36C26219R0029-001.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. 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 127

36C26219R0029 4-10-2019

Danielle L. Carroll 562-766-2240 05-07-2019

3:00PM, PST

00262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

X 100

X

485991

$15 Million

N/A

Department of Veterans Affairs 4811 Airport Plaza Drive Suite 600

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 Contractor shall bill in arrears to:

Tungsten Network www.tungsten-network.com

See CONTINUATION Page

This requirement is being procured as a 100% set aside for

SDVOSB

See enclosed schedule of services and price

See CONTINUATION Page

X X

X 1

Sandra Fusco

36C26219R0029

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 NOTIFICATION TO OFFERORS

B.3 SCHEDULE OF SERVICES AND PRICE

B.3.1 – VA Long Beach Health Care System B.3.2 - VA San Diego Healthcare System B.3.3 - VA Greater Los Angeles Healthcare System

B.4 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

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

2018)

C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST DEC 2011

C.3 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014)

C.4 52.204-13 SYSTEM FOR AWARD MANAGEMENT MAINTENANCE (OCT 2018)

C.5 52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE

(JUL 2016)

C.6 52.216-18 ORDERING (OCT 1995)

C.7 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.8 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.9 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.10 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.11 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)

C.12 52.224-2 PRIVACY ACT (APR 1984)

C.13 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)47

C.14 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.15 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.16 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

C.17 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.18 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.19 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.20 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2019)

C.21 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION – STATE OF CALIFORNIA, COUNTY OF LOS ANGELES

D.2 WAGE DETERMINATION – STATE OF CALIFORNIA, COUNTY OF SAN DIEGO

D.3 PRICE WORKSHEET

D.3.1 – VA Long Beach Health Care System D.3.2 - VA San Diego Health Care System D.3.3 - VA Greater Los Angeles Health Care System

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

E.3 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

E.5 52.204-7 SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

E.6 52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016)

E.7 52.204-20 PREDECESSOR OF OFFEROR (JUL 2016)

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)

E.9 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (OCT 2015)

E.10 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) 123

E.11 52.216-1 TYPE OF CONTRACT (APR 1984)

E.12 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.13 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(SEP 2018)

E.14 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (SEP 2018)

E.15 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

E.16 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

E.17 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.18 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

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 Danielle Carroll, Contract Specialist 4811 Airport Plaza Drive Suite 600, Long Beach, CA 90815

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

mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov

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, Veterans Affairs Long Beach Healthcare System (VALBHS), Veterans Affairs San Diego Healthcare System (VASDHS), and Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS), requires a Contractor(s) to provide Ambulance Services to veterans authorized ambulance transportation for treatment or care for a service-connected disability. Services are required 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 INQUIRIES: Direct all technical inquiries via email only to Danielle Carroll at danielle.carroll4@va.gov no later than April 19, 2019. Questions will be answered via an amendment to this solicitation and will be posted to www.fbo.gov on or about April 22, 2019.

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.

Contractors shall also be registered at the time of award and throughout the period of performance of the contract.

6. Multiple Indefinite Delivery-Indefinite Quantity contracts may be awarded in response to this solicitation.

7. 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.

http://www.fbo.gov/ https://www.vip.vetbiz.gov/

B.3 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 $1000.00. The maximum aggregate value of the order that can be placed under this contract is $30,000,000.00. 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.3.1 – VA Long Beach Health Care System BASE YEAR: June 1ST, 2019 – May 31ST, 2020

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

0001AA Ambulance Service, Basic Life Support (BLS) only– Within 20 Mile Radius from Pickup

Trip

0002AA Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Mile

0003AA Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

0004AA Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Mile

0005AA Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

0006AA Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Mile

0007AA Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

0008AA Trip charge for incomplete pick up Trip

OPTION YEAR 1: June 1ST, 2020 – May 31ST, 2021

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

1001AA Ambulance Service, Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

1002AA Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

1003AA Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

1004AA Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

1005AA Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

1006AA Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

1007AA Basic Life Support (BLS)/ Advanced Life Support (ALS)/ Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

1008AA Trip charge for incomplete pick up Trip

OPTION YEAR 2: June 1ST, 2021 – May 31ST, 2022

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

2001AA Ambulance Service, Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

2002AA Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

2003AA Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

2004AA Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

2005AA Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

2006AA Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

2007AA Basic Life Support (BLS)/ Advanced Life Support (ALS)/ Critical Care Transport (CCT)– Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

