36C25920Q0785 0001.docx

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 NUMBERE

D 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 amendmen t, 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) 04-07-2021 None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25920Q0785 04-07-2021

X X X DUE 4/21/2021 at 10:00am MT X The purpose of this amendment is as follows:

a. This amendment is to answer all the submitted questions, see attached.

b. The Performance Work Statement is also updated, see attached.

c. The solicitation due date is hereby extended till 4/21/2021 at 10:00am MT.

d. All other terms and conditions remain unchanged.

Mary Good Contracting Officer Questions and Answers for SHARPS

1. Is this a follow-on contract? What is the current contract number?

Yes, this is a follow-on contract. The current contract number is 36C25920C0046. The current contractor is NEIE Medical Waste Services

2. The solicitation calls for Reusable containers is this for all Sharps containers, this does not include the Yellow and Black containers? Red containers reusable. Yellow disposable. Black containers not covered under this contract.

3. The trolleys for the 19 GL yellow containers, is there a specification on the cart, brand, model, foot operation? Must be compatible with standard disposable 19 gallon containers.

4. Do the Black and Yellow containers need to be USP 800 compliant? If So what type of opening – Yes, the yellow must meet USP 800 compliance. Black not under this contract. Container openings addressed under MINIMUM CONTAINER PHYSICAL PROPERTIES AND ATTRIBUTES: Crack/damage free. Clear/Readable labeling. Reusable. Able to be sanitized and sterilized. Puncture proof. Preassembled. Leak proof. One hand and one-step disposal mechanism. Overfill protection. Secure tamper proof locking mechanism. Sight and view port. Large access opening but with a restricted hand access which does not allow anyone to get their hand inside (regardless of size or age adult or child). Must have a system identifier to track usage. Sharps lids shall consist of both funnel drop lids (especially for the Emergency department) and mail slot for all other areas. Sharps containers need to be dark in color (red) as to prevent any Patient Identifiable Information (PII) see-through.

5. Is the contractor required to have a technician check the individual wall units and remove them when full? This is addressed in the SOW. Full containers to be swapped in OR/PACU, ER, Lab, Pharmacy. Inpatient and RMR outpatient clinics are picked up from established pick-up points/soiled utility rooms.

6. Who places the full containers into the storage room on each floor? Full containers to be swapped in OR/PACU, ER, Lab, Pharmacy by technician. Inpatient and RMR outpatient clinics full sharps containers are picked up from established pick-up points/soiled utility rooms.

7. Is the contractor required to have a technician remove containers from the individual storage rooms or from a centralized room? Full containers to be swapped in OR/PACU, ER, Lab, Pharmacy by technician. Inpatient and RMR outpatient clinics full sharps containers are picked up from established pick-up points/soiled utility rooms.

8. Under Education and Training Requirements it states the contractor shall provide training to the medical center employees. How many personnel and at what frequency is required. Also what training specifically is required (what standard, length, and delivery method) – The following requirement should be removed from contract requirement: - No training required.

9. Under Special Contract Requirements item C. it states "Certificates required by Federal and State Governments for the Incineration of Medical Waste shall also be provided" does this mean that the only treatment type available under this solicitation is incineration? – No, but if incineration is used then certificates must be provided. Incineration is required for chemo containers.

10. The solicitation references 4 Gallon red containers are these really the standard 3 Gallon reusable sharps containers? 2 gallon containers should be used in the place of the 4 gallon.

11. Does the facility require any other containers i.e. 28 gallon biohazard reusable or biohazard boxes for the solicitation? Biohazard is handled under a separate contact.

12. What is the change over timeline post award. the shipping and logistics of getting ~500 wall mounts delivered and then installed will take time. Please reference “Installation and De-Installation” in the SOW. Installation and de-installation of sharps wall mounting brackets must be performed quickly to minimize impact on patients and clinical staff. Contractor shall take no longer than fifteen (15) minutes per room to de-install and install sharps container brackets. De-install and install will take place after business hours and on weekends. Contractor will perform installation or de-installation in operating and surgical rooms on weekends to minimize impact in these critical areas. Schedule for all areas shall be provided and coordinated with the EMS Service Chief prior to commencement of work. Contractor shall provide documentation reflecting completed work by area to account for all de-installs and installs at the end of each day. Contractor shall perform the necessary clean-up after installation or de-installation.

