36C25523Q0708.docx

36C25523Q0708

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

36C25523Q0708 08-11-2023 Juszczak, Janie janie.juszczak@va.gov 913-946-1966 08-28-2023

12PM

CDT

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048 X X 485991 $19 Million N/A X Department of Veteran Affairs Network Contracting Office (NCO) 15 3450 S. 4th Street Trafficway Leavenworth, KS 66048

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth

KS

66048

36C255

Financial Services Center http://www.fsc.va.gov/einvoice.asp Austin

TX

877-353-9791 512-460-5429 See CONTINUATION Page This is a request for quote to provide assisted wheelchair van or litter/stretcher vehicle services (Special Mode Transportation) for the Harry S. Truman, Columbia Missouri VAMC in accordance with the Performance Work Statement.

The government intends to award a firm fixed price contract as a result of this solicitation for a five year BPA.

This solicitation is set aside for 100% Small Business participation.

All questions will be sent via e-mail to janie.juszczak@va.gov are due NLT August 18, 2023 at 3pm CST Quotes will be due August 28, 2023 NLT 12pm CST.

See price schedule and performance work statement for more detail.

See CONTINUATION Page X x 1(one) Janie Juszczak Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C255 Janie Juszczak

Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

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

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.

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

B.2 SCHEDULE OF SERVICES AND PRICE

(Continuation of SF 1449)

Contractor shall furnish assisted medical transportation services for Taxi (ambulatory patients), Wheelchair Van and Litter (non-ambulatory patients) for eligible beneficiaries of the Harry S. Truman Veterans Hospital, Columbia, MO (hereinafter referred to HSTVH), in accordance with all terms, conditions, provisions and the schedule of this solicitation. This contract shall be for a five-year BPA. The primary intent of this contract is for prearranged non-emergency transportation.

Base Ordering Period: 10/01/2023 thru 09/30/2024

TAXI TRANSPORTATION SERVICES (CLIN 0001AA through 0001AE)

ITEM

CLIN

Trips

5 %

15,000

Miles

10 %

0001AC

Deadhead Miles

3,500

Miles

10%

Each

N/A

Hour

NA

Base Ordering Year Taxi Transportation Services Estimated Total: $

WHEELCHAIR VAN TRANSPORTATION SERVICES (CLIN 0002AA through 0002AF)

2,300

Trips

115,000

Miles

10 %

0002AC

Deadhead Miles

30,000

Miles

10%

Each

N/A

Hour

NA

Each

N/A

Base Ordering Year Wheelchair Van Transportation Services Estimated Total: $ LITTER TRANSPORTATION SERVICES (CLIN 0003AA through 0003AD)

Trips

6,500

Miles

10 %

0003AC

Deadhead Miles

1,500

Miles

10%

Hour

$4

Base Ordering Year Litter Transportation Services Estimated Total: $

Total Base Ordering Period, CLIN 0001AA through 0003AD $

*Indicate the percentage of the unit price attributable to fuel. Also see addendum to Clause 52.212-4 and 852.216-72 Proportional Economic Price Adjustment of Contract Price(s) based on Price Index

Ordering Period Year I: 10/01/2024 thru 09/30/2025

TAXI TRANSPORTATION SERVICES (CLIN 1001AA through 1001AE)

Trips

5%

15,000

Miles

10%

1001AC

Deadhead Miles

3,500

Miles

10%

Each

N/A

Hour

Ordering Period Year I Taxi Transportation Services Estimated Total: $

WHEELCHAIR VAN TRANSPORTATION SERVICES (CLIN 1002AA through 1002AF)

2,300

Trips

115,000

Miles

10 %

1002AC

Deadhead Miles

30,000

Miles

10 %

Each

N/A

Hour

NA

Ordering Period Year I Wheelchair Van Transportation Services Estimated Total: $ LITTER TRANSPORTATION SERVICES (CLIN 1003AA through 1003AD)

Trips

6,500

Miles

10%

1003AC

Deadhead Miles

1,500

Miles

10%

Hour

Ordering Period Year I Litter Transportation Services Estimated Total: $

Total Ordering Period Year I, CLIN 1003AA through 1003AD $

*Indicate the percentage of the unit price attributable to fuel. Also see addendum to Clause 52.212-4, and 852.216-72 Proportional Economic Price Adjustment of Contract Price(s) based on Price Index

Ordering Period Year II: 10/01/2025 thru 09/30/2026

TAXI TRANSPORTATION SERVICES (CLIN 2001AA through 2001AE)

Trips

15,000

Miles

10 %

2001AC

Deadhead Miles

3,500

Miles

10%

Each

N/A

Hour

Ordering Period Year II Taxi Transportation Services Estimated Total: $ WHEELCHAIR VAN TRANSPORTATION SERVICES (CLIN 2002AA through 2002AF)

2,300

Trips

115,000

Miles

10%

2002AC

Deadhead Miles

30,000

Miles

10%

Each

N/A

Hour

NA

Ordering Period Year II Wheelchair Van Transportation Services Estimated Total: $ LITTER TRANSPORTATION SERVICES (CLIN 2003AA through 2003AD)

Trips

6,500

Miles

10%

2003AC

Deadhead Miles

1,500

Miles

10%

Hour

$0

Ordering Period Year II Litter Transportation Services Estimated Total: $

Total Ordering Period Year II, CLIN 2002AA through 2002AD $

*Indicate the percentage of the unit price attributable to fuel. Also see addendum to Clause 52.212-4, and 852.216-72 Proportional Economic Price Adjustment of Contract Price(s) based on Price Index.

Ordering Period Year III: 10/01/2026 thru 09/30/2027

TAXI TRANSPORTATION SERVICES (CLIN 3001AA through 3001AE)

Trips

15,000

Miles

10%

3001AC

Deadhead Miles

3,500

Miles

10%

Each

N/A

Hour

Ordering Period Year III Taxi Transportation Services Estimated Total: $ WHEELCHAIR VAN TRANSPORTATION SERVICES (CLIN 3002AA through 3002AF)

2,300

Trips

115,000

Miles

10%

3002AC

Deadhead Miles

30,000

Miles

10%

Each

N/A

Hour

NA

Ordering Period Year III Wheelchair Van Transportation Services Estimated Total: $ LITTER TRANSPORTATION SERVICES (CLIN 3003AA through 3003AD)

Trips

6,500

Miles

10%

3003AC

Deadhead Miles

1,500

Miles

10%

Hour

Ordering Period Year III Litter Transportation Services Estimated Total: $

Total Ordering Period Year III, CLIN 3003AA through 3003AD $

*Indicate the percentage of the unit price attributable to fuel. Also see addendum to Clause 52.212-4, and 852.216-72 Proportional Economic Price Adjustment of Contract Price(s) based on Price Index.

Ordering Period Year IV: 10/01/2027 thru 09/30/2028

TAXI TRANSPORTATION SERVICES (CLIN 4001AA through 4001AE)

Trips

15,000

Miles

10%

4001AC

Deadhead Miles

3,500

Miles

10%

Each

N/A

Hour

Ordering Period Year IV Taxi Transportation Services Estimated Total: $ WHEELCHAIR VAN TRANSPORTATION SERVICES (CLIN 4002AA through 4002AF)

2,300

Trips

115,000

Miles

10%

4002AC

Deadhead Miles

30,000

Miles

10%

Each

N/A

Hour

NA

Ordering Period Year IV Wheelchair Van Transportation Services Estimated Total: $ LITTER TRANSPORTATION SERVICES (CLIN 4003AA through 4003AD)

Trips

6,500

Miles

10%

4003AC

Deadhead Miles

1,500

Miles

10%

Hour

Ordering Period Year IV Litter Transportation Services Estimated Total: $

Total Ordering Period Year IV, CLIN 4001AA through 4003AD $

GRAND TOTAL, Base Ordering Period plus Ordering Period Years I, II, III and IV: $

*Indicate the percentage of the unit price attributable to fuel. Also see addendum to Clause 52.212-4, and 852.216-72 Proportional Economic Price Adjustment of Contract Price(s) based on Price Index.

