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36C25624Q0424
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This is a solicitation for regulated medical waste pickup and disposal services. The solicitation is a 100% set-aside for service-disabled veteran-owned small businesses. The required services include weekly pickup of medical waste from the Alexandria VA Medical Center in Pineville, Louisiana and six community-based outpatient clinics, transportation to a licensed disposal facility, and provision of manifests and certificates of destruction. The North American Industry Classification System code is 562211 for hazardous waste treatment and disposal. The period of performance is a one-year base period from April 1, 2024 to March 31, 2025 with four one-year option periods. Quotes are due no later than March 7, 2024 by 10:00 a.m. Central Time and must be submitted electronically to the point of contact.

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36C25624Q0424

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

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

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

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

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

502-24-2-170-0037

02-22-2024 Tiffany Conner 3189904064 03-07-2024 10am

CST

NCO16

Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101

X

562211 $47 Million

N/A

Department of Veterans Affairs Alexandria VA Medical Center 2495 Shreveport Hwy Pineville LA 71360

Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101

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 The Contractor shall provide Medical Waste Services for Alexandria VAMC, located at 2495 Shreveport Hwy, Pineville LA, 71360

Period of Performance Base Period: April 1, 2024 through March 31, 2025.

Option Year 1: April 1, 2025 through March 31, 2026.

Option Year 2: April 1, 2026 through March 31, 2027.

Option Year 3: April 1, 2027 through March 31, 2028.

Option Year 4: April 1, 2028 through March 31, 2029.

This is 100% SDVOSB set-aside.

All questions MUST be submitted by 2:00 p.m. CST February 28th to tiffany.conner@va.gov RFQ Solicitation CLOSES MARCH 7, 2024 @10:00am CST.

See CONTINUATION Page

502-3640160-170-825500-2543 010050192

Veronica Maskell Contracting Officer

Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES1
SECTION B - CONTINUATION OF SF 1449 BLOCKS4
B.1 CONTRACT ADMINISTRATION DATA4
B.2 PRICE/COST SCHEDULE27
ITEM INFORMATION27
B.3 DELIVERY SCHEDULE29
SECTION C - CONTRACT CLAUSES30
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)30
C.2 52.217-5 EVALUATION OF OPTIONS (JUL 1990)35
C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)36
C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)36
C.5 SUPPLEMENTAL INSURANCE REQUIREMENTS36
C.6 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)37
C.7 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)40
C.8 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)41
C.9 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)42
C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)43
C.11 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)43
C.12 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)43
C.13 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (JUN 2020)44
C.14 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)47
C.15 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)47
C.16 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2023)48
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS57
SECTION E - SOLICITATION PROVISIONS58
E.1 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)59
E.2 52.233-2 SERVICE OF PROTEST (SEP 2006)61
E.3 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)61
E.4 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)62
E.5 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)62
E.6 52.229-11 TAX ON CERTAIN FOREIGN PROCUREMENTS—NOTICE AND REPRESENTATION (JUN 2020)63
E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)64

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

NCO16

Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport LA 71101

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

[X]
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 the 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

PERFORMANCE WORK STATEMENT FOR REGULATED MEDICAL WASTE PICKUP AND DISPOSAL

Alexandria VA Health Care System 2495 Shreveport Hwy 71 Pineville, Louisiana 71360

TABLE OF CONTENTS

SECTION NUMBER AND TITLE

1.0. SCOPE OF WORK

2.0. DESCRIPTION OF SERVICES

3.0. GENERAL INFORMATION

4.0. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

7.0. METHODOLOGIES TO MONITOR PERFORMANCE

12.0. GOVERNMENT FURNISHED EQUIPMENT, SUPPLIES AND SERVICES

1.0. SCOPE OF WORK. This is a non-personal contract where Contractor shall provide all management, licensing, transportation, tools, supplies, equipment, supervision, and personnel/labor necessary to perform regulated medical waste (RMW) collection and disposal services as defined in this Performance Work Statement (PWS) for the Alexandria VA Health Care System. This contract includes the Alexandria VA Medical Center (AVAMC), two community-based outpatient clinics (CBOC) in Lafayette, Louisiana, one CBOC in Jennings, Louisiana, one CBOC in Lake Charles, Louisiana, one CBOC in Leesville, Louisiana, and one CBOC in Natchitoches, Louisiana. RMW is to be transported to a licensed RMW disposal facility and undergo proper disposal procedures. The Contractor shall provide cradle-to-grave pickup/transportation/disposal documentation and certificates of destruction. The Contractor shall comply with all applicable federal and state codes and laws to include, but not limited to: 49 Code of Federal Regulation (49 CFR), Section 173.134(c) [49 CFR 173.134(c)], 29 CFR 1910.1030, OSHA’s Bloodborne Pathogens; Louisiana Department of Environmental Quality (LDEQ); Louisiana Department of Health and Hospitals (LDHH); Occupation Safety and Health Agency (OSHA); Environmental Protection Agency (EPA);Food and Drug Administration (FDA); Department of Transportation (DOT).The Contractor shall have, and/or obtain all current/valid Department of Transportation (DOT) and state(s) licensing and vehicles to transport/dispose of the following: RMW (Contractor to dispose per licensing requirements), is the portion of the waste stream that may be contaminated by blood, body fluids or other potentially infectious materials, thus posing a significant risk of transmitting infection and cultures and stocks contaminated with infectious agents; pathological wastes; isolation wastes; human blood and blood products; sharps such as hypodermic needles, syringes, pipettes, scalpel blades, blood vials, needles with attached tubing, and used slides and cover slips contaminated with blood or other infectious materials; isolation wastes; and unused sharps such as hypodermic needles, suture needles, syringes, and scalpel blades.), Pathological Waste (Contractor to dispose via incineration) (defined as any human body parts. That can include Organs, Tissues, Surgical specimens, Bodily fluids removed during surgery or autopsy); Medical Sharps (Contractor to properly sterilize/shred/landfill) collected in “red” properly labeled containers, Category A infectious substance (Contractor to dispose per licensing requirements) (An infectious substance that is potentially fatal must be assigned to identification number UN 2814 or UN 2900, as appropriate. Assignment to UN 2814 or UN 2900 must be based on the known medical history, symptoms, or professional judgment concerning the source. UN 2814 is assigned to materials that can affect humans and UN 2900 to those that only affect animals. A blood sample from a patient known to have the Ebola virus, for example, would be assigned UN 2814, while one containing hoof-and-mouth disease would be UN 2900); and Category B infectious substance (Contractor to dispose per licensing requirements) (An infectious substance that must be described as “Biological substance, Category B” and assigned identification number UN 3373. This does not include regulated medical waste, which must be assigned identification number UN 3291. An example of a Category B substance is a tissue sample containing Hepatitis B). The Contractor shall provide to the Department of Veterans Affairs Veterans Health Administration, Network Contracting Office 16 Contracting Officer a copy of all DOT and state(s) licensing for transport and disposal of the RMW, Category A, and Category B Wastes.

1.1 The Contractor shall weigh all outgoing regulated medical waste collected at each location on the government furnished scale. The AVAMC Environment Management Services (EMS) staff will periodically monitor the weighing of RMW by the contractor. The Contractor shall present each/all manifests to and be signed by an EMS staff employee. Each manifest shall show the location of collected RMW. The contractor shall furnish a manifest for each RMW generator location. If multiple generator locations are picked up on the same day, the contractor shall furnish multiple manifests showing each RMW generator location.

1.1.1. As a minimum, each manifest shall include for Regulated Medical Waste (RMW).

1.1.1.1. Medical waste manifest tracking number

1.1.1.2. Generator’s Organization, address, telephone number, Point of Contact

1.1.1.3. The Prime Medical Waste Disposal Contractor and if applicable, the sub-contractor companies address and contact information and Points of Contact

