36C25018Q9628-0002000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE

OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

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:

D. OTHER

BY

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

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.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

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) 08/23/2018 610-18-4-1561-0012 none Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219 Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219 To all Offerors/Bidders

36C25018Q9628

X X X This amendment is issued to the Request for Quotes submitted on August 23 rd , 2018.

This amendment is submitted to correct system errors which affected the legibility and accuracy of data values.

Submit a signed copy of this amendment (box 15)with your final quote packet.

Please note solicitation due date (box 8 )and last day for questions (box 20).

All terms and conditions remain the same.

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

610-18-4-1561-0012 36C25018Q9628 08-23-2018 Gilbert Chonje 513-559-3728 09-12-2018

3:00PM EST

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219 X 624229 $15 Million X N/A X See Delivery Schedule

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971

877-353-9791 512-460-5540 See CONTINUATION Page Emergency shelter beds for beneficiaries within the coverage area of the Northern Indiana VA Medical Center. Facilities shall be Located within Allen County, IN or Elkhart County, IN or Saint Joseph County, IN.

Please see the Price Schedule and SOW in Section B as well as the Addendum to the Instructions to Offerors In

Section E.

This acquisition will be conducted using the procedures in FAR Part 12, Acquisition of Commercial Items, using authority of FAR Subpart 13.5, Simplified Procedures for Certain Commercial Items.

All questions are due by 3:00 PM on August 28 , 2018 Any questions received will be compiled and posted along with the respective answer as an amendment to FBO on August 30 , 2018.

Current Contractor: VOLUNTEERS OF AMERICA, INC.

Contract Number:VA251-13-D-0124 DUNS:075983320 See CONTINUATION Page X X X One (1) Alexander Daniel

Table of Contents

B.5 STATEMENT OF WORK…………………………………………………………………….8

B.6 QUALITY ASSUARNCE SURVEILLANCE PLAN……………………………………….36

C.2 52.203-3 GRATUITIES (APR 1984)………………………………………………………41

C.3 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014)………41

C.4 52.224-1 PRIVACY ACT NOTIFICATION (APR1984)…………………………………

C.5 52.224-2 PRIVACY ACT (APR 1984)……………………………………………………..42

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008)... ..…………………

C.7 indefinite8 ORDERING (OCT 1995)………………………………………………………..43

C.8 52.216-19 ORDER LIMITATIONS (OCT 1995)…………………………………………..43

C.9 VAAR 852.203-71 DISPLAY OF DEPARTMENT OF VETERAN AFFAIRS HOTLINE POSTER (DEC 1992)……………………………………………………………………………… C.10 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)………………………………………………………………………………………………………44

C.11 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)……………….44

C.12 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS SUBCONTRACTORS (DEC 2013)………………………………………………………………………45

C.13 52.242-13 BANKRUPTCY (JUL 1995)………………………………………………….45

C.23 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE (JAN 2008)………………………………………………………………………………………..56

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017)…

E.2 52.203-98 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS—REPRESENTATION (DEVIATION) (FEB 2015)………………………………………………………………………………………………..61 E.3 52.209-5 REPRESENTATION BY CORPORATIONS REGARDING AN UNPAID TAX LIABILITY OR A FELONY CONVICTION UNDER ANY FEDERAL LAW (DEVIATION)(MAR 2012)………………………………………………………………………………………………………62

E.10 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)……….59

E.11 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO BENEFICIARIES (JAN 2008)……………………………………………………………………………66

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:

Company Name: _________________________________________ Address: _______________________________________________ City/State: _____________________________________________ Phone: ________________________________________________ Point of Contact: ________________________________________ POC Phone: ____________________________________________ Email: _________________________________________________ DUNS No.: _____________________________________________

b. GOVERNMENT: Contracting Office 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

The Contracting Officer (CO) is responsible for the administration of this contract. The Contractor is advised that only the CO, acting within the scope of the contract and, after advice and consultation with the Contracting Officer’s Representative (COR), has the authority to make changes that affect:

· Contract prices and pricing issues

· Estimated quantities

· Delivery terms and conditions

· Term of the contract

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

3. INVOICES: Invoices shall be submitted in arrears:

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

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes FAR 52.219-4 Notice of Price Evaluation Preference for HubZone Small Business Concerns. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

B.3 SUBCONTRACTING COMMITMENTS--MONITORING AND COMPLIANCE (JUN 2011)

This solicitation includes VAAR 852.215-70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, and VAAR 852.215-71, Evaluation Factor Commitments. Accordingly, any contract resulting from this solicitation will include these clauses. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) to assist in assessing contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor compliance with the subcontracting commitments.

