP Begin: 09-01-2026 POP End: 08-31-2027

Pricing Period Four

Pricing Period Four

Wait Time - per 15 Minutes (1/4 HR) – Pricing Period Four

Pricing Period Five POP Begin: 09-01-2027 POP End: 08-31-2028

Pricing Period Five

Pricing Period Five

Pricing Period Five

GRAND TOTAL

EA: EACH

TR: TRIP

MI: MILES

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY DELIVERY DATE

1001-1004 SHIP TO: Department of Veterans Affairs Tuscaloosa VA Medical Center 3701 Loop Rd Tuscaloosa, AL 35404 United States

As Needed 09/01/2023 - 08/31/2024

MARK

FOR:

Teresa Crump 205-554-2000, ext. 2336 Teresa.Crump@va.gov

2001-2004 SHIP TO: Department of Veterans Affairs

3701 Loop Rd

As Needed 09/01/2024 - 08/31/2025

MARK

FOR:

Teresa Crump

3001-3004 SHIP TO: Department of Veterans Affairs

3701 Loop Rd

As Needed 09/01/2025 - 08/31/2026

MARK

FOR:

Teresa Crump

4001-4004 SHIP TO: Department of Veterans Affairs

3701 Loop Rd

As Needed 09/01/2026 - 08/31/2027

MARK

FOR:

Teresa Crump

5001-5004 SHIP TO: Department of Veterans Affairs

3701 Loop Rd

As Needed 09/01/2027 - 08/31/2028

MARK

FOR:

Teresa Crump

B.4 PERFORMANCE WORK STATEMENT

PURPOSE: The Tuscaloosa Veterans Administration Medical Center has a requirement for a twenty-four

(24) hour 7 day a week ambulance service (Basic Life Support and Advance Life Support) for the beneficiaries of the Tuscaloosa VAMC. This shall include routine or nonemergency, urgent, and same day services requirements. The current requirement is a five-year indefinite delivery/indefinite quantity single award contract with an Option to Extend Services in accordance with FAR 52.217-8, not to exceed an additional six-months. The Contractor shall furnish and manage the necessary personnel, materials, services, and facilities to provide basic life support units, advanced life support (critical care) unit ambulance services and stretcher transportation services for the Tuscaloosa VAMC at 3701 Loop Road East, Tuscaloosa, AL 35404. Contractor employees shall not be considered government employees for any purpose under the contract.

DEFINITIONS:

Advanced Life Support (ALS) - ALS service includes advanced, invasive, and pharmacological interventions to reduce morbidity and mortality associated with acute out of hospital medical and traumatic emergencies.

Basic Life Support (BLS) - BLS service includes basic, non-invasive interventions to reduce morbidity and mortality associated with acute out-of-hospital medical and traumatic emergencies.

Emergency Medical Technician (EMT) - is a specially trained medical professional who holds a current State of Alabama Department of Public Health Emergency Medical Technician license capable of providing basic life support prehospital care

Paramedic - a specially trained medical professional who holds a current State of Alabama Department of Public Health Emergency Medical Technician Paramedic license capable of providing advanced life support prehospital patient care.

Trip - A trip, as it relates to our ambulance service, is a scheduled veteran transport from one location to another. An example, picking up a veteran from TVAMC nursing home to dialysis. The return trip constitutes a separate “trip” as far as payment is concerned.

GENERAL DESCRIPTION:

The Contractor shall furnish and manage the necessary personnel, materials, services, and facilities to provide basic life support units, advanced life support (critical care) unit ambulance services and stretcher transportation services for the Tuscaloosa VAMC at 3701 Loop Road East, Tuscaloosa, AL 35404.

REQUIREMENTS:

1. VEHICLES:

A. The vehicle fleet and its equipment must be of the quality, model, and condition to assure the patient "high quality" medical transportation and/or emergency first aid, if needed, and shall meet and maintain the minimum industry standards for maintenance, equipment, and staffing of all vehicles operated for the duration of the contract. Vehicles must have adequate straps and seat belts necessary to secure patients and stretchers according to industry standards. The contractor must maintain preventive maintenance records for all vehicles being used for services provided under the terms of this contract. Contractor will provide the government a list of vehicles that will be used in supplying the requirements for this contract. This list will include the mode of transportation that the vehicle is providing, bumper number and Vehicle Identification Number. The vendor will not use vehicles for the services under this contract that do not meet industry and regulatory standards or vehicles that have safety or operational deficiencies. The VA reserves the right to inspect vehicles before allowing the contractor to begin performance.

B. Each vehicle shall be equipped in accordance with the Federal Specification for Ambulances, KKK-A-1822E and with such safety items as required by Federal State and Local authorities in the area in which the vehicles are operated; also, in the future if any items are required by Federal, State and Local authorities in the area in which the vehicles are operated, then they shall be added to each vehicle. Each ambulance shall be equipped at all times when transporting a patient in the performance of this contract according to industry best practices or industry standards and with not less than the following equipment at no additional charge to the Government. Proof of compliance with Federal, State and Local authorities will be provided upon request by the Contracting Officer or the Contracting Officer's Representative (COR).

• Shall have one ambulance cot, a collapsible stretcher or two stretchers, one of which is collapsible.

• Shall have adequate straps to secure the patient safely to stretcher or ambulance cot, and adequate means of securing the stretcher or ambulance cot within the vehicle.

• Shall have adequate supply of sanitary sheets, pillows, pillowcases, and blankets, urinals and emesis.

• The Contractors personnel shall comply with the facilities linen policies.

• Shall have standard first aid kit.

• Shall have oxygen and oxygen breathing apparatus in good operating condition, oxygen masks must be of the disposable type or be thoroughly sterilized after each use and kept sterile.

C. Vehicle Inspection: Vehicles and maintenance records will be made available to the Tuscaloosa VAMC for bi-annual inspections or whenever the Tuscaloosa VAMC feels such inspections are needed.

2. PERSONNEL:

A. The Contractor will be fully responsible for personnel management of its personnel and will ensure personnel issues do not impact the quality of service provided to those who are beneficiaries of the Tuscaloosa VAMC.

B. The Contractor will provide the COR and the Contacting Officer a current single point of contact or other source approved by the government to address and or resolve operational and contractual concerns.

C. Emergency Medical Technician - Emergency Medical Technicians (EMT), EMT-Paramedics, and EMT-Intermediates providing services under this contract shall have the following qualifications:

• Have completed training in accordance with the standards published by the Department of Health and Human Services (DHHS) with a minimum curriculum of 81 hours or "equivalent" including an in-hospital training period. Such training must be acceptable under the regulating requirement for local EMS systems supported by DHHS under Public Law 93-154, Federal Register 39:24304, July 1974.

• The EMT shall periodically be emailed in "refresher" continuing education, or advanced training programs, as required by the local or state government entity in which the service is rendered to the veterans, but in no instance shall this be less frequently than every two years. Such "refresher" training shall be equivalent to that developed by the Department of Transportation (DOT), National Highway Safety Administration (NHSA).

EMTs should give the COR training certificates once training is completed.

• EMT(s) shall 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.

• Only Contractor personnel having current and appropriate licensure and or credentials will provide services to beneficiaries of the Department of Veterans Affairs.

D. Attendants: There shall be an Emergency Medical Technician and Driver on board each time a patient is transported. The Contractor shall maintain a record of each employee as to the character, current driving records and physical capabilities of performing the duties of an ambulance driver or attendant and be made available for inspection upon request by the Contracting Officer or the Contracting Officer's Representative (COR).

• Drivers or attendants shall not be allowed to transport the Tuscaloosa VAMC beneficiaries if they appear to be ill or under the influence of drugs or alcohol.

• Drivers and attendant shall display professional manners at all times. Rude or obscene behavior or language will not be accepted.

• Drivers and attendants shall wear appropriate attire with a picture identification (ID) badge that clearly identifies the company they work for.

• Drivers or attendants shall secure all patients and passengers with approved security devices prior to transport.

• Only employees of the Contractor who meet the qualifications shall be allowed to accompany the Attendant/Driver on trips provided for the Tuscaloosa V AMC.

• Contractor shall be required to demonstrate to the Tuscaloosa V AMC that their attendants are adequately trained in the safe and proper transport of beneficiaries.

