36C25526Q0547 02.pdf
PDF 1 MB Posted
- Attached to
- Q999--KC Wheelchair/COT Special Mode Transportation (SMT)Mission Critical (VA-25-00102304)
- Solicitation number
- 36C25526Q0547
About this file
This is Amendment 0002 to Request for Quotation (RFQ) 36C25526Q0547, issued by the Department of Veterans Affairs Network Contracting Office 15 on August 27, 2026, which reopens the solicitation and extends the quotation submission deadline to September 4, 2026, at 3:00 p.m. Central Time. The amendment provides consolidated Government responses to vendor questions and clarifies critical solicitation requirements. This is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside for an Indefinite Delivery, Indefinite Quantity (IDIQ) five-year contract with an estimated total value of approximately $19 million. The Kansas City VA Medical Center requires Special Mode Transportation services including wheelchair and Cot (COT) transportation for VA beneficiaries on a non-emergent basis. Services are priced using a firm-fixed-price structure with base rates for trips within a 40-mile driving distance (calculated via Bing Maps "Quickest Route" function) and mileage rates for distances exceeding 40 miles. Estimated quantities include 12,000 wheelchair base-rate trips, 1,750 COT base-rate trips, 77,200 wheelchair mileage miles, and 30,000 COT mileage miles during the first ordering period (October 1, 2026, through September 30, 2027).
The amendment clarifies that detailed documentation including vehicle inspections, driver licenses, certifications, and tuberculosis tests are required during a 30-day post-award mobilization period, not with the initial quotation, allowing offerors to submit proposals based on planned fleet and staffing. Key requirements include minimum insurance coverage of $1,000,000 general liability and $1,000,000 automobile liability per occurrence; waiting-time pricing at an hourly rate with a 15-minute grace period and advance approval requirements; two-person crew staffing for COT/litter/stretcher transportation; and bariatric transportation excluded from scope. The amendment confirms that COT transportation encompasses litter and stretcher services with appropriate vehicle configuration, restraint systems, and personnel training. Fuel price adjustments apply via the EIA Midwest Region On-Highway Diesel Fuel Price index, though the specific CLINs subject to adjustment require amendment clarification. Post-award requirements including VetRide system training, CPS registration, pre-work orientation, background checks, PIV/security badge issuance, and HIPAA Business Associate Agreement execution will be completed during mobilization at no cost to the contractor, with all compliance completed before performance commencement.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25526Q0547 Questions and Responses extension8-18-2026.pdf | ||
| Checklist for Offerors- Required Documents.docx | DOCX document | |
| 36C25526Q0547 Notice.pdf | ||
| 36C25526Q0547.pdf | ||
| 36C25526Q0547.docx | DOCX document |
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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 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)
0002 08-27-2026 None
36C255
Department of Veterans 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
To all Offerors/Bidders 36C25526Q0547
X
X X
** HOUR & DATE for Receipt of Offers is EXTENDED to: 09-04-2026 15:00 CDT
X one(1)
1. This amendment reopens Solicitation No. 36C25526Q0547, extends the quotation submission deadline, and provides Government responses to submitted vendor questions. The government intended to issue an amendment before expiration To extend the deadline due to the acceptance of additional questions that were deemed pertinent and should be considered by all offerors. To preserve fair competition and provide all prospective quoters a common opportunity to compete using the same information, the Government hereby reopens Solicitation No. 36C25526Q0547.This amendment is incorporated into Made part of the Solicitation.
2. The quotation submission deadline is revised as follows: Quotation due Date: Fri 9/4/2026 1500 CT Submission method: in accordance with the instructions in the solicitation.
3. Any quotation submitted by the original quotation deadline has been retained in the contract file. Any offerer that previously submitted a quotation may revise, supplement , replace, or withdraw its offer at any time before the revised deadline.
Michael P. Murphy Contracting Officer
AMENDMENT P00002 TO RFQ 36C25526Q0547
Consolidated Questions and Answers
Requirement: Q999—KC Wheelchair/COT Special Mode Transportation (SMT), Mission Critical (VA-25-
00102304)
Revised quotation due date/time: Thursday, September 3, 2026, 3:00 p.m. Central Time
Amendment date: August 27, 2026
Amendment Notice
The Government has reviewed questions concerning RFQ 36C25526Q0547 and is issuing this consolidated Questions and Answers document. This document is incorporated into the solicitation by
Amendment P00002 and constitutes the Government’s official clarification of the solicitation.
The Government intended to issue an amendment before expiration of the original quotation deadline to extend the deadline and, as applicable, provide responses to vendor questions. Due to an administrative posting error, the amendment was not posted before the original deadline expired. To preserve fair competition and provide all prospective quoters a common opportunity to compete, the Government hereby reopens the solicitation.
The revised quotation deadline is Friday, September 4, 2026, at 3:00 p.m. Central Time. Any quotation submitted by the original deadline has been retained in the contract file. Offerors may revise, supplement, replace, or withdraw a previously submitted quotation at any time before the revised deadline. If an offeror does not submit a revision or withdrawal, its previously submitted quotation will remain eligible for evaluation under the solicitation as amended.
