36C24225R0047 0002 ADDITIONAL VENDOR QA KINGSTON CBOC.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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)

ACHECK

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 5

0002 MSO-2025-COM-0018

36C242

Department of Veterans Affairs Network Contracting Office (NCO) 2 Bath VA Medical Center 76 Veterans Avenue Bath NY 14810-0810 Danelle Wassink Danelle.Wassink@va.gov

36C242

Department of Veterans Affairs Network Contracting Office 2 Bath VA Medical Center 76 Veterans Avenue Bath NY 14810-0810

To all Offerors/Bidders

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NUMBER10A MODIFICATION OF CONTRACT/ORDER NUMBER

36C24225R0047

07-23-2025 X

X X

____1

SEPTEMBER 25, 2025 BY 16:30 ET

X ___________ coONE (1)

0002: The purpose of this Amendment is to provide answers to additional vendor questions received in response to Amendment 0001 of Solicitation 36C24225R0047, Community Based Outpatient Clinic (CBOC) services in Kingston, NY.

Please reference Attachment 1 starting on Page 2 for vendor questions and answers.

The date and time for receipt of proposals is extended to September 25, 2025 by 16:30 ET.

JADWIGA KUSTRA

CONTRACTING OFFICER

JADWIGA KUSTRA

Digitally signed by JADWIGA

KUSTRA

Date: 2025.09.08 20:06:53 -04'00'

Attachment 1- Additional Vendor Q&A Solicitation 36C24225R0047 Amendment 0002

Question Number

Question/Answer

1 Question: The answer to question 25 stated, yes, a contingency plan should be included with the proposal and submitted in Part IV, Miscellaneous. Question 29 asked, will the VA please confirm if Part I - Technical Proposal, Part II -Past Performance, Part III SDVOSB/VOSB Status & Miscellaneous and Part IV - Price Proposal should all be in separate documents/files for a total of four separate documents? And the answer was yes; each part should be in their own separate file.

It is not clear which volume the Miscellaneous information should be located. Should the Miscellaneous information be provided in Part III SDVOSB/VOSB Status, or in Part IV Price Proposal, or in a separate volume and add Part V Miscellaneous?

Also, can the Government confirm that they are only asking for a Contingency Plan for computer downtime and not additional items?

Answer: This is a mistake. The Contingency Plan should be included in Part III, not Part IV.

2 Question: Also, can the Government confirm that they are only asking for a Contingency Plan for computer downtime and not additional items?

Answer: The contingency plan referenced (above) in Question 1, which is to be submitted in Part III, specifically refers to a computer downtime plan.

3 Question: With there being no suitable locations in the city limits of Kingston, will the VA consider expanding the area to include sites with a Kingston, NY address?

Answer: Yes, sites with a Kingston, NY address will be considered.

4 Question: In Attachment D.5, when the Government asks for the number of hours available per week for Key Personnel, does the Government want actual scheduled hours or the full availability of Key Personnel?

Answer: In Attachment D.5, the Government is looking for the FTE level (number of hours available per week) of the proposed Key Personnel. For example, if the Key Personnel is being proposed as a 0.5 FTE, they would work 20 hours per week.

5 Question: Is it acceptable to provide the facility floorplan within 15-21 days post award as well as the PCP license etc.

Answer: No, the facility floor plan must be submitted with the proposal and will be part of the technical evaluation. The Primary Care Provider licenses should be also submitted with the proposal.

6 Question: Who is the current provider of these services and their contract number?

Answer: The incumbent contractor is Valor Healthcare, Inc. The contract number is 36C24220D0028.

7 Question: Are multiple Price Schedules acceptable based on a. new build out or b. Upgrades to existing facility?

Answer: Each alternate proposal should be submitted independently and fully address the solicitation's requirements. Multiple Price Schedules relating to different geographic locations should not be submitted within the same proposal, they should be submitted independently as their own proposal.

Each alternate proposal will be independently evaluated by the source selection evaluation board as a stand-alone proposal.

8 Question: Please can you tell me the things needed for outpatient care center for the contract

Answer: Please refer to the solicitation and the attachments for detailed specifications and information about what is necessary. VA is unable to address your question without more detail.

9 Question: Is the contractor responsible for providing anticoagulation (anti-coag) pharmacy services?

-If so, what is the required FTE (Full-Time Equivalent) ratio per number of veterans served for anticoagulation services?

