36c24825r0029_nfsg home oxygen_solicitation_final.docx

36C24825R0029

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

06-12-2025 Yolanda Glover 352-381-5712 07-14-2025

4:00PM

EDT

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X

532283 $41 Million

N/A

Department of Veterans Affairs Network Contracting Activity 8 Malcolm Randall VA Medical Center 1601 SW Archer Road Gainesville FL 32608 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

See CONTINUATION Page Home Oxygen Services for VA Beneficiaries serviced by the North Florida/South Georgia VA Health System in accordance with the Statement of Work (SOW).

It is anticipated the government will award a single firm fixed price IDIQ Contract.

The contract will be for a base plus four ordering periods, with 6-month optional period.

See CONTINUATION Page

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 Tampa FL 33637

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

3. INVOICES: Invoices shall be submitted in arrears:

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

https://www.fsc.va.gov/einvoice.asp

TUNGSTEN ELECTRONIC INVOICE SUBMISSION

FSC e-INVOICE PROGRAM THRU AUSTIN PORTAL

FSC MANDATORY ELECTRONIC INVOICE SUBMISSION FOR AUSTIN PAYMENTS

i. Vendor Electronic Invoice Submission Methods:

Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below.

a) VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

b) A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI Web site (http://www.x12.org)

ii. Vendor e-invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below.

a) Tungsten e-Invoice Setup Information: 1-877-489-6135

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

c) FSC e-Invoice Contact Information: 1-877-353-9791

d) FSC e-invoice email: vafsccshd@va.gov

iii. Invoice Submission:

Invoices shall be submitted monthly to the NF/SGVAHS PSAS and received no later than the tenth (10) calendar day of the month following in which home oxygen was provided. The billing period will be from the first day of each month through the last day of the month. Electronic Invoice Format shall be provided to the Contractor to ensure compatibility for processing utilizing VHA VA IMPACT Billing Software Macro. All invoice supporting documentation shall be provided as a PDF and include the contract number, full and complete name of the patient, last four of the patient’s social security number, servicing VAMC site, item HCPC code--item description, itemized items provided to include each item provided with quantities, cost and service date. In conjunction with the invoices the Contractor shall submit scanned documentation. To include home environmental inspections for safety; care plan, communication of patient rights and responsibilities, instructions on the care, use and maintenance of equipment; documentation of equipment checks, preventive maintenance, service report for each patient visited during the billing period; as well as itemized signed delivery tickets by a patient or patient representative for receipt of oxygen liquid fills, replacement cylinders, all equipment and supplies received. Individual single monthly invoices for services performed shall be submitted for each veteran. Failure to provide “proof of delivery” via signed service, delivery tickets will result in non-payment.

An Invoice Summary will be provided for each VAMC site to include total number of patients for that area, item description, item quantity total, item total price and a grand total for all individual invoices.

For an initial or restart delivery a one-time setup fee will apply for delivery of all equipment ordered. (e.g. a VA-owned concentrator with portable B tank and H backup tank, a one-time setup fee will apply). Charges for refills of cylinders shall be submitted for each individual patient with the monthly invoices.

Invoices for equipment delivered to the VAMC Pulmonary Department or other VA locations, repair of VA-Owned equipment charges and other charges reviewed and approved by the COR which are not patient-specific, will be submitted on a separate detailed invoice, to include services provided thirty (30) days in arrears with supporting documentation, proof of delivery with signature of VA employee; equipment type, amount and charges and dates of service to be received no later than the 10th of each month.

The NF/SGVAHS will review equipment documentation and will not pay for supplies or equipment that was not prescribed for that Veteran/patient. Any service or delivery of equipment and supplies provided on an expired prescription is unauthorized and will not be paid. This includes excesses, without prior, case by case, authorization by the COR or ordering clinic. If it is evident that an unauthorized delivery made in a previous month was paid for by the VA, the contractor will refund the erroneously billed amounts to the VA.

At No-Time should a contractor or their representative bill third-party insurance sources for services rendered to Veteran/patient, enrolled under this contract. This will be considered fraudulent.

Payments shall be made monthly in arrears based upon the VAMC’s certification of properly submitted invoices. Invoices submitted for more than 31 days in arrears will not be paid. Payment cannot be made for services not yet rendered. The VA reserves the right to change the billing frequency and invoice format based on the needs of the NF/SGVAHS. Invoices for services rendered, oxygen, supplies and medical equipment ordered by the NF/SGVAHS preferably will be provided on CD-ROM disc, mailed or hand carried to the following address:

Malcom Randall VA Medical Center Prosthetics & Sensory Aids Service (121) 1601 S.W. Archer Road Gainesville, FL 32608

(352) 548-7181

No charge will be made by the Contractor after the effective date of expiration of the contract. If a change in vendors occurs, the Contractor shall have thirty (30) calendar days to pick up their equipment. The thirty (30) days will begin upon notification by the NFSG COR.

