Inactive Total Small Business Set-Aside (FAR 19.5)

DEPARTMENT OF VETERANS AFFAIRS VA ROCKY MOUNTAIN NETWORK (VISN19) PERFORMANCE WORK STATEMENT (PWS)  REGULATED MEDICAL WASTE, TRACE CHEMOTHERAPY, NON-HAZARDOUS PHARMACEUTICAL, AND PATHOLOGICAL WASTE R... DEPARTMENT OF VETERANS AFFAIRS VA ROCKY MOUNTAIN NETWORK (VISN19) PERFORMANCE WORK STATEMENT (PWS)  REGULATED MEDICAL WASTE, TRACE CHEMOTHERAPY, NON-HAZARDOUS PHARMACEUTICAL, AND PATHOLOGICAL WASTE REMOVAL 1.0. INTRODUCTION The VA Rocky Mountain Network is located in Glendale, Colorado, and was established in March 1996 as one of 21 Veterans Integrated Service Networks (VISNs) in the Veterans Health Administration. The VA Rocky Mountain Network is VISN 19 and functions as the responsible structure for the planning, budgeting, and service delivery in the provision of healthcare to Veterans within our geographic region. VISN 19 spans a geographic area of 540,000 square miles across 10 states and is the largest VISN in terms of geographic area in the 48 contiguous states. VISN 19 serves an area covering the states of Utah, Montana, Wyoming, Colorado, Oklahoma and portions of Idaho, Kansas, Nebraska, Nevada and North Dakota. The topography includes the Rocky Mountains, arid regions and areas subject to extreme winter weather. Significant travel distances exist between VA healthcare facilities throughout VISN 19. It is estimated over 1,000,000 Veterans reside within VISN 19's geographic boundaries. 2.0. SCOPE OF WORK  Contract to provide services for eight (8) VA Medical Centers (VAMC) and approximately seventy-six (76) additional sites of care to include Community Based Outpatient Clinics (CBOC), Community Living Centers (CLC), Primary Care Tele-Outreach Clinics (PCTOCs) and Healthcare Centers (HCC) located in VISN 19, in accordance with current federal, state and local regulations. This will include any proposed or newly constructed sites that may be included after the award. The contractor shall provide all labor, supervision, equipment, training, and protective equipment to properly pickup and dispose Regulated Medical Waste (RMW) to include trace chemotherapy, non-hazardous pharmaceuticals, and pathological wastes with all federal (including VA regulations), state, and local regulations for the below listed location(s) of performance. This will be awarded as a 5-year IDIQ (Indefinite Delivery Indefinite Quantity) Contract that will run five (5) years from date of Award to 12/31/2029. Minimum Guarantee for this 5-year IDIQ is the disposal of 200 tons of waste per year. Maximum for this 5-year IDIQ is the disposal of 500 tons of waste per year. The Government reserves the right to award one or more contracts resulting from this solicitation. Unit pricing must include: all labor/personnel, any 96-gallon reusable roll-offs, bags, labeling, manifest, transportation, treatment, and disposal at an approved facility in accordance with all federal, state and local regulations. 2.1 DEFINITIONS Regulated Medical Waste (RMW): liquid or semi-liquid blood or other potentially infectious materials; contaminated items that would release blood or other potentially infectious materials in a liquid or semi-liquid state if compressed; items that are caked with dried blood or other potentially infectious materials and are capable of releasing these materials during handling; contaminated sharps; and pathological and microbiological wastes containing blood or other potentially infectious materials. Other Potentially Infectious Materials: (OPI) means; The following human body fluids: semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids; Any unfixed tissue or organ (other than intact skin) from a human (living or dead); and HIV-containing cell or tissue cultures, organ cultures, and HIV- or HBV-containing culture medium or other solutions; and blood, organs, or other tissues from experimental animals infected with HIV or HBVOPI. Sharps means any contaminated object that can