S02 36C26325Q0326 -Final 1.pdf

PAGE 1 OF 1. REQUISITION NO.

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

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

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

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

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

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

36C26325Q0326 01-21-2025

Michael Wicht 4029963630 TIME 02-05-2025

11:00 CST

36C263

Department of Veterans Affairs

Network 23 Contracting Office (NCO 23)

111 South 18th Plaza, Suite C53

Omaha NE 68102-2077

X 100

X

562211

$47 Million

N/A

X

Department of Veterans Affairs

Network 23 Contracting Office (NCO 23)

VA Des Moines Hospital

3600 30th Street

Des Moines IA 50310

36C263

Department of Veterans Affairs

Network 23 Contracting Office (NCO23)

111 South 18th Plaza, Suite C52

Omaha NE 68102-2077

Department of Veterans Affairs

Tungsten Electronic Invoicing

VA Tungsten Number: AAA544240062 va.registration@tungsten-network.com

Refer to VAAR 852.232-72

See CONTINUATION Page

RFQ for Hazardous Waste Removal Services at the Des Moines

VA Hospital in Des Moines, IA and its affiliated

CBOCs in accordance with the Statement of Work.

This requirement is for a 5-year Ordering Period IDIQ with five one-year Priced Periods.

Task orders shall be issued for each Priced Period.

5-year Ordering Period shall be from 04/01/2025-03/31/2030.

The DOL Wage Determination for Cerro Gordo, Marion, Polk

Marshall and Webster counties shall apply to any award made from this Solicitation.

All wage determinations are attached in Section D.

This requirement is being solicitated as a Total Service

Disabled Veteran Owned Small Business Set-Aside

All Technical Questions must be received in writing by

01/28/2025 by 11:00 AM CST by email. michael.wicht@va.gov

All Quotes must be received by 02/05/2025 by 11:00 AM CST by email. michael.wicht@va.gov

See CONTINUATION Page

636-3650162-9067-856100 2542-0300561Z2

636-25-2-9067-0022

X X

X One

Scott Morrison

NCO2316L2-65423

36C26325Q0326

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

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

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

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

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)... 35

C.7 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.9 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023)

(DEVIATION)

C.10 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.11 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.12 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 42

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

COMMERCIAL SERVICES (SEP 2023)

E.2 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.7 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.8 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.9 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS — COMMERCIAL

ITEMS

E.10 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

CONTRACTOR NAME _____________________________________

ADDRESS _______________________________________________

CITY-STATE-ZIP __________________________________________

POINT OF CONTACT/TITLE _________________________________

PHONE NUMBER ________________________________________

FAX NUMBER ___________________________________________

E-MAIL ADDRESS ________________________________________

SAM UEI NO. ____________________________________________

CAGE CODE _____________________________________________

CONTRACTOR’S PAST PERFORMANCE POINT OF CONTACT

(IF DIFFERENT THAN ABOVE):

NAME: __________________________________________

EMAIL ADDRESS: _________________________________

b. GOVERNMENT: Contracting Officer 36C263

Scott Morrison

Department of Veterans Affairs

Network Contracting Office 23

2011 W. 26th St. Rm 103, Sioux Falls, SD 57105

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

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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly after inspection and acceptance

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

Requests.

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

AMENDMENT NO DATE

B.4 STATEMENT OF WORK

DES MOINES STATEMENT OF WORK

I. CONTRACTING OFFICER’S REPRESENTATIVE (COR) DESIGNATION.

A. The Contracting Officer (CO) will designate a Contracting Officer’s Representative (COR) to act for him/her in furnishing technical guidance and advice, and to monitor the work and services being performed under this contract.

B. Such designation will be in writing and will define the scope of the COR’s authority. A copy of the designation shall be furnished to the Contractor by the CO.

II. DESCRIPTION/SPECIFICATIONS/STATEMENT OF WORK:

The contractor shall provide disposal, lab pack, transfer, and removal services for hazardous waste (including dual waste), pharmaceutical hazardous waste, and non-hazardous chemical waste, universal and other wastes, regulated medical waste (RMW) (to include bulk, sharps and trace-chemo/pathological), Controlled Substance Destruction Program (CSDP) waste from the Veterans Affairs Central Iowa Health Care System’s (VACIHCS) main campus (3600 30th street, Des Moines, IA 50310). The contractor shall provide disposal, lab pack, transfer, and removal services for hazardous, pharmaceutical hazardous and RMW (to include bulk and sharps) from the VACIHCS’ six out-patient locations (listed below) require waste removal.

VACIHCS’ Out-Patient Clinic locations:

Carroll Community Based Out-patient Clinic (CBOC) 311 S Clark St, Suite 275 Carroll, IA 51401 Knoxville CBOC 1607 N. Lincoln Street Knoxville, IA 50138 Marshalltown CBOC 201 E Merle Hibbs Blvd

Marshalltown, IA 50158 Mason City CBOC 478 Tiffany Dr.

