36C26219R0107-001.pdf

PAGE 1 OF 108 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

36C26219R0107 05/23/2019

Rafael Cervantes 562-766-2281 06/24/2019 3:00pm PST

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

X

623220

$15 Million

N/A

Department of Veterans Affairs 4811 Airport Plaza Drive Suite 600

Long Beach CA 90815

36C262

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

See CONTINUATION Page

Please see schedule of services and price

See CONTINUATION Page

X X

X 2

Don Weerasinghe Contracting Officer

36C26219R0107

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL TEMS….……….1

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.4 PERFORMANCE WORK STATEMENT

B.5 IT CONTRACT SECURITY/VA INFORMATION AND INFORMATION SYSTEM

SECURITY/PRIVACY

SECTION C – CONTRACT CLAUSES

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

2018)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (OCT 2018)

C.3 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST DEC 2011

C.4 52.203-17 CONTRACTOR EMPLOYEE WHISTLEBLOWER RIGHTS AND

REQUIREMENT TO INFORM EMPLOYEES OF WHISTLEBLOWER RIGHTS (APR 2014)

C.5 52.204-4 PRINTED OR COPIED DOUBLE-SIDED ON RECYCLED PAPER (MAY

2011)

C.6 52.204-7 SYSTEM FOR AWARD MANAGEMENT

C.7 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.8 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION

SYSTEMS (JUN 2016)

C.9 52.216-18 ORDERING (OCT 1995)

C.10 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.11 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.12 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.13 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.14 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)

C.15 52.224-2 PRIVACY ACT (APR 1984)

C.16 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)57

C.17 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.18 52.232-40 PROVIDING ACCELERATED PAYMENTS TO SMALL BUSINESS

SUBCONTRACTORS (DEC 2013)

C.19 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.20 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.21 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.22 VAAR 852.237-7 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(JAN 2008)

C.23 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 CONTRACTOR CERTIFICATION: IMMIGRATION AND NATIONALITY ACT OF

1952—AS AMENDED

D.2 PRICE WORKSHEET

D.3 PRE-AWARD SURVEY CHECKLIST

D.4 REFERENCE

D.5 WAGE DETERMINATION FOR LOS ANGELES COUNTY

SECTION E - SOLICITATION PROVISIONS

E.1 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

ITEMS

GENERAL INSTRUCTIONS FOR OFFER SUBMISSIONS

E.4 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.5 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

E.6 52.216-1 TYPE OF CONTRACT (APR 1984)

E.7 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

E.8 52.233-2 SERVICE OF PROTEST (SEP 2006)

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

1998)

E.10 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (JAN 2008)

E.11 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)

E.12 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(SEP 2018)

E.13 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (SEP 2018)

E.14 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008)

E.15 VAAR 852.273-70 LATE OFFERS (JAN 2003)

E.16 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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 Don Weerasinghe, Contracting Officer 4811 Airport Plaza Drive Suite 600, Long Beach, CA 90815 Telephone number: 562-766-2240 Email: Don.Weerasinghe@va.gov

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with (IAW) Federal Acquisition Regulation (FAR):

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

[ ] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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

• 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

VA’s Electronic Invoice Presentment and Payment System:

(See Web site at and submit invoices to: www.OB10.com (TUNGSTEN NETWORK) Register at: 877-752-0900 (Option #2)

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation 36C26219R0107 numbered and dated as follows:

mailto:VA.Registration@Tungsten-Network.com mailto:vafsccshd@va.gov http://www.ob10.com/

AMENDMENT NO DATE

B.2 NOTIFICATION TO OFFERORS

1. Authority: Under the authority of 38 U.S.C. 7409, 38 U.S.C. 8153, and Federal Acquisition

Regulation (FAR) Part 12—Acquisition of Commercial Items, and FAR Part 13—Simplified Acquisition Procedures, The Veterans Affairs (VA) Greater Los Angeles Healthcare System (VAGLAHS), requires a Contractor to provide sufficient facilities to accommodate the 10 Veterans referred and admitted to the HCHV Recuperative Care Supportive Services Program of the VAGLAHS, 11301 Wilshire Boulevard, Los Angeles, CA 90073.

2. It is the Government’s intent to make an indefinite delivery/indefinite quantity (IDIQ) award in response to this solicitation. However, the Government reserves the right to make multiple IDIQ awards if it determines it is in the Government’s best interest to do so.

3. Offerors shall complete and return all information designated in the enclosed FAR clause 52.212-1, Instructions to Offerors – Commercial Items, paragraph b, and the addendum to FAR clause 52.212- 1, prior to the time specified in block 8 of standard form (SF) 1449 to be considered for award.