In the event of a conflict between this consolidated Q&A and the original solicitation, this Amendment
P00002 controls. Offerors shall acknowledge Amendment P00002 with their quotations. Except as expressly amended, all other solicitation terms and conditions remain unchanged.
Q1. Documentation timing—inspections, licenses, certifications, and TB tests
Question: The checklist appears to require vehicle inspections, driver licenses, certifications, and TB tests with the quotation, but SOW A.2 provides the successful offeror 30 days after award to stage equipment, personnel, and documentation. Which requirement controls? May offerors quote based on a fleet/staffing plan and furnish item-level documentation during staging?
Answer: SOW A.2 controls. The detailed vehicle inspections, driver licenses, certifications, and TB tests are required from the successful offeror during the 30-day post-award mobilization/staging period, not with the initial quotation. Offerors may submit quotations based on their proposed fleet and staffing plan and shall furnish item-level documentation during staging, before commencement of performance.
Before a vehicle or employee begins performance, the contractor must complete all applicable vehicle, licensing, safety, insurance, personnel, training, credentialing, privacy, security, and other compliance requirements.
Q2. Evaluation factors under FAR 52.212-2
Question: FAR 52.212-2(a) does not list specific evaluation factors. What non-price factors will be used and how important are they relative to price?
Answer: The omission of specific evaluation factors was inadvertent. The Government will amend the solicitation to identify the basis of award, all evaluation factors, and their relative importance. Offerors shall prepare quotations in accordance with the amended evaluation provision.
Note: The Government must insert the final source-selection approach, evaluation factors, and relative importance in the amended solicitation before release.
Q3. Insurance limits conflict
Question: SOW paragraph O.2 requires $1,000,000 general liability and $1,000,000 automobile liability coverage, while clause C.11 lists lower limits. Which limits govern?
Answer: The higher limits stated in SOW paragraph O.2 govern. Offerors shall provide, at a minimum, general liability coverage of $1,000,000 per occurrence, automobile liability coverage of $1,000,000 per occurrence, and workers’ compensation coverage as required by law. Where there is a discrepancy between SOW paragraph O.2 and clause C.11, the more stringent requirement applies. The solicitation will be revised to reconcile the text.
Q4. Mileage and the 40-mile threshold
Question: How will mileage and the 40-mile threshold be calculated?
Answer: Bing Maps using the “Quickest Route” function is the controlling mapping method. For each one-way trip, the Government will calculate the distance from the Kansas City VAMC to the beneficiary pickup location and then to the authorized drop-off location using Bing Maps “Quickest Route.”
The applicable base rate covers the first 40 miles of that calculated distance. If the total calculated distance exceeds 40 miles, the applicable mileage CLIN applies only to miles beyond 40. No mileage is payable for a trip with a total calculated distance of 40 miles or less. For example, a 50-mile trip is paid as the applicable base rate plus 10 miles at the applicable mileage rate.
Q5. Mileage charges within 40 miles
Question: Are mileage charges paid for trips within 40 miles of the Kansas City VAMC?
Answer: No. The base rate is the complete payment for a one-way wheelchair or COT trip with a total calculated distance of 40 miles or less under the methodology stated in Question 4. For a trip exceeding 40 miles, the base rate applies plus the applicable mileage rate for each mile beyond 40.
Q6. Waiting-time CLIN unit of measure
Question: CLINs 0006, 1006, 2006, 3006, and 4006 show the unit as “HR” but refer to 15-minute increments. Should offerors quote an hourly rate? Is the estimated quantity 1,000 hours or 1,000 increments?
Answer: Offerors shall quote the waiting-time CLINs as an hourly unit price. The estimated quantity of
1,000 represents estimated hours, not 15-minute increments.
For approved waiting time, the Government will reimburse one-fourth of the quoted hourly rate for each
15-minute increment or fraction thereof after the applicable 15-minute grace period. Waiting time must be approved in advance by the COR or designee, communicated in real time as required by the SOW, and supported by the required invoice documentation.
Q7. COT/litter/stretcher transportation requirements
Question: What are the COT/litter/stretcher transportation requirements?
Answer: COT/litter/stretcher transportation is within the scope of the COT CLINs. The contractor must provide vehicles that are properly equipped and configured to safely transport COT/litter/stretcher patients and use appropriate restraints and securement systems. The contractor is responsible for ensuring that personnel receive and maintain the training necessary to perform the required patient handling, loading, unloading, restraint, and securement functions.
COT/litter/stretcher trips require a crew of two contractor personnel. The Government will amend the
SOW to expressly state the applicable staffing, vehicle configuration, equipment, securement, training, and any patient-acuity limitations. Offerors shall include the cost of the final COT/litter/stretcher service requirements in the applicable COT CLIN price unless the amended Schedule expressly establishes a separate CLIN.
Q8. Bariatric transportation
Question: Is bariatric transportation within the scope of this requirement?
