Amendment-36C24725R0095 0005.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)

02-16-2026

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

36C24725R0095

11-07-2025 X

See CONTINUATION Page

SUBJECT: Amendment - 36C24725R0095 - Augusta Home Oxygen and Ventilator Services PURPOSE: Publish Q&A, Revise PWS, and Revise CLINs

1. Solicitation 36C24725R0095 answers to questions is included in this amendment.

2. The Performance Work Statement has been revised. - See attachment

3. The CLINs has been revised. - See attachment

4. The due date proposal remains unchanged pertaining to this amendment.

There are no further changes pertaining to this amendment. Nothing Follows.

Leonard Robinson Contract Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA, except for the guaranteed minimum as specified elsewhere in the award. The guaranteed minimum under this contract is $500.00 for the initial fiscal year in which this contract is awarded, and the contract’s stated maximum or ceiling amount is $16,000,000.00.

Note: The Department of Veteran Affairs VA Southeast Network Augusta VAMC/VISN 7 currently serves an estimated 615 oxygen-using patients and 40 ventilator patients. The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA except for the guaranteed minimum.

ITEM INFORMATION

5LPM Concentrator- Rental

HCPC E1390

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027 PRINCIPAL NAICS CODE: 532283 - Home Health Equipment Rental PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

10LPM Concentrator- Rental (High Flow)

HCPC: E1390

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Conserver- Rental

HCPC: VA111

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Portable System (Patient Issued Only)

HCPC: E1355

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder- Rental

HCPC: E0424

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Compressor 50 PSI

HCPC: E0565

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Ventilator w/ all equipment, supplies, services, and PM

HCPC: E0465

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen-Rental

HCPC: E0439

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen Refill

HCPC: E0442

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen- Travel Vessel Rental (Includes Stationary, Portable, and Travel Stations/Vessel)

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder Refill/ Emergent

HCPC: E0443

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

B Tanks

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

C Tanks

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

D Tanks

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

E Tanks

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M90 Tanks - Refill

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Oxygen Fire Safety Valve

HCPC: VA108

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery Fee/ Relocation

HCPC: A9901

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

POC/ Portable Concentrator

HCPC: E1392

Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Respiratory Therapy Visits Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Emergency/ Non-scheduled Visits Order Period: 1 Ordering Period Begin: 03-01-2026 Ordering Period End: 02-28-2027

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

5LPM Concentrator- Rental

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

10LPM Concentrator- Rental (High Flow)

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Conserver- Rental

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Portable System (Patient Issued Only)

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder- Rental

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Compressor 50 PSI

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Ventilator w/ all equipment, supplies, services, and PM

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen-Rental

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen Refill

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen- Travel Vessel Rental (Includes Stationary, Portable, and Travel Stations/Vessel)

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder Refill/ Emergent

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

B Tanks

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

C Tanks

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

D Tanks

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

E Tanks

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M90 Tank - Refill

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Oxygen Fire Safety Valve

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery Fee/ Relocation

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

POC/ Portable Concentrator

Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Respiratory Therapy Visits Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Emergency/ Non-scheduled Visits Order Period: 2 Ordering Period Begin: 03-01-2027 Ordering Period End: 02-29-2028

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

5LPM Concentrator- Rental

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

10LPM Concentrator- Rental (High Flow)

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Conserver- Rental

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Portable System (Patient Issued Only)

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder- Rental

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Compressor 50 PSI

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Ventilator w/ all equipment, supplies, services, and PM

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen-Rental

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen Refill

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen- Travel Vessel Rental (Includes Stationary, Portable, and Travel Stations/Vessel)

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder Refill/ Emergent

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

B Tanks

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

C Tanks

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

D Tanks

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

E Tanks

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M90 Tanks - Refill

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Oxygen Fire Safety Valve

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery Fee/ Relocation

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

POC/ Portable Concentrator

Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Respiratory Therapy Visits Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Emergency/ Non-scheduled Visits Order Period: 3 Ordering Period Begin: 03-01-2028 Ordering Period End: 02-28-2029

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

5LPM Concentrator- Rental

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

10LPM Concentrator- Rental (High Flow)

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Conserver- Rental

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Portable System (Patient Issued Only)

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder- Rental

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Compressor 50 PSI

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Ventilator w/ all equipment, supplies, services, and PM

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen-Rental

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen Refill

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen- Travel Vessel Rental (Includes Stationary, Portable, and Travel Stations/Vessel)

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder Refill/ Emergent

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

B Tanks

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

C Tanks

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

D Tanks

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

E Tanks

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M90 Tank - Refill

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Oxygen Fire Safety Valve

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery Fee/ Relocation

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

POC/ Portable Concentrator

Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Respiratory Therapy Visits Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Emergency/ Non-scheduled Vists Order Period: 4 Ordering Period Begin: 03-01-2029 Ordering Period End: 02-28-2030

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

5LPM Concentrator- Rental

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

10LPM Concentrator- Rental (High Flow)

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Conserver- Rental

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Portable System (Patient Issued Only)

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder- Rental

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Compressor 50 PSI

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Ventilator w/ all equipment, supplies, services, and PM

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen-Rental

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen Refill

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Liquid Oxygen- Travel Vessel Rental (Includes Stationary, Portable, and Travel Stations/Vessel)

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M/H Cylinder Refill/ Emergent

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

B Tanks

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

C Tanks

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

D Tanks

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

E Tanks

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

M90 Tank - Refill

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Oxygen Fire Safety Valve

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Delivery Fee/ Relocation

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

POC/ Portable Concentrator

Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Respiratory Therapy Visits Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

Emergency/ Non-scheduled Visits Order Period: 5 Ordering Period Begin: 03-01-2030 Ordering Period End: 02-28-2031

PRODUCT/SERVICE CODE: W065 - Lease or Rental of Equipment - Medical, Dental, and Veterinary Equipment and Supplies

A.2 DELIVERY SCHEDULE

DELIVERY DATE

0001-4021

ORDER ARE PATIENT SPECIFIC AND DELIVERY ADDRESS WILL BE ASSIGNED AT INDIVIDUAL ORDER LEVEL

March 01, 2026 through February 28, 2031 or up to August 31, 2031

HOME OXYGEN AND VENTILATOR SERVICES

AUGUSTA VA HEALTHCARE SYSTEM

1.0 SCOPE: This Performance Work Statement (PWS) defines the effort required for the setup, installation, and management of Home Oxygen services and Ventilation, in accordance with Joint Commission (JC) standards, to Veteran beneficiaries serviced by Augusta VA Healthcare System (AVAHCS). This PWS includes the associated program management, human engineering, and logistic support planning requirements. The use of the terms “beneficiary”, “Veterans”, “Patients”, and “Patient” are used interchangeably and refer to the recipient of required supplies, equipment, and incidental services required under the contract.

1.1 BACKGROUND: The acquisition of Home Oxygen services is being initiated to provide Home Oxygen services to Veteran beneficiaries serviced by Augusta VA Healthcare System. Augusta VA Healthcare System does not have the capacity to provide these services, so a contract is being sought for the provision of home oxygen and all associated products and services.

1.2 VETERANS SERVED: The Department of Veteran Affairs VA Southeast Network Augusta VAMC/VISN 7 currently serves an estimated 615 oxygen-using patients and 40 ventilator patients. The volumes or amounts shown in the solicitation are estimates only and impose no obligation on the VA except for the guaranteed minimum. The contract shall be for the actual requirements of the VA as ordered by the VA during the life of the contract. The Contracting Officer’s Representative (COR) or designee shall provide (via encrypted email, fax, or VA approved portal) the contractor with notification to initiate individual Patient delivery requirements, including the Patient's oxygen prescription, equipment, supplies and incidental services to be provided including date and place of delivery. The Contractor shall confirm receipt (via encrypted email, fax or through VA approved portal) of the request within one (2) working hour of notification; Per Facilities discretion the COR or designee shall also provide (via encrypted email, or fax or through VA approved portal) notification if VA owned equipment is to be provided; the COR or designee shall also provide notification (via encrypted email, or fax, or VA approved portal) to the contractor of VA initiated discontinuation of service. The discontinuation notifications shall be made (via encrypted email, or fax or VA approved portal) within 24 hours. The written documents shall include the authorizing official's signature, electronic or written.

1.3 LOCATIONS: All services shall be performed in the veteran's place of residence or in a nursing home housing the veteran. The area of service shall be all patients serviced by Augusta VA Healthcare System, including catchment areas, regardless of where Patient resides. The equipment needs are subject to change as determined by the prescribing physician. Contractors shall have a facility or resources physically located in the geographic area in which they shall provide service. Non-territory requests shall be required from time to time and the Contractor shall accept these "non-territory" veterans at that Contractor’s awarded price. VA reserves the right to assign these Patients to any contractor. The geographical boundaries described herein have been determined as the areas of responsibility/jurisdiction for CNVAMC, Augusta GA.

a. AUGUSTA VA HEALTHCARE SYSTEM LOCATED IN AUGUSTA, GA AND CBOC’S IN AIKENS, ATHENS, AND STATESBORO: Contractor shall provide setup, installation, and management of Home Oxygen services to any Patients that are treated at the Charlie Norwood VAMC and all Community Based Outpatient Centers (CBOC’s) supported therein (Clinic of Jurisdiction/Primary Service Area COJ/PSA), regardless of their physical location. The listing of these parishes and/or counties does not exclude other parishes and/or counties. This includes Patients who reside near bordering states catchment areas but prefer to be seen in VAMC.

COUNTIES: Burke, Columbia, Lincoln, McDuffie, Richmond, and South Carolina counties in Aiken, Edgefield, McCormick, Barnwell, Lexington, Saluda, and Greenwood.

1.4 PORTABLE EQUIPMENT AT VA MEDICAL CENTERS: A stock of ten (10) portable cylinders, regulators and 02 carriers shall be continuously maintained by the contractor at the VA Medical Center. 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. This service shall be provided at no additional cost to the Government. VA shall furnish storage space and maintain all security for this equipment. Contractor shall be permitted access to the space and equipment when requested, by telephone, with 24 hours’ notice to the VA Medical Center’s Prosthetics Service. Contractor shall maintain an updated inventory of all equipment on a quarterly basis.

2.0 ORDERS, NOTIFICATION AND DELIVERY

2.1 ORDERS: The Contracting Officer Representative (COR) or VA designee shall provide the Contractor with the orders/prosthetic consult, via facsimile, secured email or through VA approved portal in addition to phone contact to initiate individual patient service requirements. This shall include patient’s oxygen prescription, oxygen prescription expiration date, equipment, supplies, and services to be provided including the date and place of delivery. The Contractor shall confirm receipt of the request within two (2) working hours of notification. Contractor shall confirm by facsimile, secure email or documentation in VA approved portal to VA designee/designated staff for all Home Oxygen initiations, plan of care changes, and discharges. The VA designee shall also provide notification of VA initiated discontinuance of service via facsimile, secured email, or entry in VA approved portal. All changes to patient care shall be confirmed in one of the above mechanisms. The prescription is terminated the day the patient expires.

2.2 NOTIFICATION TO VA REGARDING STATUS OF DELIVERY OF HOME OXYGEN

SERVICES:

a. The contractor shall notify the appropriate VA designee and/or COR monthly of initial delivery of home oxygen equipment by sending copies of individual delivery tickets via secure email or facsimile. The delivery ticket shall be signed and dated by the patient or their designated representative. This notification shall be made when patient requires changes in medical equipment or equipment switch-outs.

b. The Contractor shall notify the appropriate VA designee and/or COR by secure email or facsimile within one (1) working day if expected delivery of medical equipment is not completed. This notification shall include reason/explanation as to why the delivery was not able to be completed; and a plan of action to resolve delivery failure.

c. The Contractor shall notify the appropriate VA designee and/or COR by secure email or facsimile or documentation in VA approved portal within one (1) working day if the patient refuses delivery of medical equipment and/or signs the Contractor’s AMA form. Copy of the AMA form signed by patient shall be included in this notification.

