36C25819R0068-002.docx

36C25819R0068

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.

DUNS:

DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C25819R0068 08-1 -2019 Forrest Waller forrest.waller@va.gov 520-629-4637 09-02-2019 11:00 am Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson AZ 85723 X 623220 $15 Million N/A X Department of Veterans Affairs Southern Arizona VA Healthcare System 3601 S. 6th Avenue Tucson AZ 85723 Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

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.

Contractor shall provide services as part of its Community Based Health Care for Homeless Veterans (HCHV) program. This will provide transitional housing for severely mentally ill (SMI) veterans for Phoenix, AZ. The services shall be provided to veterans who are eligible beneficiaries specifically authorized by Phoenix VA Health System.

See Schedule Procurement Authority 38 U.S.C. 2032 and 38 U.S.C. 1718 This solicitation is issued under FAR part 13.5 Simplified Procedures for Certain Commercial Items X X Daniel C. Thiel Contracting Officer Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C258

Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

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

3. INVOICES: Invoices shall be submitted in arrears:

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

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.

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

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

SMI Housing in accordance with the PWS

Estimated number: 23 beds per night for 365 days This estimate is not a guarantee.

Minimum order of 1 Bed Maximum order of 23 Beds Contract Period: Base POP Begin: 10-01-2019 POP End: 09-30-2020

SMI Housing in accordance with the PWS

This estimate is not a guarantee.

Minimum order of 1 Bed Maximum order of 23 Beds

Contract Period: Option 1 POP Begin: 10-01-2020 POP End: 09-30-2021

SMI Housing in accordance with the PWS

This estimate is not a guarantee.

Minimum order of 1 Bed Maximum order of 23 Beds

Contract Period: Option 2 POP Begin: 10-01-2021 POP End: 09-30-2022

SMI Housing in accordance with the PWS

This estimate is not a guarantee.

Minimum order of 1 Bed Maximum order of 23 Beds

Contract Period: Option 3 POP Begin: 10-01-2022 POP End: 09-30-2023

SMI Housing in accordance with the PWS

This estimate is not a guarantee.

Minimum order of 1 Bed Maximum order of 23 Beds Contract Period: Option 4 POP Begin: 10-01-2023 POP End: 09-30-2024

B.3 DELIVERY SCHEDULE

Attn Cheryl Black (COR) 650 Indian School Rd Phoenix, AZ 85012

USA

602-277-5551 Ext 3115 cheryl.black@va.gov

Attn Cheryl Black (COR) 650 Indian School Rd Phoenix, AZ 85012

USA

Attn Cheryl Black (COR) 650 Indian School Rd Phoenix, AZ 85012

USA

Attn Cheryl Black (COR) 650 Indian School Rd Phoenix, AZ 85012

USA

Attn Cheryl Black (COR) 650 Indian School Rd Phoenix, AZ 85012

USA

B.4 Performance Work Schedule

PHOENIX VA HEALTH CARE SYSTEM

Performance Work Statement Transitional Housing for Veterans with Serious Mental Illness

1. PURPOSE.

The Department of Veteran Affairs, Phoenix VA Health Care System in, Phoenix, AZ requires contractors to provide services as part of its Community Based Health Care for Homeless Veterans (HCHV) program. The goal of the HCHV program is to remove homeless veterans from the street or habitation unfit for veterans and place them in community-based, residential environments with sufficient therapeutic services to meet the needs of those Veterans. Many transitional housing and other residential environments provide barriers to placement that may include maintaining a period of sobriety, no sexual offenders or other specific past felonies. VA has a need for a homeless transitional program that provides shelter for veterans with serious mental illness. Serious Mental Illness (SMI) is defined as a mental, behavioral, or emotional disorder that meets Diagnostic and Statistical Manual of Mental Disorders (DSM) diagnostic criteria (excluding cognitive and developmental disorders and disorders due to a general medical condition).

1. BACKGROUND.

The Department of Veterans Affairs has established Health Care for Homeless Veterans (HCHV), in accordance with 38 USC 1720A and Public Law 101-237. The Department of Veterans Affairs is implementing programs to end homelessness for veterans within five years. Existing housing programs provide transitional and permanent housing. This program will provide immediate and emergent housing for homeless veterans. The targeted population is homeless veterans who are severely mentally ill, disabled and/or aged.

