Amendment 36C25723Q0590 0004.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer)

1 17

0004 04-28-2023

674-23-3-5122-0019

36C257

Department Of Veterans Affairs Network Contracting Office 17

5441 Babcock Road Ste. 302 San Antonio TX 78240

36C257

Department Of Veterans Affairs Network Contracting Office 17

5441 Babcock Road Ste. 302 San Antonio TX 78240

To all Offerors/Bidders

36C25723Q0590

03-24-2023

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 05/05/2023 at 3PM CDT.

X 1

The purpose of this modification is to:

1. Extend the Request for Quotations (RFQ) response due date/time. See block 11 of this amendment.

2. Provide Answers to Questions.

3. Provide a revised Statement of Work.

Joseph A. Leyte Contracting Officer

RFQ 36C25723Q0590 CTX RMW Removal Services

QUESTIONS & ANSWERS

1. Question: Is there a weight requirement for refrigerator trailers?

Answer: Yes: Total weight of trailer/tractor and waste should be no more than 80,000lbs per DOT.

2. Question: Does the refrigerator trailer have to be on sight?

Answer: Yes, at the Temple Location.

3. Question: Who is the current service provider?

Answer: NEIE Medical Waste Services is the current service provider.

4. Question: What is the size of the refrigerated trailer currently in use? What is the size requirement for the trailer?

Answer: Currently a 53 Ft refrigerated trailer in use. The VA requires at a minimum of a 28 Ft trailer.

5. Question: Is this a diesel trailer or electric trailer?

Answer: The current trailer is Electric with the capabilities to run on diesel as a backup if there is a power outage.

6. Question: What is the definition of “Highest Tier”? All positive reviews or no negative reviews? This matters for new vendors with no CPARS review. Pg. 45

Answer: There are no tiers used in the evaluation. The evaluation criteria cite “Highest Category”. For this requirement, categories include: Exceptional; Very Good;

Satisfactory; Marginal; Unsatisfactory. Although the definitions for these terms mimic CPARS, they are by no means directly linked to CPARS ratings. CPARS is just one element when assessing past performance. As cited on page 45, paragraph B “Past Performance will be evaluated using CPARS, communicating with the provided references, and or by any other means determined by the government. A lack of past performance will NOT be considered a “negative”. A complete picture of a contractors past performance history will be evaluated to assign a rating for this requirement. The evaluation criteria are revised to include the use of the cited terms for clarification.

7. Question: Are customer reviews and past history part of the tier evaluation? Pg. 45

Answer: There are no tiers used in the evaluation. The evaluation criteria cite “Highest Category”. Highest category for this requirement uses the terms: Exceptional; Very Good; Satisfactory; Marginal; Unsatisfactory. Although the definitions for these terms mimic CPARS, they are by no means directly linked to CPARS ratings. CPARS is just one element when assessing past performance. As cited on page 45, paragraph B “Past Performance will be evaluated using CPARS, communicating with the provided references, and or by any other means determined by the government. A lack of past performance will NOT be considered a “negative”. A complete picture of a contractors

8. Question: Does this automatically knock a vendor to a lower tier if no CPARS reviews are provided? Pg. 45

Answer: There are no tiers used in the evaluation. The evaluation criteria cite “Highest Category”. Highest category for this requirement uses the terms: Exceptional; Very Good; Satisfactory; Marginal; Unsatisfactory. Although the definitions for these terms mimic CPARS, they are by no means directly linked to CPARS ratings. CPARS is just one element when assessing past performance. As cited on page 45, paragraph B “Past Performance will be evaluated using CPARS, communicating with the provided references, and or by any other means determined by the government. A lack of past performance will NOT be considered a “negative”. A complete picture of a contractors

9. Question: Are the anticipated weights based on recent numbers or pre-COVID? Pg. 12

Answer: Anticipated weights are based on weights processed within the last 12 months.

