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Combined Synopsis/Solicitation Notice

SUBJECT* Non-Emergency, Patient Ground Transportation Services, G.V. "Sonny" Montgomery VAMC (and associated facilities), 1500 E Woodrow Wilson Drive, Jackson, MS 39216

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE* 39531

SOLICITATION NUMBER* 36C25623Q1068

RESPONSE DATE/TIME/ZONE 06-28-2023 1300 EASTERN TIME, NEW YORK,

USA

ARCHIVE 99 DAYS AFTER THE RESPONSE DATE

RECOVERY ACT FUNDS N

SET-ASIDE SDVOSB

PRODUCT SERVICE CODE* V222

NAICS CODE* 485991

CONTRACTING OFFICE ADDRESS Department of Veterans Affairs

Gulf Coast Veterans Health Care System Network Contracting Office 16 400 Veterans Avenue BLDG 5, Rm 1A102 Biloxi MS 39531

POINT OF CONTACT*

C. Robert Oravetz / Contracting Officer Department of Veterans Affairs Network Contracting Office 16 Gulf Coast Veterans Health Care System 400 Veterans Avenue Building 5, Room 1A102 Biloxi, MS 39531

PLACE OF PERFORMANCE

ADDRESS Department of Veterans Affairs G.V. "Sonny" Montgomery VA Medical Center (and associated facilities in the vicinity) 1500 E Woodrow Wilson Drive Jackson MS

POSTAL CODE 39216

COUNTRY USA

ADDITIONAL INFORMATION

AGENCY’S URL https://www.va.gov/

URL DESCRIPTION VA

AGENCY CONTACT’S EMAIL ADDRESS christopher.oravetz@va.gov EMAIL DESCRIPTION CO e-mail address

This is a combined synopsis/solicitation for commercial items, prepared in accordance with the format in Federal Acquisition Regulation (FAR 12.6) as supplemented with additional information included in this notice.

This announcement constitutes the only solicitation; offers are being requested and a written solicitation will not be issued.

Solicitation number 36C25623Q1068 is issued as a Request for Quote (RFQ). This solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2023-02.

The G.V. “Sonny” Montgomery VA Medical Center located in Jackson, MS is seeking a contractor to support the following requirement: Non-Emergency, Patient Ground Transportation Services. The contractor will provide ground transportation services for beneficiaries of the Department of Veterans Affairs Medical Center, located at 1500 E. Woodrow Wilson, Jackson, MS 39216 to include associated, Community-Based Outpatient Clinic (CBOC’s) located in the vicinity of and/or in the surrounding areas of the medical center as stated herein.

The Performance Work Statement (PWS) contained within this solicitation is a non-negotiable document.

Offers/quotes shall not include edits, revisions, additions, deletions, alterations, or track change comments to the Performance Work Statement (PWS). Questions or needed clarifications about the Performance Work Statement (PWS) shall be addressed via the submission of contractor questions about this solicitation.

The applicable NAICS code for this procurement is 485991 - Special Needs Transportation with an associated size standard of $15 million.

This solicitation has been set aside 100% for Service-Disabled Veteran Owned Small Businesses (Total SDVOSB Set Aside) who meet the following conditions: 1). Be actively registered and appear in SBA VetCert https://veterans.certify.sba.gov/ as a Service-Disabled Veteran Owned Small Business (SDVOSB) and 2). Meet the small business size standard requirement for the applicable NAICS code for this procurement (485991 - Special Needs Transportation / Size Standard of $15 million).

Offerors/contractors who are SDVOSB’s in (or as part of) a joint venture agreement must appear as a joint venture entity in the System for Award Management (SAM) database.

