RFQ - AS-NEEDED MEDICAL WASTE REMOVAL

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
1.1.1. To see all information related to this RFQ, to submit Questions, and to receive notifications of
updates, Offerors must select "Participate in RFx" for this solicitation in BuyNet.
1.1.2. If an Offeror is unable to download this document, an Offeror may request a hard copy from
Department of Purchasing and Contracting's front desk or contact clerical support at (858) 505-6367.
1.2. Forms required to be submitted with Offerors response to this RFQ are included in this RFQ or posted on the
County's web site at: https://www.sandiegocounty.gov/content/sdc/purchasing/purchasing-forms.html.
1.2.1. The County may update posted forms from time to time. Unless otherwise specified, Offerors may
submit the version of a form in place as of the date of the posting of this RFQ or any later version
thereof.
1.3. Offeror must submit a complete original quote in accordance with the format provided in this solicitation to the
County of San Diego, Department of Purchasing and Contracting, through electronic upload to BuyNet before
the Date and Time listed in Schedule.
1.3.1. If Offeror is unable to submit via BuyNet for any reason, Offeror may submit its quote via email to the
Contracting Officer listed in this document or provide the Purchasing and Contracting front desk with
either (i) electronic files on CD/DVD; or, (ii) a printed quote. Offeror must prominently mark such
submissions with the RFQ number on the outside of the packaging. Please use this method only if
unable to submit through BuyNet.
2. QUESTIONS
2.1. Offerors shall direct requests for explanation regarding the RFQ or related documents to the Contracting
Officer, in writing, as a question ("Question"). Offerors may submit Questions by sending a message to the
Contracting Officer through the "Discussions" functionality in BuyNet.
2.2. The County may choose not to respond to Questions received after the date and time stated in the Schedule for
Question submission. Offeror is responsible for ensuring that Questions are received by the County.
3. QUOTE FORMAT
3.1. Submit electronic quotes as files in .pdf format, except where specified otherwise. For pages other than
signature pages, converted and searchable formats are preferred.
3.2. All quotes shall be signed with a handwritten signature by an authorized officer or employee of Offeror.
4. QUOTE ORGANIZATION
4.1. Your quote should be organized in accordance with the Submittal Items in this RFQ.
4.1.1. Offerors shall organize content to correspond to the applicable exhibit and question or item within
each exhibit.
4.1.2. Offerors shall separate each exhibit into one or more files, clearly named as to the exhibit and order.
4.1.3. Pages shall be consecutively numbered within each exhibit at the bottom or top margin of each page.
4.1.4. Cost/Price information:
4.1.4.1. Offerors must place all cost and pricing information within the Cost/Price exhibit. Price shall
be inclusive of all proposed compensation.
4.2. Confidential/Proprietary information:
4.2.1. The County is a public agency subject to the California Public Records Act, Government Code
7920.000, et seq. Some or all of the documents submitted in response to this RFQ may be subject to
disclosure, and the County intends to publish any resulting contracts to its public website.
4.2.2. It is Offeror's responsibility to identify and separate into a "CONFIDENTIAL/PROPRIETARY"
exhibit and to provide a signed Nondisclosure Indemnification Agreement for:
4.2.2.1. All confidential information that Offeror represents, with legal basis, is exempt from
disclosure pursuant to the California Public Records Act, including PI (Personal Information),
PII (Personally Identifiable Information), or PHI (Protected Health Information);
4.2.2.2. Any proprietary or other information Offeror represents, with legal basis, is exempt from
disclosure under the California Public Records Act and wishes to protect from disclosure.
4.2.3. The "CONFIDENTIAL/PROPRIETARY" exhibit must be clearly labeled with all pages marked as
"CONFIDENTIAL/PROPRIETARY."

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
4.2.4. Offeror should reference material in the "CONFIDENTIAL/PROPRIETARY" exhibit where it is
needed to respond to a Submittal Item through citation to the "CONFIDENTIAL/PROPRIETARY"
exhibit (for example "See response 1 contained within the 'CONFIDENTIAL/PROPRIETARY'
exhibit for staff Social Security numbers").
