36C25020Q0004-003.pdf

See Task Order(s)

36C25020Q0004 10-08-2019

Brad Burhite (513) 559-3704 10-22-2019

36C250

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

X 100

X

621910

$16.5 Million

X

N/A

X

See SCHEDULE OF SERVICES -

PRICE SCHEDULE

36C250

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

NOTE: This solicitation is 100% small business set-aside

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The contractor shall provide all required labor, material, supplies, equipment and supervision of contractor personnel necessary to perform Advanced Life Support (ALS) and Basic Life Support (BLS) ambulance service for the Columbus Veterans Administration Ambulatory Care Clinic (VAACC) in accordance with the terms and conditions established herein.

This solicitation shall be conducted in accordance with FAR Subpart 13.5 and is anticipated to result in the award of an Indefinite-Delivery type contract as defined in FAR Subpart 16.5. The performance of services under this contract shall only be authorized though the award of funded task order(s) by the cognizant government contracting.

The anticipated performance periods are as follows:

- Base Year from 1-December-2019 to 30-November-2020

- Option Year One from 1 December 2020 to 30 November 2021

- Option Year Two from 1 December 2021 to 30 November 2022

- Option Year Three from 1 December 2022 to 30 November 2023

- Option Year Four from 1 December 2023 to 30 November 2024

See CONTINUATION Page For accounting and appropriation data see each individually awarded task order. FAR 52.232-18 (Availability of Funds) applies to this contract.

X X

X 1

Bradley K. Burhite

VA-VHA-SAOC-2019-CD0069AC

Bradley K. Burhite 1461180 Digitally signed by Bradley K. Burhite 1461180 Date: 2019.10.08 13:02:07 -04'00'

NOTE #1: The minimum quantity that is specified for each line item in the base period applies only to the base period.

NOTE #2: The contractor shall be authorized to invoice for the “Total Price (Minimum)” identified for the base period ONLY if the base period is physically complete; the total invoices submitted for base period do not exceed the “Total Price (Minimum)” identified for the base period; and the CO has reviewed the final invoice submitted by the contractor for the base period and approved payment.

*Equals 15% of Max

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*Equals 15% of Max

*Base Period Only **Equals 15% MAX NTE o o Number of Trips One-Way (if invoicing for trips) o Number of Miles (if invoicing for mileage) o Number of 15-minute increments for wait time (if authorized to invoice for wait time) o Pick-Up Date o Pick-Up Time o Pick-Up Location o Drop-Off Date o Drop-Off Time o Drop-Off Location

Definitions.

Commercial and Government Entity (CAGE) code

Highest-level owner

Immediate owner

Do not use a “doing business as” name

Do not use a “doing business as” name

Definition.

Commercial and Government Entity (CAGE) code https://www.sam.gov

Inspection/Acceptance.

Assignment.

Changes.

Definitions.

Excusable delays.

Patent indemnity.

Items accepted.

Prompt payment.

Electronic Funds Transfer (EFT).

Discount.

Overpayments.

Interest.

Final decisions.

Risk of loss.

Taxes.

Termination for the Government's convenience.

Termination for cause.

Title.

Warranty.

Limitation of liability.

Other compliances.

Compliance with laws unique to Government contracts.

Order of precedence.

Unauthorized Obligations

Incorporation by reference

General.

General.

Reporting.

Recovery of excessive pass-through charges

Access to records.

Flowdown.

Minimum order.

Maximum order.

provided

Definition.

Applicability.

Agreement.

Applicability.

Services (except construction).

Supplies (other than procurement from a nonmanufacturer of such supplies).

General construction.

Construction by special trade contractors.

Definition personally identifiable information

Definitions

Commercial item commercially available off-the-shelf item

Subcontract

Indemnification.

Insurance.

Definitions.

Contract financing payment

Designated agency

Electronic form

Invoice payment

Payment request

Electronic payment requests.

Data transmission.

Invoice requirements.

Exceptions

Reference current Federal, state of Ohio and VHA Policy.

