36C25023Q0032 0002.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

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

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) none Department of Veterans Affairs Dayton VA Medical Center 3140 Governor’s Place Blvd. Suite 210 Kettering

OH

45409-1337 36C250 Network Contracting Office (NCO) 10 Department of Veterans Affairs Department of Veterans Affairs 3140 Governors Place Blvd. Suite 210 Kettering

OH

45409-1337 To all Offerors/Bidders

36C25023Q0032

X

The Purpose of this Amendment is as the following;

1) Correct error on Amendment 0001 involving due date of Bids. Due date is as follows:

13 October 2022 at 3:00PM EDT.

Reminder to all interested parties:

All Amendments shall be signed and included with bid. ALSO; Acknowledged All amendments on page 5 of RFQ.

Failure to do so may result in the bid being labelled non-responsive.

All remaining terms and conditions remain unchanged. PWS attached to highlight vehicle requirements.

John M. Ryan Contracting Officer

CONTINUATION PAGE

PERFORMANCE WORK STATEMENT FOR DAYTON VAMC COURIER SERVICE

1. Services

Primary Care Services, a clinic within The Department of Veterans Affairs (DVAMC), 4100 W. Third Street, Dayton, Ohio, 45428-9000 is responsible for transporting medical supplies and small equipment items, locked medications to include influenza vaccine, laboratory specimens, medical instruments, office supplies, educational material/pamphlets, mail, containers, coolers, prosthetics, and medical records to its outlying Community Based Outpatient Clinic’s (CBOCs), as well as the VA Transition Center located at Wright- Patterson AFB (WPAFB). Certification and accreditation requirements do not apply, and a Security Accreditation Package is not required.

BASE YEAR, PERIOD OF PERFORMANCE 1 OCTOBER 2022 THROUGH SEPTEMBER 30, 2023:

OPTION YEAR ONE, PERIOD OF PERFORMANCE WILL BEGIN 1 OCTOBER 2023 THROUGH 30 SEPTEMBER 2024:

OPTION YEAR TWO, PERIOD OF PERFORMANCE WILL BEGIN 1 OCTOBER 2024 THROUGH 30 SEPTEMBER 2025:

OPTION YEAR THREE, PERIOD OF PERFORMANCE WILL BEGIN 1 OCTOBER 2025 THROUGH 30 SEPTEMBER 2026:

OPTION YEAR FOUR, PERIOD OF PERFORMANCE WILL BEGIN 1 OCTOBER 2026 THROUGH 30 SEPTEMBER 2027:

The contractor shall provide dependable, secure, accountable, and timely courier service. Timely and expeditious courier service between facilities is vital for DVAMC s overall mission. Services include pickup, transport, and delivery. All courier requirements will be of size to fit in standard delivery vehicles. Courier vehicles will be climate controlled and will not be courier drivers privately owned vehicles.

All Dayton VA facilities are smoking restricted workplaces. Due to the nature of the work, facilities, and requirements, contractor staff may only smoke outside in designated smoking areas.

Locations for pickup and delivery are as follows:

Richmond CBOC, 1010 North J St. Richmond IN 47374 Lima CBOC, 750 W. High St. #350 Lima OH 45804 Springfield CBOC, 1620 N. Limestone St. Springfield OH 45502 Middletown CBOC, 4337 N. Union Rd Middletown OH 45005 Wright Patterson VA Transition Ctr, 4881 Sugar Maple Dr. WPAFB OH 45433

Contractor shall pick up all empty containers/coolers from the delivery site and return to the specified clinic location at their next scheduled pick up date.

The contractor will pickup and deliver to each location twice daily (business days) at 12:00 noon and 4:00 p.m. precisely, with an additional stop at Wright Patterson VA Transition Center, if requested by the Contracting Officer’s Technical Representative (COTR) or designee. There will be no early or late pickups. The contractor shall accomplish deliveries within the confines of the normal working hours for these facilities.

Pickups will be made per schedule of services at the VA CBOCs, Monday through Friday excluding the 10 federal holidays or any other day declared a federal holiday or designated by the President of the United States proclamation.

Government personnel observe the following days as holidays:

New Year s Day January 1 Martin Luther King’s Birthday Third Monday in January Presidents Day Third Monday in February Memorial Day Last Monday in May Independence Day July 4 Juneteenth Day June 19.

Labor Day First Monday in September Columbus Day Second Monday in October Veterans Day November 11 Thanksgiving Day Fourth Thursday in November Christmas Day December 25

If the date falls on a Saturday, the Government holiday is the preceding Friday. If the date falls on a Sunday, the Government holiday is the following Monday.

Contractor shall pick up all empty containers/coolers from the delivery site and return to the specified clinic location at their next scheduled pick up date.

It is understood and agreed between the Government and the Contractor that observance of such days by Government personnel shall not otherwise be a reason for an additional period of performance, or entitlement of compensation except as set forth within the contract. In the event the Contractor s personnel work during the holiday, they may be reimbursed by the Contractor, however, no form of holiday or other premium compensation will be reimbursed either as a direct or indirect cost, other than their normal compensation for the time worked. This provision does not preclude reimbursement for authorized overtime work if applicable to this contract.