10. Question: Should the VA’s weight double the anticipated rate, would an adjustment exist? Pg.

Answer: As stated in the Price/Cost Schedule, weights are estimated only. Actual weight may be less or more. Payment is made only on actual weight removed. The Contractor and the COR will monitor the processing of weights to ensure there is sufficient funding to cover the requirement. If an increase in estimated weights is needed, a contract modification will be executed.

11. Question: If the “predicted” weights are collected within the first six months, what course of action will the VA take? Pg. 12

Answer: As stated in the Price/Cost Schedule, weights are estimated only. Actual weight may be less or more. Payment is made only on actual weight removed. The Contractor and the COR will monitor the processing of weights to ensure there is sufficient funding to cover the requirement. If an increase in estimated weights is needed, a contract modification will be executed.

12. Question: What type of trailer is required? Pg. 5 “E. Contractor shall provide refrigerated storage trailer for regulated waste for the Temple Hospital location.”

a. Is there a size requirement/ limit?

b. Is there a requirement on how it runs (Electric / Diesel)

c. If electric will there be a place to plug the trailer in or will we need to provide a generator?

d. Is the Vendor in charge of procuring fuel?

Answer: a. The trailer must be a minimum of 28 feet/no longer than 53 feet which is in place now.

b. The VA prefers an electric trailer with the capabilities to run on diesel as a backup if there is a power outage.

c. There is currently a place to plug in the trailer, no generator needed.

d. Yes, the vendor will be responsible for procuring the diesel fuel as required.

13. Question: Can the frequency change? Pg. 12. In Bryan/ College Station is predicted to be annually (per year) produce 599lbs yet they are picked up twice a week. That would mean that the vendor is picking up less than 6 lbs. per stop.

Answer: The schedule for Bryan/College Station is for pick up on the 2nd and 4th Monday of each month and not twice a week. The VA will maintain the schedule as stated.

14. Question: Can the service days change? Pg. 12

Answer: The VA will maintain the schedule as stated. However, a schedule change may be possible after contract award in coordination with the Contracting Officer Representee and Contracting Officer via a contract modification.

15. Question: The Reefer unit requires specific voltage and phase. Does the VA know what Voltage and Phase the facility is providing for the trailer hookups. Lastly, what is the plug orientation (a picture of the outlet would be perfect.

Answer: 208 volt – 50 amp - 3 phase – 4 wire. See images below of the outlet.

16. Question: Section II, paragraph T, item 5. States Contractor shall provide all necessary equipment, manpower, transportation, and reusable container replacements to perform the service of collection, removal, and disposal of sharps waste from the eight locations at regularly scheduled intervals.

a. What size sharps containers need to be provided for each facility?

b. What size and type of Reusable containers are required?

c. What brand of reusable containers does the incumbent have in place to match the wall cabinet

Answer: a. Correction: Non-reusable sharps containers that are used within the facilities to collect the sharps are purchased by the VA and are not required to be issued by the contractor nor is this in the SOW.

b. Correction: Please see the pictures of the reusable containers, some contain numbers, and some do not. The VA does not have any other information on the exact sizes of the containers that are provided by the contractor for collection of the used non-reusable sharps containers.

c. Correction: Please see the pictures of the containers that are provided by the current contractor. I have also added a picture of the labels that we place on the containers, white is regular RMW and yellow is incinerate only RMW.

17. Question: Who is the incumbent and what is the obligation number?

Answer: NEIE Medical Waste Services is the current service provider. They are operating under contract number 36C25718P2553.

18. Question: Section II, paragraph D references Boxes. Are all the facilities currently utilizing RMW Boxes and not reusable tubs?

Answer: All facilities are currently using both RMW boxes and reusable red tubs.