1. SCOPE

Transitional housing is intended to provide short-term case management services as a “step up” or “step down” housing program. Veterans either are admitted directly off the street or they are discharge from or pending inpatient or residential care. Many may require discharge to longer term transitional housing placement or to long term permanent housing (HUD-VA Supported Housing). The contractor shall provide housing, therapeutic treatment and rehabilitative services, supportive program staff, and personal and/or protective care for veterans with serious mental illness. The contractor shall provide services to veterans with or without substance abuse disorders. The facility or complex facilities shall be capable of providing services and beds to no less than 25 veterans per night for 365 days totaling 9,125 beds per year. The Contractor shall provide separate rooms for male and female veterans. Veterans of different genders shall be provided separate bathrooms and showers. Contractor staff shall communicate information pertinent to resident’s treatment to VA clinical staff. Contractor staff will participate in VA staff meetings, as needed, during which their input regarding treatment decisions may be solicited.

1. PLACE OF PERFORMANCE

The contracted facility shall be within the Phoenix, AZ metro area.

1. REQUIREMENTS

1. Admission into Facility - The VA is responsible for determining eligibility of veterans prior to referral to the contractor for treatment. A written referral (hard copy, fax or e-mail are acceptable) signed by an HCHV outreach worker, liaison or case manager, shall be provided to the contractor for each veteran referred for services under the contract. The veteran shall complete an intake form within 72 hours of entrance into the program.

0. Admissions and intakes will be conducted during normal business hours.

0. The length of stay for a veteran may be reviewed in 90 day increments, depending upon the needs of the veteran as mutually determined by the veteran, the Contractor’s staff, and VA Case Manager or designee. An extension of the referral period up to a total of one year may be authorized by the VA Case Manager or designee, provided that there is clinical need and that funding is available. Treatment periods in excess of one year for individual veterans must be authorized by the HCHV Coordinator.

1. BASIC SERVICES. The contractor shall provide each veteran referred for care under this contract with the following basic services:

1. Treatment Planning Treatment planning incorporates the allied health professionals and nursing to help educate and ensure the optimal management of complex or chronic illnesses while residing in a community setting.

0. The contractor shall work in collaboration with the VA Case Manager and veteran to develop an initial treatment plan that is veteran-driven within 7 days of admission into the facility. Follow-up meetings will occur at least weekly with the VA case manager, VA COR, contractor staff and veteran. Treatment plans will be revised when a life-altering event happens, and will consist of the provision of direct services, ongoing assessment and evaluation of goals and objectives that have been developed.

0. Veterans will be required to complete a physical and mental health or substance abuse appointment within the first 30 days of admission (unless the veteran had a physical or mental/substance abuse appointment within the past 30 days at the VA) to determine if the veteran may benefit from additional services at the Phoenix VA Health Care System.

0. Assessment of Treatment Outcomes: Assessment of treatment outcomes will be conducted by the VA Case Manager in collaboration with the contractor staff at periodic intervals before the program is completed. Veterans provided placement in contract facilities under this program will be evaluated for the length of stay in program, goals accomplished from the treatment plan, and compliance with rules and regulations of the agency. Other information to be obtained will include follow-up activities, if appropriate, as part of the continuing support and involvement of the veteran patient.

0. Therapeutic and Rehabilitative Services: Referrals and information for Therapeutic and Rehabilitative Services will be provided to veterans in the plan developed by the contractor, with input from the veteran and the VA Case Manager. The contractor will not be required to provide detoxification or other hospital level treatment as those services will be performed by the VA at VA facilities. Services which the contractor must be able to provide shall include:

0. Structured group activities as appropriate – examples include group therapy, social skills training, Alcoholics Anonymous, Narcotics Anonymous, vocational counseling and physical activities as appropriate.

0. Collaboration with the VA program staff, which will provide supportive psychosocial services.

0. Individual professional counseling, including counseling on self-care skills, adaptive coping skills, as appropriate and vocational rehabilitation counseling, in collaboration with VA program and community resources.

