36C26022Q0284.docx

36C26022Q0284

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C26022Q0284 03-1 -2022 Andrew O'Neal 360-852-9861 03-2 -2022 12:00 pm

PDT

36C260

ATTN: V4CONT

Network Contracting Office 20 1601 E. Fourth Plain Blvd Vancouver WA 98661 X 621910 $16.5 Million Net 30 Days N/A X Department of Veterans Affairs White City VA Medical Center 8495 Crater Lake Hwy.

White City, OR

36C260

ATTN: V4CONT

Network Contracting Office 20 1601 E. Fourth Plain Blvd Vancouver WA 98661

Dept of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO BOX 149971

Austin TX 78714-9971 See CONTINUATION Page Contractor shall provide Ground Ambulance services in accordance with the Statement of Work at the White City VA Medical Center.

The Government intends to award a single award Indefinite Delivery Indefinite Quantity (IDIQ) five-year contract.

Individual bulk funded task orders will be issued by the NCO 20 Contracting Office.

Period of Performance (POP): 04/01/2022 - 03/31/2027 Quoter's must submit all required documents stated in Quotation Submission Checklist in Section E.

, to be eligible for award.

This procurement is being competed in accordance with FAR Part 13 Simplified Acquisition Procedures.

See CONTINUATION Page X X X Ross Byrne 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: To Be Determined

b. GOVERNMENT: Contracting Officer 36C260

ATTN: V4CONT

Network Contracting Office 20 1601 E. Fourth Plain Blvd Vancouver WA 98661

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.

Dept of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO BOX 149971

Austin TX 78714-9971

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

B.2 ORDERING PROCEDURES

An initial Task Order for Services will be issued by the VA Contracting Officer at the beginning of the contract’s period of performance. The Task Order will be emailed to the Contractor. The VA anticipates funding one Task Order per 12-months. If the value of a particular Task Order needs to be increased or decreased, a modification will be done to the Task Order by a VA Contracting Officer. Task Orders will be bulk funded so that funds are already available when the VA requires products/services. Do not exceed the amount bulk funded without first receiving a modification. VA’s requests for services will be in accordance with the Statement of Work.

B.3 MINIMUM / MAXIMUM

In accordance with FAR 16.504(a)(4)(ii): The guaranteed minimum contract quantity is $5,522.52. The maximum quantity shall not exceed (To Be Determined). The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

B.4 PRICE/COST SCHEDULE

ITEM INFORMATION

Basic Local Transportation rate - Includes first 25 miles.

Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Rate per mile exceeding the first 25 miles of transport.

Contract Period: Base POP Begin: 04-01-2022 POP End: 03-31-2023

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Basic Local Transportation rate - Includes first 25 miles.

Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-31-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Rate per mile exceeding the first 25 miles of transport.

Contract Period: Option 1 POP Begin: 04-01-2023 POP End: 03-31-2024

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Basic Local Transportation rate - Includes first 25 miles.

Contract Period: Option 2 POP Begin: 04-01-2024 POP End: 03-31-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Rate per mile exceeding the first 25 miles of transport.

Contract Period: Option 2 POP Begin: 04-01-2024 POP End: 03-31-2025

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Basic Local Transportation rate - Includes first 25 miles.

Contract Period: Option 3 POP Begin: 04-01-2025 POP End: 03-31-2026

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Rate per mile exceeding the first 25 miles of transport.

Contract Period: Option 3 POP Begin: 04-01-2025 POP End: 03-31-2026

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Basic Local Transportation rate - Includes first 25 miles.

Contract Period: Option 4 POP Begin: 04-01-2026 POP End: 03-31-2027

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

Rate per mile exceeding the first 25 miles of transport.

Contract Period: Option 4 POP Begin: 04-01-2026 POP End: 03-31-2027

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

B.5 STATEMENT OF WORK

CONTRACT PURPOSE: This statement of work defines services to be contracted to provide emergent transportation via Ground Ambulance for Veterans To/From VA Southern Oregon Rehabilitation Center & Clinics (VASORCC)

A. DEFINITION:

ALS: Advance Life Support.

AMBULANCE: Vehicles for emergency medical care which provide a driver compartment and a patient compartment that will accommodate an Emergency Medical Technician (EMT), Paramedic (or RN as needed) and two litter patients, so positioned that at least one patient can be given intensive line support during transit; equipment and supplies for emergency care at the scene as well as during transport, and two-way radio communication and equipment for light rescue procedures. The ambulance is designed and constructed to afford relative safety and comfort and to avoid aggravation of the patient’s condition.

AOD: Administrative Officer of the Day. This employee is administrative offer in charge during other than normal business hours.

BLS: Basic Life Support

BLS/With Lift for Power Wheelchair: Basic Life Support with wheelchair lift and lock downs to transport power wheelchair and stretcher patient.

CCT: Critical Care Transport

CO / Contracting Officer: The person executing this contract on behalf of the Government and the only person authorized to make changes to the contract.

COR / Contracting Officer’s Representative: Person or persons authorized to act for the Contracting Officer within the limits of his / her authority.

CHIEF, Business Office: Person or persons authorized to act for the Contracting Officer within the limits of his / her authority in the absence of a COR.

FACILITIES OUTSIDE LOCAL AREA: Roseburg VA Medical Center, San Francisco VA Medical Center, Portland VA Medical Center, Spokane VA Medical Center, Sacramento VA Medical Center, Puget Sound VA Medical Center, & Seattle VA Medical Center.

FEDERAL HOLIDAYS: New Year’s Day, Martin Luther King Jr. Birthday, President Washington’s Birthday, Memorial Day, Independence Day, Columbus Day, Veteran’s Day, Thanksgiving Day, Christmas Day, and any day determined by the President of the United States to be a Federal Holiday.

LOCAL AREA: Within 50-mile radius of VA SORCC.

LOCAL FACILITIES: Facilities are defined as VA SORCC, Ashland Community Hospital, Rogue Valley Medical Center, and Providence Medford Medical Center.

NORMAL BUSINESS HOURS: Normal business hours are defined as Monday thru Friday, 8:00 a.m. to 4:30 p.m. local time.

PSA/HSA: Patient service Assistant. This term may include Health Service Assistants.

TRIP: A trip is defined as the distance, “ONE WAY ONLY,” over which a beneficiary will be transported. For all one-way trips ordered under this contract, the Contractor shall receive the base rate quoted under the “BASE RATE.” The “BASE RATE” shall constitute full compensation for ONE-WAY trips, which do not exceed the mileage threshold defined herein. The Contractor shall also receive the mileage charge quoted under the “Mileage RATE” for any one-way trip in excess of the mileage threshold. The latest edition of the Rand McNally Standard Mileage Chart shall determine the trip mileage.

VASORCC / VA Southern Oregon Rehabilitation Center & Clinics: 8495 Crater Lake Highway, White City, Oregon 97503.

B. VEHICLES:

1. The demand for the ambulance is estimated to require a minimum of one (1), but not more than three (3) such vehicles at any one time. The Contractor shall make available not less than one (1) at any time in performance of this contract. In principle, the specialty ambulance will include, but not be limited to:

· Basic Life Support and Advance Cardiac Life Support, both as defined by the American Heart Association (AMA).

· *Management of the airway and maintenance of effective respiratory exchange, to include placement of oral airways and endotracheal intubations.

· Monitoring of vital, neurological, and electrocardiographic signs, including intake and output.

· Administration of intravenous (IV) fluids, including the management of existing lines and the placement of peripheral and central venous lines

· Administration of oral, intramuscular, or IV medications

· *Items provided per a physician’s orders

2. The above specified number is based on an estimate of an average minimum needed for trips to various locations at any one time and is not to be construed as either a commitment to order such number or limiting the number of vehicles which may actually be required.

3. The ambulances used under the terms of this contract will be licensed and meet the minimum vehicle requirements as mandated by Federal specifications KKK-A-1822E and should be kept sanitary and in working order: Minimum requirements are:

Basic Life Support (BLS) Ambulance

· Staffed by two Oregon State Certified Emergency Medical Technicians (EMTs).

· EMT’s certified to use cardiac defibrillators, perform emergency pharyngeal-tracheal lumen intubations

· All ambulances are equipped in accordance with Department of Health BLS requirements.

· Emergency care and transportation for the sick and injured, non-life-threatened patient.

· Performance of extrication and stabilization, administration of oxygen therapy

· Monitoring of previously established non-medicated IV lines (i.e. lactate hangers, D5W, saline, etc.)

· Transport of medical IV only in on locked out pump, CAD or PCA pump, NOT POTASSIUM CHLORIDE.

Basic Life Support (BLS) Ambulance with Power Wheelchair Lift and Lockdown

· Staffed by two Oregon State Certified EMTs

· EMTs certified to use cardiac defibrillators, perform emergency pharyngeal-tracheal lumen intubations

· All ambulances are equipped and licensed in excess of Department of Health BLS requirements.

· Emergency care and transportation for the sick and injured, non-life-threatened patient.

· Performance of extrication and stabilization, administration of oxygen therapy

· Monitoring of previously established non-medicated IV lines (i.e. lactate hangers, D5W, saline, etc.)

· Transport of medical IV only in on locked out pump, CAD or PCA pump, NOT POTASSIUM CHLORIDE.

· Wheelchair lift and lockdowns

Advanced Life Support (ALS) Ambulance

· Staffed by Oregon State Certified Paramedic and EMT

· Paramedics certified in Advanced Cardiac Life Support (ACLS)

· Certified to perform medical treatment as authorized by respective county protocol for pre-hospital ALS service

· All ambulances are equipped and in accordance with Department of Health ALS requirements.

Critical Care Transport (CCT) Ambulance

· Staffed by licensed Oregon State Registered Nurse or Oregon State Certified Paramedic and EMT.

· Nurses have current Emergency Department and/or Critical Care Unit experience

· Nurses and Paramedics certified in CCT

· Inverters allow transport of complex hospital monitoring and/or life support equipment.

· All ambulances equipped and in accordance with Department of Health CCT requirements.

4. Written policies regarding the vehicles that will be used during the term of this contract should include the type of vehicle, length of service, records of preventative maintenance and repairs, metering devices for calculating mileage and any other information outlining the capability of the vehicle.

5. Contractor bears responsibility for the negligent actions and/or omissions of its trustees, officers, and employees and for any and all claims, damages, losses, liabilities, expenses and actions relating to or arising from alleged inappropriate patient treatment by the Contractor and its employees.

6. Each ambulance will have patient compartment facilities, oxygen and suction systems and equipment, environmental climatic equipment, communications and additional systems equipment, accessories and supplies as required to perform this contract.

C. REPORTING REQUIREMENTS:

1. All patients being transported to a VA facility are considered emergent cases until determined otherwise by the appropriate VA staff of the Emergency Room or Critical Care Unit of the receiving facility.

2. A communication system will be used at all times to alert appropriate staff of the receiving activity and provide initial information as to the patient’s name, the presenting problem, present status and the expected time of arrival.

3. A written report will be submitted by the ambulance personnel to the VA personnel immediately upon arrival at the VA facility. The written report will provide the following information to the maximum extent such information is available.

· Patient’s full name

· Time picked up

· Where picked up

· Who called (initiator)

· Presenting problem

· Immediate First Aid Measures (bandages, oxygen, restraints, etc)

· State of consciousness

· Blood pressure

· Pulse

· Respiration

· Any other noted symptoms or pertinent information, including a list of any medications taken.

4. If the patient was initially treated by a Fire Department Aid Care, their report will be submitted together with the above required report. The fact that a patient was initially treated by their Fire Department Aid Car will in no way relieve the transportation personnel from filing their account of any change in the patient’s condition while in route. If there has been no change, the EMT’s report will be submitted noting such information.

5. A similar written report to that above will be required upon any prearranged transportation of any critically ill patients who are to directly to “inpatient admitting.”

6. The contractor shall transport more than one VA beneficiary on a single trip when requested by the VA. When more than one beneficiary is transported to and/or from the same locations or if a VA passenger is picked up en route to a destination point, the rate shall be charged as one (1) single transport per mile with a charge for each additional passenger(s).

7. The contractor shall utilize the shortest possible routes when transporting VA beneficiaries to and from the required locations to ensure the total miles traveled will result in the most economical charge to the Government. The use of alternate routes may be authorized in the event of unusual circumstances or reasons beyond the contractor’s control. Mileage submitted based on the use of alternate routes will be authorized on case–by-case bases by the individuals designated by the Chief, Business Office.

8. The contractor shall allow a relative attendant of the VA beneficiary to accompany him/her when authorized by the individuals designated by the Chief, Business Office at no additional charge to the government.

9. The contractor shall have available for the review of the Chief, Business Office the daily logs that include the names of each VA beneficiary, date, transportation with or without additional attendant, mileage, pick up and destination points, applicable wait times, applicable wheelchair lift assistance, additional passengers etc. for each trip. The daily logs shall be maintained on a spreadsheet. The VA reserve the right to verify information submitted for accuracy. Mileage is subject to verification by the latest edition of the Rand McNally Standard Mileage Chart shall determine the trip mileage.

D. NUMBER OF PATIENTS:

1. Only one patient will be transported on a trip unless specifically authorized and requested by VA SORCC.

2. The authorized official who is requesting ambulance services, may in the best interest of the patient, pre-authorize a relative, VA Registered Nurse, or physician to accompany the patient.

E. STAIRS:

1. There will be no extra charge for removing or loading patients from trains, airplanes, and other structures where it is necessary to us a flight of stairs.

F. WAITING TIME:

1. Waiting time will not apply to that reasonable time required for loading and unloading. For time lost at either or both ends due to causes beyond his/her control, the Contractor will be reimbursed for one-fourth the hourly rate for each quarter hour, or fraction thereof in excess of the first 30 minutes from the time he/she reports arrival. As soon as a delay is anticipated, the Contractor will contact the transportation office during normal working hours. During irregular duty hours the Contractor will contact the AOD.

G. RATE:

1. For all one-way trips ordered under this contract, the Contractor shall receive the base rate quoted under the “BASE RATE.” The “BASE RATE” shall constitute full compensation for ONE-WAY trips, which do not exceed the mileage threshold defined herein. The Contractor shall also receive the mileage charge quoted under the “Mileage RATE” for any one-way trip in excess of the mileage threshold.

H. ORDERS:

1. Authorized SORCC personnel will place telephone requests (orders) for contract services only with the Contractor’s dispatch office. The request for services shall specify the originating point and final destination. Only such travel is authorized, and any costs incurred for unauthorized travel, stops, waiting time, etc.; will be the responsibility of the Contractor. The contractor is cautioned that performance of a trip or substitution of type of vehicle at the request of others, without approval of appropriate authorized personnel, may be deemed as unauthorized travel for with the Contractor may bear the risk of non-reimbursement. Authorized SORCC personnel are:

· Travel Clerks

· VIRS Coordinators/UR Nurses

· Administrative Officer of the Day (AOD)

· Purchased Care Manager or designee

2. For prescheduled pickups, the Contractor will be required to furnish the ambulance service within ten (10) minutes of the prearranged time.

3. For unscheduled non-emergent pickups, the Contractor will be required to respond and dispatch a vehicle to the point of patient pick-up within 30 minutes after the receipt of telephone order or as agreed between the contractor and the authorized VA SORCC requestor. If the contractor fails to furnish the services within the time specified, a penalty of twice the wait-time rate, to be computed in quarter hour increments, will be assessed. If the Contractor identifies they cannot furnish the services within the time specified, the Government reserves the right to obtain the necessary services from another source and charge the Contractor for any excess costs which may result. The Government will be the sole judge in determining when to order services from a different source; however, in no instance will the Contractor be required to furnish more than the number of ambulances and/or specialty ambulances he/she has agreed to furnish in the performance of this contract in accordance with other provisions set forth herein.

4. Emergent pickups should be responded to immediately.

5. In the event of a “NO-SHOW” or any other cause without fault or negligence on the part of the Contractor, which results in no patient being transported, equitable reimbursement will be made as follows.

· Minimum payment of Base Fee (response and dispatch of vehicle).

· As applicable, mileage outside city limits and toll charges including waiting time “one way only”

I: PERSONNEL:

1. The Contractor shall ensure that the following requirements are met:

· Ensure and certify that personnel performing the services required under this contract are properly licensed and fully trained in the use of the vehicle and equipment that will used in the performance of this contract.

· Ensure that the vehicle is operated with sufficient personnel for adequate patient care at least one of who shall be in EMT.

· Records shall be maintained of each employee as to character, training, qualifications, and physical capabilities of performing the duties of an ambulance driver and/or attendant. Records shall be made available to VA SORCC for inspection upon request.

2. EMTs shall have the responsibility for both the operation of the vehicle and for the care of the patients before they are placed aboard the vehicle and during transit. The EMT shall be responsible for the care of the patient until such time as the patient is transferred to appropriate medical staff at destination. If there are two or more EMT’s operating the ambulance, a non-driving EMT shall be in command of the vehicle. The EMT in command of the vehicle shall be in the patient compartment and in attendance to the patient. EMT’s providing emergency services under this contract must have the following qualifications:

· Have completed training in accordance with the standards published by the Department of Health and Human Services with a minimum curriculum of 81 hours of “equivalent training” including an in-hospital training period. Such training programs must also be acceptable under the regulating requirements for local EMS systems.

