36C25021Q0717.docx

36C25021Q0717

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 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

541-21-3-2076-0090 36C25021Q0717 7-01 -2021 Roman Savino 837-49655 07-30-2021 3:00 pm

EDT

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131 X X 562112 $41.5 Million N/A X 36C541 Cleveland VA Medical Center Wade Park Campus 10701 East Blvd Cleveland OH 44106 36C541 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131

36C250 Department of Veterans Affairs Financial Services Center Invoices to be Submitted Electronically www.ob10.com/us/en/veterans-affairs// e-Invoice Setup Info Phone 877-489-6135 TX 78714-9971 877-353-9791 512-460-5540 See CONTINUATION Page

1. Provide removal of hazardous, non-hazardous, universal, chemical and toxic waste disposal at the Cleveland VA and Community Based Outpatient Clinics

2. Contract will be a Base Year with Four One Year Options

3. Base Year POP: 11-1-2021 through 10-31-2022 See CONTINUATION Page X Harvey J. McGowan Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: ______________________

b. GOVERNMENT: Roman Savino, Contracting Specialist 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 6150 Oak Tree Blvd., Suite 300 Independence OH 44131

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:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly 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.

www.ob10.com/us/en/veterans-affairs// e-Invoice Setup Info Phone 877-489-6135 TX 78714-9971

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

PERFORMANCE WORK STATEMENT

The vendor will provide hazardous, non-hazardous chemical, universal, and pharmaceutical waste disposal services; manpower to transport pharmaceutical waste from the central accumulation area. Regulated and non-regulated waste will be collected from one pick-up location at the Louis Stokes Cleveland VA Medical Center located at 10701 East Boulevard, Cleveland, Ohio 44106. Regulated and non - regulated pharmaceutical waste will be picked-up at sixteen (16) locations as identified in attachments 1 thru 3. Regulated and non-regulated pharmaceutical waste will be picked up weekly at the main VAMC & Domiciliary (Wade Park), Outpatient Surgery Center & Midtown Dialysis Center. Services performed will include disposal of lab packs; pharmaceutical formulary review; providing collection containers; technical consulting; electronic record keeping; emergency spill response; training for pharmaceutical waste; and annual hazardous waste and DOT training. The services will be provided in accordance with current federal, state, and local regulations and may include small quantities for dual waste (i.e., infectious, and hazardous waste).

The contract will be a Base Year with Four One Year Options. The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforms to all the solicitation requirements

PART ONE: REQUIREMENTS:

A. Waste Removal Quantities of each item listed are estimates based on a per item amount. Additional chemical wastes not listed may be added to this contract by amendment by the COR if such wastes are identified during the process of this contract. Additional chemicals not listed shall not be removed from the premises without written authorization from the COR. All hazardous, non- hazardous chemical, universal, and pharmaceutical wastes generated by Cleveland VAMC facilities will be disposed of by the Contractor in accordance with current Federal, State, and local guidelines governing hazardous, non-hazardous chemical, universal, and pharmaceutical wastes disposal and destruction.

Packaging of chemical wastes will be in the largest container available for that waste stream. Smaller sizes shall be used for partial loads or to meet the disposal priorities or DOT requirements.

Contractor will dispose of hazardous waste in a manner that leaves no future expense potential to the VA or the federal government. Wastes should be disposed of in the following preferred priority:

The treatment of the chemical waste (at a facility approved for such processing by an appropriate state or federal agency) in a manner that renders it no longer a hazardous waste as defined in the 40 CFR series.

Acceptance of the hazardous property (chemical wastes) at a properly permitted treatment, storage, or disposal site does not constitute disposal and/or completion of the contract. It is the prime contractor's responsibility to obtain all necessary documentation to prove that the timely end disposal of all items has been accomplished.

Out of country shipments are prohibited under this contract.

B. Service Performance Times - Removal of the hazardous, non-hazardous chemical, universal, and DEA drug waste will be normally performed during the hours of 8:00 AM and 4:30 PM, Monday through Friday, excluding National Holidays. The Contracting Officer Representative (COR), GEMS coordinator or designated/trained staff are available during those hours for the approval of manifests and other required documentation, unless exigent circumstances require services during an unscheduled time. After-hours access will be coordinated with the Green Environmental Management System (GEMS) Program Manager or the Coordinator's designee. The Contractor and the COR will arrange for a routine (non-emergency) service based upon volume.

