36C26124Q0304 SA SB DRIVER REHAB SERVICE LV.docx
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- Q518--Driver Rehabilitation Services
- Solicitation number
- 36C26124Q0304
About this file
This request for quotation solicits driver rehabilitation services. The Las Vegas VA Medical Center intends to issue RFQ 36C26124Q0304 to provide driver rehabilitation services on a firm-fixed price basis, with a base period of performance from April 12, 2024 to April 11, 2025 and two one-year option periods. The corresponding NAICS code is 611692 for automobile driving schools with a size standard of $10 million. Quotes are due by March 7, 2024 and shall be submitted electronically in accordance with FAR provisions 52.212-1 and 52.212-2.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26124Q0304 0002 Cancelled solicitation.docx | DOCX document | |
| 36C26124Q0304 0001 Extension.docx | DOCX document | |
| ATTACH 2 Wage Determination 2015-5593 Rev.24.pdf | ||
| ATTACH 1 QASP.pdf |
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36C26124Q0304
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
593-24-2-107-0001 36C26124Q0304 02-22-2024 Brandy Gastinell 916-923-4551 03-07-2024
10AM
PST
612MCP
Department of Veterans Affairs Network Contracting Office (NCO) 21 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan Park
CA
95652 X X 611692 $10 Million N/A X VA Northern Las Vegas Medical Center 6900 North Pecos Road Las Vegas
NV
89086
612MCP
Department of Veterans Affairs Network Contracting Office (NCO) 21 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan
CA
95652
Department of Veterans Affairs FMS VA-9(101) Financial Services Center PO Box 149971 Austin
TX
78714-9971 See CONTINUATION Page
******** TOTAL SMALL BUSINESS SET-ASIDE ***********
Request for Quote (RFQ) to provide Driver Rehabilitation services as described within this RFQ and all attachments.
VA Contracting POC: Brandy Gastinell brandy.gastinell@va.gov Base Year: 4/12/2024-4/11/2025 Option Year 1: 4/12/2025- 4/11/2026 Option Year 2: 4/12/2026- 4/11/2027 Offerors shall follow the submission instructions specified in FAR Provisions 52.212-1 and 52.212-2,and their addendums included in this solicitation. Failure to follow the instructions will result in an unfavorable evaluation and may not be considered for award.
Submit all questions by 2/26/2024 and quotes by 3/7/2024 electronically to: brandy.gastinell@va.gov See CONTINUATION Page X Brandy Gastinell
VA-VHA-2020-6F54476D
Table of Contents
| SECTION A | 1 | |
| A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES | 1 | |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 4 | |
| B.1 CONTRACT ADMINISTRATION DATA | 4 | |
| Performance Work Statement | 5 | |
| 25. | RECORDS MANAGEMENT LANGUAGE | 19 |
| B.2 PRICE/COST SCHEDULE | 21 | |
| ITEM INFORMATION | 21 | |
| SECTION C - CONTRACT CLAUSES | 25 | |
| C.1 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (NOV 2021) | 25 | |
| C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023) | 26 | |
| C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 32 | |
| C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) | 32 | |
| C.5 SUPPLEMENTAL INSURANCE REQUIREMENTS | 33 | |
| C.6 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022) | 33 | |
| C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018) | 33 | |
| C.8 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018) | 34 | |
| C.9 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) | 35 | |
| C.10 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 35 | |
| C.11 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2023) | 36 | |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 45 | |
| SECTION E - SOLICITATION PROVISIONS | 46 | |
| 52.212-1 INSTRUCTIONS TO QUOTERS—COMMERCIAL ITEMS | 46 | |
| E.1 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021) | 50 | |
| E.2 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023) | 53 | |
| E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) | 54 | |
| E.4 52.233-2 SERVICE OF PROTEST (SEP 2006) | 55 | |
| E.5 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS EVALUATION FACTORS (OCT 2019) | 56 | |
| E.6 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019) | 56 | |
| E.7 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018) | 57 | |
| E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018) | 57 | |
| E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023) | 58 | |
| E.10 52.216-1 TYPE OF CONTRACT (APR 1984) | 75 | |
| E.11 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 75 | |
| E.12 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY ACCESSIBILITY NOTICE (FEB 2023) | 76 | |
| E.13 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021) | 76 |
SECTION B - CONTINUATION OF SF 1449 BLOCKS
The Las Vegas VA Medical Center’s facility management service, located at 6900 North Pecos Road, North Las Vegas, NV 89086 intends to issue RFQ 36C26124Q0304 to provide driver rehabilitation services with a base plus two (2) year period of performance. This firm-fixed price solicitation is being conducted in accordance with FAR Part 13 Simplified Acquisition Procedures and the corresponding NAICS Code is 611692 Automobile Driving Schools, Size Standard: $10.0M.
