S02 36C25724R0007 v4.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

36C25724R0007 12-19-2023

Donald Smith (912) 980-5107 01-09-2024

3:00PM CST

36C257 Department Of Veterans Affairs Network Contracting Office 17

1901 Veterans Memorial Dr. Building #171 Temple TX 76504

X

Y

621910

$22.5 Million

N/A

Central Texas Veterans HealthCare System

1901 Veterans Memorial Dr.

Temple TX 76504

36C671

Department Of Veterans Affairs Network Contracting Office 17

Veterans Memorial Dr. Building #171

This is accomplished through the Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp This is mandatory and the sole method for submitting invoices.

(877) 353-9791 (512) 460-5540

See CONTINUATION Page

Contractor shall provide Advance Life Support Transportation Services for Central Texas Veteran's Healthcare Systems (Multiple locations) in accordance with the Performance Work Statement.

Notification to Offerors:

Refer to instructions to Offerors and Evaluation factors on pages 63 through 77 for additional details.

This acquisition is in accordance with Federal Acquisition Part 12 and 15.

See CONTINUATION Page

X 1

Frank Mendoza

36C25724R0007

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 PRICE/COST SCHEDULE

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (DEC 2022)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.7 52.222-55 MINIMUM WAGES FOR CONTRACTOR WORKERS UNDER

EXECUTIVE ORDER 14026 [DEVIATION (OCT 2023)] (JAN 2022)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 52.237-3 CONTINUITY OF SERVICES (JAN 1991)

C.10 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

C.11 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.12 VAAR 852.204-70 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR

PERSONNEL (MAY 2020)

C.13 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA

BREACH COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.14 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

C.15 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

C.16 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

C.17 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2018)

C.18 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 53

C.19 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JUN 2023)

C.20 MANDATORY WRITTEN DISCLOSURES

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 QUALITY ASSURANCE SURVEILLANCE PLAN

D.2 WAGE DETERMINATION

D.3. SMALL BUSINESS SUBCONTRACTOR PLAN

D.4 CRITICAL CARE TRANSPORT CAPABILITIES CONFIRMATION

D.5 VETERAN’S TRANSPORTATION SERVICE

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (MAR 2023)

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.222-49 SERVICE CONTRACT LABOR STANDARDS—PLACE OF

PERFORMANCE UNKNOWN (MAY 2014)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 52.212-2 EVALUATION-COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES

E.9 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (DEC 2022)

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:

a. CONTRACTOR: __________________________

ADDRESS: __________________________

Contractor Point of Contact (POC) for Contract: _______________________ Title: _______________________ Phone: _______________________ Email: _______________________

SAM Unique Entity ID: ____________________ BUSINESS SIZE: ____________________

b. GOVERNMENT: Contracting Officer, 36C257 Frank Mendoza francisco.mendoza@va.gov Department of Veterans Affairs Network Contracting Office (NCO) 17

Contract Specialist Donald Smith donald.smith10@va.gov Department of Veterans Affairs Network Contracting Office (NCO) 17

1901 Veterans Memorial Dr. Building #171 Temple TX 76504

Contracting Officer’s Representative

Ahmed Yates Ahmed.Yates@va.gov Department of Veterans Affairs

Network Contracting Office (NCO) 17

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

mailto:francisco.mendoza@va.gov mailto:Melanie.Williams5@va.gov mailto:Ahmed.Yates@va.gov

[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] Monthly

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.

5. SECURE FAX: Please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

6. The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.”

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

AMENDMENT NO DATE

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1,320.00 EA __________________ __________________

(A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1)

(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Base POP Begin: 02-01-2024 POP End: 01-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

LOCAL STOCK NUMBER: A0434

24.00 EA __________________ __________________

(A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1)

((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Base POP Begin: 02-01-2024 POP End: 01-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

LOCAL STOCK NUMBER: A0426

660.00 EA __________________ __________________

(A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals Contract Period: Base POP Begin: 02-01-2024 POP End: 01-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

LOCAL STOCK NUMBER: A0427

36,960.00 EA __________________ __________________

(A0380) Mileage Trip Outside the Base Rate

Contract Period: Base POP Begin: 02-01-2024 POP End: 01-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

LOCAL STOCK NUMBER: A0425

1,080.00 EA __________________ __________________

Waiting Time (15-minute Increments, more than 30 minutes shall be paid in

30-minute increments).

