Fayetteville Non Emergent Ambulance Tranport Services

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1. REQUISITION NO.

PAGE 1 OF

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

36C24627R0009

a. NAME

7. FOR SOLICITATION

INFORMATION CALL:

b. TELEPHONE NO. (No Collect Calls)

DAVID E. SMITH, CONTRACT SPECIALIST

9. ISSUED BY

CODE

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

12:00PM

UNRESTRICTED OR

SET ASIDE:

621910

EDWOSB

SIZE STANDARD:

$22.5 Million

8(A)

13b. RATING

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

N/A

14. METHOD OF SOLICITATION

RFQ

CODE

X

IFB

16. ADMINISTERED BY

DEPARTMENT OF VETERANS AFFAIRS

FAYETTEVILLE VA MEDICAL CENTER

2300 RAMSEY STREET

RFP

CODE

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

FAYETTEVILLE NC 28301

CODE

EDT

% FOR:

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

NAICS:

12. DISCOUNT TERMS

SEE SCHEDULE

17a. CONTRACTOR/OFFEROR

X

SMALL BUSINESS

15. DELIVER TO

8. OFFER DUE DATE/LOCAL

TIME 11-06-2026

757-728-7156

10. THIS ACQUISITION IS

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 6

100 EMANCIPATION DRIVE

HAMPTON VA 23667

11. DELIVERY FOR FOB DESTINATION UNLESS BLOCK IS

MARKED

10-06-2026

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

DEPARTMENT OF VETERANS AFFAIRS

FINANCIAL SERVICES S=CENTER

PO BOX 149971

AUSTIN TX 78714-9971

PHONE: 512-460-+5049

TELEPHONE NO.

UEI:

FAX:

512-460-5221

EFT:

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

X SEE ADDENDUM

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

See CONTINUATION

20.

SCHEDULE OF SUPPLIES/SERVICES

19.
ITEM NO.

Page

21.

QUANTITY

22.

UNIT

23.

UNIT PRICE

24.

AMOUNT

THE CONTRACTOR SHALL PROVIDE ALL VEHICLES, PERSONNEL,

MANAGEMENT, SUPPLIES, EQUIPMENT, AND NECESSARY REPORTING FOR

THE PROVISION OF NON-EMERGENT STRETCHER TRANSPORTS, BASIC LIFE

, ADVANCED LIFE SUPPORT (ALS), SPECIALTY CARE TRANSPORT (SCT),

SUPPORT(BLS)

OR CRITICIAL CARE TRANSPORT(CCT)AMBULANCE TRANSPORT SERVICES

FOR THE FAYETTEVILLE NC COASTAL HEALTHCARE SYSTEM MEDICAL.

SERVICESILLE

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

X

See CONTINUATION Page

26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA 27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND