36C26123Q0512 Medical Waste Disposal VAPAHCS.pdf

PAGE 1 OF 751. 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

36C26123Q0512 03-28-2023

John Da Silva 04-28-2023

10:00 PDT

612MCP

Department of Veterans Affairs Network Contracting Office (NCO 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan CA 95652-2609

X 100

X

562211

$47 Million

N/A

X

VA Palo Alto Healthcare System

3801 Miranda ave Palo Alto CA 94304

612MCP

Department of Veterans Affairs Network Contracting Office (NCO 21) VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan CA 95652-1012

Department of Veterans Affairs FMS VA-9(101) Financial Services Center

PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

Medical Waste Pickup and Disposal Services In accordance with the Performance Work Statement

See CONTINUATION Page

X

36C26123Q0512

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...30

C.4 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.5 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.6 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.7 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED SERVICE-

DISABLED VETERAN OWNED SMALL BUSINESSES (NOV 2022)

C.8 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING--

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022)

C.9 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (DEC 2022)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.7 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.8 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C261

Department of Veterans Affairs

Network Contracting Office (NCO 21)

VA Northern California HealthCare System

5342 Dudley Blvd, Bldg 209

McClellan CA 95652-2609

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

Performance Work Statement

VAPAHCS Regulated Medical Waste Services

1. Scope of Work

The Contractor shall furnish all labor, equipment, containers’ appropriately sanitized, containers properly labeled, disinfected and labeled (except for Government-furnished “Sharps” needle containers), supplies, materials, transportation and supervision required to provide pick-up, transport, treatment/incineration and/or acceptable disposition of biomedical infectious waste, pathological wastes , non-hazardous pharmaceutical waste, and chemotherapy wastes for the VA Palo Alto Health Care System (VAPAHCS) located at 3801 Miranda Avenue, Palo Alto, CA 94304-1290, remote facilities and associated Community Based Outpatient Clinics (CBOC) identified in requirements attached. The contractor shall provide a certifiable weighing system to enable proper billing for “tare weight” waste poundage disposed, i.e., if the disposal container weighs 10 pounds and the Contractor is to dispose of 10 containers, each container shall be weighed, and container total weight (100) pounds is subtracted from the gross container weight to determine the total waste poundage to be paid.

2. Background information

The VA Palo Alto Health Care System generated 335,784 lbs. of combined of all the above listed wastes during calendar year (CY) 2022. Pick up locations for waste are San Jose, Monterey, Capitola, Fremont Community Based Outpatient Clinics (CBOC). Palo Alto Division, Menlo Park Division and Livermore Division.

NOTE: * The above amount of 335,784 lbs. was an estimate for 2022 medical waste. This number does not represent the actual amount of medical waste that will accumulate on station for this requirement.

3. Performance period

3.1 The contractor shall pick up biomedical infectious waste per the Pickup Schedule and Locations as stated herein.

3.2 VA observed Federal Holidays are:

New Year’s Day January 1 Martin Luther King’s Birthday 3rd

Monday in January President’s Day 3rd Monday in

February Memorial Day Last Monday in May Juneteenth June 19 Independence Day July 4

Labor Day 1st Monday in September Discoverers Day 2nd Monday in

October Veterans Day November 11 Thanksgiving Day 4th Thursday in

November Christmas Day December 25

Any other day designated by the President as a national holiday.

4. Definition

4.1 MEDICAL WASTE: Contaminated dressings, tissues, gloves, masks, hair covers, etc. from isolation rooms, packed and tied in “RED BAGS “(red plastic leak-proof bags).

4.2 BIOLOGICAL AND PATHOLOGICAL WASTE: Human anatomical parts, waste tissue, blood, microbial cultures, stool samples, etc., packed in tied and leak-proof “RED BAGS’.

4.3 VETERINARY WASTE AND ANIMAL BODIES: Animal parts, carcasses, waste tissue and other veterinary waste packed in tied and leak-proof “RED BAGS”.

4.4 NON-HAZARDOUS PHARMACEUTICAL WASTE: Any pharmaceutical waste that is not defined as Biohazard-regulated medical waste, Controlled Substance, or RCRA hazardous waste.

