36C24821R0017 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)

NONE

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Suite 525 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

36C24821R0017

X X X **HOUR & DATE for Receipt of Offers is EXTENDED to: 03/26/2021, 3:00 p.m. E.S.T** X The purpose of this amendment is to address vendor's questions, to replace in its entirety page 164, Section E.13, Addendum to FAR 52.212-2 Evaluation Commercial Items, and to change Section B.2 Performance Work Statement 4.6.3.2., page 48 (reference pages six (6) through ten (10)).

The due date and time for receipt of proposals has been changed to 03/26/2021, 3:00 p.m., E.S.T.

Mechelle Reaser Contracting Officer

SOLICITATION NUMBER 36C24821R0017

AMENDMENT 0001

Vendor’s Questions Q.1 Will the new contractor inherit the patient’s last Primary Care and Mental Health vesting visit and be allowed to bill for one year from that date upon contract award?

A.1 The Contractor will be allowed to bill once the patient is active assigned (i.e. patients that have been treated by a provider) to the panel.

Q.2 How many Veterans have a Primary Care “Vesting Visit” (by the standards listed in the Solicitation) that would start as billable upon contract award?

A.2 744 active assigned. 783 assigned.

Q.3 How many Veterans have a Mental Health “Vesting Visit” (by the standards listed in the Solicitation) that would start as billable upon contract award?

A.3 Approximately 167 to 200.

Q.4 How many Mission Act referrals, for Primary Care, were made the past 12 months for enrolled veterans of the St. Thomas CBOC?

A.4 None.

Q.5 Will the VA or the Contractor be responsible for providing the Discipline Specific PACT TEAM Member - CPS listed in paragraph 2.4.1of the Solicitation?

A.5 The Contractor.

Q.6 Will the VA or the Contractor be responsible for providing the Discipline Specific PACT TEAM Member - CPS (Anti Coagulation) listed in paragraph 2.4.2 of the Solicitation?

A.6 The Contractor.

Q.7 Will the VA or the Contractor be responsible for providing the Discipline Specific PACT TEAM Member - Licensed Clinical Social Worker listed in paragraph 2.4.3 of the Solicitation?

A.7 The Contractor.

Q.8 Will the VA or the Contractor be responsible for providing the Discipline Specific PACT TEAM Member – Registered Dietitian/Nutritionist listed in paragraph 2.4.4 of the Solicitation?

A.8 The Contractor Q.9 Will the VA or the Contractor be responsible for providing the Discipline Specific PACT TEAM Members supporting Primary Care Mental Health Integration (PC-MHI) listed in paragraph 2.4.5 of the Solicitation?

A.9 The Contractor Q.10 Please confirm that the VA (at its cost) will provide all medications including any necessary vaccines that are to be administered to patients in the clinic.

A.10 VA will provide all maintenance medications. VA will not supply vaccines.

Q.11 Will the VA accept x-ray provided via local contracted radiology provider rather than on-site (in the clinic) x-ray.

A.11 Both (Reference Performance Work Statement (PWS) 3.6.4.1).

Q.12 Will the VA or the Contractor be responsible of providing the EKG machine for the site of care (GE 5500)?

A.12 The Contractor.

Q.13 Will the cost of labs performed in the community be the responsibility of the VA or will the Contractor need to set-up and pay for the costs of labs done in the community?

A.13 The VA.

Q.14 Will the Contractors proposed space be required to meet the on-stage/off-stage design with the PACT Zone?

A.14 Contractor’s design of space will be evaluated on how it best supports accessibility and the PACT model of care. For space requirements see page 80, section 3.9 Space Requirements.

Q.15 Is the VA supplying the phones and phone system for the CBOC or is the contractor to provide?

A.15 The Contractor shall provide phone and phone system.

Q.16 How many VA staffed personnel will be providing services at the St. Thomas CBOC? Please list by job title and number of days per month.

A.16 Four (4) VA Administrative Staff (Monday – Friday) One (1) HUD-VASH/Homeless Program Social Worker (Monday-Friday)

Q.17 How many offices will be needed at the St. Thomas CBOC for the VA provided staff (by position/function)?

A.17 One (1) Office with four (4) workstations for VA Administrative Staff.

One (1) Office for the HUD-VASH/Homeless Program Social Worker.