19. Question: Section XI. References the annual volumes of medical waste. What is the breakdown of chemotherapy, RMW, and pathological waste. Since the Pathological and chemotherapy waste must be incinerated per the SOW in Section II Paragraph K (The Contractor shall provide sufficient “Incineration” labels to the CTVHS. These labels will be affixed to the container that contains pathological and antineoplastic and chemotherapy wastes to ensure that this waste is properly incinerated.

Antineoplastic and chemotherapy waste will be placed in designated yellow bags labeled for that purpose. Yellow bags will be provided by the CTVHS.)

Answer: The VA does not currently have a breakdown by type of waste. The VA at all locations will collect pathological and chemotherapy waste in a yellow bag and placed in a reusable container with a yellow label to ensure incineration. All other RMW waste will be collected and placed in a reusable container with a white label.

20. Question: Since this solicitation is billed per the pound and Actual weights billed. Who will be weighing the waste, and will a certified scale be required?

Answer: The vendor will be weighing the waste with their certified scale.

21. Question: The SOW calls for a full-time refrigerated trailer to be parked at the Temple VA location. Is this trailer going to be provided with an outlet to shore power or will the contractor need to ensure that the trailer is run on diesel to maintain the temperature.

Answer: There is a power outlet for the trailer currently in use. See questions above addressing the trailer requirements along with images below.

22. Question: The SOW calls for a refrigerated trailer. Does the temperature need to be maintained at a specific range 24 hours a day between pickups?

Answer: Yes, the temperature needs to be maintained between 60-65 degrees.

23. Question: The SOW calls for pick up at the Temple locations twice a week, however, only calls for the annual weight to be 119,000 pounds. Or 2,300 pounds roughly per week. If the trailer is refrigerated why the need for the pickup schedule since the trailer will not even be close to full.

Answer: The VA understands the requirement and will maintain the schedule as stated.

24. Question: Is the VA open to an amended service schedule at the temple location.

Answer: The VA will maintain the schedule as stated.

25. Question: Is the VA open to a tiered pricing schedule based on monthly, quarterly, or annual accrued weights.

Answer: Tiered pricing will not be accepted for this requirement.

26. Question: Does the VA have a historical monthly weight from each location by type of waste generated? (Sharps, Pathological, Chemotherapy, RMW)

Answer: No, the VA does not currently have a breakdown of weight by waste type.

27. Question: Can we get a list of companies who attended the site visit?

Answer: A sign-in sheet was not during this site visit so confirmation of attendees is not possible.

IMAGES

PERFORMANCE WORK STATEMENT (PWS)

Regulated Medical Waste Removal

Central Texas Veterans HealthCare System (CTVHS) Temple and Waco, TX Facilities

I. GENERAL REQUIREMENTS:

A. The Contractor shall provide all personnel, equipment, tools, materials, supplies, containers, transportation/vehicles, supervision, and other items and services necessary to perform Regulated Medical Waste Removal, Treatment, and Final Disposal in the most economical fashion for the Central Texas Veterans Healthcare System (CTVHS).

B. Contractor shall provide Regulated Medical Waste (RMW) handling, removal, transportation, final disposal of waste, and/or treatment as requested in the most economical fashion to the CTVHS.

C. The Contractor shall be responsible for ensuring their proposed service will work effectively in achieving the performance specified. Contractor pricing shall be per pound. See listing in Section XI of this PWS which provides identification of currently utilized medical waste streams requiring service at each site.

D. System and/or equipment procedures designed by the Contractor shall ensure the economical method for separation and preparation of waste streams for removal through final disposal.

E. All medical waste must be disposed of in conjunction with current and existing EPA, OSHA, JCAHO, DOT State of Texas, TCEQ, and Local and Federal Regulation and requirements.

II. SPECIFIC REQUIREMENTS (Specifications):

A. RMW services will be provided for all the facilities within Veterans Health Administration located within or associated with CTVHS. CTVHS reserves the right to add or subtract service locations based on the need of service.

