36C25023Q0003.docx

36C25023Q0003

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

515-23-1-113-0001 36C25023Q0003 08-03-2022 Tracy L. Granger

(734) 222-4294 08-10-2022 13:00

EDT

Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor MI 48105 X X 492110 1500 Employees N/A X Department of Veterans Affairs Battle Creek VA Medical Center Attn: Laboratory 5500 Armstrong Road Battle Creek MI 49037-7314 Y Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor MI 48105

See website at http://www.fsc.va.gov/ einvoice.asp for instructions and http:

//www.tungsten-network.com/customer/ veteransaffairs for invoicing.

See CONTINUATION Page See Price Schedule in Section B All questions will be answered via Solicitation amendment.

Questions must be submitted in writing to the Contract Specialist at the following e-mail: Tracy.Granger@va.gov no later than August 05, 2022 by 10:00 am EST.

This procurement is for Battle Creek Lab Courier Services.

The procurement is being conducted under FAR 12 & 13.5.

See CONTINUATION Page 515-3630160-113-822300-2560 0100321V1 X X X One(1) Kristina L. Peart Contracting Officer Table of Contents

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:

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

Other Than System for Award Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. 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.) 52.212-3, Representation and Certifications, or valid completion in SAM is acceptable 5.) 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 be 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.

OFFERORS MUST COMPLETE AND RETURN ALL INFORMATION DESIGNATED IN 52.212-1, INSTRUCTIONS TO OFFERORS - COMMERCIAL ITEMS, PARAGRAPH b, PRIOR TO THE TIME SPECIFIED IN BLOCK 8 OF SF 1449 IN ORDER TO BE CONSIDERED FOR AWARD.

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

TRIP A

Pick Up Location:

Battle Creek VAMC 5500 Armstrong Rd, Battle Creek, MI 49037 Laboratory, Building 2 room 2205 & Pharmacy Building 2, room 0048.

Items For Pick Up: Mail, Supplies, Lab Specimens and Medications.

Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room Pick Up Time: 8:30 AM Delivery Time: 10:00 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023 PRINCIPAL NAICS CODE: 492110 - Couriers and Express Delivery Services PRODUCT/SERVICE CODE: R602 - Support - Administrative: Courier/Messenger

TRIP B

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Pharmacy and Laboratory Items For Pick Up: Mail, Laboratory Specimens, Medications and Laboratory Supplies Delivery Location:

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Pick Up Time: 10:30 AM Delivery Time: 11:30 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP C

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Items For Pick Up: Mail, Medications, Laboratory Supplies and Diagnostic Lab Specimens Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Additional Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 12:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP D

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory, and Pharmacy Items For Pick Up: Mail, Lab Supplies, Laboratory Specimens, Medications, Pharmacy Related Items, Red Bag, and MCCR Bag Delivery Location:

Mail To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory and Pharmacy Red Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 11, room 117 MCCR Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 2, room 0016 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP E

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Items For Pick Up: Mail and Occasional Supplies Delivery Location:

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP F

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Items For Pick Up: Mail Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 1:30 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP G ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Benton Harbor VA Clinic 1275 Mall Drive Benton Harbor, MI 49022 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP H ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Lansing VA Clinic 5656 South Cedar St.

Lansing, MI 48911 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP I

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Items For Pick Up: Diagnostics Lab Specimens, Document Box, Occasional Mail and Supplies Delivery Location:

LTC Charles S. Kettles VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 Laboratory (Freedom Building, 3rd floor, room E333) Pick Up Time: 9:30 AM Delivery Time: 12:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Base POP Begin: 10-03-2022 POP End: 10-02-2023

TRIP A

Battle Creek VAMC 5500 Armstrong Rd, Battle Creek, MI 49037 Laboratory, Building 2 room 2205 & Pharmacy Building 2, room 0048.

Items For Pick Up: Mail, Supplies, Lab Specimens and Medications.

Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room Pick Up Time: 8:30 AM Delivery Time: 10:00 AM Frequency: Monday through Friday, excluding federal holidays.

Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP B

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Pharmacy and Laboratory Items For Pick Up: Mail, Laboratory Specimens, Medications and Laboratory Supplies Delivery Location:

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Pick Up Time: 10:30 AM Delivery Time: 11:30 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP C

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Items For Pick Up: Mail, Medications, Laboratory Supplies and Diagnostic Lab Specimens Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Additional Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 12:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP D

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory, and Pharmacy Items For Pick Up: Mail, Lab Supplies, Laboratory Specimens, Medications, Pharmacy Related Items, Red Bag, and MCCR Bag Delivery Location:

Mail To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory and Pharmacy Red Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 11, room 117 MCCR Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 2, room 0016 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP E

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Items For Pick Up: Mail and Occasional Supplies Delivery Location:

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP F

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Items For Pick Up: Mail Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 1:30 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP G ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Benton Harbor VA Clinic 1275 Mall Drive Benton Harbor, MI 49022 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP H ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Lansing VA Clinic 5656 South Cedar St.

Lansing, MI 48911 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP I

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Items For Pick Up: Diagnostics Lab Specimens, Document Box, Occasional Mail and Supplies Delivery Location:

LTC Charles S. Kettles VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 Laboratory (Freedom Building, 3rd floor, room E333) Pick Up Time: 9:30 AM Delivery Time: 12:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 1 POP Begin: 10-03-2023 POP End: 10-02-2024

TRIP A

Battle Creek VAMC 5500 Armstrong Rd, Battle Creek, MI 49037 Laboratory, Building 2 room 2205 & Pharmacy Building 2, room 0048.

Items For Pick Up: Mail, Supplies, Lab Specimens and Medications.

Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room Pick Up Time: 8:30 AM Delivery Time: 10:00 AM Frequency: Monday through Friday, excluding federal holidays.

Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP B

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Pharmacy and Laboratory Items For Pick Up: Mail, Laboratory Specimens, Medications and Laboratory Supplies Delivery Location:

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Pick Up Time: 10:30 AM Delivery Time: 11:30 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP C

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Items For Pick Up: Mail, Medications, Laboratory Supplies and Diagnostic Lab Specimens Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Additional Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 12:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP D

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory, and Pharmacy Items For Pick Up: Mail, Lab Supplies, Laboratory Specimens, Medications, Pharmacy Related Items, Red Bag, and MCCR Bag Delivery Location:

Mail To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory and Pharmacy Red Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 11, room 117 MCCR Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 2, room 0016 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP E

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Items For Pick Up: Mail and Occasional Supplies Delivery Location:

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP F

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Items For Pick Up: Mail Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 1:30 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP G ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Benton Harbor VA Clinic 1275 Mall Drive Benton Harbor, MI 49022 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2027

TRIP H ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Lansing VA Clinic 5656 South Cedar St.

Lansing, MI 48911 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP I

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Items For Pick Up: Diagnostics Lab Specimens, Document Box, Occasional Mail and Supplies Delivery Location:

LTC Charles S. Kettles VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 Laboratory (Freedom Building, 3rd floor, room E333) Pick Up Time: 9:30 AM Delivery Time: 12:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 2 POP Begin: 10-03-2024 POP End: 10-02-2025

TRIP A

Battle Creek VAMC 5500 Armstrong Rd, Battle Creek, MI 49037 Laboratory, Building 2 room 2205 & Pharmacy Building 2, room 0048.

Items For Pick Up: Mail, Supplies, Lab Specimens and Medications.

Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room Pick Up Time: 8:30 AM Delivery Time: 10:00 AM Frequency: Monday through Friday, excluding federal holidays.

Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP B

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Pharmacy and Laboratory Items For Pick Up: Mail, Laboratory Specimens, Medications and Laboratory Supplies Delivery Location:

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Pick Up Time: 10:30 AM Delivery Time: 11:30 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP C

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Items For Pick Up: Mail, Medications, Laboratory Supplies and Diagnostic Lab Specimens Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Additional Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 12:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP D

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory, and Pharmacy Items For Pick Up: Mail, Lab Supplies, Laboratory Specimens, Medications, Pharmacy Related Items, Red Bag, and MCCR Bag Delivery Location:

Mail To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory and Pharmacy Red Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 11, room 117 MCCR Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 2, room 0016 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP E

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Items For Pick Up: Mail and Occasional Supplies Delivery Location:

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP F

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Items For Pick Up: Mail Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 1:30 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP G ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Benton Harbor VA Clinic 1275 Mall Drive Benton Harbor, MI 49022 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP H ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Lansing VA Clinic 5656 South Cedar St.

