Attachment C - 36C24421Q0645 - SF1449.docx

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

1. REQUISITION NO.

INFORMATION CALL:

Cynthia Laemmerhirt

TIME 05-20-2021

2.

CONTRACT

NO.

3.

AWARD/EFFECTIVE

DATE

4.

ORDER

NO.

5.

SOLICITATION

NUMBER

6.

SOLICITATION

ISSUE

DATE

36C24421Q0645 05-11-2021 7.

FOR

SOLICITATION

a.

NAME

b.

TELEPHONE

NO.

(No

Collect

Calls) 8.

OFFER

DUE

DATE/LOCAL

)8:00 am EDT

9. ISSUED BY CODE

36C244 10.

THIS ACQUISITION IS

UNRESTRICTED OR

X SET ASIDE:

% FOR:

X )Department of Veterans Affairs Network Contracting Office 4

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

Philadelphia CMJC VAMC 3900 Woodland Avenue (90C)

HUBZONE SMALL BUSINESS

SMALL BUSINESS PROGRAM EDWOSB

NAICS:

621910

Philadelphia PA 19104-4551 Cynthia Laemmerhirt cynthia.laemmerhirt@va.gov

SERVICE-DISABLED VETERAN-OWNED SMALL BUSINESS

8(A)

SIZE STANDARD:

Y $16.5 Million

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 N/A

14. METHOD OF SOLICITATION

15. DELIVER TO

CODE

16. ADMINISTERED BY

X RFQ

IFB

CODE

RFP

00244

Department of Veterans Affairs Network Contracting Office 4

17a. CONTRACTOR/OFFEROR CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY CODE

Austin Payment Center Department of Veterans Affairs

PO Box 149971 Austin TX 78714-9971

PHONE: (877) 353-9791

FAX:

(512) 460-5429

TELEPHONE NO. DUNS: DUNS+4:

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.

See CONTINUATION Page

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

The contactor shall provide non-emergent ground ambulance services to provide transportation to patients at the Wilkes-Barre VA Medical Center, twenty-four hours a day, seven days a week. Contractor shall provide all vehicles, personnel, management, supplies, transportation, equipment and reports necessary to cover ground ambulance transport service. Contractor care shall cover the full range of wheelchair, van service, paramedic, and ambulance services provided in the local community.

The VA is soliciting for an IDIQ using FAR Part 13 procedures.

POP: 06/01/2021 - 05/31/2026

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

See CONTINUATION Page 26.

TOTAL AWARD AMOUNT (For Govt. Use Only)

X 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

X ARE ARE

ARE NOT ATTACHED. ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED 29.

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

31b.

NAME

OF

CONTRACTING

OFFICER

(TYPE

OR

PRINT)

Nancy

Porter 30c.

DATE

SIGNED

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

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 1449

(REV. 2/2012)

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

A.2 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C244 Cynthia Laemmerhirt Department of Veterans Affairs Network Contracting Office 4 Philadelphia CMJC VAMC 3900 Woodland Avenue (90C) Philadelphia PA 19104-4551

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:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly

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

Austin Payment Center Department of Veterans Affairs PO Box 149971 Austin TX 78714-9971

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