Offerors shall also respond to each evaluation factor listed in the enclosed FAR clause 52.212-2, Evaluation—Commercial Items. Failure to do so may preclude the offeror from consideration for award.

4. TECHNICAL INQUIRES: Direct all technical inquiries via email to the Administrative Contract

Specialist (CS), Rafael Cervantes at rafael.cervantes@va.gov not later than June 3, 2019 3:00 PM (PST). An amendment will be posted to www.Fbo.gov to address any questions received on or about June 07, 2019. The Contractor shall acknowledge an amendment in section 5 above.

5. DUNS NUMBER: Provide the Dun and Bradstreet Number assigned to your business in the space provided below; (refer to FAR provision 52.212-1, Instructions to Offerors – Commercial Items):

5.1. ____________________________________

6. Post-Award Teleconference. The awarded Contractor(s) shall participate in a post-award orientation teleconference to review the contract requirements, start-up plan, and other contract management procedures.

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 contact is $5,000.00. The maximum aggregate value of the orders that can be placed under this contract is $5,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.

mailto:rafael.cervantes@va.gov https://www.fbo.gov/

**The previous option year pricing will apply to any extension pursuant to FAR 52.217-8

Each Contract Year is based on a 12 months calendar year.

Base Year:

Period of Performance Months 1-12 (Actual dates TBD)

ITEM

NO. DESCRIPTION Estimated Bed

Quantity UNIT Unit Price Per Day

1 Daily Room & Board / Recuperative

Care (in accordance with the Performance Work Statement)

10 Beds

Estimated Base Year Amount

Option Year I:

Estimated Option Year I Amount

Option Year II:

Estimated Option Year II Amount

Option Year III:

Estimated Option Year III Amount

Option Year IV:

Estimated Option Year IV Amount

Estimated Value - Base Year $ Estimated Value - Option Year One (1) $ Estimated Value - Option Year Two (2) $

Estimated Value - Option Year Three (3) $

Estimated Value - Option Year Four (4) $

Estimated Total Value $

B.4 PERFORMANCE WORK STATEMENT

Health Care for Homeless Veterans (HCHV) Contracted Emergency Residential Services (CERS) Recuperative Care Program

Statement of Work

1. BACKGROUND AND SYNOPSIS

1.1. The Department of Veterans Affairs (DVA) has been providing direct and specialized services for homeless Veterans for over 25 years. The Secretary of the VA has set a zero-tolerance policy for homelessness within the Veteran population since 2009; the plan to end homelessness among Veterans by the Veterans Health Administration (VHA) increases the capacity of existing programs and increases services offered to Veteran-participants. This innovative plan calls for utilizing new models of care not previously offered by VHA.

1.2. National trends in service provision for the homeless outside of the VA system include the utilization of Contracted Emergency Residential Service (CERS) beds. The goal of the Health Care for Homeless Veteran (HCHV) program is to remove homeless Veterans from the street and/or habitation unfit for Veterans and place them in community-based, residential environments with sufficient supportive services to meet their needs and ultimately facilitate the improvement of their housing situation.

1.3. The DVA’s plan to end Veteran homelessness necessitates the enhancement of current homeless service capacity as well as developing innovative programs and initiatives in concert with community and federal partners. The intent of this contract is for the Veterans Affairs Greater Los Angeles VA Healthcare System (VAGLAHS) Healthcare for Homeless Veteran (HCHV) program to engage a community provider to offer homeless Veterans services by providing housing and recuperative care supportive services to ten (10) homeless Veterans in community-based Contracted Emergency Residential Services (CERS) facilities offering a safe and secure environment that supports their goals for recovery from homelessness. The contractor will be able to provide safe housing for men and women at any given time based on the needs of the community. The priority service location shall be performed at the contractor’s facility within 20 miles from the VA Greater Los Angeles Healthcare System. The contractor will be required to provide a low-barrier therapeutic and rehabilitative milieu and attendance services targeting the underlying factors contributing to homelessness. The contractor will not be required to provide detoxification or other hospital level treatment.

1.4. Entities that are interested in providing Veterans these services should be aware that, although this contract seeks services for the VAGLAHS, HCHV is a national program serving Veterans throughout the country. This program continues to expand and has become one of the largest VA interventions to assist homeless Veterans. It is also the first specialized homeless program developed by the VA. It represents one of VA’s most significant efforts to achieve the President’s goal of ending homelessness among Veterans.

