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FBO DAILY ISSUE OF MARCH 10, 2012 FBO #3759
DOCUMENT

Q -- NF/SG Home Oxygen - Attachment

Notice Date
3/8/2012
 
Notice Type
Attachment
 
NAICS
621610 — Home Health Care Services
 
Contracting Office
Department of Veterans Affairs;West Palm Beach VA Medical Center;7305 North Military Trail;Palm Beach Gardens FL 33410-6400
 
ZIP Code
33410-6400
 
Solicitation Number
VA24812R0997
 
Archive Date
3/23/2012
 
Point of Contact
john.hull3@va.gov
 
E-Mail Address
Contract Specialist
(John.Hull3@va.gov)
 
Small Business Set-Aside
N/A
 
Description
SOLICITATION NOTICE: North Florida/South Georgia Veterans Health System (NFSG) has an ongoing need for Home Oxygen Services for an estimated 1,815 home oxygen-using patients for which the current contract ends on 03/31/2012. Interested vendors must be able to immediately begin performance on 04/01/2012 in accordance with the statement of work. The period of performance for this interim contract action will be for only an anticipated 2-month period to run from 04/01/2012 - 05/30/2012 to allow for the processing a long-term contract action. NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM (NFSGVHS): Consists of the Gainesville Division, Lake City Division, Jacksonville Outpatient Center, Tallahassee Outpatient Center, Valdosta Outpatient Center & Villages Outpatient Center, as well as all the Community Based Outpatient Clinics, i.e.; Ocala, Lecanto, Marianna, Palatka, St. Marys, St. Augustine, Taylor county, Waycross, and Valdosta, Georgia. The following Florida counties are covered; Alachua, Baker, Bradford, Calhoun, Columbia, Citrus, Clay, Dixie, Duval, Flagler, Franklin, Gadsden, Gulf, Gilchrist, Hamilton, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Marion, Nassau, Putnam, St. John's, Sumter, Suwannee, Taylor, Union, & Wakulla. In Georgia, the following counties are covered; Atkinson, Berrien, Brantley, Brooks, Camden, Charlton, Clinch, Colquitt, Cook, Decatur, Echols, Grady, Lanier, Lowndes, Miller, Mitchell, Pierce, Seminole, Thomas, and Ware. During this two-month interim contract the awardee will be required to begin performance on 04/01/2012 and coordinate the "switch-out" of oxygen vessels and equipment for all 1800+ oxygen patients currently served. In addition, the awardee must make "setup" deliveries to new oxygen patients to include initial instructions by a licensed RCP within the timeframe specified in the Statement of Work (SOW). "Setup" and "Switch-out" are defined in the SOW. The awardee must also provide ongoing service to all oxygen patients served once switched over including service calls, liquid oxygen refills, cylinder deliveries, prescription changes, reinstruction by RCP, and other ongoing duties specified in the SOW. Reporting requirements are detailed in the SOW. Reports must be submitted as defined from contract inception including submission during the high-workload switch-out period. It is estimated that Switch-out would require: "Approximately seven technicians, each setting up and instructing six switch-out patients every day "Approximately 242 pieces of equipment delivered/exchanged for switch-out every day "Signed documentation of delivery would need to be sent to the VA COTR daily. "Back-up measures need to be in place to account for veterans who are not home or other daily issues that can create delays in switching veteran over to awardee. "Awardee needs to have adequate resources to perform the duties within the specified contract period. Interested vendors must provide: "a detailed milestone plan demonstrating their ability to perform the switch-out in coordination with the outgoing vendor "capability statement briefly giving company history and providing specific information describing the qualifications of the personnel, provide a list of the names of the staff intended to be utilized in the performance of this contract i.e., types of experience, years of experience, education, licensures, professional references and certifications of personnel to be utilized in the performance of this contract "copies of all current licensures, certifications, and insurance associated with providing this type of service "current proof of active Joint Commission Accreditation "identify at least two federal, state, and/or local government contracts as well as any private/commercial contracts of similar scope, size, complexity that are ongoing or were completed within the past 24 months where a home oxygen population of at least 1500 patients were served by the interested vendor. Provide contact information to include the name of the facility/organization; points of contact, period of performance. "Proof of current/active CCR and ORCA registrations "Complete the price schedule spreadsheet Again, in addition to switch-out activities, the awardee must be able to immediately serve existing oxygen customers without a break is the provision of services. Note: receipt of award of the two-month interim contract does not guarantee award of the forthcoming long-term contract to be solicited and set-aside for small business interests. Any interested vendor