36C24821R0015 0002.docx

36C24821R0015 0001

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) 02-2 -2021

MSO-2021-COM-0020

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite Tampa FL 33637 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637 To all Offerors/Bidders

36C24821R0015 02-09-2021

X X X

X The purpose of amendment 0002 this Request for Proposal (RFP) is as follows:

In accordance with the terms and conditions of the above referenced RFP in block 9A, the RFP is hereby amended to make changes to the RFP and address vendor's question (reference pages two (2) through five (5)).

Cyrouse Himid Houshyani Contract Specialist

CONTINUATION PAGE

SOLICTATION NUMBER 36C24821R0015

AMENDMENT 0001

1) Page 19, section 2.18 Key Personnel and Emergency Substitutions: Section 2.18.2. is hereby deleted herein and replaced with 2.18.2. The minimum number of Board Certified Therapeutic Medical Physicist(s) required during daily clinic operation hours is two (2.0) FTE, one (1) shall be a Chief Therapeutic Medical Physicist (CTMP) and one (1) shall be a Therapeutic Medical Physicist (TMP), as defined in paragraph Hours of Operation in this section.

2) The word Physician (s) is hereby deleted herein and replaced with the word Physicist at the following section (s): page 15, section 2.6; page 16, sections 2.7., 2.7.1., 2.7.3., 2.7.4., 2.7.5., and 2.7.6.; page 18, section 2.12.1.; page 19, section 2.18.3.; page 20, section 2.19.3.; and Page 37 section 6.2.1.

3) Section 3.1 is hereby deleted herein and replaced with 3.1 WORK HOURS/SCHEDULE: Routine Work hours/schedule for the Therapeutic Medical Physicist: 8:00 am to 4:30 pm, Monday through Friday. Typical Off duty hours: Monday through Friday 4:30 pm to 8:00 am, weekends, and national holidays. However, the contractor’s employees shall be required to work during evenings or weekends as needed for Physicist related workload. On-Call is not required.

4) Veteran Administration Acquisition Regulation (VAAR) clause 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA ACQUISITION OF COMMERCIAL ITEMS (APR 2020) located on page 65, section C.11 hereby incorporates 852.219-10 and 852.219-11 located on page 66.

5) The following VAAR clause is hereby incorporated in full text for the solicitation listed herein:

VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND COMPLIANCE (JUL 2018)

(a) This solicitation includes VA Acquisition Regulation (VAAR) 852.219-10, VA Notice of Total Service-Disabled Veteran-Owned Small Business Set-Aside, 852.219-11, VA Notice of Total Veteran-Owned Small Business Set-Aside; FAR 52.219-6, Notice of Total Small Business Set-Aside

(b) Accordingly, any contract resulting from this solicitation is subject to the limitation on subcontracting requirements in 13 CFR 125.6, or the limitations on subcontracting requirements in the FAR clause, as applicable. The Contractor is advised that in performing contract administration functions, the Contracting Officer may use the services of a support contractor(s) retained by VA to assist in assessing the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to Contractor's offices where the Contractor's business records, or other proprietary data are retained and to review such business records regarding the Contractor's compliance with this requirement.

(c) All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of Conflicts of Interest Agreement” to ensure the Contractor's business records or other proprietary data reviewed or obtained in the course of assisting the Contracting Officer in assessing the Contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs.

(d) Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the Contractor to protect proprietary information as required by FAR 9.505-4, Obtaining access to proprietary information, paragraph (b). The Contractor is required to cooperate fully and make available any records as may be required to enable the Contracting Officer to assess the Contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

End of Clause

6) The following Federal Acquisition Regulation (FAR) clause is hereby incorporated in full text for the solicitation listed herein:

52.219-14 LIMITATIONS ON SUBCONTRACTING (MAR 2020)

(a) This clause does not apply to the unrestricted portion of a partial set-aside.

(b) Applicability. This clause applies only to—

(1) Contracts that have been set aside for small business concerns or 8(a) participants;

(2) Part or parts of a multiple-award contract that have been set aside for small business concerns or 8(a) participants;

(3) Orders set aside for small business concerns or 8(a) participants under multiple-award contracts as described in 8.405-5 and 16.505(b)(2)(i)(F);

(4) Orders issued directly to small business concerns or 8(a) participants under multiple-award contracts as described in 19.504(c)(1)(ii).

(c) Limitations on subcontracting. By submission of an offer and execution of a contract, the Contractor agrees that in performance of the contract in the case of a contract for—

(1) Services (except construction). At least 50 percent of the cost of contract performance incurred for personnel shall be expended for employees of the concern.

