36C25725R0077 0001 1.docx
DOCX document 125 KB Posted
- Attached to
- Central Texas VA- BLS, CCT and ALS Ambulance Transportation Federal contract opportunity
- Solicitation number
- Not on record
About this file
This document is an Amendment (0001) containing Questions and Answers for a VA ambulance transportation contract for the Central Texas Veterans Health Care System. The solicitation covers Basic Life Support (BLS), Advanced Life Support (ALS), and Critical Care Transport (CCT) services across multiple counties, with an estimated 10-20 weekday transports annually. The contract will be a one-year term with no incumbent, focusing on patient transportation within the Veterans Integrated Service Network 17 catchment area.
Key requirements include 30-minute emergency response times, compliance with HIPAA regulations, use of the VetRide portal for coordination, and contractor-provided medical equipment and consumables. The contract mandates $1 million in medical liability insurance, requires daily invoicing through VetRide, and allows transport of multiple patients in disaster scenarios. Vendors must submit three separate volumes (pricing, technical, and past performance) and provide evidence of licensing, certifications, and references. The base rates cover transportation within the specified county area, with additional mileage charges for trips outside the defined catchment area.
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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)
None
Department of Veterans Affairs Central Texas Veterans HCS 1901 Veterans Memorial Dr. Building #171 Temple TX 76504
Department of Veterans Affairs Central Texas Veterans HCS 1901 Veterans Memorial Dr. Building 171 Temple TX 76504 To all Offerors/Bidders
36C25725R0077
X
Questions and Answers for Combine Synopsis 36C25725R0077
1. The purpose of this Amendment is to provide the answers submitted by Vendor related to the Combine Synopsis mentioned above
2. Questions and answer are provided in the Continuation page number 2.
3. No additional amendments included.
Rafael Rodriguez Contracting Officer
First Set of Questions and Answers;
| 1. | Of the estimated 10–20 weekday transports, how many historically required Tier III Critical Care? The Government had about 70 CCT transports in the FY we studied to come up with estimates. |
| 2. | Can EMTs or paramedics employed part-time with another agency still qualify if they meet the certifications, or must they be dedicated full-time staff? Don’t have to be full-time staff in the contract. |
| 3. | Will the VA provide orientation or training for contractor staff, or must contractors handle it entirely? If so, how many manhours will the orientation training be? There will be meetings and orientation to the facilities, etc. but Government do not have a training plan or curriculum. |
| 4. | For emergent transports (30-minute response), is that measured from time of VA request to arrival at pickup, or from dispatch to arrival? Time of request. |
| 5. | In rural counties (e.g., San Saba, Erath, etc.), how will compliance with the 30/60-minute rule be evaluated if travel distances are significant? We were mandated to use a nationally approved Performance Work Statement. There will be some leeway for further rural destinations. |
| 6. | Will the VA provide training and technical support for VetRide portal usage? Yes |
| 7. | How does VA reconcile VetRide downtime requests vs. paper backup orders—what documentation is acceptable to ensure payment? VetRide is a new implemented program. Is being mandated nationally by 9/30/25. There are not know contingency plans for billing if there is downtime. The Government will pay though. |
| 8. | Will VA reimburse for toll charges, parking fees, or standby costs outside the base mileage/waiting time structure? Toll charges, parking fees, standby costs are not additional but the cost of doing business with the VA. Wait time is covered in the solicitation. |
| 9. | Will the VA perform initial inspections of vehicles prior to performance, or only random spot checks during contract performance? There will not be initial inspections. |
| 10. | For linen and medical supply requirements, does VA provide any consumables, or is the contractor expected to supply all items 100%? The contract vendor is responsible for all consumables associated with the contract. And the contracted vendor must NOT take anything from the VA, such as wheelchairs, linen, or equipment (answer from national). |
| 11. | Is there any minimum fleet size requirement beyond being able to handle four simultaneous transports? No |
| 12. | For “no shows,” what evidence does VA require to substantiate reimbursement of dispatched mileage? Immediate reporting to our Transportation Coordinators |
| 13. | Can you confirm what level of medical liability insurance is required? (VAAR 852.237-7 references it but doesn’t state dollar limits in the PWS.) National Transportation Coordinator said $1 million |
| 14. | For HIPAA compliance, will VA provide a standard Business Associate Agreement (BAA), or must the contractor draft one? Vendor must provide BAA. |
| 15. | For CPARS evaluations, what specific metrics will VA focus on beyond timeliness and invoicing accuracy? Quality, Schedule, Cost Control, Management, Regulatory |
| 16. | In multi-patient incidents (e.g., disaster response), can the contractor transport more than one patient per order with prior VA authorization? Yes |
| 17. | What is the VA’s process for handling disputes on medical necessity or billing eligibility (especially for non-VA initiated/911 transports)? This contract will not include any non-VA 911 transports. We are very specific with whom is authorized to place an ambulance order. Only those staff members can request ambulance services with this contract. |
Second Set of Questions and Answers
1. Please provide the name and contract number for the incumbent contractor. If more than one incumbent is performing these services, please include their contract number and contractor name. There is no current or previous contract. If awarded, this will be the first of its type.
