C1DA--Houston VA AE MATOC
Page 2 of 2
THIS IS A REQUEST FOR STANDARD FORM (SF) 330, NOT A REQUEST FOR PROPOSAL (RFP)
North American Industrial Classification System (NAICS) codes are Architect or Engineer Firms with an approved NAICS Code of 541310 which has a size standard of $11,000,000 in average annual receipts, or 541330, Engineering Services, which has a size standard of $22,500,000 in average annual receipts. This announcement is being competed as a 100% Service-Disabled Veteran Owned Small Business set-aside (SDVOSB) only. Any resultant contract awarded in response to this request for SF 330 packages will be a Fixed Price Indefinite Delivery Indefinite Quantity (IDIQ) Contract to provide Architecture and Engineering (A/E) Services and expert consultant services related to: architectural design, construction administration services, building systems design, interior and exterior renovations, new building design, medical equipment installation, landscape design, space programming, mechanical engineering, electrical engineering, civil engineering, structural engineering, and fire protection engineering.
A/E shall provide services that include: Development of Design Programs; Schematic Design, Design Development; Construction Documents Peer Review; Specialty Consultant; Constructability Review; QA/QC; Construction Submittal Review; RFP for Design-Build; Facility Condition Assessments; Electrical Studies; Design Services for Minor and Non-Recurring Maintenance Projects, Value Engineering; Commercial office building design, Commercial interior space planning, furniture design and layouts and signage and wayfinding. Drawings as necessary for all project requests, construction period services for all design contracts leading to construction, cost estimates, project schedules, digital models to communicate concepts to users, physical space mock ups, and preparation of statements of work (SOW). A/E shall prepare site and architectural block or line plans, magnitude cost estimates, analytical, investigative and certification services & reports, attend site visits, validation of clinical program workloads and related data (VA provided or other healthcare market analysis) as necessary to provide applicable design and construction solutions.
The multiple award contracts are for licensed architectural, multi-disciplined engineering and design (A/E) services for the following types of projects:
facilities demolition
repairs
alterations
new construction
utility/infrastructure upgrades
And contracts for all types of new and existing facilities including, but not limited to medical centers, hospitals, clinics, community-based outpatient clinics, administrative/office buildings, training and education buildings, medical research facilities, community living centers, domiciliary, parking garages, central plants, support buildings, and campus infrastructure and utilities.
Standards: Work will be prepared in compliance with VA/CFM standards, guidelines and criteria, such as PG 18-15 and Space and Equipment Planning System (SEPS), which can be found on the VA/CFM Technical Information Library (http://www.cfm.va.gov/til/index.asp) and the statement of work associated with each task order issued. Successful firms must be able to demonstrate experience and success in working with these standards, or similar system wide standards from other Federal, State, private healthcare systems or corporations.
The location of the project sites is the Michael E. DeBakey Veterans Affairs Medical Center (MEDVAMC) which includes multiple buildings on campus, one offsite domiciliary, and (11) offsite Community Based Outpatient Clinics.
To be eligible for contract award, a firm must be registered in the System for Award Management (SAM) database. Representations and Certifications must be completed electronically via this site as well. Register via the SAM Internet site at www.sam.gov or by contacting the SAM Customer Service at 1-866-606-8220. All firms will be required to comply with Veteran Affairs Acquisition Regulation 852.219- 10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside (http://www.va.gov/oal/library/vaar/vaar852.asp). Firms must also be registered in Veterans Information Page (VIP) database (https://www.vip.vetbiz.gov/) at the time of submission of SF 330 with the appropriate NAICS code for this requirement. Firms who are either not listed in the VIP database with either NAICS code or have expired registrations, will not be considered for award.
CONTRACT INFORMATION: This contract is being procured in accordance with the Selection of Architects and Engineers Statute (Public Law 92-582) as implemented in FAR Subpart 36.6. Firms will be selected for negotiations based on demonstrated competence and qualifications for the required work. The VA anticipates awarding multiple SDVOSB set asides IDIQ A&E contracts for the described area of performance. Firm Fixed Price (FFP) contracts will be negotiated and awarded for a base period of performance of not to exceed 365 Calendar Days, followed by the award of up to four (4) one-year option periods, if exercised. The amount of IDIQ contract award and total contract capacity shall not exceed $2,000,000.00 per contract awardee over the life of the contract. If the capacity is exhausted before the five (5) year time frame, the respective IDIQ contract will be considered complete. The minimum guaranteed amount shall be $2,500.00 for the life of the IDIQ award. The minimum will be paid if the respective contractor has not been awarded at least that amount prior to the expiration of the final awarded period of performance. The contract is anticipated to be awarded in 2022 and completed in 2027. Work will be issued by negotiated firm-fixed price task orders. Each task order will include the deliverable schedule. In accordance with FAR 52.216-19 Order Limitations, the minimum order shall not be below $2,000 and the maximum single order shall not be greater than $1,2000,000. If remaining capacity falls below $2,000.00, the Government will consider the contract complete. Profit will be proposed, evaluated, and negotiated per task order.
The wages and benefits of service employees (see FAR 22.10) performing under the resulting contract must be at least equal to those determined by the Department of Labor, Wage and Hour Division, under the Service Contract Act Labor Standards, as determined relative to the employee's office location (not the location of the work). Each respective offeror shall determine the place of their performance and indicate the address, to include the county, to ensure the Contracting Officer has the correct Wage Determination necessary for the performance of the contract.
Task Group 1 Assessments
Pre-Construction Documents - Technical Studies:
Example of the tasks includes but not limited to: Preparation of studies involving systems evaluation. Reports on the inspections of VA facilities assessing site development, utilities investigations, Federal, State, and Local permit requirements and recommendations. Analyses of existing and selected systems also, including determining available capacity involving structural, electrical, and HVAC systems. Evaluation of equipment proposed for VA facilities. Development of cost comparison studies on building systems, renovation alternatives versus building additions versus new buildings. Develop time analyses studies of different phasing alternatives.
Deliverables: The Contractor will provide the Contracting Officer with one original reproducible and two copies of all reports developed within the task order. Delivery dates will be established by the Contracting Officer.
Facility Condition Assessments (FCA):
Example of the tasks includes but not limited to: Provide consulting, assessment, and inspection services utilizing experts skilled in appropriate technical areas necessary for the evaluation of existing VA facilities. (Reports will indicate all systems, conditions, life expectancies, etc.)
Deliverables: The end product will be reports, and data involving the investigation and evaluation of the VA facilities inspected.
Utility Studies:
Description of work to be performed: See link for description of services to perform: http://www.cfm.va.gov/ti l/aeDesSubReq.asp A/E design Submission Requirements, Site, Topographic, Utility, Landscape, and Soil Surveys Scope of Services.
Deliverables: Reports, studies and data development involving design, investigation and evaluation of the issues described above.
Assessment Consulting Services:
Example of the tasks include but not limited to: Provide assessment consulting services and technical studies on a wide variety of facility design and construction issues including seismic studies, indoor air quality, national codes and standards review, cost estimating, facility operations, control of indoor air quality, impact of facility standards on building performance and facility life cycle, interoperability electronic standards for facility design, construction, operation, project documentation and construction management. Services may require on-site inspections.
Deliverables: Reports, studies, and data development involving design, investigation and evaluation of the issues described above.
Energy Analysis:
Example of the tasks include but not limited to: Perform analysis and provide studies of energy usage including electric, gas, steam, solar or other systems utilized or proposed to be utilized in the assigned facilities and medical center complex.
Deliverables: Reports, studies, and data development involving design, investigation and evaluation of the issues described above.
Façade Studies: Example of the tasks includes but not limited to: - Perform both non-destructive and destructive evaluations of existing and proposed building facades. Special emphasis should be placed on methods used, determining longevity, thermal properties and description of aesthetic themes and intent.
Deliverables: Reports, studies and data development involving design, investigation and evaluation of the issues described above.
Infrastructure Assessment:
Description of work to be performed: Perform analysis of existing or proposed infrastructure on medical center complex to include defining and documenting: utility capacities, physical security elements in place, fencing, pedestrian and vehicular roads, sidewalks and amenities, all associated elements of the built environment composing the medical center campus. The intent of the studies is to identify supporting facilities and conditions to accommodate proposed future expansions, renovations, and new construction. See the TIL for guidance regarding Physical Security studies: http://www.cfm.va.gov/til/dManual.asp
Deliverables: Reports, studies and data development involving design, investigation and evaluation of the issues described above.
