CCN Next Gen - Medical TOPR West 36C10G26R0003 0002-15 Amendment.pdf

I

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

0002-15 4-24-2026

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 (0002-15) is to:

1. Revise solicitation and CLIN language.

See continuation page for further details. All Other Terms and Conditions Remain the Same.

Jessica Portillo

Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0002-15

This amendment provides a conformed copy of the CCN Next Gen Medical - West

TOPR 0002 Conformed Copy, noticed with RFP 36C10G26R0003 as CCN Next Gen

Medical – West TOPR 0002. The following revisions have been incorporated into the updated conformed copy and are detailed below for your reference.

Note: The words struck out in the “From” sections of each change denote the language that will be removed in each revision. The words in red font in the “To” sections of each change denote the new language to be added in each version.

Change 1:

Section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS, FACTOR 4: Price, Evaluation Methodology are hereby changed as follows:

FROM:

Evaluation Methodology

The Government will evaluate offers to ensure prices are fair and reasonable and to determine the offer that provides the best value to the Government over the entire multi-year period of performance; to include but not limited to the following criteria:

The evaluation will consist of a comparison between the proposed prices for the first year of performance and the total proposed prices for the entire multi-year period.

a) First-Year Pricing:

The Government will evaluate the offeror's proposed pricing for the first year to determine completeness and reasonableness.

b) Multi-Year Pricing:

The Government will also evaluate the pricing proposed for the subsequent years within the multi-year period. This evaluation will consider the entire period of performance to ensure consistency and reasonableness of pricing over time.

c) Evaluation of Overall Cost to the Government:

The overall cost to the Government will be assessed by aggregating the offeror’s prices for the base year and all option years (if any). This approach helps to identify any potential escalations in pricing and assess the total cost impact.

d) Comparative Pricing:

The Government will compare the total evaluated price (TEP) of each offer against that of other offers to determine which offer presents the lowest overall cost best value to the Government while meeting all requirements. This evaluation includes an analysis of option year pricing and proposed price increases.

e) Clarity of Pricing Structure:

Offerors must provide a clear breakdown of pricing for each year to facilitate this evaluation. Any assumptions or conditions that affect pricing should be explicitly stated.

No price realism analysis will be conducted.

TO:

Evaluation Methodology

The Government will evaluate offers to ensure prices are fair and reasonable and to determine the offer that provides the best value to the Government over the entire multi-year period of performance; to include but not limited to the following criteria:

The evaluation will consist of a comparison between the proposed prices for the first year of performance and the total proposed prices for the entire multi-year period.

a) First-Year Pricing:

The Government will evaluate the offeror's proposed pricing for the first year to determine completeness and reasonableness.

b) Multi-Year Pricing:

The Government will also evaluate the pricing proposed for the subsequent years within the multi-year period. This evaluation will consider the entire period of performance to ensure consistency and reasonableness of pricing over time.

c) Evaluation of Overall Cost to the Government:

The overall cost to the Government will be assessed by aggregating the offeror’s prices for the base year and all option years (if any). This approach helps to identify any potential escalations in pricing and assess the total cost impact.

d) Comparative Pricing:

The Government will compare the total evaluated price (TEP) of each offer against that of other offers to determine which offer presents the lowest overall cost best value to the Government while meeting all requirements. This evaluation includes an analysis of option year pricing and proposed price increases.

e) Clarity of Pricing Structure:

Offerors must provide a clear breakdown of pricing for each year to facilitate this evaluation. Any assumptions or conditions that affect pricing should be explicitly stated.

No price realism analysis will be conducted.

Change 2:

Section B.3.8 Cancellation Ceiling is hereby changed as follows:

FROM:

B.3.8 CANCELLATION CEILING

Pricing consists of CLINs in Section B, for a 3-year (multiyear) contract with two (2), (1) one year options that may be exercised at the unilateral discretion of the Government in accordance with 52.217-9, Option to Extend the Term of the Contract. The TO/TOPR has a stated cancellation ceiling for each year of the multi-year contract. Offeror’s may propose variable pricing for the multi-year pricing portion of the schedule below. The

Offeror shall submit supporting documentation should they propose a cancellation ceiling that is greater than those percentages included in Table 1 - Cancellation

Ceilings. Contract(s) shall be awarded with the first program year (PY) of the resulting contract(s) beginning at the time of award. Award(s) will not be made on less than the first program year requirements. If the Government determines before award that only the first program year requirements are needed, the Government’s evaluation of the price or estimated cost and fee shall consider only the first year. Cancellation of this contract can occur if it is determined that the agency will not have the necessary funds to continue this program. If a cancellation were to occur, contractors would be eligible to receive compensation. The compensation would cover only those costs authorized up to the percentages outlined for the cancellation ceiling (below) in accordance with FAR clause 52.217-2 Cancellation Under Multiyear Contracts.

(A) The proposed percentages are the percent of the total cost for each program year to be set aside for the cancellation ceiling and date/period are as follows:

The proposed percentages are the maximum percent of the total cost for each program year to be set aside for the cancellation ceiling and date/period and are as follows:

Table 1 - Cancellation Ceiling PY Max Percent PY start date

Second Program Year 12% October 1, 2028

Third Program Year 10% October 1, 2029

(B) Percentages above reflect nonrecurring cost estimates to the Contractor based on previous costs provided by Contractors for similar medical services in previous years. It is the contractor’s responsibility to furnish, along with their proposal, documentation supporting any changes in the proposed cancellation ceilings provided above. This documentation should be submitted with their proposal under separate cover and may be negotiated at time of award. The cancellation ceiling shall not be used as an evaluation factor.