Contract Period: Base POP Begin: 02-01-2024 POP End: 01-31-2025 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 1 POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 1 POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals Contract Period: Option 1 POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

Contract Period: Option 1 POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(A0435) Waiting Time (15-minute Increments, more than 30 minutes shall be paid in 30-minute increments).

Contract Period: Option 1 POP Begin: 02-01-2025 POP End: 01-31-2026 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 2 POP Begin: 02-01-2026 POP End: 01-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 2 POP Begin: 02-01-2026 POP End: 01-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals Contract Period: Option 2 POP Begin: 02-01-2026 POP End: 01-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(A0380) Mileage Trip Outside the Base Rate Contract Period: Option 2 POP Begin: 02-01-2026 POP End: 01-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -be paid in 30-minute increments).

Contract Period: Option 2 POP Begin: 02-01-2026 POP End: 01-31-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 3 POP Begin: 02-01-2027 POP End: 01-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 3 POP Begin: 02-01-2027 POP End: 01-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals Contract Period: Option 3 POP Begin: 02-01-2027 POP End: 01-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

Contract Period: Option 3 POP Begin: 02-01-2027 POP End: 01-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -be paid in 30-minute increments).

Contract Period: Option 3 POP Begin: 02-01-2027 POP End: 01-31-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

(base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 4 POP Begin: 02-01-2028 POP End: 01-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue Contract Period: Option 4 POP Begin: 02-01-2028 POP End: 01-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals Contract Period: Option 4

POP Begin: 02-01-2028 POP End: 01-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

Contract Period: Option 4 POP Begin: 02-01-2028 POP End: 01-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -be paid in 30-minute increments).

Contract Period: Option 4 POP Begin: 02-01-2028 POP End: 01-31-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation -

GRAND TOTAL __________________

B.3 PERFORMANCE WORK STATEMENT (PWS)

Performance Work Statement (PWS)

GROUND AMBULANCE (ALS/CCT)

VISN 17/Station 674 NAICS 621910

FOR THE

CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM

SPECIAL MODE OF TRANSPORTATION

ALS/CCT Transportation Services

Line Item

Description of Services

12-Month Quantity

(Estimated Maximum)

Unit of Issue

Base Rate Transport

(Using Bing Maps) One-Way

Trip

0001 (A0422) Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue

1320 Maximum

(One-Way Trips)

Per Trip (One-Way)

0002 (A0426) Non-Emergent Advance Life Support Transport, Level 1 (ALS 1) ((base rate to include first 40 miles) One-way trip is equivalent to one each for the unit of issue

24 Maximum

(One-Way Trips)

Per Trip (One-Way)

0003 (A0434) Critical Care Transport (Upper-Level Care) specialized care of patients with life-threatening conditions, requiring comprehensive care and constant monitoring by appropriately trained individuals

660 Maximum

(One-Way Trips)

Per Trip (One-Way)

0004 (A0380) Mileage Trip Outside the Base Rate

Price Per Mile

0005 (A0435) Waiting Time (more than 30 minutes shall be paid in 30-minute increments).

Each (15-minute Increment)

Base Period (Total Price) For illustration purposes only, use B.2 to enter pricing information

1. Purpose: The Central Texas Veterans Health Care Center (hereafter CTVHCS), its associated Community-Based Outpatient Clinics (CBOCs), and affiliated healthcare clinics require contracted non-emergency ambulance transportation services. The contractor shall provide all vehicles, personnel, management, supplies, equipment, and necessary reporting for the provision of Advanced Life Support (ALS) and Critical Care Transport (CCT) services.

The contactor shall make these ambulance services available to the U.S. Department of Veterans Affairs (VA or Government) as needed, 24 hours a day, seven days a week (24/7), including weekends and holidays.

2. Background: The CTVHCS main campus is located at 1901 Veterans Memorial Drive, Temple, TX 76504, serving over 252,000 veterans, primarily from the Temple, Waco, Austin area and it’s 7 Community-Based Outpatient Clinics. The hospital has 519 inpatient beds and sees approximately 5,390 inpatient admissions and 116,400 outpatient visits a year.

Veterans served within this facility live within the following counties. All counties listed below are within central Texas.

County County County County County Bell Llano Milam Blanco Williamson Hays Fayette Bastrop Travis Lee San Saba Hamilton Lampasas Mills Coryell Bosque Hill McLennan Falls Limestone Leon Robertson Summerville Comanche Erath Brown Anderson Navarro Freestone Robertson Brazos Burleson Washington Caldwell

3. Acronyms

ALS – Advanced Life Support AOD – Administrative Officers of the Day BLS – Basic Life Support CCT – Critical Care Transport CCTP – Critical Care Transport Paramedic CCEMTP – Critical Care Emergency Medical Transport CO – Contracting Officer COR – Contracting Officer’s Representative CPR – Cardiopulmonary Resuscitation DOL – Department of Labor EMT – Emergency Medical Technician IAW – In Accordance With

OO – Ordering Officer PWS – Performance Work Statement QASP – Quality Assurance Surveillance Plan QC – Quality Control Plan TB – Tuberculosis TJC – The Joint Commission VTS – Veteran Transportation Service

4. Scope/Requirements

4.1. Types of Ambulance Service

4.1.1. The contractor shall provide Emergent, non-emergent Advanced Life Support (ALS), and Critical Care Transport (CCT) Tier 1, 2, and 3 ambulance services on an as-needed basis in accordance with 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, medical records, medication, and comfort items from pickup points to the destination at no additional cost to the Government. Luggage to be transported will be restricted to suitcase and valise types.

The patient may bring with her or him up to three (3) liters of oxygen. The contractor shall be responsible for providing adequate and safe storage of the oxygen tanks during transport.

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

4.3.1. Emergency Medical Technicians (EMTs), Critical Care Transport Paramedics

(CCTPs) & Other Personnel

4.3.1.1. EMTs, CCTPs and other medical personnel (as applicable) 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. EMTs, CCTPs and other medical personnel (as applicable) shall be certified, licensed, or otherwise officially recognized by the local, state, or regional government or public entity where the emergency service is operated or by which it is governed.

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, and any other qualifications to the Contracting Officer’s Representative (COR) for review.

4.3.1.3. All ambulance drivers shall have a valid driver’s license in accordance with 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. CCTPs shall have met all state requirements for the tier in which they are performing services in (I, II, III). Proof in the form of a current certificate for the successful completion of such must be provided to the COR upon request.

4.3.1.5. 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 CTVHCS. Thereafter the contracted employees will be subject annually to the same requirement, with a 90-day window to complete such requirement as provided by CTVHCS. The VA Security and Investigation Center (SIC) is responsible for adjudicating all background investigations for contract employees.

4.3.1.6. EMTs, CCTPs, and other contractor personnel as applicable must pass the Contractor’s background check and must not have been convicted of (or have any pending charges for) a felony for the past five years.

Personnel (and Contractor) must report any new or additional charges or convictions if they arise during the course of performance under this contract so VA can review them and determine whether the employee in question needs to be discharged of his or her duties until the matter is adjudicated.

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.

4.3.2.2. The contractor shall have its personnel tested for TB in accordance with 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 by at the start of each Ordering Period.

4.4. Contractor Equipment, Vehicles, and Inspection

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

4.4.2. 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 emergency medical transport vehicles (ambulances). 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 which are not in compliance with contract requirements. The restriction of such equipment and vehicles shall not relieve the contractor from performance in accordance with the contract nor necessitate additional cost to the VA.

4.4.3. Vehicles shall be clean and maintained in good repair in accordance with manufacturer’s instructions.

4.4.4. The contractor shall not borrow or exchange supplies, equipment, and/or medications with the VA. Equipment attached to or in use by the patient at time of pick-up may remain with the patient during transport to ensure continuity of care. Medical Control Authorities are responsible for maintaining and supplying medication during patient transport. All VA equipment and unused medications must be returned to VA during patient drop-off or as promptly as feasible within 24 hours.

4.4.5. The contractor shall furnish all linen required for patient transport at no additional cost. Linen shall not be exchanged with linen belonging to CTVHCS or its CBOCs.

4.4.6. The contractor must be capable of transporting medication and/or equipment as required by the patient as listed in Attachment A Critical Care Transport Capabilities Confirmation. The contractor shall have the appropriate medications, up to and including CCT Tier III if necessary, based on the EMS region the ambulance provider is functioning in.

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

4.4.7.1. The contractor’s 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.

4.4.7.2. 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. In addition, each driver must be at least 18 years of age and have not less than one year of experience as a licensed driver. Each driver must also in the past three years:

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

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

c. Have a driving record clear of convictions for driving a motor vehicle without a valid current license for the class of vehicle driven, and

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

4.4.7.3. The contractor’s personnel will ensure that the patient is secured to the stretcher/cot and that the stretcher /cot is secure in the back of the ambulance before the vehicle moves.

4.4.7.4. Ambulance drivers:

a. Must be capable of administering oxygen, and

b. Must have successfully completed the standard and advanced first aid course of the American Red Cross of U.S. Bureaus of Mines or equivalent and be capable of providing necessary medical assistance to the attending emergency medical technician or paramedic.

4.4.7.5. Emergency Medical Technician (EMT) and Paramedic Qualifications:

EMT’s and Paramedic’s providing services under this contract shall have the following qualifications, in additions to those required by Federal, State, and Local Government:

a. Have completed training in accordance with the standards published by the Department of Health and Human Services with a minimum curriculum of 150 hours or equivalent including an in-hospital training period. Such training programs must also be acceptable under the regulating requirements for local EMS Systems supported by DHHS under PL 93-154, Federal Register 39:24304. (1974).

b. Shall be certified, licensed, or otherwise officially recognized by the local, state of regional government or public entity where the emergency ambulance service is operated or by which it is governed.

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.

The VA 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 must utilize the VetRide Vendor Portal or VA-Approved Transportation Software fully as instructed to:

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) Submit invoices within 30 calendar days of date of service in accordance with 38

CFR 70. The contractor’s invoice must be on the HCFA 1500 and include:

i. Contract Number

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

iii. Authorization number(s)

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

v. Base Rate

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

vii. Date of Birth and Sex

viii. Diagnosis Codes or Nature of Illness or Injury

ix. Documentation of circumstances when billing for waiting time

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

xi. VA authorizing official’s name

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

e) Unauthorized charges will be reviewed by the Contracting Officer Representative (COR) within 30 days to determine the validity of the charges and as to whether the payment will be made. The Contractor will be notified of the determination as to whether or not the charges will be paid.

4.5.1.1. A transportation request is defined as one incidence of a request for one-way service (Stretcher Transports, BLS, ALS, CCT). 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 the capability to receive orders, update ride status, and input trip costs and other required data through this portal. Contractors must have dedicated staff available to monitor this portal 24/7. CTVHCS Travel Program Staff will be available to assist with account setup and training for the Contractor’s Staff. 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.

4.5.1.1.1. CTVHCS 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. The Contractor must update VetRide or VA-Approved

Transportation Software Utilization with any data and/or notes in real time that deviate from the original order such as invoicing for additional mileage due to a road closure, wait time, reason for no load, etc. CTVHCS Travel Program Staff/or authorized VA employees may place a “hold” on payment of this order until it has been reconciled.

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

Contracting Officer (CO) Ordering Officers (OO) Administrative Officer of the Day (AOD) Beneficiary Travel Office Contracting Officer’s Representative (COR) Staff

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

Ordering Officers are responsible for issuing and administering transportation requests placed under this contract. Ordering Officers 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 transportation requests against this contract only from the Contracting Officer and/or authorized ordering officers. Fulfilling transportation requests from persons other than the Contracting Officer or ordering officer may result in loss or delay in payment for supplies/services provided under such transportation requests.

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

“transportation requests” which shall only be issued by the designated Ordering Officers. When placing transportation requests for services, the Ordering Officer shall contact the designated contractor point of contact(s) to provide the following information:

a. Mode of transportation required,

b. Required time of arrival

c. Name of the patient,

d. Pick-up and delivery point,

e. Type and number of additional medical care specialists required,

f. Type of equipment required,

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

h. 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 type of transportation service (Stretcher Transports, BLS, ALS, CCT) required will be discussed and determined by VA clinical personnel and the contractor. The contractor shall transport the patient per its policies and standard industry practice. If the type of transportation service differs from what was agreed upon by the VA and contractor, the contractor shall submit documentation to the VA explaining its rationale.

4.5.1.5. 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.

4.5.1.6. The contractor shall have sufficient vehicles and personnel to provide services for up to four (4) simultaneous transportation requests. Transports required may be for any mix of Stretcher Transports, BLS, ALS transports.

One of these four simultaneous transports may require CCT capability up to Tier III. If CTVHCS requires ambulance services exceeding four (4) simultaneous transportation requests, the contractor will be offered the opportunity to provide the services; but may decline these additional transportation requests if sufficient vehicles/personnel are unavailable.

4.5.1.7. The number of transports under normal operating conditions is expected to range from 10-20 transports each weekday and significantly less on weekends and holidays. The number of actual transports may vary throughout the life of the contract.

4.5.1.8. Response Times*

4.5.1.8.1. Transportation requests that are scheduled by 7 p.m. 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 transportation requests scheduled in advance.

4.5.1.8.2. Emergent Transport (Originating from VA (Only): The contractor shall be required to provide Ground Ambulance arrangements within thirty (30) minutes of order/patient pick up call.

4.5.1.8.3. For all add-ons (not scheduled in advance) transportation requests, with pick up at CTVHCS: The contractor will be allotted up to a sixty (60) minute response time from time of order placement for transportation requests that are not previously scheduled in advance.

a. For an urgent transport request for a critical patient (as deemed by the physician) with pick up at CTVHCS, the contractor will be allotted up to a thirty (30) minute response time.

b. 911-Transports (Non-VA Initiated transportation requests)

a. When an invoice is received and noted as a non-VA initiated or 911 call, VA staff must determine the following:

b. Medical necessity

c. Eligibility

d. Services received

e. HCFA 1500

f. Ambulance Report Summary

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

CTVHCS:

a. The contractor may be required, if requested by the VA, to dispatch ambulances on short notice for transportation requests not scheduled in advance. For these transportation requests the contractor must dispatch ambulances within thirty

(30) minutes of receiving the order.

b. Transportation requests will be reasonably based upon travel distance, speed limits, and weather conditions. Pick-up appointment times shall be agreed upon by the VA and contractor at time of at time of request.

c. For transportation requests scheduled in advance, the contractor’s patient pick-up time cannot be more than 15 minutes prior to the schedule pickup time nor 15 minutes later than the scheduled pickup time.

* 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. Except in situations discussed in 4.5.2.2, the contractor may request one-way reimbursement for no-shows. No-show reimbursement shall be based upon the base rate for the type of service requested (Stretcher Transports, BLS, ALS, CCT) and the one-way mileage (Stretcher Transports, BLS, ALS, CCT) 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 CTVHCS ONLY – The contractor will immediately dispatch a vehicle upon receipt of the order (including transportation requests in which the final destination may change prior to pick up due to the critical condition of the patient). When the contractor is notified of a cancellation prior to arrival at the CTVHCS campus, there shall be no charge to the Government.

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

4.6.1. Ambulance personnel shall pick-up and deliver patients at specified locations

(e.g., front door of CTVHCS Entrance). These locations will be specified by VA staff when an order is placed and communicated to the transporting personnel.

4.6.2. When patients are transported to the CTVHCS, 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.

4.6.3. When applicable, ambulance personnel shall report to the Veteran Transportation

Service (VTS) Dispatcher or Administrative Officer of the Day (AOD) to (1) announce his/her arrival to pick-up and transfer the patient and (2) obtain a report of pertinent information regarding the patient’s condition from the primary nurse/physician.

4.6.4. When delivering a patient, ambulance personnel shall give a report to the appropriate VA healthcare staff and provide a copy of the run sheet, which will be retained by the facility for inclusion to the patient’s medical record.

4.6.5. In cases where ambulance personnel must divert to a local emergency department while performing a VA authorized transport, the contractor’s dispatcher shall notify the patient Travel Department or Administrative Officer of the Day of the patient’s location and status as soon as this information becomes available.

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 patient 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 patient who refuses to be properly secured while being transported. In the event that the patient refuses to be properly secured, the patient must be returned back into the building which they came from.

4.8. Incident Reporting

4.8.1. The contractor shall notify the COR, Ordering Officer, Program Manager, and

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, and 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. Wait time shall begin once the contractor has reached the pick-up address and the scheduled pick up 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. If unloaded (patient not onboard) mileage exceeds loaded (patient onboard) mileage, the contractor may invoice for a flat fee only if the following also occur:

a. Unloaded mileage exceeds 75 miles, and

b. The contractor does not deviate from a route to intentionally make unloaded mileage exceed loaded mileage.

4.9.4. Except for no shows and trips when unloaded mileage exceeds loaded mileage in accordance with 4.9.3, the contractor shall invoice for loaded (patient onboard) services and mileage only.

4.9.5. Upon notification of the contracting officer, the contractor must receive training and begin implementation of invoices via Vet Ride within 30 days versus VA Tungsten Network e-Invoicing network. Invoices must be submitted via the electronic HCFA 1500 in the VetRide Vendor Portal or other VA approved software. These invoices shall not include patient information, but shall include the following:

a. Contractor Name

b. Contract Number

c. Current Purchase Order Number

d. Date of service

e. 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 BLS Base Rate, total BLS Mileage incurred, etc.)

f. An itemized list of charges or services rendered that align with the line items of this contract (i.e., BLS Base Rate, BLS Mileage incurred, etc.)

Payment by VA under this contract to a provider of air ambulance transportation services authorized under this contract extinguishes any and all liability on the part of the patient 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 for 12 months from the date of award.

5.2. The Place of Performance is variable. Services required by the resultant contract include transportation to and from:

5.2.1. CTVHCS to include specific Clinics, Inpatient Units, Emergency Department, Domiciliary, Community Living Centers, or out-buildings on the CTVHCS campus.

The main CTVHCS address is: 1901 Veterans Memorial Drive, Temple, TX 76504- 7451.

5.2.2. CTVHCS Community-Based Outpatient Clinics (CBOCs):

CBOC Name Address Doris Miller VAMC 4800 Memorial Drive

Waco, TX 76711-1329

Austin VA Outpatient Clinic 7901 Metropolis Drive

Austin, TX 78744-3111

Bryan/College Station CBOC 1651 Rock Prairie Road, Suite

College Station, TX 77845-8652

Brownwood CBOC 2600 Memorial Park Drive Brownwood, TX 76801-5950

Cedar Park CBOC 1401 Medical Parkway, Suite 400, Building C Cedar Park, TX 78613-2216

Copperas Cove CBOC 336 Town Square, Town Square Plaza Copperas Cove, TX 76522-2800

Killeen CBOC 1001 East Veterans Memorial Boulevard, Midtown Mall, Suite Killeen, TX 76541-7292

Palestine CBOC 300 Willow Creek Parkway, Willow Creek Medical Plaza, Suite 100 Palestine, TX 75801-4433

Lagrange Satellite Clinic 2 Saint Marks Place

LaGrange, TX 78945-1251

Temple VA Clinic 4501 South General Bruce Drive, Suite 75 Temple, TX 76502-1466

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

5.2.4. Veteran residences listed in paragraph 2 of the PWS.

5.2.5. Airports including but not limited to Killeen Regional Airport, Austin Bergstrom

Airport, Waco Regional Airport, and Draughon-Miller Central Texas Regional 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 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 used to provide on-time ambulance services to meet the requirements of this contract (24/7 availability and up to 4 simultaneous transports in accordance with PWS 4.5.1.7).

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 a breakdown of a vehicle’s two-way radio.

6.1.1.7. CONTINGENCY PLAN: (In case VetRide Vendor Portal is down) A description of the method/system used to log all requests for service. 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 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 quality control plan. 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 in accordance with 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 quality control plan.

Task PWS Reference

Standard Acceptable Quality Level

Method of Surveillance

Provide on-time ambulance services

Section 4.5.1.8.3

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

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Incident Reporting

Section 4.8 The contractor shall notify the COR,…