36C24218R0611-0003000.docx

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PLATTSBURGH COMMUNITY BASED OUTPATIENT CLINIC (CBOC) FOR THE ALBANY VA MEDICAL CENTER
Solicitation number
36C24218R0611
Issued by

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This document provides an amendment to a solicitation for outpatient clinic services in Plattsburgh, New York. The amendment addresses vendor questions, replaces the price schedule with updated period of performance dates from February 2020 through January 2030, and extends the solicitation closing date to May 10, 2019. Services required include primary care and certain specialty care in a private facility located within Plattsburgh city limits. Pricing is based on a monthly capitated rate per member. The estimated value over the ten year period is $25 million. The Department of Veterans Affairs is the contracting agency through the VA Medical Center in Albany, New York.

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Solicitation 36C24218R0611 Amendment 0003

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 ADM

INISTRATIVE 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 d ate 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 3

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) 04-15-2019 Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424 To all Offerors/Bidders

36C24218R0611 04-15-2019

X X X May 10, 2019/9AM X This amendment to the above referenced solicitation hereby addresses vendor questions (beginning on page 2) received through April 15, 2019 at 9 AM.

B.2 PRICE SCHEDULE OF SERVICES is hereby replaced with the attached beginning on page 3 (period of performance dates).

The so licitation closing date is now extended until May 10, 2019 at 9 AM.

All other terms and conditions remain unchanged and in full force and effect.

Allan Preston Contracting Officer

ITEM
QUESTION
ANSWER
1
4.6.1.1. Closed Circuit Television: Does the VA have a specific type of CCVT that will be required at the Plattsburgh CBOC?

Is there a video retention requirement for the CCTV video system?

The contractor shall provide a stand-alone Power Over Ethernet (POE) CCTV system to monitor building entrances, restricted areas, mission critical asset areas, and alarm conditions. The CCTV system shall be used for surveillance and observations of defined exterior areas, such as site and roadway access points, parking lots, and building perimeter, and interior areas such as hallways, common areas and waiting areas. The design, installation, and use of CCTV cameras shall support the visual identification and surveillance of persons, vehicles, assets, incidents, and defined locations. Contractor shall provide a CCTV system 32” monitor and DVR. The exact location shall be determined by the VA Police Physical Security Specialist and must store recorded data for a minimum of 30 days. The contractor shall contact the VA Police Physical Security Specialist at (518) 626-1126 prior to installation of CCTV system to ensure proper placement.

2
4.6.9. states that per the VA Police’s annual physical security surveys, the contractor must correct any findings. Can the VA provide the specific requirements for the panic alarm system?
4.6.9. shall be replaced with: PANIC ALARMS: The CBOC shall provide a panic alarm system per VA Handbook 0730/4, Appendix B, R – Robbery/Panic/Duress Alarms. This system must provide coverage of entire facility to protect staff in all rooms. This system shall be used to provide rapid notification to on site staff at the CBOC who will ascertain the need for notification of local law enforcement. The alarm may be activated by a covertly placed switch or button and enough switches/buttons must be available to personnel receiving patients. Once activated, the switch or button can only be re-set by a key or other special tool that is in the possession of the Nurse Manager and/or other key staff. The alarm annunciator will be monitored by local staff by the contract clinic company. The exact location of panic/duress alarm switches shall be determined by a physical security survey of the protected area. VA Police will provide annual physical security surveys. Panic/Duress alarms will always be installed in the interior of pharmacy-controlled substance or other Type I or Type II vaults. The installation will be inspected by VA Police Physical Security Specialist and they will issue a “Punch List” outlining any deficiencies which must be corrected at the contractor’s expense. A written response for any “Punch List” items must be sent to the VA Police Physical security Specialist within 30 days of receiving the letter. All alarm switches or buttons will be tested once per month by the contract clinic company to ensure operational effectiveness with results provided monthly to the VA Police Physical Security Specialist located at the Albany Stratton VAMC.