C. Training – The vendor will provide training for all employees who handle hazardous and/or universal waste, at least twice per year, upon request by the COR (Maximum of 500 employees). The hazardous waste training program will provide training to employees who generate hazardous waste in Satellite Accumulation Points, that have hazardous waste management responsibilities at each facility, who sign manifests or who are authorized to serve as their respective facility's hazardous waste coordinator. Training will incorporate state specific regulations and include storage, manifest completion, records management, emergency responsibilities, Land Disposal Restrictions, and other pertinent topics. The training will also include DOT Hazardous Materials training that meet the requirements of 49 C.F.R. §§ 172.704(a), (c) and (d).

The contractor will provide Resource Conservation and Recovery Act (RCRA) training per the state and federal regulations for all employees with responsibilities for management of hazardous waste at each facility, not to exceed 50 employees for each VAMC facility. The successful contractor will provide DOT training to all employees who ship, prepare, or sign hazardous waste manifests or other hazardous materials shipping papers and are covered under 49 C.F.R.§§ 172.704(a), (c) and (d). The contractor shall provide general training and instruction to the VA employees responsible for handling hazardous and universal waste designated by the COR. The contractor will provide training qualification and a training outline that covers all areas referenced in this section.

The contractor will provide electronic and physical certificates, attendance lists and course materials at the conclusion of each training event. Contract COR and GEMS coordinator are the designated POC’s.

D. Performance Review Meetings - Quarterly meetings shall be held with the Green Environmental Management Systems (GEMS) Coordinator and COR to address contract performance upon request. Should contract deficiencies arise, meetings may be held on a more frequent basis to resolve any/all issues.

E. Recordkeeping/Reports - Contractor will have a centralized waste tracking system. The centralized tracking system will include a centralized database for all waste characterizations and determinations, hazardous waste manifests, universal bill of lading for universal wastes, methods of final (end) disposal, final (end) disposal sites, monthly, quarterly and annual waste generation reports by facility, and training records. The contractor will be responsible for providing a database that will be able to generate reports on hazardous waste activities, waste characterization profiles, annual generation by facility and other information necessary for the successful operation and management of a hazardous waste management program. The electronic database will be provided to the COR upon request in a Microsoft Excel spreadsheet or web-based information access.

F. Pharmaceutical Formulary Review Annual Update — The contractor will provide an electronic review of the medical center formulary and provide recommendations as appropriate. The completed review will identify all listed waste, characteristic waste, and RCRA-equivalent waste. The review will also identify Department of Transportation packing and labeling instructions. The final review will be submitted in Microsoft Excel spreadsheet format in an electronic file.

G. Consulting Services — At the medical center's request, the vendor will provide technical expert consulting services on topics related to EPA, state-specific RCRA, DOT, and other environmental regulations.

H. Twenty-four-hour Spill Response Services - Contractor will provide twenty-four (24) hour per day, seven (7) days per week of emergency HAZWOPER response for spills of oil, hazardous materials and/or wastes, and universal wastes. The contractor shall respond within two (2) hours to spill incidents at the Louis Stokes Cleveland VAMC to conduct spill mitigation activities, neutralize caustic or corrosive spilled products, and provide expert advice concerning products and their potential impacts on human health and the environment. Response shall include spill cleanup, handling, temporary storage and the eventual disposal of products or product residuals generated because of a spill and to prepare required documentation on behalf of the facility. The contractor shall also possess the capability to respond within this two (2) hour on-site frameworks to assess any potentially unstable/reactive hazardous substance identified, and to affect on-site remote opening and stabilization as appropriate within twenty-four (24) hours. This service will be provided on a 24-7 basis and must be provided on-site within 2 hours of after being notified by the medical centers point of contact. The contractor will be responsible for providing emergency first responder services at the HAZWOPER Operations Level in the event of an oil spill, a spill of hazardous materials/wastes, and universal wastes. This service must be available 24 hours per day, 7 days per week and be available with personnel on the scene within 2 hours. If Contractor fails to respond within two (2) hours, VA reserves the right to obtain the required service from another source capable of full performance of these contract requirements, and to charge the contractor with any excess cost which may result therefrom.