1.5. The goal of the HCHV CERS Program is to rapidly stabilize Veterans’ medical, mental health, substance abuse and other psychosocial problems in order to place Veterans in other appropriate transitional or permanent housing within –90 days, but no more than 180 days, by providing short term medical care and case management to eligible Veterans recovering from an acute illness or injury, or chronic medical concerns whose conditions would be exacerbated by living on the street or a non-specialized shelter. VA intends to engage a contractor to provide rapid placement of Veterans in a safe, supportive, residential setting while addressing Veterans’ complex needs through on-site supportive case management services. This housing must meet the criteria established both by HCHV clinical staff and VA fire and safety officials. Contractors are urged in the strongest terms to carefully review the requirements outlined in the Statement of Work to ensure that all facilities fire and safety and supportive services criteria can be met within the required implementation timeframe.

1.6. The target population for HCHV Contracted Recuperative Care Program includes Veterans recovering from acute illness or injury, whose condition is stable enough to be discharged from the medical center, but due to homelessness, would be exacerbated by living on the streets or in a shelter and are utilizing medical care services at the VAGLAHS. To be eligible for the HCHV Recuperative Care, Veterans must:

1.6.1. Be eligible for VA health care as determined by the local VA medical center.

1.6.2. Be determined to be homeless based on McKinney-Vento Act definitions [see Reference section for additional information] by the local VA medical center HCHV program.

1.7. Veterans are referred to the contractor based on a demonstrated short term need for case management and supportive services to stabilize their medical, mental health, substance abuse and/or other co-occurring serious psychosocial issues to secure transitional or permanent housing as quickly as possible. The program will target Veterans who are engaged in care through a collaborative partnership among the VAGLAHS, the Los Angeles Coordinated Entry System Service Providers, Los Angeles Homeless Services Authority, and other Veteran-specific programs that target homeless Veterans. Veterans may access transitional housing programs directly and through referrals in the community.

1.8. An HCHV VA Liaison to the contractor will be identified by the homeless program leadership at the VAGLAHS. She/he will act as the clinical liaison for all client-related issues between the Contractor and the West Los Angeles (WLA) VA homeless team. She/he will provide clinical oversight. She/he will not provide direct clinical supervision.

1.9. Contractor will have general liability insurance coverage of $5 Million to $10 Million to cover employee malfeasance.

2. PERIOD OF PERFORMANCE. The period of performance for this contract will be for a Base Year plus four (4) Option Years.

3. CONTRACT TYPE. Firm Fixed Price Indefinite Delivery/ Indefinite Quantity.

4. PLACE OF PERFORMANCE. Work shall be performed at the contractor’s facility within 20 miles from the VA Greater Los Angeles Healthcare System. Government furnished workspace will not be provided for this effort. However, the contractor will be required to attend frequent meetings and planning sessions at the VAGLAHS medical center located at 11301 Wilshire Blvd., Los Angeles, CA 90073.

5. CONTRACT AWARD MEETING. The Contractor shall not commence performance on the tasks in the awarded Statement of Work until the Contracting Officer or representative has conducted a kick-off meeting or has advised the Contractor that a kick-off meeting is waived.

6. GOVERNMENT FURNISHED PROPERTY. Government furnished property will not be provided to the Contractor. All equipment required by the Contractor will be provided at their expense.

7. METHOD OF INSPECTION AND ACCEPTANCE. The Contracting Officer’s Representative (COR) will evaluate all deliverables submitted. The COR is responsible for certifying invoices for payment only for deliverables received and deemed acceptable by the COR. A Quality Assurance Surveillance Plan will be used by the COR to assure success, through the uses of negative incentives, for failure of the vendor to meet the stated performance standards.

8. IMPLEMENTATION TIMELINE

8.1. The contract facility and associated onsite services are expected to pass inspection and become fully operational within 30 days from the date of contract award. Failure to meet the 30-day milestone may result in the contract being terminated.

8.2. Contractor will demonstrate successful completion of the following tasks, validated by VA inspection, prior to receiving Veteran referrals and invoicing for payment:

Task Timeline

Demonstrate site control At the time of proposal submission Complete a pre-award inspection of the facility and on-site services conducted by HCHV clinical staff and VA fire and safety officials. Items requiring corrective action will be communicated to the contractor in writing within 1 week after the inspection.

Within 30 days of proposal submission

Complete the abatement of all corrective action items and pass VA inspection

Within 30 days after the pre-award inspection.

Identify all staff required per the Statement of Work and have in place and available to provide the full range of case management and onsite services to Veterans

Within 30 days after the contract award.