When preparing offers/quotes in response to this solicitation offerors shall refer to FAR 52.212-1 (Instructions to Offerors – Commercial Items), FAR 52.212-2 (Evaluation-Commercial Items) and Addendum FAR Part 52.212-2. These sections contain specific instructions, guidance, format, and exact requirements for what constitutes a complete and responsive offer/quote. As specified in these sections an incomplete and/or non-responsive offer/quote shall not be considered for a contract award by the contracting officer.

https://veterans.certify.sba.gov/

PAGE 3 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

586-23-4-426-0017

36C25623Q1068 06-13-2023

C. Robert Oravetz Phone Calls Not Accepted 06-28-2023

1300 EDT

36C256 Department of Veterans Affairs Gulf Coast Veterans Healthcare System Network Contracting Office 16 400 Veterans Avenue BLDG 5 Rm 1A102

X 100

X

485991

$16.5 Million

N/A

X

36C256

Department of Veterans Affairs

WHSE/INSIDE DELIVERY V.A. MEDICAL CENTER

G.V. "Sonny" Montgomery Medical Center 1500 E Woodrow Wilson Drive Jackson MS 39216

36C256

Department of Veterans Affairs Gulf Coast Veterans Healthcare System Network Contracting Office 16 400 Veterans Avenue BLDG 5 Rm 1A102

FSC e-Invoice Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 invoice must be submitted electronically

1-866-372-1141 vafsccshd@va.gov

See CONTINUATION Page

Contractor shall provide Non-Emergency, Patient Ground Ground Transportation Services for G.V. "Sonny" Montgomery VAMC and associated facilities.

Contractor shall refer to the Performance Work Statement, the Schedule of Services (Price/Cost Schedule), and all other requirements and conditions that are contained within this solicitation that pertain to the execution of services and the completion of tasks/deliverables.

Contractor shall refer to FAR 52.212-1, 52.212-2, and Addendum FAR 52.212-2 when submitting offers/quotes in in response to this solicitation. The government intends to award a single single Indefinite Delivery Indefinite Quantity (IDIQ contract.

The expected period of performance is the following:

Base Year (Abbreviated): 08-01-2023 thru 09-30-2023 Option Year One: 10-01-2023 thru 09-30-2024 Option Year Two: 10-01-2024 thru 09-30-2025 Option Year Three: 10-01-2025 thru 09-30-2026 Option Year Four: 10-01-2026 thru 09-30-2027

See CONTINUATION Page

X X

X 1

C. ROBERT ORAVETZ, CONTRACTING OFFICER

VA-VHA-RPOC-2023-0071

36C25623Q1068

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE & ITEM INFORMATION MI=Mileage, TRP=Trip, EA=Each 6

B.3 PERFORMANCE WORK STATEMENT

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 (OCT 1995)

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

C.6 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 29

C.7 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)29

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.9 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)30

C.10 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR VERIFIED SERVICE-DISABLED

VETERAN-OWNED SMALL BUSINESSES (NOV 2022)

C.11 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING--CERTIFICATE OF

COMPLIANCE FOR SERVICES AND CONSTRUCTION (NOV 2022)

C.12 VAAR 852.228-71 INDEMNIFICATION AND INSURANCE (MAR 2018)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018) 35

C.14 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)36

C.15 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.16 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) . 37

C.17 MANDATORY WRITTEN DISCLOSURES

C.18 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES

OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAR

2023)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

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

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)53

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

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION (OCT 2018)

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

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV

2021)

E.9 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: Unknown until award

b. GOVERNMENT: Contracting Officer 36C256 C. Robert Oravetz

Department of Veterans Affairs Gulf Coast Veterans Healthcare System Network Contracting Office 16 400 Veterans Avenue BLDG 5 Rm 1A102 Biloxi MS 39531

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] Monthly for successfully completed services

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.

Vendor e-Invoice Set-Up Information:

•Tungsten e-Invoice Setup Information: 1-877-489-6135 •Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com •FSC e-Invoice Contact Information: 1-877-353-9791 •FSC e-invoice email: vafsccshd@va.gov vafscenterprisesupport@va.gov

Additional information regarding invoicing can be provided via a request to the Contracting Officer.

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

AMENDMENT NO DATE

mailto:vafsccshd@va.gov mailto:vafscenterprisesupport@va.gov

B.2 PRICE/COST SCHEDULE & ITEM INFORMATION MI=Mileage, TRP=Trip, EA=Each

ITEM

NUMBE

R

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

Estimated 12,500.00

Estimated

MI

Mileage Outside Mileage Threshold Estimated Mileage Contract Period: Base POP Begin: 08-01-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period indicated.