Please see RFQ document 36C26124Q0304 for requirements.
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 Brandy Gastinell Department of Veterans Affairs
Network Contracting Office (NCO) 21 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan Park CA 95652
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 |
| [X] |
| 52.232-36, Payment by Third Party |
3. INVOICES: Invoices shall be submitted in arrears:
| a. Quarterly | [] |
| b. Semi-Annually | [] |
| c. Other | [X] Upon Government Acceptance |
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 |
Veterans Affairs Southern Nevada Healthcare System Performance Work Statement
1. CONTRACT TITLE:
DRIVER REHABILITATION SERVICES
Driver rehabilitation for the disabled, within the Department of Veterans Affairs, is designed to provide professional evaluation and instruction for eligible Veterans in the safe, competent utilization of special add on equipment, and mastery of specific skills and techniques to effectively drive a motor vehicle, independently, and in accordance with Nevada State Department of Motor Vehicle (DMV) regulations.
The following objectives are to be accomplished:
a. The patient will acquire specific knowledge in all areas of the driver training course including didactic theory and practical experience.
b. Psychomotor improvements in handling segments of the driver training task will be noted by comparison of function before and after completion of the training course.
c. The patient will maximize independence in all aspects of driving.
d. Supporting adaptive equipment will enable patients to mainstream themselves into society.
e. Driver Rehabilitation services shall be provided in accordance with the terms and conditions of this contract. The price shall include all necessary travel time, mileage charges, per diem to and from the contractor’s place of business or residence, and use of adaptive equipment for driver evaluation and training.
2. REQUIREMENTS/SCOPE:
· Service will be performed at a location of convenience for the patient. Driving evaluation and training will be performed in the Certified Drivers Rehabilitation Specialist’s, (CDRS) car, as long as the car meets the minimum State insurance requirements.
· Leave will not be covered by the VA (i.e., sick leave, vacation, and holiday).
· If the contractor lives outside of the Clark County area, all costs associated with travel, transportation, lodging or any other miscellaneous expenses related to this work shall be the sole responsibility of the contractor.
3. SPECIFIC TASKS:
A. General Duties:
The contracted driving rehabilitation specialist shall perform services, which include, but are not limited to the following:
The contract driver rehabilitation specialist’s primary functions will be skilled care for VA Southern Nevada Healthcare System (VASNHS) Veterans who require specialized evaluation, training, and equipment to be successful and safe drivers.
The individual driver rehabilitation specialist must possess:
· Special abilities and technical skills related to the provision of driver rehabilitation services.
· A medical rehabilitation background.
· Knowledge of residuals of traumatic and non-traumatic disabilities; and
· Special experience in order to evaluate and determine physical limitations of the Veteran with disabilities and the following modalities (i.e., hand controls, lifts, specialty adaptive driving systems, etc.)
The individual driver rehabilitation specialist must maintain a current knowledge of:
· Technological advances in adaptive equipment and high-tech driving systems;
· Changes in automotive design; and
· Other factors which may influence an individual’s capacity to safely operate a motor vehicle.
The Contractor and its personnel are expected to comply with all mandated standards and requirements.
B. Functions:
Clinical
Provide accurate reports for all evaluation and training.
