Q--Occupational Therapist specializing in driving rehabilitation

Page 15 of 15 Description of Solicitation In accordance with FAR Part 13 this a combined synopsis/solicitation for commercial items prepared in accordance with the format in FAR Subpart 12.6, as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotes are being requested and a written solicitation will not be issued. This Solicitation issued as a Request for Quotation (RFQ) for the following Commercial Items: Occupational therapist specializing in driving rehabilitation. Responses shall be on an all or none basis, no partial submission. The Government reserves the right to make no award at all. contact@example.gov as an alternate contact information should your POC be non-responsive or no longer assigned to NCO 21. Include in subject line, the Contract Number and ATTN: Individual name attempted to contact Respond by: Please see INSTRUCTIONS TO OFFERORS below. Small Business Set-Aside: This solicitation is Set-aside 100% for Small Businesses. Quotations from Large Business offerors will be considered non-responsive, will not be evaluated and will not be eligible for award. NAICS code/Size Standard/PSC or FSC: NAICS code (North American Industrial Classification system: 621340 Size Standard for this NAICS code: $7.5 M PSC/FSC (Product Service Code/Federal Supply Code): Q518 Type of Contract/Award: The type of contract/award the government intends to make/enter into for this solicitation is a single award, firm-fixed price purchase order. Contract Period: October 1, 2019 thru September 30, 2020. Method of Payment: Payment will be made electronically to: Department of Veterans Affairs FMS-VA-2(101), Financial Services Center, PO Box 149971, Austin TX 78714-9971 through the Tungsten Network Client Services. For help call: +1 (555) 000-0000, E-mail: contact@example.gov. Provisions and Clauses: All provisions and clauses applicable to this solicitation can be viewed in full text using the following web addresses: https://www.acquisition.gov/browsefar -or- https://www.va.gov/oal/library/vaar/ Services: BASE YEAR: Period of Performance: October 01, 2019 to September 30, 2020 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 0001 None Occupational Therapist Initial clinical and behind the wheel instruction/ evaluation 10 Hours $ $ KEY PERSONNEL None 0001a Occupational Therapist Hourly rate for on the road driving training in instructor s/or patients vehicle for the primary area which is within 40 miles 300 Hours $ $ None 0001b Occupational Therapist Hourly rate for on the road driving training in instructor s/ or patient vehicle located 40 miles outside of primary area 300 Hours $ Total for Base Year $ OPTION YEAR ONE: Period of Performance October 01, 2020 to September 30, 2021 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 1001 None Occupational Therapist Initial clinical and behind the wheel instruction/ evaluation 10 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL None 1001a Occupational Therapist Hourly rate for on the road driving training in instructor s/or patients vehicle for the primary area which is within 40 miles 300 $ $ None 1001b Occupational Therapist Hourly rate for on the road driving training in instructor s/ or patient vehicle located 40 miles outside of primary area 300 Total for Option Year One $ OPTION YEAR TWO: Period of Performance: October 01, 2021 to September 30, 2022 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 2001 None Occupational Therapist Initial clinical and behind the wheel instruction/ evaluation 10 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL None 2001a Occupational Therapist Hourly rate for on the road driving training in instructor s/or patients vehicle for the primary area which is within 40 miles 300 $ $ None 2001b Occupational Therapist Hourly rate for on the road driving training in instructor s/ or patient vehicle located 40 miles outside of primary area 300 $ $ Total for Option Year Two $ OPTION YEAR THREE: Period of Performance: October 01, 2022 to September 30, 2023 CLIN No. SUB-CLIN Description Qty. Unit Unit Cost Total Annual Cost 3001 None Occupational Therapist Initial clinical and behind the wheel instruction/ evaluation 10 Hours DO NOT PRICE DO NOT PRICE KEY PERSONNEL None 3001a Occupational Therapist Hourly rate for on the road driving training in instructor s/or patients vehicle for the primary area which is within 40 miles 300 Hours $ $ None 3001b Occupational Therapist Hourly rate for on the road driving training in instructor s/ or patient vehicle located 40 miles outside of primary area 300 Hours $ Total for Option Year Three $ TOTAL FOR BASE YEAR AND ALL OPTION YEARS: $_______________________ Description & Salient Characteristics; The Contractor shall provide the services of a qualified occupational therapist specializing in driving rehabilitation, hereinafter referred to as "contract