Site survey, soil/geotechnical investigation:
See link for description and instructions of services to be performed: http://www.cfm.va.gov/til/aeDesSubReq.asp also follow ASCE industry standards.
Deliverables: Reports, studies and data development involving design, investigation and evaluation of the issues described above.
Task Group 2 Professional Reviews
Peer review - Schematic through CDs:
DESIGN REVIEWS THROUGH DESIGN DEVELOPMENT STAGE
Example of the desired tasks include: The evaluation, review and recommendation on all architectural and engineering disciplines' designs, calculations, specifications, reports, system analyses, conformance with sustainable design criteria and thorough completeness and coordination based upon development of the final approved Schematic Plan. Evaluations will be based upon the submission requirements established in PG-18-15. Site visits to VA facilities for participation in reviews and meetings with Construction & Facilities Management (CFM) personnel, as needed.
Deliverables: The Contractor will provide the Contracting Officer one reproducible original and two copies of their report(s) in accordance with VA CFM schedule developed for the project.
CONSTRUCTION DOCUMENT REVIEW
Example of the tasks include but not limited to: The evaluation, review and recommendations on the complete drawings and specifications, soil borings, VA testing lab recommendations, and other documents necessary for the bidding and construction of this project. These documents will be provided by the project A/E from the approved design development documents. The A/E IDIQ shall evaluate and ensure the coordination of the drawings between disciplines; conformance with sustainable design criteria; identification of errors, omissions or conflicts found within or between drawings and specifications. The A/E IDIQ shall evaluate the schedule to meet the operating plan due dates for the Request for Proposal or Invitation for Bids and award dates. Review and comment on project phasing. Evaluate market conditions that may affect bidding. Review any resubmitted construction documents with recommendations as to their acceptability in accordance with PG-18-15.
Deliverables: Review, evaluation and recommendation of construction documents in accordance with PG-18-15. Provide both a written report and annotated comments on reproducible drawings received from VA AE in accordance with VA FM review date. One reproducible original and two copies of all written correspondence will be delivered to the Contracting Officer.
Constructability Review
Example of the tasks includes but not limited to: The Contractor will provide a detailed analysis of the construction documents to assure clarity, accuracy, coordination and completeness of the documents. The review will focus on the suitability of the drawings and specifications for ease of construction and the placement and maintenance of equipment. Review will identify conflicts and/or claims that may arise during construction.
Deliverables: The Contractor shall provide report(s) evaluating the constructability of the contract documents to the Contracting Officer, prior to the VA CFM construction document review. One reproducible original and two copies will be submitted as stated above.
Task Group 3 Technical expertise/studies Task Group 3 - Technical expertise/Studies
Cost Estimates Description of work to be performed is found on the VA TIL website Manual for preparation of Cost Estimates. http://www.cfm.va.gov/cost/index.asp
On site Construction Support; QA/QC: Construction Change Support; Submittal Review
Example of the tasks include but not limited to: Provide on-site quality assurance and control through witnessing performance tests of various types of structural, electrical, HVAC equipment, elevators, sprinkler systems, fire alarm, communication systems and other systems integral to a fully operational building system. Prepare reports associated with on-site inspections or analyses of test reports, review of submittal material and evaluation of contract modifications, cost estimates, daily logs, and preparation of requests for information (RFI), monitoring of submittals and other duties assigned by the Contracting Officer s Representative (COR). Prepare reports associated with on- site investigations of materials, equipment and systems components. Test performance and operation in compliance with contract requirements.
Deliverables: The Contractor shall provide test reports, product literature responses, cost estimates, review of-product submittals, daily logs, inspection reports, review of certified payroll statements at such intervals as directed by the COR. One original and two copies of the reports will be delivered to the COR or Contracting Officer.
Medical Equipment Planning and Design: Description of work to be performed is found on the VA TIL website. See PG-18-9 and other Design Guides for information. http://www.cfm.va.gov/ti l/planning.asp, http://www.cfm.va.gov/til/space.asp
As-built preparation/updates: Description of work to be performed is similar to industry standard as-built preparation services. In some cases, updating as-builts will be required whereby measuring existing facilities and reviewing completed contract documents are required to update the as-builts. Work will be performed in accordance with VA CAD Standards, information can be found on the VA TIL.
Preparation of BIM documentation: Description of work to be performed is found on the VA TIL at http://www.cfm.va.gov/til/projReq.asp
Laser Measurement: Description of work to be performed: Provide laser measurement of existing facilities. Provide CAD and electronic submittals of results that may be used to create BIM files of existing facilities and or updates to as-built documents.
Physical Security: Description of work to be performed: In accordance with the latest version of the VA Physical Security Design Manual found on the VA TIL website.
Traffic Studies: Description of work to be performed: Provide analysis of vehicular and pedestrian circulation in designated areas of medical center campuses and surrounding areas. The traffic studies shall be produced in compliance with industry standards and accepted by local government authorities.
Structural Studies: Description of work to be performed: In accordance with the latest version of the VA Design Requirement H-18-8 on the VA TIL website. http://www.cfm.va.gov/ti l/seismic.asp
Health Care Design Research: Conduct research and submit reports on current trends, concepts and best practices in various areas of the health care industry concerning design and construction. Research may also involve studies of staff circulation patterns and best practices in patient care.
Mockups: Design and construct mockups of various areas typical in medical centers. Areas may include patient rooms, treatment areas, BIM simulations, etc.
Destructive Testing: Conduct forensic testing and provide written reports and recommendations to resolve and correct deficiencies in existing conditions in built facilities. Testing and investigations may require removal of some building materials to unveil areas that require examination.
Task Group 4 - DESIGN
Space programming, evaluation and planning: Develop project space programs in the VA/DoD Space and Equipment Planning System (SEPS), using available workload and space data and information (demonstrated ability to use SEPS, or similar system, required). The current SEPS system produces BIM outputs which could be used as rudimentary schematic design. Space programs may require modification to account existing facility conditions or templated departments. Perform health care operation simulation and/or modelling to assist in cost/benefit decision processes. See guidance on the TIL: http://www.cfm.va.gov/ti l/planning.asp
Schematic, Concept, Design Development:
Description of work to be performed: Perform and prepare designs utilizing planning documentation, evaluations, review and recommendation of all architectural and engineering discipline calculations, specifications, reports, system analyses, drawings, cost estimates meeting the approved space program, compliance with established sustainable design criteria, Facility Development Plan (FDP) and Design Program in accordance with the minimum requirements for A/E Submissions, Program Guide PG-18-
15.
Perform services to identify and make recommendations for correction of
submissions to meet the requirements described in PG-18-15. Site visits to VA facilities and meetings with CFM personnel may be required. Produce the various levels of design required for medical facilities in accordance with the TIL PG-18-15. http://www.cfm.va.gov/til/aeDesSubReq.asp
Construction Documents for projects up to $20M: Produce construction documents for the design of medical facilities in accordance with the TIL PG-18- 15 and other guidance found on the TIL. http://www.cfm.va.gov/til/aeDesSubReq.asp
RFP Preparation: Meet with VA officials, review and analyze any prepared documentation for proposed new VA facilities. Conduct necessary background preparation then produce Design Build Request for Proposals for MEDVAMC or other facilities as determined to be acquired and owned by the VA.
Interior Design: Description of work to be performed is found on the VA TIL website. http://www.cfm.va.gov/ti l/dManual.asp
Wayfinding: Description of work to be performed is found on the VA TIL website. http://www.cfm.va.gov/ti l/dManual.asp
Graphic Design: Description of work to be performed is found on the VA TIL website. http://www.cfm.va.gov/ti l/dManual.asp
SELECTION CRITERIA: The selection criteria are listed below. Factor 1 and Factor 2 are equal in importance. Factor 1 sub-factors are listed in descending order of importance.
Factor 1-Technical Capabilities
I) Key Personnel (See Appendix I): Resumes for qualified personnel
should be presented in Section E of the SF 330 for the following key
personnel. All key personnel shall be shown on the organizational chart.
Key personnel in disciplines that are required to be licensed,
registered, and/or certified include the following: architect, structural
engineer, civil engineer, mechanical engineer, electrical engineer, fire
protection engineer (registered with evidence of successful
completion of Fire Protection Examination), geotechnical engineer,
land surveyor, historical preservation engineer, and environmental
engineer. Resumes shall be provided for other key personnel as follows:
project manager, interior designer, cost estimator/engineer, medical
equipment planner, and space planner. Registration or certification for
all is encouraged.