9. TASKS & DELIVERABLES.

9.1. Emergency Housing Facilities and Management

A. Contractor must have site control of the housing facility through ownership or valid lease.

B. Contractor is required to ensure that the facility used for this contract meets fire and safety code imposed by the State law, and the Life Safety Code of the National Fire and Protection Association. It is important to note that typically the Life Safety Code is more stringent than local or state codes. No additional funds will be made available for capital improvements under this contract. Applicants also should note that all facilities, unless they are specifically exempted under the Life Safety Code, are required to have an operational sprinkler system. VA will conduct an inspection that contractor sites must pass prior to contractors being able to submit a request for per diem payment to ensure this requirement is met.

C. Contractor is required to ensure that the facility used for this contract meets the Americans with

Disabilities Act (ADA) guidelines for accessible accommodations for Veterans with physical limitations or impairments. This is also referred to as “Architectural Barriers Act compliant.” No additional funds will be made available for capital improvements under this contract. At least 5%

– 7% of a facility’s HCHV Contract Recuperative Care beds must meet ADA accessibility requirements, to include entrances/exits, bathroom facilities, and common areas. For example, if a contractor has 10 beds for the HCHV Contract Residential Care program in the facility, 1 to 2 of those beds must be accessible to Veterans with physical limitations or impairments. Veterans must not be segregated from the rest of the facility due to physical disability; they must have full access to the physical plant as well as the services and supports at the facility.

If a contractor determines that complying with ADA requirements would be prohibitive due to significant renovations or modernization at their facility, an interagency agreement with another emergency housing provider that meets the ADA requirements may be used, provided the second emergency housing provider is able to meet all the same facilities requirements as required by the contract. Contractors utilizing an interagency agreement must also have written policies and procedures that clearly describe how comparable on-site services will be provided by the contractor to Veterans residing in an interagency agreement facility. The contractor retains full responsibility for meeting the terms of the contract for facilities and on-site services when utilizing an interagency agreement to meet ADA requirements.

D. Contractor facility must be licensed as required for the particular setting under State or Federal authority, and must meet all applicable local, state, and Federal requirements concerning licensing and health codes. Copies of valid licenses must be provided to the VA at the time of pre-inspection and during annual inspection reviews. Where applicable, the facility must have a current occupancy permit issued by the authority having jurisdiction.

E. The contractor providing housing and supportive services to female Veterans under this contract is required to ensure the safety and privacy of these Veterans. Men and women must have separate bathroom facilities. The facility must have female residential rooms or sections that are securely segregated or restricted from men to ensure safety and privacy. If the facility cannot accommodate both male and female Veterans at one location, the provider must make available equivalent facilities and services for the opposite gender that meet the terms of the contract for facilities and services.

F. Contractor must provide a safe and sober environment for all residents. The contractor will offer a low-demand environment with a minimum set of rules designed to re-establish trust in the homeless Veteran and engage the Veteran in needed treatment services. Contractor must have written policies and procedures in place that address the following concerns and situations:

a. Acceptance of treatment cannot be a condition of admission or continued stay.

b. Abstinence from alcohol or drugs cannot be a condition of treatment or continued stay.

c. Infractions of rules should be used as opportunities for engagement.

d. Suspected or known drug or alcohol use or relapse by one or more residents and interventions based on a harm reduction model.

e. On-site contraband, weapons, drug or alcohol related paraphernalia (i.e., found alcohol, drugs, drug “works”, etc.) and interventions based on the harm reduction model.

f. Safe prescription medication storage and handling, including specific provisions for prescribed controlled substances. This includes a designated medication storage location, with secure/locked storage area to facilitate safety and access for the Veterans.

g. Room inspections, including methods and frequency.

h. Grievance process to address resident complaints with time frames for responses from the contractor’s program/facility management.

i. Client abandonment of belongings in the facility, including time frames and procedures for disposal.

j. Process to elicit client satisfaction with the facility and onsite services, including information collection methods and frequency, and process for utilizing the information for continual performance improvement purposes.

These policies and procedures must be communicated to Veteran residents and contract staff both verbally and in writing in a manner that is understandable to them upon admission to the facility.

Policies and procedures shall be made available for VA review and approval upon initiation of the contract and as updates occur to ensure they meet the standards defined in this SOW. This communication must be documented in the Veteran’s client record. It is the Contractors responsibility that all contract employees and subcontractor employees understand these policies and procedures upon initiation of the contract and should renew understanding annually.

