36C24922Q0251_1.docx

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

N/A 36C24922Q0251 06-14-2022 Olonzo Haynes 615-225-6959 07-14-2022 10:00

CDT

Department of Veterans Affairs Network Contracting Office 9 (90C) ATTN: Olonzo Haynes 1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 X X Y 621492 $41.5 Million N/A X Department of Veterans Affairs Robley Rex VAMC Medicine Services: Tiffany M. Young 800 Zorn Ave Louisville KY 40206-1433 90C Network Contracting Office (NCO) 9 Department of Veterans Affairs 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129

90C FSC e-Invoicing Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically

Setup 1-877-489-6135 See CONTINUATION Page The Robley Rex VA Medical Center has a requirement for Acute Hemodialysis Services in accordance with the Performance Work Statement (PWS), as provided herein. This requirement is being procured under the authority of Federal Acquisition Regulation (FAR) Part 13.106-2(b)(3). A best value detmaina-tion shall be made based on the Quoter's price and other factors. (See E.1 52.212-1 & E.6 52.212-2). This RFQ is 100% Small Business set-aside.

This RFQ will result in a Five (5) year Blanket Purchase Agreement (BPA), consisting of Five(5) One(1) Year Ordering Periods. Period of Performance: 10/1/2022 through 9/30/2027.

Wage Determination No. 2015-4717 Rev. 18 Dated 12-27-2021 is applicable to the first ordering period.

Any Contractors claiming SDVOSB/VOSB must have a current VETS 4212 report on file with the Department of Labor, registered in SAM, and must be SVE verified in VetBiz when quote is received, and at time of award.

See CONTINUATION Page X X X Dewana M. Raynor Contracting Officer

Table of Contents

Acute Hemodialysis Services

A.2 INTRODUCTION

In the spirit of the Federal Acquisition Streamlining Act, the Department of Veterans Affairs (DVA) and _______________________________ hereby enter into a cooperative agreement, otherwise referred to as a Blanket Purchase Agreement (BPA), to further reduce the administrative costs of acquiring supplies/services.

The agreement details all Services with accompanying prices and descriptions, which may be ordered under this BPA.

All orders placed against this BPA are subject to the terms and conditions of all the clauses and provisions in full text or incorporated by reference in this document.

A.3 TERMS AND CONDITIONS

The Contractor agrees to the following terms of a Blanket Purchase Agreement (BPA) EXCLUSIVELY WITH the Department of Veterans Affairs:

A.4 ADMINISTRATIVE DATA

A Blanket Purchase Agreement (BPA) is hereby established between ____________________ and the Department of Veterans Affairs under the following terms and conditions incorporated in this BPA:

Contractor’s

UEI NUMBER:

Primary Point of Contact:

Email Address/Phone Number:

Administrative Cognizant Office:

Department of Veterans Affairs Network Contracting Office 9 (90C) ATTN: Olonzo Haynes 1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129

A.5 PRICING

Contract Services as listed below, with associated pricing, can be ordered under this BPA. The Contractor shall be allowed to vary within the categories for successful and efficient task completion not to exceed funded values of each order awarded under this agreement. As proposed, the Contractor will apply applicable extended/tier pricing to all categories used in the performance of orders issued under this Agreement. Orders may be awarded on a basis only. All Calls/Orders placed against this BPA are subject to the terms and conditions of the referenced BPA, the Contractor's proposal and this Agreement, except where noted below. Contractor's proposal dated ___________________________ is hereby referenced.

A.6 OPTION TO EXTEND THE TERM OF THE BPA

a. The Government may extend the term of this BPA by written notice to the Contractor at any time prior to the expiration of the BPA, provided that the Government shall give the Contractor a preliminary written notice of its intent to extend at least 30 days before the BPA expires. The preliminary notice does not commit the Government to an extension.

b. If the Government exercises this option, the extended BPA shall be considered to include this option provision.

A.7 GENERAL SERVICES ORDERS

a. The BPA holder shall furnish all the necessary qualified personnel, materials, facilities and management resources to furnish the services set forth in the Performance Work Statement (PWS) within the terms specified and at the price(s) stated.

b. It is understood and agreed that the BPA holder shall provide Fixed-Price proposals when requested by the Contracting Officer (CO). The contractor's proposal shall be priced using labor rates and labor categories herein provided. The CO will issue Fixed Priced Orders upon completion of negotiations of contractor proposals.

