Amendment 36C24621R0065 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

09-08-2021

None

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton, VA 23667

To all Offerors/Bidders

36C24621R0065

08-26-2021

X

X X

X 1

This amendment A00001 is issued to answer vendors’ questions.

See CONTINUATION page for vendors’ Questions and Contracting Officer's Answers.

Offer due date remains unchanged. All offers are due by 16:30 ESDT on 09/24/2021.

Mario L. Santiago

Contracting Officer

CONTINUATION PAGE

Danville CBOC Services Solicitation 36C24621R0065 Questions from Offerors

1) Page 6 Paragraph 11: States “Proposal Delivery: Sealed Offers for furnishing the services in the schedule are to be mailed or hand carried to the address listed below:” However, on page 152 Section E.2 Specific Instructions to Offerors Regarding Proposal Preparation

Instructions for Proposal Submission it states, “the contractor shall submit their proposal electronically to wyona.davis@va.gov in (PDF or Microsoft Word format) and shall be assembled as follows:

Question: Will the Government please confirm the proposal shall be delivered by mail or electronically to Wyona Davis?

Answer: Proposals are to be submitted electronically to wyona.davis@va.gov in (PDF or

Microsoft Word format).

2) Page 17 Paragraph 2: Outlines the staffing and qualifications. However, in the evaluation factors on page 160 states offeror shall identify and provide a list of the names of the

Physician Director, Clinical Nurse Administrator, qualified physicians, nurse practitioners, and other nursing staff (RNs/LPNs) or other type of clinical staff (IE:

pharmacists, social workers, dieticians, etc.) intended to be utilized in the performance of the resultant contract.

Question: Does the Government require an RN Clinic Manager/Administrator?

Answer: The contractor can have a practice manager who is not an RN however this may create operational challenges for the contractor in terms of competencies, oversight, training. The clinic MUST have a designated manager or administrator.

3) Page 17 Paragraph 2.1: States “the Clinical Pharmacy Specialist (CPS) shall be provided the same support staffing given to other providers on the team when they are working in the capacity of a mid-level provider.”

Question: Will the Government please confirm if it is acceptable to utilize a PACT team member for CPS support?

Answer: Support staffing can be tasked however the contractor determines is most effective for operations. Often the MSAs at the CBOCS support all specialties at the site.

4) Page 21 Paragraph 2.4.2: States “the Contractor will provide CPS anti-coagulation. On page 54 paragraph 4.6.4.4.3 states anticoagulation services will be provided by Salem VA

Medical Center” mailto:wyona.davis@va.gov

Question: Will the Government please confirm if the VA or the Contractor will provide anticoagulation services?

Answer: The contractor will provide anticoagulation services.

5) Page 26 Paragraph 2.7.1 General and Specialty Mental Health Staffing: States” MH staffing FTE ratio performance standard is 7.72 total FTE per 1000 Veterans seen in outpatient MH, which includes 1.22 psychiatrist FTE per 1000 outpatient MH and 0.67

PCMHI FTE per PC panel”

Question: Would it be acceptable to the government to staff the 1.22/1000 veteran psychiatrist required with a Mental Health NP if the Mental Health NP is an independent licensed practitioner as long as all state laws are followed with respect to scope of practice?

Answer: A licensed Mental Health Nurse Practitioner would be acceptable, however there should always be one psychiatrist on staff.

Question: Will the Government accept a MH RN as one of the MH teamlet options?

Answer: No

6) Page 28 Paragraph 2.8: States “Telehealth Clinical Technician (TCT) FTE Ratio performance standard 1.0 FTE Telehealth Clinical Technician (TCT) per estimated 5,000 patients at clinic, with a trained back-up (e.g., another TCT or a member of the PACT

Teamlet (LIP, RNCM, or LPN), depending on size of clinic/clinic workload/clinic telehealth services).”

Question: Will the Government please confirm if it is acceptable to utilize an LPN or MA for the TCT position?

Answer: Yes, they will have to complete VA-provided training regardless of position title.

7) Page 51 Paragraph 4.6.3.1: The Contractor will provide all medications (including any necessary vaccines, with the exception of vaccines for COVID-19 as indicated in Section

4.6.3.4) that are to be administered to patients in the clinic.