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

· Must be enrolled periodically in “refresher” continuing education, or advanced training programs as required by the local or state government entity in which the services is rendered to veterans, but in no instance shall this be less frequently than every two (2) years. Such “refresher” training must be equivalent to that developed by the Department of Transportation, National Highway Safety Administration. Completion of such refresher training shall be maintained and provided upon request.

3. Non-emergency attendant/driver. Drivers providing service under the contract shall have a valid ambulance personnel license with a driver designation as required by Federal State and local law. Contractor shall be responsible for assuring that its drivers are knowledgeable and competent in emergency vehicle operations and thoroughly familiar with the vehicles assigned. Contract prices include services of non-emergency medical attendant/driver. Attendant/driver must have techniques (CPR) of the American Red Cross or other equivalent, be able to safely use all associated equipment such as lifts and fire extinguishers; and been fully briefed and trained in passenger assistance techniques. Proof in the form of a current certificate that first aid training has been successfully completed must be available upon request.

4. Background Criminal Checks and Investigations are required. State background reports must be provided upon request at the expense of the contractor.

J: PERFORMANCE STANDARDS:

1. The contractor is expected to meet all of the requirements of this contract at all times. Due to the nature of this requirement, if the services are not performed in a timely and professional manner patient health and safety may be compromised.

2. The last month of each contract year the Contracting Officer will review contract compliance reports submitted by the COR. When total compliance falls to 98% or below, an amount equaling 1% of the expenditures for the contract year will be deducted from that month’s payment.

3. Amounts deducted from billing may be reduced by the Contracting Officer upon submission of mitigating evidence by the Contractor.

K: PERFORMANCE SURVEILLANCE PLAN/MONITORING PROCEDURES:

1. Periodic inspection: The contractor’s facility, methodologies, and quality control procedures may be examined by the COR at any time during the life of the contract. Examination may be either scheduled or random findings documented by the COR or authorized designee.

L: VHA Supplemental Contract Requirements for Combatting COVID-19

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, contractors shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated, contractors shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test that includes an affiliated telehealth service.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.

1. For indefinite delivery contracts: Contractor agrees to comply with VHA Supplemental Contract Requirements for any task or delivery orders issued prior to this modification when performance has already commenced.

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SECTION C - CONTRACT CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES 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 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

http://www.acquisition.gov/far/index.html http://www.va.gov/oal/library/vaar/

(End of Clause)

C.2 52.216-18 ORDERING (AUG 2020)

(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 04/01/2022 through 03/31/2027.

(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) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(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 $5,522.52, 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 $310,000.00;

(2) Any order for a combination of items in excess of $310,000.00; or

(3) A series of orders from the same ordering office within ten 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 ten 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 03/31/2027.

(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 prior to contract expiration. The specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

(End of Clause) C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

(a) The Contractor agrees to comply with any provision or clause that is incorporated herein by reference to implement agency policy applicable to acquisition of commercial items or components. The following provisions and clauses that have been checked by the Contracting Officer are incorporated by reference.

[X] 852.203–70, Commercial Advertising.

[] 852.209–70, Organizational Conflicts of Interest.

[] 852.211–70, Equipment Operation and Maintenance Manuals.

[] 852.214–71, Restrictions on Alternate Item(s).

[] 852.214–72, Alternate Item(s). [Note: this is a fillable clause.] [] 852.214–73, Alternate Packaging and Packing.

[] 852.214–74, Marking of Bid Samples.

[X] 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors.

[X] 852.215–71, Evaluation Factor Commitments.

[] 852.216–71, Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–72, Proportional Economic Price Adjustment of Contract Price(s) Based on a Price Index.

[] 852.216–73, Economic Price Adjustment—State Nursing Home Care for Veterans.

[] 852.216–74, Economic Price Adjustment—Medicaid Labor Rates.

[] 852.216–75, Economic Price Adjustment—Fuel Surcharge.

[X] 852.219–9, VA Small Business Subcontracting Plan Minimum Requirements.

[] 852.219–10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside.

