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36C24922Q0303
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.
DUNS:
DUNS+4:
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
36C24922Q0303 04-13-2022 Robert Belisle 615-225-6337 05- -2022
CDT
Department of Veterans Affairs Network Contracting Office 9 (90C)
NCO 9
1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 X N 623220 750 Employees N/A X Department of Veterans Affairs Louisville VA Medical Center Louisville KY 40206-1433 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 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 Louisville VA Medical Center, requests for Quote IAW FAR Part 13 to provide in substance abuse and housing and treatment as outlined in the Statement of Work (SOW).
All references within shall replace the term "offer" with "quote" and "offeror" with "quoter". Comparative evaluation of quotes will be performed IAW FAR 13.106-2 (b) (3) best value based on price and other factors. ( see E.1 Addendum for FAR 52.212-1 ) This requirement is unrestricted.
This RFQ will result in Blanket purchase agreement (BPA) with a period of performance of 08/01/2022 - 07/31/2027.
The BPA will consist of one month ordering period and 4 (four) additional 1 (one) year optional ordering periods.
Wage Determination No. 2015-4717 (REV 18) dated 12/27/2021 Contractor must be registered in SAM when quote is received and at time of award.
X Shawn Hendricks
NCO915L2-4043
Table of Contents
| SECTION A | 1 |
| A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES | 1 |
| A.2 PRICE/COST SCHEDULE | 4 |
| ITEM INFORMATION | 4 |
| A.3 DELIVERY SCHEDULE | 5 |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 6 |
| B.1 CONTRACT ADMINISTRATION DATA | 6 |
| B.2 STATEMENT OF WORK | 7 |
| B.3 TERMS AND CONDITIONS | 17 |
| B.4 ADMINISTRATIVE DATA | 17 |
| B.5 OPTION TO EXTEND THE TERM OF THE BPA | 17 |
| B.6 GENERAL SERVICES ORDERS | 18 |
| B.7 NONPERSONAL SERVICES | 18 |
| B.8 AUTHORIZED LIMITS | 18 |
| B.9 OBLIGATION OF FUNDS | 19 |
| B.10 PERIOD OF PERFORMANCE | 19 |
| B.11 AUTHORIZED INDIVIDUALS | 19 |
| B.12 ORDER FORMAT | 19 |
| B.13 AUTHORIZED REPRESENTATIVES | 19 |
| B.14 FEDERAL HOLIDAYS | 20 |
| B.15 PROHIBIT ACTIVITIES | 20 |
| B.16 INVOICES | 21 |
| B.17 PRECEDENCE | 21 |
| SECTION C - CONTRACT CLAUSES | 22 |
| C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 22 |
| C.2 52.216-18 ORDERING (AUG 2020) | 28 |
| C.3 52.216-21 REQUIREMENTS (OCT 1995) | 28 |
| C.4 52.223-99 ENSURING ADEQUATE COVID-19 SAFETY PROTOCOLS FOR FEDERAL CONTRACTORS (OCT 2021) (DEVIATION) | 29 |
| C.5 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) | 30 |
| C.6 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018) | 31 |
| C.7 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 32 |
| C.8 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020) (DEVIATION) | 32 |
| SECTION E - SOLICITATION PROVISIONS | 41 |
| E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 41 |
| E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) | 45 |
| E.3 52.216-1 TYPE OF CONTRACT (APR 1984) | 48 |
| E.4 52.233-2 SERVICE OF PROTEST (SEP 2006) | 48 |
| E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 49 |
| E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION) | 49 |
| E.7 WAGE DETERMINATION | 66 |
A.2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 3,650.00 |
| DY |
| __________________ |
| __________________ |
Transitional housing service for the VAMC Louisville for period for 08/01/2022 through 07/31/2023 for an estimated amount of 10 beds x 365 days. Base Year Contract Period: Base POP Begin: 08-01-2022 POP End: 07-31-2023 PRINCIPAL NAICS CODE: 623220 - Residential Mental Health and Substance Abuse Facilities PRODUCT/SERVICE CODE: G099 - Social - Other
| 3,650.00 |
| DY |
| __________________ |
| __________________ |
Transitional housing service for the VAMC Louisville for period for 08/01/2023 through 07/31/2024 for an estimated amount of 10 beds x 365 days. Option Year One (1) Contract Period: Option 1 POP Begin: 08-01-2023 POP End: 07-31-2024
| 3,650.00 |
| DY |
| __________________ |
| __________________ |
Transitional housing service for the VAMC Louisville for period for 08/01/2024 through 07/31/2025 for an estimated amount of 10 beds x 365 days. Option Year Two (2) Contract Period: Option 2 POP Begin: 08-01-2024 POP End: 07-31-2025
| 3,650.00 |
| DY |
| __________________ |
| __________________ |