3. PERSONNEL SECURITY

A. The Contractor and all personnel employed by the Contractor shall be required to observe the requirements imposed on sensitive data by law, federal regulations, VA status and DM&S policy and the associated requirements to ensure appropriate screening of all personnel because of the inherent sensitivity of data at the facilities concerned and the level of security clearance carried by the Health Care Facility (HCF) personnel for the function under contract. The Contractor shall ensure that their personnel meet the above restrictions, and that confidential and proprietary information shall be divulged only to those officers and officials of the VA Medical Center that are authorized to receive such information.

B. Contractor personnel performing work under this contract shall satisfy all requirements for appropriate security eligibility in dealing with access to sensitive information belonging to or being used on behalf of the Department of Veterans Affairs. To satisfy the requirements of the Department of Veterans Affairs a low risk level Background Investigation shall be conducted prior to performing work under this contract. Appropriate Background Investigation (Bl) forms will be provided upon contract award and are to be completed and returned to the VA Office of Security and Law Enforcement (OSL&E) within 30 days for processing. Access to VA information resources cannot be made available until the Security Investigations Center submits the investigatory packet to OPM for processing. At that time the investigation is considered "initiated" and access can be provided. Contractors will be notified by OSL&E when the BI has been completed and adjudicated.

C. The investigative history for contractor personnel working under this contract must be maintained in the databases of either the Office of Personnel Management (OPM) or the Defense Industrial Security Clearance Organization (DISCO). Should the contractor use a vendor other than OPM or Defense Security Service (DSS) to conduct investigations, the investigative company must be certified by OPM/DSS to conduct contractor investigations.

D. All costs associated with obtaining clearances for contractor provided personnel will be the responsibility of the contractor. Further, the contractor will be responsible for the actions of all individuals provided to work for the VA under this contract. In the event that damages arise from work performed by contractor provided personnel, under the auspices of this contract, the contractor will be responsible for all resources necessary to remedy the incident.

4. PRIVACY/INFORMATION SECURITY/RECORDS MANAGEMENT:

A. All Contractor employees are required to complete the VA's on-line Security Awareness Training Course. Contracted employees will have to self-register at https:// www.tms.va.gov/learning/user/SelfRegistrationUserSelection.do. Once registered, enroll in class VA 10176 VA Privacy and Information Security Awareness and Rules of Behavior. Contractors must provide signed certifications of completion to the Contracting Officer Representative (COR) during each year of the contract life and within 30 days of the contract start date. This requirement is in addition to any other training that may be required of the contractor.

B. No unauthorized Photography or Video on medical center premises. Per VA Regulations 1.218(b)

(23) Use of recording devices of any kind to record patients or employees is strictly prohibited.

C. Upon completion or termination of the applicable contract(s) or agreement(s), return and/or destroy, at Covered Entity's option, VA information gathered, created, received, or processed during the performance of the contract(s) or agreement(s). No data will be retained by Business Associate, or contractor, subcontractor, or other agent of Business Associate, unless retention is required by law and specifically permitted by Covered Entity. As deemed appropriate by and under the direction of Covered Entity, Business Associate shall provide written assurance that all VA information has been returned to Covered Entity or destroyed by Business Associate. If immediate return or destruction of all data is not possible, Business Associate shall notify Covered Entity and assure that all VA information retained will be safeguarded to prevent unauthorized Uses or disclosures.

D. Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

5. ORDERS

A. PLACING ORDERS: The contractor shall have a dispatcher available 24 hours a day, 7 days a week to receive request. VA will FAX or Contractor will pick-up next day transportation requirements between 4:00 and 4:30 pm daily. The VA transportation office will maintain a log for all trips on the request. Conformation of receipt of the transportation request shall be made between 4:00 pm and 4:30 pm each day. Orders, requests, or changes shall only be made by the Transportation Clerk or Administrative Officer of the Day (AOD). Changes will be made by telephone, fax and shall be confirmed immediately upon receipt. A list of authorized ordering personnel shall be made available upon award of the contract. The VA will notify the contractor of such changes as they occur.

