36C25924R0077 0001_1.docx

SUBJECT*

VISN Regulated Medical Waste Removal/Disposal Base POP: 7/1/2024 - 06/30/2025

GENERAL INFORMATION

Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

POINT OF CONTACT*

Contract Specialist Charles Gritzmacher (CO) charles.gritzmacher@va.gov 303-712-5780

PLACE OF PERFORMANCE

ADDRESS

POSTAL CODE

COUNTRY

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

Amendment to a Previous Combined Solicitation

Amendment to a Previous Combined Solicitation

DESCRIPTION

Page 1 of

Amendment to a Previous Combined Solicitation

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) 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

36C25924R0077 04-04-2024

X X X

See CONTINUATION Page X A. The purpose of this amendment is to provide responses to questions submitted to the solicitation.

B. Submitted questions with responses are included in the continuation section of this amendment.

C. Price schedule has been revised to include line item 0008.

D. PWS section 2.0 minimum guarantee has been revised.

Page 1 of

CONTINUATION PAGE

Regulated Medical Waste Solicitation 36C25924R0077 Question and Responses

1. Q: Who is the incumbent?

R: The current contract is being performed by NEIE Medical Waste Services, LLC.

2. Q. What are the procedures for notifying the contracting party in case of delays or disruptions to the waste pickup schedule?

R: Contact the site Point of Contact (POC) and Contracting Officer Representative (COR).

3. Q. How does the contractor handle customer complaints or feedback regarding the waste management services provided?

R: One a case-by-case basis and in accordance with the terms and conditions of the contact.

4. Q. Are there any penalties or incentives outlined in the agreement for meeting or failing to meet specified service levels?

R: No incentives; VA penalty would be poor performance reviews and possible termination of services. Penalties incurred from State or Federal agencies would be handled by those governing bodies.

5. Q. Can you explain the process for requesting additional services or modifications to the agreement, such as changes in waste volume or pickup frequency?

R: Modifications to the contract must be processed through the Contracting Officer Representative (COR) and Contract Officer (CO).

6. Q. Are there any provisions for conducting periodic audits or inspections of the contractor's facilities and operations to ensure compliance with contractual obligations and regulatory requirements?

R: Work must be performed in accordance with the contract and must meet all State or Federal regulations and laws.

7. Q. Can the incineration piece be changed from incineration to any acceptable means by state authority?

· Many VA facilities are removing the incineration restrictions due to the environmental impact of incineration as well as cost to incinerate is increasing exponentially each year and isn’t required in most states by the EPA.

R: No.

8. Q. Could a mail back service be used for remote locations who do not generate much waste?

R: There are three sites listed for mail back opportunities in the current scope.

9. Q. Additionally, we would like to propose different frequencies for other remote locations as well such as Wyoming. Could these sites go to a quarterly pickup instead of a monthly?

R: No.

10. Q. The bid schedule indicates 48gal containers, however some of the VA’s will require 96’s. Can you please adjust the bid schedule according to container size?

R: That amount was just used for uniformity, but the scope allows for any overpack size during execution.

11. Q. How many times did Ft Harrison require backup services in the last year?

· How much waste did Ft Harrison produce last year through the autoclave.

· Can a line item be added for backup services?

· What brand and size of autoclave is located on site?

R: None; service to be included within existing line items or you may add a line item to your quote; Mark-Costello Capacity – 1,100 LBS in 6HRs

12. Q. Can we provide an alternate bid as to how we would approach this opportunity?

R: Alternate quotes can be provided, however all the requirements outlined in the solicitation must be met.

13. Q. Will this be a tiered evaluation?

R: Evaluation criteria can be found in the solicitant under section 52.212-2

14. Q. Can you provide the contract (s) number for the current usage?

· Is this currently one contract or many?

· Please provide the contract number for each current service area if they are not presently all on one contract.

R: The current contract is one contract; the contract number is 36C25919D0022.

15. Q. Will these be broken up and awarded per service area at all or only as a whole?

R: One contract will be awarded that includes all areas of performance.

16. Q. For the VA’s that require more frequent service, would it be allowable to supply a trailer on site and change the frequency to once weekly instead?

R: No.

