S--Sharps Removal Service - Hampton, CBOC and APOC.

Changes have been made to the Performance Work Statement, Schedule of Services and Historical Information. Specifically, Sections 6 and 8 of the PWS have been changed, the quantity for the base year has been reduced to 7 and additional information has been added in the attachment labeled Historical Information. Additionally, the response due date has been extended. Quotes are due by 5:00 PM Eastern Standard time on 21 January 2014 to contact@example.gov. Quotes received after this date and time will be considered late in accordance with 52.212-1(f) and will not be evaluated. Quotes shall be submitted via e-mail to contact@example.gov. Base Year 1 February 2014 - 30 September 2014 Line Service QTY Unit Unit Cost Total Cost 0001 Reusable medical sharps container management program IAW the Performance Work Statement (PWS) for Hampton VAMC 100 Emancipation Drive Hampton, Virginia 23667 7 Months $ $ 0002 Reusable medical sharps container management program IAW the PWS for Virginia Beach CBOC 244 Clearfield Blvd Virginia Beach, Virginia 23462 7 Months $ $ 0003 Reusable medical sharps container management program IAW the PWS for APOC 1845 West City Drive Elizabeth City NC 27909 7 Months $ $ Base Year Total Cost: $ $ Option Year 1 1 October 2014 - 30 September 2015 Line Service QTY Unit Unit Cost Total Cost 1001 Reusable medical sharps container management program IAW the PWS for Hampton VAMC 100 Emancipation Drive Hampton, Virginia 23667 12 Months $ $ 1002 Reusable medical sharps container management program IAW the PWS for Virginia Beach CBOC 244 Clearfield Blvd Virginia Beach, Virginia 23462 12 Months $ $ 1003 Reusable medical sharps container management program IAW the PWS for APOC 1845 West City Drive Elizabeth City NC 27909 12 Months $ $ Option Year Total Cost: $ $ Option Year 2 30 October2015 - 1 October 2016 Line Service QTY Unit Unit Cost Total Cost 2001 Reusable medical sharps container management program IAW the PWS for Hampton VAMC 100 Emancipation Drive Hampton, Virginia 23667 12 Months $ $ 2002 Reusable medical sharps container management program IAW the PWS for Virginia Beach CBOC 244 Clearfield Blvd Virginia Beach, Virginia 23462 12 Months $ $ 2003 Reusable medical sharps container management program IAW the PWS for APOC 1845 West City Drive Elizabeth City NC 27909 12 Months $ $ Option Year Total Cost: $ $ Option Year 3 30 September 2016 - 1 October 2017 Line Service QTY Unit Unit Cost Total Cost 3001 Reusable medical sharps container management program IAW the PWS for Hampton VAMC 100 Emancipation Drive Hampton, Virginia 23667 12 Months $ $ 3002 Reusable medical sharps container management program IAW the PWS for Virginia Beach CBOC 244 Clearfield Blvd Virginia Beach, Virginia 23462 12 Months $ $ 3003 Reusable medical sharps container management program IAW the PWS for APOC 1845 West City Drive Elizabeth City NC 27909 12 Months $ $ Option Year Total Cost: $ $ Option Year 4 30 September 2017 - 1 October 2018 Line Service QTY Unit Unit Cost Total Cost 4001 Reusable medical sharps container management program IAW the PWS for Hampton VAMC 100 Emancipation Drive Hampton, Virginia 23667 12 Months $ $ 4002 Reusable medical sharps container management program IAW the PWS for Virginia Beach CBOC 244 Clearfield Blvd Virginia Beach, Virginia 23462 12 Months $ $ 4003 Reusable medical sharps container management program IAW the PWS for APOC 1845 West City Drive Elizabeth City NC 27909 12 Months $ $ Option Year Total Cost: $ $ Total Contract Cost (Base + Option Years): $ PERFORMANCE WORK STATEMENT REUSABLE SHARPS CONTAINERS/MEDICAL SHARPS WASTE DISPSOAL SERVICE 15 January 2014 1.0 INTRODUCTION. The Department of Veterans Affairs currently has the need for a contractor to provide a reusable medical sharps container management program at the Hampton VA Medical Center (HVAMC) and surrounding Community-Based Outpatient Clinics (CBOC). Contractor shall furnish all permits, services, materials, labor, supervision, management, management support, transportation, supplies, and equipment. 2.0 SCOPE. 2.1 The program must be performed in accordance with all Federal, State, and Local laws and regulations. The program is intended to accomplish waste minimization requirements for the medical center as well as improve the safety of staff, patients, and visitors. The proposed sharps containers shall be reusable containers as opposed to disposable containers. 