2,450.00

Estimated

TRP

Patient Ground Transportation Services (Wheelchair) (One Way) Estimated Trips Contract Period: Base POP Begin: 08-01-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

325.00

Estimated

TRP

Patient Ground Transportation Services (Stretcher) (One Way) Estimated Trips Contract Period: Base POP Begin: 08-01-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

75.00

Estimated

TRP

Patient Ground Transportation Services (Hired Car) (One Way) Estimated Trips Contract Period: Base POP Begin: 08-01-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation -

Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period

90.00

Estimated

EA

Patient Ground Transportation Services (Wait Time) (EA = Quarter Hour) Wait Time is capped at 30 minutes per trip Contract Period: Base POP Begin: 08-01-2023 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

SUBTOTAL – BASE YEAR

50,000.00

Estimated

MI

Mileage Outside Mileage Threshold Estimated Mileage Contract Period: Option 1 POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

11,000.00

Estimated

TRP

Patient Ground Transportation Services (Wheelchair) (One Way) Estimated Trips Contract Period: Option 1 POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

1,300.00

Estimated

TRP

Patient Ground Transportation Services (Stretcher) (One Way) Estimated Trips Contract Period: Option 1 POP Begin: 10-01-2023 POP End: 09-30-2024

PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period

300.00

Estimated

TRP

Patient Ground Transportation Services (Hired Car) (One Way) Estimated Trips Contract Period: Option 1 POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

360.00

Estimated

EA

Patient Ground Transportation Services (Wait Time) (EA = Quarter Hour) Wait Time is capped at 30 minutes per trip Contract Period: Option 1 POP Begin: 10-01-2023 POP End: 09-30-2024 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

SUBTOTAL – OPTION YEAR ONE

Estimated

MI

Mileage Outside Mileage Threshold Estimated Mileage Contract Period: Option 2 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Wheelchair) (One Way) Estimated Trips Contract Period: Option 2 POP Begin: 10-01-2024 POP End: 09-30-2025

PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period

Estimated

TRP

Patient Ground Transportation Services (Stretcher) (One Way) Estimated Trips Contract Period: Option 2 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Hired Car) (One Way) Estimated Trips Contract Period: Option 2 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

EA

Patient Ground Transportation Services (Wait Time) (EA = Quarter Hour) Wait Time is capped at 30 minutes per trip Contract Period: Option 2 POP Begin: 10-01-2024 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

SUBTOTAL – OPTION YEAR TWO

Estimated

MI

Mileage Outside Mileage Threshold Estimated Mileage Contract Period: Option 3 POP Begin: 10-01-2025

POP End: 09-30-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period

Estimated

TRP

Patient Ground Transportation Services (Wheelchair) (One Way) Estimated Trips Contract Period: Option 3 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Stretcher) (One Way) Estimated Trips Contract Period: Option 3 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Hired Car) (One Way) Estimated Trips Contract Period: Option 3 POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

EA

Patient Ground Transportation Services (Wait Time) (EA = Quarter Hour) Wait Time is capped at 30 minutes per trip Contract Period: Option 3

POP Begin: 10-01-2025 POP End: 09-30-2026 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period indicated.

SUBTOTAL – OPTION YEAR THREE

Estimated

MI

Mileage Outside Mileage Threshold Estimated Mileage Contract Period: Option 4 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Wheelchair) (One Way) Estimated Trips Contract Period: Option 4 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Stretcher) (One Way) Estimated Trips Contract Period: Option 4 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

Estimated

TRP

Patient Ground Transportation Services (Hired Car) (One Way) Estimated Trips

Contract Period: Option 4 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission requirements of the government during the performance period

Estimated

EA

Patient Ground Transportation Services (Wait Time) (EA = Quarter Hour) Wait Time is capped at 30 minutes per trip Contract Period: Option 4 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 485991 - Special Needs Transportation PRODUCT/SERVICE CODE: V222 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Passenger Motor Charter *The exact number of trips, mileage, and wait times are not known;

quantities are estimated based on the expected mission

SUBTOTAL – OPTION YEAR FOUR

GRAND TOTAL _________________

PRICING OVERVIEW - TOTAL YEARLY COST EACH PERFORMANCE PERIOD

(BASED ON ESTIMATED QUANTITES ANNOTATED IN PRICE/COST SCHEDULE)