The Contracting Officer is the only person authorized to make changes to this contract; all changes will be made via written contract modification.

36C25523Q0708

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B.3 PERFORMANCE WORK STATEMENT

The Contractor shall provide all required labor, material, equipment and supervision of contractor personnel for medical transportation services as specified herein, for the Department of Veterans Affairs Medical Center (Truman VA), Harry S. Truman Memorial Veterans’ Hospital, located at 800 Hospital Drive, Columbia, MO. 65201 and surrounding CBOC’s. All transportation services shall be in accordance with the terms and conditions of this requirement. This contract will be awarded for a period of performance of one year with four options years. Authority for this contract is FAR Part 12 Acquisition of Commercial Items.

RESPONSIBILITY OF HARRY S. TRUMAN MEMORIAL VA MEDICAL CENTER

The VA is responsible for managing the selection of service as required, implementing the required services and overall monitoring of the performance of the Contractor. It is the policy of this Medical Center to provide transportation to eligible Veterans receiving health care in accordance with current beneficiary travel regulations for specialized mode of transportation and established procedures. The VA shall pay the cost of specialized modes of transportation when a VHA health care clinician determines that this mode of transport is clinically required and the Veteran meets the required administrative qualifications.

RESPONSIBILITY OF THE CONTRACTOR

The Contractor shall transact business, hereunder or below, with the Contracting Officer (CO) and/or the Contracting Officer's Representative (COR) and in no case, shall deal directly with or solicit from beneficiaries of the VA.

1. GENERAL REQUIREMENTS:

VA requires medical transportation services to transport beneficiaries including physically or mentally handicapped individuals in wheelchairs and aged and infirm persons, their attendants and some personal belongings between points in Missouri, Kansas, Iowa, Illinois, Kentucky, and Arkansas. Contractor shall provide all labor, materials and equipment necessary to transport VA beneficiaries by Wheelchair Van, Stretcher Van. Most of the travel will be rural with some urban transportation as well.

2. GENERAL DESCRIPTION:

(a) The services of this contract will be utilized primarily for trips starting at a Veteran's location (residence, nursing home, and other medical facilities) with the trip terminating at the Truman VA or Community Based Outpatient Clinics (CBOC). Some trips will start at the Truman VA and end at other medical facilities and vice versa. The company awarded the contract is responsible for bringing all eligible patients to and from the specified location to the specified facility listed on the travel request. In this contract, the main facility will be the Truman VA Medical Center, with the outlying facilities being Kirksville, MO. CBOC, Waynesville, MO. CBOC, Lake of the Ozarks, MO. CBOC, Mexico, MO. CBOC, St. James, MO. CBOC, Jefferson City, MO. CBOC, and Sedalia, MO. CBOC, Marshfield, MO. CBOC and any other additional CBOC's added after the initial contract is awarded. There are also circumstances in which the VA outsources patients to other non-VA facilities to receive medical treatment. The VA is responsible for providing transportation for these veterans who meet the eligibility requirements for travel.

(b) For beneficiaries to receive the best possible treatment, it is essential that the COR or designee be notified as promptly as possible by the Contractor in instances when it is known that the required services cannot be fulfilled by the Contractor or any of its hired subcontractors. This notice will enable the VA to secure the service elsewhere to meet the requirements. The Contractor shall provide medical transportation services seven (7) days per week (including holidays), twenty-four (24) hours per day, three hundred sixty-five (365) days per year, for the term of the contract. Most transport requests for service will be between the hours of 4:00 a.m. and 6:00 p.m. Monday through Friday. The contractor shall provide the Truman VA with a direct method of contacting the dispatcher and the Contractor on a twenty-four (24) hour per day basis. Access to the Truman VA can be obtained through the main entrance 24 hours a day.

