36C24826Q0385.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C248-26-AP-2565

36C24826Q0385 04-15-2026

Fernando G. Defillo 813-785-0881 05-01-2026

3:00PM EDT

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

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

X 100

X

621511

$41.5 Million

N/A

Department of Veterans Affairs San Juan VA Medical Center

10 Casia Street San Juan PR 00921

36C248

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

8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center

P.O. Box 149971 Austin TX 78714-9971

(877) 353-9791 (512) 460-5429

See CONTINUATION Page

The Contractor shall provide On-site Phlebotomy Services in support of the VA Caribbean Healthcare System, located at 10 Casia Street, San Juan, PR 00921.

Indefinite Delivery Indefinite Quantity (IDIQ) is for one

(1) base year with Four (4) - one (1) year options.

Reference pages 6 - 9 for Schedule of Services.

Reference pages 10 - 37 for Performance Work Statement.

All questions concerning this Request for Quote (RFQ) and related documents shall be submitted via email to Contracting Officer at Fernando.defillo@va.gov no later than 3:00PM (EST) on Wednesday, April 23, 2026.

See CONTINUATION Page

X 1

Fernando G. Defillo

36C24826Q0385

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 SCHEDULE

B.3 PERFORMANCE WORK STATEMENT for PHLEBOTOMY SERVICES

1. GENERAL:

SECTION C - CONTRACT CLAUSES

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

AND COMMERCIAL SERVICES (DEVIATION OCT 2025)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...53

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)

(DEVIATION)

C.10 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

C.11 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.12 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.13 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ..66

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (DEVIATION OCT 2025)

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

SERVICES (DEVIATION OCT 2025)

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

E.4 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

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

E.6 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS

AND CERTIFICATIONS (NOV 2025) (DEVIATION)

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

1998)

E.8 52.252-5 AUTHORIZED DEVIATIONS IN PROVISIONS (NOV 2020)

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:

Name:

Address:

Phone:

Email:

SAM UEI:

b. GOVERNMENT:

Contracting Officer: Fernando Gabe Defillo

Department of Veterans Affairs

Network Contracting Office 8 (NCO 8)

Email: Fernando.defillo@va.gov

Phone: (813) 796-3917

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

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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Monthly [X]

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.

mailto:Fernando.defillo@va.gov

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

AMENDMENT NO DATE

6. CONFORMITY TO REGULATIONS: The contractor and his/her operations shall conform to all regulations, Federal, State and Local governing the performance of contracted services.

7. CAUTION: Late submissions, modification, and withdrawals: See Provisions FAR 52.212-1.

8. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by Federal Acquisition Regulation (FAR) Overhaul 42.302, FAR Companion (FC) 42.3, and any local policy established by the Head of Contracting Activity (HCA).

B.2 PRICE SCHEDULE

The contractor shall provide phlebotomists to perform phlebotomy services on site to cover scheduled shortages of staff in accordance with the specifications contained herein to veterans of eight (8) clinics including San Juan VA Caribbean Healthcare System (VACHS), Pathology & Laboratory Medicine Services (P&LMS), the Community Based Outpatient Clinics (CBOC) and Rural clinics by collecting blood specimens and body fluids for laboratory clinical analysis for patients being treated at VACHS locations.

Contract Type: Indefinite Delivery Indefinite Quantity (IDIQ)

Period of Performance: The anticipated contract period of performance is one (1) base year and four (4), one (1) year option periods to be exercised at the sole discretion of the Government based on the continual need for services.

Minimum and Maximum Quantity: The guaranteed minimum amount to be ordered for this procurement is $2,500.00 – total – inclusive of the base period and all option periods. The contract maximum is $3,000,000.00 total – inclusive of the base period and all options. If the maximum aggregate amount of $3,000,000.00 is reached prior to the end date of the final period of performance, no further task order will be issued on the contract.

Task Order Procedures: A task order will be issued at the start of the performance period and orders will be placed by NCO 8 Contracting Officers. The Task Order will contain date of order, order number, line-item number, description, quantity, unit price, performance schedule, accounting and appropriation data and method of payment.

Estimated Quantities: The quantities or dollar threshold listed in the Price Schedule effective for the periods stated are estimated only and are not purchased by the resultant contract. Except as this contract otherwise provides if the VA’s requirement does not result in orders in the quantities or dollar amount described that fact shall not constitute the basis for an equitable price adjustment.

