36C10G26R0015 0001.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

None

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

36C10G26R0015

X

X X

X 1

The purpose of this amendment is to update instructions to offerors.

Tawana M. Young Contracting Officer

VA-OPAL-SAC-2024-0024

36C10G26R0015 0001

A.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

PROPOSAL DELIVERY INSTRUCTIONS:

Due Date/Time: Proposals are due no later than 12:00PM ET on Friday, April 3, 2026.

Proposals shall be submitted electronically by the above date and time to both of the following:

Tawana M. Young, Contracting Officer at Tawana.Young@va.gov

Cristine Carmody, Contract Specialist at Cristine.Carmody@va.gov

When submitting the proposal please reference in the email Subject Line:

“Teleradiology Proposal Response (Company Name)”.

Proposal shall not be submitted in a .zip file but rather a zim file titled “Company ABC.zim”.

If Offeror is unable to provide in .zim file Offeror may submit volumes in separate emails. Each email submission shall specifically title the subject line as follows:

Teleradiology Proposal – Volume I - Technical (Company Name)

Teleradiology Proposal – Volume II – Past Performance (Company Name)

Teleradiology Proposal – Volume III – Price (Company Name)

Teleradiology Proposal – Volume IV – Solicitation Offer (Company Name)

QUESTIONS AND ANSWERS:

All questions and inquiries concerning this RFP shall be submitted on Attachment E – RFP Questions no later than 4:59PM EDT on Tuesday, March 24, 2026. The Government shall consolidate questions received and provide a response in a timely manner (to maximum extent practicable) to all Offerors at the same time. All questions and answers shall be published by amendments posted on sam.gov. Oral communications are not permissible. Questions and/or comments received after the specified date/time may not be addressed by the Government.

The Offeror shall submit questions to both Cristine Carmody, Contract Specialist at Cristine.Carmody@va.gov and Tawana Young, Contract Officer at Tawana.Young@va.gov.

When submitting the questions please reference in the email Subject Line: “Teleradiology RFP Questions (Company Name)”.

mailto:Cristine.Carmody@va.gov

A. PROPOSAL SUBMISSION

1. INTRODUCTION

The Offeror’s proposal shall consist of four volumes:

Volume I – Technical

Volume II – Past Performance

Volume III – Price

Volume IV – Solicitation, Offer and Award Documents

The use of hyperlinks or embedded attachments in proposals is prohibited.

Offerors are encouraged to register for the Vendor Portal in order to ensure timely transmission of their proposals to the Government. 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 on their end of the transmission.

2. PROPOSAL FILES

Offeror’s responses shall be submitted in accordance with the following instructions:

a. Format. The submission shall be clearly indexed and logically assembled.

Each volume shall be clearly identified and shall begin at the top of a page. All pages of each volume shall be appropriately numbered with date and solicitation number in the header and/or footer. Proposal page limitations are applicable to this procurement. The Table below indicates the maximum page count (when applicable) for each volume of the Offeror’s proposal. All files will be submitted as either a Microsoft Excel (.XLS) file or an Acrobat (PDF) file or compatible as indicated in the table. Page size shall be no greater than 8 1/2" x 11" with printing on one side, only. The top, bottom, left and right margins shall be a minimum of one inch (1”) each. Font size shall be no smaller than 12-point. Arial or Times New Roman fonts are required. Characters shall be set at no less than normal spacing and 100% scale. Tables and illustrations may use a reduced font size not less than 11-point and may be landscape.

Line spacing shall be set at no less than single space.

b. Each paragraph shall be separated by at least one blank line (a minimum of 6-point font). Page numbers, company logos, headers and footers may be within the page margins ONLY and are not bound by the 12-point font requirement.

Footnotes to text shall not be used. All proprietary information shall be clearly and properly marked. If the Offeror submits annexes, documentation, attachments or the like, not specifically required by this solicitation, such will count against the Offeror’s page limitations unless otherwise indicated in the specific volume instructions below. Pages in violation of these instructions, either by exceeding the margin, font, printing, or spacing restrictions or by exceeding the total page limit for a particular volume, will not be evaluated.

Pages not evaluated due to violation of the margin, font or spacing restrictions will not count against the page limitations. The page count will be determined by counting the pages in the order they come up in the print layout view.

c. File Packaging. All of the proposal files may be compressed (zipped) into one file entitled “proposal.zim” using WinZip version 6.2 or later version or the proposal files may be submitted individually.

d. Content Requirements. All information shall be confined to the appropriate file. The Offeror shall confine submissions to essential matters sufficient to define the proposal and provide an adequate basis for evaluation. Offerors are responsible for including sufficient details, in a concise manner, to permit a complete and accurate evaluation of each proposal.

The titles and page limits requirements for each file are shown in the Table below.

Volume

No.

Factor File Name Page Limitations

Volume

I Technical Teleradiology _Vol

I_Technical_Offeror.pdf Name

Volume

II

Past Performance Teleradiology_Vol II_Past

Perform_Offeror Name.pdf

Attachment B: Six (6) pages (2 pages per reference as shown on the form)

Attachment C (PPQs): None, maximum of three (3) to be submitted by reference if

CPARS/PPIRS not available

III Price

Teleradiology_Vol III_Price Narrative_Offeror.pdf Name

Teleradiology_Vol III_Price_Offeror Name.xls

IV

Solicitation, Offer &

Award Documents, Certifications &

Representations

Teleradiology_Vol IV_RepCert_Offeror

Name.pdf

A Cover Page, Table of Contents and/or a glossary of abbreviations or acronyms will not be included in the page count of the Technical Volume. However, be advised that any and all information contained within any Table of Contents and/or glossary of abbreviations or acronyms submitted with an Offeror’s proposal will not be evaluated by the Government.

FAR 52.212-1, Instructions to Offerors – Commercial Items.

(i) VOLUME I – TECHNICAL FACTOR:

The Offeror shall provide a comprehensive response that details their technical capability, specifically:

1. Contract Management and Quality Control:

The Offeror shall provide a draft Contractor Program Management Plan (CPMP) and a draft Quality Control Program (QCP) Plan that describe the Offeror’s approach to successfully managing the overall base IDIQ contract, performance of work under resultant TOs, and the quality of all work performed as described in PWS Paragraph 5.1 of the solicitation.

• A Quality Control Plan: The Offeror shall provide their plan for meeting contract requirements and performance standards.

2. Sub-Factor 1: Teleradiologist Expertise and Non-Radiology Personnel:

The Offeror shall provide a list of Board-Certified in-house radiologists available for credentialing or already credentialed to read diagnostic images for the VA.

• Offerors who demonstrate in-house resources to provide IT, HL-7, DICOM, programming, and operations support will be viewed favorably.

3. Sub-Factor 2 - IT & Security and Workflow Management Support: The Offeror shall provide a description of the software-based worklist management system.

• The Offeror shall provide a description of how that system can be adjusted when and as needed by Offeror’s personnel to meet the needs of workflow management for the contract.

• The Contractor shall have an existing or be eligible to obtain a national Memorandum of Understanding (MOU)/Interconnection Security Agreement (ISA) between themselves and the VHA at time of award.

• The Offeror shall provide diagnostic codes compliant with national VHA requirements included with the interpretations sent to the VA systems. Offeror shall provide either an example of prior implementation of VA diagnostic codes or a description of how diagnostic codes are compliant with national VA guidelines and are generated and conveyed to the VA system, specifically Lung-Rads in VA-specified fields (not just in body of dictated report).

(ii) VOLUME II – PAST PERFORMANCE FACTOR

The Offeror shall complete Attachment B: Past Performance References in its entirety, listing a total of three contracts/orders for work performed in the past three years or currently being performed, for Teleradiology Physician Support Services.

The Government will make the determination of relevance (based on size, scope, and complexity of requirement).

Contracts/orders listed may include those entered into with the Federal Government, agencies of state and local governments and commercial concerns.

Offerors may also submit past performance information regarding predecessor companies, subcontractors, that will perform major or critical aspects of the requirement when such information is relevant to the acquisition. For the purposes of this solicitation, Offeror shall provide rationale on Attachment B – Past Performance References, as to why the referenced contract is considered to be major/critical. Data concerning the prime contractor shall be provided first, followed by each proposed major subcontractor, in alphabetical order.

Offerors shall submit no more than three (3) relevant and recent past performance references total. Offerors shall submit no more than one recent and relevant reference for its proposed subcontractor (2 or more must be for the Prime Offeror). It is not required for one reference to meet the full criteria. Each reference will be evaluated individually, and then relevancy (size, scope and complexity) will be considered cumulatively across all past performance references.

Offerors shall indicate on Attachment C if there are Contractor Performance Assessment Reporting System (CPARS)/Past Performance Information Retrieval System (PPIRS) report(s) available, and if so, provide a copy of the report for each reference with their proposal submission. In the event an assessment was not completed in CPARS/PPIRS for the contract/order, Offerors may request the reference point of contact (POC) to complete and submit a Past Performance Questionnaire (PPQ) (See Attachment C of this solicitation).

The Offeror shall instruct the POC at the referenced entity to return a copy of the completed PPQ directly to the CO, Tawana Young, at Tawana.Young@va.gov and the CS Cristine Carmody, at Cristine.Carmody@va.gov NO LATER THAN THE CLOSING DATE OF THE SOLICITATION (inclusive of any closing date extensions granted via amendment).

PPQs will only be evaluated for those contracts/orders that do not have a CPARS report available.

In addition, past performance information presented shall address the following:

Recency. For a past performance reference to be recent, the reference must have been performed within the last three (3) years (prior to proposal submission) with a duration of at least 12 months or work that is on-going and has been performed for at least 12 months (prior to proposal submission).

Relevancy. The aspects of relevancy that will be reviewed includes similarity to services/support required by the NTP Teleradiology Physicians Services scope, complexity and size (dollar value). To further clarify:

1. The annual dollar value shall be reported on the Attachment D - Price Proposal Template. Offerors may submit past performances references less than the annual dollar value of $6Million. However, as size (dollar value) is an aspect of relevancy, Offerors are cautioned that submitting a past performance reference with less than $6Million annual dollar value may result in a lower relevancy rating.

2. Offerors may submit Indefinite Delivery/Indefinite Quantity (IDIQ) Past Performance references (“D” type contract). However, the reference must also include a recent and relevant Task Order(s) for which the work was performed and identify the specific dollar value of the Task Order(s). If the Offeror submits an IDIQ as a past performance reference, the Government shall treat the IDIQ and all task orders identified by the Offeror as issued under the IDIQ contract as one reference. In addition, for any subcontractor Past Performance references, any task order dollar values must reflect the value of the subcontract, not the prime IDIQ contract dollar amount.

3. Past Performance references shall provide evidence of experience providing Board Certified or Board Eligible Radiology Physician Services; providing routine and STAT specialty and subspecialty interpretations of diagnostic imaging exams; and providing teleradiology services and support services consistent with Joint Commission, that meet or exceed VA and American mailto:Tawana.Young@va.gov

College of Radiology Guidelines.

4. Failure to demonstrate any of these aspects could potentially result in a lower relevancy evaluation which includes all the relevancy evaluation, elements identified in the evaluation approach and factors into the Government’s overall assigned Past Performance rating (Low Risk, Moderate Risk, High Risk or Neutral).

Satisfactory Performance. For a past performance reference to be considered satisfactory or better, the Attachment C - Past Performance Questionnaire or the CPARS must reflect a performance rating of satisfactory or better.

The Government is not required to contact references provided by the Offeror.

Also, references other than those identified by the Offeror may be contacted by the Government to obtain additional information that will be used in the evaluation of the Offeror's past performance. The Government may consider past performance information obtained through other sources which is reasonably available and determined to be relevant. Past performance information obtained will be used for both the responsibility determination and best value decision.

Offerors shall indicate in Attachment B if they have no record of relevant or recent past performance.

(iii) VOLUME III – PRICE FACTOR***

The Offeror shall complete Attachment - D Proposal Price Template of the solicitation.

Price Rounding Issue - The Government requires Offerors to propose unit prices and total prices that are two (2) decimal places and requires the unit prices and total prices to be displayed as two (2) decimal places. Ensure that the two (2) digit unit price multiplied by the item quantity equals the two (2) digit total item price (there should be no rounding). The Offeror shall propose fully burdened rates for each labor category for each CLIN provided in the B Table for Offerors.

All Offerors should propose using an estimated award date of no later than June 9, 2026.

(v) VOLUME IV - SOLICITATION, OFFER AND AWARD DOCUMENTS

AND CERTIFICATIONS/REPRESENTATIONS.

Certifications and Representations - An authorized official of the firm shall sign SF 1449 and all certifications requiring original signature. An Acrobat PDF file shall be created to capture the signatures for submission. This Volume shall contain the following:

a. Solicitation Section A – Standard Form SF1449) and Acknowledgement of Amendments, if any.

b. Any proposed terms and conditions and/or assumptions upon which the proposal is predicated.

c. Organizational Conflict of Interest – The Offeror shall provide:

i. A statement with its offer which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided under this solicitation.

ii. Statements with its offer containing the same information for any consultants and subcontractors identified in its proposal and which will provide services under the solicitation.

iii. Relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest.

d. Representations and Certifications:

i. 52.212-3 Offeror Representations and Certifications –

Commercial Products and Commercial Services (May 2022)

(DEVIATION)

ii. VAAR 852.219-77 VA Notice of Limitations on Subcontracting

– Certificate of Compliance for Services and Construction

(SEP 2021) (DEVIATION)

e. Joint Ventures –The Offeror shall provide a copy of their JV agreement to demonstrate their eligibility under FAR 52.219-27, and performance workshare in accordance with FAR 52.219-14.

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.