0. Assistance to develop life skills for responsible living patterns; to maintain an acceptable level of personal hygiene and grooming; to achieve a more adaptive level of psychosocial functioning; upgraded social skills and improved personal relationships; and maintaining personal financial responsibilities.

0. Support for an alcohol/drug abuse-free lifestyle provided in an environment conducive to social interaction and the fullest development of the resident’s rehabilitative potential.

0. Assistance to gain and to apply knowledge of the illness/recovery process in an environment supportive of recovery models.

0. A program that promotes community interaction. This may be demonstrated by the nature of scheduled activities or by information about resident flow out of the facility, e.g. community activities, volunteers, and local consumer services.

2.3 Transportation: The Contractor shall provide the veterans with local transportation to scheduled meetings and appointments including drop off and pick up. The contractor shall assist the veteran’s access public transportation, including providing information and instructions necessary to enable veterans to utilize public transportation. If VA staff determines that adequate public transportation is not available or appropriate for a veteran, the contractor shall arrange for alternative transportation.

2.4 Toxicology Screening If urine toxicology screening or other procedures are required, the contractor shall coordinate and pay the fees associated with an outside agency under the following standard certifications to include Centers for Medicare and Medicaid Services (CMS), Clinical Laboratory Improvement Amendments (CLIA) for clinical diagnostics, Drug and Alcohol Testing Industry Association (DATIA) for specimen collections, and Arizona Department of Public Safety for blood alcohol testing. It shall be the contractor’s responsibility to facilitate transportation for the veteran. If Veteran is acutely intoxicated, contract facility will contact emergency medical services.

2.5 Meals – The contractor shall be provide no less than three (3) nutritious meals to the veteran per day; unless a veteran receives financial compensation and is able to purchase his/her own food. The contractor in collaboration with the VA COR will determine if the veteran will be able to purchase his/her own food upon admission into the contractor’s facility.

2.5.1 Food items shall be prepared, served, and stored under sanitary conditions. Sanitary procedures shall be established and maintained for food handling, cleanliness of work areas, and for proper waste disposal.

2.5.2 Accommodations must be made for veterans with dietary restrictions due to religious practice or medical diagnosis.

2.6 Veteran Incident Handling The contractor shall notify the VA Case Manager or designee and/or HCHV Coordinator immediately of any incidents involving veterans residing in the residential program. The contractor shall notify the VA Case Manager by telephone during the hours of 7:30am and 4:00pm. For all incidents that occur after normal business hours, the contractor should notify the Administrator on Duty (AOD). The contractor shall provide the HCHV Coordinator or Case Manager with a copy of the incident report within 24 hours. The contractor shall maintain a copy of the incident report in the veteran’s case record.

2.7 Veteran’s Requiring Hospitalization The contract facility shall notify the authorizing Phoenix VA Health Care System (PVAHCS) on call Emergency Department (ED) Social Worker immediately when a medical emergency requiring hospitalization occurs. The veteran will be admitted to an appropriate VA Facility. When admission to a VA facility is not feasible because of the nature of the emergency; hospitalization in a non-Federal hospital may be accomplished provided VA authorization is obtained in advance. Veterans who are in need of medical or mental healthcare will be encouraged to participate in care through the community or VA healthcare system depending on their preference. The Veteran will be responsible for any payments for medical care.

0. Absences and Cancellation The contractor’s case manager shall notify the VA Case Manager within 24 hours’ notice of unauthorized veteran absences. Should a veteran absent himself/herself from the contractor’s facility in an unauthorized manner, payment for services for that veteran shall be continued for a maximum period of two days, provided there is an active outreach attempt on the part of the Contractor’s staff to return the veteran to the facility and there is a reasonable belief that the veteran will return.

0. Absences of the veteran from the facility in excess of three days will not be reimbursable unless authorized in advance by the VA Case Manager and/or HCHV Coordinator.

0. If the veteran has an approved absence and returns to residential treatment in less than 14 days, the contractor shall not complete discharge paperwork. However, the contractor can only invoice for the first 72 hours of absence.

