36C26326Q0613.docx

SUBJECT*

Papillion CLC 911 Srvc - NWI (VA-26-00061928)

GENERAL INFORMATION

NETWORK CONTRACTING OFFICE 23

1303 5TH STREET, SUITE 300

CORALVILLE IA 52241

POINT OF CONTACT*

Contract Specialist Erica Miller erica.miller5@va.gov 319-688-3703 N/A

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

This is a Notice of Intent published in accordance with Federal Acquisition Regulation (FAR) 5.101(a)(1) requiring the dissemination of information regarding proposed contract actions. This Notice of Intent is for a proposed award of a sole source firm fixed price contract to the following contractor in support of Papillion CLC 911 Services in support of Omaha Health Care System, 4101 Woolworth Ave. Omaha, NE 68105-1850:

City of Papillion

UEI: SV7ESTNBCPS4

122 E 3rd St.

Papillion, NE 68046

This is done under authority of 41 U.S.C. 3304(a)(1), as implemented by FAR 6.302-1: Only one source and no other supplies or services will satisfy agency requirements.

This is not a request for competitive quotes.

Market research revealed that City of Papillion is the only source who can meet this need. The City of Papillion is the response entity when 911 is called from the Papillion CLC, which is located in Papillion Nebraska.

Thus, it is impossible for any other company to provide this service since the City of Papillion is the only source who can meet this need. The City of Papillion are the only 911 responders who services this location. The Veterans who reside in PCLC have unplanned health emergencies that occur from time to time in this leased space that is staffed by VA employees. If they can’t contact 911 for emergency response, they are taking a risk that could jeopardize the health, well being and possibly life of a Veteran in VA care.

The North American Industry Classification System (NAICS) code for this service is 621910 (Ambulance Services) and the Product Service Code (PSC) is V225 (Transportation/Travel/Relocation Travel/Lodging/Recruitment: Ambulance).

While this synopsis does not constitute a solicitation, interested vendors may identify their interest and capability to satisfy the requirement.

All responsible sources may submit a capability statement, which shall be considered by the agency by e-mailing such statement and supporting documentation to Erica Miller, Contracting Specialist, at erica.miller5@va.gov. No phone calls please. Please indicate “Response to Papillion CLC 911 Services” in subject line of e-mail.

Such documentation will be reviewed solely for the purpose of determining whether or not to conduct the procurement on a competitive basis. A determination not to compete this requirement, based upon responses to this notice, is solely within the discretion of the Government under authorities cited above.

Special Notice Special Notice

Special Notice

STATEMENT OF WORK (SOW)

Description of Requirement To establish a comprehensive, fixed-price framework for the transfer of patients requiring emergency medical care. The contractor shall provide Emergency medical response / Advanced Life Support (ALS) / Basic Life Support (BLS) patient transfer services for the VA Nebraska-Western Iowa (NWI) Health Care System, originating from the Papillion VA Community Living Center (CLC) to the CHI Health Midlands Emergency Department. This agreement is intended to ensure timely, safe, and compliant patient transfers under all applicable federal and state regulations.

Place of Performance Papillion VA Community Living Center (CLC) CHI Health Midlands – Leased Floors 5 & 6 11111 S. 84th Street Papillion, NE 68046

Period of Performance This will be a single award Indefinite Delivery Indefinite Quantity (IDIQ) contract with periods of performance between 7-1-2026 to 6-30-2031.

Funds will be obligated via issuance of task orders against this IDIQ contract for each ordering period:

Hours of Service Contractor shall provide service seven (7) days a week, 24 hours per day, including weekends and holidays, during the period of performance of this contract.

Emergency Medical Service (EMS) Requirements

1. The contractor shall provide all personnel, management, supplies, equipment, reports, and anything else necessary to successfully furnish services.

1. In the performance of this contract, it is expected that contract staff operate in a safe manner, taking reasonable safety precautions wherever possible to protect the lives and health of the occupants of the buildings. If at any time a safety concern is brought to the attention of the contractor by the CO and/or COR, it is expected to be corrected immediately. When corrected, it is no longer an issue but if the contractor fails or refuses to comply, the CO may issue an order stopping all and any part of the work.

Types of Required Transfers

(BLS-E) Basic Life Support Emergency

(ALS1-E) Advanced Life Support 1 Emergency

(ALS2-E) Advanced Life Support 2 Emergency

Requesting Transfer

1. NWI Papillion VA Community Living Center (CLC) staff are all designated to request immediate emergency patient transfers.

2. Requests for transfer will be made by dialing 911 on the telephone. CLC staff will document in patient’s electronic medical record all circumstances leading to the transfer request, that the request was made and if there was a cancellation as well. Cross reference will be needed to reconcile the invoice when submitted.

a. Emergency requests have an expected response time of 15 minutes.

Pick-Up and Delivery

1. Pick-up of patients at the Papillion VA Community Living Center (CLC) shall be at the following locations: Papillion VA Community Living Center (CLC), 81111 S. 84th Street, Papillion, NE 68046 – leased floors 5 & 6.

2. Patients will be taken from a pre-arranged destination, for example – 5th or 6th floor, specific room number, transferred to the contractor’s gurney and report taken.

3. The patient shall be brought to the CHI Health Midlands Emergency Room, placed on a hospital stretcher as directed by the ER staff and report given.

4. Patients will be safely secured to the gurney prior to movement. Patients must also be covered up for modesty and dignity purposes.

5. The contractor shall be held responsible for patient during transfer.

6. In the event a patient’s condition worsens or expires during transfer, the contractor shall continue the transfer to the Emergency Room. Notification should be made to VA staff as soon as possible.

7. The contractor shall provide all medications required during transfer as well as gurneys, sheets, blankets, and other equipment and supplies required for use while in transit for direct patient care. Contractor shall not, under any circumstances, exchange supplies, equipment and or medications with the CLC. The prices quoted in the Price/Cost Schedule of this contract shall be inclusive of consumables used in transfer.

Preparation of Invoices All invoices for payment shall be submitted electronically through Tungsten on a monthly basis. These electronic invoices shall avoid placing patient personal information on them but will need to include the following for cross reference and verification of charges:

a. Patient’s Name

b. Run # or Patient’s Acct Number (Contractor’s patient identification number)

c. Diagnosis (ICD-10) Codes

d. Applicable Contract Line Item Number (CLIN) / HCPCS Codes w/ Associated Charges

e. Date of Service

f. Pick-up point and time (To Include Patient’s Room #)

g. Drop-off point and time (Will Always be Midlands ER)

h. 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 Representative (COR) or Point of Contact and other key personnel from NWI. Contracting Officer may request periodic meetings throughout the course of this contract to ensure quality of services being rendered.

402-995-6600

Contracting Officer’s Representative-Secondary Katie Jackson

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