17. Q. Are all services Dock Stops (waste is picked up from a central location) or Mail back service or do any of the locations require an Offeror’s employee to provide technician services (change-out/servicing of containers at their point of use throughout a facility)?

R: No, only pick up at central.

18. Q. If technician services are required, can you please confirm which facilities require a technician and the approximate hours per week at each such location?

R: Not applicable.

19. Q. The Price/Cost Schedule Unit pricing is by the number of containers of waste stream at each site. It is industry standard to price per pound. Can you please provide the historical weights for each site and waste stream, or an estimated weight per container?

R: That information is not available, please utilize estimated quantities in the cost/price schedule per station.

20. Q. Page 21, Section 2.0 of the PWS states that the Minimum Guarantee for the IDIQ contract is 200 tons of waste up to a maximum of 500 tons. Can you provide the historical weight for each site?

R: That information is not available, please utilize estimated quantities in the cost/price schedule per station. Section 2.0 has been revised to “Minimum Guarantee for this 5-year IDIQ is the disposal of 500 48gal overpacks of waste per year.”

21. Q. The Price/Cost Schedule refers to a 48-gallon overpack 48, industry standard is typically 43-gallon transport containers. Would alternative sizes to 48 gal containers be acceptable?

R: Yes, PWS says vendor may use any size, but must be billed and paid with per the unit cost of a 48-gallon overpack.

22. Q. Page 33, Section 2.5 of the PWS states that Fort Harrison VAMC and Glendive CBOC will utilize this contract as their contingency plan for temporary closures of their autoclave. Could you please provide the historical per year average of temporary closures each site experiences?

R: That information is not available, please utilize estimated quantities in the cost/price schedule per station.

23. Q. Page 34, Section 3.1-part p. states that the contractor shall provide a monthly summary report of all RMW within 14 days of the final pick-up in that calendar month. It is industry standard to provide monthly summary reports 30 days after the final pick-up in that calendar month, would this be acceptable?

R: 30 days after final pick-up is acceptable.

24. Q. Page 70, Section E.2 – states an evaluating factor is that the Offeror demonstrates “customer service needs such as waste transporter permit(s).” With the large geographical area covered within the Scope, would it be acceptable to provide a subcontractor’s transporter permits in locations that would be more economical to utilize subcontractors?

R: Yes.

25. Q. Who is the current vendor for all areas of operation?

R: The current contract is being performed by NEIE Medical Waste Services, LLC.

26. Q. What are the current obligations for the areas listed?

R: Current obligations won’t be provided, please utilize estimated quantities in the cost/price schedule per station.

27. Q. Can the VA provide 2021-2023 weights for each of the facilities NOT container count?

R: This information is not available, please utilize estimated quantities in the cost/price schedule per station.

28. Q. The CLIN states 48 GL overpack. What is the VA calling an Overpack?

R: The storage container provided by the vendor that the facility’s RMW is placed into while awaiting pickup and that is subsequently either taken or emptied by the vendor.

29. Q. Is a site visit scheduled for any of the facilities?

R: No.

30. We would like to inquire about CLIN 0008 which appears to be missing on the Base period. Kindly advise on the matter.

R: Line item 0008 was intended to be included in the solicitation. The Price/Cost schedule has been revised to include line item 0008.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Contract Period: Base POP Begin: 07-01-2024 POP End: 06-30-2025

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

POP Begin: 12-01-2024

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

POP Begin: 12-01-2024

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Contract Period: Option 1 POP Begin: 07-01-2025 POP End: 06-30-2026

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Contract Period: Option 2 POP Begin: 07-01-2026 POP End: 06-30-2027

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Contract Period: Option 3 POP Begin: 07-01-2027 POP End: 06-30-2028

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Contract Period: Option 4 POP Begin: 07-01-2028 POP End: 06-30-2029

Cheyenne Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Sheridan Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Montana Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Western Colorado Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Salt Lake City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Eastern Oklahoma Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of Regulated Medical Waste (RMW), disposable sharps boxes, and bagged biohazardouses waste, in accordance with the locations and frequencies in the PWS.