in participating in the procurement process for the upcoming long-term Home Oxygen contract, may watch for the posting of the solicitation on www.fbo.gov. Interested parties regarding this 2-month interim contract should their complete proposals by email to john.hull3@va.gov by 9:00am EST on 03/13/2012. Late proposals and/or incomplete proposals will not be considered. STATEMENT OF WORK 1.BACKGROUND: From time-to-time, the number of veterans being served by this agreement will change. North Florida/South Georgia Veterans Health System (NFSG) currently serves an estimated 1,815 home oxygen-using patients. The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA either minimum or maximum. The contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officers Technical Representative or designee (COTR) will provide the contractor with notification to initiate or discontinue individual beneficiary service requirements, including the beneficiary's oxygen prescription, equipment, supplies and services to be provided including date and place of delivery, the contractor will confirm receipt of the request within two (2) working hours of notification. The notification to the contractor may be made orally, written or via email. 2.NORTH FLORIDA/SOUTH GEORGIA VETERANS HEALTH SYSTEM (NFSGVHS): Consists of the Gainesville Division, Lake City Division, Jacksonville Outpatient Center, Tallahassee Outpatient Center, Valdosta Outpatient Center & Villages Outpatient Center, as well as all the Community Based Outpatient Clinics, i.e.; Ocala, Lecanto, Marianna, Palatka, St. Marys, St. Augustine, Taylor county, Waycross, and Valdosta, Georgia. The following Florida counties are covered; Alachua, Baker, Bradford, Calhoun, Columbia, Citrus, Clay, Dixie, Duval, Flagler, Franklin, Gadsden, Gulf, Gilchrist, Hamilton, Jackson, Jefferson, Lafayette, Lake, Leon, Levy, Liberty, Madison, Marion, Nassau, Putnam, St. John's, Sumter, Suwannee, Taylor, Union, & Wakulla. In Georgia, the following counties are covered; Atkinson, Berrien, Brantley, Brooks, Camden, Charlton, Clinch, Colquitt, Cook, Decatur, Echols, Grady, Lanier, Lowndes, Miller, Mitchell, Pierce, Seminole, Thomas, and Ware. Further information for the facility may be accessed at website: http:// http://www.northflorida.va.gov/NORTHFLORIDA/index.asp 3.Backup System: Veterans with a prescription for an oxygen concentrator shall be provided with an appropriate backup system consisting of a compressed gas source and regulator with stand, humidifiers, cannula/mask for use during the event of a power failure or mechanical problem and necessitating the use of the backup cylinder. The cost for the above mentioned backup system shall be borne by the Contractor when concentrator is rented from contractor. When a VA-owned concentrator is issued, a one-time setup fee will apply. Contractor will provide documentation to COTR if the patient declines the oxygen back-up system or any prescribed oxygen equipment. 4.Initial set-ups are considered as those beneficiaries who have not been provided an oxygen therapy delivery system in the residence or nursing home on a previous occasion, or have not used such a system continuously for the past 60 days. Switch-outs are considered those beneficiaries who are presently using an oxygen delivery system or have used such a system continuously within the past 60 days. Basic Systems are considered to be any equipment set required to satisfy a prescription for supplemental oxygen up to 4 lpm delivered by nasal cannula ONLY. Complex Systems are considered to be the equipment set required to satisfy a prescription for; 4pm or more delivered by nasal cannula, any supplemental oxygen delivered by face mask, providing positive airway pressure to the patient, and ALL other equipment. 5.The Contractor shall provide the initial set-up within 24 hours of request from the COTR, to include weekends and holidays; this shall also apply to service calls, re-supply, and/or relocation of equipment due to change in beneficiary's residence. The VAMC reserves the right to obtain the service from another source and to charge the contractor, if the contractor is unable to meet the 24-hour response time. Set up is defined as delivery of prescribed Home Medical Equipment (HME) with applicable disposables and backup equipment, orientation of vendor's services, equipment assessment, patient education, basic home safety review and scheduling of ongoing deliveries, preventive maintenance inspection's (PMI) service appointments and Plans of care. 6.The Contractor shall provide switch-outs by staff with documented competency training on the manufacturers recommended assembly, use, and maintenance of the equipment used under this contract. All beneficiary switch-outs will be accomplished within the first 30 days of performance beginning on 04/01/2012 without causing a break is service provision and may not be exceeded without prior approval from the contracting officer. Failure to perform the switch-outs as specified will result in a forfeit of payment to the provider currently used for every day thereafter until switch-out is complete and result