G. House rules and expectations should be kept to a minimum, be simple, and should focus on safety of the residents. Maintaining housing stability will be the primary goal for each resident. To provide for the safety of the residents, the Contractor must have written policies and procedures in place that clearly indicate the following are prohibited:

a. Dealing or use of illicit drugs at the facility

b. Buying or selling of alcohol or drugs in the facility

c. Sexual activity between residents

d. Violence or threat of violence by residents at the facility

Although rules must be kept simple and demands on the resident’s low, it is required that staff at the facility must stay continuously engaged with the residents. Policies and procedures should reflect that:

a. Regular room checks should occur with a strong focus on maintaining a safe environment that promotes the well-being of all residents. Increased room checks and safety planning for Veterans determined to be high-risk is required with supporting documentation.

b. Staff is trained in providing flexible, respectful responses to infractions of rules.

c. Homeless Veterans will not be discharged for drinking, use of drugs, non-compliance with prescribed medication or infractions of house rules that do not constitute a risk to their personal safety or the safety of the facility residents or staff.

d. Assertive engagement by the staff with patients regarding these problems is the preferred course of action to deal with these common problems of the HCHV CERS Contract Recuperative Care Program.

H. Contractor must provide the following to 10 Veterans referred and admitted to the HCHV

Contract Recuperative Care Program:

a. A designated bed that is used exclusively by the individual Veteran from the time of admission to the time of discharge. This bed must be situated in a room that affords the Veteran safety, privacy and security.

b. Linens such as sheets, towels, blankets, and pillows will be provided by the contractor.

c. A safe and secure place for each Veteran to store his/her belongings that is readily accessible to the Veteran (such as a locking closet, a locking armoire, a locker, etc.).

d. Laundry facilities for Veterans to do their own laundry.

I. Contractor must provide a clean and comfortable environment of care that meets the following conditions:

a. A structurally sound facility so as not to pose any threat to the health and safety of the occupants and to protect them from the elements;

b. Facility entries and exit locations that are capable of being utilized without unauthorized use and provide alternate means of egress in case of fire;

c. Provides each resident an acceptable place to sleep that is in compliance with appropriate codes and regulations;

d. Provides every room or space with natural or mechanical ventilation;

e. Is free of pollutants in the air at levels that threaten the health of residents;

f. Provides a water supply that is free from contamination;

g. Provides sufficient sanitary facilities to residents that are in proper operational condition, may be used in privacy, and are adequate for personal cleanliness and the disposal of human waste;

h. Provides adequate heating and or cooling plants that are in proper operating condition;

i. Provides adequate natural or artificial illumination to permit normal indoor activities and to support the health and safety of residents;

j. Provides sufficient electrical sources to permit use of essential electrical appliance while assuring safety from fire;

k. Provides that housing and equipment are maintained in a sanitary manner free from pests, insects and vermin.

l. Provides that the facility has a warm, welcoming, and respectful atmosphere through its lighting and décor. Contractor ensures that furniture is well maintained and comfortable, and that plants, table cloths and fruit baskets with fresh fruit are part of daily facility operations and upkeep.

m. Provides a library room, computer lab, and/or recreational area for Veteran use that is accessible and quiet. The library room must have books and other reading material available for Veterans’ recreational use as well as a working computer for Veterans to learn or enhance their computer skills.

It is the contractor’s responsibility to maintain a clean and comfortable environment of care that meets these conditions. No additional funds will be made available for capital improvements under this contract in the event corrective action is required to remedy a negative condition. For example, the contractor would be responsible for alleviating a bed bug infestation by hiring an exterminator at its own expense. Contractors must ensure that they have sufficient operating funds in addition to VA funding to maintain the facility according to the requirements of the contract.

J. The contractor must provide designated onsite office space and parking to a VA Liaison from the

VAGLAHS. The office space must afford the VA Liaison and Veterans privacy and confidentiality when meeting. The VA Liaison is expected to be onsite at the Contractor facility two to five days per week in keeping with VA HCHV CERS program expectations.

K. Contractor must provide appetizing, nutritionally adequate meals three times per day in a setting that encourages social interaction. Nutritious snacks between meals and at bedtime must be available for those requiring or desiring additional food, when it is not medically contraindicated.

Provisions for special diets based on medical conditions should be accommodated with documentation from a physician. Accommodations may be made on a case-by-case basis only when supported by a current statement signed by a recognized medical authority. The supporting statement shall include: 1. An indication that the medical or other special dietary need restricts the Veteran’s diet, and 2. The food or foods to be omitted from the Veteran’s diet and the food or choice of foods that may be substituted. A recognized medical authority may include Physicians, Physician’s Assistant, or Nurse Practitioners. All food must be stored, handled and served in a safe and sanitary manner that meets accepted industry standards and guidelines. The VA has particular concern for chronically homeless Veterans, many of whom are either undernourished or have developed poor eating habits or both, because of chronic medical, mental health or substance abuse disorders. A VA dietitian will assess printed menus as well as Veterans’ satisfaction with meals and the actual consumption of food offered in determining the contractor’s success in meeting this requirement during annual facility inspection or at any point during the contract period.