BASE YEAR $

OPTION YEAR ONE $

OPTION YEAR TWO $

OPTION YEAR THREE $

OPTION YEAR FOUR $

ALL YEARS (BASE YEAR & OPTION 1, 2, 3, & 4) $

For the purposes of the award of this Contract, The Government intends to evaluate the option to extend services under FAR 52.217-8 as follows: The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

B.3 PERFORMANCE WORK STATEMENT

Performance Work Statement (PWS)

Non-Emergency, Patient Ground Transportation Services Jackson MS VAMC and Associated Community Based Outpatient Clinics

06-09-2023

INTRODUCTION:

The Contractor shall provide all ground transportation services, as identified within this Performance Work Statement. This will include all vehicles, personnel, management, supplies, transportation, equipment and reports necessary to provide ground transportation services for beneficiaries of the Department of Veterans Affairs Medical Center, located at 1500 E. Woodrow Wilson, Jackson, MS 39216. Contractor shall transport patients to or from any pickup point, to or from any floor, ward, nursing home, patient’s home, medical center facility, appointment area office and any personal belonging to patients leaving the healthcare facility (e.g. walkers, shower chairs, wheelchairs, luggage, boxes). Contractor shall use contractor-owned, equipment or any other items required in transporting patient(s) from one place to another.

In addition to providing services for the primary Jackson, MS VA Medical Center, (40 mile Threshold applies) the contractor shall provide services for the associated, Community-Based Outpatient Clinic (CBOC’s), and other locations (to include but not limited to):

Hattiesburg CBOC-5003 Hardy Drive Tower B-4th Floor, Hattiesburg, MS 39401(40 mile Threshold applies) Columbus CBOC-824 Alabama Street, Columbus, MS 39702 (40 mile Threshold applies) Natchez CBOC-105 Northgate Drive, Suite 2 Natchez, MS 39210 (40 mile Threshold applies) McComb CBOC-1308 Harrison Avenue McComb, MS 39648 Greenville CBOC-1502 S. Colorado Street, Greenville, MS 38703 (40 mile Threshold applies) Kosciusko CBOC-405 West Adams Street, Kosciusko, MS 39090 Meridian CBOC-2103 13th Street, Meridian, MS 39301(40 mile Threshold applies)

PERFORMANCE PERIOD: Contractor to furnish patient ground transportation services to beneficiaries of the Jackson VA Medical Center and the associated Community Based Outpatient Clinics (CBOCS) in accordance with the terms, conditions, provisions, and the schedule as ordered for the specified performance periods. A contract resulting from this solicitation will be awarded for a base year (that will not exceed twelve (12) months) with four (4) option year periods (that are each twelve (12) months in length). Option year periods may or may not be renewed based on the needs of (and at the discretion of) the U.S. government. Performance of services will begin thirty (30) calendar days following contract award unless an alternate date is mutually established between the government and the contract awardee.

SECTION 1 - DEFINITIONS

1.1 CONTRACT DEFINITIONS/ACRONYMS

1.1.1 Base Rate – is the rate paid for one-way transportation from the Jackson, MS VAMC or Community-Based Outpatient Clinic (CBOC’s) to a designated drop off point or from a designated pick up point to an authorized location designated by the VA Medical Center. This rate will be paid for all authorized one-way patient transportation ordered under this contract action made on behalf of the Government. The Base Rate shall constitute full compensation for one-way trips which do not exceed the "Mileage Threshold”- for each identified Medical facility.

1.1.2 Beneficiary – Veteran determined to be eligible for benefits by the Veterans Administration (VA).

1.1.3 Beneficiary Trip Scheduling – VA will contact the Contractor by 3:30 PM (CST) on the day prior to schedule transportation appointments. At the time of a trip request, the VA will negotiate pickup/delivery time and place, and contractor shall provide a reference number for billing, or resolution of any questions. The form and method of communication from VA to the Contractor shall be determined after direct discussion between the parties.

1.1.4 Contracting Officer (CO) – VA official with the authority to enter into, administer, and/or terminate contracts and make related determinations and findings.

1.1.5 Contracting Officer Representative (COR) – VA official responsible for providing contract oversight and technical guidance to the CO. Responsibilities includes certification of invoices, placing orders for service, providing technical guidance, overseeing technical aspects of the contract, and overseeing the vehicle inspection team. All administrative functions remain with the CO.