The contractor must be able to identify spilled product, conduct spill mitigation activities (e.g., containment, diversion from storm drains), neutralize caustic/corrosive spilled product, provide expert advice concerning products and their potential impacts, undertake spill cleanup activities, handle and dispose of spilled product and residuals, prepare appropriate regulatory documentation on behalf of the facility, and insure containers are appropriately and adequately labeled. The contractor will provide their spill procedures for integration into facility level SPCC or contingency plans. The contractor will provide their billing procedure that would be used for spill and emergency response activity.

I. Waste Characterization - The Contractor will perform characterization of all waste streams identified by each facility using process knowledge, identity of the chemicals, and other types of chemical analysis including but not limited to Toxicity Characteristic Leaching Procedure (TCLP). Chemical wastes shall include but not be limited to ignitable items, corrosives, poisons/ toxics, reactive wastes, and universal waste (i.e. batteries, fluorescent lamps, mercury thermometers and blood pressure cuffs, lead aprons). Work shall be performed in accordance with all applicable, Federal, State, Local and governing regulations. The Contractor will obtain permission from the COR before conducting chemical analysis to be charged against the contract.

J. Containerizing - The Contractor will be responsible to package bulk wastes into the largest container feasible. The Contractor will be responsible for properly containerizing all lab-packs and for assuming all safety measures to prevent harm or injury to VA patients, visitors, employees, contractor employees (example: PPE) and the environment (example: storm drain covers). The VA CORs, Safety Officer/Specialists, Industrial Hygienists, GEMS Coordinator, or VA Police, or Emergency Preparedness Specialist have the authority under this contract to present a verbal "stop work order" pertaining to job activity they reasonably believe represents an imminent hazard to life, property or the environment. This verbal order shall be followed up by a written stop work order issued by the COR as soon as feasible after the imminently hazardous situation has been stabilized or abated.

K. Accidental Release - Should hazardous, non-hazardous chemical, universal, or pharmaceutical waste be released during the performance of services under this contract, through no fault of the VA facilities, the Contractor will be responsible for all costs associated with the satisfactory remediation of the incident. This will include the cost of all labor and materials as well as any actual damages incurred to the facility and harm caused to patients, visitors, and staff of the medical center. The remediation efforts shall be performed to the satisfaction of the cognizant regulatory authorities and the medical center's GEMS Coordinator.

L. Contractor Furnished Materials and Equipment - The Contractor will furnish all containers, packing material, and any other necessary equipment and documentation for lab packs. The contractor may, on occasion, be requested to furnish other waste storage containers (e.g., for bulk wastes). Contractor shall provide a list of containers and pricing with their proposal. Should the government require this service, contractor shall invoice the container in accordance with list submitted with their pricing proposal.

M-1) -Specific Containers Needed for the Performance of this Contract (no substitutions)

· Kendall/Covidien 8605 RCRA containers & wall mounts (5 quart)

· Envirotain/Mauser WIVA Medical Waste Containers in 8, 12, & 18-gallon sizes (port lid)

· RX Destroyer Bottles & wall-mounts (various sizes – 64oz, 1 gallon, 2 gallons most common) M. Building Occupancy - The VA will maintain full occupancy of the site for the duration of the services required under this contract unless an exigent emergency requires localized evacuation (e.g., discovery of potentially unstable wastes). The Contractor shall not interfere or hinder the daily operations of the VA while performing services during other than exigent circumstances.

N. Compliance - The Contractor is required to comply with all Federal, State, and local regulations, policies and procedures regarding tracking, record keeping, manifesting and documentation of all hazardous, non-hazardous chemical, universal, and pharmaceutical waste. The contractor will be required to comply with all changes to such Federal, State, and local regulations and procedures which occur during the term of this contract. The Contractor will provide to each medical center's GEMS Coordinator any additional certifications that may be required because of changes in such laws. Contractor shall also provide training certificates to COR and/or GEMS Manager for any and all staff for which that staff members participates in regulated activities in accordance with all applicable Federal, State, and Local etc.

