C03 - Signed Executed 36C24625D0076 36C24625N1085 BASE T.O.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

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. 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

558-25-4-271-0174

36C24625D0076 36C24625N1085

AWARDED:

EFFECTIVE: 08-22-2025

Kathyann Chase-Moore, Contract Specialist 757-722-9961, Ext - 16096

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

X 100

X

621910

N/A

DEPARTMENT OF VETERANS AFFIARS

DURHAM VA MEDICAL CENTER

508 FULTON ST

DURHAM NC 27302

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

7RAH5

MEDEX MEDICAL TRANSPORT SERVICE INC

902 MEMORIAL DR E

AHOSKIE NC 27910

Dillon Lowe dillon@medextransport.com

(855) 329-1003 L61HFKHLKRH1

Department of Veterans Affairs

Financial Services Center

PO BOX 149971

Austin TX 78714-9971

512-460-5049 512-460-5221

See CONTINUATION Page

TASK ORDER FOR ADVANCED LIFE SUPPORT/BASIC LIFE SUPPORT

(ALS/BLS) AMBULANCE SERVICES FOR THE DURHAM VAMC.

SEE PRICE/COST SCHEDULE IN SECTION B.

REFERENCE PO# 558C50383 ON ALL INVOICES AND

COPRRESPONDENCE.

PERIOD OF PERFORMANCE FROM 08-22-2025 TO 08-21-2026.

$2,688,500.00

See CONTINUATION Page

558-3650160-271-829800-2119-C50383 010041086

X X

DAVID E. SMITH

CONTRACTING OFFICER

X 1

8/10/2025Dillon Lowe, CEO 08/12/2025

IDC 36C24625D0076 T.O. 36C24625N1085

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

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: MedEx Medical Transport Service, Inc.

Dillon Lowe, CEO

252-287-7365

902 E Memorial Drive

Ahoskie, NC 27910

b. GOVERNMENT: CONTRACTING OFFICER 36C246, DAVID E. SMITH

DAVID.SMITH78@VA.GOV

PHONE: 757-728-7156

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

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 in arrears after the receipt of proper invoicing.

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.

VA Financial Service Center (FSC) Electronic Invoice Presentment and Payment System https://www.fsc.va.gov/einvoice.asp

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the

Solicitation numbered and dated as follows:

AMENDMENT NO DATE

mailto:DAVID.SMITH78@VA.GOV https://www.fsc.va.gov/einvoice.asp

B.2 PRICE/COST SCHEDULE

** The guarantee minimum quantity number of trips, including the base year and option year if exercised, is 1 and the maximum quantity amount of trips, including base year and option year 1 if exercised, shall not exceed 12,790 trips.

AMBULANCE (Ground)

SCHEDULE OF SERVICES – PRICE SCHEDULE

BASE YEAR: 8-22-2025 to 8-21-2026

Line

Item

Description of

Services

12-Month

Quantity

(Estimated

Maximum)

Unit of

Issue

Unit Price Total Price

(Maximum

NTE)

Base Rate Transport

(Using Bing Maps)

One-Way

Trip

0001 BLS: Any Trip within twenty (20) Miles from the Durham VAHCS or the Greenville HCC

(Load weight only).

Includes arrival and acceptance of patient at point of departure and delivery of patient destination

4,000 Per Trip

(One-Way) $450.00 $1,800,000.00

0002 BLS Mileage: Rate per mile beyond the twenty

(20) miles radius from the Durham VAHCS or

Greenville HCC (ONE

WAY ONLY) - This rate is in addition to the rate per trip of Items

#1) above. (Load

Weight Only)

51,000 Per Trip

(One-Way) $5.00 $255,000.00

0003 Flat Rate of

Beneficiary one way between the Durham

VAHCS and Asheville

VAMC, 1100 Tunnel

Road, Asheville, NC

28805 (ONE WAY

ONLY)

20 Per Trip

(One-Way) $600.00 $12,000.00

0004 Flat Rate of

Beneficiary one way between the Durham

VAHCS and Beckley

VAMC, 200 Veterans

Ave, Beckley, WV

25801 (ONE WAY

ONLY)

20 Per Trip

(One-Way) $600.00 $12,000.00

0005 Flat Rate of

Beneficiary one way between the Durham

VAHCS and

Fayetteville VAMC, 2300 Ramsey St., Fayetteville, NC 28301

(ONE WAY ONLY)

50 Per Trip

(One-Way) $600.00 $30,000.00

0006 Flat Rate of

Beneficiary one way between the Durham

VAHCS and Hampton

VAMC, 100

Emancipation Dr., Hampton, VA 23667

(ONE WAY ONLY)

20 (One-Way

Per Trip) $600.00 $12,000.00

0007 Flat Rate of

Beneficiary one way between the Durham

VAHCS and

Richmond VAMC, 1201 Broad Rock

Blvd., Richmond, VA

23249 (ONE WAY

ONLY)

20 (One-Way

Per Trip) $750.00 $15,000.00

0008 Flat Rate of

Beneficiary one way between the Durham

VAHCS and Salem

VAMC, 1970 Roanoke

Blvd., Salem, VA

24153 (ONE WAY

ONLY)

20 (One-Way

Per Trip) $600.00 $12,000.00

0009 Flat Rate of

Beneficiary one way between the Durham

VAHCS and Salisbury

VAMC, 1601 Brenner

Ave., Salisbury, NC

28114 (ONE WAY

ONLY)

45 (One-Way

Per Trip) $500.00 $22,500.00

0010 BLS: Any Trip within twenty (20) Miles from the Durham VAHCS and Garner OPC to

(Load weight only).

Includes arrival and acceptance of patient at point of departure and delivery of patient destination

1000 (One-Way

Per Trip) $375.00 $375,000.00

0011 ALS: Any Trip within twenty (20) Miles from

Durham VAHCS

(Load weight only).

Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

100 Per Trip

(One-Way $750.00 $75,000.00

0012 ALS Mileage: Rate per mile beyond the twenty

(20) miles radius from the Durham VAHCS

(ONE WAY ONLY) -

This rate is in addition to the rate per trip of

1000 Per Trip

(One-Way) $10.00 $10,000.00

Items #2) above. (Load

Weight Only)

0013 CCT: Any Trip within twenty (20) Miles from

Durham VAHCS

(Load weight only).

Includes arrival and acceptance of patient at point of departure and delivery of patient destination.

50 Per Trip

(One-Way) $1,100.00 $55,000.00

0014 CCT Mileage: Rate per mile beyond the twenty

(20) miles radius from the Durham VAHCS

(ONE WAY ONLY) -

This rate is in addition to the rate per trip of

Items #2) above. (Load

Weight Only)

50 Per Trip

(One-Way) $10.00 $500.00

0015 (A0425) Mileage Trip

Outside the Base Rate

$5.00

(Price Per

Mile)

$5.00 $250.00

0016 (A0420) Waiting

Time (more than 30 minutes shall be paid in 30-minute increments).

$45.00

(30-minute

Increment)

$45.00 $2,250.00

Total Estimated Cost of Base Year: $2,688,500.00