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36C26218R0167 00001 S02 - VISN22 Wheeled and Hired Car RFP - FINAL Updated 02-02-2018.docx
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36C26218R0167
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
RFP
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
DUNS:
DUNS+4:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
02-02-2018 Danielle Carroll
03-02-2018 3pm PST 00262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815
X
485991 $15 Million
N/A
Department of Veterans Affairs 4811 Airport Plaza Suite 600
Attn: Sandra Fusco
Long Beach, CA 90815
00262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815
Department of Veterans Affairs Financial Services Center P.O. Box 149971
Austin TX 78714-9971
This requirement is being procured as a 100% set aside for
SDVOSB.
See enclosed schedule of services and price
$0.00
Chelsea Black
Table of Contents
| SECTION A | 1 |
| A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS | 1 |
| SECTION B - CONTINUATION OF SF 1449 BLOCKS | 4 |
| B.1 CONTRACT ADMINISTRATION DATA | 4 |
| B.2 NOTIFICATION TO OFFERORS | 5 |
| B.3 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011) | 6 |
| B.4 SCHEDULE OF SERVICES AND PRICE | 6 |
| B.4.1 – VA Long Beach Health Care System | 6 |
| B.4.2 - VA Loma Linda Healthcare System | 9 |
| B.4.3 - VA San Diego Healthcare System | 12 |
| B.4.4 - VA Greater Los Angeles Healthcare System | 15 |
| B.5 PERFORMANCE WORK STATEMENT | 18 |
| SECTION C - CONTRACT CLAUSES | 31 |
| C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN 2017) | 31 |
| C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (DEC 2011) | 36 |
| C.3 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014) | 40 |
| C.4 52.203-99 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION) (FEB 2015) | 40 |
| C.5 52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE (JUL 2016) | 41 |
| C.6 52.216-18 ORDERING (OCT 1995) | 41 |
| C.7 52.216-19 ORDER LIMITATIONS (OCT 1995) | 42 |
| C.8 52.216-22 INDEFINITE QUANTITY (OCT 1995) | 42 |
| C.9 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999) | 43 |
| C.10 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) | 43 |
| C.11 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984) | 43 |
| C.12 52.224-2 PRIVACY ACT (APR 1984) | 44 |
| C.14 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998) | 44 |
| C.15 SUPPLEMENTAL INSURANCE REQUIREMENTS | 45 |
| C.16 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008) | 45 |
| C.17 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION) | 46 |
| C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2012) | 47 |
| C.19 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984) | 48 |
| C.20 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2017) | 48 |
| C.21 MANDATORY WRITTEN DISCLOSURES | 55 |
| SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS | 55 |
| D.1 WAGE DETERMINATION – STATE OF CALIFORNIA, COUNTY OF RIVER SIDE | 55 |
| D.2 WAGE DETERMINATION – STATE OF CALIFORNIA, COUNTY OF SAN DIEGO | 66 |
| D.3 WAGE DETERMINATION – STATE OF CALIFORNIA, COUNTY OF LOS ANGELES | 78 |
| D.4 PRICE WORKSHEET | 89 |
| SECTION E - SOLICITATION PROVISIONS | 102 |
| E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017) | 102 |
| E.2 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS | 106 |
| E.3 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014) | 107 |
| E.4 52.203-98 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS—REPRESENTATION (DEVIATION) (FEB 2015) | 108 |
| E.5 52.204-16 COMMERCIAL AND GOVERNMENT ENTITY CODE REPORTING (JUL 2016) | 108 |
| E.6 52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016) | 109 |
| E.7 52.204-20 PREDECESSOR OF OFFEROR (JUL 2016) | 111 |
| E.8 52.207-6 SOLICITATION OF OFFERS FROM SMALL BUSINESS CONCERNS AND SMALL BUSINESS TEAMING ARRANGEMENTS OR JOINT VENTURES (MULTIPLE-AWARD CONTRACTS) (OCT 2016) | 111 |
| E.9 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015) | 112 |
| E.10 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL 2013) | 114 |
| E.11 52.216-1 TYPE OF CONTRACT (APR 1984) | 115 |
| E.12 52.233-2 SERVICE OF PROTEST (SEP 2006) | 115 |
| E.13 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (JAN 2008) | 116 |
| E.14 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (JAN 1998) | 117 |
| E.15 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) | 117 |
| E.16 VAAR 852.271-70 NONDISCRIMINATION IN SERVICES PROVIDED TO BENEFICIARIES (JAN 2008) | 117 |
| E.17 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003) | 118 |
| E.18 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998) | 118 |
| E.19 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008) | 118 |