2008AA Trip charge for incomplete pick up Trip

OPTION YEAR 3: June 1ST, 2022 – May 31ST, 2023

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

3001AA Ambulance Service, Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

3002AA Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

3003AA Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

3004AA Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

3005AA Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

3006AA Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

3007AA Basic Life Support (BLS)/ Advanced Life Support (ALS)/ Critical Care Transport (CCT)– Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

3008AA Trip charge for incomplete pick up Trip

OPTION YEAR 4: June 1ST, 2023 – May 31ST, 2024

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

4001AA Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

4002AA Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

4003AA Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

4004AA Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

4005AA Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

4006AA Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

4007AA Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

4008AA Trip charge for incomplete pick up Trip

B.3.2 - VA San Diego Healthcare System BASE YEAR: June 1ST, 2019 – May 31ST, 2020

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

0001AB Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

0002AB Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

0003AB Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

0004AB Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

0005AB Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

0006AB Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

0007AB Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

0008AB Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

1001AB Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

1002AB Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

1003AB Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

1004AB Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

1005AB Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

1006AB Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

1007AB Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

1008AB Trip charge for incomplete pick up Trip

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

2001AB Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

2002AB Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

2003AB Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

2004AB Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

2005AB Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

2006AB Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

2007AB Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

2008AB Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

3001AB Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

3002AB Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

3003AB Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

3004AB Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

3005AB Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

3006AB Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

3007AB Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

3008AB Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

4001AB Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

4002AB Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

4003AB Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

4004AB Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

4005AB Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

4006AB Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

4007AB Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

4008AB Trip charge for incomplete pick up Trip

B.3.3 - VA Greater Los Angeles Healthcare System BASE YEAR: June 1ST, 2019 – May 31ST, 2020

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

0001AC Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

0002AC Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

0003AC Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

0004AC Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

0005AC Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

0006AC Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

0007AC Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

0008AC Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

1001AC Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

1002AC Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

1003AC Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

1004AC Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

1005AC Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

1006AC Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

1007AC Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

1008AC Trip charge for incomplete pick up Trip

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

2001AC Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

2002AC Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

2003AC Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

2004AC Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

2005AC Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

2006AC Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

2007AC Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

2008AC Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

3001AC Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

3002AC Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

3003AC Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

3004AC Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

3005AC Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

3006AC Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

3007AC Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

3008AC Trip charge for incomplete pick up Trip

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES UNIT UNIT PRICE

4001AC Ambulance Service Basic Life Support (BLS) only – Within 20 Mile Radius from Pickup

Trip

4002AC Ambulance Service, Basic Life Support (BLS) only – Charge Per Mile Beyond 20 Mile Radius

Miles

4003AC Ambulance Service with Advanced Life Support (ALS) – Base Rate Within 20 Miles Radius From Pickup

Trip

4004AC Ambulance Service with Advanced Life Support (ALS) - Charge Per Mile Beyond 20 Mile Radius

Miles

4005AC Ambulance Service with Critical Care Transport (CCT) – Base Rate Within 20 Miles Radius From Pickup

Trip

4006AC Ambulance Service with Critical Care Transport (CCT) – Charge Per Mile Beyond 20 Mile Radius

Miles

4007AC Basic Life Support (BLS/ Advanced Life Support (ALS)/Critical Care Transport (CCT) – Billable Wait Times (first 30 minutes at no charge to the Government, and then Billable in 30 minute Increments after the first 30 minutes)

30 mins

4008AC Trip charge for incomplete pick up Trip

B.4 PERFORMANCE WORK STATEMENT

1. GENERAL PROCEDURE

1.1. The Contractor shall provide Ambulance services to Veteran patients for the Veterans Affairs Long Beach Healthcare System (VALBHS) and Veterans Affairs San Diego Healthcare System (VASDHS), and Veterans Affairs Greater Los Angeles Healthcare System (VAGLAHS) 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.

1.2. The Contractor shall have a dispatch center which operates 24 hours per day, every day. This includes an office where employees manage vehicles and dispatch/send them where they are needed. Ambulances shall be on station within a 30-minute time span or sooner from the time the order is placed.

1.3. Services shall routinely be provided to Veterans residing in the Long Beach, Los Angeles, San

Diego, Imperial County, San Bernardino, Riverside, and Ventura counties. Ambulance services shall also be required less frequently in other counties within Southern California. The Contractors shall have the capability to acquire required licenses and permits to perform the required services in each of these counties and the state of California.