4.2.5. If the County determines that a submission improperly designates information as confidential or
proprietary, the County may, at its sole discretion: (i) deem the information releasable; (ii) declare the
submission non-conforming/non-responsive; (iii) remove such information, or (iv) take any other
appropriate action. (Note: Pricing and Terms and Conditions are generally not confidential under the
California Public Records Act).
5. QUOTE EVALUATION
5.1. Evaluations may consider factors such as technical merit, experience, capacity, history of Offeror compliance,
availability, price, and more to determine the quote(s) that provide the best value to the County.
5.2. During evaluation, the County may appropriately consider the sustainability and social, human health,
environmental, and economic impact of Offeror's proposed products and/or approach to providing goods and/or
services, in accordance with Board Policy B-67. Therefore, Offerors are encouraged to include relevant
information in their quotes, to the degree related to the goods or services sought.
5.3. During evaluation, the County may appropriately evaluate the cultural competency of Offeror and Offeror's
proposed approach to providing goods and services. Therefore, Offerors are encouraged to include relevant
information in their quotes, to the degree related to the goods or services sought.
5.4. When evaluating an Offeror's cost or pricing, the County may also consider the effect of the quote on the overall
total cost to the County.
5.5. When evaluating Offeror's quote, the County will appropriately consider the proposed purchase, acquisition,
or use of goods, products, and materials produced in the United States, in accordance with 2 CFR 200.322.
Offeror should include information relevant under section 200.322 in its quote in order to be considered for
such preference during evaluation.
6. COUNTY COMMITMENT
6.1. This RFQ does not commit the County to award a contract, nor does it commit the County to pay any of
Offeror's costs incurred in the preparation or submission of the quote. Further, Offeror shall not incur any
reimbursable cost in anticipation of a contract award.
6.2. Neither Offeror nor any of its representatives shall have any claims whatsoever against the County or any of its
respective officials, agents, or employees arising out of or relating to this RFQ or these procedures (other than
those arising under a definitive contract with Offeror in accordance with the terms thereof).
6.3. The County reserves the right to separately procure the same or similar goods or services.
6.4. The County may withhold all information regarding this procurement until after negotiations are complete,
including, but not limited to: the number of quotes received; the identity of Offeror(s); the content of quotes;
the County's evaluation and results thereof. Information releasable after the conclusion of negotiations is
subject to the disclosure requirements and withholding exemptions of the California Public Records Act.
6.5. Pursuant to County Charter 703.10 and 916, award of a contract resulting from this RFQ may be subject to
the County's requirement to determine that the services can be provided more economically and efficiently by
an independent contractor than by persons employed in the Classified Service.
6.6. In the event that an Offeror is involved in a merger, acquisition, or other change in control, the County reserves
the right to award a contract to a resulting entity.
7. DILIGENCE AND DUTY TO INQUIRE
7.1. Should Offeror find discrepancies in or omissions from, or be in doubt as to the meaning of, the RFQ or related
documents, Offeror shall have a duty to submit a Question to the County.
7.2. Offerors are expected to perform reasonable due diligence with regard to this RFQ and the work required,
including, but not limited to, information that is publicly or otherwise reasonably available and, if applicable,
information that can be obtained during a site visit (including verification of measurements, conditions, and
other attributes). Neither the selected Offeror(s), nor any Offerors, shall be entitled to any price adjustment or
other relief based upon information that was discovered or should have been discovered through due diligence.

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
7.3. The County makes no representation or warranty, express or implied, as to the accuracy or completeness of any
diligence material or other information provided by the County or any of its agents, representatives, contractors,
or consultants. Such information may reflect good faith assumptions, estimates, or projections, which may or
may not prove to be correct.