-Additionally, could you please provide the estimated number of veterans who will be receiving anticoagulation services under this contract?

Answer: No. The contractor is not responsible for providing anticoagulation pharmacy services.

10 Question: Please confirm that a certified Service-Disabled Veteran-Owned

Small Business (SDVOSB) will receive more evaluation credit than a large business that proposes to subcontract with an SDVOSB or Veteran-Owned Small Business (VOSB).

Answer: The CO cannot disclose detailed internal scoring methods or weights related to the evaluation ranking system. As a certified SDVOSB or VOSB prime contractor, the inherent commitment to Veterans is recognized and valued in the evaluation.

11 Question: What percentage of the estimated overall contract spend must a large business subcontract to an SDVOSB or VOSB to receive evaluation credit? Is the credit tiered based on the percentage of SDVOSB/VOSB subcontracting spend?

Answer: The CO cannot disclose detailed internal scoring methods or weights related to the evaluation ranking system. While specific percentages of subcontracting to SDVOSBs or VOSBs may not be explicitly stated in the evaluation factors of the solicitation, it is essential to understand that the VA places a high priority on subcontracting with these categories of small businesses. The intent is to maximize opportunities for SDVOSBs and VOSBs while fostering their growth and participation in federal contracting.

Contractors should refer to FAR 52.219-9 and FAR 52.219-8 for more information about subcontracting plan requirements. Subcontracting plans are reviewed by Small Business Liaisons to confirm that the plan meets VA and regulatory requirements.

12 Question: Please describe the process the VA uses to ensure that, once awarded, a large business follows through on its proposed subcontracting commitments to SDVOSBs and VOSBs.

Answer: VA relies on established reporting systems, such as the Electronic Subcontracting Reporting System (eSRS), for contractors to submit required subcontracting performance data. Throughout the contract performance period, the large business must submit periodic subcontracting reports.

These reports provide details on the subcontracting activities and the extent to which the commitments to SDVOSBs and VOSBs are being met.

13 Question: Injection Administration

- Will the VA be providing the injections for the SUD Nurse?

- Please confirm that these injections will not remain on site at the clinic.

Answer: VA provides injections for the VA SUD Nurse. The medication will not be stored at the clinic.

14 Question: Patient Enrollment and Volume

- Are SUD Nurse patients considered enrollees at the clinic?

- How many patients will the SUD Nurse see while in clinic?

- How many veterans are expected to come to the clinic for injections on a monthly basis?

Answer: SUD Injections at the Kingston CBOC would be arranged based on patient needs, this is not something provided regularly at any of the CBOCs in the Albany Stratton VAMC region. Patients seen by the SUD Nurse would be members of the clinic, unless special arrangements are made by VA to accommodate a Veteran that is not a Kingston CBOC enrollee. The current estimated number of patients expected would be 0.

15 Question: Suboxone Logistics and Security

- Will the VA bring the Suboxone with them for injection?

- Will there be any requirement to receive or store Suboxone on site?

- Will VA personnel bring VA security during administration times?

Answer: Yes, VA will bring Suboxone when it is required. There is no requirement for the contractor to receive or store Suboxone on site. VA personnel would not bring VA security with them to administer the medication, unless required based on the situation.

16 Question: Administration Schedule

- Please verify the number of days and hours Suboxone will be administered at the clinic.

Answer: Currently, there is not a schedule. A schedule would be developed if patient need arises.

17 Question: Page 54 of the revised PWS states, " Clinical Pharmacy Services:

Clinical Pharmacy Services will be provided by the Samuel S. Stratton VAMC via telehealth. The Contractor shall provide scheduling support services." We believe this is in conflict with the response to Question 17 of the QA responses. It is our assumption that this was overlooked during the revision process and that the Contractor is responsible for Clinical Pharmacy services provided by a CPP.

Please advise if it is correct to assume that the Contractor must provide the Key Personnel position CPP.

As the addition of a CPP impacts cost, a response prior to proposal due date would be greatly appreciated.

Answer: The contractor must provide the CPP Key Personnel. The revision to the PWS was to change the responsibility from the VA to the Contractor.

The section referenced on Page 54 was erroneously missed.

18 Question: Will the government extend the due date by two weeks?

Answer: The due date will be extended as a result of this Amendment.