1.1.1.4. Date of RMW pickup

1.1.1.5. Location of Generated RMW:

1.1.1.5.1. Alexandria VA Medical Center, 2495 Shreveport Hwy 71, Pineville, LA 71360

1.1.1.5.2 Lafayette CBOC Campus A—Specialty and Primary Care

3149 Ambassador Caffery Parkway, Lafayette, LA 70502

1.1.1.5.3. Jennings Clinic, 1907 Johnson St. Jennings, LA 70546

1.1.1.5.4. Lake Charles CBOC, 3601 Gerstner Memorial Drive, Hwy14 Lake Charles, LA 70607

1.1.1.5.5. Fort Johnson CBOC, 3353 University Parkway, Leesville, LA 71446

1.1.1.5.6. Natchitoches CBOC, 740 Keyser Avenue, Natchitoches, LA 71457

1.1.1.5.7. Lafayette CBOC Campus B—Mental Health, 309 St. Julien Avenue Lafayette, LA 70506

1.1.1.6. Customer ID Number

1.1.1.7. RMW Containers information

1.1.1.7.1. For each container to be picked up - Size of container (i.e., 30 gallon)

1.1.1.7.2. For each container to be picked up - Standard empty weight of each container

1.1.1.7.3. For each container to be picked up - Full weight of each container with RMW contents included

1.1.1.7.4. For each container to be picked up - Container’s RMW weight (Full weight minus Empty weight = RMW weight)

1.1.1.7.5. Total weight of RMW

1.1.1.8. Transporter Certification and signature

1.1.1.9. Generator Certification and signature

1.1.1.10. Method of destruction and disposal (i.e., Sterilize/shred/landfill or incineration)

1.1.1.11. Designated Destruction/Disposal Facility: Company/Organization, address, telephone number

1.1.1.12. Alternate Destruction/Disposal Facility: Company/Organization, address, telephone number

1.2 Within 15 calendar days of each RMW pickup/transport date, this Contractor shall send/transmit/email/website access a fully completed destruction certificate that documents all details for destruction/disposal that references each RMW pickup/transport manifests.

1.2.1. As a minimum, each Destruction Certificate shall include:

1.2.1.1. Medical waste destruction tracking number which references the respective RMW manifest tracking number

1.2.1.2. Generator’s Organization, address, telephone number, Point of Contact

1.2.1.3. The Prime Medical Waste Disposal Contractor and if applicable, the sub-contractor companies address and contact information and Points of Contact

1.2.1.4. Date of RMW

1.2.1.5. Location of Generated RMW:

1.2.1.5.1. Alexandria VA Medical Center, 2495 Shreveport Hwy 71, Pineville, LA 71360

1.2.1.5.2. Lafayette CBOC Campus A—Specialty and Primary Care 3149 Ambassador Caffery Parkway, Lafayette, LA 70502

1.2.1.5.3. Lafayette CBOC Campus B—Mental Health, 309 St. Julien Avenue Lafayette, LA 70506

1.2.1.5.4. Jennings Clinic, 1907 Johnson St. Jennings, LA 70546

1.2.1.5.5. Lake Charles CBOC, 3601 Gerstner Memorial Drive, Hwy14 Lake Charles, LA 70607

1.2.1.5.6. Fort Johnson CBOC, 3353 University Parkway, Leesville, LA 71446

1.2.1.5.7. Natchitoches CBOC, 740 Keyser Avenue, Natchitoches, LA 71457

1.2.1.6. RMW containers information

1.2.1.6.1. For each container picked up - Size of container (i.e., 30 gallons)

1.2.1.6.2. For each container picked up - Container’s RMW weight

1.2.1.6.3. Total weight of RMW

1.2.1.7. Transporter Certification and signature

1.2.1.8. Generator Certification and signature

1.2.1.9. Date/time of start of transportation from Generator’s location to Disposal Facility

1.2.1.10. Date/Time of arrival at Disposal Facility

1.2.1.11. Description of method of disposal

1.2.1.12. Date/Time of start of disposal process

1.2.1.13. Date/Time of completion of disposal process

1.2.1.14. Disposal Facility information: Facility Name, Facility Identification Number, Address, Telephone, Disposal person’s printed name and signature and date signed

1.2.1.15. Generator

Contractor shall perform to the standards of this contract.

2.0. DESCRIPTION OF SERVICES.

2.1 Contractor shall furnish to the Alexandria VA Medical Center at 2495 Shreveport Hwy 71, Pineville, LA. 71360 a quantity of 30 130-gallon containers permanently labeled rolling containers with lids permanently labeled as BIOHAZARD, rolling containers with lids.

2.2. Contractor shall furnish to Lafayette CBOC Campus A—Specialty and Primary Care located at 3149 Ambassador Caffery Parkway, Lafayette, LA 70502, 3 18-gallon sharps containers and 30 30 - Gallon RMW containers.

2.3 Contractor shall furnish to Lafayette CBOC Campus B—Mental Health, located at 309 St. Julien Avenue, Lafayette, LA 70506, 3 18-gallon sharps containers and 30 30 - Gallon RMW containers.