Mason City, IA 50401 Fort Dodge CBOC 530 S. 25th St.

Fort Dodge, IA 50501 South Des Moines VA Clinic 1211 E. army Post Rd.

Des Moines, IA 50315

Each location requires the following services: collecting, hauling, treatment and disposal of the of the wastes listed above on a regularly scheduled basis, to be mutually determined by provider of service and the VACIHCS. Contractor shall provide all lab pack services, emergency spill response services, all primary collection containers, mounting brackets and floor mounts, carts for movement of waste to the Centralized Accumulation area and interim storage for reusable sharps system. Contractor shall provide all labor, materials and operations for each waste type listed.

Services shall include On-site Technician Services to collect/exchange full RMW (bulk, sharps, trace-chemo/pathological) and pharmaceutical waste containers for empty containers, transport full containers to the Central Accumulation Area (CAA) rooms, segregate wastes with like compatible materials/containers, bulk containerize compatible wastes, label newly posted containers as well as the containers within the CAA, perform spill clean-up of any wastes spilled by the on-site technician during their services, containerize the spilled material, label spilled material container; in accordance with all current federal, state and local laws and regulations.

The On-site technician services shall correspond to the performance period of this contract.

Services shall include Hazardous Material Emergency Spill Response, having the capability to respond to emergencies, identify the spill material if unknown, contain, clean-up, containerize, and label containers in accordance with all federal, state and local laws and regulations to include but not limited to OSHA (1910.120 Hazardous waste operations and emergency response). The emergency spill response services shall correspond to the performance period of this contract.

The contract shall be for one base year, with the potential for an additional four (4) option years at the discretion of the VACIHCS.

All services provided within this contract must be in accordance with all current federal, state, and local laws and regulations. These include but not limited to these Hyperlinked items:

1. Hazardous Waste Generator Improvements Rule.

2. Management Standards for Hazardous Waste Pharmaceuticals and Amendment to the

P075 Listing for Nicotine.

3. Hazardous Waste Electronic Manifest (E-Manifest) System.

4. 29 CFR 1910.1030, Blood Borne Pathogen standard

5. 29 CFR 1910.120, Hazardous waste operations and emergency response

6. 40 CFR Part 260 to 279

7. 49 CFR Parts 100 to 185, Transportation

SOW is broken out into five sections to reflect these different service types.

Section A: Regulated Medical Waste (Bulk, Sharps, and Trace-Chemo/Pathological) Section B: Pharmaceutical Hazardous Waste and Controlled Substance Destruction Program Section C: Hazardous and Non-Hazardous waste (including universal and other wastes) Section D: Emergency Spill Response Services Section E: On-site Technician service

Service/waste description, quantity and frequency of items are listed in Attachment A.

II. SPECIFICATIONS/REQUIREMENTS

https://www.ecfr.gov/search?prior_hierarchy%5Bsubtitle%5D=B&prior_hierarchy%5Btitle%5D=49&search%5Bdate%5D=current&search%5Bquery%5D=Hazardous+Waste+Generator+Improvements+Rule https://www.epa.gov/hwgenerators/final-rule-management-standards-hazardous-waste-pharmaceuticals-and-amendment-p075 https://www.epa.gov/hwgenerators/final-rule-management-standards-hazardous-waste-pharmaceuticals-and-amendment-p075 https://www.epa.gov/e-manifest https://www.ecfr.gov/current/title-29/subtitle-B/chapter-XVII/part-1910/subpart-Z/section-1910.1030 https://www.ecfr.gov/current/title-29/subtitle-B/chapter-XVII/part-1910/subpart-H/section-1910.120 https://www.ecfr.gov/current/title-40/chapter-I/subchapter-I/part-260 https://www.ecfr.gov/current/title-49/subtitle-B

VACIHCS Hazardous, Pharmaceutical Hazardous waste, non-hazardous wastes, CSDP and

RMW

a) The VACIHCS intends to award an Indefinite Delivery/Indefinite Quantity (IDIQ) contract to a qualif ied firm with the capability and capacity to provide services to all or individual sections listed within this document.

b) Hazardous, dual, universal and DEA drug waste (i.e. CSDP), waste disposal services, lab packs and removal, treatment and disposal of non-hazardous chemical waste, including RMW from VACIHCS, and VACIHCS’ leased Out-patient Clinics. Services shall include:

technical consulting; electronic record keeping; emergency spill response; all labor, materials, tools, equipment, analysis, travel, transportation, documentation, waste treatment, disposal and support services required to categorize, package, transport, document and dispose of hazardous, dual, non-hazardous including RMW (bulk, sharps, and trace-chemo/pathological) wastes and universal wastes from all above-mentioned facilities. The Contractor and the Contracting Officer’s Representative (COR) from VACIHCS will arrange for a routine (non-emergency) service for each facility based upon volume. This will occur on a daily, weekly, monthly, quarterly or other periodic basis depending on rate of generation or need. Example, RMW could be requiring services three times a week and Hazardous waste would be on a monthly cycle or a one-time bulk clean out of material could be requested.