[] 852.219–11, VA Notice of Total Veteran-Owned Small Business Set-Aside.

[] 852.222–70, Contract Work Hours and Safety Standards—Nursing Home Care for Veterans.

[] 852.228–70, Bond Premium Adjustment.

[X] 852.228–71, Indemnification and Insurance.

[] 852.228–72, Assisting Service-Disabled Veteran-Owned and Veteran-Owned Small Businesses in Obtaining Bonds.

[X] 852.232–72, Electronic Submission of Payment Requests.

[X] 852.233–70, Protest Content/Alternative Dispute Resolution.

[X] 852.233–71, Alternate Protest Procedure.

[X] 852.237–70, Indemnification and Medical Liability Insurance.

[] 852.246–71, Rejected Goods.

[] 852.246–72, Frozen Processed Foods.

[] 852.246–73, Noncompliance with Packaging, Packing, and/or Marking Requirements.

[X] 852.270–1, Representatives of Contracting Officers.

[] 852.271–72, Time Spent by Counselee in Counseling Process.

[] 852.271–73, Use and Publication of Counseling Results.

[] 852.271–74, Inspection.

[] 852.271–75, Extension of Contract Period.

[X] 852.273–70, Late Offers.

[] 852.273–71, Alternative Negotiation Techniques.

[] 852.273–72, Alternative Evaluation.

[] 852.273–73, Evaluation—Health-Care Resources.

[X] 852.273–74, Award without Exchanges.

(b) All requests for quotations, solicitations, and contracts for commercial item services to be provided to beneficiaries must include the following clause:

[X] 852.237–74, Nondiscrimination in Service Delivery.

(End of Clause) C.7 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes the clause: 852.215-70 Service-disabled veteran-owned and veteran-owned small business evaluation factors. Accordingly, any contract resulting from this solicitation will include the clause 852.215-71 Evaluation factor commitments.

(b) The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) to assist in assessing Contractor compliance with the subcontracting commitments incorporated into the contract. To that end, the support contractor(s) may require access to the Contractor's business records or other proprietary data to review such business records regarding contract compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor compliance with the subcontracting commitments.

(End of Clause)

C.8 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes FAR 52.219-9, Small Business Subcontracting Plan, and VAAR 852.219-9, VA Small Business Subcontracting Plan Minimum Requirement.

(b) Accordingly, any contract resulting from this solicitation will include these clauses, unless the contract is awarded to a small business concern. The Contractor is advised in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) to assist in assessing the Contractor's compliance with the plan, including reviewing the Contractor's accomplishments in achieving the subcontracting goals in the plan. To that end, the support contractor(s) may require access to the Contractor's business records or other proprietary data to review such business records regarding the Contractor's compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor compliance with the subcontracting plan.

(End of Clause) (End of Addendum to 52.212-4) C.9 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021) (JUL 2020) (DEVIATION)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (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)).

(2) 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115–91).

(3) 52.204–25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (AUG 2020) (Section 889(a)(1)(A) of Pub. L. 115–232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[] (1) 52.203–6, Restrictions on Subcontractor Sales to the Government (JUN 2020), with Alternate I (OCT 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203–13, Contractor Code of Business Ethics and Conduct (JUN 2020) (41 U.S.C. 3509).

[] (3) 52.203–15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards (JUN 2020) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved] [] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[X] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (8) 52.209–6, Protecting the Government’s Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (JUN 2020) (31 U.S.C. 6101 note).

[] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

[] (10) [Reserved] [] (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (MAR 2020) (15 U.S.C. 657a).

[] (ii) Alternate I (MAR 2020) of 52.219-3.

[] (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (MAR 2020) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (ii) Alternate I (MAR 2020) of 52.219-4.

[] (13) [Reserved] [] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-6.

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (NOV 2020) (15 U.S.C. 644).

[] (ii) Alternate I (MAR 2020) of 52.219-7.

[] (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

[X] (17)(i) 52.219–9, Small Business Subcontracting Plan (JUN 2020) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (JUN 2020) of 52.219–9.

[] (v) Alternate IV (JUN 2020) of 52.219–9.

[] (18)(i) 52.219-13, Notice of Set-Aside of Orders (MAR 2020) (15 U.S.C. 644(r)).

[] (ii) Alternate I (MAR 2020) of 52.219-13.

[] (19) 52.219-14, Limitations on Subcontracting (MAR 2020) (15…