O. Removal - The Contractor will provide all manifests and documentation that apply to the removal and disposal of hazardous, non-hazardous chemical, universal, and pharmaceutical waste activities conducted by its workforces and/or its subcontractors. The Contractor will furnish a properly executed and legible copy of the appropriate manifests required to document the safe shipment and proper disposal of hazardous, non-hazardous chemical, universal, and pharmaceutical waste generated by each medical center under the terms of this contract.

P. Transportation - Prior to the removal and transport of hazardous, non-hazardous chemical, universal, and pharmaceutical wastes generated by Cleveland VAMC facility, the Contractor will obtain approval and signature for each manifest from the VA Facility's COR or his/her authorized designee verifying that the Contractor has accepted the waste from the VA and that the waste was properly shipped for treatment or disposal. Manifests not signed by the COR or his/her designee will not be deemed valid. The Generator Copy, Generator State Copy and Destination State Copy of the executed manifest (signed manifest will be provided to the facility within 30 days) will be provided to the VA Facility COR or the Safety Office and to Acquisition/Logistics when hazardous, non-hazardous chemical, universal, and DEA drug waste is disposed of as applicable and before the removal of any waste from facility.

Q. Time Limits - In addition to providing the manifests, the Contractor will provide a properly executed and signed manifest from the designated facility to the VA COR and GEMS Coordinator within thirty (35) calendar days of removal of waste from this facility. The signed manifest from the Designated Facility will clearly identify the Hazardous Waste Report Method of Management Codes that all waste has been properly disposed of and will specify the site and date of disposal or incineration (90-day requirement). Exceptions to this must be approved by the COR and/or GEMS Coordinator.

R. Electronic Data - All manifests, waste determinations, waste generation data, shipping information and other data required for the proper execution of this contract will be maintained by the contractor in an electronic database. This system should enable tracking of generator status, generate monthly, quarterly, or annual reports, and enable tracking of compliance dates. The electronic database will be provided to the COR upon request in a Microsoft Excel spreadsheet or web-based information access and/ or at the end of the contract, whichever comes first.

S. Delivery Schedule - It is the intent of this contract to have a regular pick-up twice-monthly (every 2 weeks) for hazardous, non-hazardous chemical, universal, waste from central accumulation. Pharmaceutical waste will be picked-up weekly from accumulation sites listed on attachment A and taken to central accumulation pending the next bi-monthly removal from the facility. Areas on Attachment B will be serviced on an as-needed basis and must occur within 10 business days of request by COR or GEMS coordinator. The responsible COR or his/her designee shall notify the Contractor of the necessity for the pick-up for unusual circumstances outside of the normal schedule. The Contractor must coordinate all pickups with the facility COR.

T. Government Estimates - The Government requires services on a recurring basis. There shall be no penalty or additional costs incurred should a medical center require more or less than the estimated pickups or disposal volume outlined in the schedule of costs.

U. Safety Requirements - In the performance of this contract, the Contractor shall take such safety precautions as the COR or his/her designee may determine to be reasonably necessary to protect the lives and health of VA patients, visitors, staff and the general public. The COR or his/her designee will notify the Contractor of any noncompliance with the foregoing provisions as well as the recommended corrective action. The Contractor shall, after receipt of such notice, immediately correct the conditions to which attention has been directed. Such notice, when served in person on the Contractor or his/her representative at the site of work, or telephonically to Contractor's designated representative, shall be deemed sufficient for the purpose of the previously mentioned. If the Contractor fails or refuses to comply promptly to satisfactorily abate the hazardous condition or situation, the Contracting Officer may issue an order stopping all or any part of the work. Contractor is expected to adhere to any emergent public health orders and potentially more stringent guidance from VHA Policy while on VA Property. VA shall provide Contractor written notification of any enhanced safety posture.

