RFP_No._NIHOD201800015-Amendment_No._4_dated_November_29_2018.pdf

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

(a) By completing items 8 and 15, and returning or (c) By separate letter or telegram which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

2. AMENDMENT/MODIFICATION NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicable)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICITATION

NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 13)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

12. ACCOUNTING AND APPROPRIATION DATA (If required) copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted;

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO.

IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

AMENDMENT NO. 4 - RFP No. NIHOD201800015

SHUTTLE SERVICES FOR THE NATIONAL INSTITUTES OF HEALTH

RESPONSES TO SOLICITATION QUESTIONS

1. The answers you gave to the questions conflicts with the hours of operation listed on page 13 for the Campus Perimeter (Brown) route and the Campus limited route. Currently two buses are required to run the Campus Perimeter (Brown) route from 6:30 am to 8:58 am and 430 pm to 730 pm so at a minimum that is a total of 11 hours per day for two buses, which, based on a 261-day federal work year, of which this contract is more than 261 days per year, is 2,871 hours for the Campus Perimeter (Brown) route. One bus is being used to run the Campus limited route at 7 hours per day. A 261-day federal work year, of which this contract is more than 261 days, would mean 1,827 hours for Campus Limited. This would bring the total hours for Campus Perimeter and Campus Limited to slightly more than 4,698 hours and your pricing matrix lists 3,302 hours as the number of hours to base our quote on, it’s not right or needs to be clarified in order to provide an accurate quote.

Response: The Campus Perimeter Shuttle and Limited Shuttle are two shuttle routes that share one shuttle bus. The total number of hours listed in the solicitation of 3,302 are correct and the hours of operations are also listed in the Performance Work Statement (PWS), Section B.1 Employee Shuttle Services.

2. With regard to the After-Hours shuttle services described in B.2.5 on page 17 it is a separate requirement from B.2.6 because B.2.5 says that the shuttles will be on call from 8pm to midnight and that a 20-passenger bus can be used. However B.2.6 says that between the hours of 10 pm and midnight a shuttle will run between the Children’s Family Inn and Family Lodge and CVIF. It is not possible for one shuttle bus to be at two different places from 10- 12 midnight. Further B.2.6 says a 15-passenger van can be used to complete the route in place of a 20-passenger bus. Therefore my question has not been adequately answered, where in the pricing matrix does B.2.6 go? Which line item or CLIN is it? B.2.5 appears to be the line item clin that says Bldg. 10 after hours; the extra hours for B.2.6 are not included in that line item.

Response: After Hours Shuttle Cost is Listed under Clin – 1g (Also answered in Amendment # 1)

PWS Change in Red below (updated PWS attached) – Addresses the shuttle and van question

B.2.6. Provide After Hours and Weekend Shuttle Service for Patients between the Gateway Visitor Center and Commercial Vehicle Inspection Facility

The Contractor shall provide an after-hours and weekend shuttle service (20+ passenger bus for Building 10 After Hours and Children’s Inn/Family Lodge Shuttles and 15 passenger van for Hotel Shuttles) to and from the Gateway Visitors Center (Metro), Commercial Vehicle Inspection Facility (CVIF), the Clinical Center, Children’s Inn and the Family Lodge.

• Building 10 After Hours Shuttle services the Children’s Inn and Family Lodge between the hours of 10:00 p.m. and midnight. The shuttle shall pick up patients and family members at the Metro, outside of the Perimeter Fence (last shuttle shelter in the bus loop) and proceed to CVIF. Once at the CVIF, the shuttle shall also pick up any patients that may have walked to this location;

AMENDMENT NO. 4 - RFP No. NIHOD201800015

SHUTTLE SERVICES FOR THE NATIONAL INSTITUTES OF HEALTH

RESPONSES TO SOLICITATION QUESTIONS

• The Children’s Inn/Family Lodge Weekend Shuttle shall operate by page notification to the Metro (outside loop) and CVIF. PAGER # 67 between the hours of 7:00 a.m. through 5:00 p.m. on Saturday and 9:00 a.m. through 9:00 p.m. on Sunday;

• Hotel Shuttles will also pick up patients at the CVIF and transport to the Clinical Center.

Once at the Clinical Center the Children’s Inn/Family Lodge Shuttle can be paged for pick up, according to the shuttle schedule.

Updated: November 29, 2018 1

PERFORMANCE WORK STATEMENT

SHUTTLE SERVICES FOR THE NATIONAL INSTITUTES OF HEALTH

A. GENERAL REQUIREMENTS

A.1. Background:

The National Institutes of Health (NIH) is the steward of medical and behavioral research for the Nation. Its mission is science in pursuit of fundamental knowledge about the nature and behavior of living systems and the application of that knowledge to extend healthy life and reduce the burdens of illness and disability. The goals of the agency are as follows:

• Foster fundamental creative discoveries, innovative research strategies, and their applications as a basis to advance significantly the Nation’s capacity to protect and improve health

• Develop, maintain, and renew scientific human and physical resources that will assure the Nation’s capability to prevent disease

• Expand the knowledge base in medical and associated sciences in order to enhance the Nation’s economic well-being and ensure a continued high return on the public investment in research

• Exemplify and promote the highest level of scientific integrity, public accountability, and social responsibility in the conduct of science.