1) Report requirements:
a. Interview:
· Driving History
· Current needs/goals
· Usual driving conditions
· Medical history
2) Clinical Evaluation includes:
a. Vision. Portable vision devices provide an evaluation of certain vision factors necessary to perform a safe driving task. Equipment must be available to measure the following: visual acuity, color perception, field of vision, depth perception, glare recovery, and night vision.
b. Reaction Time. A device is used to measure reaction time from acceleration to braking.
c. Cognitive and Perceptional Screening. In screening of basic cognitive and perceptional motor materials, identification and/or verification of a potential problem must be referred to the appropriate professional for a more in-depth evaluation.
d. Neuromotor Assessment. This is a physical assessment of range of motion, strength, sensation, coordination, and endurance.
e. Automobile Accessibility. Transfer in/out of vehicle and stowing of mobility aides (wheelchair, walker, etc). Operation of equipment (headlights, turn signals, gear selector, etc).
f. Behind-the-Wheel Assessment
g. Basic state driving laws
h. Maneuverability in various types of traffic environments.
i. Driving behaviors such as: anxiety, confusion, distractibility, impulsivity.
j. Mental fatigue
Access
Contractor to contact patient within 30 days of initial consult or document justification of inability to reach patient. Patient contact information to be released to contractor via release of information signed by Veteran. Failure to comply with reasonable time frame will result in decrease in compensation rate for initial evaluation by 10% of negotiated cost.
Administrative
Documentation of Clinical Chart. The patient’s progress must be documented in the medical record via scanned reports from the driving rehabilitation specialist from time of initial evaluation and/or assessment until completion of the driver rehabilitation training. The provider will fax or mail records to Contracting Officer Representative within 4 business days of “no show”, Veteran declination of service, or evaluation/driver training to have documents scanned into the Veteran’s electronic medical record. The provider will not have access to the VA medical records. Documentation must be in compliance with VA medical facility policy and be in compliance with appropriate accreditation standards.
C. Organizational Relationship
a. The CDRS will perform services under the oversight of the VA Chief, Physical Medicine and Rehabilitation Services or his/her designee.
b. Routine work shall be performed without supervision and the CDRS will be required to perform duties on their own initiative.
c. The CDRS shall act in a thoroughly professional manner at all times. They shall work in harmony with other members of VA Staff where they are working. Tact and courtesy are mandatory when interacting with patients and staff.
D. Services
a. The services specified herein may be changed by written modification to this contract. The VA Contracting Officer will prepare the modification.
b. The services to be performed shall be performed in accordance with VA policies and procedures.
E. Qualifications
1. Prior to performing any work under this contract the qualifications of the contract driving rehabilitation specialist must be submitted to the VA Chief, Physical Medicine and Rehabilitation Services or his/her designee for approval.
2. In order to perform the services covered by this contract the contractor shall have a minimum of:
a. 4-year healthcare degree, i.e., speech therapy, physical therapy, occupational therapy, recreational therapy, kinesiotherapy. The contractor shall also be certified as a driving rehabilitation specialist. Failure to comply will result in termination of the contract.
b. Additional university credentials, State certification and/or successful completion of the National Driver Rehabilitation Specialist Examination sponsored by Association for Driver Rehabilitation Specialists (ADED), formerly known as the Association for Driver Educators for the Disabled, is encouraged. Qualifications shall be subject to review by the VA Chief of Staff and approval by the VA Facility Director.
c. The contractor's personnel shall be responsible and able to show evidence of reliability, ability and experience. Verified references of ability and qualifications may be accepted by the Contracting Officer to satisfy these requirements.
d. Before commencing work under this contract, the Contractor, shall provide, and thereafter maintain for the duration of the contract, Liability Insurance in conformance with applicable Nevada State requirements for the service contemplated. Evidence of insurance will not be waived.
3. Contractor shall maintain current copies of the following staff qualifications. Copies of each shall be provided to the COR prior to the start of services under this contract.
a. The name of at least one Association for Driver Rehabilitation Specialists (ADED) Certified Driver Rehabilitation Specialist (CDRS) employed within your organization.
b. A copy of the license, registration or certification by a professional organization for this type of service.
c. A copy of the license, registration or certification by a professional organization for this type of service. If submitting a “specifically related rehabilitation therapy area”, a written explanation must accompany the Redacted Transcript on how it is related to this requirement. The Redacted Transcript must not contain any Personal Identifiable Information such as Social Security Numbers.
OR:
d. Copy of a Driver Rehabilitation Specialist Certification with any applicable expiration dates. If the Certification expires prior to the actual contract award date, the Government reserves the right to not issue an award until receipt of a current certification is in the possession of the Government.
Optional:
e. Results of National Driver Rehabilitation Specialist Examination.
f. ADED micro-credential of Drivers Rehabilitation Professional (DRP) working towards CDRS.
F. Components of Driver Training Services
Pre-driving Testing Evaluation shall be completed on all patients and shall be comprised of the following components:
· Vision evaluation-evaluate visual acuity, field of vision, depth perception, glare recovery and reaction time.
· Basic perceptual testing
· Functional muscle testing
· Range of motion of all extremities
· Coordination testing
· Hearing (subjective)
· Sitting tolerance
· Activity tolerance and susceptibility to fatigue
· Spasticity
· Precautions to be taken for patient without bowel and/or bladder control
· General cognitive testing
· Basic understanding of rules of the road for the state the Veteran is licensed in
· Reaction time
Adapted Driver Evaluation Shall include the following activities:
· Transfer to and from conveyance
· Stowage and retrieval of wheelchair or ambulatory aid
· Orientation to vehicles controls
· Proper body positioning and alignment
· Mirror references, including “blind spot” checks and tests
· Passenger responsibility (for example, seat belts, door locks)
· Pre-driving checks, including external considerations (for example, lights, tire pressure), and internal (for example, gas supply)
· Starting and stopping the vehicle
· Right and left turns, U-turns and 3–point turnabouts
· Backing up
· Parking, parallel parking
· Lane changes
· Emotional stability behind the wheel
· Hill driving, uphill and downhill parking
· Passing other vehicles
· Hazardous driving situation (for example, inclement weather, brake failure, flat tire, stuck accelerator)
· Changing traffic flows
· Pedestrian hazards
· Freeway entry and exit, as applicable
Upon completion of the Driving Evaluation, the contractor shall report the recommended driver training services to the Physical Medicine and Rehabilitation Services Driver’s Rehab Specialist (RSDRS) at the facility site for review and/or approval of the recommended driver training services, prior to continuing with any other training services. The RSDRS will be identified at time of award.
G. Vehicle Needs Assessment:
· Adapted Equipment Evaluation- the Contractor shall evaluate the need for assistive devices, equipment adaptations and vehicle modification. A copy of all evaluations and training will be submitted to the RSDRS and then uploaded into patient’s medical record for inclusion in their files.
· Vehicle Inspection – the Contractor shall inspect vehicle after modification to ensure that equipment was properly installed, and the patient can operate the adaptations. A copy of all evaluations will be provided to the Contracting Officer’s Technical Representative for inclusion in their files.
· Vehicle Consultation and Selection- assist the patient in the selection of an appropriate vehicle that best suits the needs of the patient as applicable.
H. Evaluations
Types of Disabilities that are treated in the VA Driver Rehabilitation Program:
· Paraplegia
· Tetraplegia
· Brain dysfunction
· Hemiplegia
· Neurological disorders
· Amputation, i.e., upper and lower extremities
· Orthopedic problems
· Psychiatric disorders
· Disabilities associated with aging
· Cognitive impairment
· visual impairment
I. Pre-driving Assessment and Evaluation
The Driver Rehabilitation Specialist shall ensure the following areas are addressed as part of the initial assessment and evaluation:
· Initial Contact. The Contactor shall have the initial contact with patient (driver
· rehabilitation candidate) in an interview atmosphere.
· History. The Contractor shall obtain from the patient, the history of the patient’s driving record, including any citations, accidents, or suspensions.
· Medical Clearance. The Contractor shall inform the patient of steps to be taken to obtain medical clearance, if such is required from the State medical authority.
J. Pre-driving Testing
The Contractor shall provide the following testing:
· Visual acuity, depth-perception, color-vision, peripheral-vision, night acuity, and glare recovery (tests may be administered by use of visual screening tools)
· Functional muscle testing.
· Basic perceptual test (e.g., dynamic figure-ground).
· Range of motion of all extremities, plus neck, if feasible. If lower extremities are non-functional, emphasis on exactness of upper extremity range of motion becomes greater.
