36C10G24R0016 0001.docx

DOCX document 31 KB Posted

Attached to
R499--State Veterans Home (SVH) Nursing Homes
Solicitation number
36C10G24R0016
Issued by

About this file

This is Amendment 1 to Solicitation 36C10G24R0016 for Survey of State Veterans Homes (SVH) issued by the Department of Veterans Affairs' OPAL Strategic Acquisition Center in Fredericksburg, Virginia. The amendment extends the deadline for receipt of offers to June 30, 2026 at 3:00 PM EDT and makes four substantive changes to the solicitation: responding to questions previously submitted by offerors, updating solicitation attachments and including a Past Performance Questionnaire, adding FAR clause 52.222-90 regarding Addressing DEI Discrimination by Federal Contractors, and extending the closing date. The added clause requires contractors to refrain from engaging in racially discriminatory diversity, equity, and inclusion activities; furnish required information and reports to the Contracting Officer for compliance verification; report known or reasonably knowable subcontractor violations; and include the substance of the clause in all subcontracts at any tier, except those with performance outside the United States. The clause also specifies that noncompliance may result in contract cancellation, termination, suspension, or contractor ineligibility for future Government contracts.

The amendment references multiple supporting documents including the SVH Master Survey Schedule Listing, Answers to Amendment 1, Observation Record, Final Survey Report Format, Survey Deficiency Summary Report Format, and a Past Performance Questionnaire. Offerors are required to acknowledge receipt of this amendment prior to the extended deadline using one of three methods: completing Items 8 and 15 and returning copies of the amendment; acknowledging receipt on each copy of the offer submitted; or sending separate written or electronic communication referencing the solicitation and amendment numbers. Failure to acknowledge receipt by the specified date and time may result in offer rejection.

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Other files

File Type Posted
36C10G24R0016 0002.docx DOCX document
Past Performance Questionnaire Fillable.pdf PDF
Attachment Z_Survey Deficiency Summary Report Format 01.pdf PDF
Attachment A_SVH Master Survey Schedule Listing 01.pdf PDF
Attachment C Observation Record - informational.pdf PDF
Answers Amendment 1 SVH.pdf PDF
Attachment U_ Final Survey Report Format 01.pdf PDF
36C10G24R0016 SVH.pdf PDF
Attachment Z_Survey Deficiency Summary Report Format.pdf PDF
Attachment Y_Quick Reference Guide_ADHC.pdf PDF
Attachment R_Existing Day Care Occupancy Checklist.pdf PDF
Attachment Q_SVH DOM Small Board and Care Life Safey Checklist.pdf PDF
Attachment G_VA Form 10-0144.pdf PDF
Attachment E_VA Form 10-0143.pdf PDF
Attachment A_SVH Master Survey Scheduling Listing.pdf PDF
36C10G24R0016.pdf PDF
36C10G24R0016.docx DOCX document
Attachment X_Quick Reference Guide_Domiciliary.pdf PDF
Attachment S_Scope and Severity Matrix.pdf PDF
Attachment H_VA Form 10-0144A.pdf PDF
Attachment C_Observation Record.pdf PDF
Attachment AA -Business Associate Agreement.docx DOCX document
Attachment V_Life Safety Code Headings.pdf PDF
Attachment U_ Final Survey Report Format.pdf PDF
Attachment T_IJ Template.pdf PDF
Attachment L_SVH NH_Life Safety Checklist.pdf PDF
Attachment J_VA Form 10-3567 Staffing Profile Reference.pdf PDF
Attachment B_Corrective Action Request Procedure and Form.pdf PDF
Attachment CC Detailed Price Cost Sheet.xlsx XLSX spreadsheet
Attachment BB Estimated Pricing Sheet.xlsx XLSX spreadsheet
Attachment W_Quick Reference Guide_Nursing Home.pdf PDF
Attachment P_SVH DOM Large Board and Care Life Safety Checklist.pdf PDF
Attachment O_SVH_DOM_Family Dwellings.pdf PDF
Attachment N_SVH NH_DOM_ADHC_Combine Life Safety Checklist.pdf PDF
Attachment M_SVH NH_DOM_Combine Life Safety Checklist.pdf PDF
Attachment K_VA NFPA Interpretation for the SVH Program.pdf PDF
Attachment I_ VA Form 10-3567 Staffing Profile.pdf PDF
Attachment F_VA Form 10-0143A.pdf PDF
Attachment D_Table of Surveyor Component Guide.pdf PDF
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CONTINUATION PAGE 36C10G24R0016 0001 Page 3 of 3

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority)

THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 06-04-2026 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697 36C10G U.S. Department of Veterans Affairs OPAL | Strategic Acquisition Center 10300 Spotsylvania Ave | STE 400 Fredericksburg VA 22408-2697 To all Offerors/Bidders

36C10G24R0016 04-28-2026

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-30-2026 15:00 EDT X The purpose of this amendment is to:

1. Respond to questions submitted.

2. Update attachments to the solicitation and include Past Performance Questionairre.

3. Add clause 52.222-90.

4. Extend closing date to June 30, 2026.

52.222-90 Addressing DEI Discrimination by Federal Contractors.

As prescribed in 22.2203, insert the following clause:

ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS (DEVIATION DATE)

(a) Definitions. As used in this clause— Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

(End of clause) Survey of State Veterans Homes.

See attached document: 36C10G24R0016 SVH.

See attached document: Answers Amendment 1 SVH.

See attached document: Attachment A_SVH Master Survey Schedule Listing 01.

See attached document: Attachment C Observation Record - informational.

See attached document: Attachment U_ Final Survey Report Format 01.

See attached document: Attachment Z_Survey Deficiency Summary Report Format 01.

See attached document: Past Performance Questionnaire Fillable.

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