36C26324Q0908_1.docx

36C26324Q0908

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE

DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a.

PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE

ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26.

TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212

-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNAT

URE OF OFFEROR/CONTRACTOR

31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C26324Q0908 06-21-2024 Traci Johannes 320-469-4322 07-12-2024 16:30

CDT

36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Contract Officer 4801 Veterans Drive St. Cloud MN 56303 Traci Johannes, Contracting Officer X X 485999 $19 Million N/A X Department of Veterans Affairs Sioux Falls VA Medical Center 2501 West 22nd Street Sioux Falls SD 57105 Same as Block 9: ISSUED BY

Department of Veterans Affairs Financial Service Center PO Box 149971 Austin TX 78714 512-460-5540 See CONTINUATION Page Patient Transport Services at the Sioux Falls VA Medical Center as defined in the Performance Work Statement.

See CONTINUATION Page X X Traci Johannes Contracting Officer Table of Contents

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:

Company Name and Address:

SAM Unique Entity ID Number:

Contact Person(s) Name:

Contact Person(s) Email:

Contact Person(s) Phone:

b. GOVERNMENT: Contracting Officer 36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Contract Officer 4801 Veterans Drive St. Cloud MN 56303

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

3. INVOICES: Invoices shall be submitted in arrears:

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.

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

36C26324Q0908

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6. INVOICING: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

Please contact the phone numbers or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

• e-Invoice Setup Information:

• e-Invoice email:

• FSC e-Invoice Contact Information:

• FSC e-invoice email: vafsccshd@va.gov

Tungsten e-Invoice set-up information: 877-489-6135 Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com FSC e-Invoice Contact Information: 877-353-9791 FSC e-Invoice email: vafsccshd@va.gov More information on the FSC electronic invoicing process can be found at http://www.fsc.va.gov/einvoice.asp.

7. VA ISSUED BADGE: Contract employees are required to complete a Tier 1 background check and badging process. Badging will be processed by the Program Manager/COR. If required to obtain a VA Flash Badge, contract employees will be required to present 2 forms of government identification for verification of contract employee.

8. COVID RELATED FACILITY ENTRANCE PROCEDURES: Contract employees will be subject to COVID-related facility entrance procedures which includes testing and wearing appropriate face covering. Additional details will be provided by the Sioux Falls Project Manager prior to arrival at the VA facility.

9. CONTRACTOR ATTIRE AND IDENTIFICATION. The Contractor shall wear industry clothing that enables easy recognition as a “Contract Employee.” Clothing shall present a neat, distinctive appearance; shall be clean and maintained in good repair; and shall be worn as designed by the manufacturer. The Contractor shall wear appropriate clothing with logo identifying the contractor’s and employee’s name. The Contractor’s attire and presentation shall be appropriate per industry standard.

10. EMERGENCY PROCEDURES. The Contractor shall take such safety precautions as necessary to protect the lives and health of occupants of the buildings. The Contractor shall comply with applicable Federal, State, Local and facility safety and fire regulations and codes which are in effect at the beginning of the contract period. The Contractor shall keep abreast of and comply with changes in these regulations and codes applicable to the contract. The Contractor shall follow applicable facility policies concerning fire and/or disaster events. The Contractor shall display approved warning devices in all areas where operations may cause traffic obstruction or personnel hazard.

PERFORMANCE WORK STATEMENT (PWS)

Patient Transport Services to support the Sioux Falls VA Health Care System

General Overview

a. The purpose of this requirement is to provide transport services for the U.S. Department of Veteran Affairs (VA) Sioux Falls VA Health Care System (SF) located in Sioux Falls, South Dakota. The service provided shall be performed in such a manner as to assure the safety and welfare of patients, visitors and staff.

b. The Contractor shall provide all vehicles, personnel, management, transportation, materials, supplies and equipment necessary to perform contract services as defined and specified herein. Contractor shall furnish all necessary vehicles, drivers, and attendants when required, to transport patients of the SFVAHCS.

c. Services provided under this contract shall strictly adhere to all current laws and regulations applicable to the State of South Dakota and the City of Sioux Falls unless supplemented to exceed those requirements as specified herein. Contractor will comply with U.S. Interstate Commerce Commission required insurance liability coverage for out-of-state trips (Iowa, Minnesota, Nebraska, North Dakota, etc.). Transportation is required for non-ambulatory patients who are usually wheelchair bound and require wheelchair van transport. The quantities indicated in B.2 (Price/Cost Schedule) are estimates only.

Place of Performance

County/Zip Code

South Dakota

57375

57342

57335

57544

57024

57383

57356

57523

57548

57028

57361

57529

57568

57065

57324

57367

57533

57348

57369

57538

57576

57359

57350

57380

57385

57381

57225

57223

57058

57429

57384

57236

57234

57319

57434

57386

57258

57241

57374

57436

57399

57271

57440

57278

57248

57323

57461

57337

57465

57063

57069

57371

57349

57469

57066

57073

57476

57467

57005

57477

57006

57243

57332

57020

57534

57007

57245

57340

57022

57541

57026

57030

57580

57061

57272

57045

57033

57584

57052

57220

57334

57331

57041

57015

57276

57363

57354

57055

57021

57366

57056

57036

57402

57218

57376

57068

57043

57426

57101

57047

57427

57237

57346

57103

57053

57432

57238

57540

57104

57070

57433

57358

57106

57004

57441

57328

57382

57107

57025

57445

57109

57038

57446

57344

57212

57110

57049

57449

57364

57214

57231

57118

57037

57474

57438

57233

57186

57040

57479

57466

57249

57188

57046

57481

57470

57353

57189

57067

57192

57072

57042

57193

57078

57355

57246

57050

57194

57079

57370

57251

57054

57195

57252

57057

57196

57253

57075

57197

57341

57256

57076

57198

57264

57027

57265

57032

57269

57034

57039

57064

57077

57108

Iowa

Minnesota

Nebraska

51012

56211

68722

51014

56225

68746

51029

56227

68755

51035

56240

68777

51037

56276

51049

56278

68727

51061

68736

56118

68739

51301

56145

68745

51333

56159

68749

51338

56174

68771

51340

56183

68774

51341

68792

51343

56137

51357

56143

68731

51366

56150

68741

56161

68743

51347

68776

51351

56218

51355

56232

68728

51360

56256

68732

51363

56257

68733

51364

68751

56136

68757

50531

56142

68770

50578

56149

68784

51334

56178

68785

51344

51365

56132

68713

56157

68725

51235

56169

68734

51237

56175

68735

51240

56229

68742

51241

56239

68763

51242

56258

68766

51243

56264

68780

51246

56291

68778

51046

56039

51058

56075

68724

51201

56088

68729

51231

56121

68730

51245

56127

68760

51248

56162

68783

51346

56171

68786

56176

68789

51249

56181

51345

68747

51350

56122

68765

51354

56123

68767

56125

68769

50527

56131

50528

56141

68759

50536

56151

50562

56172

68740

50597

68787

51342

56117

68790

51358

56119

56129

51008

56153

51024

56155

51028

56165

51031

56167

51038

56168

51045

56185

51050

56187

51062

56139

51011

56140

51022

56144

51023

56164

51027

56170

51036

56177

51041

56186

51234

51238

56134

51239

56138

51244

56146

51247

56147

51250

56156

56158

51007

56173

51015

51016

56056

51018

56060

51019

56062

51026

56081

51030

56120

51039

56160

51044

51048

51052

51054

51055

51056

51101

51102

51103

51104

51105

51106

51108

51109

51111

Period of Performance

This will be a single award Indefinite Delivery, Indefinite Quantity (IDIQ) contract with period of performance of Base Year + 4 Option Years.

Services will be contracted through the issuance of IDIQ task orders against IDIQ Contract each ordering period/option year.

Issuance of task orders during ordering periods cited above will be made at Government’s discretion based on continued need for services, Contractor performance, and availability of funds in a given fiscal year for task orders.

Scope of Work

1. Work Requirement

a. The Contractor shall provide all vehicles, personnel, management, transportation, materials, supplies, and equipment necessary to perform contract services as defined and specified herein. Services provided under this contract shall strictly adhere to all current laws and regulations applicable to the State of South Dakota and the City of Sioux Falls. In no circumstances will any section or clause of this contract authorize the contractor to provide care and/or equipment below these established guidelines.

b. Contractor shall furnish 7 days, 365 days a year, 24-hour transportation service for the beneficiaries of SF.

c. The Contractor shall have and maintain the following qualifications:

i. Contractors shall be regularly established in the business called for and who are financially responsible and have the necessary equipment and personnel to furnish in the volume required for all the items under this contract.

ii. Contractor shall have been in the hired car service business or at least two years. Successful offeror shall meet all requirements of Federal, State or-City-codes-regarding operation of this type of service

iii. Each offeror must submit, prior to contract award, documentation fully describing the make of vehicle, model and year which he/she agrees to furnish under this proposal including the location and telephone number of his/her establishment where calls are received, and vehicles are immediately available for dispatch. The Contracting Officer Representative (COR) will be notified in writing of any equipment added after award of contract.

