36C10G26R0003 0014 CCN Next Gen - Medical Amendment.pdf

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)

1 18

0014 03-20-2026

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

36C10G26R0003

12-15-2025

X

X X

X

The purpose of this amendment (0014) is to:

1. Update language in the RFP

2. Publish an updated version of the full conformed copy for the CCN Next Generation Medical solicitation 36C10G26R0003.

3. All other terms and conditions remain the same.

See continuation pages.

Jessica Portillo

Contracting Officer

This amendment provides a conformed copy of the CCN Next Generation Medical solicitation, noticed as 36C10G26R0003. The following revisions have been incorporated into the updated conformed copy and are detailed below for your reference.

Outlined in this document are responses to questions received relative to the Community Care Network – Next Generation, Request for Proposal (RFP) 36C10G26R0003. Offerors are hereby notified that all comments/questions provided to the Government have been reviewed and considered by the Government but may not be specifically addressed herein due to duplicative content. Please be advised that the information provided herein may differ from information provided prior to issuance of the RFP on 12/15/25 or as amended thereafter. Please also be advised that any information contained herein is for informational purposes only, is offered in response to specific questions posed by prospective Offerors and is subject to change throughout the question-and-answer process. Accordingly, in the event that there is any discrepancy between the information contained within this document, any prior or subsequent Question and Answer document(s), and/or the Solicitation, Offerors are hereby advised that the terms and conditions are contained within the final Solicitation control. If indicated in the Question and Answers provided below, updated information will be incorporated into the RFP by an amendment to the RFP.

Note: The words in red font in the “To” sections of each change denote the new language to be added in each version.

CHANGE 1:

E.2 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2025)

FROM:

(a) Submission of offers. Submit signed and dated offers to the office specified in this solicitation at or before the exact time specified in this solicitation. As a minimum, offers shall include—

(1) The solicitation number;

(2) The name, address, telephone number of the Offeror;

(3) The Offeror’s Unique Entity Identifier (UEI) and, if applicable, Electronic Funds Transfer (EFT) indicator;

(4) Information necessary to evaluate the factors contained in the provision at 52.212-2 or as described in the solicitation;

(5) Responses to provisions that require Offeror completion of information, representations, and certifications (other than those collected via the System for Award Management (SAM)); and

(6) A statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation and any solicitation amendments.

(b) Period for acceptance of offers. The Offeror agrees to hold the prices in its offer firm for 60 calendar days from the date specified for receipt of offers, unless another time period is specified in an addendum to the solicitation.

(c) Late submissions, modifications, revisions, and withdrawals of offers.

(1) Offerors are responsible for submitting offers and any modifications or revisions to the Government office designated in the solicitation by the time specified in the solicitation.

(2) Any offer, modification, or revision received after the time specified for receipt of offers is “late” and will not be considered unless it is received before award is made and the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition. However, a late modification of an otherwise successful offer that makes its terms more favorable to the Government will be considered at any time it is received and may be accepted.

(3) If an emergency or unanticipated event interrupts normal Government processes so that offers cannot be received at the Government office designated for receipt of offers by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of offers will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(4) Offerors may withdraw their offers by written notice to the Government received at any time before award.

(d) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate offers and award a contract without discussions with Offerors. Therefore, the Offeror’s initial offer should contain the Offeror’s best terms. However, the Government reserves the right to conduct discussions, if necessary. The Government may reject any or all offers if such action is in the public interest, accept other than the lowest offer, and waive informalities and minor irregularities in offers received.

(e) Debriefings. If a postaward debriefing is given to requesting Offerors, the Government will disclose the following information, if applicable:

(1) The agency’s evaluation of the significant weak or deficient factors in the debriefed Offeror’s offer.

(2) The overall evaluated cost or price and technical rating of the successful Offeror and the debriefed Offeror and past performance information on the debriefed Offeror.

(3) The overall ranking of all Offerors when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award.

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful Offeror.

