36C25620Q0326-0002001.pdf

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)

1 1

0002 03-31-2020

598-20-4-8317-0038

36C256

Department of Veterans Affairs Veterans Health Administration Network Contracting Office 16 2575 N. Keystone Crossing Fayetteville AR 72703

SAME AS BLOCK 6

To all Offerors/Bidders

36C25620Q0326

03-31-2020

X

X X

X

THE SOLICITATION IDENTIFIED IN BLOC 9A ABOVE IS HEREBY MODIFIED. BY:

a. Replacing Section B.1, Price Schedule, with the attachedSection B.1, Revision 1 (attached). And,

b. Replacing Attachment 1, Statement of Work, dated 2/10/2020 with Attachment 1, Revision 1, dated 3/31/20 (attached).

And,

c. Providing the attached list of post site-visit questions, with answers.

The date/time for submission of quotes is NOT extended.

James Hunt

Contracting Officer

NCO1614L2-4938

B.1 PRICE SCHEDULE (Revision 1) *All Quantities Are Estimates

ITEM

NO. DESCRIPTION OF SUPPLIES/SERVICES *QTY UNIT UNIT PRICE

60 MO _________

Collection and disposal of contents of up to 1500 Sharps containers and other regulated medical waste in accordance with the Statement of Work (Attachment 1).

This line item includes cost for disposal of Sharps container contents.

Cost for disposal of "other" regulated medical waste are covered in Line Item 0002.

775,000 LB _________

Disposal fee for "other" regulated medical waste (not to include contents of Sharps containers).

This quantity is an estimate only. Fee will be based on actual quantity disposed of.

VHAFAVHUNTJ2

Highlight

36C256-20-Q-0326 Attachment 1 Revision 1

STATEMENT OF WORK

Regulated Medical Waste/Biohazardous Waste

& Sharps Container Management (March 31, 2020)

1. SCOPE

The contractor shall provide all labor, tools, materials, equipment, transportation and supervision necessary to complete all work associated with providing regulated medical waste and reusable sharps container management & disposal services in complete and strict accordance with this contract and all attachments hereto.

2. GENERAL

2.1. The services will be conducted at both CAVHS facilities: 4300 W. 7th Street, Little Rock, Arkansas and 2200 Fort Roots Drive, North Little Rock, Arkansas. Additionally, RMW will be collected at the following locations, Conway CBOC at 1520 East Dave Ward Drive, Conway, Arkansas 72032, Searcy CBOC at 1120 South Main Street Searcy, AR 72143-7319, Russellville CBOC at 3106 West 2nd CT. Russellville, AR 72801, Hot Springs CBOC at 177 Sawtooth Oak Street Hot Springs, AR 71901, Pine Bluff CBOC 2906 Market St. Pine Bluff, AR 71601, and El Dorado CBOC 514 E. Sty Street, EL Dorado, AR 71730.

2.2. The frequency of service at each facility will be established after the Contractor has completed a site survey but a minimum coverage of eight (8) hour days, five (5) days in Little Rock and five (5) days in North Little Rock must be met. The contractor may use multiple employees for coverage. Services provided by the Contractor shall be in accordance with the following local, state and federal regulations:

2.2.1. Occupational Safety and Health Administration (OSHA), including but not limited to Blood Borne Pathogen Standard 29 CFR 1910.1030 and the Needle Stick Safety and Prevention Act HR 5178 as it specifically relates to reusable containers.

2.2.2. Environmental Protection Agency (EPA)

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

2.2.4. Quality Systems Regulation (QSR) with regards to processing, validation, reporting, and annual registering for all equipment used to release medical equipment into commerce Arkansas Department of Health Act 96 or 1913 as amended, the Management of Medical Waste from Generators and Healthcare Facilities

2.2.5. Department of Transportation (DOT)

2.2.6. Arkansas Department of Environmental Quality (ADEQ)

2.2.7. National Environmental Policy Act (NEPA)

3. REGULATED REQUIREMENTS

3.1. Contractor will conduct a site survey at both campuses to identify the quantity, size, locations and exchange frequency for reusable sharps containers. Existing sharps container locations and sizes will be used as a guideline. During the site survey, area specific staff will be allowed to provide input. For the reusable sharp’s container management, the Contractor shall supply and install all necessary locking mounting wall brackets, floor dollies and countertop stability bases where needed. The Contractor shall adhere to NIOSH regulations. Reusable sharps containers will be exchanged by an employee of the primary contracting company at a set frequency to ensure sharps containers do not overfill. Contractor shall exchange unit when container is ¾ full or less. The unit exchange frequency may vary from area to area. The exchange frequency will be based on patient care volume in each location. The needs of specialty areas as well as restricted access areas will be determined during the site survey conducted by the contractor. The Contractor will provide a supply of clean reusable sharps containers to be kept on site to be used if a container does become full prior to the contractor’s scheduled exchange visit. Contents of reusable sharps containers shall be transported off station and disposed of as RMW. The contaminated reusable sharps containers shall be cleaned and disinfected for reuse.

3.2. Contractor shall provide rigid puncture resistant vertical drop reusable sharps containers as defined following site visit for lease in patient care areas, P&LMS, public restrooms, and Research Department. Empty containers must be available for normal service, installation and change out daily. Contractor will work with CAVHS staff for removal, relocation and installation of containers prior to, during and after remodeling and other construction projects. Contractor shall work with a Medical Center COR or designee to pick up and remove existing sharps containers, waste, and brackets. All removed brackets and accessories will be provided to the VA upon removal. Contractor will replace all existing sharp container brackets with reusable sharps container brackets and containers to include wheeled medication carts. Contractor shall provide containers that comply with the Federal, State, and Local regulations regarding labeling.

All containers shall be clearly labeled with the Biohazard symbol and the word "BIOHAZARD" displayed on them.

3.3. All regulated medical waste requiring incineration, to include chemotherapy waste, shall be brought to a central staging area at both campuses. The contractor shall provide appropriate storage for regulated medical and chemotherapy waste. The Contractor shall arrange for pick-up by an Arkansas licensed and certified regulated medical waste disposal company on a set schedule determined during site survey. The Medical Center will be responsible for the segregation of waste in accordance with Federal, State, and Local requirements.

3.4. The Contractor shall ensure the handling, licensing, transporting and final disposal of regulated medical waste, to include sharps waste, follows Arkansas Department of Health (ADH), Department of Transportation (DOT), Arkansas Department of Environmental Quality (ADEQ), Food and Drug Administration (FDA), National Institute for Occupational Safety and Health (NIOSH) and applicable Federal, State and Municipal regulations and codes. All collected waste other than contents of Sharps containers must be incinerated.

3.5. Transportation vehicles shall be equipped with fully enclosed leak-resistant cargo body maintained in a sanitary condition and secured when left unattended. Tarped loads are not permitted. Vehicles shall bear the transporter's name, State permit, and the words "Medical Waste" or "Regulated Medical Waste" on the sides of the body.

Waste shall not be subject to mechanical stress. Regulated medical waste shall not be combined with other waste. Vehicles shall be owned by the transporter or leased for a minimum of one year or more. Proof of ownership or lease must accompany this solicitation. Vehicles shall be properly disinfected as a result of leaks or spills.

Contractor shall immediately notify the ADH, and the generator, if a vehicle is involved in a spill or accident which renders the vehicle non-compliant with applicable rules and regulations.

3.6. Contractor and/or Transporter shall provide labeling on all containers of regulated waste with the following information:

3.6.1. Name of Transporter or immediate handler.

3.6.2. State permit or identification number of transporters.

3.7. Transporter shall sign, date, and furnish a copy of the manifest prior to RMW leaving the generator pickup sites. Transporter shall certify that the manifest data matches the load to be removed. Transporter shall deliver the waste to an authorized facility and sign the manifest to verify that the regulated medical waste has been delivered. Transporter shall maintain a copy of the manifest for their records.

Transporter shall return all remaining copies of the manifest to the generator, assuring final disposal.

3.8. The Contractor will provide an Exposure Control Plan, Spill Response Plan, Emergency Action Plan, and a Fire Evacuation Plan. The Contractor agrees to comply with all medical center policies and standards. The Contractor is solely responsible for any and all spills or leaks during the performance of the contract. The Contractor agrees to clean up such spills and/or leaks to the satisfaction of the Government in a manner which satisfies the applicable regulations, at no cost to the Government. The Contractor is responsible for reporting to the COTR all spills, regardless of quantity and all personnel exposures. Such reports shall first be reported by telephone immediately following the incident and shall have a follow up in writing no later than seven (7) days after the initial report. When reporting a spill, the following information shall be furnished (1) quantity spilled; (2) exact location of spill; (3) containment procedures initiated; (4) clean-up and disposal procedures; (5) personal injury involved; (6) assistance required, and (7) a narrative summarizing all on-scene visits made by local, state, and federal official.