Pricing: Price schedule for Line-Item Number (LIN) for the base year and each option year includes the following: estimated quantity, unit, proposed unit price, proposed total annual price for each LIN and Sub-Lin, and the estimated grand total.

Pricing Instructions: The offeror is instructed to edit the Unit Cost and Total Annual Cost correspond with the cost for the line-item number (LIN). The contractor shall propose required key personnel (Full-Time Equivalent) to be credentialed and be available for scheduling to meet the requirements of the contract. The contractor is instructed to provide a list of Key Personnel on the table in section 6 of the Performance Work Statement (PWS).

Period of Performance: BASE: 07-01-2026 to 06-30-2027

LIN No. SUB-

LIN

Description Estimated

Quantity Unit Unit Price

Estimated Total

Annual Price

0001 None Provide Phlebotomist Services 5 FTE 10,400 Hour DO NOT

PRICE

DO NOT

PRICE

Key Personnel

NONE 0001AA

Phlebotomist (Regular Time including Holidays)

8,320 Hour

NONE 0001AB Phlebotomist (Weekend Pay) 2,080 Hour

CLIN 0001 TOTAL FOR BASE TERM $

Period of Performance: Option Year I: 07-01-2027 to 06-30-2028

No. SUB-

Description

Estimated

Price

Estimated Total Annual Price

1001 None Provide Phlebotomist Services 8 FTE

16,640 Hour DO NOT

PRICE

DO NOT

PRICE

Key Personnel

NONE 1001AA

Phlebotomist (Regular Time including Holidays)

13,312 Hour

NONE 1001AB Phlebotomist (Weekend Pay)

3,328 Hour

CLIN 1001 TOTAL FOR OPTION YEAR I $

Period of Performance: Option Year II: 07-01-2028 to 06-30-2029

Price

Estimated Total

Annual Price

2001 None Provide Phlebotomist Services 8 FTE 16,640 Hour DO NOT

PRICE

DO NOT

PRICE

Key Personnel

NONE 2001AA

Phlebotomist (Regular Time including Holidays))

13,312 Hour

NONE 2001AB Phlebotomist (Weekend Pay) 3,328 Hour

CLIN 2001 TOTAL FOR OPTION YEAR II $

Period of Performance: Option Year III: 07-01-2029 to 06-30-2030

Price

Estimated Total

Annual Price

3001 None Provide Phlebotomist Services 8 FTE 16,640 Hour DO NOT

PRICE

DO NOT

PRICE

Key Personnel

NONE 3001AA

Phlebotomist (Regular Time including Holidays))

13,312 Hour

NONE 3001AB Phlebotomist

CLIN 3001 TOTAL FOR OPTION YEAR III $

Period of Performance: Option Year IV: 07-01-2030 to 06-30-2031

Price

Estimated Total

Annual Price

4001 None Provide Phlebotomist Services 8 FTE 16,640 Hour DO NOT

PRICE

DO NOT

PRICE

Key Personnel

NONE 4001AA

Phlebotomist (Regular Time including Holidays)

13,312 Hour

NONE 4001AB Phlebotomist

CLIN 4001 TOTAL FOR OPTION YEAR IV $

TOTAL FOR BASE AND ALL OPTION PERIODS: ________________________

B.3 PERFORMANCE WORK STATEMENT for PHLEBOTOMY SERVICES

1. GENERAL:

1.1 Services Provided: The contractor shall provide phlebotomists to perform phlebotomy services on site to cover scheduled shortages of staff in accordance with the specifications contained herein to veterans of eight (8) clinics including VACHS, Pathology & Laboratory Medicine Services (P&LMS), the Community Based Outpatient Clinics (CBOC) and Rural clinics by collecting blood specimens and body fluids for laboratory clinical analysis for patients being treated at VACHS locations. The number of phlebotomists needed on one day shall be a minimum of five (5) and maximum of 8 (eight). The contractor shall supply all management, supervision, and labor necessary to provide personnel for phlebotomy services. The contract personnel will have access to and the use of all required patient care equipment, supplies, and computer access (CPRS, VISTA, ETC.) for performing services required by this contract. The phlebotomists shall be highly reliable in providing services and support that meet or exceed customer requirements and expectations. Contractor phlebotomists shall have direct work experience working in a healthcare setting.

Contractors shall be working with:

• Outpatient setting

• Geriatric patient population

• Various behavioral groups who may be disoriented, disabled, or reduced physical function.

• Clinically complex group of chronic/mentally ill patients.