B. All waste will be placed in a central location at each site for the contractor to retrieve.

C. Contractor shall furnish all necessary transportation, labor, supervision, supplies, and equipment to pick-up and dispose of regulated medical waste that includes sharps (hypodermic needles/syringe with attached needles, scalpel blades, razor blades and disposable razors, Pasteur pipettes, broken glass from laboratories, extracted teeth), blood (liquid or semi liquid, contaminated items that would release blood in a liquid or semi liquid state if compressed, items caked in dried blood and are capable of releasing these materials during handling), pathological waste ( include but not limited to human materials removed during surgery, autopsy, or biopsy, including body parts, tissues, organs, and bulk blood and body fluids, laboratory specimens of blood and tissue after completion of laboratory examination, anatomical remains, research animals, antineoplastic and chemotherapeutic waste, microbiological (cultures, discarded live and attenuated vaccines, disposable culture dishes, disposable devices used to transfer, inoculate, and mix cultures), and research carcasses.

D. Contractor shall furnish all storage and all packing and shipping containers. Contractor will maintain an adequate number of packing and shipping containers. Contractor is responsible for the repair or maintenance of storage containers such as trailer or special equipment needed to protect regulated waste. These packing and shipping containers are used for transporting the medical waste to an EPA approved disposal site, for proper destruction. All packing and shipping containers, bags, and boxes shall be provided by contractor and shall meet or exceed current Texas DOT (TXDOT) regulations and standards. Non-reusable sharps containers that are used within the facilities to collect the sharps are purchased by the VA and are not required to be supplied by the contractor. VA personnel will collect all regulated medical waste throughout the facilities and dispose of them at a designated location for each facility. The contractor will retrieve the regulated medical waste from those designated locations only for proper final disposal. The contractor required supplies are only those supplies used to place the collected regulated medical waste in by VA personnel.

E. Contractor shall provide refrigerated storage trailer for regulated waste for the Temple Hospital location.

F. Containers used at the CTVHS will be the regular cardboard and plastic type containers.

G. An EPA approved manifest shall be provided to each location when medical wastes are picked up by the Contractor.

H. Within 45 calendar days of pickup, Contractor shall submit a certificate of destruction of the medical waste destroyed in accordance with EPA regulations. The report shall be prepared for each location and provided to each location. Please note that payment for services will not be rendered until official certificate of destruction is provided.

I. Upon request by the CTVHS, Contractor agrees to provide in-service training to CTVHS personnel involved in packing and handling the medical waste and do periodic medical waste stream analysis. Each analysis will be provided to the Contactor will be provided to the Contracting Officer Representative (COR). The objective of this analysis will be for the Contractor to assist the CTVHS in reducing the regulated medical waste (RMW) generated.

J. Should the Contractor ever detect radioactivity in any medical waste, or other hazardous chemicals, Contractor shall immediately report the finding to the COR and work directly with the CTVHS regarding the security, holding or return of any packing and shipping container from which radioactivity or hazardous chemical waste was found.

K. The Contractor shall provide sufficient “Incineration” labels to the CTVHS. These labels will be affixed to the container that contains pathological and antineoplastic and chemotherapy wastes to ensure that this waste is properly incinerated. Antineoplastic and chemotherapy waste will be placed in designated yellow bags labeled for that purpose.

Yellow bags will be provided by the CTVHS.

L. The Contractor shall provide sufficient “barcode” labels to the CTVHS. These labels will be affixed to each container to ensure proper tracking.

M. Payment to the Contractor for services rendered will not be initiated until a signed manifest is provided ensuring that RMW was properly disposed.

N. The contractor shall submit completed manifest and burn sheets along with draft monthly invoices to:

Environmental Management Service (137/T) 1901 Veterans Memorial Drive

Temple, Texas 76504

O. The Contractor shall provide CTVHS with red liner biohazard bags, appropriate packaging labels and cardboard boxes. The contractor shall ensure storage, pick up, transportation and disposals are performed in accordance with all local, state, and federal laws, regulations and codes. The Contractor shall provide documentation of compliance when requested. The Contractor shall furnish all required controlled documents to the COR and the respective facility promptly after final disposal.