B.4 PRICE/COST SCHEDULE

In accordance with 52.216-22, Indefinite Quantity, the guaranteed minimum that the Government agrees to order during the period of this contract is approximately 1,825 beds. The maximum is approximately 45625 beds over the life of the contract.

Base Year: Period of 12 months from date of award

CLIN Description Quantity Unit Unit Cost Total

0001 All deliverables and 9,125 Bed $________ $________ other documentation required by the Statement of Work (SOW) shall be included in the charges for the daily rate.

Total: $____________ Option Year One (1): Period of 12 months commencing on the day after the last day of the Base Year

CLIN Description Estimated Quantity Unit Unit Cost Total

1001 All deliverables and 9,125 Bed $________ $________ other documentation required by the Statement of Work (SOW) shall be included in the charges for the daily rate.

Total: $____________ Option Year Two (2): Period of 12 months commencing on the day after the last day of Option Year 1

CLIN Description Estimated Quantity Unit Unit Cost Total

2001 All deliverables and 9,125 Bed $________ $________ other documentation required by the Statement of Work (SOW) shall be included in the charges for the daily rate.

Total: $____________ Option Year Three (3): Period of 12 months commencing on the day after the last day of Option Year 2

CLIN Description Estimated Quantity Unit Unit Cost Total

3001 All deliverables and 9,125 Bed $________ $_________ other documentation required by the Statement of Work (SOW) shall be included in the charges for the daily rate.

Total: $____________ Option Year Four (4): Period of 12 months commencing on the day after the last day of Option Year 3 CLIN Description Quantity Unit Unit Cost Total

4001 All deliverables and 9,125 Bed $________ $_________ other documentation required by the Statement of Work (SOW) shall be included in the charges for the daily rate.

Total: $____________

Base Plus all Options Total: $____________ (End Price/Cost Schedule)

B.5 STATEMENT OF WORK

STATEMENT OF WORK

Northern Indiana Health Care System (NIHCS) HCHV Safe Haven Residential Care Background and Overview The VA has been providing direct and specialized services for homeless Veterans for over 25 years. As part of the Plan to End Homelessness among Veterans announced in late 2009, the Veterans Health Administration (VHA) is funding programs and services to homeless Veterans. Recent national trends in service provision for the homeless outside of the VA system include the utilization of Safe Havens as an alternative to shelter care or as a placement after unsuccessful discharge from an inpatient or residential treatment program due to relapse-related issues. A Safe Haven is a form of treatment housing that serves hard-to-reach homeless persons with severe mental illnesses and/or substance abuse disorders that are on the streets and have been unable or unwilling to participate in more traditional treatment services. It is a “low demand” model of service delivery that allows clients to engage in treatment and services at their own pace. (For an explanation of Safe Havens, please view the following web sites:

https://www.onecpd.info/resources/documents/SafeHavens.pdf and http://www.wardfamilyfoundation.org/wff-safehaven-programs.pdf The intent of this contract is for NIHCS to engage a community provider to offer homeless Veterans services through a “Safe Haven” model of residential care. The NIHCS will solicit community organizations to provide “Safe Haven” services as a ‘specialty model under the contract authority of All Contract Residential Care programs,’ (For an explanation of the HCHV Contract Residential Program, view the following web site: http://www.va.gov/homeless/hchv.asp The Northern Indiana Health Care System (NIHCS) is using this model of HCHV Contract Residential Care, herein after referred to as a “Safe Haven,” to offer services for twenty-five (25, estimated quantity) chronically street homeless Veterans under the HCHV Contract Residential Care program enhanced by the services as defined in the Tasks and Deliverables. Significant deviation from these services can dilute the model as prescribed, and thus disrupt program evaluation and fidelity studies.

The VA National Center on Homelessness among Veterans (“the Center”) is available for consultation for program development of both providers and VA personnel. Additionally, the Center has formulated guidelines, protocols, and fidelity measures which must be adhered to by the selected Contractor and the NIHCS.