The Contractor shall not deliver or bill patients for oxygen use above what has been authorized. The Contractor is to notify the COR/CO within two (2) business days if a noticeable change in the patient’s oxygen needs occurs. Changes will not be provided without prior authorization by phone, fax or email with updated authorization.

Failure to make an oxygen delivery due to inability to access the patient’s residence because of missed appointment date/time will not result in added trip cost including “out of area” patients.

Prices quoted shall be all inclusive of deliveries and transportation within the fifty-one (51) county catchment areas, and equipment, safety inspections, repairs, maintenance, and in-service training for patients to include patient education.

6. CONTRACT MODIFICATIONS: The Contractor is advised that only the Contracting Officer, acting within the scope of the contract and his/her duties and responsibilities and after advice and consultation with the point of contact has the authority to make changes that will affect contract prices, quantity, quality, delivery terms and conditions, or the term of the contract. In no event shall any understanding or agreement, modification, change order, or other matters in deviation from the terms of this contract between Contractor and a person other than the Contracting Officer be effective or binding upon the Government. All such actions must be formalized by the proper contractual document executed by the Contracting Office.

7. CONTRACT COORDINATOR: The Contractor shall identify in writing to the CO their contact person(s) who shall serve as liaisons between the Contractor and VA and who shall ensure that services are performed in accordance with the contract specifications. The Contractor’s contact person(s) shall be available during VA regular administrative work hours, exclusive of national holidays.

8. PAYMENT PROCEDURES: Primary Payment by Governmentwide Commercial Purchase Card. Reference 6.2 of the Statement of Work for further instructions.

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

36C24825R0029

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The contractor agrees to provide Home Oxygen services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Schedule of Supplies/Services. Proposed Contractor shall have a service office and warehouse within two (2) hours of the Malcolm Randall VA Healthcare System. Payment for home oxygen services shall be based monthly in arrears. VA Form 1358 will be used to obligate the estimated monthly amount of supplies and services. The service will review the monthly invoices prior to payment to ensure the vendor used the proper pricing (established in the below B.2 Price/Cost Schedule) and the quantities of supplies and services are valid.

The guaranteed minimum contract amount, including the base period and any ordering period exercised, is $1000.00 and the maximum contract amount, including the base period and any ordering period exercised, shall not exceed $15,000,000.00. A task order shall be issued at the start of each ordering period and orders will be placed by Prosthetic Representative or Respiratory personnel.

ESTIMATED QUANTITIES: The quantities listed in the Price Schedule below are annual estimates only and are not to be considered a minimum or maximum. These estimates do not create any obligation to purchase any specified amount of services under this contract, and the Government will only be obligated to make payment for services requested and received in the quantities and the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contact.

PLACEMENT OF ORDER: Ordering officers (OOs) will be authorized to place orders against this contract. The Contracting Officer (CO) will furnish the Contractor with the names of individuals authorized as OOs, by separate memorandum upon issuance of the contract. When OOs are added after award, the CO will furnish the Contractor with the names of individuals authorized as OOs, by memorandum upon OO appointment. OOs are responsible for issuing and administering orders placed under this contract. OOs have no authority to modify any term of this basic contract. Any deviation from the terms of the basic contract must be approved in writing by the CO responsible for this contract. The Contractor shall accept orders against this contract only from the CO and/or authorized OOs. Fulfilling orders from persons other than the CO or designated OO may result in loss or delay in payment for supplies/services provided under such orders.

Individual orders for Home Oxygen may be authorized by phone/fax/email by the following Ordering Officers appointed by the Contracting Officer in writing.

· Home Oxygen Clinic Coordinators

· Clinical Respiratory Supervisors

· Pulmonary Physician

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

Base Year: 10/01/2025 – 09/30/2026

H/M Tank Setup Contract Period: Base POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: 6515 - Medical and Surgical Instruments, Equipment, and Supplies

H/ M Refills/Switchouts

POP Begin: 10-01-2025 POP End: 09-30-2026

Setups/Restarts

POP Begin: 10-01-2025 POP End: 09-30-2026

Portable System Rental

POP Begin: 10-01-2025 POP End: 09-30-2026

E Cylinder (4-ft tall)

POP Begin: 10-01-2025 POP End: 09-30-2026

D Cylinder (2-ft tall)

POP Begin: 10-01-2025 POP End: 09-30-2026

M6 Cylinder (1-ft tall)

POP Begin: 10-01-2025 POP End: 09-30-2026

Conserver Cannula

POP Begin: 10-01-2025 POP End: 09-30-2026

Liquid Oxygen Base Rental

POP Begin: 10-01-2025 POP End: 09-30-2026

Liquid Portable Unit Rental

POP Begin: 10-01-2025 POP End: 09-30-2026

Lox lbs.

