36C25724Q0368.pdf

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AMENDMENT #1: 36C25724Q0368_NTX ER to ER ambulance transportation
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36C25724Q0368
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This document is a Solicitation for an Indefinite Quantity Contract to provide Advanced Life Support (ALS) Critical Care Transport (CCT) Services up to Tier III to the North Texas Veterans Healthcare System (VANTHCS). The contract has a 5-year base period with five separately priced ordering periods. The VA requires the contractor to provide all vehicles, personnel, management, supplies, equipment, and reporting for the ALS CCT services. The contractor must be able to respond to emergent transport requests within 30 minutes and non-emergent requests within 60 minutes. The solicitation is set aside for Service-Disabled Veteran-Owned Small Businesses (SDVOSBs) and Veteran-Owned Small Businesses (VOSBs). Offerors must be certified in the SBA certification database at time of submission and award. The Government will evaluate offerors based on their SDVOSB/VOSB status and proposed use of certified SDVOSB/VOSB subcontractors. Pricing is based on a base rate per ambulance transport, a rate per mile, and a rate for waiting time beyond the initial 15 minutes.

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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

36C25724Q0368 07-15-2024

Donald Smith (912) 980-5107 07-30-2024

3:00PM CST

36C257 Department Of Veterans Affairs Network Contracting Office 17

1901 Veterans Memorial Dr. Building #171 Temple TX 76504

X

621910

$22.5 Million

N/A

X

VA North Texas HCS Dallas VA Medical Center 4500 S. Lancaster Road

Dallas TX 75216

36C257

Department Of Veterans Affairs Network Contracting Office 17

This is accomplished through the Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp This is mandatory and the sole method for submitting invoices.

(877) 353-9791 (512) 460-5540

See CONTINUATION Page

Contractor shall provide Advance Life Support (ALS) Critical Care Transport (CCT) Services up to Tier III to North Texas (NTX) Veterans Healthcare Systems (Multiple locations) in accordance with the Performance Work Statement.

Notification to Offerors:

Refer to FAR 52.212-1 instructions to Offerors and Evaluation factors on pages 43 through 45 for additional details.

This acquisition is in accordance with Federal Acquisition Regulation Part 12 and 13.

This Contract is for a 5-year base period with five (5) Separately Priced Ordering Periods.

See CONTINUATION Page x X x 1

Shawn R. Reinhart Contracting Officer

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.1 PRICE/COST SCHEDULE

ITEM INFORMATION

B.2 DELIVERY SCHEDULE

B.3 Performance Work Statement

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.222-55 MINIMUM WAGES FOR CONTRACTOR WORKERS UNDER EXECUTIVE

ORDER 14026 [DEVIATION (OCT 2023)] (JAN 2022)

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.9 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.10 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.11 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.12 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

C.13 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.14 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

C.15 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.16 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.17 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JUN 2023)

C.18 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QASP

D.2 Wage Determination D.3 Small Business Subcontractor Plan D.4 Surveillance Checklist D.5 Critical Care Transport Capabilities Confirmation D.6 Patient Transport PPE and Vehicle Cleaning/Disinfection SOP

SECTION E - SOLICITATION PROVISIONS

E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

E.2 52.212-2 Evaluation—Commercial Products and Commercial Services

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

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: _____________________

ADDRESS: __________________________

Contractor Point of Contact (POC) for Contract: _______________________ Title: _______________________ Phone: _______________________ Email: _______________________

SAM Unique Entity ID: ____________________ BUSINESS SIZE: ____________________

b. GOVERNMENT:

Contracting Officer

Mr. Shawn R. Reinhart shawn.reinhart@va.gov

Department Of Veterans Affairs Network Contracting Office 17

Contract Specialist Donald Smith donald.smith10@va.gov Department of Veterans Affairs Network Contracting Office (NCO) 17 1901 Veterans Memorial Dr. Building #171 Temple TX 76504

Contracting Officer Representative Sonequa Grubbs Sonequa.grubbs2@va.gov North Texas VHA

4500 S Lancaster Rd Dallas, TX 75216

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

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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.

5. SECURE FAX: Please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

6. The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

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

AMENDMENT NO DATE

B.1 PRICE/COST SCHEDULE

ITEM INFORMATION

MINIMUM AMOUNT: $1,200.00

MAXIMUM AMOUNT: $62,000.00

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

45 EA __________________ __________________

ALL QUANTITIES ARE ESTIMATES

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III, (Base Rate) Pick up Veteran One-Way

Ordering Period 1 Begin: 09-01-2024 Ordering Period 1 End: 08-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

720 MI __________________ __________________

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Veteran onboard, rate per mile) One-Way trip is equivalent to one each for unit of issue.

Ordering Period 1 Begin: 09-01-2024 Ordering Period 1 End: 08-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

25 UN __________________ __________________

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Waiting Charges beyond 15 minutes) Each unit is a 15-minutes block of time.

