36C26124R0074 Ground Ambulance Services.pdf

PAGE 1 OF 1061. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER

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

36C26124R0074

6. SOLICITATION ISSUE DATE

8-16-2024

JOHN DA SILVA 925-356-5881 08-29-2024

10:00 PDT

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) Network Contracting Office (NCO 21) 3237 Peacekeeper Way, Bldg 200 Suite 204 McClellan Park CA 95652

X

621910

$22.5 Million

N/A

X

VA Sierra Nevada Healthcare System

975 Kirman ave Reno NV 89502

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

Ground Ambulance Services IAW the Performance Work Statement

See CONTINUATION Page

X

RICO L. JOHNSON

36C26124R0074

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 (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.7 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.8 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ... 57

C.9 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.10 52.204-20 PREDECESSOR OF OFFEROR (AUG 2020)

C.11 52.201-1 ACQUISITION 360: VOLUNTARY SURVEY (SEP 2023)

C.12 VAAR 852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (NOV 2022)

C.13 VAAR 852.219-70 VA SMALL BUSINESS SUBCONTRACTING PLAN MINIMUM

REQUIREMENTS (JAN 2023) (DEVIATION)

C.14 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.15 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.16 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.17 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

C.18 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAY 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018)

E.8 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.10 VAAR 852.239-75 INFORMATION AND COMMUNICATION TECHNOLOGY

ACCESSIBILITY NOTICE (FEB 2023)

E.11 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.12 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

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:

Department of Veterans Affairs

VA Sierra Pacific Network (VISN 21)

Network Contracting Office (NCO 21)

Contract Specialist: John Da Silva, John.Dasilva@VA.gov

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

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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] MONTHLY

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVI

CES

QUANTI

TY

UNI

T UNIT PRICE AMOUNT

0001 500.00 TRP _______________

ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT,

LEVEL 1 (ALS 1)

Contract Period: Base POP Begin: 09-26-2024 POP End: 09-25-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

0002 600.00 TRP _______________

BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT

Contract Period: Base POP Begin: 09-26-2024 POP End: 09-25-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

0003 60.00 TRP _______________

NON-EMERGENT ADVANCE LIFE-SUPPORT

TRANSPORT, LEVEL 1 (ALS 1)

Contract Period: Base POP Begin: 09-26-2024 POP End: 09-25-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

0004 15.00 TRP _______________

CRITICAL CARE TRANSPORT (UPPER-LEVEL CARE)

Contract Period: Base POP Begin: 09-26-2024 POP End: 09-25-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

1001 500.00 TRP _______________

ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT,

LEVEL 1 (ALS 1)

Contract Period: Option 1 POP Begin: 09-26-2025 POP End: 09-25-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

600.00 TRP _______________

BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT

Contract Period: Option 1 POP Begin: 09-26-2025 POP End: 09-25-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

60.00 TRP _______________

NON-EMERGENT ADVANCE LIFE-SUPPORT

TRANSPORT, LEVEL 1 (ALS 1)

Contract Period: Option 1 POP Begin: 09-26-2025 POP End: 09-25-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

15.00 TRP _______________

CRITICAL CARE TRANSPORT (UPPER-LEVEL CARE)

Contract Period: Option 1 POP Begin: 09-26-2025 POP End: 09-25-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

500.00 TRP _______________

ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT,

LEVEL 1 (ALS 1)

Contract Period: Option 2 POP Begin: 09-26-2026 POP End: 09-25-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT

Contract Period: Option 2 POP Begin: 09-26-2026 POP End: 09-25-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

NON-EMERGENT ADVANCE LIFE-SUPPORT

TRANSPORT, LEVEL 1 (ALS 1)

Contract Period: Option 2 POP Begin: 09-26-2026 POP End: 09-25-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

15.00 TRP _______________

CRITICAL CARE TRANSPORT (UPPER-LEVEL CARE)

Contract Period: Option 2 POP Begin: 09-26-2026 POP End: 09-25-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

500.00 TRP _______________

ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT,

LEVEL 1 (ALS 1)

Contract Period: Option 3 POP Begin: 09-26-2027 POP End: 09-25-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT

Contract Period: Option 3 POP Begin: 09-26-2027 POP End: 09-25-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

NON-EMERGENT ADVANCE LIFE-SUPPORT

TRANSPORT, LEVEL 1 (ALS 1)

Contract Period: Option 3 POP Begin: 09-26-2027 POP End: 09-25-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

3004 15.00 TRP _______________

CRITICAL CARE TRANSPORT (UPPER-LEVEL CARE)

Contract Period: Option 3 POP Begin: 09-26-2027 POP End: 09-25-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

4001 500.00 TRP _______________

ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT,

LEVEL 1 (ALS 1)

Contract Period: Option 4 POP Begin: 09-26-2028 POP End: 09-25-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

4002 600.00 TRP _______________

BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT

Contract Period: Option 4 POP Begin: 09-26-2028 POP End: 09-25-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

4003 60.00 TRP _______________

NON-EMERGENT ADVANCE LIFE-SUPPORT

TRANSPORT, LEVEL 1 (ALS 1)