(6) Reasonable responses to relevant questions posed by the debriefed Offeror as to whether the agency followed source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities.

(End of provision)

TO:

(a) North American Industry Classification System (NAICS) code and small business size standard. The NAICS code(s) and small business size standard(s) for this acquisition appear elsewhere in the solicitation. However, the small business size standard for a concern that submits an offer, other than on a construction or service acquisition, but proposes to furnish an end item that it did not itself manufacture, process, or produce is $47 Million in average annual receipts for Direct Health and Medical Insurance Carriers under NAICS code 524114, if the acquisition:

(1) Is set aside for small business and has a value above the simplified acquisition threshold;

(2) Uses the HUBZone price evaluation preference regardless of dollar value, unless the offeror waives the price evaluation preference; or

(3) Is an 8(a), HUBZone, service-disabled veteran-owned, economically disadvantaged women-owned, or women-owned small business set-aside or sole-source award regardless of dollar value.

(b) Submission of proposal. Submit signed and dated proposal to the office specified in this solicitation at or before the exact time specified in this solicitation. Proposal may be submitted on the SF 1449, letterhead stationery, or as otherwise specified in the solicitation. As a minimum, proposal must show—

(1) The solicitation number;

(2) The time specified in the solicitation for receipt of proposal;

(3) The name, address, and telephone number of the offeror;

(4) A technical description of the items being offered in sufficient detail to evaluate compliance with the requirements in the solicitation. This may include product literature, or other documents, if necessary;

(5) Terms of any express warranty;

(6) Price and any discount terms;

(7) "Remit to" address, if different than mailing address;

(8) A completed copy of the representations and certifications at Federal Acquisition Regulation (FAR) 52.212-3 (see FAR 52.212-3(b) for those representations and certifications that the offeror shall complete electronically);

(9) Acknowledgment of Solicitation Amendments;

(11) If the offer is not submitted on the SF 1449, include a statement specifying the extent of agreement with all terms, conditions, and provisions included in the solicitation. Proposal that fail to furnish required representations or information or reject the terms and conditions of the solicitation may be excluded from consideration.

(c) Period for acceptance of proposal. The offeror agrees to hold the prices in its offer firm for 365 calendar days from the date specified for receipt of proposal, unless another time period is specified in an addendum to the solicitation.

(d) Product samples. When required by the solicitation, product samples shall be submitted at or prior to the time specified for receipt of proposal. Unless otherwise specified in this solicitation, these samples shall be submitted at no expense to the Government, and returned at the sender's request and expense, unless they are destroyed during preaward testing.

(e) Late submissions, modifications, revisions, and withdrawals of proposal.

(1) Offerors are responsible for submitting proposal, and any modifications, revisions, or withdrawals, so as to reach the Government office designated in the solicitation by the time specified in the solicitation. If no time is specified in the solicitation, the time for receipt is 10:00 AM EST., local time, for the designated Government office on the date that proposal or revisions are due.

(2)(i) Any offer, modification, revision, or withdrawal of an offer received at the Government office designated in the solicitation after the exact time specified for receipt of proposal is "late" and will not be considered unless it is received before award is made, the Contracting Officer determines that accepting the late offer would not unduly delay the acquisition; and—

(A) If it was transmitted through an electronic commerce method authorized by the solicitation, it was received at the initial point of entry to the Government infrastructure not later than 5:00 p.m. one working day prior to the date specified for receipt of proposal; or

(B) There is acceptable evidence to establish that it was received at the Government installation designated for receipt of proposal and was under the Government's control prior to the time set for receipt of proposal; or

(C) If this solicitation is a request for proposals, it was the only proposal received.

(ii) However, a late modification of an otherwise successful offer, that makes its terms more favorable to the Government, will be considered at any time it is received and may be accepted.

(3) Acceptable evidence to establish the time of receipt at the Government installation includes the time/date stamp of that installation on the offer wrapper, other documentary evidence of receipt maintained by the installation, or oral testimony or statements of Government personnel.

