HEC Survey RFI 1.pdf

Healthcare Environmental Cleaning (HEC)

Business Information

Company Name:

"Doing Business As" if applicable

CAGE Code

DUNS

Street Address:

City:

State:

Zip Code:

* 1. Please provide your company information

Name

Title

Email Address

Phone Number

* 2. Please provide a single company point of contact that could answer any additional questions.

* 3. What is your primary business?

Healthcare Environmental Cleaning

Non-Healthcare Janitorial Services

Facility Maintenance

Landscaping/Grounds Keeping

Regulated Medical Waste Disposal

Other (please specify)

* 4. How long has your company provided healthcare environmental cleaning services?

0-1 years

2-4 years

5-10 years

> 10 years

* 5. In your opinion, which service areas are appropriate to include in HEC requirements? Select all that apply

Patient care areas

Clinical/support areas

Surgical Suites

Administrative areas

Common areas

Storage rooms

Interior windows and screens (with blinds, curtains or shades)

Exterior windows and screens

Trash & recycling collection

Regulated Medical Waste collection

Linen (collect soiled linen, pick up, transport, distribute/restock)

Use of Government Furnished Equipment (UV lights, electro-static sprayers, etc.)

Other (please specify)

* 6. Select the operational structure that best describes your company's business model.

Functional (Type of Work/Skills)

Geographic (distribution based on location)

Divisional (Product line)

User/Market (separation by customers)

Matrix (combination of structures)

Other (please specify)

* 7. Please provide the current size of your company's workforce (W-2 Employees Only).

0-50

51-100

101-150

> 151

* 8. What is your company's annual average revenue in U.S. Dollars for the last three years?

< $7,500,000

$7,500,001 - $15,000,000

$15,000,001 - $20,000,000

$20,000,0001 - $32,500,000

$32,500,0001 - $38,500,000

> $38,500,000

* 9. Is your company experienced working with unions/collective bargaining agreements?

Yes

No

* 10. Do you have and maintain the CIMS-GB certification?

Yes

No

* 11. Is your company a small business under NAICS 561720?

Yes

No

* 12. Please provide the small business designation for your company on record with the Small Business Administration. Select all that apply

8(a)

Service-Disabled Veteran Owned Small Business (SDVOSB) - self certified SBA

Veteran-Owned Small Business (VOSB) - self certified SBA

Woman-Owned Small Business (WOSB)

Historically Underutilized Business Zone (HUBZone)

Small Disadvantaged Business (SDB)

Small Business

VA Certified VOSB

VA Certified SDVOSB

Other (please specify)

* 13. Has your company previously graduated the small business 8(a) program?

Yes

* 14. Has your company provided HEC as an Ability One participant?

Yes

Permanent Full Time Company Employees (40+ hours weekly)

Part Time Company

Employees (< 40 hours weekly)

Temporary Hires (13 weeks, but <

12 months) Company

Employees

Outsourced Staffing (third party employer) 1099 Employees Not applicable

HEC workers

Assistant Executive Housekeeper

Executive Housekeeper

Project Manager

* 15. What hiring practice does your company predominately use for HEC personnel? One selection per row

Company Experience

* 16. Please indicate how many current civilian or DoD HEC contracts your company has as the Prime contractor.

> 10

6-9

3-5

1-2

* 17. Please indicate how many current civilian or DoD HEC contracts your company performs as a subcontractor to the Prime contractor.

> 10

6-9

3-5

1-2

* 18. Does your company provide HEC services exclusively to the Federal Government?

Yes

No

* 19. Does your company currently provide HEC services for DoD military treatment facilities?

Yes

No

Firm Fixed Price

Firm Fixed Price with Incentive

Cost or Cost with Incentive

Labor Hour

Other (Specify)

20. As of 1 Nov 2020, how many DoD contracts for HEC services are currently active (provide number of contracts by type)?

Air Force

Army

Navy

Defense Health Agency

21. Based on largest dollar value, provide only ONE CURRENT DoD contract number for each Military Department/Agency where you provide HEC services in a medical facility.

22. Does your company have a small business subcontracting plan in place (approved by a DoD procuring contracting officer in the last 3 years)?

Yes

23. What has prevented you from performing HEC services with DOD (pick most compelling reason)?

No capabililty to meet DoD requirements

Competition Limitations (Socio-Economic designations)

No relevant experience

Other (please specify)

Hospital Facility

Long Term Care Facility

Outpatient Physician

Office Urgent Care

Setting

Ambulatory Surgical Center

Ancillary (Diagnostic)

Facility Veterinarian

Clinics

Healthcare Environmental Cleaning in DOD facilities

Healthcare Environmental Cleaning in civilian sector

Other (please specify)

* 24. Specify the types of facilities in which your company currently performs HEC services. Select all that apply

* 25. Please select all United States or territories where your employees currently perform HEC.

Alabama (AL)

Alaska (AK)

Arizona (AZ)

Arkansas (AR)

California (CA)

Colorado (CO)

District of Columbia (DC)

Delaware (DE)

Florida (FL)

Georgia (GA)

Hawaii (HI)

Idaho (ID)

Illinois (IL)

Indiana (IN)

Iowa (IA)

Kansas (KS)

Kentucky (KY)

Louisiana (LA)

Maine (ME)

Maryland (MD)

Massachusetts (MA)

Michigan (MI)

Minnesota (MN)

Missouri (MO)

Mississippi (MS)

Missouri (MO)

Montana (MT)

Nebraska (NE)

Nevada (NV)

New Hampshire (NH)

New Jersey (NJ)

New Mexico (NM)

New York (NJ)

North Carolina (NC)

North Dakota (ND)

Ohio (OH)

Oklahoma (OK)

Oregon (OR)

Pennsylvania (PA)

Rhode Island (RI)

South Carolina (SC)

South Dakota (SK)

Tennessee (TN)

Texas (TX)

Utah (UT)

Vermont (VT)

Virginia (VA)

Washington (WA)

West Virginia (WV)

Wisconsin (WI)

Wyoming (WY)

American Samoa (AS)

Guam (GU)

Northern Mariana Island (MP)

Puerto Rico (PR)

U.S. Virgin Islands (VI)

Final Input

* 26. Based on the RFI information and survey, how interested is your company in future engagements on the DHA HEC program?

Very interested

Somewhat interested

Not at all interested

* 27. Please provide any additional comments regarding your capabilities to successfully perform HCSS for DoD and VA.