Contract Period: Option 4 POP Begin: 09-26-2028 POP End: 09-25-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

4004 15.00 TRP _______________

CRITICAL CARE TRANSPORT (UPPER-LEVEL CARE)

Contract Period: Option 4 POP Begin: 09-26-2028 POP End: 09-25-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: Q529 - Emergency Medicine Services

GRAND TOTAL _______________

B.3 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

ALL ALL

MARK FOR: Michael Frazer

775-788-5513 Michael.Frazer2@VA.gov

Performance Work Statement (PWS)

GROUND AMBULANCE

VISN 21/Station 654 NAICS 621910

1. Purpose: The VA Sierra Nevada Health Care System (VASNHCS), its associated Community-Based Outpatient Clinics (CBOCs), and affiliated healthcare clinics require contracted non-emergency ambulance transportation services. The contractor shall provide all vehicles, personnel, management, supplies, equipment, and necessary reporting for the provision of Stretcher Transports, Basic Life Support (BLS), Advanced Life Support (ALS), Critical Care Transport (CCT) services. The contactor shall make these ambulance services available to the VA as needed, 24 hours a day, seven days a week (24/7), including weekends and holidays.

2. Background: The (VA Sierra Nevada Health Care System) main campus is located 975 Kirman Ave. Reno, NV 89502-2597, serving over 35,000 veterans, primarily from the Reno/Sparks area and it’s eight Community-Based Outpatient Clinics. The hospital has 129 inpatient beds and sees approximately 4,337 -inpatient admissions and 541,952 outpatient visits a year. Veterans served within this facility live within the following counties and zip codes.

County/Zip Code

County/Zip Code

County/Zip Code

County/Zip Code

County/Zip Code

Washoe/89402 Humboldt/89404 Lander/89310 Lassen/96114 Nevada/95959 Washoe/89405 Humboldt/89414 Lander/89820 Lassen/96117 Nevada/95960 Washoe/49412 Humboldt/89421 Eureka/89316 Lassen/96119 Nevada/95975 Washoe/89424 Humboldt/89425 Eureka/89821 Lassen/96121 Nevada/95977 Washoe/89431 Humboldt/89426 Mineral/89415 Lassen/96123 Nevada/95986 Washoe/89432 Humboldt/89438 Mineral/89420 Lassen/96127 Nevada/96111 Washoe/89433 Humboldt/89445 Mineral/89422 Lassen/96128 Nevada/96160 Washoe/89434 Humboldt/89446 Mineral/89427 Lassen/96130 Nevada/96161

Washoe/89435 Carson City/89701

Nye/89409 Lassen/96132 Nevada/96162

Washoe/89436 Carson City/89702

Nye/89045 Lassen/96136 Placer/95602

Washoe/89439 Carson City/89703

Nye/89049 Lassen/96137 Placer/95603

Washoe/89441 Carson City/89706

Nye/89314 Plumas/95915 Placer/95604

Washoe/89442 Carson City/89711

Elko/89801 Plumas/95923 Placer/95631

Washoe/89450 Carson City/89712

Elko/89822 Plumas/95934 Placer/95648

Washoe/89451 Carson City/89713

Elko/89815 Plumas/95947 Placer/95650

Washoe/89452 Carson City/89714

Elko/89414 Plumas/95956 Placer/95658

Washoe/89501 Carson City/89721

Elko/89834 Plumas/95971 Placer/95661

Washoe/89502 Douglas/89410 Elko/89833 Plumas/95980 Placer/95663 Washoe/89503 Douglas/89411 Elko/89828 Plumas/95983 Placer/95677 Washoe/89595 Douglas/89413 Elko/89835 Plumas/95984 Placer/95678 Washoe/89599 Douglas/89423 White

Pine/89301 Plumas/96020 Placer/95681

Washoe/89704 Douglas/89448 White Pine/89311

Plumas/96103 Placer/95701

Washoe/89510 Douglas/89449 White Pine/89314

Plumas/96105 Placer/95703

Washoe/89511 Douglas/89460 White Pine/89315

Plumas/96106 Placer/95713

Washoe/89512 Douglas/89705 White Pine/89317

Plumas/96122 Placer/95714

Washoe/89513 Lyon/89403 White Pine/89318

Plumas/96129 Placer/95715

Washoe/89515 Lyon/89408 White Pine/89319

Plumas/96135 Placer/95717

Washoe/89519 Lyon/89428 Modoc/96006 Sierra/95910 Placer/95722 Washoe/89520 Lyon/89429 Modoc/96015 Sierra/95936 Placer/95736 Washoe/89521 Lyon/89430 Modoc/96054 Sierra/95944 Placer/95746 Washoe/89523 Lyon/89444 Modoc/96101 Sierra/96118 Placer/95747 Washoe/89533 Lyon/89447 Modoc/96104 Sierra/96124 Placer/95765 Washoe/89555 Pershing/89405 Modoc/96108 Sierra/96125 Placer/96140 Washoe/89557 Pershing/89418 Modoc/96110 Sierra/96126 Placer/96141 Washoe/89570 Pershing/89419 Modoc/96112 Nevada/95712 Placer/96143 Washoe/89504 Pershing/89445 Modoc/96115 Nevada/95724 Placer/96145 Washoe/89505 Storey/89437 Modoc/96116 Nevada/95728 Placer/96146 Washoe/89506 Storey/89440 Lassen/96009 Nevada/95924 Placer/96148 Washoe/89507 Churchill/89406 Lassen/96068 Nevada/95945 Mono/93512 Washoe/89508 Churchill/89407 Lassen/96109 Nevada/95946 Mono/93517 Washoe/89509 Churchill/89496 Lassen/96113 Nevada/95949 Mono/93529