A.8 NONPERSONAL SERVICES

a. In performance of this contract, the BPA holder will provide services as required by program offices to support management of their overall mission. This will be based upon the order's performance work statement for the specific effort. Orders will be formally issued to the BPA holder as opposed to individual BPA holder employees.

b. The services required under the Agreement constitute professional and management services within the definition provided by FAR 37.201. Under this Agreement the Government will obtain professional services, which are essential to the Department of Veterans Affairs mission but not otherwise available within Department of Veterans Affairs.

c. The Government will neither supervise BPA holder employees nor control the method by which the BPA holder performs the required tasks. Under no circumstances shall the Government assign tasks to, or prepare work schedules for, individual BPA holder employees. It shall be the responsibility of the BPA holder to manage their employees and to guard against any actions that are of the nature of personal services, or give the perception of personal services. If the BPA holder feels that any actions constitute, or are perceived to constitute personal services, it shall be the BPA holder's further responsibility to notify the Contracting Officer immediately.

d. These services shall not be used to perform work of a policy/ decision making or management nature. All decisions relative to programs supported by BPA holders will be the sole responsibility of the Government. Support services will not be ordered to circumvent personnel ceilings, pay limitations, or competitive employment procedures.

A.9 AUTHORIZED LIMITS

The Government estimates, but does not guarantee, that individual BPA Orders placed against this Agreement shall be determined on a per Order basis. This Order Limit may be increased by mutual agreement of the parties as necessary, in whole or part. The authorized Ceiling Limit of the Agreement shall be determined over the period covered by the Agreement; this ceiling is also not a guarantee. The Ceiling Limit may also be raised in association with Order Limit increases or other conditions which, by mutual agreement of the parties, maybe considered necessary. Authorization for individual orders above the stated order and/or Ceiling Limits must be coordinated through the Contracting Officer before larger valued orders can be issued and prior to commencement of work. All unauthorized work, regardless of amount, will be processed through the ratification process.

A.10 OBLIGATION OF FUNDS

This BPA does not obligate any funds. The Government is obligated only to the extent of authorized orders actually issued under the BPA by the Contracting Officer.

A.11 PERIOD OF PERFORMANCE

This BPA expires on 09-30-2027 or such later ending date as determined by the exercise of any option.

A.12 AUTHORIZED INDIVIDUALS

VA Warranted Contracting Officers

A.13 ORDER FORMAT

Orders will be placed against this BPA via e-mail, Electronic Data Interchange (EDI), FAX, or in hardcopy format. Each individual BPA Order will describe the tasks, services and deliverables required.

A.14 AUTHORIZED REPRESENTATIVES

The primary Contracting Officer (CO) for this Agreement is:

The Primary Contracting Officer's Representative (COR) for projects under this Agreement is:

A.15 PERFORMANCE

The following terms and conditions are applicable:

a. All services will be initiated within 1 calendar days following receipt of a valid order, unless otherwise specified in the order.

b. The BPA holder shall be familiar with Federal Government and Department of Veterans Affairs acquisition regulations, directives and instructions. If a particular document is required in a specific order, it will be cited within the order's PWS.

c. The BPA holder shall not provide technical direction to any other acquisition BPA holder(s) or government personnel at any time. Neither shall the Government directly supervise BPA holder employees. The BPA holder Task Leader should conduct day to day supervision of BPA holder personnel wherever the BPA holder personnel are located. All direction of the BPA holder shall be through the Contracting Officer (CO) of the ordering organization specified in each individual order. Technical "tasking" assignments for the BPA holder will be transmitted by the program office's COR (or program manager) to the BPA holder's Task Leader.

d. The "ordering period" will run from BPA award to 09-30-2027, or until such ending date of any option year, which may be exercised under the Agreement. The "performance period" will terminate with the end of the BPA, unless the ordering CO elects to extend performance as provided under the BPA. If the ordering CO elects to extend performance beyond the end of the BPA, he/she may extend performance up to six (6) months beyond the end of the order period.

e. Capitalization Requirements: The BPA holder shall provide their employees sufficient computer equipment to support orders. The BPA holder shall be able to support the automatic transmission of unclassified data only to the requiring Program Office by modem if so requested. Any computers connected to, or transmits to (connected or via magnetic media) the government shall be properly protected from computer viruses. The BPA holder shall be capable of supporting the software packages utilized by Department of Veterans Affairs for the indicated processors. Specific software packages utilized within a program office shall be stated in the order PWS if it is other than Microsoft Office Professional or Microsoft Project.

f. Cancellation: This BPA may be canceled if the BPA holder fails to perform in accordance with the terms and conditions of this BPA, any order established under this BPA, or if deemed as in the best interests of the Government. The BPA holder must strictly comply with all terms and conditions or the Department of Veterans Affairs/ Contracting Officer may determine that performance by the BPA holder has been unsatisfactory and cancel this BPA.