Answer: Bariatric transportation is not a separately priced or separately defined service under the current RFQ. The solicitation does not establish bariatric vehicle/equipment standards, weight limits, staffing requirements, or a separate pricing mechanism.
The Government will amend the solicitation to state its final determination regarding whether bariatric transportation is included or excluded. If included, the amendment will identify applicable vehicle/equipment requirements, weight limits, staffing requirements, safety requirements, and corresponding CLIN/pricing instructions. Offerors shall not include a separate bariatric surcharge or pricing assumption unless the amended solicitation expressly authorizes it.
Q9. Waiting time—grace period, approval, and invoicing
Question: How should offerors price and invoice waiting time?
Answer: The contractor shall price waiting time using the hourly rate entered for the applicable waiting-time CLIN. No waiting charge applies during the 15-minute grace period at the applicable pickup or drop-off point. After the grace period, and only with advance approval by the COR or designee, the contractor may invoice one-fourth of the hourly rate for each additional 15-minute increment or fraction thereof.
The contractor must provide real-time notification to Beneficiary Travel or the COR when waiting time is anticipated, obtain the required approval, and submit supporting documentation with the invoice.
Supporting documentation must identify the trip/order, scheduled time, actual arrival and pickup or release time, waiting time claimed, approval authority, and communication record.
Q10. Order limitations and anticipated annual ordering
Question: FAR 52.216-19 limits a single order to $500,000 and combined orders to $1,500,000, while the
RFQ refers to annual bulk-funded task orders and a total estimated value of approximately $19 million.
How will the Government reconcile the order limitations with the anticipated ordering pattern?
Answer: The current maximum-order values do not align with the stated anticipated ordering profile. The
Government will amend the ordering and order-limitations provisions to align the contract type, ordering method, estimated annual requirements, and maximum-order limitations. Offerors shall rely on the amended ordering provisions.
Note: The final solicitation must identify whether the Government will issue task orders, delivery orders, other authorized orders, or funding instruments consistent with the selected contract type.
Q11. Fuel Economic Price Adjustment (EPA)
Question: Does the EIA Midwest Region On-Highway Diesel Fuel Price adjustment apply to all transportation CLINs or only the mileage CLINs?
Answer: The RFQ identifies the fuel-price index as the Economic Price Adjustment mechanism but does not expressly identify which CLINs are subject to adjustment. The Government will amend the solicitation to identify the applicable CLINs and the calculation and effective-date procedures.
Note: The Government must select whether the EPA applies to all transportation CLINs or only mileage
CLINs and revise the Schedule and EPA provision consistently before release.
Q12. CPS registration, orientation, SAC, background checks, PIV/security badges, and
BAA
Question: Are Contractor Performance System (CPS) registration, pre-work orientation, SAC worksheets, background investigations, PIV/security badges, and the HIPAA Business Associate Agreement required with the quotation or after award?
Answer: These are post-award requirements and are not required for a responsive quotation. CPS registration, attendance at and proof of the VA-provided pre-work orientation, completion of SAC worksheets and associated background checks, issuance of PIV/security badges, and execution of the
HIPAA Business Associate Agreement will be completed after award in accordance with the applicable
SOW timeframes.
These requirements must be completed before contractor personnel begin performance or receive access to a VA facility, VA system, or VA sensitive information, as applicable.
Q13. Subcontracting
Question: May an offeror propose a subcontractor in its quotation, subject to the SOW subcontractor-approval process?
Answer: Yes. Offerors may identify proposed subcontractors in their quotations. Any proposed subcontractor must meet all applicable contract requirements. Formal approval of subcontractors will follow the process in SOW A.1 and will be documented by the Contracting Officer/COR after award. The prime contractor remains fully responsible for contract performance.
Subcontracting for wheelchair or litter-patient transportation requires prior Government approval in accordance with the SOW. The contractor must submit required subcontractor-approval documentation at least 30 days before the subcontractor transports patients, unless the Contracting Officer authorizes a different timeframe in writing.
Q14. VetRide access and training
Question: Will VA provide VetRide system access and training at no cost to the contractor during staging?
Answer: Yes. VA will provide VetRide system access and required user training to the awarded contractor at no cost during the 30-day staging period and, as needed, for replacement or additional staff thereafter.
The contractor is responsible for ensuring its personnel attend training and use VetRide for trip documentation and invoicing in accordance with the SOW.
Q15. Missouri annual safety inspections and General Inspection Checklists
Question: Are Missouri annual safety inspections and General Inspection Checklists required with the quotation or during the 30-day post-award mobilization period?
Answer: Consistent with SOW A.2 and the 30-day staging allowance, Missouri annual safety inspections and General Inspection Checklists are not required with the quotation. They must be completed and submitted for all vehicles that will perform under the contract during the 30-day post-award mobilization period and before the start of performance.
Q16. Missouri operator/chauffeur licenses
Question: Must drivers possess Missouri operator/chauffeur licenses at quotation submission, or may they be obtained during the 30-day mobilization period?
Answer: Missouri operator/chauffeur licenses are not required at the time of quotation submission.