The contractor will be notified one day prior, before 2 p.m. of any pickups and deliveries required as an occurrence. Contractor will provide DAVMC and CBOC with a published routine schedule of expected pick up times and deliveries based on VA schedule of services. Pickups will be made no earlier than 12:00 p.m. and shall not be later than 4:00 p.m. at any site unless otherwise directed. Specific drop off sites in the DAVMC will be clearly marked on the CBOC delivery ticket:

Location for Sterile Processing Service (SPS) pickup is in the basement of the Patient Tower Room, bldg. 330, Room BD-102. Pick up times between 7:30am to 6:30pm.

Contents to pick up: Medical soft goods to deliver to CBOC’s, sterile instruments and other small items deemed necessary.

Drop off: Dirty instruments, small items from prosthetics, Biomed (once a month).

Location of C-files and Prosthetics is in ED room 1F 117 any time. Contents: Boxes couriers currently use is working, also sometimes there will be a wheelchair or walker, typically one a day.

The actual pickup/holding area is behind BD-103, however this door is kept locked. In order to enter SPS, go to the Logistics window located to the left of BD-102. To drop off soiled instruments to Decontamination, ring the bell at the Decontam door BA-102. If no answer, use the hall phone and contact SPS at ext.

3001 (Listed on the sign outside of Decontam). Someone from SPS will immediately meet the driver and receive the soiled pickup items.

DO NOT LEAVE THE ITEMS ON THE FLOOR IN THE HALLWAY

OUTSIDE THE DOOR. This is a safety violation.

The VA Transition Center is located on WPAFB in Fairborn, OH within the WPAFB Medical Center (use Gate 9A), 4881 Sugar Maple Dr, Building 830, room # BP27. Staff can be contacted at (937) 268-6511 ext. 5805.

Medical Records - Health Information Management Section (HIMS) - Bldg 330 Room BC-132.

Lab Specimens – Pathology and Laboratory Medicine Service (PLMS) – Bldg 310 Room 2e-101).

a. Laboratory Transports

Transportation of biological specimens’ specification must meet all Federal and State regulations. Documentation of compliance must be provided to contracting officer to be maintained in the contract file.

College of American Pathologist (CAP) requires

a. Transport personnel be trained in appropriate safety procedures suitable to the specimen type and distances transported

b. Packaging and shipment of infectious material is done in accordance with applicable federal, state and local regulations.

The Courier will provide documentation of annual training records signed and dated for each training item below for every driver specifically for:

· Blood borne Pathogen training

· Confidentiality for Protected Health Information

· OSHA properly handling of Dry Ice/Frozen Deliveries

All transports are in compliance with above law by May 31st of each year. New drivers trained after established date should be documented and sent to the above no later than one month after hire.

Daily transportation of the specimens from the CBOCs to the Dayton VA will involve the following:

a. Coolers will be provided for Courier use. Empty coolers will be taken to the CBOCs each day. The CBOC staff will properly prepare and package specimens in the cooler for transport.

b. The lab specimens shall be transported in such a manner as to ensure the integrity of the specimen(s). During transportation, specimens shall maintain a temperature between 2-8 degrees Celsius with the use of adequate refrigerant packs (to be supplied by the Government). Specimens that are kept at 2-8 degrees Celsius should not come in contact with the refrigerant, as they will become frozen.

c. The coolers will be delivered to the Dayton VA laboratory no later than 7:00pm on the same day the pickups are made where they will be emptied. Someone is always available in the lab due to 24 hour patient care within the medical center. The courier will keep the empty cooler for the following days’ specimen pick-up. Check containers to ensure they are empty.

d. Laboratory supplies will be placed in boxes or coolers labeled with the CBOC destination for pick-up as needed. These should be picked up in the front lab area when the specimens are dropped off and delivered to the CBOCs the following day with the specimen pick-up.

e. If specimens are not picked up and delivered as required, the contractor will be charged $16.33 per patient specimen not delivered to the DVAMC.

b. Sterile Processing Service (SPS), Sterile/unsterile instruments:

Services include the pickup, transport, and delivery of sterile and unsterile instruments.

Contractor(s) shall pickup VA-owned sterile instruments in SPS transport containers from SPS at the DVAMC. On the next day pickup unsterilized instruments from the appropriate CBOCs will be picked up in the transport containers and returned to SPS at the DVAMC.

The DVAMC personnel will properly prepare and package instruments for transport for the contractor.

The instruments shall be transported in such a manner as to ensure the integrity of standard precautions.

The contractor will deliver all instruments to the VA SPS Section after each pickup on the same day pickups are made. In the event there is no one in the VA SPD Section at the time of delivery, instruments will be delivered to room # BD100, there is a buzzer located on the door for entry. If no one is available, the contractor can dial (937) 268-6511 ext 3001/3003.

c. Courier will provide contract on how they plan to keep patient medical information safe.