Question: Will the Government please provide a list of all vaccines and medications that the contractor will be responsible to stock and administer?

Answer: SEE attached at the end of these replies. At a minimum, the following vaccines:

• TDAP

• Pneumovax 23

• Prevnar 13

• TD

• Flu, High dose flu

• Shingrix

• Twinrix (Hep A&B)

• Hep A

• Hep B

• HPV

• Depo

8) Page 84 Paragraph 4.91: Outlines the space requirements.

Question: Will the Government please confirm that the VA does not need any additional space for VA staff outside the space requirements outlined in Section 4.9.1?

Answer: Due to a high number of patients being sent to specialists in the community, Salem VA has begun sending specialty providers to the CBOCS. It would be helpful to

Salem if there was space available for providers to see a small number of patients weekly.

This is listed in section 4.9 Space Requirements “Flex Space / Physical Therapy Area.”

If the facility has non-utilized space available, the VA may consider contract modifications in the future to incorporate these areas into the contract as the need arises.

9) Page 98 Paragraph 4.9.21: States Closed Circuit Television (CCTV): Shall be provided by the Contractor to monitor building entrances, restricted areas, mission critical asset areas, and alarm conditions. CCTV system shall be used for surveillance and observations of defined exterior areas, such as site and roadway access points, parking lots, and building perimeter, and interior areas such as hallways, common areas and waiting areas, CCTV system will be viewed from a VA location determined by the VA

Physical Security Officer.

Question: Will the Government please clarify the following:

• When the VA states the “CCTV system will be viewed from a VA location determined by the VA Physical Security Officer”, does that mean the VA will decide where within the CBOC the CCTV system can be viewed?

Answer: Correct. The Security Officer and/or Physical Security Specialist will need to conduct an on-site visit and conduct an assessment for camera and monitoring placements.

• Does the VA need to monitor the CCTV activities remotely or is the Contractor’s

CCTV system required to record activity at the CBOC facility and be available to the

VA for playback if needed?

Answer: The CCTV can be a standalone system and monitored by CBOC staff. The recording system for the security cameras should be placed into the secured OIT closed so the VA can review video footage, if needed.

• Will the Government please confirm if there is any preference in using Dome and

Bullet cameras versus Fisheye or 360 cameras?

Answer: Recommend that an assessment be conducted first by the Security Officer and/or

Physical Security Specialist to help determine camera locations and type of cameras, i.e.

Fisheye, fixed, PTZ, 90 degree, 270 degree, or 360 degree cameras.

10) Page 99 Paragraph 4.11 Equipment, Office Supplies and Technical Support: States the contractor is unable to network contractor owned equipment to VA network if it is not owned and operated by VA.

Question: Will the Government please provide a list of the equipment the VA will supply the contractor, such as copiers, fax, printers, scanners, or other peripheral office equipment or lab label printers?

Answer: PCs with monitors, mice, keyboards; lab label printer and printer for lab;

Network printers will be supplied by VA. Faxing may be done via Faxcom (over VA network)

Other devices would be supplied by vendor.

11) Page 99 Paragraph 4.11.1.1 CATA 6 wiring

Question: Will the Government please confirm if CAT 6 wiring is preferred and not CAT

6A?

Answer: CAT 6a is required.

12) Page 101 Paragraph 4.11.2.5 Power Requirements: States four (4) L6-20 receptacles one

(1) L6-30 receptacles in the closet.

Question: Will the government please confirm the Power Requirements and if two 20-am dedicated receptacles are acceptable?

Answer: Four 20-amp receptacles, L6 not required just regular plugs

13) Page 101 Paragraph 4.11.2.6.6 Racks: States both racks will have 2 shelves on the bottom installed to hold IT computers

Question: Will the government please confirm if shelves are required?

Answer: Shelving not required

14) Page 152 Section I, Instructions to Offeror: The Instructions to Offeror outlines five sections for the proposal.

Question: Will the Government please clarify if these five sections should be submitted in five separate files?

Answer: One file is sufficient.

15) Page 152 Section I, Instructions to Offeror: States to provide copies of all Key Personnel malpractice and medical liability insurance certificates.