EL

Dorado/95613

EL

Dorado/95664

EL

Dorado/95762

Alpine/95646 Mono/93541

EL

Dorado/95614

EL

Dorado/95667

EL

Dorado/96142

Alpine/96120 Mono/93546

EL

Dorado/95619

EL

Dorado/95672

EL

Dorado/96150

EL

Dorado/96156

Mono/96107

EL

Dorado/95623

EL

Dorado/95682

EL

Dorado/96151

EL

Dorado/96157

Mono/96133

EL

Dorado/95633

EL

Dorado/95684

EL

Dorado/96152

EL

Dorado/96158

EL

Dorado/95636

EL

Dorado/95634

EL

Dorado/95709

EL

Dorado/96154

EL

Dorado/95721

EL

Dorado/95651

EL

Dorado/95635

EL

Dorado/95720

EL

Dorado/96155

EL

Dorado/95726

EL

Dorado/95656

EL

Dorado/95735

3. Acronyms

ALS – Advanced Life Support

AOD – Administrative Officers of the Day

BLS – Basic Life Support

CCT – Critical Care Transport

CCTP – Critical Care Transport Paramedic

CCEMTP – Critical Care Emergency Medical Transport

CO – Contracting Officer

COR – Contracting Officer’s Representative

CPR – Cardiopulmonary Resuscitation

DOL – Department of Labor

EMT – Emergency Medical Technician

IAW – In Accordance With

OO – Ordering Officer

PWS – Performance Work Statement

QASP – Quality Assurance Surveillance Plan

QC – Quality Control Plan

TB – Tuberculosis

TJC – The Joint Commission

VTS – Veteran Transportation Service

4. Scope/Requirements

4.1. Types of Ambulance Service

4.1.1. The contractor shall provide Emergent, non-emergent Stretcher Transports, Basic Life Support (BLS), Advanced Life Support (ALS), and Critical Care Transport (CCT) Tier 1, 2, and 3 ambulance services on an as-needed basis in accordance with all federal, state, and local regulations.

4.1.2. Occasionally a veteran will need to be transported with VA staff and equipment;

the contractor shall return VA Staff and equipment to the original place of pick-up.

4.2. Transport of Miscellaneous Items with the Patient

The Contractor may also be required to transport patient luggage, medical records, medication, and comfort items from pickup points to destination at no additional cost to the Government. Luggage to be transported will be restricted to suitcase and valise types. When patients are transported to the VA Sierra Nevada Health Care System, destination is deemed to be the ER, Admissions, the clinic, or service within the hospital, or directly to the ward as instructed by VA Staff.

4.3. Contractor Personnel: Contractor personnel shall be courteous and always conduct themselves in a businesslike manner while providing services under this contract.

4.3.1. Emergency Medical Technicians (EMTs), Critical Care Transport Paramedics (CCTPs) & Other Personnel

4.3.1.1. EMTs, CCTPs and other medical personnel (as applicable) shall at all times meet the qualifications specified in this contract as well as all applicable federal, state, and local government laws, regulations, and standards. EMTs, CCTPs and other medical personnel (as applicable) shall be certified, licensed, or otherwise officially recognized by the local, state, or regional government or public entity where the emergency service is operated or by which it is governed.

4.3.1.2. If the contractor wishes to add or replace personnel throughout the life of the contract, it shall provide evidence of required training, certifications, licensing, and any other qualifications to the Contracting Officer’s Representative (COR) for review.

4.3.1.3. All ambulance drivers shall have a valid driver’s license in accordance with state requirements for their place of operation and the services they perform. If the contractor wishes to add or replace drivers throughout the life of the contract, it shall provide a valid driver’s license to the

COR.

4.3.1.4. CCTPs shall have met all state requirements for the tier in which they are performing services in (I, II, III). Proof in the form of a current certificate for the successful completion of such must be provided to the COR upon request.

4.3.1.5. Investigative Requirements for Contract Personnel: Contract personnel will be subject to the same investigative requirements as those for regular VA appointees and employees. The level of investigation commensurate with the level of access to perform the performance work statement is: Special Agreement Checks (SAC). Fingerprinting for contract personnel will be conducted at VA Sierra Nevada Health Care System.

Thereafter the contracted employees will be subject annually to the same requirement, with a 90-day window to complete such requirement as provided by VA Sierra Nevada Health Care System. The VA Security and Investigation Center (SIC) is responsible for adjudicating all background investigations for contract employees.