V. Service to Wade Park PALMS Suite (Laboratory):

7.5 hours weekly (3x 2.5 hours) (Monday, Wednesday, Friday) to perform the following:

a) Remove all bulk chemical waste from PALMS suite laboratories (containers + carboys)

b) Transport all waste to the central accumulation area

c) Pour off all chemicals into appropriate barrels/containers as needed

d) Assure that all containers are properly labeled and dated, as needed, to include all Subpart P managed containers as ‘Hazardous Waste Pharmaceuticals’

e) Remove and transport any chemical waste in the satellite accumulation areas to central accumulation site weekly

W. Mandatory Recycling The Northeast Ohio Veterans Affairs Healthcare System is implementing an affirmative program to promote cost-effective waste reduction and recycling of materials generated in its operations and facilities. Recycling and reuse of materials is preferable to incineration and/or land filling. Thus, the contractor will maintain an approved list of recycling vendors, haulers, and landfills in their vicinity that are authorized by the EPA or state. The contractor must ensure that a certificate of recycling is provided by the recycling facility to the Northeast Ohio Veterans Affairs Healthcare System for all recycled materials. A current CHWMEG, Inc. facility report must be provided for all recycling facilities utilized to recycle materials collected from the Northeast Ohio Veterans Affairs Healthcare System.

Recyclable materials may include, but are not limited to:

-Used oil or oil contaminated debris to include kitchen/cooking oils -Florescent lamps -Batteries -Antifreeze -Paints -Lead/metals/precious metals

PART TWO: QUALIFICATIONS:

A. Transportation - The Contractor shall submit the following information regarding hazardous waste fleet owned and operated by the contractor to the Contracting Officer Representative (COR) when requested:

· Most recent CHWMEG report for all transporters of wastes

· Basic description of transportation services offered and capabilities.

· Fleet description of number, types, and ages of vehicles.

· Types of materials licensed to haul.

· Latest DOT or MCS rating (include a copy of the last inspection).

· The DOT/CHP compliance record

· Description of driver qualifications including training programs, experience and driving records.

B. Emergency Response - The Contractor is responsible for performing emergency response (ER), to situations that may arise from the handling, packaging, transport, storage, treatment, recycling and/or disposal of VA waste while in the contractor’s possession. The contractor shall provide to the COR when requested:

· Contractor’s ER policies

· ER capabilities and experience and limitations

C. Training Programs - The Contractor describe any training programs used to protect the health and safety of employees and to develop the capabilities and expertise of employees and provide to the COR when requested. In addition, the Contractor shall provide the types and content of initial and on-going training, frequency of training, trainer qualifications, and training program regulatory compliance.

D. Personnel Qualifications and Safety – Evidence of the following shall be submitted to the COR when requested:

· Proof of EPA Identification. The Contractor shall provide proof (copy of certificate) of US EPA Identification number(s) for each business entity operated by the Contractor that will provide service regarding any aspect of hazardous waste disposal for the Cleveland VA Medical Center.

· Proof of Registration. The Contractor shall provide proof (copy of certificate) of all registrations required by Federal, State, or local governments to transport, store and/or dispose of universal and hazardous wastes. The Contractor shall provide this information for each business entity operated by the Contractor that will provide universal and hazardous waste transportation services.

· Proof of “Request for Certification of Destruction.” The Contractor shall provide proof requesting “Certification of Destruction/Recycling” from Ultimate TSDF Disposal Site.

· Proof of Business Licenses. The Contractor is responsible for acquisition of all applicable business licenses and permits required by law. The Contractor shall certify that it acknowledges and is in possession of all required business licenses and permits.

· Citations and Violations. The Contractor shall list, for the past three years, any violations and/or citations that the Contractor has received for non-compliance with any universal and hazardous waste laws and permit requirements, and/or OSHA or EPA regulations. The Contractor shall include information for all related business entitles including associated firms that are owned by the Contractor or owned by a common parent company that will be involved in any portion of the processing of the wastes generated by the Cleveland VA Medical Center. If no discharge or violations have occurred, Contractor must provide a statement that certifies no discharges or violations have occurred.