A reasonable schedule should be workable.

13. The 19 GL yellow containers, is there a specification on the container, brand, model, opening (slide or lift)? Currently use Lift but no requirement for brand/model as long as they meet the container requirements.

14. What is the generator status for each of the locations? This information isn’t currently available and will be available if needed upon award.

15. Is the Pharmaceutical waste being segregated to identify Hazardous from non hazardous per USEPA RCRA standards or NIOSH standards? – Haz waste is handled under a different contract.

16. What P-listed items do the facilities have and how is that being managed? – Under a separate contract, not to be included in this contract.

17. Has a formulary review been completed to determine hazard codes for USEPA and RCRA disposal and management? – Under a separate contract, not to be included in this contract.

18. Confirm the Rocky Mountain VA Medical Center (RMR VAMC): 1700 Wheeling St., Aurora, CO. 80045 is full-service work where the Contractor personnel swap out the full sharps containers from points of generation in doctors, nurses, and patient’s rooms? Full containers to be swapped in OR/PACU, ER, Lab, Pharmacy. Inpatient and RMR outpatient clinics are picked up from established pick-up points/soiled utility rooms.

19. The storage shall be confined to an area on the premises to which only authorized personnel shall have access and sharps containers will be exchanged in the biohazard storage rooms on each floor. How many floors have biohazard storage rooms? How many storage rooms are on each floor? Exact information on the number of rooms, not currently available. Each floor has at least one room, if not multiple. All rooms are secure with two secure storage location on docks (One secure bio room by Research and one on other end of the facility off main dock).

20. Contractor shall ensure sharps containers are secure and attended at all times. Please define “attended at all times” – Full sharps containers should remain secure at all time. Example: full containers on carts can not be left unsecure on a dock or in a hallway awaiting pick-up or must be attended at all times during transport and pick-up.

21. Are the current sharps containers in use disposable or reusable? Majority of sites use reusable. There are some locations due to lack of storage where disposable is used.

22. SHARPS:

n) Three (3) – 2-gallon MRI Safe containers Please clarify as Black containers are not part of a Sharps Waste Stream. – Correct – this requirement can be removed.

Is this for hazardous RCRA - Corrosives, Oxidizers, Aerosols, Hazardous Waste, Universal Waste, or Flammable/Toxic Waste? Is this for Non-Hazardous Pharmaceutical Waste? Are these to be included in this bid? If so, please provide historical quantities and weight data from the past 3 years. Confirm this waste is required to be incinerated prior to disposal. Who provides and who is the manufacturer of the MRI Safe containers in use currently? This is handled under a separate contract. Requirement removed.

23. Denver Clermont Campus – Bldg. 38 only: Contractor will be expected to remove full SHARPS containers from all locations once per week. Is this meant to be full-service work where the Contractor personnel swap out the full sharps container from point of generation in the doctor/nurse room? – Removed from requirement. Bldg. now closed.

24. Clinics: Contractor will provide service for the pickup, transportation, collection, removal of sharps and a one for one swap of full sharps containers with a clean container of the same size for all sharps generated for the Clinics listed. Is this meant to be full-service work where the Contractor personnel swap out the full sharps containers from points of generation in doctor’s/nurse’s rooms? If not all of the clinics are full service, which clinics will be full service where the Contractor personnel perform the full sharps container swap outs at points of generation? – Yes, full service for clinics.

25. Rose Clinic, Jewell Clinic, Aurora Clinic, Domiciliary Lakewood Clinic, One (1) – 2-gallon pharmaceutical container At the above listed 4 clinics, is this for hazardous RCRA waste? At the above listed 4 clinics, is this for Non-Hazardous Pharmaceutical Waste? Confirm this waste is required to be incinerated prior to disposal. – Not part of this contract.

26. The contractor shall pickup sharps between the hours of 7:00 AM through 4:30 PM on regular clinic days, with the exception of the OR/PACU whereby the pickup time needs to be scheduled prior to surgeries. What time of day are surgeries generally scheduled for in OR/PACU? 0600-1800. Change out during regular hours is acceptable – scrubs required in these areas. Scrubs card will be provided.

