36C24521Q0407 0001.docx

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 NUMBERE

D 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 amendmen t, 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) 09/02/2021

NONE

36C245 Department of Veterans Affairs

VA

Maryland Health Care System Crystal Hinton, Contracting Officer 209 West Fayette Street, Suite 611 Baltimore MD 21201 36C512 Department of Veterans Affairs VA Maryland Health Care System Crystal S. Hinton, Contracting Officer 209 West Fayette Street, Suite 611 Baltimore MD 21201 To all Offerors/Bidders

36C24521Q0407

X X X

See CONTINUATION Page X The purpose of this amendment is to inform offerors of the revisions to solicitation sections B.2.3 Scope page 13 section 7 phase in requirement . Revisions to page 37 B.3 Price/Cost Schedule

Questions to responses are attached.

The solicitation closing date is extended to 14:00 PM EST, 09/14/2021.

1. PHASE-IN REQUIREMENTS

The Contractor shall schedule and replace all equipment and supplies presently located in homes of beneficiaries with his/her own equipment as soon as possible after award, but not to exceed sixty (60) days. The change shall include delivery, set-up and instruction, and shall be accomplished with the least disruption in service to the VA beneficiary as possible. The inventory sheet shall be placed with the equipment with a copy mailed to the VAMC and a copy to the veteran patient. Contractor shall notify outgoing supplier within twenty-four (24) hours of the transition. The awarded Contractor shall assume the responsibility for damaged equipment.

B.3 PRICE/COST SCHEDULE

Quantities listed are estimated only and are not guarantees.

This is an Indefinite-Delivery Indefinite- Quantity Contract (IDIQ). Accordingly, funds are not obligated on this contract at award; rather, funds are obligated via task orders issued against this contract. Task orders shall only be issued by a warranted VA CO. VA CO will issue task orders to the Contractor authorizing services via Standard Form 1449. Each task order shall clearly identify the dollar amount authorized under the individual task order and the period of performance of the individual task order. When a task order period of performance is completed, additional services shall not be provided unless a new task order is issued in accordance with the contract.

The minimum dollar amount guaranteed under this contract for the performance period of five (5) years is $25,000.00. The maximum dollar amount or contract ceiling for this contract is $4,000,000.00. The maximum amount is not guaranteed. The combined total of all orders placed against this contract cannot exceed the maximum amount/ceiling of this contract. The minimum guarantee will be awarded by task order concurrently with the award of the IDIQ.

The contractor shall provide all management, tools, supplies, equipment, and labor necessary for the delivery of Home Oxygen within the Washington, DC VAMC.

Period of Performance: 10/01/2021 - 09/30/2026 with one six (6) month option period that we may or may not exercise.

ITEM INFORMATION

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

EA

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM.

EA

SUBTOTAL ITEMS #1 0001 Through 0012

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM

Oxygen Concentrator (portable0 (airline & train approved)

Bi-Directional OxySafe Patient Setup Kit Includes (2) Bi-Directional Oxysafes, tubing connector, and instructions. Bag of 25

Home Fill Oxygen System

EA

Gaseous Oxygen System (portable) A, D, E cylinder

Ventilator (portable)

Ventilator Heated Humidifier

High Volume Air Compressor, Electric

Reservoir refills disposable supplies. Includes delivery, setup, and education. This is a one-time charge for new set-ups. HCPCS: E0431

Gaseous Oxygen M/M60 Cylinder System

SUBTOTAL ITEMS #1 1001 Through 1012

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM

Oxygen Concentrator (portable0 (airline & train approved)

Bi-Directional OxySafe Patient Setup Kit Includes (2) Bi-Directional Oxysafes, tubing connector, and instructions. Bag of 25

EA

Gaseous Oxygen System (portable) A, D, E cylinder

Ventilator (portable)

Ventilator Heated Humidifier

High Volume Air Compressor, Electric

Contract Months 25-36 10/01/2023-09/30/2024

Reservoir refills disposable supplies. Includes delivery, setup, and education. This is a one-time charge for new set-ups. HCPCS: E0431

Gaseous Oxygen M/M60 Cylinder System

A,D,E Cylinder Medical Oxygen refill (Portable)

SUBTOTAL ITEMS #1 2001 Through 2012

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM

Oxygen Concentrator (portable0 (airline & train approved)

Bi-Directional OxySafe Patient Setup Kit Includes (2) Bi-Directional Oxysafes, tubing connector, and instructions. Bag of 25

EA

Gaseous Oxygen System (portable) A, D, E cylinder

Ventilator (portable)

Ventilator Heated Humidifier

High Volume Air Compressor, Electric

Reservoir refills disposable supplies. Includes delivery, setup, and education. This is a one-time charge for new set-ups. HCPCS: E0431

Gaseous Oxygen M/M60 Cylinder System

A,D,E Cylinder Medical Oxygen refill (Portable)

SUBTOTAL ITEMS #1 3001 Through 3012

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

EA

(b) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator must have flow rate capacity up to 10 LPM

Oxygen Concentrator (portable0 (airline & train approved)

Bi-Directional OxySafe Patient Setup Kit Includes (2) Bi-Directional Oxysafes, tubing connector, and instructions. Bag of 25

EA

Gaseous Oxygen System (portable) A, D, E cylinder

Ventilator (portable)

Ventilator Heated Humidifier

High Volume Air Compressor, Electric

Reservoir refills disposable supplies. Includes delivery, setup, and education. This is a one-time charge for new set-ups. HCPCS: E0431

Gaseous Oxygen M/M60 Cylinder System

A,D,E Cylinder Medical Oxygen refill (Portable)

SUBTOTAL ITEMS #1 4001 Through 4012

Grand Total

Six Month Option Period, we may or may not exercise. 10/01/2026-03/30/2027

a) Rental concentrator with backup system consisting of compressed gas source, regulator, stand, (nasal cannula or mask and humidifier when specified). Concentrator will have flow rate capacity up to 5LPM

EA

SUBTOTAL ITEMS #1 5001 Through 5012