E. TSDF/ Recycling Facilities - The Contractor shall submit the following information regarding all TSDF/ Recycling facilities to be used to the COR when requested:

· Evidence of established working relationships with the TSDFs and transporters indicated on the TSDF and transporter plans.

· Contractor's procedure for the review and evaluation of the TSDFs and transporters. Sample audit check lists or reports should be submitted if they are an element in the contractor's review and selection procedure of subcontractors.

· List identifying how each waste stream will be managed and to which facility the waste stream will be transported for final disposal.

· Current CHWMEG report for all TSDF/ Landfills/ Recycling facilities to be used in support of this contract.

· Audit packages for all TSDF/ Landfills/ Recycling facilities to be used for final disposal.

· Copies of latest EPA compliance inspection reports for all TSDF/ Landfills/ Recycling facilities to be used for final disposal.

F. Reporting - The Contractor shall submit the following information regarding all reports that will be required to the COR when requested:

· Name and description of electronic waste and documentation tracking system capable of providing the following:

· Capabilities of providing continuous access to online waste disposal data, including bi-monthly waste as well as all supporting documentation (i.e., Land Disposal Restriction forms, Certificates of disposal/recycle, Hazardous Waste Manifests, Waste Profiles, etc.).

· Calculating the RCRA Hazardous Waste annual report data.

· Calculating the data for toxic waste releases for SARA 313 Form R.

· Providing a history of all manifests generated by the facility.

· Assisting with waste minimization reporting and analyzing trends in waste generation.

· Providing reports on hazardous waste generation by waste stream.

· Locating manifest by number or days outstanding.

· Determining the amount of waste disposed by method of disposal.

· Providing a reference table of all wastes generated by the facility.

· Providing a system to monitor the generation, cost, status, and disposal rates.

· Assists the Chalmers P. Wylie VA Ambulatory Care Center to identify lower-cost disposal options.

· Examples of the following reports that will required under this contract:

· Monthly report summarizing all hazardous waste and recycling data. This report must be organized in an itemized fashion and must include a description of the waste/recycled material, the common name and shipping description of the waste/recycled material, the type of waste/recycled material, the EPA waste code for the waste/recycled material, the profile number, the management method and treatment method for the waste/recycled material, final destination or treatment facility the waste/recycled material description, actual weight of waste/recycled material in pounds (estimated weight amounts will not be accepted), corresponding manifest line item, and manifest number.

· Annual report summarizing all hazardous waste disposals and recycling data.

· Monthly Hazardous Waste Generation Rate Report that identifies the monthly hazardous waste generation rate by taking actual weights of all hazardous waste containers placed in all hazardous waste storage areas and all satellite accumulation areas monthly.

· Monthly Hazardous Waste Satellite Accumulation and Storage Area Inspection Report and hazardous waste storage and satellite accumulation areas monthly.

PART THREE: SPECIFIC SERVICE OUTLINES

A. Pharmaceutical Process for Wade Park Inpatient Wards & CARES Tower Contractor shall inspect and remove/replace any pharmaceutical collection containers that are ¾ full or approaching the fill-line. Locations for each container are listed below.

· Waste Carts (placed in the hallways of each area):

· 18 gallon Hazardous & Non-Hazardous Containers

· Medication Rooms:

· Rx Destroyer Bottles

· Soiled Utility Rooms:

· Possible overflow of each container type generated between weekly service intervals.

B. Pharmaceutical Process for CBOC’s:

Contractor shall remove/replace bulk 30 or 55-gallon drum from soiled utility room at each location upon request. Pickups shall occur within 10 business days of request by COR/GEMS Coordinator.

C. Pharmaceutical Process for Wade Park Outpatient Areas:

Contractor shall inspect each room listed on attachment 3 and remove/replace any wall-mounted 8605 RCRA containers that are ¾ full or approaching fill line. Full containers are taken to the soiled utility room and placed in the 30 or 50-gallon drum staged in these areas. Full drums are swapped and taken to central accumulation pending the next 2-week facility pick-up.

LIST OF PHARMACEUTICAL WASTE ACUMMULATION LOCATIONS AT CLEVELAND VAMC MAIN CAMPUS (WADE PARK) & DOMICILIARY

Service/Department

Women’s Health

6A SCI Outpatient Clinic

6B SCI Unit

5A Inpatient Surgery

5B (Geriatric/Rehab/Neurology)

4A General Med (Oncology)

4B Med Surg (Telemetry)

Dental Clinic

Eye Clinic

3A SICU

Pain Management

3B Hospice / TCU

Progressive Care Unit

CCU/MICU

Cardiology Cath/EP Lab

OR

Endoscopy/GI

GU/Urology

Pulmonary Clinic

Dialysis

PACU

Hematology/Oncology/Infusion Center

Dermatology

ENT

Orthopedics

Podiatry

Module A&B (FIRM Clinics)

Module C&D

Module E&F

Module G&H

Module J

ER

Psychiatric ER

Mental Health/Prolyxin Clinic

Inpatient Pharmacy

Outpatient Pharmacy

Radiation Therapy

CT Scan

Ultrasound

Fluoroscopy

Angiography

CARES TOWER

CT2 Residential Rehab

CT3 Community Living Center

CT4 Community Living Center

CT5 Community Living Center

CT6 Acute Inpatient Psychiatry

CTA Blind Rehab

CTB Community Living Center

LEASED SPACES REQUIRING WEEKLY SERVICE

Louis Stokes Cleveland VA Medical Center (Domiciliary) 1563 East Boulevard Cleveland, OH 44106

Midtown Dialysis Center 7000 Euclid Ave.

Cleveland, OH 44103

VA Outpatient Surgery Center 8901 Superior Ave.

Cleveland, OH 44106 216-421-3131

LIST OF COMMUNITY BASED OUTPATIENT CLINIC (CBOC) LOCATIONS FOR AS-NEEDED PHARMACEUTICAL WASTE DISPOSAL SERVICE (Those with Asterix have On-Site Pharmacies):

Akron VA Outpatient Clinic * 55 West Waterloo Road Akron, OH 44319-1116

Canton VA Outpatient Clinic * 733 Market Avenue South Canton, OH 44702-1018

East Liverpool VA Outpatient Clinic 15655 State Route 170 Suite A Calcutta, OH 43920-9672

Lake County VA Outpatient Clinic 35000 Kaiser Court Willoughby, OH 44094-3382

Lorain County VA Outpatient Clinic 5255 North Abbe Road Sheffield Village, OH 44035-1451

Mansfield VA Outpatient Clinic 1025 South Trimble Road Mansfield, OH 44906-3427

New Philadelphia VA Outpatient Clinic 1260 Monroe Avenue Suite 1A New Philadelphia, OH 44663-4147

Parma VA Outpatient Clinic * 8787 Brook park Road Parma, OH 44129-6809

Ravenna VA Outpatient Clinic 6751 North Chestnut Street Ravenna, OH 44266-3903

Sandusky VA Outpatient Clinic 1912 Hayes Avenue Sandusky, OH 44870-5557

Warren VA Outpatient Clinic 1460 Tod Avenue, Northwest Warren, OH 44485-2407

Youngstown VA Outpatient Clinic * 2031 Belmont Avenue Youngstown, OH 44505-2401

TR House 9401 Lorain Ave Cleveland, OH 44102

WEEKLY SERVICE POINTS – WADE PARK OUTPATIENT FIRM & MODULE CLINICS

LOCATION 1: FIRM A & B

LOCATION 3: MODULE E & F

TOTAL: 36

TOTAL: 15

Container: Cardinal/Covidien 8605RC

Container: Cardinal/Covidien 8605RC

EXAM ROOM #'s

EXAM ROOM #'s

Med Room 1A-121

LOCATION 2: MODULE C & D

LOCATION 4: MODULE G & H

TOTAL: 30

TOTAL: 27

Container: Cardinal/Covidien 8605RC

Container: Cardinal/Covidien 8605RC

EXAM ROOM #'s

EXAM ROOM #'s

1-D223

QUALITY ASSURANCE SURVEILLANCE PLAN

For: Hazardous, Non-Hazardous, Universal, Chemical & Pharmaceutical waste services:

Northeast Ohio Healthcare System Contract Number:

Time period: November 1, 2021 through October 31, 2026 Contractor’s name:

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) provides a systematic method to evaluate performance for the stated contract. This QASP explains the following:

· What will be monitored.

