36C24625R0004 0002.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) None 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

36C24625R0004

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 02-03-2025 3:00pm EST The Purpose of this amendment is to answer questions and extend the due date to 2/3/2025 at 3pm.

Natasha Leahy

1. Is the timeframe for the commencement of the agreement provisional?

a. It is not provisional.

2. What transport volume do you anticipate daily, weekly, and monthly? Estimated number of CCT, ALS, and BLS ?

a. ALS: 50/mo, BLS: 580-600/Mo (to include Dialysis pts)

0. The pricing sheet states 24,000 transports a year for BLS non-emergency. That is just over 65 transports a day. That is a significant number each day and we understand that it is based on averages so there are most definitely swings of higher and lower volume for a per day basis if this number is accurate. Is it possible that the 24000 transports represents both a combination of both BLS and stretcher transports? .

When I scrub the numbers the actual number of trips is approximately 600/month (BLS/ALS combined) for a total of 14,400/year of which 600 are ALS.

A ‘synopsis” thread for the solicitation states 20-30 transports per day. Again, a significant number but half of the pricing sheet of 24k a year.

They are correct…at 20 trips per day….the average aligns with 14,400/year.

3. What do you define as a stretcher transport vs Basic Life Support and what are the requirements for those stretcher transports that we need to follow?

We don’t delineate/separate. All BLS requests are expected to be on a stretcher and escorted by EMTs.

In the solicitation CLIN Lines – it appears some HCPC identifiers may possibly be used incorrectly or indicated issued altogether. Below are what is historically used by CMS and are requesting some possible clarification if needed – e.g. A0422 versus A0427. If A0422 is correct, are you able to define what parameters/definition is being used by the VA – especially since the transport volume as listed is “0” and the descriptor is “life sustaining situation” but is being requested for a “non-emergent ambulance services” RFQ? Additionally, if A0427 was supposed to be used, this is typically administered by a 9-1-1 system as an emergent transport situation and not considered an interfacility transport.

1. There are 2 mileage groups and 1 special category. All of our FY24 ALS runs were billed < 25 miles (our most distal routine transfer is to Portsmouth MTF/Norfolk General). The special group is for Richmond (where the majority of our complex ALS go for tx due to Richmond being a higher level facility) which has its own rate.

1. Contract not used for these movements (we call 911 and use Hampton EMS for Emergency transfers and they are billed through OCC).

1. There are 2 main mileage groups (<25 miles/>25 miles) and 2 special categories (Richmond, Salem, Ashville).

1. Contract not used for these movements (we call 911 and use Hampton EMS for Emergency transfers and they are billed through OCC).

While rare, level 2 ALS and SCT are rare and are reported within the ALS/BLS request…the most common request will be ventilator and infusion pump requests….these requests will be presented as special needs/equipment or escorts comment on the run request.

The purpose of this amendment is to extend the deadline to 3 pm on February 3rd, and answer questions.