• Routine waste pick-ups for the VACIHCS’ Main Campus for hazardous waste, pharmaceutical waste, non-hazardous wastes to be every other month (6 times per year but no more than 63 days from the previous pick-up);

• Routine waste pick-ups for the VACIHCS’ Main Campus for RMW (bulk, sharps, and trace-chemo/pathological) will be picked up three times per week.

• Routine waste pick-ups for the VACIHCS’ leased Out-patient clinics for hazardous waste and pharmaceutical hazardous waste will be once a year (no more than 365 days from the last pick-up);

• Routine waste pick-ups for the VACIHCS’ leased Out-patient clinics for RMW (Bulk and sharps) will be picked up every other week with the except of South Side clinic (once a week), (6 times per year but no more than 63 days from the previous pick-up).

• Additional waste pick-up services may be required and requested based on volume or emergency situations. The successful offeror must possess the necessary technical expertise and resources required by this solicitation to be considered for contract award. All services must be in accordance with current federal, state and local regulations.

• The contractor will coordinate with VACIHCS of all hazardous/hazardous pharmaceutical waste pick-ups and notify VACIHCS one week prior to the waste pick-ups with the date of pick-up and sending copies of all expected manifests no less than 3 days of the expected waste pick-up.

c) Considerations – Services for waste pick-ups/transportation at the main campus will be performed during the hours of 7:30 AM and 3:30 PM, Monday through Friday, and 10:00 am to 2:00 pm for the VACIHCS leased Out-patient clinics, excluding National Holidays to ensure VA employees with DOT certif ication can sign for waste pick-ups. The Contracting Officer Representative (COR) or DOT Hazardous Material certif ied designee is available during those hours for the visual packaging of wastes and the approval/signature of manifests and other required documentation. If exigent circumstances require services during an unscheduled time period then that date and time must be approved by the COR, and the after-hours access will be coordinated with the COR or designee. To be considered for the contract award, the bidder must possess the necessary technical expertise and resources required by this solicitation to be, considered for contract award.

d) The Contractor’s on-site technician staff shall:

1. Have training in hazardous waste handling, RCRA, Blood Borne Pathogens (BBP) , OSHA hazard communications and emergency procedures. This training shall include compliance with all federal, State, and local regulations involving the handling of hazardous materials, wastes (including transporting wastes to the CAA), BBP, spill clean-up, hazardous drugs, segregating wastes, and federal regulations involving OSHA and EPA, regulations.

2. Log-in and out at the beginning and end of each shift, the log will be maintained in the administrative office within the Environmental Management Service department (VACIHCS main campus). If on-site contractor is not going to be in for any reason the COR must be notif ied within 2 hours of their shift beginning.

3. Support both VA CIHCS main campus and the South Des Moines VA Clinic.

4. Remain onsite (except for lunch or travel between sites) and be available at all times during business days (Monday-Friday, excluding weekends and federal holidays), during business hours (7:30am – 4:00pm) because other task requirements associated with these services may occur with or without warning at any time and must be completed immediately or within a specified time period (e.g., 5 minutes, 10 minutes, etc.) depending on the nature of the task.

5. Be reachable by phone or email (example cell phone) while on duty.

e) The VACIHCS makes no commitment concerning the minimum or maximum poundage of waste, which will be required for disposal by the Contractor. The amount of services requested from the Contractor will be determined solely by the VACIHCS.

f) Contractor will provide a certif iable weighing system to enable proper billing for waste poundage disposed; i.e., if the disposal container weighs 14 pounds and Contractor is to dispose/haul 10 containers, each container will be weighed and container total weight (140 pounds) is subtracted from the gross weight to determine total waste poundage to be paid.

g) Rates are all inclusive of containers, vehicle(s), and the services of qualif ied vendor within

Attachment A. Also included is delivery, set-up, disinfection of equipment or any other services called for by this solicitation.

h) Service will be in form of full or total service with contractor performing all of the functions related to the waste services. Includes collecting all containers from inside the healthcare system, which are located throughout the main campus inpatient, outpatient, OR, Laboratory and like locations and transporting to the VACIHCS Central Accumulation Area’s (CAA).

