36C24724Q0575 0001 updated eval criteria.pdf

a

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)

1 96

508-25-1-221-0002

36C247

Department of Veterans Affairs

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

2008 Weems Road

Tucker GA 30084

36C247

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

2008 Weems Road

To all Offerors/Bidders

36C24724Q0575

08-21-2024

X

X X

September 9, 2024 23:59 EST.

See CONTINUATION Page

X ONE

1. The above referenced RFQ is extended to the date above.

2. There has been a change in the Evaluation Factors in Section E.9. Pay close attention to the plans required to be submitted with your pricing and past performance references.

Matthew K. Durden

Contracting Officer

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

508-25-1-221-0002

Matthew Durden Matthew.durden@va.gov

EDT

36C247

Department of Veterans Affairs

VISN 7 Network Contracting Office

LaVista Business Park - Bldg A

624229

$19 Million

Net 30

N/A

36C508

Department of Veterans Affairs

Atlanta VA Medical Center

Social Work Service

1670 Clairmont Road

Decatur GA 30033

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 Statement of work and delivery schedule.

The Guaranteed minimum under this contract is $5,000.00 for the initial fiscal year in which the contract was awarded.

The contract's stated maximum or ceiling is $2,100,000.00

Individual Task Orders will be issued each year of performance. The current wage determination will be at the task order level.

This contract includes a five-year period. 10/01/2024 -

09/30/2029.

X X

X One

Matthew Durden

Contracting Officer

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

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 STATEMENT OF WORK

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (NOV 2023)

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 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.8 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (FEB 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION

D.2 QASP

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

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

E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.9 ADDENDUM to 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (FEB 2024)

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 Matthew K. Durden

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 [X] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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.

Addendum to VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

Payment will be made upon receipt of a properly prepared detailed invoice, prepared by the Contractor and submitted through Tungsten Network (formerly known as OB10) http://www.tungsten-network.com/us/en/. A properly prepared invoice shall contain:

✓ Invoice Number and Date

✓ Contractor’s Name and Address

✓ Accurate Purchase Order Number

✓ Supply or Service provided

✓ Period Supply or Service Provided

✓ Total Amount Due

b. Please begin submitting your electronic invoices through the Tungsten Network for payment processing, free of charge.

c. If you have questions about the e-invoicing program or Tungsten Network, contact information is as follows:

• Tungsten e-Invoice Setup Information: 1-877-489-6135

• Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

• FSC e-Invoice Contact Information: 1-877-353-9791

• FSC e-invoice email: vafsccshd@va.gov

d. Web Address: HTTP://WWW.FSC.VA.GOV/EINVOICE.ASP

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

DESCRIPTION

OF SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

4,380.00 DY __________________ __________________

12 transitional beds per day for and supportive services for homeless female veterans in accordance with the performance work statement.

Contract Period: Pricing Period One POP Begin: 10-01-2024 POP End: 09-30-2025

Contract Period: Pricing Period Two POP Begin: 10-01-2025 POP End: 09-30-2026

Contract Period: Pricing Period Three POP Begin: 10-01-2026 POP End: 09-30-2027

Contract Period: Pricing Period Four POP Begin: 10-01-2027 POP End: 09-30-2028

Contract Period: Pricing Period Five POP Begin: 10-01-2028 POP End: 09-30-2029

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

1001-

SHIP TO: Department of Veteran Affairs Atlanta VA Medical Center 1670 Clairmont Road Decatur, GA 30033 United States

As Needed 10/01/2024 – 09/30/2029

MARK FOR: Chantel Hazley 404-230-5683 x393717 Chantel.Hazley@va.gov

FOB: DESTINATION

B.4 STATEMENT OF WORK

Department of Veterans Affairs- Veterans Health Administration Health Care for Homeless Veterans

Contract Residential Treatment Program for Homeless Female Veterans

GENERAL INFORMATION

Background:

Health Care for Homeless Veterans (HCHV) provides case management services to homeless female Veterans and facilitates their access to a broad range of medical, substance abuse, mental health, rehabilitative, and employment services. HCHV’s goal is to engage homeless female Veterans in supportive services and place them in a safe and secure environment that supports their rehabilitation goals.