Transitional housing service for the VAMC Louisville for period for 08/01/2025 through 07/31/2026 for an estimated amount of 10 beds x 365 days. Option Year Three (3) Contract Period: Option 3 POP Begin: 08-01-2025 POP End: 07-31-2026
| 3,650.00 |
| DY |
| __________________ |
| __________________ |
Transitional housing service for the VAMC Louisville for period for 08/01/2026 through 07/31/2027 for an estimated amount of 10 beds x 365 days. Option Year Four (4) Contract Period: Option 4 POP Begin: 08-01-2026 POP End: 07-31-2027
| GRAND TOTAL |
| __________________ |
A.3 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
3,650.00
3,650.00
3,650.00
3,650.00
3,650.00
Page 1 of Page 1 of
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 36C249 Shawn Hendricks Department of Veterans Affairs Network Contracting Office 9 (90C)
NCO 9
1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] |
| 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or |
| [] |
| 52.232-36, Payment by Third Party |
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [] |
| b. Semi-Annually | [] |
| c. Other | [] |
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.
FSC e-Invoicing Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically
ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
| AMENDMENT NO |
| DATE |
B.2 STATEMENT OF WORK
STATEMENT OF WORK
HOMELESS PROGRAM
SUBSTANCE ABUSE TREATMENT AND TRANSITIONAL HOUSING
I.DESCRIPTION/SPECIFICATIONS OF SERVICES
A. The Robley Rex Veterans Affairs Medical Center (VAMC) in Louisville, Kentucky has a requirement for Veteran in resident substance abuse treatment.
An agreement is needed to provide up to10 beds per day. This will be for no more than 10 authorized Veterans per day, for an estimated total of 3,650 beds per year. The beds offered shall be within 15 miles of the Robley Rex VA Medical Center, 800 Zorn Avenue, Louisville, KY 40206. This agreement shall be for a BPA with a base period of one year and four (4) one year ordering periods. The contractor shall furnish each Veteran authorized care under this agreement with room and board. The contractor shall provide 40 hours, weekly, of evidenced based residential substance use treatment programming along with weekly case management services. Treatment shall be provided by or closely supervised by clinicians licensed by the local/state boards, where appropriate. Treatment shall be provided through psychoeducational and therapeutic groups, meetings, and individual therapy.
The Contractor shall furnish services to beneficiaries for whom such care is specifically authorized by the Department of Veterans Affairs. It is understood that the type of patients to be care for under this agreement will normally require the contactor to provide care and services above the level of room and board.
B. The contractor shall furnish each Veteran authorized care under this agreement with room and board. This includes appetizing and nutritionally adequate meals that are provided in a setting which encourages social interaction. This includes accommodating special dietary needs as ordered by VA provider. The contractor shall also provide nutritious snacks between meals and at bedtime for those requiring or desiring additional food, when it is not medically contraindicated. The local VA Medical Center dietitian may consult with the initial inspection team and the team making subsequent assessments in evaluating not only the printed menus but also the patients’ satisfaction with meals and the actual consumption of food offered.
C. The facility must meet applicable fire, safety and sanitation standards in an attractive surrounding conducive to social interaction and the fullest development of the residents’ rehabilitative potential. The facility shall be air conditioned and the present as a home-type atmosphere, including a TV lounge area, reading/study/library room, and recreation room, (for pool, cards, etc. activities). The veterans’ rooms shall have adequate lighting, personal storage area, and access to shower/bathing. The facility should be centrally located, near public transportation. Contractor shall provide access to transportation (via public transport or contractor furnished transportation) to Veteran medical appointments. Facility shall provide laundry facilities for residents to do their own laundry, at no cost to Veterans. Ironing board and iron shall be made available.
