Attachment 2 - 36C25727R0002 - Questionnaire for Sources Sought Notice.pdf
PDF 170 KB Posted
- Attached to
- V225--CTX ALS BLS CCT Transportation
- Solicitation number
- 36C25727R0002
About this file
This is a Questionnaire for a Sources Sought Notice (SSN) for federal contract opportunity 36C25727R0002 seeking patient transport services.
Interested vendors must provide comprehensive business information including company name, address, point of contact details, SAM UEID number, SAM registration status with expiration date, NAICS code, business size classification (Small or Large), and business type designation (such as SDVOSB, VOSB, 8(a), HUBZone, or WOSB). Vendors must disclose past performance in Patient Transport Services within the past five years, including work descriptions, contract numbers, performance locations, and specific medical transport capabilities provided (ALS, BLS, CCT, or related services). Additionally, vendors should provide GSA or VA FSS contract numbers if applicable and specify current fleet size with capacity to acquire additional vehicles to cover the entire catchment area and meet service demands.
The service requirement encompasses providing all Emergent and Non-Emergent Advanced Life Support (ALS), Basic Life Support, and Critical Care Transport (CCT) ambulance services at Tier 1, 2, and 3 levels on an as-needed basis in accordance with federal, state, and local regulations. The estimated volume is 4,692 patient trips per year. Vendors should submit estimated market research pricing with their response, including a proposed pricing breakdown (such as per-mile rates or base rate mileage). Technical capability responses must address the estimated percentage of subcontracting and the applicability of FAR 52.219-14 Limitations on Subcontracting, with a note that 1099 personnel are considered subcontractors for this requirement.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Draft CTX PWS Ground Ambulance.pdf | ||
| 36C25727R0002_1.docx | DOCX document |
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Text version
Attachment 2 - 36C25727R0002 - Questionnaire for Sources Sought Notice (SSN)
Responses to the SSN shall include the following information:
Business Name:
Business Address:
Point of Contact Name:
Phone Number:
E-mail Address:
SAM UEID Number:
Currently registered in SAM: (Yes or No). If yes, provide the expiration date:
NAICS code:
Business Size: Small or Large Type of Business: Service-Disabled Veteran Owned (SDVOSB), Veteran Owned (VOSB), 8(a), HUBZone, Woman-Owned (WOSB), etc.
Past performance: Vendors shall disclose whether they have performed Patient Transport Services within the past five (5) years. Please include a brief description of the work performed, contract numbers (if applicable), performance locations, and whether the services included ALS, BLS, CCT, or other related medical transport capabilities.
GSA or VA FSS Contract Number, if applicable:
Current fleet size:
Will you be able to acquire additional vehicles if needed to cover entire catchment area and meet the needs of the requirements? If not the entire catchment area, specify which areas you may be able to cover?
The contractor shall provide all Emergent, Non-Emergent Advanced Life Support (ALS), Basic Life Support, and Critical Care Transport (CCT), Tier 1, 2, and 3 ambulance services on as-needed basis in accordance with all federal, state, and local regulations.
The estimated patient trips per year are 4,692.
If known, submit estimated market research pricing with your response. The estimated pricing will be considered when determining the procurement strategy for the future solicitation.
Submit proposed pricing breakdown i.e. per mile, base rate mileage, etc.
Technical capability responses shall include the estimated percentage of subcontracting to
Attachment 2 - 36C25727R0002 - Questionnaire for Sources Sought Notice (SSN) address the applicability of FAR 52.219‑14, Limitations on Subcontracting, for this service requirement. Please note that 1099 personnel are considered subcontractors for the purpose of this clause.
File details come from the government source that posted it. Updated .