If all Contractor vehicles are utilized on service runs for this Medical Center and additional vehicles are needed, it is the Contractor's responsibility to arrange transportation through a subcontractor. If this circumstance were to arise, the Contractor will still bill the VA according to the details of this contract. In addition, the Contractor is required to notify the COR of this inability to provide the service and the Contractor shall pay any difference in costs. Failure to notify the VA may reflect upon the Contractor's ability to perform under this contract and may constitute sufficient cause for termination of the existing contract.

(c) It is preferred that the awarded Contractor bill the Truman VA by utilizing a secured means of Electronic Data Interchange (EDI). When billing, the VA requires that each trip is disclosed with the individual cost, mileage utilized point of pick-up and point of drop-off, along with the date of transport and associated patient identification.

3. VEHICLES AND EQUIPMENT:

(a) Each vehicle shall maintain equipment when transporting a patient in the performance of this contract with equipment as required by Federal 49 CFT Parts, 27, 37 and 38, Transportation for individuals with Disabilities (most current volume), State and Local Laws, ordinances, codes, rules and regulations, and must have the minimum of the following:

i) The wheelchair and stretcher van transport vehicle shall be of model and make to ensure safe and comfortable transportation of wheelchair bound patients. Tie downs for wheelchairs and stretcher are to consist of a leverage lock with a safety catch requiring physical unlatching. Lock shall be affixed to frame of vehicle. Many types and styles of locks are acceptable. Any type or style offering complete patient safety that will prevent any motion of the wheelchair within the vehicle will be acceptable. Those considered lacking in this essential shall not be used for patient transport under this contract unless and until replaced with an acceptable tie down system. Each vehicle and all accessories and systems must be clean and shall meet all maintenance standards of the manufacturer. All preventive maintenance shall be documented and records provided upon request by the CO or COR within 24 hours of such request. Wheelchair vans must be designed so that patients are restrained by a seat belt always while the vehicle is in motion.

ii) Each vehicle shall contain a minimum of one (1) wheelchair in the event a prospective passenger does not own or have access to one for transportation purposes. At no time shall a patient be transported in a moving vehicle while seated on a motorized cart. Patients who are scheduled to be transported and are on a cart must sit in a standard wheelchair or vehicle seat and the cart must be secured in the vehicle.

iii) Each vehicle will have an approved system for wheelchair securement devices and a tool designed for cutting securement straps in case of emergency.

iv) The wheelchair vans provided under the terms of this contract shall be licensed and meet the minimum requirements as mandated by the State of Missouri. All vans shall be equipped with raised roofs to accommodate wheelchair patients. Raised roofs shall be of reinforced steel or have reinforcing steel beam. Clearance must accommodate an average patient sitting in a standard wheelchair without tilting the chair, i.e., average height of a patient is 5' 10 to 6'.

v) All wheelchair vans shall be equipped with a wheelchair lift. The wheelchair lift shall be equipped with the following:

a. A safety bar or wheel catch secured to the outside perimeter of the lift to prevent the wheelchair from rolling off.

b. The lift controls must be in such a position that the operator can work the controls while keeping one hand on the wheelchair always.

c. The lift shall operate in such a manner that when going up or down it will remain parallel with the ground.

d. The lift shall be located to receive the wheelchair and patient from the rear or passenger side of the vehicle.

e. The lift shall a have slip-proof surface.

f. The lift will be able to accommodate bariatric wheelchair/stretcher patients.

e. Safety requirements for seat belts and handling of motorized or electric wheelchair. Contractor must furnish shoulder/chest harness for double amputee patients when applicable.

(b) Contractor shall provide non-emergency vehicles with safe entry and egress for wheelchair bound and ambulatory patients. A fixed seat position or a fixed secure floor or sidewall wheelchair lock must be provided for each ambulatory or wheelchair restricted passenger being transported, according to the passenger's needs.

(c) All vehicles shall contain additional items such as first aid kits, flashlights, warning triangles, ice scrapers, etc. and shall be safely secured and identified.

(d) All vehicles shall be equipped with a minimum of one (1) 630-liter oxygen tank and working gauges, etc. to dispense oxygen if necessary. Each tank must be maintained in a secure holder that would withstand an impact collision for the safety of the patient and driver.