Non-Emergency Escort

a. Prices quoted shall include the services of escort (if and when required by Physician--only ambulatory patients who do not require medical management, but who may require assistance and/or restraining will normally be transported), in addition to the driver, and such other services as may be necessary to assist beneficiaries in and out of the vehicle, to or from the door of pickup, or delivery and handling of beneficiaries' articles such as prosthetic appliances, folding wheelchairs, or personal luggage items essential to his needs on admission to the hospital or return trip home.

b. All escorts shall have successfully completed First Aid/CPR/AED training and must be able to provide a copy of their certification upon request.

c. An authorized official of SF, may, in the best interest of the beneficiary, allow a relative to accompany him/her at no additional charge for transport. This will be communicated to the Contractor by SF.

d. It may be determined advantageous for the VA to assign its own escort to accompany a patient. Contractor will be notified of this fact at time trip is arranged. In such cases, a return trip for the escort will not be accomplished by contractor unless previous authorization has been given by SF.

2. Number of Patients

a. It is understood and agreed that from one (1) to four (4) patients could be transported from one (1) pickup location to destination. When travel beyond the city limits is involved and more than one patient is transported in the same vehicle, pick-up charge for each patient will be assessed as indicated by contractor in B.2 (Price/Cost Schedule) plus a single mileage charge covering the number of miles for the longest distance over which a patient is transported.

b. Contractor must ensure that the pick-ups and drop-offs are scheduled so that the total distance traveled will result in the most economical charge to the Government. Only VA patients will be transported at one time by Contractor.

3. Waiting Time

a. For time lost in waiting at either end or both ends of a trip due to a patient care delay that causes the patient to be over 15 minutes late, the contractor will be reimbursed at the rate of one-fourth the hourly rate quoted in his/her offer for each quarter hour or fraction thereof in excess of one-quarter hour from the time he/she reports to the designated person. If necessary, the contractor must wait the fifteen minutes--not leave and charge an additional pick-up charge. The contractor will call or otherwise notify the VA Travel Coordinator as soon as he/she anticipates that a delay may develop for which he/she expects to be reimbursed for "Waiting Time". This notice will verify the contractor's arrival time at the pickup point for which he/she will request reimbursement. VA Travel Coordinator contact information will be provided to the Contractor by the COR or COR Designee upon award.

b. Payment for "Waiting Time" reimbursement MUST be approved and verified before payment will be authorized. In order to verify reimbursement for "Waiting Time", the Contractor must provide written documentation of the delay, including but not limited to (1) arrival time at origin and/or destination verified by other than Contractor's personnel, (2) departure time at origin and/or destination verified by other than Contractor's personnel,(3) reason for delay, and (4) total amount of reimbursement requested. Failure to notify the VA in advance of the possible charge could result in nonpayment. Waiting time will also be assessed as indicated above by VA if contractor fails to meet a pre-scheduled trip time.

4. Orders

a. Request for services to be performed will ordinarily be communicated via VA-mandated scheduling software but may also be communicated via phone, email, etc. Contractor will accept and initiate transports only from authorized personnel of the VA including the VA-mandated scheduling software. Upon award of contract, the contractor will be provided with a list of authorized personnel and appropriate contact phone numbers. Providing transport upon the request from other than authorized personnel may result in non-payment of transport by the Government.

b. Patients that are dropped off at the Sioux Falls VA Medical Center will be taken to the main entrance during normal business hours and the driver will ensure a warm handoff with VA staff. After normal business hours, passengers will be dropped off at the Emergency Department check-in area and will ensure a warm handoff, unless otherwise instructed in the request for services.

c. If the contractor is unable to furnish the vehicles required for service under this contract, it will be the contractor's responsibility to obtain the services for the VA from an alternate source. If the contractor is unable to furnish the number of vehicles required, the contractor must notify the COR, or designee(s), immediately by phone and then follow-up with e-mail. All subcontracted services must be pre-approved by COR, or designee(s), prior to any patients being transported.