However, all drivers who will transport VA beneficiaries under the contract must possess the appropriate
Missouri license or licenses before performing transport services. Evidence of compliance must be provided to the COR or Contracting Officer during the mobilization period or upon Government request.
Q17. Pre-work orientation
Question: Is proof of VA-provided pre-work orientation attendance required with the quotation, and how will the orientation be conducted?
Answer: Proof of pre-work orientation is not required with the quotation. After award, VA will schedule a pre-work orientation meeting for the contractor before commencement of performance. The orientation will address the SOW topics, including fire and safety, infection control, and disaster procedures.
Attendance records or certificates from the session will serve as proof of orientation.
Q18. Special Agreement Check (SAC) Worksheet
Question: Is completion of SAC Worksheets required with the quotation, or only after award?
Answer: SAC Worksheets are post-award onboarding documents. The forms will be provided as part of the award package or by the local HR/security office. Each contractor employee requiring access to VA facilities or information systems must complete a SAC Worksheet as part of the fingerprinting and background-check process. SAC documents are not required with the quotation.
Q19. PIV card or Security Badge issuance
Question: Is proof of PIV card or Security Badge issuance applicable at the quotation stage?
Answer: No. PIV cards and security badges are issued after award to contractor personnel who require routine, unescorted facility access or access to VA systems, following the applicable vetting and access process. They are not required with the quotation.
Q20. Oxygen-dispensing training
Question: Does the SOW require a specific credential or licensing standard for oxygen-dispensing training?
Answer: The SOW requires drivers and attendants to have documented oxygen-dispensing training and maintain current American Red Cross First Aid and Adult CPR certifications, but it does not mandate a single proprietary oxygen-training credential. Training must cover safe handling, administration, and monitoring of medical oxygen and be documented through certificates, course descriptions, competency sign-offs, or equivalent records. Documentation must be made available to the COR upon request.
Q21. 30-day mobilization period
Question: Does the 30-day mobilization period allow an awardee to obtain vehicles, personnel, and documentation after award?
Answer: Yes. The successful offeror will have up to 30 calendar days after award to stage vehicles, personnel, and operational documentation needed to begin performance. The period does not waive any requirement that the amended solicitation expressly identifies as required with the quotation or before award.
Before any vehicle or employee begins performance, the contractor must complete all applicable vehicle, licensing, safety, insurance, personnel, training, credentialing, privacy, security, and other compliance requirements.
Offeror acknowledgment
Offerors shall acknowledge Amendment P00002 in the space provided in the SF 1449 or by separate written acknowledgment submitted with the quotation. Failure to acknowledge the amendment may render a quotation ineligible for award if acknowledgment is required to establish the offeror’s agreement to the amended solicitation terms.
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
36C25526Q0547 07-29-2026
Murphy, Michael michael.murphy7@va.gov 913-946-1970 08--2026
3:00 PM CDT
36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway
Leavenworth KS 66048
X
485991
$19 Million
N/A
X
Kansas City VA Medical
4801 East Linwood BLVD Kansas City MO 64128-2226
36C255
Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway
Leavenworth KS 66048
36C255
Department of Veterans Affairs Financial Services Center http://www.fsc.va.gov/einvoice.asp
Austin TX
877-353-9791 512-460-5429
See CONTINUATION Page
Special Mode Transportation,(Ambulatory Non-Emergent) Hired Car and Wheelchair Transportation Services for Beneficiaries of the Kansas City VAMC.
This is an Indefinite Delivery, Indefinite Quantity (IDIQ) five year contract. Individual bulk funded task orders will be issued to authorize funding of services not to exceed twelve (12) month periods.
Questions are due NLT Thursday 8/4/2026 3:00 pm CST Responses will be published as an amendment to this RFQ.
Submissions will be due NLT 8/12/2026.
This RFQ is a 100% SDVOSB set-aside.
Selected offeror will have 30 days from time of award to stage all required vehicals/equipment,personnel, and documentation necessary to meet requirements.
Reference "36C25526Q0547 Transportation" in the subject line
See CONTINUATION Page
X X
X one(1)
Michael P. Murphy Contracting Officer
36C25526Q0547
Table of Contents
SECTION A
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS
AND COMMERCIAL SERVICES
SECTION B - CONTINUATION OF SF 1449 BLOCKS
B.1 CONTRACT ADMINISTRATION DATA
B.2 PRICE/COST SCHEDULE
B.3 STATEMENT OF WORK
SECTION C - CONTRACT CLAUSES
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS
AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)
C.2 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)
C.3 52.216-18 ORDERING (AUG 2020)
C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)
C.5 52.216-21 REQUIREMENTS (OCT 1995)
C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)
C.7 52.222-36 EQUAL OPPORTUNITY FOR WORKERS WITH DISABILITIES (NOV
2025) (DEVIATION)
C.8 52.222-40 NOTIFICATION OF EMPLOYEE RIGHTS UNDER THE NATIONAL
LABOR RELATIONS ACT (NOV 2025) (DEVIATION)
C.9 52.222-42 STATEMENT OF EQUIVALENT RATES FOR FEDERAL HIRES (MAY
2014)
C.10 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS
(DEVIATION APR 2026)
C.11 SUPPLEMENTAL INSURANCE REQUIREMENTS
C.12 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025)
(DEVIATION)
C.13 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (DEVIATION)
(MAR 2026)
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS
SECTION E - SOLICITATION PROVISIONS
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)
E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB
1998)
E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)
E.3 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)
E.4 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS
AND CERTIFICATIONS (NOV 2025) (DEVIATION)
E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)
E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)
E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL
SERVICES (OCT 2025) (DEVIATION)
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 Michael Murphy Department of Veterans Affairs 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:
[] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or
[] 52.232-36, Payment by Third Party
3. INVOICES: Invoices shall be submitted in arrears:
a. Quarterly []
b. Semi-Annually []
c. Other [X] monthly 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:
AMENDMENT NO DATE
B.2 PRICE/COST SCHEDULE
Ordering Period I Start Period 10-1-2026 to 9-30-2027
ITEM
NUMBER
DESCRIPTION
OF SERVICES
EST.