Many of the veterans involved in this program have co-morbid conditions that include serious mental illnesses, substance abuse disorders, and other serious medical conditions. The goal of the HCHV Contract Residential Care Safe Haven Program is to rapidly stabilize Veterans’ medical, mental health, substance abuse and other psychosocial problems in order to place Veterans in other appropriate transitional or permanent housing within a maximum of 180 days. NIHCS intends to engage a Contractor to provide rapid placement of VA-referred Veterans in a safe, residential treatment setting while addressing Veterans’ complex needs through on-site treatment case management services using a Safe Haven model. This housing must meet the criteria established both by HCHV clinical staff and VA fire and safety officials.

Contractors are urged in the strongest terms to carefully review the requirements outlined in the Statement of Work to ensure that all facilities fire and safety and treatment services criteria can be met in a timely way.

Contractor shall have management staff experienced in operating a Safe Haven residential care program with on-site treatment services and demonstrated experience serving chronically street homeless Veterans.

NOTE: Experience running an HCHV Contract Residential Program outside the Safe Haven model does not count toward the two years of experience. For an explanation of the Safe Haven model, please visit the web sites previously mentioned.

The selected contractor shall have at least two (2) years as an agency or have management staff with at least two (2) years of direct experience working with homeless Veterans in partnership with the Department of Veterans Affairs through one or more VA homeless housing programs such as HCHV Contract Residential Care or VA’s Homeless Providers Grant and Per Diem Program. VA places a great deal of emphasis on the responsibility and accountability of contractors receiving VA funds through the HCHV Contract Residential Care program. VA has procedures in place to monitor facilities and treatment services provided to homeless veterans as well as outcomes associated with the services provided in HCHV Contract Residential Care programs and the Safe Haven model programs.

The target population for Safe Haven is homeless Veterans with a chronic mentally illness, chronic substance abuse disorders and/or serious medical problems and complex needs. To be eligible for the Safe Haven program, Veterans must:

· Be eligible for VA health care as determined by the eligibility department at the local VA medical center and referred by the Contracting Officer Representative (COR) or Safe Haven VA Liaison NOTE: In this document, COR, Safe Haven Liaison, VA Safe Haven Liaison, and VA Liaison refer to the same person.

· Be determined to meet criteria for chronic homeless definition based on McKinney Vento Act by the local VA medical center HCHV program or local homeless CoC Coordinated Entry system and who suffer from mental health or substance use problems or who struggle with maintaining sobriety.

· Veterans determined to meet non-chronic, literal homeless definition based on McKinney Vento Act may be eligible if assessed by the VA Safe Haven Liaison to have serious medical, mental health, substance abuse, or other serious psychosocial conditions or stressors that makes the Veteran highly vulnerable and have been unable or unwilling to participate in more traditional treatment services. These Veterans may have not yet fully committed to sobriety and treatment.

· Veterans who need and want programs that support their sobriety or those who are compliant with treatment are not the target population for Safe Haven.

Safe Haven Residential Care Veterans are referred to the contractor based on a demonstrated need for case management and treatment services to stabilize their mental health, substance abuse, medical and/or other co-occurring serious psychosocial issues in order to secure transitional or permanent housing as quickly as possible. If the local community in which the Safe Haven is located participates in Coordinated Entry and/or the By Name List (BNL), Safe Haven Provider will be expected to fully participate. For an explanation of Coordinated Entry, view the following web site: https://www.hudexchange.info/resources/documents/Coordinated-Entry-Core-Elements.pdf For an example of the By Name List (BNL), view the following web site: https://endhomelessness.org/resource/sample-veteran-homelessness-master-list/ The Save Haven VA Liaison will be delegated to this contract as the Contracting Officer Representative (COR) and will act as the clinical liaison for all client related issues between the Contractor and the NIHCS homeless team. She/he will provide clinical oversight. She/he will not provide direct clinical supervision.

A. PERIOD OF PERFORMANCE: The period of performance for this contract shall be for a Base Year plus four (4) Option Years.

B. PLACE OF PERFORMANCE: Work will be performed at the contractor’s facility located in the VA NIHCS catchment area in Allen County, and, Elkhart County or Saint Joseph County all located in Indiana. Government furnished property will not be provided for this effort. However, the contractor will be required to attend frequent meetings and planning sessions at the VA NIHCS medical center at no additional expense.

