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36C25022Q0865
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.
UEI:
EFT:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. NOV 2021)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
610-22-4-142-0034 36C25022Q0865 08-10-2022 Kristina L. Peart 734-845-3444 08-18-2022 14:00
EDT
Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor, MI 48105 X X 621910 $16.5 Million N/A X Department of Veterans Affairs Northern Indiana Healthcare System Attn: Transportation 2121 Lake Ave.
Ft. Wayne IN 46805 Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor, MI 48105
Department of Veterans Affairs See Administrative Section B
N/A N/A See CONTINUATION Page See Pricing Section in Section B.
This requirement is for Northern Indiana Healthcare System Ambulance Service.
This requirement is for a Base period/four ordering periods.
This procurement is being conducted utilizing FAR Parts 12 & 13.5 and will be awarded using comparative analysis.
All questions are due no later than August 12, 2022, at 2:00 p.m. EDT.
See CONTINUATION Page See Price Schedule in Section B X Kristina L. Peart Contracting Officer Table of Contents
| SECTION A | 1 |
| A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES | 1 |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 4 |
| B.1 CONTRACT ADMINISTRATION DATA | 4 |
| B.2 ELECTRONIC INVOICE SUBMISSION AND INVOICING | 6 |
| B.3 CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS) | 7 |
| B.4 PRICE/COST SCHEDULE INFORMATION | 9 |
| B.5 PRICE/COST SCHEDULE | 10 |
| B.6 PERFORMANCE WORK STATEMENT (PWS) | 21 |
| Part I: General Information | 21 |
| Part II: Work Requirements | 21 |
| Part III: Supporting Information | 29 |
| SECTION C - CONTRACT CLAUSES | 33 |
| C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 33 |
| C.2 52.216-18 ORDERING (AUG 2020) | 39 |
| C.3 52.216-19 ORDER LIMITATIONS (OCT 1995) | 39 |
| C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995) | 40 |
| C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 40 |
| C.6 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997) | 40 |
| C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS | 41 |
| C.8 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) | 41 |
| C.9 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018) | 43 |
| C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) | 44 |
| C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 44 |
| C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) | 45 |
| C.13 MANDATORY WRITTEN DISCLOSURES | 52 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 53 |
| ATTACHMENT 1: WAGE DETERMINATIONS INCORPORATED BY REFERENCE | 53 |
| ATTACHMENT 2: QUALITY ASSURANCE SURVEILLANCE PLAN | 55 |
| ATTACHMENT 3: PAST PERFORMANCE QUESTIONAIRE | 60 |
| SECTION E - SOLICITATION PROVISIONS | 62 |
| E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 62 |
| E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) | 68 |
| E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) | 71 |
| E.4 52.216-1 TYPE OF CONTRACT (APR 1984) | 72 |
| E.5 52.233-2 SERVICE OF PROTEST (SEP 2006) | 72 |
| E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 72 |
| E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 73 |
| E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION) | 73 |
SECTION B - CONTINUATION OF SF 1449 BLOCKS
B.1 CONTRACT ADMINISTRATION DATA
(Continuation from Standard Form 1449, block 18A.)
1. Contract Administration: All contract administration matters will be handled by the following individuals:
| a. CONTRACTOR: | Name: |
| Address: | |
| City, State, Zip: | |
| Telephone Number: | |
| POC: | |
| E-mail address: | |
| Contractor’s Unique Entity ID: |
| b. GOVERNMENT: | Department of Veterans Affairs |
| Network Contracting Office (NCO 10) | |
| Attn: Kristina L. Peart, Contracting Officer | |
| PO Box 492 | |
| Ann Arbor, MI 48106 | |
| Phone: (734) 845-3444 | |
| E-Mail: Kristina.Peart@va.gov |
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] | 52.232-33, Payment by Electronic Funds Transfer – System for Award Management. |
| [N/A] | 52.232-34, Payment by Electronic Funds Transfer - |
Other Than System for Award Management, or [N/A] 52.232-36, Payment by Third Party
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [N/A] | |
| b. Semi-Annually | [N/A] | |
| c. Other | [X] Monthly to: https://www.tungsten-network.com/customer-campaigns/veteransaffairs |
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. Tungsten Network: https://www.tungsten-network.com/customer-campaigns/veteransaffairs
5. SECURE FAX: All faxes in regard to this order shall contain the following on the coversheet:
This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.