B.2 PRICE SCHEDULE OF SERVICES

Under the authority of 38 U.S.C. §8153 the Contractor agrees to provide community based outpatient clinic services in accordance with the terms, conditions, and provisions stated herein at the prices specified in the Price Schedule of Services. Proposed contractor facility must be physically located within the boundaries of Plattsburgh, New York 12901. Veterans to be serviced under this contract primarily reside in Clinton County; however, residency is not restricted to this county. The parent facility for this CBOC is the Albany Stratton VA Medical Center, 113 Holland Avenue, Albany, NY. Payment for primary care services shall be based on a monthly capitated rate, as further explained within this solicitation.

PERIOD OF PERFORMANCE

BASE YEAR: 02/01/2020 through 01/31/2021

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
0001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,200
$
$

Total for Base Year $______________________________________________

OPTION YEAR 1: 02/01/2021 through 01/31/2022

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
1001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,222
$
$

Total for Option Year 1 $______________________________________________

OPTION YEAR 2: 02/01/2022 through 01/31/2023

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
2001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,244
$
$

Total for Option Year 2 $______________________________________________

OPTION YEAR 3: 02/01/2023 through 01/31/2024

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
3001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,266
$
$

Total for Option Year 3 $______________________________________________

OPTION YEAR 4: 02/01/2024 through 01/31/2025

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
4001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,288
$
$

Total for Option Year 4 $______________________________________________

OPTION YEAR 5: 02/01/2025 through 01/31/2026

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
5001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,310
$
$

Total for Option Year 5 $______________________________________________

OPTION YEAR 6: 02/01/2026 through 01/31/2027

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
6001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,332
$
$

Total for Option Year 6 $______________________________________________

OPTION YEAR 7: 02/01/2027 through 01/31/2028

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
7001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,354
$
$

Total for Option Year 7 $______________________________________________

OPTION YEAR 8: 02/01/2028 through 01/31/2029

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
8001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,376
$
$

Total for Option Year 8 $______________________________________________

OPTION YEAR 9: 02/01/2029 through 01/31/2030

CLIN
SERVICES
UNIT
EST QTY
PRICE PER UNIT
TOTAL ESTIMATED COST PER YEAR
9001
Community Based Outpatient Clinic Services at the per member per month rate (PMPM)
PM/PM
2,398
$
$

Total for Option Year 9 $______________________________________________

CONTRACT TOTALS

BASE
$
OPTION 1
$
OPTION 2
$
OPTION 3
$
OPTION 4
$
OPTION 5
$
OPTION 6
$
OPTION 7
$
OPTION 8
$
OPTION 9
$
Total
$

ESTIMATED QUANTITIES: All quantities listed herein are estimated annual quantities. The Government is not obligated to purchase any specified amount of services under this contract but will be obligated to make payment for all services requested and received in the quantities and of the quality requested. The Government does not guarantee or imply that any fixed number of orders/referrals for services will be placed under the resultant contract.

GUARANTEED MINIMUM: The Government will order at least $250,000.00 in services during the base year of the contract. (Note: The guaranteed minimum order amount applies to the base year only. Award of the additional option years is not guaranteed nor is there a guaranteed minimum order amount in any given option year that is exercised.)

MAXIMUM TOTAL CONTRACT AMOUNT: The potential aggregate contract total over the term of the entire contract (base year and nine potential option years) is $25,000,000.00.

ORDERING PROCEDURES: VA has the sole authority to assign veterans treated by the contractor into the Primary Care Management Model (PCMM) software program used to track primary care clinic veteran rosters. Specific billable processes for issuing task orders under the resultant contract include: determining veteran eligibility, enrollment eligibility, and Level 3 Evaluation and Management (E & M) of billable roster, to align with 6.2.1. Please review in detail to ensure compliance for issuance of subsequent task orders and payment processing. A task order will be issued for each performance period.

AWARD BASED ON INITIAL OFFERS: Offerors are advised of the possibility that award may be made without discussion. Accordingly, offerors are cautioned to submit their initial offers based on their most favorable terms, pricing and technical factors.

File details come from the government source that posted it. Updated .