d. For urgent same-day transports, if the Contractor fails to furnish service within a reasonable time (30 minutes shall be considered a reasonable time) after receiving a request for services, the VA reserves the right to obtain the service from another source and to charge the Contractor with any excess cost resulting there from. The contractor will contact passenger(s) and notify them of the estimated pick-up time. The VA will be sole judge in determining when to order service from another source. If a trip has been pre-scheduled for a specified time and contractor fails to arrive at that time, waiting time may be assessed by VA.

e. The Contractor shall advise the VA employee making the call the approximate time the vehicle will be dispatched. If it is impossible for the contractor to make a determination at the time of initial contact by the VA, the Contractor will advise the VA caller within 15 minutes of the VA calls when the anticipated time of dispatch of the vehicle and the company supplying the vehicle if the Contractor cannot supply his/her own vehicle. Times given for pickup of patients will be within prompt limits and agreeable to the VA personnel making the call.

f. Contractor is required to notify the COR of any unusual events including but not limited to accidents, safety problems & patients unbolting themselves during transport under this contract. Notification will be made within one hour by phone and a written report delivered to the COR within 24 hours.

5. City Limits

a. The city limits, for the purpose of this contract are defined as the corporate limits of the city of Sioux Falls, South Dakota. Orders will be identified as “in-town” or “out-of-town” for invoicing purposes.

6. Vehicles

a. All vehicles used to transport passengers under this contract must be of modern design and manufacture and equipped with heat, air conditioning, adjustable temperature controls and appropriate restraints for all occupants (e.g., seatbelts) as well as their equipment needs (e.g., wheelchairs, scooters, stretchers, oxygen tanks). All vehicles must be equipped with some form of communication device such as a two-way radio, cell phone, etc., which can be used for direct communications with their dispatch and/or VA medical staff in emergency situations. The Contractor shall make available for inspection by the COR or COR designee all vehicles at least once annually and when a vehicle is replaced. The Government reserves the right to inspect vehicles without notice to the contractor to ensure a safe environment for all veterans, veteran family members, and staff which have the potential of occupying the vehicles.

b. Safety restraint systems are required in all vehicles. There will be safety restraints to secure wheelchairs, scooters, stretchers, oxygen tanks, etc. to vehicle and all patients will be secured in wheelchair, seat, etc. using a restraint device or safety shoulder harness system. The contractor will not transport any occupant who refuses to be properly secured while being transported.

c. Wheelchair and lie-down vehicles: Wheelchair vehicles shall be equipped to safely load, carry, and discharge beneficiaries. Wheelchair vehicles shall be equipped at a minimum with the following:

i. All vans must have a hydraulic lift that is integral to the vehicle for placing the patient into the van and a suitable means of fastening the wheelchair or litter to the van. Loading platform shall have raised edges, is counter balanced, self-adjusting to curbs and sidewalks, and self-storing. When not in use platform shall be securely stored so as not to block the vision of the driver or inconvenience the beneficiary.

ii. Any van which will be utilized for performing lie-down transportation services must be equipped with a litter complete with restraining straps and side-rails.

iii. The van used for wheelchair van transportation must be always equipped with a wheelchair.

iv. Side and/or rear loading doors shall be operational from both inside and outside the vehicle.

v. It is required that all vehicles have safety restraints for patients and medical personnel.

vi. Clamp cleats or belts, to accommodate both standard and oversized wheelchairs, too firmly anchor wheelchair and prevent movement in any direction.

vii. Steps shall be treated with non-skid material.

viii. Safety belts for occupants.

ix. Four (4) emergency flares and warning lights.

x. Two (2) blankets.

xi. Reverse alarm.

d. All vehicles will have at a minimum the following:

i. One (1) five-pound Standard ABC fire extinguisher, in operating condition, with a current inspection tag

ii. Adequate straps, tie downs, and latches to secure stretchers, cots, wheelchairs, etc. to the specific vehicle used in performing work under this contract.

iii. Adequate straps to secure beneficiaries safely to any seat, stretcher, cot, and/or collapsible stretcher appropriate to the vehicle used in performing work under this contract.

iv. All vehicles dispatched for service under this contract must be in mechanical running condition without indications of engine malfunctions or warnings. Vehicle tires shall meet the minimum specifications by the vehicle manufacturer, based on the vehicle year, make, and model and the requirement of the State Department of Public Safety. The vehicle body shall be without damage or in need of repair. The vehicle must have a clean appearance both in the interior and on the exterior.