27. Can you please provide historical data pertaining to the quantities per container size disposed of for the past 2 years? This information is not currently available due to the person tracking being on extended leave.

28. What is the manufacturers brand name of sharps containers currently being used? This is not something that is tracked.

29. What is the required method of treatment for the Sharps Waste - Autoclave or Incineration prior to being disposed? No required method established. Requirement is that all local, state and federal laws are followed. Incineration is required for chemo.

30. Schedule for all areas shall be provided and coordinated with the EMS Service Chief prior to commencement of work. Contractor shall provide documentation reflecting completed work by area to account for all de-installs and installs at the end of each day. Contractor shall perform the necessary clean-up after installation or de-installation. What restrictions and/or additional safety measures are placed upon the Vendor due to the COVID-19 Pandemic when performing the de-installs and installs? Face masks required in federal facilities even if state guidance is different. Available at entrances. Cloth masks not allowed – must wear the masks available at entrances.

31. How many pickups are required per year at these locations?

32. Is this considered a service? So as the SDVOSB, we have to cover 50% of the cost?

Yes this is an SDVOSB set-aside. The SDVOSB is expected to perform 51% of the work per FAR Part 19.

33. The Pueblo Clinic is currently part of the contract but it is not listed in the Statement of Work? Is this clinic part of this bid or has there been a change? Pueblo clinic is part of the contract. Should be included.

34. Does the Golden Clinic intend to maintain disposable sharps containers or do they intend to switch to Reusable Sharps containers? - Golden will remain disposable.

35. The statement of work states “this contract will include the option to have pickups increased as needed to twice daily without an amendment to the contract to the medica; center”. This level of service has never been required on this contract and if vendors have to factor in twice daily pickup/transportation services that will result in excessive and overreaching charges to the Government especially for services that may never be required. A service level increase like this would best be handled via an amendment to the contract should it be required. Should vendors factor in this additional service model or will additional services be handled via a modification to the contract? No, this doesn’t have to be factored. Verbiage to be removed and modification to be completed if this service was to be required.

36. This contract will include the option to have pickups increased as needed to twice daily without an amendment to the contract to the medical center. Please provide clarification. Does this mean the truck to arrive at the medical facility twice daily to remove carts of used sharps containers or does this mean the service technician would service high use areas twice daily. Having a truck pickup carts twice a day would be an unfair exuberant additional cost to any vendor. – Additional pick-up verbiage to be removed. This verbiage was added for the activation of RMR and usage/need was unknown. We have an established schedule and have not had to have a 2nd pick-up.

37. The yellow containers are used for Pathological and Trace Chemotherapy waste streams. They are disposed of by incineration which is not in the same manner as your typical sharps. Are these container requests part of this Sharps Contract or is this an error? Is the requirement to dispose of all waste by incineration? If part of this contract, please provide 2 years of historical data pertaining to number, sizes, and weights of containers. – Yes, trace chemo container pick-up is part of this requirement. Chemo waste must be incinerated. 2 year historical data not available.

38. The black containers are typically for their hazardous medication waste. They are not disposed of in the same manner as your typical sharps. Are these container requests part of this Sharps Contract or is this an error? If part of this contract, please provide 2 years of historical data pertaining to number, sizes, and weights of containers. – Part of a separate contract.

39. Please confirm the Pueblo VA Community Living Center located at 2600 Oakshire Ln, Pueblo, CO 81001 is included on your current contract. Is this not to be included in the new contract? Pueblo Community Living Center to be included.

40. Please confirm the Golden Outpatient Clinic located at 1020 Johnson Rd., Golden, CO. 80401 which is not on the current contract will now be on the new contract? – No, Golden will not be on the new contract for Sharps.