4.5 CANCER CHEMOTHERAPY WASTE: Discarded items which have been contaminated by chemotherapeutic drugs or antineoplastic agents, provided that such items, including trace drugs used against malignant cells in treatment of cancerous tumors, vials and syringes, gauze and gloves, infusion bags, etc., shall be empty or contain only such trace amounts of chemotherapeutic drugs as are allowable under applicable Federal, state, county or municipal laws, regulations, and guidelines so as to be considered waste.

4.6 INFECTIOUS WASTES

• Laboratory wastes, including cultures of etiologic agents, which pose a substantial threat to health due to their volume and virulence.

• Pathologic specimens, including human or animal tissues, blood elements, excreta, and secretions which contain etiologic agents, and attendant disposable fomites.

• Surgical specimens, including human or animal parts and tissues removed surgically or at autopsy which contain etiologic agents, and attendant disposable fomites.

• Equipment, instruments, utensils, and other disposable materials which are likely to transmit etiologic agents from the room of humans, or the enclosures of animals, which have been isolated because of suspected or diagnosed communicable disease.

• Human dialysis waste materials including arterial lines and dialysate membranes.

• Carcasses of animals infected with etiologic agents which may present a substance hazard to public health if improperly managed.

• Any other material which, in the determination of the facility infection control staff, presents a significant danger of infection because it is contaminated with, or may reasonably be expected to be contaminated with, etiologic agents.

4.7 ETIOLOGIC AGENTS: A type of microorganism, helminth, or virus which causes, or significantly contributes to the cause of, increased morbidity or mortality of human beings.

4.8 INCINERATED INFECTIOUS WASTES: Infectious wastes that have been incinerated, steam sterilized or otherwise treated so as to be non-infectious, may be handled as noninfectious, nonhazardous, regular solid waste unless the material is defined as a hazardous waste or hazardous material according to section 66084, 66088, or 66680, title 22, C.A.C.

4.9 HAZARDOUS MATERIAL (Section 66084 title 22, CAC):“Hazardous material” means any substance or mixture of substance, which is toxic corrosive, flammable, an irritant, a strong sensitizer or which generates pressure through decomposition, heat or other means, if such a substance or mixture of substances may cause substantial injury, serious illness or harm to human, domestic livestock or wildlife. Hazardous material includes extremely hazardous material.

4.10 HAZARDOUS WASTE (Section 66088 title 22, CAC):“Hazardous waste” means any waste material or mixture of wastes which is toxic, corrosive, flammable, an irritant, a strong sensitizer or which generates pressure through decomposition, heat or other means, if such a waste or mixture of wastes may cause substantial injury, serious illness or harm to humans, domestic livestock or wildlife. Hazardous waste includes extremely hazardous waste.

4.11 LISTS OF CHEMICAL NAMES AND COMMON NAMES (Section 66680 title 22, CAC):

The comprehensive lists of Chemical names and common names are kept in each

Environmental Health office as reference material.

5. Contractor Specific Tasks

5.1 Biomedical Hazardous Waste

5.1.1 Contractor shall pick up biomedical hazardous waste weekly with adequate coordination and approval of the Contracting Officer Representative (COR).

5.1.2 The contractor shall provide COR with an invoice at least monthly that identifies the date(s), number of, types and sizes of all containers removed for treatment/disposal, providing the VA with the data to adequately track and manage wastes removed.

5.1.3 The contractor shall weigh the biomedical hazardous waste on a contractor provided scale and record the weights for each pickup and include such weights in each weekly manifest.

Contractor scales shall be calibrated and certified annually. Contractor shall provide calibration records to the COR. The size of the containers to be furnished shall be 44 gallon +/-

15% for biohazard waste. Contract shall make contact with COR upon arrival to facility and before taking weights of containers. COR will designate employee to witness weighing and verify weights.

5.2 Chemotherapy wastes

5.2.1 Contractor shall pick up chemotherapy wastes weekly, and the contractor shall provide container counts and actual weight at pickup. The size of the containers to be furnished shall be

8 gallons for biohazard waste.

5.2.2 The contractor shall weigh the chemotherapy waste on a contractor provided scale and record the weight for each container prior to removal from VA property in the presence of COR designated VA employee.