3.9. Contractor shall provide Worker's Compensation, Professional Liability insurance, Health Examinations, Income Tax Withholdings, and Social Security Payments for protecting the personnel furnishing services under this contract.

3.10. Contractor shall report to the Chief, Environmental Management or designated personnel upon arrival and departure of each facility. The exchange of the reusable Sharps containers will require the collectors to check in, discreetly enter and move about the various locations, and exchange the reusable sharps containers. Contractor shall notify the COR of any problems or delays with supplying reusable sharps containers, transportation, storage or other significant problems. Removal will commence Monday through Friday, and official Federal Holidays. The following 10 holidays are observed by the Federal Government: New Year’s Day, Dr. Martin Luther King Jr. Day, President’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veteran's Day, Thanksgiving Day, Christmas Day, and any other day designated by the President of the United States to be a national holiday. All services will be performed during normal hours of coverage unless requested or approved by the COR or designee. Services and pickups that fall on holidays shall be scheduled the following day, as requested by the VA.

3.11. The VA reserves the right to thoroughly inspect the Contractor's facility and treatment plant to assure acceptable standard of performance.

3.12. Contractor shall maintain a log of regulated medical waste and regulated "Sharps Waste" shipments which include quantity of waste shipped, sources, and delivery points. (Note: This requirement shall not be confused with manifest requirement mentioned and referred to elsewhere). Records shall be kept on file for a minimum of three years.

4. QUALIFICATIONS:

4.1. Contractor shall have demonstrated at least three years’ experience servicing at least three similar size hospitals by submitting a list of references including telephone numbers, addresses, and contact names.

4.2. Contractor shall provide a plan to demonstrate that they can provide ongoing requirements and services in the event of Sales and Service disruptions for any reason.

Contractor shall provide information for primary and back-up sites for the following:

disposal services, regulated medical waste transportation, medical waste processing, medical waste for incineration, sharps container autoclave.

4.3. Contractor shall provide a complete background of their company as well as any company utilized to sustain this contract. Information will include but is not limited to:

company’s full legal name, primary business address, all other office locations (city and state), and history, along with the number of years in business.

4.4. Contractor shall demonstrate their ability to convert the VA locations to their services immediately after award of the contract.

4.5. Contractor shall have in place and maintain a valid contingency plan to meet the requirements of the contract. Contractor shall incur all cost associated with fulfilling this contingency plan at no additional expense to the Government. Contractor shall be liable for all expenses incurred by the Government due to the contractor's inability to perform in accordance with these requirements.

4.6. Contractor is required to identify any subcontractors and suppliers. Contractor is responsible for supervision, contract compliance and obtaining any necessary documentation from their subcontractors or supplies performing under this contract. If the contractor intends to utilize subcontractors and suppliers other than those initially identified, operating licenses, permits, certificates and any other forms required by regulatory agencies for the new facility must be submitted to the Contracting Officer no later than thirty (30) days prior to change. Any and all cost increases to meet additional regulatory requirements caused by such change of disposal facilities or any other contractor action relative to transport, storage, and/or disposal of regulated medical waste shall be borne by the contractor.

5. CONTRACTOR MANAGER

5.1. The contractor shall provide a contract manager who is responsible for the performance/coordination of work defined in this contract. The name and phone numbers (during and after hours) of this person and alternate(s), who shall act for the contractor when the manager is absent, shall be designated in writing to the Contracting Officer no later than fifteen (15) days prior to the contract start date. The contract manager and alternate(s) shall be able to understand, read, fluently speak, and legibly write the English language. This person may perform services under this contract in addition to contract management duties. The contract manager or alternate shall have full authority to act for the contractor in all contractual matters relating to daily operation of this contract. All changes must be provided in writing to the Contracting Officer no later than forty-eight (48) hours prior to the implementation of such changes.