The Office of Research Services (ORS), which includes the Division of Amenities and Transportation Services (DATS), provides a portfolio of services to the NIH Community that supports its mission of uncovering new knowledge about the prevention, detection, diagnosis, identification and treatment of disease and disability. Those services range from providing animal care and facilities, to library and conference services, to services related to security, safety and transportation (shuttle services). ORS supports all 27 Institutes and Centers (ICs) that operate in multiple locations, including the primary location on the Bethesda campus. Annual shuttle ridership is approximately 1 million employees and 240,000 patients and family members.

A.2. Purpose:

To provide shuttle services to transport employees and patients throughout the NIH campus and to several locations off-campus. In addition, patient shuttle services include transportation to and from regional airports, medical/recreational trips, and other select locations.

A.3. Goals and Performance Objectives:

Overall Goal: Efficient, effective and reliable shuttle services that provide timely, convenient and safe transportation for NIH employees, patients, patients’ families, and

Updated: November 29, 2018 2 visitors to and around the various NIH facilities, the District of Columbia Metro area, and the region.

Objectives:

A. Deliver safe, reliable and convenient shuttle services for NIH employees, patients, patients’ families, and visitors, including the disabled.

B. Provide superior customer service to all riders.

C. Operate an NIH patient shuttle transportation desk that provides reliable information on NIH patient shuttles and arranges taxi transportation for patients.

D. Implement a continuous improvement program to identify and make changes that will increase the operational efficiency and effectiveness with which shuttle services are provided, and where possible, reduce costs while maintaining acceptable performance levels.

E. Maintain a robust program management structure that is bolstered by a corporate commitment to deliver superior shuttle services to NIH.

A.4. Contractor Requirements:

Independently and not as an agent of the Government, the Contractor shall furnish and maintain all necessary services, qualified personnel, equipment, and supplies, not otherwise provided by the Government, to manage and operate employee and patient shuttles. The Contractor shall have and maintain all required permits and registrations to operate shuttle vehicles within the District of Columbia Metro area as well as between the Baltimore Washington International Thurgood Marshall Airport, Reagan National, and Dulles International Airport.

The Government has the unilateral right to order services in excess of those specified in Article B of the contract for any existing shuttles specified within the scope of performance as well as for any new shuttle runs. The Contractor will be obligated to provide services at the current rate.

A.4.1. Overall Performance Requirements

It shall be the Contractor’s responsibility to design methods and systems of how best to deliver the services to meet the Government’s quality and performance requirements. The requirements to provide shuttle service to the NIH community are performance-based with a focus on desired results and outcomes that will lead to reliable and dependable shuttle management and operations. This represents a challenge to the Contractor to develop and apply innovative and efficient approaches to the contract requirements. Performance-based contracting is a result of the overall shift in government management toward commercial business practices.

Updated: November 29, 2018 3

The Contractor shall respond to comments and complaints from patrons and the Government Contracting Officer’s Representative (COR) or representative within 24 hours of notification by the Government, unless Government officials request an immediate response depending on the severity of the incident. In a case of equipment malfunctioning, the Contractor shall immediately correct the problem to ensure patron satisfaction (i.e. heat/air conditioning, handicap equipment, etc.). If the problem is systemic, the Contractor shall submit a plan of correction to the COR.

B. SHUTTLE SERVICES

There are two general types of shuttle services: Employee Shuttle Service and Patient Shuttle Service. The following requirements apply to both the Employee Shuttle Service and the Patient Shuttle Service. Employee and Patient Shuttle routes and times are subject to change. The Contractor is responsible to comply and ensure the following:

• Provide and maintain equipment in each shuttle to allow immediate communication between the driver and the Contractor’s terminal. Communications between the patient shuttles and the Clinical Center are required at all times while the patient shuttle is in operation, including weekends and holidays.

• All shuttle drivers and dispatchers have a valid Commercial Driver’s License (CDL)

Class B with passenger and airbrakes endorsement in accordance with Department of Transportation (DOT) Regulations, an excellent driving record, and all required training, certification, and background screening.

• All personnel involved in operating a motor vehicle within the scope of this contract of any class must have a valid state motor vehicle operator’s license in his/her possession at all times.

• All buses, shuttles and vans must be equipped for accessibility for persons with disabilities.

• Passengers using a mobility assistance device referred to as a “Scooter” who wish to use the NIH Shuttles will be advised by the driver they will not be able to sit on the Scooter while the shuttle is in transport. The shuttle driver shall instruct the passenger that due to safety concerns with securing Scooters they shall call for a Para-Transit vehicle unless the passenger is capable of transferring to a passenger seat on the shuttle without assistances. If the passenger is capable of transferring to a seat they will be given the option to remain on the Scooter and be boarded using the ADA wheelchair accessible lift unless they choice to board by foot. In the event the passenger cannot exit the scooter without assistance, the shuttle driver shall contact the supervisor and request the Para- Transit Van for transport. The driver shall remain with the passenger until the arrival of either the supervisor or the ParaTransit Van. The shuttle driver cannot operate the

Updated: November 29, 2018 4 vehicle with any passenger seated in a mobility device unless the shuttle has been equipped with a designed platform for the device and the passenger (such as a scooter, child jogger, stroller, etc).

• All buses, shuttles and vans cannot be older than five (5) years during the contract period of performance. All shuttles, and shuttle components – i.e. wheel chair lifts, air conditioning, heating, etc. - will be in fully operational condition when providing transportation services at the NIH for employees and patients. If a shuttle is not in fully operational condition, the vehicle will be removed from the route until such time that repairs can be made. The Contractor shall continue to supply the appropriate number of shuttles to continue the route.

• All shuttles must be equipped with electronic arrival and departure technologies such as

Automatic Passenger Counter, Mobile Data Terminal (MDT), and Annunciator System with LED Display Sign or similar devices. This also includes electronic readers and Interactive Touchscreen Shuttle Kiosk(s) at select (by the Government) NIH locations. The shuttle kiosks located in each of the select NIH locations will track each of the shuttles on the NIH Shuttle Contract through GPS technology. All electronic technologies must be Rehabilitation Act of 1973 as Amended, Section 508 compliant. Shuttle buses and vans will also be equipped with forward, rear and side video recording cameras only, NO AUDIO Recording is authorized. All shuttle buses shall have bike racks installed on the front of them.

• Provide Signage on Shuttles Indicating Designated Routes (i.e. Campus, Campus

Limited, Rockledge, Executive Blvd, Montrose, Perimeter, Fisher’s Lane, etc.). Other signage may be periodically required.

• Patient Shuttle buses shall only contain a placard indicating NIH.

• Signage shall be clearly visible from all points on the outside of buses. Measures to enhance identification of the shuttle routes should be proposed and implemented to enhance communication and bus/route recognition for the customer.

• Name plates for the drivers of shuttles for each of the shuttles shall be clearly visible to all passengers at all times.

• The telephone number and an email address of the Contracting Officer’s Representative shall be visibly displayed on all shuttles so that customers may provide comments.

• Shuttle buses shall have front marquees to indicate the bus route.

• Employee and Patient shuttle buses must be marked with a standee line or bar.

Updated: November 29, 2018 5

• Employee and Patient shuttle buses must have emergency doors clearly marked.

• All applicable Motor Carrier Safety Inspection Regulations shall be adhered to.

• If NIH wishes to peruse commercial wrapping with promotional advertisements on buses, the contractor may be requested to facilitate such request with all costs paid by the requesting NIH party.

B.1. EMPLOYEE SHUTTLE SERVICES

B.1.1. Provide shuttle services for employees and others conducting official NIH business.

The Contractor shall provide a minimum of a 24-passenger bus, plus driver and the ability to accommodate wheel chairs to transport employees around the NIH campus as well as several locations on Executive Boulevard, Rockledge Drive, Montrose, Fisher’s Lane, and other satellite buildings. Review Employee Shuttle Schedules at https://www.ors.od.nih.gov/pes/dats/nihshuttleservices/Pages/shuttle.aspx. Buses may be no smaller than the 24-passenger bus however they must be able to accommodate the daily fluctuation of passenger ridership.

To assist offerors in proposing the number and size of shuttles required to perform the necessary services, NIH will provide the following information:

• Offeror may ride all current shuttles on and off campus at their convenience (security procedures will apply entering the campus).

The Contractor shall provide continuous employee shuttle service with the general hours of 6:00 a.m. to 9:30 p.m. Some routes will start and finish earlier than the mentioned hours of operation.

Route Hours of Operation Route

EMPLOYEE

Campus (Red) 6:30 a.m. - 6:40 p.m.

Rockledge (Green) 6:00 a.m. - 7:05 p.m.

Executive Plaza (Orange) 6:00 a.m. - 7:10 p.m.

Montrose (Yellow) 6:00 a.m. – 10:00 a.m. & 4:00 p.m. – 7:00 p.m.

Campus Perimeter (Brown) 6:30 a.m. – 8:58 a.m. & 4:30 p.m. - 7:30 p.m.

Campus Limited 9:19 a.m. – 4:10 p.m.

Fisher’s Lane 7:30 a.m. – 5:30 p.m.

The Contractor shall ensure that all shuttle buses have a comfortable environment with fully functional seasonal climate control.

https://www.ors.od.nih.gov/pes/dats/nihshuttleservices/Pages/shuttle.aspx

Updated: November 29, 2018 6

All vehicles the Contractor provides shall meet the needs of the physically disabled including wheel chair accommodations to comply with the most recent Uniformed Federal Accessibility Standards (UFAS) and the Americans with Disabilities Act (ADA). The shuttle driver shall provide assistance to disabled individuals as necessary to ensure that they are properly placed into the vehicle and secured during transit. The Contractor is responsible for ensuring that shuttle operators are familiar with all disability equipment and its proper functioning.

Where appropriate, a van may be used in lieu of a shuttle bus, and with the COR’s concurrence.

All shuttle buses shall hold at each stop location a minimum of 30 seconds.

B.1.2. Provide Shuttle Service Information

Information on NIH-linked Web Site - The Contractor shall assist the COR with web site information, provide employee shuttle maps, maintain and update employee shuttle schedules, and assist in maintaining and updating the employee shuttle web site. The Contractor shall not be responsible for creating the web site.

B.1.3. Special Event Shuttle

These shuttle services are not a part of the everyday shuttle routes. NIH will occasionally have a need for a special event shuttle(s) based on events occurring on the campus not to exceed 200 hours per year. Shuttle services will not be authorized unless requested and authorized by the Government Contracting Officer’s Representative.

B.2. PATIENT SHUTTLE SERVICES

The Contractor shall adhere to the ORS/DATS Administrative Standard Operating Procedures (SOP), Procedures and Official Use of Patient Shuttles. The primary purpose for the airport and hotel shuttle service is to transport patients, patients’ families, NIH visitors, and employees on official business or Government travel.

The following are the Patient Shuttle Routes.

Shuttle Routes Route Hours of Operation

Children's Inn/Family Lodge Monday - Friday 7:00 a.m. - 6:00 p.m.

Saturday and Holidays 7:00 a.m. – 5:00 p.m.

Sundays 9:00 a.m. - 9:00 p.m.

*Bldg 10 After Hours (Monday – Friday) 6:00 p.m. - 12:00 a.m.

Hotel South

Updated: November 29, 2018 7

Monday - Friday 6:00 a.m. - 7:00 p.m.

Sunday 1:00 p.m. – 5:00 p.m.

Holidays 8:11 a.m. - 4:00 p.m.

Hotel North Monday - Friday 6:00 a.m. - 7:00 p.m.

Sunday 1:30 p.m. - 4:30 p.m.

Holidays 8:40 a.m. – 4:30 p.m.

BWI Airport Monday - Friday 10:00 a.m. - 8:30 p.m.

Sunday 11:00 a.m. 9:00 p.m.

Holidays 10:00 a.m. - 8:30 p.m.

Reagan National Airport Monday - Friday 7:30 a.m. - 8:30 p.m.

Sunday 12:00 p.m. – 10:00 p.m.

Holidays 12:00 p.m. - 8:00 p.m.

Dulles Airport Monday - Friday 9:30 a.m. - 7:30 p.m.

Sunday 12:00 p.m. - 8:30 p.m.

Holidays 12:00 p.m. - 8:00 p.m.

Recreation No set schedule: As requested

Review Patient Shuttle Schedules at:

http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/patient_shuttles.a spx

All drivers are required to meet and maintain the required immunization requirements by the Clinical Research Center.

Patient Confidentiality: The confidentiality of NIH patients must be observed at all times.

Drivers shall not speak of patients by name or in any way allow written information (name lists) to be seen or handled by unauthorized individuals.

Patients Becoming Ill While in Transit: In the event a patient becomes ill while in the vehicle, the driver must call 911 immediately. The driver shall also notify his/her immediate supervisor who will then contact the Contracting Officer’s Representative.

Drivers to Assist Patients: The driver of a patient shuttle is to assist any patient or patient family member/friend with boarding and exiting a patient shuttle vehicle. This includes assisting any individuals with luggage or other personal items. This assistance is to be provided at areas such as airports, hotels, hospitals, NIH patient inspection entrance, NIH Clinical Center and any location where the patient shuttles operate. The Contractor is responsible for training all shuttle drivers in the area of assisting patients in this manner. The shuttle driver is to provide assistance to disabled individuals as necessary to ensure that they are properly placed into the vehicle and http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/patient_shuttles.aspx http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/patient_shuttles.aspx

Updated: November 29, 2018 8 secured during transit. The Contractor is responsible for ensuring that shuttle operators are familiar with all disability equipment and its proper functioning.

Medications: The driver of a patient shuttle will not be permitted to dispense or assist with providing any medication to a patient at any time.

B.2.1. Provide Patient Shuttle Services to and From Airports

Van Requirements for Shuttle Services To and From Airports: Vans or small buses, capable of transporting the driver plus at least 12 passengers, one wheelchair and luggage, shall be provided.

Each vehicle must be equipped with retractable steps for the safety of the patients. All vehicles must be wheel chair accessible.

Signage Required for Shuttles Providing Transportation To and From Airports: The vans or small buses will have the words “NIH” prominently displayed on the sides and rear of each vehicle, except where otherwise indicated.

Provide Patient Shuttle Services to and from Dulles International Airport: The Contractor shall transport Clinical Center research patients and/or their family members and staff to and from the Dulles International Airport located in Dulles, Virginia and the Children’s Inn, Family Lodge and the Clinical Research Center.

Drivers shall be responsible for assisting patients in the loading and unloading of their luggage up to 50 pounds and providing additional assistance as stated in Section B2.

Drivers must announce arrival and departure in the lobby of the Clinical Research Center, Children’s Inn and Family Lodge.

Drivers must make stops and meet patients/passengers at the designated locations as follows:

*Curbside at the lower level, 2H Baggage Claim at the NIH Shuttle Sign.

*These locations are subject to change.

Departure and arrival times are in accordance with the schedule.

In the event that Dulles International Airport is closed or flights have been limited for other reasons, patient shuttle service may be directed to Ronald Reagan Washington National Airport.

Should this occur, the number of trips will remain the same.

Updated: November 29, 2018 9

Provide Patient Shuttle Services to and from Ronald Regan Washington National Airport:

The Contractor shall transport Clinical Center research patients and/or their family members and staff to and from the Ronald Regan Washington National Airport located in Washington, D.C.

and the Children’s Inn, Family Lodge and the Clinical Center.

Drivers shall be responsible for assisting patients in the loading and unloading of their luggage up to 50 pounds and providing additional assistance as stated in Section B.2.

Drivers must announce arrival and departure in the lobby of the Clinical Center, Children’s Inn and Family Lodge.

Drivers must make stops and meet patients/passengers at the designated locations as follows:

*Terminal A: Ground Level at the NIH Shuttle Sign *Ticketing: Upper Level - Curb between doors 3 and 4 at the NIH Shuttle Sign

*These locations are subject to change.

Departure and arrival times are in accordance with the schedule.

In the event that Ronald Reagan Washington National Airport is closed or flights have been limited for other reasons, patient shuttle service may be directed to Dulles International Airport.

Should this occur, the number of trips will remain the same.

Provide Patient Shuttle Services to and from Baltimore Washington International Thurgood Marshall Airport (BWI): Provide shuttle services to Clinical Center patients and/or their family members and staff to and from BWI Airport, Children’s Inn, Family Lodge and the Clinical Center at NIH.

Drivers shall be responsible for assisting patients in the loading and unloading of their luggage up to 50 pounds and providing additional assistance as stated in Section B.2.

Drivers must make stops and meet patients/passengers at the designated locations as follows:

*Concourse D: Upper Level, Outside Curb Area - Door #13

*These locations are subject to change.

Departure and arrival times are in accordance with the schedule.

Drivers must announce arrival and departure in the lobby of the Clinical Center, Children’s Inn and Family Lodge.

Updated: November 29, 2018 10

B.2.2. Provide Patient Shuttle Services to and from local Hotels and Motels.

The Contractor shall provide shuttle service to and from various motels and hotels along Wisconsin Avenue/Rockville Pike corridor to transport patients to the Clinical Center.

Driver shall announce arrival and departure in the lobby of the hotel/motel and assist in loading and unloading luggage up to 50 pounds. Departure and arrival times are in accordance with attached schedule. Review Patient Shuttle Schedules at:

http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/hotel_shuttles.asp x

B.2.3. Provide Recreational Therapy Shuttle Services

The Contractor shall provide shuttle services for the transportation of patients and their family members/escorts from Clinical Center to various points of interest within a 50-mile radius of Bethesda, Maryland.

An average of 8 trips per week of 2-8 hours duration will be scheduled.

The Clinical Center shall notify the Contracting Officer’s Representative on the 25th day of each month of the schedule for the following month. A copy of this schedule will be provided to the Contracting Officer’s Representative who in turn will provide a copy to the Contractor.

Whenever possible, cancellation notice of any trip shall be provided within 4 hours of scheduled departure time. Cancellation made within 4 hours will not be charged to the Government.

Vans or small buses, capable of transporting the driver plus at least 24 passengers, one wheelchair and luggage, shall be provided.

Vehicle must be equipped with wheelchair accessibility and appropriate equipment available for all passengers to board the bus properly.

No NIH markings shall be displayed on the vehicle.

Drivers shall remain within the vicinity of the NIH assigned group leader throughout the trip.

B.2.4. Provide shuttle service for the Children’s Inn and Family Lodge and West Drive Patient Entrance

The Contractor shall provide a small bus/van that seats a minimum of 16 passengers, the first two rows behind the driver must be equipped with seat belts, plus two wheelchair passengers for shuttle services for patients and families to and from the Children’s Inn and Family Lodge to locations on the campus during the weekday hours of 7:00 a.m. - 6:00 p.m., at which time the http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/hotel_shuttles.aspx http://www.ors.od.nih.gov/pes/dats/transportation/PatientShuttles/Pages/hotel_shuttles.aspx

Updated: November 29, 2018 11

Building 10 After Hours Shuttle takes over and operates until 12:00 a.m. Priority will be given to the Children’s Inn/Family Lodge Shuttle patients. This shuttle service also operates on Saturdays and Federal Holidays from 7:00 a.m. until 5:00 p.m. and on Sundays from 9:00 a.m.

until 9:00 p.m. between the Children’s Inn, Family Lodge, Medical Center Metro, Commercial Vehicle Inspection Facility (CVIF) and the Clinical Center.

Additionally, the Children’s Inn/Family Lodge Shuttle will operate to and from the West Drive Patient Entrance during the weekday hours of 7:00 a.m. - 6:00 p.m., Saturdays and Federal Holidays from 7:00 a.m. until 5:00 p.m. with stops to the Medical Center Metro every 30 minutes and on Sundays from 9:00 a.m. until 9:00 p.m. The West Drive security officer or CC Hospitality staff assigned to West Drive will request shuttle pickup for a patient and/or family member by page notification PAGER # 68.

B.2.5. Provide After Hours Campus Shuttle Service

The Contractor shall provide an after-hours shuttle (20+ passenger bus) to and from the Clinical Center to several parking lots on the NIH campus, or other locations, as requested.

After Hours Shuttle - stops are at Building 10, the Medical Center Metro on South Drive, Lot 41 A/B, and other locations as requested by passengers.

Hours of operation will be from 6:00 p.m. to 12:00 a.m. The bus shall operate on a set schedule from 6:00 p.m. to 8:00 p.m.

Between 8:00 p.m. and 12:00 a.m., the driver will be on-call at the Transportation Desk in the Building 10, north lobby and will take passengers to the above locations as needed. The bus shall also serve the Children’s Inn and Family Lodge on an on-call basis.

B.2.6. Provide After Hours and Weekend Shuttle Service for Patients between the Gateway Visitor Center and Commercial Vehicle Inspection Facility

The Contractor shall provide an after-hours and weekend shuttle service (20+ passenger bus for Building 10 After Hours and Children’s Inn/Family Lodge Shuttles and 15 passenger van for Hotel Shuttles) to and from the Gateway Visitors Center (Metro), Commercial Vehicle Inspection Facility (CVIF), the Clinical Center, Children’s Inn and the Family Lodge.

• Building 10 After Hours Shuttle services the Children’s Inn and Family Lodge between the hours of 10:00 p.m. and midnight. The shuttle shall pick up patients and family members at the Metro, outside of the Perimeter Fence (last shuttle shelter in the bus loop) and proceed to CVIF. Once at the CVIF, the shuttle shall also pick up any patients that may have walked to this location;

Updated: November 29, 2018 12

• The Children’s Inn/Family Lodge Weekend Shuttle shall operate by page notification to the Metro (outside loop) and CVIF. PAGER # 67 between the hours of 7:00 a.m.

through 5:00 p.m. on Saturday and 9:00 a.m. through 9:00 p.m. on Sunday;

• Hotel Shuttles will also pick up patients at the CVIF and transport to the Clinical Center. Once at the Clinical Center the Children’s Inn/Family Lodge Shuttle can be paged for pick up, according to the shuttle schedule.

B.2.7. Provide Patient Shuttle Transportation Desk

The Contractor shall staff a NIH patient shuttle transportation desk located in Building 10. The Transportation Desk shall provide information on NIH employee and patient shuttles. In accordance with the requirements of this contract, Transportation Desk employees shall schedule shuttles for the CC Recreation and special event shuttles as required. The Patient Shuttle Transportation Desk shall be staffed the following hours:

Transportation Desk Hours Monday – Friday 7:00 a.m. – 7:00 p.m.

Sunday 9:00 a.m. – 5:00 p.m.

Holidays 9:00 a.m. – 5:00 p.m.

* Holidays not worked are Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas and New Year

The Government shall provide one (1) computer for the Transportation On-Site Office which will be used for Government related reports, email, and other contract related functions. All other office equipment necessary to successfully perform this contract is the responsibility of the Contractor.

The Transportation Desk staff shall also arrange taxi services for authorized patients/guardians with approved taxi Contractors under the guidance of the CC Contracting Officer’s Representative for the taxi contracts.

B.2.8. Training for Patient Shuttle and Transportation Desk Personnel

In addition to the training provided to employees by their employer, patient shuttle drivers and employees assigned to the Transportation Desk in the Clinical Center will be required to attend appropriate training courses provided by the Clinical Center. These courses will be provided free of charge to the Contractor by the Clinical Center. Advance scheduling will be provided to ensure that all assignments/schedules are maintained. Training will include the following courses and schedules:

Updated: November 29, 2018 13

Course Initial CC Orientation Mandatory Annual Training

NIH/CC-Orientation

Required once upon entry, within 30 days of start date

N/A

NIH EEO On-line Training Sexual Harassment, Disability Awareness, Diversity Management in the Workplace

Required once upon entry N/A

NIH Computer Security Awareness Online Training

Required for ALL modules upon entry

Annual review required

NIH Government Ethics Online Training

Required once upon entry, Annual review required

CC-Safety and Emergency Procedures

1) Infection Control

2) Universal Precaution

3) Emergency Procedures

4) Hazard Communications

5) Patient Safety

Required upon entry

Annual review required Annual review required Annual review required Annual review required Annual review required

CC Patient Confidentiality

Required upon entry Annual review required

CC Diversity Appreciation and Communications

Required upon entry Recommended review every 3 years

CC Performance Improvement

Required upon entry Recommended review as required by supervisor

CC Customer Service

Required upon entry Recommended review every 3 years

The above list may not be all inclusive. Additional training classes may be required by the Clinical Center management that all employees, including contract staff, will need to take. The Clinical Center will provide a training schedule to the Contracting Officer’s Representative allowing ample time to adequately schedule personnel. Scheduling of personnel may result in service being modified on that day.

B.2.9. Immunization Requirements

Updated: November 29, 2018 14

The Contractor shall ensure Special Immunization Requirements are met and maintain documentation for workers with occupational exposure to blood or other potentially infectious materials.

Contractors must ensure that they comply with all applicable federal and state government regulations regarding control of infectious diseases in health care facilities. Contractors should consult the specific regulations for further details, exemptions, documentation and recordkeeping requirements. Specific examples include but are not limited to: Hospital workers must have proof of rubella (measles) immunity; workers born after 1956 working at least 20 hours each week who are newly retained as medical staff, direct or contractual employees, or volunteers shall have documentation of receipt of either two doses of live measles virus vaccination or proof of immunity by blood test for antibody to rubella (Health-General Article §19-307, Annotated Code of Maryland).

Any Contractor employee physically working in Building 10, whether or not they have occupational exposure to M. tuberculosis, must have a pre-placement PPD skin test and those with positive PPD tests must be evaluated as described above.

Contractor employees with patient contact must have a pre-placement evaluation for history of chickenpox (varicella) and/or receipt of varicella vaccine.

Contractor employees who have patient contact must demonstrate proof of immunity to measles, mumps and rubella at preplacement or be immunized with at least two doses of measles, mumps, rubella (MMR) vaccine. The Contractor shall keep immunization records or the serologic status of each worker on file. (Prevention of Measles, Rubella, Congenital Rubella Syndrome, and Mumps, 2013: Summary Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR 62(RR04); 1-34.)

Contractor employees who have patient contact must have varicella immune status on file. Those who do not have a clear history of varicella infection (chickenpox) should be tested for varicella immunity. Varicella vaccine should be offered to those who are nonimmune. The Contractor shall keep records of each worker’s varicella immune status.

Contractor employees who have patient contact must be immunized annually with the influenza vaccine. Those with medical contraindications (severe allergic reaction to the vaccine, severe egg allergy, or a history of Guillain-Barre syndrome) must submit physician documentation to be exempted from immunization. Contractor personnel with religious objections to immunization must file a statement to that effect each year to decline the vaccine. Records of immunization, declination, or exemption must be kept by the Contractor for a period of one year. (Influenza Vaccination of Health-Care Personnel: Recommendations of the Healthcare Infection Control Practices Advisory Committee (HICPAC) and the Advisory Committee on Immunization Practices (ACIP). 2006; 55(RR02);1-16)

Updated: November 29, 2018 15

Contractor employees who have patient contact must be immunized for Tetanus, Diphtheria, Pertussis – A one-time administration of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine (Tdap) is strongly encouraged for all contract staff age 19 and older who have not yet received a dose of Tdap. Tdap should be administered regardless of the interval since the last tetanus, or diphtheria toxoid-containing vaccine. The Contractor shall keep immunization records status of each worker on file. (Updated Recommendations for the Use of Tetanus Toxoid, Reduced Diphtheria Toxoid, and Acellular Pertussis (Tdap) Vaccine in Adults 65 Years and Older – Advisory Committee on Immunization Practices (ACIP). 2012. MMWR June 29, 2012/61(25);468-470).

The Contractor shall provide annual Universal Precautions training to contract employees with occupational exposure to blood or other potentially infectious materials and maintain training records.

For Contractor employees in the Clinical Center and/or credentialed to provide patient care, this training is routinely offered by the Hospital Epidemiology Service (HES). Contractors must maintain training records for three years, according to the standard (29 CFR Part 1910.1030, OSHA Occupational Exposure to Bloodborne Pathogens; Final Rule, Federal Register, Friday, December 6, 1991, pp 64174-64182).

Provide contractor employees with exposure treatment.

Provide contractor employees with occupational exposure to blood or other potentially infectious materials shall be offered the hepatitis B vaccine unless the employee has previously received the complete hepatitis B vaccination series, antibody testing has revealed that the employee is immune, or the vaccine is contraindicated for medical reasons.

Contractor employees who decline to accept the hepatitis B vaccination must sign the mandatory declination, as specified in the OSHA standard. The contractor shall maintain these records for at least the duration of employment plus 30 years, in accordance with the standard (29 CFR Part 1910.1030, OSHA Occupational Exposure to Bloodborne Pathogens; Final Rule, Federal Register, Friday, December 6, 1991, pp 64174-64182).

Contractor employees with occupational exposure to blood or other potentially infectious materials shall be offered post-exposure evaluation and follow-up.

The Contractor shall maintain these records for at least the duration of employment plus 30 years, in accordance with the standard (99 CFR Part 1910.1030, OSHA Occupational Exposure to Bloodborne Pathogens; Final Rule. Federal Register, Friday, December 6, 1991, pp 64174- 64182). The NIH Occupational Medical Service (OMS) provides emergency clinical evaluation and treatment to NIH employees, non-NIH workers, and visitors on campus who report an exposure to potentially infectious materials. If the exposure involves a primate retrovirus, OMS

Updated: November 29, 2018 16 also offers chemoprophylaxis and serologic monitoring. Contractors are responsible for follow-up of exposures other than those involving primate retroviruses.

Contractor employees who have the potential for exposure to M. tuberculosis shall receive counseling, screening, and evaluation.

These Contractor employees include: persons who routinely have patient contact or who enter patient rooms or examination or treatment rooms; persons who are exposed to M. tuberculosis in a laboratory or morgue; or persons who work in a primate animal care setting. Workers who have positive purified protein derivative (PPD) skin test results, PPD test conversions, or symptoms suggestive of Tuberculosis should be identified, evaluated to rule out a diagnosis of active Tuberculosis, and started on therapy or preventive therapy if indicated. The results of pre-placement and periodic PPD testing must be kept in a retrievable aggregate database, and PPD test conversion rates for each specific occupational group or each area of the hospital must be calculated at appropriate intervals (at least annually). To calculate PPD test conversion rates, the total number of previously PPD-negative workers tested in each area or group (i.e., the denominator) and the number of PPD test conversions among workers in each area or group (i.e., the numerator) must be obtained. These data must be reported to the Hospital Epidemiology Service as requested (Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities, 1994. MMWR 1994;

43(No. RR 13): pp 1-132).

Report Format. Any spreadsheet or word processing software may be used. Optional table footnotes are included in the examples to summarize worker inclusion criteria and the criteria for compliance per the applicable state or federal regulation. If a Contractor employee does not fit the criteria for inclusion in a particular compliance element (e.g., a clerk whose job duties do not include the potential for occupational exposure to blood or other potentially infectious materials would not need annual Universal Precautions training or hepatitis B vaccination), compliance is categorized as “N/A” or “Not Applicable.”

Item Description Quantity Delivery Schedule

1. Initial Report date of this modification consists of two parts:

a. Itemized compliance information on each current employee working on the contract.

b. Summary compliance reports by occupation/job location for TB surveillance (PRD testing active pulmonary or laryngeal tuberculosis and PPD conversion rates)

• 1 copy to HES*

• 1 copy to the

Contracting Officer

• 1 copy to the Contracting Officer’s Representative

Due 30 days after effective date

Updated: November 29, 2018 17

2. Semi-Annual Report

Consists of two parts:

a. Itemized compliance information on each current employee working on the contract.

b. Summary compliance reports by occupation/job location for TB surveillance (PRD testing active pulmonary or laryngeal tuberculosis and PPD conversion rates)

These reports shall include all individuals working on the contract during the preceding period.

• 1 copy to HES*

• 1 copy to the

Contracting Officer

• 1 copy to the Contracting Officer’s Representative

Due on or before:

April 15 (for Oct 1- March 31)

October 15 (for April 1-Sept 30)

3. New Employee Report

As new employees are hired, an itemized compliance report shall be submitted.

• 1 copy to HES*

• 1 copy to the

Contracting Officer

• 1 copy to the Contracting Officer’s Representative

Due within 30 days of hire date

4. Immediate Report of Possible TB Transmission

Any contract employee identified with:

a. Suspected or active pulmonary or laryngeal tuberculosis

b. A PPD skin test conversion

Contact HES immediately on

(301) 496-2209

Reports shall be delivered to the following addresses indicated below:

*Hospital Epidemiology Services (HES) NIH, Warren G. Magnuson Clinical Center Building 10, Room 2N224 10 Center Drive, MSC 1504 Bethesda, Maryland 20892-1504

NIH, Clinical Center, OPC Building 10, Room 1N262 10 Center Drive, MSC 1189 Bethesda, Maryland 20892-1189

Current as of January 9, 2014

Updated: November 29, 2018 18

B.2.10. Personnel Files for Employees Assigned to the Clinical Center and Patient Shuttle

The Contractor must maintain a personnel file on each contract employee assigned to the Clinical Center and Patient Shuttle routes. This personnel file must be made available to Clinical Center staff during The Joint Commission (TJC) inspections. The personnel folder will be housed in a secure location within the Clinical Center and will be returned to the Contractor once the TJC inspection(s) are complete. The folders will contain such items as Position Description, Performance Evaluations, Personnel Information, Credentials, Competency Evaluations, Awards and Commendations, and miscellaneous items. A sample folder will be provided to the Contractor to ensure compliance with this requirement upon contract award.

B.2.11. Provide Patient Shuttle Service Information

All patient shuttles must be equipped with electronic arrival and departure technologies such as Automatic Passenger Counter, Mobile Data Terminal (MDT) or similar devices. This also includes electronic readers and Interactive Touchscreen Shuttle Kiosk(s) at select (by the Government) NIH locations. The shuttle kiosks located in each of the select NIH locations will track each of the shuttles on the NIH Shuttle Contract through GPS technology. All electronic technologies must be Rehabilitation Act of 1973 as Amended, Section 508 compliant. Shuttle buses and vans shall also be equipped with forward and rear video recording cameras only, NO AUDIO Recording is authorized. Information on NIH-linked Web Site - The Contractor shall assist the Contracting Officer’s Representative with web site information, provide patient shuttle maps, maintain and update patient shuttle schedules, and maintain and update patient shuttle web site.

C. SHUTTLE ON-SITE MANAGEMENT OFFICE

The Contractor shall provide On-Site Project Management. The on-site key personnel and the company’s corporate executive staff shall consist of professionals with a combination of education, experience and skills in Management or the Transportation Industry commensurate with the scope of this contract. The on-site personnel will consist minimally of the Project Manager, Quality Assurance Specialist and two Dispatchers to monitor shuttle buses and NextBus or equivalent technology. The Project Manager and Quality Assurance Specialist will provide their résumés to the Contracting Officer and Government Contracting Officer’s Representative for review and approval. This team shall provide leadership that assures the highest level of service at all times. The Project Manager shall conduct overall management coordination and be the central point of contact with the Government for performance of all work under this contract. Included in this function will be a full range of management duties including, but not limited to, planning, scheduling, report preparation, establishing and maintaining records, and quality control. The Contractor shall provide an adequate number of personnel with the necessary management expertise to assure the performance of the work in accordance with sound and efficient management practices.

Updated: November 29, 2018 19

The Government will provide seven (7) computers for the Transportation On-Site Office which will be used for Government related reports, email, and other contract related functions.