POP Begin: 10-01-2025 POP End: 09-30-2026

Emergency RCP Visit-i.e. vent

POP Begin: 10-01-2025 POP End: 09-30-2026

50 PSI Compressor rental

POP Begin: 10-01-2025 POP End: 09-30-2026

Maint of VA Equipment - Quarterly

POP Begin: 10-01-2025 POP End: 09-30-2026

Unscheduled Pickup

POP Begin: 10-01-2025 POP End: 09-30-2026

Support for Cough-Assist

POP Begin: 10-01-2025 POP End: 09-30-2026

Monthly SVC VA- Ventilator

POP Begin: 10-01-2025 POP End: 09-30-2026

"Veteran" Relocate (Coverage/Shipping)

POP Begin: 10-01-2025 POP End: 09-30-2026

"Out of Area" Per Contract Coverage

POP Begin: 10-01-2025 POP End: 09-30-2026

Total: $

Option Year 1: 10/01/2026 – 09/30/2027

H/M Tank Setup Contract Period: Option 1 POP Begin: 10-01-2026 POP End: 09-30-2027

H/M Refills/Switchouts

POP Begin: 10-01-2026 POP End: 09-30-2027

Setups/Restarts

POP Begin: 10-01-2026 POP End: 09-30-2027

Portable System Rental

POP Begin: 10-01-2026 POP End: 09-30-2027

E Cylinder (4-ft tall)

POP Begin: 10-01-2026 POP End: 09-30-2027

D Cylinder (2-ft tall)

POP Begin: 10-01-2026 POP End: 09-30-2027

M6 Cylinder (1-ft tall)

POP Begin: 10-01-2026 POP End: 09-30-2027

Conserver Cannula

POP Begin: 10-01-2026 POP End: 09-30-2027

Liquid Oxygen Base Rental

POP Begin: 10-01-2026 POP End: 09-30-2027

Liquid Portable Unit Rental

POP Begin: 10-01-2026 POP End: 09-30-2027

Lox lbs.

POP Begin: 10-01-2026 POP End: 09-30-2027

Emergency RCP Visit-i.e. vent

POP Begin: 10-01-2026 POP End: 09-30-2027

50 PSI Compressor rental

POP Begin: 10-01-2026 POP End: 09-30-2027

Maint of VA Equipment - Quarterly

POP Begin: 10-01-2026 POP End: 09-30-2027

Unscheduled Pickup

POP Begin: 10-01-2026 POP End: 09-30-2027

Support for Cough-Assist

POP Begin: 10-01-2026 POP End: 09-30-2027

Monthly SVC VA- Ventilator

POP Begin: 10-01-2026 POP End: 09-30-2027

"Veteran" Relocate (Coverage/Shipping)

POP Begin: 10-01-2026 POP End: 09-30-2027

"Out of Area" Per Contract Coverage

POP Begin: 10-01-2026 POP End: 09-30-2027

Total: $

Option Year 2: 10/01/2027 – 09/30/2028

H/M Tank Setup Contract Period: Option 2 POP Begin: 10-01-2027 POP End: 09-30-2028

H/M Refills/Switchouts

POP Begin: 10-01-2027 POP End: 09-30-2028

Setups/Restarts

POP Begin: 10-01-2027 POP End: 09-30-2028

Portable System Rental

POP Begin: 10-01-2027 POP End: 09-30-2028

E Cylinder (4-ft tall)

POP Begin: 10-01-2027 POP End: 09-30-2028

D Cylinder (2-ft tall)

POP Begin: 10-01-2027 POP End: 09-30-2028

M6 Cylinder (1-ft tall)

POP Begin: 10-01-2027 POP End: 09-30-2028

Conserver Cannula

POP Begin: 10-01-2027 POP End: 09-30-2028

Liquid Oxygen Base Rental

POP Begin: 10-01-2027 POP End: 09-30-2028

Liquid Portable Unit Rental

POP Begin: 10-01-2027 POP End: 09-30-2028

Lox lbs.