5.2. The contract manager or alternate shall be available during normal duty hours 7:30 AM - 4:00 PM) or after normal hours, within four (4) hours of notification, to meet with government representatives to discuss problem areas should the Contracting Officer determine the problem has not been resolved by telephone.

6. CONTRACTOR PERSONNEL

6.1. Contractor shall provide their employees with appropriate protective clothing, equipment, and apparel as prescribed by the Occupational Safety & Health Administration (OSHA). The technician shall always be dressed neatly in appropriate uniform and wear the VA’s identification badge when servicing at the VA facility.

6.2. Contractor shall provide details of what training their employees undergo.

Contractor shall be available for consultation and education to Medical Center's staff on the proper use of reusable sharps containers. Contractor shall provide US Department of Transportation and Safe Handling of Regulated Medical Waste training to appropriate CAVHS staff.

6.3. The contractor shall provide all training necessary to perform the work as defined in this contract. Training shall not hamper the quantity, quality, or timeliness of work requirements of the contract.

6.4. The contractor shall ensure that all employees understand the risks involved with biomedical/regulated medical waste and are trained in specific procedures to handle spills on CAVHS premises, enroute to and at treatment and disposal facility.

6.5. Regulated medical waste/contractor employees who pick up regulated medical waste from CAVHS are identified as being susceptible and/or occupationally at risk to certain biological hazards. The contractor shall provide these employees with the required immunizations.

6.6. For injuries that occur on CAVHS property by contracted staff and/or subcontracted staff, emergency treatment to prevent loss of life, limb, or prevent undue suffering will be provided by CAVHS. The contractor shall be charged for medical services provided in accordance with current policies regarding civilian emergencies or government/contractor personnel. The contractor shall require that all employees who experience on the job injuries on CAVHS property report to the contractor's designated clinic for evaluation and treatment. The contractor shall report to the Contracting Officer within twenty-four (24) hours all injuries, including needle sticks or cuts that occur within CAVHS or attributed to work in the performance of this contract. The contractor shall be responsible for all cost of meeting healthcare requirements.

6.7. The contractor shall provide pickup, installation, placement, relocation and removal of sharps containers as needed in Little Rock, North Little Rock and all CBOCs.

A minimum service requirement of five (5) days per week both in Little Rock and North Little Rock with multiple employees for coverage, 8 hours per day, and as needed for the CBOCs at a minimum of 2x/year, is required.

6.8. The contractor shall provide CAVHS monthly totals of all items processed for each facility. (e.g. total volumes of medical waste, sharps disposal, plastic diversion).

7. PERFORMANCE EVALUATION MEETING

The contract manager shall meet the Contracting Officer or his/her authorized representative at least twice during the first month of the contract. Meetings will be held as often as necessary thereafter, as determined by the Contracting Officer or the contractor.

8. CONFIDENTIALITY

The Contractor shall ensure that the waste is secured at all times to protect and maintain the confidentiality of information of patients, employees and the facility.

9. CONTRACT MODIFICATION

Contractor can expect possible additions and subtractions to the contract in the event CAVHS additions, removals or relocations of patient care areas such as Community Based Outpatient Clinics, additional nursing unit and/or laboratory space, etc.

Contractor will describe plan and charges incurred to accommodate current renovations to nursing units at both facilities. Charges based on volumes preferred. Contractor must be able to adjust locations and exchange schedule due to the utilization of swing wards.

Contractor shall outline adjustment period after installation is complete to accommodate sharps container locations that might have been missed or inappropriately represented during site survey and/or pre-installation site walk.

Post Site-Vist Questions, With Answers Solicitation Number: 36C25620Q0326-0002

No. Question Answer 1 All regulated medical waste requires incineration to include chemotherapy waste. Currently this waste is auto-claved with the exception of trace chemo and pathological waste. The auto-clave method of disposal is recommended due to the increased cost of incineration. Is the VA willing to change the method for the RMW to auto-clave and the trace chemo and pathological to incinerate only?

Yes, this is acceptable as this is an industry standard and all local, state and federal guidelines are adhered to.

Sections 3.3 and 3.4 of the Statement of Work (SOW) have been revised to clarify this.

2 On the pricing pages it shows that regulated medical waste to include sharps to be by the pound. Currently this is billed by the container so it there is a flat fee per month for the sharps. Is the government willing to price the sharps by this method?

Yes, the description for line item 0001 has been changed to include disposal of contents of Sharps containers.

3 Line item 0001 reads “…up to 1500 Sharps containers…”. Is the 1500 number being proposed so that the government can add containers without modifying the contract? Would the government also be willing to use the correct count and add a line item to add additional containers only if needed onto the pricing pages?

No. The price per month shall include up to 1500 Sharps containers. This is to eliminate the administrative cost of requiring a contract modification every time the quantity changes.

4 Currently liners are provided for the tubs provided for packaging the waste for transportation to pick up. Is the VA requesting that liners be provided for them to use throughout the hospital? If so, all vendors would need to know how many cases per month are required.

No, liners are only requested for lining the tubs for waste packaging and removal.

Questions Submitted Prior to Closing Date Solicitation Number: 36C25620Q0326-0002

5 There are reusable and sharps and other regulated medical waste at the hospital to be collected from different departments. We would have to place employees inside at least two of the facilities to collect from the various departments reusable sharps containers and properly dispose of the waste. The other sites would require regular pick up of the regulated medical waste as well as Sharps containers. Are current unit exchange frequencies available?

Collection from all facilities is required.

Little Rock and N. Little Rock locations will require room to room pickup.

However, waste from CBOCs will be gathered in a central location for pickup.

6 What are the current types of reusable containers as well as number available?

NLR – 275 (250-4g,25-8g) LR – 546 (442-4g,62-8g, 42-17g) Pine Bluff – 17 (15-4g, 2-17g) Searcy – 23 (21 4g, 2-8g) Conway – 25 (23-4g, 2-8g) Hot Springs – 54 (52-4g, 2-8g) El Dorado – 12 (10-4g, 2-8g) Russellville – 25 (23-4g, 2-8g) Mena – 25 (23-4g, 2-8g)

7 For the two larger sites will our firm be required to provide a storage container to be kept onsite for regulated Medical and chemotherapy waste?

No, there are areas in each location that will be used for RMW storage.

8 Is there a designated area to disinfect reusable sharps containers onsite or can this take place offsite?

There is currently not a location available to process containers onsite.

This is currently done offsite.

9 How many wheeled medication carts will need to be provided?

Containers for the med carts total 25 for NLR and 63 for Little Rock

10 Price of existing contract and add ons.

The total amount obligated under the current contract is $1,160,808.08

11 How much trace Chemo annually?

LR FY19 trace chemo total was 9,263lbs;

NLR FY19 trace chemo total was 68.3lbs

12 Do wall mounts stay?

Wall mounts are leased from the current contractor.

13 Do existing containers stay?

Containers are leased from the current contractor.

14 How many containers of medical waste go out monthly?

Approximately 350

15 How many sharps go out monthly by sizes 4gal,17gal,8gal?

Current quantities are as follows (subject to change)

NLR – 1 cart/week (34-4gal and 10- 8gal)

LR – 6 carts/week (136 – 4 gal, 40- 8 gal and 24 – 17 gal)

16 P. 3, Price Schedule states “up to 1500 sharps containers in total” o What are the quantities of sharps containers in each of the eight locations?

NLR – 275

LR – 546

Pine Bluff – 17 Searcy – 23 Conway – 25 Hot Springs – 54 El Dorado – 12 Russellville – 25 Mena – 25

Note: current number of containers is no guarantee of future requirements

17 P. 37, General 2.2: “The frequency of service at each facility will be established after the Contractor…” o Can you please provide details and historical data for 12 months of frequency and volume of pickups from each of the eight locations?

For Little Rock (LR) there is daily waste removal service;

North Little Rock (NLR) has the waste removed from the facility 1x/week.

See question 25 for weights (volumes)

18 P. 37, General 2.2: Please provide historical data of staff supplied by incumbent.

o How many staff members per location are required?

o How often is contracting staff required to be on premises?

o How many hours per week, per location is contractor staff is required to be present?

This office does not track numbers of contractor personnel assigned to a contract.

• At least one staff member is required daily for LR and NLR facilities. Workload may dictate more at Contractor’s discretion but, any additional personnel assigned will NOT affect contract price. (See SOW Section 2.2)

19 P. 37, Regulated Requirements 3.1, 2nd sentence: “Existing sharps containers and sizes will be used as a guideline” o Can you please provide details on the current quantity and sizes?

