Amendment 3 36C24924Q0103 0003 Regulated Medical Waste.pdf

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Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

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B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

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Contractor

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16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

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ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

90C

Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129

To all Offerors/Bidders 36C24924Q0103

12-22-2023 X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 10:00 a.m. February 1, 2024

See CONTINUATION Page

X 1

The purpose of this amendment is to:

1. Change the due date for quotes from 10:00 AM (CST) January 26, 2024 to 10:00 a.m. February 1, 2024;

2. Update the SOW: See attached document

3. Update Contract Line Items (CLIN's). Added line for trailer. See attached Schedule of Items

4. Provide answers to questions that were received.

See attached documents.

1 16

Amendment 3 36C24924Q0103 0003 Regulated Medical Waste

STATEMENT OF WORK

Regulated Medical Waste and Sharps Removal.

GENERAL:

Scope: VA Tennessee Valley Health Care System, hereafter referred to as “TVHS”, is seeking a full-service contract for the purpose of this solicitation is for the Contractor to provide Regulated Medical waste removal and a reusable Sharps program. All services shall be performed by qualified Contractors who are licensed and authorized to perform the work defined herein. All services shall be completed in a timely manner and in accordance with the state, local, federal, and VA standards as listed in the Statement of Work.

It shall be the Contractor’s responsibility to ensure that all equipment/supplies and/or materials required during the performance of the work will comply with all Conformance Standards in the industry. The contractor also has the responsibility for maintaining/repairing the equipment/materials, or supplies required at no cost to the VA.

TVHS top priorities is the minimization of waste to include significant efforts in recycling and waste diversion. The requested services will render all RMW, chemotherapeutic and pathological waste non-recognizable and non-infectious. It is preferable that resulting waste be sent in whole or in part for disposal as fuel in electrical co-generation, incinerated, and/or as much of the waste be recycled as possible (e.g., plastic, metal, etc.).

Background: Waste specifications for removal of Regulated Medical Waste (RMW) to include Pathological and Chemotherapeutic. The Environmental Protection Agency (EPA) defines RMW as "any solid waste that is generated in the diagnosis, treatment, or immunization of human beings or animals, in research pertaining thereto, or in the production or testing of biologicals." This may include any waste material or article which harbors, or may reasonably be considered to harbor, pathogens which might be expected to produce disease in healthy individuals. Medical waste subject to these requirements includes waste that generally has been considered infectious or potentially infectious by the health care community, as well as waste originating from health care or research facilities that are aesthetically objectionable and thus, problematic when disposed of improperly. "Trace" chemotherapeutic waste shall be included in the scope of this contract. "Bulk" chemotherapeutic waste shall be managed as hazardous waste within the generating facility and disposed of through a separate contract.

Type of Contract: The Government contemplates a single award of an Indefinite Delivery Indefinite Quantity (IDIQ) contract resulting from this solicitation.

The Period of Performance for this contract shall be five – one year ordering periods.

Ordering Period 1 – February 15, 2024, to February 14, 2025 Ordering Period 2 – February 15, 2025, to February 14, 2026 Ordering Period 3 – February 15, 2026, to February 14, 2027 Ordering Period 4 – February 15, 2027, to February 14, 2028

Ordering Period 5 – February 15, 2028, to February 14, 2029

SPECIFICATIONS:

Regulated Medical Waste (RMW): includes but is not limited to items contaminated with blood and body fluids/waste, trace chemotherapy wastes, sharps, pathological and microbiological waste, or other potentially infectious materials.

The main campuses at Nashville and Alvin C. York shall be serviced twice weekly on the same day of the week. Due to storage space issues, an enclosed trailer shall be provided at the loading dock at the Nashville campus. TVHS staff will load filled containers on the trailer. The trailer shall be cleaned or replaced by the Contractor on a quarterly basis. The clinic at Chattanooga shall be serviced every two weeks on the same day. All other locations shall be serviced monthly. Service days may be adjusted by the COR to better meet the needs of TVHS.

Trace chemotherapy is separated from other wastes and labeled for incineration. Trace chemotherapy is defined as vials or other containers that have less than 3% of the original contents by weight, after removing as much of the chemotherapy feasible. It also includes the chemotherapy remaining in all needles, bags, tubing, containers, gloves, and gowns used during chemotherapy infusions.

