36C25623Q0208.docx

36C25623Q0208

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE

DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a.

PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE

ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26.

TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212

-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNAT

URE 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

520-23-1-119-0042 36C25623Q0208 12-09-2022 Danette Impey 228-523-4747 12-21-2022 12:00 pm

CST

Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531 X 562119 $41.5 Million N/A X Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531 Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 invoice must be submitted electronically 1-877-489-6135 See CONTINUATION Page Non-personal services, contractor to provide disposal of expired and/or unusable DEA scheduled controlled substance quarterly for the Gulf Coast Veterans Health Care System, Biloxi, MS. These services shall be performed in accordance with the terms and conditions listed herein.

Base period: date of award on or about 01/01/2023 through 12/31/2023, with four (4) each, 12-month option periods.

All questions are due NLT Monday, Dec. 19, 2022, 12:00 pm CT via email to rene.impey@va.gov.

All responses due NLT Thursday, Dec. 22, 2022, 12:00 pm CT, via email to rene.impey@va.gov.

FAR 13.106 Comparative Analysis procedures apply.

See CONTINUATION Page X X X Danette Rene' Impey Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C256 Danette Rene' Impey Department of Veterans Affairs Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue Biloxi MS 39531

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

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

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

Page 1 of Page 1 of B.2 Statement of Need Background Information

The Gulf Coast Veterans Health Care System Pharmacies are required to dispose of expired or unusable DEA scheduled controlled substance once quarterly.

Scope

Pharmacy Service located in Inpatient Pharmacy and Outpatient Pharmacy, and Cache located in Biloxi, MS, Outpatient Clinic Pensacola, FL, and Clifford C. Sims Nursing Home Pharmacy in Panama City, FL, has a need for DEA registered controlled substance retrieval and destruction from each site. This requirement will be for services provided once a month for the Biloxi Inpatient and Outpatient pharmacies, and Cache in Biloxi, MS, and the Pensacola Outpatient Clinic in Pensacola, FL, and once quarterly for Clifford C. Sims Nursing Home in Panama City, FL. All pharmacy locations of the Veterans Healthcare System of #520 Biloxi (Biloxi Inpatient and Outpatient, Cache, Pensacola Outpatient Clinic and Clifford C. Sims Nursing Home) require on-site processing and collection of controlled substances to minimize the violation of laws and regulations, especially in pharmaceutical waste disposal. The contractor shall be compliant with all applicable regulations related to controlled substance handling and destruction (as required in 21CFR 1317). Returns to be processed will cover expired controlled substance pharmaceuticals, controlled substances due to expire in the future, or controlled substances that are otherwise unusable.

**NO CREDIT FOR RETURNS TO BE COLLECTED OR HELD FOR LATER DATE**

Reusable Medical Equipment: Not applicable.

Additional Technical Advisory Group Requirements: None.

Contractor Requirements

REGULATORY COMPLIANCE: The contractor shall be required to provide all plant, equipment, materials, and labor needed to process proper disposal of Schedule II-V controlled substance designated pharmaceuticals. Contractor shall be responsible for complying with all applicable federal regulations such as the Code of Federal Regulation (CFR) Title 21 Food & Drugs, Title 40 Protection of the Environment, Title 49 Department of Transportation (DOT); U. S. Environmental Protection Agency (EPA), Occupational Safety and Health Administration (OSHA), Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), 41 U.S.C. chapter 67, Service Contract Labor Standards, and VA regulations. The Contractor shall also comply with applicable state/ local regulations and consult with regional offices of the federal regulatory agencies that have jurisdiction over their operations to ensure compliance with laws and regulations of host countries. Accordingly, the Contractor shall arrange for, recommend, and/or advise the returning drug distribution point of the proper means of transporting the returned products to the Contractor's central processing facility.

Page 1 of Page 1 of

LICENSES, PERMITS, REGISTRATION, INSURANCE: All necessary permits and licenses required by Federal, state, and local authorities shall be acquired and maintained by the Contractor for the life of the contract. This includes required licenses, certifications, etc., for individual Contractor staff as well as any required permits and licenses for interstate transport and storage/disposal of expired or unusable DEA scheduled II-V controlled substances. This includes but is not limited to DEA, DOT, EPA, FDA, OSHA, and individual State regulations. The Contractor or designated sub- contractor shall be a licensed DEA registrant to handle Schedule II - V controlled substances. A copy of all renewals shall be forwarded to the contracting officer for retention in the contract file. The Contractor shall have proper insurance coverage, including environmental remediation and be prepared to list the VA, IHS, BOP, IHSC and other approved federal agencies as additional insured if awarded a contract. A copy of such insurance coverage shall be provided to the Contracting Officer, upon request.

CONTRACTOR AND SUBCONTRACTOR LICENSE QUALIFICATIONS REQUIREMENTS: The Contractor and any respective subcontractors shall maintain all necessary licenses, permits and certifications required by the Resource Conservation and Recovery Act, Clean Air Act, Clean Water Act, Occupational Safety and Health Administration, and all licenses and permits required by local agencies for destruction operations.

SHIPPING/PROCESSING ARRANGEMENTS: The VA Medical Center, or outpatient clinic, will communicate with the Contractor directly to establish an agreed upon on-site service date once every calendar month. The Contractor shall provide all instructions, forms, labels, and DEA approved tamper-proof pouches needed to ship the designated items to a Contractor's central processing facility. The Contractor will provide work on-site in all pharmacy locations:

Gulf Coast Veterans Health Care Center Pharmacy Service (119) 400 Veterans Avenue Biloxi, MS 39531-2410 (Hours of operation are 8:00 am to 4:30 pm, Monday through Friday)

Joint Ambulatory Care Center (JACC) Pharmacy Service (119) 790 Veterans Way Pensacola, FL 32507 (Hours of operation are 8:00 am to 4:30 pm, Monday through Friday)

Clifford C. Sims State Veterans Nursing Home 4419 Tram Road Panama City, FL 32404 (Hours of operation are 8:00 am to 4:30 pm, Monday through Friday)

Contractor will provide a documented listing of controlled substance pharmaceuticals for return and prepare these for shipment to the processing facility. The returns will be processed using the Contractor’s on-site representative. The Contractor is responsible for the shipment and associated costs from the facility to the Contractor’s facility. On-site service disposition shall be provided to each facility following completion of the services.

The Contractor shall prepare a list of controlled substance pharmaceuticals removed from the pharmacy and the facility must validate the contents of the list for accuracy. Any discrepancies shall be resolved prior to the removal of the pharmaceuticals from the facility by the Contractor. The Contractor representative must sign the document listing the controlled substances transferred from VA to the destruction company and the appropriate DEA Forms (222, 41 etc.). The Contractor shall remove, or pick-up, controlled substance returns from the facility by close of business the same day as service is completed and boxed for return. Large or special pickups requiring separate removal shall be scheduled within 48 hours of service, and daily updates will be provided to the facility until pick-up is complete. Chain of custody paperwork shall be prepared for controlled substances and given to the returning facility by the Contractor at the time the package(s) are prepared for shipment. The Contractor shall process all designated items through the disposal process in accordance with all applicable federal, state, and local regulations. The Contractor shall comply with any participating customers’ additional security requirements and procedures for access to facilities. All costs associated with gaining access to any customer facility shall be the responsibility of the Contractor.

FEDERAL GOVERNMENT HOLIDAYS

The following information is provided to assist the Contractor in scheduling returns when on-site service is required:

*If these holidays fall on a Saturday or Sunday, the contractor should contact the returning facility to determine on which day (Friday or Monday) they will be observed.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Inpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS Contract Period: Base POP Begin: 01-01-2023 POP End: 12-31-2023 PRINCIPAL NAICS CODE: 562119 - Other Waste Collection PRODUCT/SERVICE CODE: R499 - Support - Professional: Other

Outpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2023 POP End: 12-31-2023

Cache expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2023 POP End: 12-31-2023

Vault Narcotic Drugs Pick-up; Pensacola, FL

POP Begin: 01-01-2023 POP End: 12-31-2023

Vault Narcotic Drugs Pick-up; Clifford C. Sims State Veterans Nursing Home, Panama City, FL

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Inpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Outpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Cache Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2023 POP End: 12-31-2023

Pensacola Processing/Handling Fee each invoice/pickup, Pensacola, FL

POP Begin: 01-01-2023 POP End: 12-31-2023

Clifford C. Sims Nursing Home Processing/Handling Fee each invoice/pickup

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Inpatient Pharmacy DEA 222 Form/AR Form Fee each form used per invoice

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Outpatient Pharmacy DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2023 POP End: 12-31-2023

Biloxi Cache DEA 222 Form/AR Form Fee flat price per each form used per invoice

POP Begin: 01-01-2023 POP End: 12-31-2023

Pensacola DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2023 POP End: 12-31-2023

Clifford C. Sims Nursing Home DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2023 POP End: 12-31-2023