2.4 Contractor shall furnish to Jennings Clinic, located at 1907 Johnson St. Jennings, LA 70546, 3 18-gallon sharps containers and 30 30-Gallon RMW containers.

2.5 Contractor shall furnish to Lake Charles CBOC, located at 3601 Gerstner Memorial Drive, Hwy14 Lake Charles, LA 70607, 3 18-gallon sharps containers and 30 30-Gallon RMW containers.

2.6 Contractor shall furnish to Fort Johnson CBOC, located at 3353 University Parkway, Leesville, LA 71446, 3 18-gallon sharps containers and 30 30-Gallon RMW containers.

2.7 Contractor shall furnish to Natchitoches CBOC, located at 740 Keyser Avenue, Natchitoches, LA 71457, 3 18-gallon sharps containers and 30 30-Gallon RMW containers.

2.8 The Contractor shall, on Tuesday 0900 a.m., provide/ensure 30 empty/cleaned/disinfected 130-Gallon containers, as described in paragraph 2.1 above, are delivered to AVAMC next to the Rotoclave adjacent to the main hospital.

This ensures a one-for-one replacement of full 130-gallon rolling containers with empty, cleaned, disinfected rolling containers. If there are sufficient quantities of empty/cleaned/disinfected 130 gallon rolling containers with lids, then as long as the quantities listed in paragraph 2.1 are maintained, additional quantities would not be needed.

2.9. The Contractor shall, once per week, provide/ensure sufficient quantities of empty/cleaned/disinfected 3 18-gallon sharps containers and 30 30-Gallon RMW containers as described in paragraphs 2.2, 2.3, 2.4, 2.5, and 2.6 above, are delivered to each CBOC. This ensures a one-for-one replacement of full 3 18-gallon sharps containers and 30 30-Gallon RMW containers. If there are sufficient quantities of empty/cleaned/disinfected 18-gallon Sharps containers and 30 30-Gallon RMW containers, then as long as the quantities listed in paragraphs 2.2, 2.3, 2.4, 2.5, and 2.6 above are maintained, then additional quantities would not be needed.

2.9.1. Lafayette CBOC Campus A—Specialty and Primary Care 3149 Ambassador Caffery Parkway, Lafayette, LA 70502.

2.9.2. Lafayette CBOC Campus B—Mental Health, 309 St. Julien Avenue Lafayette, LA 70506

2.9.3. Jennings Clinic, 1907 Johnson St. Jennings, LA 70546

2.9.4. Lake Charles CBOC, 3601 Gerstner Memorial Drive, Hwy14 Lake Charles, LA 70607.

2.9.5. Fort Johnson CBOC, 3353 University Parkway, Leesville, LA 71446.

2.9.6. Natchitoches CBOC, 740 Keyser Avenue, Natchitoches, LA 71457.

2.9.7. The Contractor is not required to work on Federal Holidays. However, the Alexandria VA Medical Center EMS expects the Contractor to coordinate with the Alexandria VA Medical Center EMS to pick up on the day before or day after a Federal Holiday to avoid overflowing medical waste in accumulation area and lack of rolling containers to collect medical waste in the departments.

2.10 Collection and removal of RMW from medical facilities must be performed with a state licensed transport vehicle, and taken to a medical waste treatment facility holding a valid State Hazardous Waste Disposal operating license. The Contractor shall provide a copy of these licenses to the Department of Veterans Affairs Veterans Health Administration Network Contracting Office 16 Contracting Officer and the Alexandria VA Medical Center EMS at start of contract and annually thereafter.

2.11 Collection Times. The Contractor shall pick up RMW 9:30 am (0930 hours) on Tuesday, at the RMW accumulation area next to the autoclave adjacent to the Main Hospital. In case of an emergency, the Contractor shall notify EMS and pick up medical waste on their scheduled day no later than 1:00pm (1300 hrs.). Once a week, on an agreed upon day every week, the Contractor shall pick up RMW from the CBOCs, weigh this waste, and document on a separate manifest for each location. The Contractor shall deliver manifests to EMS designated government employee at respective.

2.12. Regulated Medical Waste pick up locations and times:

2.13. Method to Acquire Biohazard Wastes Weights – Document Manifests:

2.13.1. Contractor using government furnished scale at pick up locations shall weigh RMW waste containers as follows:

2.13.1.1. Document the standard empty weight of the containers.

2.13.1.2. Weigh each the full containers and document their weights.

2.13.1.3 Subtract the empty weight from the full weight to acquire the biohazard waste weights for each container.

2.13.2. Contractor documents weights on each manifest for its applicable RMW.

2.13.2.1. For RMW containers on its manifest as described in para 1.1. above.

2.14. Tracking Documentation – Manifests and Destruction Certificates:

2.14.1. Contractor shall document RMW manifests as identified in para 1.1. above.

2.14.2. Contractor shall document RMW destruction certificates as identified in para 1.2. above.

2.15. Environmental Controls:

2.15.1. The Contractor shall transport RMW to an approved off-site medical waste treatment facility, with a valid permit to operate RMW collection and disposal operations, that shall treat it to make it non-infectious and/or unrecognizable, as appropriate. The disposal facility must follow all federal, state, and local requirements. Additional code compliance with the following is required:

2.15.1.1. Contractor shall comply with all applicable federal and state codes and laws to include but Not limited to; 49 Code of Federal Regulation (49 CFR), Section 173.134(c) [49 CFR 173.134(c)], Exceptions for regulated medical waste; 29 CFR 1910.1030, OSHA’s Bloodborne Pathogens; Louisiana Department of Environmental Quality (LDEQ); Louisiana Department of Health and Hospitals (LDHH); Occupation Safety and Health Agency (OSHA); Environmental Protection Agency (EPA); Food and Drug Administration (FDA); Department of Transportation (DOT). 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: 41 U.S.C. chapter 67, Service Contract Labor Standards and VA regulations.

2.15.1.2. Within 10 calendar days of contract award, the Contractor shall provide to the AVAMC EMS and the Contract Officer’s Representative (COR) the credentials and licenses held by Their disposal facilities. The Contractor is responsible for all arrangements for the use of off site disposal facilities.

2.15.1.2.1. Within 10 calendar days of contract award, the Contractor shall provide to the AVAMC EMS and the COR the credentials and licenses held by their company and their drivers from as many states under which this contract covers for transport and disposal of medical waste from the generator.

2.15.1.3. Treatment shall include incineration at a minimum temperature of 1,800 degrees Fahrenheit, steam sterilizing then shredding, chemical disinfect, irradiation, or any other method certified by the state/local environmental regulatory agency to render the waste non-infectious and safe for the environment. NOTE: The expectation of the government is that pathological wastes be disposed of via incineration. All other bio-hazard wastes may be disposed of in methods compliant with all federal and state codes.

2.15.2. Compliance with Regulations:

2.15.2.1. Compliance with Laws and Regulations. The Contractor shall be knowledgeable of and comply with all applicable local, state, and national laws, regulations, and requirements regarding environmental protection. In the event environmental laws/regulations/requirements change during the term of this contract, the Contractor shall comply with such laws/regulations as changed.

2.15.2.2. Notification of Environmental Spills. If the Contractor spills or release any substance listed in 40 CFR 302 into the environment, the Contractor shall immediately report the incident to the COR. The Contractor shall be liable for the spill or release of such substances and all associated clean-up costs.

2.15.2.3. Material Storage and Use. The Contractor shall follow manufacturer's guidelines and professional recommendations for control of humidity, temperature, cleanliness, and materials handling.

2.15.2.4. The Contractor shall comply with those safety standards promulgated by the United States Occupational Safety and Health Administration (OSHA). The Contractor shall provide safety data sheets (SDS) to the AVAMC Biomedical COR for all hazardous materials used in regulated medical waste refuse operations.

3.0. GENERAL INFORMATION.

3.1. Hours of Operation. The daytime hours of operation are 0800 to 1600 Central Standard Time (CST), Monday – Friday, excluding federal holidays. If the Contractor wishes to perform any services outside of the normal hours of operation, the Contractor shall coordinate with the AVAMC EMS department no later than one week prior to the scheduled event. In the event of emergency circumstances, accommodations may be made on a case-by-case basis.

3.1.1. Facility Closure Days. If any facility locations are closed due to snow, hurricane, or acts of God, the Contractor shall reschedule work planned for this time.

3.1.2. Federal Holidays. The Contractor shall not be required to work any of the following federal holidays:

New Year’s Day - 1 January Martin Luther King Day - 3rd Monday in January President's Day - 3rd Monday in February Memorial Day - last Monday in May Juneteenth - 19 June Independence Day - 4 July Labor Day - 1st Monday in September Columbus Day - 2nd Monday in October Veteran’s Day - 11 November Thanksgiving Day - 4th Thursday in November Christmas Day - 25 December

3.1.2.1. If a holiday falls on Saturday, the preceding Friday shall be observed. If a holiday falls on Sunday, the following Monday shall be observed. If a holiday falls on a scheduled service day, the Contractor shall be responsible for rescheduling services for the first day post the holiday observance.

3.2. English Language Requirement. All Contractor personnel shall read, understand, speak and write English fluently.

3.3. The contractor's representative shall be available within 2 hours to meet on the installation or by telecom with the AVAMC EMS Official, SEMPS Official, or COR and/or with other government personnel during normal duty hours to discuss issues or concerns.

3.4. Communication. Contractor personnel shall maintain open and professional communication with government personnel at all times. Complaints validated by the COR shall be reported to the CO. Failure of the Contractor to take corrective action on validated complaints raised by the COR and the CO will be considered a failure to perform.

3.5. Appearance. Contractor personnel shall present a professional, conservative, and neat appearance. Contractor personnel shall report for duty in a professional manner, in appropriate attire and having complied with socially acceptable standards of personal hygiene.

3.6. Contractor Identification. All Contractor personnel attending meetings and working in other situations where their contractor status is not obvious are required to identify themselves as such to avoid being mistaken for Government officials. Contractors performing work at Government workplaces shall provide their employees with an easily readable identification (ID) badge indicating the employee's name, and the Contractor's name. Contractors shall require their employees to wear the ID badges visibly when performing work at Government workplaces. Contractor personnel must also ensure that all e-mails, documents, or reports they produce are suitably marked as Contractor products or that Contractor participation is appropriately disclosed. All signature blocks on e-mails shall indicate the Contractor's name.

3.7. Weapons, Firearms, and Ammunition. Contractor personnel are prohibited from possessing weapons, firearms, or ammunition, on themselves or within their Contractor-owned vehicle or privately-owned vehicle while on any Department of Veterans Affairs Veterans’ Health Administration’s property.

4.0 QUALITY ASSURANCE SURVEILLANCE PLAN (QASP)

4.1 INTRODUCTION

This quality assurance surveillance plan (QASP) is pursuant to the requirements listed in the performance work statement(PWS) entitled Regulated Medical Waste and Pathological Treatment and Disposal. This plan sets forth the procedures and guidelines the Environmental Management Services office at the Alexandria VA Medical Center will use in ensuring the required performance standards or services levels are achieved by the contractor.

4.1.1. Purpose

4.1.1.2. The purpose of the QASP is to describe the systematic methods used to monitor performance and identify required documentation and resources to be employed.

The QASP provides a means for evaluating whether the contractor is meeting the performance standards/quality levels identified in the PWS.

4.1.1.3. This QASP defines the roles and responsibilities of all members of the integrated project team (IPT), identifies the performance objectives, defines the methodologies used to monitor and evaluate the contractor’s performance, describes quality assurance documentation requirements, and describes the analysis of quality assurance monitoring results.

4.2. Performance Management Approach

4.2.1. The PWS structures the acquisition around what service or quality level is required, as opposed to how the contractor should perform the work (i.e., results, not compliance). This QASP will define the performance management approach taken by the EMS Office at the Alexandria VA Medical Center to monitor and manage the contractor’s performance to ensure the expected outcomes or performance objectives communicated in the PWS are achieved. Performance management rests on developing a capability to review and analyze information generated through performance assessment. The ability to make decisions based on the analysis of performance data is the cornerstone of performance management.

This analysis yields information that indicates whether expected outcomes for the project are being achieved by the contractor.

4.2.2. Performance management represents a significant shift from the more traditional quality assurance (QA) concepts in several ways. Performance management focuses on assessing whether outcomes are being achieved and to what extent. This approach migrates away from scrutiny of compliance with the processes and practices used to achieve the outcome.

A performance-based approach enables the contractor to play a large role in how the work is performed if the proposed processes are within the stated constraints. The only exceptions to process reviews are those required by law (federal, state, and local) and compelling business situations, such as safety and health. A “results” focus provides the contractor flexibility to continuously improve and innovate over the course of the contract if the critical outcomes expected are being achieved and/or the desired performance levels are being met.

4.3. Performance Management Strategy

4.3.1. The government representative(s) will monitor performance to determine how the contractor is performing against communicated performance objectives. The contractor will be responsible for making required changes in processes and practices to ensure performance is managed effectively.

5. ROLES AND RESPONSIBILITIES

5.1. The Contracting Officer (CO/KO)

The CO is responsible for monitoring contract compliance, contract administration, and cost control, and resolving any differences between observations documented by the EMS office of the Alexandria VA Medical Center: "Contracting officer's representative (COR), "Administrative contracting officer (ACO)," "Quality assurance representative (QAR),” or "program/project manager (PM/PJM)" and the contractor. The CO will designate one full-time COR as the government authority for performance management. The number of additional representatives serving as technical inspectors depends on the complexity of the services measured, as well as the contractor’s performance, and must be identified and designated by the CO.

5.2 The COR

The COR is designated in writing by the CO to act as their authorized representative to assist in administering a contract. COR limitations are contained in the written appointment letter. The COR is responsible for technical administration of the project and ensures proper government surveillance of the contractor’s performance. The COR is not empowered to make any contractual commitments or authorize any contractual changes on the government’s behalf. Any changes the contractor deems may affect contract price, terms, or conditions must be referred to the CO for action. The COR will have the responsibility for completing QA monitoring forms used to document the inspection and evaluation of the contractor’s work performance. Government surveillance may occur under the inspection of services clause for any service relating to the contract.

6. IDENTIFICATION OF REQUIRED PERFORMANCE STANDARDS/QUALITY LEVELS

The required performance standards and/or quality levels are included in the PWS and Attachment 1, Performance Requirements Summary.

7. METHODOLOGIES TO MONITOR PERFORMANCE

7.1 Surveillance Techniques

To minimize the performance management burden, simplified surveillance methods shall be used by the government to evaluate contractor performance when appropriate. The primary method of surveillance will include Random monitoring, which shall be performed by the COR or the COR designated inspector.

8. Customer Feedback

8.1. The contractor is expected to establish and maintain professional communication between its employees and customers. The primary objective of this communication is customer satisfaction. Customer satisfaction is the most significant external indicator of the success and effectiveness of all services provided and can be measured through customer complaints.

8.2. Performance management drives the contractor to be customer focused through initially and internally addressing customer complaints and investigating the issues and/or problems, but the customer always has the option to communicate complaints to the CO or COR, as opposed to the contractor.

8.3. Customer complaints, to be considered valid, must set forth clearly and in writing the detailed nature of the complaint, must be signed, and must be forwarded to the COR.

The COR will accept those customer complaints and investigate.

8.4. Acceptable Quality Levels

8.4.1. The acceptable quality levels (AQLs) included in Attachment 1 for contractor performance are structured to allow the contractor to manage how the work is performed. For certain critical activities, such as those involving pathological waste, the desired performance level is established at 100 percent. Other levels of performance are keyed to the relative importance of the task to the overall mission performance at Alexandria VA Health Care System.

9. QUALITY ASSURANCE DOCUMENTATION

9.1 The Performance Management Feedback Loop

The performance management feedback loop begins with the communication of expected outcomes. Performance standards are expressed in the PWS and assessed using the performance monitoring techniques shown in Attachment 1.

10. Monitoring Forms

10.1. The government’s QA surveillance, accomplished by the EMS Supervisor will be reported using the monitoring form in Attachment 2. The forms, when completed, will document the government’s assessment of the contractor’s performance under the contract to ensure the required results.

10.1.2. The COR will retain a copy of all completed QA surveillance forms.

11. ANALYSIS OF QUALITY ASSURANCE ASSESSMENT

11.1. Reporting

11.1.1 At the end of each month, the EMS Supervisor will prepare a written report for the COR summarizing the overall results of the quality assurance surveillance of the contractor’s performance. This report, which includes the contractor’s submitted monthly report and the completed quality assurance monitoring forms (Attachment 2), will become part of the QA documentation. It will enable the government to demonstrate whether the contractor is meeting the stated objectives and/or performance standards, including cost/technical/scheduling objectives.