A.16 PRECEDENCE

The Terms and conditions included in this BPA apply to all purchases made pursuant to it. In the event of an inconsistency between the provisions of this BPA and the Contractor's invoice, the provisions of this BPA will take precedence.

Page 1 of Page 1 of

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 PRICE/COST SCHEDULE

ITEM INFORMATION

0.00

HD Treatments Contract Period: Base Ordering Period POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers PRODUCT/SERVICE CODE: Q999 - Medical - Other

0001AA

HD Treatments - Day Hours

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

8:00am-4:30pm - On Site Monday - Saturday

0001AB

HD Treatments - On call (After Hours)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

Initiated after 4:30pm Monday - Saturday, all day Sunday and Holidays

0.00

Continuous Renal Replacement Therapy (CRRT)

POP Begin: 10-01-2022 POP End: 09-30-2023

0002AA

CRRT - Day Hours

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0002AB

CRRT - On call (After Hours)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2022 POP End: 09-30-2023

0003AA

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0003AB

Dialysis Access Procedure - Nurse Support - On call (After Hours)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2022 POP End: 09-30-2023

0004AA

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet) - Day Hours

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

8:00am-4:30pm - On Site (With Equipment) Monday - Saturday

0004AB

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

8:00am-4:30pm - On Site (Without Equipment) Monday - Saturday

0004AC

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

Initiated after 4:30pm Monday - Saturday, all day Sunday and Holidays (With Equipment)

0004AD

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

Initiated after 4:30pm Monday - Saturday, all day Sunday and Holidays (Without Equipment)

0.00

Staff Assisted Peritoneal Dialysis (SAPD) VA providing dialysis solutions

POP Begin: 10-01-2022 POP End: 09-30-2023

0005AA

SAPD (VA providing dialysis solutions) - Day Hours

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0005AB

SAPD (VA providing dialysis solutions) -On call (After Hours)

POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

HD Treatments Contract Period: Ordering Period 1 POP Begin: 10-01-2023 POP End: 09-30-2024

1001AA

HD Treatments - Day Hours

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1001AB

HD Treatments - On call (After Hours)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Continuous Renal Replacement Therapy (CRRT)

POP Begin: 10-01-2023 POP End: 09-30-2024

1002AA

CRRT - Day Hours

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1002AB

CRRT - On call (After Hours)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2023 POP End: 09-30-2024

1003AA

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1003AB

Dialysis Access Procedure - Nurse Support - On call (After Hours)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2023 POP End: 09-30-2024

1004AA

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet) - Day Hours

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1004AB

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1004AC

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1004AD

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Staff Assisted Peritoneal Dialysis (SAPD) VA providing dialysis solutions

POP Begin: 10-01-2023 POP End: 09-30-2024

1005AA

SAPD (VA providing dialysis solutions) - Day Hours

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

1005AB

SAPD (VA providing dialysis solutions) -On call (After Hours)

POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

HD Treatments Contract Period: Ordering Period 2 POP Begin: 10-01-2024 POP End: 09-30-2025

2001AA

HD Treatments - Day Hours

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2001AB

HD Treatments - On call (After Hours)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Continuous Renal Replacement Therapy (CRRT)

POP Begin: 10-01-2024 POP End: 09-30-2025

2002AA

CRRT - Day Hours

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2002AB

CRRT - On call (After Hours)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2024 POP End: 09-30-2025

2003AA

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2003AB

Dialysis Access Procedure - Nurse Support - On call (After Hours)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2024 POP End: 09-30-2025

2004AA

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet) - Day Hours

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2004AB

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2004AC

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2004AD

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Staff Assisted Peritoneal Dialysis (SAPD) VA providing dialysis solutions

POP Begin: 10-01-2024 POP End: 09-30-2025

2005AA

SAPD (VA providing dialysis solutions) - Day Hours

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

2005AB

SAPD (VA providing dialysis solutions) -On call (After Hours)

POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

HD Treatments Contract Period: Ordering Period 3 POP Begin: 10-01-2025 POP End: 09-30-2026

3001AA

HD Treatments - Day Hours

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3001AB

HD Treatments - On call (After Hours)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Continuous Renal Replacement Therapy (CRRT)