Ordering Period 1 Begin: 09-01-2024 Ordering Period 1 End: 08-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III, (Base Rate) Pick up Veteran One-Way

Ordering Period 2 Begin: 09-01-2025 Ordering Period 2 End: 08-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

ITEM

NUMBER

DESCRIPTION OF

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Veteran onboard, rate per mile) One-Way trip is equivalent to one each for unit of issue.

Ordering Period 2 Begin: 09-01-2025 Ordering Period 2 End: 08-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Waiting Charges beyond 15 minutes) Each unit is a 15-minutes block of time.

Ordering Period 2 Begin: 09-01-2025 Ordering Period 2 End: 08-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III, (Base Rate) Pick up Veteran One-Way

Ordering Period 3 Begin: 09-01-2026 Ordering Period 3 End: 08-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Veteran onboard, rate per mile) One-Way trip is equivalent to one each for unit of issue.

Ordering Period 3 Begin: 09-01-2026 Ordering Period 3 End: 08-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

NUMBER

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Waiting Charges beyond 15 minutes) Each unit is a 15-minutes block of time.

Ordering Period 3 Begin: 09-01-2026 Ordering Period 3 End: 08-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III, (Base Rate) Pick up Veteran One-Way

Ordering Period 4 Begin: 09-01-2027 Ordering Period 4 End: 08-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Veteran onboard, rate per mile) One-Way trip is equivalent to one each for unit of issue.

Ordering Period 4 Begin: 09-01-2027 Ordering Period 4 End: 08-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Waiting Charges beyond 15 minutes) Each unit is a 15-minutes block of time.

Ordering Period 4 Begin: 09-01-2027 Ordering Period 4 End: 08-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

NUMBER

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III, (Base Rate) Pick up Veteran One-Way

Ordering Period 5 Begin: 09-01-2028 Ordering Period 5 End: 08-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Veteran onboard, rate per mile) One-Way trip is equivalent to one each for unit of issue.

Ordering Period 5 Begin: 09-01-2028 Ordering Period 5 End: 08-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Advanced Life Support Emergency (ALS) Critical Care Transport up to Tier III (Waiting Charges beyond 15 minutes) Each unit is a 15-minutes block of time.

Ordering Period 5 Begin: 09-01-2028 Ordering Period 5 End: 08-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

GRAND TOTAL __________________

B.2 DELIVERY SCHEDULE

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0001 SHIP TO: VA North Texas Health Care System 4500 S Lancaster Rd Dallas, TX 75216

45 SEE SCHEDULE

MARK FOR: Sonequa Grubbs 214-857 3609 Sonequa.Grubbs2@va.gov

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

0002 SHIP TO: VA North Texas Health Care System 4500 S Lancaster Rd Dallas, TX 75216

720 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

0003 SHIP TO: VA North Texas Health Care System 4500 S Lancaster Rd Dallas, TX 75216

25 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

1001 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

45 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

1002 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

720 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

1003 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

25 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

2001 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

45 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

2002 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

720 SEE SCHEDULE

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

MARK FOR: Sonequa Grubbs

2003 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

25 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

3001 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

45 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

3002 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

720 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

3003 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

25 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

4001 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

45 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

4002 SHIP TO: VA North Texas Health Care

4500 S Lancaster Rd Dallas, TX 75216

720 SEE SCHEDULE

MARK FOR: Sonequa Grubbs

4003 SHIP TO: VA North Texas Health Care

25 SEE SCHEDULE

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

4500 S Lancaster Rd Dallas, TX 75216

MARK FOR: Sonequa Grubbs

B.3 Performance Work Statement

Performance Work Statement (PWS) Advanced Life Support Emergency (ALS) Critical Care Transport (CCT) Services up to

Tier III VA NORTH TEXAS HEALTHCARE SYSTEM Veterans Healthcare System

As of 1 January 2024

1. Purpose: The VA North Texas Healthcare System VA Medical Center (hereafter VANTHCS, its associated Community-Based Outpatient Clinics (CBOCs), and affiliated healthcare clinics require contracted emergency ambulance transportation services. The Contractor shall provide all vehicles, personnel, management, supplies, equipment, and necessary reporting for the provision of Advanced Life Support Emergency (ALS) Critical Care Transport (CCT) services up to Tier III. The Contactor shall make these ambulance services available to the VA as needed, 24 hours a day, seven days a week (24/7), including weekends and holidays.

2. Background: The VA North Texas Health Care System (VANTXHCS) main campus is located at 4500 S Lancaster Rd, Dallas, Texas 75216, serving over 200,000 veterans, primarily from the North Texas and Oklahoma area and its surrounding Community-Based Outpatient Clinics. The hospital has 279 inpatient beds and sees approximately 13,305 inpatient admissions and 899,103 outpatient visits a year. Veterans served within this facility live within the following counties and zip codes.