The HCHV program, an essential and critical part of Veterans Health Administration (VHA), is vital for providing a gateway to VHA and community supportive services for eligible female Veterans who are homeless and are experiencing mental health/addiction or are in need of employment assistance. The HCHV Contract Residential Treatment Program for homeless Veterans is a vital program focused on addressing the needs of the most vulnerable and at risk homeless Veterans. The national goal and focus of the HCHV program is ensuring that homeless Veterans, with various sociological and mental health needs, be placed in community-based programs which provide quality housing, mental health, and employment services that effectively address those needs. After participation in the program, Veterans will be placed in permanent and affordable housing as they reintegrate into the community. In order to meet this important need, the VA is seeking community partners whose program goals and outcomes are aligned the VA.

The authority that allows the Department of Veteran Affairs (VA) to provide homeless services to Veterans is 38 U.S.C. 2031. This authority includes the use of a variety of housing providers and services available to adequately serve the homeless Veteran populations.

Scope of Work: Contractor services will be furnished to at least 12 beneficiaries for whom such care is specifically authorized by the Atlanta VA Health Care System (AVAHCS) and are homeless with a substance abuse or mental health diagnosis. It is understood that the services required by Contractor are not exclusive to residential housing, and includes case management for mental health, employment, and substance abuse services necessary to assist the Veteran.

The per diem rate established will be an all-inclusive rate. The facility should be located within 15 miles radius of the VA, (1670 Clairmont Rd., Decatur, Georgia, 30033) and on the bus line.

Care shall include, but is not be limited to:

Clean, sanitary, and safe residential housing.

Mental health and substance abuse case management Structured group activities, including psycho-therapeutic and physical activities as appropriate.

Instruction in and assistance with health and personal hygiene.

Medication monitoring, including appropriate documentation and locked drawers for storage of medication.

Transportation to and from all medical appointments, and group meetings, and activities as needed. Routine and as needed/indicated breathalyzer and urine drug screening. Employment placement and job training. Placement of Veteran in permanent affordable housing after Veteran transitions out of the Contractor’s program.

Performance Objectives: Contractor will provide residential housing and case management services to homeless female Veterans and facilitate their access to a broad range of medical, substance abuse, mental health, rehabilitative, and employment placement services. After completion of Contractor’s program, Veteran should be placed in affordable permanent residence.

Period of Performance: This contract will have a performance period of a base year plus one (4) option year.

Key Personnel: Approval of Key Personnel, as specified in Contractor’s Technical Proposal who will be working on this project, must be obtained from the Contracting Officer’s Representative (COR) within five business days of any change in these Key Personnel. The Contractor’s Project Manager is a Key Person as defined by this section. Contractor must provide a listing of staff to perform work on this contract and provide the credentials of those individuals with the proposal.

Contractor Point of Contact: The Contractor shall designate a Contractor Point of Contact (POC) who shall be responsible for the performance of the work under this contract. The liaison shall have full authority to act for the Contractor on all matters relating to the daily operation of this contract. The POC may be a contract health care provider performing under this contract.

An alternate may be designated, but the Contractor shall identify, in writing, those times when the alternate shall act as the liaison. The point of contact may be a provider providing care in accordance with this statement of work. The point of contact or alternate shall be available by telephone, seven days a week, 24-hours per day, including Federal holidays.

Type of Contract: This contract shall be a Firm Fixed Price (FFP) contract.

Place of Performance: The performance will occur at the Contractor’s location. Government furnished property will not be provided to the Contractor. All equipment required by the Contractor will provided at their expense.

Contracting Officer’s Representative (COR) Authority: In no event is the COR empowered to change any of the terms and conditions of the contract. All changes, to any section of this contract, shall be made only by the Contracting Officer pursuant to a properly executed modification. The types of actions within the purview of the COR’s authority are to ensure that the Contractor performs the technical requirements of the contract, and to notify the Contracting Office of any deficiencies observed. A Letter of Designation shall be issued to the COR and a copy shall be sent to the Contractor at the time of contract kickoff meeting or post- award conference setting forth in full the responsibilities and limitations of the COR.

VA Clinical Liaison: The VA clinical liaison for this contract will be the director of the HCHV Grant & Per Diem program. They will act as the clinical liaison for all client related issues between the Contractor and the VA homeless team. They will provide clinical oversight. They will not provide direct clinical supervision.