(4) If an emergency or unanticipated event interrupts normal Government processes so that proposal cannot be received at the Government office designated for receipt of proposal by the exact time specified in the solicitation, and urgent Government requirements preclude amendment of the solicitation or other notice of an extension of the closing date, the time specified for receipt of proposal will be deemed to be extended to the same time of day specified in the solicitation on the first work day on which normal Government processes resume.

(5) Proposal may be withdrawn by written notice received at any time before the exact time set for receipt of proposal. Oral proposal in response to oral solicitations may be withdrawn orally. If the solicitation authorizes facsimile proposal, proposal may be withdrawn via facsimile received at any time before the exact time set for receipt of proposal, subject to the conditions specified in the solicitation concerning facsimile proposal. An offer may be withdrawn in person by an offeror or its authorized representative if, before the exact time set for receipt of proposal, the identity of the person requesting withdrawal is established and the person signs a receipt for the offer.

(f) Contract award (not applicable to Invitation for Bids). The Government intends to evaluate proposal and award a contract without discussions with offerors. Therefore, the offeror's initial offer should contain the offeror's best terms from a price and technical standpoint. However, the Government reserves the right to conduct discussions if later determined by the Contracting Officer to be necessary. The Government may reject any or all proposal if such action is in the public interest; accept other than the lowest offer;

and waive informalities and minor irregularities in proposal received.

(h) Availability of requirements documents cited in the solicitation.

(1)(i) The GSA Index of Federal Specifications, Standards and Commercial Item Descriptions, FPMR Part 101-29, and copies of specifications, standards, and product descriptions can be downloaded from the ASSIST website at https://assist.dla.mil.

(ii) If the General Services Administration, Department of Agriculture, or Department of Veterans Affairs issued this solicitation, a copy of specifications, standards, and commercial item descriptions cited in this solicitation may be obtained from the address in paragraph (i)(1)(i) of this provision.

(2) Most unclassified Defense specifications and standards may be downloaded from the ASSIST website at https://assist.dla.mil.

(3) Defense documents not available from the ASSIST website may be requested from the Defense Standardization Program Office by-

(i) Using the ASSIST feedback module (https://assist.dla.mil/feedback); or https://assist.dla.mil/ https://assist.dla.mil/

(ii) Contacting the Defense Standardization Program Office by telephone at 571- 767-6688 or email at assisthelp@dla.mil.

(4) Nongovernment (voluntary) standards must be obtained from the organization responsible for their preparation, publication, or maintenance.

(i) Unique entity identifier. (Applies to all proposal that exceed the micro-purchase threshold, and proposal at or below the micro-purchase threshold if the solicitation requires the Contractor to be registered in the System for Award Management (SAM).)

The Offeror shall enter, in the block with its name and address on the cover page of its offer, the annotation ‘‘Unique Entity Identifier’’ followed by the unique entity identifier that identifies the Offeror’s name and address. The Offeror also shall enter its Electronic Funds Transfer (EFT) indicator, if applicable. The EFT indicator is a four-character suffix to the unique entity identifier. The suffix is assigned at the discretion of the Offeror to establish additional SAM records for identifying alternative EFT accounts (see FAR subpart 32.11) for the same entity. If the Offeror does not have a unique entity identifier, it should contact the entity designated at www.sam.gov for unique entity identifier establishment directly to obtain one. The Offeror should indicate that it is an offeror for a Government contract when contacting the entity designated at www.sam.gov for establishing the unique entity identifier.

(j) [Reserved]

(k) Debriefing. If a post-award debriefing is given to requesting offerors, the Government shall disclose the following information, if applicable:

(1) The agency's evaluation of the significant weak or deficient factors in the debriefed offeror's offer.

(2) The overall evaluated cost or price and technical rating of the successful and the debriefed offeror and past performance information on the debriefed offeror.

(3) The overall ranking of all offerors, when any ranking was developed by the agency during source selection.

(4) A summary of the rationale for award;

(5) For acquisitions of commercial products, the make and model of the product to be delivered by the successful offeror.