· Coordination testing.
· Hearing (subjective).
· Balance (static and dynamic).
· Activity tolerance and susceptibility to fatigue.
· Spasticity.
· Bowel or bladder control.
· Reaction time, i.e., response time from accelerator to brake.
· Sensation and proprioception.
· Educational training
· Verification of Driver’s license
K. On Road Testing
The Contractor shall provide the following testing:
· Pre-Driving Skills
· Knowledge of controls (turn signals, etc.)
· Basic Driving Skills (low traffic area)
· Complex Driving Skills (high traffic area)
· Reaction time in real-world situations
· Navigation skills
· Parking skills
· Overall driving skills
L. Emergency Health Services
The VA will not render emergency health services to the CDRS for an incapacitating injury or otherwise serious illness occurring while on duty. All services, to include wages earned during period of initial medical evaluation provided by the VA, will be reimbursed by the Contractor. The Contractor will furnish the VA with the necessary injury/illness form(s) for reporting purposes. The VA for statistical and/or billing purposes will retain a copy of the complete form(s).
M. Patient Safety
Patient safety incidents must be reported using Patient Safety Report. All incidents must be reported within 24 hours.
N. Personnel Policy
The Contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the Contractor shall provide the following: Worker’s Compensation, Professional liability insurance, income tax withholding, and Social Security payments.
O. Standard Precautions
By signing this instrument, the Contractor certifies that all Contractor's employees assigned to work for the VA are current in standard Precautions and are aware of pertinent OSHA and standard Precautions Regulations.
P. Quality Assurance
The administrative COR for this contract, reserves the right to conduct competency assessment checks of contract driving rehabilitation therapist to include demonstration of age-related competencies and other pertinent position-specific competencies as well as ongoing competency assessments. Monthly audits (if services are provided that month) of one patient will be performed to ensure hours billed match hours received by the patient.
4. PERIOD OF PERFORMANCE/SCHEDULE:
· The Period Of Performance (POP) for this contract shall be:
| Base |
| 04/12/24-04/11/25 |
| Option year 1 |
| 04/12/25-04/11//26 |
| Option year 2 |
| 04/12/26-04/11/27 |
*The VA may or may not exercise option years 1 and 2
· Work days/hours: The Contractor shall provide driving rehabilitation services on a per patient bases as needed.
· The Contractor shall not be required to provide on-call or stand-by services.
· National Holiday’s shall be recognized in accordance with OPM guidance located at https://www.opm.gov/policy-data-oversight/pay-leave/federal-holidays/
*The contractor will not be required to work weekends*
5. PARTICIPATING FACILITY:
VA Southern Nevada Healthcare System
6. CONTRACTING OFFICER REPRESENTATIVE:
The Contracting Officer Representative (COR) shall provide general instructions and shall be responsible for administrating the contract and ensuring invoices are certified for payment in a timely manner.
| Location |
| TBD |
COR:
Phone:
e-mail:
7. CONTRACTOR POINT OF CONTACT:
a. Contractor shall designate one employee as the Point of Contact (POC) responsible for administrative matters in the performance of services under this contract. The POC shall have full authority to act for the Contractor on all matters relating to the daily performance of this contract.
b. The POC shall be available by telephone Monday through Friday, between 7:30 a.m. and 4:00 p.m. excluding national holidays.
c. Contractor shall provide the name and telephone number of the person designated as Point of Contact, Alternate Point of Contact, and the name, location and telephone number of the office where normal and emergency service calls are to be placed:
Point of Contact (Full Name):
Telephone Number:
E-mail Address:
8. U.S. GOVERNMENT FURNISHED MATERIALS AND SERVICES:
The contractor shall be responsible for the receipt and handling of all equipment and materials. The contractor shall coordinate proposed delivery areas with the Engineer.
9. CONTRACTOR FURNISHED ITEMS AND SERVICES:
The contractor shall furnish all necessary supplies, fuels, lubricants, solvents, parts, materials, equipment, products, tools, and any other items and services to perform all delivery and pick-up operations required by this performance work statement.