7. Maintenance

a. Vehicles shall undergo continual preventive maintenance. Contractor shall maintain and make available, upon the request of the COR, individual maintenance records for each vehicle used in the performance of this contract.

8. Personal Effects

a. The contractor will be required to transport, with the occupant, a reasonable number of personal effects during pick-up and/or delivery. This will be accomplished with the priority being on the safety of the occupant and safe completion of the transport. In no instance will the contractor be required, without compensation, to transport these items by separate vehicle.

9. Inspection

a. The Government reserves the right to thoroughly inspect and investigate the establishment, facilities, business reputation and other qualifications of any offeror and to reject any offer, irrespective of price, that shall be administratively determined lacking in any of the essentials necessary to assure acceptable standards of performance.

b. All vehicles assigned to this contract will be inspected prior to award. The Government reserves the right to perform annual inspection during the duration of the contract. If any equipment is added after award of contract, it shall be inspected and approved by the COR before being placed in use under this contract. Contractor must meet all requirements of Federal, State or City codes regarding operations of this type of service.

10. Drivers/Escorts

a. Record of each employee as to character and physical capabilities of performing the duties of a driver or escort must be maintained and made available for inspection upon request. Copies of any applicable licenses or certifications must be made available upon request. Drivers must be fully trained in the operation of the vehicle, its accessories and equipment, including communication equipment, tire changing equipment, wheelchairs/litters and their vehicle fastening equipment.

b. The government reserves the right to restrict any contractor employee from performing services under this contract who does not meet the required qualification of the services they perform, violates federal regulations or is identified by the VA as a potential threat to the security, safety, health or operational mission of the Department of Veterans Affairs and their populations or beneficiaries. The restriction of such a person shall not relieve the Contractor from providing all the required services as described herein. The VA reserves the right to investigate contractor personnel as to character and physical capabilities for performing the duties under this contract.

c. At all times during the performance of this contract, Contractor employees shall conduct themselves in a professional manner and be clean and neat in appearance.

11. Evidence of Insurance Coverage

a. Before award of contract, the Contractor shall furnish to the Contracting Officer a certificate of Insurance which shall contain an endorsement to the effect that cancellation of, or any material change in, the policies which adversely affect the interests of the Government shall not be effective unless 30 day written notice of cancellation or change is furnished to the Contracting Officer.

12. Government-Furnished Property and Services

a. FAR Clause 52.245-4 Government-Furnished Property (Short Form) contains the basic requirements for the operation, maintenance and protection of government property.

The following Government property is relevant to this contract:

Wheelchairs

13. Contractor-Furnished Property and Supplies

a. The Contractor shall furnish and maintain in acceptable condition, at no cost to contract, all items of uniform and equipment necessary to perform work required by this contract, as discussed in this paragraph, and additional items as needed, within reason.

b. Contractor shall provide all equipment and supplies required to complete contract requirements.

14. Required Reports and Documents

0. Within seven (7) days after contract award the contractor shall provide the following:

0. Contractor Personnel Roster - In this document, contractor shall identify all employees by name and position and provide training documentation with date and location of such training. Include contractor’s project manager with telephone number and e-mail address; please also include telephone number, e-mail addresses, and fax numbers through which scheduling transport requests will be made.

0. Listing of all vehicles with VINs and documentation of insurance coverage; SDDOT or equivalent vehicle inspection documentation and statement indicating that all have been fully maintained and are currently safe to operate.

0. Any personnel or vehicle changes shall be submitted within two (2) business days after changes occur to the COR and their designees.

15. Subcontracting

a. The following information must be provided by the Contractor to the COR for any subcontractor used in the performance of this contract within the time frames and requirements addressed in this contract:

· A list of all vehicles to be used in the performance of this contract, including the year, make, model and license plate number.

· A list of all employees with evidence of current training as required by the contract, and current driver's license.

· A copy of the subcontractor’s written policy for infection control.

· A copy of the subcontractor's written Quality Assurance Program.