Phlebotomist(s) shall be present at a VA facility and shall be performing the required services for payment. The Contractor shall be paid for actual performance, not for standing by or being on-call. Payment for any leave, including sick leave or vacation time, and holiday pay is the responsibility of the Contractor. The VA reserves the right to refuse to accept any phlebotomist(s) who do not meet the requirements set forth, who fails to perform in accordance with the task order requirements, or who fails to adapt to the VACHS work environment.

1.2 Place of Performance: Contractor shall have the ability to provide personnel to furnish services at the following seven (7) outpatient clinics and one (1) medical center:

• San Juan VACHS:10 Calle Casia, San Juan, P.R 00926.

• Ponce OPC: #1802 Calle Navarra Ponce, P.R. 00716-2001.

• Mayaguez OPC: Maya State Road PR 2 K.M.149.9 AVE. Algarrobo #175 Mayaguez P.R. 00681-1507.

• Arecibo VA Clinic: Hato Abajo, PR 2 INT. 660-K.M 78 Arecibo, P.R.00616.

• Ceiba VA Clinic:312 AVE. Lauro Piñeiro Ceiba, PR 00735.

• Comerio VA Clinic: Jose de Diego Street, Suite 15 Comerio P.R. 00782

• Guayama VA Clinic: FISA Building, 1st Floor, Paseo de Pueblo K.M. 0.3 Lote 6 Guayama, P.R. 00784.

• Utuado Clinic: 11 1 Calle Isaac Gonzalez Martinez Esq. Ledesma Utuado, P.R. 00641.

1.3 Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, VA Directive 1663, and FAR Overhaul Part 12 – Acquisition of Commercial Products and Commercial Services.

1.4 Policy/Handbooks: The contractor shall be subject to the following policies, including any subsequent updates during the period of performance:

1.4.1 VA Directive 1663: Health Care Resources Contracting – Buying dvagov.sharepoint.com/sites/VHAProcurement/PLOMSO(OLD)/CRC/MS O Publications/Forms/AllItems.aspx?id=%2Fsites%2FVHAProcurement%2 FPLOMSO%28OLD%29%2FCRC%2FMSO Publications%2FVA Directive 1663%2FDirective_1663_051018_certified%2Epdf&parent=%2Fsites%2 FVHAProcurement%2FPLOMSO%28OLD%29%2FCRC%2FMSO Publications%2FVA Directive 1663

1.4.2 VHA Directive 2006-041 “Veterans’ Health Care Service Standards” (expired but still in effect pending revision) dvagov.sharepoint.com/sites/VHAKAN/SiteDirectory/GEC/Transition/Poli cy and Procedures/Forms/AllItems.aspx?id=%2Fsites%2FVHAKAN%2FSiteDire ctory%2FGEC%2FTransition%2FPolicy and Procedures%2FVeterans Health Care Service Standards%2Epdf&parent=%2Fsites%2FVHAKAN%2FSiteDirectory%2F GEC%2FTransition%2FPolicy and Procedures

1.4.3 VHA Handbook 1907.01 Health Information Management and Health Records dvagov.sharepoint.com/sites/vhahealth-information-management/HIM Handbook and Guides/Forms/AllItems.aspx?id=%2Fsites%2Fvhahealth-information-management%2FHIM Handbook and Guides%2FVHA Directive 1907%2E01 VHA Health Information Management and Health Records_April 5%2C 2021%2Epdf&parent=%2Fsites%2Fvhahealth-information-management%2FHIM Handbook and Guides

1.4.4 Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/pa ge2.htm

1.4.5 VHA Directive 1003, VHA Veteran Patient Experience

https://www.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID= https://dvagov.sharepoint.com/sites/VHAProcurement/PLOMSO(OLD)/CRC/MSO%20Publications/Forms/AllItems.aspx?id=%2Fsites%2FVHAProcurement%2FPLOMSO%28OLD%29%2FCRC%2FMSO%20Publications%2FVA%20Directive%201663%2FDirective%5F1663%5F051018%5Fcertified%2Epdf&parent=%2Fsites%2FVHAProcurement%2FPLOMSO%28OLD%29%2FCRC%2FMSO%20Publications%2FVA%20Directive%201663 https://dvagov.sharepoint.com/sites/VHAProcurement/PLOMSO(OLD)/CRC/MSO%20Publications/Forms/AllItems.aspx?id=%2Fsites%2FVHAProcurement%2FPLOMSO%28OLD%29%2FCRC%2FMSO%20Publications%2FVA%20Directive%201663%2FDirective%5F1663%5F051018%5Fcertified%2Epdf&parent=%2Fsites%2FVHAProcurement%2FPLOMSO%28OLD%29%2FCRC%2FMSO%20Publications%2FVA%20Directive%201663 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https://www.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=8789 https://www.va.gov/VHAPUBLICATIONS/ViewPublication.asp?pub_ID=8789