(6) Reasonable responses to relevant questions posed by the debriefed offeror as to whether source-selection procedures set forth in the solicitation, applicable regulations, and other applicable authorities were followed by the agency.

(End of Provision) mailto:assisthelp@dla.mil

CHANGE 2:

Section C.6 52.216-22 INDEFINITE QUANTITY (NOV 2025) is hereby changed as follows:

FROM:

C.6 52.216-22 INDEFINITE QUANTITY (NOV 2025)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the

Schedule, there is no limit on the number of orders that may be issued. The

Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the ordering period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order, which may include order options to be exercised after the ordering period of this contract but before the end of the period of performance of the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order, including options exercised, to the same extent as if the order were completed during the contract's ordering period; provided, that the Contractor shall not be required to make any deliveries under this contract after the contract expiration date.

(e) Either party may cancel this contract in whole or in part by providing written notice.

The cancellation will take effect 30 calendar days after the other party receives the notice of cancellation. If either party makes such notification, no further orders may be issued against the contract, but orders already awarded will be completed unless a termination action is taken against the order. If the Contractor elects to cancel this contract, the Government will not reimburse the minimum guarantee.

(End of Clause)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the

Schedule, there is no limit on the number of orders that may be issued. The

Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the ordering period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order, which may include order options to be exercised after the ordering period of this contract but before the end of the period of performance of the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order, including options exercised, to the same extent as if the order were completed during the contract's ordering period; provided, that the Contractor shall not be required to make any deliveries under this contract after the contract expiration date.

(End of Clause)

CHANGE 3:

Section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, FACTOR 2:

VETERANS’ INVOLVEMENT/ SUBCONTRACTING PLAN is hereby changed as follows:

FROM:

FACTOR 2: VETERANS’ INVOLVEMENT/ SUBCONTRACTING PLAN

All large business Offerors shall include their Small Business Subcontracting Plan in their submission. The page limitation for the Subcontracting Plan is 10 pages.

Describe your proposed range of services that will be provided by small business concerns under any resulting contract. Provide the names, Unique Entity Identifier

(UEI), and addresses of specific small business firms that will be providing the proposed range of services under any resulting contract. Delineate the socioeconomic status

(e.g., Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned

Small Business (VOSB), small business, Historically Underutilized Business Zone

(HUBZone) small business) of each.

If the Offeror proposes subcontracting goals that differ from those identified in the table below, the Offeror shall describe how and why its proposed goals are set at levels that realistically represent the maximum practical small business subcontracting goals consistent with efficient contract performance.

FACTOR 2: VETERANS’ INVOLVEMENT/ SUBCONTRACTING PLAN

All large business Offerors shall include their Small Business Subcontracting Plan in their submission. The page limitation for the Subcontracting Plan is 10 pages.

Describe your proposed range of services that will be provided by small business concerns under any resulting contract. Delineate the socioeconomic status (e.g., Service-Disabled Veteran-Owned Small Business (SDVOSB), Veteran-Owned Small

Business (VOSB), small business, Historically Underutilized Business Zone (HUBZone) small business) of each.

If the Offeror proposes subcontracting goals that differ from those identified in the table below, the Offeror shall describe how and why its proposed goals are set at levels that realistically represent the maximum practical small business subcontracting goals consistent with efficient contract performance.

CHANGE 4:

The following responses to CCN NG Medical Record of Questions Amendment 0011 have been revised as follows:

Question #1335: “Performance for all contract examples provided shall be ongoing or have occurred within five years from the date of this solicitation.” Please verify that this five-year time period is measured from the date of the issuance of this Solicitation (i.e., 15 December 2025).

Performance examples shall be ongoing to have occurred within five years of the date of Issuance of the Solicitation.

Five years begins at the solicitation issuance date, not the final amendment date.