Contractor will assure to use the appropriate containers/packaging in accordance with Department of Transportation (DOT) regulations for transport for treatment providing all additional packaging, manifesting for treatment, treatment and disposal per federal, state and local regulations.

i) The contractor is responsible for training the COR, and designed staff on the use, handling and care of all container systems utilized for waste services. Training will be coordinated with the COR for a mutually agreed upon dates and times. The training will be 2 sessions during normal business hours (Monday – Friday, 0730 – 1600) excluding federal holidays.

j) The Contractor and its subcontractors shall be required to comply and keep current with all changes to such Federal, state, local, and VA CIHCS, laws, regulations, policies, and requirements, which occur during the performance of this contract. The Contractor shall provide to the VA CIHCS any additional licenses, permits, registrations, etc., that may be required by the Contractor and its subcontractors because of changes in such laws.

k) The contractor is responsible for providing a manifest of all items picked up (number of containers and sizes) at the time of pick up to the Contracting Officer’s Representative (COR) or his/her designee. A detailed destruction manifest of all Haz and Non-Haz waste containers (including RMW) transported from the VACIHCS to include the date of pick up, location and the weight of the content of the containers as well as the date and place of destruction is to be provided to the COR within thirty (30) calendar days of destruction. Within the Uniform Hazardous Waste Manifest, section 5, “Generators Name and Mailing Address” will be identif ied as VA Central Iowa Health Care System, 3600 30 th St, 50310. The Generator’s Site address will be the address where the waste is picked up. Manifest(s) may either be in carbon paper copy form or electronic through an electronic manifest system.

l) The contractor will provide a backup plan in the event circumstances disrupt their ability to provide any of their services outlined in this contract. Service will be provided within 24 hours of a failure to meet scheduled pick-up or delivery times.

m) Contractor’s failure to provide adequate number of containers may result in the need for an overnight delivery or overnight shipment at the contractor’s expense. Sufficient containers are required to be supplied that meet the daily needs of the VA.

n) Attachment B will show all locations for each Section of waste is to be serviced and have container placement accordingly.

III. COMPLIANCE

Contractor/subcontractors will comply with all federal, state and local laws and regulations, including but not limited to:

• All wastes are to be collected, transported, treated and disposed of in accordance with Federal, State and local laws.

• Regulated waste under the Federal Bloodborne Pathogens standard (BBP) found at 29

CFR 1910.1030

• Regulated waste under the Federal Hazardous Materials Regulations (HMR) found at 49 CFR 173.134, administered by the U.S. Department of Transportation (DOT). This includes any laws in other states that are applicable to the transportation of wastes across state lines

• Guidelines required by Center for Disease Control (CDC).

• Local Blood and Body Fluids Exposure Control Plan.

• Other applicable regulating agencies

Section A: RMW (include Bulk, Sharps, and Trace-Chemo/Pathological)

a. The hospital's bulk RMW, including needles/sharps, is to be treated prior to disposal by means of incineration or autoclaving and is waste which originates from the diagnosis, care and treatment of patients that have been or may have been exposed to a contagious or infectious disease or immunization or in the production or testing of biologicals.

b. Regulated waste under the Federal Bloodborne Pathogens standard (BBP) found at

29 CFR 1910.1030

c. Regulated medical waste under the Federal Hazardous Materials Regulations (HMR) found at 49 CFR 173.134, administered by the U.S. Department of Transportation (DOT). This includes any laws in other states that are applicable to the transportation of infectious waste across state lines

d. DECONTAMINATION or TREATMENT

1. Regulated Medical Waste: Preferred method of treatment is by means of autoclaving. Regulated medical wastes (bulk and sharps) shall not be treated through incineration but through alternative means such as autoclaving to render the medial waste non-infectious then disposed of as solid waste in landfill. Alternative means to render medical waste non-infectious will follow all federal, state and local regulations/laws and CDC guidelines.

2. Trace-Chemo/Pathological Waste: Required method of treatment is by means of incineration at approved Hospital/Medical/Infectious Waste Incinerator (HMIWI) location.

i. Contractor's medical waste incinerator facility will have a capacity 500 pounds/hour or greater. He/she is required (with any size contract waste incineration operation) to have or obtain an air emissions facility permit for installation and operation of the incinerator. Incinerator must be of a controlled-air design unless the permittee conducts performance testing while combusting medical waste on alternate types of incinerators.

Operating requirements, emission limits and monitoring for existing or new facilities will be in accordance with interim recommendations as adopted by all federal, state and local regulation. Incineration must effectively reduce the waste volume by 90%, effectively combusted for an adequate period of time under proper temperature and oxygen conditions to minimize toxic emissions; scrubbers and bag houses are recommended to further reduce particulate emissions. Ash from medical waste incinerators shall be disposed of in a permitted sanitary landfill.

e. Waste may not be compacted or mixed with other waste materials prior to destruction and disposal.

f. Contractor's HMIWI facility will meet all Federal, state and local EPA laws and regulations.

g. CONTAINERS

1. All containers utilized in waste disposal services are to be provided by the Contractor.

2. Colors, size, type, mounted/tabletop or floor based attachments are to be provided as outlined in SOW.

3. Containers utilized must be in good condition, which are clean/free of debris/disinfected, fully functioning without cracks or holes and have clear labels identifying the waste type per container. All containers reusable in nature must be fully empty, cleaned and disinfected with an EPA registered disinfectant prior to reuse.

4. Contractor will provide the initial quantity of containers as needed and will exchange a clean, disinfected container for each filled container.