Oklahoma City Healthcare System - Pick-up and disposal (48gal overpack) of incinerated, trace chemo, non-hazardous pharmaceuticals, and pathological waste in accordance with the locations and frequencies in the PWS.

A.2 PERFORMANCE WORK STATEMENT

DEPARTMENT OF VETERANS AFFAIRS

VA ROCKY MOUNTAIN NETWORK (VISN19)

PERFORMANCE WORK STATEMENT (PWS)

REGULATED MEDICAL WASTE, TRACE CHEMOTHERAPY, NON-HAZARDOUS PHARMACEUTICAL, AND PATHOLOGICAL WASTE REMOVAL

1.0. INTRODUCTION

The VA Rocky Mountain Network is located in Glendale, Colorado, and was established in March 1996 as one of 21 Veterans Integrated Service Networks (VISNs) in the Veterans Health Administration. The VA Rocky Mountain Network is VISN 19 and functions as the responsible structure for the planning, budgeting, and service delivery in the provision of healthcare to Veterans within our geographic region.

VISN 19 spans a geographic area of 540,000 square miles across 10 states and is the largest VISN in terms of geographic area in the 48 contiguous states. VISN 19 serves an area covering the states of Utah, Montana, Wyoming, Colorado, Oklahoma and portions of Idaho, Kansas, Nebraska, Nevada and North Dakota. The topography includes the Rocky Mountains, arid regions and areas subject to extreme winter weather. Significant travel distances exist between VA healthcare facilities throughout VISN 19. It is estimated over 1,000,000 Veterans reside within VISN 19's geographic boundaries.

2.0. SCOPE OF WORK

Contract to provide services for eight (8) VA Medical Centers (VAMC) and approximately seventy-six (76) additional sites of care to include Community Based Outpatient Clinics (CBOC), Community Living Centers (CLC), Primary Care Tele-Outreach Clinics (PCTOCs) and Healthcare Centers (HCC) located in VISN 19, in accordance with current federal, state and local regulations. This will include any proposed or newly constructed sites that may be included after the award. The contractor shall provide all labor, supervision, equipment, training, and protective equipment to properly pickup and dispose Regulated Medical Waste (RMW) to include trace chemotherapy, non-hazardous pharmaceuticals, and pathological wastes with all federal (including VA regulations), state, and local regulations for the below listed location(s) of performance.

This will be awarded as a 5-year Indefinite Delivery Indefinite Quantity (IDIQ) contract that will have a 12-month base period with four (4) 12-month option periods. Minimum Guarantee for this 5-year IDIQ is the disposal of 500 48gal overpacks of waste per year. The Government reserves the right to award one or more contracts resulting from this solicitation.

Unit pricing must include: all labor/personnel, any 96-gallon reusable roll-offs, bags, labeling, manifest, transportation, treatment, and disposal at an approved facility in accordance with all federal, state and local regulations.

2.1 DEFINITIONS

a. Regulated Medical Waste (RMW): liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials.

(1) Other Potentially Infectious Materials: (OPI) means;

i. The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids;

ii. Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and

iii. HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBVOPI.

(2) Sharps means any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires

b. Pathological Waste consists of tissues, organs, body parts, human fetuses and animal carcasses, blood, and body fluids and must be treated through low level incineration.

c. Trace Chemotherapy Waste: are non-hazardous pharmaceuticals that are less than 3% volume of a National Institute for Occupatoinal Safety and Health (NISOH) NIOSH page Table 1 hazardous drug or a facility determined hazardous drug per the U.S. Pharmacopeia (USP) 800 standard in it’s orgininal container, IV-solutions or other adiministrative methods and the personal protective equipment used to administer the drug. It also includes soiled chux pads and diapers of patients receiving chemotherapy from start of therapy to 48 hours after last dose.

d. Non-Hazardous Pharmaceutical Waste: medications that do not meet the EPA definition of a hazardous waste in in §266.500. Includes over-the-counter pharmaceutical, dietary supplement, or homeopathic drugs which are not a solid waste, as defined in §261.2, and therefore not a hazardous waste pharmaceutical, if it has a reasonable expectation of being legitimately used/reused (e.g., lawfully redistributed for its intended purpose) or reclaimed. Forms may include vials, syringes, pills, and and needles assoricated with it’s administration.

2.2. MEDICAL WASTE REQUIREMENTS

a. The Contractor shall provide labor, transportation, collection, removal, treatment and destruction for the disposal of all RMW generated by the listed VISN19 Medical Centers, their CBOCs, CLCs, HHCs and PCTOCs as specified in this PWS and Cost/Price Schedule in accordance with the terms and conditions of this contract. Performance will be according to the requirements contained in this PWS.

b. Services shall also include the option for mail-in disposal from rural clinics. This service shall provide all required labeling and packaging.

c. VAMCs, CBOCs, CLCs, HHCS, and PCTOCs will be responsible for properly and lawfully filling and storing the RMW. VAMCs, CBOCs, and PCTOCs shall store the full RMW in containers supplied and approved by the Contactor. Infectious medical waste containers shall be leak proof, have tight-fitting covers, and be kept clean and in good repair. The storage of RMW shall be confined to an area on the premises to which only authorized personnel shall have access.

d. VISN 19 facilities also require the disposal of wastes the require low-grade incineration to include:

(1) Trace Chemotherapy

(2) Non-hazardous Pharmaceuticals

(3) Pathological Waste, including animal carcasses

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

(1) Veterans’ Health Administration (VHA) Directive 1850.06 Waste Management Program

(2) Veterans Administration (VA) Directive 0057 VA Environmental Management Program

(3) Blood borne Pathogen Standard (OSHA), 29 CFR 1910.1030

(4) Hazard Communication Standard (OSHA), 29 CFR 1910.1200

(5) Department of Transportation (DOT), 49 CFR 172

(6) Montana Annotated Code (MCA), 75-10-1005

(7) Utah’s Annotated Code (UAC), R315-316-1, R315-316-4, and R315-315-5(2)(a)

(8) Colorado 6 CCR 1007-2 Section 13

(9) Oklahoma Administrative Code (OAC) 252:515-23

2.4. SCHEDULE

2.4.1. PICK-UP TIMES

The contractor shall pick-up RMW between the hours of 8:00 AM through 4:30 PM on regular clinic days, expect Hamilton, MT that is only open until 2:30PM. The contactor shall not pick-up medical waste outside of the designated hours. The scheduled pick-up 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 pick-up of the RMW. If routine pick-up is scheduled on a recognized Government holiday, then the pick-up must be rescheduled and picked-up either within three (3) days before or after the holiday. The 11 national holidays observed by the Federal Government or any other day specifically declared by the President of the United States to be a National Holiday.

2.4.2 LOCATIONS & FREQUENCIES

The government reserves the right to modify the contract as needed to add or delete VA locations, frequencies, or product categories.

Estimates are given in 48-gallon overpack containers for consistency, but Contractor shall be able to provide a variety of sizes to accommodate facility needs. Facilities may generator more or less of these estimates.

Name/Location Name Street City, State, Zip

Sheridan VA Medical Center 1898 Fort Road Sheridan, Wy 82801

And Non-hazardous Pharmaceutical

Casper CBOC 4140 South Poplar Street Casper, WY 82601

Riverton CBOC 2300 Rose Lane Riverton, WY 82501

Gillette CBOC 604 Express Drive Gillette, WY 82718

Rock Springs CBOC 1401 Gateway Blvd. #1 Rock Springs, WY 82901

Evanston PCTOC Evanston Valley Business Park 1565 South Highway 150#E Evanston, WY 82930

Worland PCTOC 510 South 15th, Suite D Worland, WY 82401

OKC VA Medical Center (West Dock) 1921 NE 13th St Oklahoma City OK 73104 Tri-Weekly (3 times per week)

405-456-5026

Ada VA Clinic 717 Better Now Plaza Ada, OK 74820

Monthly

Altus VA Clinic 1604 North Main Altus, OK 73521

Ardmore VA Outpatient Clinic 1235 12th Avenue Northwest Ardmore, OK 73401 Bi-Weekly (2 Times per Month)

Blackwell VA Clinic 1009 West Ferguson Avenue Blackwell, OK 74631

Clinton VA Outpatient Clinic 315 Gary Blvd Clinton, OK 73601

Monthly

Enid VA Clinic 915 East Owen K. Garriott Rd Enid, OK 73701

Fourteenth Street VA Clinic (VRC) 1301 Northeast 14th Street Oklahoma City, OK 73117

Friendship House VA 1140 Northwest 32nd Street Oklahoma City, OK 73118

Lawton North Clinic 2640 Miner Road Fort Sill OK 73503

Lawton Outpatient Clinic (Fort Sill) 4303 Pitman St.

Lawton, OK 73503

Norman Outpatient Clinic 1020 NW 24th Norman OK 73069

South Annex Clinic 7919 Mid America Blvd Oklahoma City, OK 73135

North May Clinic 2915 Pine Ridge Road Oklahoma City, OK 73120

North Oklahoma City Clinic 14400 Bogert Parkway, Suite 100 Oklahoma City, OK 73134

Shawnee Clinic 3700 N. Kickapoo Ave Suite 100 & 108 Shawnee, OK 74804

Stillwater VA Outpatient Clinic 320 N Perkin Ave Stillwater, OK 74074

Tinker Air Force Base Clinic 72nd Medical Group (Building 1094) 7050 Air Depot Blvd Tinker AFB, OK 73145

Monthly

Wichita Falls VA Outpatient Clinic 2600 Central Freeway Wichita Falls, TX 76306

Robert Gilley 385-214-6024 Eddie Nunn 385-214-6024

Salt Lake City, Utah VAMC 500 S Foothill Drive. Salt Lake City, Utah 84148 Building #14

Pharma-4 Pathological-Friday-2

Janet Peck 775-934-1057

Pocatello, Idaho CBOC 500 S 11th Ave Pocatello, Idaho 83201

Monthly

Rocky Mountain Regional VA Medical Center 1700 N. Wheeling Street Aurora, Co., 80045

(weekly)

Aurora Clinic 13701 E. Mississippi Aurora Co., 80012

Domiciliary Lakewood Clinic 7350 W. Eastman Place Lakewood, Co., 80227

Pueblo Nursing Home 2600 Oakshire Lane Pueblo, Co., 81001

Pueblo Outpatient Clinic 4776 Eagleridge Circle Pueblo, Co., 81008

Jason R. Lelm 720-723-6398

La Junta Clinic 1100 Carson Ave, Suite 104 La Junta, Co., 81050 Bi-monthly

(EOM)

Alamosa Primary Care Clinic 622 Del Sol Drive Alamosa, Co., 81101 Bi-monthly

(EOM)

Salida Outpatient Clinic 1000 Rush Drive Salida, Co., 81201

Jewell Outpatient Clinic 14400 Jewell Avenue Aurora, Co., 80012

Burlington Outpatient Clinic 1177 Rose Avenue Burlington, Colorado, 80807

PFC Floyd K. Lindstrom Outpatient Clinic at Colorado Springs 3141 Centennial Boulevard Colorado Springs, CO 80907 Bi-monthly

(EOM)

Jason R. Lelm 720-723-6398

Golden Outpatient Clinic 1020 Johnson Rd.

Golden, Co., 80401 Bi-monthly

(EOM)

Lamar Outpatient Clinic 1401 South Main Street, Suite 2 Lamar, Colorado, 81052 Bi-monthly

(EOM)

Community Resource and Referral Center 3836 York Street Denver, Colorado, 80205

Union Boulevard Outpatient Clinic 3920 N Union Blvd Suite 100 Colorado Springs, CO 80907

Union Boulevard Outpatient Clinic 3920 N Union Blvd Suite 200 Colorado Springs, CO 80907

Space Center Outpatient Clinic 565 Space Center Drive Suite 130 Colorado Springs, CO 80915

Butte VA Clinic 40 Three Bears Dr. Butte, MT 59701

Billings Health Care Center 1766 Majestic Lane Billings, MT 59102

Bozeman CBOC 1101 East Main Street, Suite 201 Bozeman, MT 59715

Cut Bank CBOC 8 Second Avenue Southeast Cut Bank, MT 59427 Bimonthly

(EOM)

Fort Harrison VA Medical Center 3687 Veterans Drive, PO Box 1500 Fort Harrison, MT 59636