Lansing, MI 48911 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP I

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Items For Pick Up: Diagnostics Lab Specimens, Document Box, Occasional Mail and Supplies Delivery Location:

LTC Charles S. Kettles VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 Laboratory (Freedom Building, 3rd floor, room E333) Pick Up Time: 9:30 AM Delivery Time: 12:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 3 POP Begin: 10-03-2025 POP End: 10-02-2026

TRIP A

Battle Creek VAMC 5500 Armstrong Rd, Battle Creek, MI 49037 Laboratory, Building 2 room 2205 & Pharmacy Building 2, room 0048.

Items For Pick Up: Mail, Supplies, Lab Specimens and Medications.

Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room Pick Up Time: 8:30 AM Delivery Time: 10:00 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP B

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Pharmacy and Laboratory Items For Pick Up: Mail, Laboratory Specimens, Medications and Laboratory Supplies Delivery Location:

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Pick Up Time: 10:30 AM Delivery Time: 11:30 AM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP C

Muskegon VA Clinic 5000 Hakes Drive Muskegon, MI 49441 Items For Pick Up: Mail, Medications, Laboratory Supplies and Diagnostic Lab Specimens Delivery Location:

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Additional Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 12:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP D

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory, and Pharmacy Items For Pick Up: Mail, Lab Supplies, Laboratory Specimens, Medications, Pharmacy Related Items, Red Bag, and MCCR Bag Delivery Location:

Mail To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory and Pharmacy Red Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 11, room 117 MCCR Bag To: Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Building 2, room 0016 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP E

Wyoming Health Care Clinic 5838 Metro Way S.W.

Wyoming, MI 49519 Mail Room, Laboratory and Pharmacy Items For Pick Up: Mail and Occasional Supplies Delivery Location:

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Pick Up Time: 1:00 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP F

Grand Rapids VA Clinic 2050 Breton Road S.E.

Grand Rapids, MI 49546 Items For Pick Up: Mail Delivery Location:

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Pick Up Time: 1:30 PM Delivery Time: 2:30 PM Frequency: Wednesday's only when needed Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP G ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Benton Harbor VA Clinic 1275 Mall Drive Benton Harbor, MI 49022 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP H ROUND TRIP

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory, building 2, room 2205 and Pharmacy, building 2, room 0048 Items For Pick Up: Mail, Supplies, Diagnostics Lab Specimens and Medications Delivery Location:

Lansing VA Clinic 5656 South Cedar St.

Lansing, MI 48911 Pick Up Time: 10:00 AM - 10:30 AM Delivery Time: 12:00 PM Return Time: 2:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

TRIP I

Battle Creek VAMC 5500 Armstrong Road Battle Creek, MI 49037 Laboratory Items For Pick Up: Diagnostics Lab Specimens, Document Box, Occasional Mail and Supplies Delivery Location:

LTC Charles S. Kettles VA Medical Center 2215 Fuller Road Ann Arbor, MI 48105 Laboratory (Freedom Building, 3rd floor, room E333) Pick Up Time: 9:30 AM Delivery Time: 12:00 PM Frequency: Monday through Friday, excluding federal holidays Contract Period: Option 4 POP Begin: 10-03-2026 POP End: 10-02-2027

GRAND TOTAL

Base Total: _______________________________________ Option Year One (1) Total: ___________________________ Option Year Two (2) Total: ___________________________ Option Year Three (3) Total: __________________________ Option Year Four (4) Total: ___________________________ Total Aggerate (Base, plus all option periods): ___________________________

