Amendment-36C24725Q0370 0001.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)

04-08-2025

1358s

36C247 Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084

36C247 Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084 To all Offerors/Bidders

36C24725Q0370 03-14-2025

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 04-22-2025 11:00AM EDT x

Subject: Amendment - 36C24725Q0370 - Dublin Home Oxygen and Ventilator Services Purpose: Q&A and Extend Solicitation

1. Publish answers to questions submitted. - Please See Attachment

2. Extend “Receipt of Offer” to April 22, 2025.

There are no other changes pertaining to this Amendment. Nothing Follows.

Leonard Robinson Contract Officer

Questions and Answers

1. 1.3 (a) Portable cylinders, regulators, regulator keys, and 02 carriers shall be delivered to the CVVAMC within one (1) business day of request to accommodate Home Oxygen beneficiaries who are visiting the VA or being discharged and require a tank of oxygen to go home. This shall be provided at no additional charge.

a. If the veteran belongs to another VA, will the VA provide the vendor with an order that includes the patient demographics to retrieve the equipment back from the veteran?

Answer: The VA will assist in retrieving the equipment or provide payment.

b. If the vendor is unable to retrieve the equipment from the veteran being serviced by another VA, will the Dublin VA pay the vendor for the lost equipment?

Answer: No.

2. 3.9(f) Home oxygen for travel outside of the continental USA, overseas travel, and cruises are the responsibility of the patient.

a. Are Puerto Rico, Hawaii and the US Virgin Islands considered to be overseas travel?

Answer: No, these are considered domestic travel rather than overseas travel.

b. If the veteran is going on a cruise, is it their responsibility to pay for a portable concentrator through a private vendor and not receive it through the VA?

Answer: A veteran beneficiary will not have to pay for a portable concentrator that is prescribed by a VA.

3. 3.9(f) Home oxygen for travel outside of the continental USA, overseas travel, and cruises are the responsibility of the patient.

a. If the veteran is permanently relocating to a service area outside of this contract, is the expectation to provide a portable concentrator or make arrangements with the contracted provider for a standard setup?

Answer: No.

A temporary order is issued from the “home” facility. Usually for 30days at that point as a courtesy it may be extended for another 2 months to accommodate the veteran until an appointment can be made at the veteran’s new facility.

b. If a portable concentrator is provided, would the VA pay for the portable concentrator if the veteran refuses to return it?

Answer: The VA will assist in retrieving the portable concentrator and work with the contractor in finding a solution.

4. 4.1(b) Contractor shall schedule and perform home visit every 90 days for traditional concentrators.

a. In section 4.0(a) the verbiage indicates the maintenance visits should be performed twice annually. Can you please provide clarification whether the required visits are quarterly and semi-annually?

Answer: As to 40(a), schedule visits depend on the maintenance required for the prescribed equipment as the number of visits can vary. 40(b) are instructions, specifically for Humidifiers and water traps.

5. 4.1(c) Contractor shall maintain, deliver, and pick-up VA owned equipment.

a. Is there VA owned equipment in this contract? If so, what is the type and quantity of each piece of VA owned equipment?

Answer: Currently there is no VA owned equipment. The contractor should have the capability of providing such services upon request, if later needed by the facility.

6. 4.4 This is referring to ventilators that are being utilized “invasively” and not “non-invasively. Invasively means that patients are attached to the equipment via a tracheotomy. Non-invasively means that the patient is using a mask to the patient’s face.

a. Does this indicate that all ventilators are for invasive patients only? If so, the required supplies include full face and nasal masks, which are used for non-invasive ventilation.

Answer: Yes.

7. 4.7 - INLINE HME - HME’s should not be used in conjunction with a heated humidifier and should mainly be used when the patient is traveling.

a. Does this indicate the HME are not for daily use?

Answer: This is depended on the prescription.

8. 4.10 - NEBULIZER WITH COMPRESSOR - Monthly price shall include spring loaded T-adapter, neb cups, tubing, masks, trach masks.

a. This indicates there should be a monthly price, however, there is no CLIN item for a nebulizer. Will the VA be adding a CLIN for this item or removing the item from the SOW (Statement of Work)?

Answer: This may be added later. The contractor should be able to provide what in the PWS upon need.

9. 4.14 (a2, b2,c2) PORTABLE OXYGEN CONCENTRATOR - Provide 2 batteries, wall and car charger

a. If the VA orders additional batteries due to travel requirements, how will the vendor bill for the additional batteries? Will the VA add a CLIN item for this need?

Answer: No.

10. 4.15 IN-HOME NOCTURNAL CONTINUOUS PULSE OXIMETRY TEST

a. There is no CLIN for this item. Will the VA be adding this to the CLIN structure or removing this section from the SOW (Statement of Work)?

Answer: There is currently no need for this service. The contractor should have the capability of providing such items upon request, if later needed by the facility.

11. 4.16 - COUGH STIMULATING DEVICE

a. There is no CLIN for this item. Will the VA be adding this to the CLIN structure or removing this section from the SOW (Statement of Work)?4.19 CONCENTRATOR WITH PORTABLE GASEOUS OXYGEN SYSTEM

Answer: There is currently no need for this service. The contractor should have the capability of providing such items upon request, if later needed by the facility.

b. There is no CLIN for this item. Will the VA be adding this to the CLIN structure or removing this section from the SOW (Statement of Work)?