Facility Name Facility Address Dallas VAMC 4500 S Lancaster Rd. Dallas, TX 75216 Decatur VA CBOC 1713 S FM 51, Decatur, TX 76234 Denton VA CBOC 2223 Colorado Blvd, Denton, TX 76205 Fort Worth VA OPC 2201 SE Loop 820, Ft. Worth, TX 76119 Garland VA OPC 2300 Marie Curie Blvd, Garland, TX 75042 Granbury VA CBOC 1210 Paluxy Medical Circle, Granbury, TX

76048 Grand Prairie VA CBOC 2737 Sherman St, Grand Prairie, TX 75051 Greenville VA CBOC 8325 Jack Finney Blvd, Greenville, TX 75402 Plano VA CBOC 3804 W 15th St., Plano, TX 75075 Polk VA CBOC 7243 S Polk St, Dallas, TX 75224 Sam Rayburn (Bonham) VA OPC 1201 E 9th St., Bonham, TX 75418 Sherman VA CBOC 1715 Texoma Parkway, Sherman, TX 75090 Tyler Centennial VA CBOC 428 Centennial Parkway, Tyler, TX 75763 Community Care appointments in the surrounding Counties

Anderson, Archer, Baylor, Camp, Carter, Cass, Cherokee, Collin, Cooke, Cottle, Dallas, Delta, Denton, Ellis, Erath, Fannin, Foard, Franklin City, Grayson, Gregg, Hardeman, Henderson, Hill, Hood, Hopkins, Hunt, Jack, Johnson, Kaufman, Lamar, Marion, Montague, Morris, Palo Pinto, Parker, Rains, Red River, Rockwall, Rusk, Smith, Somervell, Stephens, Tarrant, Titus, Upshur, Van Zandt, Wichita, Wise, Wood, Young, Bryan(OK), Choctaw (OK), McCurtain (OK), Pittsburg (OK), Pontotoc

(OK)

3. Acronyms ALS – Advanced Life Support AOD – Administrative Officers of the Day CCT – Critical Care Transport CCTP – Critical Care Transport Paramedic CCEMTP – Critical Care Emergency Medical Transport CO – Contracting Officer COR – Contracting Officer’s Representative CPR – Cardiopulmonary Resuscitation DOL – Department of Labor EMT – Emergency Medical Technician IAW – In Accordance With OO – Ordering Officer PWS – Performance Work Statement QASP – Quality Assurance Surveillance Plan QC – Quality Control Plan TB – Tuberculosis TJC – The Joint Commission VTS – Veteran Transportation Service

4. Scope/Requirements

4.1. Types of Ambulance Service

4.1.1. The Contractor shall provide Advanced Life Support Emergency (ALS) Critical Care Transport (CCT) up to Tier III ambulance services on an as-needed basis in accordance with all Federal, State, and local regulations.

4.1.2. Occasionally a veteran will need to be transported with VA staff and equipment; the Contractor shall return VA Staff and equipment to the original place of pick-up.

4.2. Transport of Miscellaneous Items with the Patient. The Contractor shall be required to transport patient luggage, medical records, medication, and comfort items (when necessary) from pickup points to destination at no additional cost to the Government. Luggage to be transported will be restricted to suitcase and valise types. When patients are transported to the VANTXHCS, destination is deemed to be the ER, Admissions, the clinic, or service within the hospital, or directly to the ward as instructed by VA Staff. The patient may bring with her or him up to three

(3) liters of oxygen. The Contractor shall be responsible for providing adequate and safe storage of the oxygen tanks during transport.

4.3. Contractor Personnel: Contractor personnel shall be courteous and always conduct themselves in a businesslike manner while providing services under this contract.

4.3.1. Emergency Medical Technicians (EMTs), Critical Care Transport Paramedics (CCTPs) & Other Personnel

4.3.1.1. EMTs, CCTPs and other medical personnel (as applicable) shall at all times meet the qualifications specified in this contract as well as all applicable Federal, State, and local government laws, regulations, and standards. EMTs, CCTPs and other medical personnel (as applicable) shall be certified, licensed, or otherwise officially recognized by the local, state, or regional government or public entity where the emergency service is operated or by which it is governed.

4.3.1.2. If the Contractor wishes to add or replace personnel throughout the life of the contract, it shall provide evidence of required training, certifications, licensing, and any other qualifications to the Contracting Officer’s Representative (COR) for review.

4.3.1.3. All ambulance drivers shall have a valid driver’s license in accordance with state requirements for their place of operation and the services they perform. If the Contractor wishes to add or replace drivers throughout the life of the contract, it shall provide a valid driver’s license to the COR.

4.3.1.4 CCTPs shall have met all state requirements for the tier in which they are performing services in (I, II, III). Proof in the form of a current certificate for the successful completion of such shall be provided to the COR upon request.

4.3.1.5 Investigative Requirements for Contract Personnel: Contract personnel shall be subject to the same investigative requirements as those for regular VA appointees and employees. The level of investigation commensurate with the level of access to perform the performance work statement is: Special Agreement Checks (SAC). Fingerprinting for contract personnel shall be conducted at VANTXHCS. Thereafter the contracted employees shall be subject annually to the same requirement, with a 90-day window to complete such requirement as provided by VANTXHCS. The VA Security and Investigation Center (SIC) is responsible for adjudicating all background investigations for contract employees.