| E.20 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984) | 119 |
| E.21 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984) | 120 |
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, Network Contracting Office -22 Sandra Fusco, Contracting Officer 4811 Airport Plaza Drive Suite 600, Long Beach, CA 90815 Telephone number: 562-766-2240 Email: Danielle.carroll4@va.gov
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
| [X] |
| 52.232-34, Payment by Electronic Funds Transfer— System for Award Management, |
| [] |
| 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: Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing. If you have any questions about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:
· Tungsten e-Invoice Setup Information: 1-877-489-6135
· Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com
· FSC e-Invoice Contact Information: 1-877-353-9791
· FSC e-Invoice email: vafsccshd@va.gov
| AMENDMENT NO |
| DATE |
B.2 NOTIFICATION TO OFFERORS
1. Under the authority of 38 CFR 70 - VHA Beneficiary Travel under 38 U.S.C. 111, FAR Part 12, and FAR Part 15, the Veterans Integrated Service Network (VISN) 22, Veteran Administration Long Beach Healthcare System (VALBHS), Veteran Administration Loma Linda Healthcare System (VALLHS), Veteran Administration San Diego Healthcare System (VASDHS), and Veteran Administration Greater Los Angeles Healthcare System (VAGLAHS), requires Contractors to provide wheeled and hired car services to veterans / person whose travel is in connection with treatment or care for a service disconnected disability, on an as needed basis.
2. Offerors shall complete and return all information designated in the enclosed FAR clause 52.212-1, Instructions to Offerors – Commercial Items, and the Addendum to 52.212-1 regarding proposal submission. Failure to do so may preclude the offeror from further consideration.
3. TECHNICAL INQUIRES: Direct all technical inquiries via email only to the contracting officer, Sandra Fusco at sandra.fusco@va.gov no later than February 14, 2018. Questions will be answered via an amendment to this solicitation and will be posted to www.fbo.gov on or about February 15, 2018.
4. DUNS NUMBER: Provide the Dun and Bradstreet Number assigned to your firm in the space provided below: (refer to Provision 52.212-1, Instructions to Offerors – Commercial Items):
5. This requirement is set aside 100% for Service Disabled Veteran Owned Small Business (SDVOSB), therefore only SDVOSBs verified in the VA’s Vendor Information Pages (VIP) site at https://www.vip.vetbiz.gov/, at the time of proposal submission will be considered for award.
6. Limitations on Subcontracting. Subcontracting limitations will be measured in terms of the amount spent in subcontracts. Subcontracts with similarly situated SDVOSBs will be excluded from the calculation. These changes were finalized by the Small Business Administration (SBA) effective 6/30/2016 (see SBA’s Small Business Government Contracting and National Defense Authorization Act of 2013 Amendments, Federal Register of 5/31/2016). The changes resulting from the SBA published regulations have not yet been incorporated in the FAR. Until such time as the FAR is updated with these new requirements, the SBA published regulations govern. Consequently, the July 25, 2016 VA Acquisition Regulation Class Deviation (issued via PPM 2016-05) specifically states in Attachment 10, VAAR clause 852.219-10 and 852.219-11, that Contractors shall comply with the SBA regulations at 13 CFR 125.6.
7. Post-Award Teleconference. The awarded Contractor(s) shall participate in a post-award orientation teleconference to review the on-boarding process for candidates and other post-award management procedures.
8. Multiple IDIQ contracts may be awarded in response to this solicitation.
9. Offerors may propose to provide services for one Healthcare System (HS), more than one HS, or all HSs. However, offerors shall be able to provide all services identified in section B.4 Schedule of Services and Price for any HS for which they propose to provide services.
B.3 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN 2011)
This solicitation includes VAAR 852.219-10 VA Notice of Total Service- Disabled Veteran-Owned Small Business Set-Aside. Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.
B.4 SCHEDULE OF SERVICES AND PRICE
This is an indefinite delivery, indefinite quantity, (IDIQ) fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.
The guaranteed minimum amount for this contract is $500.00. The maximum aggregate value of the order that can be placed under this contract is $50,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.
