Attachment 1 Contractor QA Rev5 Nov2020.xlsx

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REGULATED MEDICAL WASTE (RMW) - SOLICITATION
Solicitation number
W81K04-20-R-0020
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This document contains questions and answers related to a solicitation for regulated medical waste services. The solicitation seeks pick-up, treatment, and disposal of regulated medical waste from Defense Health Agency medical facilities, Military Entrance Processing Commands, and other sites throughout the United States and its territories. Services required include collection, transportation, storage and disposal of regulated medical waste, including Category A infectious substances, in accordance with all applicable laws and regulations. The contractor must provide all necessary labor, equipment, materials, certifications and training to perform these services, except as specified as government furnished. The solicitation was extended to November 4, 2020 to allow additional time for questions and proposal preparation. Various questions addressed scope of work requirements, participation of additional facilities over time, container specifications and limitations, infectious waste handling and small business participation goals.

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Conformed Amend W81K04-20-R-00200006.pdf PDF
Amendment 0006 Attachment4Central Final 110620.xlsx XLSX spreadsheet
Amendment 0006Attachment5East Final 110620.xlsx XLSX spreadsheet
SECTION SF 30 W81K04-20-R-0020Amend 0006.pdf PDF
Attachment 1 Contractor QARev6 Nov2020.xlsx XLSX spreadsheet
Amendment 0006Attachment 3West Final 110620.xlsx XLSX spreadsheet
W8k104-200020Amendment SF30 0005.pdf PDF
Amendment 0005 Attachment 3 Updated Final West.xlsx XLSX spreadsheet
W81K04-20-R-0020AMEND 0005.pdf PDF
Amendment 0005 Attachment 5 Updated Final EAST.xlsx XLSX spreadsheet
Amendmentt 0005 Attachment 4 Updated Final Central.xlsx XLSX spreadsheet
SF30 AMEND 0005.pdf PDF
W81K0420R00020 MOD 0004.pdf PDF
W81K0420R00020PAMEND0003.pdf PDF
W81K0420R00200002 Mod.pdf PDF
Attachment3PricingWesternRegion(Updated).xlsx XLSX spreadsheet
W81K0420R00200002 solicitation.pdf PDF
Attachment5PricingEasternRegion(updated).xlsx XLSX spreadsheet
16 Oct 2020 Contractor Questions and Government Responses Final.xlsx XLSX spreadsheet
Attachment4PricingCentralRegion(Updated).xlsx XLSX spreadsheet
2 Oct 2020 Contractor Questions and Government Response5 and 6Final.xlsx XLSX spreadsheet
Attachment 4 - Pricing Central Region.xlsx XLSX spreadsheet
Attachment 3 - Pricing Western Region.xlsx XLSX spreadsheet
W81K0420R00200001 solicitation PDF.pdf PDF
W81K0420R00200001 Mod solicitation PDF.pdf PDF
Contractor Questions and Government Response_23 Sep 2020.xlsx XLSX spreadsheet
Contractor Questions and Government Response_22 Sep 2020.xlsx XLSX spreadsheet
Contractor Questions and Government Response_17 Sep 2020.xlsx XLSX spreadsheet
Contractor Questions and Government Response_15 Sep 2020.xlsx XLSX spreadsheet
Attachment 5 - Pricing Eastern Region.xlsx XLSX spreadsheet
Attachment 3 - Pricing Western Region.xlsx XLSX spreadsheet
Attachment 4 - Pricing Central Region.xlsx XLSX spreadsheet
W81K04-20-R-0020 SOLICITATION.pdf PDF
Attachment 2 - Contractor Information Sheet.xlsx XLSX spreadsheet
Attachment 1 - Contractor QA.xlsx XLSX spreadsheet
Attachment 6 - Small Business Participation Evaluation Form.pdf PDF
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Sheet1

Question #DocumentPg #Para #QuestionAnswers
1SolicitationNot IdentifiedNot IdentifiedIn responding to this solicitation will the vendor need to service all locations? Or could we submit a response based on the just the locations we can service? (i.e. cherry picking) Or would it be best to team with a small business and work with them, allowing the small business to "manage" all the locations?The prime contractor has the option to provide a proposal for one, two or all three regions. The proposal for each region must include all locations within that region. Please see Exhibit B for the three Regions and their locations.
2Performance Work Statement1381.1Regarding: “……Category A infectious substances (i.e. Ebola virus, Hantaviruses causing hemorrhagic fever with renal syndrome, etc.), in accordance with all Federal, State, and local laws and regulations to include the processing of chemotherapy trace waste and pathological waste”. Will the agency consider this as an option given the very limited amount of contractors who are able to provide this service?No. This requirement is not optional because this requirement is part of the Government's minimum needs. However, the prime contractor may sub-contract Category A services.
3Attachments # 3, 4, and 5AllN/APlease provide a breakdown of the waste streams at each location? RMW, RX, Trace, Path, HAZThe solicitation does not include pharmaceutical waste and hazardous waste. The contractor will not be required to pick-up or process these wastes. Quantities of RMW, Trace, and Path will be picked-up and processed by the contractor. Quantities of these wastes cannot be individually predicted. The attachment contains the Government's best estimated monthly and annual total pounds of the combined RMW, Trace, and Path quantities for pick-up at each location based on the Government's historical data. Military healthcare is very fluid. Patients receiving treatment can vary significantly and the resulting quantities and types of waste (RMW, Trace, Path) generated will vary along with the patients treated. The final unit prices established in any contract resulting from this solicitation will be applicable to any delivery orders issued under the contract. The Government will only pay for actual quantities ordered and accepted, regardless of the quantities established on the contract and/or on any delivery order issued thereunder. Therefore, the offeror is hereby informed that the final unit prices are not subject to adjustment on the basis of a difference between estimated and actual quantities.
4Solicitation Ref: Contract/Task Order Administration88-892, 2bWhere Task Order issuance and administration for U.S. Military Entrance Processing Command requirements will be performed by the HCRO (identified as being managed separately from MTFs); and sub-para. 2.b. where all administrative requirements for USMEPCOM task orders and administration should be addressed to the basic contract KO and KS; and Per the Regional Pricing bid sheets where USMEPCOM is included in each region as a separate CLIN – may CLIN 0111, USMEPCOM Eastern Region and CLIN 0063, USMEPCOM Central Region, and CLIN 0028, USMEPCOM Western Region be bid separately from the Eastern Region in total and the Central Region in total and the Western Region in total?No, USMEPCOM cannot be bid separately. The proposal for each region must include all locations within that region as provided in the CLIN structure and Exhibit B.
5Attachments # 3, 4, and 5AllN/AOn your site list it lists the desired day and times for the pickup. We assume these are your current schedules. Are these mandated days and times? These will be very difficult to adhere to at every location. - is there flexibility in this schedule?These are the current dates/times determined by the Government for pick up at these locations. These dates and times can be changed on a case by case basis with the Task Order COR and KO once the contract is awarded and will be determined by the availability of the Government personnel at those locations.
6SolicitationPg. 90N/AThe Solicitation incorporates by reference at page 90, FAR 52.237-3 Continuity of Services. The prescription clause for FAR 52.237-3(c) states: (c) The contracting officer may insert the clause at 52.237-3, Continuity of Services, in solicitations and contracts for services, when- (1) The services under the contract are considered vital to the Government and must be continued without interruption and when, upon contract expiration, a successor, either the Government or another contractor, may continue them; and (2) The Government anticipates difficulties during the transition from one contractor to another or to the Government. Examples of instances where use of the clause may be appropriate are services in remote locations or services requiring personnel with special security clearances. Given the commercial item nature of the services to be provided for the collection and disposal of Regulated Medical Waste, a follow-on responsible contractor would not reasonably anticipate difficulties in performing the work nor are special security clearances required. Given the extra costs associated with FAR 52.237-3, will the Government utilize its discretion and remove FAR 52.237-3 from the Solicitation?Although this is a requirement for a commercial item, and contains neither a requirement for remote locations to be serviced or personnel with special security clearances, due the volume of locations to be serviced under this potential contract and the various credentials, regulations, etc. required, the Government has reason to anticipate potential difficulties may arise when the proposed contract ends and the services are possibly transitioned from one contractor to another or to the Government. Additionally, as this clause does not have to be implemented once the potential contract ends; any costs incurred as a result of this clause are contingent upon the existing needs at the time the clause is implemented; and this clause is, by nature, based on reimbursement of reasonable costs incurred within the agreed period after contract expiration. Due to the nature of these services, the Government cannot afford to have a gap in services if potential difficulties arise. It is the Contracting Officers decision that FAR 52.237-3, Continuity of Services, will remain in its entirety. Contractors are not to propose costs for this clause in their price proposals in response to this solicitation. If the Contracting Officer later decides to implement FAR 52.237-3, the Contracting Officer would negotiate the cost reimbursement pricing at that time.