4.3.1.6. EMTs, CCTPs, and other Contractor personnel as applicable shall pass the Contractor’s background check and shall not have been convicted of (or have any pending charges for) a felony for the past five years. Personnel (and Contractor) shall report any new or additional charges or convictions if they arise during the course of performance under this contract so VA can review them and determine whether the employee in question needs to be discharged of his or her duties until the matter is adjudicated.

4.3.2. Tuberculosis Exposure Control Policy

4.3.2.1. The Contractor shall provide the VA with a policy on tuberculosis (TB) exposure and control, to include TB decontamination.

4.3.2.2. The Contractor shall have its personnel tested for TB in accordance with state guidelines and provide written confirmation to the COR that all personnel (current employees and any new hires) performing services under this contract are current in their TB test by at the start of each Ordering Period.

4.4. Contractor Equipment, Vehicles, and Inspection

4.4.1. Ambulances shall meet all applicable Federal, State, and local regulations and specifications, including but not limited to licensing, registration, and safety standards.

4.4.2. The VA reserves the right to inspect the Contractor’s equipment and vehicles or require documentation of compliance with State laws, rules, regulations, and guidelines governing emergency medical transport vehicles (ambulances). VA inspections of Contractor equipment do not constitute a warranty or guarantee that the Contractor’s vehicles and equipment are properly maintained. The VA reserves the right to restrict the Contractor’s use of equipment and vehicles in the performance of this contract which are not in compliance with contract requirements. The restriction of such equipment and vehicles shall not relieve the Contractor from performance in accordance with the contract nor necessitate additional cost to the VA.

4.4.3. Vehicles shall be clean and maintained in good repair in accordance with manufacturer’s instructions.

4.4.4. The Contractor shall not borrow or exchange supplies, equipment, and/or medications with the VA. Equipment attached to or in use by the patient at time of pick-up may remain with the patient during transport to ensure continuity of care. Medical Control Authorities are responsible for maintaining and supplying medication during patient transport. All VA equipment and unused medications shall be returned to VA during patient drop-off or as promptly as feasible within 24 hours.

4.4.5. The Contractor shall furnish all linen required for patient transport at no additional cost.

Linen shall not be exchanged with linen belonging to VANTXHCS or its CBOCs/Outpatient Facilities.

4.4.6. The Contractor shall be capable of transporting the medication and/or equipment as required by the patient as listed in D.5 Critical Care Transport Capabilities Confirmation. The Contractor shall have the appropriate medications, up to and including CCT Tier III if necessary, based on the EMS region the ambulance provider is functioning in.

4.4.7. The Contractor shall furnish qualified personnel as required by contract specifications to accomplish all services under this contract.

4.4.7.1. The Contractor personnel performing services for the VA, shall, at all times, conduct themselves in a professional manner, and be identified by having the company name, and employee name affixed to the uniform. The Contractor shall be responsible for furnishing all vehicles, uniforms, nametags and/or badges for performance of services under this contract.

Employee identifications shall be worn in clear view above the waist. The Contractor personnel shall not smoke/play loud music originating from any device in vehicles while transporting VA patients.

4.4.7.2. Each driver shall possess a driver’s license that is valid for the class of vehicle driven, in accordance with Federal, State, and local government requirements for their place of operation for the services they perform. Evidence of a special transportation service vehicle permit, or endorsement issued by the commissioner of public safety. In addition, each driver shall be at least 18 years of age and have not less than one year of experience as a licensed driver. Each driver shall also in the past three years:

1) Have not had a driver’s license canceled or suspended.

2) Have a driving record clear of convictions for operating a motor vehicle or motorcycle without insurance.

3) Have a driving record clear of convictions for driving a motor vehicle without a valid current license for the class of vehicle driven.

4) Have a driving and criminal record clear of convictions for driving under the influence of alcohol or a controlled substance.

4.4.7.3. The Contractor personnel will ensure that the patient is secured to the stretcher/cot and that the stretcher /cot is secure in the back of the ambulance before the vehicle moves.

4.4.7.4. Ambulance drivers:

1) Shall have a valid driver’s license, in accordance with Federal, State, and local government requirements for their place of operation for the services they perform,

2) Shall be capable of administering oxygen.

3) Shall have successfully completed the standard and advanced first aid course of the American Red Cross of U.S. Bureaus of Mines of equivalent and be capable of providing necessary medical assistance to the attending emergency medical technician or paramedic.

4.4.7.5. Emergency Medical Technician (EMT) and Paramedic Qualifications: EMT’s and Paramedic’s providing services under this contract shall have the following qualifications, in additions to those required by Federal, State, and Local Government:

1) Have completed training in accordance with the standards published by the Department of Health and Human Services with a minimum curriculum of 150 hours or equivalent including an in-hospital training period. Such training programs shall also be acceptable under the regulating requirements for local EMS Systems supported by DHHS under PL 93-154, Federal Register 39:24304. (1974).

