36C25024Q0413 0001.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) 583-24-3-626-0052 None Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor

MI

48105 Y Department of Veterans Affairs Network Contracting Office 10 24 Frank Lloyd Wright Drive Lobby M, Suite M2200 Ann Arbor

MI

48105 To all Offerors/Bidders

36C25024Q0413 03-19-2024

X X

See CONTINUATION Page X One (1) The purpose of this amendment is to address questions from the solicitation. See below and attached documents.

This solicitation has been extended to 12:00 PM EST on 03/25/2024.

Kristina L. Peart Contracting Officer Questions Response for Solicitation: 36C25024Q0413

1. Would you please consider extending this out a week as there is not enough time to review and get disposal pricing in with us coming up on a weekend. The solicitation due date has been extended to noon on 03/25/2024.

2. Can you provide the counts for the yearly use of 3-gallon containers? These are listed on page 29 with a count of 597. Is this the count for the wall mounts as well as the count for the 3-gallon containers used in a year? These 3-gallon containers are not listed in the line-item information description of supplies/services. A line item has been added to the schedule to accommodate 3 gallon w/wall mount cabinets. Wall mounts are to be hung in all areas. It should be a one for one swap in all areas to include the main facility and all surrounding clinics.

3. The counts listed on page 29-3 table, are these counts for the holders and carts or do these include bins and the containers themselves? These counts are for containers and floor mounts.

4. Under A3 “The contractor shall reference Attachment D.1 – Sharps Waste Container Locations for the location and size of each sharp’s container in the table above”. Do not see the attachment to this document. SOW updated to state, ‘contractor shall reference Sharps Waste Container Locations and size of each sharp’s container in the table below.’

5. Regarding line item M64 MediSmart listed on line 0002AC. This is an exclusive Daniels product used or sold only to Daniels and subcontractors of theirs. Is this item able to be substituted with an equivalent? Yes, the tech evaluation team will need to approve the substitute or equivalent containers.

6. In regard to highly hazardous materials, are these included in a specific line item, or will pick-ups of these materials be add on items to the awarded contract, as the contents and frequency is unknown? Any highly hazardous materials will be picked up during standard waste removal during pick up time.

7. In “A” Work Requirements it states: “The contractor shall provide all labor, transportation, equipment, and reusable puncture-resistant sharps containers to collect, empty, count, and complete the manifest needed to transport, load, haul and dispose of all sharp’s containers.” Is it a requirement to use reusable containers or can we just dispose of the containers proper per regulations? This is currently a one for one swap.

8. Given the size and scope of this solicitation, number of questions, and the timing required to complete this RFP, is it possible for the response date to be extended? The solicitation due date has been extended to noon on 03/25/2024.

9. Who is serving this facility right now? Daniels Sharpsmart, Inc.

10. What is the old contract number? 36C25019D0011

11. all the reusables sharps all being picked up with tech? Pickups are at designated areas at all buildings under the contract.

12. What is the side of the storage at the facility or we need to provide a storage trailer? There is storage at all locations. No storage trailer will be needed.

13. How many times of the week do you need the pick up for the reusable? The information is within the SOW under Part II: Work Requirements.

14. Do vendors have to provide onsite services with their technicians to exchanges Sharps containers for all of the offsite locations in addition to the main Indianapolis VAMC or will the Sharps containers at the offsite locations be exchanged by VA personnel? The vendor shall provide onsite services with their technicians to exchange sharps containers for all offsite locations in addition to the main Indianapolis VAMC.

15. Could you please provide the hazardous was profiles associated with this requirement? Sharps Waste-Bio, Sharps Waste-Pharmacy, Sharps Waste-Chemo, RMW Bio-Autoclave, RMW-Trace Chemo

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Sharps Waste Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection PRODUCT/SERVICE CODE: V112 - Transportation/Travel/Relocation - Transportation: Motor Freight

0001AA

2-Gallon Various Sharps

POP Begin: 06-01-2024 POP End: 05-31-2025

0001AB

4-Gallon Various Sharps

POP Begin: 06-01-2024 POP End: 05-31-2025

0001AC

8-Gallon Various Sharps

POP Begin: 06-01-2024 POP End: 05-31-2025

0001AD

16-Gallon Various Sharps

POP Begin: 06-01-2024 POP End: 05-31-2025

0001AE

3-Gallon w/ wall mount cabinet

POP Begin: 06-01-2024 POP End: 05-31-2025

Pathological/General Regulated Medical Waste

POP Begin: 06-01-2024 POP End: 05-31-2025

0002AA

Various Pathological Waste

POP Begin: 06-01-2024 POP End: 05-31-2025

0002AB

Various General Regulated Medical Waste

POP Begin: 06-01-2024 POP End: 05-31-2025

0002AC

M64 - MediSmart Various General Regulated Medical Waste Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