2.2 The reusable sharps container program shall include: removal of existing sharps containers system (including disposable containers, wall brackets, carts, and cabinets); installation of reusable sharps containers (including lockable mounting brackets, stationary stands, mobile carts, and bulk storage/transport carts); in-service training to staff on use and handling of containers and proper segregation of medical sharps waste from other medical waste; monitoring reusable sharps containers to provide timely collection of full containers and replacement with clean/sanitized containers; transportation and disposal of medical sharps waste in accordance with Federal, State, and Local laws and regulations. 2.3 Regulated Medical Waste (RMW) includes but is not limited to items contaminated with blood and body fluids/waste, chemotherapy wastes, sharps, pathological and microbiological waste or other potentially infectious materials. The Contractor shall manage a reusable medical sharps container program at Hampton VAMC, CBOC and APOC, as specified in this PWS 3.0 PROGRAM LOCATIONS. 3.1 Contractor shall furnish all permits, services, materials, labor, supervision, management, management support, transportation, supplies, and equipment required to provide a reusable medical sharps container management program at the following: Hampton Veterans Affairs Medical Center 100 Emancipation Drive Hampton, Virginia 23667 (HVAMC) Virginia Beach Community-Based Outpatient Clinic (CBOC) 244 Clearfield Blvd Virginia Beach, Virginia 23462 (CBOC) Albemarle Primary Outpatient Clinic 1845 West City Drive Elizabeth City NC 27909 (APOC) 4.0 COORDINATION. 4.1 SCHEDULING: The contractor shall provide a written work schedule identifying when the work will be accomplished. All work must be scheduled through the Contracting Officer's Representative (COR). Normal hours of work shall be Monday through Friday (excluding National Holidays), 7:00 a.m. to 4:00 p.m. unless other arrangements are made in advance with the COR. 4.2 The contractor personnel must report to EMS prior to beginning work for each day and shall report back to EMS what they accomplished during the day before leaving the Medical Center grounds. 4.3 INTERFERENCE TO NORMAL FUNCTION: Contractor may be required to interrupt their work at any time so as not to interfere with the normal functioning of the facility, including utility services, fire protection systems, and passage of facility patients, personnel, equipment and carts. 4.4 Contractor personnel shall inform the COR or the designee of the need to gain access to secured areas. If access is required to secure areas, prearranged scheduling will be made with COR or designee. 4.5 The government will provide access for the Contractor to medical sharps waste collection and storage areas to support completion of work. 4.6 Contractor shall, at no additional cost to the Government, provide and maintain licenses, permits, vehicles, operators, equipment, and materials to properly handle, package, label, transport, and dispose of medical sharps waste generated at VAMC and CBOC"s. 5.0 REMOVAL/DISPOSAL AND INSTALLATION OF WALL MOUNTED SHARPS CONTAINERS 5.1 There are estimated 490 sharps container locations throughout the Hampton VAMC and CBOC's campuses. 5.2 Contractor shall remove existing sharps containers (including wall brackets, cabinets, and carts) and install reusable sharps containers (including lockable mounting brackets, stationary stands, single and double mobile carts, and bulk storage/transport carts). Wherever feasible the contractor will mount their wall brackets in the same location as the existing wall bracket being removed. All sharps container brackets that are wall mounted must be mounted in accordance with OSHA and NIOSH and meet industry standard ergonomics. Note: currently wall mounted brackets are already in place, if the contractor's containers do not fit the already installed brackets, then the brackets must be changed out at the contractor's expense. 5.3 Contractor shall patch and paint walls where needed as a result of the removal of the old system to match surrounding walls. 5.4 The system must meet all Federal, State, Local, NIOSH, OSHA and DOT standards for collection, storage, transport, and disposal of medical sharps waste. All mobile carts and bulk transport carts must have wheels and be clean and in good repair at all times. Minimum requirements for the reusable sharps containers are as follows: 1. Reusable 2. Puncture proof 3. Must arrive at the medical center fully assembled 4. Leak proof in all orientations 5. One hand/one step disposal mechanism 6. Overfill protection design feature built into container (i.e., container must close off automatically once fill point has been reached) 7. Secure/Tamper-proof to include a permanent locking design feature 8. Sight/View port that shows when the container is full 9. Large access opening with safety tray restricting hand access for public access areas and open top unrestricted access for secure areas such as lab and OR 10. Available in various sizes dependent on need 11. Must have a barcode tracking feature on each container for safety and accountability 12. Able to be sanitized using a six stage process to include environmentally-friendly cleaning agents to ensure a high level of microbiological efficacy 13. Must meet U.S. Department of Transportation regulations 14. Must be certified to United Nations PG2 specifications for transport of dangerous goods 15. Must be labeled in accordance with Federal, State, Local regulations 6.0 SPECIFICATIONS. 6.1 A full service program, which includes total turnkey service where the contractor is responsible for ordering, delivering, handling, changing-out/servicing, transporting, and disposing of medical sharps waste on a regular scheduled basis, to include replacement of reusable sharps containers at each point of use as needed for Hampton VAMC, to include buildings on campus external to the main facility, in accordance with Federal, State and Local regulations. The frequency of change-out/service of containers at point of use may vary dependent on use and shall be determined by the Contractor during the early stages of use following initial installation. However, medical sharps waste stored in external transporters must be transported off-site in accordance the regulations. 6.2 Contractor will be required to remove all collected sharp containers from the grounds of Hampton Veterans Affair Medical Center, APOC and CBOC then transport to an approved disposal facility as required by applicable federal and state regulations. 6.3 Contractor will be required to provide the appropriate staff to monitor all containers placed throughout the HVAMC, CBOC, and APOC and be sole responsible for removing and replacing all sharps containers with a sterile empty unit prior to being full. 6.4 Contractor will be required to maintain empty clean units at facilities HVAMC, APOC and CBOC so staff can have access for emergencies. 6.5 Contractor will be responsible for creating location reports of all units installed throughout all facilities and create frequency reports of all units being removed for disposal. 6.6 Contractor shall track the number of times sharp container is reused using a barcode system. Contractor shall remove from service any containers that have been used the maximum allowable times. 6.7 Contractor shall provide a documented back-up plan in the event circumstances disrupts ability to provide pick-up services. Service shall be provided within 24 hours of a failure to meet scheduled pick-up times. 6.8 Contractor shall track the type, size, date and location of containers being changed-out/serviced. Documentation of the number of containers changed-out/serviced and their sizes shall be provided upon request to Hampton VAMC, CBOC and APOC, and to support tracking waste generation quantities. Reports shall be provided monthly. 6.9 Contractor shall provide back-up containers for areas not accessible to contractor during servicing. 6.10 The Contractor shall have in place and maintain a valid contingency plan to meet the requirements of the contract to avoid an interruption of service due to failure of equipment or personnel issues. The Contractor shall incur all cost associated with fulfilling this contingency plan at no additional cost to the Government. The Contractor shall be liable for all expenses incurred by the Government due to the Contractor's inability to perform in accordance with these requirements. 6.11 Contractor vehicles used to transport medical sharps waste must be equipped with emergency spill kits for infectious waste. Vehicle drivers must be trained in emergency spill response procedures for infectious waste. 7.0 TRAINING Contractor shall provide annual in-service training to Hampton VAMC, and CBOC, staff on the use, handling, and care of the reusable sharps containers and proper segregation of medical sharps waste from other medical waste, at no additional cost to the Government. Training shall be documented and shall be provided 24 7 during initial installation to ensure that training is available to all employees. Contractor shall provide in-service training videos or DVDs for staff not available at the time of training at no additional cost to the Government. 8.0 DOCUMENTATION 8.1 The Contractor shall provide a copy of the manifest/certificate of destruction or other equivalent Department of Transportation (DOT) shipping papers to COR upon shipment of medical sharps waste containers which include the following information: 1. Regulated Medical Waste Transporter number; 2. Regulated Medical Waste Handling Permit number; 3. U.S. DOT number; 4. Transporter's company name, mailing address, telephone number, and emergency contact phone number; 5. Quantity of medical sharps waste being shipped; 6. Name and location of the medical waste processing facility, method of destruction, and the name and location of the final destination facility for the medical waste; 7. Date of shipment. 8.2 The Contractor shall provide the completed manifest/certificate of destruction to the COR within 30 days of the medical sharps waste reaching its final destination. 8.3 Contractor shall provide report of the type, size, date and location of containers being changed-out/serviced. Documentation of the number of containers changed-out/serviced and their sizes shall be provided to Hampton VAMC, CBOC and APOC, and to support tracking waste generation quantities. Reports shall be provided monthly. 8.4 The deliverables from this contract will be used to support regulatory recordkeeping requirements for regulated medical waste disposal at Hampton VAMC, CBOC and APOC. 8.5 The Contractor shall document adherence to all Federal, State, and Local laws and regulations for proper management, transportation, and disposal of Regulated Medical Sharps Waste. HISTORICAL INFORMATION REUSABLE SHARPS CONTAINERS/MEDICAL SHARPS WASTE DISPSOAL SERVICE 15 JANUARY 2014 In accordance with the pricing schedule, pricing shall per month. Offerors should use the information contained within this attachment when determining the level of effort required and in determining the monthly rate. Listed below are the pounds of waste processed per month and yearly as well as the Gross and Tare weight of the containers for sharps and the number of containers emptied each month. In Fiscal Year 2013, the average monthly weight processed was 924 pounds; however monthly weight processed fluctuated from a low of 524 pounds and a high of 2,135 pounds. Current level of effort for this requirement is approximately three days per week/ three hour per day for Hampton VAMC and approximately one hour twice a month for the CBOC and APOC. Note that level of effort required could fluctuate dependent on the number of employees dedicated to the requirement. Waste Stream FY 2012 Oct. Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Monthly Average TOTAL YTD FY 2012 Sharps Waste 1,019 3,121 1,708 750 1,438 1,700 1,031 974 1,653 1,110 1,624 809 1,411 16,937 Waste Stream FY 2013 Oct. Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Monthly Average TOTAL YTD FY 2013 Sharps Waste 1,022 1,279 534 653 928 747 599 937 646 2,135 882 730 924 11,091 Month Gross Weight 2gl 4gl 8gl Ivory 8gl Red 16gl Sharps Disposal Weight # of Containers Emptied 2089.88 9.46 440.15 33.69 515.53 0 1091.038 998.84 96.53846154 Month Gross Weight 2gl 4gl 8gl Ivory 8gl Red 16gl Sharps Disposal Weight Plastic Diverted # of Containers Emptied Oct, 11 1624 6 368 12 426 0 812 812 Nov, 11 2752 10 544 0 630 0 1568 1184 Dec, 11 2802 8 528 24 534 0 1708 1094 Jan, 12 1314 2 256 6 300 0 750 564 Feb, 12 2475 18 460 30 546 0 1421 1054 Mar, 12 2874 8 536 42 588 0 1700 1174 Apr, 12 1833 4 360 6 432 0 1031 802 May, 12 1768 8 336 24 426 0 974 794 Jun, 12 2891 8 516 24 690 0 1653 1238 Jul, 12 1782 8 356 6 402 0 1010 772 Aug, 12 3012 18 620 180 570 0 1624 1388 Sep, 12 1937 12 396 18 462 0 1049 888 Oct, 12 2294 8 480 18 474 0 1314 980 Nov, 12 2395 10 524 24 558 0 1279 1116 Dec, 12 1411 4 396 12 420 0 579 832 173 Jan, 13 1431 6 328 12 432 0 653 778 159 Feb, 13 1836 4 428 36 420 0 948 888 185 Mar, 13 1687 4 372 6 558 0 747 940 189 Apr, 13 1097 0 156 6 336 0 599 498 96 May, 13 1763 10 336 12 468 0 937 826 169 June, 13 1270 6 240 30 348 0 646 624 146 July, 13 4059 28 +1 (555) 000-0000 0 2135 1924 385 Aug, 13 1880 10 484 6 498 0 882 998 212 Sept, 13 1880 14 536 48 552 0 730 1150 241 Oct, 13 1893 12 564 24 540 0 753 1140 241 Nov, 13 2377 20 664 90 738 0 865 1512 314 54337 246 11444 876 13404 0 28367 25970 2510 12.99 Total Plastic diverted in Tons