2) Shall be certified, licensed, or otherwise officially recognized by the local, state of regional government or public entity where the emergency ambulance service is operated or by which it is governed.

4.5. Transportation Request

4.5.1 VetRide or VA-Approved Transportation Software Utilization: The Contractor shall utilize the VetRide Vendor Portal or VA-Approved Transportation Software with every patient transported under this contract. Department of Veteran Affairs will provide the software and access to the VetRide Vendor Portal or VA-Approved Transportation Software for the vendor/Contractor in this contract. The Contractor shall utilize the VetRide Vendor Portal or VA- Approved Transportation Software fully as instructed:

1) Receive and respond to electronic trip requests.

2) Receive, use, and ensure the use of the Vendor pass by the driver.

3) Submit claims via the electronic HCFA 1500 in the VetRide Vendor Portal or VA- Approved Transportation Software system.

4) All invoices shall be submitted within 30 calendar days of date of service in accordance with 38 CFR 70 to be considered timely submission.

a) The Contractor’s invoice shall be on the HCFA 1500 to include:

b) Contract Number

c) Date of Service (to include Box 24 A-J)

d) Authorization number(s)

e) Pick-up and drop-off location of the patient

f) Base Rate

g) Name (Last, First and Middle Initial (if any)) and Full Social Security number (Box

1a) of patient transported.

h) Date of Birth and Sex

i) Diagnosis Codes or Nature of Illness or Injury

j) Documentation of circumstances when billing for waiting time

k) Any miscellaneous charges for which the Contractor is expecting reimbursement i.e., Tool charges, waiting time, etc.

l) VA authorizing official’s name

m) Healthcare Procedure Coding System/National Level II (HCPCS)

4.5.1.2. Unauthorized charges will be reviewed by the Contracting Officer Representative (COR) as to the validity of the charges and as to whether the payment will be made. A final determination will be made within 30 days after notifying the Contractor of the charges, which are being suspended.

4.5.1.3. A transportation request is defined as one incidence of a request for one-way service (ALS CCT). No more than one patient will be transported per order unless approved by an authorized VA staff. Transportation requests will be made through VetRide or VA-Approved

Transportation Software Utilization. Contractors shall have the capability to receive orders, update ride status, and input trip costs and other required data through this portal. Contractors shall have dedicated staff available to monitor this portal 24/7. VANTXHCS Travel Program Staff will be available to assist with account setup and training for the Contractor’s Staff. In the event VetRide or other VA-Approved Transportation Software Utilization is down, other methods of communication (i.e., telephone, facsimile) will be used to place Transportation requests.

4.5.1.3.1. VANTXHCS Travel Program Staff/or authorized VA employees will work with the Contractor the following business day to reconcile any transportation requests that were placed outside of VetRide or VA-Approved Transportation Software Utilization.

4.5.1.3.2. The Contractor shall update VetRide or VA-Approved Transportation Software Utilization with any data and/or notes in real time that deviate from the original order such as invoicing for additional mileage due to a road closure, wait time, reason for no load, etc.

VANTXHCS Travel Program Staff/or authorized VA employees may place a “hold” on payment of this order until it has been reconciled.

4.5.1.3.3. Only a VA Physician is authorized to place, cancel, or make changes to transportation requests.

4.5.1.3.3.1. The Contractor shall accept orders against this contract only from the VA Physician.

Fulfilling orders from persons other than the VA Physician may result in loss or delay in payment for supplies/services provided under such orders.

4.5.1.3.3.2. Non-authorized VA employees and private agencies (e.g., nursing homes) are not considered authorized to place transportation requests.

4.5.1.3.3.3. All patient pick-up(s) and drop-off(s) shall be authorized via “orders” which shall only be issued by a VA Physician. When placing orders for services, the VA Physician shall contact the designated Contractor point of contact(s) to provide the following information:

1) Mode of transportation required,

2) Required time of arrival

3) Name of the beneficiary,

4) Pick-up and delivery point,

5) Type and number of additional medical care specialists required,

6) Type of equipment required,

7) Last four of the patient's Social Security Number, and

8) Any other special instructions

4.5.1.4. For ALL Transports – an Audit system will be put in place by the VA to include the COR or designee, Beneficiary Travel Department staff, and clinical staff to ensure appropriateness of the order and timeliness of the response.

4.5.1.4.1. The type of transportation service (ALS CCT) required will be discussed and determined by VA clinical personnel and the Contractor. The Contractor shall transport the patient per its policies and standard industry practice. If the type of transportation service differs from what was agreed upon by the VA and Contractor, the Contractor shall submit documentation to the VA explaining its rationale.

4.5.1.4.2. The VA may authorize an escort (e.g., spouse, relative, guardian, etc.) to accompany the patient during medical transport if it is practicable and, in the patient’s, best interest. The Contractor shall allow the escort to accompany the patient at no additional cost.

4.5.2. The Contractor shall have sufficient vehicles and personnel to provide services for up to four (4) simultaneous transportation requests. If VANTXHCS requires ambulance services exceeding four (4) simultaneous transportation requests, the vendor will be offered to provide the services if they have sufficient vehicles/personnel available; but may decline these additional orders if sufficient vehicles/personnel are unavailable.

4.5.2.1. The number of transports under normal operating conditions will typically range from 1- 3 transports each week. The number of actual transports may vary throughout the life of the contract.

4.6. Response Times*

4.6.1. Emergent Transport (Originating from VA (Only)): The Contractor shall be required to provide Ground Ambulance arrangements within thirty (30) minutes of order/patient pick up call.

4.6.2. For all add-ons (not scheduled in advance) transportation requests, with pick up at VANTXHCS. The Contractor shall be allotted up to a sixty (60) minute response time from time of order placement for transportation requests that are not previously scheduled in advance.

4.6.2.1. For an urgent transport request for a critical patient (as deemed by the physician) with pick up at VANTXHCS, the Contractor shall be allotted up to a thirty (30) minute response time.

4.6.2.2. For transportation requests which do not have a pick-up at VANTXHCS:

4.6.2.3. The Contractor shall, if requested by the VA, dispatch ambulances on short notice for transportation request not scheduled in advance; for these transportation requests the Contractor shall dispatch ambulances within thirty (30) minutes of receiving the order.

4.6.2.4. Pick-up appointment times shall be agreed upon by the VA and Contractor at time of order placement and be reasonable based upon travel distance, speed limits, and weather conditions.

4.6.2.5. The Contractor’s patient pick-up time cannot be more than 15 minutes prior to the schedule pickup time nor 15 minutes later than the scheduled pickup time for transportation requests scheduled in advance.

* The Contractor shall not be held liable for nonperformance 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 its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, and unusually severe weather. The Contractor shall notify the VA with as much advance notice as possible should any of these occur.

4.7. Cancellations

4.7.1. For trips in which the Contractor is notified of cancellation before the vehicle is dispatched, there shall be no charge to the Government.

4.7.2. A “no show” is defined as a transportation request which is cancelled after the Contractor has dispatched a vehicle, the vehicle is enroute, or has arrived at the pick-up location, and there is no longer a requirement for patient transportation. The Contractor may request one-way reimbursement for no-shows. No-show reimbursement shall be based upon the base rate for the type of service requested (ALS CCT) and the one-way mileage (ALS CCT) accrued enroute to the pick-up location at time of cancellation. Mileage for no- show cancellations shall be confirmed by the Contractor and reported to the VA as soon as possible from time of cancellation.

4.7.3. For transportation requests OUT of VANTXHCS ONLY – The Contractor shall immediately dispatch a vehicle upon receipt of the order (including transportation requests in which the final destination may change prior to pick up due to the critical condition of the patient). When the Contractor is notified of a cancellation prior to arrival at the VANTXHCS campus, there shall be no charge to the Government.

4.8. Pick-Up/Drop-Off/Reporting Procedures

4.8.1. Ambulance personnel shall pick-up and deliver patients at specified locations (e.g., front door of VANTXHCS Entrance). These locations will be specified by VA staff when an order is placed and communicated to the transporting personnel.

4.8.2. When patients are transported to the VANTXHCS, destination is deemed to be the ER, Admissions, the clinic, or service within the hospital, or directly to the ward as instructed by VA Staff.

4.8.3. When applicable, ambulance personnel shall report to the Veteran Transportation Service (VTS) Dispatcher or Administrative Officer of the Day (AOD) to (1) announce his/her arrival to pick-up and transfer the patient and (2) obtain report of pertinent information regarding the patient’s condition from the primary nurse/physician.

4.8.4. When delivering a patient, ambulance personnel shall give report to the appropriate VA healthcare staff and provide a copy of the run sheet which will be retained by the facility for inclusion to the patient’s medical record.

4.8.5. In cases where ambulance personnel shall divert to a local emergency department while performing a VA authorized transport, the Contractor’s dispatcher shall notify the VA Beneficiary Travel Department or Administrative Officer of the Day of the patient’s location and status as soon as this information becomes available.

4.9. Patient Welfare

4.9.1. The Contractor shall be responsible for the patient’s welfare during transport. The Contractor shall be held responsible for patient and/or VA property during transport. Any damaged or lost wheelchairs, walkers, crutches, or personal belongings shall be replaced at the Contractor’s expense.

4.9.2. The VA requires the Contractor to exercise extreme caution and care in the handling of

4.9.3. If a VA beneficiary being transported declines to be properly secured or removed the securement devices himself/herself, the driver will notify the Contracting Officer’s Representative (COR) of this fact prior to departure. The Contractor is not required to transport any VA beneficiary who refuses to be properly secured while being transported. In the event that the beneficiary refuses to be properly secured, they shall be returned back into the building which they came from.