Pharmaceutical Waste

POP Begin: 06-01-2024 POP End: 05-31-2025

0003AA

Black 12-Gallon RCRA D & U Listed Pharmaceuticals Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AB

Black 5-Gallon

Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AC

Black 1-Gallon RCRA P Listed Pharmaceuticals Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AD

Yellow 16-Gallon RCRA Trace Chemo Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AE

PURPLE 2-Gallon Pharmaceuticals (P14) Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AF

PURPLE 4-Gallon Pharmaceuticals (P22) Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

0003AG

PURPLE 8-Gallon Pharmaceuticals (P32) Contract Period: Base POP Begin: 06-01-2024 POP End: 05-31-2025

Miscellaneous Charges

POP Begin: 06-01-2024 POP End: 05-31-2025

0004AA

Environmental & Compliance 12.87

POP Begin: 06-01-2024 POP End: 05-31-2025

0004AB

Overweight Container Fee

POP Begin: 06-01-2024 POP End: 05-31-2025

0004AC

Stop Fee

POP Begin: 06-01-2024 POP End: 05-31-2025

Sharps Waste Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1001AA

2-Gallon Various Sharps

POP Begin: 06-01-2025 POP End: 05-31-2026

1001AB

4-Gallon Various Sharps

POP Begin: 06-01-2025 POP End: 05-31-2026

1001AC

8-Gallon Various Sharps

POP Begin: 06-01-2025 POP End: 05-31-2026

1001AD

16-Gallon Various Sharps

POP Begin: 06-01-2025 POP End: 05-31-2026

1001AE

3-Gallon w/ wall mount cabinet

POP Begin: 06-01-2025 POP End: 05-31-2026

Pathological/General Regulated Medical Waste

POP Begin: 06-01-2025 POP End: 05-31-2026

1002AA

Various Pathological Waste

POP Begin: 06-01-2025 POP End: 05-31-2026

1002AB

Various General Regulated Medical Waste

POP Begin: 06-01-2025 POP End: 05-31-2026

1002AC

M64 - MediSmart

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

Pharmaceutical Waste

POP Begin: 06-01-2025 POP End: 05-31-2026

1003AA

Black 12-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AB

Black 5-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AC

Black 1-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AD

Yellow 16-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AE

PURPLE 2-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AF

PURPLE 4-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

1003AG

PURPLE 8-Gallon

Contract Period: Option 1 POP Begin: 06-01-2025 POP End: 05-31-2026

Miscellaneous Charges

POP Begin: 06-01-2025 POP End: 05-31-2026

1004AA

Environmental & Compliance 12.87

POP Begin: 06-01-2025 POP End: 05-31-2026

1004AB

Overweight Container Fee

POP Begin: 06-01-2025 POP End: 05-31-2026

1004AC

Stop Fee

POP Begin: 06-01-2025 POP End: 05-31-2026

Sharps Waste Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2001AA

2-Gallon Various Sharps

POP Begin: 06-01-2026 POP End: 05-31-2027

2001AB

4-Gallon Various Sharps

POP Begin: 06-01-2026 POP End: 05-31-2027

2001AC

8-Gallon Various Sharps

POP Begin: 06-01-2026 POP End: 05-31-2027

2001AD

16-Gallon Various Sharps

POP Begin: 06-01-2026 POP End: 05-31-2027

2001AE

3-Gallon w/ wall mount cabinet

POP Begin: 06-01-2026 POP End: 05-31-2027

Pathological/General Regulated Medical Waste

POP Begin: 06-01-2026 POP End: 05-31-2027

2002AA

Various Pathological Waste

POP Begin: 06-01-2026 POP End: 05-31-2027

2002AB

Various General Regulated Medical Waste

POP Begin: 06-01-2026 POP End: 05-31-2027

2002AC

M64 - MediSmart

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

Pharmaceutical Waste

POP Begin: 06-01-2026 POP End: 05-31-2027

2003AA

Black 12-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AB

Black 5-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AC

Black 1-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AD

Yellow 16-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AE

PURPLE 2-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AF

PURPLE 4-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

2003AG

PURPLE 8-Gallon

Contract Period: Option 2 POP Begin: 06-01-2026 POP End: 05-31-2027

Miscellaneous Charges

POP Begin: 06-01-2026 POP End: 05-31-2027

2004AA

Environmental & Compliance 12.87

POP Begin: 06-01-2026 POP End: 05-31-2027

2004AB

Overweight Container Fee