6. SUBMISSION OF OFFER:
| a. Offerors shall complete and return all information designated in: | |
| 1.) Blocks 17 (a) and 30 (a-c) of SF 1449 | |
| 2.) Contract Administration Data |
3.) The Price/Cost Schedule, Section B 4.) 52.212-1, Instructions to Offerors--Commercial Items, Quote Submission Information 5.) 52.209-7, Information Regarding Responsibility Matters 6.) 52.212-3, Representations and Certifications, or valid completion in SAM is acceptable Information shall be received by the date and time specified in Block 8 of SF 1449 in order to be considered for award.
b. By submission of an offer, the offeror acknowledges the requirement that the prospective awardee shall be registered in the System for Award Management (SAM) database prior to award. Offerors who are not registered in SAM should consider applying for registration immediately. Registration in SAM is a requirement to conduct business with the Federal Government. If the prospective awardee is not registered in SAM within the timeframe specified by the Contracting Officer, the successful offeror will be removed from further consideration for award. Offerors can register in SAM at https://www.sam.gov.
c. Simplified Acquisition Procedures of FAR Part 12 and 13.5 are being used to conduct this procurement.
d. Offeror must be certified in the SAM representations and certifications in FAR 52.212-3 that the firm meets the small business size standard for the NAICS Code assigned to the procurement.
7. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
AMENDMENT NO DATE
| ______________________________ | _____________ |
| ______________________________ | _____________ |
| ______________________________ | _____________ |
B.2 ELECTRONIC INVOICE SUBMISSION AND INVOICING
VENDOR ELECTRONIC INVOICE SUBMISSION REQUIREMENTS AND METHODS
Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests. Electronic form means an automated system transmitting information electronically according to the accepted electronic data transmission methods below:
1. VA’s Electronic Invoice Presentment and Payment System – the FSC uses a third-party contractor, Tungsten Network (referred to OB10), to transition vendors from paper to electronic invoice submission. Please go to website: https://www.tungsten-network.com/customer-campaigns/veteransaffairs to enroll in the program and begin submitting the electronic invoices, free of charge.
1. A system that conforms to the X12 electronic data interchange (EDI) formats established by the Accredited Standards Center (ASC) chartered by the American National Standards Institute (ANSI). The X12 EDI website is: http://www.x12.org
1. Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have questions about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:
2. Tungsten e-Invoice Setup Information: 1-877-489-6135
2. Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com
2. FSC e-Invoice Contact Information: 1-877-353-9791
2. FSC e-Invoice email: vafsccshd@va.gov
BILLING AND INVOICING
1. In accordance with this contract, all services shall be billed in arrears monthly.
2. Contractor shall only bill for services and for line-items delivered.
3. A proper invoice that is submitted for payment; shall be accepted and certified for payment if:
i. Monthly invoice is submitted in arrears, no later than the 20th business day of the following month that services were rendered.
ii. Invoice contains in addition to the information required for submission of a ‘proper’ invoice in accordance with FAR 52.212-4(g) the following information:
a. Name and Address of the Contractor
b. Invoice Date and Invoice Number
c. Contract Number
d. Contract Order Number
e. Purchase Order Number
f. Date Range of Services Provided
g. Description of Services Provided
h. Line/Sub-Line Item number(s) of services provided
i. Quantity of each Line/Sub-Line Item
j. Unit Rate for each Line/Sub-Line Item
k. Total Cost for each Line/Sub-Line Item
l. Total Invoice Cost
4. The Certifying Official will confirm the information in the submitted invoice to the contract and invoice to ensure it is correct and valid.
i. If the invoice submitted is not a proper invoice, the certifying official shall refuse the invoice with a detailed statement as to why the invoice was refused.
ii. Contractor shall make corrections and resubmit using a separate invoice number, notating the invoice number it is replacing.