1.4.6 VHA Directive 1192, Seasonal Influenza Prevention Program https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep2017.

pdf

1.4.7 VHA Directive 1220: Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in any Clinical Setting https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.4.8 VHA Directive 1230(3) Outpatient Scheduling Processes and Procedures dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access Consult Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fco s%2Fclimet%2FAccess Consult Directives%2FVHA Directive 1230%285%29 D Outpatient Scheduling Processes and Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fc limet%2FAccess Consult Directives

1.4.9 VA Handbook 6500.6 “Contract Security”

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=471&FType=2

1.4.10 VA Handbook 5011/34: Hours of Duty and Leave

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=1102&FType=2

1.4.11 The professional standards of the Joint Commission (TJC) http://www.jointcommission.org/standards_information/hap_requirements .aspx

1.4.12 VA Handbook 0730, “Security and Law Enforcement

https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=757&FType=2

1.5 Definitions/Acronyms: Terms used in this task order shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict, the language in this section shall govern.

1.5.1 BLS: Basic Life Support

1.5.2 BAA: Business Associate Agreement

1.5.3 CDC: Centers for Disease Control and Prevention

1.5.4 CDR: Contract Discrepancy Report

1.5.5 Contracting Officer (CO): The person executing this task order on behalf of the Government with the authority to enter into and administer task orders and make related determinations and findings.

1.5.6 C.F.R.: Code of Federal Regulations – is the official annual codification of general and permanent rules published in the Federal Register by U.S. federal agencies

1.5.7 Contracting Officer’s Representative (COR): A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the task order and to protect the interest of the Government. The COR will report to the CO promptly any indication of non-compliance in order that appropriate action be taken.

1.5.8 COS: Chief of Staff

1.5.9 CPARS: Contractor Performance Assessment Reporting System

1.5.10 CPRS: Computerized Patient Recordkeeping System – electronic health record system used by the VA.

1.5.11 Credentialing: Credentialing is the systematic process of screening and evaluating qualifications and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.12 DEA: Drug Enforcement Agency

https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep2017.pdf https://www.publichealth.va.gov/docs/flu/VHA_Directive_1192_Sep2017.pdf https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://dvagov.sharepoint.com/sites/VHAMIW/div/cos/climet/Access%20%20Consult%20Directives/Forms/AllItems.aspx?id=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives%2FVHA%20Directive%201230%285%29%20D%20Outpatient%20Scheduling%20Processes%20and%20Procedures%2Epdf&parent=%2Fsites%2FVHAMIW%2Fdiv%2Fcos%2Fclimet%2FAccess%20%20Consult%20Directives https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=471&FType=2 https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=1102&FType=2 http://www.jointcommission.org/standards_information/hap_requirements.aspx http://www.jointcommission.org/standards_information/hap_requirements.aspx https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=757&FType=2

1.5.13 FAR: Federal Acquisition Regulation

1.5.14 FAPIIS: Federal Performance Awardee and Integrity Information System

1.5.15 FOIA: Freedom of Information Act

1.5.16 FSC: Financial Services Center located in Austin, Texas

1.5.17 Full Time Equivalent (FTE): VA’s definition for full time working the equivalent of 80 hours every two (2) weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.5.18 GAO: Government Accountability Office

1.5.19 HHS: Department of Health and Human Services

1.5.20 HICPAC: Healthcare Infection Control Practices Advisory Committee

1.5.21 HIPAA: Health Insurance Portability and Accountability Act

1.5.22 ICC: Infection Control Committee

1.5.23 ID: Identity document

1.5.24 ISO: Information Security Officer

1.5.25 Key Personnel: The individual specified in this contract who are essential to work performance.

1.5.26 Medical Emergency: a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient’s health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.5.27 MTS: Med Training Program

1.5.28 NIST: National Institute of Standards and Technology

1.5.29 Non-Contract Provider: Any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors.

1.5.30 OIG: Office of Inspector General

1.5.31 OPA: Office of Pathology and Laboratory Medicine Service

1.5.32 OSHA: Occupational Safety and Health Administration

1.5.33 PASS: Pill the pin, Aim at the base of the fire, Squeeze the handle, and

Sweep side-to-side. It’s a four-step method to operate a fire extinguisher during an emergency.