POP Begin: 10-01-2027 POP End: 09-30-2028

Emergency RCP Visit-i.e. vent

POP Begin: 10-01-2027 POP End: 09-30-2028

50 PSI Compressor rental

POP Begin: 10-01-2027 POP End: 09-30-2028

Maint of VA Equipment - Quarterly

POP Begin: 10-01-2027 POP End: 09-30-2028

Unscheduled Pickup

POP Begin: 10-01-2027 POP End: 09-30-2028

Support for Cough-Assist

POP Begin: 10-01-2027 POP End: 09-30-2028

Monthly SVC VA- Ventilator

POP Begin: 10-01-2027 POP End: 09-30-2028

"Veteran" Relocate (Coverage/Shipping)

POP Begin: 10-01-2027 POP End: 09-30-2028

"Out of Area" Per Contract Coverage

POP Begin: 10-01-2027 POP End: 09-30-2028

Total: $

Option Year 3: 10/01/2028 – 09/30/2029

H/M Tank Setup Contract Period: Option 3 POP Begin: 10-01-2028 POP End: 09-30-2029

H/M Refills/Switchouts

POP Begin: 10-01-2028 POP End: 09-30-2029

Setups/Restarts

POP Begin: 10-01-2028 POP End: 09-30-2029

Portable System Rental

POP Begin: 10-01-2028 POP End: 09-30-2029

E Cylinder (4-ft tall)

POP Begin: 10-01-2028 POP End: 09-30-2029

D Cylinder (2-ft tall)

POP Begin: 10-01-2028 POP End: 09-30-2029

M6 Cylinder (1-ft tall)

POP Begin: 10-01-2028 POP End: 09-30-2029

Conserver Cannula

POP Begin: 10-01-2028 POP End: 09-30-2029

Liquid Oxygen Base Rental

POP Begin: 10-01-2028 POP End: 09-30-2029

Liquid Portable Unit Rental

POP Begin: 10-01-2028 POP End: 09-30-2029

Lox lbs.

POP Begin: 10-01-2028 POP End: 09-30-2029

Emergency RCP Visit-i.e. vent

POP Begin: 10-01-2028 POP End: 09-30-2029

50 PSI Compressor rental

POP Begin: 10-01-2028 POP End: 09-30-2029

Maint of VA Equipment - Quarterly

POP Begin: 10-01-2028 POP End: 09-30-2029

Unscheduled Pickup

POP Begin: 10-01-2028 POP End: 09-30-2029

Support for Cough-Assist

POP Begin: 10-01-2028 POP End: 09-30-2029

Monthly SVC VA- Ventilator

POP Begin: 10-01-2028 POP End: 09-30-2029

"Veteran" Relocate (Coverage/Shipping)

POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

Gainesville VAMC

"Out of Area" Per Contract Coverage

POP Begin: 10-01-2028 POP End: 09-30-2029

Total: $

Option Year 4: 10/01/2029 – 09/30/2030

H/M Tank Setup Contract Period: Option 4 POP Begin: 10-01-2029 POP End: 09-30-2030

H/M Refills/Switchouts

POP Begin: 10-01-2029 POP End: 09-30-2030

Setups/Restarts

POP Begin: 10-01-2029 POP End: 09-30-2030

Portable System Rental

POP Begin: 10-01-2029 POP End: 09-30-2030

E Cylinder (4-ft tall)

POP Begin: 10-01-2029 POP End: 09-30-2030

D Cylinder (2-ft tall)

POP Begin: 10-01-2029 POP End: 09-30-2030

M6 Cylinder (1-ft tall)

POP Begin: 10-01-2029 POP End: 09-30-2030

Conserver Cannula

POP Begin: 10-01-2029 POP End: 09-30-2030

Liquid Oxygen Base Rental

POP Begin: 10-01-2029 POP End: 09-30-2030

Liquid Portable Unit Rental

POP Begin: 10-01-2029 POP End: 09-30-2030

Lox lbs.

POP Begin: 10-01-2029 POP End: 09-30-2030

Emergency RCP Visit-i.e. vent

POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental

Gainesville VAMC

50 PSI Compressor rental

POP Begin: 10-01-2029 POP End: 09-30-2030

Maint of VA Equipment - Quarterly

POP Begin: 10-01-2029 POP End: 09-30-2030

Unscheduled Pickup

POP Begin: 10-01-2029 POP End: 09-30-2030

Support for Cough-Assist

POP Begin: 10-01-2029 POP End: 09-30-2030

Monthly SVC VA- Ventilator

POP Begin: 10-01-2029 POP End: 09-30-2030

"Veteran" Relocate (Coverage/Shipping)

POP Begin: 10-01-2029 POP End: 09-30-2030

"Out of Area" Per Contract Coverage

POP Begin: 10-01-2029 POP End: 09-30-2030

Total: $

Page 1 of

B.3 DELIVERY SCHEDULE

ITEM NUMBER

DELIVERY DATE

Addresses for each site listed in SOW, see 1.5.

Standard delivery time of within 30 business days after receipt of order.