B.3 CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS)
As prescribed in FAR Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor past performance on all contracts and contracts that exceed $250,000.00 and shares those evaluations with other Federal Government contract specialists and procurement officials. The FAR requires that the contractor be provided an opportunity to comment on past performance evaluations prior to each report closing. To fulfill this requirement VA uses an online database, CPARS, which is maintained by the Naval Seal Logistics Center in Portsmouth, New Hampshire. CPARS has connectivity with the Past Performance Information Retrieval System (PPIRS) database, which is available to all federal agencies. PPIRS is the system used to collect and retrieve performance assessment reports used in source selection determinations and completed CPARS report cards transferred to PPIRS. CPARS also includes access to Federal Awardee Performance and Integrity Information System (FAPIIS). FAPIIS is a web-enabled application accessed via CPARS for contractor responsibility determination information.
Each contractor whose contract award is estimated to exceed $250,000.00 requires a CPARs evaluation. A government Focal Point will register your contract within 30 days after award and, at that time, you will receive and email message with a User ID (to be used when reviewing evaluations). Additional information regarding the evaluation process can be found at www.cpars.gov or if you have any questions, you may contact the Customer Support Desk at DSN: 684-1690 or COMM: 207-438-1690.
For contracts with a period of one year or less, the contracting officer will perform a single evaluation when the contract is complete. For contracts exceeding one year, the contracting officer will evaluate the contractor’s performance annually. Interim reports will be filed each year until the last year of the contract, when the final report will be completed. The report shall be assigned in CPARS to the contractor’s designated representative for comment. The contractor representative will have 60 days to submit any comments and re-assign the report to the CO.
Failure for the contractor’s representative to respond to the evaluation within those 60 days will result in the governments evaluation being placed on file in the database with a statement that the contractor failed to respond. The Contractor’s representative will be locked out of the evaluation and may no longer send comments.
B.4 PRICE/COST SCHEDULE INFORMATION
Contractor shall provide all necessary labor, management, equipment, deliverables, and support to provide paratransit transportation services in accordance with the Performance Work Statement.
FAR Clause 52.217-8 Option to Extend Services: If FAR 52.217-8 is utilized at the end of the contract, prices for the extension or extensions will be at the awarded pricing for the most currently awarded period pricing. FAR 52.217-8 can be exercised at any time and can be exercised increments of one to six months, but not for more than a total of six months during the life of the contract. The Government is not obligated to utilize FAR 52.217-8.
Estimated Quantities: The Government has provided their best estimate as to the number of items/units that will be required over the base period. The need for services may change due to needs of the medical center. There is no guarantee that the exact number items/units listed in the price schedule will be always needed.
Minimum Guarantee: The minimum guarantee for this contract is $250,000.00 over the life of the contract.
Maximum Contract Value: The maximum value of this contract shall be no more than $6,900,000.00 over the life of the contract.
Billing: While the contract is estimated, the contractor shall bill in arrears monthly. The Contractor shall bill by Line-Item numbers equaling the total number for the month. Invoices submitted through Tungsten shall include all requirements of the Billing and Invoicing section of this solicitation and FAR 52.212-4(g) to have payments certified.
For Example: October 2022 invoice will be submitted in November of 2022 listing all the required information as listed in the SOW and 52.212-4(g):
· Line Item 0001 – BLS base rate within city limits, with EMT, one-way – 100 TRP @ $95.00 = $9,500.00
· Line Item 0002 – BLS mileage rate for each mile traveled beyond city limits - one way – 100 MI @ $50.00 = $5,000.00
· Total $14,500.00 Unit of Measures:
· TRP = Trip (one-way, pick-up and drop-off)
· MI = Mile (mile increments)
B.5 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1,288.00 |
| TRP |
| __________________ |
| __________________ |
BLS base rate within city limits, with EMT, one-way Contract Period: Base Period POP Begin: 09-15-2022 POP End: 09-14-2023 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 35,429.00 |
| MI |
| __________________ |
| __________________ |
BLS mileage rate for each mile traveled beyond city limits - one way
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,511.00 |
| TRP |
| __________________ |
| __________________ |
Wheelchair van base rate within city limits, with paramedic, one-way
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 85,037.00 |
| MI |
| __________________ |
| __________________ |
Wheelchair Van mileage rate for each mile traveled outside city limits, one- way
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 948.00 |
| TRP |
| __________________ |
| __________________ |
Able-bodied patient transport, one-way
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cost per additional patient transported on wheelchair van or able-bodied trip (in addition to base trip and/or outside city limit mileage rate)