Method of Inspection: The Contracting Officer’s Technical Representative (COTR) will evaluate all deliverables submitted. The COTR is responsible for certifying invoices for payment only for deliverables received and deemed acceptable by the COTR. A Quality Assurance Surveillance Plan will be used by the COTR to assure success, through the uses of negative incentives, for failure of the vendor to meet the stated performance standards.

DESCRIPTION OF SERVICES

The Contractor shall be responsible for providing residential housing, admitting and assessing Veterans; including initial and ongoing assessments, care planning; including the care-planning process, coordinating, supervision, and evaluating the care and services provided; scheduling visits or hours; and discharge planning.

Residential Housing:

The Contractor shall provide clean, sanitary, pest-free and smoke-free residential housing to all Veterans. Contractor may provide proposals for single occupancy bedrooms. The facility shall include appropriate space for clothing and personal items (dresser, closet space, chair, and mirror). Contractor shall provide Veteran with clean linens, towels, and pillows upon arrival;

clean linens and towels will be provided weekly until Veteran is discharged from the program.

Health and personal hygiene items shall be made available to residents who cannot provide the necessary items for themselves. These items include: soap, tooth paste, etc.

Facility shall include indoor recreation and lounging areas for Veterans. Contractor shall provide each Veteran with an individual lockable safe to store valuables. Contractor shall make available to Veterans computer with internet access, land line telephone. At a minimum, contractor shall provide one (1) television in each housing unit.

Contractor must obtain and maintain commercial pest control services. Pest contract services shall be required for quarterly inspections of the facility and to provide treatments when necessary to protect residence against infestation of household pests to include but not limited to ants, bed bugs, scabies, cockroaches, fleas, spiders, etc.

Unless authorized for clinical reasons as part of treatment plan by HCHV program and transitional housing personnel, overnight absences from transitional house will not be reimbursed. If Veteran is away from the facility, the Contractor must notify the HCHV liaison immediately via phone or email. The Contractor must provide an incident report within 24 hours. For example, the Veteran does not return (missing curfew), etc.

In situations where the Veteran is hospitalized, every effort will be made to re-admit Veteran to the facility upon release. If hospitalized, Contractor will hold the Veteran’s space at the facility open for 7 days. If Veteran is hospitalized for more than 7 days, the Veteran will be discharged from the program.

Contractor agrees to provide VA staff safe and secure space that offer privacy and sufficient space to interview Veterans.

Smoking is not permitted within or around the patient’s location for treatment.

Supervision shall be provided in accordance with VA policy and regulations.

Case Management / Supportive Services:

Contractor shall provide individual case management, and structured group activities including opportunities for physical, social, and recreational activities for Veterans.

Individual case management to include professional counseling on self-care skills, adaptive coping skills as appropriate, vocational rehabilitation referrals. Other areas include: mental health recovery, substance abuse, relapse prevention, sober socialization, coping skills, employment readiness and vocation rehabilitation.

Contractor shall provide Veteran with assistance in learning and developing responsible living patterns to achieve a higher level of psychosocial functioning skills and improved personal relationships.

Contractor shall provide on-site location for HCHV staff to conduct treatment team and privately interview Veterans when necessary.

Contractor shall support a recovery focused environment that is free from alcohol and drugs.

Contractor staff must attend and actively participate in treatment team sessions held by VA staff on Contractor’s site.

Staffing Requirements:

There must be a minimum of one (1) full-time staff member or his/her staff designees on duty at the premises or residing at the facility and available for emergencies 24 hours a day, 7 days a week. In addition, house managers shall be onsite 24 hours a day. The house managers shall have experience with homeless persons in a residential setting with three years or more of recovery time. The following staff is required to fully perform all contract requirements: Mental Health Professionals (MHP), Registered Nurses, Licensed Practical, Nurses, Substance Abuse Counselors, Peer Specialists, and Employment Specialists.

To fully staff a facility with 12 Veterans, the staffing should include licensed MHP /Case Manager (LCSW or LPC preferred), whose work experience includes working with dually diagnosed individual and Veteran cases. Additionally, the licensed MHP should be proficient (5 or more years’ experience) in case management, individual and group psychotherapy, substance abuse, suicide prevention, MH assessment and crisis intervention.

