36C24818Q0722-0001000.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

BY

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) 07-17-2018 548-18-3-224-0947 00548 Department of Veterans Affairs West Palm Beach VA Medical Center 7305 North Military Trail Palm Beach Gardens

FL

33410-6400 00548 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) West Palm Beach VA Medical Center 7305 North Military Trail Palm Beach Gardens

FL

33410-6400 To all Offerors/Bidders

36C24818Q0722

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

X 1-One THE PURPOSE OF THIS AMENDMENT IS TO PROVIDE QUESTIONS & ANSWERS AND EXTEND THE END DATE/TIME

PLEASE SEE THE ATTACHED QUESTIONS/ANSWERS SUMMARY

THE SOLICIATION HAS BEEN EXTENDED TO 5 PM EST 7-24-18.

Christopher W. Murphy

WEST PALM BEACH VAMC SOLICITATION -- # 36C24818Q0722

Questions/Answers from Heritage Health Solutions

1. On page 15 of the solicitation, clause C.3, 52.217-6 Option For Increased Quantity (MAR 1989), it states that “The Contracting Officer may exercise the option by written notice to the Contractor within 15 .” Is it safe to assume the government means 15 days? YES

2. On page 18, in the TPN examples, it lists multivitamins. Does the VA want multivitamins included in the TPN mixture or sent separately? Yes we want them added as long as they have 24 hour stability.

3. On page 22 of the solicitation, there is a section that references complying with the packaging and/or marketing requirements. At the end, it references “End of Clause.” For clarification, is that the end of the paragraph? Yes

4. Is there an incumbent pharmacy performing TPN services? If so, who is it? No currently done inhouse

5. How many grams of protein are required in each bag of TPN? This is determined by the provider on a per patient nutritional status.

6. Do you have a standard base formula of protein, lipids, and carbohydrates? If so, please provide for pricing purposes. NO This is also determined by the provider/pharmacist on a per patient nutritional need.

7. How many liters of TPN do you normally provide? TPN is typically 1 to 3 litters and this is also determined by the provider/ pharmacist on a per patient nutritional need basis.?

8. Do you anticipate your VA patients will require lipids? If so, how many grams? Yes the TPN bags will require lipids we currently use 20% concentration 250ml. This will also be determined by the provider.

9. Will there be an implementation period? If so, please define expectations of duties and a timeline (i.e.: 90 days).

10. Open see SOW.

11. Currently, the due date for proposal submission is set at July 23, 2018. If the VA requires additional time to respond to vendor questions, will the VA extend the submission deadline? It may be possible to extend due date if needed. Please check FBO for any future amendments and extensions that may be posted.