D. Evidence based intensive therapeutic and rehabilitative services shall be provided to each individual Veteran Client a minimum of 40 hours per week as outlined in the individual treatment plan. Services will be provided mostly in person at the facility, but could be provided by telehealth if necessary, and will be a combination of group and individual therapy. There should be at minimum 1 hour weekly individual therapeutic intervention, such as therapy or case management. The individual treatment plan is to be developed by the contractor with the Veteran client and approved by the VA case manager. The contractor shall provide a structured therapeutic daily routine which includes the following:
Alcohol/drug abuse treatment program includes, but not limited to:
· Relapse prevention,
· Cognitive behavioral coping skills training,
· Motivational enhancement,
· Stress reduction,
· Individual and group counseling
· 12 step facilitation (including access to peer support groups, i.e. AA, smart recovery, NA, etc., and
· Community reinforcement.
Veteran clients with dual diagnosis (any mental health diagnosis with co-occurring substance abuse) will not be excluded from the program. The services provided shall be individualized to meet the need of each Veteran client.
A Veterans needing dual diagnosis care shall have access to one or more of the following:
· Diagnosis specific specialty groups,
· VA Mental Health Providers, or
· Recovery focused psychoeducation Leisure activities shall be offered at a minimum of 4 times per week, such as movies, games, crafts, and/or community events, life skills training to include household budgeting, goal setting/organization, communication/ social skills, and basic problem solving.
E. Assistance and instruction grooming, and personal hygiene shall be provided by the contractor to all Veterans including distribution of personal care items on admission and replenishment as needed. Items shall include at a minimum soap, deodorant shaving supplies (shaving cream &razors), shampoo combs/brushes, and lotion. The contractor shall have a safe medication policy assuring safe storage and administration of medications.
F. The contractor shall collaborate with the VA Liaison to develop a recovery transition plan. This plan incudes but is not limited to:
· Obtain or increase income,
· Secure safe affordable housing
· Establish a peer support network, and
· Access to VA mental health/substance use disorder treatment.
G. Ongoing case management shall be provided to assist the Veteran in addressing barriers to housing, such as filing for benefits, obtaining documents, addressing housing debts through referrals. The contractor shall provide case management services to assist the participants in transitioning to permanent housing according to their treatment plan. This includes appropriate referrals for housing programs, and assisting with housing searches/ applications. The VA will evaluate the contractor’s performance against current national performance metrics established by VA Homeless program national office.
II.SUPPLIES/SERVICES AND PRICES/COSTS
1. The Contractor shall provide community based residential care, substance abuse treatment and rehabilitative services, in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Robley Rex VA Medical Center (603), 800 Zorn Avenue, Louisville, KY 40206. The agreement is effective for the period August 1, 2022 through July 31, 2023 with four (4) one (1) year ordering periods.
1. The Authority for this procurement extends from Public Law 104-262 and Title 38 U.S.C., Section 8151-8153 and Title 42 Code of Federal Regulation (CFR) 415.170.
1. The contractor shall bill the VA for bed days. The agreement is Not To Exceed (NTE) 10 beds per day x 365 days to equal 3650 days for base and all option years. Length of stay for each resident is a maximum of 90 days, waivers for additional days above 90 will be granted with documented clinic indication of need and will not exceed 180 days. The VA agrees to screen the Veteran client for placement in the residential treatment bed. Upon acceptance of the Veteran by the contractor, all terms and condition of the agreement shall apply during the time the Veteran remains at the facility at VA expense. Bed days are to include, meals, snacks, substance use treatment programming, lodging and includes all services and requirements listed herein without additional charge to the Veteran.
1. The contractor shall maintain a daily log of the Veteran participants in the program for billing purposes. The contractor shall notify the VA facility if a Veteran has left without leave overnight, by the next working day.
III. TERM OF THE AGREEMENT
The term of the agreement is from August 1,2022 through July 31, 2023 with four (4) one-year ordering periods. This agreement is subject to availability of VA funds. Contractor will bill by bed days for beds actually used.
IV. DEFINITIONS
Terms used in this agreement will be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of conflict in language between the Definitions and other section of this agreement, the language in this section shall govern.
Contraction Officer (CO) - The person executing this agreement on behalf of the Government with the authority to enter into and administer agreement and make related determinations and findings.
Contracting Officer Representative (COR) - A person appointed by the CO to take necessary action to insure the Contractor performs in accordance with and adheres to the specification contained in the agreement and to protect the interest of the Government. The COR shall report to the CO promptly and indication of non-compliance in order that appropriate action can be taken.
Veterans Health Administration (VHA) - The central office for administration of the VA Medical centers throughout the United States. The VHA is located in Washington DC Veterans Integrated Services Network (VISN)- The regional oversight for the VA Medical Centers in Memphis, TN, Tennessee Valley Healthcare System (Murfreesboro and Nashville) Louisville, KY, Lexington, KY, Huntington, West Virginia and Mt. Home, TN. The VISN office is located at 1801 West End Avenue, Suite 1100, Nashville, TN 37203.
Computerized Patient Record System (CPRS) - Electronic patient charting system that houses all pertinent health care records (1.e. laboratory and radiology results, doctor’s orders, progress notes, surgery reports, etc.).
V. QUALITY AND QUALIFICATION REQUIREMENTS
A. The agreement facility must have a current occupancy permit or license required by the authority having jurisdiction.
B. The contractor shall employ sufficient professional health care personnel to carry out the policies, responsibilities and programs of the facility. In residential treatment facilities there must be, as a minimum a full-time administrative staff member or designee of equivalent professional capability on duty on the premises or residing at the house available of emergencies 24 hours per day, 7 days per week.
VI. CREDENTIAL REVIEWS/PRIVILEGING
Not applicable
VII. QUALIFICATION/PERSONNEL POLICY AND DOCUMENTATION
1. The contractor shall be responsible for their employees responsible for furnishing services under this agreement. To carry out this responsibility, the contractor shall provide the following for these personnel:
· Workers compensation
· Professional liability insurance
· Health examinations
· Income tax withholding, and
· Social security payments
B. The employees, agents and subcontractors shall not be considered VA employees for any purpose. Payment of any leave, including holiday pay, sick leave or annual leave is the responsibility of the contractor and is included in the per diem rate C. The contractor shall provide and document general orientation for all agreement employees who are providing work on this agreement before the commencement of work on site. Documentation of orientation shall be provided to the VA COR. This orientation shall include but not be limited to the following topics:
1. Fire & Safety policy and procedures
1. Infection Control policy and procedures
1. Emergency Preparedness/Disaster policy and procedures
1. TB Exposure Control policy and procedures
1. HIPPA policy and procedures (Must be reviewed annually), and
1. Initial Competency Assessment
1. The Contractor is required to develop and maintain the following documents for each contractor employee working on the agreement: Credentials and qualification for the job; a current competence assessment checklist (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully; includes knowledge and skill require to provide care for certain patient populations, as appropriate); a current performance evaluation supporting ability of the contractor employee to successfully perform the work required in this solicitation; and all listing of relevant continuing education for the last two years. The contractor shall provide current copies of these records at the time of the agreement award and annually on the anniversary date of the agreement award to the VA, COR or upon request, for each contractor employee working on the agreement. When changes occur in the contractor’s personnel, the contractor must provide evidence of orientation and items requested above.
1. Notwithstanding other agreement requirements, upon request from the contracting officer, the contractor shall remove from the work site any contact employee who does not comply with orientation requirements or meet competency requirements for the work being performed.
1. TB Skin testing must be completed prior to employment and annually on all contractor’s employees who have contact with VA patients. The contracting agency is responsible for developing a policy on TB exposure control and updating it annually. TB testing of employee must be conducted annually and a copy of the proper paperwork must be submitted with the annual review of the TB exposure control policy.
VIII. PATIENT”S RIGHTS AND SAFETY
1. Before service commences, the contractor shall provide evidence of professional liability insurance coverage in the amount of $1,000,000 per specialty, per occurrence. The contractor is required to maintain the coverage throughout the term of the agreement. The Robley Rex VAMC is not responsible or liable for any unsafe condition caused by the Contractor or Veteran. Contractor shall be responsible for identifying safety hazards and immediately taking action to resolve the hazard.