2.3 DELIVERY OF MEDICAL EQUIPMENT:

a. The Contractor shall deliver and set up in the patient’s residence all equipment and supplies ordered. This contract is a full-service contract. Set-up shall include establishment of operational parameters of equipment to VA prescription, ensures purity of O2, Veteran training on system operations, review of safety checks and discussion of home safety issues. Services are required to be provided 24 hours a day, seven (7) days a week, including holidays, including all emergency service calls. Contract prices are all-inclusive. The Contractor shall not be reimbursed for costs incurred in excess of the contract prices in the Schedule of Supplies/Services for services provided in accordance with the Schedule of Supplies/Services.

b. Patients shall be notified of expected delivery times by the Contractor. Veterans shall be provided with a four (4) hour delivery time window for expected time of delivery.

c. Deliveries of medical equipment and supplies shall be made in full. If the contractor is unable to fulfill the full prescribed medical equipment and supplies list, they may choose partial delivery. Contractor shall notify the VA Designee and/or COR via secured email or facsimile or entry in VA approved portal within one (1) calendar day in the event of a partial delivery. In such cases where a partial delivery is made, the remainder of the delivery will be made within one (1) calendar day. Payment shall only be issued for full deliveries. Contractor shall maintain sufficient stock (or have available) to ensure all deliveries can be made within the contractual timeframes. The cost for additional deliveries to complete the order shall be at no additional cost to VA.

The Contractor shall deliver portable oxygen equipment to previously established and new patients being discharged to their home from non-VA Facilities and other facilities as requested by VA Staff per the needs of the Veteran. Equipment shall be delivered within four (4) hours of the request.

2.5 EXCESS DELIVERY: The Contractor shall not deliver supplies and/or equipment in excess of those prescribed, and the Contractor shall not be paid for any excess deliveries

3.0 SERVICE SPECIFICATIONS

3.1 PRESCRIPTION CHANGES: The Contractor shall not change or alter a patient’s oxygen prescription or equipment requirements without a new prescription from the patient’s VA physician. A request to change tank size does not require a Physician’s signature, as long as liter flow rate is not altered.

3.2 HOME VISITS:

a. The Contractor shall visit patients’ residences for regularly scheduled maintenance visits in performance of this contract by appointment only; between the hours of 7:00 a.m. and 7:00 p.m. Exceptions shall be made in the cases of emergencies.

b. The Contractor is responsible for scheduling the appointments to the patient’s home 24-48 hours prior to the appointment.

c. On each scheduled set-up/delivery the Contractor shall reassess the need to instruct the patient on the use and care of the equipment and supplies as necessary. The Contractor shall perform and document a home safety assessment that will include assessing for fall risk, evidence of smoking around oxygen equipment, working smoke detectors, posted “No Smoking” signs in addition to all other JC requirements for home safety assessments.

d. Contractor shall re-instruct patient, family or caregivers as necessary without formal order from the VA.

e. Home visits shall be performed bi-annually by the RRT/CRT for all Patients that utilize home oxygen services. Note: This is subject to stand, depending on the facility need.

f. Documentation shall be provided (via encrypted email and fax) to the ordering facility’s COR documenting a thorough review of the Patient's equipment, to include all equipment records, and any re-education of the patient and/or caregiver, if necessary.

g. Prior to entering a veteran’s place of residence, contractor employee must present photo identification to the veteran/caregiver and verbally identify themselves. Badge included the company name, employee’s name, and employee’s picture.

3.3 CDC COVID 19 PROCEDURES: Contractor shall abide by all CDC guidelines regarding social distancing, cleaning of equipment and materials, and personal protection equipment. Updated guidelines can be found on the CDC website: https://www.cdc.gov/coronavirus/2019-ncov/community/index.html.”

