36C25624R0018 Solicitation Questions Answers and Changes.xlsx

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Ground Ambulance & Patient Transportation Services Houston TX
Solicitation number
36C25624R0018
Issued by

About this file

This document provides answers to questions regarding a solicitation for ground ambulance and patient transportation services. The contractor will be required to provide emergency and non-emergency ground ambulance services including stretcher transports, basic life support, advanced life support, and critical care transport on an as-needed basis for the Houston VA Medical Center and associated clinics. Services must be available 24/7 including weekends and holidays. The estimated value of the contract is between $100,000 and $49,000,000. The contractor will be responsible for vehicles, personnel, management, supplies, equipment, and reporting. There is currently no incumbent for this requirement.

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Q&A

Amendment
#Question
#QuestionAnswer
36C25624R0018 00011Is there an incumbent currently performing the work?
If so, what is the current contract number?No, there is no current incumbent for this requirement, nor is there any procurement history for this requirement.
36C25624R0018 00012Regarding 52.219-14 Limitations on Subcontracting | Percentage of Work Requirement: How does the 50% work requirement apply in a multi-state contract? Are there different considerations given the geographical spread and the need for multiple subcontractors?The place(s) of performance is completely irrelevent regarding 52.219-14 compliance. There are no variances of consideration given the geographical spread and the potential need for multiple subcontractors.

See 52.219-14(e)(1): it [you] will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities [under the solicitation NAICS code [621910]]. Any work that a similarly situated entity further subcontracts will count towards the prime contractor's 50 percent subcontract amount that cannot be exceeded.

36C25624R0018 00013Regarding 52.219-14 Limitations on Subcontracting | Subcontracting Across States: Are there any specific requirements or limitations on subcontracting services across state lines that we should be aware of?There are no additional limitations on subcontracting solely because services cross state lines. State lines are not within the scope of subcontracting limitations nor compliance. See Answer to Question #2, above.
36C25624R0018 00014Regarding 52.219-14 Limitations on Subcontracting | How is compliance with this clause measured and monitored, particularly in a project of this scale?13 CFR 125.6(f)(4) Contracting Officers 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.

Compliance may be monitored via FFATA Subaward Reporting System (FSRS). See FAR clause 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note), which is incorporated into the solicitation by reference via 52.212-5(b)(5).

Compliance may be monitored via FAR clause 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111-117, section 743 of Div. C), which is incorporated into the solicitation by reference via 52.212-5(b)(8).

36C25624R0018 0001 5 Regarding 52.219-14 Limitations on Subcontracting | What specific reporting or documentation will be required to demonstrate compliance with this clause? Reporting must be done in accordance with FAR clause 52.204-10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109-282) (31 U.S.C. 6101 note), which is incorporated into the solicitation by reference via 52.212-5(b)(5).

Reporting must be done in accordance with FAR clause 52.204-15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111-117, section 743 of Div. C), which is incorporated into the solicitation by reference via 52.212-5(b)(8).

36C25624R0018 0001 6 Please advice if services are required for "Basic Life Support, Emergency Transport" and if so, what would be the required Quantity? Yes, "Basic Life Support, Emergency Transport" is included, but it was omitted from the Contract Line Item Number (CLIN) Schedule by mistake. Please see revised CLIN schedule. Thank you.

Summary of Changes

Date
MM/DD/YYAmendment
#Solicitation Revision
#Change
#Changes Made
01/02/2436C25624R0018 0001Revision 1152.219-14, Limitations on Subcontracting (OCT 2022) was only incorporated by reference via 52.212-5. This clause has been added to the solitation as full text.
2Added the following language to SF1449 block 20: "Rates in effect under the contract each time a task order is placed shall be in accordance with the ordering periods pricing as defined in the Price Schedule."
3Contract Line Item Schedule (CLIN) has been revised as follows:

1) Renamed all "Non-Emergent Advance Life Support Transport, Level 1 (ALS 1)" CLINS to "Advanced Life Support, Non-Emergent Transport, Level 1 (ALS 1)"

2) Added the following language to all Critical Care Transport CLINS: "(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue."

3) Changed the unit for all "Mileage Trip Outside the Base Rate" CLINs from EA-Each to MI-Miles.

4) Added Basic Life Support, Emergency Transport as a CLIN, see CLINS ending in 003. Quantites for all BLS CLINS have been revised.

5) All CLINS are renumbered to account for changes annotated in this excel cell block.

See revised solicitation schedule in the solicitation revision 1 document, schedule also provided via excel spreadsheet for information purposes only.

