Combined Synopsis and Solicitation W81K0020Q0176_Amendment 0001.pdf

AMENDMENT 0001 – REMOVE CMR Requirement

COMBINED SYNOPSIS/SOLICITATION

W81K00-20-Q-0176

REUSABLE SHARPS MANAGEMENT PROGRAM

The purpose of this Amendment is to delete CLINS 0004, 1004 and 2004, Contractor Manpower

Reporting. Performance Work Statement Paragraph 13. Accounting for Contract Services is deleted in its entirety. PWS Paragraph 14. Applicable Regulations and Manuals is renumbered.

All other terms and conditions are unchanged.

Receipt of offers is not extended with this amendment.

Offers are due on or before 6 August 2020 at 10:00 AM Mountain Time. Offers received after this date and time will be considered untimely and not eligible for award.

Offerors shall acknowledge this admendment below:

OFFEROR: (Business Name): __________________________________________

CAGE Code: _______________________ DUNS: ________________________

POC (Print) Name Date: _________________

Signature ___________________________________________________________

W81K0020Q0176

Section SF 1449 - CONTINUATION SHEET

AMOUNT

REUSABLE SHARPS MANAGEMENT

PROGRAM FFP

Full service reusable sharps management program in accordance with the

Statement of Work (SOW). Line item pricing includes 2-gallon (mounted) and 16- gallon (non-mounted) containers pickup and disposal. TAS 97-

0130.

FOB: Destination

PURCHASE REQUEST NUMBER:

0011513944 PSC CD: S222

NET AMT

REUSABLE PHARMA 17 GAL

CONTAINERS FFP

Reusable non-hazardous pharmaceutical 17 gallon containers monthly rental fee in accordance with the SOW. TAS 97-0130.

FOB: Destination

PURCHASE REQUEST NUMBER:

0011513944 PSC CD: S222

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE

0001 12 Months

0002 12 Months

NON-HAZARDOUS PHARMA WASTE DISPOSAL

FFP

Non-Hazardous 17 gallon pharmaceutical waste pickup and disposal in accordance with the SOW. TAS 97-0130.

FOB: Destination

PURCHASE REQUEST NUMBER: 0011513944

PSC CD: S222

0003 12 Months

ITEM NO SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

1001 12 Months

OPTION REUSABLE SHARPS MANAGEMENT PROGRAM

FFP

Full service reusable sharps management program in accordance with the

Statement of Work. Line item pricing includes 2-gallon (mounted) and 16-gallon

(non-mounted) containers pickup and disposal. TAS 97-0130.

FOB: Destination

1002 12 Months

OPTION REUSABLE PHARMA 17 GAL CONTAINERS

FFP

Reusable non-hazardous pharmaceutical 17 gallon containers monthly rental fee in accordance with the SOW. TAS 97-0130.

FOB: Destination

1003 12 Months

OPTION NON-HAZARDOUS PHARMA WASTE DISPOSAL

FFP

Non-Hazardous 17 gallon pharmaceutical waste pickup and disposal in accordance with the SOW. TAS 97-0130.

FOB: Destination

2001 12 Months

OPTION REUSABLE SHARPS MANAGEMENT PROGRAM

FFP

Full service reusable sharps management program in accordance with the

Statement of Work. Line item pricing includes 2-gallon (mounted) and 16-gallon

(non-mounted) containers pickup and disposal. TAS 97-0130.

FOB: Destination

2002 12 Months

OPTION REUSABLE PHARMA 17 GAL CONTAINERS

FFP

Reusable non-hazardous pharmaceutical 17 gallon containers monthly rental fee in accordance with the SOW. TAS 97-0130.

FOB: Destination

2003 12 Months

OPTION NON-HAZARDOUS PHARMA WASTE DISPOSAL

FFP

Non-Hazardous 17 gallon pharmaceutical waste pickup and disposal in accordance with the SOW. TAS 97-0130.

FOB: Destination

INSPECTION AND ACCEPTANCE TERMS

Supplies/services will be inspected/accepted at:

CLIN INSPECT AT INSPECT BY ACCEPT AT ACCEPT BY

0001 Government Government Government Government

0002 Government Government Government Government 0003 Government Government Government Government

1001 Government Government Government Government

1002 Government Government Government Government

1003 Government Government Government Government

2001 Government Government Government Government

2002 Government Government Government Government

2003 Government Government Government Government

DELIVERY INFORMATION

CLIN DELIVERY DATE QUANTITY SHIP TO ADDRESS DODAAC /

CAGE

0001 POP 01-OCT-2020 TO

30-SEP-2021

N/A EVANS ARMY COMMUNITY HOSPITAL

EVANS ARMY COMMUNITY HOSPITAL

1650 COCHRANE CIRCLE

FORT CARSON, CO 80913 CO 80913

FOB: Destination

W51HQT

0002 POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

0003 POP 01-OCT-2020 TO

30-SEP-2021

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

1001 POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

1002 POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

1003 POP 01-OCT-2021 TO

30-SEP-2022

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

2001 POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

2002 POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

2003 POP 01-OCT-2022 TO

30-SEP-2023

N/A (SAME AS PREVIOUS LOCATION)

FOB: Destination

W51HQT

STATEMENT OF WORK

1. General: Contractor shall furnish all permits, services, materials, labor, supervision, management, management support, transportation, supplies, and equipment required to provide a reusable medical sharps container management program at the Evans Army Community Hospital (EACH). The program must be performed in accordance with all Federal, State, and Local laws and regulations. The program is intended to accomplish waste minimization requirements for the medical center as well as improve the safety of staff, patients, and visitors.

2. This is a NON-PERSONAL SERVICES contract under which the personnel rendering the services are not subject, either by the contract's terms or by the manner of its administration, to the supervision and control usually prevailing in relationships between the government and its employees.

3. Scope: The reusable sharps container program shall include: removal and disposal of existing sharps containers system (including reusable containers, wall brackets, floor stands, carts, and cabinets); installation of vendor's reusable sharps containers (including lockable mounting brackets, stationary stands, mobile carts, and bulk storage/transport carts); in-service training to staff on use and handling of containers and proper segregation of medical sharps waste from other medical waste; monitoring reusable sharps containers at each point of use to provide timely collection of full containers and replacement with clean/sanitized containers;

transportation and disposal of medical sharps waste in accordance with Federal, State, and Local laws and

Regulations. This program shall not include chemotherapy waste sharps containers, as this waste stream should be managed as hazardous waste versus medical waste, or Pathological Waste.

3.1. Contractor shall implement a "Full" service Sharps management program. Proactive point-of use container bi-weekly collection, replacement containers, Sharps waste destruction and disposal included.

3.2. Pricing shall be based on a "per container location" basis. Pricing will be a flat monthly rate based upon the total sharps container locations that currently exist. The current total sharps container count at EACH and its clinics are 870 each - 2 Gallon Wall mounted containers, 20 each - 16 Gallon Containers and 15 each – 17

Gallon containers at EACH and its out-lying Clinics.

3.3. The following locations will be serviced under this contract: Evans Army Community Hospital, 1650

Cochrane Circle, Fort Carson, Colorado 80913, please note there are 21 Clinics on Fort Carson and the only time the Contractor will go to those locations is for the initial install of the 2 Gallon Wall mounted containers.

4. Major Work Items:

4.1. The Contractor shall work with the EACH staff and perform a site visit to determine existing site conditions and to obtain additional data and information to support completion of the work listed in the scope above. The

Contractor shall work with EACH staff and COR to determine the type and size of reusable sharps containers to be placed at each point of use. The types and sizes of reusable sharps containers to be placed at each point of use must be approved by the facility prior to installation.

4.2. The Contractor shall manage a reusable medical sharps container program at EACH as specified in this

Statement of Work.

4.3. Contractor is to supply all sharps containers, mounting brackets, and stationary stands, single and double mobile carts and bulk transport carts needed to provide a reusable sharps container management program. There are an estimated 870 each - 2 Gallon Wall Mounted sharps containers, 20 each - 16 gallon containers and 15 each - 17 gallon containers that are not wall mounted throughout EACH and out-lying clinics. The system must meet all Federal, State, Local, NIOSH, OSHA and DOT standards for collection, storage, transport, and disposal of medical sharps waste. All mobile carts and bulk transport carts must have wheels and be clean and in good repair at all times. Minimum requirements for the reusable sharps containers are as follows:

1. Reusable

2. Puncture Proof

3. Must arrive at the medical center fully assembled

4. Leak-proof in all orientations

5. One hand/one step disposal mechanism

6. Overfill protection design feature built into container (i.e., container must close off automatically once fill point has been reached).

7. Secure/Tamper Proof to include temporary and permanent locking design features.

8. Sight/View port that shows when the container is full.

9. 12” Large access vertical drop opening with safety tray restricting hand access for public access areas and open top unrestricted access for secure areas Laboratory and Operating Room.

10. Available in various sizes dependent upon need (2, 16, & 17 gallon).

11. Must have barcode tracking feature on each container for safety and accountability.

12. Able to be sanitized using a six stage wash process to include environmentally friendly cleaning agents to ensure a high level of microbiological efficacy.

13. Must meet U.S. Department of Transportation regulations.

14. Must be certified to United Nations PG2 specifications for transport of dangerous goods.

15. Must be labeled in accordance with Federal, State and Local regulations.

4.4. Contractor shall remove existing reusable sharps containers (including wall brackets, cabinets, and carts) and install reusable sharps containers (including lockable mounting brackets, stationary stands, single and double mobile carts, and bulk storage/transport carts). Wherever feasible the contractor will mount their wall brackets in the same location as the existing wall bracket being removed. All sharps container brackets that are wall mounted must be mounted in accordance with OSHA and NIOSH recommended guidelines and meet industry ergonomic standard.

4.5. Contractor shall provide a detailed manifest/certificate of destruction for all medical sharps container waste transported from the EACH facilities. All medical sharps waste collected from the EACH Facilities for shipment will be identified on the manifest. A copy of the manifest / certificate of destruction must be signed by and left with the Contracting Officer’s Representative (COR) or designated representative on the day of shipment to verify the waste was shipped for disposal. No manifest wilt lies accepted as valid if an authorized representative of EACH does not sign it and a copy is not provided prior to shipment. The medical sharps waste must be disposed of in accordance with Federal, State, and Local laws and regulations in an EPA-approved facility. The contractor shall provide the completed and signed original manifest/certificate of destruction documenting the destruction and final disposal of the medical sharps waste to the COR or designated representative within 30 days of the medical sharps waste reaching its final destination.

4.6. Contractor shall track the number of times sharp container is reused using a barcode system. Contractor shall remove from service any containers that have been used the maximum allowable times.

4.7. Contractor shall provide a documented back-up plan in the event circumstances disrupts ability to provide pick-up services. Service shall be provided within 24 hours of a failure to meet scheduled pick-up times.

4.8. Contractor shall track the type, size, date and location of containers being changed-out/serviced.

Documentation of the number of containers changed-out/serviced and their sizes shall be provided upon request to the EACH COR/ACOR to support tracking waste generation quantities.

4.9. Contractor shall provide back-up containers for areas not accessible to contractor during servicing.

4.10. The Contractor shall have in place and maintain a valid contingency plan to meet the requirements of the contract to avoid an interruption of service due to failure of equipment or personnel issues. The Contractor shall incur all cost associated with fulfilling this contingency plan at no additional cost to the Government. The

Contractor shall be liable for all expenses incurred by the Government due to the Contractor's inability to perform in accordance with these requirements. The Contractor shall appoint a project manager who will have responsibility for performance of medical waste removal services. The project manager or designee shall be competent to supervise all aspects of medical waste removal services and shall be available on-site within 4 hours after notification when problems arise with contractor's work or in the event that emergencies arise at this facility, which pertains to the contractor's responsibilities or duties. The project manager shall, in the absence of the contractor, act for the contractor as contractor’s representative.

4.11. Contractor vehicles used to transport medical sharps waste must be equipped with emergency spill kits for infectious waste. Vehicle drivers must be trained in emergency spill response procedures for infectious waste.

5. Deliverables: The deliverables from this contract will be used to support regulatory recordkeeping requirements for regulated medical waste disposal at EACH.

5.1. The Contractor shall provide a copy of the manifest/certificate of destruction or other equivalent

Department of Transportation (DOT) shipping papers to COR upon shipment of medical sharps waste containers which include the following information:

1. Regulated Medical Waste Transporter number;

2. Regulated Medical Waste Handling Permit number;

3. U.S. DOT number;

4. Transporter's company name, mailing address, telephone number, and emergency contact phone number;

5. Quantity of medical sharps waste being shipped;

6. Name and location of the medical waste processing facility, method of destruction, and the name and location of the final destination facility for the medical waste;

7. Date of shipment

5.2. The Contractor shall provide the completed manifest/certificate of destruction to the COR once the medical sharps waste has reached its final destination.

5.3. The contractor will provide a monthly report to the COR that details the following:

1. Pounds or plastic waste diverted during the month attributed to using a reusable sharps container instead of a disposable one time use container.

2. Net pounds of sharps disposed of during the month.

6. Contractor Furnished Equipment, Materials, and Information: Contractor shall, at no additional cost to the Government, provide and maintain licenses, permits, vehicles, operators, equipment, and materials to properly handle, package, label, transport, and dispose of medical sharps waste generated at the Evans Army

Community Hospital. Contractor is responsible for maintaining liability insurance for the duration of the contract.

Quality Control: The contractor shall have a Quality Control Program to ensure the requirements of this contract are provided as specified. The program shall include, but will not be limited to, the following:

1. An inspection system covering the services listed in the Statement of Work. It must specify areas of work to be inspected on a scheduled basis.

2. A method of identifying deficiencies in the quality of services performed before the level of performance becomes unacceptable.

3. A record of all inspections conducted by the contractor and any corrective action taken. The documented Quality Control Program and records of inspections shall be made available to the

Government upon request.

7. All of the contractor's personnel assigned to the performance of this contract are to wear a name badge to clearly identify company name and employee name, including a photograph or the employee.

8. In addition the contractor shall provide evidence of qualification to perform the requested services through documentation provided when the initial quotation is submitted to the Government for consideration. All site visits, inspections and testing shall be coordinated with the COR. Contractor shall be prepared to submit evidence, Hepatitis shots (or declination statement), Bloodborne Pathogen training, HIPPA Training, and Department of

Transportation training prior to conducting work in the facility. Contractor will be required to comply with station smoking policy prior to initiating work.

9. The Contractor shall adhere to all Federal, Stale, and Local laws and regulations for proper management, transportation, and disposal of Regulated Medical Sharps Waste.

10. Normal hours of work shall be Monday through Friday (excluding National Holidays), 7:00 a.m. to 4:30 p.m

MST unless other arrangements are made in advance with the COR.

11. Contractors are urged and expected to inspect the site and to satisfy themselves regarding all general and local conditions that may affect the cost of contract performance, to the extent that the information is reasonably obtainable. In no event shall failure to inspect the site constitute grounds for a claim after the contract has been awarded. All site visits must be arranged with the COR.

12. Anti-terrorism/OPSEC Information:

12.1. AT Level I training. All contractor employees, to include subcontractor employees, requiring access Army installations, facilities and controlled access areas shall complete AT Level I awareness training within 60 calendar days after contract start date or effective date of incorporation of this requirement into the contract, whichever is applicable. The contractor shall submit certificates of completion for each affected contractor employee and subcontractor employee to the COR or the Contracting Officer if a COR is not assigned within 65 calendar days after completion of training by all employees and subcontractor personnel. AT level I awareness training is available at the following website: http:// jko. jten.mil.

12.2. Access and general protection/security policy and procedures. Contractor and all associated sub-contractors’ employees shall provide all information required for background checks to meet installation access requirements to be accomplished by installation Provost Marshal Office, Director of Emergency Services or Security Office.

Contractor workforce must comply with all personal identity verification requirements (FAR clause 52.204·9, Personal Identity Verification of Contractor Personnel) as directed by DOD, HQDA and/or local policy. In addition to the changes otherwise authorized by the changes clause of this contract, should the Force Protection

Condition {FPCON) at any individual facility or installation change, the Government may require changes in contractor security matters or processes.

12.3. For contractors that do not require CAC, but require access to a DoD facility or installation. Contractor and all associated sub-contractors employees shall comply with adjudication standards and procedures using the

National Crime Information Center Interstate Identification Index (NCIC-III) and Terrorist Screening Database

(TSDB) (Army Directive 2014-05/AR 190•13),applicable installation, facility and area commander installation/facility access and local security policies and procedures (provided by government representative), or, at OCONUS locations, in accordance with status of forces agreements and other theater regulations.

12.4. iWATCH Training. This standard language is for contractor employees with an area of performance within an Army controlled installation, facility or area. The contractor and all associated sub-contractors shall brief all employees on the local iWATCH program (training standards provided by the requiring activity ATO). This local developed training will be used to inform employees of the types of behavior to watch for and instruct employees to report suspicious activity to the COR. This training shall be completed within 60 calendar days of contract award and within 60 calendar days of new employees commencing performance with the results reported to the

COR NLT 65 calendar days after contract award.

13. APPLICABLE REGUALTIONS AND MANUALS:

13.1. Army Regulations:

13.1.1. AR 40-5, Preventive Medicine

13.1.2. AR 40-61, Medical Logistics Policies

13.1.3.AR 200-1, Environmental Protection and Enhancement

13.1.4 U.S. Army Medical Command Regulation 40-35, Management of Regulated Medical Waste (RMW)

13.2. .Department of Defense Regulations:

13.2.1. DOD Pam 420-47, Solid Waste Management

13.2.2. DOD 4500.9-R, Defense Transportation Regulation - Part II, Cargo Movement

13.2.3. Other Applicable Regulations:

13.2.4. Joint Commission Hospital l Accreditation Standards, Environment of Care Title 29, Code of Federal

Regulations, Part 191 0. I 030, Bloodbome Pathogens (29 CFR 1910.1030)

13.2.5. Title 49, Code of Federal Regulations, Parts I 00-1 85, Pipeline and Hazardous Materials Safety

Administration, Department of Transportation (49 CFR I 00-185)

13.2.6. EPA 530-SW-86-01 7, EPA Guide for Infectious Waste Management, U.S. Environmental Protection

Agency

(End Statement of Work)