36C25620Q0605-002.pdf

TECHNICAL ACCEPTABILITY QUESTIONNAIRE

Please mark the appropriate response to each question as it relates to your ability to meet the requirements of the Performance Work Statement (SOW). All references are to specific paragraphs/sections of the SOW or section numbers of the solicitation (S):

1. The Contractor will not pay more than 50% of the amount paid to it by the Government, to firms that are not VIP-listed SDVOSBs.

Contractor Agree (Please Circle One)

YES NO

2. The contractor is responsible for providing services, between the hours of 6:30 AM to 3:00 PM

Monday thru Friday except Federal holidays or when the Government facility is closed due to local or national emergencies, administrative closings, or similar Government directed facility closings. The contractor must always maintain an adequate workforce for the uninterrupted performance of all tasks defined within this SOW when the Government facility is not closed for the above reasons. This includes the presence of a worker on site daily (Work Week) picking up trash and debris. When hiring personnel, the contractor shall keep in mind that the stability and continuity of the workforce are essential.

Reference: Contractor Agree (Please Circle One)

SOW section 1. YES NO

3. The work to be performed under this contract will be performed at 2200 Fort Roots Dr. North

Little Rock, AR 72114 and 4300 W. 7th Street Little Rock, AR 72205.

SOW section 2. YES NO

4. The contractor shall be responsible for safeguarding all Government equipment, information and property. At the close of each work period, Government facilities, equipment, and materials shall be secured.

5. The contractor shall possess, at a minimum, the following performance qualifications/certifications: The ability to remove hazardous, nonhazardous, universal, mixed, pharmaceutical, extremely hazardous, medical, special medical and asbestos wastes. Provide copies of certifications.

SOW section 1. YES NO

6. The contractor shall package and remove all packaged waste on the same day of packaging.

SOW section 2.B. YES NO

7. The contractor shall provide staff to remove and sort all pharmaceutical waste biweekly from both facilities.

SOW section 2.C. YES NO

8. The contractor shall whenever feasible, dispose of waste by means of fuel blending and/or reclamation or recycling according to all federal, state and local regulations.

SOW section 2.E. YES NO

9. The contractor shall have the ability to package, transport and dispose of all waste codes listed in the SOW. Note: the waste code list is not finite. Contractor shall provide what waste codes cannot be removed by them.

SOW section 2.F. YES NO

10. The contractor shall ensure that all personnel involved in handling and packaging hazardous waste be trained for the level of expertise required for the proper performance of the task and in the areas of chemical incompatibility, general first aid procedures, and spills. Handling and personnel protective equipment shall be provided by the contractor and be appropriate to ensure safe handling of the hazardous waste. All employees present at the work site shall be trained to use all protective equipment. Prior to commencement of contract performance, Contractor shall provide references and record of required training. Cleanup immediately after spills is prudent.

SOW section 2.G. YES NO

11. The contractor shall have required EPA and state registry for hazardous waste transport and shall also have verifiable records of good shipping practices which may be checked through local

DOT authorities. The Environmental Protection Agency Uniform Hazardous Waste Manifest shall be used unless superseded by other requirements.

The contractor shall, where possible, minimize interlining or intermediate stopping before reaching the disposal site. “Nose Loading” on less than full truckload (LTL) shipments shall be required by the contractor. Provide license/certifications.

SOW section 2.I. YES NO

12. The contractor shall use environmentally sound methods of recycling, treating and destruction of wastes. CAVHS requires recycling/reuse of wastes, whenever feasible, as a preferred method of disposal. All methods for disposal must be in accordance with the EPA and industry standards.

Disposal shall be performed in such a manner as not to create conditions detrimental to public health or to constitute a public nuisance. The pick-up areas where containers are placed shall be maintained in a clean, orderly, sanitary condition. Attention shall be paid to the prompt cleanup of oil, stain and/or grease spills, either generated from the vehicles used to haul containers or because of container leakage. Contractor furnished containers shall be kept neat, in clean and sanitary appearances, and repaired or replaced as necessary.

Contractors should refer to the participating VA Healthcare System preferred disposal hierarchy when determining disposition of waste. This hierarchy consists of a) recycling, b) fuel blending/ energy recovery, c) incineration (Part B permitted incinerators), or d) treatment (neutralization, stabilization) and/or landfill. A detailed description of the VA Healthcare System disposal hierarchy is available from the Contracting Officer’s Representative (COR).

SOW section 2.J. YES NO

13. The contractor shall provide their spill procedures for integration into facility level SPCC or contingency plans. The contractor will provide their billing procedure that would be used for spill and emergency response activity.

SOW section 2.M. YES NO

14. The contractor shall provide documentation that it has characterized the hazardous nature of all wastes produced by all equipment, devices, reagents, and discharges in accordance with the requirements of the Code of Federal Regulations Title 40 “Protection of the Environment” Part

261 et seq. and applicable state and local requirements. Documentation shall include a description of the characteristics of the hazardous waste produced as a byproduct of the instrument operations, Safety Data Sheets (SDS) meeting the requirements of the Occupational

Safety and Health Administration (OSHA) and Environmental Protection Agency (EPA), the analytical process used to determine the hazardous nature and characteristics of the waste, and the analytical test results..

SOW section 2.O. YES NO

15. The contractor shall provide necessary personnel and all required materials to inventory, classify, sample, manifest, package, mark, label, and load the waste for transport. When repackaging is necessary the contractor shall be responsible for disposal of the original containers.

SOW section 2.M. YES NO

16. The contractor shall provide a minimum of four (4) performances each contract period consisting of a pick-up at each of the two facilities. The Government will provide fourteen (14) days advance notice to the contractor prior to the requested service date. The pick-up quantity will be at least the equivalent of one (1) fifty-five (55) gallon size lab packs per performance with an estimated quantity of 25 per contract period. The contract period is expected to be one year.

All packaged waste shall be removed at one time between the hours of 6:30 AM and 3:00 PM, Monday through Friday, excluding Federal Holidays. The Contractor is required to contact the

COR seven (7) days prior to coming to either facility. The locations for pick-up will be made available at the time of award.

SOW section 2.S. YES NO

17. The contractor shall attend any post award conference convened by the Contracting Officer in accordance with Federal Acquisition Regulation Subpart 42.5. The Contracting Officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the Contracting Officer will apprise the contractor of how the Government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced. Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the Government.

18. The Contractor shall furnish all labor, supplies, equipment and services required to perform work under this contract that are listed in this SOW.

SOW 2.B. YES NO

19. Contractor shall remove trash, boxes and any discarded or unusable containers/boxes for transport after packaging by placing in the appropriate disposal containers.

20. Contractor shall adhere to all requirements stated in the SOW– Statement of Work

SOW YES NO