B. SAME DAY TRANSPORTATION REQUEST: During the course of the day, it may become necessary to add patients to the Contractor's list. When this occurs, the VA will fax, telephone or use two-way radio the request to the contractor. The transportation office will maintain a log for all same day trips (including weekend and holidays) which will include the patients name, location/destination, time of call and requested pick up time. The contractor shall immediately confirm the request and confirm the time the patient is to be picked up.

C. PICK-UP AND DELIVERY: The Contractor shall pick-up and deliver patient to the specific clinic where the patient's treatment is being provided. Patients shall be picked up within 15 minutes (before or after the scheduled pick-up time). In no instance shall Contractors drop patients off in the hall or entrance of the VA. Adherence to schedules is of utmost importance. Trip tickets shall be processed by the travel office no later than 4:00 pm the next business day. Trip tickets for all same day trips are completed as soon as travel request are processed. Trip tickets shall indicate date of trip, pickup and delivery points, veteran's name and last four digits of the veterans social security number.

D. CANCELLATIONS: The contractor shall not charge for scheduled trips cancelled sixty (60) minutes prior to pick-up time. For trips scheduled for the same day there shall be no charge to the Government for cancellations made prior to the vehicle being dispatched.

E. WAITING TIME: Wait time is defined as the amount of time spent after waiting 15 minutes after scheduled pick up time. For time lost in waiting at either end or both ends of the trip due to causes beyond control, the contractor shall be reimbursed at the rate specified in the schedule of supplies and services. If the pick-up is other than at the designated area, the Contractor shall call the Transportation Office or Medical Administrative Officer (AOD) on duty as soon as the Contractor anticipates that a delay may develop for which he/she expects to claim reimbursement. This call is only for the purpose of verifying his arrival time at the pick-up point and is not necessary if the Contractor anticipates no delay for which he shall claim reimbursement. All wait time charges must be approved by the Transportation Office and supported by Notification to the Travel Clerk or AOD.

6. SERVICE DISRUPTION:

The Contractor shall immediately report any and all vehicle breakdowns or other problems, which may cause service disruptions to the COR. When a breakdown occurs, the contractor shall provide a back-up vehicle to minimize any delay or inconvenience to the customer(s). When conditions, neither foreseeable and/or controllable by the Contractor occur, such as 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. Contractor shall immediately report all incidents and accidents, including those where there is no apparent injury to the patient, which occurs while transporting VA beneficiaries. The driver shall provide a written report documenting the facts of the incident/accident 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. Any accident involving major or minor damage, serious/minor 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. If for any reason the Contractor is unable to perform services as outlined in this contract, the vendor will be responsible to coordinate alternative services with full responsibility to ensure the alternative vendor meets the requirements of this contract and at no additional cost to the government.

7. NUMBER OF PATIENTS:

Generally, only one patient shall be transported on a trip unless authorized by the Tuscaloosa VA Medical Center Transportation Office. The Contractor shall not transport more than the number of patients for which can be safely transported. If Contractor transports more than one patient without approval, payment for extra patient shall not be made. Where more than one

(1) patient is transported, the contractor shall only be reimbursed for transporting a single patient. The Contractor must ensure that pick-ups and drop-offs are scheduled so that the total distance traveled shall result in the most economical charge to the Government.

8. RATES:

A. For all one-way trips within 25-mile radius of the Tuscaloosa VA Medical Center the Contractor shall receive the flat rate awarded for that trip. The Contractor shall also receive the mileage charge awarded for any one-way trips in excess of the flat rate outside the 25-mile radius. In no event shall the Contractor receive reimbursement for the mileage charge for any mileage inside the 25-mile radius. Payment for mileage travel beyond the 25-mile radius shall be limited to the distance, according to the Rand McNally's Trip Maker, over which the patient is transported. For the purpose of this contract the city limits are define as 25-mile radius from the Tuscaloosa VA Medical Center. Access Rand McNally's Trip Maker at: www.randmcnally.com

9. PAYMENTS:

Payment shall be made monthly in arrears upon receipt of the proper invoice. Invoices must be submitted the first workday of each month for trips provided during the prior month. The invoice must contain the following information:

A. Contract Number B. Date of trip C. Number of miles, if billing for miles D. Documentation of circumstances when billing for attempted pick-up and/or waiting time.