5.2.3 Invoices will include accurate weights and tracking documents to certify proper disposal.

5.2.4 Chemo wastes will be picked up in the secure caged area on the dock of Building 100.

The contractor shall provide the COR with the necessary data to properly track and manage the waste (via manifests) to ultimate disposal, containing accurate container numbers, weights and certificates of disposal.

5.3 Pathological/infectious wastes

5.3.1 Contractor shall pick up Pathological/infectious wastes at on the dock of Building 100 for disposal.

5.3.2 Invoices shall include tracking documents to certify proper disposal.

5.3.3 Pathological wastes shall be picked up not to exceed 30 days and or as required.

Invoices/manifests will include all tracking documents to certify proper disposal. Contractor shall coordinate pick up pathological wastes with VA.

5.4 .The Contractor shall treat and/or dispose of bio-hazardous medical waste in accordance with State and Federal (U.S. Environmental Protection Agency - EPA) guidelines, VAPAHCS infectious medical waste requirements located in the following local directives (138-36, Pollution

Prevention Waste Minimization Program), and all other Federal, State and local regulations.

5.5 Contractor shall maintain all necessary medical waste permits and licenses for the disposal of and treatment of such waste.

5.6 Contractor shall also have an assigned U.S. Environmental Protection Agency (EPA) authorization and identification number, necessary Department of Transportation permits, insurance prior to transport and/or disposal of subject waste. If contractor requires additional information, they may contact U.S. EPA regional office. Copy of all licenses shall be provided to

Contracting Officer upon contract award. In addition, contractor shall supply an organization chart, listing of key personnel and competency training documentation that demonstrates staff ability to process various waste streams.

5.7 Pharmaceutical Waste

Non-hazardous pharmaceutical waste will be disposed of in the BLUE and WHITE pharmaceutical waste container. Any solid or liquid pharmaceutical which is discarded or accumulated, stored, or treated prior to being discarded. Pharmaceutical waste will be removed from the health care system by approved contractors, in accordance with all applicable laws and regulations.

6. Contractor Qualifications for Transportation within the State of California / Disposal and Sanitation requirements

6.1 Contractor is required to be certified and licensed in the State of California and actively listed on the California Department of Public Health (CDPH) Medical Waste Management listing as being licensed and certified for the transportation of Hazardous Medical Waste.

6.2 Contractor shall employ the best environmentally sound methods of treating and destruction of wastes such as incineration and recycling or any other acceptable methods, in accordance with EPA and industry standards.

6.3 Disposal shall be performed in such a manner as not to create conditions detrimental to public health or to constitute a public nuisance.

6.4 The pick-up area where rental containers are placed shall be maintained in a clean, orderly, sanitary condition. Particular attention shall be paid to the prompt cleanup of oil and/or grease spills, either generated from the vehicles used to haul containers or because of container leakage.

6.5 Contractor furnished containers shall be kept neat, in clean and sanitary appearances, repaired or replaced as necessary.

7. Containers

7.1 The Contractor shall provide containers which are in good condition, have tight fitting lids, are durable, rigid, puncture resistant, do not leak, and which are labeled, color-coded, clearly marked (or mark-able).

7.2 Inspection for leaks and corrosion shall be performed routinely by the Contractor prior to furnishing containers to VA. Containers shall be lined with plastic bags. VA medical facility employees may distribute containers throughout the using facility and will return them to the waste pick-up area.

8. Documentation

8.1 The “manifest” is an Environmental Protection Agency (EPS) form entitled EPA Form 8700-

22 (Rev. 3-05) which is used to track the subject waste from the point of generation to the designated disposal location.

http://www.epa.gov/epawaste/hazard/transportation/manifest/pdf/newform.pdf

8.2 Once the material has reached the disposal facility, a copy of the manifest and certificate shall be provided to the Contracting Officer’s Technical Representative (COR), confirming that the material has been properly handled and disposed of.

8.3 The Contractor shall provide a manifest for each pick-up, certifying the number of containers and types of waste picked up and removed and transported from the facility, and, upon destruction of the waste, shall provide appropriate copies of the manifest form to indicate date, place, and manner of destruction and/or disposal. The COR will keep its copy on file in accordance with agency guidelines.

9. Monthly Report

9.1 The Contractor shall also provide, in accordance with applicable regulation, a detailed daily activity statement which shows in columnar form information including, but not limited to, the service date, container/tub number, weight (in pounds), pick-up location and other important data. Data shall be supplied and accessible in real-time via a website used for such reporting.

The COR shall be issued login credentials for 24-hour access of information.

9.2 This tracking document shall be provided to the COR and VA Industrial Hygienist of the facility on a monthly basis, along with invoice. The Industrial Hygienist’s name, telephone number and address will be provided to Contractor at the time of award by the COR.

10. Weighing System

10.1 The contractor shall provide a certifiable weighing system to enable proper billing for “tare weight” waste poundage disposed, i.e., if the disposal container weighs 10 pounds and the

Contractor is to dispose of 10 containers, each container shall be weighed, and container total weight (100) pounds is subtracted from the gross container weight to determine the total waste poundage to be paid.

11. Safety Training

11.1 Contractor shall provide a yearly/as needed in-service training to VA employees; training shall be coordinated with the COR. Training shall include methods on how to identify and handles infectious waste with special emphasis on Right to Know compliance.

11.2 Contractor shall comply with the Nevada Division of Occupational Safety and Health

Agency regulations, these regulations can be accessed at http://www.dtsc.ca.gov/ on workers’ safety standards and related training.

11.3 All Contractors’ personnel involved in the performance of this contract shall have received training regarding the handling of infectious materials, and emergency procedures to be followed in case of a spill. Certification of such training shall be provided within fifteen days of receiving notice of award of the contract. Certification for any new employees shall be provided to the COR within thirty

(30) days of receipt of said training.

12. Interference to normal function

Contractor’s personnel are required to interrupt their work at any time to avoid interference with patient care procedures and the normal function of the facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment, and carts.

PICKUP SCHEDULE/LOCATIONS AND ANNUAL QTY ESTIMATES

VA Palo Alto Health Care System Requirements: Services shall be provided at seven facilities; and frequency of pick-ups is identified below. The size of containers to be furnished shall be 44 gallon +/- 10 percent for biohazardous waste and 30 gallon for chemotherapy waste.

DAILY PICK-UP: Line Est. Item Description Qty Unit

B.6.1. VA Palo Alto 265,689 lbs

3801 Miranda Ave.

Palo Alto, Ca 94304

Est. Weight: 265,689 lbs/yr

Pick-up Locations: Building 100 (back-dock), including cold storage area

Building 710 (VMU) (back-dock)

Building 520 (Caged area behind building)

Building 7 (Back Dock)

TWICE-WEEKLY PICK-UP: Line Est. Item Description Qty Unit

B.6.2. VA Menlo Park 4,000 lbs

795 Willow Road

Menlo Park, CA 94025

Est. Weight: 4,000 lbs/year

Pick-up Location: Building 334 (back-dock), Bldg. 360 (back dock)

B.6.3. VA Livermore 8,000 lbs

4951 Arroyo Road

Livermore, Ca 94550

Est. Weight: 8,000 lbs/year

Pick-up Location: Building 64

Building 90

ONCE A WEEK PICK-UP: Line Est. Item Description Qty Unit

B.6.5. VA Clinic – Monterey 1,300 lbs

201 9th Street

Marina CA 93933

Est. Weight: 1,300 lbs/year

Pick up location: Biohazardous storage area back of clinic

B.6.6. VA San Jose Clinic 2,000 lbs

58855 Silver Creek

San Jose, CA 95138

Est. Weight: 2,000 lbs/year

Pick-up Location: Behind the Bldg.

B.6.7. VA Fremont Clinic 2,000 lbs

39199Liberty Street

Fremont, CA 94538

Est. Weight: 2,000 lbs/year

Pick-up Location: Behind the Bldg.

Point of Contact: Jennifer Zhang

Telephone: 650-493-5000 ext. 67378

QUARTERLY PICK-UP: Line Est. Item Description Qty Unit

B.6.7. VA Medical Clinic – Capitola 100 lbs

1350 41st Ave. STE 102

Capitola CA 95010

Est. Weight: 100 lbs/year

Pick up location: Check-In Desk

Quality Assurance Surveillance Plan Regulated Medical Waste Removal and Treatment Services

1. PURPOSE

This Quality Assurance Surveillance Plan (QASP) is a government developed and applied document used to make sure that systematic quality assurance methods are used in the administration of the Performance Based Service Contract (PBSC) standards included in this contract. The intent is to ensure that the Contractor performs in accordance with performance metrics set forth in the contract documents, that the Government receives the quality of services called for in the contract and that the Government only pays for the acceptable level of services received.

2. SCOPE

To fully understand the roles and the responsibilities of the parties, it is important to first define the distinction in terminology between the Quality Control Plan and the Quality Assurance Surveillance Plan. The Contractor, and not the Government, is responsible for management and quality control actions necessary to meet the quality standards set forth in the contract. The Contractor develops and submits his/her Quality Control Plan (QCP) for Government approval in compliance with his contract deliverables. Once accepted, the Contractor then uses the QCP to guide and to rigorously document the implementation of the required management and quality control actions to achieve the specified results. The QASP on the other hand, is put in place to provide Government surveillance oversight of the Contractor’s quality control efforts to assure that they are timely, effective and are delivering the results specified in the contract. The QASP is not a part of the contract, nor is it intended to duplicate the Contractor’s QCP. The Government may provide the Contractor an information copy of the QASP as an Attachment to the solicitation to support the Contractor’s efforts in developing a QCP that will interrelate with the Government’s QASP.

3. GOVERNMENT RESOURCES/RESPONSIBILITIES

The following personnel shall oversee and coordinate surveillance activities.

a. CONTRACTING OFFICER: The Contracting Officer (C.O.), ensures performance of all necessary actions for effective contracting, ensures compliance with the terms of the contract and safeguards the interests of the United States in the contractual relationship. It is the Contracting Officer that assures the Contractor receives impartial, fair, and equitable treatment under the contract. The Contracting Officer is ultimately responsible for the final determination of the adequacy of the Contractor’s performance.

b. Contracting Officer’s Representative (COR) - The COR provides detailed technical oversight of the Contractor’s performance and reports his or her findings to the C.O. in a timely, complete and impartial fashion The COR is not empowered to make any contractual commitments or to authorize any contractual changes on the Government’s behalf. Any changes that the Contractor deems may affect contract, price, terms, or conditions shall be referred to the Contracting Officer for action.

4. METHODS OF QA SURVEILLANCE

The below listed methods of surveillance shall be used in the administration of the QASP. In addition to specific instructions that may be mentioned, the appropriate and standardized form that is to be used for documentation of QA surveillance is the Surveillance Activity Checklist.

Customer Feedback – Customer feedback may be obtained either from the results of formal customer satisfaction surveys or from random customer complaints. Customer complaints, to be considered valid, must set forth clearly and in writing the detailed nature of the complaint, must be signed and forwarded to the COR. The COR shall maintain a summary log of all formally received customer complaints as well as a copy of each complaint in a documentation file. The COR shall also keep the tabulated results of all customer satisfaction surveys on file and shall enter the summary results into the Surveillance Activity Checklist.

(Copies of all records shall be submitted to the CO upon receipt for placement in the official contract file, and when necessary, determination of actions.)

100% Inspection – The COR shall monitor each patient delivery and enter performance results into the Surveillance Activity Checklist.

Periodic Inspection - Periodic inspections shall be conducted when specified in the contract/PWS. For the potential tasks that have been identified so far and included in this QASP, the COR performs the periodic inspection on a monthly basis.

Random Monitoring - Random monitoring shall be conducted if and when specified in the contract. For the potential tasks that have been identified so far and included in this QASP, the random monitoring shall be performed by the COR.

5. PERFORMANCE STANDARDS

The Performance Requirements Summary in the Performance Work Statement (PWS) includes performance standards. The Government shall use these standards to determine contractor performance and shall compare contractor performance to the Acceptable Quality Level (AQL) and determine incentives.