POP Begin: 06-01-2026 POP End: 05-31-2027

2004AC

Stop Fee

POP Begin: 06-01-2026 POP End: 05-31-2027

Sharps Waste Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3001AA

2-Gallon Various Sharps

POP Begin: 06-01-2027 POP End: 05-31-2028

3001AB

4-Gallon Various Sharps

POP Begin: 06-01-2027 POP End: 05-31-2028

3001AC

8-Gallon Various Sharps

POP Begin: 06-01-2027 POP End: 05-31-2028

3001AD

16-Gallon Various Sharps

POP Begin: 06-01-2027 POP End: 05-31-2028

3001AE

3-Gallon w/ wall mount cabinet

POP Begin: 06-01-2027 POP End: 05-31-2028

Pathological/General Regulated Medical Waste

POP Begin: 06-01-2027 POP End: 05-31-2028

3002AA

Various Pathological Waste

POP Begin: 06-01-2027 POP End: 05-31-2028

3002AB

Various General Regulated Medical Waste

POP Begin: 06-01-2027 POP End: 05-31-2028

3002AC

M64 - MediSmart

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

Pharmaceutical Waste

POP Begin: 06-01-2027 POP End: 05-31-2028

3003AA

Black 12-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AB

Black 5-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AC

Black 1-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AD

Yellow 16-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AE

PURPLE 2-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AF

PURPLE 4-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

3003AG

PURPLE 8-Gallon

Contract Period: Option 3 POP Begin: 06-01-2027 POP End: 05-31-2028

Miscellaneous Charges

POP Begin: 06-01-2027 POP End: 05-31-2028

3004AA

Environmental & Compliance 12.87

POP Begin: 06-01-2027 POP End: 05-31-2028

3004AB

Overweight Container Fee

POP Begin: 06-01-2027 POP End: 05-31-2028

3004AC

Stop Fee

POP Begin: 06-01-2027 POP End: 05-31-2028

Sharps Waste Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4001AA

2-Gallon Various Sharps

POP Begin: 06-01-2028 POP End: 05-31-2029

4001AB

4-Gallon Various Sharps

POP Begin: 06-01-2028 POP End: 05-31-2029

4001AC

8-Gallon Various Sharps

POP Begin: 06-01-2028 POP End: 05-31-2029

4001AD

16-Gallon Various Sharps

POP Begin: 06-01-2028 POP End: 05-31-2029

4001AE

3-Gallon w/ wall mount cabinet

POP Begin: 06-01-2028 POP End: 05-31-2029

Pathological/General Regulated Medical Waste

POP Begin: 06-01-2028 POP End: 05-31-2029

4002AA

Various Pathological Waste

POP Begin: 06-01-2028 POP End: 05-31-2029

4002AB

Various General Regulated Medical Waste

POP Begin: 06-01-2028 POP End: 05-31-2029

4002AC

M64 - MediSmart

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

Pharmaceutical Waste

POP Begin: 06-01-2028 POP End: 05-31-2029

4003AA

Black 12-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AB

Black 5-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AC

Black 1-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AD

Yellow 16-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AE

PURPLE 2-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AF

PURPLE 4-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

4003AG

PURPLE 8-Gallon

Contract Period: Option 4 POP Begin: 06-01-2028 POP End: 05-31-2029

Miscellaneous Charges

POP Begin: 06-01-2028 POP End: 05-31-2029

4004AA

Environmental & Compliance 12.87

POP Begin: 06-01-2028 POP End: 05-31-2029

4004AB

Overweight Container Fee

POP Begin: 06-01-2028 POP End: 05-31-2029

4004AC

Stop Fee

POP Begin: 06-01-2028 POP End: 05-31-2029

A.2 STATEMENT OF WORK (SOW)

Regulated Medical Waste Part I: General Information A. Introduction The Department of Veterans Affairs Richard L. Roudebush Medical Center (RLRVAMC) has a requirement for the collection, pick-up, packaging, transport, and disposal services for sharps waste, regulated medical waste, and pathological waste.

B. Definitions

1. Sharps Waste (sharps): Includes all hypodermic needles, syringes, scalpel blades, and other sharp items used within the RLRVAMC. The term does not include any hazardous waste, radioactive waste, or pharmaceuticals.

2. Regulated Medical Waste (RMW): The Bloodborne Pathogens Standard uses the term, "regulated waste," to refer to the following categories of waste:

· liquid or semi-liquid blood or other potentially infectious materials (OPIM).