Reusable Sharps Program: shall include the removal and disposal of existing sharps containers system (including disposable containers, wall brackets, carts, and cabinets);

installation of reusable sharps containers (including lockable mounting brackets, stationary stands, mobile carts, and bulk storage/transport carts); in-service training to staff on use and handling of containers and proper segregation of medical sharps waste from other medical waste; monitoring reusable sharps containers at each point of use to provide timely collection of full containers and replacement with clean/sanitized containers; transportation and disposal of medical sharps waste in accordance with Federal, State, and Local laws and regulations.

The contractor shall furnish appropriate containers for pick-up, and disposal of all specified waste. Based on the estimated monthly weight of – regulated medical waste 26,000 lbs. a year 2,231 lbs. a month; chemotherapy waste 6000 lbs. a year and 500 lbs. a month), pick-ups will be scheduled at a minimum of three times per week.

Contractor provided containers shall be leak-proof, stackable, sealable, transportable, and designed so that government employees will not be required to lift more than 35 lbs. and shall display the universal biohazard symbol. All containers shall always be damage free and in good working order.

The Contractor shall supply the VA with an adequate number of clean, disinfected, rigid, stackable storage containers with tight-fitting covers that can be securely sealed. The Contractor shall provide disinfected storage containers of sufficient quantity to ensure adequate capacity as needed by the VA for IV and Trace Chemo. At a minimum, a one-to-one exchange of containers for each filled container in both pickup locations will be provided by the Contractor. Currently, the estimated weight of RMW and trace chemo waste generated by the TVHS is 26,000 pounds a year.

The storage containers must be lined with Contractor provided red bags or yellow Trace Chemo bags as applicable to the waste to be stored in the container. Contractor supplied bags shall be constructed of a material of sufficient single thickness and strength to pass the 165-gram dropped dart impact resistance test as prescribed by American Society for Testing and Materials (ASTM) standard d 1709-75, which is incorporated herein by reference.

Containers must be conspicuously labeled in accordance with guidelines and regulations prescribed by regulatory authorities including DOT and OSHA Standards.

All containers must be labeled with the Contractor’s and the VA’s names, addresses, and phone numbers. All labels containing VA identifiers must be removed from containers at the time of waste treatment and/or disposal.

Containers must be identifiable as to the type of hazardous waste contained within, (i.e., yellow for chemo, red for medical waste) all containers shall be approved by the COR.

Contractor will remove full containers and replace them with an equal number of empty sanitized containers. Sanitizing shall be completed at an offsite location.

Prior to departing the VAMC-TVHS contractor shall obtain the COR or designee’s signature for confirmation of manifest including but not limited to:

• Pickup/Delivery Location

• Pickup/Delivery Date

• Amount of waste (number of containers picked up and/or pounds)

• Destruction Certification Document/Manifest Number.

• Any other information as required by the COR.

Contractor shall ensure that the handling, licensing, and final disposal of Regulated Medical Waste, is in compliance with the Department of Transportation (DOT), Environmental Protection Agency (EPA), Department of Health and Environmental Control, Food and Drug Administration (FDA), DEA and applicable Federal, State and Municipal governmental regulations and codes. This shall include:

Transport Vehicles:

• Vehicles shall be equipped with fully enclosed leak-resistant cargo body, maintained in a sanitary condition, and secured when left unattended.

• Vehicles shall bear the required transporter’s name, State permit and the words as it applies to the type of waste that it will be carrying on the sides of the body.

• Waste shall not be subject to mechanical stress.

• Regulated medical waste shall not be combined with other waste.

• Marking requirements:

• Transporter shall provide waste-resistant labeling on all containers of regulated waste with the following information.

• Name of Transporter or immediate handler.

• State permit or identification number of the transporter.

SCHEDULE FOR DELIVERABLES: All RMW waste will be loaded into 96-gallon reusable mobile bins on wheels at TVHS and corrugated cardboard boxes (various sizes available) to accommodate the disposable of RMW at CBOCs, which will then be stored in the soiled utility room to be picked up once a month by fully trained, licensed and insured transportation personnel. Waste pick-up will be from the hospital designated waste holding area. The day of pick-up will be based on the following schedule of pick-ups for the following locations:

Normal Work Hours: Waste shall be picked up Monday through Friday, excluding federal holidays, at building #1, between the hours of 6:00 a.m. and 9:00 a.m.

Contractor: is to provide a documented back up plan in the event circumstances disrupt s his ability to provide pick up services. Services will be provided within 24 hours of a failure to meet scheduled pick-up times.