PERFORMANCE WORK STATEMENT (PWS)

PROJECT TITLE: Sharps removal for ECHCS

(1) Introduction:

Contractor will furnish all labor defined within the Performance Work Statement (PWS) for the following locations in accordance with the terms and conditions of this contract.

a) Rocky Mountain VA Medical Center (RMR VAMC):

1700 Wheeling St., Aurora, CO. 80045

b) Rose Clinic:

4545 East 9th Ave. Ste 010, Denver, CO. 80220

c) Domiciliary Lakewood Clinic:

7350 W. Eastman Pl., Lakewood, CO. 80227

d) Jewell Clinic:

14400 E. Jewell Ave., Aurora, CO. 80012

e) Aurora Clinic:

13701 E Mississippi Ave., Gateway Medical Bldg. #200, Aurora, CO. 80012

f) Community Resource and Referral Center (CRRC):

3836 York Street Denver, CO, 80205

g) Pueblo CLC:

2600 Oakshire Lane, Pueblo CO, 81008

h) Pueblo CBOC:

4776 Eagleridge Circle. Pueblo CO, 81008

i) Vaccine Clinic North:

14280 E. Jewell Ave, Suite 200, Aurora, CO. 80012

j) Vaccine Clinic South:

2260 East Pikes Peak Avenue, Colorado Springs, CO. 80909

(2) Scope of Work:

The contractor will provide all labor, sharps containers, transportation, collection, and removal of sharps generated by VA ECHCS; RMR VAMC and all Clinics as specified in this PWS in accordance with the terms and conditions of this contract.

VA ECHCS; RMR VAMC and Clinics will be responsible for properly and lawfully packaging and storing sharps in appropriate containers. Contractor shall be responsible for the provision and installation of sharps containers/brackets/mounts utilized for outfitting of the RMR VAMC and all clinics specified in this PWS. VA ECHCS; RMR VAMC and Clinics shall store the sharps in containers supplied and approved by Environmental Management Services (EMS) and meet OSHA and NIOSH standards. Sharps containers shall be leak-proof, have tight-fitting covers, and be kept clean and in good repair. The storage shall be confined to an area on the premises to which only authorized personnel shall have access. Locations within the approved facilities may be changed or added within the 75 containers without amendment to the contract but by written correspondence and vendor acceptance. Sharps may consist of plumbing pipes in varying lengths, patient loaded sharps in boxes and/or empty milk jugs etc.

All work shall be accomplished in accordance with federal, state, and local regulations. The applicable federal regulations that are included but not limited to are the following:

a. Blood borne Pathogen Standard (OSHA), 29 CFR 1910.1030

b. Hazard Communication Standard (OSHA), 29 CFR 1910.1200 The contractor shall provide the services enumerated above at the rates set forth to which includes all applicable assessments, and related charges. The Contractor will provide all necessary equipment to perform services. Equipment shall comply with all applicable federal, state, county, and municipal laws, regulations, guidelines and permits. Containers shall be USP 800 Compliant.

The contractor shall provide 1700 sharps containers as identified below. Contractor shall ensure sharps containers are always secure and attended. Contractor shall not leave used containers on site after collection. All sharps containers will be labeled according to federal, state, and local regulations. Contractor will supply all containers, brackets, and floor holders. Any changes to type, size, amount of equipment, and brackets/holders may be mutually agreed to in writing by both parties without affecting the validity of the contract if it’s within the 75 containers plus or minus established within PWS. Requests for changes and installation will be performed within 14 working days of the requested change. Changes in quantity may occur during the contract period either plus or minus 75 containers. The number of containers at a site can change throughout the contract due to changes in workload at each site. The numbers shown in this PWS are best estimates based on count.

Minimum Container Physical Properties and Attributes:

a) Crack/damage free

b) Clear/Readable labeling

c) Reusable

d) Able to be sanitized and sterilized

e) Puncture proof

f) Preassembled

g) Leak proof

h) One hand and one-step disposal mechanism

i) Overfill protection

j) Secure tamper proof locking mechanism

k) Sight and view port

l) Large access opening but with a restricted hand access which does not allow anyone to get their hand inside (regardless of size or age adult or child)

m) Must have a system identifier to track usage

n) Sharps lids shall consist mainly of funnel drop lids. Mailbox opening may be utilized in minimal settings.

o) Sharps containers need to be dark in color (red) as to prevent any Patient Identifiable Information (PII) see-through.

p) USP 800 compliant Definitions:

Sharps as for this PWS is defined as needles, scalpel blades, broken ampoules; anything in a hospital or clinic which has been used on patients, and which may be contaminated with infectious material; to be discarded into special containers for disposal without any risk to disposal personnel.