0. Discharge of Veterans - The Contractor shall provide treatment and discharge planning reflecting a team assessment of health, social and vocational needs and the involvement of the veteran, the VA staff and appropriate community resources in resolving problems and setting goals.

1. Discharge Criteria Discharges from contract housing facilities are determined by veteran needs. Typical discharges will include:

1. Veteran who have achieved their goals to transition to the highest level of independent living.

1. The veteran violated program rules or showed no motivation to work toward treatment goals. The veteran’s case will be reviewed between the contractor and the VA Case Manager prior to discharge from the program unless the veteran is a danger to self or others.

1. If a veteran voluntarily leaves the program; he/she must consult with the VA Case Manager and the absence must be in line with treatment goals. In the event the veteran did not consult with the VA Case Manager, the veteran shall be discharged after 14 days of leaving the program. [Note: the contractor can only invoice for the first 72 hours. As a result, the contractor has the option of discharging the veteran after the first 72 hours absence from the program]

1. VA reserves the right to remove any or all veterans from the facility at any time, without additional cost, when it is determined to be in the best interest of the VA or the veteran.

2.10 Event of Veteran’s Death In the event a veteran receiving care under this contract deceases, the contract facility shall promptly notify either the VA Case Manager or on call Emergency Department Social Worker (if after hours) and immediately assemble, inventory, and safeguard the veteran’s personal effects. The funds, deposits, and effects left by veteran upon the premises of the contract facility shall be delivered by the contractor to the person or persons entitled thereto under the laws currently governing the contract facility for making disposition of funds and effects left by veterans, unless the veteran deceased without leaving a will, heirs, or next of kin capable of inheriting. When disposition has been made, the itemized inventory with a notation as to the disposition of the funds and effects, shall be immediately forwarded to the PVAHCS Decedent Office. In the event a deceased veteran has no will, heirs, or next of kin, their personal effects and funds becomes the property of the United States in Trust. In these cases the contract facility shall forward an inventory of any such effects and funds in its possession to the appropriate PVAHCS Decedent Office.

1. Records and Reports: The contractor provides their own records placed under this contract and in accordance to their own business practice which is not part of VA medical records. The contractor shall safeguard disclosure of protected health information under the provisions of the Health Insurance Portability and Accountability Act (HIPPA), and other regulations as required by the VA, federal and state laws and maintain a Business Associate Agreement (BAA) with the VA. The contractor must have a signed VA Form 10-5345 or equivalent Health Insurance Portability and Accountability Act (HIPAA) authorization with “7332” disclosures prior to disclosures of Protected Health Information (PHI) to contractor. Records and reports will be made available to appropriate VA staff members involved with the treatment program of the veterans concerned. The clinical record maintained by the contract facilities shall include:

0. Veterans’ admission forms. All essential identifying data relevant to the resident and his/her family, including a sociocultural vocational assessment.

0. Data relevant to the veteran’s admission to include the targeted goals for constructive changes which are to be attained during the residential rehabilitation episode, and the anticipated length of stay, if known.

0. Copies of any medical prescriptions issued by physicians, including orders, if any, for medications to be taken.

0. Treatment plan within three days of admission to be completed by assigned case manager

0. Reports of periodic reevaluation, to include any measures of movement toward rehabilitation goals, with particular focus on the attainment of selfhelp skills.

0. Final summaries on each resident who leaves the program, to include a description of beneficial changes realized during the residential period, reasons for leaving, the resident's future plans, and follow-up locator information.

3.1 The contractor shall make available to the VA, documentary information deemed necessary by the VA to conduct utilization review audits for the mandated national evaluation study as required by Section 2 of Public Law 100-6; to verify quality of patient care, to assure confidentiality of patient record information, and to determine the completeness and accuracy of financial records.

0. The contractor shall work with the VA Case Manager and/or HCHV Coordinator to complete any national reporting requirements.