CHANGE 5:

Section E.3 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, General Instructions are hereby changed as follows:

A. General Instructions

This section provides requirements for preparing proposals, as well as specific instruction on the format and content of the proposal. Offerors are cautioned to follow the instructions provided in this section carefully to ensure the Government receives consistent information. Each Offeror shall comply with the solicitation requirements and submit a clear, concise proposal that includes sufficient detail for the Government’s effective evaluation. The instructions describe the type and extent of information required and emphasize the significant areas to be addressed in the proposal. Review the Performance Work Statement (PWS) and Attachments contained in this RFP for further insight into the areas that shall be addressed within the proposal. Proposals will be evaluated on the written information submitted by Offeror.

a. Offerors shall submit a well-written proposal with adequately detailed information which clearly demonstrates compliance with the solicitation requirements and allows for a meaningful evaluation by the agency. Clarity and completeness are essential. Data not submitted with the proposal but submitted previously or presumed to be known (i.e. previous projects performed for the United States

Government) will not be considered as part of the proposal, except for Past

Performance. If proposing alternative NAICS and PSC codes, the Offeror’s proposal shall identify the alternative NAICS and/or PSC, provide a detailed rationale for the selection of these alternative codes, and ensure compliance with requirements as stated in the PWS. The Government intends to make multiple

IDIQ contract awards from this solicitation. Multiple proposals from one Offeror will not be accepted in response to this solicitation.

b. The Offeror’s proposal shall include all the requested information and shall be submitted in accordance with these instructions. Failure to provide proposals in compliance with the instructions specified in this RFP may render the Offeror’s proposal incomplete, and that proposal may not be further evaluated for an award. Offerors are hereby advised that any Offeror-imposed terms and conditions and/or assumptions which deviate from the Government’s material terms and conditions established by the Solicitation, may render the Offeror’s proposal Unacceptable, and thus ineligible for award.

c. The Offeror should not simply rephrase or restate the Government's requirements in its proposal. The Offeror shall provide a clear explanation that addresses how the Offeror intends to meet the requirements. Offerors shall assume that the Government has no prior knowledge of their facilities, capabilities and experience, or information presented in the Offeror’s proposal.

d. If the Offeror believes that the requirements in these instructions contain an error, omission, or are otherwise unsound, the Offeror shall immediately notify the CO, in writing, provide supporting rationale and a proposed remedy for CO consideration. The Government reserves the right to award this contract based on the initial proposal, as received, without discussions in accordance with FAR

Alt I 52.215-1(f)(4)

e. Offerors are advised that the Government will utilize The MITRE Corporation

(herein referred to as “MITRE”), Guidehouse, Agile4Vets, and Tria Federal to assist during the source selection. The exclusive responsibility for source selection will reside with the Government. Proprietary information submitted in response to this solicitation will be protected from unauthorized disclosure as required by Subsection 27 of the Office of Procurement Policy Act as amended

(41 U.S.C. 423) (hereinafter referred to as "the Act") as implemented in FAR subpart 35.017. MITRE is a Federally Funded Research and Development

Center (FFRDC) as authorized in 41 U.S.C. 1709(c) is bound contractually by

Organizational Conflict of Interest and disclosure clauses with respect to proprietary information. Offerors personnel assisting in the proposal evaluation are procurement officials within the meaning of the Act and will take all necessary action to preclude unauthorized use or disclosure of a competing

Offeror's proprietary data.

f. The Government will evaluate proposals in accordance with the evaluation criteria set forth within this solicitation. This RFP does not commit the

Government to pay any of the costs associated with the preparation and submission of the Offeror’s proposal.

g. The Offeror shall submit one (1) electronic (e-mail) copy of its proposal no later than the time specified in SF1449, Block 8, unless this date is changed via a formal amendment. The electronic copy of the Offeror’s proposals shall be submitted to the CO identified on the SF1449.

h. The Government is not responsible for confirming receipt. In accordance with

FAR 52.212-1(f), Offerors are responsible for submitting proposals to reach the

Government office designated in the solicitation by the date and time specified in the solicitation. The e-mail inboxes CCNNextGenInquiries@va.gov are the mailto:ccnnextgeninquiries@va.gov

Government office designated in the solicitation as defined in FAR 52.212-1(f)(1) for timely receipt of proposals.

i. WARNING: Please do not wait until the last minute to submit your proposals!