Staffing Qualifications/Accreditation/Licensing:

Contractor must provide sufficient clinical and non-clinical staff to carry out the policies, responsibilities, and programs for the facility. Contractor staff must meet appropriate certification, licensing, and accreditation qualifications standards. Staff trainings, certifications, and accreditations must be kept up to date and a copy of all training certificates shall be submitted to COR within 30 days of training completion.

Contractor must submit, with their proposal, the resumes of all staff to complete work on this contract for review.

Contractor shall submit current program curriculum to include treatment program components and documents to reflect current program practices in the following areas:

Mental Health Substance Abuse Treatment Employment Assistance

The Contractor shall report, in writing, to the COR, that all employees (including) sub- Contractors, completed a complete background check. The Contractor must certify, in writing to the COR within 30 days of contract award, that no staff member has a history of violence or sexual offenses. Staff with this history shall not perform work on this contract without review and approval from COR or VA clinical liaison.

Medication Storage and Disposal: Medications, including controlled substances shall be properly stored and controlled. Contractor must store all medications in a locked unit (double locked system is preferred). Contractor shall keep a daily log of all medication disbursed to Veterans to be signed by Veteran and Contractor representative. The proper issuance upon orders from physicians will be provided by the VA and recorded daily by the Contractor.

Veteran’s medication list will be provided to Contractors, upon request.

Written Program Policies: Contractor shall include in their proposal the following current program policies for review:

Medication Storage and Disposal Policy Drug/Alcohol Policy (Including Screenings) Program Exclusion Policy Missing Person Policy Infection Control Policy Intake Process Discharge Process Unauthorized Absence Policy Food Safety Policy Vehicle Policy Current Program and/or Resident Handbook

Transportation: The Contractor shall provide the Veteran with transportation to Contractor’s facility once the Veteran has been referred to the program by the VA clinical liaison. Once Veteran has been admitted into the Contractor’s program, the Contractor shall assist and/or provide the Veteran with transportation to scheduled meetings and appointments including resources, information, and instructions for Veteran to utilize local public transportation (ex:

MARTA) when available. If public transportation is not available due inclement weather or other reasons beyond Contractor’s control, or not within 1mile of Contractor’s facility, Contractors shall provide transportation for Veterans until Veteran is no longer in the program. Contractor provided transportation shall be handicap accessible for Veterans that require the services.

Laundry/Cleaning Supplies: The Contractor shall furnish, on site, adequate laundry facilities for Veterans to do their own laundry to include operational washer and dryer. Adequate laundry detergent shall be provided for Veteran to wash clothes on a weekly basis. Contractor shall provide all residences with adequate cleaning supplies in order for Veterans to keep living quarters clean. The Contractor is responsible for all costs related to this these activities. Under no circumstance will the Veteran pay for the use of laundry machines, items necessary to clean their clothes, or residential cleaning supplies. Contractor staff shall assist Veterans with creating and maintaining a schedule for laundering clothes and residential chores weekly.

Community Agency: The Contractor’s facility must have a current occupancy permit or license, as required by the authority that has jurisdiction to issue such. The Contractor must adhere to all applicable local, state, and federal laws.

Dietary Requirements: Patient dietary needs shall be met in accordance with and consistent with USDA standards which may be found at:

http://www.cnpp.usda.gov/dietaryguidelines.htm and shall include the following:

At least three (3) nutritious meals shall be served daily at regular times. Bag lunches shall be provided for working individuals who will not be at housing during that meal. Between-meal or bedtime snacks of nourishing quality shall be offered.

Contractor may prepare and serve food on the premises or provide these services through a licensed sub-Contractor. Licensed sub-Contractor may prepare the food off-site and deliver at the appropriate meal times to Veterans at location of residence.

Contractor’s staff or sub-Contractors performing on this contract must be ServSafe certified and provide appropriate certificates as verification. Information regarding this certification can be found at: http://www.servsafe.com/home Food shall be prepared, delivered, served, and stored under specified USDA sanitary conditions.

Sanitary procedures shall be established and maintained for washing dishes, cleaning equipment, and work areas, and for proper waste disposal.

