RFQ Amendment 36C24526Q0480 0001.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 11

0001 06-30-2026

Department of Veterans Affairs

Network Contracting Office 5

510 Butler Ave

Martinsburg WV 25405

19ACQ

Department of Veterans Affairs

Network Contracting Office 5 (NCO 5)

510 Butler Ave

Martinsburg WV 25405

To all Offerors/Bidders

36C24526Q0480

X

X X

See CONTINUATION Page

X 1

The purpose of this amendment is to:

1. Update CLINs

2. Post Questions and Answers

Offers are due Wednesday, July 8, 2026, 3:00 PM EST.

Dan Feng Lu

Contracting Officer

VA-VHA-RPOE-2026-0035

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

30.00 TRP __________________ __________________

(A0427) Advanced Life Support, Emergent Transport (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to patients such as advanced airway management, drug administration and cardiac monitoring under the direction of a hospital.

2,000.00 TRP __________________ __________________

(A0428) Basic Life Support, Non-Emergency Transport (base rate, to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic emergency medical care such as basic airway management, use of an automated external defibrillator and basic drug administration.

45.00 TRP __________________ __________________

(A0426) Non-Emergent Advance Life Support Transport (base rate to include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance

50.00 TRP __________________ __________________

(A0434) Critical Care Transport

Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT- Paramedic SCT is necessary when a beneficiary’s condition requires ongoing care that must be furnished by one or more health professionals in an appropriate specialty area, for care.

8,500.00 MI __________________ __________________

(A0425) Mileage Trip Outside the Base Rate

Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

30.00 EA __________________ __________________

(A0420) Waiting Time (more than 30 minutes shall be paid in 30-minute increments) Ordering Period 1 POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621910 - Ambulance Services first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028

PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT- Paramedic SCT is necessary when a beneficiary’s condition requires

Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services increments) Ordering Period 2 POP Begin: 10-01-2027 POP End: 09-30-2028 PRINCIPAL NAICS CODE: 621910 - Ambulance Services first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029

Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT- Paramedic SCT is necessary when a beneficiary’s condition requires

Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services increments) Ordering Period 3 POP Begin: 10-01-2028 POP End: 09-30-2029 PRINCIPAL NAICS CODE: 621910 - Ambulance Services first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT- Paramedic SCT is necessary when a beneficiary’s condition requires

Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 PRINCIPAL NAICS CODE: 621910 - Ambulance Services increments) Ordering Period 4 POP Begin: 10-01-2029 POP End: 09-30-2030 first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Emergent Transport, Level 1 (ALS 1) Advanced Life Support (ALS) ambulances transport patients who need a higher level of care during transport above those services provided by a BLS ambulance. The unit is staffed by at least one paramedic who has more than 1,000 hours of education and training and are qualified to render advanced life support to include first 25 miles) One-Way trip is equivalent to one each for the unit of issue Ordering Period 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Basic Life Support (BLS) ambulances provide transport to patients who do not require extra support or cardiac monitoring. A BLS ambulance is staffed by two emergency medical technicians (EMTs) who have training in basic include first 25 miles) One-way trip is equivalent to one each for the unit of issue Ordering Period 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

Ordering Period 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services PRODUCT/SERVICE CODE: V225 - Transportation/Travel/Relocation - Travel/Lodging/Recruitment: Ambulance Specialty Care Transport (SCT) – As defined by the Centers for Medicare & Medicaid Services (CMS) — is IFT of a critically injured or ill beneficiary by a ground ambulance vehicle including the provision of medically necessary supplies and services, at a level of service beyond the scope of the EMT- Paramedic SCT is necessary when a beneficiary’s condition requires

Ordering Period 5

POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services increments) Ordering Period 5 POP Begin: 10-01-2030 POP End: 09-30-2031 PRINCIPAL NAICS CODE: 621910 - Ambulance Services

GRAND TOTAL __________________

A.2 QUESTIONS AND ANSWERS

Ground Ambulance Services

Washington DC VAMC

RFQ 36C24526Q0480

Questions and Answers

1. Definition and Scope – Stretcher Transport vs. BLS Transport (PWS 4.1.1): "PWS 4.1.1 refers to 'Urgent, non-emergent Stretcher Transports' as a required service, yet the solicitation does not provide a technical definition distinguishing a 'Stretcher Transport' from a 'BLS Non-

Emergency Transport' (CLIN 1002).