The previous option year pricing will apply to any extension pursuant to FAR 52.217-8 B.4.1 – VA Long Beach Health Care System
BASE YEAR: APRIL 1ST, 2018 – SEPTEMBER 30TH, 2018
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 0001AA |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 0002AA |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0003AA |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0004AA |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0005AA |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 0006AA |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0007AA |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ____________________ |
| 0008AA |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ____________________ |
| 0009AA |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ____________________ |
OPTION YEAR 1: OCTOBER 1ST, 2018 – SEPTEMBER 30TH, 2019
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 1001AA |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 1002AA |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1003AA |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1004AA |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1005AA |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 1006AA |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1007AA |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ___________________ |
| 1008AA |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1009AA |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 2: OCTOBER 1ST, 2019 – SEPTEMBER 30TH, 2020
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 2001AA |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 2002AA |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2003AA |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2004AA |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2005AA |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 2006AA |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2007AA |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2008AA |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| 2009AA |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 3: OCTOBER 1ST, 2020 – SEPTEMBER 30TH, 2021
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 3001AA |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 3002AA |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3003AA |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3004AA |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3005AA |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 3006AA |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3007AA |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3008AA |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3009AA |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 4: OCTOBER 1ST, 2021 – SEPTEMBER 30TH, 2022
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 4001AA |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 4002AA |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4003AA |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4004AA |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4005AA |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 4006AA |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4007AA |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4008AA |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4009AA |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
B.4.2 - VA Loma Linda Healthcare System
BASE YEAR: APRIL 1ST, 2018 – SEPTEMBER 30TH, 2018
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 0001AB |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 0002AB |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0003AB |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0004AB |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0005AB |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 0006AB |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0007AB |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0008AB |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0009AB |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 1: OCTOBER 1ST, 2018 – SEPTEMBER 30TH, 2019
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 1001AB |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 1002AB |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1003AB |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1004AB |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1005AB |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 1006AB |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1007AB |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ____________________ |
| 1008AB |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1009AB |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 2: OCTOBER 1ST, 2019 – SEPTEMBER 30TH, 2020
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 2001AB |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 2002AB |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2003AB |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2004AB |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2005AB |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 2006AB |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2007AB |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ____________________ |
| 2008AB |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ____________________ |
| 2009AB |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ____________________ |
OPTION YEAR 3: OCTOBER 1ST, 2020 – SEPTEMBER 30TH, 2021
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 3001AB |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 3002AB |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3003AB |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3004AB |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3005AB |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 3006AB |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3007AB |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ____________________ |
| 3008AB |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ____________________ |
| 3009AB |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ____________________ |
OPTION YEAR 4: OCTOBER 1ST, 2021 – SEPTEMBER 30TH, 2022
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 4001AB |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 4002AB |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4003AB |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4004AB |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4005AB |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 4006AB |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4007AB |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ___________________ |
| 4008AB |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ___________________ |
| 4009AB |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ___________________ |
B.4.3 - VA San Diego Healthcare System
BASE YEAR: APRIL 1ST, 2018 – SEPTEMBER 30TH, 2018
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 0001AC |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 0002AC |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0003AC |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0004AC |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0005AC |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 0006AC |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0007AC |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| ____________________ |
| 0008AC |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ____________________ |
| 0009AC |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ____________________ |
OPTION YEAR 1: OCTOBER 1ST, 2018 – SEPTEMBER 30TH, 2019
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 1001AC |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 1002AC |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1003AC |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1004AC |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1005AC |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 1006AC |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1007AC |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1008AC |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1009AC |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 2: OCTOBER 1ST, 2019 – SEPTEMBER 30TH, 2020
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 2001AC |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 2002AC |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2003AC |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2004AC |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2005AC |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 2006AC |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2007AC |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2008AC |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2009AC |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 3: OCTOBER 1ST, 2020 – SEPTEMBER 30TH, 2021
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 3001AC |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 3002AC |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3003AC |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3004AC |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3005AC |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 3006AC |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3007AC |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3008AC |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3009AC |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 4: OCTOBER 1ST, 2021 – SEPTEMBER 30TH, 2022
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 4001AC |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 4002AC |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4003AC |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4004AC |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4005AC |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 4006AC |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4007AC |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4008AC |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| ___________________ |
| 4009AC |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| ___________________ |
B.4.4 - VA Greater Los Angeles Healthcare System
BASE YEAR: APRIL 1ST, 2018 – SEPTEMBER 30TH, 2018
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 0001AD |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 0002AD |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0003AD |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0004AD |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0005AD |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 0006AD |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 0007AD |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 0008AD |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 0009AD |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 1: OCTOBER 1ST, 2018 – SEPTEMBER 30TH, 2019
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 1001AD |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 1002AD |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1003AD |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1004AD |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1005AD |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 1006AD |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 1007AD |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 1008AD |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 1009AD |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
OPTION YEAR 2: OCTOBER 1ST, 2019 – SEPTEMBER 30TH, 2020
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 2001AD |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 2002AD |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2003AD |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2004AD |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2005AD |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 2006AD |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 2007AD |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 2008AD |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 2009AD |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
OPTION YEAR 3: OCTOBER 1ST, 2020 – SEPTEMBER 30TH, 2021
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 3001AD |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 3002AD |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3003AD |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3004AD |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3005AD |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 3006AD |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 3007AD |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 3008AD |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 3009AD |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
OPTION YEAR 4: OCTOBER 1ST, 2021 – SEPTEMBER 30TH, 2022
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| UNIT |
| UNIT PRICE |
| 4001AD |
| Wheelchair Van Base Rate – Within 20 Mile Radius from Pickup |
| Trip |
| __________________ |
| 4002AD |
| Wheelchair Van – Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4003AD |
| Wheelchair Van – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4004AD |
| Wheelchair Van – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4005AD |
| Hired Car – Base Rate Within 20 Miles Radius From Pickup |
| Trip |
| __________________ |
| 4006AD |
| Hired Car - Charge Per Mile Beyond 20 Mile Radius |
| Miles |
| __________________ |
| 4007AD |
| Hired Car – Billable Incomplete Pickups |
| Trips |
| __________________ |
| 4008AD |
| Hired Car – Billable Waiting Times (Billable in 15 minute Increments after the first 15 minutes) |
| 15 mins |
| __________________ |
| 4009AD |
| Afterhours Fee (Transportation services required after normal working hours from 10:00pm to 4:00am) |
| EA |
| __________________ |
B.5 PERFORMANCE WORK STATEMENT
1. GENERAL PROCEDURE.
1.1. The Contractor shall provide Wheeled and Hired Car Services to Veteran patients of the main Veteran Affairs Medical Centers (VAMC) and participating Community Based Outpatient Clinics (CBOCs), twenty-four (24) hours a day, seven (7) days a week including holidays as requested by the Government. All services shall be provided in accordance with the terms, conditions and requirements as specified herein. Section B.4 identifies the location of each HS.
1.2. The Contractor shall have a 24-hour dispatch center(s) to accommodate request from the HS. This includes an office where employees manage vehicles and dispatch/send them where they are needed.
1.3. Contractor shall provide an onsite coordinator(s) for the following VA locations:
1.3.1. VALBHS – 2 each
1.3.2. VASDHS – 1 each
1.3.3. VALLHS – not required
1.3.4. VAGLAHS – not required
1.4. Contractor shall issue on-site coordinators a cellphone, and a laptop computer or a similar device such as a tablet to facilitate the management and transition of Veterans arriving and departing the facility. The on-site coordinator will be stationed in a designated area near the vehicle arrival and departure area that is visible to staff and Veterans and will be readily accessible by phone and in person with the specified timeframe in accordance with paragraph 13.2 (excluding established breaks).
1.5. Contractor shall provide services to Veterans residing in the Los Angeles, San Diego, San Bernardino, Riverside, and Ventura counties. Transportation services shall also be required less frequently in other counties within Southern California, Arizona and Nevada. The Contractor shall have the capability to acquire required licenses and/or permits to perform the required services in each of these states and counties.
1.6. Contractor shall perform all services from the designated pick-up point to the drop-off location which may include the main VAMC Medical Centers, Community Based Out-Patient Clinics or other designated locations (i.e. nursing homes, airport, other medical facilities, etc.) including delivery to specific rooms within a building if so specified.
2. PARTICIPATING COMMUNITY BASED OUTPATIENT CLINICS (CBOCs):
2.1. The following are the addresses of the participating clinics where patient transport services shall be needed: in addition to the listed VAMCs:
2.1.1. Veterans Administration of Long Beach Healthcare System (VALBHS):
2.1.1.1.