The dietary needs of Veterans with verified medical dietary restrictions will be accommodated, i.e. artificial sweetener available for diabetics, adequate supply of fresh fruits and vegetables for vegans, etc.

Contract shall provide the residence with food staples such as condiments, rice, sugar, cans of soups, nuts, beans, flour, snacks, fresh fruit, etc. Contractor shall replenish these items on a weekly basis or as needed.

Contractor shall provide each housing unit with an emergency non-perishable food supply to include but not limited to canned goods, peanut butter, powdered milk, etc.

Menus must be updated and posted weekly in the housing unit.

Veterans’ ability to obtain or utilize food stamps shall not be considered as a remedy for this requirement.

Contractor agrees to ensure that all sub-Contractors used to perform work on this contract will adhere to the same guidelines listed above.

Records and Reports: An individual client record shall be maintained on each Veteran admitted, including reasons for referral, and documentation of Veterans’ progress within the program. This should also include sign in sheets where applicable. Contractor must be registered and shall participate in the state or city designated electronic system for the tracking of Homeless Individuals. Contractor must certify, in writing to the COR, that staff is trained on how to properly enter Veteran information into the system designated for the tracking of Homeless Individuals. Contractor shall keep the following documents in Veteran’s file:

Data relating to the resident’s admission.

All essential identifying data relevant to the resident and his/her family including a socio-cultural assessment.

Copies of current medication sheet.

Monthly VA’s treatment team reports.

Discharge summaries on each resident who leaves the program, to include reason for leaving, the resident’s future plans, and follow-up locator information.

All Veteran patient records must be stored in a locked and secured area.

http://www.cnpp.usda.gov/dietaryguidelines.htm http://www.servsafe.com/home

Individual case records shall be maintained in confidence as required by U.S.C. Title 42, Chapter I, Part II, “Confidentiality of Alcohol and Drug Abuse Patient Records.” Records will be accessible to the evaluation study required by Congress. Periodic Reports will be provided to the VA (i.e. Fiscal Accountability) as required. Monthly listing of Veterans discharged and date of discharge shall be submitted to the VA by the Contractor.

Contractor shall notify designated individuals within 24 hours of discharge, either telephonically, email, or fax.

Facility Standards:

Contractor’s facility must meet the following:

Contractor shall provide a lower level unit or unit must be accessible by an elevator and wheelchair accessible. If Contractor’s housing unit is a two-story townhome, the Contractor shall ensure that at least one unit is available with a bedroom and bathroom on the lower level of the townhome.

Facility shall comply with applicable local, state, and national health, safety, environmental laws, regulations, Executive Orders, and building codes. In the event local, state, and national codes conflict, the most stringent shall apply.

Clean and sanitary housing shall be provided to all Veterans. Contractor must obtain and maintain commercial pest control services. Pest contract services shall be required for quarterly inspections of the facility and to provide treatments when necessary to protect residence against infestation of household pests to include but not limited to ants, bed bugs, scabies, cockroaches, fleas, spiders, etc.

Contractor’s facility conforms to the Life Safety Code, National Fire Protection Association (NFPA) #101 standards Contractor’s facility meets all City and State requirements concerning licensing and health codes.

Contractor possesses a valid Georgia State Business License/Certificate of Occupancy.

Basic Life Support (BLS), CPR/First Aid, (American Heart Association preferred) for Contractor’s staff The Contractor agrees that it does not maintain nor provide dual or segregated facilities, which are segregated on the basis of religion, race, creed, color or national origin, all Veterans must reside in a safe and secure environment. In addition, Contractor agrees to ensure that all subcontractors used to perform work on contract will adhere to the same guidelines as listed above.

The provider shall submit safety record and files during the VA annual facility inspection. If any deficiencies are cited, the provider will make corrections within 72 hours and submit proof of correction to VA designated staff.

ADA Accessibility:

Contractor’s facility must meet the following American Disability Act (ADA) Compliance Regulations.

Designed constructed or renovated so as to be accessible to and usable by physically disabled people.

At least one functional toilet and lavatory must be provided for the Veterans and at least one bathing or showering facility must be provided for each Veterans living in a home facility.

At least one toilet and lavatory must be provided on each floor having Veterans’ bedrooms.

Grab bars and nonskid surfacing or strips must be installed in all showers and bath areas.