2. LICENSES/PERMITS/CERTIFICATIONS. Contractor must have all licenses, permits, and/or certification as required by the State of Ohio for the transport of laboratory specimens. All Contractors must be bonded and insured.

3. CONTRACTOR PERSONNEL. At all times during the performance of this contract, Contractor employees shall conduct themselves in a professional manner, wear clean, neat, and appropriate clothing, and be identified by having company name and/or logo, and employee name attached to their clothing, by name tag or other means. The Contractor shall be responsible for acquiring an appropriate name tags or badges to meet this requirement. Employee identification shall be worn in clear view above the waist. All Contractor courier drivers’ telephone numbers will be provided to DVAMC.

4. PRIVACY/RELEASE OF INFORMATION. In the performance of contract services, the contractor shall observe the requirements imposed by law, Federal regulation, and VA statutes and policies concerning privacy and/or release of sensitive data/information. The contractor shall ensure that their personnel meet these requirements, and that confidential and proprietary information shall be released only to those officer and officials of the VA or contractor authorized to receive such information.

5. PAYMENT/INVOICE

a. Payment for services will be made monthly, in arrears, upon receipt of properly prepared and submitted e-invoices.

b. All invoices will be submitted electronically via the Tungsten payment system. A copy of the invoice will also be sent via email to Sharon.dupre@va.gov and Donna.nix@va.gov.

c. The vendor will initially call Tungsten at 1-877-489-6135 to set-up their payment system. After initial set-up the vendor will utilize 1-877-353-9791 for all e-invoice contact information and concerns. The vendor will be paid by Electronic Fund Transfer (EFT) once local staff certifies accuracy and appropriateness.

d. e-Invoices must contain location, dates of service, unit cost, and total amount due. The applicable VA Contract Number and purchase order number must be indicated on each e-invoice.

6. SPECIAL REQUIREMENTS

7. EVIDENCE OF INSURANCE COVERAGE. Before commencing work under the contract, the contractor shall furnish to the Contracting Officer, a certificate from his/her insurance company indicating that the contractor has obtained liability insurance coverage and that it may not be changed or canceled without written notice to the Contracting Officer. The furnishing of such evidence of insurance coverage may not be waived and certificate of insurance shall be submitted with quote.

a. SCHEDULE OF INSURANCE COVERAGE. The following minimum insurance coverage shall apply to this contract:

Workers' Compensation and Employer's Liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when the contract operations are so commingled with a contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers;

$100,000 property damage.

b. The following information is required with quote:

Name and Address of Insurance Company

Name of Contact Person__________________________________________

Telephone No. _________________________________________________

Vehicles: Please list the type of vehicles to be used in performing the services of this contract:

8. PERSONNEL POLICY

The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for their personnel:

Worker’s Compensation Professional Liability Insurance Health Examinations (as may be required) Income Tax Withholding, and Social Security Payments

a. The contract personnel shall not be considered VA employees for any purpose.

9. SAFETY

a. While performing services under any resulting contract, numerous potential hazardous conditions may develop and/or exist. These conditions can result in serious personal injuries if not identified and if corrective action is not taken to prevent injury. Adherence to OSHA regulations is not always sufficient to provide the degree of safety that is required. Extra precautions should be observed when performing the required services.

b. The safety and health of patients, visitors, and VA employees at the VA Medical Center, as well as contractor employees, must be considered at all times while services are being performed. Never leave hazards unattended or unsecured. Psychiatric, blind, hearing impaired, and wheelchair patients are to be expected. Extra caution must be exercised when in buildings, which are occupied, and doing business.

10. HARASSMENT POLICY

a. It is federal policy to create an environment free of discrimination and to promote an atmosphere for the residents, visitors and workforce free of discrimination and/or harassment, without regard to race, color, religion, sex, national origin, and age, physical or mental handicap.

b. It is the responsibility of the contractor awarded a contract to perform services on a Federal worksite to take any and all necessary measures to prevent sexual harassment and discrimination from occurring, by assuring that his/her employees and those of his/her subcontractors maintain the highest degree of conduct and standards in this regard.

c. These steps should include, but not be limited to, affirmatively raising the subject with employees and subcontractors, expressing strong disapproval when discovering or being informed that an incident has occurred, and developing appropriate guidelines and sanctions for conduct and/or misconduct pertaining to such matters.

d. Any complaints received by the Contractor, alleging misconduct toward contractor employees from other than contractor related personnel, i.e., VA personnel, patients and/or visitors shall be reported to the Contracting Officer in charge of the awarded contract.

11. SMOKING POLICY.

a. The VA Medical Center and its associated CBOCs are smoke free facilities. No smoking is permitted within the confines of any building or within 15 feet of any entrance to a building. Smoking is permitted in designated areas only. Failure to comply with the smoking policy will result in immediate removal of contractor/contractor personnel from the facility.

12. WAGES TO BE PAID.

Wage Determination 2015-4731 (R18) published 27 June 2022. Can be found www.sam.gov/content/home

Courier Service – Dayton VAMC and CBOC.