1.1.6 Contractor – The term "Contractor" as used herein refers to both the prime Contractor and his employees, and any subcontractors and their employees. The Contractor shall be responsible for assuring that their subcontractors comply with the terms and conditions of this contract.

1.1.7 Discharge services – Beneficiary Travel coordinator will advise the Contractor as to any travel and/or time restrictions for trips requiring transport upon beneficiary discharge from facility.

1.1.8 Dry Run – A dry run is a request for service by authorized Medical Center personnel, whereby the Contractor arrives at the designated pick-up point and no patient is transported due to a change in the Medical Center's needs and verified by VA staff (due to no fault by or negligence from the Contractor). In these situations, Contractor will be entitled to payment for mileage at the applicable mileage rate that has been specified.

1.1.9 Gender - For the purpose of equal rights wherever the masculine gender is used in this solicitation, and the resulting contract, it shall be considered to include both masculine and feminine gender.

1.1.10 Mileage Rate - Mileage rate for transportation services is the rate paid for each mile traveled. This rate applies to one-way transportation only. The contractor will calculate mileage from Point A (pickup location) to Point B (drop off location). The Contractor will not receive this rate for miles traveled within the specified mileage threshold.

1.1.11 Mileage Reimbursement – Reimbursement for mileage outside the contract Mileage Thresholds of coverage, shall be at the mileage rate stated in the schedule, and shall be based upon the miles from the pick-up point and the specified destination. Distances beyond the contract Mileage Threshold areas of coverage shall be calculated using current Bing Mileage Guide. Allowable charges for mileage outside the contract Mileage Threshold areas of coverage, shall not exceed +5% of the current Bing Standard Mileage Guide.

Facility Location: Trips that do not originate or terminate at the Jackson VA Medical Center or from one of the Community-Based Outpatient Clinic (CBOC’s) designated with a mileage threshold, the contractor will calculate mileage from Point A (nearest facility designated with a 40 mile Threshold) to Point B (pick up location) to Point C (drop off location) and deduct 40 miles from the total.

1.1.12 Mileage Threshold – The mileage threshold is forty (40) miles.

1.1.13 Non-Emergency, Patient Ground Transportation – consists of providing non-emergency advance life support, basic life support, wheelchair, stretcher or hired car transportation to VA eligible beneficiaries to and from authorized VA medical facilities, VA CBOC’s, and/or other VA medical treatment or care locations.

Strike through sections have been removed from this Performance Work Statement (PWS) and therefore do not apply.

1.1.14 BASIC LIFE SUPPORT (BLS) and ADVANCED LIFE SUPPORT (ALS) :

Advanced Life Support (ALS) Services is defined as an advanced level of pre-hospital and inter-hospital non-emergency medical services outlined in the Basic Life Support national curriculum of the United States Dept. of Transportation and any modifications to that curriculum specified in rules adopted by the Department

Basic Life Support (BLS) Services is defined as a basic level of pre-hospital and inter-hospital non-emergency medical services outlined in the Basic Life Support national curriculum of the United States Dept.

of Transportation and any modifications to that curriculum specified in rules adopted by the Department.

1.1.14.1a Staffing:

For BLS services, each non-emergency ambulance shall be staffed by Emergency Medical Technicians with a current state license as required by local, state, or regional Government, or public entity by which the non-emergency ambulance services are governed.

For ALS service, each ambulance shall be staffed by Advanced Emergency Medical Technicians with a current license or as required by local, state, or regional Government, or public entity by which non-emergency ambulance services are governed.

1.1.14.1b Typical situations when the VAMC would require ALS Services:

• Patients with IVs

• Patients requiring cardiac monitoring

1.1.15 Quality Assurance – Those actions taken by the Government to assure services meet the requirements of this contract.

1.1.16 Quality Assurance Evaluator(s) Government personnel responsible for surveillance of contractor performance.

1.1.17 Quality Assurance Surveillance Plan — An organized written document used for quality assurance surveillance. The document contains specific methods for performing surveillance of the Contractor's continuous performance.

1.1.18 Quality Control — Those actions taken by the Contractor to control the production of goods or services so they will meet the requirements of the contract.

1.1.19 For return trips from scheduled outpatient visits, clients should not have to wait more than 30 minutes for pick up.