penetrate the skin including, but not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires Pathological Waste consists of tissues, organs, body parts, human fetuses and animal carcasses, blood, and body fluids and must be treated through low level incineration. Trace Chemotherapy Waste: are non-hazardous pharmaceuticals that are less than 3% volume of a National Institute for Occupatoinal Safety and Health (NISOH) NIOSH page Table 1 hazardous drug or a facility determined hazardous drug per the U.S. Pharmacopeia (USP) 800 standard in it s orgininal container, IV-solutions or other adiministrative methods and the personal protective equipment used to administer the drug. It also includes soiled chux pads and diapers of patients receiving chemotherapy from start of therapy to 48 hours after last dose. Non-Hazardous Pharmaceutical Waste: medications that do not meet the EPA definition of a hazardous waste in in §266.500. Includes over-the-counter pharmaceutical, dietary supplement, or homeopathic drugs which are not a solid waste, as defined in §261.2, and therefore not a hazardous waste pharmaceutical, if it has a reasonable expectation of being legitimately used/reused (e.g., lawfully redistributed for its intended purpose) or reclaimed. Forms may include vials, syringes, pills, and and needles assoricated with it s administration. 2.2. MEDICAL WASTE REQUIREMENTS The Contractor shall provide labor, transportation, collection, removal, treatment and destruction for the disposal of all RMW generated by the listed VISN19 Medical Centers, their CBOCs, CLCs, HHCs and PCTOCs as specified in this PWS and Cost/Price Schedule in accordance with the terms and conditions of this contract. Performance will be according to the requirements contained in this PWS. Services shall also include the option for mail-in disposal from rural clinics. This service shall provide all required labeling and packaging. VAMCs, CBOCs, CLCs, HHCS, and PCTOCs will be responsible for properly and lawfully filling and storing the RMW. VAMCs, CBOCs, and PCTOCs shall store the full RMW in containers supplied and approved by the Contactor. Infectious medical waste containers shall be leak proof, have tight-fitting covers, and be kept clean and in good repair. The storage of RMW shall be confined to an area on the premises to which only authorized personnel shall have access. VISN 19 facilities also require the disposal of wastes the require low-grade incineration to include: Trace Chemotherapy Non-hazardous Pharmaceuticals Pathological Waste, including animal carcasses All work shall be accomplished in accordance with VA, Federal, State, and local regulations. The applicable regulations that are included but not limited to are the following: Veterans Health Administration (VHA) Directive 1850.06 Waste Management Program Veterans Administration (VA) Directive 0057 VA Environmental Management Program Blood borne Pathogen Standard (OSHA), 29 CFR 1910.1030 Hazard Communication Standard (OSHA), 29 CFR 1910.1200 Department of Transportation (DOT), 49 CFR 172 Montana Annotated Code (MCA), 75-10-1005 Utah s Annotated Code (UAC), R315-316-1, R315-316-4, and R315-315-5(2)(a) Colorado 6 CCR 1007-2 Section 13 Oklahoma Administrative Code (OAC) 252:515-23 2.4. SCHEDULE 2.4.1. PICK-UP TIMES The contractor shall pick-up RMW between the hours of 8:00 AM through 4:30 PM on regular clinic days, expect Hamilton, MT that is only open until 2:30PM. The contactor shall not pick-up medical waste outside of the designated hours. The scheduled pick-up times will be mutually agreeable to both parties. The contractor is responsible for notifying the appropriate Government official at each site for arrangements for the pick-up of the RMW. If routine pick-up is scheduled on a recognized Government holiday, then the pick-up must be rescheduled and picked-up either within three (3) days before or after the holiday. The 11 national holidays observed by the Federal Government or any other day specifically declared by the President of the United States to be a National Holiday. 2.4.2 LOCATIONS & FREQUENCIES The government reserves the right to modify the contract as needed to add or delete VA locations, frequencies, or product categories. Estimates are given in 48-gallon overpack containers for consistency, but Contractor shall be able to provide a variety of sizes to accommodate facility needs. Facilities may generator more or less of these estimates. Name/Location Name Street City, State, Zip Frequency of Pickups Total of (48gal) Overpack Picked up Each Time of RMW Additional RMW Subcategories: Trace Chemo, Non-hazardous pharmaceutical, and/or pathological Total (48gal) Overpack of Additional Incineration Waste During RMW Pickup 96gal Transporter POC on Site Sheridan VA Medical Center 1898 Fort Road Sheridan, Wy 82801 Monthly 20 Trace Chemotherapy And Non-hazardous Pharmaceutical 4 NA Housekeeping =1 307 763 3641 Afton CBOC 125 South Washington Afton Wy. 83110 Quarterly 2 NA NA NA Office Staff- 1 307 886 5266 Casper CBOC 4140 South Poplar Street Casper, WY 82601 Monthly 4 NA NA NA Office Staff 1 307 235 4143 Riverton CBOC 2300 Rose Lane Riverton, WY 82501 Monthly 2 NA NA NA Office Staff 1 307 857 1211 Gillette CBOC 604 Express Drive Gillette, WY 82718 Monthly 3 NA NA NA Office staff 1 307 685 0676 Rock Springs CBOC 1401 Gateway Blvd. #1 Rock Springs, WY 82901 Monthly 3 NA NA NA Office staff 1 307 362 6641 Evanston PCTOC Evanston Valley Business Park 1565 South Highway 150#E Evanston, WY 82930 Quarterly 1 NA NA NA Office staff 1 307 789 3384 Worland PCTOC 510 South 15th, Suite D Worland, WY 82401 Quarterly 1 NA NA NA Office staff 1 307 347 2808 Cody CBOC 1432 Rumsey Ave Cody WY 82414 Monthly 2 NA NA NA Office staff 1 307 587 4015 OKC VA Medical Center (West Dock) 1921 NE 13th St Oklahoma City OK 73104 Tri-Weekly (3 times per week) 20 Trace Chemotherapy and Pathological 8 25 Thomas Welby 405-456-5026 Ada VA Clinic 717 Better Now Plaza Ada, OK 74820 Monthly 2 NA NA NA 580-436-2262 Altus VA Clinic 1604 North Main Altus, OK 73521 Monthly 2 NA NA NA 580-482-0721 Ardmore VA Outpatient Clinic 1235 12th Avenue Northwest Ardmore, OK 73401 Bi-Weekly (2 Times per Month) 2 NA NA NA 580-222-0400 Blackwell VA Clinic 1009 West Ferguson Avenue Blackwell, OK 74631 Monthly 2 NA NA NA 580-363-0052 Clinton VA Outpatient Clinic 315 Gary Blvd Clinton, OK 73601 Monthly 2 NA NA NA 580-547-0900 Enid VA Clinic 915 East Owen K. Garriott Rd Enid, OK 73701 Monthly 2 NA NA NA 877-576-8291 Fourteenth Street VA Clinic (VRC) 1301 Northeast 14th Street Oklahoma City, OK 73117 Monthly 2 NA NA NA 405-426-6839 Friendship House VA 1140 Northwest 32nd Street Oklahoma City, OK 73118 Monthly 2 NA NA NA 405-456-1000 Lawton North Clinic 2640 Miner Road Fort Sill OK 73503 Monthly 2 NA NA NA 580-585-5600 Lawton Outpatient Clinic (Fort Sill) 4303 Pitman St. Lawton, OK 73503 Weekly 5 NA NA NA 580-585-5600 Norman Outpatient Clinic 1020 NW 24th Norman OK 73069 Monthly 3 NA NA NA 405-217-6000 South Annex Clinic 7919 Mid America Blvd Oklahoma City, OK 73135 Bi-Weekly (2 Times per Month) 4 NA NA NA 405-855-6000 North May Clinic 2915 Pine Ridge Road Oklahoma City, OK 73120 Monthly 4 NA NA NA 405-752-6500 North Oklahoma City Clinic 14400 Bogert Parkway, Suite 100 Oklahoma City, OK 73134 Monthly 2 NA NA NA 405-302-1500 Shawnee Clinic 3700 N. Kickapoo Ave Suite 100 & 108 Shawnee, OK 74804 Monthly 2 NA NA NA 405-214-1700 Stillwater VA Outpatient Clinic 320 N Perkin Ave Stillwater, OK 74074 Monthly 3 NA NA NA 405-707-8100 Tinker Air Force Base Clinic 72nd Medical Group (Building 1094) 7050 Air Depot Blvd Tinker AFB, OK 73145 Monthly 1 NA NA NA 405-582-6485 Wichita Falls VA Outpatient Clinic 2600 Central Freeway Wichita Falls, TX 76306 Monthly 7 NA NA NA 940-257-0001 Salt Lake City, Utah VAMC 500 S Foothill Drive. Salt Lake City, Utah 84148 Building #1 Bi-Weekly 35 NA NA NA Kenyon Eastin 385-214-6024 Robert Gilley 385-214-6024 Eddie Nunn 