1. The contractor shall notify VA facility to all significant events, including those involving law enforcement, hospitalization or emergency services within 1 working day, with the exception of Veteran death, which will be reported within 4 hours.
1. The contractor shall comply with the VA Patient’s Bill of Rights as set forth in Section 17.34a Title 38, Code of Federal Regulations.
Patient’s rights and Responsibilities
1. Respect and nondiscrimination:
· You will be treated with dignity, compassion, and respect as an individual. Your privacy will be protected. You will receive care in a safe environment. We will seek to honor your personal and religious values.
· Treatment will respect your personal freedoms.
· In order to provide a safe treatment environment for all patients or residents and staff, you are expected to respect other patients, residents and staff and to follow the facility’s rules. Avoid unsafe acts that place others at risk for accidents or injuries. Please immediately report any condition you believe to be unsafe.
1. Information Disclosure and Confidentiality:
· You will be given information about the health benefits you can receive. The information will be provided in a way you can understand.
· You will receive information about the costs of your care, if any, before you are treated. You are responsible for paying your portion of any costs associated with your care.
· Your medical record will be kept confidential. Information about you will not be released without your consent unless authorized by law (an example of this is State public health reporting). You have the right to information in your medical record and may request a copy of your medical records. This will be provided except in rare situation when your VA physician feels the information will be harmful to you. In that case, you have the right to have this discussed with you by your VA provider.
· You will be informed of all outcomes of care, including any potential injuries. You will be informed about how to request compensation for any injuries.
1. Participation in Treatment Decisions
· You, and any persons you choose, will be involved in all decisions about your care. You will be given information you can understand about the benefits and risks of treatment. You will be given other options. You can agree to or refuse treatment. You will be told what is likely to happen to you if you refuse treatment. Refusing treatment will not affect your rights to future care but you take responsibility of the possible results to your health
· Tell your provider about your current condition, medicines (including over-the-counter and herbals), and medical history. Also, share any other information that affects your health. You should ask questions when you do not understand something about your care. Being involved is very important for you to get the best possible results.
· You will be given, in writing, the name and title of those who provide you care. This includes students, residents and trainees, Providers will properly introduce themselves when they take part in your care.
· You will be educated about your role and responsivities as a patient or resident. This includes your participation in decision making and care at the end of life.
· If you believe you cannot follow the treatment plan, you have a responsibility to notify your provider or treatment team.
· You have the right to have your pain assessed and to receive treatment to manage your pain. You and your treatment team will develop a pain management plan together. You are expected to help the treatment team by telling them if you have pain and if the treatment is working.
· As an inpatient you will be provided any transportation necessary for your treatment plan. You have the right to choose whether you will participate in any research project. Any research will be clearly identified. Potential risks of the research will be identified and there will be no pressure on you to participate. You will be included in resolving any ethical issues about your care. You may consult with the Medical Center’s Ethics Consultation Service and/or other staff knowledgeable about health care ethics.
· If you or the Medical Center believes that you have been neglected, abused or exploited, you will receive help.
IX. CONTINUUM OF CARE
The contractor shall conduct treatment and discharge planning reflecting a team assessment of health, social, and vocational needs and the involvement of resident’s families, appropriate community resources, and the VA Case Manager in resolving problems and setting goals. This includes entering all Veterans in the national HMIS data base.
X. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)
The government will monitor the Contractor’s performance under this agreement using the quality assessment and improvement procedures established by the VAMC and pursuant to the Inspection of Services Clause. Additionally, the Contractor’s performance is subject to scheduled and unscheduled review by quality assessment personnel as defined by the VAMC AQSP Plan.
QASP Monitors are as follows The Performance Requirements Summary Matrix, Paragraph X in the Statement of Work (SOW), includes performance standards. The Government will use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).