P. The Contractor shall coordinate marking, packaging, and provide proof of disposition for medical waste, lab specimen waste, antineoplastic drugs, and pathological waste, in strict accordance with all local, state, and federal laws. The Contractor shall provide necessary documentation to ensure regulatory compliance with Joint Commission on Accreditation of Healthcare Organizations (JCAHO), OSHA, CDC, etc. related to items under this contract.

Q. Contractor shall use and operate proper vehicles conforming to all safety codes of the State of Texas and all other governmental agencies requiring conformity to their codes of safety. Contractor vehicles shall be operated only by licensed operators and only on paved roadways, unless otherwise authorized by the Contracting Officer Representative (COR) or authorized designee.

R. Contractor shall insure that disposal of sharps waste is by LEGAL means as the law may dictate and require for disposal of such waste. The Contractor shall provide COR with documented proof that transportation and disposal of such waste is in conformity and in accordance with all applicable legal requirements. Proof of all legally required permits, licenses, insurance, manifests or any other documentation so required by law, shall be provided and furnished to the COR.

S. It shall be the responsibility of the Contractor to notify the COR of any change or alteration to Contractor’s permits and licenses for facilities, (including but not limited to disposal sites), or for any change in status which may affect Contractor’s performance and particular in performance of obligations under this contractual agreement.

T. The Contractor’s services, as required by this contract, shall be in accordance with all Department of Transportation (DOT), Environmental Protection Agency (EPA), Department of Health (DOH), Department of Environmental Conservation (DEC), Food and Drug Administration (FDA) and applicable Federal, State and Municipal governmental regulations and codes that are applicable, but different in scope, are to be all complied with and shall be strictly adhered to, shall include:

1. Transporter must provide water-resistant labeling on all containers of regulated waste with the following information: Name of Transporter or immediate handler and State permit or identification number of the transporter.

2. NO intermediate handlers or subcontracting of collection and/or transportation is allowed without obtaining prior approval from the COR.

3. Contractor shall sign, date, and furnish a copy of the manifest, prior to any medical regulated waste leaving the pickup sites. Contractor shall certify that the manifest data matches the load to be removed, deliver the waste to an authorized facility and sign the manifest to verify that medical waste has been delivered. Contractor shall also maintain a copy of the manifest for their records, return all remaining copies of the manifest to the generator, assuring final disposal.

4. The CTVHS reserves the right to inspect Contractor’s facility site(s), equipment, and disposal facilities at any time. All permits, including disposal permits, licenses and insurance of the disposal site(s) shall be included in the proposal submitted.

Contractor shall submit annually, updated documents as they expire.

5. Contractor shall provide all necessary equipment, manpower, transportation and reusable container replacements to perform the service of collection, removal and disposal of sharps waste from the eight locations at regularly scheduled intervals.

6. Contractor shall have demonstrated ability to convert all CTVHS locations to their services immediately after award of contract.

7. After contract award, the Contractor shall be required to provide an annual site visit of their respective disposal/recycling sites, to verify capability and compliance. The contractor shall provide proper handling, packaging and segregation training at all locations at least annually.

III. CONTRACTOR SUBMITTALS:

A. Contractor shall have sufficient backup equipment and manpower to perform contractual obligation under adverse or emergency conditions and such backup equipment and manpower shall be listed on the equipment and manpower list submitted with proposal.

B. Contractor shall have and submit with proposal, a listing of disposal site(s), backup disposal site(s), along with copy of permits. Contractor shall submit backup disposal site(s) permits annually thereafter. Contractor’s pick-up schedules shall be coordinated with COR.

C. Contractor shall supply documentation assuring that all its employees are trained according to applicable Federal, State, and local regulations and supply training updates to COR.