Question: Is it acceptable to the Government for the bidder to provide this information upon contract award and actual hire date (following VA credentialing and background check clearance) for each provider?

Answer: No. Items listed in solicitation should be included in the proposal.

16) Page 152 Section I, Instructions to Offeror; States, “Listing of Key Personnel in the schedule with required qualification information for each: a. Copy of Curriculum Vitae

(CV), b. Copies of Advance Cardiac Life Support/Basic Life Support (ACLS/BLS)

Certifications, c. Board Certification (or documentation demonstrating board eligibility),

d. Health Safety Items – Provide proof of Health Record as required by solicitation, e.

Drug Enforcement Agency (DEA) Card if required by solicitation, f. National Provider

ID (NPI).

Question: Will the Government please clarify the following:

• What schedule is the government referring to in this statement?

Answer: All staffing that will fill positions listed in Section B.3 Performance Work

Statement, Subsection 2. Staffing and Qualifications.

• Is there a form that needs to be filled out? If so, where is this form located?

Answer: There is no form. Please attach requested items to your proposal submission.

• Which personnel are considered to be Key Personnel by the government.

Answer: Key Personnel are all staffing that will fill positions listed in Section B.3

Performance Work Statement, Subsection 2. Staffing and Qualifications.

• Is it acceptable to the Government for the bidders to provide this detailed documentation upon contract award/submission of credentialing paperwork (especially health record, and DEA cards)?

Answer: No. Items listed in solicitation should be included in the proposal.

17) Page 152 Section I, Instructions to Offeror: States, “Listing of Key Personnel in the schedule with required qualification information for each: a. Copy of Curriculum Vitae

(CV), b. Copies of Advance Cardiac Life Support/Basic Life Support (ACLS/BLS)

Certifications, c. Board Certification (or documentation demonstrating board eligibility),

d. Health Safety Items – Provide proof of Health Record as required by solicitation, e.

Drug Enforcement Agency (DEA) Card if required by solicitation, f. National Provider

ID (NPI).

However, on page 152 it states to include resumes of key personnel in Section III. In addition, in the Evaluation Factors on page 160 states to provide all physician, nurse practitioner, physician assistant, RN/LPNs and other types of clinical staff credentials as part of Factor I, Subfactor C: Management, Expertise, and Staffing which is in Section III

Technical Proposal.

Question: Will the Government please clarify if the credentials for the staff should be placed in Section I or Section III?

Answer: Please include required qualification information in section I.

18) Page 152 Section I, Instructions to Offeror: States to provide the Contingency Plan for emergency substitutions of key personnel when they are not available. In the Evaluation

Factors on page 161 under the Transition/Start-Up Plan/Retention (Section III Technical

Proposal), asks that we describe our contingency plan for covering clinics due to schedule or unscheduled leave.

Question: Will the Government please clarify if the Contingency Plan for staff leave be described in Section I or Section III?

Answer: Please provide the Contingency Plan for emergency substitutions of key personnel in section I.

19) Page 152 Section III, Instructions to Offeror: States, the Technical Volume shall not exceed seventy (50) pages in length (minimum 12-point font).

Question: Will the Government please clarify if the length of the Technical Volume is not to exceed seventy (70) or fifty (50) pages?

Answer: The Technical Volume shall not exceed seventy (70) pages in length.

Question: Will the Government accept tables, charts, and exhibits with fonts smaller than

12-point?

Answer: Tables, charts, and exhibits with fonts smaller than 12-point will be accepted

(minimum 10-point font for these items). The body of the document should contain text that is at least 12-point font.

20) Question: Will the Government reconsider the requirement for providing qualification documents for potential candidates filling Key Personnel positions?

Answer: No. Items listed in solicitation should be included in the proposal.

MEDICATIONS:

PAR UNITS MEDICATION

NA Kit Abilify Maintena Aripiprazole 300MG

NA Kit Abilify Maintena Aripiprazole 400MG

NA Kit Aristada (Aripiprazole) 441mg/1.6ml SA Inj

NA Kit Aristada (Aripiprazole) 662mg/2.4ml SA Inj

NA Kit Aristada (Aripiprazole) 882mg/3.2ml SA Inj

NA Kit Aristada (Aripiprazole) 1064mg/3.9ml SA Inj

UNIT DOSE

PACKET

Acetaminophen 325mg Tablet

NA

SINGLE DOSE

VIAL

Albuterol Sulfate Inhalation Solution 0.083%

UNIT DOSE

PACKET

Aspirin 81mg Chewable Tablet

NA

UNIT DOSE

PACKET

Azithromycin 250mg Tablet

NA

SINGLE DOSE

VIAL

Bupivacaine 0.5% (5mg/mL) Injection

3 BOTTLE Carbamide Peroxide Ear Drops 6.5%

3 1 kit CBOC COVID Vaccine Emergency Kit (include return address label)

SINGLE DOSE

VIAL

Ceftriaxone 250mg

SINGLE DOSE

VIAL

Ceftriaxone 1 gram

NA

UNIT DOSE

PACKET

Clonidine 0.1mg Tablet

SINGLE DOSE

VIAL

Cyanocobalamin 1000mcg/mL Injection

NA

SINGLE DOSE

SYRINGE

Denosumab 60mg/ml

SINGLE DOSE

VIAL (1ml) Dexamethasone 4mg/ml Injection

NA

UNIT DOSE

PACKET

Diphenhydramine 25mg Capsule

NA

SINGLE DOSE

VIAL

Diphenhydramine 50mg/mL Injection

2 PEN Epinephrine 0.3mg Pen (2-pack)

MULTIDOSE

VIAL (5mL) Fluphenazine Decanoate 25mg/mL Injection

NA

INDIVIDUAL

STRIPS

Fluorescein Sodium 1mg Strips

3 TUBE Glucose Gel

NA Tube Glucose Tabs (4gm)

NA

SINGLE DOSE

VIAL

Haemophilus B Conjugate Vaccine (HIB)

NA SINGLE DOSE Haldol Deconate 100mg/mL Injection

VIAL (1ml)

MULTIDOSE

VIAL (5mL) Haldol Deconate 100mg/mL Injection

SINGLE DOSE

SYRINGE

Hepatitis A Vaccine

SINGLE DOSE

SYRINGE

Hepatitis B Vaccine

NA

SINGLE DOSE

SYRINGE

Hepatitis A & Hepatitis B Recombinant Vaccine

(TWINRIX)

NA

SINGLE DOSE

VIAL

Human Papillomavirus 9-valent Recombinant Vaccine

(Gardasil) Types 6, 11, 16, 18

SINGLE DOSE

SYRINGE

Hyaluronate NA (Monovisc) 22mg/1ml syr 4ml

Patient name (Last 4):

Approved NF (Y/N):

1 Kit Immunization Emergency Kit

NA

SINGLE DOSE

SYRINGE

Influenza Vaccine Quadrivalent (HIGH DOSE)

NA

SINGLE DOSE

SYRINGE

Influenza Vaccine Quadrivalent (LOW DOSE)

NA

SINGLE DOSE

VIAL

Ipratropium Bromide Inhalation Solution 0.02%

NA

SINGLE DOSE

VIAL

Ketorolac 30mg/mL Injection

NA Package LEVONORGESTREL 1.5MG (EQV-PLAN B)

NA

MULTIDOSE

VIAL (25mL) Lidocaine 1% (10mg/mL) Injection

NA

MULTIDOSE

VIAL (20mL)

Lidocaine 1% (10 mg/mL) w/ Epinephrine 1:100,0000

Injection

NA TUBE (35g) Lidocaine Cream 5%

NA BOTTLE (100mL) Lidocaine Viscous 2%

NA

SINGLE DOSE

VIAL

Medroxyprogesterone 150mg/mL Injection

NA

SINGLE DOSE

KIT

Meningococcal Vaccine (Menveo)

NA

SINGLE DOSE

VIAL

Methylprednisolone Acetate 40mg/mL Injection

NA

SINGLE DOSE

VIAL

Methylprednisolone Sodium Succinate 125mg Injection

NA

SINGLE DOSE

VIAL

M-M-R II Vaccine SDV A&B 10

NA Tube Mupirocin 2% Ointment

NA Kit Naltrexone 380mg/vial Injection

NA Kit Naloxone Intranasal Spray (2 per kit)