5. Contractor will provide pricing for each container size for future needs to be added to contract as needed.

6. Bulk Reusable Containers will be lined with red or yellow plastic bag (when applicable) and have tight-fitting lid. In addition, they must be:

a. Reusable

b. Puncture resistant

c. Pre-Assembled

d. Leak proof on the sides and bottom

e. Able to secure lid onto container for storage/transportation

f. Able to be disinfected

g. Labeled or color-coded in accordance with OSHA Bloodborne pathogens standard

h. Lined with new plastic liner (when applicable), thickness of bags will be appropriate to contain materials and prevent tearing.

i. RMW reusable containers will be of various sizes for VACIHCS use (example: 8 gallon, 17 gallon, 32-gallon capacity, etc.); plastic containers or equal, with lids and handles, suitably protected from leakage during use and transport. Contractor must provide two different colors, red and yellow (red for RMW waste and yellow for pathological/trace chemo waste).

7. Reusable sharps containers must be:

1. Reusable

2. Puncture proof

3. Pre-assembled

4. Leak proof in upright orientation when in use. Upon closure of lid, must be leak proof in all orientations, including upside down.

5. Overfill protection that automatically activates and restricts access and overfilling.

6. Lockable. Upon securing disposal point, container contents are completely locked with need of device or key to open disposal point.

This implies the container and not the cabinet/hanging bracket itself.

7. Sight/view port

8. Large access opening but with restricted hand access that will prohibit a child or adult from accessing the contents for most containers with an open top container for OR and other similar area uses.

9. Multiple sizes (example: 2 gal, 4 gal, and 8 gal.)

10. Able to be disinfected via automatic process which doesn’t require human touch to open/dump/disinfect.

11. Ability to wall mount and/or table-top/floor mount w/stand.

h. Contractor is responsible for removal of existing wall mounted container brackets and installation of their wall brackets at no cost to the government. Wherever feasible the contractor will mount their wall brackets in the same location as the existing brackets being removed. All brackets must be securely mounted and must fully lock container inserts utilized within brackets. Placement should be in accordance with industry standard ergonomic practices when possible and at direction of the COR or his or her designee. Locations requiring brackets to be mounted are on Attachment B.

Additional brackets not mounted by contractor during initial installation will be kept on VA property for VA staff to mount as needs adjust.

i. Contractors carts provided for storage of clean, soiled reusable sharps containers must be enclosed.

j. Contractor will provide pricing for each container size for future needs to be added to contract as needed.

Section B: Pharmaceutical Waste Services and Controlled Substance Destruction Program

a. The Contractor shall ensure waste items are properly containerized, labeled, marked, documented, and all transport vehicles are placarded, prior to transport, by its employees or subcontractors

b. The Contractor and its subcontractors shall dispose of VACIHCS wastes in the following preferred priority:

1. Recycling to another party for future use if legally and economically feasible and practical

2. Treatment of the wastes (at a facility approved for such processing by appropriate Federal and/or state agencies) in a manner that renders it no longer a hazardous waste as defined in 40 CFR (e.g. incineration)

3. Long-term internment (burial) in a secure landfill site approved for such wastes and operations by appropriate Federal and/or state agencies.

c. Contractor is responsible for removal of existing wall mounted container brackets and installation of their wall brackets at no cost to the government. Wherever feasible the contractor will mount their wall brackets in the same location as the existing brackets being removed. All brackets must be securely mounted. All brackets must be securely mounted and must fully lock container inserts utilized within brackets. Placement should be in accordance with industry standard ergonomic practices when possible and at direction of the COR. Locations requiring brackets to be mounted are on Attachment B. Additional brackets not mounted by contractor during initial installation will be kept on VA property for VA staff to mount as needs adjust.

d. VACIHCS has identif ied the need for a Controlled Substance Destruction Program (CSDP), which means a controlled substance in the form of liquid that has been expunged from a syringe, vial or ampule or solid waste from patches, pills, tablets or capsules. The CSDP program shall include:

1. Need CSDP containers securely mounted to a solid surface (e.g. walls, cabinets or as otherwise instructed by the COR).

2. Multiple size containers available (example: quart and gallon size)

3. Container openings will not allow retrieval of container contents.

4. Containers must have a substance that will render the controlled substance ineffective and unable to use.

5. Have easy access to open container (such as a flip lid) not requiring the removing of lids (minimizes the potential of losing or damaging the lid, and provides quick and easy access to dispose of waste)

6. A process to solidify the liquid contents to further assist in rendering the contents irretrievable.

5. The pricing is per container

6. Mounting brackets at no cost to the Government

7. Labor to mount the brackets at no cost to the Government during initial installation

e. Training the COR and designee on the use, handling and care of the CSDP program within 30 days of execution of the program. Training will include 2 training sessions during normal business hours (Monday – Friday, 0730 – 1600) excluding federal holidays.

f. DECONTAMINATION or TREATMENT

1. Preferred method of treatment of Pharmaceutical waste.

a. Prior to treatment, vendor reviews each waste stream profile to determine its chemical nature, content and optimal disposal method.