One (1) Parking Space for the HUD-VASH/Homeless Program Social Worker.

A separate lease will be issued for office and parking space within 30 days post award.

A separate amendment (amendment 0002) will be issued to address square footage for office spaces.

Q.18 Referring to E.13 52.212-2 EVALUATION - COMMERCIAL ITEMS (OCT 2014); 2. TECHNICAL FACTOR 1: Technical Capability, Regulatory and Compliance; Sub Factor A: “Offeror shall provide evidence of licensure/certifications for all services and areas in which a proposal is submitted.”

Question: Aside from those listed in Sub Factors C, D, E, - what other licenses and certifications are required?

A.18 Addendum to FAR 52.212-2 Evaluation Commercial Items, Technical Factor 1: Technical Capability, Regulatory and compliance has been revised to reflect the following (Sub-factor E has been deleted):

TECHNICAL FACTOR 1: Technical Capability: The offeror shall provide a facility that meets all Federal and State regulatory requirements, industry practices, as applicable, and be in compliance with such regulations and standards.

· Sub-factor A: Offeror shall provide a narrative demonstrating capability of providing a full spectrum of PACT model.

· Sub-factor B: Offeror shall provide a narrative demonstrating capability of providing a full spectrum of Primary Care and Mental Health services.

· Sub-factor C: Offeror shall provide a copy of the Medical Liability Insurance/Professional Liability Insurance at the minimum level as required by the State and VAAR 852.237-7, Indemnification and Medical Liability

· Sub-factor D: Offeror shall describe the hours of operation for primary care and mental health service. The response shall demonstrate to the government that VA patients will have access to the clinic in at least the minimum days and hours described in the solicitation.

Q.19 Referring to E.13 52.212-2 EVALUATION - COMMERCIAL ITEMS (OCT 2014); 2. TECHNICAL FACTOR 1: Technical Capability, Regulatory and Compliance; Sub Factor D: “Offeror’s facility shall be 100% sprinkled and can demonstrate evidence of this upon request.”

Question: Does this refer to fire safety sprinklers? Shall this be included in the proposal?

A.19 Addendum to FAR 52.212-2 Evaluation Commercial Items, Technical Factor 1: Technical Capability, Regulatory and compliance has been revised to reflect the following, Sub-factor D has been revised to reflect the following:

Offeror shall describe the hours of operation for primary care and mental health service. The response shall demonstrate to the government that VA patients will have access to the clinic in at least the minimum days and hours described in the solicitation.

Q.20 Referring to E.13 52.212-2 EVALUATION - COMMERCIAL ITEMS (OCT 2014); 3. TECHNICAL FACTOR 2: Quality Control: Sub Factor A – Question: Would you like Offerors to put forth a Quality Control plan narrative in the Technical Proposal?

A.20 Addendum to FAR 52.212-2 Evaluation Commercial Items, Technical Factor 2: Quality Control, Sub-Factor A has been revised to reflect the following:

A detailed description of the performance measurement process that will be implemented to monitor quality, appropriateness of care, access, and patient satisfaction.

Q.21 Referring to ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS, INSTRCUTIONS FOR PROPOSAL SUBMISSION, 1. Method, subpoint e: The Government intends to make multiple awards based on the best value and the offeror’s ability to meet all requirements. Cross Reference to ADDENDUM TO FAR 52.212-2 EVALUATION COMMERCIAL ITEMS, 1. EVALUATIONS FACTORS, paragraph a: …The government anticipates a single award for this performance-based acquisition.

Question: will this contract be a single award or multiple awards?

A.21 The Government intends to make a Single Award.

Q.22 Referring to ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS, INSTRCUTIONS FOR PROPOSAL SUBMISSION, 1. Method, subpoint f: To provide a basis for sound evaluation by the government, Offerors shall submit a complete proposal. The information provided shall be concise, factual, and complete. Proposals will be considered only from Offerors that are regularly established in the business and in the judgment of the government, are deemed financially responsible and able to show evidence of experience and have submitted the complete documentation requested.

Question: Does the Government want us to include financial responsibility documents with this proposal?

A.22 Yes.