VA Anaheim Clinic 2569 W. Woodland Drive, Anaheim, CA 92801 Laguna Hills VA Medical Clinic 25292 McIntyre Street, Laguna Hills CA 92653
VA Santa Ana Clinic 1506 Brookhollow Dr.
Santa Ana, CA 92705 VA Villages at Cabrillo Clinic 2001 River Avenue, Building 28 Long Beach, CA 90806
VA Whittier/Santa Fe Springs Clinic 10210 Orr and Day Road Santa Fe Springs, CA 90670 Anaheim Vet Center 859 South Harbor Blvd Anaheim, CA 92805
North Orange County Vet Center 12453 Lewis St. Suite 101 Garden Grove, CA 92840 Pools of Hope 6801 Long Beach Blvd Long Beach CA 90805
2.1.2. Veterans Administration of San Diego Healthcare System (VASDHS):
2.1.2.1.
Mission Valley 8810 Rio San Diego Drive San Diego, CA Sorrento Valley 10455 Sorrento Valley Road San Diego, CA
Oceanside 1300 Rancho Del Oro Road Oceanside, CA Imperial Valley 1115 South 4th Street El Centro, CA
Escondido 815 East Pennsylvania Avenue Escondido, CA Chula Vista 865 Third Avenue Chula Vista, CA
2.1.3. Veterans Administration of Loma Linda Healthcare System (VALLHS):
2.1.3.1.
Rancho Cucamonga CBOC 8599 Haven Ave Suite 102 Rancho Cucamonga, CA 91730 Corona CBOC 2045 Compton Ave Bldg. 7 Corona, CA 92879
Murrieta CBOC 27078 Baxter Rd, Ste 540 Murrieta, CA 92653 Victorville CBOC 12138 Industrial Blvd Suite 120 Victorville, CA 92395
Palm Desert CBOC 41900 Cook St Palm Desert, CA 92211 Blythe VA Clinic 1273 W Hobsonway Blythe, CA 92225
2.1.4. Veterans Administration of Greater Los Angeles Healthcare System (VAGLAHS):
2.1.4.1.
Wheelchair Sepulveda Ambulatory and Nursing Home Center 16111 Plummer St North Hills, CA 91343 San Luis Obispo VA Community Clinic 1288 Morro St Ste 200 San Luis Obispo, CA 92401
Los Angeles Ambulatory Care Center 351 Temple Street Los Angeles, CA 90012 Oxnard VA Community Clinic 1690 Universe Circle Oxnard, CA 93033
East Los Angeles VA Community Clinic 5426 E. Olympic Blvd Commerce, CA 90022 Santa Barbara VA Community Clinic 4440 Calle Real Santa Barbara, CA 93110
Gardena VA Community Clinic 1149 W. 190th St Gardena, CA 90248 Santa Maria VA Community Clinic 1550 East Main Street Santa Maria, CA 93454
Pasadena VA Community Clinic 420 W. Las Tunas Dr #1 San Gabriel, CA 91776 Lancaster VA Community Clinic 340 E. Avenue Suite 108 Lancaster, CA 93535
Bakersfield VA Community Clinic 1801 Westwind Drive Bakersfield, CA 93301
3. VEHICLES:
3.1. Contractor shall provide vehicles, equipment, and supplies of the quality, model and condition which ensures each patient high quality transportation service. Each vehicle shall be in excellent mechanical condition. The interior and exterior of each vehicle must be well maintained and present a respectable appearance. Each vehicle shall be of a model and make to ensure safe and comfortable transportation for the patient and must be inspected and maintained daily to assure mechanical fitness for public safety. Each vehicle shall be equipped with such safety items as required by Federal, State and local authorities in the area in which they are operated and any other items required by the aforementioned authorities in the future. In addition, the vehicles must have as a minimum:
3.1.1. Heater and air conditioning in good operating condition capable of maintaining a comfortable temperature throughout the vehicle interior
3.1.2. Safety restraint equipment to ensure wheelchairs are secure and do not move during transport
3.1.3. First aid kit and supplies
3.1.4. Fire extinguisher
3.1.5. Appropriate road emergency warning equipment
3.1.6. Two-way communication devices
3.1.7. Written emergency procedures that are immediately accessible, concise and comprehensible to the person operating the vehicle
3.2. Contractor shall provide transportation vehicles and/or services that are in accordance with Federal, State and local laws. Contractor’s vehicles shall be equipped with safety devices to load/unload passengers under all physical circumstances to enable easy and safe loading of patients confined to wheelchairs.