(e) Dry chemical fire extinguishers shall be securely mounted in a bracket and readily accessible to the driver in an emergency. Extinguishers shall be serviced annually and bear a tag indicating the dates of all inspections.

(f) Heater(s) are to be of sufficient capacity to maintain patient's warmth during winter months. All vehicles are to be air conditioned. Blowers must be operational. In addition, each vehicle shall contain a minimum of two (2) sanitary blankets. Failure to comply with the provisions may be grounds for default.

(g) Truman VA reserves the right to inspect contractor's equipment and vehicles and require documentation of compliance with contract specifications, State laws, rules, regulations and guidelines governing transport vehicles on an ad hoc basis. Truman VA inspections of Contractor facilities shall in no way constitute a warranty by Truman VA that the Contractor's vehicles and equipment are properly maintained. Truman VA reserves the right to restrict the Contractor's use of equipment and vehicles in need of repair, unclean, unsafe, damaged on the interior or exterior body, and not in compliance with contract requirements. The restriction of such equipment and vehicles shall not relieve the Contractor of performing in accordance with the strict intent and meaning of the contract.

(h) All vehicles shall be equipped to allow for direct communications, always, between the drivers and staff of Truman VA. This equipment may be a mobile telephone, cellular telephone, or radio dispatch which would allow linking to Truman VA by telephone. Contractor shall provide any telephone numbers or exclusive access codes or devices to the COR or designee to comply with the provision for direct communication.

4. STANDARDS FOR MAINTENANCE

(a) Contractor shall maintain all vehicles in a clean and orderly condition, free from debris and any accumulations which may create an accident, injury, or fire hazard.

(b) Contractor shall maintain vehicles in accordance with manufacturer's recommended maintenance schedule or an improved schedule based on actual vehicle operating conditions.

(c) Contractor shall correct a deficiency that might interfere with safe operation of vehicle before vehicle is placed in service.

(d) Contractor shall ensure vehicle windows and lights are kept clean always.

(e) Contractor shall keep the interior of vehicles clean and in good repair.

(f) Wheelchair lifts shall be maintained in conformance with operation/maintenance manual instructions provided by lift manufacturer. When a vehicle is serviced, the mechanic or service facility shall inspect, repair, or service the lift in accordance with the manufacturer's instructions.

(g) Contractor shall maintain (and furnish upon request within 24 hours) procedures that outline preventive maintenance and/or repairs on each vehicle in an individual vehicle file and in chronological order, latest service on top. A statement from the Contractor indicating compliance of vehicle maintenance files is in place should be submitted at time of offer for evaluation purposes. Requested submission and verification of these documentation requirements will be a quality assurance procedure during the contract period.

5. DRIVER QUALIFICATIONS:

(a) To operate a special transportation service vehicle a driver must have no current medical condition that interferes with the ability to drive safely. A medical condition includes but is not limited to issues with vision, hearing and mental capacity.

(b) It is the Contractor's responsibility to ensure that all employees servicing the Truman VA contract obtain a physician's statement or the statement of a nurse practitioner certified by the American Nurses' Association (or other professional nursing certifying organization having authority to certify registered nurses in advanced nursing practice) that the driver has no current medical condition that interferes with the driver's ability to drive safely. It shall be obtained before driving a special transportation service vehicle and kept on file. It shall be made available to Truman VA upon request.

(c) Each driver shall be able to perform a vehicle safety inspection upon request from the COR. Each driver and attendant, when a vehicle is staffed by both a driver and an attendant must be able to assist a passenger into and out of the vehicle and operate a wheelchair lift or ramp.