in a negative performance evaluation and possible termination of contract. Pro-rated payments will be assessed based on each providers established rate and prorated based on setup date. No payment will start for any given patient until ALL required equipment is provided for that patient. Payment to previous vendor will not extend more than three (3) days after notification of delivery of ALL equipment by new vendor. Method of notification will be mutually agreed upon during post award meetings by all parties. No additional charges will be applied for switch-outs. 7.ROLES AND RESPONSIBILITIES: a. VAMC Prosthetics and Sensory Aids Services (PSAS) is currently responsible for overseeing the overall Home Oxygen Program to include maintaining current prescription data in the patient's home O2 record and billing processing. Pulmonary Services is currently responsible for coordinating and overseeing patient services with contractor and processing prescriptions to contractor and PSAS. b. EQUIPMENT FURNISHED BY CONTRACTOR SPECIFICALLY FOR THE VA MEDICAL CENTER: The Contractor will provide and maintain the following oxygen equipment, to the VA Medical Center Pulmonary Departments as indicated. A Liquid Oxygen Reservoir with a portable unit; six (6) "E" tanks with oxygen and flow meter; and an oxygen conserving device with six (6) "B" cylinders will be provided to the VA Medical Center, Gainesville and also to the VA Medical Center, Lake City. Racks for proper storage will be provided by the Contractor as required. This equipment will be utilized for educational purposes and to accommodate home oxygen patients who are visiting the medical centers and require a tank of oxygen or refill to get them home. The tanks, conserving device and liquid system will be delivered to the locations to be determined by the VAMC. Tanks and reservoirs will be checked and automatically filled not less than two (2) times per month. The COTR (which will be identified after award) will call in additional orders, as needed. c. Contractor will deliver equipment specified by COTR to the VAMC or civilian healthcare facility within 4 hours of notification (unless a specified later time is established by COTR), for patients being discharged from inpatient care. The charges for this equipment will be included on the patient's invoice. Setup charges will carry over and will not be duplicated when the same equipment is prescribed for setup at the patient's residence (i.e. E setup at VAMC for discharged patient and E tanks are prescribed for home use). d. Clinician's orders for providing Home Oxygen Healthcare Services, to include the use of home oxygen, home based life support systems and respiratory equipment is currently processed through the VA Pulmonary Department. Management of the overall Home Oxygen Program, posting of home oxygen data into the patient's VA record and billing transactions are currently accomplished by the VA Prosthetic and Sensory Aids (PSAS) Department. e. The VAMC has the exclusive responsibility for determining eligibility and necessity for admission to the Home Oxygen Program and for providing orders for initiation of treatment, delivery and pick up of equipment, and resolutions of problems related to equipment or patient care. The Contractor has responsibility for providing the services, supplies and equipment as prescribed and under the timelines specified herein. The VA determines the discharge plan from the Home Oxygen Program, based on clinical assessment that may also include input submitted by the contractor. f. The care planning process is the responsibility of the VA. The Contractor will implement assigned duties contained in the care plan, such as safety checks, equipment checks, equipment use compliance, etc. The Contractor may be authorized by the COTR to gather specific data and report that data to the VA. g. The VA has the responsibility to monitor how well the contractor is meeting the terms of the contract. This will be accomplished through home visits, record checks, patient satisfaction/complaints, invoice checks, QA Reports and review of documentation required by the contract. h. Contractor will provide to the patient a copy of VA Patient Rights & Responsibilities, and any advance information concerning directives. The Contractor shall document that the beneficiary/care giver is instructed in accordance with THE JOINT COMMISSION Standards. i. The Contractor is responsible for scheduling routine appointments to the beneficiary's home 24-48 hours prior to the appointment. On each scheduled setup/delivery the Contractor shall reassess the need to instruct the beneficiary on the use and care of the equipment and supplies as necessary. 