Late proposals will not be accepted for evaluation. To avoid submission of late proposals, we recommend the transmission of your proposal file 24 hours prior to the required proposal due date and time. Please be advised that timeliness is determined by the date and time an Offeror’s proposal is received by the

Government not when an Offeror attempted transmission. Offerors are encouraged to review and ensure that sufficient bandwidth is available at the end of the transmission.

j. Acceptance Period. By submitting a proposal to this RFP, the Offerors agrees that all pricing provided will remain valid and firm for a period of 365 calendar days from the date of submission and agrees to honor the submitted pricing without any adjustments during this period.

k. In addition, Offerors must maintain continuous, uninterrupted registration in the

System for Award Management (SAM) https://sam.gov/ at the time of proposal submission, throughout the evaluation process, and at time of award.

l. As a result of this solicitation, the Government anticipates awarding multiple, Indefinite Delivery, Indefinite Quantity (IDIQ) contracts to the Offerors whose proposal conforms to the solicitation requirements and represents the Best Value to the Government.

m. Debriefings. The CO will notify Offerors of any decision to exclude them from the competitive range. Offerors excluded from the competitive range are entitled to no more than one debriefing in accordance with FAR 15.206, Offerors excluded from the competitive range, may request a pre-award debriefing or may choose to wait until after the source selection decision to request a post-award debriefing. The CO will notify unsuccessful Offerors in the competitive range of the source selection decision in accordance with FAR 15.205. Unsuccessful

Offerors, upon such notification, may request a debriefing in accordance with

FAR 15.205 or 15.206, as applicable.

a. Offerors shall submit a well-written proposal with adequately detailed information which clearly demonstrates compliance with the solicitation requirements and allows for a meaningful evaluation by the agency. Clarity and completeness are essential.

Data not submitted with the proposal but submitted previously or presumed to be known (i.e. previous projects performed for the United States Government) will not be considered as part of the proposal, except for Past Performance. If proposing alternative NAICS and PSC codes, the Offeror’s proposal shall identify the alternative NAICS and/or PSC, provide a detailed rationale for the selection of these alternative codes, and ensure compliance with requirements as stated in the PWS.

The Government intends to make multiple IDIQ contract awards from this solicitation. Multiple proposals from one Offeror will not be accepted in response to this solicitation.

b. Socioeconomic Category Disclosure. Each Offeror shall disclose their socioeconomic category in their proposal. This information includes, but is not limited to, the following categories: Service-Disabled Veteran-Owned Small

Business (SDVOSB), Veteran-Owned Small Business (VOSB), Small Business

(SB), Women-Owned Small Business (WOSB), Economically Disadvantaged

Women-Owned Small Business (EDWOSB), Historically Underutilized Business

Zone Small Business (HUBZone SB), 8(a) Business Development Program, Other

Small Business, and Large Business. The Offeror must clearly state their socioeconomic status in their proposal as follows:

1. [Company Name]

2. [UEI Number/CAGE Code]

3. [Socioeconomic Category]

For verification purposes, offerors classified under the small business socioeconomic categories must be registered and verified in the System for Award

Management (SAM) at https://www.sam.gov. Failure to provide the required socioeconomic information may result in the proposal being deemed non-responsive and rejected.

c. The Offeror’s proposal shall include all the requested information and shall be submitted in accordance with these instructions. Failure to provide proposals in compliance with the instructions specified in this RFP may render the Offeror’s proposal incomplete, and that proposal may not be further evaluated for an award.