0. The Homeless Management Information System (HMIS) is a web based software application that has been implemented to monitor and report progress of all Federal partners and communities in abolishing homelessness among Veterans. It will be used to collect data, report on trends, service utilization and performance being provided to homeless individuals and families. The Continuum of Care (Coc’s) provider’s participation in HMIS is required in order to receive HUD funding. VA currently cannot release patient identifiable data to local Continuum of Care (Coc’s) facilities without a signed patient release. VA is working towards a blanket authority that will allow VA homeless programs to share the basic information. This will occur, though it may not be in time for this year’s “point-in-time” (PIT) count. A signed patient release form should acknowledge that information shall be provided to the HMIS database and for PIT.

1. FACILITY The Contract Facility provides services to veterans to include providing a safe, secure, confidential and structured environment that address the needs of the veteran. It is the responsibility of the contractor to properly maintain its facilities and the VA shall have no responsibility for paying or reimbursing the contractor for such expenses.

4.1 Facility Accreditation - The contract facility must:

0. Have a current occupancy permit issued by the local and state governments in the jurisdiction where the facility is located, or a statement from the appropriate city or state office, stating there is not a need for an occupancy permit.

0. Be in compliance with existing standards of State safety codes and local, and/or State health and sanitation codes.

0. Where applicable, be licensed and insured under State or local authority.

0. Where applicable, be accredited by the State.

0. Annually provide the VA Contracting Officer with updated state/Federal licenses, certifications, insurance information and investigation reports.

0. The VA IT Security Requirements for Certification and Accreditation (C&A) requirements do not apply per VA Handbook 6500.3 and a Security Accreditation Package is not required.

0. Facility Requirements – The contractor shall comply with 38 CFR 61.80 General operation requirements for supportive housing and service centers to provide a clean, sanitary, alcohol and drug free facility with utilities, maintenance, furnishings, appliances, and service equipment. The facility must be assessable for the disabled, in accordance with the Americans with Disabilities Act. Each room shall be accommodated by no more than two veteran patients and supplied with the appropriate furnishings: a night stand, bed with mattress, dresser or closet, linens and a secure storage for each veteran’s medications. The facility shall have on-site laundry room (including detergents) available for veterans to do their own laundry, at no cost to the veteran. The contractor shall comply with the principles listed in 38 CFR 17.707(b) to provide housing and supportive services in a manner that is free from religious discrimination or coercion.

0. Facility Safety – The contractor shall provide a facility for services that meets city, state, and federal laws for fire and safety. The facility shall be provided and comply with the current NFPA 101, Life Safety Code of the National Fire Protection Association and Occupational Safety and Health Administration (OSHA). The facility shall be equipped with first aid equipment and portable fire extinguishers readily available. The contractor shall maintain a fire and evacuation plan. The plan shall outline the duties, responsibilities, training and actions to be taken by the staff and veterans in the event of a fire emergency and implemented during fire exit drills.

0. Facility Inspection - The contract facility is subject to inspections to ensure compliance with contract terms.

2. Quarterly Inspections - The COR or a designated representative will review veteran records, observe services provided by facility and staff, evidence of facility-community interaction, review staff plan, assess the facility meets applicable fire, safety and sanitation standards, observe facility provided meals, review discharge plan and cycle of veteran admission and discharge.

0. If during the course of inspection, an unresolved discrimination complaint arises or maintenance of segregated facilities has been observed, a report will be forwarded to the VA Medical Center Director. The report will contain pertinent facts and observations with a description of action taken to correct the situation. A copy of the report will be given to the Contracting Officer and Contract Facility.

4.4.2 Annual Inspections - The multi-disciplinary VA Inspection Team will consist of the VA Medical Center Contracting Officer’s Technical Representative (COR), a social worker, dietitian, registered nurse, a representative of the VA Police, and a Facilities Management Safety Officer, and other subject matter experts as determined necessary by the medical center director or HCHV Coordinator. The VA inspection team shall conduct an inspection of the contractor’s facility, staffing, facility operations, evidence of facility-community interaction, inspection of meals, review patient records, and adherence to fire and safety codes. The contractor shall make documented information available to VA, as deemed necessary, to conduct utilization review audits, to verify quality of care to veterans, to assure security and privacy of veterans record information, and to determine the completeness and accuracy of financial records.