TRAVEL RATE Biloxi POV mileage (round trip) (426 + 426)

POP Begin: 01-01-2023 POP End: 12-31-2023

TRAVEL RATE Pensacola, FL, POV mileage (round trip) (506 + 506)

POP Begin: 01-01-2023 POP End: 12-31-2023

TRAVEL RATE Panama City, FL, POV mileage (round trip) (683 + 683)

POP Begin: 01-01-2023 POP End: 12-31-2023

PENSACOLA, FL HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2023 POP End: 12-31-2023

PANAMA CITY, FL, HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2023 POP End: 12-31-2023

Inpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS Contract Period: Option 1 POP Begin: 01-01-2024 POP End: 12-31-2024

Outpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2024 POP End: 12-31-2024

Cache expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2024 POP End: 12-31-2024

Vault Narcotic Drugs Pick-up; Pensacola, FL

POP Begin: 01-01-2024 POP End: 12-31-2024

Vault Narcotic Drugs Pick-up; Clifford C. Sims State Veterans Nursing Home, Panama City, FL

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Inpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Outpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Cache Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2024 POP End: 12-31-2024

Pensacola Processing/Handling Fee each invoice/pickup, Pensacola, FL

POP Begin: 01-01-2024 POP End: 12-31-2024

Clifford C. Sims Nursing Home Processing/Handling Fee each invoice/pickup

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Inpatient Pharmacy DEA 222 Form/AR Form Fee each form used per invoice

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Outpatient Pharmacy DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2024 POP End: 12-31-2024

Biloxi Cache DEA 222 Form/AR Form Fee flat price per each form used per invoice

POP Begin: 01-01-2024 POP End: 12-31-2024

Pensacola DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2024 POP End: 12-31-2024

Clifford C. Sims Nursing Home DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2024 POP End: 12-31-2024

TRAVEL RATE Biloxi POV mileage (round trip) (426 + 426)

POP Begin: 01-01-2024 POP End: 12-31-2024

TRAVEL RATE Pensacola, FL, POV mileage (round trip) (506 + 506)

POP Begin: 01-01-2024 POP End: 12-31-2024

TRAVEL RATE Panama City, FL, POV mileage (round trip) (683 + 683)

POP Begin: 01-01-2024 POP End: 12-31-2024

PENSACOLA, FL HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2024 POP End: 12-31-2024

PANAMA CITY, FL, HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2024 POP End: 12-31-2024

Inpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS Contract Period: Option 2 POP Begin: 01-01-2025 POP End: 12-31-2025

Outpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2025 POP End: 12-31-2025

Cache expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2025 POP End: 12-31-2025

Vault Narcotic Drugs Pick-up; Pensacola, FL

POP Begin: 01-01-2025 POP End: 12-31-2025

Vault Narcotic Drugs Pick-up; Clifford C. Sims State Veterans Nursing Home, Panama City, FL

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Inpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Outpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Cache Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2025 POP End: 12-31-2025

Pensacola Processing/Handling Fee each invoice/pickup, Pensacola, FL

POP Begin: 01-01-2025 POP End: 12-31-2025

Clifford C. Sims Nursing Home Processing/Handling Fee each invoice/pickup

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Inpatient Pharmacy DEA 222 Form/AR Form Fee each form used per invoice

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Outpatient Pharmacy DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2025 POP End: 12-31-2025

Biloxi Cache DEA 222 Form/AR Form Fee flat price per each form used per invoice

POP Begin: 01-01-2025 POP End: 12-31-2025

Pensacola DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2025 POP End: 12-31-2025

Clifford C. Sims Nursing Home DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2025 POP End: 12-31-2025

TRAVEL RATE Biloxi POV mileage (round trip) (426 + 426)

POP Begin: 01-01-2025 POP End: 12-31-2025

TRAVEL RATE Pensacola, FL, POV mileage (round trip) (506 + 506)

POP Begin: 01-01-2025 POP End: 12-31-2025

TRAVEL RATE Panama City, FL, POV mileage (round trip) (683 + 683)

POP Begin: 01-01-2025 POP End: 12-31-2025

PENSACOLA, FL HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2025 POP End: 12-31-2025

PANAMA CITY, FL, HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2025 POP End: 12-31-2025

Inpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS Contract Period: Option 3 POP Begin: 01-01-2026 POP End: 12-31-2026

Outpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2026 POP End: 12-31-2026

Cache expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2026 POP End: 12-31-2026

