36C26025Q0150.docx

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V226--Special Mode Transportation (Wheelchair) New Contract FY25 Cancellation
Solicitation number
36C26025Q0150
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About this file

This is a combined solicitation and Performance Work Statement (SF1449) from the VA Portland Healthcare System seeking wheelchair van transportation services for veterans within a 26-county catchment area across Oregon and Southwest Washington. The contract will be a single-award Indefinite Delivery Indefinite Quantity (IDIQ) for a 5-year period from February 1, 2025 through January 31, 2030.

The contractor must provide 24/7/365 wheelchair van services including vehicles, personnel, equipment and supplies, with response times of 30 minutes within 15 miles of the Portland VA facility. Services include one-way trips both within and outside a 15-mile radius, mileage charges beyond 15 miles, and waiting time charges in 15-minute increments. Annual estimated quantities range from 14,000-14,800 trips within 15 miles and 4,500-4,900 trips beyond 15 miles. The solicitation is set aside for Veteran-Owned Small Businesses under NAICS code 485991 with a $19 million size standard. Questions are due by January 24, 2025 at 16:00 PST to Andrew O'Neal. The minimum guaranteed amount is $28,000 with a maximum contract value of $6,999,999. Contractors must maintain proper licensing, insurance, and comply with HIPAA requirements.

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Other files

File Type Posted
648 RFQ Amendment 36C26025Q0150 0001.docx DOCX document
P07 WD 2015-5563 Clark and Skamania Cntys WA Rev 23 07-22-24.docx DOCX document
PWS 648 WC Transport.pdf PDF
P07 WD 2015-5589 Baker Grant Harney Malheur Morrow Umatilla Union Wallowa Cntys OR Rev 27 12-23-24.docx DOCX document
P07 WD 2015-5789 Gilliam Cnty OR Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5581 Crook Jefferson Klamath Lake Cntys OR Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5853 Wheeler Cnty OR Rev 17 12-23-24.docx DOCX document
P07 WD 2015-5529 Cowlitz Cnty WA Rev 24 12-23-24.docx DOCX document
P07 WD 2015-5575 Lincoln Cnty OR Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5549 Pacific and Wahkiakum Cntys WA Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5565 Deschutes Cnty OR Rev 24 12-23-24.docx DOCX document
P07 WD 2015-5563 Clackamas Columbia Multnomah Washington Yamhill Cntys OR Rev 23 07-22-24.docx DOCX document
P07 WD 2015-5573 Polk and Marion Cntys OR Rev 24 12-23-24.docx DOCX document
P07 WD 2015-5577 Clatsop and Tillamook Cntys OR Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5583 Hood River Sherman Wasco Cntys OR Rev 26 12-23-24.docx DOCX document
P07 WD 2015-5555 Klickitat Cnty WA REV 26 12-23-24.docx DOCX document
P07 WD 2015-5567 Benton Cnty OR Rev 24 12-23-24.docx DOCX document
P07 WD 2015-5587 Linn Cnty OR Rev 24 12-23-24.docx DOCX document
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36C26025Q0150

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.

UEI:

EFT:

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

36C26025Q0150 01-16-2025 Andrew O'Neal 360-852-9861 01-24-2025 16:00

PST

36C260 Network Contracting Office 20

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661 X 485991 $19 Million Net 30 Days N/A X 36C648 Department of Veterans Affairs VA Portland Healthcare System 3710 SW US Veterans Hospital Rd Portland OR 97239 36C260 Network Contracting Office 20

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661

Dept of Veterans Affairs

FMS-VA-2(101)

Financial Services Center

PO BOX 149971

Austin TX 78714-9971 See CONTINUATION Page Emergent & Non-Emergent Wheelchair Transportation Services in accordance with the included Performance Work Statement (PWS) for the VA Portland, OR Healthcare System.

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

Individual bulk funded Task Orders will be issued as needed by the NCO 20 Contracting Office.

Period of Performance (POP): 02/01/2025 - 01/31/2030 All vendor questions regarding this solicitation shall be submitted in writing by 16:00 PST on 01/24/2025 to Andrew O'Neal at Andrew.O'Neal@va.gov Questions and offers are to be submitted by electronic mail only. Telephone calls will not be accepted.

See CONTINUATION Page X X 1(one)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

36C26025Q0150

Table of Contents

SECTION A1
A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES1
SECTION B - CONTINUATION OF SF 1449 BLOCKS2
B.1 CONTRACT ADMINISTRATION DATA5
B.2 PRICE/COST SCHEDULE6
ITEM INFORMATION6
B.4PERFORMANCEWORKSTATEMENT(PWS)8
A.1.OVERVIEW8
A.1.1.Definitions9
A.1.2.CONTRACTOREMPLOYEES:12
A.1.3.CONTRACTORPERSONNELQUALIFICATIONS:13
A.1.4.CONTRACTOR EQUIPMENT, VEHICLESANDINSPECTION:1
A.1.5.WheelchairVanVehicles:1
A.1.6.CONTRACTORNOTIFICATION:3
A.1.7.NUMBEROFVETERANS:4
A.1.8.HOURSOFPERFORMANCEANDRESPONSETIMES:4
A.1.9.ResponseTime:4
A.1.9.1.2.ImmediateOrders:5
A.1.10.WAITINGTIME:5
A.1.11.BeneficiarySchedule:6
A.1.12.ORDERINGPROCEDURES:6
A.1.12.6.Aduplicatecopyoftheinvoice(MSExcelformat)shallbesubmittedtotheCOR, for review and validation, prior to invoice payment approval.10
A.1.14.VETERANRIGHTS:10
A.1.15.REQUIREDREPORTSANDDOCUMENTS:12
A.1.15.3.Contractor'sContinuingQualityImprovement(CQI):13
A.1.16.MISCELLANEOUS:14
A.1.17.SPECIALCONTRACTREQUIREMENTS:15
A.1.17.1.Contractor'sResponsibilitiesandInsuranceRequirements:15
A.1.17.2.SafetyRequirements:1
A.1.17.3.InterferencewithNormalFunctions:1
A.1.17.4.DisposalofHazardousWaste:1
A.1.17.5.HealthInsurancePortabilityandAccountabilityAct(HIPAA),PrivacyRule,and SecurityRule, Business Associate Agreement:2
A.1.17.5.1.VeteranPrivacyandConfidentiality.3
A.1.17.6.SecurityRequirements3
A.1.17.7.SalesofCompaniesorNameChanges:3
C.152.212-4CONTRACTTERMSANDCONDITIONS�COMMERCIAL ITEMS (OCT 2018)4
SECTION C - CONTRACT CLAUSES5
C.1 SUPPLEMENTAL INSURANCE REQUIREMENTS5
C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)5
C.3 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)11
C.4 52.216-18 ORDERING (AUG 2020)12
C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)12
C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)13
C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)13
C.8 MANDATORY WRITTEN DISCLOSURES13
C.9 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)14
C.10 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)15
C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2024)16
SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS25
BUSINESS ASSOCIATE AGREEMENT BETWEEN THE DEPARTMENT OF VETERANS AFFAIRS VETERANS HEALTH ADMINISTRATION, , AND25
SECTION E - SOLICITATION PROVISIONS32
E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (SEP 2023)32
E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)36
E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)36
E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)39
E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)40
E.6 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)41
E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)41