| Performance Objective |
| Standard |
| SOW Para |
| Frequency of Actions |
| Performance Threshold/Number of Valid Complaints |
| Penalty imposed After/% Penalty Imposed |
| Veteran Absent without Leave |
| Agency to notify VA facility if the veteran is absent without leave overnight by the next working day. |
| II.D |
| As Indicated |
| Each time a veteran is absent and the agency is not notified by next working day. |
| Deficiencies will be noted on annual performance evaluation and could impact renewal of option years |
| Clinical outcomes |
| Clinical outcomes will reflect minimum standards as measured by national performance metrics |
| I.F |
| Reviewed quarterly |
| Quarterly, contractor will meet minimum standards |
| Performance improvement plan will be implemented |
| Ensure 40 hours of substance use treatment is provided each week |
| Agency to provide weekly scheduling matrix to VA liaison 1x per quarter or as it is updated |
| I.B |
| 4x year, PRN |
| Each time the schedule is permanently changed, VA is notified within 7 days |
| 3rd issue of non compliance annually, referrals will be suspended until matrix is provided and reviewed by VA |
| Ensure adequate food for 3 meals a day and healthy snacks are available |
| Food is available for breakfast, lunch and dinner in residence of veterans. Healthy snacks are easily accessible. |
| I.B |
| As Needed |
| Daily breakfast, lunch, dinner, and a snack are served to the Veteran participants. |
| 3rd valid complaint annually, Corrective action plan will be implemented and referrals will be suspended until meals and snacks are provided |
| Ensure qualified professionals provide treatment services |
| Agency to ensure that staff have the appropriate education and credentials or supervision to provide substance use treatment, as based on local and state guidelines. This will be |
| VII |
| Upon hire of new staff and annually for review |
| All staff will complete trainings as noted in SOW VII C-E |
| 3rd complaint FY, referrals are suspended until appropriate staff have been vetted and started working |
| Identified Issues on Inspections |
| All issues will be resolved from inspections within the time period specified. |
| I.C; |
X
| As Indicated and annually |
| Contractor will allow annual inspections to be conducted, as well as monthly environment of care and unscheduled nutrition inspections |
| If issues have not been corrected in allotted time, referrals will be suspended until work is completed. |
XI. ENVIRONMENT OF CARE
Environment of care will be assessed by VA staff during annual inspections and an environment of care checklist will be completed, at minimum quarterly. The contractor shall resolve any deficiencies identified within 90 days. Quarterly environment of care rounds will be conducted and documented by COR or appointed HCHV liaison. Annual inspections will be conducted by the inspection team assembled by COR or appointed HCHV liaison. Additionally 2 unannounced nutrition inspections will be completed by VA dietary/ nutrition professional.
XII. INFROMATION MANAGEMENT SECURITY
Contractor does not have access to VA Information Systems.
XIII. HIPPA AND OTHER REGULATTORY COMPLIANCE
1. Contractor shall adhere to provision of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPPA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI).
1. Contractor shall provide health care to patients seeking such are from or through VA. As such, the Contractor is considered Part of the Department health activity for purposes of the following statutes and the VA regulations implementing these statutes: The privacy Act, 4 U.S.C. 552A and 38 U. S. C. SECTIONS 5701, 7705, AND 7332. Contractor and its employees may have access to the VA patient medical records to the extent necessary for the Contractor to perform the agreement, notwithstanding patient treatment records only pursuant to explicit disclosure authority from VA. Contractor and its employees are subject to the penalties and liabilities provided in the statutes and regulations mentioned in the paragraph for unauthorized disclosures of such records and their contents. Records created by the Contractor in the course of treating VA patients under this agreement, are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable Federal Law and Regulations. Upon the expiration of this agreement or termination of the agreement, the agreement shall promptly provide the VA with the individually identified VA patient treatment records. VA has unrestricted access to the records generated by the Contractor pursuant to this agreement.
XIV INFECTION CONTROL
1. Standard precaution (SP) shall be observed for all patients. Person with infectious diseases that require additional precautions will be cared for utilizing transmission based isolation. Contact with body fluids shall be minimized when possible. The contractor evaluates all procedures, supplies, and equipment on an ongoing basis to assure employee and patient safety.
1. The contractor shall have an Occupation Health program, which includes pre-employment and annual screening for Tuberculosis (TB) for employees, as well as, appropriate testing, and screening after exposures to contagious diseases. The contractor will make Hepatitis B vaccine available on a voluntary basis for their employees who have contact with blood and body fluids.
XV DELIVERY OF WORK
1. The Contractor shall provide substance abuse and mental health treatment services for Veterans placed in residential care by the VA. The contractor shall have staff available in the facility 24 hours a day, 7 days per week.