L. Contractor will allow VA staff to inspect that facility and/or review Veteran participant treatment protocols at any time determined necessary by VA.

I. Staffing and Supportive Services

A. The contractor shall employ sufficient professional health care personnel to carry out the policies, responsibilities, and programs of the facility. In the Contracted Recuperative Care Program there must be, as a minimum:

a. A full-time administrative staff member on duty or residing at the residence and available for emergencies 24 hours a day, 7 days a week. Note: security staff alone, whether employed directly by the contractor or subcontracted by the contractor, is not sufficient to meet this requirement.

b. A Director of the program and facility operations on-call and available for emergencies 24 hours a day, every day. The Program Director shall have a bachelor’s degree in any field and have at least 1 year of experience providing oversight of a residential homeless facility.

c. A professionally state of California credentialed Registered Nurse (RN) licensed with the California Board of Registered Nurses. RN credentials will be required part time (20 hours/week) located on site). One-year experience working in an inpatient medical/mental health setting or outpatient homeless clinic setting is required.

d. Sufficient case management personnel to provide the necessary therapeutic interventions and activities and to ensure a meaningful integration of these efforts with those provided in the residential setting. Case managers must have training and experience working with homeless individuals with chronic medical, metal health and substance abuse problems and be able to assess and anticipate crises. Must have bachelor’s degree in a social service field. If degree is in another field equivalent case management experience will be acceptable. Each Veteran must have an assigned case manager responsible for coordinating and providing the supportive services specified in the contract. The ideal case manager to Veteran ratio is 1:10, however consideration will be given by the VA to the unique staffing characteristics of the contract facility. The clinical supervisor may not be used to fill this position in lieu of case management staff.

e. Veteran Service Worker: 1 staff on-site, 24 hours a day, 7 days a week with a minimum of a high school diploma and experience working with homeless, medically compromised and/or substance abuse populations and has the ability to assess situations to determine whether a medical and/or emergency exists.

f. Security staff onsite 24 hours a day, 7 days a week is preferred.

g. At least one staff or security member with Cardio-Pulmonary Resuscitation (CPR) certification on site and available in an emergency during each shift, 24 hours per day.

h. Peer Support Specialist positions are highly encouraged to support the recovery model of care within the contract. At minimum, Peer Support Specialists should have a valid and current state Peer Support Certification.

B. Contractor is expected to provide the following trainings to contract staff within 1 week of the initiation of the contract and annually thereafter, as required:

• Motivational Interviewing

• Critical Time Intervention

• Stages of Change

• Crisis Intervention

• Cultural sensitivity

• Sexual Harassment

• Sensitivity to wider issues of homelessness

• Universal Precautions (disease transmission prevention)

• Adult abuse/neglect reporting laws

• Harm Reduction philosophy

• Suicide Prevention

• Medication Management

• State and Federal Fair Housing Law & ADA Requirements

• Conflict resolution

• Customer Service

• Professional Boundaries

• Countertransference

• Severe Mental Illness and Psychopathology

• De-escalation Techniques

• Conservatorship

• Grave Disability Criteria

• Privacy and Confidentiality

C. Contractor staff must maintain professional boundaries with the Veteran at all times while conveying an attitude of genuine concern and caring.

a. Contractor staff should under no circumstances engage in sexual activities or sexual contact with Veterans or their family members, whether such contact is consensual or forced. Contractor should under no circumstances take unfair advantage of any professional relationship or exploit Veteran clients or their family members to further their personal, religious, political, or business interests. Contractor staff should not engage in dual or multiple relationships with Veterans or their family members in which there is a risk of exploitation or potential harm to the Veteran or Veteran family.

Contractor is responsible for taking steps to protect Veterans and their family members and is responsible for setting clear, appropriate, and culturally sensitive boundaries.

b. The contractor shall comply with the VA patient’s Bill of Rights as set forth 38 CRF17.33 Patient’s Rights. The contractor is responsible for maintaining Veterans’ privacy and confidentiality and must have systems in place that protect Veteran’s personal identifying information and protected health information. This includes but is not limited to:

i. Having adequate private office space for Veterans to meet in confidence with their case manager.

ii. Having secured paper and electronic filing systems to protect clients’ case records and other documentation.

iii. Conducting ongoing training of staff about maintaining client privacy and confidentiality in all verbal and written communications and interactions.

iv. Ensuring that non-clinical/non-case management facility staff have access to Veteran information only as needed to meet the service requirements contained in the contract.