· items contaminated with blood or OPIM and which would release these substances in a liquid or semi-liquid state if compressed.

· items that are caked with dried blood or OPIM and are capable of releasing these materials during handling.

· Pathological and microbiological wastes containing blood or OPIM.

3. Pathological Waste: All human anatomical wastes and all wastes that are human tissues, organs, or body parts removed by trauma, during surgery, autopsy, studies, or another hospital procedure, which is intended for disposal.

4. Hazardous Waste: The contractor shall provide all services necessary for the disposal of the hazardous waste listed in the schedule in accordance with all local, state, and federal Environmental Protection Agency (EPA) solid and hazardous waste laws and regulations, specifically the Resource Conservation and Recovery Act (RCRA). All items listed in the schedule, regardless of their condition, are being discarded by the government and are considered to be waste (i.e., hazardous, non-hazardous, or universal). Any shipments outside of the United States are prohibited under this contract unless prior approval is received in writing from the Contracting Officer Representative (COR).

C. Scope

The contractor shall provide all necessary supervision, transportation, labor, equipment, processing, manifest, packaging and packaging supplies, disposal, containers, boxes, and other supplies, such as reusable puncture-resistant sharps containers and boxes for the collection and packaging and disposal of all sharps waste, RMW and pathological waste for all designated locations.

D. Applicable Documents

The following EPA and Occupational Safety & Health Administration (OSHA) regulations, laws and rules apply.

· EPA Law Chapter 16 - Communicable Disease: Treatment of Infectious Waste

IC16-41-16-1-11

http://iga.in.gov/legislative/laws/2014/ic/titles/16/articles/41/chapters/16/

· Rule 3. Infectious Waste 410 IAC 1-3-29

· 410 IAC 1-3-22 Appropriate Containment and labeling; effective treatment, transport, or disposal: authority: IC 16-19-3-4; IC 16-41-16-8

Regulated wastes, other than contaminated sharps, must be placed in containers that are: (i) Closable; (ii) Constructed to contain all contents and prevent leakage of fluids during handling, storage, transport or shipping; (iii) Labeled or color-coded in accordance with paragraphs (g)(1)(i); (iv) Closed prior to removal to prevent spillage or protrusion of contents during handling, storage, transport, or shipping [29 CFR 1910.1030(d)(4)(iii)(B)(1)(i)-(iv)].

· Infectious Waste OSHA Regulation http://www.in.gov/legislative/iac/iac_title?iact=410

· Blood Born Pathogen 29 CRF 1910.1030 https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_id=10051&p_table=STANDARDS

· Handling PPE 29 CRF 1910.132 https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9777

· Needle Stick Safety and Prevention Act HR 5178

· Indiana’s Hazardous Waste Rules 329 IAC 3.1-6

· Food and Drug Administration (FDA) including but not limited to Title 21 of the Code of Federal Regulations.

· National Fire Protection Agency (NFPA) 101: Life Safety Code, 2015

· All work shall be in accordance with 40 CFR, Chapter 1, Subchapter I Solid Wastes (including Part 260-265). http://www.gpo.gov/about/

· All requirements of Part 1910 and Part 1926 of Title 29 of the Code of Federal Regulations apply pursuant to their terms to hazardous waste and emergency response operations whether covered by this section or not. If there is a conflict or overlap, the provision more protective of employee safety and health shall apply without regard to 29 CFR 1910.5(c) (1). 1910.120(a) (2) (i) https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=9765

· OHSA 3114 – Hazardous Waste Operations and Emergency Response https://www.osha.gov/Publications/OSHA3114/osha3114.html

· DEPARTMENT OF TRANSPORTATION (DOT) REQUIREMENTS: Transportation shall be in accordance with DOT Hazardous Material Regulations 49 CFR 100-199.

· EPA designated items that are listed in EPA procurement guidelines at 40 CFR parts 247

· USDA designated items that are listed by USDA in the procurement guidelines found in 7 CFR parts 2902, Subpart B

· EPA designated items on EPA’s list at http://www.epa.gov/cpg/products/htm

· RCRA - http://www2.epa.gov/rcra

Part II: Work Requirements A. Technical Requirements for Sharps, Medical Waste, Hazardous Waste

1. The contractor shall provide all labor, transportation, equipment, and reusable puncture-resistant sharps containers to collect, empty, count, and complete the manifest needed to transport, load, haul and dispose of all sharp’s containers. The Contractor shall deliver clean sharps containers in the same count/amount that is picked for emptying and disposal. Services shall be coordinated between the Contractor and the Contracting Officer’s Representative (COR).