B.3 STATEMENT OF WORK

COURIER SERVICE FOR BC VAMC AND CBOCS

C.O. Scope: The successful offeror shall provide all vehicles, gasoline, insurance, personnel, lockable coolers, with extra keys, lockable mailbags or containers, with extra keys, and directional materials necessary to accomplish regularly scheduled courier services for and between the Department of Veterans Affairs Battle Creek VA Medical Center (BCVAMC), 5500 Armstrong Road Battle Creek MI 49037, and Wyoming Community Based Outpatient Clinic (CBOC), 5838 Metro Way S.W. Wyoming MI 49519, Vet Center, 2050 Breton Road S.E. Grand Rapids MI 49546, Benton Harbor Outpatient Clinic,1275 Mall Drive, Benton Harbor MI 49022, Lansing Outpatient Clinic, 5656 South Cedar Street Lansing MI. 48991, Muskegon Outpatient Clinic, Hakes Dr Norton Shores, MI 49441 and LTC Charles S. Kettles VA Medical Center, 2215 Fuller Road, Ann Arbor MI 48105.

To include round trip services for and between the Department of Veterans Affairs Medical Center VAMC, Battle Creek to Wyoming CBOC and on to the Muskegon CBOC. Then a return trip from the Muskegon CBOC to Wyoming CBOC on to the BCVAMC. A trip to the Vet Center from the Wyoming CBOC shall be included on Wednesdays, only when items are needed to be transported to them from the Wyoming CBOC. The Vet Center trip shall be accomplished as part of the return trip from the Muskegon CBOC. A round trip from the BCVAMC to the Benton Harbor CBOC. A round trip from the BC VAMC to the Lansing CBOC. A trip from the LTC Charles S. Kettles VA Medical Center laboratory to the BCVAMC Laboratory once a week.

Services shall be provided according to the schedule listed under Frequency in table under C.1.1, excluding observed federal government holidays.

This Contracts period of performance is from October 3, 2022, through October 2, 2023, with four additional one (1) year options, if exercised.

C.1.0 Schedule/Locations/Items: Each Trip to be priced separately.

C.1.1. Work Hours – Pick-up and delivery times for each trip shall be per the schedule below, Monday through Friday, excluding observed Federal Holidays.

C.1.2. Items to be Transported: Items to be transported for each trip shall be per the schedule, below.

C.1.3. Observed Federal Holidays: the eleven (11) holidays observed by the Government are: New Year’s Day, Birthday of Martin Luther King, jr., Washington’s Birthday, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day and any other day specifically declared by the President of the United States to be a national holiday.

C.1.4. Inclement Weather Provision – the Contractor shall contact the COR or designee if the contractor feels that weather indicates adjustment or cancellation of scheduled pick up/deliveries. Contact information will be provided upon award.

C.2. Items transported include the following

C.2.1. Laboratory- Specimens, laboratory supplies and laboratory mail shall be picked up and delivered from all Community Based Outpatient Clinics (CBOC’s) Monday through Friday excluding observed government holidays. Specimens shall be processed at the CBOCs to the extent possible and packaged by VA staff for pickup by the courier. Tubes will be placed in transport sponges and the sponges placed in biohazard zip lock bags. Other specimens will be placed in biohazard zip lock bags. Frozen specimens will be placed in biohazard zip lock bags. All specimens shall be separated by storage/transport temperature requirements (room temperature, refrigerated or frozen). The Contractor shall pick up the specimens at the CBOCs and transport them to either laboratory site at the Wyoming CBOC or BCVAMC in such a way as to maintain the temperature requirements of each specimen (room temperature, refrigerated or frozen). Both laboratories will monitor the transport temperatures at delivery. Laboratory specimens and mail being transported to and from BCVAMC from and to LTC Charles S. Kettles VA Medical Center shall follow the same requirements. Blood and or tissue samples shall be transported in a locked container specifically designed for blood and or tissue transportation. All items that contain Veteran identification shall be transported in a locked bag or container.

C.2.2. Pharmacy- Medications, pharmacy mail and pharmacy related items such as supplies. Medications shall be transported in a locked container. All items that contain Veteran identification shall be transported in a locked bag or container. All deliveries shall be done utilizing the Medication Chain of Custody Triplicate Form. Both the container and form will be provided by the VA Pharmacy. Under no circumstances shall medications be left in the transport vehicle or taken to any other location other than what is specified herein. For each trip, the contractor shall fill out a Medication Chain of Custody Triplicate Form provided by the VA Pharmacy Service. One copy of the form will be left at the delivery location and upon each return trip the final completed chain of custody form shall be provided back to the VA Pharmacy Service on the same day of delivery with no exceptions.

