S02 36C24526Q0162_1.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C24526Q0162 04-06-2026

Dan Feng Lu 410-691-1141 04-24-2026

17:00 EDT

Department of Veterans Affairs

VISN 5 Contracting

849 International Drive

Linthicum MD 21090

Dan Feng Lu

Danfeng.lu@va.gov

X 100

X

485991

$19 Million

N/A

X

Department of Veterans Affairs

Baltimore VA Medical Center

10 N. Greene Street

Baltimore MD 21201

Department of Veterans Affairs

VISN 5 Contracting

TBD

VetRide

Department of Veterans Affairs

HCFA 1500 in the VetRide Vendor Portal

See CONTINUATION Page

Contractor shall provide Wheelchair Van Transportation services at Baltimore VA Medical Center in accordance with

Performance Work Statement.

Anticipated Period of Performance:

July 1, 2026 - June 30, 2031

See B.2 for MATOC RFP summary.

See section E for instructions.

Contractor shall be responsible for the correct title classification of the workers and compliance with all applicable wage and hour laws.

See CONTINUATION Page

X X

X 1

Dan Feng Lu

Contracting Officer

36C24526Q0162

Table of Contents

SECTION A

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

COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 MULTIPLE AWARD TASK ORDER CONTRACTS (MATOC)

B.3 PERFORMANCE WORK STATEMENT

B.4 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (NOV 2025) (DEVIATION)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.8 52.240-91 SECURITY PROHIBITIONS AND EXCLUSIONS (NOV 2025) (DEVIATION) ... 36

C.9 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.10 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 WAGE DETERMINATION

D.2 SURVEILLANCE CHECKLIST

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)51

E.2 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (NOV 2025)

(DEVIATION)

E.3 52.216-1 TYPE OF CONTRACT (NOV 2025) (DEVIATION)

E.4 52.233-2 SERVICE OF PROTEST (NOV 2025) (DEVIATION)

E.5 52.240-90 SECURITY PROHIBITIONS AND EXCLUSIONS REPRESENTATIONS AND

CERTIFICATIONS (NOV 2025) (DEVIATION)

E.6 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(OCT 2025) (DEVIATION)

E.7 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION FEB 2025)

E.8 SUPPLEMENTAL INSTRUCTIONS TO OFFERORS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: TBD

b. GOVERNMENT: Contracting Officer 36C245 Dan Feng Lu Department of Veterans Affairs VISN 5 Contracting

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award

Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon completion of each trip

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

HCFA 1500 in the VetRide Vendor Portal

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.2 MULTIPLE AWARD TASK ORDER CONTRACTS (MATOC)

Quantities listed are estimated only and are not guaranteed.

This is a 5-year Commercial Firm Fixed Price, shared capacity, Multiple Award Indefinite

Delivery / Indefinite Quantity (IDIQ) contract, for Wheelchair Transportation Services to support the Baltimore VA Medical Center. The Department of Veteran Affairs intends to award up to three (3) Lowest Price Technically Acceptable (LPTA) contractors. The task orders will be distributed equitably.

Accordingly, funds are not obligated on this contract at award; rather, funds are obligated via task orders issued against the contract. Task orders shall only be issued by a warranted VA

Contracting Officer (CO). VA CO will issue task orders to the contractor authorizing services via

Standard Form 1449. Each task order shall clearly identify the dollar amount authorized under the individual task order and the period of performance of the individual task order. When a task order period of performance is completed, additional services shall not be provided unless a new task order is issued in accordance with this IDIQ.

The minimum dollar amount guaranteed under this contract for the performance period of the five year is $1,000.00. The maximum dollar amount or contract ceiling for this contract is

$50,000,000.00. The maximum amount is not guaranteed. The combined total of all orders placed against this contract cannot exceed the maximum amount/ceiling of this contract.

(End of Clause)

B.3 PERFORMANCE WORK STATEMENT

1. Purpose: The Baltimore VAMC VA Medical Center (hereafter VAMHCS), its associated

Community-Based Outpatient Clinics (CBOCs), and affiliated healthcare clinics require contracted non-emergent wheelchair transportation services. The contractor shall provide all vehicles, personnel, management, supplies, equipment, and necessary reporting for the provision of non-emergent wheelchair transportation services. The contactor shall make these non-emergent wheelchair transportation services available to the VA as needed, 24 hours a day, seven days a week (24/7), including weekends and holidays.

2. Background: The (Baltimore VAMC) main campus is located _ 10 N. Greene Street, Baltimore MD. 21201, serving over 57,000veterans, primarily from the

Maryland/Washington area and it’s Community-Based Outpatient Clinics. The hospital has 530 inpatient beds and sees approximately 9,500 inpatient admissions and 800,000 outpatient visits a year. Veterans served within this facility live within the following counties and zip codes.

City

Zip

Code

Code

Code

Washington, DC 20011 Fowbelsburg, MD 21155 Baltimore, MD 21228

Washington, DC 20032 Upperco, MD 21155 Catonsville, MD 21228

Washington, DC 20422 Upper Falls, MD 21156 Carroll, MD 21229

Charlotte Hall, MD 20622 White Marsh, MD 21162 Morrell Park, MD 21230

Fort Meade, MD 20755 Baltimore, MD 21201 Baltimore, MD 21231

Greenbelt, MD 20770 Baltimore, MD 21202 Baltimore, MD 21234

Silver Spring, MD

20910

Baltimore, MD

21204

Loch Raven Village, MD

21234

Aberdeen, MD 21001 Eudowood, MD 21204 Parkville, MD 21234

Baldwin, MD 21013 Ruxton, MD 21204 Parkville, MD 21234

Boring, MD 21020 Towson, MD 21204 Baltimore, MD 21236

Brooklandville, MD 21022 Baltimore, MD 21205 Nottingham, MD 21236

Butler, MD 21023 Raspeburg, MD 21206 Baltimore, MD 21237

Chase, MD 21027 Baltimore, MD 21207 Rosedale, MD 21237

Cockeysville Hunt Valley, 21030 Gwynn Oak, MD 21207 Northwood, MD 21239

Cockeysville Hunt Valley, MD

21031 Woodlawn, MD 21207 Baltimore, MD 21244

Fork, MD 21051 Baltimore, MD 21208 Windsor Mill, MD 21244

Fort Howard, MD 21052 Pikesville, MD 21208 Baltimore, MD 21251

Freeland, MD

21053

Mt

Washing ton, MD

21209

Baltimore, MD

21282

Garrison, MD 21055 Roland Park, MD 21210 Pikesville, MD 21282

Glen Arm, MD 21057 Baltimore, MD 21211 Baltimore, MD 21284

Glen Burnie, MD 21061 Govans, MD 21212 Loch Raven, MD 21284

Glyndon, MD 21071 Clifton, MD 21213 Towson, MD 21284

Hydes, Md 21082 Baltimore, MD 21214 Baltimore, MD 21285

Bradshaw/Kingsville, MD 21087 Arlington, MD 21215 Towson, MD 21285

Long Green, MD 21092 Baltimore, MD 21216 Baltimore, MD 21286

Timonium/Lutherville, MD

21093

Druid Park, MD

21217

Loch Raven Village, 21286

Timonium/Lutherville, MD 21094 Baltimore, Md 21218 Towson, MD 21286

Maryland Line, MD 21105 Baltimore, MD 21218 Baltimore, MD 21287

Hereford/Monkton, MD 21111 Baltimore, MD 21219 Annapolis, MD 21401

Owings Mills, MD

21117

Sparrows

Point, 21219

Cumberland, MD

21502

Bentley Springs, MD 21120 Baltimore, MD 21220 Cambridge, MD 21613

Parkton, MD 21120 Middle River, MD 21220 Hagerstown, MD 21742

Perry Hall, MD 21128 Baltimore, MD 21221 Pocomoke, MD 21851

Jacksonville, MD 21131 Essex, MD 21221 Perry Point, MD 21902

Phoenix, MD 21131 Baltimore, MD 21222 Elkton, MD 21921

McDonogh Run, MD 21133 Dundalk, MD 21222 Alexandria, VA 22310

Randallstown, MD 21133 Franklin, Md 21223 Winchester, VA 22602

Reisterstown, MD 21136 Highlandtown, MD 21224 Harrisonburg, VA 22801

Riderwood, MD 21139 Brooklyn, MD 21225 Martinsburg, WV 25401

Glencoe, MD 21152 Curtis Bay, MD 21226 Martinsburg, WV 25405

Sparks, MD 21152 Arbutus, MD 21227 Huntington, WV 25704

Stevenson, MD 21153 Baltimore, MD 21227 Beckley, WV 25801

Halethorpe, MD 21227 Lansdowne, MD 21227 Clarksburg, WV 26301

Franklin, WV 26807

3. Acronyms:

AOD – Administrative Officers of the Day CO – Contracting Officer COR – Contracting Officer’s Representative

DOL – Department of Labor

IAW – In Accordance With

PWS – Performance Work Statement

QASP – Quality Assurance Surveillance Plan

QCP – Quality Control Plan

TB – Tuberculosis

TJC – The Joint Commission

VTS – Veteran Transportation Service

4. Scope/Requirements:

4.1. Types of Non-Emergent Wheelchair Transportation Service:

4.1.1. The contractor shall provide Non-Emergent Wheelchair Transportation

Service as-needed basis IAW all federal, state, and local regulations.

4.1.2. Occasionally a veteran will need to be transported with VA staff and equipment; the contractor shall return VA Staff and equipment to the original place of pick-up.

4.2. Transport of Miscellaneous Items with the Patient:

The Contractor may also be required to transport patient luggage (one – no more than

20 pounds), medical records, medication, and comfort items from pickup points to destination at no additional cost to the Government. Luggage to be transported will be restricted to suitcase and valise types. When patients are transported to the

(Baltimore VAMC), destination is deemed to be the ER, Admissions, the clinic, or service within the hospital, or directly to the ward as instructed by VA Staff. All patient records transported with the patient are confidential in accordance with HIPAA.

4.3. Contractor Personnel: Contractor personnel shall be courteous and always conduct themselves in a businesslike manner while providing services under this contract.

4.3.1. Non-Emergent Wheelchair Transport Drivers & Other Personnel

4.3.1.1. Non-emergent wheelchair van transport drivers shall at all times meet the qualifications specified in this contract as well as all applicable federal, state, and local government laws, regulations, and standards.

4.3.1.2. If the contractor wishes to add or replace personnel throughout the life of the contract, it shall provide evidence of required training, certifications, licensing (i.e., Driver & Transportation-for Hire), and any other qualifications to the Contracting Officer’s Representative (COR) for review.

4.3.1.3. All wheelchair transport drivers shall have a valid driver’s license IAW state requirements for their place of operation and the services they perform. If the contractor wishes to add or replace drivers throughout the life of the contract, it shall provide a valid driver’s license to the COR.

4.3.1.4. Investigative Requirements for Contract Personnel: Contract personnel will be subject to the same investigative requirements as those for regular

VA appointees and employees. The level of investigation commensurate with the level of access to perform the performance work statement is:

Special Agreement Checks (SAC). Fingerprinting for contract personnel will be conducted at (Baltimore VAMC). Thereafter the contracted employees will be subject annually to the same requirement, with a 90-day window to complete such requirement as provided by (Baltimore

VAMC). The Workforce Management and Consulting, Human Resource

Operation Office, Personnel Security Contracting Team (WMC HROO

PerSec Contracting Team) is responsible for adjudicating all background investigations for contract employees.

4.3.2. Tuberculosis Exposure Control Policy

4.3.2.1. The contractor shall provide the VA with a policy on tuberculosis (TB) exposure and control, to include TB decontamination, within 5 business days upon award of contract by the Government.

4.3.2.2. The contractor shall have its personnel tested for TB IAW state guidelines and provide written confirmation to the COR that all personnel (current employees and any new hires) performing services under this contract are current in their TB test at the start of each Ordering Period.

4.4. Contractor Equipment, Vehicles, and Inspection:

4.4.1. Wheelchair vans shall meet all applicable federal, state, and local regulations and specifications, including but not limited to licensing, registration, and safety standards.

4.4.2. Wheelchair vans shall be safe and comfortable transportation of Veterans. It's essential that ample headroom must be available for Veterans transported in standard wheelchairs. Any type or style offering complete Veteran safety within the vehicle will be acceptable. Those considered lacking in this essential requirement will not be used for Veteran transport under this contract. Any replacement will be at the Contractor's expense.

4.4.3. The VA reserves the right to inspect the contractor’s equipment and vehicles or require documentation of compliance with state laws, rules, regulations, and guidelines governing non-emergent medical transport vehicles. VA inspections of contractor equipment do not constitute a warranty or guarantee that the contractor’s vehicles and equipment are properly maintained. The VA reserves the right to restrict the contractor’s use of equipment and vehicles in the performance of this contract that are not in compliance with contract requirements. The restriction of such equipment and vehicles shall not relieve the contractor from performance IAW the contract nor necessitate additional cost to the VA.

4.4.4. Each vehicle must be equipped with a general-use first aid kit.

4.4.5. Vehicles shall be clean and maintained in good repair IAW the manufacturer’s instructions.

4.4.6. The contractor shall not be permitted to borrow medical equipment from the

Baltimore VAMC medical facilities. Contractor shall at no time and under any circumstances exchange supplies, equipment, and/or medications with VA.

The prices quoted in the Schedule shall be inclusive of consumables used in transport.

4.4.7. Contractor shall always have a wheelchair available for the transport of

Veterans from the pickup point to the delivery point. When the Veteran is delivered to a destination other than the Department of Veterans Affairs and the return trip is ordered for the same day, the Veteran will transfer from the contractor's wheelchair to a facility-owned wheelchair. Veterans with scooters must only be transported in a regular passenger seat or in a wheelchair that can be safely strapped and locked down, and which provides for a seat belt for the passenger. Veterans requiring transport in a motorized scooter will transfer to a seat in the vehicle, with the scooter being transported with the Veteran as personal belongings at no additional cost to the VA.

4.4.8. The contractor shall furnish qualified personnel as required by contract specifications to accomplish all services under this contract.

4.4.8.1. The contractor personnel performing services for the VA, shall, at all times, conduct themselves in a professional manner, and be identified by having the company name, and employee name affixed to the uniform.

The Contractor shall be responsible for furnishing all vehicles, uniforms, nametags and/or badges for performance of services under this contract.

Employee identifications shall be worn in clear view above the waist. The contractor personnel shall not smoke/play loud music originating from any device in vehicles while transporting VA patients.

4.4.8.2. Each driver shall possess a driver’s license that is valid for the class of vehicle driven. Evidence of a special transportation service vehicle permit, or endorsement issued by the commissioner of public safety.

• Be at least 18 years of age and have not less than one year of experience as a licensed driver; and o For the past three years:

▪ Have not had a driver’s license canceled or suspended.

▪ Have a driving record clear of convictions for operating a motor vehicle or motorcycle without insurance.

▪ Have a driving record clear of convictions for driving a motor vehicle without a valid current license for the class of vehicle driven

▪ Have a driving and criminal record clear of convictions for driving under the influence of alcohol or a controlled substance.

4.4.8.3. Responsibilities for Veteran safety will include the availability and appropriate use of Veteran restraining devices in each transport vehicle.

The Contractor staff will adequately restrain the Veteran through every phase and during each movement to prevent injury to the Veteran. The need for additional staff to manage the Veteran in transport will be established before initiating the transport.

4.4.8.4. The driver will (within safety and reason) observe the Veteran during transport. Any indication of significant change in condition (i.e. sudden onset of rapid or labored respirations, complaints of chest pains) will be immediately communicated to the Medical Center Admitting office.

Depending on the condition of the Veteran, the Veteran will be returned to the Admitting Office, transported to the nearest emergency room or advanced life support called.

4.4.8.5. Wheelchair van drivers shall be capable of administering oxygen and shall have completed the standard and advanced first aid course of the

American Red Cross or equivalent. They must be capable of providing necessary medical assistance to the attending emergency medical technician or paramedic. It is the vendor's responsibility to provide a copy of the first aid certificates for all employees to the Contracting Officer

Representative (COR) upon request.

4.5. Transportation Request:

4.5.1 VetRide or VA-approved Transportation Software Utilization:

The contractor agrees to utilize the VetRide Vendor Portal or VA-Approved

Transportation Software with every patient transported under this contract.

Department of Veteran Affairs will provide the software and access to the VetRide

Vendor Portal or VA-Approved Transportation Software for the vendor/contractor in this contract. The Contractor will utilize the VetRide Vendor Portal or VA-Approved

Transportation Software fully as instructed:

a) Receive and respond to electronic trip requests.

b) Receive, use, and ensure the use of the Vendor pass by the driver.

c) Submit claims via the electronic HCFA 1500 in the VetRide Vendor Portal or

VA-Approved Transportation Software system.

d) All invoices must be submitted within 30 calendar days of date of service IAW

38 CFR 70 to be considered timely submission.

i. The contractor’s invoice must be on the HCFA 1500 to include:

ii. Contract Number

iii. Date of Service (to include Box 24 A-J)

iv. Authorization number(s)

v. Pick-up and drop-off location of the patient

vi. Base Rate

vii. Name (Last, First and Middle Initial (if any)) and Full Social Security number (Box 1a) of patient transported

viii. Date of Birth and Sex

ix. Diagnosis Codes or Nature of Illness or Injury

x. Documentation of circumstances when billing for waiting time

xi. Any miscellaneous charges for which the contractor is expecting reimbursement i.e., Tool charges, waiting time, etc.

xii. VA authorizing official’s name

xiii. Healthcare Procedure Coding System/National Level II (HCPCS)

e) Unauthorized charges will be reviewed by the Contracting Officer

Representative (COR) as to the validity of the charges and as to whether the payment will be made. A final determination will be made within 30 days after notifying the Contractor of the charges that are being suspended.

4.5.1.1. A transportation request is defined as one incidence of a request for one-way service non-emergent wheelchair van transport. No more than one patient will be transported per order unless approved by an authorized VA staff. Transportation requests will be made through VetRide or VA-

Approved Transportation Software Utilization. Contractors must have dedicated staff available to monitor this portal 24/7. (Baltimore VAMC)

Travel Program Staff will be available to assist with account setup and training for the Contractor’s Staff.

4.5.1.1.1. In the event VetRide or other VA-Approved Transportation

Software Utilization is down, other methods of communication

(i.e., telephone, facsimile) will be used to place

Transportation requests. (Baltimore VAMC) Travel Program

Staff/or authorized VA employees will work with the

Contractor the following business day to reconcile any transportation requests that were placed outside of VetRide or VA-Approved Transportation Software Utilization.

4.5.1.1.2 "Reconcile" refers to the collaborative process undertaken by

VA staff and the contracted vendor to ensure consistency and completeness of transportation records. This process involves comparing and updating the records to account for any transportation requests that were not initially captured in VetRide or the VA-approved transportation software due to system unavailability. Reconciliation ensures that all transportation requests are accurately recorded and reflected in the system.

4.5.1.2. Only the following VA staff are authorized to place, cancel, or make changes to transportation requests:

Contracting Officer (CO)

Administrative Officer of the Day (AOD)

Beneficiary Travel Office Staff

Contracting Officer’s Representative (COR)

The Contracting Officer will furnish the Contractor with the names of individuals who are authorized, according to the list above, by a separate memorandum upon issuance of the contract. The Contracting Officer will update this memorandum throughout the life of the contract as personnel change.

Contracting Officer’s Representative are responsible for issuing and administering orders placed under this contract. Contracting Officer’s

Representative have no authority to modify any term of this basic contract.

Any deviation from the terms of the basic contract must be approved in writing by the Contracting Officer responsible for this contract. The

Contractor shall accept orders against this contract only from individuals listed on the memorandum issued by the Contracting Officer. Fulfilling orders from persons other than the individuals listed may result in loss or delay in payment for supplies/services provided under such orders.

Non-authorized VA employees and private agencies (e.g., nursing homes) are not considered authorized to place transportation requests.

4.5.1.2.1. All patient pick-up(s) and drop-off(s) shall be authorized via

“orders” which shall only be issued by the Contracting Officer or designated Contracting Officer’s Representative. When placing orders for services, the Contracting Officer’s Representative shall contact the designated contractor point of contact(s) to provide the following information:

▪ Mode of transportation required,

▪ Required time of arrival

▪ Name of the beneficiary,

▪ Pick-up and delivery point,

▪ Type and number of additional medical care specialists required,

▪ Type of equipment required,

▪ Last four of the patient's Social Security Number, and

▪ Any other special instructions.

4.5.1.3. For ALL Transports – an Audit system will be put in place by the VA to include the COR or designee, Beneficiary Travel Department staff, and clinical staff to ensure appropriateness of the order and timeliness of the response.

4.5.1.4. The VA may authorize an escort (e.g., spouse, relative, guardian, etc.)

to accompany the patient during medical transport if it is practicable and, in the patient’s best interest. The contractor shall allow the escort to accompany the patient at no additional cost.

4.5.1.5. The Contractor shall be responsible for providing all vehicles and manpower necessary to meet all wheelchair van transport requirements of this contract. The Contractor will be authorized to utilize another company, as a subcontractor (certified to be within all requirements of this contract), to complete these transportation requests. All bills for this subcontractor service will be paid directly to the Contractor at the contract rate, and the

Contractor shall reimburse the subcontractor at their agreed to rate. In the event the Contractor is unable to perform services or have services performed as required, the Contractor shall immediately notify the VA

Travel Section and provide a justification for non-performance. The VA reserves the right to re-procure services, which cannot be performed by the Contractor, IAW the terms, conditions, and schedule of this contract.

The Contractor shall indemnify the VA for excess re-procurement costs, which may result from the Contractor's inability to perform the required service. Payment of re-procurement costs shall not relieve the Contractor from any other provision in this contract covering inspection, acceptance, and deductions from payment. The VA will be the sole judge in determining when services will be re-procured. The failure of the Contractor to perform services within the required time frames and IAW terms and conditions may also provide cause for termination of the contract for "cause" (see

FAR clause 52.212-4(m)).

4.5.1.6. The patient may bring up to three (3) liters of oxygen. The Contractor shall be responsible for providing adequate and safe storage of the oxygen tanks during transport.

4.5.1.7. Response Times*

4.5.1.7.1. Orders that are scheduled by 7pm local time the day before the required services are defined as scheduled in advance.

With the exceptions found below, the contractor shall arrive on time for all orders scheduled in advance.

4.5.1.7.2. For all add-ons (not scheduled in advance) transportation requests, with pick-up at (Baltimore VAMC): The contractor will be allotted up to a thirty (30) minute response time from time of order placement of the transportation requests.

4.5.1.7.3. For transportation requests which do not have a pick-up at

(Baltimore VAMC):

a. The contractor may be required, if requested by the VA, to dispatch wheelchair van(s) on short notice for transportation requests not scheduled in advance; for these transportation requests, the contractor shall dispatch wheelchair van(s) within thirty (30) minutes of receiving the order.

b. Pick-up appointment times shall be agreed upon by the VA and contractor at time of order placement and be reasonable based upon travel distance, speed limits, and weather conditions.

c. Vendor Responsibility for Pick-Up and Drop-Off Times: The vendor is responsible for managing and recording pick-up and drop-off times to ensure timely transportation for

Veterans.

1. Management and Entry of Pick-Up Times:

All pick-up times must be managed by the vendor and accurately recorded in the VetRide system.

2. Veteran’s Scheduled Appointment Time:

The Veteran's scheduled appointment time is annotated in the VetRide system to ensure proper coordination.

3. Scheduled Pick-Up Time:

Pick-up times should be scheduled to ensure the Veteran arrives on time for their appointment.

4. Drop-Off Times:

Drop-off times must occur within a reasonable period after the Veteran's appointment. Veterans should not have to wait more than 1 hour after their appointment to be transported home.

* The contractor shall not be held liable for nonperformance caused by an occurrence beyond the reasonable control of the contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the

Government in its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, and unusually severe weather.

The contractor MUST notify the VA with as much advance notice as possible should any of these occur.

4.5.2. Cancellations

4.5.2.1. For trips in which the contractor is notified of cancellation before the vehicle is dispatched, there shall be no charge to the Government.

4.5.2.1.1. A “no show” is defined as a transportation request which is cancelled after the contractor has dispatched a vehicle, the vehicle is enroute, or has arrived at the pick-up location, and there is no longer a requirement for patient transportation. The contractor may request one-way reimbursement for no-shows.

No-show reimbursement shall be based upon the base rate for non-emergent wheelchair transport, and the one-way mileage accrued enroute to the pick-up location at time of cancellation.

Mileage for no- show cancellations shall be confirmed by the contractor and reported to the VA as soon as possible from time of cancellation.

4.5.2.2. For transportation requests OUT of (Baltimore VAMC) ONLY – The contractor will immediately dispatch a vehicle upon receipt of the order.

When the contractor is notified of a cancellation before arrival at the

(Baltimore VAMC) campus, there shall be no charge to the Government.

4.6. Pick-Up/Drop-Off/Reporting Procedures:

4.6.1. The Veteran will be delivered to and picked up from the assigned appointment location. (For example, the (Baltimore VAMC) Medical Center nursing stations, wards or units, clinics, private home, or community nursing home.) If clinical determination requires an attendant, this individual may be a family member, caregiver, friend, or authorized medical care provider (such as a CNA or RN).

The contract vendor is not permitted to serve as the attendant. When necessary, the driver and/or authorized attendant will assist with stairs and other barriers, both inside and outside the home, including from the door to the vehicle. Upon arrival at the destination, the Contractor's driver or authorized attendant must notify an authorized caregiver or medical staff of the patient’s arrival.

4.6.2. All Veterans will be checked in and out with the appropriate administrative staff.

Veterans must be checked in by their appointment time and picked up in a timely fashion after their schedule appointment.

4.7. Patient Welfare:

4.7.1. The contractor shall be responsible for the patient’s welfare during transport. The contractor shall be held responsible for patient and/or VA property during transport. Any damaged or lost wheelchairs, walkers, crutches, or personal belongings shall be replaced at the contractor’s expense.

4.7.2. The VA requires the contractor to exercise extreme caution and care in the handling of patients.

4.7.3. If a VA beneficiary being transported declines to be properly secured or removed the securement devices himself/herself, the driver will notify the

Contracting Officer’s Representative (COR) of this fact prior to departure. The contractor is not required to transport any VA beneficiary who refuses to be properly secured while being transported. In the event that the beneficiary refuses to be properly secured, they shall be returned back into the building which they came from.

4.8. Incident Reporting:

4.8.1. The contractor shall notify the COR, Requestor, Program Manager, Beneficiary Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the COR, Program Manager, or Beneficiary Travel Department, by the close of business of the next working day.

4.8.2. The COR will monitor the service provided. The contractor shall cooperate with the COR in providing information and answering questions in a timely manner. The contractor shall promptly inform the COR of any complaints received directly from patients. If warranted, the VA may conduct incident investigations and require written response from the contractor within 48 hours of request.

4.9. Invoicing:

4.9.1. Each transport shall include thirty (30) minutes of wait time; the contractor may invoice for wait times in excess of this initial thirty (30) minutes upon VA notification/approval. Wait time shall begin only once the contractor has both reached the pick-up address location and the appointment time has elapsed.

All wait times shall be itemized and invoiced in fifteen (15) minute intervals.

For partial fifteen (15) minute intervals, zero (0) to seven (7) minutes shall be rounded down to zero (0) minutes and eight (8) to fifteen (15) minutes rounded up to fifteen (15) minutes.

4.9.2. When invoicing for mileage, the contractor shall round to the nearest mile.

Mileage ending in .5 or higher shall be rounded up to the nearest mile. Mileage ending in .4 or lower shall be rounded down to the nearest mile. Payment for mileage to or from the point of care shall be limited to the VA’s calculation according to the VA’s Bing Maps API determination. Bing Maps API is optimized to determine mileage based on the shortest time of travel.

4.9.3. Long Distance Mileage — Payment for mileage outside the contract miles covered in the base rate, shall be at the mileage rate stated in the price schedule, and shall be based upon the miles from the pick-up point and the specified destination. Any mileage from the place of business and/or location of vehicle and the pick-up point, or from the delivery destination back to the place of business and/or location of next trip are not considered as a separate item of this reimbursement but would be expected to be incorporated into the mileage rate as part of the administrative costs (or costs of doing business).

*Base Rate- Base Rate is defined as the rate paid for one-way transportation and handling of a patient, from the designated pick-up point to a designated drop-off point. This rate will be paid for all VA-Initiated one-way trips ordered under this contract action up to 25 miles.

4.9.4. Upon award of contract the vendor will receive training and begin implementation of VetRide. Invoices must be submitted via VetRide Vendor Third Party Portal or other VA approved software. These invoices shall not include patient information, but shall include the following:

▪ Contractor Name

▪ Contract Number

▪ Current Purchase Order Number

▪ Date of service

▪ Total amount invoiced including a summary of the total number of charges that align with the line items of this contract (i.e., total number of Non-Emergent Wheelchair Base Rate, total mileage incurred in excess of the base rate, etc.)

▪ An itemized list of charges or services rendered that align with the line items of this contract (i.e., Non-Emergent Wheelchair Base Rate, Mileage incurred outside the base rate, etc.)

Payment by VA under this contract to a provider of non-emergent wheelchair transportation services authorized under this contract extinguishes any and all liability on the part of the VA BENEFICIARY for that transportation service. UNDER NO

CIRCUMSTANCES ARE VA BENEFICIARIES, THIRD PARTY INSURANCES,

MEDICARE, OR MEDICAID TO BE BILLED FOR THE SERVICES PERFORMED

UNDER THIS CONTRACT.

5. Period & Place of Performance:

5.1. This contract’s ordering period shall be effective from Date of Award through 2031.

5.2. The Place of Performance is variable and may occur within the states of

_Maryland, Virginia, West Virginia, Washington DC ; non-emergent wheelchair transportation services may be required to or from locations including, but not limited to the following:

5.2.1. (Baltimore VAMC) VA Medical Center to include specific Atrium Clinics, Emergency Department, pavilions, or out-buildings on the (Baltimore VAMC) campus. The (Baltimore VAMC) address is: _10 N. Greene Street, Baltimore, MD. 21201 .

5.2.2. (Baltimore VAMC) Community-Based Outpatient Clinics (CBOCs):

CBOC Name Address

Pocomoke City VA Clinic 1701 Market St, Pocomoke City, MD 21851

Cambridge VA Outpatient Clinic 830 Chesapeake Dr. Cambridge, MD 21613

Glen Burnie VA Outpatient Clinic 808 Landmark, Dr, Glen Burnie, MD 21061

Fort Meade VA Outpatient Clinic 2479 5th st, Fort Meade, MD 20755

Eastern Baltimore County VA

Outpatient Clinic

5235 King Ave, Suite 200, Rosedale,MD 21237

5.2.3. Other VA Locations within Veterans Integrated Service Network (VISN) 5 including, but not limited to:

Medical Center Name: Address:

Louis A Johnson Medical Center 1 Medical Center Dr, Clarksburg,WV 26301

Martinsburg VA Medical Center 510 Butler Ave, Martinsburg WV

25405

Beckley VA Medical Center 200 Veterans Ave, Beckley WV

25801

Hershel Williams VA Medical

Center

1540 Spring Valley Dr., Huntington, WV 25704

Washington DC VA Medical Center

50 Irving St. NW., Washington

DC 20422

5.2.4. Other Non-VA Medical facilities and Community Care facilities as authorized by the VA.

5.2.5. Veteran’s residence.

5.2.6. Local airports including: Baltimore/Washington International Thurgood Marshall

Airport (BWI), Salisbury- Ocean City Wicomico Regional Airport (SBY), Hagerstown Regional Airport (HGR), Martin State Airport (MTN), Frederick

Municipal State Airport (FDK), Easton Airport (ENL), Garret County Airport

(W45), St. Mary’s County Regional Airport(2W6), Greater Cumberland Regional

Airport (CBE), Tipton Airport, Bay Bridge Airport, Cambridge -Dorchester

Regional Airport, Carroll County Regional Airport (DMW), Crisfield/Somerset

County Airport, Montgomery County Airpark, Ocean City Municipal Airport.

6. Quality Control Plan:

6.1. Quality Control:

6.1.1. The contractor shall maintain a Quality Control Plan (QCP) that contains, at a minimum, the following:

6.1.1.1. A description of the company’s organizational structure including a description of the roles and responsibilities of management and supervisors.

6.1.1.2. A description of the methods to be used by the contractor for identifying and preventing deficiencies or problems in the quality of service.

6.1.1.3. A description of the specific steps the contractor will take for corrective action if needed if a deficiency or problem in the quality of service occurs.

6.1.1.4. A description of the company’s records and tracking system used to identify up-to-date background checks, applicable certifications and tests, and training of each employee performing services under this contract.

6.1.1.5. A description of the method (s) used to provide on-time non-emergent wheelchair transportation services to meet the requirements of this contract (24/7 availability).

6.1.1.6. A description of the methods used to identify and prevent radio communication breakdowns and a detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

6.1.1.7. CONTINGENCY PLAN: (In case VetRide Vendor Portal is down) A description of the method/system used to log all service requests. The contractor shall confirm that the log indicates the date and time of service call, actual time of pick-up versus the scheduled time, name of patient requiring services, designated pick-up and delivery points, mileage, and actual waiting time at pick-up and delivery points if waiting charges are claimed. The contractor shall confirm that the log will be sent to the COR monthly.

6.1.2. The Government will evaluate the contractor’s performance under this contract to ensure that the contractor’s QCP is adequate, and that quality is achieved through a Quality Assurance Surveillance Plan (QASP).

6.1.3. The Government shall prepare a QASP after contract award derived from the PWS and contractor’s submitted QCP. The QASP is a “living document” and the Government may review and revise it at any time.

However, the Government shall coordinate changes to the QASP with the contractor.

6.1.4. The QASP will specify the work requiring surveillance and the Government’s method of surveillance.

6.2. Minimum Performance Standards:

6.2.1. The contractor shall maintain performance standards IAW the standards outlined in the table below. Failure to meet the Acceptable Quality Levels

(AQL) may result in termination of the contract.

6.2.2. The QASP will include the standards below as well as others derived from the successful offeror’s QCP.

Task PWS

Reference

Standard Acceptable

Quality Level

Method of

Surveillance

Provide on-time non-emergent wheelchair van services

Section

4.5.1.7

Scheduled patient pick-ups shall not deviate more than 15 minutes past scheduled pick-up time for scheduled orders

97% Customer

Feedback

Incident

Reporting

Section 4.8 The contractor shall notify the

Program Manager, Beneficiary

Travel Department, of any accidents and/or safety problems that occur while the patient is being transported. This notification shall occur within one (1) hour by telephone. A written report of the incident shall be delivered to the

Program Manager, Benefits

Management, by the close of business of the next working day.

97% Customer

Feedback

Invoice

Reports

Section 4.9 Provide a monthly invoice including secondary documentation IAW

Section

4.10 of the PWS

95% 100% inspection of monthly invoices/reports

7. COVID-19 Or Other Similar Infectious Diseases:

7.1. Contractor shall not refuse transports of COVID-19 positive or other similarly infected patients.

7.2. Contractor shall abide by all additional procedures and precautions that may be implemented by the VA based on VA-issued guidance and/or CDC recommendations.

These procedures are subject to change throughout the life of the contract and will be incorporated via attachment (See APPENDIX B VTS Patient Transport PPE and

Vehicle Cleaning/Disinfection SOP).

7.3. Contractor shall have written policy of steps they will take to prevent the spread of

COVID-19 or other similarly infectious diseases by their employees and/or vehicles. This policy shall, at a minimum, include procedures of screening drivers before each shift, deliberate decontamination of their vehicles and all other preventative precautions taken by Contractor employees.

7.4. Contractor shall furnish all required PPE throughout the life of the contract.

8. Conformity To Regulations:

8.1 The contractor and his/her operators shall conform to all Federal, State, and local regulations governing the performance of contracted services.

8.2 VAMC facilities have been designated NO SMOKING areas in their entirety.

Individuals found in violation of this no smoking policy may be subject to a $50.00 federal citation for disregarding posted safety rules and regulations. Furthermore, the contractor may be directed to stop work. The contractor is to notify all of his/her employees and/or sub-contractors of this strict enforcement policy.

9. Wage Rates:

9.1. Wage Determination(s) as listed in Section D in this solicitation are applicable to any resulting contract.

9.2. The contractor certifies by signature on this offer that the salaries to be paid workers involved in the performance of the contract are equal to or greater than those specified in the attached Wage Determination(s).

9.3 The Department of Labor has held that contractors must pay their employees the Service Contract Labor Standards wage while they are driving both to and from destinations for the VA. The Wage Determination is attached in Section D.

10. Evidence of Coverage:

10.1 Before commencing work under the contract, the contractor shall furnish the

Contracting Officer with a certification from his/her insurance company indicating that the coverage outlined in this contract has been obtained and that it may not be changed or canceled during the term of the contract.

11. Workers’ Compensation:

11.1 The Act of June 25, 1936, 42 Stat. 1938 (40 USC 290) authorized the constituted authority of the several states to apply their workmen’s compensation laws to all lands and premises owned or held by the United States. The contractor agrees to procure and maintain, while the contract is in effect, Workers’ Compensation and Employer's Public

Liability insurance. The policy shall provide coverage for Public Liability Limits of not less than the statutory limitations for any one accident and at least meet the statutory limitations if more than one person is involved. Upon award of the contract, the contractor shall furnish to the Contracting Officer a certificate from its insurance company indicating that this coverage has been obtained and that such coverage may not be changed or canceled unless 30 days' advance written notice is provided to the Contracting Officer.

12. Contractor Personnel Security Requirements:

12.1 All contractor employees who require access to the Department of Veterans Affair's computer systems or who come into contact with veteran/beneficiaries shall be the subject of a background investigation and must receive a favorable adjudication from the VA Office of Security and Law Enforcement before contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed before the start date of the contract, the contractor will be responsible for the actions of those individuals they provide to perform work for the VA.

Position Sensitivity - The position sensitivity for this contract has been designated as LOW

RISK.

Background Investigation - The level of background investigation commensurate with the required level of access for this contract is National Agency Check with Written Inquiries.

Contractor Responsibilities:

• The contractor shall pre-screen all personnel requiring VA access to ensure they maintain a U.S. citizenship and are able to read, write, speak, and understand the

English language.

• The contractor shall submit or have their employees submit the following required forms requested by Department of Veterans Affairs, Office of Security and Law

Enforcement, Security and Investigations Center, 2200 Fort Roots Drive Bldg. 104, North Little Rock, AR 72114 within 30 days of receipt:

• All documents completed and submitted at the following website:

http://www.va.gov/SECURITYINVESTIGATIO

NSCENTER/

• The contractor, when notified of an unfavorable determination by the

Government, shall withdraw the employee from consideration from working under the contract. Failure to comply with the contractor personnel security requirements may result in termination of the contract or cause.

The contractor shall agree that all deliverables, associated working papers, and other material deemed relevant by the contractor in the performance of this task order are the property of the United States Government. The contractor shall agree that all individually identifiable health information shall be treated with the strictest confidentiality. Access to records shall be limited to essential personnel only. Records shall be secured when not in use. At the conclusion of the contract, all copies of individually identifiable health records shall be destroyed or returned to the VA. Any individually identifiable health records shall be deleted from computers not belonging to the VA. The contractor shall comply with the Privacy Act, 38 U.S.C. 5701, 38 U.S.C. 7332, and 5 U.S.C. 552(a) et.

Seq.

http://www.va.gov/SECURITYINVESTIGATIONSCENTER/ http://www.va.gov/SECURITYINVESTIGATIONSCENTER/

Contractor staff shall sign confidentiality statements before the start date of the contract.

The contractor shall comply with all provisions of the Health Information Portability and

Accountability Act (HIPAA), including but not limited to privacy, security of electronic health data, and adherence to standards and code sets as required by HIPAA. The contractor shall ensure the confidentiality of all patient and employee information and shall be held liable in the event of breach of confidentiality. Any person, who knowingly or willingly discloses confidential information obtained from the VA with non-essential persons, may be subject to fines.

12.1.1 HIPAA COMPLIANCE. HIPAA compliance is required.