E. Invoices shall be in numerical order any unauthorized charges shall be suspended until supporting documentation can be provided and submitted for payment.

10. INSURANCE:

Before award of the contract, the Contractor shall furnish to the Contracting Officer a Certificate of Insurance (see FAR Clause 52.228-10) containing an endorsement to the effect that cancellation or any material change in the policy which adversely affect the interest of the government, shall not be effective unless a thirty (30) day written notice of cancellation or http://www.randmcnally.com/ change is furnished to the Contracting Officer. The term "will endeavor" is not acceptable as issued by Insurance Carrier. The Contractor is fully responsible for all associated risks for the duration of services provided to include but not limited to; loss or harm to persons or property, medical and professional liability, and any other risk or behavior associated with the Contractors personal, equipment, and or operations.

11. CONTRACTING OFFICER'S REPRESENTATIVE (COR):

A. The COR will be appointed on writing and forward to the contractor upon contract award. The

COR shall be responsible for monitoring the performance of this contract. A copy of the designation shall be furnished to the contractor. COR shall be the primary contact for the Contractor at the VA. Upon award, Contractor shall provide a primary point of contact to the COR and Contracting Officer for the COR to coordinate the daily operational issues.

B. Contractor and the COR shall periodically make site visits to each other's area of operation in order to gain and maintain a familiarity with each other's internal operation.

12. ATTACHMENTS: Incorporated into the PWS by reference.

Attachment 1 Wage Determination 2015-4609 Attachment 2 QASP

B.5 IT CONTRACT SECURITY

VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY

1. GENERAL

Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and

VA personnel regarding information and information system security.

2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS

a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.

b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and

Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.

c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive

Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a

Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security

Clearance must be processed through the Special Security Officer located in the Planning and

National Security Service within the Office of Operations, Security, and Preparedness.

d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.

e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor's employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.

3. VA INFORMATION CUSTODIAL LANGUAGE

a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data -

General, FAR 52.227-14(d) (1).

b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor's information systems or media storage systems in order to ensure

VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that

VA's information is returned to the VA or destroyed in accordance with VA's sanitization requirements. VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.

c. Prior to termination or completion of this contract, contractor/ subcontractor must not destroy information received from VA, or gathered/ created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media

Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable

Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract.

e. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor/subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.

f. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the contractor or third party or terminate the contract for default or terminate for cause under Federal Acquisition Regulation (FAR) part 12.

g. If a VHA contract is terminated for cause, the associated BAA must also be terminated and appropriate actions taken in accordance with VHA Handbook 1600.01, Business Associate

Agreements. Absent an agreement to use or disclose protected health information, there is no business associate relationship.

h. The contractor/subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.

i. The contractor/subcontractor's firewall and Web services security controls, if applicable, shall meet or exceed VA's minimum requirements. VA Configuration Guidelines are available upon request.

j. Except for uses and disclosures of VA information authorized by this contract for performance of the contract, the contractor/subcontractor may use and disclose VA information only in two other situations: (i) in response to a qualifying order of a court of competent jurisdiction, or (ii) with VA's prior written approval. The contractor/subcontractor must refer all requests for, demands for production of, or inquiries about, VA information and information systems to the VA contracting officer for response.

k. Notwithstanding the provision above, the contractor/subcontractor shall not release VA records protected by Title 38 U.S.C. 5705, confidentiality of medical quality assurance records and/or Title 38 U.S.C. 7332, confidentiality of certain health records pertaining to drug addiction, sickle cell anemia, alcoholism or alcohol abuse, or infection with human immunodeficiency virus.

If the contractor/subcontractor is in receipt of a court order or other requests for the above mentioned information, that contractor/subcontractor shall immediately refer such court orders or other requests to the VA contracting officer for response.

l. For service that involves the storage, generating, transmitting, or exchanging of VA sensitive information but does not require C&A or an MOU-ISA for system interconnection, the contractor/subcontractor must complete a Contractor Security Control Assessment (CSCA) on a yearly basis and provide it to the COR.