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C260 Network Contracting Office 20

ATTN: V4CONT

1601 E. Fourth Plain Blvd Bldg.17, Suite B428 Vancouver WA 98661

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

[X]
52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or
[]
52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly[]
b. Semi-Annually[]
c. Other[x] Monthly

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.

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

AMENDMENT NO
DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
14,000.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) within 15 Mile radius threshold per Performance Work Statement.

Contract Period: Base POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V226 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Taxicab

4,500.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) outside 15 Mile radius threshold per Performance Work Statement.

POP Begin: 02-01-2025 POP End: 01-31-2026

100,000.00
MI
__________________
__________________

Non-Personal Reclining Wheelchair Van mileage rate for each mile outside 15 Mile radius threshold per Performance Work Statement.

30.00
EA
__________________
__________________

Reclining Wheelchair Van waiting time (15 minute increments each) per the Performance Work Statement.

14,200.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) within 15 Mile radius threshold per Performance Work Statement.

Contract Period: Option 1 POP Begin: 02-01-2026 POP End: 01-31-2027

4,600.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) outside 15 Mile radius threshold per Performance Work Statement.

105,000.00
MI
__________________
__________________

Non-Personal Reclining Wheelchair Van mileage rate for each mile outside 15 Mile radius threshold per Performance Work Statement.

35.00
EA
__________________
__________________

Reclining Wheelchair Van waiting time (15 minute increments each) per the Performance Work Statement.

14,400.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) within 15 Mile radius threshold per Performance Work Statement.

Contract Period: Option 2 POP Begin: 02-01-2027 POP End: 01-31-2028

4,700.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) outside 15 Mile radius threshold per Performance Work Statement.

110,000.00
MI
__________________
__________________

Non-Personal Reclining Wheelchair Van mileage rate for each mile outside 15 Mile radius threshold per Performance Work Statement.

40.00
EA
__________________
__________________

Reclining Wheelchair Van waiting time (15 minute increments each) per the Performance Work Statement.

14,600.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) within 15 Mile radius threshold per Performance Work Statement.

Contract Period: Option 3 POP Begin: 02-01-2028 POP End: 01-31-2029

4,800.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) outside 15 Mile radius threshold per Performance Work Statement.

115,000.00
MI
__________________
__________________

Non-Personal Reclining Wheelchair Van mileage rate for each mile outside 15 Mile radius threshold per Performance Work Statement.

45.00
EA
__________________
__________________

Reclining Wheelchair Van waiting time (15 minute increments each) per the Performance Work Statement.

14,800.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) within 15 Mile radius threshold per Performance Work Statement.

Contract Period: Option 4 POP Begin: 02-01-2029 POP End: 01-31-2030

4,900.00
EA
__________________
__________________

Non-Personal Reclining Wheelchair Van (One Way only) outside 15 Mile radius threshold per Performance Work Statement.

120,000.00
MI
__________________
__________________

Non-Personal Reclining Wheelchair Van mileage rate for each mile outside 15-50 Mile radius threshold per Performance Work Statement.

50.00
EA
__________________
__________________

Reclining Wheelchair Van waiting time (15 minute increments each) per the Performance Work Statement.

GRAND TOTAL
__________________

B.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 $28,000.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

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

(1) Any order for a single item in excess of $250,000.00;

(2) Any order for a combination of items in excess of $10,000,000.00; or

(3) A series of orders from the same ordering office within 365 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 5 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)

Page 1 of Page 1 of

B.4PERFORMANCEWORKSTATEMENT(PWS)

A.1. OVERVIEW

Thepurposeofthis contract isto provideWheelchairVanservicesforbeneficiaries withinthe DepartmentofVeteransAffair,PortlandHealthcareSystem(VAPORHCS)catchmentarea,as defined in section A.1.1. TheContractor shall provide all vehicles, personnel, management, supplies,transportation,equipmentandreportsnecessaryforallWheelchairVanservices,as identified on the Schedule in Section A.

The total durationof this contract is 51 months (3-Month base period and 48-month option period)fromdateofaward.TheestimatednumberofwheelchairVantransporttripsperdayand per year are listed in SectionD of this document.TheGovernment guarantees a minimum of $500.00tothevendorwithinthefirst3monthsofserviceandamaximumvalueof$6,999,999.00 under this 51-month contract.

A.1.1. Definitions

Beneficiary:VeteransandothermembersdeterminedtobeeligibleforbenefitsbytheVA.

CatchmentArea:Thecatchmentareaiscomprisedofthe27countiesinSWWashingtonand NWOregon, which define the boundaries of the VAPORHCS area of responsibility:

36C26020D0014

Page of

Southwest Washington counties: Pacific, Wahkiakum, Cowlitz, Clark, Skamania and Klickitat. NorthwestOregonCounties:Columbia,Clatsop,Tillamook,Yamhill,Polk,Lincoln,Benton,Linn, Marion, Clackamas, Washington, Multnomah, Hood River, Sherman, Gilliam, Morrow, Wasco, Jefferson, Wheeler, Crook and Deschutes.

Concierge Service:To optimize customer service and to improve the trip experience for the VAbeneficiary,vendorshallsupplyacustomerservicerepresentativetoworkfromthePortland VA to coordinate drivers, passenger returns and escort VA beneficiaries to their appointments and assist with traffic flow.VA willnotsupply phone, office or official space for the customer service representative.

ContractDiscrepancyReport(CDR):ThisisadocumenttobecompletedbytheContracting Officer�sRepresentative(COR)whenthevendorisnotmeetingthePerformanceWork Statement requirements and/or not meeting the Quality Assurance Surveillance Plan (QASP) standards.TheCDRwillthenbesenttothevendortorespondtotheissuesraisedintheCDR andprovideaplantoresolve/fixtheissuesraised.ContractingwillhavefinalinputontheCDR.

Contracting Officer (CO):VAofficial with the authorityto enterinto, administer, and/or terminatecontracts and make relateddeterminations and findings. Anychanges to a resultant contractmayonlybemadethroughawrittenmodificationaspreparedandexecutedbytheCO.

Contracting Officer's Representative(COR):VA official responsible for providingcontract oversightand technical guidanceto the ContractingOfficer.(COR) responsibilities will include, but not be limitedto: surveillanceof services required under this contract; determiningthe adequacyof Contractorperformance accordingtothe specificationsof this contract; actingastheGovernment�srepresentative;ensuringcompliancewithcontractrequirementsinsofarasthework is concerned,certification ofinvoices, placingorders for service, providing technical guidance, overseeing technical aspects ofthecontract, serving as a number on the vehicle inspection team.

The COR cannot authorize deviationsfrom the specifications and requirements of this contract.IntheeventtheContractordeviateswithoutapprovalfromtheCO,suchdeviationshallbeatthe riskof theContractor and any cost relatedthereto shall beborne bythe Contractor.The COR will be designated inwriting by the CO after contract award.

Contractor:Theterm"Contractor" as usedhereinrefersto boththe prime Contractor and his employees,andanysubcontractorsandtheiremployees.TheContractorshallberesponsible for assuring that hissubcontractors comply with the provisions of this contract.

Dry Run:A dryrun is defined as a requestforservice byauthorized Medical Center personnel (authorizedemployeeswillbeidentifiedperParagraphA.1.12.2.),wherebytheContractorarrives at thedesignated pick-up point and no Veteran is transporteddue toa change in the Medical Center's needs,Veteranrefusespick-up,Veteran not homeor Veteran not medically/mentally suitable fortransport.The Contractor will beentitled to the applicable base rate only(no mileage)when dryrunsare encountered dueto nofault or negligence ofthe Contractor.

Joint Commission on Accreditation of Healthcare Organizations (JCAHO):A national organizationdedicatedtoimprovingthecare,safetyandtreatmentofVeteransinahealthcare facility andenvironment.

MileageRate:Mileage rate for WheelchairVan servicesis the rate paid foreachmile traveled beyondthespecifiedMileageThreshold.Thisrateappliestoone-waytransportationonly.Inno event shall theContractor receive this rate for miles traveled withinthe specified MileageThreshold.

MileageThreshold: A distance 15 miles from the pick-uplocation to destination.Any miles travelledwithinthemileagethresholdwillbepaidinaccordancewiththeScheduleofSupplies or Services andPrice/Costs ScheduledTrip(s):Theterm"ScheduledTrip"asusedinthiscontractreferstothosetripsin which theContractor has been given advance notice (advance noticeis definedas a notice given by 4:00 p.m. theprior business day) of required services anda specific pick-up time.

UnscheduledTrips(s):Theterm"UnscheduledTrip"asusedinthiscontractreferstothose trips requiredon an as needed basis and advance notice is not given.

Vehicle(s):Theterm"Vehicle(s)"asusedinthiscontractreferstoallmodesoftransportation providedundertherequirements of this contract,unless a specific mode oftransportationisidentified.

QualityAssurance:ThoseactionstakenbytheGovernmenttoassureservicesmeetthe requirements ofthis contract.

QualityAssuranceEvaluator(s):Governmentpersonnelresponsibleforsurveillanceof Contractorperformance.

QualityAssuranceSurveillancePlan(QASP):Anorganizedwrittendocumentusedforquality assurancesurveillance.Thedocumentcontainsspecificmethodsforperformingsurveillanceof the Contractor'scontinuous performance (See Section D for the QASP) QualityControl:ThoseactionstakenbytheContractortocontroltheproductionofgoodsor services sothey will meet the requirements of a contract.

Waiting:Waitingas usedin this contract is defined as the time required and verified by authorizedmedical facility personnel(authorized employees will be identified per paragraph A.1.12.2)fortheContractortowaitatdesignatedpick-upand/ordeliverypointsinperforming contract services.

WaitingGracePeriod:Thewaitinggraceperiodisdefinedasfifteen(15)minutespriortothe timewaiting charges commence. The base rate for Wheelchair Van servicesshallinclude a fifteen (15) minutewaiting grace period at origin and destination.

A.1.2. CONTRACTOREMPLOYEES:

A.1.2.1. ContractoremployeesshallnotbeconsideredGovernmentemployeesforanypurpose. TheVAreserves the right to restrict any Contractor employee fromperforming services under this contractwhodo not meet the required qualifications for the servicesthey are required to perform, and who violatesFederalregulations orare identifiedas a potential threat to the security, safety, health and/oroperationalmission of the VA andits'Veteran population. The restriction of such Contractorpersonnel shall notrelieve the Contractor fromperformingall the requiredservices, in accordance with all terms, conditions,and schedules contained herein.

A.1.2.2. TheContractorshallfurnishqualifiedpersonnelasrequiredbycontractspecificationsto accomplish all services under this contract.

A.1.2.3. Contractor personnel performingservices to the VA shall at all times conduct themselvesinaprofessionalmanner,maintainpersonalhygiene,wearclean,neatuniformsand beidentified byhavingthe company name, and employee name affixed to the uniform. The Contractor shall be responsibleforfurnishingall vehicles,personnel,equipment and supplies, vehiclefuel,uniforms,nametagsand/orbadgesforperformanceofservicesunderthiscontract. Employeeidentificationsshallbeworninclearviewabovethewaist.Contractorpersonnelshall notsmokeinfacilitiesorontheambulanceramptotheEmergencyDepartment.Smokingwithin the vehicles by Contractor or Veteran is not permitted.

A.1.2.4. EachVeteranwillbetreatedwiththeutmostofrespectandconcern,withaprofessional approach to his/herdignityas an individual and Veteran. All communication, both verbal andnon-verbal, by Contractor's personnelwith and in the presence of the Veteran, will be conductedin a professionalmanner. The Contractor's personnelwill practice the utmost discretion when discussingtheVeteran'sconditionwithhospitalprofessionalsinthepresenceoftheVeteranorrelatives.

A.1.2.5. When transportingVeterans to or from Medical facilities, the driver, acting for the Contractor,willensurethattheVeteran'sluggage,medicalrecords,medications,andprosthetic devices are properlyaccounted for and deliveredwith the Veteran as required.

A.1.3. CONTRACTORPERSONNELQUALIFICATIONS:

A.1.3.1. All Contractor personnelperforming contract services shall meet the qualifications as specified inthis contract, as well as anyqualifications required by Federal, State, Countyand localgovernmententitiesfromtheplaceinwhichtheyoperate.Contractorpersonnelshallmeet these qualifications at all times while performing contract services. Record of each employee as to name, level, and certificationtoperform the duties of a van driver or attendant must be maintained and made available for inspection uponrequest.

A.1.3.2. PricesquotedintheScheduleincludetheserviceofaqualifieddriver.Allattendants/van driverson duty must be qualifiedto administer oxygen and shall have successfullycompleted the Standard andAdvance First Aid Coursesof the American Red Cross or U.S. Bureau of Mines, or equivalent. Driversshall possess a CPR card for healthcare providers and have accomplished a defensive training courseandrequired trainingforVeteran transfer, properlift gate operation and wheelchair stabilization. Proof in theformof a current or un-expired certificate that such training has beensuccessfullycompleted must beavailable upon request.

36C26020D0014

Page10of

A.1.3.3. Duringthecontractperiodofperformance,iftheContractorproposestoadd-onor replacepersonnel to perform contract services, the Contractor shall submitthe required evidenceoftraining,certifications,licensingandanyotherqualificationstotheContracting Officer.AtnotimeshalltheContractorutilizeadd-onorreplacementpersonneltoperform contractserviceswhodonotmeetthequalificationsunderthetermsandconditionsofthiscontract.

A.1.3.4. Driversshallhaveavalidoperator'slicenseinaccordancewithFederal,Stateandlocal government requirements for their place of operation and the services theyperform.

A.1.3.5. Thecontractorshallprovideevidenceofstatelicensingandanyotherqualificationsof anypersonnel performing services under this contract. The initial documentation shallbe provided to theContracting Officer.

A.1.4. CONTRACTOR EQUIPMENT, VEHICLESANDINSPECTION:

A.1.4.1. TheVA reserves the right toinspect contractor's equipment and vehicles or require documentationofcompliancewithcontractspecifications,andStatelaws,rules,regulationsand guidelines governingtransport vehicles.VA inspections of contractor facilities shallin no way constitutea warranty by the VA that the contractor's vehicles and equipment are properly maintained.TheVAreservestherighttorestricttheContractor'suseofequipmentandvehicles whichare in need of repair,unclean, unsafe, damaged on the interior or exterior body, and are not in compliance with contractrequirements. The restriction of such equipment and vehicles shallnotrelievethecontractorfromperforminginaccordancewiththestrictintentandmeaning of the contract without additional cost to theVA.

A.1.4.2. WheelchairvansshallmeetallcurrentapplicableFederal,Stateandlocalspecificationsand regulationsincluding,butnotlimitedto,licensing,registration,andsafetystandards.Appropriate licensingby the State of Oregon and Washington is required. The Wheelchair Van under the termsofthiscontractmaybeequippedwitheitherhydraulicliftsoraramp.Useofaramponthe vehicle(bythecontractororanysubcontractor)shallonlybepermittedwithawrittensafetyplan for the use of the ramp.

A.1.5. WheelchairVanVehicles:

A.1.5.1. Thevehiclesshallbeofmodeland maketoensuresafeandcomfortable transportationof Veterans(ampleheadroommustbeavailableforVeteranstransportedinstandardwheelchairs).

Any type or style offering complete Veteran safety within the vehicle will be acceptable. Those consideredlackinginthisessentialrequirementwillnotbeusedforVeterantransportunderthis contract. Any replacement will be at the Contractor's expense. Each vehicle will be equippedwith two-wayradiocommunicationorcellphone/bluetoothcommunicationincaseofanemergency situation suddenly arising.

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Page1 of A.1.5.2. Each vehicle andall accessories and systems must be clean and shall be checked accordingtothe suggested schedule of the manufacturer, or at least semi-annually, whichever occurs earlier. Allpreventive maintenance must be documented and records provided upon requestbytheContractingOfficer.VehiclemustbedesignedsothatVeteransarerestrainedby asafetyseatbelt(Velcroseatbeltsare notacceptable) atalltimesthevehicleisinmotionand all vehicles must be equipped with wheelchairlifts.

A.1.5.3. Eachvehiclemustbeequippedwithgeneralusefirstaidkit.

A.1.5.4. ResponsibilitiesforVeteransafetywillincludetheavailabilityandappropriateuseof Veteranrestrainingdevices in eachtransport vehicle.The Contractor staff will adequately restraintheVeteranthrougheveryphaseandduringeachmovementtopreventinjurytothe Veteran.TheneedforadditionalstafftomanagetheVeteranintransportwillbeestablished before initiating the transport.

A.1.5.5. AllvehiclesmustremainlockedwhennotattendedbyContractoremployeestoavoid unauthorizedentrance.Vehicles(whennotattended)maynotremainrunning,duetoexhaust fumes. Atno time shall theContractor leave vehicles onVA premises unless a pick-up or delivery is in process.

A.1.5.6. ThecontractorshallnotbepermittedtoborrowmedicalequipmentfromtheMedical facilities.Contractor shall at no time and under anycircumstances exchange supplies, equipment and/ormedications with VA.Theprices quoted inScheduleshall beinclusive of consumables used in transport.

A.1.5.7. The Contractor must submit a letter, in duplicate, fullydescribing the make of vehicle, modeland year which he agrees to furnish under this contract; and location and telephone numbers of his/herestablishment where calls are received and vehicles are dispatched.This letter must contain informationas tothemetering devices or methods Contractor proposes to useindeterminingmileage.TheContractingOfficerwillbenotified,inwriting,ofanyequipment added or deleted after award ofcontract.

A.1.5.8. TheMedicalCenterwillbeprovidedwithaformalwrittenreportregardingthe vehicles utilizedbytheContractor.Thereportwillidentifythevariousvehiclelevels,theirstaffingcriteria, medications carried, equipment and procedures.

A.1.6. CONTRACTORNOTIFICATION:

A.1.6.1. TheContractorshallberesponsibleforprovidingallvehiclesandmanpower,necessary to meetall wheelchair van transport requirements of this contract. The Contractor will be authorizedtoutilizeanothercompany,asasubcontractor(certifiedtobewithinallrequirements ofthiscontract)tocompletethesetransportationrequests.Allbillsforthissubcontractorservice willbepaiddirectlytotheContractoratthecontractrate,andtheContractorshallreimbursethe subcontractorat their agreedtorate. In theevent, the Contractor is unable to performservices or have services performed as required,the Contractorshall immediatelynotifythe VATravel Sectionandprovideajustificationfornon-performance.TheVAreservestherighttore-procure services, which cannot be performed bythe Contractor, in accordance w i t hthe terms, conditions,and schedule of this contract.The Contractor shall indemnify the VA forexcess re-procurement cost,which may result from the Contractor's inability to performthe requiredservice. Payment of re-procurement costs shall not relieve the Contractor from any other provisioninthiscontractcoveringinspection,acceptanceanddeductionsfrompayment.TheVA will be the solejudge indetermining when services willbe re-procured. The failure of the contractortoperformserviceswithintherequiredtimeframesandinaccordancewithtermsand conditions may also provide cause forterminationof the contractfor "cause," (see FAR clause52.212-4(m)).

A.1.6.2. ShouldtheVAdeterminethatimmediatetransportationisessentialtopreventlossoflife orseriousbodilyharm, transportation services maybe procured without referralto the transportationContractor. However,in these extremely rare cases, nocharge shall be levied against the Contractor.

A.1.6.3. Escort:TheVAreservestherighttohaveanescort,suchasarelative,orcareprovider of abeneficiary or VAstaffaccompanies a beneficiary when the VA determines that such an escortisinthebestinterestofthebeneficiary.TheVAwillalsobethesolejudgein determining when an escort isrequired.There shall beno additional charge totheVA when escorts are authorizedtotravelwithabeneficiary.Contractor shall onlyberequired to transportescort with Veteran and shall not be requiredtoreturnthe escort backto point of origin.The relative must ride ina passengerseat so the proper seat beltrestraints can be utilized. At notime willrelatives or other personnel, except a physician, nurse orrespiratory therapist treatingthe Veteran,be allowed in the Veterancompartment of the Wheelchair Vanwhilethe vehicle is in-route.

A.1.6.4. SubstitutionofBeneficiary:TheVAreservestherighttosubstitutethebeneficiary requiringservices at anytime during the performance ofthis contract,to prevent delays, cancellations,ordryruns.ThereshallbenoadditionalchargetotheVAwhensuchchangesoccur.

A.1.7. NUMBEROFVETERANS:

A.1.7.1. The contractor shall transport one (1) beneficiary per trip, under wheelchair van services,unlessspecificallyauthorizedbyMedicalfacilitypersonnel(authorizedemployeeswill be identifiedperParagraph A.1.12.2.), totransport more thanone(1) andat no time shallthe contractor transport more thantwo (2) beneficiaries.

A.1.8. HOURSOFPERFORMANCEANDRESPONSETIMES:

A.1.8.1. HoursofPerformance:Contractorshallprovideallwheelchairvanservicesfor veteranbeneficiaries as requested 365 days a year, 24 hours a day.

A.1.9. ResponseTime:

A.1.9.1. AdvancedOrders:

A.1.9.1.1. Itisexpectedthatordersmadeinadvancedwillbemetwithan on-timeresponse, whether within or outside of the 15-mile radius from the Portland VA Health CareSystem.

A.1.9.1.2. ImmediateOrders:

A.1.9.1.2.1. If the point of pick up is within a 15-mile radius of the Portland VA Health Care System,theContractorshallarriveatthepointofpickupnolaterthan30minutesfromthetime of request.

A.1.9.1.2.2. If the point of pickup is outside a 15-mile radius of the Portland VA Health Care System,theContractorshallbeinroutetothepick-uplocationwithin30minutesfromthetime of request.

A.1.9.1.2.3. Shouldthetimeperiodforpick-up,statedherein,bephysicallyimpossibledueto locationofthe beneficiary,the contractorshallcontactthe VAtravel coordinatorandinform him/her of theanticipated time required for pick-up and deliveryof said Veteran.