QUANTITY UNIT UNIT PRICE
EST.
AMOUNT
0001 Base Rate wheelchair trips within 40-mile driving distance of the VAMC. One-way only is considered a trip. Price per trip.
12,000.00 TRP
0002 Base Rate COT trips within 40-mile driving distance of the VAMC. One-way only is considered a trip. Price per trip.
1,750.00 TRP
0003 Miles for Wheelchair trips in excess of the base 40-mile driving distance of the VAMC. Price per mile.
77,200.00 MILES
0004 Miles for COT trips in excess of the base 40-mile driving distance of the VAMC. Price per
30,000.00 MILES
0005 Trips cancelled at the door or short notice (defined as <45 min prior to pick- up).
Price per trip.
440.00 TRP
0006 Waiting time per hour (must be approved in advance). Price per 15-minute increment.
1,000.00 HR
Est. Total Cost for Ordering Period : ______________________________________________
Ordering Period II Start Period 10-1-2027 to 9-30-2028
ITEM DESCRIPTION EST. UNIT UNIT PRICE AMOUNT
NUMBER OF SERVICES QUANTITY
1001 Base Rate wheelchair trips within 40-mile driving distance of the VAMC. One-way only is considered a
1002 Base Rate COT trips driving distance of the VAMC. One-way only is considered a trip. Price per trip.
1,750.00 TRP
1003 Miles for Wheelchair trips in excess of the base 40-mile driving distance of the VAMC. Price per
1004 Miles for COT trips in excess of the base 40-mile driving distance of the VAMC. Price per
1005 Trips cancelled at the door or short notice (defined as <45 min prior to pick- up). Price per trip.
440.00 TRP
1006 Waiting time per hour (must be approved in advance). Price per 15-minute
Est. Total Cost for Ordering Period: ______________________________________________
Ordering Period III Start Period 10-1-2028 to 9-30-2029
ITEM
NUMBER
DESCRIPTION
OF SERVICES
EST.
QUANTITY UNIT UNIT PRICE AMOUNT
2001 Base Rate wheelchair trips within 40-mile driving distance of the VAMC. One-way only is considered a
2002 Base Rate COT trips driving distance of the VAMC. One-way only is considered a trip. Price per trip.
1,750.00 TRP
2003 Miles for Wheelchair trips in excess of the base 40-mile driving distance of the VAMC. Price per
2004 Miles for COT trips in
40-mile driving distance of the VAMC. Price per
2005 Trips cancelled at the
(defined as <45 min prior to pick- up).
Price per trip.
440.00 TRP
2006 Waiting time per hour (must be approved in advance). Price per 15-minute
Ordering Period IV Start Period 10-1-2029 to 9-30-2030
ITEM
NUMBER
DESCRIPTION
OF SERVICES
EST.
QUANTITY UNIT UNIT PRICE AMOUNT
3001 Base Rate wheelchair trips within 40-mile driving distance of the VAMC. One-way only is considered a trip. Price per trip.
3002 Base Rate COT trips within 40-mile driving distance of the VAMC. One-way only is considered a trip. Price per trip.
1,750.00 TRP
3003 Miles for Wheelchair trips in excess of the base 40-mile driving distance of the VAMC. Price per
3004 Miles for COT trips in
40-mile driving distance of the VAMC. Price per
3005 Trips cancelled at the
(defined as <45 min prior to pick- up).
Price per trip.
440.00 TRP
3006 Waiting time per hour (must be approved in advance). Price per 15-minute
Ordering Period V start period 10-1-2030 to 9-30-2031
ITEM
NUMBER
DESCRIPTION
OF SERVICES
EST.
QUANTITY UNIT UNIT PRICE AMOUNT
4001 Base Rate wheelchair trips within 40-mile driving distance of the VAMC. One-way only is considered a
4002 Base Rate COT trips within 40-mile driving distance of the VAMC. One-way only is considered a trip. Price per trip.
1,750.00 TRP
4003 Miles for Wheelchair trips in excess of the base 40-mile driving distance of the VAMC. Price per
4004 Miles for COT trips in
40-mile driving distance of the VAMC. Price per
4005 Trips cancelled at the
(defined as <45 min prior to pick- up).
