36C246-19-R-0058-A0001000.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 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) A0001 03-14-2019 N/A Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 To all Offerors/Bidders

36C246-19-R-0058 -0 -201 A00001 X X X

X

AMEND SOLICITATION 36C246-19-R-0058 AS FOLLOWS:

1. To answer the attached vendor's questions.

2. Please see attached revised contract language section of the Performance Work Statement (PWS).

3. All other terms and conditions remain the same.

Mario L Santiago Contracting Officer

CONTINUATION PAGE

ANSWER TO VENDOR’S QUESTIONS

1. On page 1 of the Standard Form (SF-1449) under Section 20, can the phrase “laser services” be added?

Answer: Phrase has been added. Please see attached revised page 1 of the SF-1449 RFP document under Section 20 “Schedule of Supplies/Services” language.

2. On page 9 of the Standard Form (SF-1449) under Section 1.2. (c), can additional descriptive information describing laser services and information regarding laser technician

Answer: Additional descriptive information describing laser services and laser technician have been added under Section 1.2. (a). Please see attached revised Section 1.2.a “Technical Definitions to this PWS” language of the RFP highlighted in Red.

3. On page 9 of the Standard Form (SF-1449) under Section 2.1, can the phrase “laser services” be added?

Answer: Phrase has been added. Please see attached revised Section 2.1 “General” language of the RFP document highlighted in Red.

4. On page 9 of the Standard Form (SF-1449) under Section 3.1, can the phrase “laser services” be added?

Answer: Phrase has been added. Please see attached revised Section 3.1 “Background Information” language of the RFP highlighted in Red.

5. On page 10 of the Standard Form (SF-1449) under Section 3.3, can the phrase “laser services” be added?

Answer: Phrase has been added. Please see attached revised Section 3.3 “Background Information” language of the RFP highlighted in Red.

6. On page 12 under Section 6 under “PERSONNEL QUALIFICATIONS” it asked Offerors to provide copies of license certificates. Technical qualifications are different for laser technicians. License is not required.

Answer: Copy of license certificate requirement has been removed. Please see revised Section 6.0 “Personnel Qualifications” language of the RFP document highlighted in Red.

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

36C246-19-R-0058 03-07-2019 Mario L Santiago, Contracting Officer 757-251-4254 03-18-2019

12:00 PM

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667 X 621512 $15 Million X N/A X Department of Veterans Affairs Salem Veterans Affairs Medical Center 1970 Roanoke Blvd Salem VA 24153 Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

046070827 Department of Veterans Affairs Financial Services Center

PO BOX 149971

Austin TX 78714-9971 Contract to provide On-Site Lithotripsy Laser Services in accordance with the performance Work Statement (PWS).

Please see Schedule of Supplies located on page 5 thru 7 for additional details.

X X X Mario L Santiago Contracting Officer

1.2. Technical Definitions Peculiar to this PWS. (In alphabetical order).

a. ESWL: Extracorporeal Shock Wave Lithotripsy or Lithotripsy: For this agreement, lithotripsy means the following: Extracorporeal shock wave lithotripsy for kidney stones treatment overview. The contractor will provide both Holmium and greenlight laser services, equipment and related technical support laser technicians) at the Salem VA Medical Center in Salem, Virginia, Monday through Friday and as needed. Extracorporeal shock Wave lithotripsy uses sound waves to break kidney stones into small pieces that can more easily pass into the bladder. The patient lies on a water filled cushion. X-rays or ultrasound tests are used to precisely locate the stone. High-energy sound waves pass through the body without injuring it and shatter the stone into small pieces. These small pieces move through the urinary tract and out of the body more easily than a large stone. The process takes about an hour.

Sedatives or local anesthesia may be used. A hollow tube (stent) may be used when stones larger than 2.5 cm (1 in.) are present. The stent helps the small stone pieces to pass and prevents blockage of the urethra.

2. GENERAL:

2.1. Under the authority of Public Law 104-262, 38 U.S.C. 8153 and Veterans Affairs Acquisition Regulation (VAAR) Part 873, the Contractor agrees to provide Extracorporeal Shock Wave Lithotripsy (ESWL) laser services to beneficiaries of the Department of Veterans Affairs Medical Center (VAMC), 1970 Roanoke Boulevard, Salem, Virginia 24153, in accordance with the terms and conditions stated herein. The required equipment shall be as follows: a) Holmium: YAG Laser, b) Extracorporeal Shock Wave Lithotripter and c) Greenlight Laser. VA physicians will perform the actual procedures. The Contractor shall provide these services in accordance with all applicable federal, state and local regulations, laws and ordinances and in accordance with this performance work statement.

3. BACKGROUND INFORMATION:

3.1. The intent of this document is to establish a non-personal performance-based service contract with the terms, conditions, provisions, and specifications governing on-site lithotripsy laser services to be provided by the contractor for the Salem VA Medical Center, Urology Services. The Urology Service is located at:

Salem VA Medical Center (Salem VAMC) B143 Room First Floor Surgical Suite 1970 Roanoke Blvd Salem, VA 24153

3.3. The contractor shall provide Mobile Lithotripsy Services, Extracorporeal Shock Wave Lithotripsy (ESWL) equipment and related technical support at the Salem VA Medical Center, Salem, Virginia, two scheduled Friday’s per month unless there is an occasion that requires a different day for an estimated 30 patients per year. Salem VAMC estimates that there will be 1 to 3 patients per visit. The contractor will provide both Holmium and greenlight laser services, equipment and related technical support laser technicians) at the Salem VA Medical Center in Salem, Virginia, Monday through Friday and as needed.

6. PERSONNEL QUALIFICATIONS:

1. The Offeror shall submit qualifications to include ARRT American Registry Radiologic Technologist and CV’s of personnel to be used in the performance of this contract.