CCN Next Gen - Medical TOPR West 0002-09 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 6

0002-009 03-27-2026

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 (0002-09) is to:

1. Update language in the RFP for TOPR West.

2. Provide and update Attachment 3 – Price Schedule

3. Publish an updated version of the full conformed copy for the CCN Next Gen Medical - TOPR 0002 West

All other terms and conditions remain the same.

Jessica Portillo

Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0002-09

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

1. This amendment provides revisions that have been incorporated into CCN Next Gen – Medical TOPR 0002 West – Conformed Copy and are detailed below for your reference.

CHANGE 1:

E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS,

EVALUATION CRITERIA AND METHODOLOGY, Factor 3: Veteran Involvement/Subcontracting Plan is hereby revised as follows:

FROM:

Non-Veteran offerors proposing to use certified SDVOSBs or VOSBs as sub-Offeror will receive some consideration under this evaluation factor, The prime Offeror must state in this volume the name(s) of SDVOSB(s) and/or VOSB(s) with whom it intends to subcontract. The offeror shall provide a brief description and the approximate dollar values of the proposed subcontracts. Additionally, proposed SDVOSB/VOSB sub

Offeror must be certified by the Small Business Administration (SBA) database

(https://veterans.certify.sba.gov) and must meet federal small business size standards for the NAICS code assigned to this solicitation at time of both proposal submission and time of award in order to receive some consideration under this Factor.

TO:

Non-Veteran offerors proposing to use certified SDVOSBs or VOSBs as sub-Offeror will receive some consideration under this evaluation factor. The offeror shall provide a brief description and the approximate dollar values of the proposed subcontracts which may be expressed as a percentage. Additionally, proposed SDVOSB/VOSB sub Offeror must be certified by the Small Business Administration (SBA) database

(https://veterans.certify.sba.gov) and must meet federal small business size standards for the NAICS code assigned to this solicitation at time of both proposal submission and time of award in order to receive some consideration under this Factor.

Note that the Government requires the offeror to honor the evaluation factor commitment to the SDVOSB/VOSB concern throughout the life of the contract. The offeror shall agree, if awarded a contract, to use the SDVOSB or VOSBs proposed as sub-Offeror or to substitute one (1) or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

CHANGE 2:

https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fveterans.certify.sba.gov%2F&data=05%7C02%7C%7C6b3a95c664ed4aa4f8ba08de2c5a7435%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638996964170128904%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=H9%2BXBH%2F79kTUca2whnNLFL2vRUt4gUrFlDTn%2FNvQz4E%3D&reserved=0 https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fveterans.certify.sba.gov%2F&data=05%7C02%7C%7C6b3a95c664ed4aa4f8ba08de2c5a7435%7Ce95f1b23abaf45ee821db7ab251ab3bf%7C0%7C0%7C638996964170128904%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=H9%2BXBH%2F79kTUca2whnNLFL2vRUt4gUrFlDTn%2FNvQz4E%3D&reserved=0

E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES, FACTOR 3: VETERAN INVOLVEMENT/

SUBCONTRACTING PLAN

FROM:

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.

TO:

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.

CHANGE 3:

The following language in section D. CONTRACT DOCUMENTS, EXHIBITS, OR

ATTACHMENTS, D.1 Contract Attachments, is hereby changed as follows:

FROM:

See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR

Price Schedule v3

TO:

See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR

Price Schedule v4

CHANGE 4:

The following language in section E.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES,

FACTOR 4: PRICE, is hereby changed as follows:

FROM:

FACTOR 4: PRICE

All proposals must include a Price Volume to be considered for award. The Pricing

Template in “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v3”, contains CLINs with varying pricing methodologies. The following CLINs and their corresponding Sub CLINs are pre-priced by VA: CLIN X001; CLIN X004; CLIN X005;

CLIN X009 and CLIN X010. The Offeror must propose pricing for all non-pre-priced

CLINs (i.e., populate all cells within the Price Schedule), including all CLINs identified as optional. Offerors must provide pricing for the base year and all option periods for all non-pre-priced CLINs. Failure to price the base and all option periods shall cause the offer to be rejected from further consideration. Offerors shall submit their prices using

“Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v3,” and provide an explanatory narrative that the Offeror provides as the basis for their proposed price.

The Offeror’s completed Price Schedule constitutes its price proposal to the

Government. VA requires the Offeror to propose pricing for all non-pre-priced CLINs

(X002, X003; CLIN X006; X007; X008; X011; X012; X013; X014; X015; and X016), for each applicable year of the period of performance. Green colored cells require Offeror input. Gray colored cells are not priced by Offerors. Do not add or change gray cells.

The formulas, calculations, and links shall not be hidden. Print image files or files/worksheets containing only values are not acceptable.

Price Rounding: The Government requires the Offeror to propose prices that are two decimal places. The Offeror shall ensure that the actual values in the spreadsheet cells are no more than two decimal places.

The Offeror shall provide a narrative description of its price proposal, in PDF, addressing the following items. The narrative description of the Price Volume shall be limited to 50 pages (Excel files do not count against page count).