(2) Supplies (other than procurement from a nonmanufacturer of such supplies). The concern shall perform work for at least 50 percent of the cost of manufacturing the supplies, not including the cost of materials.

(3) General construction. The concern will perform at least 15 percent of the cost of the contract, not including the cost of materials, with its own employees.

(4) Construction by special trade contractors. The concern will perform at least 25 percent of the cost of the contract, not including the cost of materials, with its own employees.

(d) The Contractor shall comply with the limitations on subcontracting as follows:

(1) For contracts, in accordance with paragraph (b)(1) and (2) of this clause— X By the end of the base term of the contract and then by the end of each subsequent option period; or _ By the end of the performance period for each order issued under the contract.

(2) For orders, in accordance with paragraphs (b)(3) and (4) of this clause, by the end of the performance period for the order.

End of Clause Vendor Questions Question 1. What are the treatment machines ie. True Beam, Cyberknife etc.

Answer #1. The treatment machines are as follows: True beam x2, one (1) with High Definition Multi Leave Collimator (HDMLC) and Brain lab (Novalis), and one (1) regular True beam.

Q.2. What is the Treatment Plan that is used there ie. Aria, Eclipse etc.

Answer #2. The treatment plans used at the Orlando VA Medical Center (OVAMC) are as follows: Varian ARIA software and Varian Eclipse Treatment planning system, and Brain Lab Element treatment planning system Q.3 What is the patient load on a daily basis.

Answer #3. Historical data shows the following as it relates to patient load on a daily basis: Currently we have 42 treatments spread over 2 machines. There will be a 3rd Doctor joining the OVAMC Radiation Oncology Department which may cause an expected increase in treatment load and clinical needs.

Q.4 Need clarification, is this contract to fill VA medical center the same as Lake Nona hospital?

Answer #4. All interested parties should refer to Section B.2 Schedule of Services, Paragraph, Place of Performance.

Q.5 Are you able to pass along the current contract # and/or contact info of current company/employee for 36C24821R0015?

Answer #5 The OVAMC is currently fulfilling the Therapeutic Medical Physicist services through contract number 36C24821C0011 with Quintanilla Medical Services, INC. Interested parties will need to contact contractors using their own resources. As it pertains to the contractor’s employee, the Government is not able to provide that information at this time. Interested parties may attempt to go through the OVAMC Privacy/Freedom of Information Act (FOIA) Officer for any additional information other than the listed herein for answer number 5. Reference section 4.2.4. of the performance work statement for OVAMC Privacy/FOIA Officer information.

Q.6 The solicitation has 1 Phd DABR and 2 (Phd/MS) DABR. The solicitation calls for minimum 2 FTE onsite between 8:30 AM and 5PM all weekdays. If the Phd DABR chief is on vacation, can the 2 MS/DABR fulfill the interim coverage?

Answer #6 Interested parties shall refer to page 19 and 20, section 2.18, Key Personnel and Emergency Substitutions of the solicitation listed herein.

Q.7 Can we get clinical load information? For example, how many external beam patients, how many (Low dose rate) LDR prostate seeds, how many HDR's (High Dose Rate) brachytherapy etc.

Answer #7 Historical data shows the following as it relates to patient load daily: Currently we have 42 treatments spread over 2 machines. There will be a 3rd Doctor joining the OVAMC Radiation Oncology Department which may cause an expected increase in treatment load and clinical needs. The OVAMC only has External Beam Radiation Therapy (EBRT) at this time, but new technology may be introduced based on clinical needs.

Q.8 Can the physicists be direct subcontractors, or they can be employees of subcontractors, or do they need to be direct employees of the awarded contractor?

Answer #8 Interested parties shall refer to VAAR clause 852.219-74 and FAR clause 52.219-14.

Q.9 I'd like to know if there is currently an incumbent on this contract or if this is a new solicitation?

Answer #9 Yes there is an incumbent and this is a new solicitation.

Q.10 Is this a new requirement?

Answer #10 Yes Q.11 Is there and incumbent? If yes, please provide the name of the contractor and the contract number.

Answer #11 Refer to question and answer number 5 listed herein.

Q.12 Can the medical liability be provided after the contractor wins the contract?

Answer #12 Refer to page 81, section: Addendum to FAR 52.212-1 INSTRUCTIONS TO OFFEROR – COMMERCIAL ITEMS, part 10.

Q.13 Can the contract submit paperwork for two of three of the positions.

Answer #13 Reference page 6, Pricing Instructions, Page 86, Sub-Factor A and Sub-Factor B.

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