C. METHOD OF INSPECTION AND ACCEPTANCE: The Contracting Officer’s Representative (COR) will evaluate all deliverables (as defined below in section titled “Tasks & Deliverables”) submitted. The COR is responsible for certifying invoices for payment only for deliverables received and deemed acceptable by the COR. A Quality Assurance Surveillance Plan (QASP) will be used by the COR to assure success of the contract’s performance. See Quality Surveillance Plan (p.36)

CONTRACT REQUIREMENTS

A. Contractor shall provide Safe Haven Services to the Northern Indiana Health Care System (NIHCS) Catchment Area as specified within the requirements of this Statement of Work for the period of one year from the date of award and four (4) option years, exercisable at the Government’s discretion. Multiple awards may be considered for Safe Haven Services in the following state of Indiana counties: Allen County, either Elkhart County or Saint Joseph County. Eligible Veterans from any county in NIHCS catchment may be served if the Veteran is willing to relocate to the Safe Haven site of care.

B. Contractor shall assist with the provision of emergency residential placement and treatment services through the Health Care for Homeless Veterans (HCHV) program Safe Haven model for chronically homeless Veterans in need of immediate placement in a safe environment with onsite treatment services. Awards may be based on residential capacity to place Veterans in safe, community-based residences.

C. It is anticipated that the contract will be awarded as an Indefinite Quantity Contract (IQC) with the maximum bed count being 25 beds per day. Maximum number of beds funded will not exceed 9,125 Veteran bed days of care per year. Contractor shall at all times maintain the capability to house 25 Veterans per day. Contractor shall only bill for actual bed count occupied by a veteran or 20% of the 25 bed daily maximum.

FACILITY REQUIREMENTS

A. Contractor facility shall include separate and secure lodging for women Veterans. Estimated need for women Veterans is 365 Veteran bed days of care per year (average of 1 Bed per day).

The contractor shall furnish each eligible individual authorized care under this contract with the following basic services:

1) ROOM AND BOARD: Room and Board to include a bed and other furnishings such as a dresser, storage, and personal linens (towels and bed sheets). Meals to include at least two nutritionally adequate meals a day (7 days a week), and have available nutritious snacks between meals and bedtime for those requiring or desiring additional food, when it is not medically contraindicated.

2) LAUNDRY FACILITIES: Laundry facilities for residents to do their own laundry or to have laundry done.

B. The contractor shall at time of bid submission currently have a facility that they own/lease and it must have a current occupancy permit or state license required by the authority having jurisdiction. All pertinent proof of ownership/lease and occupancy permits or state licenses shall be submitted by the offeror with their bid.

Implementation Timeline

The contract facility and associated onsite services shall meet the standards as referenced in this Statement of Work and all local, State and Federal HCHV and occupancy standards upon the effective date of award. An inspection shall be conducted as directed by the Contracting Officer or designee within 120 days from the date of contract award.

Tasks & Deliverables I. Residential Care Facilities and Management

A. Contractor must have site control of the residential care facility through ownership or valid lease. No additional funds will be made available for capital improvements under this contract.

B. Contractor is required to ensure that the facility used for this contract meets fire and safety code imposed by the State law, and the NFPA 101 Life Safety Code of the National Fire and Protection Association. It is important to note that typically the Life Safety Code is more stringent than local or state codes. Applicants also should note that all facilities, unless they are specifically exempted under the Life Safety Code, are required to have an operational sprinkler system

C. Contractor is required to ensure that the facility used for this contract meets the Americans with Disabilities Act (ADA) guidelines for accessible accommodations for Veterans with physical limitations or impairments. This is also referred to as “Architectural Barriers Act compliant.” At least 5% – 7% of a facility’s Safe Haven beds must meet ADA accessibility requirements, to include entrances/exits, bathroom facilities, and common areas. For example, if a contractor has 10 beds for the Safe Haven program in the facility, 1 to 2 of those beds must be accessible to Veterans with physical limitations or impairments. Veterans must not be segregated from the rest of the facility due to physical disability; they must have full and equal access to the facility, treatment services, and support services as any other resident.

D. Contractor facility must be licensed as required for the particular setting under State or Federal authority, and must meet all applicable local, state, and Federal requirements concerning licensing and health codes. Copies of valid licenses must be provided to the VA during the initial facility inspection scheduled 120 days after contract award and during annual inspection reviews. Licenses and permits may also be requested the Contracting Officer’s Representative during a scheduled or random periodic inspection. Where applicable, the facility must have a current occupancy permit issued by the authority having jurisdiction.