(d) Each driver shall:

i) Possess a driver's license that is valid for the class of vehicle driven and if required under Missouri Statutes (or other state Equal), evidence of a special transportation service vehicle permit or endorsement issued by the commissioner of public safety.

ii) Be at least 18 years of age and have not less than one year of experience as a licensed driver; and

iii) For the past three years:

a. Have not had a driver's license canceled or suspended under Missouri Statutes, (or other state equivalence);

b. Have a driving record clear of convictions for operating a motor vehicle or motorcycle without insurance as required by Missouri Statutes, (or other state equivalence);

c. Have a driving record clear of convictions for driving a motor vehicle without a valid current license for the class of vehicle driven;

d. Have a driving and criminal record clear of convictions for driving under the influence of alcohol or a controlled substance under Missouri Statutes (or other state equivalence);

e. Have a record clear of criminal convictions of crimes or pending criminal indictments against persons, and crimes or anticipatory crimes reasonably related to providing special transportation services. This must be documented by a formal background check.

6. DRIVER TRAINING REQUIREMENTS:

(a) Contractor employees performing services to VA beneficiaries under this contract must meet all requirements of Missouri Department of Transportation for drivers and attendants of special transportation service vehicles, including a basic First Aid Class.

(b) Drivers shall have successfully completed training in the techniques of transporting and assisting elderly and physically handicapped passengers.

(c) Each employee shall be instructed in fire extinguisher, radio dispatch, vehicle ramp operations, wheelchair lift and securement devices, and shall know what to do and who to call in a medical emergency or accident.

(d) Each employee shall complete four (4) hours of training in first aid (or show evidence of possessing an American Red Cross First Aid Certificate) within the first 30 days of employment.

(e) Each employee shall complete four (4) hours of classroom instruction in defensive driving and abuse prevention training within the first 30 days of employment.

(f) Each employee shall successfully complete a refresher first aid course every two (2) years.

(g) The Contractor must have on file, satisfactory evidence of above training, evidence that the instructor is qualified to teach the above, and First Aid certificates for instructor and trainee/driver available for review and inspection by the CO, COR, or designee.

(h) A record of each employee as to character and physical capability of performing the duties of a driver must be maintained and made available for inspection upon request.

(i) The employer shall make available the Hepatitis B vaccine and vaccination series within ten (10) days of employment to all contract employees who have occupational risk and follow-up to all contract employees who have an exposure incident.

a. The Contractor shall bear all costs associated with vaccinations.

b. V A Form 10-5549c, Information about Hepatitis B Vaccine (Recombinant), Consent Form, or VA Form 10-5549d. Hepatitis B Vaccine Declination (Mandatory) shall be submitted to the Contracting Officer within thirty (30) days of waiver, or completion of the first in the series of the Hepatitis B Vaccine, and at completion of the vaccination series. These forms shall be provided to the contractor upon award of the contract.

(j) Contractor must provide evidence of negative Purified Protein Derivative (PPD) test within fourteen (14) calendar days prior to employee beginning service.

a. Contractor must provide medical evidence that employee is disease free for those employees having a positive PPD.

b. Regular annual re-testing program for TB must be established and maintained for all contract employees that may be used in performance of this contract. Contractor must provide evidence of re-tests for each contract employee to the Contracting Officer within ten (10) calendar days of retest.

c. In no circumstance will an employee be allowed to begin duty without prior submission of the required testing certification.

VA255-13-C-0119

VA255-13-C-0119

Page 1 of Page 1 of

(k) The contractor shall be responsible to ensure that his/her employees coming to the work site shall receive the information required to perform their duties.

a. Contractor shall attend a pre-work orientation meeting prior to the commencement of work onsite. Truman VA shall schedule this meeting and it shall include discussion of the following topics: Fire and Safety, Infection Control and Disaster procedures.

b. Contractor shall be responsible to ensure his/her employees who are providing work on this contract are fully trained and completely competent to perform the required work.