4. INFORMATION SYSTEM DESIGN AND DEVELOPMENT

a. Information systems that are designed or developed for or on behalf of VA at non-VA facilities shall comply with all VA directives developed in accordance with FISMA, HIPAA, NIST, and related VA security and privacy control requirements for Federal information systems. This includes standards for the protection of electronic PHI, outlined in 45 C.F.R. Part 164, Subpart

C, information and system security categorization level designations in accordance with FIPS

199 and FIPS 200 with implementation of all baseline security controls commensurate with the

FIPS 199 system security categorization (reference Appendix D of VA Handbook 6500, VA

Information Security Program). During the development cycle a Privacy Impact Assessment

(PIA) must be completed, provided to the COR, and approved by the VA Privacy Service in accordance with Directive 6507, VA Privacy Impact Assessment.

b. The contractor/subcontractor shall certify to the COR that applications are fully functional and operate correctly as intended on systems using the VA Federal Desktop Core Configuration

(FDCC), and the common security configuration guidelines provided by NIST or the VA. This includes Internet Explorer 7 configured to operate on Windows XP and Vista (in Protected Mode on Vista) and future versions, as required.

c. The standard installation, operation, maintenance, updating, and patching of software shall not alter the configuration settings from the VA approved and FDCC configuration. Information technology staff must also use the Windows Installer Service for installation to the default

"program files" directory and silently install and uninstall.

d. Applications designed for normal end users shall run in the standard user context without elevated system administration privileges.

e. The security controls must be designed, developed, approved by VA, and implemented in accordance with the provisions of VA security system development life cycle as outlined in NIST

Special Publication 800-37, Guide for Applying the Risk Management Framework to Federal

Information Systems, VA Handbook 6500, Information Security Program and VA Handbook

6500.5, Incorporating Security and Privacy in System Development Lifecycle.

f. The contractor/subcontractor is required to design, develop, or operate a System of Records

Notice (SOR) on individuals to accomplish an agency function subject to the Privacy Act of

1974, (as amended), Public Law 93-579, December 31, 1974 (5 U.S.C. 552a) and applicable agency regulations. Violation of the Privacy Act may involve the imposition of criminal and civil penalties.

g. The contractor/subcontractor agrees to:

(1) Comply with the Privacy Act of 1974 (the Act) and the agency rules and regulations issued under the Act in the design, development, or operation of any system of records on individuals to accomplish an agency function when the contract specifically identifies:

(a) The Systems of Records (SOR); and

(b) The design, development, or operation work that the contractor/ subcontractor is to perform;

(1) Include the Privacy Act notification contained in this contract in every solicitation and resulting subcontract and in every subcontract awarded without a solicitation, when the work statement in the proposed subcontract requires the redesign, development, or operation of a

SOR on individuals that is subject to the Privacy Act; and

(2) Include this Privacy Act clause, including this subparagraph (3), in all subcontracts awarded under this contract which requires the design, development, or operation of such a

SOR.

h. In the event of violations of the Act, a civil action may be brought against the agency involved when the violation concerns the design, development, or operation of a SOR on individuals to accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of the agency when the violation concerns the operation of a SOR on individuals to accomplish an agency function. For purposes of the Act, when the contract is for the operation of a SOR on individuals to accomplish an agency function, the contractor/subcontractor is considered to be an employee of the agency.

(1) "Operation of a System of Records" means performance of any of the activities associated with maintaining the SOR, including the collection, use, maintenance, and dissemination of records.

(2) "Record" means any item, collection, or grouping of information about an individual that is maintained by an agency, including, but not limited to, education, financial transactions, medical history, and criminal or employment history and contains the person's name, or identifying number, symbol, or any other identifying particular assigned to the individual, such as a fingerprint or voiceprint, or a photograph.