To ensure all offerors provide an 'apples-to-apples' price comparison, will the Government please:

• (a) Define the clinical/operational requirements for a 'Stretcher Transport' in the context of this contract (i.e., is it intended to be a BLS-level service or a lower-acuity NEMT service)? See PWS 4.5

• (b) Confirm if 'Stretcher Transports' require an ambulance-licensed vehicle and EMT staffing? This requirement is for ground ambulance transportation services. See PWS 4.3 and 4.5 for EMT and Vehicle information.

• (c) Establish a distinct CLIN for this service to ensure that readiness and compliance costs are appropriately captured?" Shall be included in the base rate for the type of service requested (BLS, ALS, CCT)

2. Request for Correction: CLIN 1006 / PWS 4.9.1 Inconsistency

PWS 4.9.1 requires that all waiting time be itemized and invoiced in fifteen (15) minute intervals. However, CLIN 1006 is structured around HCPCS code A0420, which is industry-standardized to thirty (30) minute increments.

To prevent non-compliant invoicing and ensure all offerors are competing on a uniform baseline, will the Government:

• (a) Amend CLIN 1006 to reflect a 15-minute unit of measure? No. Waiting time is for every 15 minutes AFTER 30 minutes. More than 30 minutes shall be paid in 15-minute intervals. See updated CLINs.

3. No-Show Reimbursement Structure (PWS 4.5.2.1.1): "PWS 4.5.2.1.1 allows for reimbursement for no-show cancellations, based on the base rate and accrued mileage. To ensure billing accuracy and to facilitate a more efficient invoice reconciliation process, would the

Government consider adding dedicated 'No-Show / Trip Cancellation' CLINs for each transport type (e.g., BLS, ALS, CCT, Stretcher)? This would allow for clear, auditable alignment between the service level requested and the cancellation reimbursement provided." See 4.5.2.1.1. No-show reimbursement shall be based upon the base rate for the type of service requested.

4. The solicitation is issued as a 100% small business set-aside. Can the Government confirm whether its market research identified at least two responsible small business concerns that are licensed, authorized, and operationally capable of performing the full geographic scope and anticipated transportation volume required under the Statement of Work at fair market prices?

Market research determined the appropriate set-aside.

5. If the Government’s market research did not identify at least two such small business concerns, will the Government consider amending the solicitation to full and open competition to ensure adequate competition, continuity of patient care, and successful performance of the requirement? Market research determined the appropriate set-aside.

6. Given the size, geographic scope, regulatory/licensing requirements, and anticipated transport volume, will the Government clarify whether it intends to make one award to a single small business provider or whether it will consider multiple awards, regional awards, teaming arrangements, or subcontracting structures to ensure full coverage of the requirement? Single award as stated in the RFQ.

7. If no single small business concern can demonstrate the required licensing, coverage, staffing, fleet capacity, and operational infrastructure to fulfil the full requirement, will the

Government consider accepting and evaluating offers from otherwise qualified non-small business concerns? The Government will evaluate and reassess if needed.

8. If the Government intends to maintain the 100% small business set-aside, will it clarify how offerors should demonstrate their ability to meet the full Statement of Work requirements, including geographic coverage, response capacity, staffing, licensing, dispatch, fleet availability, and continuity of operations? Please see RFQ.

9. If the Government requires additional time to review these questions or reassess the acquisition strategy, will it extend the quotation submission deadline to allow prospective offerors sufficient time to prepare responsive submissions following the Government’s response or any amendment? Yes.

10. To allow offerors sufficient time to evaluate the Government’s response and determine whether they can submit a compliant quotation, can the Government post responses to these questions by June 17, 2026, in advance of the June 24, 2026, submission deadline? Yes.

11. When dropping off a patient, a run sheet will be provided to the destination facility. Does this require a paper copy or would e-mail or Fax delivery be acceptable? See PWS 4.5. VetRide shall be utilized.

12. D.2 Attachment A : Indicates a Zoll X Series monitor as required equipment. Is that specific model the requirement or is a monitor with equivalent functionality acceptable? Required, per the attachment.

13. The RFP refers multiple times to mileage outside the base rate, is there an expectation of a designated number of miles that should be included in the base rate? Does current contractor have a number of miles included in the base rate? Does that number vary based on level of service? See updated CLINs.

14. Will this be a multiple award IDIQ? Single award as referenced in the RFQ.

15. Since these are federal facilities, do you require ambulance licensure at the company level in all 3 states and the district? Or would a valid license in any state suffice since these are federal facilities? See PWS 4.4.1.

16. Is there any incumbent/recompete or this is a brand-new project? If yes, could you please provide us with their award number or even if the customer bought similar services in the past.

Incumbent. Contract 36C24525D0003.