385-214-6024 Salt Lake City, Utah VAMC 500 S Foothill Drive. Salt Lake City, Utah 84148 Building #2 Weekly 6 NA NA NA Kenyon Eastin 385-214-6024 Salt Lake City, Utah VAMC 500 S Foothill Drive. Salt Lake City, Utah 84148 Building #7 Weekly N/A Trace Chemotherapy and Pathological 4 NA Robert Gilley 385-214-6024 Salt Lake City, Utah VAMC 500 S Foothill Drive. Salt Lake City, Utah 84148 Building #14 Weekly N/A Trace Chemo, Non-hazardous Pharmaceutical, and Pathological Chemo 10 Pharma-4 Pathological-Friday-2 NA Eddie Nunn 385-214-6024 Elko, Nevada Elko PCTOC Gateway Center 2719 Argent Avenue #9 Elko, Nevada 89801 Quantity one 3 Gallon Mail back every 6 weeks. Quantity one 9 gallon Sharp every 3 months or as needed. NA NA NA 775-738-0188 Janet Peck 775-934-1057 Price, Utah Price PCTOC 600 West 189 South Ste. #B Price, Utah 84501 Monthly or as needed. 1 NA NA NA 435-613-0342 St.George, Utah CBOC 230 North 1680 East,Bldg. N St. George, Utah 84790 Monthly 2 Non-hazardous Pharmaceuticals 1 NA 435-634-7608 South Jordan, Utah CBOC 5119 W Daybreak Pkwy, South Jordan, UT 84009 Monthly 3 NA NA NA 801-417-5734 Idaho Falls, Idaho 640 South Woodruff Idaho Falls, ID 83401 Monthly 1 NA NA NA 208-522-2922 Pocatello, Idaho CBOC 500 S 11th Ave Pocatello, Idaho 83201 Monthly 1 NA NA NA 208-232-6214 Ogden, Utah CBOC 3945 South Washington Blvd.,Suite A South Ogden, Utah 84403 Monthly 5 Chemo 1 NA 801-479-4105 Orem, Utah CBOC 774 South State Street Orem, UT 84058 Monthly 3 NA NA NA 801-235-0953 Cache Valley, Logan Utah CBOC 2380 North 400 East, Suite G North Logan Utah 84341 Monthly 1 NA NA NA 801-582-1565 Rocky Mountain Regional VA Medical Center 1700 N. Wheeling Street Aurora, Co., 80045 Daily 40 Trace Chemo, Non-hazardous Pharmaceutical, and Pathological (weekly) 8 10 9 NA Jason R. Lelm 720-723-6398 Aurora Clinic 13701 E. Mississippi Aurora Co., 80012 Monthly 2 NA NA NA Jason R. Lelm 720-723-6398 Domiciliary Lakewood Clinic 7350 W. Eastman Place Lakewood, Co., 80227 Weekly 2 NA NA NA Jason R. Lelm 720-723-6398 Pueblo Nursing Home 2600 Oakshire Lane Pueblo, Co., 81001 Weekly 2 NA NA NA Jason R. Lelm 720-723-6398 Pueblo Outpatient Clinic 4776 Eagleridge Circle Pueblo, Co., 81008 Weekly 3 Non-hazardous Pharmaceutical Semi-annual - 1 Jason R. Lelm 720-723-6398 La Junta Clinic 1100 Carson Ave, Suite 104 La Junta, Co., 81050 Bi-monthly (EOM) 1 NA NA NA Jason R. Lelm 720-723-6398 Alamosa Primary Care Clinic 622 Del Sol Drive Alamosa, Co., 81101 Bi-monthly (EOM) 1 NA NA NA Jason R. Lelm 720-723-6398 Salida Outpatient Clinic 1000 Rush Drive Salida, Co., 81201 Monthly 1 NA NA NA Jason R. Lelm 720-723-6398 Jewell Outpatient Clinic 14400 Jewell Avenue Aurora, Co., 80012 Monthly 1 NA NA NA Jason R. Lelm 720-723-6398 Burlington Outpatient Clinic 1177 Rose Avenue Burlington, Colorado, 80807 Monthly 1 NA NA NA Jason R. Lelm 720-723-6398 PFC Floyd K. Lindstrom Outpatient Clinic at Colorado Springs 3141 Centennial Boulevard Colorado Springs, CO 80907 Bi-monthly (EOM) 3 Non-hazardous Pharmaceutical Every Three Months - 1 Jason R. Lelm 720-723-6398 Golden Outpatient Clinic 1020 Johnson Rd. Golden, Co., 80401 Bi-monthly (EOM) 3 NA NA NA Jason R. Lelm 720-723-6398 Lamar Outpatient Clinic 1401 South Main Street, Suite 2 Lamar, Colorado, 81052 Bi-monthly (EOM) 2 NA NA NA Jason R. Lelm 720-723-6398 Community Resource and Referral Center 3836 York Street Denver, Colorado, 80205 Weekly 1 NA NA NA Jason R. Lelm 720-723-6398 Union Boulevard Outpatient Clinic 3920 N Union Blvd Suite 100 Colorado Springs, CO 80907 Monthly 2 NA NA NA Jason R. Lelm 720-723-6398 Union Boulevard Outpatient Clinic 3920 N Union Blvd Suite 200 Colorado Springs, CO 80907 Monthly 2 NA NA NA Jason R. Lelm 720-723-6398 Space Center Outpatient Clinic 565 Space Center Drive Suite 130 Colorado Springs, CO 80915 Monthly 2 NA NA NA Jason R. Lelm 720-723-6398 Butte VA Clinic 40 Three Bears Dr. Butte, MT 59701 Monthly 2 Non-hazardous pharmaceuticals 1 NA (406) 496-3000 Billings Health Care Center 