S205--Mt. Home Medical Waste Pickup

STATEMENT OF WORK

GENERAL INFORMATION

1. Title of Project: Regulated Medical Waste Pick-Up

2. Scope of Work: The contractor shall provide all labor, transportation, containers and liners, equipment and supervision to remove and dispose of Regulated Medical Waste described in this statement of work (SOW), except as may otherwise be specified. The service being sought is for the removal of regulated medical waste from the 621 James H. Quillen Veteran Affairs Medical Center located in Mountain Home, Tennessee 37684 and its satellite locations in Tennessee areas: Knoxville, Morristown, Rogersville, Sevierville, and Virginia areas: Bristol, Norton, Vansant, Jonesville and Marion. Service provider will need to provide weekly pickups at Mountain Home Facility, Knox Annex II and Knoxville OPC; biweekly at Community Based Outreach Clinic (CBOC s)(TN: Morristown, Rogersville, and Sevierville and additional Knoxville Annex II; VA: Bristol and Norton) and at least once a month service to each Rural Outreach Clinic (ROC) (VA: Jonesville, Marion and Vansant) and have the capability to provide services in times of emergency. Vendor must be able to accommodate all waste per site. Vendor must adhere to all state and federal regulations that govern the transportation and disposal of medical waste. The contractor is responsible for all licenses, and permits to remove, transport, handle, and dispose of biomedical and chemotherapeutic waste. License and permit must be provided upon submission of proposal.

3. Background: James H. Quillen VA Medical Center and satellite facilities produce medical waste while providing medical services to our nations Veterans. Recently, all of the sites listed in the Statement of Work had individual contracts with option years. It is the VA s desire to group all of our facilities into one contract with option years being provided. The following sites and volume of material are to be serviced.

STATEMENT OF NEED:

VIRGINIA AREAS:

Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202

72 containers per year

Provide all labor and materials for regulated medical waste disposal for Bristol Community Based Outpatient Clinic located at Preston Square, 2426 Lee Highway in Bristol, VA 24202 in accordance with specifications for the Bristol Community Based Outpatient Clinic. Services are estimated for a twice a month pick up of three boxes per pick up.

Norton Community Clinic, 654 Highway 58 East, Norton VA 24273

72 containers per year

Provide all labor and materials for regulated medical waste disposal for the Norton Community Based Outpatient Clinic located at 654 Highway 58 East, Norton, VA in accordance with specifications. Services are estimated for a twice a month pick up of three boxes per pick up.

Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263

24 containers per year

Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic. Vendor to pick up waste monthly, (2 boxes) once per month located at

32613 Wilderness Rd., Suite 101, Jonesville, VA 24263.

Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354

24 containers per year

Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic, Marion, VA. Vendor to pick up waste monthly, (2 boxes) once per month located at

4453 Lee Hwy, Marion, VA 24354. Marion Clinic is open on Tuesday, Wednesday, and Friday from 8:00 AM to 4:30 PM.

Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656

24 Containers per year

Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic, Vansant, VA. Vendor to pick up waste monthly (2 boxes) once per month located at

1941 Lovers Gap lane, suite A , Vansant, VA24656. Vansant Clinic is open on Monday and Wednesday from 9:30 AM to 2:30 PM.

TENNESSEE AREAS:

Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857

72 containers per year

Provide all labor and materials for regulated medical waste disposal for Rogersville, Community based outpatient clinic located at 401 Scenic Drive, Rogersville, TN 37857 in accordance with specifications for the Rogersville Clinic. Services are estimated for a twice a month pick up of three boxes per pick up.

Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813

72 Containers per year

Provide all labor and materials for regulated medical waste disposal for Morristown,

925 East Morris Blvd, Morristown, TN 37813. Services are estimated for a twice a month pick up of three boxes per pick up.

Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919

150 Containers per year

Provide all labor and materials for regulated medical waste disposal for Knoxville OPC located at 8033 Ray Mears Blvd. Knoxville TN 37919. Services are estimated for a weekly pick up of 11 boxes per month.

Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862

80 Containers per year

Provide all labor and materials for regulated medical waste disposal for Sevierville Clinic located at 1124 Blanton Drive, suite 100, Sevierville, TN 37862. Services are estimated for a twice a month pick up of three boxes per pick up.

Knoxville Annex II located at 1525 Downtown West Blvd, Knoxville TN 37919

80 Containers per year

Provide all labor and materials for regulated medical waste disposal for Knoxville Annex II located at 1525 Downtown West Blvd, Knoxville TN 37919. Services are estimated for a twice a month pick up of three boxes per pick up.

621 James H. Quillen VAMC Mountain Home, TN 37684

Corner of Lamont & Veterans Way Mountain Home, TN 37684

900 lbs per week or 1539 containers per year

Total estimated containers per year 2209

Any containers are to be at least 30 gallon/boxes 50 pounds and shall be designed and identified as dedicated medical waste containers for packaging, storing and transporting medical waste and shall be approved by the state of VA. Contractor is responsible for maintaining containers. Containers must be clean, free from any foreign debris both inside and out. Containers must be sturdy, rigid, leak-proof, impervious and capable of being sealed.

4. Performance Period: Base Year: 06/01/2022-05/31/2023

Option Year 1: 06/01/2023-05/31/2024

Option Year 2: 06/01/2024-05/31/2025

Option Year 3: 06/01/2025-05/31/2026

Option Year 4: 06/01/2026-05/31/2029

C. GENERAL REQUIREMENTS

Containers shall be identified with the international biohazards symbol and the warning Biohazard Waste . The containers shall be stackable to allow for minimal storage space requirements. The plastic containers may be placed in cardboard boxes.

The contractor shall provide a method of tracking waste from point of generation to treatment/disposal site with a bar code scan. Bar coding capabilities shall include tracking from individual generation sites with detailed monthly reports generated by contractor and provided to Contracting Officer Representative (COR) on a monthly basis. Reports will detail the weight # of pounds and certifying the number of containers and types of waste removed from the site for destruction of each individual department as well as total facility weight however unit cost for this facility is based on a per pick up charge. The containers will be returned in a clean and ready for use position, free of debris. Biohazardous containers will be red and any chemotherapy drums or boxes are to be yellow. Reports are to be sent to the COR on the same day.

The manifest report is 4 part. Two copies are to be provided to the COR Copy #1 is the generators copy of the pickup and copy #2 indicates final destruction.

The contractor is responsible for all licenses, and permit to remove, transport, handle, and dispose of biomedical and chemotherapeutic waste. License and permit must be provided upon submission of proposal.

The contractor will report to the COR all spills and personal exposures during waste preparation, packaging and transportation. The contractor will be responsible and clean up and spills. The contractor shall bear the cost of clean-up and report incidents to the COR immediately. Spills must abide by the requirements of the State, county, municipality township or regulatory entity that wastes covered by this contract may pass through or into in fulfillment of this contract.

Prior to start of work, contractor shall provide an itemized list of containers used and weight of containers. Any changes will be reported immediately to the COR.

The title for biohazardous waste will be transferred to and vested in the contractor once the waste is fully loaded onto the contractor s vehicle.

The contractor shall be available 24 hours a day seven days a week including holidays.

In the event the contractor is unable to meet the VA scheduled pickup or on call time frame, the VA reserves the right to obtain the services from another source and to charge the contractor with any excess cost which may result from obtaining an alternative source.

Locations may be changed at any time by submission of COR request in writing.

Vehicles must be properly licensed and have the required permits to remove waste as governed by all local, state and federal statutes and regulations. All waste will be transported to an approved treatment site. Contractor is responsible for providing an acceptable back up plan to insure adequate disposal if treatment site is inoperable.

Contractor shall provide one in-service training on blood borne pathogens, proper handling and segregation of biohazardous waste at an agreeable time between contractor and COR.

Hazardous Waste: Hazardous waste are divided into listed wastes which are organized into categories: The F List: Nonspecific source wastes: This list identifies wastes from common manufacturing and industrial processes, such as solvents that have been used in cleaning or degreasing operations. The F-listed wastes are known as wastes from non-specific sources Reference Regulations of 40 CFR 261.31 accessed at http://ecfr.gpoaccess.gov. The K list source specific wastes. This list includes certain wastes from specific industries such as petroleum refining or pesticide manufacturing. Certain sludges and wastewaters from treatment and production processes in these industries are examples of source specific wastes. Wastes included in this list can be found at regulations at 40 CFR 261.32. The P-list and the U-list (discarded commercial chemical products). These lists include specific commercial chemical products in an unused form. Some pesticides and some pharmaceutical products become hazardous waste when discarded. Wastes included on the P and U lists can be found in regulations at 40 CFR 261.33 (website: http://ecfr.gpoaccess.gov. Characteristics wastes may be considered hazardous waste if it exhibits one of the four characteristics defined in 40 CFR Part 261 Subpart C Ignitability, corrosivity, reactivity and toxicity.

Ignitability - Ignitable wastes can create fires under certain conditions, are spontaneously combustible, or have a flash point less than 60 °C (140 °F). Examples include waste oils and used solvents. For more details, see 40 CFR §261.21 . Test methods that may be used to determine ignitability include the Pensky-Martens Closed-Cup Method for Determining Ignitability (Method 1010A) (PDF) (1 pg, 19K) , the Setaflash Closed-Cup Method for Determining Ignitability (Method 1020B) (PDF) (1 pg, 17K) , and the Ignitability of Solids (Method 1030) (PDF) (13 pp, 116K).

Corrosivity - Corrosive wastes are acids or bases (pH less than or equal to 2, or greater than or equal to 12.5) that are capable of corroding metal containers, such as storage tanks, drums, and barrels. Battery acid is an example. For more details, see 40 CFR §261.22 . The test method that may be used to determine corrosivity is the Corrosivity Towards Steel (Method 1110A) (PDF) (6 pp, 37K).

Reactivity - Reactive wastes are unstable under "normal" conditions. They can cause explosions, toxic fumes, gases, or vapors when heated, compressed, or mixed with water. Examples include lithium-sulfur batteries and explosives. For more details, see 40 CFR §261.23 . There are currently no test methods available.

Toxicity - Toxic wastes are harmful or fatal when ingested or absorbed (e.g., containing mercury, lead, etc.). When toxic wastes are land disposed, contaminated liquid may leach from the waste and pollute ground water. Toxicity is defined through a laboratory procedure called the Toxicity Characteristic Leaching Procedure (TCLP) (Method 1311) (PDF) (35 pp, 288K). The TCLP helps identify wastes likely to leach concentrations of contaminants that may be harmful to human health or the environment. For more details, see 40 CFR §261.24 .

Universal Wastes: examples are batteries, pesticides, mercury containing equipment and bulbs (lamps) Wastes subject to this system will go to appropriate treatment or recycling facilities pursuant to the full hazardous waste regulatory controls Reference: 40 CFR part 273. The applicable State regulations will apply.

Hazardous waste transporters move waste from one site to another by highway, rail, water or air. Federal and in some cases State regulations govern hazardous waste transportation including the manifest system.

G. CHANGES TO STATEMENT OF WORK

Any changes to this SOW shall be authorized and approved only through written modifications to the contract by the CO. A copy of each modification will be kept in a project folder along with all other products of the project. Costs incurred by the contractor through the actions of parties other than the CO shall be borne by the contractor.

H. REPORTING REQUIREMENTS

1. The contractor shall provide the COR with monthly bi-weekly written progress reports original plus 2 copies. Two copies are to be provided to the COR Copy #1 is the generators copy of the pickup and copy #2 indicates final destruction. These are due to the COR by the second workday following the end of each calendar month, throughout the project's duration. The COR is required to provide monthly progress reports to the Contracting Officer by the fifth workday of the new calendar month.

2. The progress report shall cover all work completed during the preceding month and shall present the work to be accomplished during the subsequent month. This report shall also identify any problems that arose, along with a statement explaining how the problem was resolved. This report shall also identify any problems that have arisen but have not been completely resolved, with an explanation.

I. TRAVEL

Travel to the following VA sites will be required. Veteran Affairs Medical Center located in Mountain Home West Virginia and its satellite locations in Bristol, Norton, Rogersville, Jonesville, Sevierville, Knoxville, Morristown, Vansant, and Marion. Trips will need to be made bi-weekly with the possibility of more pick-up runs depending on the demand of each individual site. Travel and per diem shall be reimbursed in accordance with Joint Travel Regulations.

852.216-75Â Economic price adjustment clause - fuel surcharge will be incorporated in this solicitation

J. GOVERNMENT RESPONSIBILITIES

No government furnished property will be provided.

K. CONTRACTOR REQUIREMENTS

The contractor must inform the VHA COR when personnel are removed from the contract for any reason.

If a key person becomes unavailable to complete the contract, proposed substitutions of key personnel shall be made to the COR and CO.

Vendor must have minimum two years experience in Medical Waste Pickup

Bar coding capabilities

License and permit must be provided upon submission of proposal

Drive must possess valid driver s license

The contractor is responsible for all licenses, and permits to remove, transport, handle, and dispose of biomedical and chemotherapeutic waste. License and permit must be provided upon submission of proposal.

The capability to provide services in times of emergency with 12 hours notice (e.g., during times of overflow or hospital at maximum capacity)

L. CONFIDENTIALITY AND NONDISCLOSURE

It is agreed that:

1. The preliminary and final deliverables, and all associated working papers, application source code, and other material deemed relevant by VA which have been generated by the contractor in the performance of this contract, are the exclusive property of the U.S. Government and shall be submitted to the CO at the conclusion of the contract.

2. The CO will be the sole authorized official to release, verbally or in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to this contract. No information shall be released by the contractor. Any request for information relating to this contract, presented to the contractor, shall be submitted to the CO for response.

3. Press releases, marketing material, or any other printed or electronic documentation related to this project, shall not be publicized without the written approval of the CO.