4.3.1.6. EMTs, CCTPs, and other contractor personnel as applicable must pass the Contractor’s background check and must not have been convicted of (or have any pending charges for) a felony for the past five years.

Personnel (and Contractor) must report any new or additional charges or convictions if they arise during the course of performance under this contract so VA can review them and determine whether the employee in question needs to be discharged of his or her duties until the matter is adjudicated.

4.3.2. Tuberculosis Exposure Control Policy

4.3.2.1. The contractor shall provide the VA with a policy on tuberculosis (TB) exposure and control, to include TB decontamination.

4.3.2.2. The contractor shall have its personnel tested for TB in accordance with state guidelines and provide written confirmation to the COR that all personnel (current employees and any new hires) performing services under this contract are current in their TB test by at the start of each Ordering Period.

4.4. Contractor Equipment, Vehicles, and Inspection

4.4.1. Ambulances shall meet all applicable federal, state, and local regulations and specifications, including but not limited to licensing, registration, and safety standards.

4.4.2. The VA reserves the right to inspect the contractor’s equipment and vehicles or require documentation of compliance with state laws, rules, regulations, and guidelines governing emergency medical transport vehicles (ambulances). VA inspections of contractor equipment do not constitute a warranty or guarantee that the contractor’s vehicles and equipment are properly maintained. The VA reserves the right to restrict the contractor’s use of equipment and vehicles in the performance of this contract which are not in compliance with contract requirements. The restriction of such equipment and vehicles shall not relieve the contractor from performance in accordance with the contract nor necessitate additional cost to the VA.

4.4.3. Vehicles shall be clean and maintained in good repair in accordance with manufacturer’s instructions.

4.4.4. The contractor shall not borrow or exchange supplies, equipment, and/or medications with the VA. Equipment attached to or in use by the patient at time of pick-up may remain with the patient during transport to ensure continuity of care. Medical Control Authorities are responsible for maintaining and supplying medication during patient transport. All VA equipment and unused medications must be returned to VA during patient drop-off or as promptly as feasible within 24 hours.

4.4.5. The contractor shall furnish all linen required for patient transport at no additional cost. Linen shall not be exchanged with linen belonging to VA Sierra Nevada Health Care System or its CBOCs.

4.4.6. The contractor must be capable of transporting the drugs and/or equipment as required by the patient as listed in Attachment A Critical Care Transport Capabilities Confirmation. The contractor shall have the appropriate medications, up to and including CCT Tier III if necessary, based on the EMS region the ambulance provider is functioning in.

4.4.7. The contractor shall furnish qualified personnel as required by contract specifications to accomplish all services under this contract.

4.4.7.1. The contractor personnel performing services for the VA, shall, at all times, conduct themselves in a professional manner, and be identified by having the company name, and employee name affixed to the uniform. The Contractor shall be responsible for furnishing all vehicles, uniforms, nametags and/or badges for performance of services under this contract. Employee identifications shall be worn in clear view above the waist.

The contractor personnel shall not smoke/play loud music originating from any device in vehicles while transporting VA patients.

4.4.7.2. Each driver shall possess a driver’s license that is valid for the class of vehicle driven. Evidence of a special transportation service vehicle permit, or endorsement issued by the commissioner of public safety.

• Be at least 18 years of age and have not less than one year of experience as a licensed driver; and o For the past three years:

Have not had a driver’s license canceled or suspended.

Have a driving record clear of convictions for operating a motor vehicle or motorcycle without insurance.

Have a driving record clear of convictions for driving a motor vehicle without a valid current license for the class of vehicle driven.

Have a driving and criminal record clear of convictions for driving under the influence of alcohol or a controlled substance.

4.4.7.3. The contractor personnel will ensure that the patient is secured to the stretcher/cot and that the stretcher /cot is secure in the back of the ambulance before the vehicle moves.

4.4.7.4. Ambulance drivers shall have a valid driver’s license, in accordance with Federal, State, and local government requirements for their place of operation for the services they perform, be capable of administering oxygen and shall have successfully completed the standard and advanced first aid course of the American Red Cross of U.S. Bureaus of Mines of equivalent and be capable of providing necessary medical assistance to the attending emergency medical technician or paramedic.

4.4.7.5. Emergency Medical Technician (EMT) and Paramedic Qualifications:

EMT’s and Paramedic’s providing services under this contract shall have the following qualifications, in additions to those required by Federal, State, and Local Government:

• Have completed training in accordance with the standards published by the Department of Health and Human Services with a minimum curriculum of 150 hours or equivalent including an in-hospital training period. Such training programs must also be acceptable under the regulating requirements for local EMS Systems supported by DHHS under PL 93-154, Federal Register 39:24304.

(1974).

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

4.5. Transportation Request

4.5.1 VetRide or VA-Approved Transportation Software Utilization:

The contractor agrees to utilize the VetRide Vendor Portal or VA-Approved Transportation Software with every patient transported under this contract.