8.TRAVEL PATIENTS. The contractor shall be responsible for coordinating all services for veterans who travel both within and outside the jurisdiction of this contract. The VA facility will notify the contractor where the veteran is traveling to, mode of transportation, and O2 travel needs. A request for travel services must be received from the VA facility BEFORE travel services will be funded. Arrangements for air travel are the responsibility of the patient. (a).Veterans covered within the purview of this contract are authorized a total of two (2) trips within a one-year period from the latest home O2 Prescription Date, except for travel in conjunction with an emergency. (b). Veterans traveling within the contract jurisdiction shall be provided all oxygen services under the contract at the contract rate. Contractor shall bill the appropriate VA facility as established herein. (c). Contractor shall arrange for oxygen services for veterans traveling outside the contract jurisdiction, including those temporarily relocating or moving out of the contract jurisdiction. The contractor will be reimbursed the costs established by the pre-travel arrangement agreement made between contractor and providing vendor, upon providing required invoices and supporting information. (d). When making arrangements for oxygen service for travel patients, Contractor will utilize VA home oxygen providers at VA contracted rates to the greatest extent possible. (e). Travel outside the continental United States is not covered within this contract. Veteran will be responsible for all travel arrangements and for obtaining Oxygen services when traveling outside the continental United States. 9. EMERGENCY PREPAREDNESS: Contractor will have written emergency preparedness procedures to ensure provisions of this contract can be fulfilled to the maximum extent possible during hurricanes and other major emergencies or acts of God. A copy of these procedures will be provided to the Contracting Officer and COTR, along with any updates or changes that may be made. Contractor will provide After-Emergency Reports as requested by COTR. 10.EMERGENCY SERVICES: The contractor shall have a well-established communication system, providing 24-hour emergency services and the ability to provide services at the beneficiary's home within a maximum of 6 hours of a call. Most emergency services shall be provided within 2 hours of a call. The Contractor shall ensure all patients have at minimum a non-electrical oxygen supply to last three times the contractors' response time to a call. The minimum supply will take into account each patient's prescription flow-rate and distance from the contractors location, and so actual supply levels may differ from patient to patient, as long as each patient has oxygen supply to last a minimum of three times the contractors' response time. If the Contractor is unable to respond to an emergency service call within 6 hours, the Contractor is responsible for making arrangements with another supplier to provide oxygen at the Contractor's expense. A written explanation of why the Contractor was unable to respond to the emergency must be provided to the COTR within 2 business days. The cost of backup systems, backup oxygen, and backup equipment shall be borne by the Contractor. If H/M tanks are used for backup, the Contractor shall furnish an H/M tank stand for each H/M tank at no cost to the government. Liquid oxygen supply may be considered backup oxygen; however the oxygen supply must be maintained at the minimum three-times the Contractor's response time, and the cost of any additional equipment such as extra stationary units used solely to maintain the minimum level of backup oxygen shall be borne by the Contractor. The cost of liquid oxygen used solely for backup purposes shall be borne by the Contractor. The Contractor must notify the COTR immediately in the event of a disaster, natural or otherwise, that may affect the services covered under this contract. 11.Infection Control/Communicable Diseases Requirements Contractor must have a current plan for surveillance, prevention and control of infection. The plan must meet current The Joint Commission standards. Contractor will provide a list of names to the Home Oxygen Coordinator of all veteran patients exposed to communicable diseases by contracted staff during an identified incubation period. The type of exposure and contractor response to the exposure will also be identified. The Home Oxygen Coordinator will consult with VA infection control staff regarding the need to contact exposed patients and/or complete any needed medical follow-up. 12.Discontinuation of Service The government shall notify the Contractor in the event of an order to discontinue oxygen service to any beneficiary covered under this contract. Notification shall be by telephone, facsimile or email. Payment will be pro-rated based upon the notification date of discontinuance of service. The Contractor shall notify the government within the next business day of a patient death, or upon finding a patient has moved out of the service area. The Contractor shall remove equipment from the beneficiary's residence at the earliest possible time. The date and time of equipment pickup shall be coordinated with the patient and/or next of kin and/or significant other. The Contractor shall make every effort to meet the beneficiary's or beneficiary's families' requests for pickup times. The Contractor shall honor beneficiary's or family's requests to pickup equipment before or after funerals or family gatherings relative to beneficiary funerals. The Contractor shall treat such requests with the utmost courtesy, and give such requests the highest priority. Payment for services terminates 3 days after notification to contractor by COTR of discontinuation of service. 