The contractor shall provide fully qualified on-site personnel who shall be responsible for the performance of the work. The name of the person and all alternates shall be designated in writing to the Contracting Officer. The project manager shall be on-site during normal work hours and for contingencies requiring work beyond normal work hours.
The contractor shall certify in writing that all employees operating equipment are trained and qualified.
10. CONTRACTOR RESPONSIBILITIES:
Contractor Employees. The contractor shall not employ personnel for work on this contract if such employee is identified to the contractor as a potential threat to the health, safety, security, general well-being or operational mission of the installation and its population.
The Contractor shall furnish service manuals and/or test equipment for the performance of this contract. It is the responsibility of the Contractor to bring the appropriate equipment, parts and/or supplies necessary to complete the work as required. The Contractor shall be familiar and follow maintenance guidelines contained in current technical service manuals for all equipment and sub-assemblies listed. Manuals shall include but not be limited to schematics, diagrams, written procedures and parts lists.
All work shall be performed, and equipment shall function in conformance with all VA safety standards, manufacturer’s/industry standards, the latest published edition of NFPA-99, FDA, OSHA, Joint Commission, and other applicable national standards. The COR may facilitate a copy of VA safety standards to the Contractor upon request.
Contractor personnel shall present a neat appearance and be easily recognized as contractor employees. This may be accomplished by wearing distinctive clothing bearing the name of the company or company ID badge. Contractor field service personnel shall be dressed to present a clean, neat appearance at all times when performing under this contract.
Personnel performing maintenance and repair services must be fully qualified, competent, technicians. “Fully qualified and competent” is defined as factory trained and verified by Polar Leasing.
11. SERVICE RESPONSE TIMES:
The following service response times shall be adhered to at all times identified below. Polar Leasing assumes all costs associated with any service or maintenance performed during or after hours or on the weekends. Hours cited below are Pacific Standard Time.
a. Two hour maximum callback for service calls made during normal work hours, Monday through Friday. Normal work hours are between the hours of 7:30AM and 4:00 PM.
b. Two hour maximum callback for service calls made after 4:00PM, Monday through Friday.
c. Two hour telephone callback required for calls made on weekends or national holidays (Friday after 4:00PM through 7:30AM of the next working day).
d. On site response shall be within 12 hours of first call for service, Monday through Friday, including after 4:00PM.
e. On site response for calls received during weekend hours and holidays shall be within 12 hours.
12. RE-PERFORMANCE:
N/A
13. CHECK–IN AND OUT ON SERVICE CALLS AT THE VA FACILITIES:
ACCESS: In the event that the contractor will access the VA campus, please contact VA Energy Plant maintenance personnel, as they will escort the contractor. After hours response will be monitored by VA Central Energy Plant operators, 702-791-9000, ext. 16900.
14. NATIONAL HOLIDAYS:
The Contractor is not required to provide delivery or pick up services on the following National Holidays.
| New Year’s Day |
| January 1 |
| Martin Luther King‘s Birthday |
| Third Monday in January |
| President’s Day |
| Third Monday in February |
| Memorial Day |
| Last Monday in May |
| Juneteenth |
| June 19 |
| Independence Day |
| July 4 |
| Labor Day |
| First Monday in September |
| Columbus Day |
| Second Monday in October |
| Veterans’ Day |
| November 11 |
| Thanksgiving Day |
| Fourth Thursday in November |
| Christmas Day |
| December 25 |
When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday by U.S. Government agencies. Also included would be any other day specifically declared by the President of the United States as a National Holiday.
15. OVERTIME AND HOLIDAYS:
Any overtime or holiday pay that may be entitled to Contractor personnel performing under this contract shall be the sole responsibility of the Contractor and shall not be billed to nor reimbursed by the Government.
16. PARKING POLICY:
It is the responsibility of Contractor personnel to park only in designated parking areas. Parking information is available from the VA Police. The VA shall not invalidate or make reimbursement for parking violations of Contractor's personnel under any circumstances.
17. SMOKING POLICY:
Contractor personnel may not smoke on VA property.
18. ORDERING ACTIVITY:
Contractor shall not accept any instructions issued by any person other than the CO or COR acting within the limits of his/her authority.