WAGE DETERMINATION NOTIFICATION: The contractor shall be responsible for the correct title classification of workers and compliance with all applicable wage and hour laws.

For offeror reference attached is a REDACTED historical trip report from 1 to 31 August 2019 from incumbent contract 36C25019D0710.

North American Industry Classification System (NAICS) code and small business size standard

Submission of offers

Period for acceptance of offers

Product samples

Multiple offers.

Contract award (not applicable to Invitation for Bids).

Multiple awards.

Unique entity identifier

Debriefing o o

Options.

____________(Date)

(Solicitation Number)

___________________________________(Company Name) ___________________________________(Company Street Address) ___________________________________(City, State and Zip Code) ___________________________________(DUNS Number and CAGE Code)

____________(Date)

(Solicitation Number)

___________________________________(Company Name) ___________________________________(Company Street Address) ___________________________________(City, State and Zip Code) ___________________________________(DUNS Number and CAGE Code) https://www.sam.gov

Economically disadvantaged women-owned small business (EDWOSB) concern

Forced or indentured child labor

Highest-level owner

Immediate owner

Inverted domestic corporation

Manufactured end product

Place of manufacture

Predecessor

Restricted business operations

Service-disabled veteran-owned small business concern

Small business concern

Small disadvantaged business concern

Subsidiary

Successor

Veteran-owned small business concern

Women-owned business concern

Women-owned small business concern

Women-owned small business (WOSB) concern eligible under the WOSB Program http://www.sam.gov

Small business concern

Veteran-owned small business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

Service-disabled veteran-owned small business concern. Complete only if the offeror represented itself as a veteran-owned small business concern in paragraph (c)(2) of this provision.

Small disadvantaged business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

Women-owned small business concern Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

The offeror shall enter the name or names of the WOSB concern eligible under the WOSB Program and other small businesses that are participating in the joint venture: ___________

Complete only if the offeror represented itself as a WOSB concern eligible under the WOSB Program in (c)(6) of this provision.

The offeror shall enter the name or names of the EDWOSB concern and other small businesses that are participating in the joint venture: ___________

Women-owned business concern (other than small business concern). Complete only if the offeror is a women-owned business concern and did not represent itself as a small business concern in paragraph (c)(1) of this provision.

Tie bid priority for labor surplus area concerns.

HUBZone small business concern. Complete only if the offeror represented itself as a small business concern in paragraph (c)(1) of this provision.

Previous contracts and compliance

Affirmative Action Compliance.

Certification Regarding Payments to Influence Federal Transactions

Buy American Certificate

[List as necessary]

Buy American—Free Trade Agreements—Israeli Trade Act Certificate.

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate I.

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate II.

Buy American—Free Trade Agreements—Israeli Trade Act Certificate, Alternate III

Trade Agreements Certificate.

Certification Regarding Responsibility Matters

The tax liability is finally determined.

The taxpayer is delinquent in making payment.

Examples.

Certification Regarding Knowledge of Child Labor for Listed End Products (Executive Order 13126)

Listed end products.

Certification. [If the Contracting Officer has identified end products and countries of origin in paragraph (i)(1) of this provision, then the offeror must certify to either (i)(2)(i) or (i)(2)(ii) by checking the appropriate block.]

Place of manufacture.

Certificates regarding exemptions from the application of the Service Contract Labor Standards.

The contracting officer is to check a box to indicate if paragraph (k)(1) or (k)(2) applies.

Taxpayer Identification Number (TIN)

Taxpayer Identification Number (TIN).

Type of organization.

Common parent.

Restricted business operations in Sudan.

Prohibition on Contracting with Inverted Domestic Corporations

Representation

Prohibition on contracting with entities engaging in certain activities or transactions relating to Iran.

Representation and certifications.

et seq.

https://www.treasury.gov/resource-center/sanctions/SDN-List/Pages/default.aspx e.g., Ownership or Control of Offeror

Do not use a “doing business as” name

Do not use a “doing business as” name

Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law.

Predecessor of Offeror

(Do not use a “doing business as” name).

Public Disclosure of Greenhouse Gas Emissions and Reduction Goals