IV. ID BADGES, SIGN-IN, PARKING AND SMOKING:

A. All Contractor personnel shall be required to wear an identification badge while on

Government facility grounds displaying the picture and name of the individual and the name of the company represented.

B. It is the responsibility of contractor personnel to park only in designated parking areas.

The VA will not validate nor make reimbursement for parking violations of the contractor’s personnel under any circumstances.

C. Smoking, tobacco use, or e-cigarettes is not permitted within or around VA Healthcare System facilities, except in designated smoking areas.

V. VEHICLE SECURITY AND SAFETY:

A. Contractor vehicles shall be clean and in good working order.

B. Spills, seepage, etc. will be cleaned by the contractor prior to leaving facility. Spill kits shall be in each vehicle to ensure immediate cleaning of spills.

C. The Contractor shall comply with the speed limit set by the Government facility. Should Contractor personnel receive a citation for parking or other vehicular infractions from VA Security personnel, the offenses will be handled in Federal Court, as they are Federal offenses.

VI. NATIONAL HOLIDAYS:

A. Contractor shall schedule services based on mutually agreeable time between the federal government and the contractor, within normal business hours, and not on weekends or holidays.

B. The following national holidays are observed:

New Year’s Day 1 January Martin Luther King’s Birthday 3rd Monday in January President’s Day 3rd Monday in February Memorial Day Last Monday in May Independence Day 4 July Labor Day 1st Monday in September Columbus Day 2nd Monday in October Veterans Day 11 November Thanksgiving Day 4th Thursday in November Christmas Day 25 December

C. Also included would be any day specifically declared by the President of the United States to be a National Holiday.

D. When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday.

E. It is understood and agreed between the Government and the Contractor that observance of such days by Government personnel shall not otherwise be a reason for an additional period of performance, or entitlement of compensation. In the event the Contractor's personnel work during the holiday, they may be reimbursed by the Contractor, however, no form of holiday or other premium compensation will be reimbursed either as a direct or indirect cost, other than their normal compensation for the time worked.

VII. EQUIPMENT MAINTENANCE:

A. The contractor shall maintain all contractor provided containers ensuring they are free of unpleasant odors, dirt, debris, and pests.

B. All containers must remain in good, workable condition. They shall remain easily accessible to customers.

C. The contractor shall perform all cleaning, painting, repair and other maintenance tasks off-site.

VIII. PERSONNEL REQUIREMENTS:

A. The Contractor shall designate and provide name(s) and phone numbers of contact person (s), and a backup, as representatives of the Contractor. The Contractor shall provide qualified employees who will conduct and/or supervise the removal and pickup of all regulated sharps waste from all CTVHS locations.

B. Contractor shall ensure their personnel working at the facilities specified herein; possess basic proficiency in spoken and written English. Contractor personnel must wear identifying uniforms and employee badges.

C. All conduct of contract personnel shall be respectable and sensitive to patients, visitors and VA Personnel.

IX. QUALITY CONTROL:

A. The contractor shall develop and maintain a quality control program to ensure refuse services are performed in accordance with commonly accepted commercial practices.

B. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective service.

C. The contractor shall provide sample of their quality control plan to the Contracting Officer with their proposal.

X. QUALITY ASSURANCE:

A. The government will periodically evaluate the contractor’s performance by appointing a

COR (Contracting Officer’s Representative) to monitor performance to ensure services are received.

B. The COR will evaluate the contractor’s performance through intermittent on-site inspections of the contractor’s quality control program and complaints from customer personnel.

C. The government may inspect each task as completed or increase the number of quality control inspections if deemed appropriate because of repeated failures discovered during quality control inspections or because of repeated customer complaints.