Services are to be provided at the following locations:

Services are to be provided twice weekly at the following locations:

Richard L Roudebush VA Medical Center 1481 West 10th Street Indianapolis, IN 46202-2803 Brownsburg VA Clinic Indianapolis West VA Clinic 557 Pitt Rd Brownsburg, IN 46112

Coumadin Clinic 2669 Cold Springs Road Indianapolis, IN 46222 Vet Clinic - Building 7 2669 Cold Springs Road Indianapolis, IN 46222

Richard L Roudebush VA Domiciliary 9045 East 59th Street Indianapolis, IN 46216

Services are to be provided at the following locations once weekly:

West Lafayette VA Clinic 940 Park E Blvd Lafayette, IN 47905 Martinsville Community-Based Outpatient Mental Health Clinic 2200 John R Wooden Drive Martinsville, IN 46151

Wakeman Community-Based Outpatient Clinic Camp Atterbury, Building 1010 3791 10th Street Edinburgh, IN 46124 Terre Haute VA Clinic 5080 Bill Farr Drive Terre Haute, IN 47803

Services are to be provided at the following locations once per month:

Bloomington Community-Based Outpatient Clinic 1332 West Arch Haven Avenue Suite A Bloomington, IN 47403 Indianapolis VA Clinic 777 North Meridian Street Indianapolis, IN 46204

OrthoIndy Foundation YMCA Clinic 5315 Lafayette Road Indianapolis, IN 46254-1618 Shelbyville VA Clinic 2158 Intelliplex Dr #200 Shelbyville, IN 46176

2. The contractor shall provide and install all hardware necessary for the proper functioning of the containers in patient rooms, exam rooms, research areas, lab areas, operating rooms, procedure rooms, and other rooms as designated. Installation of all equipment shall be coordinated with the COR.

3. The contractor shall provide the following containers and all necessary accessories:

Four Gallon Counter containers are currently not in use and shall be placed throughout the facility by the COR with a detailed list provided to the Contractor.

The contractor shall provide carts with casters to hold eight-gallon and 17-gallon sharps required to be on the floor. The contractor shall provide holders for the two-gallon and four-gallon sharps containers to be placed on counters. The Contractor shall provide and install lockable cabinets for all wall-mounted three-gallon sharps containers.

The contractor shall reference Sharps Waste Container Locations and size of each sharp’s container in the table below.

The estimated number of containers may increase and/or decrease depending on waste. The Contractor shall provide the quantity of containers above but shall also keep a minimum of 10% additional containers on hand to be installed at the Government’s request.

4. Each special function item such as traps, enclosed, lockable wall cabinets, rolling foot pedal carts, mounting hardware, and all other related hardware, shall be supplied by the contractor at no additional cost to the Government.

5. The contractor shall collect, and reprocess containers and dispose of waste in compliance with all applicable Federal, State, and Local regulations including the following standards: (1) Occupational Safety and Health Administration (OSHA), including Blood Borne pathogens Standard 29 CFR 1910.1030 and the Needle Stick Safety and Prevention Act HR 5178 as it specifically relates to reusable containers, (2) Indiana’s Hazardous Waste Rules 329 IAC 3.1-6, (3) Food and Drug Administration (FDA) including Title 21 of the Code of Federal Regulations (CFR) and Quality Systems Regulation (QSR) with regards to reprocessing, validation, reporting and annual registering for all equipment used to release medical equipment into commerce. The VA reserves the right to thoroughly inspect the Contractor’s facility and treatment plant to ensure an acceptable standard of performance.

6. The contractor shall provide additional pick-up and disposal service within two (2) hours of a call from the COR for all emergency pick-ups.

7. The Contractor shall ensure that vehicles used for the transportation of hazardous materials shall be stocked with sufficient supplies to handle hazardous materials that require special packaging, spills, leaking drums, or other conditions that could occur while performing a routine pick-up.

8. The Contractor shall supply replacement containers that meet all federal, state, and local regulations for hazardous and universal waste streams (i.e., 5-, 16-, 30- and 55-gallon open head poly drums; 55-gallon metal closed head drums; 55-gallon metal open head drums; and other size drums as needed by the medical center).