b. All testing as required by treatment facility’s treatment/disposal permit(s) (as required by Federal, State and Local regulations) will be completed to assure safe handling and processing of materials.

c. Incineration, scrubbing of wastes and management of all byproducts per federal, state and local regulations.

g. CONTAINERS

1. All containers utilized in Pharmaceutical waste disposal services are to be provided by the Contractor.

2. Multiple available sizes (example: 2 gallon, 5 gallon, 8 gallon, etc)

3. Mounted on a solid surface (e.g. wall, cabinets or rolling based units) .

3. Must be in good condition, which are clean/free of debris/disinfected, fully functioning without cracks or holes and have clear labels identifying the waste type per container. Labeled to meet the Hazardous Waste Generator

Improvement Rule. All containers reusable in nature must be fully disinfected with an EPA registered disinfectant prior to reuse.

4. Must be:

• Reusable (with the exception of the CSDP program containers)

• Lockable with features that make the pharmaceutical contents irretrievable during use within the hospital work centers.

• Overfill protection with a mechanical device that automatically activates when the container is full which eliminates access or overfilling.

• Sight/view port

• When closed the container is spill proof.

5. Preferred pharmaceutical container labeling system will be of a color -coded system, which is segregated at the lowest degree possible for minimum confusion to VACIHCS staff to dispose of wastes. The lowest level of segregation in accordance with Federal State and Local laws. VA CIHCS manages pharmaceutical waste per 40 CFR regulations to include 40 CFR Part 266 Subpart P, Management Standards for Hazardous Waste Pharmaceuticals and Amendment to the P075 Listing for Nicotine.

6. Contractor will provide pricing for each container size for future needs to be added to contract as needed.

Section C: Hazardous and Non-Hazardous waste (including universal and other wastes) Services

a. The Contractor shall provide containers to all VACIHCS to place in work areas for collection of waste.

b. The Contractor and its subcontractors shall dispose/treatment of VACIHCS wastes in the following preferred priority:

1. Recycling to another party for future use if legally and economically feasible and practical

2. Treatment of the wastes (at a facility approved for such processing by appropriate Federal and/or state agencies) in a manner that renders it no longer a hazardous waste as defined in 40 CFR (e.g. incineration)

3. Long-term internment (burial) in a secure landfill site approved for such wastes and operations by appropriate Federal and/or state agencies.

c. DECONTAMINATION or TREATMENT

1. Prior to treatment, vendor reviews each waste stream profile to determine its chemical nature, content and optimal disposal method.

2. All testing as required by treatment facility’s treatment/disposal permit(s) (as required by Federal, State and Local regulations) will be completed to assure safe handling and processing of materials.

3. Incineration, scrubbing of wastes and management of all byproducts per federal, state and local regulations.

d. CONTAINERS

1. All containers utilized in waste disposal services are to be provided by the Contractor.

2. Containers may be reusable or disposable containers (colors, size, type, mounted/tabletop or floor based attachments are to be provided as outlined in

SOW).

3. Containers utilized must be in good condition, which are clean/free of debris/disinfected, fully functioning without cracks or holes and have clear labels identifying the waste type per container. All containers reusable in nature must be fully disinfected with an EPA registered disinfectant prior to reuse.

4. Contractor will provide pricing for each container size for future needs to be added to contract as needed

5. Multiple sizes available (example: gallon, 5 gallon, 9 gallon, and 18 gallon, etc) to be used within the industrial work centers for collection of generated waste can be proposed by vendor and accepted by COR. 55 gallon interim collection drums would be needed within the CAA.

6. Preferred container labeling system will be of a color-coded system, which is segregated at the lowest degree possible for minimum confusion to VACIHCS staff to dispose of wastes. The lowest level of segregation in accordance with Federal State and Local laws. Meeting EPA’s Hazardous Waste Generator Improvements Rule.

Section D: Emergency Spill Response Services

a. The contractor will provide Emergency Spill Response Services with contact information that will allow VACIHCS to call in the event of an Emergency Spill that is beyond the capability of VACIHCS to clean up or in the event of an unknown contaminant is found and requires to be identif ied, contained, spill-clean-up, containerized, and labeled of container for shipping.

b. Emergency spill response time: must be able to respond on site within 2 hours of being contacted by VACIHCS.

c. The contractor will provide pricing for response services to include labor, and consumables (spill materials and PPE).

Section E: On-site Technician service

a. The contractor will provide On-Site technician Services, working within VACIHCS on a daily basis during normal business hours (Monday-Friday, 0730 – 1600) excluding federal holidays, exchanging empty RMW (bulk, sharps, and trace-chemo/pathological), Pharmaceutical waste, and CSDP containers for the full containers, moving the full containers to the CAA, as well as segregating the wastes within compatible groups, and labeling of all containers as required by federal, state and local laws and regulations. Performing spill clean-up of all wastes spilled by the on-site technician.

b. The on-site technician reports all violations noted during rounding to the COR or designee.

c. The contractor will provide pricing for On-site Technician services

I. TRANSPORTATION AND VEHICLE

1. Vendor will assure all transportation and vehicle processes are compliant with DOT, EPA and other applicable federal, state and local regulatory agencies.