Professional Qualifications: Submit a matrix of proposed design team(s), including alternatives, that contain the following data about the members assignment: members name, firm name, office location, proposed team assignment, percent of time to be spent on this team, education level/discipline (example: BS, mechanical engineering), state(s) of professional registration, number of years of professional experience, and number of years with the firm. Also for project managers and team leaders, identify the number of teams (design, consultants and joint venture partners) they have managed over the past five years.
Specialized and Technical Experience: Using the Task Groups above provide a description of relevant, recent projects, with clients, for which the team members provided a significant technical contribution. Work on these projects must have been in the last five years. Indicate how each project is relevant to the Task Groups described herein.
Membership or certifications and accreditations in these associations will be taken into consideration: American College of Healthcare Executives (ACHE); The American Academy of Healthcare Interior Designers (AAHID); American College of Healthcare Architects (ACHA); American Society of Healthcare Engineers; Evidence-based Design Accreditation and Certification (EDAC) from CHD, Green Building Certification Institute (GBCI), International Facility Management Association (IFMA), National Council for Interior Design Qualification (NCIDQ); Planetree Visionary Design Network (VDN); U.S. Green Building Council s Leadership in Energy and Environmental Design (LEED) Green Building Rating Systems.
II) Firm s Professional Qualifications: (i) the firm or team must
show that the proposed team successes working together for the firm and the firm s involvement working on those projects. The firms or team shall provide projects that are relevant and recent to the Task Groups along with client contact information. (ii) Describe the firms' experience with specification writing software. (iii) The firm or team experience with Building Information Modeling (BIM) in developing projects from its initial conception through completion of documentation.
AE Team s experience in construction period services to include professional field inspections during the construction period, review of construction submittals, support in answering requests for information during the construction period, and support of construction contract changes to include drafting statements of work, and cost estimates.
Location: Successful firms will have a strong local presence in the MEDVAMC area of responsibility, and a history of local affiliations. Provide a list of relevant projects completed by the firm or joint venture partners and appropriate subcontractors in the areas of responsibility in the past five years (projects in construction can be included). Provide appropriate information on Part II of SF 330 for all Branch offices which may be supporting task orders issued under this contract.
Commitment to small business: Use of small business concerns as sub-consultants. Demonstrate commitment and use of small business concerns as sub-consultants on this contract. (Demonstrated commitment is pre-awarded contracts and agreements with small businesses to perform on this requirement.) Provide a chart with each small business category; identify the proposed names of the small businesses and subcontracting the prime anticipates subcontract to each firm. The government will also evaluate the A/E firm s SF330s to the extent the A/E includes the use of Service- Disabled Veteran-Owned Small Businesses (SDVOSBs) or Veteran-Owned Small Businesses (VOSBs), 8(A), Hubzone, Woman-owned or any other small business. Evaluation of the A/E s proposed SDVOSB or VOSB involvement will be based on the information presented in the offeror's proposal and on the registration information in the VetBiz.gov VIP database (http://www.vetbiz.gov) at the time of the offeror's submission.
Capacity: The A/E shall demonstrate it has the necessary capacity to accomplish task order work required over the base year and any option years exercised. The A/E shall provide details of all its current work (public/private) including the duration of the contracts, and how it anticipates on taking on additional work required under the subsequent contract award for MEDVAMC.
Other Factors: Provide insurance carrier s name and type and amount of liability insurance carried. Also provide the number of claims in the last five (5) years, stating the types of claim, and claim amounts distributed. Only provide claims in which claims were paid by the insurance carrier. If no claims, please provide a negative response.
B. Factor 2 - Past/Present Performance:
The firm shall provide a description of relevant and recent projects, a minimum of three but no more than five examples of similar work for each task group listed above, the firm has completed in the past five years (projects under construction may be included). Include as a minimum, a description of the work (including role played), the project size, cost, type of contract (e.g. task order) Client contact information, and duration. Additionally, provide a listing of all relevant and recent projects with excellent performance ratings and letters of commendation from both private and Government clients, including VA (designate your role: prime, consultant or joint venture partner). These ratings should be dated 2017 or later and include the following data: current client contacts, project due date, design completion date and final cost estimate compared to the contract award amount (note whether bid or negotiated). Interested firms must list on the SF 330, Part II, block 10, the type, amount, and dates of all fees for relevant A/E Services awarded and negotiated with awards between 2017 and the present. Past performance questionnaire (attached) should be sent to clients provided under Factor 1. Technical Capabilities, II). Firm s Professional Qualifications and III) Key Personnel (b) Specialized and Technical Experience. Past performance questionnaires must be sent directly to Tabitha Contreras, ONLY from the client, via email at Tabitha.Contreras@va.gov Past performance questionnaires shall be received via email before the closing date and time. Any past performance questionnaires received after the closing time will not be accepted. FAR 15.208(b) will apply to past/present performance questionnaires.