Pine Bluff – 17 (15-4g, 2-17g) Searcy – 23 (21 4g, 2-8g) Conway – 25 (23-4g, 2-8g) Hot Springs – 54 (52-4g, 2-8g) El Dorado – 12 (10-4g, 2-8g)

20 Are there biohazard storage rooms at each location?

Yes

21 Is there a current contract for the work being solicited?

o If so, please provide that awarded contract number or task order number (NOT the incumbent GSA contractor number).

o Please provide the name of the incumbent contractor.

o Please provide the annual contract amount.

o Is the level of effort being performed under the current contract fundamentally the same as what will be required to fulfill solicitation #36C25620Q0326? If not, please explain how the work will be different under this solicitation.

o How long does it take for the incumbent to perform the weekly service at the main locations?

Yes

• VA256-15-C-0097

• NEIE Medical Waste Services, LLC

• The current contract has averaged

$232,161.62 over 5 years.

• Yes

• Contractor time on location is not monitored under the current contract.

22 Is the incumbent using a subcontractor? If so, is the incumbent using a non-similarly situated subcontractor that requires the contractor to adhere to the Limitations on Subcontracting?

Subcontractor reporting is not required under the current contract.

23 Section B SF 1449 Continuation sheet Item No. 0001 states collection and disposal of contents of up to 1500 sharps containers. Is the expectation to provide 1500 physical Sharps containers?

The expectation is for the contractor to provide up to 1500. The actual amount will be determined on an as needed basis and may change throughout the duration of the contract.

24 Section B SF 1449 Continuation sheet Item No. 0002 lists a quantity of 775,000 lbs of regulated medical waste for disposal. Is this figure per year or total contract?

This total is estimated for the life of the contract.

25 Statement of Work (SOW) page 2 paragraph 3.1 states the contractor will conduct a site survey to identify quantity and size of sharps containers required and will supply and install all necessary locking mounting wall brackets, floor dollies and countertop stability bases where needed. For pricing purposes, please quantify an estimated number anticipated for each of the aforementioned items including preferred type, brand, and size if any.

No preferred brand…

LR – 546 (442-4g,62-8g, 42-17g) Pine Bluff – 17 (15-4g, 2-17g) Searcy – 23 (21 4g, 2-8g) Conway – 25 (23-4g, 2-8g) Hot Springs – 54 (52-4g, 2-8g) El Dorado – 12 (10-4g, 2-8g) Russellville – 25 (23-4g, 2-8g) Mena – 25 (23-4g, 2-8g) All 8g &17g require floor dollies

Note: current number of containers does not guarantee future requirements

26 SOW page 2 paragraph 3.2 states the contractor shall provide rigid puncture resistant vertical drop reusable sharps containers. For pricing purposes please provided estimated quantity of each size and type.

Pine Bluff – 17 (15-4g, 2-17g) Searcy – 23 (21 4g, 2-8g) Conway – 25 (23-4g, 2-8g) Hot Springs – 54 (52-4g, 2-8g) El Dorado – 12 (10-4g, 2-8g)

27 SOW page 2 paragraph 3.3 states all regulated medical waste requires incineration. Please clarify if industry standard methods of treatment and disposal such as autoclave or other local, state, or federally approved methods are allowed.

Refer to answer to question 1.

28 SOW page 2 paragraph 3.3 states the schedule for pickup and transportation of waste will be determined during the site survey. For pricing purposes, please provide an estimated pickup frequency for each facility, i.e.: daily, weekly, monthly, etc. Please provide an average quantity of each size container/tub typically picked up during a normally scheduled pickup for each facility.

Please also included an estimated average weight per normally scheduled pickup for each facility.

Little Rock (LR) - Daily North Little Rock (NLR) - Weekly.

CBOCs - Once every 2-4 weeks.

FY19 Monthly Averages (Lbs):

NLR – 596

LR – 11,694

Pine Bluff – Unknown (New Facility) Search – 53 Conway – 33 Hot Springs – 71 El Dorado – 19 Russellville – 39 Mena - 30

29 What other items were needing to be disposed of outside of sharps containers?

Please refer to the Statement of Work, Section 3.

30 Based on the solicitation it seems the VA is requesting a monthly pick up from the various locations. Is there a possibility the VA will need to pick up of these items more frequently?

Please refer to the Statement of Work, Section 2.2. and answer to question 28.