1.5.34 PIV: Personal Identity Verification

1.5.35 POP: Period of Performance

1.5.36 PPD: Purified Protein Derivative

1.5.37 PPIRS: Past Performance Information Retrieval System

1.5.38 PWS: Performance Work Statement

1.5.39 QA/QI: Quality Assurance/Quality Improvement

1.5.40 QASP: Quality Assurance Surveillance Plan

1.5.41 RACE: Rescue, Alarm, Contain/Confine, and Extinguish/Evacuate – representing the standard emergency procedure for responding to a fire

1.5.42 RFQ: Request for Quote

1.5.43 STAT: signifies that a test, medication, or action must be performed immediately or as a one-off. It indicates the highest level of urgency in a clinical setting.

1.5.44 TDAP: Tetanus, Diphtheria, and Acellular Pertussis Vaccine

1.5.45 TJC: The Joint Commission

1.5.46 TMS: Talent Management System

1.5.47 U.S.C: United States Code

1.5.48 VA: Department of Veteran Affairs

1.5.49 VAMC: Veterans Affairs Medical Center

1.5.50 VAAR: Veterans Affairs Acquisition Regulation

1.5.51 Veterans Health Administration (VHA): The central office for administration of the VA medical centers throughout the United States.

The VHA is located in Washington D.C.

1.5.52 VETPRO: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care providers. This system facilitates completion of a uniform, accurate, and complete credentials file.

1.5.53 Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers in Florida and Puerto Rico.

1.5.54 VISTA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical records and with the hospital information system.

1.5.55 VA Caribbean Healthcare System (VACHS): Unless identified with the name of a different VA medical Center, for purposes of this task order, this term shall mean the San Juan VA Medical Center.

2. QUALIFICATIONS:

Staff are required to complete VETPRO process for credentials verification.

2.1 Staff/Facility:

2.1.1 License: Phlebotomist(s) assigned by the Contractor to perform the services covered by this task order shall have six (6) months of specialized experience performing phlebotomy procedures.

2.1.2 Technical Proficiency: Phlebotomist(s) shall be fully trained and completely competent to perform the required work. All contract phlebotomist(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read, and write English fluently, in addition, read and write in Spanish fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care and/or services performed. Contractor shall provide verifiable evidence of all educational and training. In addition, the phlebotomist(s) shall have the following skills:

• Familiar in dealing with patient population, including elderly and difficult patients.

• Shall have tact and personality conducive to interacting with ill, disoriented, sometimes difficult outpatient population.

• Documentation and ordering of test orders shall be done electronically on the Veterans Health Information Systems and

Technology Architecture (VistA) computer system and CPRS.

As a part of the orientation process, phlebotomist(s) shall be required to request and obtain an access code to the VistA and Computerizes Patient Recordkeeping System (CPRS) computer system. At that time, phlebotomist(s) shall have access to training.

2.1.3 Training (BLS, CPRS and VA Mandatory): Phlebotomist(s) shall meet all VA requirements and mandatory course requirements defined herein; all training must be completed by the phlebotomist(s) as required by the VA to include New Employee Orientation, Privacy and HIPAA Focused Training, and VA Privacy and Information Security Awareness and Rules of Behavior.

Frequency of Training:

Training Frequency (once a year, etc.)

Annual Hours

VA Privacy and Information Security Awareness and Rules of Behavior

Annual

1 hour

VA Privacy and HIPAA Focused Training

1 Hour

New Employee Orientation

For New Employees To be determined

Any additional training as deemed required

To be determined

2.1.4 Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for all phlebotomist(s) within five (5) calendar days after task order award and prior to the first duty shift to the COR. Tests shall be current within the past year.

2.1.4.1 Tuberculosis Testing: Contractor shall provide proof of a negative reaction to PPD testing for all phlebotomist(s). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

2.1.4.2 Rubella Testing: Contractor shall provide proof of immunization for all phlebotomist(s) for measles, mumps, rubella, or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow- up documentation to the COR.

2.1.4.3 OSHA REGULATION CONCERNING OCCUPATIONAL

EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide generic self-study training for all phlebotomist(s); provide their own Hepatitis B vaccination series at no cost to the VA if they elect to receive it; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident. The VACHS will notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 Infection Control in Healthcare Personnel:

Epidemiology and Control of Selected Infections | Infection Control | CDC for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.4.4 Varicella: Contractors shall provide proof of immunity for all Contractor Phlebotomist {This is applicable to all health care workers}.

