N6264518Q0020_(Combined_Synopsis,Solicitation).docx

This is a combined synopsis/solicitation for commercial items prepared in accordance with FAR 12.6, using Simplified Acquisition Procedures under the simplified procedures for certain commercial items found at FAR 13.5, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; a written solicitation will not be issued. Provisions and clauses in effect through Federal Acquisition Circular 05-99 are incorporated. It is the contractor’s responsibility to be familiar with the applicable clauses and provisions. The clauses may be accessed in full text at this address: www.farsite.hill.af.mil. The NAICS code is 621910, with a size standard of $15,000,000.00. This is a Full and Open Competition requirement; all qualified vendors are encouraged to submit a quote.

The Request for Quote (RFQ) number is N6264518Q0020. The RFQ due date is 1:00 PM EST on 10 August 2018. All questions concerning the Request for Quote (RFQ) shall be submitted via email to the following address:

E-MAIL: linda.s.obrien6.civ@mail.mil and karl.o.molina.civ@mail.mil

IN SUBJECT LINE REFERENCE: “N6264518Q0020”

All questions must be submitted no later than 12:00 PM on 7 August 2018. Facsimiles and phone calls will not be accepted. Identify the solicitation paragraph in question. Responses may be presented in an amendment to the solicitation, which may or may not extend the quote due date. Direct all comments or inquiries as described above; no direct contact will be made with other Department of Navy personnel regarding the open solicitation.

UNDEFINED

Pediatric Ambulance Services

FFP

Services, Non-Personal: The contractor shall provide pediatric ambulance services in support of Naval Medical Center Portsmouth, VA on behalf of the Government in accordance with the terms and conditions and the performance work statement contained in this contract.

This is an indefinite delivery requirement. The contractor shall only be paid for services and quantities provided.

MAX

NET AMT

0001AA

Pediatric Ambulance Services - Transport

Services, Non-Personal: Unit price is per transport. See Performance Work Statement for the definition of a transport. Ordering Period: 01 October 2018 through 30 September 2023 FOB: Destination

PSC CD: V225

MAX

0001AB

Pediatric Ambulance Services - Mileage

Services, Non-Personal: Mileage includes price per gallon, maintenance, depreciation, insurance, and taxes. Mileage is calculated from the time the contractor departs their starting location to pick up the patient, transports the patient to their final destination, and then returns to the starting location or next pick up location. Ordering Period: 01 October 2018 through 30 September 2023

PSC CD: V225

MAX

PERFORMANCE WORK STATEMENT

Pediatric Ambulance Transport Services Naval Medical Center Portsmouth, VA SRRB UID Number: 0018316248901

SECTION C

SECTION 1 – SCOPE

1.1. BACKGROUND

The Contractor shall provide non-personal pediatric ambulance transport services for Naval Medical Center Portsmouth, VA (hereafter referred to as “NMCP” and/or “MTF”) including both pediatric/neonatal (neonatal is defined as infants under twenty eight (28) days old) critical and non-critical neonatal transports. Services shall include all necessary personnel, ambulances, equipment and supplies, and travel. Transports shall be provided within a seventy five (75) mile radius of NMCP. This Contract is a non-personal health care services contract, under which the Contractor is an independent contractor.

1.2. SCOPE

The Contractor shall provide pediatric ambulance transport services for NMCP located at 620 John Paul Jones Circle, Portsmouth, VA 23708. Service includes: transport services between the Contractor and NMCP, transport services between NMCP and other hospitals (defined as civilian or military) within a seventy five (75) mile radius of NMCP, transport services between the Contractor and other hospitals within a seventy five (75) mile radius of NMCP, and transport services between other hospitals located within a seven five (75) mile radius of NMCP. Services are required on an as needed basis. The maximum quantity is six hundred (600) transports consisting of approximately 25,000 miles. The actual number of transports/mileage may vary.

SECTION 2 - DUTIES

2.1.

The Contractor shall receive and coordinate the transport of critical pediatric/neonatal and non-critical neonates. Requests for service will be made by a credentialed provider assigned to NMCP, the Commander of NMCP, or his or her authorized representative. Priority of pediatric/neonatal critical transports and non-critical neonate transports shall be based on medical need.

2.1.1.

In those emergencies where the patient's condition becomes critical during transport and requires immediate care, the Contractor’s transport team shall rapidly stabilize the patient, according to the level of the Emergency Medical Technician’s (EMT) level of certification and in accordance with regional protocols and EMS written Standard Operating Procedures (SOP) protocol, along with the Contractor’s guidelines for ambulance transports.

2.2.

The Contractor shall deliver the patient to the appropriate personnel upon arrival at the receiving facility in accordance with verbal instructions provided by the requestor.

2.3.

The Contractor shall maintain medical control of the patient and shall direct care provided by the transport team. The Contractor shall call the receiving official at the MTF to provide a verbal medical report and to transfer medical control. NMCP retains the right to review the run report generated by the Contractor’s transport team for patients transported under this Contract.

2.4 The Contractor shall respond to each request for service with a staffed, fully equipped vehicle, as defined by the Tidewater Emergency Medical Services Council, which is specifically designed for the transport of critically ill neonatal/pediatric patients. A NMCP credentialed provider will determine the type and level of care to be provided to the sick or injured patient, which will be specified verbally when the request for service is made.

2.5.

The Contractor shall coordinate a response time with NMCP for each transport required. The response time will vary based on the criticality of the patient and the Contractor’s workload.

2.6.

The Contractor shall notify the MTF while in route of the patient's condition. The number of phone calls will vary depending on the severity of the patient; however, a minimum of one (1) phone call is required per transport.

2.7.

The Contractor shall be responsible for getting the patient from their bed to the ambulance and provide assistance transporting off the litter/stretcher at the receiving facility. The Contractor shall escort patients into the receiving facility and remain with patients until care is transferred to the receiving facility.

2.8.

The Contractor shall place the patient on appropriate equipment (e.g., monitors), administer needles, IVs, oxygen, and apply dressings and redressings to the patient’s wounds as appropriate. Note this is not an exhaustive list meant to limit the type of service provided. This list is provided for informational purposes only.

2.9.

The Contractor shall obtain the patient records at the time of pick up and shall present them to the appropriate personnel at the receiving facility.

2.10.

The Contractor shall maintain a dispatcher log with a record for each patient transported. The log shall contain at least the following information: requester's name and telephone number, time of request, name of physician ordering patient transfer, name of receiving facility, name of physician accepting patient; dispatch time, time of arrival and time of departure at the requesting facility, time of arrival at the receiving facility, name of patient, and reason for transport. The dispatcher log shall be submitted to the Contracting Officer’s Representative (COR) monthly.

2.11.

The Contractor shall maintain a log in each vehicle with a record for each patient transported. The log shall contain at least the following information: dispatch time, time of arrival and time of departure at the referral facility, time of arrival at the receiving facility, name of patient, and reason for transport.

2.12.

The Contractor shall document and include in the patient’s chart all treatment provided to the patient during the transport. For each patient transported, the Contractor shall complete a Contractor Run Sheet, which shall be provided to the COR. Each Contractor Run Sheet must include, at a minimum, the name of the referring physician and the name of the accepting physician. The Contractor Run Sheet shall be faxed to the COR.

2.13.

The Contractor shall provide paper copies of all records produced in the performance of this Contract and all evaluations of patients to NMCP. The Contractor is authorized to provide any information required by law to the Virginia Department of Health for each transport. The disclosure of any other information must be authorized by NMCP.

2.14.

The Contractor shall be responsible for the control and disposal of all medical waste incurred during transport.

2.15.

The Contractor shall ensure all ambulances utilized in the performance of this Contract are safe to operate, sanitary, and properly functioning. The Contractor shall not operate unsafe vehicles. The Contractor shall ensure that vehicle security is maintained at all times.

2.16.

The Contractor shall report suspected cases of child abuse/neglect in accordance with Virginia law.

2.3. EQUIPMENT AND SUPPLIES

2.3.1.

The Contractor shall furnish all ambulances, equipment, supplies, and forms required to perform the services described herein.

2.3.2.

The ambulances, equipment and supplies furnished shall comply with Chapter 31 of the Virginia Administrative Code, 12VAC5-31-1270, Neonatal Transport Requirements.

SECTION 3 – HOURS OF OPERATION

3.1.

Requests for service shall be made at any time Monday through Sunday, including after hours, weekends and Federal holidays

SECTION 4 – DELIVERABLES

4.1. Quality Control Program (See Section 9)

SECTION 5 – PERFORMANCE

5.1. QUALITY ASSURANCE SURVEILLANCE PLAN (QASP) MATRIX

5.1.1.

Timeliness/ Quality

and end users satisfied with Contractor’s overall performance.

5.1.2.

The Government reserves the right to conduct brief exit interviews with patients’ parents, guardians or other family members for the purpose of gathering data relative to satisfaction of the goals and objectives of contracting for health services within the Navy Medical Department (for example, containment of TRICARE costs, gathering patient demographic data, etc.). These interviews are separate and distinct from the Governments' responsibilities for Performance Improvement and are strictly informational. The Government will make every attempt to inform the Contractor of these interviews.

5.1.3.

NMCP has an established patient contact program which will be available to any beneficiary receiving service under this Contract. All patient complaints will be reviewed by the command patient contact representative to determine validity. Validated complaints will be presented to the Contractor for response via the COR. The existence of the Navy hospital patient contact program does not relieve the Contractor from developing and implementing its own patient complaint system.

SECTION 6 - QUALIFICATIONS

6.1.

The Contractor shall provide personnel having certain minimum levels of training and experience. This section is in no way intended to dictate a staffing plan to the Contractor for the performance of the services described herein. The services require that contract employees possess the following minimum qualifications to meet contract requirements.

6.2.

The transport team provided shall comply with Chapter 31 of the Virginia Administrative Code, 12VAC5-31-1270, Neonatal Transport Requirements. In addition to the requirements specified in the Virginia Administrative Code, the minimum position* qualifications are outlined below.

6.3.

Contract employees shall maintain current certification in American Heart Association Basic Life Support (BLS), American Heart Association Healthcare Provider Course, American Red Cross CPR (Cardio Pulmonary Resuscitation), or equivalent. Training shall be the responsibility of the Contractor and is at no cost to the government. Contract employees, not in possession of current certification, must acquire certification prior to initiating contract performance. Web based classes do not meet these standards. A copy of the BLS instruction may be obtained from the World Wide Web at: http://www.med.navy.mil/directives/ExternalDirectives/1500.15E%20CH-1.pdf.

6.4.

Contract employees shall be eligible to work in the United Sates.

6.5.

Contract employees shall maintain all necessary certification, licenses, and other permits required to perform their duties under this Contract.

6.6.

The Contractor shall ensure, prior to employment that all contract employees are at least eighteen (18) years and have at least a high school education or equivalent.

6.7.

Contract employees shall be proficient in the operation of ambulance radio equipment.

6.8.

Documentation of all required experience, certifications and licenses for contract employees shall be current, on file, and made available, upon request, for COR review.

SECTION 7 – COMPLIANCE REQUIREMENTS

7.1.

Each contract employee is responsible for complying with all applicable licensure and certification regulations.

7.2.

The Contractor shall continuously maintain a current list of all individuals who have been privileged, credentialed, or approved for service under the contract, including reportables such as, but not limited to: certifications (BLS, ACLS, PALS (Pediatric Advanced Life Support), etc.), licenses and/or certification, etc. The Contractor shall provide a copy of the updated list to the COR not later than the third (3rd) business day of each month, or more often as needed to keep the information current.

7.3.

The Contractor shall maintain a complete credential file for each employee during the life of this Contract. It is emphasized that the file and the documents therein shall be kept current and shall be made available for Government inspection upon request.

SECTION 8 - GOVERNMENT AND CONTRACTOR FURNISHED ITEMS.

8.1. RESERVED

8.2. CONTRACTOR FURNISHED ITEMS

8.2.1. INSURANCE

This is a non-personal service Contract, so the Contractor is required to have their own insurance.

8.2.1.1. AUTOMOBILE LIABILITY INSURANCE.

Before commencing work under this Contract, the Contractor shall certify to the Contracting Officer in writing that the required automobile insurance has been obtained. The following insurance as referenced in Federal Acquisition Regulations (FAR) Clause 28.307, is the minimum insurance required:

Automobile liability insurance written on the comprehensive form of policy. The policy shall provide for bodily injury and property damage liability covering the operation of all automobiles used in connection with performing this Contract. Policies covering automobiles operated in the United States shall provide coverage of at least $200,000 per person and $500,000 per occurrence for bodily injury and $20,000 per occurrence for property damage. The amount of liability coverage on other policies shall be commensurate with any legal requirements of the locality and sufficient to meet normal and customary claims.

8.2.1.2. WORKERS’ COMPENSATION AND EMPLOYER’S LIABILITY

The Contractor shall comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with the Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 shall be required, except in states with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

8.2.1.3. MEDICAL LIABILITY

The Contractor shall comply with applicable requirements of the FAR Clause 52.2377, Indemnification and Medical Liability Insurance (JAN 1997).

8.2.1.3.1.

The Contractor shall complete the Malpractice Insurance Certification Form, Attachment 4, as part of the Quote and shall provide an updated form to the COR upon request.

8.2.2. SERVICES

8.2.2.1.

During the term of this Contract, contract employees shall provide, on behalf of the Government, pediatric ambulance services to active duty military personnel, their dependents, eligible Navy civilian employees, and other eligible beneficiaries, in accordance with the terms and conditions of the contract.

8.2.3. EQUIPMENT

8.2.3.1.

The Contractor shall acquire, maintain and provide in good working order all ambulances, equipment, supplies, and forms required to provide pediatric ambulance transport services. The costs of repair and/or replacement of such vehicles and equipment will be the sole responsibility of the Contractor. The Contractor shall ensure full maintenance of all vehicles and equipment used in conjunction of the requirements of this Contract. All maintenance records are to be written and available for review by the Government with a minimum five (5) calendar day advance notice.

8.2.4. SUPPLIES

8.2.4.1.

The Contractor agrees to provide all supplies required to provide pediatric ambulance transport services. The Contractor’s price shall be inclusive of all cost to include any required, labor, transportation and consumable items/supplies. The Government will not provide any consumable items/supplies that are required for the operation of Contractor’s equipment or provision of services described herein.

SECTION 9 – QUALITY CONTROL

9.1. QUALITY OF SERVICE

This is a non-personal services contract that supports the NMCP mission to oversee and coordinate the delivery of economical and effective medical, dental and other health care services. The services specified in this work statement shall be performed in accordance with established principles and ethics of the medical profession. The quality of healthcare provided will meet or exceed the current recognized standards established by the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission), the American Hospital Association (AHA), the National Registry of Emergency Medical Technicians (NREMT); Commonwealth of Virginia Office of EMS; Bureau of Medicine and Surgery of the Department of the Navy (BUMED), the MTF, and those other professional associations which specify standards of performance for the medical profession. The Contractor shall comply with applicable provisions of law and the rules and regulations of any and all governmental authorities pertaining to licensure and regulation of healthcare personnel and medical treatment facilities, the regulations and standards of medical practice of NMCP, Commonwealth of Virginia Office of Emergency Medical Systems (EMS) and the bylaws of the MTF's medical staff. The Contractor shall adhere to and comply with all Department of Navy (DON), BUMED and NMCP Instructions and notices which may be in effect during the term of the contract. In all cases, the dignity of the patient will be given the highest regard, and the precepts of the American Hospital Association's "Bill of Rights for Patients" shall be observed. Performance of work and care rendered shall at all times be in accordance with established infection control practices and procedures as specified by the Centers for Disease Control (CDC), Atlanta, Georgia.

9.1.1.

The Contractor shall comply with applicable provisions of the law, rules and regulations of all governmental authorities, including but not limited to, the regulations and standards of the MTF. The Contractor shall adhere to and comply with all Department of Navy (DON), Bureau of Medicine and Surgery (BUMED) and MTF Instructions and notices which may be in effect during the term of this Contract.

9.1.2.

To achieve the MTF mission, the Contractor shall establish, submit for government approval and implement a Quality Control Plan (QCP) which is consistent with the MTF Quality Control Program. The Contractor shall also actively participate in the established medical Quality Improvement (QI) Plan of the MTF. Current copies of this Contract, the Contractor’s QCP, and the MTF’s QI plan shall be maintained on-site for ready reference by the Contractor during the term of this Contract. Contract employees shall read, be familiar with, and implement this Contract, including the Contractor’s technical approach, QCP, medical QI Plan, and any revisions.

9.1.3.

After contract award, but not later than commencement of services, the Contractor shall submit a Quality Control Plan to the COR and the Contracting Officer for review. The Contractor’s QCP shall be consistent with Joint Commission standards and the MTF Quality Control Program. The QCP shall, at a minimum, include (a) a plan for providing services by appropriately qualified personnel that includes a specific methodology for doing so; (b) a plan to ensure maintenance and enforcement of Standards as specified in Section 11; and (c) a plan for a patient relations program that is compliant with the MTF's patient relations protocols and which includes a notification process for all patient compliments and complaints.

9.1.4.

Upon receipt of the Contractor's QCP, the MTF will review and provide comments to the Contractor. If the MTF finds deficiencies in any portion of the proposed QCP, the Contractor shall have five (5) business days to correct the deficiencies. The MTF COR will provide final approval of the QCP.

9.2. INDEPENDENT CONTRACTOR

9.2.1.

The services provided by the Contractor are provided in the capacity of an independent contractor. The government will evaluate the quality of services for purposes of contract inspection and acceptance. The Contractor shall be solely responsible for any and all liability caused by the acts or omissions of its agents or employees. The Contractor shall not in any manner represent or infer that it is an instrumentality or agent of the United States Government. The Contractor shall recognize that the Commanding Officer maintains administrative and operational responsibility for all activities within the Command and may take such actions as necessary to preserve and maintain the integrity of the Command, subject to the limitations prescribed by law and U.S. Navy Regulations.

9.3. MODIFICATIONS

9.3.1.