Contractor shall provide written certification of training to employees used in performance of this contract and Contractor compliance with the Blood Borne Pathogens Standards. 29 CFR Part 1910.1030. Certification must be received by the Contracting Officer prior to employee being assigned for duty.

a. The infection control compliance requirements apply to Contractor employees providing services during any absence from duty of scheduled employees for any reason.

b. In no circumstance will an employee be allowed to begin duty without prior submission of the required training certification.

c. 29 CFR part 1910.1030 is OSHA's standard requiring employers to:

· Develop written exposure-control plans;

ii. Train all employees on occupational risks;

iii. Maintain records on employee training;

iv. Use warning labels;

v. Implement proper work methods including "Universal Precautions", (i.e. proper care and disposal of personal protective equipment such as the use and disposal of latex gloves);

vi. Offer Hepatitis B Vaccine (HBV) to employees;

vii. Provide medical evaluations following employee's exposure incident; and,

viii. Supply personal protective clothing and equipment (i.e., gloves and goggles)

(m) VA reserves the right to restrict all Contractor employees from performing services under this contract who do not meet the required qualifications for the services they are required to perform, who violate Federal regulations, or are identified as a potential threat to the security, safety, health and/or operational mission of the VA and its Veteran population. The restriction of such Contractor personnel shall not relieve the Contractor from performing all the required services, in accordance with all terms, conditions, and schedules contained herein.

(n) The Contractor shall furnish qualified personnel as required by contract specifications to accomplish all services under this contract. During the contract period of performance, if the Contractor proposes to add-on or replace personnel to perform contract services, the Contractor shall ensure the employee meets contract requirements as stated and upon request by the VA provide required evidence of training, certifications, licensing and any other qualifications to the designated COR. At no time shall the Contractor utilize add-on or replacement personnel to perform contract services who do not meet the qualifications under the terms and conditions of this contract.

(o) Contractor personnel performing services to the Government shall always conduct themselves in a professional manner, maintain personal hygiene, maintain a clean, neat appearance, and be identified by a badge or license. The Contractor shall be responsible for furnishing all vehicles, personnel, equipment, supplies, vehicle fuel, name tags and/or badges for performance of services under this contract. Employee identifications shall be available always. Contractor personnel shall not smoke in vehicles while transporting VA patients.

(p) Should the Contractor's driver encounter any problems with transporting of patients, the driver shall contact the Transportation Office Assistant at 573-814-6215 between the hours of 8:00 a.m. to 4:30 p.m. If no answer, dial 573-814-6000 and ask the operator to page 5499. During irregular tour of duty (4:30 p.m. to 8:00 a.m.) including weekends, the driver shall contact the Administrative Officer of the Day (AOD) at 573-814-6000 Ext. 53096. If no answer, dial 573-814-6000 and ask the operator to page 5499. VA will provide a list of individuals (other than the COR or designee) authorized to contact the Contractor.

(q) Contractor's driver shall notify the COR or designee, of any unusual events, including but not limited to accidents, safety problems, patients unbolting themselves and other such incidents that occur, which involve any VA patient being transported under this contract. The COR or designee shall be notified within one (l) hour of the occurrence of the incident(s) by telephone and, if requested by the COR and/or Contracting Officer, a written report of the incident(s) will be delivered to the COR or his/her designee by close of business the next working day. Failure to comply with provisions may be grounds for Termination for Cause.

(r) All Contractors' drivers shall maintain a valid operator or chauffeur's license, required to operate the type of vehicle necessary to perform the service, as required by the State of Missouri. Contractor shall provide, upon request of the Contracting Officer, a copy of the valid license of all drivers performing under this contract.

(s) All training will be conducted and completed within thirty (30) days from the date of employment unless otherwise noted.

7. PASSENGER TRANSPORTATION:

(a) It is understood that the number of passengers to be transported on a trip will be based on the passenger size of the vehicle and authorization by Truman VA.

(b) Drivers and passengers shall use seat belts/securement devices always.

(c) There shall be no smoking by the driver, attendants, or passenger(s).

(d) Contractor is required to provide "through the door service" for patients to and from their designated appointments. "Through the door service" is defined as patients being picked up either on the ward, in their homes, in their clinic or at other stated areas and taken to their stated destination or appointment. On the return trip the contractor will return the patient to either the ward, inside his/her home, or to other stated areas.

(e) Wheelchair patients are to be seated facing forward in vehicle.