1766 Majestic Lane Billings, MT 59102 Weekly 2 Non-hazardous pharmaceuticals 1 NA (406) 373-3500 Bozeman CBOC 1101 East Main Street, Suite 201 Bozeman, MT 59715 Bi-Monthly (EOM) 1 Non-hazardous pharmaceuticals 1 NA Crystal Gaddo (406) 582-5337 Cut Bank CBOC 8 Second Avenue Southeast Cut Bank, MT 59427 Bimonthly (EOM) 1 Non-hazardous pharmaceuticals 1 NA Pamela Kleh (406) 758-2712 or Wanda McKay (406) 873-9047 Fort Harrison VA Medical Center 3687 Veterans Drive, PO Box 1500 Fort Harrison, MT 59636 Monthly 9 Trace Chemotherapy, Pathological 8 1 NA (406) 447-7852 Eugene Scott Winters Glasgow VA Clinic 630 2nd Avenue South, Suite A Glasgow, MT 59230 Monthly 1 Non-hazardous pharmaceuticals 1 NA Nancy Lasar (406) 535-4790 Great Falls VA Clinic 1400 29th Street South, Suite 1 Great Falls, MT 59405 Monthly 3 Non-hazardous pharmaceuticals 1 NA Marcie Watson (406) 791-3245 Hamilton VA Clinic 299 Fairgrounds Road, Suite A Hamilton, MT 59840 Bi-Monthly (EOM) 1 Non-hazardous pharmaceuticals 1 NA (406) 363-3352 Havre CBOC 1753 US Highway 2 Northwest, Suite 3 Havre, MT 59501 Monthly 1 Non-hazardous pharmaceuticals 1 NA Teri Matosich (406) 265-4304 Kalispell VA Clinic 31 Three Mile Drive Kalispell, MT 59901 Bi-Weekly (EOW) 2 Non-hazardous pharmaceuticals 1 NA Pamela Kleh (406) 758-2712 or Carolyn Baker Lewistown VA Clinic 629 Northeast Main Street, Suite 1 Lewistown, MT 59457 Monthly 1 Non-hazardous pharmaceuticals 1 NA Janna VandenBos (406) 535-4790 Miles City CLC 210 South Winchester Avenue Miles City, MT 59301 Monthly 1 Non-hazardous pharmaceuticals 1 NA CLC: (406) 874-5600 Clinic: (406) 442-6410 Miles City CBOC 316 South Haynes Avenue Miles City, MT 59301 Quarterly 1 Non-hazardous pharmaceuticals 1 NA Clinic: (406) 874-5680 Tracy Holman / Mark Malloy 5666 Missoula VA Clinic 3885 West Broadway Street Missoula, MT 59808 Weekly 2 Non-hazardous pharmaceuticals 1 NA Virginia Mahn (406)493-3793 Kristina Frost (406) 493-3700 Jack C Montgomery VAMC, 1011 Honor Heights Dr. Muskogee OK 74401 2X Weekly 12 Trace Chemotherapy, Non-hazardous Pharmaceutical, and Pathological 12 NA John Barbee/Weston Phillips 918-577-3258 Ernest Childers VA HCC, 8921 S. Mingo Dr. Tulsa OK 74133 Monthly 20 Trace Chemotherapy, Non-hazardous Pharmaceutical, and Pathological 3 NA Shawna Ziegler 918-348-1452 Claremore, CBOC. 3000 Medical Parkway Claremore, OK 74017 2 X Monthly 4 Trace Chemotherapy, Non-hazardous Pharmaceutical, and Pathological 4 NA Leon Langguth 918-348-9608 Bartlesville CBOC. 3005 E Frank Philips Boulevard Bartlesville, OK 74006 918-348-0307 2 X Monthly 4 Trace Chemotherapy, Non-hazardous Pharmaceutical, and Pathological 4 NA Tiawna Spiller, 918-348-0307 Cheyenne VA MC 2360 E Pershing Blvd Cheyenne WY 82001 Weekly 35 Trace Chemotherapy, Non-hazardous Pharmaceutical and Pathological 2 NA Austin John (307)7787550 X3914 Fort Collins 2509 Research Boulevard, Fort Collins Weekly 2 Trace Chemotherapy 2 NA Austin John (307)7787550 X3914 Loveland VA Clinic 5200 Hahns Peak Drive Loveland, CO 80538-8852 Weekly 2 Trace Chemotherapy 2 NA Austin John (307)7787550 X3914 Northern Colorado VA Outpatient Clinic 4575 Byrd Dr. Loveland, CO 80538 Weekly 5 Trace Chemo, Non-hazardous pharmaceutical, and/or pathological 4 NA Administrative Officer (970).962.4900 X2111                       Administrative support Assistant Phone 970-593-3300 ext 2888 Mobile - 4434690130 Sidney VA Clinic 1116 10th Avenue, Sidney NE 69162 Monthly 1 NA NA NA Austin John (307)7787550 X3914 Rawlins VA Clinic 1809 East Daley Street Rawlins, WY 82301 Quarterly Mail back Box NA NA NA Austin John (307)7787550 X3914 VAMC Grand Junction CO. 2121 North Ave Grand Junction CO Bi-Monthly 10 Chemo, Non-hazardous pharmaceuticals, and pathological 10 NA JT Quinn (970) 242-0731 x 2749 (Alt) Med Recibe 970-242-0731 x2559 Montrose CBOC 154 Colorado Ave. CO 81401 Monthly 0 Non-hazardous pharmaceuticals 2 NA Jt Quinn 970-242-0731 x2749 (Alt)Melissa Szakmeister (970) 249-7791 Glenwood Springs CBOC 2425 