2. Vendor to avoid mechanical loading devices which may rupture packaged waste; use leakproof vehicle and appropriate means to prevent, tip-overs, scattering, spillage or fall-offs during transport. Label transport vehicle with universal biohazard symbol; transport vehicle will not be left open nor unattended.

3. Contractor will provide, at no cost to the employee, appropriate personal protective equipment such as, but not limited to, gloves, gowns, laboratory coats, face shields or masks and eye protection, and mouthpieces, resuscitation bags, pocket masks, or other ventilation devices. Personal protective equipment will be considered "appropriate" only if it does not permit blood or other potentially infectious materials to pass through to or reach the employee's work clothes, street clothes, undergarments, skin, eyes, mouth, or other mucous membranes under normal conditions of use and for the duration of time which the protective equipment will be used.

4. Contractor must obtain all necessary permits and/or licenses regarding the pickup and incineration and/or other acceptable disposition as regulated by State and Federal EPA Guidelines for infectious medical waste. The contractor/transporter agrees to ho ld the Government harmless for any negligence of contractor/transporter or his/her employees who may wholly or individually be liable for improper disposal during the performance of this contract.

II. LOCATION OF PICK UP POINT:

All clean containers will be delivered to the following locations:

VACIHCS Main Campus:

3600 30th St.

Des Moines, IA 50310 and all CBOCs.

VACIHCS’ Leased Out-Patient Clinic locations:

Carroll Community Based Out-patient Clinic (CBOC) 311 S Clark St, Suite 275 Carroll, IA 51401 Knoxville CBOC 1607 N. Lincoln Street Knoxville, IA 50138 Marshalltown CBOC 201 E Merle Hibbs Blvd

Marshalltown, IA 50158 Mason City CBOC 478 Tiffany Dr.

Mason City, IA 50401 Fort Dodge CBOC 530 S. 25th St.

Fort Dodge, IA 50501 South Des Moines VA Clinic 1211 E. army Post Rd.

Des Moines, IA 50315

A preferred pickup schedule is 7:30 a.m and 3:30 p.m (Main Campus), Monday through Friday, and 10:00 am to 2:00 pm for the VACIHCS leased Out-patient clinics There shall be no pickup charges separate from line item charges. Offerors are required to furnish the following information:

II. INSPECTIONS:

The Contractor and it’s subcontractors will permit on-site visits by VA personnel to assess contracted services, i.e., capabilities, compliance with contract requirements, record keeping, etc.

a. Inspection by the VA Inspection Team and/or Safety Engineer, may be made of the establishment facilities, vehicles and equipment, and maintenance records of vehicles and equipment anytime during the term of the contract.

b. The right is reserved to thoroughly inspect and investigate the establishment facilities, vehicles, business reputation and past performance history and other qualif ications of any Offeror and to reject any offer, irrespective of price, if it shall be administratively determined lacking any of the essentials necessary to assure acceptable standards of performance.

IV. DOCUMENTATION/REPORTS:

a. The Contractor and its subcontractors are required to comply with all Federal, state, local, municipal, VA, VHA, and VACIHCS, laws, regulations, policies, and requirements, regarding tracking, recordkeeping, profiling of waste, manifesting and documentation of all wastes covered under this contract.

b. The Contractor and its subcontractors shall be required to comply and keep current with all changes to such Federal, state, local, municipal, and VACIHCS, laws, regulations, policies, and requirements, which occur during the performance of this contract. The Contractor shall provide to the VACIHCS any additional licenses, permits, registrations, etc., that may be required by the Contractor and its subcontractors because of changes in such laws.

c. The Contractor and its subcontractors shall furnish properly executed and legible copy(ies) of the manifests and all related documentation required for categorizing, packaging, transporting, and end disposal, of hazardous wastes covered under this contract. Contractor is responsible for providing detailed Manifest/ RMW shipping papers of all waste transported from the VACIHCS to include:

• The date waste type was collected

• Proper United Nations (UN) code, (Example UN3291, Regulated Medical Waste, n.o.s., 6.2, PG II) in accordance with DOT requirements

• Container size, quantity and weight/ volume picked up

• Number of containers delivered to customer

• Designated Treatment Facility with Alternate Designated Facility

• 24-hour emergency phone number

• A copy of the manifests and RMW shipping papers must be left with the Contracting

Officer Representative (COR) or his designee on the day of collection. The contractor is required to provide a signed and legible manifest attesting to the destruction of all waste is to be sent to the COR (VACIHCS @ 3600 30 th st, Des Moines, Iowa 50310) within 30 days of the destruction of the medical waste or hazardous waste. All hazardous, non-hazardous manifests and RMW Shipping papers will be DOT compliant.