1.4. All services shall be performed from the designated pick-up point to the drop-off location which may include the main Veterans Affairs Medical Centers (VAMCs), Community Based Out- Patient Clinic (CBOCs), Veterans homes, and other designated locations (e.g. nursing homes, other medical facilities, etc.).

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 Veteran Affairs Medical Centers (VAMC):

2.1.1. Veterans Affairs of Long Beach Healthcare System (VALBHS):

2.1.1.1.

Mission Viejo Vet Center 26431 Crown Valley Parkway Mission Viejo, CA 92691

Santa Ana CBOC 1506 Book Hollow Drive Santa Ana, CA 92705

Orange County Vet Center 12453 Lewis Street Garden Grove, CA 92840

Santa Ana MH, Annex 1526 Brook Hollow Drive Santa Ana, CA 92705

Anaheim CBOC 2569 W. Woodland Drive Anaheim, CA 92801

Anaheim Vet Center 859 South Harbor Blvd Anaheim, CA 92805

Laguna Hills CBOC 25292 McIntyre Street Laguna Hills, CA 92653

Village of Cabrillo CBOC 2001 River Avenue Long Beach, CA 90806

Santa Fe Springs CBOC 10330 Pioneer Blvd Suite 180 Santa Fe Springs, CA 90670

2.1.2. Veterans Affairs of San Diego Healthcare System (VASDHS)

2.1.2.1.

Mission Valley Outpatient Clinic 8810 Rio San Diego Drive San Diego, CA’

Oceanside VA Clinic 1300 Rancho Del Oro Road Oceanside, CA

VA Sorrento Valley Clinic 10455 Sorrento Valley Road San Diego, CA

Escondido CBOC 815 East Pennsylvania Avenue Escondido, CA

Chula Vista (South bay) CBOC 835 3rd Ave. Ste. B Chula Vista, CA 92191

VA El Centro Clinic 1600 South Imperial Drive El Centro, CA

2.1.3. Veterans Affairs of Greater Los Angeles Healthcare System (VAGLAHS)

2.1.3.1.

Sepulveda Ambulatory Care Center 16111 Plummer Street North Hills, CA 91343

Los Angeles Ambulatory Care Center 351 East Temple Street Los Angeles, CA 90013

Bakersfield Outpatient Clinic 1801 Westwind Drive Bakersfield, CA 93301

Lancaster Outpatient Clinic 547 West Lancaster Blvd.

Lancaster, CA 93534

San Luis Obispo CBOC 1288 Morro Street Ste.#200 San Luis Obispo, CA 93401

Santa Barbara Outpatient Clinic 4440 Calle Real Santa Barbara, CA 93110

Santa Maria CBOC 1550 East Main Street Santa Maria, CA 93454

Oxnard Outpatient Clinic 2000 Outlet Center Drive Ste.225 Oxnard, CA 93036

3. AMBULANCE SPECIFICATIONS

3.1. Contractor shall provide ambulances, 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 ambulance 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 ambulance 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.

3.2. Contractor shall provide ambulances that:

3.2.1. Have patient compartment facilities, oxygen and suction systems and environmental climatic supplies.

3.2.2. Meet the standards of KKK-A-1822F listed on the following website:

http://www.safeambulances.org/wp-content/uploads/2018/04/KKK-A-1822F- 08.01.2007.pdf

3.2.3. Meet the minimum vehicle requirements for Basic Life Support as mandated by the State of California found at the following websites:

3.2.3.1. County of Los Angeles: http://file.lacounty.gov/SDSInter/dhs/206307_710.pdf

3.2.3.2. County of San Diego

https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/EMS/Policies_ Protocols/S-103_2018final5.29.pdf

3.2.4. Have heater and air conditioning in good operating condition capable of maintaining a comfortable temperature throughout the vehicle interior

3.2.5. Have collapsible stretchers with a minimum of three functioning safety belts.

3.2.6. Have safety restraints to ensure stretchers or wheelchairs are secure and do not move during transport.

3.2.7. Have fully charged Fire Extinguishers using the guidelines established through NFPA 10

Standard for Portable Fire Extinguishers. https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=10.

3.2.8. Have road emergency warning equipment.

3.2.9. Have two-way communication devices.

3.2.10. Have access doors capable of being opened from the inside, but lockable to remain closed and secure during travel.

3.2.11. Have a functioning speedometer indicating speed in miles per hour and a functioning odometer correctly indicating distance in tenths of a mile.