7.4. Offeror should not rely upon oral statements made or explanations given by the County, including any oral
responses to Questions or other inquiries. No prior, current, or post award communication(s) with any officer,
agent, or employee of the County shall affect or modify any terms or requirements of this RFQ, except as
explicitly provided for in this RFQ.
8. OFFEROR COMMUNICATIONS
8.1. All communications from Offeror (including its employees, agents, and representatives) to the County or its
officers and employees (including consultants working on or assisting with this procurement), related to this
RFQ or Offeror's quote, must be directed in writing exclusively to the Contracting Officer, unless otherwise
authorized in writing by the Contracting Officer. Offerors shall not communicate with or attempt to contact any
other County personnel about this solicitation, except as otherwise allowed for in this RFQ or by law. Any
improper contact may, at the County's sole discretion, cause Offeror to be removed from consideration for
contract award.
8.2. If Offeror issues any public announcement or otherwise engages in communication that, in the County's sole
determination, compromises the integrity of this RFQ process or attempts to restrain competition, Offeror may
be removed from consideration for award.
8.3. Audio and/or video recording of presentations, discussions, negotiations, , or other communications with the
County regarding this RFQ are prohibited, unless specifically authorized in writing by the Contracting Officer.
9. SOLICITING EMPLOYEES
9.1. Until contract award, Offerors shall not, directly or indirectly, solicit any employee of the County to leave the
County's employ in order to accept employment with Offeror, its affiliates, actual or prospective contractors,
or any person acting in concert with Offeror without prior written approval of the County's Contracting Officer.
This paragraph does not prevent the employment by Offeror of a County employee who has initiated contact
with Offeror.
10. PROHIBITED CONTRACTS AND SUBCONTRACTS
10.1. In accordance with Section 67 of the San Diego County Administrative Code, the County shall not contract
with, and shall reject any quote submitted by, the person or entities specified below, unless the Board of
Supervisors finds that special circumstances exist which justify the approval of such contract:
10.1.1. Persons employed by the County or of public agencies for which the Board of Supervisors is the
governing body;
10.1.2. Profit-making firms or businesses in which employees described in subsection 11.1.1 serve as
officers, principals, partners, or major shareholders;
10.1.3. Persons who, within the immediately preceding twelve (12) months, came within the provisions of
subsection 11.1.1 and who (i) were employed in positions of substantial responsibility in the area of
service to be performed by the contract; or, (ii) participated in any way in developing the contract or
its service specifications; and
10.1.4. Profit-making firms or businesses in which the former employees described in subsection 11.1.3 serve
as officers, principals, partners, or major shareholders.
10.2. Per Board Policy A-79, a successful Offeror that is a non-profit corporation shall not subcontract any work
under the agreement with a related for-profit subcontractor where an interlocking directorate, management, or
ownership relationship exists, unless specifically authorized by the Board of Supervisors.
10.3. Offeror certifies that, if awarded a contract under this RFQ, such contract will be in compliance with Sections
11.1 and 11.2 above. Offeror shall promptly notify the County of any change in circumstance affecting these
provisions.
11. CALIFORNIA REVENUE & TAXATION CODE 18662
11.1. In compliance with California Revenue and Taxation Code 18662, if Offeror is a non-resident of California
(out-of-state invoices) that receives California source income and has not completed Franchise Tax Board Form
590, there may be a backup withholding on all payments. Fifteen (15) business days prior to the first payment

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
from the County, new suppliers or suppliers with expired forms or forms with incorrect information must submit
new forms to the County (forms are available from the Franchise Tax Board website listed below).
11.2. Under certain circumstances, Offerors may be eligible for reduced or waived nonresident withholding. If
Offeror has already received a waiver or a reduced withholding response from the State of California and the
response remains valid, Offeror should submit the response to the County in lieu of the forms. Failure to submit
the required forms will result in withholding of payments. Offerors should access the Franchise Tax Board
websites, listed below, for tax forms and relevant information regarding non-resident withholding, including
waivers or reductions. The County will not give Offerors any tax advice. It is recommended that Offerors speak
with their tax advisers and/or the State of California for guidance.