Offerors are hereby advised that any Offeror-imposed terms and conditions and/or assumptions which deviate from the Government’s material terms and conditions established by the Solicitation, may render the Offeror’s proposal Unacceptable, and thus ineligible for award.

d. The Offeror should not simply rephrase or restate the Government's requirements in its proposal. The Offeror shall provide a clear explanation that addresses how the

Offeror intends to meet the requirements. Offerors shall assume that the

Government has no prior knowledge of their facilities, capabilities and experience, or information presented in the Offeror’s proposal.

e. If the Offeror believes that the requirements in these instructions contain an error, omission, or are otherwise unsound, the Offeror shall immediately notify the CO, in writing, provide supporting rationale and a proposed remedy for CO consideration.

The Government reserves the right to award this contract based on the initial proposal, as received, without discussions in accordance with FAR Alt I 52.215-

1(f)(4)

f. Offerors are advised that the Government will utilize The MITRE Corporation (herein referred to as “MITRE”), Guidehouse, Agile4Vets, and Tria Federal to assist during the source selection. The exclusive responsibility for source selection will reside with the Government. Proprietary information submitted in response to this solicitation will be protected from unauthorized disclosure as required by Subsection 27 of the

Office of Procurement Policy Act as amended (41 U.S.C. 423) (hereinafter referred to as "the Act") as implemented in FAR subpart 35.017. MITRE is a Federally

Funded Research and Development Center (FFRDC) as authorized in 41 U.S.C.

1709(c) is bound contractually by Organizational Conflict of Interest and disclosure clauses with respect to proprietary information. Offerors personnel assisting in the proposal evaluation are procurement officials within the meaning of the Act and will take all necessary action to preclude unauthorized use or disclosure of a competing

Offeror's proprietary data.

g. The Government will evaluate proposals in accordance with the evaluation criteria set forth within this solicitation. This RFP does not commit the Government to pay any of the costs associated with the preparation and submission of the Offeror’s proposal.

h. The Offeror shall submit one (1) electronic (e-mail) copy of its proposal no later than the time specified in SF1449, Block 8, unless this date is changed via a formal amendment. The electronic copy of the Offeror’s proposals shall be submitted to the

CO identified on the SF1449.

i. The Government is not responsible for confirming receipt. In accordance with FAR

52.212-1(f), Offerors are responsible for submitting proposals to reach the

Government office designated in the solicitation by the date and time specified in the solicitation. The e-mail inboxes CCNNextGenInquiries@va.gov are the Government office designated in the solicitation as defined in FAR 52.212-1(f)(1) for timely receipt of proposals.

j. WARNING: Please do not wait until the last minute to submit your proposals! Late proposals will not be accepted for evaluation. To avoid submission of late proposals, we recommend the transmission of your proposal file 24 hours prior to the required proposal due date and time. Please be advised that timeliness is determined by the date and time an Offeror’s proposal is received by the Government not when an

Offeror attempted transmission. Offerors are encouraged to review and ensure that sufficient bandwidth is available at the end of the transmission.

k. Acceptance Period. By submitting a proposal to this RFP, the Offerors agree that all pricing provided will remain valid and firm for a period of 365 calendar days from the mailto:ccnnextgeninquiries@va.gov date of submission and agrees to honor the submitted pricing without any adjustments during this period.

l. In addition, Offerors must maintain continuous, uninterrupted registration in the

System for Award Management (SAM) https://sam.gov/ at the time of proposal submission, throughout the evaluation process, and at time of award.

m. As a result of this solicitation, the Government anticipates awarding multiple, Indefinite Delivery, Indefinite Quantity (IDIQ) contracts to the Offerors whose proposal conforms to the solicitation requirements and represents the Best Value to the Government.

n. Debriefings. The CO will notify Offerors of any decision to exclude them from the competitive range. Offerors excluded from the competitive range are entitled to no more than one debriefing in accordance with FAR 15.206, Offerors excluded from the competitive range, may request a pre-award debriefing or may choose to wait until after the source selection decision to request a post-award debriefing. The CO will notify unsuccessful Offerors in the competitive range of the source selection decision in accordance with FAR 15.205. Unsuccessful Offerors, upon such notification, may request a debriefing in accordance with FAR 15.205 or 15.206, as applicable.