B.4 STATEMENT OF WORK

1. Description Of Services: The Department of Veterans Affairs (VA) North Florida/South Georgia VA Healthcare System (NF/SGVAHS) located at 1601 S.W. Archer Road Gainesville, Florida has an IDIQ for Home Oxygen and Medical Equipment Management. The contractor shall provide patient education on equipment issued, safety, emergency preparedness, infection control. The Contractor shall provide supplies, materials, equipment, labor, supervision, equipment management, safety management, repairs, and preventative maintenance. This shall include but it not limited to; Set-ups, (Initial & Restarts), Switch-outs, Basic & Complex systems. Basic systems consist of equipment capable of providing supplemental oxygen up to 4 liters per minute (LPM) with appropriate interface. Complex system consists of all equipment required to provide supplemental oxygen 5 LPM or more with appropriate interface, to include cough assists, ventilators, and other complex systems. The Contractor shall have an office-warehouse location within 20 miles of the Gainesville VAMC for site visits by the PSAS COR, VA staff or JC.

The Contractor shall furnish, provide, install and maintain medical oxygen equipment, high pressure cylinder, 50 psi air compressors, POCs, concentrators (if VA owned concentrators, POCs not available) and/or liquid systems, portable systems, emergency back-up systems and all required supplies to eligible VA patients as required by the NF/SGVAHS. The Contractor shall maintain, service, install VA owned equipment; concentrators, POCs, self-fill units and cylinders, cough assists and ventilators and all required supplies to eligible VA patients as required by the NF/SGVAHS. All Government Furnished Property (GFP) will be labeled as VA Owned.

1.1. Background. Per VHA Directive 1173.13(1) Home Oxygen Program , the prescribing provider is responsible for completing the annual prescription for home oxygen for veteran patients. The consult includes the patient’s oxygen prescription, oxygen prescription expiration date, equipment, supplies and services to be provided including the date and place of delivery. All services shall be provided either at the veteran’s residence, or in a SNF where the veteran resides. All efforts in support of this requirement are carried out in accordance with Joint Commission standards. The use of the term’s “beneficiary”, “Veterans”, “Patients”, and “Patient” are used interchangeably and refer to the recipient of required services inclusive of incidental supplies and equipment.

1.2. Objectives. The Government intends to award a single award fixed price IDIQ Contract as a result of this solicitation. In accordance with the prescription received from the NFSG VAHCS, the contractor shall provide the beneficiary with home oxygen equipment and supplies. In addition, the contractor shall deliver, set up, and install all equipment and supplies at the veteran patient’s residence. This full-service contract includes establishing operational parameters of equipment for VA prescription, ensuring purity of O2, veteran training on system operations, review of safety checks, and discussion of home safety issues. The operational parameters shall also include scheduled maintenance visits, emergencies, equipment supply requirements, and removal of equipment upon discontinuation notification. The Contractor shall furnish, install, and maintain medical oxygen equipment, high-pressure cylinders, 50 psi air compressors, and/or liquid systems, portable systems, emergency back-up systems, portable oxygen concentrators (POCs), concentrators, ventilators, cough assist devices and all equipment supplies to eligible VA patients as required by the NF/SG VHA, if VA owned equipment is not available. The contractor shall install and maintain all VA owned equipment including providing all related supplies. All Government Furnished Property (GFP) will be labeled as VA Owned by the contractor.

The Contracting Officer Representative (COR) or designee (home oxygen clinical staff) will provide the Contractor with notification of individual patient equipment requirements via fax or encrypted email or other electronic means (telephonic for emergencies). The home oxygen clinics (Gainesville, Lake City, Jacksonville) will be notified by the contractor via fax or encrypted email to confirm receipt of order(s) immediately. The contractor shall contact the home oxygen clinic or COR for assistance in clarifying orders.

1.3. Scope. The contractor shall provide all personnel, equipment, tools, materials, supervision, other items and non-personnel services necessary to perform Home Oxygen Services for beneficiaries of the NF/SG VA Healthcare System (NF/SG VAHCS) catchment areas. The MONTHLY AVERAGE: 1800 is an estimated patient base for this home oxygen program. NOTE: Total patients serviced under this contract will vary month to month. Eligible VA patients as required by NF/SG are added and discharged and depending on ordered equipment requirements.

1.4. Period of Performance. The period of performance shall be for one (1) base period of 12-months and four (4) 12-month ordering periods. The period of performance reads as follows:

· Base Period

· Ordering Year One

· Ordering Year Two

· Ordering Year Three

· Ordering Year Four

1.5. Geographic Area of Coverage. The Contractor is responsible for deliveries and service to VA patients in the following Florida. and South Georgia counties

North Florida/South Georgia Veterans Healthcare System:

Malcom Randall VA Medical 1601 S.W. Archer Road Gainesville, FL 32608-1197

Lake City VA Medical Center 619 S. Marion Ave.

