36C25023Q1850 0001.docx

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V225--AMBULANCE SERVICE | Base + 2 | Start Date: 8 Sept 2023
Solicitation number
36C25023Q1850
Issued by

About this file

This document is a solicitation for ambulance services including a base period and two option periods. The solicitation seeks ambulance transportation services including basic life support and advanced life support for one-way transports within a 20-mile radius of the Dayton VA Medical Center as well as mileage rates for transports exceeding 20 miles. Offerors must acknowledge receipt of amendments by the specified dates and extend their responses to September 20, 2023. The period of performance for the base period is November 1, 2023 to October 31, 2024 with options to extend through October 31, 2026. Pricing is established for various contract line items including base rates by transport type, mileage rates, and wait times. Minimum quantities are specified for the base period with maximum quantities established for the contract. The soliciting agency is the Department of Veterans Affairs.

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File Type Posted
36C25023Q1850 0002.docx DOCX document
D.4 36C25023Q1850 Reissue 9.14.2023.pdf PDF
36C25023Q1850 Reissue.pdf PDF
D.3 - WD 2015-4729 (R23), Columbus, 14 June 2023.pdf PDF
D.2 - EPA Fuel Surcharge Calulator.xlsx XLSX spreadsheet
36C25023Q1850_1.docx DOCX document
D.1 Statement of FAR 52.219-14 Limitations on Subcontracting.pdf PDF

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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 NUMBERE

D 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 amendmen t, 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) 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

36C25023Q1850

X

See CONTINUATION Page X The Purpose of this Amendment is for the following:

1) Re-issue RFQ

2) Change the PoP. See Schedule for updated PoP

3) Extend Question response date NLT 1:00PM on 13 September 2023

4) Extend the solicitation Response date to 1:00PM on 20 September 2023.

***Note to all interested a Parties*** It is required that all bid be on the most up-to -date 1449 (RFQ) and all Amendments (SF30) are signed and acknowledge on the table in section B.1 of the RFQ.

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1,890.00
Trp
__________________
__________________

BLS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Base POP Begin: 11-01-2023 POP End: 10-31-2024

1,400.00
MI
__________________
__________________

BLS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Base

379.00
EA
__________________
__________________

BLS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Base

554.00
Trp
__________________
__________________

ALS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Base

12.00
MI
__________________
__________________

ALS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Base

12.00
EA
__________________
__________________

ALS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Base

3,240.00
Trp
__________________
__________________

BLS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 1 POP Begin: 11-01-2024 POP End: 10-31-2025

2,400.00
MI
__________________
__________________

BLS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 1

650.00
EA
__________________
__________________

BLS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Option 1

950.00
Trp
__________________
__________________

ALS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 1

20.00
MI
__________________
__________________

ALS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 1

20.00
EA
__________________
__________________

ALS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Option 1

3,240.00
Trp
__________________
__________________

BLS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 2 POP Begin: 11-01-2025 POP End: 10-31-2026

2,400.00
MI
__________________
__________________

BLS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 2

650.00
EA
__________________
__________________

BLS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Option 2

950.00
Trp
__________________
__________________

ALS Ambulance BASE RATE (ONE-WAY): The BASE RATE (ONE-WAY) is for authorized one-way patient transports with a point-to-point (one-way) travel distance of 20 miles or less from the designated VA Medical Center as specified in the PWS. The contractor is NOT authorized to invoice for MILEAGE RATE (ONE-WAY) in addition to the BASE RATE (ONE-WAY) for patient transports with a point-to-point (one-way) travel distance radius of 20 miles or less from the designated VA Medical Center. For patient transports with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center, the BASE RATE (ONE-WAY) plus MILEAGE RATE (ONE-WAY) may be authorized. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 2

20.00
MI
__________________
__________________

ALS Ambulance MILEAGE RATE (ONE-WAY): The MILEAGE RATE (ONE-WAY) shall only be authorized for patient transports which exceed the BASE RATE (ONE-WAY) travel distance radius of 20 miles from the designated VA Medical Center as specified in the PWS. The contractor shall ensure that all invoices submitted with a point-to-point (one-way) travel distance radius which exceeds 20 miles from the designated VA Medical Center include the MILEAGE RATE (ONE-WAY) plus BASE RATE (ONE-WAY) which shall be calculated based on the total travel distance (one-way) minus 20 miles. The MILEAGE RATE (ONE-WAY) is not authorized for any patient transport that does not have a VA approved passenger onboard. The contractor shall utilize the latest edition of BING maps to calculate the travel distance for all point-to-point trips.

The total quantity established for this contract line item (CLIN) is maximum not-to-exceed (NTE). This maximum NTE quantity shall not be exceeded by the contractor unless authorized via bilateral contract modification executed by the contracting officer. The minimum quantity authorized for this contract is applicable to the base period only which is 15% of the maximum NTE quantity established for each CLIN. The contractor shall only be authorized to invoice for the minimum quantity if the base period is physically complete and the minimum amount has not been exceeded.

Contract Period: Option 2

20.00
EA
__________________
__________________

ALS Ambulance | WAIT TIME RATE (15-Minute Increments): The wait time rate of 15-minute increments shall only be authorized for patient transports which exceed the “wait time grace period” upon approval by the COR or authorized government representative designed in writing by the COR and/or CO as specified in this PWS.

Contract Period: Option 2

GRAND TOTAL
__________________

A.2 DELIVERY SCHEDULE

ITEM NUMBER
QUANTITY
DELIVERY DATE

1,890.00

1,400.00

379.00

554.00

12.00

12.00

3,240.00

2,400.00

650.00

950.00

20.00

20.00

3,240.00

2,400.00

650.00

950.00

20.00

20.00

See attached document: 36C25023Q1850 Reissue.

Ambulance Service (Columbus)

File details come from the government source that posted it. Updated .