Department of Veteran Affairs will provide the software and access to the VetRide Vendor Portal or VA-Approved Transportation Software for the vendor/contractor in this contract. The Contractor will utilize the VetRide Vendor Portal or VA-Approved Transportation Software fully as instructed:

a) Receive and respond to electronic trip requests

b) Receive, use, and ensure the use of the Vendor pass by the driver.

c) Submit claims via the electronic HCFA 1500 in the VetRide Vendor Portal or VA-

Approved Transportation Software system.

d) All invoices must be submitted within 30 calendar days of date of service in accordance with 38 CFR 70 to be considered timely submission.

i. The contractor’s invoice must be on the HCFA 1500 to include:

ii. Contract Number

iii. Date of Service (to include Box 24 A-J)

iv. Authorization number(s)

v. Pick-up and drop-off location of the patient

vi. Base Rate

vii. Name (Last, First and Middle Initial (if any)) and Full Social Security number (Box 1a) of patient transported

viii. Date of Birth and Sex

ix. Diagnosis Codes or Nature of Illness or Injury

x. Documentation of circumstances when billing for waiting time

xi. Any miscellaneous charges for which the contractor is expecting reimbursement i.e., Tool charges, waiting time, etc.

xii. VA authorizing official’s name

xiii. Healthcare Procedure Coding System/National Level II (HCPCS)

e) Unauthorized charges will be reviewed by the Contracting Officer Representative (COR) as to the validity of the charges and as to whether the payment will be made. A final determination will be made within 30 days after notifying the Contractor of the charges, which are being suspended.

4.5.1.1. A transportation request is defined as one incidence of a request for one-way service (Stretcher Transports, BLS, ALS, CCT). No more than one patient will be transported per order unless approved by an authorized VA staff. Transportation requests will be made through VetRide or VA-Approved Transportation Software Utilization. Contractors must have the capability to receive orders, update ride status, and input trip costs and other required data through this portal. Contractors must have dedicated staff available to monitor this portal 24/7. VA Sierra Nevada Health Care System Travel Program Staff will be available to assist with account setup and training for the Contractor’s Staff. In the event VetRide or other VA-Approved Transportation Software Utilization is down, other methods of communication (i.e., telephone, facsimile) will be used to place Transportation requests.

4.5.1.1.1. VA Sierra Nevada Health Care System Travel Program Staff/or authorized VA employees will work with the Contractor the following business day to reconcile any transportation requests that were placed outside of VetRide or VA-Approved Transportation Software Utilization.

4.5.1.1.2. The Contractor must update VetRide or VA-Approved

Transportation Software Utilization with any data and/or notes in real time that deviate from the original order such as invoicing for additional mileage due to a road closure, wait time, reason for no load, etc. VA Sierra Nevada Health Care System Travel Program Staff/or authorized VA employees may place a “hold” on payment of this order until it has been reconciled.

4.5.1.2. Only the following VA staff are authorized to place, cancel, or make changes to transportation requests:

Contracting Officer (CO) Ordering Officers (OO)

Administrative Officer of the Day (AOD) Beneficiary Travel Office Staff

Contracting Officer’s Representative (COR)

The Contracting Officer will furnish the Contractor with the names of individuals above, who are authorized as Ordering Officers, by separate memorandum upon issuance of the contract. The Contracting Officer will update this list throughout the life of the contract as Ordering Officers change.

Ordering Officers are responsible for issuing and administering orders placed under this contract. Ordering Officers have no authority to modify any term of this basic contract. Any deviation from the terms of the basic contract must be approved in writing by the Contracting Officer responsible for this contract.

The Contractor shall accept orders against this contract only from the Contracting Officer and/or authorized ordering officers. Fulfilling orders from persons other than the Contracting Officer or ordering officer may result in loss or delay in payment for supplies/services provided under such orders.

Non-authorized VA employees and private agencies (e.g., nursing homes) are not considered authorized to place transportation requests.

4.5.1.2.1. All patient pick-up(s) and drop-off(s) shall be authorized via “orders” which shall only be issued by the designated Ordering Officers. When placing orders for services, the Ordering Officer shall contact the designated contractor point of contact(s) to provide the following information:

Mode of transportation required, Required time of arrival Name of the beneficiary, Pick-up and delivery point, Type and number of additional medical care specialists required, Type of equipment required, Last four of the patient's Social Security Number, and Any other special instructions

4.5.1.3. For ALL Transports – an Audit system will be put in place by the VA to include the COR or designee, Beneficiary Travel Department staff, and clinical staff to ensure appropriateness of the order and timeliness of the response.

4.5.1.4. The type of transportation service (Stretcher Transports, BLS, ALS, CCT) required will be discussed and determined by VA clinical personnel and the contractor. The contractor shall transport the patient per its policies and standard industry practice. If the type of transportation service differs from what was agreed upon by the VA and contractor, the contractor shall submit documentation to the VA explaining its rationale.

4.5.1.5. The VA may authorize an escort (e.g., spouse, relative, guardian, etc.) to accompany the patient during medical transport if it is practicable and, in the patient’s, best interest. The contractor shall allow the escort to accompany the patient at no additional cost.

4.5.1.6. The contractor shall have sufficient vehicles and personnel to provide services for up to four (4) simultaneous transportation requests. Transports required may be for any mix of Stretcher Transports, BLS, ALS transports.