C.2.3. Other Medical Records, mail, and supplies – to be transported in a locked container. All items that contain Veteran identification shall be transported in a locked bag or container. The contractor is responsible for obtaining the container and providing 2 keys for VA staff to open and lock the container. One key is to be kept at the CBOC and the other key to be kept at the drop location in Battle Creek.

C.2.4. Inventory- The contractor shall maintain a record and log of all daily courier pickups and deliveries indicating time and date of pickup, delivery, number of items and signatures. A copy of these logs shall be provided to the COR at the end of each month, prior to submitting invoices. Additionally, for each trip, the contractor shall fill out a Medication Chain of Custody Triplicate Form provided by the VA Pharmacy Service. One copy of the form will be left at the delivery location and upon each return trip the final completed chain of custody form shall be provided back to the VA Pharmacy Service on the same day of delivery with no exceptions.

C.3. Quality Control - The contractor shall develop and maintain a quality control program that ensures courier services are performed in accordance with these specifications. The contractor shall develop and implement procedures to track, identify, prevent, remedy, and ensure non-recurrence of defective services. The contractor shall provide a method to accept and resolve customer complaints and notify the customer of the resolution. The contractor shall immediately notify the COR upon receipt of a customer complaint so joint validation may be accomplished. The contractor shall be responsible for quality control and specification compliance.

C.4. QUALIFICATIONS:

C.4.1. Offers shall be considered only from those offerors who are regularly established in the business called for and who are financially responsible and have the necessary equipment and personnel to furnish services in the volume required for all the items under this contract. Successful offeror shall meet all requirements of Federal, State or City laws, codes, and regulations regarding operations of this type of service.

C.4.2. Each offeror shall submit, with the offer, a letter in duplicate fully describing the make of vehicles, model, and year which he/she agrees to furnish under this proposal including the location and telephone numbers of his/her establishment where calls are received, and vehicles are immediately available for dispatch.

C.4.3. The right is reserved to thoroughly inspect and investigate the establishment, facilities, business reputation and other qualifications of any bidder and to reject any bid, irrespective of price, that shall be administratively determined is lacking in any of the essentials necessary to assure acceptable standards of performance.

C.4.4. The contractor shall have sufficient insurance on contractor owned vehicles and personnel. It should be noted that blood substances shall be one of the items transported by the contractor.

C.5.0. DRIVERS/ATTENDANTS:

C.5.1. A record of each employee as to character and physical capabilities of performing the duties of a courier shall be maintained and made available for inspection upon request.

C.5.2. All drivers shall have attained legal age (the age of 21 years) and shall maintain neat, clean, and professional appearance. Drivers shall be licensed in accordance with the State of Michigan, to include any special licensure required for the transporting of hazardous waste.

C.5.3. Drivers shall not make non-emergent stops for any reason during the transport of items under this contract.

C.5.4. The contractor’s employees/couriers transporting test specimens shall be trained in “Universal Precautions” in the handling of biohazard materials (specimens). Training shall include utilizing clinical procedures in case of biohazard spills and accidents. The contractor shall furnish a record of all required training.

C.5.5. Drivers shall complete annual VA National Privacy Training and submit proof of completion to COR. Process for completion of the training will be provided at time of contract award.

C.6.0. VEHICLES: Vehicles used in the performance of this contract shall be licensed and meet all minimum vehicle requirements as mandated by the State of Michigan, to include a Hazardous Waste Certificate if required.

C.7.0. LIMITATIONS: Under no circumstances shall any person other than the driver ride in a vehicle or handle items being transported.

C.8.0. SECURITY: While on VA grounds, contractor shall secure vehicles when left unattended. If vehicles shall be left unattended with the motor running, a second set of keys shall be necessary so the vehicle can be securely locked.

