S02 - Solicitation.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. DUNS: DUNS+4:

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. 2/2012)

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

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 98

549-21-3-230-0097

36C25721Q0768 05-05-2021

Eddie Clark 210-694-6242 05-12-2021

0800 CDT

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229

X 100

X

621910

$16.5 Million

N/A

X

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229-4401

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229

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

This requirement is being procured as a 100% set aside for

SDVOSB.

Please see Section B for Performance Work Statement and Price / Cost Schedule.

Please submit all questions to eddie.clark@va.gov by 05/10/2021 @12:00PM.

Please review 52.212-2 for evaluation criteria.

See CONTINUATION Page

X X

X 1

Glenn Johnson Contracting Officer

36C25721Q0768

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 NOTIFICATION TO OFFERORS

B.3 SCHEDULE OF SERVICES AND PRICE

B.4 PRICE/COST SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.2 52.203-16 PREVENTING PERSONAL CONFLICTS OF INTEREST (JUN 2020) ..41

C.3 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2021)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...53

C.9 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)

C.10 52.224-2 PRIVACY ACT (APR 1984)

C.11 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.12 VAAR 852.219-71 VA MENTOR-PROTÉGÉ PROGRAM (DEC 2009)

C.13 VAAR 852.219-75 SUBCONTRACTING COMMITMENTS MONITORING AND

COMPLIANCE (JUL 2018)

C.14 VAAR 852.219-76 SUBCONTRACTING PLANS MONITORING AND

COMPLIANCE (JUL 2018)

C.15 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.16 SUPPLEMENTAL INSURANCE REQUIREMENTS ............. Error! Bookmark not defined.

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUN 2020) 61

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (AUG 2020)

E.4 52.204-20 PREDECESSOR OF OFFEROR (AUG 2020)

E.5 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (OCT 2020)

E.6 52.207-6 SOLICITATION OF OFFERS FROM SMALL BUSINESS CONCERNS

AND SMALL BUSINESS TEAMING ARRANGEMENTS OR JOINT VENTURES

(MULTIPLE-AWARD CONTRACTS) (OCT 2016)

E.7 52.209-5 CERTIFICATION REGARDING RESPONSIBILITY MATTERS (AUG

2020)

E.8 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.9 52.216-1 TYPE OF CONTRACT (APR 1984)

E.10 52.232-31 INVITATION TO PROPOSE FINANCING TERMS (MAY 2014)

E.11 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.12 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.13 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021)

E.14 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

E.15 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

RESOLUTION (OCT 2018)

E.16 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020)

E.17 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN

2008)

E.18 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

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:

b. GOVERNMENT: Contracting Officer 36C257

Department of Veterans Affairs

VISN17 Network Contracting Activity

7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229

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

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.

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.

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

AMENDMENT NO DATE

B.2 NOTIFICATION TO OFFERORS

1. Under the authority of 38 CFR 70 - VHA Beneficiary Travel under 38 U.S.C. 111, FAR Part 12, and FAR Part 15, the Veterans Integrated Service Network (VISN) 17, North Texas Veterans Healthcare Systems requires Contractors to provide wheeled and hired car services to veterans / person whose travel is in connection with treatment or care for a service disconnected disability, on an as needed basis.

2. Offerors shall complete and return all information designated in the enclosed FAR clause 52.212-1, Instructions to Offerors – Commercial Items, and the Addendum to 52.212-1 regarding proposal submission. Failure to do so may preclude the offeror from further consideration.

3. TECHNICAL INQUIRES: Direct all technical inquiries via email only to the Contracting Specialist, Eddie Clark at eddie.clark@va.gov no later than May 10, 2021. Questions will be answered via an amendment to this solicitation and will be posted to Contracting Opportunities on or about May 10, 2021.

4. DUNS NUMBER: Provide the Dun and Bradstreet Number assigned to your firm in the space provided below: (refer to Provision 52.212-1, Instructions to Offerors – Commercial Items):

5. This requirement is set aside 100% for Service Disabled Veteran Owned Small Business (SDVOSB), therefore only SDVOSBs verified in the VA’s Vendor Information Pages (VIP) site at https://www.vip.vetbiz.gov/, at the time of proposal submission will be considered for award.

6. Post-Award Teleconference. The awarded Contractor(s) shall participate in a post-award orientation teleconference to review the on-boarding process for candidates and other post-award management procedures.

7. Indefinite Delivery / Indefinite Quantity contract may be awarded in response to this solicitation.

8. Offerors shall be able to provide all services identified in section Schedule of Services and Price for any HS for which they propose to provide services.