One of these four simultaneous transports may require CCT capability up to

Tier III. If VA Sierra Nevada Health Care System requires ambulance services exceeding four (4) simultaneous transportation requests, the vendor will be offered to provide the services if they have sufficient vehicles/personnel available; but may decline these additional orders if sufficient vehicles/personnel are unavailable.

4.5.1.7. The number of transports under normal operating conditions will typically range from 3 - 6 transports each weekday and significantly less on weekends and holidays. The number of actual transports may vary throughout the life of the contract.

4.5.1.8. The patient may bring with her or him up to three (3) liters of oxygen.

The contractor shall be responsible for providing adequate and safe storage of the oxygen tanks during transport.

4.5.1.9. Response Times*

4.5.1.9.1. Orders that are scheduled by 7pm local time the day before the required services are defined as scheduled in advance. With the exceptions found below, the contractor shall arrive on time for all orders scheduled in advance.

4.5.1.9.2. Emergent Transport (Originating from VA (Only): The contractor shall be required to provide Ground Ambulance arrangements within thirty (30) minutes of order/patient pick up call.

4.5.1.9.3. For all add-ons (not scheduled in advance) transportation requests, with pick up at VA Sierra Nevada Health Care System: The contractor will be allotted up to a sixty (60) minute response time from time of order placement for transportation requests that are not previously scheduled in advance.

a. For an urgent transport request for a critical patient (as deemed by the physician) with pick up at VA Sierra Nevada Health Care System, the contractor will be allotted up to a thirty

(30) minute response time.

4.5.1.9.4. For transportation requests which do not have a pick-up at VA Sierra Nevada Health Care System:

a. The contractor may be required, if requested by the VA, to dispatch ambulances on short notice for transportation request not scheduled in advance; for these transportation requests the contractor shall dispatch ambulances within thirty (30) minutes of receiving the order.

b. Pick-up appointment times shall be agreed upon by the VA and contractor at time of order placement and be reasonable based upon travel distance, speed limits, and weather conditions.

c. The contractor’s patient pick-up time cannot be more than 15 minutes prior to the schedule pickup time nor 15 minutes later than the scheduled pickup time for transportation requests scheduled in advance.

* The contractor shall not be held liable for nonperformance 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 its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, and unusually severe weather. The contractor MUST notify the VA with as much advance notice as possible should any of these occur.

4.5.2. Cancellations

4.5.2.1. For trips in which the contractor is notified of cancellation before the vehicle is dispatched, there shall be no charge to the Government.

4.5.2.1.1. A “no show” is defined as a transportation request which is cancelled after the contractor has dispatched a vehicle, the vehicle is enroute, or has arrived at the pick-up location, and there is no longer a requirement for patient transportation. The contractor may request one-way reimbursement for no-shows. No-show reimbursement shall be based upon the base rate for the type of service requested (Stretcher

Transports, BLS, ALS, CCT) and the one-way mileage (Stretcher Transports, BLS, ALS, CCT) accrued enroute to the pick-up location at time of cancellation. Mileage for no- show cancellations shall be confirmed by the contractor and reported to the VA as soon as possible from time of cancellation.

4.5.2.2. For transportation requests OUT of VA Sierra Nevada Health Care System ONLY – The contractor will immediately dispatch a vehicle upon receipt of the order (including transportation requests in which the final destination may change prior to pick up due to the critical condition of the patient). When the contractor is notified of a cancellation prior to arrival at the VA Sierra Nevada Health Care System campus, there shall be no charge to the Government.

4.6. Pick-Up/Drop-Off/Reporting Procedures

4.6.1. Ambulance personnel shall pick-up and deliver patients at specified locations (e.g., front door of Kirman Ave. Entrance). These locations will be specified by VA staff when an order is placed and communicated to the transporting personnel.

4.6.2. When applicable, ambulance personnel shall report to the Veteran Transportation Service (VTS) Dispatcher or Administrative Officer of the Day (AOD) to (1) announce his/her arrival to pick-up and transfer the patient and (2) obtain report of pertinent information regarding the patient’s condition from the primary nurse/physician.

4.6.3. When delivering a patient, ambulance personnel shall give report to the appropriate VA healthcare staff and provide a copy of the run sheet which will be retained by the facility for inclusion to the patient’s medical record.

4.6.4. In cases where ambulance personnel must divert to a local emergency department while performing a VA authorized transport, the contractor’s dispatcher shall notify the VA Beneficiary Travel Department or Administrative Officer of the Day of the patient’s location and status as soon as this information becomes available.

4.7. Patient Welfare

4.7.1. The contractor shall be responsible for the patient’s welfare during transport. The contractor shall be held responsible for patient and/or VA property during transport. Any damaged or lost wheelchairs, walkers, crutches, or personal belongings shall be replaced at the contractor’s expense.

