36C24225R0047 0003 VENDOR QA- CLARIFICATION OF ATTACHMENT D.11- VACCINE USAGE.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 3

0003 09-11-2025

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

36C24225R0047

07-23-2025

X

X X

X ONE (1)

0003: The purpose of this Amendment is to provide answers to additional vendor questions received in response to Solicitation 36C24225R0047, Community Based Outpatient Clinic (CBOC) services in Kingston, NY.

Please reference Attachment 1 starting on Page 2 for vendor questions and answers related Attachment D.11.

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

JADWIGA KUSTRA

CONTRACTING OFFICER

Attachment 1- Vendor Q&A- Clarification of Attachment D.11 Solicitation 36C24225R0047 Amendment 0003

Question Number

Question/Answer

1 Question: Attachment D.11 does not provide usage but only PAR levels, essentially the inventory or stock levels maintained in the clinics. In order to price appropriately, could the last 12-month usage be provided?

Answer: Please refer to the table below for the detailed vaccine usage over the past 12 months:

Vaccine Count of Administrations

Influenza, High-dose, Trivalent, PF 197

TDAP 93

Influenza, Split Virus, Trivalent, PF 85

Zoster Recombinant 75

Pneumococcal Conjugate PCV20, Polysaccharide CRM197 Conjugate, Adjuvant, PF

COVID-19 (Pfizer), MRNA, LNP-S, PF, TRIS-SUCROSE, 30 MCG/0.3 ML (Ages 12+ Years)

HEPB-CPG 10

HPV9 10

Meningococcal Conjugate Quadrivalent, MENACWY-TT (MCV4)

HEP A, Adult 1

MMR 1

Grand Total 547

It is required that the clinic must maintain the following medications on hand:

• Ceftriaxone 500 mg IM injection (for immediate treatment of uncomplicated gonorrhea) – par level 1

• Nasal naloxone for emergency use at the clinic – par level 1

• Injectable epinephrine (1 mg/ml 30 ml vial) or epi-pen in case of anaphylactic reaction to vaccination – par level one box of two epi-pen syringes or two vials epinephrine

• Injectable diphenhydramine 50 mg/ml in case of anaphylactic reaction to vaccination – par level 2 vials

• If the primary care provider plans to do minor procedures in clinic, they may want vials of 1% or 2% lidocaine injection.

Attachment 1- Vendor Q&A- Clarification of Attachment D.11 Solicitation 36C24225R0047 Amendment 0003

Attachment D.11 includes a list of additional ward stock. However, this list is not exhaustive. The parent VA Medical Center does not possess precise data regarding the administration of medications other than vaccines at the Kingston CBOC.

In accordance with the PWS, the contractor will provide all medications that are to be administered to patients in the clinic (including vaccines in accordance with current and future Advisory Committee on Immunization Practices (ACIP)/CDC recommendations and guidance).

2 Question: It was noticed that RSV vaccine was not included in the list in Attachment D.11. Is this clinic expected to provide the RSV vaccine and if so, what was the usage in the last 12 months?

Answer: Yes, it is expected that the contractor will provide the RSV vaccine in the clinic. The current contractor does not provide the vaccine in the clinic.

The RSV vaccine is currently recommended as a one-time vaccination over a person's lifetime.

At this time, the VA does not have precise data on the number of Veterans who have already received their dose, nor an exact estimate of the number of Veterans who will become eligible each year in the coming years. However, drawing from usage rates at staff model Community-Based Outpatient Clinics (CBOCs), the VA estimates that approximately 90 to 100 doses of the RSV vaccine will be needed annually.