Vault Narcotic Drugs Pick-up; Pensacola, FL

POP Begin: 01-01-2026 POP End: 12-31-2026

Vault Narcotic Drugs Pick-up; Clifford C. Sims State Veterans Nursing Home, Panama City, FL

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Inpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Outpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Cache Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2026 POP End: 12-31-2026

Pensacola Processing/Handling Fee each invoice/pickup, Pensacola, FL

POP Begin: 01-01-2026 POP End: 12-31-2026

Clifford C. Sims Nursing Home Processing/Handling Fee each invoice/pickup

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Inpatient Pharmacy DEA 222 Form/AR Form Fee each form used per invoice

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Outpatient Pharmacy DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2026 POP End: 12-31-2026

Biloxi Cache DEA 222 Form/AR Form Fee flat price per each form used per invoice

POP Begin: 01-01-2026 POP End: 12-31-2026

Pensacola DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2026 POP End: 12-31-2026

Clifford C. Sims Nursing Home DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2026 POP End: 12-31-2026

TRAVEL RATE Biloxi POV mileage (round trip) (426 + 426)

POP Begin: 01-01-2026 POP End: 12-31-2026

TRAVEL RATE Pensacola, FL, POV mileage (round trip) (506 + 506)

POP Begin: 01-01-2026 POP End: 12-31-2026

TRAVEL RATE Panama City, FL, POV mileage (round trip) (683 + 683)

POP Begin: 01-01-2026 POP End: 12-31-2026

PENSACOLA, FL HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2026 POP End: 12-31-2026

PANAMA CITY, FL, HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2026 POP End: 12-31-2026

Inpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS Contract Period: Option 4 POP Begin: 01-01-2027 POP End: 12-31-2027

Outpatient Vault Expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2027 POP End: 12-31-2027

Cache expired Narcotic Drugs Pick-up; Biloxi, MS

POP Begin: 01-01-2027 POP End: 12-31-2027

Vault Narcotic Drugs Pick-up; Pensacola, FL

POP Begin: 01-01-2027 POP End: 12-31-2027

Vault Narcotic Drugs Pick-up; Clifford C. Sims State Veterans Nursing Home, Panama City, FL

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Inpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Outpatient Pharmacy Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Cache Processing/Handling Fee each invoice/pickup, Biloxi, MS

POP Begin: 01-01-2027 POP End: 12-31-2027

Pensacola Processing/Handling Fee each invoice/pickup, Pensacola, FL

POP Begin: 01-01-2027 POP End: 12-31-2027

Clifford C. Sims Nursing Home Processing/Handling Fee each invoice/pickup

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Inpatient Pharmacy DEA 222 Form/AR Form Fee each form used per invoice

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Outpatient Pharmacy DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2027 POP End: 12-31-2027

Biloxi Cache DEA 222 Form/AR Form Fee flat price per each form used per invoice

POP Begin: 01-01-2027 POP End: 12-31-2027

Pensacola DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2027 POP End: 12-31-2027

Clifford C. Sims Nursing Home DEA 222 Form/AR Form Fee (flat price per each form used per invoice)

POP Begin: 01-01-2027 POP End: 12-31-2027

TRAVEL RATE Biloxi POV mileage (round trip) (426 + 426)

POP Begin: 01-01-2027 POP End: 12-31-2027

TRAVEL RATE Pensacola, FL, POV mileage (round trip) (506 + 506)

POP Begin: 01-01-2027 POP End: 12-31-2027

TRAVEL RATE Panama City, FL, POV mileage (round trip) (683 + 683)

POP Begin: 01-01-2027 POP End: 12-31-2027

PENSACOLA, FL HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2027 POP End: 12-31-2027

PANAMA CITY, FL, HOTEL RATES LODGING (2 ROOMS PER TRIP)

POP Begin: 01-01-2027 POP End: 12-31-2027

Base Period Total

Option Year One (1) Total

Option Year Two (2) Total

Option Year Three (3) Total

Option Year Four (4) Total

Contract GRAND TOTAL

For the purposes of the award of this Contract, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows:

The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price of all proposals relative to each other and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause) C.4 VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

C.5 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond 12/31/2022. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond 12/31/2022, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of Clause) C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.] [] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[X] 852.233–70, Protest Content/Alternative Dispute Resolution.

[X] 852.233–71, Alternate Protest Procedure.

[] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[X] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause) C.7 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes the clause: 852.215-70 Service-disabled veteran-owned and veteran-owned small business evaluation factors. Accordingly, any contract resulting from this solicitation will include the clause 852.215-71 Evaluation factor commitments.