4B.3 SECTION B APPENDIX PrIce Schedule language is changed from "Contractor must provide firm-fixed unit pricing and total pricing for all line items listed in the following Price Schedule for all ordering periods." to "Contractor must provide firm-fixed unit pricing and total pricing for all line items listed in the Section B.2 Price Schedule for all ordering periods."
5B.3 SECTION B APPENDIX PrIce Schedule language is changed from "The Government shall not pay for unloaded (no patient) services or mileage with the exception of “Dry Run/No Shows” annotated under CLINs ending in 0007" to "The Government shall not pay for unloaded (no patient) services or mileage with the exception of “Dry Run/No Shows” annotated under CLINs ending in 007 and Waiting Times annotated under CLINS ending in 006."
6See ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES | 7. Basis For Award

Language has been corrected/changed, from "Subfactors a) and b) are equal in importance. Subfactor c) is weighed the least important and rated in accordance with VAAR 852.215-70" to "Factors a) and b) are equal in importance. Factor c) is weighed the least important and rated in accordance with VAAR 852.215-70"

Price Schedule Rev 1

CLINDESCRIPTIONOrdering PeriodQuantityUnit of MeasureUnit PriceExtended Total
0001Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2024 - 02/15/2025200EA
0002Advanced Life Support, Non-Emergent , Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2024 - 02/15/2025200EA
0003Basic Life Support, Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2024 - 02/15/20252600EA
0004Basic Life Support, Non-Emergent Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2024 - 02/15/20252600EA
0005Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals. (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2024 - 02/15/2025150EA
0006Waiting Time (more than 30 minutes shall be paid in 30-minute increments).02/16/2024 - 02/15/2025100EA
0007Dry Run/No Show
Service is requested, contractor responds, but patient is not transported due to a cancellation or patient refusal02/16/2024 - 02/15/202550EA
0008Mileage Trip Outside the Base Rate.02/16/2024 - 02/15/2025200000MI
1001Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2025 - 02/15/2026205EA
1002Advanced Life Support, Non-Emergent , Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2025 - 02/15/2026205EA
1003Basic Life Support, Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2025 - 02/15/20262603EA
1004Basic Life Support, Non-Emergent Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2025 - 02/15/20262603EA
1005Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals. (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2025 - 02/15/2026155EA
1006Waiting Time (more than 30 minutes shall be paid in 30-minute increments).02/16/2025 - 02/15/2026105EA
1007Dry Run/No Show
Service is requested, contractor responds, but patient is not transported due to a cancellation or patient refusal02/16/2025 - 02/15/202650EA
1008Mileage Trip Outside the Base Rate.02/16/2025 - 02/15/2026200000MI
2001Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2026 - 02/15/2027210EA
2002Advanced Life Support, Non-Emergent , Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2026 - 02/15/2027210EA
2003Basic Life Support, Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2026 - 02/15/20272606EA
2004Basic Life Support, Non-Emergent Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2026 - 02/15/20272606EA
2005Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals. (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2026 - 02/15/2027160EA
2006Waiting Time (more than 30 minutes shall be paid in 30-minute increments).02/16/2026 - 02/15/2027110EA
2007Dry Run/No Show
Service is requested, contractor responds, but patient is not transported due to a cancellation or patient refusal02/16/2026 - 02/15/202750EA
2008Mileage Trip Outside the Base Rate.02/16/2026 - 02/15/2027200000MI
3001Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2027 - 02/15/2028215EA
3002Advanced Life Support, Non-Emergent , Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2027 - 02/15/2028215EA
3003Basic Life Support, Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2027 - 02/15/20282609EA
3004Basic Life Support, Non-Emergent Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2027 - 02/15/20282609EA
3005Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals. (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2027 - 02/15/2028165EA
3006Waiting Time (more than 30 minutes shall be paid in 30-minute increments).02/16/2027 - 02/15/2028115EA
3007Dry Run/No Show
Service is requested, contractor responds, but patient is not transported due to a cancellation or patient refusal02/16/2027 - 02/15/202850EA
3008Mileage Trip Outside the Base Rate.02/16/2027 - 02/15/2028200000MI
4001Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2028 - 02/15/2029220EA
4002Advanced Life Support, Non-Emergent , Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2028 - 02/15/2029220EA
4003Basic Life Support, Emergency Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2028 - 02/15/20292612EA
4004Basic Life Support, Non-Emergent Transport, (base rate, to include first 40 miles) One-Way trip is equivalent to one each for the unit of issue.02/16/2028 - 02/15/20292612EA
4005Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals. (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue.02/16/2028 - 02/15/2029170EA
4006Waiting Time (more than 30 minutes shall be paid in 30-minute increments).02/16/2028 - 02/15/2029120EA
4007Dry Run/No Show
Service is requested, contractor responds, but patient is not transported due to a cancellation or patient refusal02/16/2028 - 02/15/202950EA
4008Mileage Trip Outside the Base Rate.02/16/2028 - 02/15/2029200000MI

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