1.1.20 Scheduled Transport(s) — Trip(s) that have been scheduled in advanced, repeated trips e.g. dialysis.

1.1.21 Vehicle(s) — The term -Vehicle(s) refers to all modes of transportation provided under the requirements of this contract, unless a specific mode of transportation is identified by the VA Medical Center.

1.1.22 Waiting Grace Period —The rate for transportation services shall include a fifteen (15) minute waiting grace period at origin and destination. The wait time is capped at 30 minutes. Contractor is not required to remain on station beyond 30 minutes.

1.2 HOURS OF PERFORMANCE AND NOTIFICATION

1.2.1 Contractor shall provide ground patient transportation services for eligible veteran beneficiaries as requested 365 days a year, 24 hours a day, regardless of distance.

1.2.2 The Contractor shall provide a toll-free number for accepting VA calls. It is estimated that 90% of all requests for services will be placed by telephone. Requests for service may also be in writing or oral from the Contracting Officer Representative (COR) or other authorized designee and may be completed by telephone, facsimile, mail, e-mail, or in person. At the earliest available date after contract award the government will provide point of contact names and contact information (for each respective treatment facility, Community-Based Outpatient Clinic (CBOC), and/or other location) for execution of services. This includes Administrative Officer of the Day (AOD) and/or other individuals who are responsible for handling requests for services that occur after normal business hours.

1.2.3 Electronic Transmissions: The Contractor shall propose an electronic media, (e.g. facsimile, e-mail), available at all times during the contracting period to communicate requirements such as patient incidents, requests for services, special correspondence, etc. with the VA. Use of this communication system will be mutually agreed upon after award but prior to contract performance.

1.2.4 Contractor Personnel Roster: On or about seven (7) days following contract award a personnel roster will be submitted by the contractor to the government which identifies personnel who are (or who may be) performing work, executing services, and completing tasks/deliverables under this contract while active.

1.2.5 Thereafter, any personnel changes shall be submitted within two (2) business days after the changes occur.

1.3 CONTRACTOR PERSONNEL AND STAFFING QUALIFICATIONS: Personnel performing services under this contract shall meet the following minimum requirements below (to include but not limited to):

1.3.1 Be 21 years of age or older.

1.3.2 All drivers shall have a valid Driver/Operator’s License in accordance with state requirements for the type of vehicle in which the individual will be operating for their place of operation and the services they perform.

1.3.3 Attendants/drivers shall be capable of administering oxygen and have successfully completed the Standards and Advanced First Aid Courses of the American Red Cross or equivalent. Proof in the form of a current certificate for the successful completion of such training must be provided upon request.

Strike through sections have been removed from this Performance Work Statement (PWS) and therefore do not apply.

1.3.4 Paramedics, EMTs and other medical personnel (as applicable), shall at all times meet the qualifications specified in this agreement, as well as all applicable federal, state, and local Government laws, regulations, and standards. They shall be certified, licensed, or otherwise officially recognized by local, state, or regional Government or public entity by which the emergency service is governed.

1.3.5 Prior to performing any services under this agreement, the Contractor shall provide evidence of required training, certifications, licensing, and any other qualifications of any personnel performing services under this agreement. If the Contractor wishes to add or replace personnel, it shall provide the above requirements to the COR for approval.

1.4 CONTRACTOR PERFORMANCE

1.4.1 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 Contracting Officer Representative (COR) and CO and provide a justification for non-performance.

1.5 ESCORT

1.5.1 The VA reserves the right to have an escort, such as a relative, or care provider of beneficiary, or VA staff accompany beneficiary when the VA determines that such an escort is in the best interest of the beneficiary.

1.5.2 The VA will also be the sole judge in determining when an escort is required. There shall be no additional charge to the VA when escorts are authorized to travel with beneficiary. Contractor shall only be required to transport escort with patient and shall not be required to return the escort back to point of origin, unless transporting with the beneficiary.

1.6 SUBSTITUTION OF BENEFICIARY

1.8.1 The VA reserves the right for substitution of the beneficiary requiring services at any time during the performance of this contract, to prevent delays, cancellations, or dry runs. There shall be no additional charge to the VA when such changes occur.