0. The Contractor must provide the Contracting Officer with a legal opinion from his insurance carrier indicating that his insurance coverage would include coverage of any subcontractors utilized in the performance of this contract. If the opinion states that the subcontractor is not covered, the subcontractor will not be approved by the Contracting Officer.

16. Miscellaneous

a. At no time will the Contractor leave vehicles on SF premises unless a pick-up or delivery is in progress.

b. When transporting patients to or from medical facilities, the driver, acting for the Contractor, will ensure that patient’s luggage, medical records, medications, and prosthetic devices are properly accounted for and delivered with the patient as required.

17. Contractor’s Quality Control Program (QCP)

a. The Contractor shall establish and maintain a complete QCP to ensure the requirements of this contract are provided as specified. A QCP shall be provided to the COR within five days of award of contract.

The Contractor’s QCP shall include the following at a minimum:

1. An inspection plan covering all services required by this contract. The inspection plan must specify the areas to be inspected on either a scheduled or unscheduled basis; how often inspections will be accomplished and documented; and the title of the individual(s) who will perform the inspections.

1. On-site records of all inspections conducted by the Contractor noting necessary corrective action taken. The Government reserves the right to request copies of any and/or each inspection.

1. Incorporation of either active or established internal policy or procedures for updating service protocols that may affect performance of contract.

1. The methods for identifying and preventing deficiencies in the quality of service performed, before the level of performance becomes unacceptable and organizational functions noting intermediate supervisory responsibilities and overall management responsibilities for ensuring total acceptable performance.

1. On-site records of all vehicle maintenance and repairs performed on vehicles used in the performance of this contract. The methods of identifying and preventing vehicle breakdowns, and detailed procedure for alternative transportation of patients in the event of mechanical breakdown of vehicle.

1. On-site records identifying the character (background checks) and certifications of ongoing training of each employee performing services under this contract.

1. The methods of identifying and preventing radio communication breakdowns. A detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

1. A log to account for all requests for service. The log shall indicate the date and time of service call, name of patient requiring services, designated pick-up and delivery points, actual time of arrival at pick-up and delivery points and actual waiting time at pick-up and delivery points, if waiting charges are claimed.

1. On-site records of any complaints or problems, with procedures taken to allow for corrections and/or elimination before effects caused interruption of performance of contract.

x. The Contractor shall employ enough employees to perform the required level of services of the contract. Requested transportations shall not be cancelled due to the Contractor’s lack of employees

General Requirements

It shall be understood that, throughout performance of the contract, the Contractor’s personnel, while on VA property, shall adhere to all requirements and regulations that govern the VA Health Care System and its property.

Among all other requirements, the VA Health Care System and its property is now entirely smoke-free.

Contractor and their personnel shall follow all U.S. Department of Veterans Affairs (VA) policies, standard operating procedures, applicable laws, and applicable regulations while on VA property. Violations of this may result in citation and disciplinary measures for persons violating the law.

Contractor and their personnel shall always wear visible identification while they are on premises.

Possession of weapons is prohibited.

Contractor shall take all reasonable precautions necessary to protect persons and property from injury or damage during the performance of this contract.

Business Associate Agreement (BAA)

This contract involves the use of Personal Health Information (PHI), and therefore a Business Associate Agreement (BAA) shall be required between VA and the Contractor The BAA, attached in Section D below, must be signed by the Contractor no later than five business days after award.

The Contractor shall follow all VA rules and regulations regarding information security to prevent disclosure of sensitive information to unauthorized individuals or organizations.

The Contractor may have access to Protected Health Information (PHI) and Electronic Protected Health Information (EPHI) that is subject to protection under the regulations issued by the Department of Health and Human Services, as mandated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA); 45 CFR Parts 160 and 164, Subparts A and E, the Standards for Privacy of Individually Identifiable Health Information (“Privacy Rule”); and 45 CFR Parts 160 and 164, Subparts A and C, the Security Standard (“Security Rule”). Pursuant to the Privacy and Security Rules, the Contractor must agree in writing to certain mandatory provisions regarding the use and disclosure of PHI and EPHI.

The Contractor shall have access to some privileged and confidential materials of VA. These printed and electronic documents are for internal use only, are not to be copied or released without permission, and remain the sole property of VA. Some of these materials are protected by the Privacy Act of 1974 (revised by PL 93-5791) and Title 38. Unauthorized disclosure of Privacy Act or Title 38 covered materials is a criminal offense.