Lake City, FL 32025-5808

Jacksonville North 145 Heron Bay Rd.

Jacksonville, FL 32218-2670

Marianna CBOC 4970 Highway 90 Marianna, FL 32446

(Middleburg CBOC) Andrew K. Baker VA Clinic

400 College Drive, Suite 200 Middleburg, FL 32068

Ocala CBOC 4826 SW 49 Road Ocala, FL 3447

Ocala West 3307 SW 26th Ave.

Ocala, FL 3447

Palatka CBOC 400 North State Road 19 Suite 48 Palatka, FL 32177

Perry CBOC 1224 North Peacock Ave.

Perry, FL 32347

(St. Augustine CBOC) Leo C. Chase, Jr. VA Clinic 100 Deerfield Preserve Blvd.

St. Augustine, FL 32086

St. Mary’s CBOC 2603 Osborne Road Suite E St. Mary’s, GA 31558

(Tallahassee OPC) Sergeant Ernest I. "Boots" Thomas VA Clinic

2181 East Orange Ave.

Tallahassee, FL 32311

The Villages OPC 8900 SE 165th Mulberry Ln.

The Villages, FL 32162

University Boulevard CBOC Memorial Health Plaza 3901 University Blvd.

Jacksonville, FL 32216

Valdosta CBOC 348 Enterprise Drive, Suite B Valdosta, GA 31601

Waycross CBOC 515B City Boulevard Waycross, GA 31501

The following thirty-two (32) Florida counties are covered, Alachua, Baker, Bradford, Calhoun, Columbia, Citrus, Clay, Dixie, Duval, Flagler, Franklin, Gadsden, Gulf, Gilchrist, Hamilton, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Marion, Nassau, Putnam, St. John, Sumter, Suwannee, Taylor, Union, and Wakulla.

The following nineteen (19) Georgia counties are covered, Atkinson, Berrien, Brantley, Brooks, Camden, Charlton, Clinch, Colquitt, Cook, Decatur, Echols, Grady, Lanier, Lowndes, Miller, Mitchell, Pierce, Thomas, and Ware.

Further information for the locations may be accessed at website: http://www.northflorida.va.gov/NORTHFLORIDA/index.asp

1.6. Point of Contacts. The Contracting Officer authorizes the following individuals to place orders for the Home Oxygen Services by phone/fax/secured email:

a. Contracting Officer Representative (COR) Primary and Alternate

b. PSAS Staff Rep – Home Oxygen

c. Home Oxygen Clinical Coordinators – Lake City, Jacksonville, Tallahassee and Gainesville

d. Supervisory Outpatient RRT

e. Chief, Prosthetics and Sensory Aids Service (PSAS)

f. Assistant Chief, Prosthetics and Sensory Aids Service (PSAS)

Note: Names will be presented upon award.

1.7 Admissions to Home Oxygen Therapy Program.

Criteria for admission are stated in the VHA Directive 1173.13, Home O2-Clinical Indications-10-07-2021 recommendations, Home Oxygen Therapy. The Contractor will have no role and is relieved of any responsibility for the admission of patients to NF/SG VA Healthcare Systems Home Oxygen Therapy Program. The Home Oxygen Coordinators, the COR, Alt COR or designee will provide the Contractor with notification to initiate individual patient requirements via fax or encrypted electronic means (telephonic for emergencies) and will also provide the Contractor with notification of VA initiated discontinuance of home oxygen. The Home Oxygen Clinics Medical respiratory staff will notify the vendor that a delivery shall commence by fax, telephonically or by encrypted email. The vendor shall confirm receipt of order immediately and prior to delivery.

The Contractor shall inform the Contracting Officer Representative (COR) of deaths or inability to service or locate a veteran (i.e. due to change of address). The Contractor is still required to provide monthly and quarterly service, replenishment of cylinders and supplies even if it requires making a special or non- scheduled visit to the patient's home.

1.8 Estimated Quantities.

The quantities or dollar threshold listed in the Estimated Price Schedule, effective for the periods stated are estimates only and are not purchased by this contract. Except as this contract may otherwise provide if the VA's requirements do not result in orders in the quantities or dollar amount described. That fact shall not constitute the basis for an equitable price adjustment.

1.9 Contractor Qualifications.

The Contractor shall possess all licenses, permits, accreditations, and certificates as required by local, state and federal law. Sub-contractors must meet same requirements as Contractor and adhere to ALL the requirements of this contract. The Contractor shall meet the Home Care part of the Joint Commission (JC) standards. Therapy in the Home or Alternate Site Health Care Facility-2007 Revision & Update, Association for the Advancement of Medical Instruments (AAMI) the American Association of Respiratory Care (AARC) Clinical Practice Guideline and the American Society for Testing Materials (ASTM) minimum standards specification for electrically powered home care portable ventilators and cough assists. The Contractor shall meet or exceed these and The Joint Commission (JC) accreditation for healthcare standards. The Joint Commission standards can be accessed at www.jointcommission.org.

