36C24521Q0498 0001.docx
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- Attached to
- R422--Consumer survey contract for the Supported Services for Veteran Families (SSVF) Program
- Solicitation number
- 36C24521Q0498
About this file
This solicitation and related federal contract opportunity document describe a consumer survey contract requirement for the Department of Veterans Affairs Supported Services for Veteran Families Program. The solicitation seeks offers by July 2nd, 2021 to provide all services required under the performance work statement, including conducting consumer satisfaction surveys of program participants. The small business set-aside contract will be awarded by the Veterans Health Administration Veterans Integrated Service Network 5 office located in Charlotte, North Carolina. Prospective contractors must register in the System for Award Management to be eligible for award. The incumbent contractor was M. Davis & Company, Inc. under contract VA268-15-C-0066.
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| 36C24521Q0498_Rev01.pdf |
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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) None 36C245 Department of Veterans Affairs Network Contracting Office 5 (NCO 5) 90C
NCO 5
1540 Spring Valley Dr.
Huntington
WV
25704 36C245 Department of Veterans Affairs Network Contracting Office 5 (NCO 5) Satellite Office 1540 Spring Valley Drive Huntington
WV
25704 To all Offerors/Bidders
36C24521Q0498 06-25-2021
X X X
Solicitation 36C24521Q0498 is hereby amended to incorporate questions recevied and their respones.
The offeror due date is not extended.
There are no changes to the solicitation.
Allison R. Lewis Contracting Officer
VA-VHA-2020-2303D336
Solicitation 36C24521Q0498 Questions & Answers Q1. Were all of your/VA's expectation met under the previous contract?
A1. Yes.
Q2. Will you provide a sample/full list of survey questions you want incorporated into the survey?
A2. Yes, see attached.
Q3. What are the conclusions and/or theories your reached as a results of previous survey results?
A3. None nationally, at an individual grantee level.
Q4. Were there any changes in the VA's services as a direct result of the data received from the Consumer Survey in the past?
A4. None at a national level, changes made at a grantee level.
Q5. What are the top areas of improvement the VA would like to achieve (if any)?
A5. General satisfaction, ability for individual grantees to use reports to make improvements and identify successes, increase the rates of survey completion.
Q6. Does the Government have any specific requirements regarding the proposal (e.g., page length, number of past performance examples)?
Q6. No page number or past performance limitations per the solicitation.
Q7. Does the Government have any specific requirements regarding staffing (e.g., key personnel, types of experience)?
A7. Please see “Personnel Skill Mix/Qualifications” in the Evaluation Sheet of the solicitation on page no. 86.
Q8. Can the government confirm if there are two different surveys, one for entrance into the program and one upon exit? Can the current survey(s) be provided?
A8. One at exit only.
Q9. Can the government describe the App capabilities required that would differ from the online survey web application where surveys can be taken on mobile phones 24/7?
A9. Capabilities should be similar with no differences.
Q10. When sending survey text reminders, should the link in the text redirect to the survey website or should it redirect to ios/andrioid app store to download the mobile application?
A10. We do not want Veterans to have to download an app.
Q11. Is this a new requirement? If not, who is the incumbent, award number and amount of award?
A11. No. Contract VA268-15-C-0066 was awarded to M. Davis & Company, Inc. for a not-to-exceed amount of $215,390.21.
Q12. What is the anticipated budget range under this contract?
A12. This information cannot be disclosed.
DEPARTMENT OF VETERANS AFFAIRS
SUPPORTIVE SERVICES FOR VETERAN FAMILIES (SSVF) PROGRAM
PARTICIPANT SATISFACTION SURVEY
Number of individuals (including yourself) in household receiving support services from this provider:
1 2 3 4+
Are you enrolled in the VA health care system?
Yes No
Were you enrolled in VA health care system prior to receiving services from this provider?
Yes No
1. How would you rate the quality of the services you have received from this supportive services provider?
Extremely Poor Below Average Average Above Average Excellent
2. Did the supportive services provider involve you in creating an individualized housing stabilization plan?
Yes No 4A. If you answered Yes to Question 5, do you feel that this housing plan is a good fit for your needs?
Yes No
3. In the following table, please indicate which supportive services you received and indicate the quality of the supportive services received.
| Supportive Services |
| Did you need this service? |
| Did you receive this service? |
| What was the quality of service? |
| 1. Case Management |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| 2. Assistance in obtaining VA Benefits |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
3. Assistance in obtaining and coordinating other public benefits
| a. Health care |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| b. Daily living |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| c. Personal financial planning |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| d. Transportation |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| e. Income support |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| f. Legal |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| g. Child care |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| h. Housing counseling |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
4. Other Supportive Services
| a. Rental Assistance |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| b. Utility fee payment assistance |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| c. Security and utility deposits |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| d. Moving costs |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
| e. Purchase of emergency supplies |
| Yes |
No Yes No
| Extremely Poor |
| Below Average |
| Average |
| Above Average |
| Excellent |
4. How many times have you moved since you started receiving services from this provider?
0 1 2 3+
5. Since you started receiving services from this supportive services provider, was there a time when your income decreased so much that it became hard to pay your housing costs?
Yes No
6. How satisfied are you with the courteousness of the staff person that you initially spoke with when you contacted the provider? (very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, very dissatisfied)
7. How satisfied are you with the courteousness of the staff person that you dealt with most often while you were working with this provider? (very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, very dissatisfied)
8. How satisfied are you with the timeliness of communication with the staff person that you dealt with most often while you were working with this provider? (very satisfied, satisfied, neither satisfied nor dissatisfied, dissatisfied, very dissatisfied)
9. If your experiences were positive with this supportive services provider, please tell us why.
10. If your experiences were negative with this supportive services provider, please tell us why.
Please list any additional suggestions as to how to improve the SSVF Program.
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