13.Contractor's Employee Certification The Contractor shall develop, maintain, and make available for review, personnel folders on all employees performing under this contract. Contractor must provide and document employee orientation, ongoing employee education, and ongoing assessment of employee competency for all employees involved with the delivery/recovery of equipment covered under this contract according to THE JOINT COMMISSION Standards. The Contractor will provide COTR with a list of all employees currently competent to perform delivery/recovery and patient education services at the time the contract is awarded. COTR will inspect employee files at the time of the inspection of Contractor premises and vehicles. The Contractor will educate, evaluate and document employee education in strict accordance with current THE JOINT COMMISSION accreditation standards. Only employees that have been properly trained and who have demonstrated competency may perform equipment deliveries, recoveries, and patient education on the equipment delivered to VA beneficiaries. The Contractor shall be staffed and have sufficient supplies to render satisfactory and courteous service at all times to the beneficiary. The contractor shall be responsible for the acts and omissions of his/her employees, his/her Sub-contractors or satellite offices and their employees. Sub-contractors are required to adhere to the requirements of this contract. 14.CONTRACTOR-OWNED EQUIPMENT: The Contractor shall furnish, install and service all oxygen equipment to dispense oxygen and supplies ordered under this contract. All equipment is to be current state-of-art model and all supplies are to be new. A label with the contractor's name and emergency telephone number where they can be reached 24 hours/day will be affixed to all equipment. Contractor-Owned equipment will not be used in lieu of VA-Owned equipment, except in very unique situations (i.e. All VA-owned equipment in use) or when otherwise approved on a case-by-case basis by COTR. 15.Standards and guidelines are as follows: AARC Clinical Practice Guideline Oxygen Therapy in the Home or Alternate Site Health Care Facility -2007 Revision & Update. American Society for Testing Materials (ASTM) minimum standards specification for electrically powered home care portable ventilators. Association for the Advancement of Medical Instrumentation (AAMI). Joint Commission Standard for Home Care, current year standard. 16.The installation of all equipment by the Contractor shall be performed by a competent professional familiar with nature of the equipment involved and fully qualified under the laws of the State in which the services are being rendered. Installation shall be consistent with local Fire and Safety Codes in the respective area of the State, and shall conform to the current NFPA 99/101 (Life Safety Codes) NFPA (Oxygen Cylinder Requirements). The Contractor shall provide a safety/emergency checklist to be completed, then signed by the veteran or his/her caregiver and retained in the beneficiary account folder. The Contractor shall ensure that all equipment is checked every three months. A Contractor's staff member will conduct a check of the concentrator using a certified oxygen analyzer that is calibrated according to the manufacturer standards, the results and date of this check will be documented on the equipment. Maintenance on equipment shall be done by a manufacturer's checklist. It shall include compressor inlet pre-filter changes and compressor inlet bacteria filter changes according to the manufacturer recommendations. The alarm battery shall be tested at each maintenance check, changed as indicated but at least annually. The Contractor is responsible for tracking and documenting maintenance of equipment in accordance with manufacturer specifications and providing these records for review upon request. Contractor shall furnish parts and labor for routine maintenance. The Contractor shall have recall procedures for equipment and supplies. 17. The Contractor shall not change or alter a VA beneficiary's oxygen prescription or equipment requirements. 18. The Contractor must have at least two (2) years of experience in successfully administering basic home oxygen and aerosol therapy to adult and geriatric patients. The Contractor will be responsible for coordinating, supervising and evaluating the services provided. 19.Contractor must provide staff with documented competency training to deliver prescribed supplies/cylinders/liquid oxygen (LOX) as required to each beneficiary as needed. All equipment in the home must be maintained as recommended by the manufacturer, unless otherwise specified herein. 