B.3 SCHEDULE OF SERVICES AND PRICE

This is an indefinite delivery, indefinite quantity, (IDIQ) fixed-price contract. Prices in this schedule represent an all-inclusive rate including labor, incidental costs, overhead, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the Government.

https://www.vip.vetbiz.gov/

The guaranteed minimum amount for this contract is $500.00. The maximum aggregate value of the order that can be placed under this contract is $7,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum amount.

B.4 PRICE/COST SCHEDULE

AMBULANCE TRANSPORTATION SERVICES

SCHEDULE OF SERVICES – PRICE SCHEDULE

BASE PERIOD: 1 June 2021 to 31 May 2022

Line Item

Description of Services

Unit of Issue

Unit Price

0001 Base Rate Transport One-Way Trip

0001a Advanced Life Support, Emergency Transport, Level 1 (ALS 1) (base rate to include first 40 miles)

Per Trip (One-Way)

0001b Basic Life Support, Non-Emergency Transport, (base rate, to include first 40 miles)

0002 Mileage Trip Outside the Base Rate Price Per Mile 0002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each for unit of issue

Per Mile

0002b Basic Life Support, Non-Emergency Transport, One-Way trip is equivalent to one each for unit of issue

0003 Waiting Time (in excess of 15 minutes shall be paid in 15-minute increments).

Each (15-minute Increment)

0003a 15 Minute Waiting Time for a ALS trip 2021 COVID-19 Emergency

15-minute Increments Max

Each

0003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

Base Period (Total Price)

OPTION PERIOD ONE: 1 June 2022 to 31 May 2023

1001 Base Rate Transport One-Way

1001a Advanced Life Support, Emergency to include first 40 miles)

1001b Basic Life Support, Non-Emergency first 40 miles)

1002 Mileage Trip Outside the Base Rate Price Per Mile 1002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each

1002b Basic Life Support, Non-Emergency

0003 Waiting Time (in excess of 15 increments).

Each

1003a 15 Minute Waiting Time for a ALS

15-minute Increments Max

Each

1003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

OPTION PERIOD TWO: 1 June 2023 to 31 May 2024

2001 Base Rate Transport One-Way

2001a Advanced Life Support, Emergency to include first 40 miles)

2001b Basic Life Support, Non-Emergency first 40 miles)

2002 Mileage Trip Outside the Base Rate Price Per Mile 2002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each

2002b Basic Life Support, Non-Emergency

2003 Waiting Time (in excess of 15 increments).

Each

2003a 15 Minute Waiting Time for a ALS

15-minute Increments Max

Each

2003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

OPTION PERIOD THREE: 1 June 2024 to 31 May 2025

3001 Base Rate Transport One-Way

3001a Advanced Life Support, Emergency to include first 40 miles)

3001b Basic Life Support, Non-Emergency first 40 miles)

3002 Mileage Trip Outside the Base Rate Price Per Mile 3002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each

3002b Basic Life Support, Non-Emergency

3003 Waiting Time (in excess of 15 increments).

Each

3003a 15 Minute Waiting Time for a ALS

15-minute Increments Max

Each

3003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

OPTION PERIOD FOUR: 1 June 2025 to 31 May 2026

4001 Base Rate Transport One-Way

4001a Advanced Life Support, Emergency to include first 40 miles)

4001b Basic Life Support, Non-Emergency first 40 miles)

4002 Mileage Trip Outside the Base Rate Price Per Mile 4002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each

4002b Basic Life Support, Non-Emergency

4003 Waiting Time (in excess of 15 increments).

Each

4003a 15 Minute Waiting Time for a ALS

15-minute Increments Max

Each

4003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

SIX MONTH EXTENSION: 1 June 2025 to 31 December 2026 6-Month Quantity Unit of Issue

Item

Description of Services (Estimated Maximum)

5001 Base Rate Transport One-Way

5001a Advanced Life Support, Emergency to include first 40 miles)

5001b Basic Life Support, Non-Emergency first 40 miles)

5002 Mileage Trip Outside the Base Rate Price Per Mile 5002a Advanced Life Support, Emergency

Transport, Level 1 (ALS 1) (Mileage Rate for each mile traveled) One-way trip is equivalent to one each

5002b Basic Life Support, Non-Emergency

5003 Waiting Time (in excess of 15 increments).

Each

5003a 15 Minute Waiting Time for a ALS

15-minute Increments Max

Each

5003b 15 Minute Waiting Time for a BLS

15-minute Increments Max

Each

B.5 PERFORMANCE WORK STATEMENT

PERFORMANCE WORK STATEMENT (PWS)