1.7 REQUESTS FOR SERVICES

1.7.1 Prior to performance, the CO shall provide the Contractor with a list of names or position titles and phone numbers of authorized VAMC personnel who may request services and receive calls from the Contractor regarding contract performance. This list will be updated and submitted to the Contractor as changes occur.

1.7.2 The Contractor shall ensure that requests for services are only received from VAMC individuals on the above stated authorized list of VAMC personnel. Services rendered in response to requests from other than authorized personnel shall be at the risk of the Contractor and any cost related thereto shall be borne by the Contractor.

1.7.3. The Contractor shall normally transport only one beneficiary per trip, but when specially requested by authorized VA personnel additional beneficiaries are to be transported. When more than one beneficiary is transported reimbursement for the second patient mileage will not be charged, however, mileage will only be paid for the longest distance over which a patient is transported.

1.7.4 When ordering services, the VAMC will provide the following information:

1. Required date and time of arrival.

2. Name of beneficiary.

3. Pick-up and delivery point.

4. Type of equipment necessary.

5. Any other special instructions.

6. Response Time – Appearance at patient location within one hour of receiving request for transport, or no later than two hours of receiving the request

1.7.5 VA will not be responsible for payment of any fines/citations incurred by the contractor during contract performance.

1.8 Reporting Requirements (Trip Logs, Trip Tickets, and/or Trip Summary) When patients are transported trip logs, trip tickets, and/or a trip summary shall be maintained by the contractor to document the specific transportation services that were provided by the contractor for beneficiaries. Trip logs, trip tickets, and/or trip summaries shall contain the following information (to include but not limited to):

• Date and Time of Service Call

• Name of Beneficiary Requiring Services

• Type of Transportation Requested

• Pick Up and Delivery Points (i.e. Embarkation & Disembarkation Locations)

• Actual Time of Arrival at Pick Up and Delivery Points

• Actual Waiting Time at Pick Up and Delivery Points (if waiting charges are claimed)

• Driver’s name

• Vehicle Used and relevant identifying information

• Any other comments regarding the trip.

1.8.1 When monthly invoices are submitted for payment the contractor will be required to submit trip logs, trip tickets, and/or trip summaries along with their invoice so that appropriate reconciliation and verification can be done by the facility (before payment is made for the services rendered).

1.8.2 Sample Invoice Submittal For One Month :

Invoice 123456 Dates of Service 1-30 Oct XX Contract 36C25623PXXXX PO Number 586C3XXXX

Monthly Summary

CLIN DESCRIPTION OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

TOTAL

PRICE

0001 Mileage Outside Mileage Threshold 800 MI $XX.XX $XXXXX.XX 0002 Patient Ground Transportation Services (Wheelchair) 733 Trip $X.XX $XXXXX.XX 0003 Patient Ground Transportation Services (Stretcher) 183 Trip $X.XX $XXXXX.XX 0004 Patient Ground Transportation Services (Hired Car) 10 Trip $X.XX $XX.XX

Trip Log

Each day of the month will list all beneficiaries transported for that day along with each driver that was on duty for that day and the total hours worked. The VA Authorization Official, Beneficiary Name, Pickup and drop off addresses, mode of transportation provided, and total miles and cost must be completed for each day transports are provided.

1 Oct XX

VA

Auth Official

Beneficiary Name Pick up Address Drop Off Address

Mode Total Miles Total Cost

WC

Stretcher

Car

2 Oct XX

VA

Auth Official

Beneficary Name Pick up Address Drop Off Address

Mode Total Miles Total Cost

WC

Stretcher

Car

1.9 DRY RUNS

1.9.1 The Contractor will be entitled to only the trip rate and any mileage outside the mileage threshold when dry runs are encountered due to no fault or negligence of the Contractor, order of services must have been requested by authorized VAMC personnel.

1.9.2 Contractor will receive full compensation for the trip rate and any mileage outside the mileage threshold for a cancelled trip unless notified by VA personnel of the cancellation prior to the contractor’s vehicle being dispatched.

1.9.3 Should the Contractor arrive at the destination before VA cancels the order, or if the Contractor is unable to perform a scheduled pick-up for reasons beyond the Contractor's control, e.g., incorrect address, or patient absence, or patient refusal, then the Contractor shall receive 100% of base rate for a one-way trip as provided in the schedule.