1. The contractor shall meet no less than 2x per month with VA Case Managers to review treatment planning, Veteran’s progress toward goals and discharge planning. The contractor shall provide room and board including laundry services and transportation at no additional cost to the Veteran.
XVI. CLINICAL TASK TO BE PERFORMED/PROVIDED
Services shall be provided under the general supervision of the Contractor’s Medical Director or his/her designated representative. The Contractor shall provide sufficient personnel who meet all requirements herein and who can be relied upon to perform in strict accordance with this agreement.
XVII. ADMINISRAIVE TASKS/TIME AND CLINICAL TASK/TIME
The contractor may be required to attend meeting with the Robley Rex VAMC medical and administrative staff to discuss patient care and agreement issues.
XVII. IF ON SITE VA-CLEAR DESCRIPTION OF DUTY HOURS
Services shall be available 24 hours per day, 7 days per week including federal holidays. All treatments are provided at the contractor’s location and within the terms of this agreement.
XIX INVOICES/BILLING REQUIREMENTS:
1. Payments made to the Contractor by the Department of Veterans Affairs (VA) under this agreement shall be a per diem cost. The Contractor herby agrees, that in no event shall the Contractor or his agents bill, charge, collect a deposit from, seek compensation, remuneration, or reimbursement from, or have any recourse against the beneficiary, the beneficiary’s family, private insurer, Medicare, or any other entity acting on the beneficiary’s behalf, for services provided pursuant to this agreement. When properly invoiced and processed, VA payment for services provided to VA beneficiaries under the terms of this agreement shall constitute payment in full.
1. The Business Office, Purchased Care Section, staff will serve as the administrative COR for purposes of processing payment.
1. Contractor shall submit billing by the tenth workday of the month. The invoice shall at a minimum contain the following information agreement number, purchase order number, the contractor’s tax identification number, the total amount due, as well as information as to where payment is to be sent. The invoice will also contain a spread sheet with the name of the individual Veteran treated during the month, social security number, date of admission, to date covered, number of days, per diem rate, and total amount due. Invoices shall be faxed, or emailed to the Homeless Office or mailed to the following address:
Robley Rex VA Medical Center Attn: HCHV (116) 800 Zorn Avenue Louisville, KY 40206
XX. RESEARCH ELEMENTS
Not Applicable
B.3 TERMS AND CONDITIONS
The Contractor agrees to the following terms of a Blanket Purchase Agreement (BPA) EXCLUSIVELY WITH the Department of Veterans Affairs:
B.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:
Primary Point of Contact:
Alternate Point of Contact:
DUNS NUMBER:
Cognizant Office (Include complete address):
Department of Veterans Affairs Network Contracting Office 9 (90C)
NCO 9
1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129
B.5 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.
B.6 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 Statement of Objectives (SOO) or 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 here in provided. The CO will issue Fixed Priced Orders upon completion of negotiations of contractor proposals.
B.7 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.
B.8 AUTHORIZED LIMITS
The Government estimates, but does not guarantee, that individual BPA Orders placed against this Agreement may reach /per Order. 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 is set at 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.
B.9 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.
B.10 PERIOD OF PERFORMANCE
This BPA expires on 09-30-2026 or such later ending date as determined by the exercise of any option.
B.11 AUTHORIZED INDIVIDUALS
Individuals Authorized to Place Orders:
DVA authorizes the following entities to place orders:
| Department of Veterans Affairs authorizes the following |
| entities to place orders: |
| NCO-09 Contracting Officers |
B.12 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.
B.13 AUTHORIZED REPRESENTATIVES
The primary Contracting Officer (CO) for this Agreement is:
| Shawn M. Hendricks |
| Contracting Officer |
| Network Contracting Office 9 |
| Department of Veterans Affairs |
| Network Contracting Office (90C) |
| 1639 Medical Center Parkway Suite 400 |
| Murfreesboro, TN 37129 |
| Email: Shawn.Hendricks@va.gov |
The Primary Contracting Officer's Representative (COR) for projects under this Agreement is:
| Maggie Brown |
| Phone: 502-439-7466 |
| Email: Margaret.Brown9@va.gov |
The Secondary Contracting Officer's Representative (COR) for projects under this Agreement is:
The Primary and/or Secondary COR will be responsible for technical monitoring of the contractor's performance and deliveries. The COR and the Contractor's Representative shall work together to ensure that all contractual requirements are being met. The COR will interpret specifications or technical portions of the work. The COR is not authorized to perform, formally or informally, any of the following actions:
(1) Promise, award, agree to award, or execute any contract, contract modification, or notice of intent that changes or may change this contract;
(2) Waive or agree to modification of the delivery schedule;
(3) Make any final decision on any contract matter subject to the Disputes Clause;
(4) Terminate, for any reason, the contractor's right to proceed;
(5) Obligate in any way, the payment of money by the Government. Only a warranted Contracting Officer is authorized to obligate funds on this or any other contract action.