S. Grand Ave. Unit 101 Glenwood Springs CO 81601 Quarterly 0 Non-hazardous pharmaceuticals 2 NA Jt Quinn 970-242-0731 x2749 (Alt) David Brodd (970) 945-1007 Craig CBOC Centennial Mall, Ste 116, 1111, W Victory Way Craig CO 81625 Quarterly 0 Non-hazardous pharmaceuticals 2 NA Jt Quinn 970-242-0731 x2749 (Alt) Tonya Louchan (970) 824-6721 Moab CBOC 702 South Main Street, Suite 5B Moab, UT 84532 Quarterly Mail back box NA NA NA Jt Quinn 970-242-0731 x2749 (Alt) Tonya Louchan (970) 824-6721 2.5. CONTINGENCY PLAN: Fort Harrison VA Medical Center and Glendive CBOC will utilize this contract as their contingency plan for temporary closures of their autoclave. The entire VISN 19 healthcare systems will utilize this contract in the rare event that a Category A infectious waste is generated. 3.0. CONTRACTOR REQUIREMENTS AND QUALIFICATIONS 3.1. THE CONTRACTOR SHALL: Provide and maintain all licenses and permits for operational personnel, trailers, containers, vehicles and other resources required for proper removal of biohazardous waste in accordance with all applicable Federal, State, Municipal, and local regulations (e.g. OSHA, EPA, MT/WY/UT/OK DEQ, CO DPHE, 49 CFR (DOT) including, but not limited to HM-18). The Contractor shall provide the services enumerated above at the rates set forth which includes all applicable taxes, assessments, and related charges, including adjustments for it. The Contractor shall provide all the necessary equipment to perform such services and all such equipment shall comply with all applicable federal, state, county, and municipal laws, regulations, guidelines and permits. The Contractor shall provide a variety of overpack containers sizes with liners. All containers and liners will be labeled according to all federal, state and local regulations. Any changes to type, size, amount of equipment, and the frequency of service may be mutually agreed to in writing by both parties without affecting the validity of the contract. Supply all overpack containers for transport of the above waste and perform all labeling, manifesting, labor, transportation, proper disposal and certificate of destruction for each pick up of waste in accordance with all federal, state and local requirements. Contain any spills which occur while the medical waste is being handled, removed, or transported by the contractor. Any clean-up shall be the responsibility of the contractor. Immediately notify all appropriate Authority Having Jurisdiction (AHJ) and the Contracting Officer s Representative (COR) should a vehicle be involved in a spill or accident that renders the vehicle non-compliant with applicable rules and regulations. Ensure all spillage or leaks are promptly cleaned-up along any transportation route if such spillage or leaks are from the contractor s hauling equipment and/or vehicles. Not allow any RMW to be compacted before being sterilized. Ensure all waste overpack containers are cleaned and disinfected for use when delivered to the facility. Ensure all waste containers are rigid and puncture resistant and labeled with the word BIOHAZARD . Ensure all chemotherapy waste, non-hazardous pharmaceuticals, and pathological are picked up during RMW pickups and are incinerated in a permitted treatment facility. Equip transportation vehicles with fully enclosed leak-resistant cargo body maintained in sanitary condition and secured when left unattended. Vehicles shall be properly disinfected as a result of leaks or spills. Ensure RMW is not combined with other waste. Ensure transporter sign, date, and furnish a copy of the manifest prior to the RMW leaving the pickup site. Certify that the manifest data matches the load to be removed. Deliver the waste to an authorized facility and sign the manifest to verify that the regulated material has been delivered. Return all remaining copies of the manifest to the generator, assuring final disposal. Supply up to twenty-five (25) 96-gallon internal transport containers