B. Technical Requirements for RMW, Pathological Waste, and Hazardous Waste

1. The contractor shall provide all the necessary reusable sanitized containers used for transporting the RMW and pathological medical waste to a disposal site. The contractor shall provide all necessary personnel to unload clean sanitized containers used for packaging all RMW and pathological waste. The contractor shall remove full containers and replace them with an equal number of empty containers. The containers shall be leak-proof, stackable, transportable, foot pedal type, and shall display the universal biohazard symbol. The contractor shall sanitize containers before leaving them at the VA for use. Sanitizing shall be completed off VA grounds. All containers shall be damage-free and in good working order at all times. The contractor shall also supply material and equipment for packaging of RMW, pathological waste. Packaging materials consist of shipping tape, shipping labels, corrugated boxes, and red bags.

2. The contractor shall provide the number of containers, specified by color and size, in the table below for the use of RMW and pathological waste disposal at the VA Medical Center in Indianapolis, IN. The contractor shall provide the following containers and all necessary accessories:

Below are the anticipated containers for the remanding locations:

The estimated number of containers may increase and/or decrease depending on waste. The Contractor shall provide the quantity of containers above but shall also keep a minimum of 10% additional containers on-hand to be installed at the Government’s request.

3. The contractor shall dispose of all RMW and pathological waste in accordance with all applicable Federal, State, and Local regulations, and laws.

4. The contractor shall provide additional emergency pick-up and container exchange services within two (2) hours of a call from the COR requesting such services.

5. An EPA-approved manifest shall be provided by the Contractor to the COR and/or COR designee. The manifest shall be signed by the COR and/or COR designee along with the Contractor when the waste is picked up.

· Within 20 calendar days of pick-up, the Contractor shall submit a written report certifying the waste was processed in accordance with EPA regulations. The report shall be submitted to the Chief of EMS (137) or the Contracting Officers Representative (COR) RLRVAMC, 1481 W. 10th Street, Indianapolis, IN 46202.

· The contractor shall provide a manifest to the COR and/or COR designee for each pick-up. The contractor shall properly complete and verify the manifest paperwork at the time of pickup with the COR and/or COR designee. The contractor shall return the signed manifest to the COR and/or COR designee as a tracking document for transporting and disposing of sharps, RMW, all pathological waste, or electronic access to said manifest.

6. The Contractor shall arrange with the COR a routine (non-emergency) service for the facility based upon volume. A pick-up schedule shall be established with the RLRVAMC for a weekly service or on an on-call basis, as needed. If an unscheduled pick-up is called in, the contractor shall respond and complete the pick-up within 2 hours after the initial call is made. The contractor shall be notified when an extra pick-up or changes in pick-up days are required. Coordination for pick-up shall be made with the COR. The contractor shall submit to the COR a weekly schedule of services.

7. All hazardous and non-hazardous materials generated by RLRVAMC shall be disposed of by the Contractor in accordance with current Federal, State, and local guidelines governing regulated hazardous and non-hazardous chemical wastes.

8. The contractor shall dispose of hazardous waste in a manner that leaves no future expense potential to the VA or the federal government.

9. Mere acceptance of the hazardous property at a properly permitted Treatment, Storage, Disposal, and Facility (TSDF) does not meet the definition of disposal under this contract; or,

· It is the contractor’s responsibility to obtain all necessary documentation to prove that the disposal of all items has been accomplished. This documentation shall be attached to the certificate of disposal and submitted with, or prior to, the invoices.

C. SAFETY & SECURITY

1. SAFETY REQUIREMENTS: The contractor shall perform all operations in a prudent, conscientious, safe, and professional manner. At a minimum, contractor personnel and equipment shall comply with all safety requirements set forth in applicable State, Federal, and local laws and regulations and shall further ensure that its agents and employees perform work in a safe manner. The contractor shall ensure that all personnel involved in handling and packaging hazardous waste be trained for the level of expertise required of the proper performance of the task and in the areas of chemical incompatibility, general first aid procedures, and spill. The contractor shall ensure that its employees use proper handling and personal protective equipment while collecting, transporting, and disposing of hazardous waste from the RLRVAMC. All contractor employees present at the work site shall be trained to use all protective equipment.

The Contractor shall be responsible for properly containerizing all lab-packs and for assuming all safety measures to prevent harm or injury to VA patients, visitors, employees, contractor employees (example: PPE), and the environment (example: storm drain covers).

2. The VA reserves the right to inspect contractor facilities before approving its use or at any time during or after the contract period while VA wastes are present.

3. SPILL RESPONSIBILITY: The contractor shall be solely responsible for all spills or leaks during the performance of the contract utilizing their own equipment. The contractor shall agree to clean up such spills or leaks to the satisfaction of the Government in a manner that satisfies the applicable state, federal, and local laws, and regulations, at no cost to the Government.