The contractor shall immediately notify the Contracting Officer in writing if the COR has taken an action (or fails to take action) or issues directions (written or oral) that the contractor considers to exceed the above limitations.
The contractor shall provide the Contracting Officer information copies of all correspondence to the COR.
B.14 FEDERAL HOLIDAYS
Unless specifically authorized in writing by the Contracting Officer, no services will be provided and no charges will be incurred and/or billed to any order on this contract on any of the Federal Holidays listed below.
| New Year’s Day |
| Labor Day |
| Birthday of Martin Luther King, Jr. |
| Columbus Day |
| Washington’s Birthday |
| Veterans' Day |
| Memorial Day |
| Thanksgiving Day |
| Juneteenth |
| Christmas Day |
Independence Day
B.15 PROHIBIT ACTIVITIES
The BPA holder shall not perform tasks under any resultant order which involve the following:
(a) preparation of any statement of requirements, objectives, or needs to be procured by the Government for Grounds Maintenance and Landscape services, whether to be acquired by future orders under the current program, or by any other contract action at Department of Veterans Affairs;
(b) evaluation of the qualifications of a potential source or any proposal for a contract or order by the Government for Grounds Maintenance and Landscape services or any other supplies or services;
(c) formulation of "best value" criteria, acquisition plans, solicitations or strategies for the purchase of Grounds Maintenance and Landscape-like services;
(d) preparation of documentation for future orders for Grounds Maintenance and Landscape services.
B.16 INVOICES
a. Inspection and acceptance shall be accomplished as follows: The Government, for all services furnished under any resulting order, hereby designates the COR in the program office as the point of final inspection and acceptance. The BPA holder will submit each invoice, including all back-up data, to the Contracting Officer (CO) for review and signature. When the CO receives an accurate and complete invoice, he/she will return a signed copy to the BPA holder within five (5) working days. If the invoice is incomplete or inaccurate, the CO will return the unsigned invoice to the BPA holder for correction. The Contracting Officer will then forward the signed invoice to the Chief Financial Officer (CFO) for payment. Final payment for each order will be accomplished by final invoice accompanied by a receiving report.
b. An itemized invoice shall be submitted to the CO at least monthly or upon expiration of this BPA, whichever occurs first, for all deliveries made during a billing period and for which payment has not been received. Copies of delivery tickets shall support these invoices. "Approved-for-payment" invoices will be submitted to the payment address specified on each individual order issued under this BPA.
B.17 PRECEDENCE
36C24922Q0303 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.
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SECTION C - CONTRACT CLAUSES
| FAR Number |
| Title |
| Date |
| 52.203-17 |
| CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS |
| JUN 2020 |
| 52.204-13 |
| SYSTEM FOR AWARD MANAGEMENT MAINTENANCE |
| OCT 2018 |
| 52.232-40 |
| PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS |
| NOV 2021 |
| 852.242-71 |
| ADMINISTRATIVE CONTRACTING OFFICER |
| OCT 2020 |
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)
(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—
(1) Within a reasonable time after the defect was discovered or should have been discovered; and
(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.
(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.
(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.
(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.
(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.
(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.
(g) Invoice.
(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—
(i) Name and address of the Contractor;
(ii) Invoice date and number;
(iii) Contract number, line item number and, if applicable, the order number;
(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;
(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;
(vi) Terms of any discount for prompt payment offered;
(vii) Name and address of official to whom payment is to be sent;
(viii) Name, title, and phone number of person to notify in event of defective invoice; and
(ix) Taxpayer…
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