A.1.9.2. ResponseTimeComplianceRate:TheContractorshallmaintainataminimum,a90% compliance rate onresponses topick-up or deliver during the contract year. Failure of the Contractortoperforminaccordancewiththiscomplianceratingmayconstituteasufficientbasis for termination of thecontract for "cause," (see FAR clause 52.212-4(m)).

A.1.9.3. ContactPhone Number:If the contractor's place of business islocated beyond the localtelephonecallzoneoftheVA,thecontractorshallinstallandprovidetotheVA,atoll-free number for acceptingthe VA calls. It is estimatedthat 75% of all requests for service will be placed bytelephone. Requests for service mayalso be in writingor oral froman authorized representativeoftheVA(authorizedemployeeswillbeidentifiedperParagraphA.1.12.2.),and maybe completed by telephone,facsimile, mail, e-mail, or in person (bygivinga written or verbal request).

A.1.9.4. TheVeteranwillbedeliveredtoandpickedupfromtheassignedappointmentlocation. (Forexample, the Medical Center nursingstationon wards or units, clinics,private homeor communitynursing home.) All Veterans will be checked in and out with the appropriate administrativestaff.Veteransmustbecheckedinbytheirappointmenttimeand picked upina timely fashion after their scheduleappointment.

A.1.9.5. ElectronicTransmissions:Thecontractorshall,atalltimesduringthecontractperiod, have onhis/herpremises afunctioningfax machineto communicaterequirements with the VA (i.e.,Veteranincidents,requests for service, special correspondence,etc.). Each contractor shall indicateif there is e-mail availabilityfor their companyto complete communications with theVA(useofthis communicationsystemwillbemutuallyagreeduponafterawardofcontract before any communications are completed inthis manner).

A.1.10. WAITINGTIME:

A.1.10.1. Forunscheduledtrips;waitingchargesshallcommence15minutesfromthetimethe Contractoractuallyarrivesatthedesignatedpick-up.Forscheduledtrips,waitingchargesshall commencefifteenminutes from the scheduledpick-up time or from the timethe Contractor actually arrives at the designatedpick-up point, whichever is later.

A.1.10.2. If the designated pick-up and/or delivery points are at other than the VA Medical facilities andwaitingbeyond the required 15-minute grace period is anticipated,the Contractor shall notifythe travelsection.This callis onlyforthe purpose of verifying the Contractor's timeof arrival at pick-up and ordelivery points andis not necessaryif the Contractor does not anticipateadelayforwhichwaitingchargeswillbeclaimed.TheContractor'sfailuretonotifythe travel section whenwaiting beyond thegrace period, shall result innon-payment for waitingtime.

A.1.11. BeneficiarySchedule:

A.1.11.1. Under no circumstance shall a patient within a 15-mile radius of the Portland VA Health Care Systemwait for transportation service for more than forty-five (45) minutes without corrective action beinginitiated. If the Contractor fails to dispatch a vehicle for the requested service withinforty-five(45)minutes after receivinga requestoranyorder,theVAreservesthe righttoobtaintheservicefromanothersourceandtochargetheContractorandcostsincurredin excessoftheawardedcontractpricewillbechargedagainsttheContractor.Alternative transportationwillbeinitiatedby theVAatthetimeofneedandContractorwillbenotified afterthefact.Inaddition,iftheVAinitiatesanalternatetransportationcallandthe successful Contractor and alternate come at the same time, a dry run will be paid to the alternate for responding.

A.1.11.2. Trips will be scheduled by Contractor so that Veterans are not held at any point to meetanothervehicleforthepurposesofcarpoolingunlessauthorizedbytheCVATravelClerk.

A.1.11.3. Whentransportation is contracted from a distant location and a partner company is involvedforthepurposesofefficiency,aVeteranmaybetransferredfromonevehicletoanother solongasthetransfer complies with all applicable state and local regulations.Transferwill not be authorized whenamedical emergencyexists unless that emergencyrequires the use of higher level medical care.

A.1.12. ORDERINGPROCEDURES:

A.1.12.1. Priorto performance, the Contracting Officer shall providethe Contractor with a list of names orposition titles and phone numbers of authorized Government personnel who may requestservicesandreceivecallsfromContractorregardingcontractperformance.Thislistwill beupdatedandsubmittedtotheContractoraschangesoccur.TheContractorshallensurethat requestsforservicesarereceivedfromauthorizedmedicalcenterpersonnel.Servicesrendered in responseto requests fromother than authorizedpersonnel shall be atthe riskof the Contractor and any cost related thereto shall be borne by theContractor.

A.1.12.2. Authorized Medical Center Personnel: Authorized personnelwill be fulltime staff employedbytheVAPORHCS.Authorizedpersonnelshouldbecallingdirectlyfromgovernment telephonesfromwithinthefacility.Requestsforservicemayalsobeinwritingbyfacsimile,mail, e-mail, or in-personfrom an authorized representative of the VA.

A.1.12.3. RequestforServices:RoutineOrders:RoutineOrdersaredefinedtobethoseorders thatareplacebytheendofthepriorworkdaytoallowtheContractorschedulingtime.Attempts willbemadetohavetheordersplacedby5:00PMtheproceedingdayifpossible.Requestsfor serviceswillbemadeinwriting,byfaxorbytelephone,(VAPORHCS).TravelClerkswillfaxthe Contractorthefollowingday�sroutineorders.