(f) If a VA beneficiary being transported declines to be properly belted or removes the securement devices himself/herself, the driver will notify the COR or designee of this fact prior to departure or upon arrival at destination. The Contractor is not required to transport any VA beneficiary who refuses to be properly secured while being transported.

(g) An authorized official of Truman VA (usually the COR) may, in the best interest of the patient, allow one (l) caregiver, family member, or attendant of the patient at no additional cost to the Government. The caregiver, family member, or attendant is to only be transported home with the beneficiary unless approved by an official of the VA Medical Center. The beneficiary will also be allowed to carry with him/her at least three (3) bags of luggage during transport. Prior to contract performance, the COR shall provide the Contractor with a list of names (or position titles) and phone numbers of authorized Government personnel who may request services. This list will be updated and submitted to the Contractor as changes occur. Services rendered in response to requests from other than authorized personnel shall be at the risk of the Contractor and any cost related thereto shall be borne by the Contractor.

(h) When transporting patients using a motorized wheelchair or electric scooter, patients shall be transferred to a manually operated wheelchair, which can be secured, before being loaded in the vehicle. The contractor shall provide the patient with a wheelchair to be transferred in and the patient will then be transferred to a VA wheelchair once he or she has reached a destination on VA premises. Patients using any wheeled chair or electric scooter must be transferred to a manually operated wheelchair, which can be secured, before being loaded in the vehicle. The motorized wheelchair or electric scooter will be loaded separately and must be secured to the vehicle during transport. Unless approved by the VA Medical Center, at no point should a scooter be transported separately.

(i) At no time shall Contractor's vehicle use the Truman VA Ambulance Entrance unless the drop off or pick up constitute a medical emergency. If waiting time is necessary, vehicle must park in appropriate designated general parking lot areas.

(j) The patient may bring with them up to four (4) liters of oxygen. The contractor shall be responsible for providing adequate and safe storage of the oxygen tanks during transport.

(k) If or when patient's medical records are transported, Contractor will ensure that HIPAA Privacy Act guidelines are followed.

(l) Patients will be entitled to transport one certified trained service animal, if the service animal poses no health risks (i.e. unhealthy hygiene). No pets (except for service animals) are to be transported at any time.

(m) Upon delivery or pick-up of a patient, the Contractor shall log in the patient on a trip log sheet at the location designated at the facility. The contractor shall be the owner of this trip log and provide this log to the VA upon request. Contractor shall provide the following information on the log sheet:

i) Patient Name

ii) Last four of the patient’s Social Security Number

iii) Time and delivery and/or time of pick-up

iv) Point of origin and destination

v) Name of Contractor personnel picking up or delivering patient

8. ORDERS:

(a) When ordering services, the VA shall provide the Contractor with the following type of information:

i) Mode of transportation required,

ii) Required time of arrival and/or within 30-minute timeframe,

iii) Name of beneficiary,

iv) Pickup and delivery point,

v) Type and number of additional medical care specialists required,

vi) Type of equipment required,

vii) Last four of the patient's Social Security Number, and

viii) Any other special instructions.

(b) Requests for services will be recorded on the daily travel log and furnished to the Contractor by facsimile and/or telephone, by the Transportation Office, Truman VA, no later than 1 p.m. prior to the day the transportation is required. The Contractor shall maintain a record of all trips (scheduled on the travel log or add-on) and provide a printed report that includes the patients name and social security number, date and time of each trip, mileage and/or tolls, and/or any authorized additional charges. The printed report shall accompany the invoice for each billing cycle. The Contractor shall contact the Transportation Office with any questions, requests for clarification, or the need for additional information at (573) 814-6215. During the hours of 8:00 a.m. to 4:30 p.m. If no answer, dial (573) 814-6000 and ask for the operator to page 5499. During irregular tour of duty (4:30 p.m. to 8:00 a.m.), the Contractor shall contact the AOD at (573) 814-6000 Ext. 53096. If no answer, dial (573) 814-6000 and ask for the operator to page 5499.

(c) Contractor must notify the COR at least eight (8) hours in advance of need when Contractor believes they may be unable to meet the number of scheduled trips required.

(d) A schedule in…