19. CHANGES TO CONTRACT:
Only those services specified herein are authorized. Before performing any service of a non-contractual nature, Contractor shall advise the CO of the reason(s) for the additional work and/or service.
20. COMPLAINTS:
Contractor shall promptly and courteously respond to complaints within 3 working days. Including complaints brought to Contractor’s attention by the CO. Contractor shall maintain a written record of all complaints, both written and oral showing the identity of the individual, the nature of the complaint, and Contractor’s response. Contractor shall permit the Government to inspect such records upon reasonable notice.
21. BADGES:
All Contractor personnel accessing VA campuses shall be required to wear company ID badges.
22. INVOICE REQUIREMENTS:
a. Payments will be broken out into four quarterly payments and paid in arrears.
b. No advance payments will be authorized.
c. The Government shall pay the Contractor, upon the submission of a properly prepared invoice for prices stipulated in this contract for services and supplies delivered and accepted.
d. Payment of invoices may be delayed if appropriate field service reports are not completed and submitted as specified herein.
e. The invoice shall be itemized to include the following minimum information:
1) Invoice Number and Date.
2) Contract Number.
3) Purchase Order/Obligation Number (to be assigned upon task order award).
4) Date of service.
5) Line item from Schedule of Service associated with each charge.
23. POST-AWARD PERFORMANCE CONFERENCE:
The CO may schedule a post-award performance conference with Contractor, if deemed necessary, for contract orientation purposes.
24. SECURITY REQUIRMENTS:
A. Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security.
B. A prohibition on unauthorized disclosure: "Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA." See VA Handbook 6500.6, Appendix C, paragraph 3.a.
C. A requirement for data breach notification: Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access, the contractor/subcontractor shall immediately and simultaneously notify the COR, the designated ISO, and Privacy Officer for the contract. The term 'security incident' means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. See VA Handbook 6500.6, Appendix C, paragraph 6.a.
D. A requirement to pay liquidated damages in the event of a data breach: "In the event of a data breach or privacy incident involving any SPI the contractor processes or maintains under this contract, the contractor shall be liable to VA for liquidated damages for a specified amount per affected individual to cover the cost of providing credit protection services to those individuals." See VA Handbook 6500.6, Appendix C, paragraph 7.a., 7.d.
E. A requirement for annual security/privacy awareness training: "Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall complete on an annual basis either: (i) the VA security/privacy awareness training (contains VA's security/privacy requirements) within 1 week of the initiation of the contract, or (ii) security awareness training provided or arranged by the contractor that conforms to VA's security/privacy requirements as delineated in the hard copy of the VA security awareness training provided to the contractor. If the contractor provides their own training that conforms to VA's requirements, they will provide the COR or CO, a yearly report (due annually on the date of the contract initiation) stating that all applicable employees involved in VA's contract have received their annual security/privacy training that meets VA's requirements and the total number of employees trained. See VA Handbook 6500.6, Appendix C, paragraph 9.
F. A requirement to sign VA's Rules of Behavior: "Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall sign on an annual basis an acknowledgment that they have read, understand, and agree to abide by VA's Contractor Rules of Behavior which is attached to this contract." See VA Handbook 6500.6, Appendix C, paragraph 9, Appendix D. Note: If a medical device vendor anticipates that the services under the contract will be performed by 10 or more individuals, the Contractor Rules of Behavior may be signed by the vendor's designated representative. The contract must reflect by signing the Rules of Behavior on behalf of the vendor that the designated representative agrees to ensure that all such individuals review and understand the Contractor Rules of Behavior when accessing VA's information and information systems.
G. Bio-Medical devices and other equipment or systems containing media (hard drives, optical disks, etc.) with VA sensitive information must not be returned to the vendor at the end of lease, for trade-in, or other purposes." See VA Handbook 6500.6, Appendix C, paragraph 5.h., for the specific options.
25. RECORDS MANAGEMENT LANGUAGE
Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. Chapters. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.
In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.
In accordance with 36 CFR 1222.32, the contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.
The VA Southern Nevada Healthcare System (VASNHS) and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VASNHS or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.
In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, the contractor must report to VASNHS. The agency must report promptly to NARA in accordance with 36 CFR 1230.