5. Incident Reporting

5.1. The Contractor shall notify the COR, Requestor, Program Manager, Beneficiary Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the COR, Program Manager, or Beneficiary Travel Department, by the close of business of the next working day.

5.2. The COR will monitor the service provided. The Contractor shall cooperate with the COR in providing information and answering questions in a timely manner. The Contractor shall promptly inform the COR of any complaints received directly from patients. If warranted, the VA may conduct incident investigations and require written response from the Contractor within 48 hours of request.

6. Invoicing

6.1. Each transport shall include thirty (30) minutes of wait time; the Contractor may invoice for wait times in excess of this initial thirty (30) minutes. Wait time shall begin only once the Contractor has both reached the pick-up address location and the appointment time has elapsed.

All wait times shall be itemized and invoiced in fifteen (15) minute intervals. For partial fifteen

(15) minute intervals, zero (0) to seven (7) minutes shall be rounded down to zero (0) minutes and eight (8) to fifteen (15) minutes rounded up to fifteen (15) minutes.

6.2. When invoicing for mileage, the Contractor shall round to the nearest mile. Mileage ending in .5 or higher shall be rounded up to the nearest mile. Mileage ending in .4 or lower shall be rounded down to the nearest mile. Payment for mileage to or from the point of care shall be limited to the VA’s calculation according to the VA’s Bing Maps API determination. Bing Maps API is optimized to determine mileage based on the shortest time of travel.

6.3. If unloaded mileage exceeds loaded mileage, the Contractor may invoice for a flat fee only if the following also occur:

6.3.1. Unloaded mileage exceeds 75 miles.

6.4. The Contractor does not deviate from a route to intentionally make unloaded mileage exceed loaded mileage.

6.4.1. Except for no shows and trips when unloaded mileage exceeds loaded mileage in accordance with 4.9.3, the Contractor shall invoice for loaded (patient onboard) services and mileage only.

6.4.2. Upon notification of the Contracting Officer, the Contractor shall receive training and begin implementation of invoices via Vet Ride within 30 days versus VA Tungsten Network e- Invoicing network. Invoices shall be submitted via the electronic HCFA 1500 in the VetRide Vendor Portal or other VA approved software. These invoices shall not include patient information, but shall include the following:

1) Contractor Name

2) Contract Number

3) Current Purchase Order Number

4) Date of service

5) Total amount invoiced including a summary of the total number of charges that align with the line items of this contract (i.e., total number of ALS CCT Base Rate, total ALS CCT Mileage incurred, etc.)

6) An itemized list of charges or services rendered that align with the line items of this contract (i.e., ALS Base Rate, ALS Mileage incurred, etc.)

Payment by VA under this contract to a provider of air ambulance transportation services authorized under this contract extinguishes any and all liability on the part of the VA BENEFICIARY for that transportation service. UNDER NO CIRCUMSTANCES ARE

VA BENEFICIARIES, THIRD PARTY INSURANCES, MEDICARE, OR

MEDICAID TO BE BILLED FOR THE SERVICES PERFORMED UNDER THIS

CONTRACT.

6.5. Period & Place of Performance

6.5.1. This contract’s ordering period shall be effective for a five (5) year ordering period.

6.5.2. The Place of Performance is variable and may occur within the states of Texas, Oklahoma, Louisiana; ambulance services may be required to or from locations including, but not limited to the following:

1) VANTXHCS, VA Medical Center to include specific Atrium Clinics, Emergency Department, pavilions, or out-buildings on the Dallas VA Medical Center main campus.

The Dallas VA Medical Center address is: 4500 S Lancaster Rd, Dallas, TX 75216.

2) VANTXHCS Community-Based Outpatient Clinics (CBOCs):

Facility Name Facility Address Dallas VAMC 4500 S Lancaster Rd. Dallas, TX 75216 Decatur VA CBOC 1713 S FM 51, Decatur, TX 76234

Denton VA CBOC 2223 Colorado Blvd, Denton, TX 76205 Fort Worth VA OPC 2201 SE Loop 820, Ft. Worth, TX 76119 Garland VA OPC 2300 Marie Curie Blvd, Garland, TX 75042 Granbury VA CBOC 1210 Paluxy Medical Circle, Granbury, TX 76048 Grand Prairie VA CBOC 2737 Sherman St, Grand Prairie, TX 75051 Greenville VA CBOC 8325 Jack Finney Blvd, Greenville, TX 75402 Plano VA CBOC 3804 W 15th, ST Plano, TX 75075 Polk VA CBOC 7243 S Polk St, Dallas, TX 75224 Sam Rayburn (Bonham) VA OPC 1201 E 9th ST, Bonham, TX 75418 Sherman VA CBOC 1715 Texoma Parkway, Sherman, TX 75090 Tyler Centennial VA CBOC 428 Centennial Parkway, Tyler, TX 75763