3.2.12. Are free of grime, oil or other substances and free from cracks, breaks dents and damaged paint that noticeably detracts from the overall appearance of the vehicle.

3.2.13. Are equipped with hubcaps and wheeled covers.

3.2.14. Have all body molding in place, or if removed, holes that are filled and painted.

3.2.15. Have unobstructed vision for the driver on all sides

3.2.16. Have windows and doors that can be opened and closed in accordance with manufacturer standards.

3.2.17. Are free from leaks of any kind.

3.2.18. Are equipped with a functioning horn.

http://www.safeambulances.org/wp-content/uploads/2018/04/KKK-A-1822F-08.01.2007.pdf http://www.safeambulances.org/wp-content/uploads/2018/04/KKK-A-1822F-08.01.2007.pdf http://file.lacounty.gov/SDSInter/dhs/206307_710.pdf https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/EMS/Policies_Protocols/S-103_2018final5.29.pdf https://www.sandiegocounty.gov/content/dam/sdc/hhsa/programs/phs/EMS/Policies_Protocols/S-103_2018final5.29.pdf https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=10 https://www.nfpa.org/codes-and-standards/all-codes-and-standards/list-of-codes-and-standards/detail?code=10

3.2.19. Have operational seat belts

3.2.20. Are equipped with standard first aid kits and supplies

3.2.21. Have an adequate supply of sanitary sheets, pillowcases, and blankets.

3.2.22. Have oxygen and oxygen breathing apparatus in good operating condition, including oxygen masks that are disposable.

3.2.23. Are equipped with a wheelchair securing device to transport a Veteran’s wheelchair.

3.3. All Ambulance services requiring ALS/CCT shall meet all the requirements above and additionally have:

3.3.1. Lifepak to monitor defibrillators

3.3.2. Standard medically approved IV fluid

3.3.3. MTP infusion pumps

3.3.4. Aortic balloon pump

3.3.5. Ventilators

3.3.6. Disposable ambulance bags and full complement of ALS Medications

4. LINEN: The Contractor shall furnish all clean linen required for patient transport. Linen shall not be exchanged with linen belonging to the VAMC.

5. DRIVER QUALIFICATIONS:

5.1. The Contractor’s Ambulance Drivers shall be fully trained and licensed in the State of California to operate an ambulance vehicle.

https://www.dmv.ca.gov/portal/dmv/?1dmy&urile=wcm:path:/dmv_content_en/dmv/dl/ambu_dr vr_cert

5.2. 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.

6. PARAMEDIC QUALIFICATIONS:

6.1. Paramedics providing services on ambulances shall be fully trained and licensed in the State of California. https://emsa.ca.gov/paramedic/

7. EMERGENCY MEDICAL TECHNICIAN (EMT) QUALIFICATIONS:

https://www.dmv.ca.gov/portal/dmv/?1dmy&urile=wcm:path:/dmv_content_en/dmv/dl/ambu_drvr_cert https://www.dmv.ca.gov/portal/dmv/?1dmy&urile=wcm:path:/dmv_content_en/dmv/dl/ambu_drvr_cert https://emsa.ca.gov/paramedic/

7.1 Emergency Medical Technicians (EMT) providing services on ambulances shall be fully trained and certified in the State of California. https://emsa.ca.gov/emt/

8. BASIC LIFE SUPPORT (BLS) TRANSPORTATION:

8.1. Basic Life Support ambulance services is for patients who require lie down services and possible non-medicated IV’s and oxygen. The BLS team shall be on station within a thirty (30) minute time span or sooner from the time the order is placed.

9. ADVANCE LIFE SUPPORT TRANSPORTATION and CRITICAL CARE TEAM:

9.1. Advance Life Support ambulance services is for patients who require at least one of the following: cardiac monitoring, neurosurgical patients who may require intubation, medications added to IV fluids or ventilators. The ALS team shall be on station within a thirty (30) minute time span or sooner from the time the order is placed.

9.2. The Advanced Life Support (ALS) team shall have a minimum, two (2) EMTs. Notification for the additional Licensed Critical Care Nurse and Licensed Respiratory Therapist shall be given at the time the order is placed which will make this a Critical Care Transport (CCT). Each team shall have all required equipment available to ensure the safe and rapid transport of patients requiring close monitoring and possible advanced life support intervention as directed by qualified VA personnel. The ALS/CCT team shall be on station within a 30-minute time span or soon from the time the order is placed.