Locations and Pickup Times:

RMR VAMC:

1700 Wheeling Street Aurora, CO. 80045 The contractor will provide service for pickup, transport, and replacement of approximately 700 sharps containers. Contractor will provide all materials necessary for the initial delivery and installation of 700 sharps containers to include all wall mounting brackets/holders. Contractor will provide transport trolleys for all 8, 17, and 19-gallon containers. Contractor shall ensure sharps containers ready for pick-up are secured and attended at all time. Contractor shall not leave used containers on site after collection. Additional clean containers will be provided the working day prior to a federal holiday. Contractor will be expected to complete a one for one swap of full sharps containers in the OR, PACU, ER, Lab, and Pharmacy. Contractor will be expected to collect SHARPS containers from established collection points/soiled utility rooms on the inpatient units and outpatient clinic areas.

Clean containers will be stored in the Service Level Concourse, Rm CS105. Sharps pickup will be off the dock area. The delivery of clean containers and pickup of full containers shall be executed based on timeline annotated below.

Changes to schedule will be communicated ahead of time and agreed to by both parties.

Installation and De-Installation:

Installation and de-installation of sharps wall mounting brackets must be performed quickly to minimize impact on patients and clinical staff. Contractor shall take no longer than fifteen (15) minutes per room to de-install and install sharps container brackets. De-install and install will take place after business hours and on weekends. Contractor will perform installation or de-installation in operating and surgical rooms on weekends to minimize impact in these critical areas. Schedule for all areas shall be provided and coordinated with the COR/POC prior to commencement of work. Contractor shall provide documentation reflecting completed work by area to account for all de-installs and installs at the end of each day. Contractor shall perform the necessary clean-up after installation or de-installation.

SHARPS:

Contractor will be expected to complete a one for one swap of full sharps containers with a clean container of the same size. Removal of full sharps containers three times per week in the OR/PACU, ER, Lab, Pharmacy (all 24-hour wards/clinics) three times per week Tuesday, Thursday and Saturday with all other bio-hazard locations being weekly, with the estimated quantity being:

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Clinics:

Contractor will provide service for the pickup, transportation, collection, removal of sharps and a one for one swap of full sharps containers with a clean container of the same size for all sharps generated for the Clinics listed below. Contractor shall ensure sharps containers are secure and attended at all time. Contractor shall not leave used containers on site after collection. Additional clean containers will be provided the working day prior to a federal holiday. The delivery of clean containers and pickup of full containers shall be executed based on timeline annotated below.

Rose Clinic:

Located at 4545 East 9th Ave. Ste 010, Denver, CO. 80220 Hours: Monday-Friday, 8:00am-4:30pm.

Delivery of clean containers and pickup of full containers will be performed weekly.

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Jewell Clinic:

Located at 14400 Jewell Ave., Aurora, CO. 80012.

Hours: Monday-Friday, 8:00am-4:30pm.

Delivery of clean containers and pickup of full containers will be performed monthly.

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Aurora Clinic:

Located at Gateway Medical Building #200, 13701 E. Mississippi, Aurora, CO. 80012.

Hours: Monday-Friday, 8:00am-4:30pm.

Delivery of clean containers and pickup of full containers will be performed bi-weekly. (Currently completed every other Thursday each month.)

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Domiciliary Lakewood Clinic:

Located at 7350 W. Eastman Pl., Lakewood, CO. 80227.

Hours: operational 24 hours a day.

Delivery of clean containers and pickup of full containers will be performed monthly. (Currently completed the second Thursday each month.)

Estimated quantity being:

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Community Resource and Research Center:

Located at 3836 York Street, Denver, Colorado, 80205 Hours: Monday, Tuesday, Thursday, and Friday 6:30am – 3:00pm. Wednesday 6:30am – 2:00pm.