The Contracting Officer (CO) shall be the sole authorized official to release in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to this contract. The Contractor shall release no information. Any request for information relating to this contract presented to the Contractor shall be submitted to the CO for response.

Contractor personnel recognize that in the performance of this effort, Contractor personnel may receive or have access to sensitive information, including information provided on a proprietary basis by carriers, equipment manufacturers and other private or public entities. Contractor personnel agree to safeguard such information and use the information exclusively in the performance of this contract. Contractor shall follow all VA rules and regulations regarding information security to prevent disclosure of sensitive information to unauthorized individuals or organizations as enumerated in this section and elsewhere in this Contract and its subparts and appendices.

Contractor shall limit access to the minimum number of personnel necessary for contract performance for all information considered sensitive or proprietary in nature. If the

Contractor is uncertain of the sensitivity of any information obtained during the performance this contract; the Contractor has a responsibility to ask the CO.

Contractor shall train all their employees involved in the performance of this contract on their roles and responsibilities for proper handling and nondisclosure of sensitive VA or proprietary information. Contractor personnel shall not engage in any other action, venture or employment wherein sensitive information shall be used for the profit of any party other than those furnishing the information. The sensitive information transferred, generated, transmitted, or stored herein is for VA benefit and ownership alone.

All terminated personnel are denied physical and electronic access to all data, program listings, data processing equipment and systems.

Service Contract Labor Standards Requirement (as applicable) Contractor shall provide hourly wages in accordance with U.S. Department of Labor (USDOL) Wage Determinations and FAR Subpart 22.10 (Service Contract Labor Standards); USDOL Wage Determinations are attached in Section D below and updated versions will be attached as part of task orders issued against IDIQ contract.

For guidance on Service Contract Labor Standards and to find the nearest USDOL resource, please refer to https://www.dol.gov/whd/local/index.htm.

Invoicing Submissions In addition to regulations set forth in FAR 52.212-4 (Contract Terms and Conditions – Commercial Items) (g) “Invoice” and VAAR 852.232-72 (Electronic Submission of Payment Requests), Contractor shall submit final invoice on any services performed no later than 30 days after end of the period of performance of contract. This ensures that closeout of contracts comply with FAR 4.804-1(b).

Invoices shall be submitted within 7 days of completion of prior month’s services.

These electronic invoices should avoid placing patient personal information on them but will need include the following in order to cross reference and verify the charges:

· Purchase Order Number

· Trip Ticket Number

· Run # or Patient’s Acct Number (vendor’s patient identification number) that is also reflected on each individual claim form described below.

· Date of Service (Trip Date)

· Total Charges Post-Award Conference Upon award of contract, Contractor shall attend a post-award conference via conference call with the Contracting Officer (CO), Contracting Officer Technical Representative (COTR), and COTR designated representatives from VA facility.

Reports and Deliverables As cited through this SOW, Contractor shall be responsible for complying with all reporting and deliverable requirements. Contractor shall be responsible for assuring the accuracy and completeness of all reports and other deliverables as well as the timely submission of each. Contractors shall comply with requirements regarding the appropriate reporting formats, instructions, submission timetables, and technical assistance as required. All reports and deliverables are to be sent by electronic mail unless otherwise specified by the CO.

Documenting Performance The Government shall document positive and/or negative performance. Any report may become a part of the supporting documentation for any contractual action and preparing annual past performance using the Contractor Performance Assessment Reporting System (CPARS) at https://www.cpars.gov.

If contractor performance is not satisfactory, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication. In any case, the CO shall document the discussion and place it in the contract file. When the COTR and the CO determines formal written communication is required, the COTR shall prepare a Contract Discrepancy Report (CDR), and present it to CO. The CO will in turn review and will present to the contractor's program manager for corrective action.

The contractor shall acknowledge receipt of the CDR in writing within one (1) business day of receipt. The CDR will specify if the contractor is required to prepare a corrective action plan to document how the contractor shall correct the unacceptable performance and avoid a recurrence. The CDR will also state how long after receipt the contractor has to present this corrective action plan to the CO. The Government shall review the contractor's corrective action plan to determine acceptability. The CO shall also assure that the contractor receives impartial, fair, and equitable treatment. The CO is ultimately responsible for the final determination of the adequacy of the contractor’s performance and the acceptability of the Contractor’s corrective action plan. Any CDRs may become a part of the supporting documentation for any contractual action deemed necessary by the CO.