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

3002AA

CRRT - Day Hours

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3002AB

CRRT - On call (After Hours)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Dialysis Access Procedure - Nurse Support

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

3003AA

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3003AB

Dialysis Access Procedure - Nurse Support - On call (After Hours)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

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

3004AA

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet) - Day Hours

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3004AB

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3004AC

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3004AD

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Staff Assisted Peritoneal Dialysis (SAPD) VA providing dialysis solutions

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

3005AA

SAPD (VA providing dialysis solutions) - Day Hours

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

3005AB

SAPD (VA providing dialysis solutions) -On call (After Hours)

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

HD Treatments Contract Period: Ordering Period 4 POP Begin: 10-01-2026 POP End: 09-30-2027

4001AA

HD Treatments - Day Hours

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4001AB

HD Treatments - On call (After Hours)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Continuous Renal Replacement Therapy (CRRT)

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

4002AA

CRRT - Day Hours

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4002AB

CRRT - On call (After Hours)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Dialysis Access Procedure - Nurse Support

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

4003AA

Dialysis Access Procedure - Nurse Support

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4003AB

Dialysis Access Procedure - Nurse Support - On call (After Hours)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

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

4004AA

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet) - Day Hours

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4004AB

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4004AC

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4004AD

Apheresis Services (Plasma, Leuko, Erythrocya, Platelet)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

0.00

Staff Assisted Peritoneal Dialysis (SAPD) VA providing dialysis solutions

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

4005AA

SAPD (VA providing dialysis solutions) - Day Hours

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

4005AB

SAPD (VA providing dialysis solutions) -On call (After Hours)

POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621492 - Kidney Dialysis Centers

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B.2 PERFORMANCE WORK STATEMENT

Performance Work Statement Acute Hemodialysis Services

1. GENERAL:

1.1. Services Provided: The Contractor shall provide actively licensed Registered Nurses and support staff on site, to provide services necessary to perform onsite Acute Hemodialysis Services. This includes Hemodialysis (HD), Staff Assisted Peritoneal Dialysis (SAPD), Nurse Assisted Dialysis Access Procedure, Continuous Renal Replacement Therapy (CRRT), and Apheresis Services in accordance with the specifications contained herein to eligible beneficiaries of the Department of Veterans Affairs (VA) and the Robley Rex VAMC (hereinafter referred to as VAMC). The treatments will be provided in accordance with the VA Nephrologists’ orders. The Contractor’s staff’s care shall cover the range of Hemodialysis services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality that meets or exceeds the current recognized national standards as established by The American Society of Nephrology (ASN): American Society of Nephrology (asn-online.org).

In carrying out its responsibilities for hemodialysis, CRRT, SAPD, and apheresis services, the contractor shall provide appropriate equipment as needed, including (3) Freensis machines, (3) Reverse Osmosis machines, (1) Cycler machine as needed and all dialysis direct consumables (i.e. Vinegar, blood lines, dialysate, saline, filers, reagents, etc.). The equipment must be safe, effective, and reliable, and shall be maintained by the contractor according to manufacturer’s expectations. In addition, the contractors must work with onsite Government Furnished Equipment and supplies identified in Section 5 Government Responsibilities under 5.1.

Pricing Instructions: The Contractor shall propose a minimum of 6 key personnel to be credentialed and be available for scheduling to meet the requirements of the contract.

Period of Performance:

Base Ordering Period: 10/1/2022 – 9/30/2023 Ordering Period 1: 10/1/2023 – 9/30/2024 Ordering Period 2: 10/1/2024 – 9/30/2025 Ordering Period 3: 10/1/2025 – 9/30/2026 Ordering Period 4: 10/1/2026 – 9/30/2027

1.2. Place of Performance: Contractor shall furnish services onsite at the Robley Rex VAMC located at 800 Zorn Ave, Louisville, KY 40206-1433.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority

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. VHA Handbook 1100.17: National Practitioner Data Bank Reports: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.4.2. VHA Handbook 1100.19: Credentialing and Privileging: file:///C:/Users/VHB203~1/AppData/Local/Temp/1/MicrosoftEdgeDownloads/3e0b5769-8927-4df3-99e6-751b4cfe470f/Credentialing%20and%20Privileging.pdf

1.4.3. VHA Directive 1003.04: VHA Patient Advocacy: https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=5970

1.4.4. VHA Directive 1088: Communicating Test Results to Providers and Patients: https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=3148

1.4.5. VHA Directive 1192.01: Seasonal Influenza Prevention Program: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8948

1.4.6. VA Directive 1663: Health Care Resources Contracting – Buying: https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=969&FType=2

1.4.7. VHA Directive 1907.01: VHA Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235

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

1.5.1. CDC: Centers for Disease Control and Prevention

1.5.2. CEU: Certified Education Unit

1.5.3. CME/CE: Continuing Medical Education or Continuing Education

1.5.4. Contracting Officer (CO): The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.5. 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 contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.6. ADPCS: Associate Director of Patient Care Services

1.5.7. CPARS: Contractor Performance Assessment Reporting System

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

1.5.9. DEA: Drug Enforcement Agency

1.5.10. EHR: Electronic Health Record - electronic health record system used by the VA

1.5.11. FSMB: Federation of State Medical Boards

1.5.12. HHS: Department of Health and Human Services

1.5.13. HIPAA: Health Insurance Portability and Accountability Act

1.5.14. ISO: Information Security Officer

1.5.15. POP: Period of Performance

1.5.16. PPD: Purified Protein Derivative

1.5.17. PWS: Performance Work Statement

1.5.18. Privileging (Clinical Privileging): Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific.

1.5.19. QA/QI: Quality Assurance/Quality Improvement

1.5.20. QM/PI: Quality Management/Performance Improvement

1.5.21. QASP: Quality Assurance Surveillance Plan

1.5.22. Veterans’ Health Administration (VHA): The central office for administration of the VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.5.23. Veterans Integrated Services Network (VISN): The regional oversight for the VA medical centers.

1.5.24. 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 record and with the hospital information system.

1.5.25. VETPro: a federal web-based credentialing program for healthcare providers.

1.5.26. Veterans Affairs Medical Center (VAMC): Unless identified with the name of a different VA medical Center, for purposes of this contract, this term shall mean the Robley Rex VA Medical Center.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The registered nurse(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice nursing in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. Contractor’s nurse(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

2.1.2. Board Certification: All Contractor’s nurses(s) shall be licensed with initial and yearly competencies and be currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS). All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current licensure and training shall be provided by the Contractor to the VA COR or designee on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Handbook 1100.19 and VHA Directive 2012-030 referenced above. The Contractor is responsible to ensure that proposed nurse(s) possesses the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s nurse(s) prior to obtaining approval by the Robley Rex VAMC Professional Standards Board, Medical Executive Board and Medical Center Director.

2.1.3.1. If a Contractor’s nurse(s) is not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.4. Technical Proficiency: Contractor’s nurse(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. Contractor shall provide documents upon request of the CO/COR or designee, to verify current and ongoing competency, skills, certification, and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all Contractor’s nurse(s) and Contractor’s nurse(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Education (CE)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR or designee, copies of current CEs as required or requested by the VAMC. Contractor’s nurse(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CE to remain current. Contractor shall report CE hours to the credentials office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for Contractor’s nurse(s).

2.1.6. Training (ACLS, BLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s nurse(s) as required by the VA. Other training may become required. VA will communicate any changes and additions to the training requirements for the contractor.

2.1.7. Standard Personnel Testing (PPD, etc.): Contractor shall provide proof of the following tests for nurses within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.7.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s nurse(s) {This is applicable to all health care workers}. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results. The TST or IGRA testing shall be repeated annually.

2.1.7.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor nurse {This is applicable to all health care workers}.

2.1.7.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor nurse {This is applicable to all health care workers}.

2.1.7.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor nurse

2.1.7.5. COVID-19 Vaccination: Contractors shall provide proof that all Contractors have received COVID-19 vaccine unless it is contraindicated. If the Contractor nurse has a medical contraindication to the vaccine they shall be required to wear a mask and follow current VA guidelines for non-vaccinated staff.

2.1.7.6. INFLUENZA: Contractors shall provide proof that all Contractor nurses have received the annual Influenza vaccine unless it is contraindicated. If the Contractor nurse 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}.

2.1.7.7. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s nurse(s); provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.7.8. The VAMC shall 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 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.8. Conflict of Interest: The Contractor and all Contractor’s nurse(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently 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 would 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.

2.1.9. Citizenship related Requirements:

2.1.9.1. The Contractor certifies that the Contractor shall comply with 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;

2.1.9.2. 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.

2.1.9.3. 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 contract for breach.

2.1.9.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.9.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.10. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center Associate Director of Patient Care Services (ADPCS) or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19 and VHA Directive 2012-030. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the VAMC COS and/or the Chief of the Service or his designee.