Price per trip.
440.00 TRP
4006 Waiting time per hour (must be approved in advance). Price per 15-minute
Est. Total Cost for Ordering Period: ______________________________________
Total Estimated Cost for Contract:_________________________________
B.3 STATEMENT OF WORK
PLEASE NOTE: Awardee will have up to 30 days from the date of award to fully stage all required equipment, personnel, and documentation necessary to meet contract requirements. This provision is intended to allow responsible offerors, including those not currently operating in Missouri, a reasonable opportunity to mobilize and become compliant prior to full performance.
The Government remains committed to full and open competition consistent with applicable regulations and encourages all capable SDVOSB firms to submit proposals.
Contractor shall provide assisted transportation (Wheelchair/Cot) service for the beneficiaries of the Department of Veterans Affairs Medical Center, 4801 Linwood Blvd., Kansas City, MO 64128. The Government intends to award a Firm Fixed Price Requirements contract(s) with Economic Price Adjustment. The fuel price index will be the economic price adjustment mechanism. Adjustment will be made at the beginning of the Ordering Year.
The economic price adjustment for fuel will be based on the U.S. Energy Information Administration (EIA) Midwest Region On-Highway Diesel Fuel Price, published at https://www.eia.gov/petroleum/gasdiesel/. Adjustments will be made annually at the beginning of each ordering period. The adjustment formula is:
New Rate = Base Rate × (Current Fuel Index / Base Fuel Index)
Where: Base Fuel Index = EIA price published on the date of contract award. Current Fuel Index = EIA price published 30 days prior to the start of the new ordering period.
Any increase or decrease in the fuel index will result in a proportional adjustment to the applicable rates.
Definition(s):
Add on service – Service not pre-scheduled but provided to the contractor daily. Contractor is required to have a 45-minute response time or better. These are services which are needed after the scheduling deadline provided by hospital staff (i.e. emergency room runs, clinic add on appointments, transfers to or from other facilities, etc.).
Administrative Officer of the Day (AOD) – VA employee who acts as the administrator during all hours that are not normal working hours. Normal working hours are 7:30 a.m. to 4:00 p.m.
Monday through Friday, excluding holidays.
Base Rate – (Flat Rate)
Definition: The base rate is paid for all authorized one-way trips that do not exceed the “mileage threshold.”
Mileage Threshold: The base rate applies to trips within a 40-mile driving distance of the Kansas City VA Medical Center (VAMC). See full definition below.
Application: For any one-way trip that starts and ends within this 40-mile driving distance, only the base rate is paid—no additional mileage charges apply.
Beneficiary – Veterans and other members determined to be eligible for benefits by the VA.
Contracting Officer – VA official with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.
Contracting Officer’s Technical Representative (COR) – A person delegated by the Contracting Officer to act for him/her in furnishing technical guidance and advice or generally supervise the work to be performed under the contract.
Gender – For the purpose of equal rights, wherever the masculine gender is used in this solicitation, and the resulting contract, it shall be considered to include both masculine and feminine gender.
Mileage Threshold – The mileage threshold is defined as a 40-mile driving distance of the VAMC, Kansas City, MO. For all one-way trips within a 40-mile driving distance of the VA Medical Center (VAMC) Kansas City, MO, the contractor will receive the flat base rate for that trip. In addition to the base rate, the Contractor will also receive a mileage charge for any trips once outside the 40-mile driving distance. The mileage charge applies from the point where the Contractor exceeds 40 miles driving distance from the VAMC to the point of beneficiary drop off for the appointment. In no event shall the Contractor receive reimbursement for mileage for one-way trips inside the 40-mile driving distance of the VAMC Kansas City. Mileage charges are only applicable for trips that go outside the 40-mile driving distance of the Kansas City VAMC.
Bing maps is used to determine trips in excess of the 40-mile driving distance.
Calculation of Charges:
For all one-way trips, the Contractor will be paid a single flat Base Rate where the total distance from the Kansas City VAMC to the point where the Beneficiary is picked up and continuing to the beneficiary drop off point does not exceed forty (40) mile driving distance . A one-way trip is considered a trip from a single location (e.g. Kansas City VAMC, residence, contract nursing home, other non-VA facility, etc.) to another single location (e.g. Kansas City VAMC, residence, contract nursing home, other non-VA facility, etc.) with no additional stops. Additional stops are not authorized. If the beneficiary has a return trip following the initial drop off, that would be billed as two one-way trips.