D. Contractors must communicate policies and procedures to Veteran residents both verbally and in writing in a manner that is understandable to each Veteran upon admission to the facility, ideally in the form of a written resident handbook that is verbally reviewed by the assigned case manager with the Veteran. This communication must be documented in the Veteran’s client record.

E. The contractor shall provide, at minimum, the following medical case management services to Veterans in the program:

a. A thorough written Individualized Service Plan (ISP) will be developed within 72 business hours of admission for each Veteran. This will include structured individual case management, at minimum, weekly including counseling on self-care skills, adaptive coping skills, financial planning, permanent housing search, written care plan, referral for financial benefits. Additional counseling may include professional and vocational rehabilitation counseling in collaboration with VA programs and community resources.

b. Engagement of the Veteran in the service planning process. Contractor will carry responsibility for interviewing, counseling and case managing identified Veterans by conducting psychosocial assessments to identify treatment needs which affect the Veterans’ adjustment to their environment and establish treatment goals.

c. Contractor will assess the psychosocial and environmental needs or dysfunction secondary to or exacerbating the social, substance or psychiatric problems, which might contribute to Veterans’ readjustment challenges in the community. Contractor establishes and maintains an intensive therapeutic relationship with the Veteran, staff, and community programs/agencies, and is responsible for formulating case-management treatment goals and plans that address identified needs, stressors and problems.

d. Contractor will conduct high-risk screening, psychosocial assessment and treatment planning, actively involving the Veteran and their family or significant others, in coordination with the team members. Specifically, Contractor will:

(1) Complete a written plan within 72 hours of program admission and signed by the contractor, the Veteran, and reviewed by and signed by the VA Liaison/COR. Written plans should capture at a minimum SMART goals (subjective, measurable, attainable, realistic and timely), including SNAP (Strengths, Needs, Abilities and Preferences), and a transition plan at intake that can be updated as needed, and at discharge. All discharge documentation should be completed within 3 days of discharge.

(2) Review plans at minimum every thirty (30) days thereafter in a clinical meeting with the Veteran. Updated plans must be promptly communicated to the VA Liaison.

(3) Make changes in plans in consultation with the Veteran.

(4) Screen each Veteran for suicidal and homicidal risk with each contact at a minimum of weekly during case management sessions. This screening must be documented in regular progress notes in the contractor’s clinical service records. If the Veteran is a danger to him/herself or others Contractor will take immediate steps to provide appropriate intervention. Crisis management will be conducted in consultation and coordination with the VA Liaison.

(5) Coordinate with VA Liaison during monthly case conferences regarding updates and changes in Veterans’ care plans to foster a collaborative relationship with the VAGLAHS and contractor in meeting Veterans’ needs. Case conferencing may be done in person or by telephonic conference calls as determined by the VA medical center.

(6) Obtain relevant Releases of Information to communicate and coordinate Veterans’ treatment with VA and other community-based service providers.

(7) Work in close collaboration with the VA Liaison to ensure Veterans’ connections to needed VA medical, mental health, and substance abuse treatment and care.

(8) Contractor will take primary responsibility for assisting Veterans in completing housing applications and other benefits paperwork as needed. Contractor will assist Veterans in obtaining the needed documentation required for complete applications including but not limited to, birth certificates, driver’s license, income verification and any additional information required by housing resources and potential income supports.

(9) Contractor will provide transportation for Veterans to attend appointments at the VA, potential housing placements, benefits agencies, meetings with landlords, etc.

Transportation may include assistance in obtaining metro cards, bus fare, or local subsidized transportation services such as Access, etc.

F. A licensed Registered Nurse provides support to Veterans in maintaining health and wellness in the Recuperative Care Program. Assists Veterans with scheduling medical and mental health appointments, provides education regarding ongoing medical concerns and medication management, and arranges transportation to and from all appointments. Makes referrals to the Veteran’s assigned VA provider e.g. HPACT or other PACT teams, with regards to medical or mental heal care coordination and makes sure all medications prescribed are reconciled to prevent duplication of orders among providers. Promotes clear communication amongst treating providers by ensuring awareness regarding Veteran’s medical needs and prescribed medication. Provides coordination of care by collaborating with Veterans and PCP (Primary Care Team). Assist Veterans with medication management by monitoring Veterans’ compliance issues and providing medication education to improve compliance. Teaches appropriate medical interventions regarding any health-related care, self-care, and management of medical diagnosis.