(b) The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) to assist in assessing Contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the Contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor compliance with the subcontracting commitments.

(End of Clause)

C.8 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

The key personnel specified in this contract are considered to be essential to work performance. At least 30 days prior to the Contractor voluntarily diverting any of the specified individuals to other programs or contracts the Contractor shall notify the Contracting Officer and shall submit a justification for the diversion or replacement and a request to replace the individual. The request must identify the proposed replacement and provide an explanation of how the replacement’s skills, experience, and credentials meet or exceed the requirements of the contract. If the employee of the Contractor is terminated for cause or separates from the contractor voluntarily with less than thirty days notice, the Contractor shall provide the maximum notice practicable under the circumstances. The Contractor shall not divert, replace, or announce any such change to key personnel without the written consent of the Contracting Officer. The contract will be modified to add or delete key personnel as necessary to reflect the agreement of the parties.

(End of Clause) C.9 VAAR 852.219-77 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (SEP 2021) (DEVIATION)

(a) Pursuant to 38 U.S.C. 8127(k)(2), the offeror certifies that—

(1) If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows:

(i) [X] Services. In the case of a contract for services (except construction), the contractor will not pay more than 50% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Other direct costs may be excluded to the extent they are not the principal purpose of the acquisition and small business concerns do not provide the service as set forth in 13 CFR 125.6.

(ii) [] General construction. In the case of a contract for general construction, the contractor will not pay more than 85% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated VIP-listed subcontractor further subcontracts will count towards the 85% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(iii) [] Special trade construction contractors. In the case of a contract for special trade contractors, the contractor will not pay more than 75% of the amount paid by the government to it to firms that are not VIP-listed SDVOSBs as set forth in 852.219-10 or VOSBs as set forth in 852.219-11. Any work that a similarly situated subcontractor further subcontracts will count towards the 75% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(2) The offeror acknowledges that this certification concerns a matter within the jurisdiction of an Agency of the United States. The offeror further acknowledges that this certification is subject to Title 18, United States Code, Section 1001, and, as such, a false, fictitious, or fraudulent certification may render the offeror subject to criminal, civil, or administrative penalties, including prosecution.

(3) If VA determines that an SDVOSB/VOSB awarded a contract pursuant to 38 U.S.C. 8127 did not act in good faith, such SDVOSB/VOSB shall be subject to any or all of the following:

(i) Referral to the VA Suspension and Debarment Committee;

(ii) A fine under section 16(g)(1) of the Small Business Act (15 U.S.C. 645(g)(1)); and

(iii) Prosecution for violating section 1001 of title 18.

(b) The offeror represents and understands that by submission of its offer and award of a contract it may be required to provide copies of documents or records to VA that VA may review to determine whether the offeror complied with the limitations on subcontracting requirement specified in the contract. The Contracting Officer may, at their discretion, require the Contractor to demonstrate its compliance with the limitations on subcontracting at any time during performance and upon completion of a contract if the information regarding such compliance is not already available to the Contracting Officer. Evidence of compliance includes, but is not limited to, invoices, copies of subcontracts, or a list of the value of tasks performed.

(c) The offeror further agrees to cooperate fully and make available any documents or records as may be required to enable VA to determine compliance with the limitations on subcontracting requirement. The offeror understands that failure to provide documents as requested by VA may result in remedial action as the Government deems appropriate.

(d) Offeror completed certification/fill-in required. The formal certification must be completed, signed, and returned with the offeror’s bid, quotation, or proposal. The Government will not consider offers for award from offerors that do not provide the certification, and all such responses will be deemed ineligible for evaluation and award.

Certification:

I hereby certify that if awarded the contract, [insert name of offeror] will comply with the limitations on subcontracting specified in this clause and in the resultant contract. I further certify that I am authorized to execute this certification on behalf of [insert name of offeror].

Printed Name of Signee:________________________________________ Printed Title of Signee:_________________________________________ Signature:___________________________________________________ Date:_____________________ Company Name and Address:________________________________________ (End of Clause)

C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

The Contracting Officer reserves the right to designate an Administrative Contracting Officer (ACO) for the purpose of performing certain tasks/duties in the administration of the contract. Such designation will be in writing through an ACO Letter of Delegation and will identify the responsibilities and limitations of the ACO. A copy of the ACO Letter of Delegation will be furnished to the Contractor.

(End of Clause)

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

(End of Addendum to 52.212-4) C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2022) (JUL 2020) (DEVIATION)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial products and commercial services:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L.