Community Care appointments in the surrounding Counties : Anderson, Cherokee, Dallas, Ellis Henderson, Kaufman, Rusk, Upshur, Van Zandt, Wood

3) Other VA Medical Centers, Hospitals, or CBOCs within Veterans Integrated Service

Network (VISN) 17 including, but not limited to:

Medical Center Name: Address:

Thomas E Creek Dept of VAMC (Amarillo) 6010 Amarillo Blvd W, Amarillo, TX

79106 VA West Texas Health Care System (Big Springs) 300 Veterans Blvd, Big Spring, TX

79720 VA South Texas Health Care System (San Antonio) 7400 Merton Minter Blvd, San

Antonio, TX 78229 VA Central Texas Health Care System (Temple) 1901 Veterans Memorial Dr, Temple, TX 76504

4) Other Non-VA Medical facilities and Community Care facilities as authorized by the VA.

5) Veteran’s residence.

6) Local airports including: DFW and Love Field.

6.6. Quality Control Plan

6.6.1. Quality Control

6.6.2. The Contractor shall maintain a Quality Control Plan (QCP) that contains, at a minimum, the following:

1) A description of the company’s organizational structure including a description of the roles and responsibilities of management and supervisors.

2) A description of the methods to be used by the Contractor for identifying and preventing deficiencies or problems in the quality of service.

3) A description of the specific steps the Contractor shall take for corrective action if needed if a deficiency or problem in the quality of service occurs.

4) A description of the company’s records and tracking system used to identify up-to- date background checks, applicable certifications and tests, and training of each employee performing services under this contract.

5) A description of the method used to provide on-time ambulance services to meet the requirements of this contract (24/7 availability and up to 4 simultaneous transports in accordance with PWS 4.5.2.).

A description of the methods used to identify and prevent radio communication breakdowns and a detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

6.6.3. The Government will evaluate the Contractor’s performance under this contract to ensure that the Contractor’s QCP is adequate, and that quality is achieved through a Quality Assurance Surveillance Plan (QASP).

6.6.4. The Government shall prepare a QASP after contract award derived from the PWS and Contractor’s submitted quality control plan. The QASP is a “living document” and the Government may review and revise it at any time. However, the Government shall coordinate changes to the QASP with the Contractor.

6.6.5. The QASP will specify the work requiring surveillance and the Government’s method of surveillance.

6.7. CONTENGENCY PLAN: (In case VetRide Vendor Portal is down) A description of the method/system used to log all requests for service. The Contractor shall confirm that the log indicates the date and time of service call, actual time of pick-up versus the scheduled time, name of patient requiring services, designated pick-up and delivery points, mileage, and actual waiting time at pick-up and delivery points if waiting charges are claimed. The Contractor shall confirm the log will be sent to the COR monthly.

7. Minimum Performance Standards

7.1. The Contractor shall maintain performance standards in accordance with the standards outlined in Attachment D.1, QASP. Failure to meet the Acceptable Quality Levels (AQL) may result in termination of the contract.

7.2. The QASP will include the standards below as well as others derived from the successful offeror’s quality control plan.

7.3. See QASP in attachment D.1.

7.4. COVID-19 Or Other Similar Infectious Diseases

7.4.1. Contractor shall not refuse transports of COVID-19 positive or other similarly infected

7.4.2. Contractor shall abide by all additional procedures and precautions that may be implemented by the VA based on VA-issued guidance and/or CDC recommendations. These procedures are subject to change throughout the life of the contract and will be incorporated via attachment (See D.6, VTS Patient Transport PPE and Vehicle Cleaning/Disinfection SOP).

7.4.3. Contractor shall have written policy of steps they will take to prevent the spread of COVID-19 or other similarly infectious diseases by their employees and/or vehicles. This policy shall, at a minimum, include procedures of screening drivers before each shift, deliberate decontamination of their vehicles and all other preventative precautions taken by Contractor employees.

7.7.4. Contractor shall furnish all required PPE throughout the life of the contract.

8.8. Conformity To Regulations

8.8.1. The Contractor and his/her operators shall conform to all Federal, State, and local regulations governing the performance of contracted services.

8.8.2. VAMC facilities have been designated NO SMOKING areas in their entirety. Individuals found in violation of this no smoking policy may be subject to a $50.00 federal citation for disregarding posted safety rules and regulations. Furthermore, the Contractor may be directed to stop work. The Contractor is to notify all of his/her employees and/or sub-Contractors of this strict enforcement policy.

8.9. Wage Rates

8.9.1. Wage Determination(s) as listed in Section D in this solicitation are applicable to any resulting contract.

8.9.2. The Contractor certifies by signature on this offer that the salaries to be paid workers involved in the performance of the contract are equal to or greater than those specified in the attached Wage Determination(s).

8.9.3. The Department of Labor has held that Contractors shall pay their employees the Service Contract Act waged while they are driving both to and from destinations for the VA. The Wage Determination is attached in Section D.

8.10. Evidence of Coverage. Before commencing work under the contract, the Contractor shall furnish the…

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