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 607.00 |
| EA |
| __________________ |
| __________________ |
Furnish oxygen per patient
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24,676.00 |
| EA |
| __________________ |
| __________________ |
Waiting time, when required and verified
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 283.00 |
| EA |
| __________________ |
| __________________ |
Certified Nursing Assistant
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Wheelchair
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Stretcher
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,000.00 |
| MI |
| __________________ |
| __________________ |
Bariatric mileage rate for each mile traveled beyond city limits, one-way
POP Begin: 09-15-2022 POP End: 09-14-2023
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,288.00 |
| TRP |
| __________________ |
| __________________ |
BLS base rate within city limits, with EMT, one-way Contract Period: Ordering Period One (1) POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 35,429.00 |
| MI |
| __________________ |
| __________________ |
BLS mileage rate for each mile traveled beyond city limits - one way
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,511.00 |
| TRP |
| __________________ |
| __________________ |
Wheelchair van base rate within city limits, with paramedic, one-way
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 85,037.00 |
| MI |
| __________________ |
| __________________ |
Wheelchair Van mileage rate for each mile traveled outside city limits, one- way
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 948.00 |
| TRP |
| __________________ |
| __________________ |
Able-bodied patient transport, one-way
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cost per additional patient transported on wheelchair van or able-bodied trip (in addition to base trip and/or outside city limit mileage rate)
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 607.00 |
| EA |
| __________________ |
| __________________ |
Furnish oxygen per patient
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24,676.00 |
| EA |
| __________________ |
| __________________ |
Waiting time, when required and verified
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 283.00 |
| EA |
| __________________ |
| __________________ |
Certified Nursing Assistant
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Wheelchair
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Stretcher
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,000.00 |
| MI |
| __________________ |
| __________________ |
Bariatric mileage rate for each mile traveled beyond city limits, one-way
POP Begin: 09-15-2023 POP End: 09-14-2024
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,288.00 |
| TRP |
| __________________ |
| __________________ |
BLS base rate within city limits, with EMT, one-way Contract Period: Ordering Period Two (2) POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 35,429.00 |
| MI |
| __________________ |
| __________________ |
BLS mileage rate for each mile traveled beyond city limits - one way
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,511.00 |
| TRP |
| __________________ |
| __________________ |
Wheelchair van base rate within city limits, with paramedic, one-way
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 85,037.00 |
| MI |
| __________________ |
| __________________ |
Wheelchair Van mileage rate for each mile traveled outside city limits, one- way
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 948.00 |
| TRP |
| __________________ |
| __________________ |
Able-bodied patient transport, one-way
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cost per additional patient transported on wheelchair van or able-bodied trip (in addition to base trip and/or outside city limit mileage rate)
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 607.00 |
| EA |
| __________________ |
| __________________ |
Furnish oxygen per patient
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24,676.00 |
| EA |
| __________________ |
| __________________ |
Waiting time, when required and verified
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 283.00 |
| EA |
| __________________ |
| __________________ |
Certified Nursing Assistant
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Wheelchair
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Stretcher
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,000.00 |
| MI |
| __________________ |
| __________________ |
Bariatric mileage rate for each mile traveled beyond city limits, one-way
POP Begin: 09-15-2024 POP End: 09-14-2025
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,288.00 |
| TRP |
| __________________ |
| __________________ |
BLS base rate within city limits, with EMT, one-way Contract Period: Ordering Period Three (3) POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 35,429.00 |
| MI |
| __________________ |
| __________________ |
BLS mileage rate for each mile traveled beyond city limits - one way
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,511.00 |
| TRP |
| __________________ |
| __________________ |
Wheelchair van base rate within city limits, with paramedic, one-way
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 85,037.00 |
| MI |
| __________________ |
| __________________ |
Wheelchair Van mileage rate for each mile traveled outside city limits, one- way
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 948.00 |
| TRP |
| __________________ |
| __________________ |
Able-bodied patient transport, one-way