SUBMISSION REQUIREMENTS: Responses shall be sent via a single e-mail with a size limitation of 15MB. The email shall contain two attachments only. Attachment I shall be titled: 36C25622R0120 SF330 Part I Company Name. Attachment II shall be titled: 36C25622R0120 SF330 Part II Company Name. The subject of the email shall read: 36C25622R0120 SF330 Company Name. Include your firm's UEI number in SF 330, Part II, Block 4. Other information required by this notice shall be provided in Part I, Section H of the SF 330.
SF 330 Part I shall not exceed 65 pages (single sided), including Section H. Font size shall be 10-point Times New Roman Font or greater. All pages shall be 8 ½ x 11 . Indicate in Section C.11 if the prime has worked with the sub-contractors in the past five (5) years. (Use WWS to indicate you have worked with subcontractor in the last five years.) Resumes in Section E and example projects in Section F (Complete one Section F for each project) shall not exceed one page each. In Section G.26, include the name of firm each of the key personnel is associated with.
SF 330 Part II, General Qualifications, past performance questionnaires sent in by clients, signed letter of intent to form a joint venture (JV), and Commitment to small business, demonstrated commitment pre-awarded contracts and agreements with small businesses will not be counted toward the page limit. Cover letters and extraneous materials (brochures, etc.) will not be considered. No other general notification to firms under consideration for this work will be made, and no further action is required. Questions concerning submissions should be directed to Tabitha Contreras at Tabitha.Contreras@va.gov by July 6, 2022. Any questions submitted after that date may not be answered prior to the submission deadline and no extension to the deadline will be granted unless the Contracting Officer believes it is in the best interest of the government. Personal visits for discussing this announcement are not permitted.
Offerors shall provide all documents listed and comply with all proposal instructions for their proposal to be considered responsive to this notice. This review may eliminate offerors that fail to provide all the required information and documents in the format and detail specified. A VIP unverified SDVOSBs will be considered non-responsive as it is deficient and therefore will not be evaluated.
Solicitation packages are not provided, and no additional project information will be given to firms during the announcement period. This is not a request for proposals.
Submissions must be received no later than 1:00 p.m. Central Time on July 21, 2022. Any submissions received after the stated time will be considered late and will be processed in accordance with FAR 15.208 Submission, Modification, Revision and Withdrawal of Proposal.
Note 1: If the combining of two or more companies (joint venture (JV)) for the purpose of this requirement, then include each company's role under Part I, Item H of the SF 330. If the JV partners have never worked together on similar jobs, so indicate. The JV will be evaluated as one. The experience of each JV partner will be evaluated based on each partner's role in cited past projects and in the proposed JV role for this project. To identify the JV, provide the DUNS number for each entity and the JV entity. A signed letter of intent to form a JV can be included with the SF 330. However, if chosen to negotiate there must be a signed JV agreement in place before negotiation. Failure to submit a signed copy of the JV agreement will result in the JV's submission being excluded from consideration for award. It is the Prime vendors responsibility to thoroughly understand all requirements of JV partnership and its effects on each member. Questions should be addressed to your local Small Business Office at www.sba.gov or the VA Office of Small & Disadvantaged Business Utilization at OSDBUAcqSupport@va.gov or by telephone at (202)632-5378.
Note 2: If selected for this contract and if contractor has recent Defense Contract Audit Agency (DCAA) audit results supporting proposed overhead and G&A rates the contractor will be required to submit them. All sub-contractors not listed in the initial proposal must be approved by the Director of Contracting, NCO 16, prior to issuance of any task order.
Attachment: 36C25622R0120 Past Performance Questionnaire
36C25622R0120 Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16
6/24/22, 12:33 PM