4.7.2. The VA requires the contractor to exercise extreme caution and care in the handling of patients.

4.7.3. If a VA beneficiary being transported declines to be properly secured or removed the securement devices himself/herself, the driver will notify the Contracting Officer’s Representative (COR) of this fact prior to departure. The contractor is not required to transport any VA beneficiary who refuses to be properly secured while being transported. In the event that the beneficiary refuses to be properly secured, they shall be returned back into the building which they came from.

4.8. Incident Reporting

4.8.1. The contractor shall notify the COR, Requestor, Program Manager, Beneficiary Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the COR, Program Manager, or Beneficiary Travel Department, by the close of business of the next working day.

4.8.2. The COR will monitor the service provided. The contractor shall cooperate with the COR in providing information and answering questions in a timely manner.

The contractor shall promptly inform the COR of any complaints received directly from patients. If warranted, the VA may conduct incident investigations and require written response from the contractor within 48 hours of request.

4.9. Invoicing

4.9.1. Each transport shall include thirty (30) minutes of wait time; the contractor may invoice for wait times in excess of this initial thirty (30) minutes. Wait time shall begin only once the contractor has both reached the pick-up address location and the appointment time has elapsed. All wait times shall be itemized and invoiced in fifteen (15) minute intervals. For partial fifteen (15) minute intervals, zero (0) to seven (7) minutes shall be rounded down to zero (0) minutes and eight (8) to fifteen (15) minutes rounded up to fifteen (15) minutes.

4.9.2. When invoicing for mileage, the contractor shall round to the nearest mile.

Mileage ending in .5 or higher shall be rounded up to the nearest mile. Mileage ending in .4 or lower shall be rounded down to the nearest mile. Payment for mileage to or from the point of care shall be limited to the VA’s calculation according to the VA’s Bing Maps API determination. Bing Maps API is optimized to determine mileage based on the shortest time of travel.

4.9.3. If unloaded mileage exceeds loaded mileage, the contractor may invoice for a flat fee only if the following also occur:

Unloaded mileage exceeds 75 miles The contractor does not deviate from a route to intentionally make unloaded mileage exceed loaded mileage.

4.9.4. Except for no shows and trips when unloaded mileage exceeds loaded mileage in accordance with 4.9.3, the contractor shall invoice for loaded (patient onboard) services and mileage only.

4.9.5. Upon notification of the contracting officer, the vendor must receive training and begin implementation of invoices via Vet Ride within 30 days versus VA Tungsten Network e-Invoicing network. Invoices must be submitted via the electronic HCFA 1500 in the VetRide Vendor Portal or other VA approved software. These invoices shall not include patient information, but shall include the following:

Contractor Name Contract Number Current Purchase Order Number Date of service Total amount invoiced including a summary of the total number of charges that align with the line items of this contract (i.e., total number of BLS Base Rate, total BLS Mileage incurred, etc.)

An itemized list of charges or services rendered that align with the line items of this contract (i.e., BLS Base Rate, BLS Mileage incurred, etc.)

Payment by VA under this contract to a provider of ambulance transportation services authorized under this contract extinguishes any and all liability on the part of the VA BENEFICIARY for that transportation service. UNDER NO CIRCUMSTANCES ARE VA

BENEFICIARIES, THIRD PARTY INSURANCES, MEDICARE, OR MEDICAID TO BE

BILLED FOR THE SERVICES PERFORMED UNDER THIS CONTRACT.

5. Period & Place of Performance

5.1. This contract’s ordering period shall be effective from Date of Award through five years.

5.2. The Place of Performance is variable and may occur within the states of Nevada and California; ambulance services may be required to or from locations including, but not limited to the following:

5.2.1. VA Sierra Nevada Health Care System VA Medical Center to include specific Atrium Clinics, Emergency Department, pavilions, or out-buildings on the VA Sierra Nevada Health Care System campus. The VA Sierra Nevada Health Care System address is: 975 Kirman Ave. Reno, NV 89502-2597

5.2.2. VA Sierra Nevada Health Care System Community-Based Outpatient Clinics (CBOCs):

Carson Valley VA Clinic 1330 Waterloo Ln. Suite 101, Gardnerville, NV 89410

Diamond View VA Clinic 110 Bella Wy. Susanville, CA 96130

East Campus VA Clinic 1201 Corporate Blvd. Suite 100, Reno, NV 89502

Lahontan Valley VA Clinic 1020 New River Pkwy. Suite 304, Fallon, NV 89406

North Campus VA Clinic 1140 Selmi Dr. Reno, NV 89512 VA Eye Clinic 2295 Kietzke Ln. Reno, NV

89502 VA Dental Clinic 3674 S. Virginia St. Reno, NV

89502 Winnemucca VA Clinic 3298 Traders Wy. Winnemucca, NV 89445

5.2.3. Other VA Medical Centers, Hospitals, or CBOCs within Veterans Integrated Service Network (VISN) 21 including, but not limited to:

Palo Alto VA Medical Center 3801 Miranda Ave. Palo Alto, CA 94304

San Francisco VA Medical Center 4150 Clement St. San Francisco, CA 94121

VA Southern Nevada Healthcare System

6900 N. Pecos Rd. N. Las Vegas, NV 89086

Sacramento VA Medical Center 10535 Hospital Wy. Mather, CA 95655

Renown Regional Medical Center 1155 Mill St. Reno, NV 89502 St. Mary’s Regional Medical Center

235 W. 6th St. Reno, NV 89502

Northern Nevada Medical Center 2375 E. Prater Wy. Sparks, NV 89434

Carson Tahoe Health 1600 Medical Pkwy. Carson City, NV 89703

UC Davis Medical Center 4301 X St. Sacramento, CA 95817

Banner Lassen Medical Center 1800 Spring Ridge Dr.