per main hospital waste as outlined in schedule section. Provide a monthly summary report of all RMW disposed to the VAMC COR within 14 days of the final pick-up in that calendar month. Report shall list each waste stream; regulated medical, trace chemotherapy, non-hazardous pharmaceuticals, and pathological, with location totals. The Contractor shall lead a quarterly program meeting with the CO and the COR s to address contract performance. These meetings may take place virtually with all stations in attendance. Should contract deficiencies arise, meetings may be held on a more frequent basis to resolve any/all issues. The Contractor shall provide draft meeting minutes to the COR for review within seven (7) calendar days of the meeting and final minutes within seven (7) calendar days of the COR s draft review. The minutes will accurately document meeting participants and the discussions and decisions that took place during the meeting. Contractor shall notify COR 24 hours in advance if picking up on an out of cycle day to ensure staffing to sign manifest. Contractor shall provide waste reduction opportunities to VAHCS based on sites waste trends or industry standards. 3.2. EDUCATION AND TRAINING REQUIREMENTS. Due to the health and safety risks (especially Bloodborne Pathogens) associated with this requirement, the Contractor s methods, procedures, training and other controls that are proposed must allow the performance of the tasks with no adverse effects from the risk factors. The Contractor shall provide training to the employees within the VISN for proper packaging of waste prior to the startup of the contract collection per Contracts rules and processes and DOT shipping requirements. The contractor reserves the right to decline to accept for collection, transportation, treatment of disposal of any RMWs with cannot be transported, treated or disposed of in a lawful manner or without a risk of harm to public health or the environment. Improperly packaged, leaking, overweight or damaged containers are subject to rejection. No containers will be picked up that are wet or leaking. Repackaging of the waste by the Contractor shall be reimbursable when prior approval of the VA representative is acquired. Contract personnel shall be trained in the proper DOT, EPA, and MT/WY/UT/OK DEQ or CO DPHE handling requirements. The training plan shall demonstrate a good working knowledge of the US DOT, US Occupational Health and Safety (OSHA), and other applicable regulations that govern the health and safety risks involved in the handling and shipping of regulated medical waste. The contractor must be able to provide, at a minimum, the following training: - US DOT - HAZMAT Familiarization - Function Specific - Shipping Papers - Proper Packaging - Safety - Security Awareness/In-Depth Security - OSHA Bloodborne Pathogens Standard - Waste Minimization 3.3. CONDUCT: The Contracting Officer reserves the right to request the contractor to provide another employee if an employee does not obey VAMC Policies, VHA Directives, or does not act in the best interest of the Government. All contract personnel shall be instructed that smoking, chew tobacco, and vaping is prohibited on VA property. 3.4. EMPLOYER RESPONSIBILITY: The Contractor shall be responsible for protecting the personnel that are furnishing the services under this contract. To carry out this responsibility, the contractor shall provide the following for their personnel: Worker s Compensation Professional Liability Insurance Income Tax Withholding Social Security Payments Contractor s personnel may be required to perform work under potentially hazardous conditions. Contractor s personnel shall be informed of potentially hazardous situations by contractor, trained by contractor in techniques required to recognize and deal with potentially hazardous situations in a manner which will minimize personal risk, and required to adhere to standard techniques for personal protection. 