CHANGE 6:

Section B.8 MEDICAL CLIN STRUCTURE, CLINs X003, X006, AND X007 are hereby changed as follows:

FROM:

B.8 MEDICAL CLIN STRUCTURE

CLIN X003, Seasonal Vaccinations

(Informational) VA will pay the Contractor for administrating the influenza (trivalent, quadrivalent and high dosage), COVID-19 vaccines at retail pharmacies. Pricing for this

CLIN is determined by the awarded price for each vaccination. CLIN X003 includes the administration and product fee.

CLIN X006, Urgent and Emergent Medication

(Informational) Urgent and Emergent Medication, VA will pay the Contractor for urgent and emergent medications dispensed by pharmacies in the Contractor's network without direct charges to the Veteran. VA will reimburse the Contractor for Brand Name and

Generic medication at the awarded prices based on a percentage of Average Sale Price

(ASP). The Contractor shall invoice the Dispensing fee at the awarded price for each dispensing activity.

CLIN X007, Disaster Response - Urgent and Emergent Medication

(Informational) Urgent and Emergent Medication for Disaster Response, VA will pay the

Contractor for urgent and emergent medications dispensed by pharmacies in the

Contractor's network without direct charges to the Veteran during a specified and approved “Disaster Response” scenario. This CLIN will only be exercised in the case of a disaster that prevents VA’s mail order pharmacy from delivering medications to

Veterans. Prescription fills may be for 30-days under this CLIN. VA will reimburse the

Contractor for Brand Name and Generic medication at the awarded prices based on a percent of ASP. The Contractor shall invoice the Dispensing fee at the awarded price for each dispensing activity.

TO:

B.8 MEDICAL CLIN STRUCTURE

CLIN X003, Seasonal Vaccinations and Adult Immunizations

(Informational) VA will pay the Contractor for administrating the influenza (trivalent, quadrivalent and high dosage), COVID-19 vaccines, and VA approved adult immunizations at retail pharmacies. Pricing for this CLIN is determined by the Medicare rates and methodology for each vaccination. CLIN X003 includes the administration fee.

See Attachment Pa - CCN Legacy Vaccination_Medication Volumes for approved unit immunizations.

CLIN X006, Urgent and Emergent Medication

(Informational) Urgent and Emergent Medication, VA will pay the Contractor for urgent and emergent medications dispensed by pharmacies in the Contractor's network without direct charges to the Veteran. VA will reimburse the Contractor for Brand Name and

Generic medication at the awarded prices based on a percentage of Average Wholesale

Price (AWP). The Contractor shall invoice the Dispensing fee at the awarded price for each dispensing activity.

CLIN X007, Disaster Response - Urgent and Emergent Medication

(Informational) Urgent and Emergent Medication for Disaster Response, VA will pay the

Contractor for urgent and emergent medications dispensed by pharmacies in the

Contractor's network without direct charges to the Veteran during a specified and approved “Disaster Response” scenario. This CLIN will only be exercised in the case of a disaster that prevents VA’s mail order pharmacy from delivering medications to

Veterans. Prescription fills may be for 30-days under this CLIN. VA will reimburse the

Contractor for Brand Name and Generic medication at the awarded prices based on a percentage of AWP. The Contractor shall invoice the Dispensing fee at the awarded price for each dispensing activity.

CHANGE 7:

The following revised response is hereby provided in reference to Amendment 0013 regarding ALL questions pertaining to FedRamp requirements in the Medical Record of

Questions.

“FedRAMP requirements are defined at the Task Order level and not within the IDIQ, so vendors are encouraged to submit an IDIQ proposal regardless of their current

FedRAMP status. Any future Task Order that requires contractor access to protected information will require an Authority to Operate (ATO) along with assessment, authorization, and continuous monitoring capabilities. This is intended to set expectations that such security requirements will apply when bidding on applicable future Task Orders.”

ATTACHMENT:

- 36C10G26R0003 CCN Next Gen Medical_Conformed Copy