Informationthatwillbeprovidedisasfollows:

Mode of transportation required Requireddateandtimeofpick-up Name of beneficiary Pick-upanddeliverypoint Typeandnumberofadditionalmedicalcarespecialistsrequired Type of equipment required

A.1.12.4. Dispatcher:RequestsforTransportationservicesshallbemadetotheContractor personnelidentified. The following information will be supplied by the Contractor:

Companyname Address Normalbusinesshourscontactperson(s) Normal business hours phone number After hours contact person(s) Afterhoursphonenumber

A.1.12.5. InvoiceProcedures:Pleasereviewlinkforelectronicinvoicingprocedures:http://www.tungsten-network.com/uk/en/veterans-affairs/ Invoicesshallincludethefollowinginformationinadditiontothetimesspecifiedatclause52.212-4(g):

Uniquetripnumber Date of service Time of service Date of order Timeoforder NameofVArepresentativeplacingorder Name of Veteran Pickup location and zip code Destinationlocationandzipcode Time at scene Timeatdestination Additionalcharges/informationtobelistedandspecifiedinallinstances:

Oxygen "waitingtime" Indicateindividualwhoapprovedwaitingtime

NumberofmilesVeteranwastransported Purchase order number

A.1.12.6. Aduplicatecopyoftheinvoice(MSExcelformat)shallbesubmittedtotheCOR, for review and validation, prior to invoice payment approval.

A.1.13. PaymentsforMileageoutsideContractMileageThresholdAreasofCoverage:

A.1.13.1. Long Distance Mileage �Payment for mileage outside the contract Mileage Thresholds ofcoverage, shall be at the mileage ratestated in the price schedule, andshallbe based upon the milesfromthe pick-up point and the specified destination. Any mileage fromthe place ofbusinessand/orlocationof vehicleand the pick-up point,orfromthe delivery destination backto the place of businessand/orlocation of next tripare not considered as a separateitemofthisreimbursement,butwouldbeexpectedtobeincorporatedintothemileage rate as part of the administrative costs (or costs ofdoing business).Distances beyond the contract Mileage Thresholdareas of coverage shall be calculated using Bing Maps (https://www.bing.com/maps).Allowable charges for mileage outside the contract Mileage Thresholdareas of coverage, shall not exceed±5% of the route mileage calculated using BingMaps.

A.1.13.2. Should the VA make a determination that a previously scheduled trip maybe cancelled,andavehiclehasalreadybeendispatchedtothedesignatedpick-uppoint,VAmay notifythe Contractor tocancel the order. For ordersthat are cancelled whilethe contractor is alreadyinroutetothedesignatedpick-up,thecontractorshallbeentitledtoreceive50%ofthe baserate for thetrip,as providedinSchedule of Supplies or Services and Prices/Costs. This charge shall not include any mileage charge.

A.1.13.3. Shouldthe Contractor arrive at the destination before VA cancels the order, or if the Contractorisunabletoperformascheduledpick-upforreasonsbeyondtheContractor'scontrol, (e.g., incorrectaddress, Veteranabsence, Veteran refusal) then the Contractor shall receive 100% ofbase ratefora one-waytrip asprovidedinPartI� Section A(Prices),andapplicable mileage if outside contract MileageThreshold areas of coverage.

A.1.13.4. OtherCharges�ItisunderstoodthatthepriceslistedintheacceptedScheduleshall beinclusiveofanyandall ferry,bridge,tunnel orroadtollcharges.Contractor shallnotbillthe VA for anysuch separate charges.

A.1.14. VETERANRIGHTS:

A.1.14.1. The Contractor shall be courteous toVA beneficiaries and shall not smoke while transportingVeterans.Veteransmaybringareasonableamountofequipment,suchasfolding wheelchair,consumablemedicalsuppliesandpersonalsuitcase.ThismayincludeaVeteran's 3-wheeled scooter. Veteranbelongings will not include household furnishings.

A.1.14.2. EachVeteranwillbeprovidedwithsafeandcomfortabletransportationtoand/orfrom theMedicalCenter.The ContractorwillassumethetotalresponsibilityfortheVeteran'ssafety and comfortduringthe entiretransferprocess, from the time the Contractor's staff reaches the Veteran,throughtheloadingandunloadingoftheVeteranintothevehicle,anduntilthetimethe Veteran is properlydeliveredto the professional staff of the medical Center or other finaldestination.

A.1.14.3. IMMEDIATELYupon any incident/accident involving a VA Veteran being transported orescorted, verbal notification is required to the VAContracting Officer and/or Contracting Officer'sRepresentative(COR) withall the factsas theyrelateto theincident/accident.Written report isrequiredto be filed withinforty-eight (48) HOURS OF THE INCIDENT/ACCIDENT WITHA LIST OFTHEContractor staff names (drivers/escorts),Veteran's name,and pertinent informationandwitnesses,mustbefiledwiththeContractingOfficerorCOR.Thisistobedone no matter how minor or innocenttheincident/accident appears to be.

A.1.14.4. ThecontractorshallnotifytheCOR,inwritingwithin24hoursofanycomplaintsmade by thebeneficiaries with regards to the transportationservice.The contractor may provide recommendationsforimprovedservicesalongwiththeVeterancomplaintsfortheVA'sreview. No recommendation shall beconstrued as beingeffective until and unless it is provided as a written modification to the contract fromthe Contracting Officer.

A.1.14.5. Infection Control Procedures:When wheelchair van services are required, the contractor shalluse universal precautionarymeasures for the prevention and controlof the spreadofinfectiousagentstoallpersons.TheVAInfectionControlManualcanbeaccessedat:http://vaww/Departments/hospitalwide/Infection%20Control/index.asp

A.1.15. REQUIREDREPORTSANDDOCUMENTS:

Withinseven(7)daysaftercontractawardthecontractorshallprovidethefollowingtothe designatedCOR:

A.1.15.1. Contractor Personnel Roster -In this document, contractor shall identify the employee(anypersonnelchangesmadeshallbesubmittedtotheCORwithintwo(2)business days after changes occur):

NamePosition Title Workassignmentarea

A.1.15.2. Certification of Minimum Liability Insurance Coverage:A certificate of insurance asevidenceof insurance coverage is required prior to providingany services to the medical facilities(ref.VAAR852.237-7).Thereafter,anyinsurancecoveragechangesshallbesubmitted within seven (7) daysafter changes occur.

A.1.15.3. Contractor'sContinuingQualityImprovement(CQI):

TheContractorshallestablishandmaintainacompleteQualityControlInspectionPlan(QCIS)to assuretherequirements ofthis contractareprovided asspecified. An original andone(1)copy ofthisQCISwillbeforwardedtotheCOalongwiththerequestedinitialquote.TheContractor's QCIS shall include thefollowing or have incorporatedinto during performance of contract,at aminimum:

1. Aninspectionplancoveringallservicesrequiredbythiscontract.Theinspectionplanmust specifythe areas to be inspected on either a scheduledor unscheduledbasis, how often inspections will be accomplishedand documented,or the title of the individual(s) who will perform the inspections.

2. On-siterecordsofallinspectionsconductedbytheContractornotingnecessarycorrective action taken. The Government reserves the right to request copies of any and/or eachinspection.

Incorporationofeitheractiveorestablishedinternalpolicyorproceduresforupdatingmedical service protocols that may affect performance of contract.

The methods for identifyingand preventingdeficiencies inthe quality of service performed, before the level of performance becomes unacceptable and organizational functions noting intermediatesupervisoryresponsibilitiesandoverallmanagementresponsibilitiesforensuring total acceptable performance.

On-site records of all vehicle maintenance and repairs performed, on vehicles used inthe performanceofthiscontract.Themethodsofidentifyingandpreventingvehiclebreakdowns,and detailed procedure for alternative transportation ofVeterans inthe event of mechanical breakdown of transportation vehicles.

On-siterecordsidentifyingthecharacter,physicalcapabilities,certificationsandongoingtraining of each employee performing services under this contract.

The methods of identifying and preventing radio communication breakdowns.A detailed procedureforalternativecommunicationsintheeventofelectronicandmechanicalbreakdown ofvehicle.

Alogtoaccountforallrequestsforservice.Thelogshallindicatethedateandtimeofservice call, name of the beneficiaryrequiring services, any required Medicare/Medicaid forms with Doctor'ssignatures,typeoftransportationrequested,designatedpick-upanddeliverypoints, actualtime of arrival at pick-up and deliverypointsand actual waitingtimeat pick-up and delivery points, if waiting charges are claimed.

On-siterecordsofanycomplaintsorproblems,withprocedurestakentoallowforcorrections and/or elimination before effects caused interruption of performance of contract.

A.1.16. MISCELLANEOUS:

A.1.16.1. At no time will the Contractor leave vehicles on VA premises unless a pick-up or deliveryisinprocess.WheelchairVansareprohibitedfromparkinginotherthendesignated parking areas specified fortheir use.

A.1.16.2. WhentransportingVeterans to or from Medical facilities, the driver, actingfor the Contractor,willensurethattheVeteran'sluggage,medicalrecords,medications,andprosthetic devices are properlyaccounted for and deliveredwith the Veteran as required.

A.1.16.3. MedicalCenterstaffwillnotbeexpectedtoassistinoff-loadingVeteransfromvehicles intotheEmergency Department area or elsewhere inthe Medical Center. When additional personnelarerequired,thedispatcherwillanticipatetheneedandsummonadditionalsupportat no additional charge to theGovernment.

A.1.16.4. ContractorshallalwayshaveavailableawheelchairfortransportofVeteransfrompick- up pointto delivery point. When the Veteran is delivered to a destination other than the Department of Veterans Affairs andreturntripis ordered for thesame day, the Veteran will transfer from the contractor'swheelchair to a facility owned wheelchair. Veterans with scooters must only be transported in a regular passenger seator in a wheelchair which canbe safely strapped and locked down, and which provides for a seat belt for the passenger.Veterans requiringtransport in a motorized scooter will transferto a seat inthe vehicle with the scooter being transported with the Veteran as personalbelongings at no additional cost to the VA.

A.1.16.5. The driver will (within safety and reason) observe the Veteran during transport. Any indicationof significantchangeincondition(i.e.suddenonsetofrapidorlaboredrespirations, complaints of chestpains) willbeimmediatelycommunicatedtotheMedical Center Admitting office.DependingontheconditionoftheVeteran,theVeteranwillbereturnedtotheAdmitting Office, transported to the nearestemergency room or advanced life support called.

A.1.16.6. Corrective measures may include alternative transportation with the Contractor absorbingtheextracost.TheMedicalCenterwillscheduleappointmentswiththeContractorat least eight (8)hoursprior to the scheduled appointment times. If the Contractorfails to furnish service, the VA reserves theright to obtain the service from another source and tocharge the Contractorwithanyexcesscost,whichmayresult.TheVAwillbethesolejudgeindetermining when to order service from another source.

A.1.16.7. GOVERNMENTQUALITYASSURANCE:TheCORorhis/herdesigneewillevaluatetheContractor'sperformanceinaccordancewiththecontract�srequirements,thecontractor�sContinuingQualityImprovementandtheinspectionclauseFAR52.212-4ContractTermsand Conditions�CommercialItems(January2017).(SeeSectionDfortheQualityAssurance Surveillance Plan)

A.1.16.8. Contract Discrepancy Report (CDR):As described in the definition section, the COR willfilloutaCDRwhenvendorisnotmeetingcontractrequirementsorQualityAssurance Surveillance Plan requirements and submit to the vendor outlining the issues.The vendor will respond to the CDR and will submit to the Contracting Officer managing the contract. Contracting will then determine how to proceed with getting the issues resolved.

A.1.17. SPECIALCONTRACTREQUIREMENTS:

A.1.17.1. Contractor'sResponsibilitiesandInsuranceRequirements:

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Page20of TheContractorshallobtainallnecessarylicensesand/orpermitsrequiredtoperformthiswork. He/Sheshalltake all precautions necessaryto protect persons and propertyfrominjuryor damage during theperformance of thiscontract. He shall be responsible for anyinjuryto himself, his employees, or others, as well as for anydamage to personal or public propertythat occurs during the performance of thiscontract that is caused byhis or his employees'fault or negligence. The Contractorshall maintainpersonalliability,automobileliability,andpropertydamageinsurance,asprescribedby thelaws of thestate of Oregon and Washington, and in accordance with VAAR 852.237-7.

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