3.5. UNIFORMS AND EMPLOYEE IDENTIFICATION: All of the contractor s personnel assigned to the performance of this contract shall wear a uniform that is clearly distinguishable from all VA uniforms and name badge to clearly identify company name and employee name. Contractor employees will not be considered or treated as federal employees for any purpose, will not be regarded as performing a personal service, and will not be eligible for civil service employee benefits, including retirement. Contractor employees shall identify themselves as contractor employees in all communication modes used in performing the services, e.g. email, telephone, verbal. Services furnished by contractor employees will be performed as necessary to fulfill the requirements of this PWS. 3.6. INVOICING All Invoices from the Contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests. Submittals shall be done monthly. Payment will be made upon receipt of a properly prepared, itemized invoice, validated by the COR, and submitted through the Tungstun System. A properly prepared invoice will contain: Invoice Number and Date Contractor s Name and Address Accurate Purchase Order Number Itemization of pounds recycled and disposed Price per pound Dates service performed Location of service performed Total amount due A separate invoice will be prepared for each facility 4.0 SAFE HANDELING OF MEDICAL WASTE 4.1 GENERAL SAFETY PROVISIONS Contractor shall provide all safety equipment for their employees in the performance of this contract while on government property and shall abide by safe working standards. In the performance of this contract, the contractor shall take such safety precautions as necessary to protect the lives and health of occupants of the building. The contractor shall immediately correct any fire and safety deficiencies caused by his/her employee. If the contractor fails or refused to correct deficiencies promptly, the contractor officer may issue an order stopping all or any part of the work and hold the contractor in default of the contract. The contractor shall comply with applicable federal, state and local safety and fire regulations and codes that are in effect at the beginning of the contract period. The contractor shall keep abreast of, and comply with, changes in these regulations and codes applicable to the contract. The contractor is to provide copies of all Safety Data Sheet (SDS) to the COR if chemical products used by the contractor are brought on site. 4.2. SPILL HANDLING The contractor shall report all spills to the facility s on-site POC and to the COR. The Contractor shall be legally and financially responsible for the cost of all clean-up of spills created by the contractor. The Contractor shall be required to clean-up any spills created during the collection process utilizing non-VA resources. 4.3. RECORDKEEPING In the performance of all services to be provided hereunder, the contractor agrees to comply with all applicable permits, all applicable federal, state, county, and municipal laws and ordinances and all lawful orders, rules, regulations and guidelines of any duly constituted authority, including but not limited to social security, income tax withholding laws, unemployment compensation laws, environment, safety and health laws and manifesting requirements. The contractor and its affiliates shall keep and retain adequate books and records and other documentation including personnel records, correspondence, instructions, plans, receipts, vouchers, copies of all manifests and any other records or repots or memoranda, consistent with and for the period required by applicable regulatory requirements and guidelines pertaining to performance of the services. Contractor shall provide an electronic manifest database as a redundancy for all stations to access. 5.0. CONTRACT PERFORMANCE MONITORING Monitoring of contractor s performance shall be demonstrated through Direct Observation. The COR and/or the ...