4.4.2.1 The contractor will be advised of the findings of the inspection team. If deficiencies are noted during any inspection, the contractor will be given a reasonable time to take corrective action and to notify the Contracting Officer that the corrections have been made. Failure by the Contractor to take corrective action within a reasonable time will be reported to the VA Contracting Officer. If corrections are not made to the satisfaction of the VA, the contract may be terminated for cause and veterans will be transferred at the contractor’s expense.

4.4.3 Periodic Inspections may also be carried out at such other times as deemed necessary by the Department of Veterans Affairs and may or may not be announced.

4.4.4 All Department of Veterans Affairs reports of inspection of residential facilities furnishing treatment and rehabilitation services to eligible veterans shall, to the extent possible, be made available to all government agencies charged with the responsibility of licensing or otherwise regulating or inspecting such institutions.

1. Key Personnel The contractor shall assign the correct number of personnel that are qualified and licensed (if required) to provide the services to carry out the policies, responsibilities, and services of the program. The staff shall maintain licensing, if applicable, throughout the performance of the contract.

3. The facility shall be staffed 24 hours, 7 days a week and have at a minimum of one administrative staff member or designee on the premises available for emergencies at all times. The case manager and case aid ratio shall not exceed 15.

3. The contractor shall ensure each person performing work under this contract has the appropriate training as required by Health Insurance Portability and Accountability Act of 1996 (HIPAA) and Occupational Safety and Health Association (OSHA).

3. The contractor shall comply with the VA Patient's Bill of Rights as set forth in 38 CFR 17.34a (copy available upon request).

3. All Contractor staff providing services to veterans under this contract must have an appropriate background security check before receiving an initial referral of veterans under the contract. The Contractor shall ensure all appropriate security documentation is submitted through the local law enforcement agency. Personnel records are subject review by VA Chief of Staff, COR and HCHV Coordinator.

3. The contractor shall notify the VA COR in the event of loss of key personnel due to illness, death, or termination of employment. For new key personnel, the contractor shall provide the COR with employee’s resume(s) and license(s), if license is applicable, within 15 calendar days before performance on this contract. The VA reserves the right to refuse or revoke acceptance of key personnel if personal or professional conduct, or lack of required skills or experience, jeopardizes veteran care or interferes with the regular and ordinary operation of the facility.

1. Quality Control

6.1 Quality Control Plan - The contractor shall establish, implement, and maintain a Quality Control Plan (QCP) to ensure contract services are provided as specified in this contract. The contractor shall submit the QCP to the Contracting Officer (CO) upon contract award for review and comment. The contractor shall update the QCP as changes occur and submit changes to the CO as required.

6.1.1 As a minimum, the contractor’s QCP shall contain the following items.

6.1.1.1 A description of the inspection to cover all services. The description shall include specifics as to the areas to be inspected on a scheduled and unscheduled basis, frequency of inspections, and the title and organizational placement of the inspector(s).

6.1.1.2 A description of the methods to be used for identifying and preventing defects in the quality of service performed.

6.1.1.3 Conduct utilization review audits from the Northeast Program Evaluation Center (NEPEC) data collection which include:

0. Verify quality of veteran care for veterans,

0. Ensure confidentiality of patient record information, and

0. Determine the completeness and accuracy of financial records. The comprehensive NEPEC program monitoring and evaluation study mandated by law will draw part of its data from the housing settings.

6.2 Quality Assurance Surveillance Plan – The government shall evaluate the contractor’s performance under this contract in accordance with the performance requirements. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s). See Technical Exhibit 1.

6.2.1 Government Remedies: The contracting officer shall follow FAR 52.212-4, “Contract Terms and Conditions-Commercial Items” or 52.246-4, “Inspection of Services-Fixed Price” for contractor’s failure to perform satisfactory services or failure to correct non-conforming services.