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cost per additional patient transported on wheelchair van or able-bodied trip (in addition to base trip and/or outside city limit mileage rate)
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 607.00 |
| EA |
| __________________ |
| __________________ |
Furnish oxygen per patient
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24,676.00 |
| EA |
| __________________ |
| __________________ |
Waiting time, when required and verified
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 283.00 |
| EA |
| __________________ |
| __________________ |
Certified Nursing Assistant
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Wheelchair
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Stretcher
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,000.00 |
| MI |
| __________________ |
| __________________ |
Bariatric mileage rate for each mile traveled beyond city limits, one-way
POP Begin: 09-15-2025 POP End: 09-14-2026
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 1,288.00 |
| TRP |
| __________________ |
| __________________ |
BLS base rate within city limits, with EMT, one-way Contract Period: Ordering Period Four (4) POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 35,429.00 |
| MI |
| __________________ |
| __________________ |
BLS mileage rate for each mile traveled beyond city limits - one way
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,511.00 |
| TRP |
| __________________ |
| __________________ |
Wheelchair van base rate within city limits, with paramedic, one-way
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 85,037.00 |
| MI |
| __________________ |
| __________________ |
Wheelchair Van mileage rate for each mile traveled outside city limits, one- way
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 948.00 |
| TRP |
| __________________ |
| __________________ |
Able-bodied patient transport, one-way
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 10.00 |
| EA |
| __________________ |
| __________________ |
Cost per additional patient transported on wheelchair van or able-bodied trip (in addition to base trip and/or outside city limit mileage rate)
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 607.00 |
| EA |
| __________________ |
| __________________ |
Furnish oxygen per patient
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24,676.00 |
| EA |
| __________________ |
| __________________ |
Waiting time, when required and verified
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 283.00 |
| EA |
| __________________ |
| __________________ |
Certified Nursing Assistant
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 24.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Wheelchair
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 12.00 |
| TRP |
| __________________ |
| __________________ |
Bariatric Stretcher
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| 2,000.00 |
| MI |
| __________________ |
| __________________ |
Bariatric mileage rate for each mile traveled beyond city limits, one-way
POP Begin: 09-15-2026 POP End: 09-14-2027
PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance
| GRAND TOTAL |
| __________________ |
Base Period
Ordering Period One (1)
Ordering Period Two (2)
Ordering Period Three (3)
Ordering Period Four (4)
Total All Ordering Periods
B.6 PERFORMANCE WORK STATEMENT (PWS)
Part I: General Information A. Introduction VA Northern Indiana Health Care System (VANIHCS) has a requirement for Basic Life Support (BLS) Ambulance Services and wheelchair van accessible transportation for eligible beneficiaries. All personnel, vehicles and companies shall be licensed in accordance with the State of Indiana EMS Rules and Laws http://www.in.gov/dhs/3531.htm.
Changes to the contract shall only be made by written modification formally executed by the Contractor and the Contracting Officer.
B. Scope The contractor shall provide all vehicles, personnel, management, supplies, transportation, equipment, materials, and reports necessary to furnish 24 hours per day, seven (7) days per week BLS ambulance services and wheelchair van transportation for VANIHCS with campuses in Fort Wayne and Marion, IN. In addition to the outlaying Community Based Outpatient Care (CBOC) in Northern Indiana which includes Muncie, Peru, Mishawaka, Huntington, and Defiance Ohio (See Part III B for locations and addresses).
C. Applicable Documents
· Indiana Administrative Code – Title 836 Indiana Emergency Medical Services commission http://www.in.gov/legislative/iac/iac_title?iact=836
· Indiana Department of Homeland Security http://www.in.gov/dhs/3525.htm
· Indiana Emergency Medical Services Commission Levels of EMS Personnel Certification, DHS: Emergency Medical Services (in.gov)
· Federal Specifications KKK-A-1822F, dated August 1, 2007. What is the Standard for Ambulances? | FEMA.gov
· KKK-A-1822F Change Notice 7, Microsoft Word - KKK-A-1822F change notice 14 1July2021 Draft.docx (nasemso.org) Part II: Work Requirements A. Technical Requirements
1) Contractor shall provide all vehicles, personnel, management, supplies, transportation, equipment, materials, and reports necessary to furnish 24 hour per day, seven (7) day per week BLS ambulance service and wheelchair van transportation for VANIHCS with campuses in Fort Wayne and Marion, IN. In addition to the outlaying Community Based Outpatient Care (CBOC) in Northern Indiana which includes Muncie, Peru, Mishawaka, Goshen, Huntington, and Defiance Ohio. All care shall be provided by licensed qualified, competent, and appropriately privileged individuals. Medications shall only be dispensed, prepared, and administered to patients by appropriately licensed and competent individuals.