20.At least once every 3 months, the Contractor will visit the VA beneficiaries to reassess equipment compliance, educational needs, etc. A written report will include at a minimum the following data: a.Name and social security number (SSN) of beneficiary using the equipment. b.Monitor compliance with prescription (LPM, hours per day) c.Type, hours on concentrator *Serial Numbers kept on file should be for VA owned equipment only. d.Serial Numbers for the rented equipment shall be the vendor's responsibility and kept on file in vendor's main office. e.Inspection results of liter flow rate in monitoring patient compliance (as compared to prescription). f.Inspection compliance of intake filters (exchange or clean by patient); follow-up education and/or reinforcement of compliance documented. g.Revised plan of service as needed. h.A report, including the above information, shall be signed and dated by the contractor's representative and by the VA beneficiary/care giver. A copy shall be left with the beneficiary. The reports shall be legible and submitted to the COTR in alphabetical order, in conjunction with the monthly bills, by the 10th business day of the month following service. 21.The Contractor shall maintain a VA beneficiary account folder in compliance with the Privacy Act and Health Insurance Portability and Accountability Act (HIPAA). All beneficiary files are subject to review by designated VAMC officials and accreditation surveyors on behalf of the VAMC during accreditation surveys or consultation. As a minimum the VA beneficiary folder will adhere to current THE JOINT COMMISSION standards for patient record keeping. 22. Contractor must provide a written emergency management plan in compliance with THE JOINT COMMISSION standards. At the time of set up, Contractor shall provide beneficiaries with a telephone number to call if there are any questions or additional information is required, and instructions for what to do in a natural disaster or other emergency. 23.Standard precautions shall be used to prevent exposure to blood borne diseases when handling all contaminated equipment/items. Gloves shall be worn when handling items soiled with blood and/or body fluids. Hands shall be washed before and after visiting each patient and when gloves are removed. Contaminated equipment shall be separated from clean equipment. The Contractor's warehouse shall have clear demarcation between contaminated and clean storage areas. Delivery vehicles, if dirty and clean equipment is transported in the same vehicle, will have a clearly demarcated area for clean and dirty items. Contractor's procedure for handling the pickup of dirty equipment will meet THE JOINT COMMISSION Standards. 24.PATIENT EDUCATION REQUIREMENTS a.The Contractor shall provide education to each veteran at the time of set-up, and assess the need for reinforcement during visits. This information is to be presented verbally, in demonstration and material covered shall be in written form to be left with the beneficiary/care giver. The written material shall be in English as well as the foreign language of the beneficiary. In the case that the beneficiary does not speak English the Contractor is to advise the VAMC of any occurrences so that the VA can obtain adequate instructions. All patient education material must be presented in written form to the COTR for approval prior to the award. The contractor as directed by COTR will implement any new or revised education material. The VA will determine whether the contractor shall use their forms or forms supplied by the VA for documentation of services provided to VA beneficiaries. b.The Contractor shall provide educational and/or warning information for patients and their families and/or caregivers on the hazards of smoking while oxygen is in use. The educational materials must be provided upon initial delivery and every 6 months thereafter. The educational materials must, at minimum, cover the following: ""No Smoking, Oxygen in Use" signs are provided and must remain posted. "Smoke alarm must be present and alarm sounds when tested. "Veteran has been instructed to remove the cannula, shut-off the oxygen supply, and wait for oxygen to dissipate prior to smoking. "Smoke alarms must be tested monthly. "Patient and family or cohabitants are given educational materials regarding the hazards of smoking and using an open flame near oxygen. 25.SITE VISITS: Periodic, unscheduled on-site contractor and home oxygen patient visits will be made by COTR to monitor the contractor's performance under this contract. The contractor agrees to make available all records and documentation necessary during the monitoring visits. Other than COTR and VA personnel, only persons specifically identified, on a case by case basis by COTR, will be permitted access to the storage area containing VA-owned equipment. These "other persons" will not be granted unlimited access to the facility, but rather, limited access as specified by COTR (normally to pick up items). 