Delivery of clean containers and pickup of full containers will be performed bi-weekly.

a) One (1) 4-gallon container (two (2) to be maintained on site)

b) One (1) 4-gallon wall bracket

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Pueblo CLC:

Located at 2600 Oakshire Ln, Pueblo, CO 81008 Hours: Monday, Tuesday, Wednesday, Thursday, and Friday 7:00 am – 4:30pm Delivery of clean containers and pickup of full containers will be performed weekly.

a) Thirty-two (32) 2-gallon containers

b) Thirty-two (32) 2-gallon gallon wall bracket

· Minimum of 10 containers left on site

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Pueblo CBOC:

Located at 4776 Eagleridge Circle, Pueblo, CO 81008 Hours: Monday, Tuesday, Wednesday, Thursday, and Friday 7:00 am – 4:30pm Delivery of clean containers and pickup of full containers will be performed weekly.

c) Twenty-five (25) 2-gallon containers

d) Twenty-five (25) 2-gallon gallon wall bracket

e) Two (2) 8-gallon red containers

f) Two (2) 8-gallon foot operated trollies

· Minimum of 10 containers left on site

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Vaccine Clinic North:

Located at 14280 E. Jewell Ave, Suite 200, Aurora, CO. 80012 Hours: Monday, Tuesday, Wednesday, Thursday, and Friday 7:00 am – 4:30pm Delivery of clean containers and pickup of full containers will be performed weekly.

a) Eight (8) 2-gallon containers (two (2) to be maintained on site)

b) Eight (8) 2-gallon base holders

· Minimum of 10 containers left on site

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Vaccine Clinic South:

Located at 2260 East Pikes Peak Ave. Colorado Springs, CO. 80909 Hours: Monday, Tuesday, Wednesday, Thursday, and Friday 7:00 am – 4:30pm Delivery of clean containers and pickup of full containers will be performed weekly.

a) Ten (10) 2-gallon containers (two (2) to be maintained on site)

b) Ten (10) 2-gallon base holders

· Minimum of 10 containers left on site

· Numbers of containers and pick-ups can change throughout contract due to changes in workload at each site. These numbers are best estimates for what is currently used.

Pick-Up and Delivery Process:

The contractor must utilize their own transport carts for the safe removal and transport of their containers. Due to space limitations, carts cannot be left on site by the contractor at clinic locations. Transport carts can be left at the RMR location.

RMR: Containers filled to the half-way, ½ mark shall be removed and a one for one swap of a clean container in the OR, PACU, ER, Lab, and Pharmacy. Contractor will be expected to collect all SHARPS containers from established collection points/soiled utility rooms on the inpatient units and outpatient clinic areas. Clean containers will be left in the designated storage areas.

Clinics: All containers filled to the half-way, ½ mark shall be removed and a one for one swap of a clean container. Clean containers will be left in the designated storage areas per location.

All sharps containers collected shall be identified on a document and a copy must be signed, then left with the Government POC on the day of collection. The contractor shall respond for a delivery or pickup for any missed or failures in compliance within 24 hours, in accordance with the QASP.

The contractor shall pickup sharps between the hours of 7:00 AM through 4:30 PM on regular clinic days, except for the OR/PACU whereby the pickup time needs to be scheduled prior to surgeries. The contactor shall not pickup sharps outside of the designated hours. The scheduled pickup times will be mutually agreeable to both parties. The contractor is responsible for notifying the appropriate Government official at each site for arrangements for the pickup of the sharps. If routine pickup is scheduled on a recognized Government holiday, then the pickup must be rescheduled and picked up either the day before or after the federal holiday. The 10 national holidays observed by the Federal Government are as follows:

· Or any other day specifically declared by the President of the United States to be a National Holiday.

Personnel:

Contractor employees will not be considered or treated as federal employees for any purpose, will not be regarded as performing a personal service, and will not be eligible for civil service employee benefits, including retirement. Contractor employees shall identify themselves as contractor employees in all communication modes used in performing the services, e.g. email, telephone, verbal. Services furnished by contractor employees will be performed as necessary to fulfill the requirements of this PWS.

The Contracting Officer reserves the right to request the contractor to provide another employee if an employee does not obey VAMC directives or does not act in the best interest of the Government.