4. SPILL REPORTING REQUIRMENTS: The contractor shall be responsible for reporting by telephone (i.e., within 2 hours) to the COR all spills, regardless of quantity, and all personnel exposures and shall be followed up in writing no later than seven (7) days after the initial telephone report. If the COR is not available the contractor should report the spill to the VA Medical Center Safety Officer. Spills or leaks that occur during the transportation of the materials shall be reported to the medical center COR within (2) hours of the occurrence. If any spills occur during contract performance, these shall be briefly described in a summary of the spills report and include the following information:

· Item spilled (identification, quantity, and manifest numbers)

· Whether the amount spilled is EPA/state reportable, and if reported, a copy of the report shall be provided to the COR.

· The exact location of the spill.

· Containment procedures were initiated.

· Anticipated clean-up and disposal procedures.

· Disposal location of spill residue.

· If personal injury involved was assistance required.

· Names and telephone numbers of all state and federal officials contacted,

· Narrative summarizing all on-scene visits made by local, state, or federal officials.

5. AFFIRMATIVE PROCUREMENT

· The contractor shall be required to have a written affirmative procurement program that requires preference for the following materials used at VA sites:

a. EPA designated items that are listed in EPA procurement guidelines at 40 CFR parts 247

b. USDA designated items that are listed by USDA in the procurement guidelines found in 7 CFR parts 2902, Subpart B

c. EPA designated items on EPA’s list at http://www.epa.gov/cpg/products/htm

D. Deliverables

The Contractor shall, without additional costs to the Government, provide and maintain all licenses and permits for personnel, containers, vehicles, and any other resources required for proper removal of sharps, RMW, and pathological waste in accordance with all Federal, State, Municipal and local regulations (e.g., OSHA, EPA, DEP, DOT, etc.). If licenses are not maintained in accordance with Federal and State requirements, the VA shall terminate the contract effective upon discovery. The VA reserves the right to halt work if the Contracting Officer and/or the COR determine work is being done in an unsafe/unhealthy manner or that could harm the environment. VA shall not incur additional costs for the failure of the Contractor to perform in accordance with the terms and conditions of the contract.

Part III: Additional General Requirements

1. The Contractor shall ensure staff servicing the Medical Center shall be in company uniform with a name badge identifying both contractor and employee.

2. The contractor shall provide all safety equipment for their employees in the performance of the resulting contract while on government property and shall abide by safe working standards.

3. In the performance of this contract, the Contractor shall take the safety precautions as necessary to protect the lives and health of occupants of the building.

4. The Contractor shall immediately correct any fire and safety deficiencies caused by his/her employee(s) and/or equipment. If the Contractor fails or refuses to correct deficiencies promptly, the Contracting Officer (CO) may issue an order stopping all or any part of the work and hold the Contractor in default of the contract.

5. The Contractor shall comply with applicable Federal, State, and local safety and fire regulations and codes, which are in effect at the beginning of the contract period. The Contractor shall keep abreast of, and comply with, changes in these regulations and any codes applicable to the contract.

6. Spill Reporting Requirements: The contractor shall be responsible for reporting to the COR all spills, regardless of quantity, and all personnel exposures. Such reports shall first be reported by telephone immediately following the incident and shall be followed up in writing no later than seven (7) days after the initial report. When reporting a spill(s), the following information shall be furnished: (1) Quantity spilled; (2) Exact location of the spill; (3) Containment procedures initiated; and (4) Clean-up and disposal procedures. If any spills occur during contract performance these shall be briefly summarized. Include: quantity spilled, personal injury involved, assistance required, and a narrative summarizing all on-scene visits made by local, state, or federal officials. The Contractor shall be solely responsible for all spills or leaks during the performance of the contract. The contractor agrees to clean up such spills or leaks to the satisfaction of the Government in a manner that satisfies the applicable state, federal, and local laws, and regulations, at no cost to the Government.

7. Safety Requirements: Contractor personnel and equipment shall comply with all applicable state, federal, and local regulations. The contractor agrees that his personnel and equipment are subject to safety inspections by Government personnel while on Federal property. The contractor shall ensure that all personnel involved in the handling, repackaging, and transportation of the items listed herein shall be trained in the areas of spills, and general first aid procedures.

8. The Contractor shall comply with the policies of the Medical Center to include compliance with the standards of The Joint Commission, OSHA, and the EPA.