3.3. Contractor’s vehicles shall accommodate all patients regardless of their weight or size in accordance with the vehicles stated maximum capacity. Contractor’s vehicles shall have seats for patient caretakers and shall accommodate medical equipment, devices and luggage with a maximum weight of 50 pounds each. Vehicles shall have sufficient room so patients are not required to bow their heads to avoid hitting the ceiling during loading/unloading and transport regardless of height of patient.
3.4. The Contractor shall submit sufficient evidence in the event that cleanup is required as a result of pest infestation or bodily fluids that the actions transpired while transporting a VAMC veteran in order to be reimbursed.
3.5. Contractor shall have a dispatch center and vehicle management site. The dispatch center shall be equipped with tracking devices and equipment to maintain two-way communications between the dispatcher and each transportation vehicle dispatched in support of this contract.
3.6. Contractor shall have metering devices or an established method used in determining mileage.
4. DRIVER QUALIFICATIONS:
4.1. The Contractor’s Wheeled and hired car drivers shall have successfully completed the Standard First Aid courses of the American Red Cross or equivalent. Proof in the form of a certificate that first aid training has been successfully completed and is current shall be available upon request by any VA staff member. Drivers shall be fully trained and licensed in the State of California to operate wheeled and hired car vehicles. Drivers shall treat all Veteran patients with courtesy and respect at all times. Verbal and/or physical abuse of VA patients shall not be tolerated and shall be immediately reported to the COR or VAMC Beneficiary Travel section.
5. SOLICITING: Soliciting Veteran patients in any form or for any reason by Contractor personnel is STRICTLY PROHIBITED.
6. TRAINING:
6.1. The Contractor shall provide training for drivers on proper handling of VA patients and instruction in the following:
6.1.1. Proper loading and unloading procedures inclusive of tie down of patient and equipment.
6.1.2. The handling of accidents in the event of an accident involving the Contractor’s equipment and/or personnel with a Veteran patient on board.
6.2. Each on-site coordinator, and those that act in their capacity during times of annual leave, illness, or other unexpected absence, is required to receive training from the VAMC Beneficiary Travel section in special mode transportation procedures prior to working independently as the on-site coordinator.
7. TYPES OF PATIENTS TO TRANSPORT:
7.1. VA beneficiaries requiring transport are Veteran patients that may have multiple medical conditions and consist of ambulatory, partial ambulatory with wheelchairs and scooters, blind, amputees, spinal cord injured patients consisting of paraplegics and quadriplegics. Contractor’s vehicles shall have seats for patient caretakers and shall accommodate medical equipment, devices and luggage with a maximum weight of 50 pounds each. In addition some patients carry oxygen bottles mounted on wheelchairs or in portable carriers but require no administration of oxygen by Contractor personnel.
8. CONSTANT WATCH PATIENTS:
8.1. Constant watch patients require continuous observation by a patient caretaker. These patients have been determined to be an elopement risk, hostile (verbal or physical) or confused.
8.2. In the event a constant watch patient requires a higher level of transport than initially ordered, the VAMC Beneficiary Travel section shall be contacted immediately to obtain authorization to provide the level required. Contractor personnel shall be trained and proficient in handling constant watch patients in a safe and courteous manner.
8.3. Constant watch patients shall be left at delivery point only with a responsible party designated at the time of order. Patients shall not be left unattended and shall be turned over to designated parties at drop-off locations. The designated party shall be identified by the VAMC Beneficiary Travel section at the time the order is placed.
9. TRANSPORTATION OF AUXILLIARY EQUIPMENT: Contractor shall transport the following auxiliary equipment for patients: wheelchair/power wheelchair, scooters, luggage, medical records, medication, comfort items, and adaptive devices medical equipment from pick-up point to destination.
10. ORDERS:
11.1. Requests for services shall be made by the VAMC Beneficiary Travel Office. A schedule of the next day’s transports shall be provided to the Contractor no later than 4:30 PM local time one business day prior.