G. The contractor will complete the following as it pertains to Medication Monitoring:

a. Maintain up to date individual records of all medications, including prescription and non-prescription medications used by persons served.

b. The awardee will ensure that it has a written policy that addresses storage and handling of medications, documentation guidelines and safe medication disposal.

c. All medications must be stored in a secure locked area, except when under the direct supervision of appropriate staff.

d. All medications are periodically checked for expiration dates or deterioration.

Medications must also be stored according to manufacturer’s guidelines.

e. The awardee shall ensure that the staff responsible for monitoring medications are provided with orientation and ongoing training about responsibilities regarding medication monitoring.

f. The contractor will ensure that ongoing documentation of medications meets VA guidelines.

H. The contractor will provide the following onsite therapeutic and rehabilitative services including:

a. A variety of daily structured groups and activities to promote social skills building and healthy lifestyle (i.e., resident participation in psychosocial group sessions, topics based upon resident preference and recommendations by the residential treatment setting staff and VA Liaison; physical activities; facilitated outings or social activities in the local community). Daily activity schedules must be printed and posted in facility common areas to ensure Veteran awareness and promote participation.

b. Weekly groups that support long-term permanent housing stabilization goals.

c. Health and personal hygiene maintenance.

d. Importance of engaging Veterans in medication adherence, if necessary.

e. Supportive social services, in collaboration with the case managers, VA or other community resources; Supportive services include, but are not limited to: collaboration with accessing VA and/or other community benefits such as general relief and social security, helping link Veterans to accessing ID cards if necessary, linkages to requested support groups in the community such as AA, NA, outpatient medical and mental health services.

f. Professional counseling as required, including emphasis on self-care skills, adaptive coping skills, vocational counseling, in collaboration with the VA Liaison or community resources as appropriate.

g. Opportunities for immediate learning and/or development of responsible living with a goal of achieving a more adaptive level of psychosocial functioning.

h. Support for an alcohol and/or drug-free lifestyle.

i. Opportunities for learning, and internalizing knowledge of the illness and/or recovery process; improving social skills; and improving personal relationships.

j. Opportunities for client participation in community activities, volunteer opportunities, local consumer services, etc.

I. Contractor will verbally notify VA through the HCHV VA Liaison at the local VA medical center of any negative incident occurring with a Veteran immediately, but no later than one hour from the time of the contract staff learning of the incident. Contractor will complete a written incident report within 24 hours of notification. For all incidents that occur after normal business hours, the contractor shall notify the Administrator on Duty (AOD). Incidents include but are not limited to: death; fire; drug / police raid; suicide / suicide attempt; 911 call (police / fire dept. / paramedics / other); drug overdose; severe medical illness / emergency; severe psychiatric illness / emergency; sexual assault; act of violence by Veteran against other(s); abusive behavior by Veteran against staff; act of violence by other(s) against Veteran; abusive behavior by staff against Veteran; accident; medication problems or adverse drug reactions; or other untoward events. Contractor will follow the CERS Incident Reporting Policy. [See Incident Report Form in Reference section.]

J. In the event a Veteran residing in a HCHV Contracted Recuperative Care program under this contract dies, the contractor will promptly notify the VA Liaison authorizing admission and immediately assemble, inventory, and safeguard the Veteran’s personal effects. The funds, deposits, and effects left by Veterans upon the premises of the facility shall be delivered by the director or manager of the facility to the person or persons entitled thereto under the laws currently governing the facility for making disposition of funds and effects left by Veterans unless the beneficiary died without leaving a will, heirs, or next of kin capable of inheriting.

When disposition has been made, the itemized inventory with a notation as to the disposition has been made, they will be immediately forwarded to the VA Liaison. Property and funds wherever located vests in and becomes property of the United States in trust. In these cases, the facility will forward an inventory of any such property and funds in its possession to the appropriate VA office and will hold them (except articles of clothing necessary for proper burial) under safeguard until instructions are received from the VA concerning disposition.

SUBSTITUTION OF PERSONNEL

A. The Contractor shall utilize the personnel named in its quotation to perform the services required under this contract. In the event that any of the personnel named in the quotation are unable to perform the duties of this task order, for any reason such as death, illness, or resignation from the Contractor’s employ, the Contractor shall promptly submit to the Contracting Officer and COR, in writing, a detailed explanation of the circumstances necessitating the substitution.