9. Within 15 days of award, the contractor shall provide a list of names, titles, addresses, telephone numbers (including cellular), pager/beeper numbers, facsimile numbers, and e-mail addresses of key managers, supervisors, customer service and field service personnel performing under this contract. Prior to the commencement of work on this contract, the contractor shall provide the Contracting Officer Representative (COR) the name and telephone number of at least one (1) responsible individual who shall respond to problems and/or emergencies on a 24-hour basis.

10. Twenty-four-hour Spill Response Services - The Contractor shall have the capability to provide twenty- four (24) hours per day, seven (7) days per week of emergency response services for spills of hazardous materials and/or wastes, and universal wastes. The contractor shall respond within two (2) hours to spill incidents to conduct spill mitigation activities, neutralize spilled products, and provide expert advice concerning products and their potential impacts on people and the environment. The response shall include spill cleanup and the handling and disposal of products or product residuals generated because of a spill and to prepare required documentation on behalf of the facility. The contractor shall also possess the capability to respond within this two (2) hour on-site framework to assess any potentially unstable/reactive hazardous substance identified, and to affect on-site remote opening and stabilization as appropriate within twenty-four (24) hours. This service shall be provided on a 24-7 basis and shall be provided on-site within 2 hours of after being notified by the medical centers' point of contact. The contractor shall be responsible for providing emergency first responder services in the event of a spill of hazardous materials/wastes, radiological wastes, and universal wastes. This service shall be available 24 hours per day, 7 days per week, and be available with personnel on the scene within 2 hours. If the contractor fails to respond within two (2) hours, VA reserves the right to obtain the required service from another source capable of full performance of these contract requirements, and to charge the contractor with any excess cost. The contractor shall be able to identify spilled products, conduct spill mitigation activities (e.g., containment, diversion from storm drains), neutralize spilled products, provide expert advice concerning products and their potential impacts, undertake spill cleanup activities, handle, and dispose of spilled product and residuals, and prepare appropriate documentation on behalf of the facility. The contractor shall provide their spill procedures for integration into facility-level SPCC or contingency plans. The contractor shall provide the billing procedure that would be used for spill and emergency response activity. A separate purchase order shall be issued for emergency services at the time of the emergency.

11. Transportation and Disposal of Highly Hazardous Chemicals – The contractor shall have the capability to provide services to safely prepare highly hazardous chemicals for transportation and disposal. Examples of highly hazardous chemicals: organic chemicals that form peroxides through exposure to air or light, hydrated picric acid or other tri-nitro and di-nitro compounds that become dry or become contaminated with metals that form explosive metal salts, sodium amide that reacts with air or moisture to forms superoxide’s (as evidenced by yellow or brown discoloration), certain alkyl nitrates (e.g. butyl nitrate or propyl nitrate) that become contaminated with nitrogen oxides and certain normally stable perchlorates (e.g. Pyridium perchlorate or tetraethylammonium perchlorate) that become unstable at elevated temperatures

12. A uniform hazardous waste manifest (i.e., EPA Form 8700-22) shall be completed by the contractor and furnished to the COR of the medical center when the waste is picked up for disposal. All waste picked up shall be listed on the manifest.

13. Prior to the removal and transport of hazardous, universal, and non-hazardous chemical waste generated by the VA, the Contractor shall obtain approval and signature for each manifest generated from the COR or his/her designee verifying that the Contractor has accepted the waste and that the waste is properly shipped for treatment or disposal. Manifests not signed by the COR or his/her designee shall not be deemed valid.

14. The Contractor shall supply replacement containers that meet all federal, state, and local regulations for hazardous and universal waste streams (i.e., 5-, 16-, 30- and 55-gallon open head poly drums; 55-gallon metal closed head drums; 55-gallon metal open head drums; and other size drums as needed by the medical center).

Part IV: Supporting Information

A. Government Responsibility

1. It is the responsibility of the RLRVAMC to see that all sharps, RMW, and pathological waste shall be disposed of in the appropriate containers and that the containers are accessible for pick-up on the pick-up dates.

2. The RLRVAMC shall be responsible for the segregation of all RMW and pathological waste in accordance with Federal, State, and Local requirements.

B. Hours of Work

Business hours at the RLRVAMC are Monday through Friday from 8:00 A.M. to 4:30 P.M. EST, excluding Federal holidays. Should the date for pick up fall on a holiday, the contractor shall work out an alternate date for pick up during the same week. It shall be the Contractor’s responsibility to ensure that they are aware of the federal holiday schedule that is listed below.

The eleven holidays observed by the Federal Government are: New Year’s Day, Martin Luther King Day, President’s Day, Memorial Day, Juneteenth National Independence Day, Independence Day, Labor…