E. Contractor providing Safe Haven residential care and treatment services to female Veterans shall ensure the safety and privacy of these Veterans. The facility must have female residential rooms or sections that are securely segregated or restricted from men to ensure safety and privacy. Men and women must have separate bathroom facilities. Special emphasis on privacy and security must be noted in mixed gender facilities.

· The living environments of the Safe Haven residence must include:

i. Separate and secure sleeping arrangements (unit or wing) for each gender,

ii. Separate and secure bathroom arrangements for each gender,

iii. Screening procedures and criteria for sex offenders (mixed gender facility), and

iv. Common areas (lounges, laundry rooms, group rooms) with appropriate security arrangements.

F. Contractor facilities must provide appropriate safety and security in all common areas through active monitoring. Common areas are considered lounges, laundry rooms, shared kitchens, group rooms, entrances and exits, and hallways. Monitoring may be done through video surveillance or frequent security staff observation.

G. Contractor must provide a safe and sober environment for all residents that are consistent with the Safe Haven program model of housing and services. For a review of the Safe Haven Model, visit the following web site: https://www.onecpd.info/resources/documents/SafeHavens.pdf.

The contractor will offer a “low-demand environment” meaning Veterans will be offered mental health and substance abuse services but their participation in these services will not be contingent on their acceptance or continued stay in the Safe Haven. In keeping with the Safe Haven Model, there will be a minimum set of rules designed to re-establish trust in the homeless Veteran and engage the Veteran in needed treatment services. Contractor must have written policies and procedures based on the Safe Haven Program Model in place that address the following concerns and situations:

· Acceptance of treatment cannot be a condition of admission or continued stay.

· Abstinence from alcohol or drugs cannot be a condition of treatment or continued stay.

· Infractions of rules should be used as opportunities for engagement.

· Suspected or known drug or alcohol use or relapse by one or more residents and interventions

· On-site contraband, weapons (including props or souvenirs that appear to be weapons), drug or alcohol related paraphernalia (i.e., found alcohol, drugs, pipes or other drug “works”, etc.)

· Safe prescription medication storage and handling, including specific provisions for prescribed controlled substances

· Safe prescription medication access, including specific provisions for safe disposal of medications and syringes

· Room inspections and daily bed checks of Veterans residing in the program, including methods and frequency

· Grievance process to address resident complaints with time frames for responses from the contractor’s program/facility management

· Client abandonment of belongings in the facility, including time frames and procedures for disposal

· Housing and equipment are maintained in a sanitary manner free from pests, insects, vermin and remedy thereof. The facility shall have a pest control policy including but not limited to a protocol for bed bug prevention. See sample best practices bed bug protocol as addendum.

· Process to elicit client satisfaction with the facility and onsite services, including information collection methods, frequency of collecting information, and process for utilizing the information for continual performance improvement purposes.

These policies and procedures must be communicated to Veteran residents both verbally and in writing in a manner that is understandable to them upon admission to the facility. This communication must be documented in the Veteran’s client record.

H. House rules and expectations should be kept to a minimum, be simple, and should focus on safety of the residents. Most residents will have had difficulty in the past adhering to settings where strict rules are applied. The rules should reward positive behavior, be enforceable, relate to the living situation, provide for safety of the residents, and provide opportunities for engagement. An example of rewarding positive behavior would be giving tokens that can be exchanged for household goods when the Veteran is discharged. This will be left to the discretion of the contractor. Residents will not be discharged for the use of alcohol or drugs, as many of the residents that this program will target have failed programs in the past for their inability to stay clean and sober. Maintaining residential care engagement and stability will be the primary goals for each resident. To provide for the safety of the residents, the Contractor must have written policies and procedures in place that clearly indicate the following are prohibited and will result in discharge from the facility:

· Dealing or use of illicit drugs at the facility

· Buying or selling of alcohol or drugs in the facility

· Sexual activity between residents, with staff, with visitors, or anyone else in the facility.

· Violence or threat of violence by residents at the facility

Although rules must be kept simple and demands on the residents low, it is required that staff at the facility must stay continuously engaged with the residents. Policies and procedures should reflect that:

1. Regular room checks shall occur with a strong focus on maintaining a safe environment that promotes the well-being of all residents.

2. The contract shall ensure that Staff are trained in providing flexible, respectful responses to infractions of rules. Such training will be approved by the VA.

3. Homeless Veterans will not be discharged for drinking, use of drugs, non-compliance with prescribed medication or infractions of house rules that do not constitute a risk to their personal safety or the safety of the facility residents or staff.