2 BOTTLE (25 tabs) Nitroglycerin SL 0.4mg

NA DOSE PACK Paliperidone Palmitate (Invega) 78mg injection

NA DOSE PACK Paliperidone Palmitate (Invega) 117mg injection

NA DOSE PACK Paliperidone Palmitate (Invega) 156 mg injection

NA DOSE PACK Paliperidone Palmitate (Invega) 234mg injection

NA DOSE PACK

Paliperidone Palmitate Extended Release (Invega Sustenna)

546mg Injection

NA DOSE PACK

Paliperidone Palmitate Extended Release (Invega Sustenna)

819mg Injection

1 Syringe Penicillin G Benzathine 1,200,000 Unit Injection

1 Syringe Penicillin G Benzathine 2,400,000 Unit Injection

1 Syringe Penicillin G Benzathine 600,000 Unit Injection

Single Dose

Syringe Pneumococcal 23-Valent Polysacc Vaccine (Pneumovax)

SINGLE DOSE

SYRINGE

Pneumococcal -13 (Prevnar)

MULTIDOSE

VIAL (10/VIAL)

PPD

NA DOSE PACK Risperdal Consta Inj 25mg

NA DOSE PACK Risperdal Consta Inj 37.5mg

NA DOSE PACK Risperdal Consta Inj 50mg

Single Dose

Syringe Shingrix 50MCG/.5ml

NA TUBE (50g) Silver Sulfadiazine Cream 1%

NA

SINGLE DOSE

VIAL (20mL) Sodium Chloride 0.9% for Injection

NA

SINGLE DOSE

VIAL (20mL) Sterile Water for Injection

SINGLE DOSE

SYRINGE

Td

SINGLE DOSE

SYRINGE

Tdap

15 PACKET Triple Antibiotic Ointment

NA 1mL Vial Triamcinolone Acetonide 40mg Injectable Suspension

PAR UNITS MEDICATION

NA

MULTIDOSE

VIAL

COVID Vaccine - Moderna

NA

MULTIDOSE

VIAL

COVID Vaccine - Janssen

NA

SINGLE

DOSE

SYRINGE

Denosumab 60mg/ml

NA

SINGLE

DOSE VIAL

Haemophilus B Conjugate Vaccine (HIB)

SINGLE

DOSE

SYRINGE

Hepatitis A Vaccine

SINGLE

DOSE

Hepatitis B Vaccine

NA

SINGLE

DOSE

SYRINGE

Hepatitis A & Hepatitis B Recombinant Vaccine (TWINRIX)

NA

SINGLE

DOSE VIAL

Human Papillomavirus 9-valent Recombinant Vaccine (Gardasil)

Types 6, 11, 16, 18

NA

SINGLE

DOSE

SYRINGE

Influenza Vaccine Quadrivalent (HIGH DOSE)

NA

SINGLE

DOSE

SYRINGE

Influenza Vaccine Quadrivalent (LOW DOSE)

NA

SINGLE

DOSE KIT

Meningococcal Vaccine (Menveo)

NA

SINGLE

DOSE VIAL

M-M-R II Vaccine SDV A&B 10

NA Kit Naltrexone 380mg/vial Injection

1 Syringe Penicillin G Benzathine 1,200,000 Unit Injection

1 Syringe Penicillin G Benzathine 2,400,000 Unit Injection

1 Syringe Penicillin G Benzathine 600,000 Unit Injection

Single Dose

Syringe Pneumococcal 23-Valent Polysacc Vaccine (Pneumovax)

SINGLE

DOSE

SYRINGE

Pneumococcal -13 (Prevnar)

MULTIDOSE

VIAL

(10/VIAL)

PPD

NA DOSE PACK Risperdal Consta Inj 25mg

NA DOSE PACK Risperdal Consta Inj 37.5mg

NA DOSE PACK Risperdal Consta Inj 50mg

Single Dose

Syringe Shingrix 50MCG/.5ml

SINGLE

DOSE

SYRINGE

Td

SINGLE

DOSE

Tdap