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

WHEELCHAIR VAN TRANSPORT ANY TRIP WITHIN CITY LIMITS

Contract Period: Base POP Begin: 07-01-2024 POP End: 06-30-2025

WHEELCHAIR VAN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

WHEELCHAIR VAN TRANSPORT PICKUP CHARGE PER PATIENT

CAR TRANSPORT ANY TRIP WITHIN CITY LIMITS

CAR TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

CAR TRANSPORT PICKUP CHARGE PER PATIENT

LIE-DOWN TRANSPORT ANY TRIP WITHIN CITY LIMITS

LIE-DOWN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

LIE-DOWN TRANSPORT PICKUP CHARGE PER PATIENT

WAITING TIME PER HOUR

WHEELCHAIR VAN TRANSPORT ANY TRIP WITHIN CITY LIMITS

Contract Period: Option 1 POP Begin: 07-01-2025 POP End: 06-30-2026

WHEELCHAIR VAN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

WHEELCHAIR VAN TRANSPORT PICKUP CHARGE PER PATIENT

CAR TRANSPORT ANY TRIP WITHIN CITY LIMITS

CAR TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

CAR TRANSPORT PICKUP CHARGE PER PATIENT

LIE-DOWN TRANSPORT ANY TRIP WITHIN CITY LIMITS

LIE-DOWN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

LIE-DOWN TRANSPORT PICKUP CHARGE PER PATIENT

WAITING TIME PER HOUR

WHEELCHAIR VAN TRANSPORT ANY TRIP WITHIN CITY LIMITS

Contract Period: Option 2 POP Begin: 07-01-2026 POP End: 06-30-2027

WHEELCHAIR VAN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

WHEELCHAIR VAN TRANSPORT PICKUP CHARGE PER PATIENT

CAR TRANSPORT ANY TRIP WITHIN CITY LIMITS

CAR TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

CAR TRANSPORT PICKUP CHARGE PER PATIENT

LIE-DOWN TRANSPORT ANY TRIP WITHIN CITY LIMITS

LIE-DOWN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

LIE-DOWN TRANSPORT PICKUP CHARGE PER PATIENT

WAITING TIME PER HOUR

WHEELCHAIR VAN TRANSPORT ANY TRIP WITHIN CITY LIMITS

Contract Period: Option 3 POP Begin: 07-01-2027 POP End: 06-30-2028

WHEELCHAIR VAN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

WHEELCHAIR VAN TRANSPORT PICKUP CHARGE PER PATIENT

CAR TRANSPORT ANY TRIP WITHIN CITY LIMITS

CAR TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

CAR TRANSPORT PICKUP CHARGE PER PATIENT

LIE-DOWN TRANSPORT ANY TRIP WITHIN CITY LIMITS

LIE-DOWN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

LIE-DOWN TRANSPORT PICKUP CHARGE PER PATIENT

WAITING TIME PER HOUR

WHEELCHAIR VAN TRANSPORT ANY TRIP WITHIN CITY LIMITS

Contract Period: Option 4 POP Begin: 07-01-2028 POP End: 06-30-2029

WHEELCHAIR VAN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

WHEELCHAIR VAN TRANSPORT PICKUP CHARGE PER PATIENT

CAR TRANSPORT ANY TRIP WITHIN CITY LIMITS

CAR TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

CAR TRANSPORT PICKUP CHARGE PER PATIENT

LIE-DOWN TRANSPORT ANY TRIP WITHIN CITY LIMITS

LIE-DOWN TRANSPORT ANY TRIP OUTSIDE CITY LIMITS

LIE-DOWN TRANSPORT PICKUP CHARGE PER PATIENT

WAITING TIME PER HOUR

Contract guaranteed minimum is $100,000 for the base year period of performance.

Contract maximum is $7,000,000 for lifetime of the contract.

Quantities listed are estimates only based on historical data. Actual quantities on task orders can be less than or greater than estimated quantities listed based on VA Sioux Falls Health Care System needs.

Only warranted Contracting Officers from Network Contracting Office (NCO) 23, Department of Veterans Affairs can issue task orders or ordering officers as delegated by the Contracting Officer may issue orders against this single award Indefinite Delivery, Indefinite Quantity (IDIQ) contract.

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SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance.