CCN Next Gen - Medical West TOPR 0002-11 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 9

0002-11 04-03-2026

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 TOPR Amendment (0002-11) is to:

1. Update language throughout the TOPR.

2. Publish conformed copy of CCN Next Gen Medical – West TOPR 0002.

3. Update ATTACHMENT 1 – CCN Next Gen Medical - West TOPR 0002 PWS_04_02_2026 v4

4. Update ATTACHMENT 3 - CCN Next Gen Medical - West TOPR Price Schedule v5

Please see continuation page. All other terms and conditions remain the same.

Jessica Portillo Contracting Officer

CONTINUATION PAGE 36C10G26R0003 0002-11

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.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES is hereby changed as follows:

FROM:

e. File Packaging: Do not compress (zip) proposal files. VA Network Security Operations Center (NSOC) has temporarily blocked email attachments with the “.zip” extension as a mitigation measure against the ongoing world-wide ransomware event impacting many organizations. During this time, zip file extensions will be permanently stripped from email traffic and will not be recoverable. Due to VA email file size restrictions (10 MB), Offerors shall separate their proposals into separate emails and attempt to contain complete Volume within single email transmissions (and not split Volumes). Offerors are encouraged to review and ensure that sufficient bandwidth is available on their end of the transmission.

TO:

e. File Packaging: Do not compress (zip) proposal files. VA Network Security Operations Center (NSOC) has temporarily blocked email attachments with the “.zip” extension as a mitigation measure against the ongoing world-wide ransomware event impacting many organizations. During this time, zip file extensions will be permanently stripped from email traffic and will not be recoverable. Due to VA email file size restrictions (10 MB), Offerors shall separate their proposals into separate emails to contain complete Volume within single email transmissions. Volumes exceeding 10 MB shall be split into clearly labeled, sequential emails. Offerors are encouraged to review and ensure that sufficient bandwidth is available on their end of the transmission.

CHANGE 2:

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS, D.1

CONTRACT ATTACHMENTS, is hereby changed as follows:

FROM:

See attached document: ATTACHMENT 1 – CCN Next Gen – Medical West TOPR PWS_03_05_2026 v3

See attached document: ATTACHMENT 2 – CCN Next Gen – Medical Contractor Manual _02_24_26_v2

See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR Price Schedule v4

TO:

See attached document: ATTACHMENT 1 – CCN Next Gen Medical - West TOPR 0002 PWS _04_02_2026 v4

See attached document: ATTACHMENT 2 – CCN Next Gen – Medical Contractor Manual _02_24_26_v2 See attached document: ATTACHMENT 3 – CCN Next Gen - Medical West TOPR Price Schedule v5

CHANGE 3:

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 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”.

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 v5", 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 v5” 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 v5”.

CHANGE 4:

Section E.1 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS— COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, Table 2 – TOPR Proposal Volume Requirements, Factor 3 Veteran Involvement/ Subcontracting is changed as follows:

FROM:

Table 2 – TOPR Proposal Volume Requirements

Factor Phase Content Delivery Method Volume Page Limit

N/A

Completed Task Order Offer

Written Proposal I

Executed Proposal, to include SF1449 and

SF 30

Amendments Points of Contact

Factor 1

Technical Evaluation

I Use Case Approaches

Oral Presentation N/A N/A

Factor 1

Technical Evaluation

II

1.1 Deployment and

Implementation Plan

Written Proposal I 50 pages

1.2 Medical Network

Adequacy Plan

Factor 2 II Past Performance Written Proposal II 3 PPQs per prime and each subcontractor ; plus No more than a 3-page narrative for all PPQs

Factor 3 II Veteran Involvement/ Subcontracting

Written Proposal III 10

Factor 4 II Price Written Proposal IV 50 pages for the Price Narrative, including no more than 10-page BOE.

Factor Phase Content Delivery Method Volume Page Limit

Completed Task Order Offer

Written Proposal I

Executed Proposal, to include SF1449 and

SF 30

Amendments Points of Contact

Factor 1

Technical Evaluation

I Use Case Approaches

Oral Presentation N/A N/A

Factor 1

Technical Evaluation

II

1.2 Deployment and

Implementation Plan

1.2 Medical Network

Adequacy Plan

Written Proposal I 50 pages

Factor 2 II Past Performance Written Proposal II 3 PPQs per prime and each subcontractor ; plus No more than a 3-page narrative for all PPQs

Factor 3 II Veteran Involvement/ Subcontracting

Written Proposal III 15

Factor 4 II Price Written Proposal IV 50 pages for the Price Narrative, including no more than 10-page BOE.

CHANGE 5:

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

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, FACTOR 3: VETERAN

INVOLVEMENT/ SUBCONTRACTING PLAN is changed as follows:

FROM:

FACTOR 3: VETERAN 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.

FACTOR 3: VETERAN 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 15 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.

ATTACHMENTS:

- CCN Next Gen Medical – West TOPR 0002 Conformed Copy 04032026

- Attachment 1 - CCN Next Gen Medical West TOPR 0002 PWS_04_02_2026_v4

- Attachment 3 - CCN Next Gen-Medical West TOPR Price Schedule v5

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