2) Contractor shall be responsible for having sufficient BLS ambulances, wheelchair vans and qualified personnel to meet the estimated annual requirements of VANIHCS. The Contractor will not be required to maintain a standby group of vehicles at any one time but should use good business judgment in having sufficient BLS ambulances and wheelchair vans to best meet the estimated requirements.
3) Vehicles All ambulances and wheelchair vans shall be licensed and meet the minimum vehicle requirements as mandated by the Indiana Department of Homeland Security http://www.in.gov/dhs/3525.htm and Federal specification KKK-A-1822E. Each vehicle shall be less than five (5) years old and shall include the required equipment in strict compliance with the federal, state and local laws, ordinances, codes, rules or regulations and shall have a minimum of:
· Air conditioning, heating and ventilation for patient comfort.
· Form of communications device in case of an emergency, i.e., CB radio, cellular phone.
· Equipped with an American Red Cross Type 24 Unit first aid kit or equivalent.
· All vehicles shall be kept in a sanitary condition both inside and outside.
· Vehicles involved in an accident, no matter how insignificant shall be taken out of operation until the contractor has provided written repair documentation to the Contracting Officer Representative (COR).
· Vehicles involved in an accident transporting a VA patient shall contact the NIHCS Mobility Manager office within two (2) hours following the incident.
VA reserves the right to inspect vehicles utilized for the performance of the contract requirements at any time. Mechanical defects noted at the time of inspection shall be corrected prior to being placed into service. Maintenance of vehicles and their equipment shall be on a periodic basis and meet or exceed manufacturer's recommendations. All vehicles shall be maintained, and maintenance records shall be kept and made available for inspection by the Contracting Officer (CO)/COR upon request. As new ambulances are added to the fleet, Contractor shall notify the CO/COR and submit license and vehicle information within one (1) week of vehicle addition.
4) Equipment Each ambulance shall have patient compartment facilities, oxygen and suction system equipment, environmental climatic equipment, and additional systems equipment, accessories, and supplies as required by the Indiana Emergency Medical Services Commission, and Federal Specification KKK-A-1822F, dated July 2015.
Contractor shall make available a bariatric cot when requested to accommodate patients weighing more than 350 pounds.
5) Response Times
· Contractor shall respond within one (1) hour of a request for BLS patient transport.
· Contractor shall respond within one (1) and one-half (1.5) hours of a request for wheelchair van transport.
Only one (1) patient shall be transported on a trip unless specifically authorized by VA. When more than one patient is transported on a trip, reimbursement shall not exceed the cost of transporting a single patient. However, when travel beyond the city limits is involved, the longest distance over which the patient is transported may be claimed when more than one (1) patient is transported in a single ambulance at the same time. The COR or designee as designated in paragraph 6 below may, in the best interest of the patient, allow a relative to accompany him/her. The Contractor shall ensure that pick-ups and drop -offs are scheduled so that the total distance traveled will result in the most economical charge to the Government.
6) Orders:
Request for services will be made either in writing, telephone, e-mail or fax by the Transportation Section (the COR or their designee) during weekday hours and by the Medical Administrative Assistant night and weekends. The COR, Transportation Section designee and Medical Administrative Assistant will request services.
If the Contractor fails to furnish services within the required time frame stated above in paragraph 5, NICHCS reserves the right to obtain such services from another source and to charge the Contractor with any excess costs above the contract price associated with obtaining the services from the alternate source. NICHS retains the sole authority to determine when to order services from another source.
Acceptance of the trip shall obligate the contractor’s ambulance crew to arrive within the required time period and/or to assume payment of the difference in billing rate if they fail to meet this deadline and the NIHCS subsequently goes off contract to secure transport. Contractor shall be responsible for costs incurred for services obtained from an alternate source for any orders not accepted by the contractor that are within the ordering requirements of FAR 52.216-19.
Wheelchair van transportation will be scheduled 24 hours in advance of the trip when possible.