Answer: The section will not be removed as the contractor is required to have the capability of providing the item even though there is no CLIN. If the item is later needed, the item will be added through contract modification.

12. 4.30(a) These cylinders shall be used only to accommodate home oxygen beneficiaries who are visiting VA or being discharged and require a tank of oxygen to go home.

a. Will the VA provide a monthly list of equipment issued to veterans to the vendor?

Answer: The VA will notification IAW the PWS.

13. CLIN 0006, 1006, 2006, 3006, 4006 - M/H Cylinder Rental

a. What are the intentions of this CLIN item? Is this to be used for headache use only or is this for every back up provided to the veterans that have concentrators?

Answer: Currently provided to patients with cluster headache. This may change depending on the needed.

14. CLIN 0007, 1007, 2007, 3007, 4007 Liquid Oxygen- Rental

a. What is included in this CLIN? Should there be separate CLIN structure for Stationary Liquid and Portable Liquid Systems? Patients that receive the liquid systems typically have different numbers of portable and stationary systems.

Answer: There is no need for a portable refill station as this is being addressed monthly by the technicians during home visits.

15. CLIN A0010 - Ventilator IC 2A

a. There is an annual quantity of 81. However, sect 1.2 states there is only one current ventilator patient. Can you confirm the current number of ventilator patients and adjust the quantity accordingly?

Answer: These are only estimates as the quantities and patients can vary.

16. CLIN 0011, 1011, 2011, 3011, 4011 – Liquid Oxygen – Travel Vessel Rental

a. Is this referring to the liquid oxygen travel base that veterans can put in their vehicles while travelling to fill their liquid portable systems?

Answer: This is necessary only on prn basis. Currently the facilities are issuing this item, however it was added to the contract as a contingency plan to ensure continuity of care.

17. CLIN 0013, 1013, 2013, 3013, 4013 - Pre-filled Humidifiers

a. The estimated quantity is 5568. This quantity seems extremely high. Is this item used for 50PSI compressors or oxygen concentrators? Can you confirm the current number of patients using Pre-filled Humidifiers and adjust the quantity accordingly?

Answer: The numbers are based on current services being provided by the incumbent.

18. CLIN 0020, 1020, 2020, 3020, 4020 DELIVERY FEE/RELOCATION

a. When is delivery fee to be billed?

Answer: Home oxygen services are billed monthly in arears.

19. CLIN 0022, 1022, 2022, 3022, 4022 – RESPIRATORY THERAPY VISITS

a. The estimated quantity is 408. This quantity seems high when considering Sect 1.2 states there is only 1 vent patient. Can you adjust this quantity to be inline with the number of Vent patients?

Answer: These estimates are based on the services being provided by the incumbent.

20. CLIN 0023, 1023, 2023, 3023, 4023 EMERGENCY / NON SCHEDULED VISITS

a. In what instances can this emergency/nonscheduled visit fee be billed?

Answer: This CLIN is more specifically geared towards visits outside the scope of routine services.

21. Dublin VAMC currently has all Home Oxygen Patients seen by a Qualified Technician monthly to ensure equipment compliance and safety.

Does the government intend to make the change only to require a visit every 6 months?

Answer: This is being met with the monthly deliveries by the technician installing and replenishing tanks.

22. Dublin patients currently require a CRT/RRT to see all Home Oxygen Patients within 7 working days of initial setup and annually thereafter.

The current PWS does not show any requirements for an RT visit. Does the government intend to change this to allow a Qualified Technician to perform these visits? They have already been seen during the setup by a qualified tech

Answer: It is our position that initial setups and ventilator patients are the only exceptions to the annual visits that the RT is to perform. The technicians are expected to check equipment and complete home visits monthly. During this monthly visit, the equipment should be checked, proper supplies provided, Oxygen signage, empty tanks replaced with filled tanks and etc.

23. Please refer to the following items in question:

Section 4.6 Closed Suction Catheters

Section 4.8 references the Full Face PAP Mask but no line item for purchase of mask is shown.

Section 4.17 Positive Airway Pressure (Pap) Masks – No Line item for the purchase of the mask on page 21

These items are typically provided by the VAMC. Does the government intend for the contractor to supply these?

Answer: The contractor should have the capabilities of providing these services in case a facility need arises.

24. Section 4.15 IN-HOME NOCTURNAL CONTINUOUS PULSE OXIMETER TEST – No line item for delivery

Will a line item be added for this service and will the VAMC be providing the pulse oximetry devices?

Answer: This is currently not need but the contractor should have the ability to perform services.

25. Please refer to the following items in question:

Section 4.9 Heated Humidifier

Section 4.10 Nebulizer with Compressor

Section 4.11 Portable Suction Machine

Section 4.16 Cough Stimulating Device

These items are typically considered specialty items and are purchased by other VAMCs. Will a line item be added for these items and associated supplies?

Answer: The contractor should have the capabilities of providing these services in case a facility need arises.