· How monitoring will take place.

· Who will conduct the monitoring?

· How monitoring efforts and results will be documented.

This QASP does not detail how the contractor accomplishes the work. Rather, the QASP is created with the premise that the contractor is responsible for management and quality control actions to meet the terms of the contract. It is the Government’s responsibility to be objective, fair, and consistent in evaluating performance.

This QASP is a “living document” and the Government may review and revise it on a regular basis. However, the Government shall coordinate changes with the contractor. Copies of the original QASP and revisions shall be provided to the contractor and Government officials implementing surveillance activities.

2. GOVERNMENT ROLES AND RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance activities.

a. Contracting Officer (CO) - The CO shall ensure performance of all necessary actions for effective contracting, ensure compliance with the contract terms, and shall safeguard the interests of the United States in the contractual relationship. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment under this contract. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance.

Assigned CO: Harvey J. McGowan Assigned CS: Roman Savino Organization or Agency: Department of Veterans Affairs, Engineering

b. Contracting Officer’s Representative (COR) - The COR is responsible for technical administration of the contract and shall assure proper Government surveillance of the contractor’s performance. The COR shall keep a quality assurance file. The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf.

Assigned COR: Paul Ribich, Management and Program Analyst

c. Other Key Government Personnel – Ryan Carlo, Marie Burke, Dan Mashek and Nick Corrozza

3. CONTRACTOR REPRESENTATIVES

The following employees of the contractor serve as the contractor’s program manager for this contract.

a. Program Manager –

b. Other Contractor Personnel –

4. PERFORMANCE STANDARDS

Performance standards define desired services. The Government performs surveillance to determine if the contractor exceeds, meets, or does not meet these standards.

The Performance Requirements Summary Matrix, paragraph in the Performance Work Statement (PWS), includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

The government reserves the right to monitor services in accordance with Performance Based Matrix. Monitoring of contractor’s performance shall be done by the Contracting Officer Representative (COR):

· Contract noncompliance: Incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. A Quality Assurance Surveillance Plan will be signed by the Contractor Program Manager and COR, outlining the evaluation criteria to ensure the contractor is aware of the management and quality criteria required to meet the terms of the contract.

· Frequency of Measurement: During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed. Semi-annual (or quarterly if warranted) reports are prepared by the COR.

· Frequency of Performance Assessment Meetings: The COR shall visit with the contractor either on an as-needed basis or, at a minimum, twice during the Period of Performance: The first time during the middle of contract period and the second time will be towards the end of contract period to assess performance and shall provide a written assessment. This written assessment will be forwarded to the Contracting Officer as documentation of contractor’s performance and/or for a request to exercise option period, renewal of a contract, or termination of a contract.

· Contractor reviews: Contractor will review semi-annual (or quarterly) performance measure reports and acknowledge receipt of report by returning a signed copy, along with any comments, to the Contracting Officer within 30 days of receipt of the report.

1. Waste Characterization

2. Collection

3. Segregation

4. Packaging Chemical Waste

The contractor shall visit the facility on a weekly basis to collect waste pharmaceuticals and lab chemicals from areas where containers are installed Replace specific Envirotain, Covidien, RX Destroyer containers ¾ full

Exercise of Option Period

5. Storage

Comments:__________________________________________________________________________________________________________________________________________________________________________________________________________________

B.2 PRICE/COST SCHEDULE

Period of performance:

1. Base Year: November 1, 2021 through October 31, 2022

2. Option Year One: November 1, 2022 through October 31, 2023

3. Option Year Two: November 1, 2023 through October 31, 2024

4. Option Year Three: November 1, 2024 through October 31, 2025

5. Option Year Four: November 1, 2025 through October 31, 2026

VANEOHS HAZARDOUS/UNIVERSAL/PHARMACEUTICAL CONTRACT

PRICING WORKSHEET

Transportation

Supplies

Labor

Total Transportation, Supplies, and Labor

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