D. As stated above, the contractor shall be responsible for their own internal Quality Control Program. The Government will perform surveillance of the contractor’s performance using this Performance Work Statement and the Performance Requirements Summary (see Technical Exhibit 1) below to determine if the contractor exceeds, meets, or does not meet these standards. The fact that the government is performing surveillance of the contractor’s performance does not in any way relieve the contractor from performing their own surveillance and maintaining acceptable quality levels.

a. Performance Requirements Summary Matrix:

The government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL).

Technical Exhibit 1

Performance/Requirement

Indicator

Performance Standard

Performance Measure

(AQL)

Monitoring Method/Method of

Surveillance

Incentive

Waste collection/pickup for both RMW and Sharps (PWS Sections II. C.)

Within time specified

100% (no deviation)

Direct observation, random sampling by COR and customer complaints

Positive Past Performance & exercise of option periods

Disposal of Waste (PWS Section II. D.)

Dispose of in accordance with OSHA, EPA, & local, state, and federal regulations

100% (no deviation)

Direct observation and random sampling by COR

Positive Past Performance & exercise of option periods

Provide hard copy documentation (manifest sheets) to the COR, indicating time and date of pickup, time and date of incineration, and weight of each container received at the time of pick up.

(PWS Section II. G., H. and T.3)

Provide at the time of pickup

100% (no deviation)

Direct observation and random sampling by COR

Positive Past Performance & exercise of option periods

Within 45 calendar days of pickup, Contractor shall submit a certificate of destruction of the medical waste destroyed in accordance with EPA regulations. (PWS Section II.

H)

Final Documents received within 45 calendar days after pickup

100% (no deviation)

Direct observation and random sampling by COR

Positive Past Performance & exercise of option periods

XI. ESTIMATED (ANNUAL) REQUIREMENTS BY SITE:

Facility Annual Estimated Medical Waste Regulated lbs

Removal and Delivery Schedules

Temple Hospital 119,393 Wednesday and Friday

Waco Hospital 4,158 Wednesday and Friday

Temple VA Annex Clinic 202 Once a month

Palestine CBOC 478 On call

Cedar Park CBOC 844 2nd and 4th Monday

Brownwood CBOC 1,498 On call

Bryan/College Station CBOC 599 2nd and 4th Monday

ADDRESS OF THE SITES RECEIVING SERVICES

Central Texas Veterans HealthCare System

1. Temple Hospital: 1901 Veterans Memorial Drive, Temple, TX 76504

2. Waco Hospital: 4800 Memorial Drive, Waco, TX 76711

3. Temple VA Clinic Annex: 4501 South General Bruce Dr. Suite 75, Temple, TX 76502

4. Palestine CBOC: 300 Willow Creek Parkway, Suite 100 Palestine, TX

75801

5. Cedar Park CBOC: 600 N. Bell Boulevard Cedar Park, TX 78613

6. Cedar Park CBOC: 1401-C Medical Parkway, Suite 200/400, Cedar

Park TX 78613

7. Brownwood CBOC: 2600 Memorial Park Drive Brownwood, TX

76801

8. Bryan/College Station CBOC: 1651 Rock Prairie Road, Ste. 100

College Station, TX 77845

XII. INFORMATION SECURITY REQUIREMENTS:

A. The COR and the Contractor will assure that-

1. No other information except what is in this contract will be shared with the contractor in any follow up communication.

2. None of the information in this contract includes Protected Health Information (PHI) or Individually Identifiable Information (III).

3. Contractor will be escorted by a VA Employee as necessary.

XIII. PROGRAM OFFICE POINTS OF CONTACT:

A. Contracting Officer’s Representative (COR): Tristan W. Key, Environment of Care Specialist – EMS, 254-743-1492, Tristan.Key@va.gov

B. Supervisory POC: Odalis Delacruz., Asst Chief – EMS, 254-743-0518, Odalis.Delacruz@va.gov

(END OF PERFORMANCE WORK STATEMENT)

mailto:Tristan.Key@va.gov mailto:Odalis.Delacruz@va.gov

PERFORMANCE WORK STATEMENT (PWS)