7W81K04-20-R-0020+SOLICITATIONNot SpecifiedNot SpecifiedWould the DHA consider an extension (4 weeks) for the submission of offers. There is a lot for all vendors to prepare and electronic submission is not acceptable.Yes. The solicitation is extended to 3:00 PM CST, 4 Nov 2020 .
8W81K04-20-R-0020+SOLICITATIONNot SpecifiedNot SpecifiedWe see that the "operations required" are marked with an asterisk (*). Is it mandatory for the operations that are not marked with the asterisk to participate in this contract at the end of their existing contract?No, at this time, all Military Service and DHA activities are not required to participate in this contract. As activities transition to DHA in the next few years, DHA will require that this contract be used. Advance notice will be provided to the contractor as sites transition to this contract.
9W81K04-20-R-0020+SOLICITATIONNot SpecifiedNot SpecifiedSometimes the Q&A creates a need for further clarification. Can a period of two days be added to request further clarification if needed?Yes. The Q&A submission date has been extended to 3:00 PM CST, 7 October 2020.
10W81K04-20-R-0020+SOLICITATION141 of 2291.6Will the remaining facilities be required to participate in this contract or will this contract be optional?No, at this time, all Military Service and DHA activities are not required to participate in this contract. As activities transition to DHA in the next few years, DHA will require that this contract be used.
11W81K04-20-R-0020+SOLICITATION144 of 2294.2.1The minimum container length, width and height are greater than some of the current containers the remaining sites require. Will the remaining sites be required to conform with the new SOW, or can the following be considered. Length & Width 12", Height 20", Volume 15 gallons? This would accommodate the sizes some of the remaining facilities currently require.Yes, they will be required to conform with new PWS. Some of the current containers are proprietary to a vendor, and we cannot mandate these proprietary containers.
12W81K04-20-R-0020+SOLICITATION144 of 2294.2.1The minimum & maximum load rating exceeds what the fiberboard boxes are certified for and would be a US DOT shipping violation. The minimum is not as significant as the maximum. The maximum container rating should be 45 or 50 pounds for a standard regulated medical waste fiberboard container.No, load rating for boxes are provided as a range not a mandatory weight. Contractor furnished boxes must comply with DOT and State regulation per PWS paragraph 1.1. Weight for each box may not exceed the load rating for that particular box and overall US DOT and State laws and regulations must be complied with in all situations.
13W81K04-20-R-0020+SOLICITATION144 of 2294.2.2.1We see the maximum reusable container size is 437 gallons is there a minimum reusable container size?No, only a maximum size as stated in the PWS.
14W81K04-20-R-0020+SOLICITATION145 of 2294.2.4We just want to confirm that pricing for Category A Infectious waste is not required. Just the capabilities to provide the services and the permit to transport since there is no CLIN. Just confirming since there is no CLIN, pricing is not due at this time. Pricing would be provided at the time of the need.Yes, a CLIN for Category A will be added; pricing will not be required for the proposal. Pricing will be determined if needed.
15W81K04-20-R-0020+SOLICITATION145 of 2294.2.4The requirement to have the kits on-site within 8 hours is not reasonable in the remote locations, especially those utilizing the mail pack system. Is there a list of sites that would require the 8 hour turn around?Yes, all sites listed in Exhibit B, as stated in the PWS. It is unlikely that Category A waste processing will be needed at any activity, but offerors need to plan to provide this service at all sites listed in Exhibit B.
16W81K04-20-R-0020+SOLICITATION145 of 2294.2.6Yellow liners are not utilized as inner packaging for shipping regulated medical waste. They can be provided, but would be an additional cost. Can a CLIN should be added.No, Yellow liners are contractor furnished as stated in the PWS and not separately priced.
17W81K04-20-R-0020+SOLICITATION148 of 2295.13 (note also in 4.2.5.4 pg. 145)US DOT has specific requirements (49 CFR § 173.197, (3)Bulk Outer Packaging) section for the packaging of regulated medical waste. Even in a bulk outer package, the liner can not exceed 46 gallons nor 22 pounds. The bulk items will need to be reduced in size to meet US DOT shipping requirements.Yes, the contractor will have to provide the largest packaging permitted under US DOT regulations.
18W81K04-20-R-0020+SOLICITATION193 of 2294.d.iiThe minimum Total Small Business Participation goal is 40%. We are assuming this is over the entire term of the contract. Can the government please clarify how this will be evaluated since the locations without asterisks will start intermittently as the existing contracts expire. We are assuming there are some that will not participate or will be at the tail end since we have seen a few recently out to bid (IE : Little Rock AFB, Sol No.FA446020Q0229 ; Patrick AFB Sol No FA252120QB010). We can not see when these locations will start, so we can only look at it in it's entirety. Is that how it will be evaluated.Please see attachment 6 to the solicitation and paragraph 2.c. of the FAR 52.212-2 Addendum. Although not all locations will receive service upon the date of award, the contractor is expected to propose a small business participation plan that covers the entirety of the solicitation and its locations.
19W81K04-20-R-0020+SOLICITATIONQ&AThe DHA has specified in the Q&A that the prime contractor must perform 51% of the contracted service. Can you please provide the clause for this requirement.This requirement has been removed as this not a small business set-aside.
20W81K04-20-R-0020+SOLICITATION131 of 2291The government has asserted in the previous Q&A that the prime must perform 51% of the contracted service. Can you please clarify and provide the clause for this. We have reviewed the contract and we read it that if serving as the prime contractor, we can not sub-contract more that 50% to COMPANIES THAT ARE NOT SIMILLARY SITUATED. See clause from page 131 of 229. If a small business is the prime contractor can they sub-contract more than 50% of the contract as long as it 50% does not exceed similarly situated companies. (1) Services (except construction), it will not pay more than 50 percent of the amount paid by the Government for

contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the prime contractor’s 50 percent subcontract amount that cannot be exceeded. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract. Other direct costs are excluded to the extent they are not the principal purpose of the

contract and cannot be obtained from small business concerns;The requirement that the prime must perform 51% of the contracted service has been removed from the solicitation as this is not a small business set-aside and, therefore, the 51% does not apply to this effort.
21W81K04-20-R-0020 Solicitation1Box 8May we extend the submission deadline of 10/12/2020 at least 2-4 weeks? We will need more time to review the full Q&A responses and determine a strategy that complies with all requirements. Mailing our response also costs us time.Solicitation has been extended to 4 Nov 2020 3:00 PM CST.
22W81K04-20-R-0020 Solicitation138PWS 1.1.1Is it possible for more locations to be added to this contract either now or later? For example, we saw a Bid for a Medical Research facility at Fort Detrick (Sol W81XWH-20-R-0040) a couple months ago. This is a large volume of regulated medical waste, over 1,100,000 pounds annually.Yes, per PWS paragraph 1.1.1, The Government, due to mission changes, may elect to add additional or potentially remove RMW pick-up sites.
23W81K04-20-R-0020 Solicitation141PWS 1.16What are the requirements of facilities when it comes to joining this contract? PWS 1.16 says “Remaining facilities that intend to utilize the new contract will transition as their current contracts expire.” This gives the impression that their joining is optional. For example, multiple facilities are bidding out new 5 year contracts for 10/1/2020. Will they be required to join, and if so, when? Is current contract expiration defined as the end of their Task Order (9/30/2021) or the full 5 year contract (9/30/2025)?No, at this time, all Military Service and DHA activities are not required to participate in this contract. As activities transition to DHA in the next few years, DHA will require that this contract be used. Advance notice will be provided to the contractor as sites transition to this contract.
24W81K04-20-R-0020 Solicitation144PWS 4.2Does this include sharps containers? If so, can we add a pricing line for sharps container rates?No
25W81K04-20-R-0020 Solicitation144PWS 4.2.1/4.2.2Dimensions are provided specifically for fiberboard boxes, however none are provided for reusable (plastic) containers. Are we to understand there are no dimensional requirements for these containers?Yes, Volume limits are all that is specified in PWS.
26W81K04-20-R-0020 Solicitation144PWS 4.2.3Are we allowed to propose additional and/ or alternative sizes to a 3 gallon mail back? This requirement is rather narrow.No, What is specified in the PWS meets the Government requirement.
27W81K04-20-R-0020 Solicitation144PWS 4.2.4These containers do not come from us, so we cannot promise a specific turnaround time. Location can also play a factor.No, Contractor must meet the contract requirements regardless of source or site location as specified in PWS.
28W81K04-20-R-0020 Solicitation145PWS 4.2.5.4This directly conflicts with 4.2.5.2. Mattresses and other large items need to be broken down such that they fit into the standard supplied materials.No, this does not conflict. Contractor may use multiple red bag liners.
29W81K04-20-R-0020 Solicitation157N/AIs Des Moines MEPS (Iowa) categorized properly in the Western region? It seems other locations further West (ex. Colorado) are in the Central region.No, will be corrected in the solicitation and PWS.
30W81K04-20-R-0020 Solicitation193ii.What happens to the small business expectations if a large facility is either late to join, or does not at all? For example, CLIN 013 (San Diego) is almost 30% of the West, and they are not *’d as joining right away. Will the 40+% small biz participation be tracked throughout the contract? What if changes in site participation, volume, etc. change the numbers we calculate based on the full site listing? Will we be required to make up ground to get back to 40%, or will we just continue as planned?Yes, the 40+% small business participation will be tracked throughout the contract. However, this percentage is a goal. Contractors are responsible for adhering to the commitments identified within their proposed plan throughout the life of the contract. These commitments must be identified as required by attachment 6 to the solicitation.
31Attachments 3, 4, and 5N/AN/ACan we modify the pricing document to allow for different rates for different waste types? Category A waste naturally brings a significantly different cost than Biohazard. We would intend for additional units of measure completely (shipping, man hours, flat stop charge, etc.). Alternatively, this pricing is highly case by case, so we could make a separate CLIN where the specific pricing is determined later if it became necessary.Category A waste has been added as a separate CLIN. For proposal purposes, this CLIN will not be priced. All other proposed unit pricing must be in line with pricing spreadsheets attached to the solicitation.
32Attachment 1, Q&AN/AN/AWill there be a period to seek clarification on Q&A responses?Q&A will be Extended to 7 Oct 2020
33GeneralN/AN/ABearing in mind both the solicitation and Q/A (so far), it seems you have created a narrow window of vendors that can respond. With the prime needing to perform at least 51% of the contracted service within each region, you have most likely eliminated any small businesses from being prime. This means that a large company will be prime, who then must find a way to direct at least 40% of contract cost to small businesses. A more desirable route would be for a small business management company to be prime and coordinate vendors throughout the regions, which in turn creates a more seamless experience for you, the customer. This however would not satisfy the Prime performing 51% of the work. Are either of these requirements flexible?This effort is Full and Open, not a small business set-aside. The Government is basing the award of this potential contract on the requirements set forth in the solicitation, not on whether or not the prime contractor is a small or large business
34Pricing Attachments 3, 4 & 5N/AN/AWe have found an error in the "Total Cost" cell for each CLIN header row. The total cost cells attempt to generate a value based on the product total poundage for the entire CLIN and the entire CLIN's Cost Per Pound. This CLIN Aggregate row would not have a value associated to it due to sites possibly having different pricing within a CLIN. This then makes it so the pricing pages do not aggregate the regions total for all year at each CLIN nor for the entire region.Corrected
35Price Attach 5N/AN/AAttachment5PricingEasternRegion(updated) Cell H61 is missing a the formula, Cell H149 had an in correct formula for aggregating poundage in CLIN 0102 - when we corrected the sheets I used the same math in column H to fix the aggregate pricing per CLIN calculationsCorrected
36Price Attach 4N/AN/AHas a unit per price for all years column that should not be there, removed (column u in Attachment4PricingCentralRegion(Updated))Corrected
37Price Attach 3N/AN/ACell T61 was blank when a formula was neededCorrected
38Price Attach 3N/AN/ARow 110 was scratched out and not deleted so values were still being added to aggregate valuesCorrected
39N/AN/AN/AWe have tried to figure out how to upload to BETA SAM and called the help desk. They were unaware of how this can be accomplished. Can you clarify how this is to be done or please remove the requirement.This was answered in amendment 0003
40N/AN/AN/AThere is no line item for the mail back sharps containers.