The contractor shall be responsible for protecting the personnel that are furnishing the services under this contract. To carry out this responsibility, the contractor shall provide the following for their personnel:

a) Badging requirements

b) Worker’s Compensation

c) Professional Liability Insurance

d) Income Tax Withholding

e) Social Security Payments

Education and Training Requirements:

All service techs working under this contract shall be fully trained by their company in aseptic and sterile technique and personal protective equipment use.

All service techs shall be trained in compliance with VA and The Joint Commission (TJC) policies, procedures, and standards when entering the various patient care areas, such as isolation rooms, operating rooms, and regular patient rooms. The Medical Center Infection Control shall be available for this training, if any questions or problems arise.

Contractors shall meet OSHA requirements for Hepatitis B vaccination and post-exposure follow up for their employees.

Special Contract Requirements:

Prior to commencement of any service/work, the contractor and employees working on this contract shall submit to the Contracting Officer:

a. The required licensure required for Federal, State, and local governments that states that the driver is permitted to transport regulated medical waste over public roadways.

b. Certificates of Insurance

c. Certificates required by Federal and State governments for the incineration of medical waste shall also be provided.

Security:

All Service Techs for the contractor shall be in their company’s uniform and have a company furnished ID badge when performing pickups at the Medical Center and Clinics.

The contractor shall require their employees to comply with all VA regulations regarding conduct, security, parking, badging, smoking on station, and any others called to their attention by VA employees. The Government POC will provide the information required to the contract employees.

a) Badge access to RMR VAMC will be limited and it is the contractor’s responsibility to provide employee names for the site access within 3 business days of contract awarded.

b) Badging for regular employees will be accomplished by the Environmental Management Service PIV Sponsor.

c) Badging for intermittent employees will be limited to a Day Pass, which can be obtained at the Police Station at the Facility entrance.

Recordkeeping:

In the performance of all services to be provided hereunder, the contractor agrees to comply with all applicable permits, all applicable federal, state, county, and municipal laws and ordinances and all lawful orders, rules, regulations and guidelines of any duly constituted authority, including but not limited to social security, income tax withholding laws, unemployment compensation laws, environment, safety and health laws and manifesting requirements.

The contractor and its affiliates shall keep and retain adequate books and records and other documentation including personnel records, correspondence, instructions, plans, receipts, vouchers, copies of all manifests and any other records or repots or memoranda, consistent with and for the period required by applicable regulatory requirements and guidelines pertaining to performance of the services.

Documentation of Services Rendered:

The contractor shall provide a log sheet at the time of sharps pickup. The original copy will be given to the VA Contracting Officer Representative (COR) or local on-site Point of Contact (POC). The log sheet shall state the date of pick-up, the number of boxes taken, the weight of the boxes, the signature of the contractor representative and signature of the VA Government POC.

Quality Assurance Surveillance Plan (QASP):

Quality Control / Performance Standards:

The contractor is responsible for ensuring services are performed in accordance with PWS requirements. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. As a minimum the contractor shall develop quality control procedures addressing the areas identified in the table under Quality Assurance Surveillance Plan header.

Blood Exposure Related To Sharps Disposal Will Be Monitored:

a. If the rates start to rise, an evaluation of the container and/or training procedures will be conducted to determine the cause of the increase. If the problem is caused by the containers, they will be exchanged with new containers.

b. Supplier shall provide a backup plan in the event of disruption of pickup and delivery service.

c. Services must be provided within 24 hours of a failure to meet a scheduled pickup time.

d. The contract is required to provide a signed and legible manifest attesting to the destruction of the medical Sharps waste within 30 days of pickup of the Sharps.

e. The manifest shall provide details of all medical sharp’s container waste transported from the Medical Center and clinics, to include the date, location, and proof of destruction.

f. Contractor shall track the number of times each container is re-used and removed from service and replace those that have been used the maximum allowable times per the manufacturer’s recommendation.

Documenting Performance:

The Government POC will verify performance of the contractor and will be responsible for the correction of any discrepancies. The Government POC will document any deficiencies in writing and forward them to the contracting officer. Contractor shall resolve all deficiencies within 3 business days with documentation of completion.

Standard of Acceptance (Sharps):

Service is acceptable if all Sharps containers half (½) full have been picked up, exchanged, and documentation provided on schedule.

The COR/POC shall use random daily checks to ensure service has been performed.