36C24420Q0590-0002000.docx

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Attached to
Q517--VISN 4 Pharmacy First Fill Services Federal contract opportunity
Solicitation number
36C24420Q0590
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 4

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36C24420Q0590 0002 36C24420Q0590 0002.docx

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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) 05-12-2020 None 00244 Department of Veterans Affairs Network Contracting Office 4

00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24420Q0590 05-12-2020

X x x x This amendment is to do the following:

1. Provide an updated "B.3 Price Schedule" (replaces the prior Price Schedule, refer to continuation page 2).

2. Clarify that an offer shall be in accordance with this solicitation, please refer to the solicitation "Additional Instructions to Offerors" for pertinent information as it pertains to what constitutes an "acceptable" offer. Also, to clarify award will be for a 5 Year (60 month) Firm Fixed Price IDIQ that will utilize task orders, there are no option years associated with this solicitation. The information provided in the "B.3 Price Schedule" shall be fixed for 60 months.

All other terms and conditions remain the same.

B.3 PRICE SCHEDULE (OFFEROR SHALL COMPLETE ALL PRICING FILLABLE INFORMATION BELOW) (A CO may designate representatives and alternate representatives to place orders against this contract. Ordering officers (OOs) will be authorized to place orders against this contract. The Contracting Officer (CO) will furnish the Contractor with the names of individuals authorized as OOs, by separate memorandum upon issuance of the contract. When OOs are added after award, the CO will furnish the Contractor with the names of individuals authorized as OOs, by memorandum upon OO appointment. OOs are responsible for issuing and administering orders placed under this contract. OOs have no authority to modify any term of this basic contract. Any deviation from the terms of the basic contract must be approved in writing by the CO responsible for this contract. The Contractor shall accept orders against this contract only from the CO and/or authorized OOs. Fulfilling orders from persons other than the CO or OO may result in loss or delay in payment for supplies/services provided under such orders.)

Note: The Government shall order the below specified guaranteed minimum contract value of services and shall order up to and including the below specified maximum contract value of services through task orders under this basic IDIQ contract during the duration of the contract to include all periods. The maximum amount under this contract is not guaranteed.

IDIQ contract Minimum $ 1,000.00 IDIQ contract Maximum $8,000,000.00

*Note 1 –refer to Attachment C of this solicitation for estimated number of claims per VA facility. These claims are not fixed and are simply an estimate and are subject to change. Also, within Attachment C, both Wilmington and Coatesville estimated number of claims are combined.

*Note 2 – Pricing evaluation will be based off of the dispense fee and discounts off the Average Wholesale Price (AWP) (3 fillables below).

DISPENSE FEE (Fixed for 60 months) - $______ (FILLABLE SHALL BE COMPLETED BY OFFEROR, REQUIRES A DOLLAR FIGURE)

AWP % DISCOUNT FOR BRAND NAME (Fixed for 60 months) - %______ (FILLABLE SHALL BE COMPLETED BY OFFEROR, REQUIRES A PERCENTAGE FIGURE)

AWP % DISCOUNT FOR GENERIC (Fixed for 60 months) - %______ (FILLABLE SHALL BE COMPLETED BY OFFEROR, REQUIRES A PERCENTAGE FIGURE)

ITEM/CLIN INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
ANNUAL QUANTITY
UNIT
60
MO

Pharmacy fill services for VISN 4 VA Clinics and Community Hospitals in accordance with the Performance Work Statement

***END OF AMENDMENT***

End of Document

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