1.9.4 Contractor must report all dry runs at time of occurrence and verify with VA staff before driver is allowed to depart location. Driver will attempt to contact VA for 15 minutes but may leave after waiting 15 minutes if unable to reach VA dispatcher by phone.

1.9.5 Contractor will not charge dry run for trips if driver arrives 30 minutes late to allow patients to keep scheduled clinic appointment.

1.10 PATIENT RIGHTS

1.10.1 The Contractor shall be courteous to VA beneficiaries and all vehicles shall be non-smoking at all times. The Contractor shall not text or talk on the phone unless it is an emergency. Patients may bring a reasonable amount of equipment, such as a folding wheelchair, consumable medical supplies, and personal suitcase. When transporting patients to or from VAMC, the driver, acting for the Contractor, will ensure that the patient's luggage, medical records, medications, and prosthetic devices are properly accounted for and delivered with the patient as required.

1.10.2 The Contractor shall immediately notify the VA of any incidents involving injury to VA patients during transport. The Contractor shall promptly complete and submit to the CO and COR a VA Incident Report of Contact, VA Form 119, with all information necessary for a full review. VA will provide this form to vendor after award.

1.10.3 The Contractor shall notify the COR and CO, in writing within 24 hours of any complaints made by the patients with regards to transportation services. The Contractor may provide recommendations for improved services along with the patient complaints for the VA's review. No recommendation shall be construed as being effective until and unless it is provided as a written modification to the contract from the CO.

1.10.4 The Contractor shall assist the beneficiary from the departure point to the vehicle and to their destination point. Upon delivery of psychiatric patient to the patient ward the Contractor shall obtain from the responsible staff for the beneficiary a signed receipt, the receipt shall be retained by the Contractor. If the beneficiary is to be picked up for a return trip, a trip number shall be left with the staff member identifying the beneficiary's trip number to be used when calling for pickup.

1.10.5 The COR and Contractor shall report all late pickups to the CO. Late pickups will be verified by using copies of the trip tickets as documentation. Additionally, each vehicle shall be equipped with a visible means of a medium (comment card with government address pre-printed) that allows the patient to provide feedback, positive and negative, to the COR and/or the CO.

1.10.6 Driver will take the most direct route from pick up location to destination unless legitimately unavoidable.

1.11 SAFETY REQUIREMENTS

1.11.1 In order to protect the lives and health of patients, the Contractor shall take such safety precautions as the CO, or his designate, may determine to be reasonably necessary. Drivers shall project responsible, professional and courteous behavior. Drivers must exercise the utmost safety in caring for recipients while transporting them and guard against becoming insensitive to their physical and emotional condition(s).

Contractor shall be responsible for any injury to himself, his employees, or others, as well as for any damage to personal or public property that occurs during the performance of this contract that is caused by the employees' fault or negligence.

1.11.2 Drivers must ensure:

• The equipment and vehicle used is kept clean and serviceable at all times.

• All State, City, County or Parish laws are observed while transporting a vehicle with passengers.

• The vehicle is safe and in excellent operating condition.

A vehicle must not be driven unless the driver determines that the following parts and accessories are in good working order: vehicle brakes, parking brakes, steering mechanism, lighting devices and reflectors, tires, horn, windshield wipers and rear-view mirrors.

1.11.3 Drivers must:

• Not consume or be under the influence of intoxicating liquor, narcotic drugs, or amphetamines within four hours of going on duty or while operating a motor vehicle.

• Assure that any vehicle they drive with “for hire,” “handicapped” or “public” license plates comes to a complete stop as required by state law. This includes all railroad crossings.

• Exercise extreme caution in the operation of a vehicle when hazardous conditions such as those caused by snow, ice, sleet, fog, mist, rain, dust, or smoke adversely affect visibility or traction. Speed must be reduced when such conditions exist. If conditions become sufficiently dangerous, the operation of the vehicle must be discontinued or operated to the nearest point at which the safety of the passengers is assured.

• Use turn signals not less than 100 feet in advance of and during the turning movement of the vehicle.

Turn signals must be flashed to indicate the direction of vehicle movement in traffic lanes.

• Have been instructed in the proper procedures required to move recipients into and out of the vehicle equipped to transport non-ambulatory, wheelchair recipients and patients in stretchers.

• Ensure…

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