11.2. Patients may be added to the daily manifest with 4 hours’ notice of pickup or drop off.
11.3. Patient transportation request may be cancelled with a 4-hour notice and will not be charged to the Government. The VAMC Beneficiary Travel section shall provide the following information for all orders:
11.3.1. Veteran patient's full name
11.3.2. Address of pick-up point and address of final destination
11.3.3. Any additional member such as care givers shall be identified
11.3.4. Date of trip/time of pick-up
11.3.5. The authorizing Official from VAMC Beneficiary Travel section
12. FAILURE TO PROVIDE SERVICES: The Contractor shall have adequate equipment and personnel to perform the estimated volumes as indicated in the Price Worksheet. In the event the Contractor is unable or fails to perform any required patient transport, the Government reserves the right to obtain services from another source and charge the Contractor with any excess cost. The VA shall be the sole judge in determining when to order service from another source when the Contractor fails to perform.
13. HOURS OF SERVICE:
13.1. Normal hours of service are Monday through Friday 4:00am to 10:00pm, exclusive of Federal Holidays. A one-time fee for round-trip transportation services that are required outside of these normal working hours shall be paid to the contractor in accordance with the price identified in the schedule of services and price.
13.2. The Contractor shall provide on-site coordinator(s) for the following times and locations:
13.2.1. VALBHS – Monday through Friday excluding holidays, from 10am – 6pm
13.2.2. VALLHS – No on-site coordinator needed for this location
13.2.3. VAGLAHS – No on-site coordinator needed for this location
13.2.4. VASDHS – Monday through Saturday, including holidays, from 8am – 4:30pm
*The on-site coordinator hours may be adjusted by Beneficiary Travel with one week’s notice to the Contractor*
13.3. NUMBER OF PATIENTS: It is understood and agreed that at least two patients shall be transported per trip. Charges per the schedule for the trip shall be billed as per trip and not per patient. The longest distance over which a patient shall be transported may be claimed when more than one patient shall be transported in a single vehicle beyond the 20-mile radius of the VAMCs and/or the participating CBOC's. Contractor must ensure that the pick-ups and drop-offs shall be scheduled so that the total distance traveled shall result in the most economical charge to the Government.
14. MILEAGE:
14.1. All trips shall be charged as a one-way trip from the designated pick-up point to drop-off locations. Mileage traveled shall be charged only beyond the 20-mile radius from the pick-up point and shall be charged as a one-way trip. All transports and/or trip mileage shall be determined by the latest edition of the Rand McNally Standard Mileage Guide, Thomas Guide or one of the mutually acceptable computer based map program. In the case of an incomplete pick-up beyond the 20-mile radius, the Contractor may charge the base rate and the additional miles after the initial 20 miles as indicated in the Schedule of Services and Price.
14.2. Contractor shall ensure that the pick-ups and drop-offs shall be scheduled so that the total Distance traveled shall result in the most economical charge to the Government.
15. VA WAITING TIME: Patients shall not be picked-up prior to two hours of their scheduled medical appointments unless it was arranged and coordinated upon services being ordered by VAMC. All transport services shall be scheduled to prevent patients from having to wait longer than forty-five (45) minutes for pick- up. In the event a patient is to be delayed for an appointment due to circumstances beyond the control of the Contractor, the dispatch center must be notified immediately by the designated driver that a delay is anticipated in order to report the delay of the patient beneficiary to the appropriate VA personnel.
16. CONTRACTOR WAITING TIME: For time lost in waiting for a patient at either the pick-up or drop-off location due to causes beyond the Contractor’s control, the Contractor shall be reimbursed at the rate quoted in the schedule in 15 minute or one-quarter hour increments after the first 15 minutes from the time they report and get authorization to wait from the VA Beneficiary Travel section or Administrative Officer of the Day (AOD). The first 15 minutes shall NOT be charged to the Government. The Contractor shall call VA Beneficiary Travel or the Administrative Officer of the Day after hours for authorization to wait for a patient beyond the 15-minute threshold.
17. INCOMPLETE PICK UP: In the event a scheduled patient refuses the pick-up by the Contractor, Contractor may charge a “trip charge” as indicated on the Schedule of Services and Price. This charge shall be for one-way trip charge only either as an incomplete pick-up or incomplete pick-up plus mileage if the trip is beyond a 20-mile radius from the pick-up point to drop-off location. Patients that cancel trips at the door may be billed as incomplete pick-up only if the VAMC Beneficiary Travel is notified immediately that the patient cancelled or refused to be transported.
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