2. Please provide the workload data for the past three fiscal years for contract. The estimated number of each type of transport listed in the solicitation/PWS is based on transport date from October 2023 through September 2024, with a slight increase for growth.
3. Please include the number of ABS and ALS bariatric patient transports for the past three fiscal years. Do not have this data available.
4. Please explain whether the Area of Operation (AO) has changed in the last three fiscal years. If yes, please indicate what counties have been included and when they were added to the AO. The counties listed in the solicitation/PWS include the CTVHCS catchment area. They have not changed in years, but still not previous contract.
5. Can invoices be processed through the Tungsten Invoicing System or only through the VetRide System? Only VetRide system (nationally mandated).
6. Once an invoice is received and validated by the COR, how long will it take for the contractor to receive payment? VetRide usage is new, but national Veteran Transportation indicates payment could be as soon as right after service is provided. At this moment, the Government does not have a definitive answer, but maybe national VTS can share their answer on this.
7. Will invoices be accepted daily or on a specific date of the month? Daily
8. Will the government provide a Schedule B – Pricing schedule broken down by Stretcher Transport, BLS, ALS, and CCT? Please use the one indicated in the Schedule of Prices provided in the Combine Synopsis- Page 4
9. With the government provide within the Schedule B – Pricing schedule CLINS outlining the unit pricing for Mileage, No Shows and Cancelations Once Dispatched (one-way charge rate)? We would pay one-way for no-shows and cancellations.
10. Are there instances when BLS or ALS transports are required to take patients from the CTVHCS to other VA Medical Centers, Hospitals, or CBOCs within Veterans Integrated Service Network (VISN) 17 as outlined in Paragraph 5.2.3.? Yes, infrequent, but must be available if needed.
11. If so, please provide the historical workload data for these transports for the past two fiscal years. This data is not available.
12. Will the government provide office space for on-site personnel to perform 24/7/365 coordination with the CTVHCS Transportation Division? No, CTVHCS is a non-Veteran Transportation System Site. There is not a Transportation Division, just a couple of Transportation Coordinators on hand.
13. If so, what office equipment will be provided (e.g. desks, printers, chairs, filing cabinets, etc.)? N/A
14. What challenges has CTVHS experienced with previous transportation providers? Not under contract, but pay as you go services have been slow in our Austin metro area. Sometimes an ambulance company cannot make a trip to a highly rural area that is included in our catchment area.
15. The solicitation only requests one year of pricing, does this indicate the contract is limited to a one-year term or is this a base year and four option year project? This will be just a One-year contract.
Third set of Questions and answers;
1. On page 34, the solicitation states that “Attachment A – Cover Letter” must be filled out by the vendor. The actual attachment provided by the government states “The quote shall include: Cover Letter. Cover Letter. The quote shall be clear, and concise, and shall include sufficient detail for effective evaluation and for substantiating the validity of stated claims. The quote should not simply rephrase or restate the Government’s requirements but rather shall provide a convincing rationale to address how the Offeror intends to meet these requirements. The Contractor is required to submit their quote on company letterhead, by the time specified in the solicitation and include the name, address, and telephone number for the offeror, unit price, and an overall total price. Further required are any discount terms, cage code, UEI number, and business size. Failure to provide such information may result in the quote being found nonresponsive.”
Question: Are vendors required to submit this language or are vendors simply required to include the fill in sections as part of their cover letter? Vendor is required to provide information as indicated in all Documents.
2. Page 34 of the solicitation states: “Vendor shall submit 3 separated volumes; 1 volume (excel file) for pricing, 1 volume for technical, and 1 volume for past performance.”
Question: Which volume shall Attachment C be included in? Attachment C seems like a table of contents, should this document take the place of the applicable volumes TOC? Attachment C is the questionnaire. Provide information requested as such. In addition, provide information as indicated in the Combine Synopsis: “Vendor shall submit 3 separated volumes; 1 volume (excel file) for pricing, 1 volume for technical, and 1 volume for past performance.”
3. Page 34 of the solicitation states: “Vendor shall submit 3 separated volumes; 1 volume (excel file) for pricing, 1 volume for technical, and 1 volume for past performance.”
Question: Which volume shall Attachment A be included in? Attachment A is a Cover Letter used as part of the Combine Synopsis. The required information is listed in this document
4. Page 34 of the solicitation states: “Vendor shall submit 3 separated volumes; 1 volume (excel file) for pricing, 1 volume for technical, and 1 volume for past performance.”
Question: Does the government intend to issue a pricing spreadsheet in excel? No, Vendor shall submit the information in EXCEL and in the Schedule of prices provided in the Combine Synopsis announcement- page 4
5. Page 34 of the solicitation states: “Vendor shall submit 3 separated volumes; 1 volume (excel file) for pricing, 1 volume for technical, and 1 volume for past performance.”
Question: Which volume shall SF 1449, associated amendments, Reps & Certs, and limitation on subcontracting be included in? Typically, these documents are included in the pricing volume, but they cannot be converted into excel. Provide information as indicated in the instructions. Amendment shall be included as an additional document (separated).
6. Page 34 of the solicitation states “Quoter shall provide at least two (2) references for similar contracts (recent and relevant) in the public or private sector.”
Question: Can the VA please stipulate in detail the specific information that is being requested? Government is requesting information (Previous Contracts) about past services provided by the Vendor. Information needs to be recent and relevant in the public or private sector.
7. Page 34 of the solicitation states “Technical Submission and Qualifications: Specifically state how the offeror intends to meet the requirements in the Performance Work Statement (PWS/ Attachment B). The technical submission shall not refer to the company name.” Then in the Attachment D the VA states that vendors are required to provide evidence of federal, state, and local compliance, licensing, registration, and safety standard.
Question 1: Does the VA want evidence of federal, state, and local compliance, licensing, registration, and safety standard or does the VA want written attestation as indicated on page 34, paragraph 6?
Question 2: If evidence is required, how is the vendor supposed to provide evidence of applicable licensure without divulging their company name?
Attachment C – Vendor Questionnaire (attached) filled out by the offeror. The contractor shall clearly state its capability to fulfil all requirements in the PWS. Vendor shall attest they have necessary certifications and/or licenses.
Written attestation is okay on the front end before contract award.
8. The price schedule indicates that the base rates for CLINs 1001, 1002, 1004, 1005, and 1006 do not include any mileage.
Question: Can you please confirm that these Line Items do not include any mileage, and these are simply pick up rates in which the contractor will then charge the base rate plus the mileage rate for CLIN 1003 for every mile (loaded mile) traveled? Each one-way trip is inclusive of mileage within the catchment area. In other words, it is a base rate within the catchment area. If the trip goes outside the catchment area (counties listed in PWS), then the mileage rate can be charged.
File details come from the government source that posted it. Updated .