11.2. Reviews and Resolution

11.2.1. The EMS Supervisor may require the contractor’s project manager or designated alternate to meet with the COR and other government IPT personnel as deemed necessary to discuss the performance evaluation. The COR will define a frequency of in-depth reviews with the contractor, including appropriate self-assessments by the contractor: however, if the need arises, the contractor will meet with the COR as often as required or per the contractor’s request. The agenda of the reviews may include:

· Monthly performance assessment data and trend analysis

· Issues and concerns of both parties

· Projected outlook for upcoming months and progress against expected trends, including a corrective action plan analysis

· Recommendations for improved efficiency and/or effectiveness

· Issues arising from the performance monitoring processes

11.2.2. The must coordinate and communicate with the contractor to resolve issues and concerns regarding marginal or unacceptable performance.

11.2.3. The COR and contractor should jointly formulate tactical and long-term courses of action. Decisions regarding changes to metrics, thresholds, or service levels should be clearly documented. Changes to service levels, procedures, and metrics will be incorporated as a contract modification at the convenience of the procuring CO (PCO) or ACO.

12.0. GOVERNMENT FURNISHED EQUIPMENT, SUPPLIES AND/OR SERVICES.

12.1. Contractor Furnished Items and Services. Except for those items or services specifically stated in this PWS to be government-furnished, the Contractor shall furnish everything required to perform this contract in accordance with all of its terms and conditions. It is the Contractor’s responsibility to ensure Contractor personnel are familiar with and understand the contents of this PWS as well as the company’s handbooks/handouts, etc. prior to beginning work.

12.2. Utilities. The Government will provide the utilities necessary for the Contractor to perform services in accordance with the terms and conditions of the contract.

12.3. Security, Fire and Medical Services. The Government will provide police and fire protection.

ATTACHMENT 1: PERFORMANCE REQUIREMENTS SUMMARY

Required Services (Tasks)
Performance Threshold
Method of Surveillance

Perform RMW collection.

Disposal services-provide clean/disinfected replacement containers as scheduled.

No more than 2 verifiable discrepancies per month.
Periodic Inspection and customer complaints.
Turn in accurate weight/manifests to the COR/EMS staff with signatures of both parties.
100%
Periodic Inspections
Contractor provides COR copy of DOT licensing within 10 days of contract start and on annual basis.
100%
100% of Receipt of licensing at contract start and annually thereafter.
Adheres to collection dates/times
No more than 2 verifiable discrepancies per month.
Periodic Inspection and customer complaints.
Compare destruction certifications weights to the respective manifests left with EMS on day of pickup.
No more than 10% of verifiable weight.
100% verified at time of invoice payment.

ATTACHMENT 2: SAMPLE QUALITY ASSURANCE MONITORING FORM

SERVICE or STANDARD:

SURVEY PERIOD:

SURVEILLANCE METHOD (check):

Random Sampling 100% Inspection Periodic Inspection Customer Complaint LEVEL OF SURVEILLANCE (check):

MonthlyQuarterlyAs needed
PERCENTAGE OF ITEMS SAMPLED DURING SURVEY PERIOD:______ %

ANALYSIS OF RESULTS:

Observed Service Provider Performance Measurement Rate: ______%

Service Provider’s Performance (check):Meets Standards
Does Not Meet Standards

Narrative of Performance During Survey Period:

PREPARED BY: ___________________________________ DATE: _________________

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
1.00
LB
__________________
__________________

Regulated Medical Waste pickup and disposal Contract Period: Base POP Begin: 04-01-2024 POP End: 03-31-2025 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S216 - Housekeeping - Facilities Operations Support

1.00
LB
__________________
__________________

Regulated Medical Waste pickup and disposal Contract Period: Option 1 POP Begin: 04-01-2025 POP End: 03-31-2026

1.00
LB
__________________
__________________

Regulated Medical Waste pickup and disposal Contract Period: Option 2 POP Begin: 04-01-2026 POP End: 03-31-2027

1.00
LB
__________________
__________________

Regulated Medical Waste pickup and disposal Contract Period: Option 3 POP Begin: 04-01-2027 POP End: 03-31-2028

1.00
LB
__________________
__________________

Regulated Medical Waste pickup and disposal Contract Period: Option 4 POP Begin: 04-01-2028 POP End: 03-31-2029

GRAND TOTAL
__________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER
SHIPPING INFORMATION
QUANTITY
DELIVERY DATE
SHIP TO:
Alexandria VA Medical Center

Warehouse Bldg 136 2495 Shreveport HWY 71 North, LA 71360

USA

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered; and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The…

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