3.4 INITIAL SETUPS: Initial set-ups are services provided to those patients who have not been provided a VA authorized oxygen therapy delivery system to their place of residence on a previous occasion or have not used such a system continuously for the past 60 days. Initial setup(s) for Home Oxygen Patients and Ventilator Patients shall be performed by a certified respiratory therapist (CRT) or registered respiratory therapist (RRT), that is licensed in accordance with the governing standards of where the services are to be provided. Once initial set-up has been completed, the Contractor shall develop a regular delivery schedule for home oxygen and supplies to patients. All Initial 50 PSI setups shall include all disposables, large bore tubing, large volume nebulizers, drain bags and masks.

a. Initial set-ups shall be completed within eight (8) hours of request. Failure to deliver within the required time shall result in the VA obtaining oxygen from another source. Any costs in excess of contract pricing for services provided shall be billed to contractor or credited to next invoice at the discretion of the ordering facility. The Contractor shall notify the appropriate VA designee and/or COR via secured email, facsimile or documentation in within one (1) calendar day if expected delivery is not completed. This notification shall include reason why delivery was unable to be completed.

b. Switch-outs are services provided to those patients who are presently using an oxygen delivery system or have used such a system continuously within the past 60 days. The Contractor shall provide equipment switch-outs by staff with documented competency training on the manufacturer’s recommended assembly, use, and maintenance of the equipment used under this contract.

c. Switch outs are to be completed within two (2) calendar days. Failure to complete switch out within the required time shall result in the VA obtaining oxygen from another source. Any costs in excess of contract pricing for services provided shall be billed to contractor or credited to next invoice at the discretion of the CO.

d. Failure to perform the switch-outs as prescribed by VA prescription shall result in no cost to the government. Payment shall be made once switch-outs are completed as prescribed. Payments shall be assessed based on the provider’s established rate and pro-rated from set-up date. Medical equipment switch-out requested to increase the patient’s quality of life or due to changes in the patient’s oxygen requirement shall be made at no additional charge to the government.

e. Set-up of Home Oxygen includes setting up and ensuring the appropriate oxygen system is operational, instruction and training of Patient, and/or caregiver and home environment safety check. Failure to deliver within the required time shall result in the VA obtaining oxygen from another source. Any costs in excess of contract pricing for services provided shall be billed to contractor or credited to next invoice at the discretion of the ordering facility.

The Contractor is responsible for establishing appointments with patients when initiating set-ups, switch-outs, and deliveries.

3.5 ASSESSMENT REQUIREMENTS:

a. The Contractor shall perform an assessment of the patient’s home and environment in accordance with Joint Commission (JC) accreditation standards for Homecare and maintain documentation of assessments in the individual patient file or folder.

b. The Contractor shall notify the VA designee and/or COR during the home visit if the Contractor’s staff determines that the presence of oxygen in the home presents such a danger that the oxygen must be removed, or in the case of an initial set-up, not placed in the home.

c. The Contractor shall notify the VA designee and/or COR by telephone or email within two (2) hours if any unsafe conditions are observed in the patient’s home that preclude the installation or continuance of oxygen service. Unsafe conditions shall include fire safety hazards, oxygen safety hazards, patient abuse by family or caregivers, or any instance that places the patient or Contractor’s staff in immediate danger. The Contractor shall provide written documentation of the safety hazard to the VA designee and/or COR within one (1) business day of incident.

d. The Contractor shall check the adequacy of the electrical outlets in the patient’s home and while still in the patient’s residence, report any unsafe conditions to the VA designee and/or COR during the initial assessment. VA shall not be responsible or liable for any unsafe electrical conditions caused by the Contractor. Any alterations to the patient’s residence shall be the responsibility of the patient. If ordered equipment cannot be safely installed, the VA designee and/or COR shall provide an alternative oxygen delivery system after VA physician’s approval until new prescription can be obtained. If no alternative is available, the prescribing VA physician shall be notified by the VA designee and/or COR

3.6 PATIENT EDUCATION REQUIREMENTS:

a. The Contractor shall provide education to each patient at the time of set-up, and every six (6) months thereafter, and assess the need for reinforcement during visits. This information shall be presented verbally, in demonstration and material covered shall be in written form to be left with the patient/caregiver.