The Contractor shall have at least five (5) calendar years’ experience in successfully administering basic and complex home oxygen, aerosol therapy, cough assists and ventilator care to adult and geriatric patients and experience in providing Home Oxygen and Medical equipment and supplies for gas Oxygen (02), liquid 02, portable and stationary concentrators, assists and ventilators. The Contractor staff shall include Licensed Respiratory Therapists (RCP) required for complex setups, i.e. oxygen over 4 LPM, cough assists and ventilators.

1.91 Accreditation.

Contractor shall maintain this accreditation through the life of the contract and evidence of accreditation shall be submitted to the Contracting Officer (CO) and COR prior to contract award and at the time of option exercise. If the Contractor is resurveyed by an accrediting body during the contract term, the contractor shall notify the Contracting Officer of survey date, the outcome of the survey and provide copies of new certificates as issued.

1.92 Location.

The contractor shall have a physical location at award of the contract which houses the service office, warehouse, dispatch of vehicles and other functions related to the performance of the contract within the North Florida/South Georgia VA catchment areas. The Contractor’s office-warehouse location shall be within 20 miles of the Gainesville VAMC for site visits by the PSAS COR, VA staff or JC. The Contractor shall have telephone, facsimile, and encrypted e-mail communications capability.

The contractor shall designate a specific service representative to coordinate daily matters with COR. VA beneficiary account folders shall comply with the Privacy Act and health Insurance Portability and Accountability Act (HIPAA). All files are subject to review by designated Veterans Affairs Medical Center (VAMC) officials and accreditation surveyors on behalf of the VAMC during accreditation surveys or consultation.

1.93 Hours/Holidays.

The Contractor shall, at a minimum, provide home oxygen in performance of this contract through scheduled visits, Monday through Friday between the hours of 8:00am and 5:00 pm EST including Holidays. Exceptions shall include the case of emergencies.

The VA observes the eleven (11) Federal Holidays listed below:

New Year’s Day, Birthday of Martin Luther King, Jr., Washington’s Day, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day and Christmas Day.

1.10 Provision of Home Oxygen: The VA is to furnish the Contractor a roster of current patients fifteen (15) calendar days prior to the preceding of the contract. All deliveries (if there is a change of vendors) must be in place and operational within thirty (30) calendar days of the start of the contract. All initial deliveries must be done in a methodical sequence.

a. The Contractor shall replace all non-VA owned NF/SGVAHS equipment presently located in homes of patients as soon as possible after award from the date of contract award without causing a break in service and may not exceed 30 days without prior approval from the contracting officer.

b. Contractor is to provide a plan of installation to the Contracting Officer within five (5) calendar days after the start of the contract. Installations will be completed in a systematic and methodical manner, i.e. all patients in any two/three counties per week.

c. Setup of all patients in any given area must be completed before the beginning installation in another area. Upon completion of installation each patient is to begin using the equipment and cease using the incumbent’s equipment. After completion of the installation, the Contractor will immediately notify the NFSGVAHS who will, in turn, advise the incumbent Contractor to pick up their equipment.

d. This change shall include delivery, setup, instructions, all required supplies until next scheduled visit (30 -90 days) and shall be accomplished with the least disruption to the VAMC patient as possible.

e. Cost(s) will be prorated upon setup and discontinuance with equipment pickup no more than one billing cycle. Failure to perform the switch-outs as specified will result in a forfeit of payment for every day thereafter until switch-out is complete.

f. Upon delivery of oxygen refills, the contractor shall inspect the patient’s existing equipment and supplies, and clean, sterilize or replace same whenever necessary or required the awardee’s contract.

g. Supplies: The number of supplies provided shall be sufficient until next scheduled visit. The cost for supplies will be at no additional charge and shall be included in the initial setup, monthly or quarterly visit fee.

Note: Oxygen tubing shall be green to decrease the risk of falls and not exceed 30 feet. Per VHA Directive1173.13 and must meet the requirements for thermal fuses per the National Patient Safety Alert in 2018.

1.11 General Supply Schedule

a. Daily: Heat and Moisture exchangers used with artificial airways (31/month)

b. Weekly: Aerosol system accessories (e.g. trach mask, tubing, large volume nebulizer) EZWrap (or equivalent); Nasal Cannulas, Oxygen masks (e.g. Oxymask)

c. Monthly Humidifier bottles; Water traps; cough and ventilator circuits with connectors (plus additional one spare in reserve)

d. Replace when required: Thermal Fuses Bidirectional (intended life is 4 years) and to be replaced if actuated or involved in a fire.; Oxygen tubing connection swivel adapters.