Should be a per container rate for mail back sharps containers as requested by any facilities

There will be no line item for sharps containers on this requirement this has been previously addressed
41West Pricing attachN/AN/ACLIN 0026 Herlong, CA 1. Sierra Army Depot Occupational Health Clinic, Bldg. 74, C Street, Herlong, CA 96113CLIN 0026 corrected will reflect Pricing attacments
42SoliciationNANAj. Page Limitations. Page limitations shall be treated as maximums. Pages in excess of the above limitations will be removed and disregarded during the evaluation. When both sides of a sheet display printed material, it shall be counted as two pages. Each page shall be counted except the following: Covers, tab dividers, title pages, glossaries, table of contents/file index,Performance Risk Assessment Questionnaires, points of contacts completing performance risk assessment questionnaires. Also, page limits are not applicable to legible tables, charts, graphs and figures used wherever practicable to depict organizations, implementation schedules, plans, etc. as outlined in Table 7 - Proposal Organization above.All contractors must ensure delivery of all Aspects of Table 7 are delivered to the KO and KS Mr. Clifton Wells and Mr. Anthony Hill@clifton.m.wells.civ@mail.mil < Caution-mailto:clifton.m.wells.civ@mail.mil > and anthony.j.hill16.civ@mail.mil < Caution-mailto:anthony.j.hill16.civ@mail.milThere is no performance risk questionnaire.
43N/AN/AN/ADo anticipate this being extended? We are trying to coordinate our teams schedule for the weekend.There will npt be an extension to the solicitaion.

&"Times New Roman,Regular"W81K04-20-R-0020 Attachment 1

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