1. The Offeror must clearly provide a basis of estimate (BOE) for each CLIN that it is proposing and describe any additional conditions or exceptions upon which its price proposal is based.

2. The BOE shall include methodology, source and build-up of prices and rates, source of inflation index, geographic location, and any ground rules and assumptions that impact the price proposal (e.g., rurality, facility and provider locations). As previously indicated, prices proposed in the Price Schedule, in Microsoft Excel, do not count against the page limit, however, there is a 10-page limit for the BOE.

3. The proposed unit prices and rates do not need to be duplicated in the Price Volume if listed in the Price Schedule.

4. The BOE will not be evaluated for realism, accuracy of assumptions, or validity of estimating methods, and will not be used in the determination of cost or price realism. The VA will not conduct a price realism analysis as part of this procurement.

If a proposal is not received from a HubZone small business concern, the price evaluation will not consider the preference for HubZone small business concerns (FAR

52.219-4).

Historical purchasing patterns and volume data, provided as Attachment P “Health Care

Historical Volumes and Estimated Enrolled and Eligibility,” can be used to inform

Offerors’ proposals and network development. There is no guarantee for future purchase volumes.

Price Schedule

The Price Schedule contains CLINs with varying pricing methodologies. VA requires the Offeror to propose pricing for all non-pre-priced CLINs, for each applicable year of the Period of Performance. The X in the CLIN number stands for the year of the contract, with zero being the base year (e.g., CLIN X001 in the base year is CLIN 0001). Refer to Section B.4, Medical CLIN Structure, for a description of each CLIN/subCLIN.

Calculations supporting the percentages may be submitted in the applicable tab in the “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v3”.

TO:

FACTOR 4: PRICE

All proposals must include a Price Volume to be considered for award. The Pricing

Template in “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v4”, contains CLINs with varying pricing methodologies. The following CLINs and their corresponding Sub CLINs are pre-priced by VA: CLIN X001; CLIN X004; CLIN X005;

CLIN X009 and CLIN X010. The Offeror must propose pricing for all non-pre-priced

CLINs (i.e., populate all cells within the Price Schedule), including all CLINs identified as optional. Offerors must provide pricing for the base year and all option periods for all non-pre-priced CLINs. Failure to price the base and all option periods shall cause the offer to be rejected from further consideration. Offerors shall submit their prices using

“Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v4,” and provide an explanatory narrative that the Offeror provides as the basis for their proposed price.

The Offeror’s completed Price Schedule constitutes its price proposal to the

Government. VA requires the Offeror to propose pricing for all non-pre-priced CLINs

(X002, X003; CLIN X006; X007; X008; X011; X012; X013; X014; X015; and X016), for each applicable year of the period of performance. Green colored cells require Offeror input. Gray colored cells are not priced by Offerors. Do not add or change gray cells.

The formulas, calculations, and links shall not be hidden. Print image files or files/worksheets containing only values are not acceptable.

Price Rounding: The Government requires the Offeror to propose prices that are two decimal places. The Offeror shall ensure that the actual values in the spreadsheet cells are no more than two decimal places.

The Offeror shall provide a narrative description of its price proposal, in PDF, addressing the following items. The narrative description of the Price Volume shall be limited to 50 pages (Excel files do not count against page count).

1. The Offeror must clearly provide a basis of estimate (BOE) for each CLIN that it is proposing and describe any additional conditions or exceptions upon which its price proposal is based.

2. The BOE shall include methodology, source and build-up of prices and rates, source of inflation index, geographic location, and any ground rules and assumptions that impact the price proposal (e.g., rurality, facility and provider locations). As previously indicated, prices proposed in the Price Schedule, in Microsoft Excel, do not count against the page limit, however, there is a 10-page limit for the BOE.

3. The proposed unit prices and rates do not need to be duplicated in the Price Volume if listed in the Price Schedule.

4. The BOE will not be evaluated for realism, accuracy of assumptions, or validity of estimating methods, and will not be used in the determination of cost or price realism. The VA will not conduct a price realism analysis as part of this procurement.

If a proposal is not received from a HubZone small business concern, the price evaluation will not consider the preference for HubZone small business concerns (FAR

52.219-4).

Historical purchasing patterns and volume data, provided as Attachment P “Health Care

Historical Volumes and Estimated Enrolled and Eligibility,” can be used to inform

Offerors’ proposals and network development. There is no guarantee for future purchase volumes.

Price Schedule

The Price Schedule contains CLINs with varying pricing methodologies. VA requires the Offeror to propose pricing for all non-pre-priced CLINs, for each applicable year of the Period of Performance. The X in the CLIN number stands for the year of the contract, with zero being the base year (e.g., CLIN X001 in the base year is CLIN 0001). Refer to Section B.4, Medical CLIN Structure, for a description of each CLIN/subCLIN.

Calculations supporting the percentages may be submitted in the applicable tab in the “Attachment 3 – CCN Next Gen Medical – West TOPR Price Schedule v4”.

ATTACHMENT:

• ATTACHMENT 3 – CCN Next Gen Medical - West TOPR Price Schedule v4

• CCN Next Gen Medical - TOPR 0002 West Conformed Copy

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