For trips where the total distance from the Kansas City VAMC to the pick-up point through the beneficiary drop off point exceeds the forty (40) mile threshold driving distance , the Contractor will be paid:
The Base Rate, (which covers the initial forty (40) miles of travel), plus
A Mileage Rate for each mile traveled beginning at the point forty (40) miles driving distance from the Kansas City VAMC and continuing to the point where the beneficiary is dropped off for his/her medical appointment, No mileage charges will ever be paid for miles traveled within a forty (40) mile driving distance of the Kansas City VAMC. Only the base rate will be paid on trips that do not go outside the 40-mile driving distance threshold. Mileage charges are payable only for miles outside the forty (40) mile driving distance from the VAMC, and commences at the point when the trip exceeds the forty (40) mile threshold.
Mileage will be calculated based on Bing Maps “Quickest Route”.See Mileage Calculation section below.
Examples (for illustration only):
15-mile trip: Base Rate only; no mileage charges.
35-mile trip: Base Rate only; no mileage charges.
50-mile trip: Base Rate plus Mileage Rate for 10 miles (50 − 40 = 10).
PLEASE NOTE:
How the Two Thresholds Work Together:
Within 40-mile driving distance from VAMC: Only the base rate applies. No mileage charges are allowed.
Beyond 40-mile driving distance threshold: The base rate applies, plus the mileage rate applies for all miles beyond the 40-mile driving distance from the VAMC.
Mileage Rate Application Decision Table
Trip Distance from VAMC
Base Rate Applies
Mileage Rate Applies Example Calculation
0–40-miles Yes No 15-mile trip: Base rate only
Over 40-mile driving distance
Yes Yes, for miles beyond 40-mile driving distance from
VAMC
50-mile trip: Base rate + 10 x mileage rate (50-40=10 miles × mileage rate)
Decision Flow:
Is the trip within 40-miles?
→ Pay base rate only.
Is the trip over 40-mile driving distance?
→ Pay base rate plus mileage rate for all miles beyond the 40-mile driving distance.
Mileage Calculation
a. For purposes of this contract, “mileage” means the one-way distance, in miles, between the patient pickup location and the patient drop-off location, unless otherwise expressly authorized in writing by the Contracting Officer. Mileage will be calculated based on the Government-determined route, not the route actually driven.
b. To determine what is considered reasonable mileage via the Government determined route, the Government will utilize Bing Maps (internet version) using the “quickest route” function. The quickest route, as defined by Bing Maps, will be the sole basis for mileage computations under this contract, unless the Government specifically directs an alternate route in writing.
c. All mileage for pricing, invoicing, and payment will be calculated using Bing Maps.
References in this solicitation or contract to any other commercial mapping products (including, but not limited to, MapQuest, Google Maps, Apple Maps, or similar products) are hereby deleted and of no effect.
d. If Bing Maps provides more than one “quickest route,” the Government, in its sole discretion, will select one route for contract administration purposes, and that selection will be binding for billing and payment for the trip at issue. The Government’s selection will be based on reasonableness and consistency with contract requirements.
e. In the event of a discrepancy between mileage claimed by the Contractor and mileage calculated by the Government using Bing Maps, the Government’s Bing Maps calculation will control for purposes of payment, unless the Contractor demonstrates that: (1) Bing Maps was unavailable at the time of calculation; or (2) an obvious mapping error exists (such as an incorrect address or software error). Any request for reconsideration of mileage must be submitted in writing within three (3) calendar days of the Government’s notice of the adjusted amount.
f. The Contractor is responsible for using the same Bing Maps “quickest route” methodology when estimating and proposing prices under this contract. The Government will not pay additional compensation for differences between the Contractor’s internal routing software and the mileage determined in accordance with this clause.
Summary Statement
In case of any ambiguity, the Government’s intent is that the Base Rate covers all trips that stay within the (40) mile driving distance of the VAMC, and that the Mileage Rate, when applicable, is payable only for miles outside the forty (40) mile driving distance from the Kansas City VAMC on trips whose total distance exceeds the forty (40) mile driving distance threshold.
No service or no-load charge – When a driver is dispatched to pick up a patient and for various possible reasons, the run is not completed, at no fault of the driver, a no service or no-load charge will apply unless reasonable notice is given by Beneficiary Travel to cancel the trip.
Upon notification of cancellation, the driver will immediately contact the contractor’s dispatch, at which time the contractor’s dispatch enters the no service/no load charge into the VetRide system. VetRide generates and sends an email report of the no service/no load charge to Beneficiary Travel. Beneficiary Travel can also view the charge in the VetRide system once it is entered by the contractor’s dispatch. Beneficiary Travel will verify the no service/no load charge and either approve it or return it to the contractor justifying the disapproval of the no service/no load charge.
When the VAMC travel office provides reasonable advance notification to the Contractor of a cancelation, a no-load charge will not apply. Reasonable notification is defined as when the travel office notifies the contractor of cancellation within 45 minutes of the pickup time for trips within 40-mile driving distance and prior to driver departure for trips beyond 40-mile driving distance.
No-Load Charge Application Table
Scenario No-Load Charge Paid?
Notes
Trip canceled by VA ≥45 min before pickup (within 40 miles)
No Reasonable notification provided
Trip canceled by VA before driver departs (for trip beyond 40 miles)
No Reasonable notification provided
Trip canceled <45 min before pickup (within 40 miles)
Yes No-load charge applies
Patient not found or refuses transport (no fault of driver)
Yes No-load charge applies; complete no-service form
Trip canceled due to driver fault
No No-load charge does not apply
Prorated trips – If there is more than one veteran being transported during the same trip, only the mileage for the farthest destination of the run will be charged.
Waiting – Waiting as used in this contract is defined as the time required and verified by authorized medical facility personnel, for the Contractor to wait at designated pick-up and/or delivery points in performing contract services.
Waiting Grace Period – The waiting grace period is a 15-minute timeframe at the designated pickup time and after arrival at the destination. During this period, no waiting charges will apply.
It serves two purposes:
Allowing the beneficiary to get into the vehicle at the pickup point.
Allowing the beneficiary to exit the vehicle upon arrival at their destination, such as delays while medical staff assist the beneficiary.
This grace period applies at:
The original pickup point of the trip.
The drop-off point at the destination.
The pickup time at the conclusion of the beneficiary's medical appointment before the trip home.
Any waiting time that exceeds the 15-minute grace period either before or after the appointment, at either the pickup or drop-off point, will incur additional charges. In such cases, the Contractor will inform beneficiary travel before charging for each additional 15-minute increment. The base rate for medical transportation includes this 15-minute waiting grace period at both origin and destination.
QUALIFICATIONS:
A.1 Proposals will be considered only from offerors who are regularly established in the business called for and who are financially responsible and have the necessary equipment and personnel to furnish service in the volume required for all the items under this contract.
Subcontracting of services shall not be authorized for the transportation of wheelchair patients and litter patients without prior approval of the VA. The Contractor will submit a request for subcontractor approval to the CO and COR 30 days prior to the subcontractor transporting patients. The request must include documentation verifying the subcontractor meets all requirements required of the contractor in the contract. Successful offeror shall meet all requirements of Federal, State, or City codes regarding operations of this type of service.
A.2 Offerors must submit with proposal a letter fully describing the following information:
REQUIRED SUBMISSIONS: The successful offeror shall submit the following information to the Contracting Officer prior to contract award and prior to exercising any option to this contract:
Please Note: All certifications, inspections, and training records must be updated annually and submitted to the Contracting Officer prior to expiration. Failure to provide current documentation may result in suspension of services or contract termination.
A letter fully describing the make of vehicle(s), model, year, and ID number vehicle(s) which the bidder agrees to furnish under this proposal. The Contractor shall notify the Contracting Officer in writing of any vehicle(s) added, removed, or altered after award of contract.
The letter shall include location and telephone number of offeror’s establishment where calls will be received, and vehicles(s) will be available for dispatch.
The letter shall also contain certain information as to the metering device or method offeror proposed to use in determining mileage.
The offeror shall submit a copy of the current annual safety inspections, required by the State of Missouri, for each vehicle.
The offeror shall submit the complete General Inspection Checklist of each vehicle. The inspections must be completed by a certified mechanic at any State (Missouri) licensed inspection facility. The offeror shall furnish proof of compliance to the Contracting Officer prior to award of contract. State vehicle inspection requirements shall not be accepted as sole certification of vehicle safety.
Certificate of Insurance as described in statement of work, paragraph N.
A.4 INSPECTION OF CONTRACTOR FACILITIES/VEHICLES:
a. The Government reserves the right, at its sole discretion, to inspect the Contractor’s facilities, vehicles, and related operations, and to audit contract-related records at any time during the term of this contract, with or without advance notice. Inspections and audits may be conducted at the Contractor’s principal place of business, satellite locations, vehicle storage or dispatch locations, and any other site where contract-related work, records, or vehicles are maintained.
b. The Contractor shall provide the Government, its authorized representatives, and oversight authorities (e.g., VA safety, infection control, or compliance officials) reasonable access to:
All vehicles used in performance of this contract, including interior and exterior condition, safety equipment, lifts/ramps, restraints, and any onboard medical or safety supplies
Facilities where vehicles are housed, maintained, cleaned, or dispatched
Contract-related records, including but not limited to trip logs, dispatch logs, training and competency records, driver and attendant licensure, background checks, maintenance and inspection records, safety and incident reports, and insurance documentation
c. Upon request, the Contractor shall make all requested contract-related records available to the Government within two (2) business days. Records may be provided electronically or in hard copy, as directed by the Contracting Officer or authorized representative. If a record is not immediately available, the Contractor shall notify the Government in writing within one (1) business day, explain the reason, and propose a date (not to exceed an additional three (3) business days) by which the record will be produced.
d. If any inspection or audit identifies deficiencies in safety, cleanliness, maintenance, driver/attendant qualifications, recordkeeping, or other contract requirements, the Government may require the Contractor to submit a written corrective action plan within a time frame specified by the Contracting Officer. The plan shall identify the deficiency, root cause, and specific corrective measures with implementation dates.
e. Failure to provide required access; failure to produce requested records within the time frames specified; failure to correct identified deficiencies; or repeated or material findings that impact patient safety, compliance, or contract performance may result in remedies up to and including…
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