Contractor will submit monthly reports by category to the COR on all waste types segregated to include poundage disposed of, a monthly report submitted with invoices with total volumes of waste and number of containers removed for each waste steam after each pick up of all waste streams within this contract (e.g. RMW bulk, RMW reusable sharps, RMW Path/Chemo, Hazardous waste, non-hazardous waste, and Pharmaceutical Hazardous Waste). Contractor may email the report in Microsoft Excel to the COR.

Contractor shall have a centralized waste tracking system that is exportable to the VA system via a Microsoft Excel spreadsheet. The centralized tracking system will include a centralized database for all waste characterizations and determinations, hazardous waste manifests, universal bill of lading for universal wastes, methods of final (end) disposal, f inal (end) disposal sites, monthly, quarterly and annual waste generation reports by facility, and a tracking system for hazardous materials spills.

d. The Contractor will complete waste profiles based on the waste information (e.g. SDS, analysis results from a lab e.g. TCLP, and including user knowledge) provided by the COR or designee of the collected waste. The waste profile must be completed for signature within 3 weeks of initial request (not counting the days reviewed by the COR or designee if corrections are required by the VA). Timely completion of waste profiles are important to ensure inclusion in the following waste manifest for waste pick-up. The contractor will maintain a list of all active profiles for VACIHCS and make it available to the COR upon request.

e. Prior to the transport of wastes covered under this contract, the Contractor and its subcontractors shall obtain approval and signature for each manifest from the COR, or their DOT trained designee, verifying that the Contractor or its subcontractors have accepted the wastes from the VACIHCS and that the wastes are being properly shipped for end disposal.

Manifests not signed by the COR, or their DOT trained designee, shall not be deemed valid.

f. The Contractor and its subcontractors shall provide properly executed and signed documentation for final disposition for each facility manifest line item, to the COR, or their designee. Final treatment or disposition shall occur no later than six (6) calendar months from removal of wastes from the generator facility.

1. The documentation shall clearly indicate that all wastes have been properly disposed of and shall specify the specific method, site, and date of end disposal; and other information as needed/necessary.

a. If codes are used, such as those listed in Box 19 of the Hazardous Waste

Manifest, those codes shall have a description of their meaning.

b. Specific end disposal codes/descriptions shall be used.

c. Generic/General end disposal codes/descriptions shall not be used.

2. If f inal treatment or disposition cannot be accomplished within six (6) calendar months of removal of wastes from a generator facility, a written statement of how the wastes are being managed, which shall include when the wastes are scheduled for end disposal, shall be provided to the COR, or their designee. This shall be f ollowed up with written monthly updates to the COR, or their designee, until f inal disposal of the wastes have occurred.

3. Once final disposition of the wastes have occurred, documentation shall be forwarded to the COR, or their designee, as soon as end disposal has been completed, but not longer than thirty (30) calendar days from date of final disposition. Exceptions to this must be approved by the COR, or their designee, in writing.

g. The Contractor is still responsible for providing all services and documentation (as required/needed) for all work and services performed during a contract period, even after the contract has expired.

1. Example: If a waste shipment occurs two days prior to the end date of the contract, the

Contractor is still responsible for transporting and end disposal of the wastes and returning all signed documentation and paperwork for that shipment, even though it occurs after the contract period has ended.

h. The VACIHCS shall monitor the work and performance of services stated in this SOW to determine whether the performance standards and service levels are being met. Outcomes for not meeting the minimum requirements listed in this SOW shall be discussed with the CO and COR, or their designees, for corrective actions.

i. The following shall be provided to the VACIHCS in the Contractor’s bid proposal, prior to beginning a new contract period, and within thirty (30) calendar days upon request by the

VACIHCS:

1. Copies of current operator permit(s) and waste transporter permit(s) for the Contractor and all subcontractors.

2. List of all Contractor and subcontractor transfer stations, treatment, storage and disposal facilities (TSDF) including HMIWI, incineration, autoclaving, wastewater and sludge treatment facilities, that shall be utilized during this contract to include the capacity of these facilities and the waste codes/streams they are permitted to accept by treatment technology.

a. The Contractor shall provide the names, addresses, phone numbers, facsimile numbers, point-of-contact information, Federal (e.g., EPA) and state (e.g., DENR/DNR) identif ication and permit numbers, for all facilities used during the execution of this contract.

b. The VACIHCS reserves the right to inspect each of these facilities before approving its use, in writing, or at any time during or after the contract period;

especially in conjunction with Federal, state, local, municipal, VACIHCS, or other types of inspections.

c. Provide current copies of certif icates with Federal and/or state EPA Hazardous

Waste (RCRA) Identif ication Numbers for each business entity operated by the Contractor and all subcontractors that will provide service regarding any aspect of waste transport and end disposal covered under this contract (i.e., transport, storage, transfer, incinerator sites, etc.).

d. Provide a current copy of certif icate of registration with the Federal…