FOR THE

NORTH TEXAS MEDICAL FACILITY

SPECIAL MODE OF TRANSPORTATION

AMBULANCE (B1)

SERVICES

4/29/2021

Section I – Description of Services

1.1. SCOPE

1.1.1. The contractor shall provide all required labor, material, supplies, equipment, and supervision of contractor personnel necessary to perform Ambulance Services to/from the following locations:

• Tyler -Tyler VA Primary Care Clinic (Broadway Ave) 7916 S. Broadway Ave., Tyler, TX 75703

• Bonham – Sam Rayburn Memorial Veterans Center 1201 E. 9th St., Bonham, TX 75418

• Plano – Plano CBOC 3804 W 15th Street Plano, TX 75075

• Garland Outpatient Clinic 2300 Marie Curie Drive Garland, TX 75001

The contractor shall transact business as described herein.

1.1.2. GENERAL REQUIREMENTS:

The contractor shall provide Ambulance Services for patients (or beneficiaries) of the Department of Veterans Affairs as established herein. The contractor shall provide all services necessary to execute the full range of Ambulance services as provided in the local community.

Performance shall be continuously compliant with the requirements contained within this PWS to include the standards established by the Joint and the Division of Emergency Medical Services, Texas Emergency Medical Services and all applicable Federal, State and local rules, regulations, and procedures.

•Reference: Texas Administrative Code- Title 21, Part 1, Chapter 157, Emergency Medical Care.

http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tacview=5&ti=258pt=18ch=157 &sch=A&rl=Y

1.2. GENERAL DESCRIPTION:

1.2.1. The contractor shall provide all Ambulance service, 24 hours per day, 365 days per year, as required in accordance with the terms and conditions contained herein. The contractor shall furnish vehicles sufficient to provide full and complete coverage for pick-http://info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tacview=5&ti=258pt=18ch=157&sch=A&rl=Y up and delivery of all veteran patients requiring transport by Ambulance to/from the Dallas VA Medical Center, 4500 S. Lancaster Rd., Dallas, Texas 75216, to local Medical appointments and Community Care Appointments.

1.2.2 Prior to contract performance, the COR shall provide the contractor with a list of names (or position titles) and phone numbers of authorized Government personnel who may request services. This list will be updated and submitted to the contractor as changes occur. Services rendered in response to requests from other than authorized personnel shall be at the risk of the contractor and any costs related thereto shall be borne by the contractor.

1.2.3Pick-up and deliveries will also be required from community hospitals and VA facilities within and outside the service area to include patient’s residence as requested by the COR in accordance with the procedures specified within this PWS. The trip rate provided in any category shall be all-inclusive regardless of time of day as agreed to in the price schedule of the resultant award.

1.3. VEHICLES AND EQUIPMENT

1.3.1. Ambulance services and equipment with which the contractor renders all services must meet Federal and State of Texas (or equal) requirements for insurance, licensing, registration, and equipment. All vehicles used to provide Ambulance (ALS/BLS) transportation services shall meet the following requirements:

•Texas Health & Safety Code-Chapter 773.Emergency Health Care Act.

http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.773.htm

•Texas Administrative Code- Title 21, Part 1, Chapter 157, Emergency Medical Care.

1.3.2. Have functioning mechanisms which ensure that all access doors are capable of being opened from the inside and remain closed and secure during travel.

1.3.3. Be equipped with operational air conditioning/heating systems.

1.3.4. Meet all safety and mechanical standards established by Local, State and Federal statutes and regulations.

1.3.5. Be equipped with an operable two-way radio and/or cellular telephone communication system, which afford contact with the vehicle during all hours of operation. Beepers are not an acceptable substitute.

1.3.6. Be equipped with stretcher tie down straps and effective secure devices to secure both stretcher and Ambulance beneficiaries.

1.3.7. The lift shall incorporate an emergency method of deploying, lowering to ground level with a lift occupant, and raising and stowing the empty lift if the power to the lift fails and have a backup for all lift capacity.

1.3.8. A fixed seat position or a fixed secured floor or sidewall stretcher lock must be approved for each ambulatory, Ambulance, or stretcher restricted passenger being transported, per the passenger’s needs.

1.3.9. Driver shall ensure stretcher locks are secured and seat belts and shoulder harnesses are in place before the vehicle is driven.

1.4. STANDARD FOR MAINTENANCE

1.4.1. The objective of Standards for Maintenance is to protect veterans and to cause no harm to all parties. The contractor shall maintain all vehicles in a clean and orderly condition, free from debris and accumulations which may create an accident, injury, or fire hazard.

1.4.2. The contractor shall ensure they are in compliant with the CDC Coronavirus guidance:

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

1.4.3. The contractor shall maintain vehicles in accordance with manufacturer’s recommended maintenance schedule or an improved schedule based on actual vehicle operation conditions.

1.4.4. The contractor shall correct any deficiency that might interfere with safe operation of vehicle before vehicle is placed in service.

1.4.5. The contractor shall ensure vehicle windows are free of obstructions and lights are kept clean so that they can be easily seen when in operation.

1.4.6. The contractor shall keep the interior of vehicles clean and in good repair.

1.4.7. The contractor shall maintain (and furnish upon request) procedures that outline preventive maintenance and/or repairs on each vehicle in an individual vehicle file and in chronological order, latest service on top. A statement from the Contractor indication compliance of vehicle maintenance files is in place should be submitted at time of offer for evaluation purposes. Requested submission and verification of these documentation requirements will be a quality assurance procedure during the contract period.

1.4.8. Maintenance procedures shall adhere to all requirements listed for the state the contractor is based out of herein Texas Medical Transportation Board Administrative Code, SECTION 380.501. Standards for Motor Vehicles.

(1) All motor vehicles used to provide transportation services must:

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/control-recommendations.html

(A) Meet or exceed warranty and component standards for both state and federal safety mechanical operating and maintenance standards;

(B) Be identified with the transportation provider name and vehicle number using letters that are at a minimum six inches in height; and

(C) Be equipped with:

(i) Functioning, clean, and accessible seat belts for each passenger seat position that must be stored off the floor when not in use;

(ii) An operating speedometer and odometer;

(iii) Working interior lights within the passenger compartment;

(iv) Adequate interior sidewall padding and ceiling covering;

(v) Two exterior rear-view mirrors, one on each side of the vehicle;

(vi) An interior mirror, which should be used for monitoring the passenger compartment;

(vii) A clean interior and exterior (which must be free of broken mirrors or windows, excessive grime, rust, chipped paint, and major dents);

(viii) A functional fire extinguisher (which must be secured within reach of the motor vehicle operator and visible to passengers);

(ix) A first aid kit (which must include at a minimum latex glove, hazardous waste disposal bags, scrub brush, disinfectant, and deodorizer);

(x) Working heating and cooling systems adequate for the heating, cooling, and ventilation needs of both the motor vehicle operator and the passengers; and

(xi) Signage posted within the vehicle that reads: "No Smoking, Eating or Drinking." "All passengers must wear seat belts."

"Concealed Weapons Prohibited."

(2) All motor vehicles used to provide transportation services must comply with all applicable state and federal laws, including the Americans with Disabilities Act (ADA) Accessibility Guidelines for Transportation Vehicles (36 C.F.R. 1192), Federal Motor Vehicle Safety Standards (49 C.F.R. 571), and Chapter 547 of the Texas Transportation Code.

1.5. DRIVER QUALIFICATIONS

1.5.1. The Texas Department of Veterans Affairs Medical Center (VAMC) reserves the right to restrict any contractor employee from performing services under this contract who does not meet the required qualifications for the services they are required to perform, and who violates Federal regulations or are identified as a potential threat to the security, safety, health and/or operational mission of the VA and its veteran population. The restriction of such contractor personnel shall not relieve the contractor from performing all the required services, in accordance with all terms, conditions, and schedule contained herein.

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

1.5.3. The contractor personnel performing services for the VA, shall, at all times, conduct themselves in a professional manner, and be identified by having the company name, and employee name affixed to the uniform. The Contractor shall be responsible for furnishing all vehicles, uniforms, nametags and/or badges for performance of services under this contract.

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

1.5.4. The company will employ personnel, who are fluent in English. They need to be able to speak and understand English in order to transport the patients successfully.

1.5.5. Staff will ensure that the patient is secured in the vehicle before the vehicle moves.

1.5.6. Each driver shall:

i) Possess a driver’s license that is valid for the class of vehicle driven and, if required under Texas Statutes (or other state equal), evidence of a special transportation service vehicle permit, or endorsement issued by the commissioner of public safety.

ii) Be at least 18 years of age and have not less than one year of experience as a licensed driver; and

iii) For the past three years:

• Have not had a driver’s license canceled or suspended under Texas Statutes, (or other state equal);

• Have a driving record clear of convictions for operating a motor vehicle or motorcycle without insurance as required by Texas Statutes, (or other state equal);

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

• Have a driving and criminal record clear of convictions for driving under the influence of alcohol or a controlled substance under Texas Statutes (or other state equal)

• Have a record clear of criminal convictions of crimes or pending criminal indictments against persons, and crimes or anticipatory crimes reasonably related to providing special transportation services. This must be documented by a formal background check.

1.5.7. Ambulance Vehicle drivers shall have a valid driver’s license, in accordance with Federal, State and local government requirements for their place of operation for the services they perform, be capable of administering oxygen and shall have successfully completed the standard and advanced first aid course of the American Red Cross of U.S. Bureaus of Mines of equivalent and be capable of providing necessary medical assistance to the attending emergency medical technician or paramedic.

1.5.8. 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:

• https://dshs.texas.gov/emstraumasystems/Certinfor.shtm

i) 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).

ii) Shall submit evidence of equivalent training program, which has been successfully completed, to the Contracting Officer.

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

iv) Shall attend all refresher continuing education, or advanced training programs as required by the local or state government entity in which service is rendered. In no instance shall this be less frequent than every two (2) years. Such refresher training shall be equivalent to that developed by the Department of Transportation, National Highway Safety Administration.

http://search.usa.gov/search?utf8=%E2%9C%93&affiliate=dot-nhtsa&query=refresher+training+&searchCommit=Search

1.6 PASSENGER TRANSPORTATION & SCHEDULE OF SERVICES

1.6.1 The contractor is required to provide “through the door service” for patients to and from their designated appointments. “Through the door service is defined as patients being picked up either on the ward, in their homes, in their clinic or at other stated areas and taken to their stated destination or appointment with proper transfer of patient care to an equal or higher level of care. On the return trip, the contractor will return the patient to either designated ward, inside his/her home, or to the other stated areas.

1.6.2 It is understood that the patient plus one (1) additional passenger, family member or care giver at the discretion of the transport crew to be transported on a trip will be based on the size of the vehicle and authorization by VAMC.

1.6.3 Drivers and passenger shall always use seat belts/securement devices.

http://search.usa.gov/search?utf8=%E2%9C%93&affiliate=dot-nhtsa&query=refresher+training+&searchCommit=Search http://search.usa.gov/search?utf8=%E2%9C%93&affiliate=dot-nhtsa&query=refresher+training+&searchCommit=Search

1.6.4 There shall be no smoking by the driver, attendants, or passengers, while in the vehicle or on the Medical Center Campus unless in a designated smoking area.

1.6.5 No unauthorized stops shall be permitted. An authorized stop is any stop not necessary for patient care.

1.6.6 In the event an emergency arises while in transit, the contractor shall transport the patient to the closest facility that can mitigate the emergency.

1.6.7 The contractor shall be required to transport non-ambulatory veterans on gurneys and litters who are not in need of emergency transportation or medical attention.

1.6.8 Upon delivery or pick-up of a patient, the contractor shall log in the patient on a log sheet at the location designated at the facility. The contractor shall provide the following information on the log sheet:

1. Patient name,

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

3. Time of delivery or pick-up,

4. Point of origin or destination, and

5. Name of Contractor personnel picking or delivering patient.

1.6.9 If a VA beneficiary being transported declines to be properly secured or removed the securement devices himself/herself, the driver will notify the Contracting Officer’s Representative (COR) of this fact prior to departure. The contractor is not required to transport any VA beneficiary who refuses to be properly secured while being transported. If the beneficiary refuses to be properly secured, they shall be returned back into the building which they came from.

1.6.10 An authorized official of the VA Medical Center, the COR or the Mobility Manager may, in the best interest of the patient, allow one (1) relative of concerned other to accompany the patient at no additional cost to the Government. The relative or concerned other only is to be transported home with the beneficiary if approved by an official of the VA Medical Center. The beneficiary will also be allowed to carry with her or him one (1) bag of luggage during his or her transport.

1.6.11 The contractor is required to notify the COR of any unusual events, including but not limited to accidents, safety problems and deviations in transportation that occur and involve any VA beneficiary being transported under this contract. This notification will be made within 15 minutes by telephone to the COR and AOD during normal working hours. A written report using email or company letterhead of the event will be delivered to the COR within 24 hours. Failure to comply with this provision may be grounds for default.

1.6.12 The patient pick-up/drop-off location at the North Texas VA Medical Center will be at the South Entrance of the medical center for scheduled appointments. If waiting time is necessary, the vehicle must park in the appropriately designated general parking lot areas.

1.6.13 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.

1.6.14 If or when patient’s medical records are transported, the contractor shall ensure that Health Insurance Portability and Accounting Act (HIPAA) guidelines are followed.

1.6.15 Patients will be entitled to transport one certified trained service animal. No pets are to be transported at any time. A. VHA Directive 1188, Animals on Veterans Health Administration (VHA) Property, dated August 26, 2015.

1.6.16 Passengers should be transported in compliance to CDC standards:

https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html

1.6.17 All trips will be charged an agreed upon base rate from point of pick-up to point of drop-off, as well as a mileage rate.

1.6.18 The base rate will be applied at the point of pick-up and will only be paid if the awarded contractor has arrived at the initial point of pick up.

1.16.19 Mileage will only be paid when a patient is being transported. There will be no payment for mileage accrued without a VA approved passenger onboard. Trip mileage shall be determined by the latest edition of Bing Maps.

1.16.20 Rates are still inclusive of all cost associated with the performance of the contract.

1.16.21 Other Charges: It is understood that the prices quoted in the SCHEDULE OF SERVICES, shall be inclusive of all ferry, bridge, tunnel or road toll charges. The contractor shall not bill the VA separately for any such charges.

1.16.22 Round trips shall be considered two separate trips in terms of wait time, mileage and base rate.

1.16.23 The offeror shall quote maximum dollar amounts for all price schedule data elements listed herein in order to be considered technically acceptable. Please note that the only minimum amounts that the Government shall be contractually obligated to provide are all covered within the base period. In other words, there shall be no mandatory minimum amounts during any option year of the effort.

1.7 CALLS

1.7.1 All patient pick-up(s) and drop-off(s) shall be authorized via “calls” which shall only be issued by the designated primary or alternate Contracting Officers Representative (COR). When placing calls for services, the COR shall contact the designated contractor point of contact(s) to provide the following information:

1. Mode of transportation required, https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html https://www.cdc.gov/coronavirus/2019-ncov/infection-control/infection-prevention-control-faq.html

2. Required time of arrival and/or within 20-minute timeframe.

3. Name of beneficiary,

4. Pick-up and delivery point,

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

6. Type of equipment required,

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

8. Any other special instructions.

1.7.2 All vendors must call patients the night and morning before proceeding to the patient’s house to ensure that they are going to their scheduled appointment.

1.8 HOURS OF PERFORMANCE

1.8.1 This is a full-service contract, 24 hours per day, 365 days per year. The contractor shall provide all Ambulance services as stated in the performance work statement for veteran beneficiaries, when requested by the VA.

1.8.2 The contractor shall furnish and maintain vehicles so as to ensure timely pick-up and delivery service to all veterans serviced by the VA.

1.9 RESPONSE TIME

1.9.1. The contractor shall respond to all calls for Ambulance transport service by being on-site at the designated VA facility within 1 hour after notification. STAT notifications require a 15-minute response time. Should the time period for pick-up, stated herein, be physically impossible due to location of veteran beneficiary, the Contractor shall contact the appropriate individual at the VA and proceed to inform him/her of the anticipated time required for pick-up and delivery of said patient.

1.9.2. The contractor shall provide and respond to each call, in accordance with all Federal, State, and Local regulations governing dispatch of emergency medical vehicles and medical care of on-board patients, to include the use of sirens and other measures to ensure timely arrival at the designated location.

1.10 ELECTRONIC TRANSMISSIONS

1.10.1 The contractor shall, at all times during the contract period, have on his/her premises both the ability to receive, read, and transmit emails to and from the VA and a functioning fax machine to communicate with the VA. If PII or PHI is to be transmitted, an approved encrypted email must be used.

1.11 CONFORMITY TO REGULATIONS

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

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

1.11.3 The contractor must have the appropriate permits/licenses to perform the required services.

1.11.4 All services provided by the contractor shall comply with applicable current laws, regulations and standards of the appropriate regulatory body.

1.12. EVIDENCE OF COVERAGE

1.12.1 Before commencing work under the contract, the contractor shall furnish the Contracting Officer with a certification from his/her insurance company indication that the coverage outlined in this contract has been obtained and that it may not be changed of canceled during the term of the contract.

1.13 WAGE RATES

1.13.1 Wage Determination(s) as listed in Section D in this solicitation are applicable to any

1.13.1 Wage Determination(s) as listed in Texas State Labor Wage Determination.

https://beta.sam.gov/help/wage-determination-resources

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

1.14 INSPECTIONS

1.14.1 The VA reserves the right to inspect the contractor's equipment and vehicles and/or require documentation of compliance with contract specifications, and State laws, rules, regulations and guidelines governing emergency medical transport vehicles.

1.14.2 VA inspections of Contractor facilities shall in no way constitute a warranty by the VA that the Contractor's vehicles and equipment are properly maintained.

1.14.3 Inspections shall take place at the outset of the contract and on an as needed basis thereafter. To be in and remain in compliance, the contractor shall adhere to the Texas Department of State and Human Service and the Texas Department of Motor Vehicles.

https://beta.sam.gov/help/wage-determination-resources

1.14.4 The VA reserves the right to restrict the contractor’s use of equipment and vehicles which are in need of repair, unclean, unsafe, damaged on the interior or exterior body, and are not in compliance with contract specifications.

1.14.5 The restriction of such equipment and vehicles shall not relieve the Contractor from performing in accordance with the strict intent and meaning of the contract without additional cost to the VA.

1.14.6 The VA reserves the right to have VA personnel, such as Contracting Officer and Contracting Officer's Technical Representative, or their designee, observe and inspect contractor operations at any time during the term of this contract.

1.14.7 The VA shall conduct scheduled or unscheduled site visits to observe and inspect contractor operations. A scheduled site visit is defined as a visit that the contractor is made aware of in advance. An unscheduled site visit is defined as a visit without advance notice.

1.15. PATENT RIGHTS

1.15.1 The contractor shall be courteous to VA beneficiaries and shall not smoke/play loud music while transporting patients. Patients may bring a reasonable amount of equipment, such as folding Ambulance, consumable medical supplies and personal suitcase.

1.15.2 The contractor shall immediately notify the VA of any incidents involving injury to a VA patient during transport. The contractor shall complete and submit to the COR, the form entitled, Report of Accident within 24 hours. http://vaww.va.gov/vaforms/va/pdf/VA2162.pdf

1.15.3 The contractor shall notify the COR, in writing, within 24 hours of any complaints made by the patients with regards to service.

1.15.4 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 a written modification to the contract is executed by the Contracting Officer.

1.15.5 Upon delivery or pick-up of a patient, the contractor shall log in the patient on a log sheet at the location designated at the facility. The contractor shall provide the following information on the log sheet:

1. Patient name,

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

3. Time of delivery or pick-up,

4. Point of origin or destination, and

5. Name of Contractor personnel picking or delivering patient.

1.16 REQUIRED REPORTS AND DOCUMENTS

1.16.1 Within fifteen (15) days after contract award, the contractor shall provide the following:

a) Contractor Personnel Roster: In this document, contractor shall identify the employee http://vaww.va.gov/vaforms/va/pdf/VA2162.pdf

1. Name,

2. Position,

3. Title, and

4. Work assignment area.

Thereafter, all changes shall be submitted to the COR within two (2) business days after the change(s) occur.

1.16.2 At the time of delivery, the contractor shall provide a patient care report as part of the patient's permanent record. This patient care report shall include a record of the patient’s vital signs, medications used, oxygen use, and any changes in the patient’s condition. The list stated here shall not be construed as all inclusive, and the contractor shall provide all pertinent information.

1.17 SAFETY REQUIREMENTS

1.17.1 In the performance of this contract, the contractor shall take additional safety precautions as determined necessary by the CO or COR. If the contractor is advised of noncompliance issues, the Contractor shall take immediate corrective action. Such notice shall be administered in writing to the Contractor. If the contractor fails or refuses to comply promptly, the CO may issue an order stopping all or any part of the work and hold the contractor in default.

1.17.1 Safety practices shall adhere to all requirements listed herein as well as those set forth by the

• Texas Health & Safety Code-Chapter 773.Emergency Health Care Act.

http://www.statutes.legis.state.tx.us/Docs/HS/htm/HS.773.htm

• Texas Administrative Code- Title 21, Part 1, Chapter 157, Emergency Medical Care.

1.17.2 Each licensed Medical Transportation Organization (MTO) shall comply with all Occupational Safety and Health Administration OSHA) blood borne pathogens regulations as defined by 29 C.F.R. 1910.1030.

1.17.3 A licensed MTO shall ensure that sanitation procedures are provided to all personnel in a written document that conforms with current standards as set forth in occupational safety and health administration-blood borne pathogens protocol.

1.17.4 A licensed MTO shall maintain and follow a written sanitation plan that conforms with the latest blood borne pathogen standards as written by the occupational safety and health administration. The following documentation shall be maintained for each vehicle:

(1) Sanitation schedule;

(2) Date the sanitation was completed;

(3) Documentation of who performed sanitation.

1.18 PERFORMANCE REQUIREMENT SUMMARY

1.18.1 Response time is within one hour of notification of need. The contractor would be responsible for providing a vehicle to transport the patient another Higher Level of Care facility home within one hour of the trip notification. STAT response time is within 20 minutes of notification of need.

1.18.2 When unforeseeable or uncontrollable conditions occur, such as, but not limited to severe storms, flooding, or other hazardous road and travel situations, time and distance qualifications shall be considered secondary to safety precautions.

1.18.3 Any delays or exceptions to the required quality of services, due to such substantial difficulties, shall be reported to the Travel Office during normal business hours. Outside normal business hours, the Administrative Officer of the Day (AOD) for the medical center is to be contacted.

1.18.4 The Contracting Officer will make a determination as to whether any such delays in service will be excused. VA will not be charged for trips canceled due to conditions listed within 1.17.1.

1.18.5 The Contracting Officer's Representative (COR) and/or Alternate COR shall be responsible for verifying contract compliance.

1.18.6 Any incidents of contractor noncompliance, as evidenced by the monitoring procedures in the Performance Requirement Summary, shall be forwarded to the Contracting Officer within one business day.

1.18.7 Documentation of services performed shall be reviewed prior to certifying payment. The COR and/or Alternate COR shall perform routine audits in conjunction with the contracting service in order to ensure proper documentation of services. Contract monitoring and recordkeeping procedures shall be sufficient to ensure proper payment and to allow auditors to verify that services were provided.

1.19 CONTRACTOR’S QUALITY CONTROL PROGRAM (QCP)

1.19.1 The contractor shall establish and maintain a complete QCP to ensure the requirements of this contract are provided as specified. An original and one (1) copy of this QCP will be forwarded to the CO along with the requested initial proposal.

1.19.2 The contractor’s QCP shall include, at a minimum, the following:

a) An inspection plan covering all services required by this contract. The inspection plan must specify the areas to be inspected on either a scheduled or unscheduled basis, how often inspections will be accomplished and documented, or the title of the individual(s) who will perform the inspections.

b) On-site records of all inspections conducted by the contractor noting necessary corrective action taken. The Government reserves the right to request copies of any or all inspections which occur.

c) Incorporation of either active or established internal policy or procedures for updating medical service protocols that may affect performance of the contract.

d) The methods for identifying and preventing deficiencies in the quality of service performed, before the level of performance becomes unacceptable and organizational functions noting intermediate supervisory responsibilities and overall management responsibilities for ensuring total acceptable performance.

e) On-site records of all vehicle maintenance and repairs performed, on vehicles used in the performance of this contract. The methods of identifying and preventing vehicle breakdowns, and detailed procedure for alternative transportation of patients in the event of mechanical breakdown of the Ambulance vehicle.

f) On-site records identifying the character, physical capabilities, certifications and ongoing training of each employee performing services under this contract.

g) The methods of identifying and preventing radio communication breakdowns. A detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

h) A log to account for all requests for service. The log shall indicate the date and time of service call, name of beneficiary requiring services, type of transportation requested, designated pick-up and delivery points, actual time of arrival at pick-up and delivery points and actual waiting time at pick-up and delivery points, if waiting charges are claimed.

i) On-site records of any complaints or problems, with procedures taken to allow for corrections and/or elimination before effects caused interruption of performance of contract.

j) The contractor shall establish and maintain quality control to ensure all contract requirements and applicable Joint Commission requirements are met. The Contractor shall identify how he/she shall measure and provide customer satisfaction, the method of identifying deficiencies, the quality of service to be performed and methods for identifying and implementing necessary corrective actions.

k) The contractor shall participate in quarterly scheduled and with the VA representatives to provide a report of on-going operational issues.

1.20 INVOICING PROCEDURE

1.20.1 The awarded contractor will invoice the North Texas VA Medical Center by utilizing a secured means of Electronic Data Interchange (EDI). When invoicing, the VA requires that each trip is disclosed with the individual cost, mileage utilized, point of pick-up, and point of drop-off, along with the date of transport and associated patient identification.

1.20.2 The contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include the following information:

(i) Nam e and address of the contractor;

(ii) Invoice date and number;

(iii) Contract number, contract line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on an ordering activity bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of people to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

1.20.3 At the time of delivery of the patient to their destination, the contractor shall provide a “Run Sheet” as part of the patient's permanent record. This Run Sheet shall include a record of the patient’s vital signs, medications used, oxygen use, and any changes in the patient’s condition.