7) Contractor shall notify the COR as soon as possible of those instances in which the Contractor knows that he will be unable to provide the required service at any specific time. This notice shall enable the NIHCS to secure the service elsewhere to meet the requirements. In the event the Contractor has no available BLS ambulances from those on the fleet list to provide services on this contract, the Contractor shall be required to sub-contract to other providers to ensure services are provided.
However, if the Contractor states that he/she will provide additional ambulance(s) upon a specific request of the NIHCS and is unable to provide the additional ambulance(s) within one (1) hour of the request, and if the Contractor fails to notify the NIHCS requestor of this inability to provide, the Contractor shall be required to pay any difference in costs.
Failure to notify the NIHCS of any instance of inability to provide an ambulance may reflect upon the Contractor’s ability to perform under this contract and will be documented in the evaluation of the contractor’s performance and/or may constitute sufficient cause for termination of the existing contract.
8) Personnel:
The Schedule of Supplies/Services shall include the services of all personnel on any assignment where a patient is transported in the performance of the contract. Should new employees be used in the performance of the contract, the Contractor shall provide VA credentials for those employees.
a) Non-Emergency Attendant/Driver(s):
Drivers shall be licensed by the State of Indiana to drive the ambulance. Both the driver and attendant shall be physically capable of performing the assigned duties. The attendant shall accompany the patient to the exact location of pick up or delivery specified when the service call is placed. Attendants and drivers shall be capable of administering oxygen and have successfully completed the Standard and Advanced First Aid Courses of the American Red Cross of U.S. Bureau of Mines, or equivalent.
b) Certified Nursing Assistant:
When required and authorized, a Certified Nursing Assistant (CNA) shall accompany the patient to the destination and provide necessary assistance. A paramedic or EMT may be substituted for the CNA but shall be required to perform duties as stated below. The amount of assistance required for these activities ranges from the need for total care (i.e., change urine or colostomy bag or attends, special diet, oxygen) to a requirement for minimal guidance (i.e., assistance from stretcher to wheelchair, help with food tray, help in finding clinical destination). This assistance may include:
· Help in meeting appointment schedules
· Assistance for meals, and management of meal tickets
· Aid in restroom activities
· Help getting to other areas such as x-ray, lab, etc.
· Constant supervision and care of confused and disabled patients CNA equivalent education and training may be submitted in lieu of state certification. The Mobility Manager, in collaboration with the COR, shall approve equivalent education and training, as an acceptable substitute, on a case- by-case basis.
c) Paramedic:
Paramedics shall be certified in accordance with the Indiana Emergency Medical Services Commission and may transport any of the following:
· Medication infusing through a peripheral or central IV or fluid infusing through a central IV via gravity or an infusing system that allows the operator or assistant to change the rate of infusion
· A patient with a chest tube
· A patient with a continuous feeding tube
· A vent dependent patient The Paramedic shall be enrolled periodically in continuing education, or advanced training programs as required by and in compliance with IEMSC but in no instance shall this be less frequently than every two (2) years.
Routine duties include:
· Determine blood glucose levels
· Oxygen & pulse oximetry
· Cardiac Monitoring
· Administer standard intravenous (IV) solutions of NS & LR
· Insert nasogastric tubes for administration of Activated Charcoal
· Insert Esophageal Tracheal Combi Tube
· Perform Needle Cricothyrotomy
· Oral Endotracheal intubation
· Nasal Endotracheal intubation
· Endotracheal suction
· Administer drugs through the following routes:
· Sublingual
· Subcutaneous
· Intramuscular
· Intravenous
· Endotracheal
· Perform needle thoracotomy to relieve tension pneumothorax
· Application of splints
· Order trauma alert (and request aero medical helicopters for serious trauma patients with significant mechanisms of injury or a grade of less than 12 on the Glasco Coma scale
· BLS in accordance with current Cardio-Pulmonary Resuscitation standards
· ALS in accordance with ACLS protocols, to include defibrillation, cardioversion, and external pacing if the RPM has current documentation of successful ALS course completion
· Treatment of acute respiratory failure
· PCA pump with any medication or fluid infusing through a peripheral IV
9) Safety Requirements:
Contractor shall take such safety precautions as the CO/COR may determine to be reasonably necessary to protect the lives and health of patients, and occupancy of the building. The CO/COR shall notify the contractor of any noncompliance with the foregoing provision and the action to be taken. The Contractor shall correct the situation within one (1) hour to which attention has been directed. If the Contractor fails to comply promptly, the CO may issue an order stopping all or any part of the work and hold the contractor in default.