2.1.4.5 Acellular Pertussis: Contractors shall provide proof of 1 dose of

TDAP vaccination for all Contractor Phlebotomist {This is applicable to all health care workers}.

2.1.4.6 Influenza: Contractors shall provide proof that all Contractor Phlebotomist have received the annual Influenza vaccine unless it is contraindicated. If the Contractor Phlebotomist has a medical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.4.7 The VACHS will notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 Infection Control in Healthcare Personnel: Epidemiology and Control of Selected Infections | Infection Control | CDC for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.4.8 The Contractor shall provide the COR with certification that phlebotomist(s) have completed the medical evaluation required above, minimum of five (5) calendar days prior to performance of contract services. This certification shall state the date the examination was completed, the doctor’s name who performed the examination, a statement concerning the physical health of the individual and the following statement: [Name of https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html https://www.cdc.gov/infection-control/hcp/healthcare-personnel-epidemiology-control/index.html phlebotomist], is suffering from NO contagious diseases to include but not limited to: Tuberculosis, Hepatitis and Venereal Disease.

2.1.4.9 The Government may take nose and throat cultures from phlebotomist(s) when required by Government Infection Control Committees (ICC).

2.1.4.10 When a phlebotomist(s) has been found medically unfit for providing services required under this contract, they shall be required to discontinue working immediately. Phlebotomist(s) shall not return to work until given clearance by the appropriate physician.

2.1.4.11 The Contractor shall provide the COR with all the information necessary to ensure that Government records are maintained correctly and in compliance with the Joint Commission (TJC), OSHA and the Center for Disease Control (CDC) health records requirements, for each individual phlebotomist(s).

2.1.5 DEA (as required) - Contractor shall provide copy of current Drug Enforcement Administration (DEA) certificate.

2.1.6 Conflict of Interest: The Contractor and all phlebotomist(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of task order performance. At the time of quote, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or current planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions shall avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.7 Citizenship related Requirements:

2.1.7.1 The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.7.2 While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract, or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.7.3 If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this task order for breach.

2.1.4.12 Interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who work until given clearance by the appropriate physician.

2.1.4.13 The Contractor shall provide the COR with all the information necessary to ensure that Government records are maintained correctly and in compliance with the Joint Commission (TJC), OSHA and the Center for Disease Control (CDC) health records requirements, for each individual phlebotomist(s).

3. NON-PERSONAL HEATHCARE SERVICES:

The parties agree that the Contractor and all phlebotomist(s) shall not be considered VA employees for any purpose.

4. INHERENT GOVERNMENT FUNCTIONS:

Contractor and phlebotomist(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

4.1 No Employee Status: The Contractor shall be responsible for protecting phlebotomist(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant task order:

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

5. TORT LIABILITY:

The Federal Tort Claims Act does not cover Contractor or phlebotomist(s). When a Contractor or phlebotomist(s) has been identified as a service provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or phlebotomist(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

6. KEY PERSONNEL:

6.1 The VA Full Time Equivalency (FTE) for the base year services required is 20,800 hours = 10.0 VA FTE. FTE is defined by VA as a minimum of 80 hours every two (2) weeks and includes holidays.

6.2 VA Hours of Operation/Scheduling: The number of Phlebotomists required to be on site on a daily basis is a minimum of five (5) and maximum of eight (8) as defined in paragraph Hours of Operation in this section.

Projected Key Personnel: (you can add as an addendum)

NAME FTE/Hours

7. EMERGENCY SUBSTITUTIONS:

During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the CO and COR, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO and COR at least 15 calendar days prior to making any permanent substitutions.

7.1 The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO and COR. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The task order will be modified to reflect any approved changes of key personnel.

7.2 For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two (2) weeks will require the procedure as stated above.

7.3 The Government reserves the right to refuse acceptance of any Phlebotomist(s) at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction, or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA Chief of Staff or designee show documented clinical problems or continual unprofessional behavior/actions with any phlebotomist(s), s/he may request, without cause, immediate replacement of said phlebotomist(s).

7.4 The CO and COR will deal with issues raised concerning phlebotomist(s) conduct. The final arbiter on questions of acceptability is the CO.

7.5 For non-emergency substitutions of personnel see VAAR 852.237-75 KEY

PERSONNEL

8. CONTINGENCY PLAN:

Because continuity of care is an essential part of VACHS medical…