1.12 Equipment Specification. The Contractor shall furnish cylinders called for under this contract that are only in accordance with the Interstate Commerce Commission Regulations and transport cylinders in accordance with Code of Federal Regulations (CFR) Part 49, U.S. Department of Transportation, including FDA.

When more than Two (2) portable cylinders are in the home a rack/container to secure the cylinders will be provided at no additional charge to the Government. A carry-bag, shoulder or backpack will be provided based on the patient’s physical condition and ability to carry the portable liquid or M6/B tank system with regulator/OCD at no additional charge.

The contractor shall provide the following items to veterans as prescribed by the VA physician. The contactor agrees to a short-term rental or loaner of exact match equipment for the NF/SGVAHS veterans/patients home oxygen needs while VA owned equipment is being repaired or replaced.

Note: VA Owned Equipment will be used except when not available or feasible.

a. Monthly Rental Concentrators - electrical device that employs sieves and physical separation to deliver 90% or higher concentration of oxygen at flow rates up to 5 LPM.

All related disposables are included. Backup H/K tank is included with monthly rental of Concentrator. Healthcare Common Procedure Coding (HCPC) code: E1390

b. Rental of Portable Oxygen Concentrator (for travel) - Battery operated concentrator to deliver 90% or higher concentration of oxygen at continuous flow rate of 3LPM and pulse dose flow rate up to 6LPM. HCPC code: E1392

c. Fire Safe Valves: Thermal fuse designed to stop the flow of oxygen if the downstream tubing is ignited. Included with supplies at no additional charge

d. Monthly Rental of: Liquid oxygen system - consists of large reservoir.

e. Monthly Rental of Lox portable unit that is filled from the reservoir. HCPC Code: E0439

f. Liquid Oxygen: Refills per pound (#) HCPC Code: E0444

g. Monthly Rental of: H/K Tank only (Equal to 282 cubic ft.) with Stand, appropriate regulator and all related disposables are included. HCPC Code: E0443

h. E-Cylinder System with standard regulator, flowmeter, handcart, and all disposable supplies. HCPC code: E0443

i. Monthly Rental of Portable Oxygen Cylinder with cart, carry bag, continuous flow or Pneumatic Demand/Conserving Regulators.

j. Cylinder Racks and all related disposables are included.

k. Refills of H/M Tanks HCPC Code: E0443

l. Refills of "B" (M6) Cylinders: HCPC Code: E0443

m. Refills of "C" Cylinders: HCPC Code: E0443

n. Refills of "D" Cylinders: HCPC Code: E0443

o. Refills of "E" Cylinders: HCPC Code: E0443

p. Monthly rental of Compressor Air Power Source (High Speed): HCPC Code E0565

2.0 Cylinders. The Contractor shall furnish cylinders required under this contract that are in accordance with the Interstate Commerce Commission Regulations, and transport cylinders in accordance with Code of Federal Regulations (CFR) Part 49, U.S. Department of Transportation. ‘H’ or “M” cylinders furnished by the Contractor shall have ‘H’ or “M” safety stand(s) at no additional charge to the Government. This stand shall remain Contractor-owned.

2.1.1 Oxygen Cylinders provided shall be United States Pharmacopoeia (U.S.P.) oxygen. Cylinder safety racks shall be provided at no charge for all veterans with a prescription of compressed tanks (cylinders).

2.1.2 The Contractor shall provide and maintain the following oxygen equipment to the VA Medical Center Pulmonary Departments Home Oxygen Clinics Gainesville VAMC, Lake City VAMC, Jacksonville OPC, Tallahassee OPC as indicated.

a. A Liquid Oxygen Reservoir with 2 portable units – one Helios and 1 Marathon or equivalent twelve

b. (12) E tanks with cart, (3) conserving/demand flow regulators

c. (12) B/M6 with at least 2 carry bags (one shoulder, one backpack).

d. Replacement cylinders, regulators, lox portable and lox fills shall be approved prior to delivery by the COR via encrypted email.

e. Separate itemized invoices with supporting documentation “signed proof of delivery” for each location shall be submitted no later than the tenth of the month.

2.1 Ventilators: Ventilators are seen monthly.

The Contractor shall follow JC Homecare standards and AARC Clinical Practice Guidelines for Home Ventilators. Equipment and disposables shall be provided to patients receiving home ventilator. The Contractor’s RCP will assist in getting the ventilator patient settled in their home at time of discharge. Follow up weekly visits minimally for the first month may be required to ensure a smooth transition from hospital to home (at no additional charge) then monthly thereafter.