10) Evidence of Insurance Coverage:
Contractor shall have Certificate of Insurance which shall contain an endorsement to the effect that cancellation of, or any material change in the policies which adversely affect the interest of the Government in such insurance shall not be effective unless thirty days written notice of cancellation or change is furnished the COR.
11) Training in Psychiatric Behavior:
All Contractor personnel shall be trained in the prevention and management of disturbed behavior as well as suicide prevention techniques. Documentation/certification shall be submitted to the CO within 15 days of contract award. If no prior training has been received, the Contractor personnel shall be required to complete VA provided training.
12) Quality Oversight:
a) The contractor shall continuously meet or exceed all The Joint Commission (TJC) standards. All applicable VAMC policies and procedures shall be followed by the contractor. Contract personnel shall provide compassionate care with respect for the special needs of the Veteran population served. Care delivered shall reflect the VA Medical Center’s mission, vision and values. (http://www.jointcommission.org/standards_information/standards.aspx)
b) The Contractor shall maintain records that document competence/performance level of Contractor employees working on this contract in accordance with TJC and other regulatory body requirements.
c) Contractor shall provide and document a general orientation for all Contractor employees who are providing work on this contract prior to performance. Documentation of the orientation shall be maintained by the contractor and made available to the Government upon request. This orientation shall include the following topics:
i. Fire and safety policy and procedure
ii. Infection control policy and procedure
iii. Emergency Preparedness/Disaster policy and procedure
iv. Performance requirements according to the contract Performance Work Statement.
d) The Government will monitor Contractor performance using the Quality Assurance Surveillance Program (QASP) located in Section D and reserves the right to conduct unannounced visits for the purpose of inspecting and/or verifying contract compliance.
e) The Contractor shall have a written quality control plan (QCP). It shall specify the areas to be inspected either on a scheduled or an unscheduled basis, how often inspections shall occur, and the title of the individual(s) who shall perform the inspection. At a minimum, the QCP shall include the following:
i. An inspection system covering work performance of the contract. This system shall specify items to be inspected on both a schedule and unscheduled basis.
ii. Method of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.
iii. A file of all inspections conducted by the contractor and corrective action taken.
16) Patient Rights:
Care provided shall respect and integrate the patient’s beliefs, values, and cultural influences. Protection of all patient rights is of highest priority. Patient privacy and confidentiality shall be maintained at all times.
17) Patient Safety:
Patient safety shall be a primary focus of the contractor. Every effort shall be made by the contractor to prevent medication errors, falls, and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury, medication errors, and other breaches of patient safety shall be reported to the COR utilizing Contractor supplied Incident Report with 24 hours of event.
VANIHCS staff will inform the Contractor of all applicable Sentinel Event or other adverse Patient Safety findings. VANIHCS will provide the Contractor with VAMC Sentinel Event definitions in the start-up phase of the contract. The Contractor shall verbally notify the COR immediately when a Sentinel Event has occurred, with follow-up written notification within one (1) working day.
18) Waiting Time:
For time lost in waiting at either end or both ends of a trip due to causes beyond the Contractor’s control (does not include time to load or unload patients), the Contractor will be reimbursed at the rate of one-fourth (1/4) the hourly rate as specified in the schedule for each quarter hour (i.e., 15 minutes) or fraction thereof in excess of one-quarter hour from the time the Contractor reports to the COR or designee. The Contractor shall call the transportation coordinator, or designee on duty at the time, as soon as a delay is anticipated for which reimbursement is expected to be claimed. This call is only for the purpose of verifying the arrival time at the pick-up.
Reimbursement for waiting time shall be documented in writing and submitted with the Contractor’s invoice for verification.
B. Deliverables
1) Contractor shall submit weekly invoices in arrears to Department of Veterans Affairs FSC, VIA Tungsten Network. Information regarding invoice requirements can be found at https://www.fsc.va.gov/einvoice.asp .
2) Contractor shall also submit weekly invoices to the Travel Department (136A), VA Northern Indiana Health Care System, Marion Indiana 46952.
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