36C24423R0132 0004.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

MSO-2023-COM-0030

00244

Department of Veterans Affairs Network Contracting Office 4

100 S. Independence Mall West Philadelphia PA 19106 thomas.cossentino@va.gov

00244

Department of Veterans Affairs Network Contracting Office 4

100 S. Independence Mall West Philadelphia PA 19106

To all Offerors/Bidders

36C24423R0132

11-06-2023

X

X X

01/31/2024 at 2:00PM ET

See CONTINUATION Page

The purpose of this amendment is to provide responses to questions submitted by Offerors as detailed in the continuation pages.

Kevin M. Balser Contracting Officer

36C24423R0132 0004

CONTINUATION PAGE

I. Offerors have submitted 5 follow-up questions to the Government in response to Solicitation Amendment 36C24423R0132 0003. The Government has included those questions submitted by Offerors below, verbatim, and provided responses. Offeror questions (Q#:) with numbering from Amendment 0003 and initial Government responses appear in regular font; Government responses to follow-up questions (A#:) follow in bold font.

Initial Government Response Q.23: Contractor is responsible for the generator. VA is unaware of the cost for maintenance.

What is the VA expecting to be on generator power? The entire facility, a portion of the facility

ie. LAB, medication supply?

A.23: At a minimum, the Generator should power the medication room, IT closet, lighting for 2 to 3 exam rooms, Laboratory and emergency outlets in the reception area. This is not an inclusive list and can be expanded to other areas.

Q.24: Will the VA provide a large copier, scanner, and fax machine?

Initial Government Response.24: No, the Contractor is responsible for Copier, Scanner, and Fax machine, which must be compatible with VA’s systems.

With the VA OIT policy of not allowing non-VA owned equipment how can the contractor use a scanner on a separate non-VA network?

A.24: Approval for the equipment to be connected to the VA network can be obtained through the ISSO and IT departments.

Q.18: Are Contractors responsible for any procedures? If so, please provide a list of expected onsite procedures.

Initial Government Response with combined contractor follow-up:18: These procedures are required for providers’ credentialing: Skin procedures such as cryotherapy/superficial excision or destruction – what is the estimated number of skin procedures that will be done monthly at the CBOC? Women’s health Pap smears and pelvic exams, placement of foley catheters- will catheters be ordered for the veteran in CPRS? ear flush, laboratory testing, vaccinations, basic wound care, joint injections, incision and drainage (I&D), Burn Care – will burn dressings be ordered through CPRS for individual patients?, local anesthetic techniques, management of uncomplicated closed fractures or dislocations, nose packing, peripheral nerve block, management of foreign object non penetration corneal, management of nasal FB, repair simple lacerations, Battle Field acupuncture – who will be responsible for the Battle Filed acupuncture training and supplies? If VAMC personnel are to do training, will that be done on site at the CBOC or will it require travel to the VAMC. How many days will training take if done by VAMC? This is the minimum required for credentialing; however, this is not a comprehensive list of procedures the contractor may be responsible for.

A.18: 1. VA is unable to determine the number of procedures performed. 2. Yes, veterans would have orders for the foley catheters (placement or replacement). 3. Unsure of the question for Burn Care and dressings. 4. The contractor would be responsible for supplies for Battlefield acupuncture. Training is conducted at Lebanon VA Medical Center and varies depending on the prior training of the credentialled individual.

Q.43: Who is responsible for courier services – VA or contractor?

36C24423R0132 0004

Initial Government Response.43: VA is responsible for courier services.

We would like to confirm that the VA (not the contractor) will be providing twice daily courier services to the VA Core Laboratory? Below is what is in the solicitation.

4.6.5.3. LABORATORY SERVICES: Contractor is responsible for: 1) Entering orders for laboratory tests into the VA EHR. Information concerning the laboratory tests are provided as an attachment in Section D.2) Sending specimens to the VA Core Laboratory twice daily, prior to the Contractor’s mid-day break period and after the close of business of the workday, except for those specified in this PWS

A.43: Contractor is responsible for gathering all necessary specimens for the Lebanon VAMC Courier to pick up twice daily. The Contractor is not responsible for transporting the specimens.

Q.31: Regarding paragraph 4.9.1, “consultation rooms for MH/SW 140-160SF each” – how many consultation rooms are required?

Initial Government Response.31: 7 consultation rooms.

For the 7 consultation rooms that are required, how does the VA prefer they are furnished? As offices or PACT design guide consultation rooms? Does the VA require handwashing sinks in all consultation rooms?

A.31: PACT design guide consultation rooms is the preference for the VA. Handwashing sinks are preferred but not required.

The Government has provided responses to all follow-up questions submitted in response to Solicitation Amendment 36C24423R0132 0003.

End of Document