Franchise Tax Board Websites:
https://www.ftb.ca.gov
https://www.ftb.ca.gov/forms/search/
11.3. If selected for award, Offeror must submit applicable forms to the Auditor & Controller via fax, at (858) 694-
2060, or mail originals to: County of San Diego, 5530 Overland Avenue, Suite 410, San Diego, CA 92123. The
P.O. Number or Contract Number (if available) and "California Revenue and Taxation Code 18662" must
appear on fax cover sheet and/or the outside of the mailing envelope.
12. W-9 FORM
12.1. If selected for award, Offeror must complete and submit a W-9 form if a current form is not on file with the
County.

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
C. SUBMITTAL ITEMS
1. EXHIBIT 1 - REQUIRED FORMS
1.1 Submit a completed and signed Offeror's Cover Page (PC600) form
* Required for all Offerors
* located at:
https://www.sandiegocounty.gov/content/dam/sdc/purchasing/docs/PC600_dpc_Offerors_Cover_Page.pdf
1.2 Submit a completed and signed Representations and Certifications form (PC601)
* Required for all Offerors
* located at:
https://www.sandiegocounty.gov/content/dam/sdc/purchasing/docs/PC601_dpc_Reps_and_Certs.pdf
1.3 Submit a completed and signed Small-Local Business Self-Certification Form (PC610)
* All Offerors are encouraged to complete this form to support County data collection.
* located at:
https://www.sandiegocounty.gov/content/dam/sdc/purchasing/docs/PC610_dpc_Small_Local_Self_Cert.pdf
1.4 Submit a completed and signed Nondisclosure Indemnification Agreement (PC620) (if applicable).
* Required if submitting Confidential/Proprietary Information (see RFQ Instructions and Rules section 4.2)
* located at:
https://www.sandiegocounty.gov/content/dam/sdc/purchasing/docs/PC620_dpc_Nondisclosure_Indemnity.pdf
2. TECHNICAL APPROACH
2.1. Confirm (YES/NO) your acceptance of the requirements of Exhibit A - Statement of Work (SOW)
YES
NO
2.1.1. If your organization has exceptions to the SOW requirements, please indicate your proposed changes in
your response. Provide explanations to support any alternative standards/language being proposed. Failure
to specifically reject a proposed requirement will be deemed acceptance.
2.2. Byrd Anti-Lobbying Amendment certification: Confirm (YES/NO). Offeror certifies that it and its subcontractors
will not and have not used federal appropriated funds to pay any person or organization for influencing or
attempting to influence an officer or employee of any agency, a member of Congress, officer or employee of
Congress, or an employee of a member of Congress in connection with obtaining any federal contract, grant or
any other award covered by 31 U.S.C. 1352. List as a disclosure any lobbying with non-federal funds that takes
place in connection with obtaining any federal award by Offeror or Offeror's subcontractors.
YES NO
2.3. Describe your technical approach to meeting the requirements outlined in the Exhibit A Statement of Work
(SOW)
2.3.1. Details of the activities to be performed and to fulfill each task outlined in the SOW to include the
following:
2.3.1.1. The specific personnel and their title who will be assigned to perform services to each task outlined in
the SOW, identify whether the stated service will be performed by your organization or one of your
subcontractors.
2.3.1.2. Fully describe your proposed approach to SOW Section 3 General Service Requirements.
2.3.1.2.1. Confirm hours of operation and customer service availability as described in SOW 3.4.9 through
3.4.11

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
2.3.1.3. Fully describe your proposed approach to SOW Section 4 Ordering Requirements.
2.3.1.3.1. Provide Sample or Templet with an itemized quote.
2.3.1.4. Fully describe your proposed approach to SOW Section 5 Specific Service Requirements
2.3.1.4.1. Provide Sample or Templet of:
2.3.1.4.1.1. Hazardous Waste Manifest (with all required data fields type, weight, pick-up and
delivery location).
2.3.1.5. Fully describe your proposed approach for compliance with SOW Section 11. Invoices and Payment
and Section 12. Data Collection and Reporting Requirements.
2.3.2. SOW Section 6. Licenses, Permits, Certifications:
Submit copies of all applicable current permits for regulated medical waste remove and disposal including:
2.3.2.1. DTSC State Identification Number
2.3.2.2. EPA Federal Identification Number
2.3.2.3. DTSC Hazardous Waste Transporter Registration
2.3.2.4. CDPH Medical Waste Transporter Permit
2.3.2.5. CDPH Hazardous Waste Transporter Registration Certificate
2.3.2.6. Unified Program Facility Permit (UPFP) or Small Quantity Medical Waste Generator Registration
2.3.2.7. Medical Waste Treatment Permit
2.3.2.8. Offsite Transfer Station/Treatment Facility Permit
2.3.3. Provide the roles and responsibilities of proposed team members, including an organizational chart that
details the project team personnel assigned to support this project. The chart should include a general SOW
responsibility and lines of report to ensure effective project management and communication.
2.3.3.1. Submit proof of current training for all staff performing services for:
2.3.3.1.1. CAL-OSHA Bloodborne Pathogens
2.3.3.1.2. DOT Hazardous Materials Transport
2.3.3.1.3. Medical Waste Handing Training
3. OFFEROR AND OFFEROR'S PERSONNEL EXPERIENCE, QUALIFICATION AND CAPACITY
3.1. The County of San Diego is committed to the values of diversity, equity, inclusion, and opportunity for local
workers and qualified small, local, disabled veteran-owned, and other under-utilized businesses. Include any
information about your business ownership, training, hiring, or other practices that could meet the County's goal
of furthering equity.
3.2. Describe your organization's knowledge and experience in providing regulated medical waste removal and
disposal services.
3.3. Describe your organization's (and any proposed subcontractors') experience providing regulated medical waste
removal and disposal services in a similar scope and capacity to San Diego County.
3.4. Describe your agency's knowledge of regulated medical waste removal and disposal services and how, during
your experience, you have ensured service for removal and disposal of regulated medical waste is performed
timely and efficiently.
3.5. Provide at least three (3) external (non-County of San Diego) references from entities for which your agency has
performed similar services within the last five (5) years. If subcontractors are proposed, include three (3)
references for each subcontractor. For each reference, include the following:
3.5.1. Entity name, customer contact name, business address, business phone number, contact phone number, and
contact email address.
3.5.2. A summary of the scope of work, contract objectives, service level agreement,
and results.
3.5.2.1. Effective dates of the contract.
3.5.2.2. Identify the project manager, technical personnel, and duties of each person

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
assigned to the referenced contracts.
Note: The County may make reasonable attempts to contact references. The County's inability to reach a
reference after reasonable attempts may be treated as an unfavorable or missing reference for evaluation
purposes. An unfavorable response is a response from a listed reference stating that they would not enlist your
organization to perform services again in the future or comments provided that the County deems it to be
substantially negative or reflective of substandard service. The County also reserves the right to make its own
inquiries to other sources for which services have been performed but are not listed in your submittal.
The County reserves the right to contact County departments or any other agency for which a company has
previously performed under the contract. The County also reserves the right to make its own inquiries to other
sources for which services have been performed but are not listed. The County may, at its sole discretion,
disqualify a vendor if the requested number of references stated is not provided or responses are considered
unfavorable.
3.6. Provide a list of all subcontractors being utilized to perform services related to this agreement. For each proposed
sub-contractor, provide the following (if not applicable, confirm 'N/A'):
3.6.1. Subcontractor(s) or independent contractor(s) name and business address.
3.6.2. Describe the role/tasks to be performed.
3.6.3. Provide an overview of experience that supports their ability to perform the related work.
3.6.4. Describe how your organization's proposed performance monitoring approach ensures that the
subcontractor(s) or independent contractor(s) achieves
performance standards and outcomes.
3.7. Offeror's Personnel Qualifications and Experience:
3.7.1. Provide information about the personnel assigned to perform the required services
outlining the following:
3.7.1.1. Provide a summary of the qualifications and experience of Key Personnel and each team member
assigned to this project, including length of service with the firm, each personnel's resume with a
brief bio, and the qualifications and experience of any sub-consultant staff on your project team.
3.7.1.2. Identify the Key Personnel for your team and which team members are responsible for each project
component.
3.8. Offeror's capacity
3.8.1. Provide an organizational chart that clearly articulates lines of reporting and oversight into regulated
medical waste removal and disposal services. For each step of regulated medical waste removal and disposal
services, identify which team members will be responsible.
3.8.2. Provide documentation to support your organization's financial stability and
ability to maintain the services throughout the contract period. Documentation relating to another entity will
not be considered by the County unless the other entity commits to assuming the obligation of the agreement
under the same terms and conditions to which you seek to enter. The commitment should be in the form of a
parent guaranty or similar legally binding agreement, which County may accept or reject at its sole
discretion.
4. PRICING
4.1. Provide proposed pricing by completing Exhibit C - Price Schedule attached
5. TERMS AND CONDITIONS AND INSURANCE REQUIREMENTS

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
5.1. Confirm acceptance (YES / NO) to the County of San Diego's terms and conditions, including insurance
requirements.
YES
NO
If NO, provide a detailed paragraph-by-paragraph, contract clause-by-contract clause description of any issues or
concerns that Offeror may have with the documents listed. If Offeror objects to a particular paragraph or clause, then
Offeror will need to further describe, in business terms and not in proposed language, the nature of its concern and
what terms Offeror is willing to accept. The Exception List shall provide the reason or rationale supporting the item of
concern and/or counter-response. Simply stating that a paragraph or clause is "Not Acceptable" or proposing
alternative contract terms without describing in business language the reason or rationale may be considered
acceptance of that paragraph or clause. If Offeror does not identify specific concerns with a particular paragraph or
clause, the County will consider the paragraph and/or clause acceptable. The Offeror shall also provide a description
of the business benefit to the County for the proposed language changes.
The Offeror shall provide a Redlined (track changes) copy of Terms and Conditions reflecting the proposed revisions.
Should you take exception(s) to the Draft Agreement, you understand that the County may, as part of its evaluation
process, conclude that exceptions are so numerous and/or material that the proposal does not meet minimum
requirements.
The Offeror will be deemed to have accepted any terms and conditions of the Draft Agreement to which it does not
take exception in its proposal, and such accepted terms and conditions will not be subject to further negotiation except
at the County's sole discretion.
5.2. Provide disclosure of any lawsuits and/or pending litigation that involve failure or alleged failure to deliver
performance on contracts and/or lawsuits/litigation that may directly impact this contract (e.g., non-compliance
with legal requirements).
5.2.1. Provide information regarding status, resolution, and, if any, penalties, fines, or
other actions required. If there are none, state "None" in your response
5.3. Provide disclosure of any current and/or pending investigations that involve failure or alleged failure to deliver
performance on similar scope contracts and/or investigations that may directly impact on this contract (e.g.,
noncompliance with legal requirements).
5.3.1. Provide information regarding status, resolution, and, if any, penalties, fines, or
other actions required. If there are none, state "None" in your response.
6. CONFIDENTIAL PROPRIETARY
6.1. Include any Confidential/Proprietary Information in this exhibit, in accordance with RFQ Instructions and Rules
section 4.2

COUNTY OF SAN DIEGO - REQUEST FOR QUOTATIONS (RFQ) 13316
DEPARTMENT OF PURCHASING AND CONTRACTING
MEDICAL WASTE REMOVAL SERVICES
D. REQUIRED FORMS
(RESERVED)