TECHNICAL EXHIBIT 1

PERFORMANCE REQUIREMENTS

The Contractor service requirements are summarized into performance standards that relate directly to mission essential items and the overarching objectives stated in PWS Section 9. The performance standards listed in the table below set thresholds for the minimum acceptable levels of service required for acceptable work under this PWS, identifies systematic methods to be used to monitor performance and reporting/documentation required to support the process. These thresholds are critical to mission success. The Performance standards serves as a basis for the Government’s evaluation criteria, providing the means for evaluating how well the Contractor is doing in meeting the PWS requirements. The Government may increase the frequency of surveillance in areas where substandard performance occurs.

A “results” focus provides the Contractor flexibility to continuously improve over the course of performance as long as objectives are being achieved and performance levels are being met. This approach migrates away from scrutinizing a contractor’s compliance with the processes/practices used to achieve the outcome. Exceptions to process reviews are those required by law (federal, state, and local) and compelling situations such as information assurance, IT security, safety, or health.

F. ADDITIONAL CONTRACT REQUIREMENTS

0. Invoices The facility shall invoice for services rendered each month in arrears. Invoices will be submitted to the COR for certification prior to submission to Fiscal Service Center (FSC) website http://www.fsc.va.gov/einvoice.asp . The PVAHCS will pay for each night of veterans bed stay. If a beneficiary is admitted and discharged from the facility on the same calendar day, payment will be authorized for one bed stay.

0. Programming conflict: In the event of programming conflict, VA program requirements will take precedence.

0. Continuity of Care: In the event that the contractor is no longer able to provide housing/ services to residents; the VA will coordinate with community agencies and PVAHCS HCHV Homeless Program Resources in an attempt to provide housing for veterans who would be displaced from the existing program.

0. Governing Law: This contract shall be governed, construed and enforced in accordance with applicable Federal, State and Local Law.

0. Order of Precedence: The terms, conditions, and attachments referenced herein, including any formal written modifications thereto, constitute the complete agreement between the parties and take precedence over any other language, oral or written.

36C25819R0068

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SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR STATEMENTS—REPRESENTATION (JAN 2017)

(a) Definition. As used in this provision— Internal confidentiality agreement or statement, subcontract, and subcontractor, are defined in the clause at 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements.

(b) In accordance with section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions), Government agencies are not permitted to use funds appropriated (or otherwise made available) for contracts with an entity that requires employees or subcontractors of such entity seeking to report waste, fraud, or abuse to sign internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting such waste, fraud, or abuse to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information.

(c) The prohibition in paragraph (b) of this provision does not contravene requirements applicable to Standard Form 312, (Classified Information Nondisclosure Agreement), Form 4414 (Sensitive Compartmented Information Nondisclosure Agreement), or any other form issued by a Federal department or agency governing the nondisclosure of classified information.

(d) Representation. By submission of its offer, the Offeror represents that it will not require its employees or subcontractors to sign or comply with internal confidentiality agreements or statements prohibiting or otherwise restricting such employees or subcontractors from lawfully reporting waste, fraud, or abuse related to the performance of a Government contract to a designated investigative or law enforcement representative of a Federal department or agency authorized to receive such information (e.g., agency Office of the Inspector General).

(End of Provision)

C.2 52.216-18 ORDERING (OCT 1995)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 10/01/2019 through 9/30/2024.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) If mailed, a delivery order or task order is considered "issued" when the Government deposits the order in the mail. Orders may be issued orally, by facsimile, or by electronic commerce methods only if authorized in the Schedule.

(End of Clause)

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

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $359,893.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of $360,000.00;

(2) Any order for a combination of items in excess of $1,800,000.00; or

(3) A series of orders from the same ordering office within 3 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

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

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after five (5) years.

(End of Clause)

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

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause)

C.7 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

Funds are not presently available for performance under this contract beyond . The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond , until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability, to be confirmed in writing by the Contracting Officer.

(End of Clause)

C.8 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

(a) The Contractor recognizes that the services under this contract are vital to the Government and must be continued without interruption and that, upon contract expiration, a successor, either the Government or another contractor, may continue them. The Contractor agrees to (1) furnish phase-in training and (2) exercise its best efforts and cooperation to effect an orderly and efficient transition to a successor.

(b) The Contractor shall, upon the Contracting Officer's written notice, (1) furnish phase-in, phase-out services for up to 90 days after this…