Susanville, CA 96130

South Lyon Medical Center 213 S. Whitacre St. Yerington, NV 89447

5.2.4. Other Non-VA Medical facilities and Community Care facilities as authorized by the VA.

5.2.5. Veteran’s residence.

5.2.6. Local airports including Reno-Tahoe International Airport.

6. Quality Control Plan

6.1. Quality Control

6.1.1. The contractor shall maintain a Quality Control Plan (QCP) that contains, at a minimum, the following:

6.1.1.1. A description of the company’s organizational structure including a description of the roles and responsibilities of management and supervisors.

6.1.1.2. A description of the methods to be used by the contractor for identifying and preventing deficiencies or problems in the quality of service.

6.1.1.3. A description of the specific steps the contractor will take for corrective action if needed if a deficiency or problem in the quality of service occurs.

6.1.1.4. A description of the company’s records and tracking system used to identify up-to- date background checks, applicable certifications and tests, and training of each employee performing services under this contract.

6.1.1.5. A description of the method used to provide on-time ambulance services to meet the requirements of this contract (24/7 availability and up to 4 simultaneous transports in accordance with PWS 4.5.1.7).

6.1.1.6. A description of the methods used to identify and prevent radio communication breakdowns and a detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

6.1.1.7. CONTENGENCY PLAN: (In case VetRide Vendor Portal is down) A description of the method/system used to log all requests for service. The contractor shall confirm that the log indicates the date and time of service call, actual time of pick-up versus the scheduled time, name of patient requiring services, designated pick-up and delivery points, mileage, and actual waiting time at pick-up and delivery points if waiting charges are claimed. The contractor shall confirm the log will be sent to the COR monthly.

6.1.2. The Government will evaluate the contractor’s performance under this contract to ensure that the contractor’s QCP is adequate, and that quality is achieved through a Quality Assurance Surveillance Plan (QASP).

6.1.3. The Government shall prepare a QASP after contract award derived from the PWS and contractor’s submitted quality control plan. The QASP is a “living document” and the Government may review and revise it at any time. However, the Government shall coordinate changes to the QASP with the contractor.

6.1.4. The QASP will specify the work requiring surveillance and the Government’s method of surveillance.

6.2. Minimum Performance Standards

6.2.1. The contractor shall maintain performance standards in accordance with the standards outlined in the table below. Failure to meet the Acceptable Quality Levels (AQL) may result in termination of the contract.

6.2.2. The QASP will include the standards below as well as others derived from the successful offeror’s quality control plan.

Task PWS

Reference

Standard Acceptable Quality Level

Method of Surveillance

Provide on-time ambulance services

Section 4.5.1.8.3

Scheduled patient pick-ups shall not deviate more than 15 minutes past scheduled pick-up time for scheduled orders

97% Customer Feedback

Incident Reporting

Section 4.8 The contractor shall notify the Program Manager, Beneficiary Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the Program Manager, Benefits Management, by the close of business of the next working day.

97% Customer Feedback

Invoice Reports

Section 4.9 Provide a monthly invoice including secondary documentation in accordance with Section 4.10 of the

PWS

95% 100% inspection of monthly invoices/reports

7. COVID-19 Or Other Similar Infectious Diseases

7.1. Contractor shall not refuse transports of COVID-19 positive or other similarly infected patients.

7.2. Contractor shall abide by all additional procedures and precautions that may be implemented by the VA based on VA-issued guidance and/or CDC recommendations.

These procedures are subject to change throughout the life of the contract and will be incorporated via attachment (See S03 VTS Patient Transport PPE and Vehicle Cleaning/Disinfection SOP).

7.3. Contractor shall have written policy of steps they will take to prevent the spread of COVID-19 or other similarly infectious diseases by their employees and/or vehicles. This policy shall, at a minimum, include procedures of screening drivers before each shift, deliberate decontamination of their vehicles and all other preventative precautions taken by Contractor employees.

7.4. Contractor shall furnish all required PPE throughout the life of the contract.

8. Conformity To Regulations

8.1 The contractor and his/her operators shall conform to all Federal, State, and local regulations governing the performance of contracted services.

8.2 VAMC facilities have been designated NO SMOKING areas in their entirety. Individuals found in violation of this no smoking policy may be subject to a $50.00 federal citation for disregarding posted safety rules and regulations. Furthermore, the contractor may be directed to stop work. The contractor is to notify all of his/her employees and/or sub-contractors of this strict enforcement policy.

9. Wage Rates

9.1. Wage Determination(s) as listed in Section D in this solicitation are applicable to any resulting contract.

9.2…