Performance Requirements Table – Quality Assurance Surveillance Plan:

Required Service Standard Performance Requirement

(PR)

Method of Surveillance

Factors to consider for Option Year

Renewal

Safety Requirements in accordance with paragraph D.14 of the Performance Work Statement

All requirements as listed under this paragraph must be followed.

Contractor is required to respond for compliance

COR Complaint that a contractor-caused incident occurred which compromised the safety of

Yes individuals.

Maintaining separation of types of waste, Red Bag, Pathology and Chemotherapy.

See Procedures under D.16, Infectious Medical Waste Require-ments Memo

Adherence to procedures under D.16

COR Complaint that these procedures were not followed.

Yes

Adherence to Pick Up schedules in Section B, Line Item Pricing Schedule

All Pick Up Schedules adhered to.

See Schedule B, Line Item Pick Up and Pricing Schedule

COR Complaint that Pick Ups were missed.

Yes

6. INCENTIVES

The Government shall use payment deduction as incentives for Contractors to maintain acceptable performance level. Incentives shall be based on meeting, or not meeting performance standards.

The CO and COR shall monthly progress meetings to assess performance and shall provide a written assessment. Should the CO experience marginal or sub-standard performance, they should consider more frequent progress meetings.

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.

4. 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.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVIC

ES

QUANTIT

Y

UNI

T UNIT PRICE AMOUNT

0001 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal Autoclave Sterilization Contract Period: Base POP Begin: 05-31-2023 POP End: 05-30-2024 PRINCIPAL NAICS CODE: 562112 - Hazardous Waste Collection PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

0002 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

PATH/CHEMO

Incineration Contract Period: Base POP Begin: 05-31-2023 POP End: 05-30-2024 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

0003 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

MAIN NON-HAZMAT PHARMA

Incineration Contract Period: Base POP Begin: 05-31-2023 POP End: 05-30-2024 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste

Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

1001 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal Autoclave Sterilization Contract Period: Option 1 POP Begin: 05-31-2024 POP End: 05-30-2025 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

1002 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

PATH/CHEMO

Incineration Contract Period: Option 1 POP Begin: 05-31-2024 POP End: 05-30-2025 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

1003 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

MAIN NON-HAZMAT PHARMA

Incineration Contract Period: Option 1 POP Begin: 05-31-2024 POP End: 05-30-2025 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

2001 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal Autoclave Sterilization Contract Period: Option 2 POP Begin: 05-31-2025 POP End: 05-30-2026

PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

2002 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

PATH/CHEMO

Incineration Contract Period: Option 2 POP Begin: 05-31-2025 POP End: 05-30-2026 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

2003 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

MAIN NON-HAZMAT PHARMA

Incineration Contract Period: Option 2 POP Begin: 05-31-2025 POP End: 05-30-2026 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

3001 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal Autoclave Sterilization Contract Period: Option 3 POP Begin: 05-31-2026 POP End: 05-30-2027 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

3002 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

PATH/CHEMO

Incineration Contract Period: Option 3

POP Begin: 05-31-2026 POP End: 05-30-2027 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

3003 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

MAIN NON-HAZMAT PHARMA

Incineration Contract Period: Option 3 POP Begin: 05-31-2026 POP End: 05-30-2027 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

4001 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal Autoclave Sterilization Contract Period: Option 4 POP Begin: 05-31-2027 POP End: 05-30-2028 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

4002 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

PATH/CHEMO

Incineration Contract Period: Option 4 POP Begin: 05-31-2027 POP End: 05-30-2028 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

4003 1.00 LB ________________

Regulated Medical Waste Collection, Transportation and Disposal

MAIN NON-HAZMAT PHARMA

Incineration Contract Period: Option 4 POP Begin: 05-31-2027 POP End: 05-30-2028 PRINCIPAL NAICS CODE: 562211 - Hazardous Waste Treatment and Disposal PRODUCT/SERVICE CODE: S205 - Housekeeping - Trash/Garbage Collection

GRAND TOTAL ________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER QUANTITY

DELIVERY

DATE

ALL ALL

MARK

FOR:

Jennifer Zhang 650-493-5000 x67378

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered;

and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212- 5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 4701 relating to whistleblower protections; 49 U.S.C.