4235--Trauma Scene Clean Up Contract RFI

Sources Sought Notice Sources Sought Notice Page 12 of 12 Sources Sought Notice *= Required Field Sources Sought Notice Page 1 of 12 DESCRIPTION This Sources Sought Notice is for planning purposes only and shall not be considered as an invitation for bid, request for quotation, request for proposal, or as an obligation on the part of the Government to acquire any products and/or services. Your response to this Sources Sought Notice will be treated as information only. No entitlement to payment of direct or indirect costs or charges by the Government will arise because of contractor submission of responses to this announcement or the Government use of such information. This request does not constitute a solicitation for proposals, quotes, or the authority to enter negotiations to award a contract. The information provided may be used by the Department of Veterans Affairs in developing its acquisition approach, statement of work/statement of objectives and performance specifications. Interested parties are responsible for adequately marking proprietary or competition sensitive information contained in their response. The Government does not intend to award a contract based on this Sources Sought Notice or to otherwise pay for the information submitted in response to this Sources Sought Notice. The submission of pricing, capabilities for planning purposes, and other market information is highly encouraged and allowed under this Sources Sought Notice in accordance with (IAW) FAR Part 15.201(e). The purpose of this Sources Sought Notice announcement is for market research to make appropriate acquisition decisions and to gain knowledge of potential qualified Service-Disabled Veteran Owned Small Businesses, Veteran Owned Small Businesses, 8(a), HubZone and other Small Businesses interested and capable of providing the products and/or services described below. This is a "REQUEST FOR INFORMATION" only. Requests for a solicitation will not receive a response. The Louis Stokes Cleveland V.A. Medical Center, Cleveland, Ohio. 10701 East Blvd, Cleveland Ohio, 44106 is conducting market research to locate contractors who provide Trauma Scene Cleanup Services. **PLEASE NOTE THIS IS NOT A NEW SYSTEMS ACQUISITIONS. ALREADY OWNED BY THE LOUIS STOKES CLEVELAND VA MEDICAL CENTER** The NAICS Code is 562910 Remediation Services. In response, please provide at minimum: Company name and address, POC information, System for Award Management (SAM) UEI number, Socioeconomic category (SDVOSB, VOSB, WOSB, 8a, Small Business or Large Business). GSA contract number if these services are offered on Federal Supply Schedule. Must provide a capability statement that addresses the organization s qualifications and ability to perform as a contractor for the work described below. Responses to this Sources Sought must be in writing. Please send all inquiries to: Jennifer.Nowak@va.gov - Phone calls will not be accepted. Title of project: Trauma and Crime Scene Clean Up Contract Purpose of the project: VA Northeast Ohio Health Care system is looking to procure as needed services for Trauma/Crime scene Clean-up when needed for the entire Louis Stokes Cleveland VAMC health care system. Background: Following a suicide, violent death, or severe accident, the removal of biohazardous materials, such as blood, human remains (tissue and bone fragments), and other contaminants, must occur on varied surfaces. The clean-up and decontamination of these locations is called trauma scene clean-up (also referred to as crime scene clean-up*). These are general terms used to describe the cleaning of blood, human remains, or any biohazardous material following an incident that results in environmental contamination. A Trauma or crime scene event includes but not limited to any or all the following situations as determined by the COR. Suicide Murder Murder/Suicide Traumatic amputation of a limb or appendage Gun Shot Wounds Excessive head trauma Stab wounds Explosive defecation covering a wide surface area as determined by COR Illicit narcotics and residues from Illicit Narcotics (i.e. Fentanyl). Blood or bodily fluids covering a wide surface area as determined by COR Large spills of Hazardous drugs, materials, or waste products Small spills of Hazardous drugs, materials, or waste products that have contaminated multiple areas within the health facility. Locations where work is to be performed: Louis Stokes Cleveland Department of Veterans Affairs Medical Center 10701 East Boulevard Cleveland, Ohio 44106-1702 Facility Includes the following Locations: Cares Tower (8 Levels), Main Hospital (7 Levels), Atrium Tower (5 Levels), VA Annex (2 Levels), Domiciliary (4 levels) and any new/future construction that may occur to this location. Pathological/Chemotherapy waste is picked up from Animal Research Lab, Human Pathology (Morgue), and designated Biohazard storage facility. Akron VA Clinic (CBOC) 55 West Waterloo Road Akron, Ohio 44319-1116 Facility includes the following locations: Primary and Secondary buildings, and any new/future construction that may occur to this location including movement from the current location. Akron Infusion Center (CBOC) 95 West Waterloo Road Akron, Ohio 44319-1116 Facility includes the following locations: Primary and Secondary buildings, and any new/future construction that may occur to this location including movement from the current location. Canton VA Clinic (CBOC) 733 Market Avenue South Canton, Ohio 44702-1018 Facility Includes any new/future construction that may occur to this location including movement from the current location. Carl Nunziato VA Clinic (CBOC) 1815 Belmont Avenue Youngstown, Ohio 44504-1106 Facility includes any new/future construction that may occur to this location including movement from the current location. Cleveland VA Clinic: Euclid 7000 Euclid Avenue, Suites 102 and 202 Cleveland, Ohio 44103-4014 Facility includes outpatient Dialysis, homeless care, any new/future construction that may occur to this location including movement from the current location. Cleveland VA Clinic: Superior 8901 Superior Avenue Cleveland, Ohio 44106 Facility includes Outpatient Surgery Center, Endoscopy, PACU, any new/future construction that may occur to this location including movement from the current location. David F. Winder Department of Veterans Affairs Community Based Outpatient Clinic (CBOC) 1025 South Trimble Road Mansfield, Ohio 44906-3427 Facility includes any new/future construction that may occur to this location including movement from the current location. East Liverpool VA Clinic (CBOC) 15655 State Route 170, Suite A Calcutta, Ohio 43920-9672 Facility includes any new/future construction that may occur to this location including movement from the current location. Lake County VA Clinic (CBOC) 35000 Kaiser Court Willoughby, Ohio 44094-3382 Facility includes any new/future construction that may occur to this location including movement from the current location. Lorain VA Clinic (CBOC) 5275 North Abbe Road Sheffield Village, Ohio 44035-1451 Facility includes any new/future construction that may occur to this location including movement from the current location. New Philadelphia VA Clinic (CBOC) 1260 Monroe Street Northwest, Suite 1A New Philadelphia, Ohio 44663-4147 Facility includes any new/future construction that may occur to this location including movement from the current location. Parma VA Clinic 8787 Brookpark Road Parma, Ohio 44129-6809 Facility includes a 2-level structure, any new/future construction that may occur to this location including movement from the current location. Ravenna VA Clinic (CBOC) 6751 North Chestnut Street Ravenna, Ohio 44266-3903 Facility includes any new/future construction that may occur to this location including movement from the current location. Sandusky VA Clinic (CBOC) 1912 Hayes Avenue Sandusky, Ohio 44870-5557 Facility includes any new/future construction that may occur to this location including movement from the current location. Summit County VA Clinic (CBOC) 111 East Voris Street, Community Resource & Referral Center (CRRC) Akron, Ohio 44311-1513 Facility includes any new/future construction that may occur to this location including movement from the current location. Warren VA Clinic (CBOC) 1460 Tod Avenue, Northwest Warren, Ohio 44485-2407 Facility includes any new/future construction that may occur to this location including movement from the current location. Future Locations currently in the Planning stages, and unknown address of where they will be built. Akron/Canton Super CBOC to include Outpatient Surgery Center and Dialysis Centers Kent Imaging and Infusion Center Lisbon CBOC Medina CBOC E. Vendor Requirements: 1. General Requirements: a. Vendor will have experience with trauma/crime scene clean-up b. Contractor provides a training program for their employees that adheres to local, state, and Federal regulations, and follows industry best practice and guidelines, such as American national Standards Institute/Institute of Inspection, Cleaning, and Restoration Certification (ANSI/IICRC) S 540 Standards for Trauma and Crime Scene Clean Up. c. Contractors will provide a comprehensive list of chemicals used to clean-up the area. All disinfectant products used must be labeled as EPA-registered for hospital use. In addition, all products must be approved by the Infection Prevention Committee and the Chemical Hygiene Committee. Do not use high-level disinfectants/liquid chemical sterilant for disinfection of non-critical surfaces. D. In accordance with the Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard, all equipment, environmental, and working surfaces that have contact with blood or other potentially infectious materials are to be cleaned and decontaminated with an appropriate disinfectant effective against Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV). (Exceptions noted in the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008, page 21) d. Contractor will have a comprehensive employee safety and health plan, including proper removal of biohazardous waste and hazardous waste/Drug residues e. Contractor will provide 24/7 emergency response to quickly address a facility s needs during a trauma/crime scene event. The contractor will have a 2- hour response time based on their location and availability of services and severity of need. f. If the event/crime scene involves Non-Critical Reusable medical equipment, the contractor will locate the appropriate Instructions for Use (IFU) for the piece of equipment and will clean to manufacturer specifications. When manufacturer s instructions are vague, no longer available, or do not address cleaning/disinfecting non-critical RMD, follow basic principles as outlined in the CDC Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008 (cdc.gov) with updates May 2019.f. g. Contractor provides documentation for all services rendered (clean up and removal) h. Dedicated personnel will be assigned solely to observe, interact, assist, and assure protection of VA sensitive information.  The C&A requirements do not apply, and a Security Accreditation Package is not required. 2. Regulations that apply to Trauma/Crime Scene Clean up - a. The Occupational Safety and Health Administration (OSHA) Bloodborne Pathogen Standard (29 Code of Federal Regulations (CFR) 1910.1030) is the primary regulation that governs protection of those involved in the clean-up of trauma/crime scenes. The regulation states that any employee with the potential to deal with a blood spill must: Receive bloodborne pathogen (BBP) training; Have a written BBP exposure control plan in place; Have appropriate personal protective equipment (PPE); and Be offered the Hepatitis B vaccine, an exposure evaluation and follow up b. CDC/NIOSH Preventing Occupational Exposure to Fentanyl. Preventing Occupational Exposure to Fentanyl | NIOSH | CDC c. Remediation of Fentanyl contaminated indoor environments. Remediation of Fentanyl Contaminated Indoor Environments | US EPA d. Must follow all applicable State of Ohio laws regarding disposal of Regulated Medical Waste and for Trauma Scene Clean-Up to include but not limited to: 1) OAC 3745-27-30, Standards for Generators of Infectious Wastes: Rule 3745-27-30 - Ohio Administrative Code | Ohio Laws 2) OAC 3745-27-32, Standards for the operation of infectious waste treatment facilities: Rule 3745-27-32 - Ohio Administrative Code | Ohio Laws 3) OAC 3745-27-33, Disposal paper system: Rule 3745-27-33 - Ohio Administrative Code | Ohio Laws 4) OAC 3745-27-35, Standards for handling infectious wastes: Rule 3745-27-35 - Ohio Administrative Code | Ohio Laws 5) OAC 2745-27-36, Registration requirements for generators of infectious waste: Rule 3745-27-36 - Ohio Administrative Code | Ohio Laws 6) OAC 3745-50, Hazardous Waste management System-General: Chapter 3745-50 - Ohio Administrative Code | Ohio Laws 7) OAC 3745-51, Identification and listing of hazardous waste: Chapter 3745-51 - Ohio Administrative Code | Ohio Laws 8) OAC 3745-52, Generator Standards: Chapter 3745-52 - Ohio Administrative Code | Ohio Laws 9) OAC 3745-53, transporter Standards: Chapter 3745-53 - Ohio Administrative Code | Ohio Laws 10) Ohio EPA Dipsosal of infectious waste generated at trauma scenes: gd_493.pdf (ohio.gov) 11) Ohio Small Generators of Infectious waste gd_75.pdf (ohio.gov) 12) Ohio Large Generators of infectious waste gd_78.pdf (ohio.gov) e. USP 800 Hazardous Drugs-Handling in Healthcare Settings. gc-800-rb-notice-20190531.pdf (uspnf.com) f. EPA Basic information about Cleanups: Basic Information about Cleanups | US EPA Final Distribution, Paperwork, Quality Assurance: All Reports, documentation and manifests will be sent via email to the COR at the completion of work. COR will perform quality assurance audits through the collection, transport, processing, and destruction process to ensure compliance with Federal and state standards. All equipment and supplies will be provided by the vendor. Vendor is required to apply for and maintain all Federal, State, and Local Permits (not limited to air permits and infectious waste permits) and provide a copy of such permits to the COR and Waste Manager. Contractor must perform a minimum of 51% of the entire contract without subcontracting. Many items placed in hazardous waste disposal receptacles may contain Private Health Information (PHI) due to the placement and non-removal of identifying information. This includes patient labels on IV bags, blood tubes, cultures, and other medical objects. Sharps containers may contain PHI, therefore contents containing PHI shall be destroyed so that it is not readable or re-constructible.