driving rehabilitation specialist" to perform the requirements of this contract Service will be performed at a location of convenience for the patient. Driving evaluations will be performed in the patient s own car, as long as the car meets the minimum State insurance requirements. Otherwise, a training car will be made available by the contracted driving rehabilitation specialist. Payment for any leave, including sick leave or vacation time, and holiday pay is the responsibility of the Contractor. All costs associated with travel, transportation, lodging or any other miscellaneous expenses related to this work shall be the sole responsibility of the contractor. General Duties: The contract driving rehabilitation specialist shall perform services, which include, but are not limited to the following: The contract driving rehabilitation specialist s primary functions will be skilled care for VA Southern Nevada Healthcare System (VASNHS) veterans who require specialized evaluation, training, and equipment to be successful and safe drivers. The individual driver rehabilitation specialist must possess: Special abilities and technical skills related to the provision of driver rehabilitation services A medical rehabilitation backgrounds Knowledge of residuals of traumatic and non-traumatic disabilities; and Special experience in order to evaluate and determine physical limitations of the Veteran with disabilities and the following modalities; i.e., hand controls, lifts, specialty adaptive driving systems, etc.\ The individual driver rehabilitation specialist must maintain a current knowledge of: Technological advances in adaptive equipment and high-tech driving systems; Changes in automotive design; and Other factors which may influence an individual s capacity to safely operate a motor vehicle. The Contractor and its personnel are expected to comply with all mandated standards and requirements. The Contractor is responsible for completing all mandatory training per VASNHS policy. The contractor must provide documented evidence of completion annually. If contractor fails to comply, suspension or termination of all physical and/or electronic access privileges and removal from contract until such time as the training is complete. Functions: Clinical: Provide accurate reports for all evaluation and training. Report requirements: Interview: Driving History Current needs/goals Usual driving conditions Medical history Clinical Evaluation includes: Vision. Portable vision devices provide an evaluation of certain vision factors necessary to perform a safe driving task. Equipment must be available to measure the following: visual acuity, color perception, field of vision, depth perception, glare recovery, and night vision Reaction Time. A device is used to measure reaction time from acceleration to braking. Cognitive and Perceptional Screening. In screening of basic cognitive and perceptional motor materials, identification and/or verification of a potential problem must be referred to the appropriate professional for a more in-depth evaluation. Neuromotor Assessment. This is a physical assessment of range of motion, strength, sensation, coordination, and endurance. Automobile Accessibility. Transfer in/out of vehicle and stowing of mobility aides (wheelchair, walker, etc.). Operation of equipment (headlights, turn signals, gear selector, etc.). Behind-the-Wheel Assessment Basic state driving laws Maneuverability in various types of traffic environments. Driving behaviors such as: anxiety, confusion, distractibility, impulsivity. Mental fatigue Access: Contractor to contact patient within reasonable time frame (30 days of initial consult) or document justification of inability to reach patient. Patient contact information to be released to contractor via release of information signed by veteran. Failure to comply with reasonable time frame will result in decrease in compensation rate for initial evaluation by 10% of negotiated cost. Administrative: Documentation of Clinical Chart. The patient s progress must be documented in the medical record via scanned reports from the driving rehabilitation specialist from time of initial evaluation and/or assessment until completion of the driver rehabilitation training. The provider will fax or mail records to administrative contract officer representative to have documents scanned into Vista Imaging. The provider will not physically enter records into VA computer database. Documentation must follow local medical facility policy and be in compliance with appropriate accreditation standards (i.e., the Joint Commission and the Commission on the Accreditation of Rehabilitation Facilities (CARF). The VA will provide the contract driving rehabilitation specialist with all adaptive equipment necessary for driving rehabilitation evaluation and training. Organizational Relationship The contract driving rehabilitation therapist will perform services under the oversight of the VA Chief, Optometry service or his/her designee. Routine work shall be performed with a minimum of supervision and the contract driving rehabilitation therapist will be required to perform duties on their own initiative. The contract driving rehabilitation therapist shall act in a thoroughly professional manner at all times. They shall work in harmony with other members of VA Staff where they are working. Tact and courtesy are mandatory when interacting with patients and staff. Work days/hours Work days/hours: The Contractor shall provide driving rehabilitation therapist shall provide services on a per patient bases as need arises. The contract driving rehabilitation therapist shall not be required to provide on-call or stand-by services. The contract driving rehabilitation therapist shall not be required to provide services on the following federal holidays: New Year's Day, Martin Luther King Day, President's Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving Day, Christmas Day and any other day specifically declared by the President of the United States to be a Federal Holiday. The contractor will not be required to work weekends. Services The services specified herein may be changed by written modification to this contract. The VA Contracting Officer will prepare the modification. Other personnel and equipment necessary for the operation of the services contracted for will be provided by the VA at levels compatible with the safety of patients, staff, and quality medical care programming. The services to be performed shall be performed in accordance with VA policies and procedures. Qualifications Prior to performing any work under this contract, the qualifications of the contract driving rehabilitation specialist must be submitted to the VA Chief, Optometry service or his/her designee for approval. In order to perform the services covered by this contract the contractor shall have a minimum of a Baccalaureate Degree in occupational therapy. The contractor shall also be certified as a driving rehabilitation therapist, hand therapist, and a licensed driving instructor with their own driving school. Updated licensing, registration, and certification must be provided as they are renewed yearly. Failure to comply will result in termination of the contract. Appropriate referrals need to be initiated by the driver rehabilitation specialist to other services for more detailed evaluations as indicated (i.e. cognitive assessment, neuro-sensory evaluation, visual examination, etc.). Additional university credentials, State certification and/or successful completion of the National Driver Rehabilitation Specialist Examination sponsored by Association for Driver Rehabilitation Specialists (ADED) , formerly known as the Association for Driver Educators for the Disabled, is encouraged. Qualifications shall be subject to review by the VA Chief of Staff and approval by the VA Facility Director. The contractor's personnel shall be responsible and able to show evidence of reliability, ability and experience. Verified references of ability and qualifications may be accepted by the Contracting Officer to satisfy these requirements. Before commencing work under this contract, the Contractor, shall provide, and thereafter maintain for the duration of the contract, Liability Insurance in conformance with applicable Nevada State requirements for the service contemplated. Evidence of insurance will not be waived. Emergency Health Services The VA will not render emergency health services to the contract driving rehabilitation specialist for an incapacitating injury or otherwise serious illness occurring while on duty. All services, to include wages earned during period of initial medical evaluation provided by the VA, will be reimbursed by the Contractor. The Contractor will furnish the VA with the necessary injury/illness form(s) for reporting purposes. The VA for statistical and/or billing purposes will retain a copy of the complete form(s). Patient Safety Patient safety incidents must be reported using Patient Safety Report. All incidents must be reported within 24 hours. Personnel Policy The Contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the Contractor shall provide the following: Worker s Compensation, Professional liability insurance, income tax withholding, and Social Security payments. The Contractor shall verify, and document, that all employees who provide patient care services at the VA Outpatient Clinic have the following before they provide any service related to this contract: (1) Health examinations including annual TB skin test result, (2) Either has received the Hepatitis 8 vaccine series, or is immune as a result of acquired infection, or haw been offered and refused the vaccinations. (3) Received measles-mumps-rubella (MMR) vaccine. Combined vaccine (MMR) is the vaccine of choice if individuals are likely to be susceptible to more than one of the three diseases and is required for all persons born after 1956. (4) A negative PPD within the last year, or, if a known reactor, a negative chest X-Ray within the past year. (5) A history of varicella (chicken pox) or, if unknown, results of a varicella antibody test. If non-immune, must be vaccinated with Varivax (Chicken pox). (6) Received training In Universal Precautions and Blood Borne Pathogens, Hazardous Material Management, and Life Safety Management (fire preparedness). (7) Successfully completed cardiopulmonary resuscitation (CPR) training. Identification, Parking, Smoking and VA Regulations The contract driving rehabilitation therapist shall wear visible identification, provided by the Contractor, at all times while on the premises of the VA Southern Nevada Healthcare System. It is the responsibility of the Contractor's personnel to park in the appropriate designated parking areas. Information on parking is available from the VA Police and Security Service. The VA Southern Nevada Healthcare System will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any buildings at the VA Southern Nevada Healthcare System. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court. Standard Precautions By signing this instrument, the Contractor certifies that all Contractor's employees assigned to work for the VA are current in standard Precautions and are aware of pertinent OSHA and standard Precautions Regulations. Special Contract Requirements Contractors, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information and information system security. 1.d DELIVERY Needed: Delivery Terms: 10/01/2019 through 09/30/2023 Deliver to: Department of Veteran Affairs VA Sierra Pacific Network (VISN 21) 6900 North Pecos Road North Las Vegas, NV 89086 2. INSTRUCTIONS TO OFFERORS The Provision FAR 52.212-1, Instructions to Offerors Commercial Items (Jan 2017) applies to this acquisition. Addendum to 52.212-1 Instructions to Offerors Commercial Items: Respond by: Offerors are to email complete offers to contact@example.gov, +1 (555) 000-0000 Offers must be received no later than 12:00, Sept 17, 2019 Please include in the subject line: Solicitation 36C26119Q0971 Occupation Therapist qualified in driving rehabilitation. Past Performance. Provide no more than three (3) references within three (3) years showing experience in providing the services required. Technical. Provide staffing plan to include staffing information, experience of staff, licenses, certifications and documentation to demonstrate capability in providing the services required. Price. The Contractor must complete price schedule in the solicitation in its entirety to include unit and total prices for all ordering periods. SOLICITATION PROVISIONS BY REFERENCE: 52.209-7 Information Regarding Responsibility 52.252-1 Solicitation Provisions Incorporated by Reference 852.233-70 Protest Content/Alternative Dispute Resolution 852.233-71 Alternate Protest Procedure 852.270-1 Representatives of contracting officers 852.252-70 Solicitation Provisions or Clauses Incorporated by Reference 852.273-74 Award without Exchanges (End of Provision 52.212-1) 3. EVALUATION OF OFFERS The Provision FAR 52.212-2, Evaluation Commercial Items (Oct 2014) applies to this acquisition and the following two lines are to be used and inserted into paragraph (a) of the that provision: Past Performance (References, Experience) Technical Capability License/Certifications Occupational Therapist License (license to practice in Nevada) Graduation from a degree program in occupational therapy approved by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations to include an internship (supervised fieldwork experience required by the educational institution). The ACOTE is the only accreditation agency recognized by the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA). Certification/Examination: Possession of written documentation that the individual has passed the entry-level certification examination for OTs which is administered by the National Board for Certification in Occupation Therapy (NBCOT) Certified hand therapist Certified by the Hand Therapy Certification Commission, Inc., Definition: An occupational therapist or physical therapist who has a minimum of five years of clinical experience, including 4,000 hours or more in direct practice in hand therapy. In addition, the Certified Hand Therapist has successfully passed a comprehensive test of advanced clinical skills and theory in upper quarter rehabilitation. Because of changes in the profession, every CHT is required to demonstrate continued professional development and competency by recertifying every five years. Certified driving rehabilitation therapist Pass the certification exam through The Association for Driving Rehabilitation Specialists and/or meet the requirements below: An undergraduate degree or higher in a health-related area of study with 1-year full time experience in degree area of study and an additional 1-year full time experience in the field of Driver Rehabilitation. Four-year undergraduate degree or higher with a major or minor in Traffic Safety and/or a Driver and Traffic Safety Endorsement with 1-year full time experience in Traffic Safety and an additional 2 years of full-time experience in the field of Driver Rehabilitation. Two-year degree in a health-related area of study with 1-year experience in degree area of study and an additional 3 years full time experience in the field of Driver Rehabilitation. Five years of full-time work experience in the field of Driver Rehabilitation. Certified driving instructor with driving school Listed as a certified professional drive school through the Nevada State Department of Motor Vehicles website. Accessibility (Local contractor) Within 100 miles of Las Vegas, Nevada Within Southern Nevada due to differing state DMV regulations for bioptic driving Training Car Availability for patients without access to their own vehicle Training car must have: Anti-glare window tinting Cross over bar Cushions for seating options Driving School brake EZ Handle for entry and exit Footrest Four-way power seat GPS Left foot accelerator Menox hand controls, right side MPS Right angle, left sided hand controls Pedal extensions Pedal guard Reverse alarm Seatbelt extender Spinner knob attachment left Spinner knob attachment, right Liability Coverage Meet the demands of the Department of Motor Vehicles in terms of bond and insurance for a professional driving school. Price (End of Provision 52.212-2) 4. OFFEROR REPRESENTATION AND CERTIFICATIONS The Provision 52.212-3, Offeror Representation and Certifications Commercial Items applies to this acquisition. The Offeror shall complete only paragraph (b) of this provision if the Offeror has completed the annual representations and certification electronically via the System for Award Management (SAM) Web site located at https://www.sam.gov/portal. If the Offeror has not completed the annual representations and certifications electronically, the Offeror shall complete only paragraphs (c) through (u) of this provision. (End of Provision 52.212-3) 5. TERMS & CONDITIONS The Clause 52.212-4, Contract Terms and Conditions Commercial Items (Jan 2017), applies to this acquisition. Addendum to FAR 52.212-4, Contract Terms and Conditions - Commercial Items (Jan 2017): 52.252-2 Clauses Incorporated by Reference (FEB 1998) 52.232-40 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013) 52.217-8 Option to Extend Services 52.217-9 Option to Extend the Term of the Contract 52.224-1 Privacy Act Notification 52.224-2 Privacy Act 52.232-18 Availability of Funds 52.232-40 Providing Accelerated Payments to Small Business Subcontractors. 52.237-3 Continuity of Services 852.203-70 Commercial advertising (Jan 2008) 852.219-74 Limitations on Subcontracting 852.232-72 Electronic Submission of Payment Requests 852.237-70 Contractor responsibilities 852.237-7 Indemnification and Medical Lability Insurance 852.271-70 Nondiscrimination in services provided to beneficiaries (End of Clause 52.212-4) 6. CONTRACT TERMS & CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS The Clause 52.212-5, Contract Terms and Conditions Required to Implement Statutes or Executive Orders Commercial Items applies to this acquisition. The FAR clauses listed below are the clauses chosen from paragraph (b) of this provision that apply to this acquisition and are incorporated by reference: 52.204 10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2018) (Pub. L. 109 282) (31 U.S.C. 6101 note). 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (OCT 2015) (31 U.S.C. 6101 note). 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644). 52.219-28, Post Award Small Business Program Representation (Jul 2013) (15 U.S.C 632(a)(2)). 52.222-3, Convict Labor (June 2003) (E.O. 11755). 52.222-21, Prohibition of Segregated Facilities (APR 2015). 52.222 26, Equal Opportunity (SEP 2016) (E.O. 11246). 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793). 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496). 52.222-50, Combating Trafficking in Persons (JAN 2019) (22 U.S.C. chapter 78 and E.O. 13627). 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a). 52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury). 52.232-33, Payment by Electronic Funds Transfer System for Award Management (Oct 2018) (31 U.S.C. 3332). 52.232-34, Payment by Electronic Funds Transfer Other than System for Award Management (Jul 2013) (31 U.S.C. 3332). 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67). 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67). Employee Class: Monetary Wage-Fringe Benefits: 12012 $15.00 hr. (End Clause 52.212-5) end solicitation**