26.CONTRACTOR SITES: Contractor shall have not less than one physical location which houses the service office, warehouse, dispatch of vehicles and other functions related to the performance of services within fifty (50) mile radius of Malcom Randall Veteran Hospital, Gainesville, FL for the duration of this contract. Contractor will provide to COTR, on a quarterly basis, a current list of its service locations; and shall immediately notify COTR of planned location changes or closings. When a location is closed, contractor will advise COTR of actions taken to ensure patient services are not interrupted and all patient's being serviced by the closed location know who to contact and their new servicing location. 27. SUBCONTRACTING PLAN: If contract awarded to other than a small business for over $500,000, a subcontracting plan is required in accordance with FAR 19.704 and FAR Clause 52.219-9, the informational subcontracting goals for NF/SG VHS are targeted as follows: 25%Small Business 5%Women-Owned Small Business 4%Small Disadvantaged Business 3%HUB Zone Small Business 3%Service Connected Disabled Veteran-Owned 7%Veteran-Owned Small Business 3% Service Disabled Veteran Owned Small Business 28. SUB-CONTRACTORS: Sub contractors must meet same requirements as Contractor. Contractor will advise COTR when sub-contractors are used to provide prescribed home oxygen services to VA patients. Contractor will provide name and contact information for the sub-contractor and list patients being serviced. 29. CONTRACTOR REPRESENTATIVE: Contractor shall designate a specific service representative to coordinate daily matters with COTR. The name and contact information and a toll free number for ordering and customer inquiries for this representative will be provided to the Contracting Officer, PSAS, and Pulmonary Services. PROVIDE A TOLL FREE NUMBER FOR PATIENT INQUIRIES. 1-800-___________________ 30. Representative of Contracting Officer: The Contracting Officer reserves the right to designate a representative to act for him/her in furnishing technical guidance and advice or generally supervise the work to be performed under this contract. Such designation will be in writing and will define the scope and limitations of the designee's authority. A copy of the designation will be furnished to the Contractor after notice of award. 31.CONFORMITY TO REGULATIONS -- The Contractor and his/her employees shall conform to all regulations, Federal, State and local, governing the performance of contracted services in each state in which performance occurs. 32.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 federal citation for disregarding posted safety rules and regulations. Contractor is to notify all of his/her employees and/or sub-contractors of this strict enforcement policy. 33.COMPUTER SOFTWARE. Contractor will ensure software used is compatible to interface with VA software for submitting reports and providing data as requested by COTR. 34. EVIDENCE OF COVERAGE: Before commencing work under the contract, the Contractor shall furnish the Contracting Officer with a certification from his/her insurance companies indicating the coverage's for this contract have been obtained and that it may not be changed or canceled without written notice within thirty (30) days to the Contracting Officer. The coverage's are outlined below: a. General Liability. Contractors are required to have Bodily Injury Liability Insurance coverage written on the comprehensive form of policy of at least $500,000 per occurrence. b. Property Damage Liability. Contractors are required to have Property Damage Liability insurance coverage of at least $500,000. 35. WORKMEN'S COMPENSATION: Contractors are required to comply with applicable Federal and State Worker Compensation and occupational disease statutes. The Act of June 25, 1936, 42 Stat. 1938 (40 USC 290), authorizes the constituted authority of the several States to apply their workmen's compensation laws to all lands and premises owned or held by the United States. The Contractor agrees to procure and maintain while the contract is in effect, Workmen's Compensation and Employers Public Liability Insurance. The policy shall provide coverage for Public Liability limits of not less than the statutory limitations for any one accident, and at least meet the statutory limitations if more than one person is involved. 36. WAGE RATES: Department of Labor wage determination WD 05-2111 (Rev.-12) applies to this solicitation are applicable to any resulting contract and are available at http://www.wdol.gov/. a) The Offeror/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). b) The Department of Labor has held that Contractors must pay their employees the Service Contract Act wages while they are driving both to and from destinations for the VA. 37. VEHICLES: The vehicles used in the performance of this contract must be licensed and meet the minimum requirements as mandated by each state/county/city in which performance occurs. Contractor will ensure an adequate number of vehicles are available at all times to fully meet the requirements of this contract. Vehicles used to service VA beneficiaries will be subject to unannounced inspections by COTR.
 
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Link: https://www.vendorportal.ecms.va.gov/FBODocumentServer/DocumentServer.aspx?DocumentId=304881&FileName=VA248-12-R-0997-000.DOC

 
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