C.9.1. MONITORING OF CONTRACT: Monthly log sheets will be evaluated and compared to the monthly invoices for correct and corresponding dates of service. The COR will communicate with the three laboratories (LTC Charles S. Kettles VA Medical Center, BCVAMC and Wyoming CBOC) as well as pharmacy to ensure that they are receiving the laboratory specimens, pharmaceuticals, and other items with the required integrity as noted previously here within. If the contractor fails to furnish the required documents and or services within the time frames established, the Department of Veterans Affairs reserves the right to obtain the service from another source and to charge the contractor with any excess cost which may result therefrom.

C.10. Contact – The COR or designee shall be the main point of contact. Contact information shall be provided upon award.

D.1.0. VHA Supplemental Contract Requirements for Combatting COVID-19:

1. Contractor employees who work in or travel to VHA locations shall comply with the following:

a. Documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test shall be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who shall have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they shall have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor shall immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

E.1.0. PRIVACY TRAINING

VA Privacy Training for Personnel without Access to VA Computer Systems or Direct Access or Use to VA Sensitive Information

The Department of Veterans Affairs, VA will comply with all applicable privacy and confidentiality statutes and regulations. One of the requirements in VA is to have all personnel trained annually on privacy requirements. “Privacy” represents what will be protected by VA in the collection, use, and disclosure of personal information whether the medium is electronic, paper or verbal.

This document satisfies the “basic” privacy training requirement for contractor, volunteer, or other personnel only if the individual does not use or have access to any VA computer system such as Time and Attendance, PAID, CPRS, VistA Web, VA sensitive information or protected health information (PHI), whether paper or electronic. You shall find this training outlines your roles and responsibility for protecting VA sensitive information (medical, financial, or educational) that you may incidentally or accidentally see or overhear.

If you have direct access to protected health information or access to a VA computer system where there is protected health information such as CPRS, VistA Web, you shall take “Privacy and HIPAA Focused Training” (TMS 10203). “VA Privacy and Information Security Awareness and Rules of Behavior” (TMS 10176) is always required in order to use or gain access to a VA computer systems or VA sensitive information, whether or not protected health information is included. Both trainings are located within the VA Talent Management System (TMS): https://www.tms.va.gov

What is VA Sensitive Information/Data?

All Department information and/or data on any storage media or in any form or format, which requires protection due to the risk of harm that could result from inadvertent or deliberate disclosure, alteration, or destruction of the information. The term includes not only information that identifies an individual but also other information whose improper use or disclosure could adversely affect the ability of an agency to accomplish its mission, proprietary information, and records about individuals requiring protection under applicable confidentiality provisions.

What is Protected Health Information?

The HIPAA Privacy Rule defines protected health information as Individually Identifiable Health Information transmitted or maintained in any form or medium by a covered entity, such as VHA.

What is an “Incidental” Disclosure?

An incidental disclosure is one where an individual’s information may be disclosed incidentally even though appropriate safeguards are in place. Due to the nature of VA communications and practices, as well as the various environments in which Veterans receive healthcare or other services from VA, the potential exists for a Veteran’s protected health information or VA sensitive information to be disclosed incidentally.

For example:

· You overhear a healthcare provider’s conversation with another provider or patient even when the conversation is taken place appropriately.

· You may see limited Veteran information on sign-in sheets or white boards within a treating area of the facility.

· Hearing a Veteran’s name being called out for an appointment or when the Veteran is being transported/escorted to and from an appointment.

Safeguards You Shall Follow to Secure VA Sensitive Information:

· Secure any VA sensitive information found in unsecured public areas (parking lot, trash can, or vacated area) until information can be given to your supervisor or Privacy Officer. You shall report such incidents to your Privacy Officer timely.

· Don’t take VA sensitive information off facilities grounds without VA permission unless the VA information is general public information, i.e., brochures/pamphlets.

· Don’t take pictures using a personal camera without the permission from the Medical Center Director.

· Any protected health information overheard or seen in VA should not be discussed or shared with anyone who does not have a need to know the information in the performance of their official job duties, this includes spouses, employers or colleagues.

· Do not share VA access cards, keys, or codes to enter the facility.

· Immediately report lost or stolen Personal Identity Verification (PIV) or Veteran Health Identification Cards (VHIC), any VA keys or keypad lock codes to your supervisor or VA police.

· Do not use a VA computer using another VA employee’s access and password.

·…