(3) "System of Records" means a group of any records under the control of any agency from which information is retrieved by the name of the individual or by some identifying number, symbol, or other identifying particular assigned to the individual.

i. The vendor shall ensure the security of all procured or developed systems and technologies, including their subcomponents (hereinafter referred to as "Systems"), throughout the life of this contract and any extension, warranty, or maintenance periods. This includes, but is not limited to workarounds, patches, hotfixes, upgrades, and any physical components (hereafter referred to as Security Fixes) which may be necessary to fix all security vulnerabilities published or known to the vendor anywhere in the Systems, including Operating Systems and firmware. The vendor shall ensure that Security Fixes shall not negatively impact the Systems.

j. The vendor shall notify VA within 24 hours of the discovery or disclosure of successful exploits of the vulnerability which can compromise the security of the Systems (including the confidentiality or integrity of its data and operations, or the availability of the system). Such issues shall be remediated as quickly as is practical, but in no event longer than 30 days.

k. When the Security Fixes involve installing third party patches (such as Microsoft OS patches or Adobe Acrobat), the vendor will provide written notice to the VA that the patch has been validated as not affecting the Systems within 10 working days. When the vendor is responsible for operations or maintenance of the Systems, they shall apply the Security Fixes within 30 days.

l. All other vulnerabilities shall be remediated as specified in this paragraph in a timely manner based on risk, but within 60 days of discovery or disclosure. Exceptions to this paragraph (e.g.

for the convenience of VA) shall only be granted with approval of the contracting officer and the

VA Assistant Secretary for Office of Information and Technology.

5. INFORMATION SYSTEM HOSTING, OPERATION, MAINTENANCE, OR USE

a. For information systems that are hosted, operated, maintained, or used on behalf of VA at non-VA facilities, contractors/subcontractors are fully responsible and accountable for ensuring compliance with all HIPAA, Privacy Act, FISMA, NIST, FIPS, and VA security and privacy directives and handbooks. This includes conducting compliant risk assessments, routine vulnerablity scanning, system patching and change management procedures, and the completion of an acceptable contingency plan for each system. The contractor's security control procedures must be equivalent, to those procedures used to secure VA systems. A

Privacy Impact Assessment (PIA) must also be provided to the COR and approved by VA

Privacy Service prior to operational approval. All external Internet connections to VA's network involving VA information must be reviewed and approved by VA prior to implementation.

b. Adequate security controls for collecting, processing, transmitting, and storing of Personally

Identifiable Information (PII), as determined by the VA Privacy Service, must be in place, tested, and approved by VA prior to hosting, operation, maintenance, or use of the information system, or systems by or on behalf of VA. These security controls are to be assessed and stated within the PIA and if these controls are determined not to be in place, or inadequate, a Plan of Action and Milestones (POA&M) must be submitted and approved prior to the collection of PII.

c. Outsourcing (contractor facility, contractor equipment or contractor staff) of systems or network operations, telecommunications services, or other managed services requires certification and accreditation (authorization) (C&A) of the contractor's systems in accordance with VA Handbook 6500.3, Certification and Accreditation and/or the VA OCS Certification

Program Office. Government- owned (government facility or government equipment) contractor-operated systems, third party or business partner networks require memorandums of understanding and interconnection agreements (MOU-ISA) which detail what data types are shared, who has access, and the appropriate level of security controls for all systems connected to VA networks.

d. The contractor/subcontractor's system must adhere to all FISMA, FIPS, and NIST standards related to the annual FISMA security controls assessment and review and update the

PIA. Any deficiencies noted during this assessment must be provided to the VA contracting officer and the ISO for entry into VA's POA&M management process. The contractor/subcontractor must use VA's POA&M process to document planned remedial actions to address any deficiencies in information security policies, procedures, and practices, and the completion of those activities. Security deficiencies must be corrected within the timeframes approved by the government. Contractor/subcontractor procedures are subject to periodic, unannounced assessments by VA officials, including the VA Office of Inspector General. The physical security aspects associated with contractor/ subcontractor activities must also be subject to such assessments. If major changes to the system occur that may affect the privacy or security of the data or the system, the C&A of the system may need to be reviewed, retested and re- authorized per VA Handbook 6500.3. This may require reviewing and updating all of the documentation (PIA, System Security Plan, Contingency Plan). The Certification Program

Office can provide guidance on whether a new C&A would be necessary.

e. The contractor/subcontractor must conduct an annual self assessment on all systems and outsourced services as required. Both hard copy and electronic copies of the assessment must be provided to the COR. The government reserves the right to conduct such an assessment using government personnel or another contractor/subcontractor.