4. Assertive engagement by the staff with patients regarding these problems is the preferred course of action to deal with these common problems of the Safe Haven facility.

I. Contractor must provide the following to Veterans referred and admitted to the Safe Haven facility:

· A designated bed that is used exclusively by the individual Veteran from the time of admission to the time of discharge. This bed must be situated in a room that affords the Veteran safety, privacy and security.

· A safe and secure place for each Veteran to store his/her belongings that is readily accessible to the Veteran (such as a locking closet, a locking armoire, a locker, etc.)

· Laundry facilities for Veterans to do their own laundry or laundry services provided as part of the Veteran’s stay in the residential care program at no cost to the Veteran.

J. Contractor must provide and maintain a clean and comfortable environment of care that meets the following conditions. In the event that corrective action is required, it will be at the expense of the contractor to take corrective action and no additional funds will be made available to remedy a negative condition. Contractors must ensure that they have sufficient operating funds in addition to VA funding to maintain the facility according to the requirements of the contract, as defined below:

1. A structurally sound facility so as not to pose any threat to the health and safety of the occupants and so as to protect them from the elements;

2. Facility entries and exit locations that are capable of being utilized without unauthorized use and provide alternate means of egress in case of fire;

3. Provides each resident an acceptable place to sleep that is in compliance with appropriate codes and regulations;

4. Provides every room or space with natural or mechanical ventilation;

5. Is free of pollutants in the air at levels that threaten the health of residents;

6. Provides a water supply that is free from contamination;

7. Provides sufficient sanitary facilities to residents that are in proper operational condition, may be used in privacy, and are adequate for personal cleanliness and the disposal of human waste;

8. Provides adequate heating and or cooling plants that are in proper operating condition that will maintain internal temperatures in the facility between the range of 65 degrees to 75 degrees;

9. Provides adequate natural or artificial illumination to permit normal indoor activities and to support the health and safety of residents;

10. Provides sufficient electrical sources to permit use of essential electrical appliance while assuring safety from fire;

11. Provides that housing and equipment are maintained in a sanitary manner free from pests, insects and vermin.

12. Provides that the facility has a warm, welcoming, and respectful atmosphere through its lighting and décor. Contractor ensures that furniture is well maintained and comfortable, and that plants, table cloths and fruit baskets with fresh fruit are part of daily facility operations and upkeep.

13. Provides a library room for Veteran use that is accessible and quiet. The library room must have books and other reading material available for Veterans’ recreational use as well as a working computer for Veterans to learn or enhance their computer skills.

14. Provides a “sober room” or “safe room” for residents who are intoxicated or under the influences of substances where the resident can be observed until it is safe for them to return to the general population.

K. The contractor must provide designated onsite office space to VA contract approved personnel such as: Contracting Officer Representative (COR), and/or VA clinical personnel. The office space must afford the VA representative and Veteran(s) privacy and confidentiality when meeting. The office must include a desk, desk chair, at least one office chair for the client to sit in, locking file cabinet, noise/sound control capabilities (i.e.: sound machine, music player, etc.), a desk top telephone to make local as well as long distance calls, and the office must have internet access capability with at least a 2 megabytes lap top computer to be provided by the VA and kept in the possession of the VA staff person.

L. Contractor must provide appetizing, nutritionally adequate meals three times per day in a setting that encourages social interaction. At least one meal other than breakfast must be a hot meal. Nutritious snacks between meals and at bedtime must be available for those requiring or desiring additional food, when it is not medically contraindicated. All food must be stored, handled and served in a safe and sanitary manner that meets accepted industry standards and guidelines. The VA has particular concern for homeless Veterans, many of whom are either undernourished or have developed poor eating habits or both, because of chronic medical, mental health or substance abuse disorders. A VA dietitian may assess printed menus as well as Veterans’ satisfaction with meals and the actual consumption of food offered in determining the contractor’s success in meeting this requirement during annual facility inspection or at any point during the contract period.

M. Contractor facilities must pass an initial and annual VA inspection. [See Reference section for a copy of the inspection form.] Veterans will not be approved for placement until an initial inspection of any new residential facilities has been completed. VA reserves the right to re-inspect any facility and associated services at any time under the terms of this contract.