Bathrooms and toilet facilities without windows must have forced ventilation to the outside.

Bathroom windows used for ventilation must open easily.

Toilets, bathtubs and showers must provide for individual privacy.

All plumbing and bathroom fixtures must be maintained in good working order at all times and must present a clean and sanitary appearance.

A facility serving a person dependent upon a wheelchair or scooter for mobility must have a least one bathroom that permits the Veteran to use all bathroom fixtures easily and independently where able.

Referral and Intake Process:

Referrals: The HCHV treatment team, in collaboration with the existing community homeless program staff, shall identify and refer patients to the Contractor. The patient shall receive a clinical assessment by the VA before referral to the Contractor. Additionally, a negative TB screen within the past 3 months will be required prior to referral. Negative drug screens will not be a requirement for admission. Referrals may be completed by VA staff Monday – Friday. The Contractor shall record the date and time of admission in the Veteran’s file and include such information on the first monthly invoice. The average length of stay in the Contractor’s program is 60 days; however, the total time that the Veteran stays in the program will ultimately depend on the needs of the Veteran and this timeframe may be more or less depending on the need.

Intake: Contractor shall be available to accept all Veterans referred into the program by VA staff Monday – Friday. The Contractor shall provide the Veteran with transportation to Contractor’s facility once the Veteran has been referred to the program by the VA clinical liaison. The Contractor shall have available the Veteran with the house rules governing its facility. Contractor staff shall inform the Veteran about rules and regulations that govern the facility i.e. curfew, drugs, alcohol, and weapons. The Contractor shall issue each Veteran one complete set of clean bed linens, towels, and personal toiletries (as necessary) upon arrival to the Contractor’s facility. The Contractor shall provide for the exchange or laundering of these items on a weekly basis. Contractor shall place veterans into local Homeless Management Information System HMIS. Contractor shall provide the Veteran with an appropriate meal or snack immediately upon arrival.

Community Outreach: As a community partner, the Contractor is required to perform outreach in the community on a monthly basis. This outreach will assist the VA in identifying homeless Veterans in need of services; therefore, Veterans will also be referred to the program through the Contractor’s community outreach efforts. If the Contractor comes in contact with a Veteran that they believe may be appropriate for the program, the Contractor s must immediately forward that information to the VA clinical liaison. The Veteran will be screened by the VA to determine eligibility for the Contractor’s program. The VA will not be held financially responsible for any Veteran that is admitted in the program without being screened by the VA to ensure eligibility for program.

Geographic Location: Contractor’s facility where services are to be provided shall be within the catchment no greater than a 15 mile radius from the Atlanta VA Health Care System (AVAHCS) – 1670 Clairmont Rd – Decatur, GA 30033. Submit with your offer the physical address to include building and room numbers, areas of geographic coverage, map of local area, etc. Contractor shall provide a map of location to include public transportation availability and “closest bus stops”. Contractor’s location shall be easily assessable for Veterans with mobility challenges or Veterans that are wheelchair dependent.

Past Performance: Contractor must provide a minimum of 3 references for past performance review of similar programmatic work performed with the proposal for review. References may include government and non-government work performed and must be received with proposal submission. Non-government references submitted shall be of the size and complexity of similar scope of work and program. Contractors must also provide the outcomes for work performed.

Facility/Program Inspection: Contractor must participate in and pass all facility, program, and policy inspections established by the HCHV program prior to contract award. This inspection includes on-site review of the potential Contractor’s facility and program policies and will be conducted by the following VA departments: HCHV Clinical, Safety, Infection Control, Police, and Dietary Services. Contractor must also provide an updated Emergency Operations Plan (EOP) during the course of the inspection as requested by VA staff. The Atlanta VA Health Care System (AVAHCS) may conduct an inspection of facility(s) prior to and anytime during contract performance. The Contractor shall permit on-site visits by VA to assure compliance with contract requirements. Contractor shall make all records accessible for a review.

GENERAL REQUIREMENTS

EMERGENCY OPERATIONS PLAN

Contractor must maintain an up to date copy on file of the Emergency Operation Plan and provide to the COR or designee upon request.

It is agreed that the Contractor will notify the COR or designee immediately when a medical emergency or hospitalization of the Veteran occurs. It is agreed that the Veteran will be referred to the nearest medical facility/provider for treatment.