The Contracting Officer will designate and authorize an individual to act as the Contracting Officer's Representative (COR). Any such representative appointed will be specifically designated by letter from the Contracting Officer. The COR exclusively represents the Contracting Officer in all technical phases of the work, but is not authorized to issue Change Orders, Supplemental Agreements, or direct any contract performance requiring contractual modification or adjustment. Changes in the scope of work can only be made by modification properly executed by the Contracting Officer. All observations made by persons other than the Contracting Officer or the COR are strictly advisory and shall not influence the Contractor's operations except for administrative requirements and responsibilities specified herein.

SECTION 10 - START OF SERVICES

10.1. START-UP

The Contractor shall recognize the importance of a successful start-up of contract services and the timely recruitment of qualified personnel to meet all contract requirements. The Contractor shall assign a lead manager to interface with the COR within fourteen (14) days after contract award.

10.2. BACKGROUND INVESTIGATION

10.2.1. CRIME CONTROL ACT OF 1990 REQUIREMENT

10.2.1.1.

Section 21 of the Crime Control Act of 1990, 42 U.S.C. (United States Code) 13041, as amended by section 1094 of Public Law 1-02-190, requires every facility operated by the Federal Government (or operated under contract with the Federal Government) that hires (or contracts to hire) individuals involved in the provision of child care services to assure that all existing and newly-hired employees undergo a criminal background investigation. The term "child care services" is defined to include health and mental health care.

10.2.1.2.

In accordance with 42 U.S.C. 13041(d), the Contractor shall ensure that employment applications for potential contract employees contain a question asking whether the individual has ever been arrested for or charged with a crime involving a child, and if so, requiring a description of the disposition of the arrest or charge. The application shall further state that it is being signed under penalty of perjury, with the applicable Federal punishment for perjury stated on the application.

10.2.1.3.

The Government will conduct criminal background investigations for all potential contract employees who will be providing child care services under this Contract in accordance with 42 U.S.C. 13041.

10.2.1.4.

The COR will identify the appropriate Navy Component for billing purposes and the appropriate security point of contact and/or installation Commanding Officer who will receive the background results.

10.3. RESTRICTION ON THE USE OF GOVERNMENT-AFFILIATED PERSONNEL.

10.3.1.

Except in very limited cases, the federal criminal statutes at 18 U.S.C. 203 and 18 U.S.C. 205 bar government personnel, both active duty and civil service, from working as a contract employee in a government workplace, including a medical treatment facility, either as a second job ("moonlighting") or while on terminal leave. The Contractor agrees that, before making an employment offer to an active duty member or a civil servant, it shall inform the individual of the potential applicability of these statutes and further agrees to encourage that individual to seek an advisory opinion from his/her local ethics counsel before accepting an employment offer.

10.4. ADDITIONAL REQUIREMENTS

10.4.1. HUMAN IMMUNODEFICIENCY VIRUS (HIV)

10.4.1.1. MANAGEMENT OF HIV POSITIVE CONTRACT EMPLOYEES

10.4.1.1.1 HIV positive contract employees will be managed in accordance with the current CDC guidelines and Section 503 of the Rehabilitation Act (29 U.S.C. Section 793) and its implementing regulations (41 CFR Part 60-741).

10.4.1.2. PREVENTION OF THE TRANSMISSION OF HIV

10.4.1.2.1.

Contract employees shall comply with the CDC’s Universal Precautions for the prevention of the transmission of HIV.

10.4.2. BLOOD-BORNE PATHOGEN ORIENTATION PROGRAM

Contract employees may be required to participate in the MTF’s Blood-borne Pathogen Orientation Program. The contract employee may be required to also participate in all required annual training and in periodic training for all procedures that have the potential for occupational exposure to blood-borne pathogens.

10.4.2.1.

All contract employees shall comply with infection control guidelines to include the proper handling, storage, and disposal of infectious wastes and the use of universal precautions to prevent the spread of infections.

10.4.3. MANAGING THE CLINICAL RISK IN THE WORK ENVIRONMENT

The work environment inherently involves risks typically associated with the performance of job duties. Contract employees may be exposed to contagious diseases, infections and flying debris, requiring the wearing of personal protection equipment such as scrub attire, gloves, masks, and eye protection.

10.4.3.1.

In the event of an exposure, the Contractor and the MTF will cooperate, in accordance with applicable MTF policy, regarding offering appropriate post-exposure testing to the affected contract employee and the MTF will use its best efforts to appropriately test the source patient and obtain the patient’s consent to disclose the test results to contract employees and the Contractor. The Contractor will be responsible for providing appropriate follow-up medical care and counseling, if applicable, and record-keeping.

10.4.3.2.

Contract employees with a bona fide medical emergency occurring while on duty, or with an on-the-job injury, will be provided stabilizing medical care according to the procedures of the MTF. The Contractor shall reimburse the government for all medical services provided unless the contract employees are otherwise entitled to government medical services.

10.4.3.3 All accidents which may arise out of or in connection with the performance of services required herein, and which result in injury, death or property damage, shall be reported to the Safety Department and the COR immediately and to the MTF QI Department within twenty four (24) hours. Verbal reports shall be followed by written reports within twenty four (24) hours. Statements of witnesses shall be included. If any claim is made by a third party against the Contractor on account of any accident which occurs in connection with the performance of this Contract, the Contractor shall promptly report the facts in writing to the Command Legal Advisor, the MTF QI Department, the Command Safety Department, and the COR.

SECTION 11 - STANDARDS

11.1. STANDARDS

11.1.1.

All financial, statistical, personnel, and technical data which are furnished, produced, or otherwise available to the Contractor during the performance of this Contract are considered confidential business information and shall not be used for purposes other than performance of work under this Contract. Such data shall not be released by the Contractor without prior written consent of the COR. Any presentation of any statistical or analytical materials, or any reports based on information obtained from studies covered by this Contract, will be subject to review and approval by the COR before publication or dissemination. All inquiries from the media shall be forwarded to the Command Public Affairs Officer via the COR.

11.1.2.

All records produced in the performance of this Contract and all evaluations of patients are the property of, and subject to the exclusive control of, the government. The Contractor may retain a copy of all such records or evaluations, but may not provide further copies or disclose the information from such records or evaluations to third parties. All requests from other treatment facilities or other individuals for patient records shall be handled in accordance with procedures specified by applicable MTF instructions.

11.1.3.

If a subpoena or court order is received for the production of a medical record, the Contractor shall refer the Sub-poena or court order to the COR for action.

11.2. CONTRACT EMPLOYEE STANDARDS

11.2.1.

The Contractor and all contract employees shall comply with all MTF policies and procedures.

11.3. CONFLICT OF INTEREST

11.3.1.

The Contractor shall not, while performing services under this Contract, advise, recommend, or suggest to persons eligible to receive medical care at the government’s expense that such persons should receive care from the Contractor at any place other than a government facility.

11.4 HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT (HIPPA) COMPLIANCE

11.4.1.

The Contractor shall comply with the HIPAA (Health Insurance Portability and Accountability Act) privacy and security policies of the treatment facility (Attachment 2). Contract employees shall obtain/maintain a National Provider Identifier (NPI) in accordance with Department of Defense and Navy policy/instruction.

11.5 ENTERPRISE-WIDE CONTRACTOR MANPOWER REPORTING APPLICATION (ECMRA)

11.5.1.

The Contractor shall report ALL contractor labor hours (including subcontractor labor hours) required for performance of services provided under this Contract for the Navy via a secure data collection site. The Contractor is required to completely fill in all required data fields using the following web address https://www.ecmra.mil

11.5.2.

Reporting inputs will be for the labor executed during the period of performance during each Government fiscal year (FY), which runs October 1 through September 30. While inputs may be reported any time during the FY, all data shall be reported no later than October 31 of each calendar year. Contractors may direct questions to the help desk, linked at https://www.ecmra.mil

SECTION 12 – BASE ACCESS AND CREDENTIALING

Vendormate Credentialing Requirement Naval Medical Center, Portsmouth (NMCP) has instituted a Credentialing Program which is designed to streamline the collection and management of key information regarding the regulatory and compliance status as well as business operations of suppliers. Vendors and their representatives may be required to register in order to gain base access to NMCP. Fees may range from $25 to $250 per year and are not reimbursable under this contract. It is imperative that each representative registers individually to maintain their personal credentials and ensure ongoing base access to our facility. A Federal Tax Identification Number and a credit card are required to complete the initial registration. Additional representatives only need the Federal Tax Identification Number.

Register for Vendormate Credentialing at https://nmcp.vendormate.com.

For technical questions, go to https://ghx.com/customer-care.

Kiosks are located on the first and second floor entrances of Building two (2). Representatives who visit NMCP may be required to sign in electronically to obtain an identification badge. With a valid appointment and current credentials, representatives will be able to print a single-use badge that is to be worn throughout the visit to any NMCP facility. Badges are required for all vendors on premises. Please note that GHX Vendormate Credentialing is in addition to RapidGate for Base Access. Vendors may be required to register for both programs in order to come onboard the NMCP base. The Contractor shall not invoice the contract for any cost associated with base access requirements.

SECTION 13 - DEFINITIONS

ACCEPTED: The time at which care for the patient is officially transferred from the ambulance team to the medical staff at the receiving hospital.

ADVANCED LIFE SUPPORT (ALS) AMBULANCE TRANSPORT: Any transport that requires a level of care beyond the EMT-B provider. This level is to be determined by a NMCP credentialed provider.

BASIC LIFE SUPPORT (BLS) AMBULANCE TRANSPORT: Any transport that requires a level of care by an EMT-B provider. Any transport requiring higher-level care will be designated as an ALS transport. This level is to be determined by a NMCP credentialed provider.

COMMANDER: The individual Naval Officer who has responsibility for the operation of the military treatment facility at which contract services are being performed. For this contract, this is the Commander, Naval Medical Center Portsmouth, Virginia.

CONTRACTING OFFICER: The Government employees with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings. The term includes certain authorized representatives of the Contracting Officer acting within the limits of their authority as delegated by the Contracting Officer.

CONTRACTING OFFICER'S REPRESENTATIVE (COR): The Government employee responsible for assuring Contractor performance through audit, documentation, and liaison with the Contracting Officer. The COR is appointed in writing by the Contracting Officer. The COR has no authority to resolve disputes or obligate funds.

CONTRACTOR: That entity or its representative responsible for the delivery of the services or materials specified in this contract, as designated by award.

DISPATCH TIME: The time at which the contracted ambulance team is notified regarding the request for patient services.

DOCUMENT: (verb) To completely, accurately and legibly record information, including on prescribed forms or via a computer terminal, as appropriate.

EMERGENCY MEDICAL TECHNICIAN (EMT): A medical paraprofessional who is certified and registered by either the National Registry of Emergency Medical Technicians (NREMT) under Department of Transportation (DOT) training and education standards or by the Commonwealth of Virginia.

EMPLOYEE. For the purpose of this contract, an individual either employed or contracted to provide services.

JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JOINT

COMMISSION). A national organization dedicated to improving the care, safety, and treatment of patients in healthcare facilities; publishers of the Joint Commission Accreditation Manual for Hospitals.

MILITARY TREATMENT FACILITY (MTF). Unless otherwise specified, "the MTF" refers to the Naval Medical Center Portsmouth, Virginia.

NATIONAL REGISTRY OF EMERGENCY MEDICAL TECHNICIANS (NREMT). A national accrediting body that certifies individuals through a training and examination process as emergency medical technicians.

PATIENT TRANSPORT SERVICE. Transport of a patient between medical treatment facilities for additional treatment.

PERFORMANCE IMPROVEMENT (PI) (formerly quality assurance). Ongoing activities designed to objectively and systematically evaluate the performance of patient care and services, identify and pursue opportunities to improve patient care and services, and resolve identified problems.

QUALITY CONTROL. Those actions taken by a Contractor to control the provision of services so that they meet the requirements of the Performance Work Statement.

REFERRAL FACILITY. The hospital or other location from which the patient is picked up for transport.

RECEIVING FACILITY. The hospital or other location to which the patient is delivered.

RESPOND (RESPONSE). Respond (response) means to have the appropriate vehicle, personnel, equipment, and supplies at the patient pick up point in accordance with the service request.

RESPONSE TIME. The time from dispatch to arrival at the patient pick up point by the Contractor with the appropriate vehicle, personnel, equipment, and supplies.

RISK MANAGEMENT (RM). Clinical and administrative activities that hospitals undertake to evaluate and reduce the risk of injury and loss to patients, personnel, visitors and the institution itself.

TRANSPORT (RUN). The entire transport for a single patient, beginning from the time the Contractor departs to pick up patient at a facility until the patient is ultimately accepted at the final destination hospital (receiving facility). Transports include mileage up to seventy five (75) miles from NMCP. The transport may or may not originate from NMCP, and may or may not end at NMCP.

COR

The Contracting Officer's duly authorized representative, the Contracting Officer’s Representative, will perform inspection and acceptance of services to be provided.

For the purposes of this clause, Dr. Abhik Biswas (757) 953-4528 email: abhik.k.biswas.civ@mail.mil is the authorized representatives of the Contracting Officer.

Inspection and acceptance will be performed at the assigned locations according to the statement of work.

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

DELIVERY INFORMATION

30-SEP-2023

620 JOHN PAUL JONES CIRCLE

PORTSMOUTH VA 23708-2197

N00183

30-SEP-2023

N00183

CLAUSES INCORPORATED BY REFERENCE

52.212-1 52.219-9 (Dev) Instructions to Offerors—Commercial Items Small Business Subcontracting Plan (Deviation 2018-O0013)

JAN 2017

APR 2018

INSTRUCTION TO OFFERORS

Addendum to 52.212-1 Instructions to Offerors

This section specifies the format and content that vendors shall use in response to the Request for Quote (RFQ). Vendors shall submit a response that is legible and comprehensive enough to provide the basis for a sound evaluation by the Government. The intent is to ensure a certain degree of uniformity in the format of the responses for evaluation purposes. Information provided shall be precise, factual, and complete. Legibility, clarity, completeness and responsiveness are important. Quotes shall be in the form prescribed by, and shall contain a response to, each of the areas identified. Any quote which does not provide, as a minimum, which is required or meet the requirements of the solicitation, may be determined to be substantially incomplete and may result in rejection of the vendor's entire quote and therefore not warrant any further consideration.

The vendor shall fully explain their ability to meet requirements.

Subject Line should read: Solicitation N6264518Q0020

Period for Acceptance of Quotes

The period for acceptance of Quotes is 90 days after the closing date of the solicitation.

Pre-Contract Costs

The Contractor will not be reimbursed for any costs incurred prior to the effective date of the contract.

The quote shall be submitted in three separate volumes:

A complete Volume I (Technical), Volume II (Past Performance); and Volume III (Price), shall be submitted no later than (NLT) the closing date and time specified under “File Submission” below. If any of the volumes are received past the stated closing date, the entire quote will be considered late. No further consideration will be given to any vendor who submits any of the volumes late in accordance (IAW) FAR 15.208(b).

FILE SUBMISSION

Only electronic files will be accepted. Email shall be no larger than 10MB. All responses should d be submitted to Linda O’Brien at linda.s.obrien6.civ@mail.mil and karl.o.molina.civ@mail.mil no later than 1300 (1:00pm) EST time, Friday, 10 August 2018.

Volume I: Technical. The vendor shall include the following:

Conformance to Performance Work Statement – The vendor shall demonstrate their ability to meet the requirements as stated in the solicitation in Performance Work Statement, sections 2.1 – 2.32. Vendors not meeting all requirements will not be further considered for award unless there are no other technically acceptable offerors. This will be rated either Pass or Fail.

Volume II: Past Performance. The vendor shall include the following:

Vendors shall provide past performance data for all similar contracts for the last 2 years, up to 3 data points, or 3 data points for delivery starting with the most recent contracts for which delivery occurred at least 6 months prior to the closing of this solicitation. If past performance information is provided for more than three (3) contracts, only the first three (3) will be considered. Each reference shall include:

Organization/Location;

Point of Contact (POC) to include Title/Phone Number/ Email Address;

Contract Reference Number;

Contract Start Date;

Contract Delivery Date;

Value of the Contract (rounding to the nearest $5K is acceptable);

Whether of not the POC has agreed to be contacted as a reference.

If the vendor does not possess relevant past performance, the vendor shall submit a statement that it possesses no relevant Past Performance.

Volume III: Price. The vendor shall include the following:

The quoter shall provide pricing for all line items and pricing per Contract Line Item Number (CLIN). The quoter shall provide acknowledgment of any amendments. The proposed pricing will be evaluated by the Government and must be determined to be fair and reasonable for award.

Other Administrative Instructions:

The Quoter shall complete and submit FAR Provision 52.209-11 Representation by Corporations Regarding Delinquent Tax Liability or a Felony Conviction under any Federal Law (Feb 2016).

1. Contractors must be registered in the System for Award Management (SAM) database at time of award. Registration is free and can be completed on-line at https://www.sam.gov/portal/public/SAM/.

1. Vendors must submit Attachment IV – Malpractice Insurance Certification form with their quote.

MINIMUM and MAXIMUMS

The minimum guarantee for this contract is $5,000.00 and the maximum is $1,700,000.00.

CONTRACTOR SUPPORT

Notice: Navy Use of Support Contractor for Contract Closeout Functions

Naval Medical Logistics Command (NMLC) uses two private contractors in support of the contract closeout process. Those companies are Contracting Resources Group (CRG) of Federal Hill, MD, doing business under the authority of the Small Business Administration’s 8(a) program and the Ability One Program, doing business under the authority of the Javits-Wagner O’Day Act (41 U.S.C. § 47).

The contract closeout process includes activities such as processing deobligation modifications, obtaining contractor and requiring activity concurrence, preparing the DD-Form 1594 (Contract Completion Statement), and preparing closed files for archiving. Support contractors may perform additional administrative duties, including filing and processing simple administrative modifications. Performing these functions require the contractor employees to have access to the contract file. Therefore, information the Contractor provides to the Government or information already in the possession of the Government may be viewed by these support contractors in the course of performing contract close-out functions. The information that may be made available to the contractor may include pricing and technical responses and performance information.

NMLC has signed Non-Disclosure Agreements with each support contractor employee and has required both contractors to provide a Conflict of interest Mitigation Plan to ensure these employees are firewalled from all business development activity.

By signature of this contract, the quoter consents to access of their business sensitive/confidential or proprietary data by the Government’s support contractor personnel in order to…