II. Staffing and Treatment Services

A. The contractor shall employ sufficient professional health care personnel to carry out the policies, responsibilities, and programs of the facility. In contract housing, there must be, at minimum:

1. A full-time administrative staff member on duty or residing at the residence and available for emergencies 24 hours a day, 7 days a week. Note: security staff alone, whether employed directly by the contractor or subcontracted by the contractor, is not sufficient to meet this requirement.

2. A Director of the program and/or facility on call and available for emergencies 24 hours a day, 7 days a week.

3. A professionally credentialed clinical supervisor [such as a Licensed Clinical Social Worker (LCSW), Licensed Clinical Professional Counselor (LCPC) or similar professional as approved by the VA COR] available to make regular onsite visits and provide ongoing supervision of cases to the facility’s case management personnel. The clinical supervisor must be on call and available for emergencies 24 hours a day, 7 days a week.

4. Sufficient case management personnel to provide the necessary therapeutic interventions and activities and to ensure a meaningful integration of these efforts with those provided in the residential setting. Case managers must have a minimum of a bachelor’s degree in social work, psychology, or related field and have training and experience working with homeless individuals with chronic medical, metal health and substance abuse problems and be able to assess and anticipate crises. Each Veteran must have an assigned case manager responsible for coordinating and providing the treatment services specified in the contract. The case manager to Veteran ratio is 1:25 or fewer cases per case manager.

5. Security staff onsite 24 hours a day, 7 days a week. Security staff must be sufficient to ensure a safe and secure environment for all residents.

6. Each shift (24 hours per day) shall have at least one staff or security member Cardio-Pulmonary Resuscitation (CPR) certified. CPR certification training shall be provided and shall be maintained at the expense of the contractor. Copies of all CPR Certifications shall be maintained at the facility and made available (upon request) for inspection/review of the COR.

7. The contractor shall employ sufficient personnel to carry out the policies, responsibilities, and programs of the facility.

B. The Contractor is expected to participate in training on the basic Low Demand/Safe Haven model. Introduction of and training on the following evidence-based practices may include:

· Motivational Interviewing

· Critical Time Intervention

· Stages of Change

C. The Contractor personnel must maintain professional boundaries with the Veteran at all times while conveying an attitude of genuine concern and care.

1. Under no circumstances shall the contractor personnel engage in sexual activities or have sexual contact with Veterans, or their family members, regardless if such contact is consensual or forced.

2. Contractor personnel should under no circumstances take unfair advantage of any professional relationship or exploit Veteran clients or their family members to further their personal, religious, political, or business interests. Contractor personnel should not engage in dual or multiple relationships with Veterans or their family members in which there is a risk of exploitation or potential harm to the Veteran or Veteran family.

3. The contractor is responsible for taking steps to protect Veterans and their family members and is responsible for setting clear, appropriate, and culturally sensitive boundaries.

4. 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. The contractor is responsible for maintaining Veterans’ privacy and confidentiality and must have systems in place that protect Veteran’s personal identifying information and protected health information. This includes but is not limited to:

i. Having adequate private office space for Veterans to meet in confidence with their case manager.

ii. Having secured paper and electronic filing systems to protect clients’ case records and other documentation.

iii. Conducting ongoing training of staff about maintaining client privacy and confidentiality in all verbal and written communications and interactions.

iv. Ensuring that non-clinical/non-case management facility staff have access to Veteran information only as needed in order to meet the service requirements contained in the contract.

D. Outreach shall be conducted by the Safe Haven provider and VA homeless outreach staff conjunction with street outreach teams in the VA NIHCS catchment area to optimally engage the target population. Outreach by the provider should be conducted collaboratively with VA homeless staff and target homeless Veterans who have difficulty accepting housing and services from traditional programs. Homeless Veterans with severe mental illness and persistent substance use problems that have not responded to traditional programs and meet the definition of a homeless person are a primary target. For this program, we will use the McKinney-Vento definition of a homeless person as quoted later in this document. Engagement with the Veteran should be goal-directed with consistent staff geared toward building trust and getting the Veteran to accept and remain in the Safe Haven residence. Evidence-based practices, such as motivational interviewing and critical time intervention, should be utilized.

E. Contractors must communicate policies and procedures to Veteran residents both verbally and in writing in a manner that is understandable to each Veteran upon admission to the facility, ideally in the form of a written resident handbook that is verbally reviewed by the assigned case manager with the Veteran. This communication must be documented in the Veteran’s client record.

F. The contractor shall provide, at minimum, the following case management services to Veterans in the program:

1. Engagement of the…