In the event a Veteran dies, the facility will promptly notify the Liaison or designee and immediately assemble, inventory, and safeguard the patient’s personal effects. Any fund deposits and personal effects left by Veteran on the premises of the facility shall be delivered by the facility to the person or persons entitled thereto under the laws currently governing the facility for making disposition of funds and effects left by patients, unless the beneficiary died without leaving a will, heirs, or next of kin capable of inheriting. When disposition has been made of the itemized inventory notating the disposition of the funds and effects, the Contractor shall notify the COR at VA.

Should a deceased patient leave no will, heirs or next of kin, his/her personal property and funds, wherever located, vests in and becomes the property of the United States in trust. In these cases the facility will forward an inventory of any such property and funds in its possession to the appropriate VA office and will hold them (except articles of clothing necessary for proper burial) under safeguard until instructions are received from the VA concerning disposition.

PERSONNEL AND POLICY

The Contractor’s employees shall be subject to the same quality assurance standards of a quality meeting or exceeding current recognized national standards as established by CARF and/or Joint Commission (JC). The Contractor shall perform services in accordance with the ethical, professional and technical standards of the healthcare industry. The Contractor’s employees shall be technically proficient in the skills necessary to fulfill the Government requirements, to include the ability to speak, understand, read and write English fluently.

In accordance with 29 Code of Federal Regulations (CFR), Part 1925, Safety and Health Standards for Federal Services Contracts, none of the services required by this contract shall be performed in building, surroundings, or under any working conditions provided or controlled by the Contractor, that are deemed unsanitary, hazardous, or otherwise dangerous to the health and safety of the Contractor’s employees or VA beneficiaries. The minimum standards for facilities furnishing Transitional Housing for Homeless Veteran Services under this contract shall be those listed in the latest edition of 42 CFR and National Fire Protection Association (NFPA) 101, Life Safety. CFR and NFPA may be found at http://www.gpoaccess.gov/cfr http://www.nfpa.org/aboutthecodes The Contractor shall not maintain, nor provide, dual or segregated patient facilities based on race, creed, color, national origin, or religious belief. The Contractor may neither require such segregated use by written or oral policies nor tolerate such use by local custom. The term facilities shall include but not be limited to rooms, wards, sections, eating areas, drinking fountains, and entrances. The VA shall have the right to inspect the facility and all appurtenances by authorized representative(s) designated by the Atlanta VA Medical Center to determine whether acceptable standards are maintained and adequate care is being rendered.

The Contractor shall assume full responsibility for the protection personnel furnishing services under this contract. To carry out this responsibility, the Contractor shall provide the following to the personnel:

Professional liability insurance Worker’s compensation Health examinations Income tax withholding, and Social security payments

Payment for any leave, including sick leave or vacation time is considered the responsibility of the Contractor. The Contractor shall follow all existing local, state, federal and/or union laws/regulations relevant to fringe benefits and premium pay for their employees. Such personnel shall not be considered VA employees for any purpose.

ORDERING ACTIVITIES AND OFFICES

VA will designate a Contracting Officer’s Representative (COR) to monitor Contractor performance and assist in contract administration. A Delegation of Authority (DOA) delineating the responsibilities and limitations of the COR shall be provided. Any commitment or changes, which affect the price, quantity, authority to amend, render decision on questions of fact in dispute and related contract administration problems are duties of the Contracting Officer and cannot be re-delegated.

The Contractor shall not accept any instructions issued by another other person(s) other than the Contracting Officer or the COR acting within the limits of his/her authority. Only those services specified herein are authorized.

http://www.gpoaccess.gov/cfr http://www.nfpa.org/aboutthecodes

HEALTH REQUIREMENTS

Contractor certifies that his/her employees have received the following testing/immunizations within the past year and will maintain coverage during the contract period:

Tuberculosis Testing – the PPD test or radiological exam shall be repeated annually. The chest x-ray is necessary only if employee has symptoms consistent with pulmonary TB or has had a positive PPD or history of positive PPD.

Rubella Testing – all contract personnel shall provide proof of immunization for measles, mumps, rubella, or rubella titer of 1:8 or greater. If the titer is less than 1:0, the rubella immunization must be administered with follow-up documentation to the COR.

Immunizations – for purposes of infection control, all contract employees shall take required immunizations and any health action required by generally accepted public health standards and any immunizations necessitated by any outbreaks in the area/community. Contract personnel will not be allowed to perform duty until immunization documentation is provided to the COR.

If there is potential for exposure to blood borne pathogens or other potentially infectious materials (OPIM), there should be documentation indicating employees have taken or declined Hepatitis B series vaccination.

CONFIDENTIALITY

All Contractor personnel shall observe the requirements imposed on sensitive data and information by law, Federal regulations, VA statutes and policy, Veterans Health Administration (VHA) policy and guidelines and the associated requirements to ensure appropriate screening of all personnel (e.g., Privacy Act of 1974, Public Law 93-579, the requirements of the FPM 731, Subchapter 2 under E.O. 10450, etc.). Public Law 93-579 may be found at:

http://privacy.defense.gov/files/pa1974.pdf Contractor personnel who obtain access to hardware or media which may store drug or alcohol abuse data, sickle cell anemia treatment records, records of tests or treatment for or infection with Human Immunodeficiency Virus (HIV) or medical quality assurance records protected by 38 U.S.C. 5701, 5705 and 7332, as defined by the VA, shall not have access to the records unless absolutely necessary to perform their contractual duties.

The Contractor shall comply with the VA patient’s Bill of Rights as set forth in Section 17.33, Title 38, Code of Federal Regulations. The Contractor is responsible for maintaining Veterans’ privacy and confidentiality and must have systems in place that protect Veteran’s personal identifying information and protected health information. This includes but is not limited to:

Having adequate private office space for Veterans to meet in confidence with their case manager.

Having secured paper and electronic filing systems to protect clients’ case records and other documentation.

Conducting ongoing training of staff about maintaining client privacy and confidentiality in all verbal and written communications and interactions.

Ensuring that non-clinical/non-case management facility staff have access to Veteran information only as needed in order to http://privacy.defense.gov/files/pa1974.pdf meet the service requirements contained in the contract.

RELEASE OF MEDICAL INFORMATION

The Contractor shall only release medical information obtained during the course of this contract to other Contractor or VA employees involved in the care and/or treatment of that individual patient. Patient demographics shall be treated as privileged information. Lists, names, and/or social security numbers of patients shall not be disclosed or revealed any way, for any use outside the Contractor’s facility or without prior express written permission of the Contracting Officer.

Transcribed reports containing personal identifiers, as identified below, when not used as an official document, must be shredded by the Contractor.

The Contractor is subject to the provisions of the Privacy Act of 1974 (Public Law 93-579); the Comprehensive Alcohol and Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1972 (Public Law 93-282); the Drug Abuse Office and Treatment Act of 1972 (Public Law 92-255); and all other Federal State statues regarding confidentiality of patient information.

All patient medical records will be maintained in accordance with State, JC and/or CARF standards. All clinical and legal (i.e., 5150 and 52500 forms, records and treatment plans, of VA beneficiaries treated by the Contractor, shall be forwarded to the VA office upon discharge for inclusion in the patient’s VA medical record. Records shall be forwarded by courier or second (2nd) day Federal Express. This is not an additional cost to the Government. Records of treatment shall not be given to patients or their families for transfer to the VA.

VA shall be provided access to medical records in the Contractor’s facility regarding a Veteran’s care under this contract.

INFORMATION SECURITY

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. Contractor shall be required to enter into and sign a Business Associate Agreement upon award of contract unless a national BAA exists, if required by Privacy Officer or Information Security Office.

Security Controls Compliance Testing:

On a periodic basis, VA, including the Office of Inspector General, reserves the right to evaluate any or all of the security controls and privacy practices implemented by the Contractor under the clauses contained within the contract. With 10 working-days’ notice, at the request of the government, the Contractor must fully cooperate and assist in a government-sponsored security controls assessment at each location wherein VA information is processed or stored, or information systems are developed, operated, maintained, or used on behalf of VA, including those initiated by the Office of Inspector General. The government may conduct a security control assessment on shorter notice (to include unannounced assessments) as determined by VA in the event of a security incident or at any other time.

TRAINING

All Contractor employees and subcontractor employees requiring access to VA…