(C) The cancellation ceiling generally includes only nonrecurring costs which means those costs which are generally incurred on a one-time basis and include such costs as

(Pull this from the last IGCE).

(D) Recurring costs are those production or service-related costs that vary with the quantity being produced or furnished, such as labor and materials. For many items and services, cancellation costs should be minimal in that start-up (nonrecurring) costs are low or the items have a substantial commercial market to carry the start-up burden. In some cases, a zero-dollar cancellation liability is sufficient.

TO:

B.3.8 CANCELLATION CEILING

Pricing consists of CLINs in Section B, for a 3-year (multiyear) contract with two (2), (1) one year options that may be exercised at the unilateral discretion of the Government in accordance with 52.217-9, Option to Extend the Term of the Contract. The TO/TOPR has a stated cancellation ceiling for each year of the multi-year contract. Offeror’s may propose variable pricing for the multi-year pricing portion of the schedule below. The

Offeror shall submit supporting documentation should they propose a cancellation ceiling that is greater than those percentages included in Table 1 - Cancellation

Ceilings. Contract(s) shall be awarded with the first program year (PY) of the resulting contract(s) beginning at the time of award. Award(s) will not be made on less than the first program year requirements. If the Government determines before award that only the first program year requirements are needed, the Government’s evaluation of the price or estimated cost and fee shall consider only the first year. The Government will compare the lowest-evaluated offer for the first program year to the lowest-evaluated offer for the total multiyear requirement. This comparison is conducted solely to determine whether awarding only the first program year or awarding the full multiyear requirement provides the best value to the Government based on lowest evaluated price. Cancellation of this contract can occur if it is determined that the agency will not have the necessary funds to continue this program. If a cancellation were to occur, contractors would be eligible to receive compensation. The compensation would cover only those costs authorized up to the percentages outlined for the cancellation ceiling

(below) in accordance with FAR clause 52.217-2 Cancellation Under Multiyear

Contracts.

(A) The proposed percentages are the percent of the total cost for each program year to be set aside for the cancellation ceiling and date/period are as follows:

The proposed percentages are the maximum percent of the total cost for each program year to be set aside for the cancellation ceiling and date/period and are as follows:

Table 1 - Cancellation Ceiling PY Max Percent PY start date

Second Program Year 12% October 1, 2028

Third Program Year 10% October 1, 2029

(B) Percentages above reflect nonrecurring cost estimates to the Contractor based on previous costs provided by Contractors for similar medical services in previous years. It is the contractor’s responsibility to furnish, along with their proposal, documentation supporting any changes in the proposed cancellation ceilings provided above. This documentation should be submitted with their proposal under separate cover and may be negotiated at time of award. The cancellation ceiling shall not be used as an evaluation factor.

(C) The cancellation ceiling generally includes only nonrecurring costs which means those costs which are generally incurred on a one-time basis and include such costs as

(Pull this from the last IGCE).

(D) Recurring costs are those production or service-related costs that vary with the quantity being produced or furnished, such as labor and materials. For many items and services, cancellation costs should be minimal in that start-up (nonrecurring) costs are low or the items have a substantial commercial market to carry the start-up burden. In some cases, a zero-dollar cancellation liability is sufficient.

Change 3:

Section E.2 ADDENDUM TO FAR 52.212-2 EVALUATION— COMMERICAL ITEMS – FACTOR 4: PRICE, Directions for Pricing CLINs, CLIN X008AA, X008AB is hereby changed as follows:

FROM:

CLIN X008AA, Administrative Services for Healthcare Services: The Offeror’s proposed unit price for each year of the Period of Performance will be multiplied by the average monthly enrolled Veteran population volumes in Section E.1 FACTOR 4: PRICE, Table

5. The results of the calculations will be summed together, resulting in the TEP for each year of the Period of Performance. The sum of these values represents the TEP for

CLIN X008AA.

CLIN X008AB, Administrative Services for PBM: The Offeror’s proposed unit price for each year of the Period of Performance will be multiplied by the average monthly enrolled pharmacy Veteran population volumes in E.1 FACTOR 4: PRICE, Table 5. The results of the calculations will be summed together, resulting in the TEP for each year of the Period of Performance. The sum of these values represents the TEP for CLIN

X008AB.

TO:

CLIN X008AA, Administrative Services for Healthcare Services: The Offeror’s proposed unit price for each year of the Period of Performance (per member price multiplied by the average monthly enrolled Veteran population volumes in Section E.1 FACTOR 4:

PRICE, Table 5.) will be multiplied by 12 to derive the annual total evaluated price. The

TEP for each year of the Period of Performance will be summed together to represent the TEP for CLIN X008AA.

CLIN X008AB, Administrative Services for PBM: The Offeror’s proposed unit price for each year of the Period of Performance (per member price multiplied by the average monthly enrolled pharmacy Veteran population volumes in E.1 FACTOR 4: PRICE, Table 5.) will be multiplied by 12 to derive an annual total evaluated price. The TEP for each year of the Period of Performance will be summed together to represent the TEP for CLIN X008AB.

////////////////////////////////////////////////// NOTHING FOLLOWS ///////////////////////////////////////////////////