National Holidays: The 11 holidays observed by the Federal Government are: New Year’s Day, Martin Luther King’s Birthday, President’s Day, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veteran’s Day, Thanksgiving Day and Christmas Day and any other day specifically declared by the President of the United States to be a national holiday.

Documentation from The Contractor: Contractor shall be responsible for providing a detailed manifest of all medical waste, pharmaceutical, and control substances transported from the VA Medical Center to include the date, location, and proof of destruction. All medical waste collected from the VA will be weighed on site and a copy of the manifest stating the date collected, pounds of medical waste per cart and the number of carts must be left with the Contracting Officer Representative or the CEP Bldg. on the day of collection. The contractor is required to provide a signed and legible manifest attesting to the destruction of the medical waste and will be provided to the COR within 30 days of the destruction of the medical waste. The Certificate of Destruction shall at a minimum contain the following:

Pickup/Delivery Location Pickup/Delivery Date Amount of waste (number of containers picked up and/or pounds) Destruction Certification Document/Manifest Number Destruction Certification Date Any other information as required by the COR.

Waste Stream Analysis: Within 60 days after the start of this contract, Contractor shall conduct a waste-stream analysis of the participating facilities Regulated Medical Waste stream. The analysis shall be based on the policies and procedures of the Tennessee Department of Environment and Conservation (TDEC) regulations, Environmental Protection Agency (EPA) recommendations, Occupational Safety and Health Administration (OSHA) standards, Center for Disease Control (CDC) guidelines, Department of Transportation (DOT) and The Joint Commission (TJC) recommendations. The waste stream analysis shall include any suggestions for waste reduction and other improvements at the serviced locations.

Contractor will be required to supply data to the COR on a monthly tracking report. This data will include (1) weight of waste picked up at TVHS for the prior month and should be broken down to include the weights of each category of RMW (net and gross weight): (a) general infectious waste, (b) trace chemotherapeutic waste, (c) pathological/ anatomical waste, (2) if applicable, the weight of the resulting ash disposed of in a landfill, (3) the cost that TVHS paid to the contractor for the prior month, and (4) that all RMW, chemotherapeutic and pathological waste was diverted to co-generation, recycling and/or incinerated. All data will be broken down by campus and outpatient clinic. All data shall be submitted to the COR by the 15th day of the following month. Extension of the submittal date may be granted by the COR. The data format will be provided by the COR to the Contractor after award based on the needs of the healthcare system at that time. Data format is subject to change throughout the contract period.

Training Plan: Contractor shall provide annual training to government staff as required by the COR and will be required to provide a training plan that identifies what training will be provided to VA staff and what training will be provided to the contractor’s staff.

Training shall include proper handling of medical/special waste; interim storage requirements, proper identification and labeling of wastes, etc. Training shall be documented and shall be provided 24-7 during initial installation to ensure that training is available to all employees that will be required to handle waste. Contractor shall provide in–service training for staff not available at the time of training at no additional cost to the Government. Additional specific training will be required as follows:

Certificates of training and experience of staff and/or personnel who will perform site work under this contract (all technicians that will work on VA premises will be expected to have received at least the minimum training required by law as specified in 29CFR 1910-120, 40 CFR Parts 260-265 and 49 CFR Parts 171-178.

Contingency Plan: The Contractor shall have in place and maintain a valid contingency plan to meet the requirements of the contract to avoid an interruption of service due to failure of equipment or personnel issues. The Contractor shall provide the VA COR a contingency plan addressing back-up plans for collection, transportation, treatment, and disposal of the VA’s waste in the event of any condition which impedes the ability to perform the services specified in this SOW. The Contractor shall incur all cost associated with fulfilling this contingency plan at no additional cost to the Government.

Provide the following information on the contractor's emergency response (ER) capabilities (or any changes to original submission):

Contractor's ER policies.

ER capabilities and experience and limitations.

Type of ER equipment maintained (specify if owned or subcontracted and from whom).

Personnel availability, training, and experience.

Contractor's emergency response procedure shall describe:

How to request an emergency response.

How the contractor notifies personnel and initiates response action.

Incident command procedures followed by the contractor.

ER work practices.

ER protection of health and safety practices.

ER invoicing policy.

Management Plan: the contractor needs to provide details on how they will be managing the day-to-day operation, a list of key personnel, implementation plan, transition plan and any other information that may be vital to the management of this contract. This shall include information on the appointed project manager who will have responsibility for the performance of the waste removal services. The project manager or designee shall be competent to supervise all aspects of medical waste removal services and shall be available on-site within 4 hours after notification when problems arise with contractor’s work or if emergencies arise at this facility, which pertains to the contractor’s responsibilities or duties. The project manager shall, in the absence of the contractor, act for the contractor as contractor’s representative.

During the first ninety (90) days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by the individual’s illness, death, or termination of employment. The Contractor shall notify the Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events and provide the information required by paragraph (2) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph

(b) to the Contracting Officer at least 5 days prior to making any permanent substitutions.

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

Contractor Furnished Equipment, Materials, and Information: Contractor shall, at no additional cost to the Government, provide and maintain licenses, permits, vehicles, operators, equipment, and materials to properly handle, package, label, transport, and dispose of medical sharps waste generated at TVHS. Contractor is responsible for maintaining liability insurance for the duration of the contract.

Safety Plan Requirements: Contractor personnel and equipment shall comply with all applicable state, federal and local regulations. The Contractor agrees that his personnel and equipment are subject to safety inspections by Government personnel while on Federal property. The Contractor shall ensure that all personnel involved in the handling, repackaging, and transportation of the items listed herein shall be trained in the areas of spills, and general first aid procedures. The Contractor will, without additional cost to the VA provide and maintain all licenses and permits for operational personnel, trailers, containers, vehicles, and other resources required for proper removal of pharmaceutical wastes in accordance with all applicable Federal, State, Municipal, and local regulations [e.g., OSHA, EPA, CFR (DOT) including, but not limited to HM-18]. If appropriate licenses are not maintained in accordance with Federal, State, and local requirements, the VA may terminate the contract effective upon discovery.

The VA reserves the right to halt work if the COR determines work is being done in an unsafe/unhealthy manner or that could harm the environment. VA will not incur additional costs if work is halted for good cause.

Required Submittals - The following shall be provided to the COR with bid proposal submission for evaluation purposes and annually within thirty (30) days of the renewal date of this contract with any changes to original submission clearly identified and highlighted:

Current waste transporter permit(s)

List of all transfer stations, treatment, storage, and disposal facilities (TSDFs) including incineration, wastewater and sludge treatment facilities that shall be utilized during this contract to include the capacity of these facilities and the waste codes for the waste streams they are permitted to accept by treatment technology. Address, phone number and other contact information shall be provided. The VA reserves the right to inspect each of these facilities before approving its use or at any time during or after contract period while VA wastes are present.

Copy of Operator permit(s)

Provide a copy of US EPA identification number(s) certificate for each business entity operated by the contractor that will provide service regarding any aspect of VA waste disposal program (i.e., storage, transfer, incinerator sites). Provided a copy of certificate of registration with the State EPA as a hazardous waste transporter for each business entity operated by the contractor that will provide hazardous waste transportation services for any aspect of VA waste disposal program.

Provide a detailed SITE-SPECIFIC safety plan that will be used to ensure that workers and nearby population will be adequately protected during packaging and removal operations.

Provide information identifying any proposed subcontractors and identifying services to be performed by the subcontractors. Contractor must submit evidence that subcontractor is qualified and legally able to provide services. (ALL subcontractors must be approved by the COR prior to performing any duties under this contract).

Quality Assurance Plan: The contractor shall have a Quality Control Program to ensure the requirements of this contract are provided as specified. The Contractor shall be liable for all expenses incurred by the Government due to the Contractor’s inability to perform in accordance with these requirements. The contractor will be expected to meet all the needs of the contract and required to provide a Quality plan describing how they will meet the needs of this contract. The program shall include, but will not be limited to, the following:

An inspection system covering the services listed in the Statement of Work. It must specify areas of work to be inspected on a scheduled basis.

A method of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

A record of all inspections conducted by the contractor and any corrective action taken.

The documented Quality Control Program and records of inspections shall be made available to the Government upon request.

All information received will be provided either verbally and/or in writing to the contractor for appropriate action.

Schedule of Items

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 26,000.00 LB __________________ __________________

Medical Waste Removal (Autoclave) Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection PRODUCT/SERVICE CODE: S222 - Housekeeping - Waste Treatment/Storage

2,800.00 LB __________________ __________________

Incinerated Waste (Trace Chemo ect.)

Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

1,700.00 LB __________________ __________________

CBOC RMW

Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

12.00 MO __________________ __________________

Reusable Sharps Program Nashville Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Reusable Sharps Program Murfreesboro Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Reusable Sharp Program CBOC's Period of Performance February 15, 2024 - February 14, 2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

53' Enclosed trailer for storage of SHARPS and Regulated Medical Waste PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

26,000.00 LB __________________ __________________

Medical Waste Removal (Autoclave) Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Incinerated Waste (Trace Chemo ect.)

Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2025 - February 14, 2026 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2026 - February 14, 2027 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Reusable Sharps Program Murfreesboro Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2027 - February 14, 2028 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

Period of Performance February 15, 2028 - February 14, 2029

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection

PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection PRODUCT/SERVICE CODE: S222 - Housekeeping - Waste Treatment/Storage

GRAND TOTAL __________________

1.On page 12 of 26 of the solicitation states Contractor shall maintain all required permits and licenses for the transport, disposal of and treatment of medical waste. Please clarify if by contractor the government means the Prime and/or their subcontractor shall have these permits, licenses, and insurances, or do you mean these permits, licenses, and insurances must be held in the Prime contractor’s name?

1A. Whoever transport the waste will need to have the permits and licenses. The Contractor will need the required insurance.

2. On page 10 of 26, under Documentation from The Contractor the solicitation states, “All medical waste collected from the VA will be weighed on site…” Industry standard is to weigh waste at an offsite facility and provide weight reports to the customer. The reasons for this are twofold. First, most sites do not have room in their waste cages to accommodate a scale and the scale would not stay calibrated if kept on the truck. Second, if waste were to be weighed on-site before trucks can depart this would hold our trucks at the VA loading dock (blocking it) for a large portion of the day. This additional time on-site would also increase the cost. Can the VA omit this requirement?

2A. The vendor does not have to weigh on site.

3. Does this project require a full-time tech position?

3A. Include cost in your contract.

4. If so, which locations would the technician service?

4A. The tech will service all sites.

5. Is there a set schedule for technician service at each site?

5A. The contractor can provide a schedule of when the tech will be at each site based on the workload. The tech will be required to check in and out with the facility site manager.

6. After reviewing the attached amendment regarding the TVHS opportunity we did not see a response to our original question (email attached) related to “No Intermediate Handlers or subcontracting of transportation shall be allowed”. As I stated previously, this requirement will make it virtually impossible for SDVOSB companies to compete if they do not have local transportation services. Will the Government be willing to remove this requirement so long as the awardee meets the LOSR requirement such as providing all of the onsite labor with their direct employees and priced in accordance with the VAAR 52.219-74 and VAAR 52.219- 75? Please advise.

6A. Yes, I am willing to remove the “No intermediate handlers or subcontracting of transportation shall be allowed” as long as the awardee meets the LOSR requirements.

7. In addition, will there be a sign in log for the site walk tomorrow morning?

7A. Yes

8. Does the VA already have an autoclave on site at Nashville or Murfreesboro?

8A. Neither site has an autoclave. Nashville has a San-i-Pak.

9. A facility of this size (Nashville), would typically have more medical waste than 3200 pounds per month, are we expecting to only pickup 3200 pounds of waste from all of the sites combined?

9A. Nashville has a system that converts medical waste to solid waste which minimizes the total pounds of medial waste.

10. Are CLINs 1001,1002,1003 (and so on for additional years) inclusive of both Murfreesboro and Nashville waste totals?

10A. Yes

11. How many 96’s are picked up at each pickup at Nashville? Murfreesboro?

11A.

12. How many boxes per pickup at each CBOC?

12A. Number of boxes are based the poundage.

13. Page 9 Schedule for deliverables doesn’t read well. I believe it is saying that all 96’s from the Nashville campus will be stored in the onsite trailer, and the CBOCs will be picked up monthly, as boxes, by the vendor. Can you please confirm?

13A. 96-gallon containers for Murfreesboro and Nashville to collect medical waste and the boxers for the CBOCS.

14. What is the new start date as the extension for proposal has pushed beyond the initial start date?

14A. February 15, 2024

15. What is the anticipated date of contract award?

15A. TBD

16. If a new vendor is selected there must be time allotted for shipment of new product as well as sharps installation.

16A. This concern will be taken into consideration.

17. The solicitation doesn’t state a requirement for a trailer, but Steri does have a trailer that sits permanently at the dock, will there be a need for one with the new contract?

17A. CLIN’s 1007, 2007, 3007, 4007, and 5007 have been added to the schedule of items in case you have to supply a trailer.

Amendment 3 questions

RMW SOW 1252024