Statement_of_Work.doc

Statement of Work For

Medical Transportation

1. Description of Services: The contractor shall provide all personnel, equipment, and transportation necessary to provide transportation services Monday through Friday from 0630 through 2200 for U.S. Coast Guard Cadets, Active Duty personnel, and Officer Candidate School students for the purpose of receiving medical care outside of the U.S. Coast Guard Academy. Patients will be picked up at the U.S. Coast Guard Health, Safety, and Work-Life RP New London (HSWL RP New London) Clinic and transported to various locations including the local area (Groton/New London/Waterford), the Naval Ambulatory Care Center (NACC) at the Naval Submarine Base in Groton, Yale-New Haven Hospital area, Westerly, RI area, and Newport, RI Naval Dental Facility.

2. Hours of Operation: The contractor shall provide transportation services Monday through Friday from 0630 through 2200.

3. Personnel: All personnel shall be licensed and able to gain access to all military installations and meet any access requirements to include Rapid Gate or any other installation requirement.

4. Contractor Furnished Items and Services

4.1 Vehicles Required: The contractor shall furnish a minimum of two (2) non-ambulatory vehicles and qualified drivers under Personnel requirements in Section 3 during hours of operations. The drivers shall transport patients from the Medical clinic to various medical appointments based on the estimated quantities and locations provided. The vehicles to be utilized may include passenger vans, sedans, and utility vehicles.

4.2 Proof of Insurance: The contractor shall provide the Academy with proof of insurance for damage to property of injury to persons prior to commencement of contract. Such insurance shall be in the amount of $5,000,000 and shall be secured from an insurance company authorized by law to transact business in the State of Connecticut.

4.3 Record Keeping: The contractor will also provide daily trip reports documenting all patients transported, destinations, and numbers of miles traveled. These trip reports are to be provided to LCDR Patrick O’Donnell at HSWL RP New London and Kevin Gustin. For next business day’s ride schedule, contractor shall provide functioning e-mail and fax number so schedule may be received.

4.4 Billing: The Academy is to be billed a fixed rate per pick up and a fixed rate per mile, and billing is to be done monthly in arrears.

5. Specific Task: The contractor shall provide for the pick-up and transportation of U.S. Coast Guard Academy Cadets, Active Duty personnel, and Officer Candidate School students for the purpose of receiving medical care outside of the of the U.S. Coast Guard Academy. The contractor, while in performance of its duties under this contract, shall comply with and observe the laws of the State of Connecticut and all other applicable laws including all Department of Transportation Rules and Regulations dealing with this type of service.

6. Liability: The contractor, by acceptance of this contract, agrees that the United States, the United States Coast Guard, the United States Coast Guard Academy, their officers, agents and employees, shall not be responsible for damages to property or injuries to persons which may arise from to be incident to this contract, or for damages to the property of the Contractor, or for to the property or injuries to the Contractors employees, officers, agents, or servants, or others which may arise from or be indecent to this contract. The Contractor further agrees by acceptance of this contract to hold harmless and indemnify the United States, the United States Coast Guard, the United States Coast Guard Academy, their officers, agents and employees, from any and all liability, loss, damages, costs or expenses which are sustained, incurred, or required arising out of the actions of the Contractor in the course of this contract.

7. Estimated Quantities: Based on historical data, the estimated number of pick-ups required per month is 150 and the estimated mileage to be provided is 2000 miles per month. Transportation one way from origin to destination equals one pick-up. Return transportation from destination back to origin constitutes an additional pick-up. The quantities provided are estimated quantities only. The contractor will be paid only for actual services provided.

8. Period of Performance: The period of performance for this contract is a 12 month period beginning October 1, 2016 through September 30, 2017 with an option to extend for an additional year of service. Contract will be a Firm-Fixed Price Service Contract.

9. Personnel Authorized to Place Calls to the Contractor:

HSWL RP New London Clinic Health Benefits Advisor

LCDR Patrick O’Donnell (860)701-6738

Health Benefits Advisor (860)444-8408

HSC Daniel Polhemus (860)444-8431

Senior Medical Petty Officer of the Watch under the instruction of the Administrator

10. Point of Contact: For questions or concerns with Statement of Work, calls should be directed to LCDR Patrick O’Donnell at (860)701-6738.