36C24724Q1039 - AMENDMENT 0001 - X-RAY IMAGING EQUIPMENT STAFF TECHNICIAN AND TELERADIOLOGIST .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)

508-25-1-2041-0007

None

Department of Veterans Affairs

Carl Vinson VA Medical Center

1826 Veterans Blvd.

Dublin GA 31021

Department of Veterans Affairs

Carl Vinson VA Medical Center

1826 Veterans Blvd.

Dublin GA 31021

To all Offerors/Bidders

36C24724Q1039

X

X

See CONTINUATION Page

THE PURPOSE OF THIS AMENDMENT IS TO PROVIDE QUESTIONS & ANSWERS TO THIS SOLICITATION. THERE ARE NO CHANGES WITH THE

PROPOSAL CLOSING DATE AND TIME.

JAMES E. BOLES JR.

CONTRACTING OFFICER, NCO7

CONTINUATION PAGE

Atlanta VAMC’s CBOCs X-Ray

Imaging Equipment, Staff Technicians, and Teleradiology Reading Services Solicitation 36C24724Q1039

Questions and Answers

2 Oct 2024

Q1: Equipment description: What are the salient or essential characteristics of the radiographic systems being requested?

A1: The X-Ray equipment should have an approved Enterprise Risk Analysis (ERA), VA VistA

Imaging Approved DICOM Modality Interface, BAA, and a current MOU. The equipment

Pinnacle / CareRay / Voyance is an approved x-ray system for just plain films that can fit in each of the CBOC’s (past performance) without construction / expansion (due to limited spacing).

Q2: Pricing Structure Concerns: CPT codes are designed for multi-payer environments and do not account for the comprehensive nature of the services requested here, such as full-service imaging equipment, staffing, and interpretation services. For a dedicated contractor working solely with the VA, it is counter to industry practice to rely solely on CPT codes, as they primarily reflect individual exams or readings, not the broader scope of services provided. This approach overlooks key operational costs and responsibilities. I believe that basing prices only on CPT codes risks underpricing, leading to a degraded service to the VA and its patients.

A2: The pricing is the equipment + the exam. We will need the vendor to supply appropriate staff to do the exam on their equipment. The facility needs x-ray systems at each CBOC (comprehensive service or all-encompassing service).

Q3: Is there a current contract for these services; if so, what is the contract number?

A3: Contract # 36C24720C0029

CURRENT EQUIPMENT SPECS