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Regulated Medical Waste


Tennessee, United States
Government : Federal
RFP
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The purpose of this modification is to answer the following question:

Question:
Is this hazardous waste or regulated waste?

Answer:
The statement of work has been updated below to reflect regulated medical waste only.

STATEMENT OF WORK
GENERAL INFORMATION

1. Title of Project: Regulated Medical Waste Pick-Up
2. Scope of Work: The contractor shall provide all supervision, materials and labor resources necessary to accomplish the deliverables described in this statement of work (SOW), except as may otherwise be specified. The service being sought is for the removal of regulated medical waste from the 621 James H. Quillen Veteran Affairs Medical Center located in Mountain Home, Tennessee 37684 and its satellite locations in Tennessee areas: Knoxville, Morristown, Rogersville, Sevierville, and Virginia areas: Bristol, Norton, Vansant, Jonesville and Marion. Service provider will need to provide weekly pickups at Mountain Home Facility, Knox Annex II and Knoxville OPC; biweekly at Community Based Outreach Clinic (CBOC s)(TN: Morristown, Rogersville, and Sevierville and additional Knoxville Annex II; VA: Bristol and Norton) and at least once a month service to each Rural Outreach Clinic (ROC) (VA: Jonesville, Marion and Vansant) and have the capability to provide services in times of emergency. Vendor must be able to accommodate all waste per site. Vendor must adhere to all state and federal regulations that govern the transportation and disposal of medical waste. The contractor is responsible for all licenses, and permits to remove, transport, handle, and dispose of biomedical and chemotherapeutic waste. License and permit must be provided upon submission of proposal. Vendor must provide all labor and materials for the disposal of medical waste.
3. Background: James H. QuillenVA Medical Center and satellite facilities produce medical waste while providing medical services to our nations Veterans. Recently, all of the sites listed in the Statement of Work had individual contracts with option years. It is the VA s desire to group all of our facilities into one contract with option years being provided. The following sites and volume of material are to be serviced.




STATEMENT OF NEED:
VIRGINIA AREAS:
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
Provide all labor and materials for regulated medical waste disposal for Bristol Community Based Outpatient Clinic located at Preston Square, 2426 Lee Highway in Bristol, VA 24202 in accordance with specifications for the Bristol Community Based Outpatient Clinic. Services are estimated for a twice a month pick up of three boxes per pick up.
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
Provide all labor and materials for regulated medical waste disposal for the Norton Community Based Outpatient Clinic located at 654 Highway 58 East, Norton, VA in accordance with specifications. Services are estimated for a twice a month pick up of three boxes per pick up.
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic. Services are estimated for a monthly pick up of 2 boxes.
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic, Marion, VA. Services are estimated for a monthly pick up of 2 boxes.
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
Provide all labor and materials for regulated medical waste disposal for Rural Outreach Clinic, Vansant, VA. Services are estimated for a monthly pick up of 2 boxes.

TENNESSEE AREAS:
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
Provide all labor and materials for regulated medical waste disposal for Rogersville, Community based outpatient clinic located at 401 Scenic Drive, Rogersville, TN 37857 in accordance with specifications for the Rogersville Clinic. Services are estimated for a twice a month pick up of three boxes per pick up.
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
Provide all labor and materials for regulated medical waste disposal for Morristown, 925 East Morris Blvd, Morristown, TN 37813. Services are estimated for a twice a month pick up of three boxes per pick up.

Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
Provide all labor and materials for regulated medical waste disposal for Knoxville OPC located at 8033 Ray Mears Blvd. Knoxville TN 37919. Services are estimated for a weekly pick up of 4 boxes.
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
Provide all labor and materials for regulated medical waste disposal for Sevierville Clinic located at 1124 Blanton Drive, suite 100, Sevierville, TN 37862. Services are estimated for a twice a month pick up of three boxes per pick up.
Knoxville Annex II located at 1525 Downtown West Blvd, Knoxville TN 37919
Provide all labor and materials for regulated medical waste disposal for Knoxville Annex II located at 1525 Downtown West Blvd, Knoxville TN 37919. Services are estimated weekly pick up of three boxes.
621 James H. Quillen VAMC Corner of Lamont & Veterans Way Mountain Home, TN 37684
Any containers are to be at least 30 gallon/boxes 50 pounds and shall be designed and identified as dedicated medical waste containers for packaging, storing and transporting medical waste and shall be approved by the state of VA. Contractor is responsible for maintaining containers. Containers must be clean, free from any foreign debris both inside and out. Containers must be sturdy, rigid, leak-proof, impervious and capable of being sealed. Services are estimated weekly pick up of twenty-one boxes.

C. GENERAL REQUIREMENTS
Containers shall be identified with the international biohazards symbol and the warning Biohazard Waste . The containers shall be stackable to allow for minimal storage space requirements. The plastic containers may be placed in cardboard boxes.
The contractor shall provide a method of tracking waste from point of generation to treatment/disposal site with a bar code scan. Bar coding capabilities shall include tracking from individual generation sites with detailed monthly reports generated by contractor and provided to Contracting Officer Representative (COR) on a monthly basis. Reports will detail the weight # of pounds and certifying the number of containers and types of waste removed from the site for destruction of each individual department as well as total facility weight however unit cost for this facility is based on a per pick up charge. The containers will be returned in a clean and ready for use position, free of debris. Biohazardous containers will be red and any chemotherapy drums or boxes are to be yellow. Reports are to be sent to the COR on the same day.
The manifest report is 4 part. Two copies are to be provided to the COR Copy #1 is the generators copy of the pickup and copy #2 indicates final destruction.
The contractor is responsible for all licenses, and permit to remove, transport, handle, and dispose of biomedical and chemotherapeutic waste. License and permit must be provided upon submission of proposal.
The contractor will report to the COR all spills and personal exposures during waste preparation, packaging and transportation. The contractor will be responsible and clean up and spills . The contractor shall bear the cost of clean-up and report incidents to the COR immediately. Spills must abide by the requirements of the State, county, municipality township or regulatory entity that wastes covered by this contract may pass through or into in fulfillment of this contract.
Any changes will be reported immediately to the COR.
The title for biohazardous waste will be transferred to and vested in the contractor once the waste is fully loaded onto the contractor s vehicle.
The contractor shall be available 24 hours a day seven days a week including holidays.
In the event the contractor is unable to meet the VA scheduled pickup or on call time frame, the VA reserves the right to obtain the services from another source and to charge the contractor with any excess cost which may result from obtaining an alternative source.
Locations may be changed at any time by submission of COR request in writing.
Vehicles must be properly licensed and have the required permits to remove waste as governed by all local, state and federal statutes and regulations. All waste will be transported to an approved treatment site. Contractor is responsible for providing an acceptable back up plan to insure adequate disposal if treatment site is inoperable.
Contractor shall provide one in-service training on blood borne pathogens, proper handling and segregation of biohazardous waste at an agreeable time between contractor and COR.
Definition Regulated Waste:
Under the Medical Waste Tracking Act of 1988, regulated medical waste (infectious waste, red-bagged waste ) includes any solid waste generated in the diagnosis, treatment, or immunization of human beings or animals, in research pertaining thereto, or in the production or testing of biologicals which harbors, or may reasonably be considered to harbor, pathogens which have the potential to cause disease in healthy individuals. Included are cultures and stocks of infectious agents; human blood and blood products; human pathological body wastes from surgery and autopsy; contaminated animal carcasses from medical research; waste from patients with communicable diseases; and all used sharp implements, such as needles and scalpels, and certain unused sharps.
G. CHANGES TO STATEMENT OF WORK
Any changes to this SOW shall be authorized and approved only through written modifications to the contract by the CO. A copy of each modification will be kept in a project folder along with all other products of the project. Costs incurred by the contractor through the actions of parties other than the CO shall be borne by the contractor.


H. REPORTING REQUIREMENTS
1. The contractor shall provide the COR with monthly bi-weekly written progress reports original plus 2 copies. Two copies are to be provided to the COR Copy #1 is the generators copy of the pickup and copy #2 indicates final destruction. These are due to the COR by the second workday following the end of each calendar month, throughout the project's duration. The COR is required to provide monthly progress reports to the Contracting Officer by the fifth workday of the new calendar month.
2. The progress report shall cover all work completed during the preceding month and shall present the work to be accomplished during the subsequent month. This report shall also identify any problems that arose, along with a statement explaining how the problem was resolved. This report shall also identify any problems that have arisen but have not been completely resolved, with an explanation.
I. GOVERNMENT RESPONSIBILITIES
No government furnished property will be provided.
J. CONTRACTOR EXPERIENCE REQUIREMENTS

The contractor must inform the VHA COR when personnel are removed from the contract for any reason.
If a key person becomes unavailable to complete the contract, proposed substitutions of key personnel shall be made to the COR and CO.

K. CONFIDENTIALITY AND NONDISCLOSURE
It is agreed that:
1. The preliminary and final deliverables, and all associated working papers, application source code, and other material deemed relevant by VA which have been generated by the contractor in the performance of this contract, are the exclusive property of the U.S. Government and shall be submitted to the CO at the conclusion of the contract.
2. The CO will be the sole authorized official to release, verbally or in writing, any data, draft deliverables, final deliverables, or any other written or printed materials pertaining to this contract. No information shall be released by the contractor. Any request for information relating to this contract, presented to the contractor, shall be submitted to the CO for response.
3. Press releases, marketing material, or any other printed or electronic documentation related to this project, shall not be publicized without the written approval of the CO.


Question: Should the price/cost schedule reflect the total amount for each year?

Answer: Yes. Please see new schedule below.

PRICE/COST SCHEDULE
Base Year 1: June 1, 2017 May 31, 2018
CLIN
SCHEDULE OF LOCATION SERVICES
Estimated Number of Containers
FREQUENCY
UNIT PRICE
TOTAL


ANNUAL TOTAL
0001
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
3
Twice a month
$
$


$
0002
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
3
Twice a month
B
B

0003
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
2
Monthly
B
B

0004
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
2
Monthly
B
B

0005
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
2
Monthly
B
B

0006
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
3
Twice a month
B
B

0007
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
3
Twice a month
B
B

0008
Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
4
Weekly
B
B

0009
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
3
Twice a month
B
B

0010
Knoxville Annex II located at 1521 Downtown West Blvd, Knoxville TN 37919
3
Weekly



0011
James H. Quillen VAMC
Corner of Lamont & Veterans Way Mountain Home, TN 37684
21
Weekly



B

TOTAL Base Yr.:______________

Option Year 1: June 1, 2018 May 31, 2019
CLIN
SCHEDULE OF LOCATION SERVICES
Estimated Number of Containers
FREQUENCY
UNIT PRICE
TOTAL


ANNUAL TOTAL
1001
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
3
Twice a month
$
$


$
1002
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
3
Twice a month
B
B

1003
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
2
Monthly
B
B

1004
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
2
Monthly
B
B

1005
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
2
Monthly
B
B

1006
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
3
Twice a month
B
B

1007
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
3
Twice a month
B
B

1008
Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
4
Weekly
B
B

1009
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
3
Twice a month
B
B

1010
Knoxville Annex II located at 1521 Downtown West Blvd, Knoxville TN 37919
3
Weekly



1011
James H. Quillen VAMC
Corner of Lamont & Veterans Way Mountain Home, TN 37684
21
Weekly



B

TOTAL Option Yr. 1: ____________


Option Year 2: June 1, 2019 May 31, 2020
CLIN
SCHEDULE OF LOCATION SERVICES
Estimated Number of Containers
FREQUENCY
UNIT PRICE
TOTAL


ANNUAL TOTAL
2001
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
3
Twice a month
$
$


$
2002
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
3
Twice a month
B
B

2003
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
2
Monthly
B
B

2004
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
2
Monthly
B
B

2005
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
2
Monthly
B
B

2006
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
3
Twice a month
B
B

2007
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
3
Twice a month
B
B

2008
Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
4
Weekly
B
B

2009
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
3
Twice a month
B
B

2010
Knoxville Annex II located at 1521 Downtown West Blvd, Knoxville TN 37919
3
Weekly



2011
James H. Quillen VAMC
Corner of Lamont & Veterans Way Mountain Home, TN 37684
21
Weekly



B


TOTAL Option Yr. 2: ____________

Option Year 3: June 1, 2020 May 31, 2021
CLIN
SCHEDULE OF LOCATION SERVICES
Estimated Number of Containers
FREQUENCY
UNIT PRICE
TOTAL


ANNUAL TOTAL
3001
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
3
Twice a month
$
$


$
3002
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
3
Twice a month
B
B

3003
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
2
Monthly
B
B

3004
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
2
Monthly
B
B

3005
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
2
Monthly
B
B

3006
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
3
Twice a month
B
B

3007
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
3
Twice a month
B
B

3008
Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
4
Weekly
B
B

3009
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
3
Twice a month
B
B

3010
Knoxville Annex II located at 1521 Downtown West Blvd, Knoxville TN 37919
3
Weekly



3011
James H. Quillen VAMC
Corner of Lamont & Veterans Way Mountain Home, TN 37684
21
Weekly



B

TOTAL Option Yr. 3: ___________


Option Year 4: June 1, 2021 May 31, 2022
CLIN
SCHEDULE OF LOCATION SERVICES
Estimated Number of Containers
FREQUENCY
UNIT PRICE
TOTAL


ANNUAL TOTAL
4001
Bristol Community Clinic, 2426 Lee highway, Bristol VA 24202
3
Twice a month
$
$


$
4002
Norton Community Clinic, 654 Highway 58 East, Norton VA 24273
3
Twice a month
B
B

4003
Jonesville Community Center, 32613 Wilderness Road, Suite 101, Jonesville VA, 24263
2
Monthly
B
B

4004
Marion Rural Outreach Clinic, 4453 Lee Hwy, Marion VA 24354
2
Monthly
B
B

4005
Vansant Rural Outreach Clinic, 1941 Lovers Gap Lane, Suite A, Vansant VA, 24656
2
Monthly
B
B

4006
Rogersville Community Clinic, 401 Scenic Drive, Rogersville TN, 37857
3
Twice a month
B
B

4007
Morristown Rural Outreach Clinic, 920 East Morris Blvd, Morristown, TN37813
3
Twice a month
B
B

4008
Knoxville Outpatient Clinic, 8033 Ray Mears Blvd. Knoxville TN 37919
4
Weekly
B
B

4009
Sevierville Outpatient VA Clinic, 1124 Blanton Drive, suite 100, Sevierville, TN 37862
3
Twice a month
B
B

4010
Knoxville Annex II located at 1521 Downtown West Blvd, Knoxville TN 37919
3
Weekly



4011
James H. Quillen VAMC
Corner of Lamont & Veterans Way Mountain Home, TN 37684
21
Weekly



B

TOTAL Option Yr. 4: ____________
TOTAL CONTRACT AMOUNT: ________________

SCHERONICA COCHRAN
CONTRACT SPECIALIST

SCHERONICA.COCHRAN@VA.GOV

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