The contractor shall immediately notify the appropriate Contracting Officer (CO) upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the contract documents. The contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to VASNHS control or the contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the CO or address prescribed in the contract documents. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).
The contractor is required to obtain the CO's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The contractor (and any sub-contractor) is required to abide by Government and VASNHS guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.
The contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VASNHS policy.
The contractor shall not create or maintain any records containing any non-public VASNHS information that are not specifically tied to or authorized by the contract.
The contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the FOIA.
VASNHS owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which VASNHS shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.
Training. All contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training. The contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.
Flowdown of requirements to Subcontractors:
The contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this contract document, and require written subcontractor acknowledgment of same.
Violation by a subcontractor of any provision set forth in this clause will be attributed to the contractor.
B.2 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 210.00 |
| HR |
| __________________ |
| __________________ |
Initial clinical and behind the wheel instruction/ evaluation Contract Period: Base POP Begin: 04-12-2024 POP End: 04-11-2025 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
NATIONAL STOCK NUMBER: N/A
LOCAL STOCK NUMBER: N/A
| 300.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/or patients' vehicle for the primary area which is within 40 miles
POP Begin: 04-12-2024 POP End: 04-11-2025 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
| 50.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/ or patient vehicle located 40 miles outside of primary area
POP Begin: 04-12-2024 POP End: 04-11-2025 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
| 210.00 |
| HR |
| __________________ |
| __________________ |
Initial clinical and behind the wheel instruction/ evaluation Contract Period: Option 1 POP Begin: 04-12-2025 POP End: 04-11-2026 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| 300.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/or patients' vehicle for the primary area which is within 40 miles
POP Begin: 04-12-2025 POP End: 04-11-2026 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| 50.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/ or patient vehicle located 40 miles outside of primary area
POP Begin: 04-12-2025 POP End: 04-11-2026 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| 210.00 |
| HR |
| __________________ |
| __________________ |
Initial clinical and behind the wheel instruction/ evaluation Contract Period: Option 2 POP Begin: 04-12-2026 POP End: 04-11-2027 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| 300.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/or patients' vehicle for the primary area which is within 40 miles
POP Begin: 04-12-2026 POP End: 04-11-2027 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| 50.00 |
| HR |
| __________________ |
| __________________ |
Hourly rate for on the road driving training in instructor's/ or patient vehicle located 40 miles outside of primary area
POP Begin: 04-12-2026 POP End: 04-11-2027 PRINCIPAL NAICS CODE: 611692 - Automobile Driving Schools PRODUCT/SERVICE CODE: Q518 - Medical - Physical Medicine/Rehabilitation
MANUFACTURER PART NUMBER (MPN): N/A
| GRAND TOTAL |
| __________________ |
Page 1 of Page 1 of
SECTION C - CONTRACT CLAUSES
C.1 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (NOV 2021)
(a) Definitions. As used in this clause— Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.
Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public Web sites) or simple transactional information, such as necessary to process payments.
Information means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction (CNSSI) 4009).
Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).
Safeguarding means measures or controls that are prescribed to protect information systems.
(b) Safeguarding requirements and procedures. (1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:
(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).
(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.
(iii) Verify and control/limit connections to and use of external information systems.
(iv) Control information posted or processed on publicly accessible information systems.
(v) Identify information system users, processes acting on behalf of users, or devices.
(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.
(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.
(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.
(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.
(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.
(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.
(xii) Identify, report, and correct information and information system flaws in a timely manner.
(xiii) Provide protection from malicious code at appropriate locations within organizational information systems.
(xiv) Update malicious code protection mechanisms when new releases are available.
(xv) Perform periodic scans of the information system and real-time scans of files from external sources as files are downloaded, opened, or executed.
(2) Other requirements. This clause does not relieve the Contractor of any other specific safeguarding requirements specified by Federal agencies and departments relating to covered contractor information systems generally or other Federal safeguarding requirements for controlled unclassified information (CUI) as established by Executive Order 13556.
(c) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (c), in subcontracts under this contract (including subcontracts for the acquisition of commercial products or commercial services, other than commercially available off-the-shelf items), in which the subcontractor may have Federal contract information residing in or transiting…
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