10. SOLICITING: Soliciting Veteran patients in any form or for any reason by Contractor personnel is

STRICTLY PROHIBITED.

11. CONSTANT WATCH PATIENTS:

11.1. Constant watch patients require continuous observation by a veteran’s personal attendant/ caregiver/ family member. These patients have been determined to be an elopement risk, hostile (verbal or physical), or confused.

11.2. In the event that a constant watch patient requires a higher level of transport than initially ordered, the VAMC Beneficiary Travel section shall be contacted by Contractor personnel 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.

11.3. Constant patients shall be left at delivery point by Contractor personnel 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 location. The designated party shall be identified by the VAMC Beneficiary Travel section at the time the order is placed.

12. TRANSPORTATION OF AUXILLARY 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.

13. ORDERS

https://emsa.ca.gov/emt/

13.1. Telephone requests for contractor services will be placed with the contractor’s dispatch office only by authorized employees of the VAMC Beneficiary Travel Section. Authorized employees will be defined in the signed delegation of authority memorandum presented to the contractor to be maintained on file or posted in the dispatcher office for reference.

13.2. VAMC Beneficiary Travel shall provide the Contractor with patient’s pick-up and delivery location, appointment time, and vehicle requirements.

13.3. The contractor must be available to provide services 24 hours per day, 7 days per week, 365 days per year including all holidays. Answering/voicemail services are prohibited for transport request services. The request for service will specify the pick-up location, destination address, time needed, and the passenger’s name and phone number.

13.4. Electronic requests for contractor services are authorized if a monitored email address and POC are available within the stipulations of the contract. A reply email of verification is required within 30 minutes of each electronic request for transport for immediate services or scheduled services.

13.5. The contractor will provide transportation using a safe and suitable vehicle designated for ambulance services within all guidelines of the federal, state, and local laws. The driver shall report to the VA Travel office or, if after hours the Administrative Officer of the Day (AOD) to receive a signed voucher authorizing the ride to be performed.

13.6. Passengers will not be left unattended at any time.

13.7. The driver will assist passengers with their luggage when needed including folding wheelchairs and walkers.

13.8. If the contractor fails to arrive within 30 minutes from the time service is ordered, the VA reserves the right to obtain services from any other ambulance transportation vendor and charge the contractor any excess costs that may result.

13.9. Transportation request shall be made 24 hours in advance; however, Contractor shall accept request for same day service and schedule them in a manner that meets the arrival time needs.

14. 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 transports, 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.

15. HOURS OF SERVICE: Services shall be fully available 24 hours per day, seven days per week, 365 days per year including all holidays. The contractor will be prepared for the highest volume of transports to occur between the hours of 8:00a.m. and 5:00p.m., Monday – Friday.

16. NUMBERS OF PATIENTS: It is understood and agreed that only one patient shall be transported per trip unless specifically authorized by the VAMC Beneficiary Travel. If more than one patient is being transported concurrently on a trip, reimbursement shall be made only at the rates contained in the schedule of cost for transporting a single patient. The Contractor shall be reimbursed for the Mileage Rate for only one trip to the longest distance traveled with any patent on that particular trip.

17. MILEAGE:

17.1. 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 Rand McNally Mileage Guide, Thomas Guide or one of the mutually acceptable computer-based map program. In the case of an incomplete pickup 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.

17.2. 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.

18. RESPONSE TIME: The Contractor shall arrive at pick-up location within 30 minutes from the time the services were ordered for ambulance services request.

19. 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 the VAMC Beneficiary Travel. All ambulance services shall be scheduled to prevent patients from having to wait longer than thirty (30) minutes for pickup. 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.

20. 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 30-minute or one-quarter hour increments after the first 30 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 30 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 30-minute threshold.

21. COMPLETED TRIP:

21.1. The Contractor shall not release the patient from his/her custody, unless custody is released to the admitting/evaluation unit, specified ward or unit, or to the person at the location specified at the time the trip is requested. The trip shall be considered complete when the patient is delivered by Ambulance personnel to the personnel and location specified at the time the trip is requested.

The Contractor shall take every reasonable measure to assure the well-being of the patient to their destination.

21.2. Patients brought in by ambulance for a scheduled clinic appointment shall be transported directly to the specific clinic, released to the custody of clinic personnel, and picked up, as ordered, in the clinic after the appointment by the ambulance crew.

22. 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. In the same manner, the amount charged in the Schedule of Services and price shall be used to charge the contractor for failure to pick-up a beneficiary timely for his/her appointment when the appointment must be rescheduled.

23. NON-ARRIVAL OF PATIENT: In the event a scheduled patient is to arrive by air and the ambulance driver finds such patient does not arrive as scheduled, the Contractor shall contact the VAMC Beneficiary Travel, or the AOD and ask status of the arrival. Waiting time maybe authorized for the time lost in waiting in accordance with the rate listed in the Schedule of Services and Price. If the scheduled patient flight doesn’t arrive the Contractor shall be reimbursed at the rates listed in the Schedule of Services and Price.

24. ROAD EMERGENCIES AND ACCIDENTS: In the event of a medical emergency or an accident involving the Contractor's vehicle, equipment and/or personnel with a Veteran patient on board, the Contractor’s driver shall either call 911 from the scene of the accident or go to the nearest emergency room and immediately report the incident to the COR. If a VA Medical Center is the closest Emergency Room, the driver will use the VA. Under no circumstances will 911 or the closest emergency room be bypassed in favor of using the VA. The priority must be the quick provision of medical care for any persons involved. If, for any reason, any occupant of the contractor’s vehicle refuses medical assistance through 911 or refuses transport to the closest hospital or to the VA medical center the driver shall immediately notify his supervisor who shall contact the VAMC Beneficiary Travel section of such refusal. An incident report detailing the date, time, Veteran patient name, and contact driver involved and a complete description of the incident shall be turned into the COR no later than one (1) business day within incident.

25. INSPECTION AND MAINTENANCE: The Government reserves the right to thoroughly inspect and investigate Contractor’s establishment, facilities, and equipment. The Government reserves the right to inspect and approve vehicles and personnel before being placed in service under this contract.

Complete maintenance records shall be maintained by the Contractor and available to the Government during contract performance and as long after as required by law.

Contractor shall conduct quarterly safety inspections for all stretchers of all working parts including belts and straps.

26. CHANGES TO CONTRACT: Only those services specified herein are authorized. Changes to the contract are not authorized and reimbursement shall not be made for any work or services performed outside the scope of this contract, unless prior authorization is obtained in writing from the Contracting Officer.

27. COMPLAINTS: The Contractor shall respond to complaints from Veterans served by this contract, or the VAMC Beneficiary Travel Office, within 7 working days. The Contractor shall maintain a written record of all complaints, both written and oral, showing the identity of the individual, the nature of the complaint, and the Contractor's response. The Contractor shall permit the Government to inspect such records upon reasonable notice.

28. QUALITY ASSURANCE: The Contractor shall comply with all applicable regulations and guidelines of the Joint Commission (JC), Occupational Safety and Health Administration (OSHA), Department of Transportation, California Public Utility Commission and/or any other pertinent federal, state, and local policies relating to the herein mentioned work or transportation services. All tasks accomplished by the Contractor personnel shall be performed to preclude damage or defacement to patient or Government-owned property, equipment and facilities. The Contractor shall report any damage caused by the Contractor personnel to the COR. The Contractor shall replace items or repair property, equipment or facilities to previous condition, if the Contractor is determined to be at fault for the damage.

29. DENIAL/TERMINATION OF SERVICES: The Contracting Officer is the final authority on validating complaints received from Veterans being serviced by this contract or the VAMC Beneficiary Travel Office. Contractor personnel are involved and named in a validated complaint, the Government reserves the right to refuse acceptance of the services of such personnel. Contractor shall remove from providing services under this contract and replace any personnel from whom the Government has decided to refuse to accept services. Such removal and replacement shall be at Contractor’s sole expense. Contractor is not relieved of any of its obligations under this contract as a result of the Government requesting that Contractor personnel be removed from performing service under the contract. The Contracting Officer shall be the final arbiter on questions of acceptability.

30. CONTRACTING OFFICER REPRESENTATIVE (COR): Delegation of Authority letter(s) shall be forwarded to the Contractor after contract award identifying the COR(s) and all representatives of VAMC Beneficiary Travel authorized to order services and to accept or reject services from the Contractor. This designation shall be furnished in writing to the Contractor prior to commencement of the contract.

31. CONTRACTOR POINT OF CONTACT:

31.1. The Contractor shall designate one (1) employee as the Point of Contact (POC) responsible for administrative matters in the performance of services under this contract.