Q.23 Referring to ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS, INSTRCUTIONS FOR PROPOSAL SUBMISSION, 4. Technical Documents/Information Required, g. Quality Control Plan, h. Staffing and Service Plan, i. Contingency Plan Question: Are these plans to be included in the proposal in their entirety or simply referenced and furnished upon award?

A.23 Furnish upon award.

Q.24 If the Offeror is Joint Commission certified, will inclusion into the proposal of the TJC certificate be acceptable?

A.24 Yes.

Q.25 If plans are to be include in their entirety in the proposal, under which factor should they be included?

A.25 TECHNICAL FACTOR 2: Quality Control: Sub Factor A

Q.26 Referring to ADDENDUM TO FAR 52.212-2 EVALUATION COMMERCIAL ITEMS, EVALUATIONS FACTORS, FACTOR 5: Past Performance Evaluation and FACTOR 7: Price Evaluation.

Question: Should there be a Factor 6? The numbering goes from Factor 5 to Factor

A.26 The government acknowledge this is a typo.

Q.27 The document posted with the solicitation labeled, “Government provided Equipment” was not able to be downloaded. Question: Can the VA provide a list of equipment that the government will provide?

A.27 Per the PWS, 3.11, Computers will be provided to Contractor’s Clinicians and technicians, also VA staff working at the facility. For the list of equipment requirements see the PWS, 3.11.

Page 163, Section E.13 Addendum to FAR 52.212-2 Evaluation - Commercial Items, Evaluation Factors will be replaced in its entirety and now reads as follows:

ADDENDUM TO FAR 52.212-2 EVALUATION COMMERCIAL ITEMS

Paragraph (a) is hereby supplement with the following:

1. EVALUATIONS FACTORS

a. The government intends to award a fixed price Indefinite Delivery/ Indefinite Quantity contract for Community Based Outpatient Clinic Services in accordance with all terms, conditions, provisions, specifications, and schedules of this solicitation herein. The government anticipates a single award for this performance-based acquisition. The evaluation factors will be applied to all proposals in the same manner. Each proposal will be evaluated strictly in accordance with its content and the Government will not assume that performance will include areas not specified in the offeror’s proposal. The offeror’s shall demonstrate an understanding of the requirements within the PWS and submit a proposal that will meet those objectives. The proposal will be evaluated based on the offeror’s proposed approach to perform the work.

b. The following non-cost technical factors will be used to evaluate proposal: Technical Capability, Regulatory, Compliance, Quality Control; Management Approach: Facility inspections, and Past Performance. The non-cost technical factor will contain sub-factors. Each non-cost technical factor and sub-factor when combined are significantly more important than price. The non-cost technical factors are in descending order of importance. The sub-factors within the non-cost technical factors are in descending order of importance. However, price could become the determining factor, if proposals are determined to be essentially equal. The trade-off between Technical Capability, Quality Control, Management Approach, Geographic Location, Past Performance and Price could result in awarding to other than lower offeror.

c. To provide a basis for sound evaluation by the government, offerors shall submit a complete proposal. The information provided shall be concise, factual, and complete. Proposals will be considered only from offerors that are regularly established in the business and in the judgement of the government, are deemed financially responsible, and able to show evidence and have submitted the complete documentation requested.

Any proposal that is not in compliance with the requirement of the solicitation may be considered unsatisfactory and ineligible for award.

2. TECHNICAL FACTOR 1: Technical Capability: The offeror shall provide a facility that meets all Federal and State regulatory requirements, industry practices, as applicable, and be in compliance with such regulations and standards.

a. Sub-factor A: Offeror shall provide a narrative demonstrating capability of providing a full spectrum of PACT model.

b. Sub-factor B: Offeror shall provide a narrative demonstrating capability of providing a full spectrum of Primary Care and Mental Health services.

c. Sub-factor C: Offeror shall provide a copy of the Medical Liability Insurance/Professional Liability Insurance at the minimum level as required by the State and VAAR 852.237-7, Indemnification and Medical Liability

d. Sub-factor D: Offeror shall describe the hours of operation for primary care and mental health service. The response shall demonstrate to the government that VA patients will have access to the clinic in at least the minimum days and hours described in the solicitation.

3. TECHNICAL FACTOR 2: Quality Control: Issues must be addressed by the Contractor and a performance improvement plan initiated.

a. Sub-Factor A: A detailed description of the performance measurement process that will be implemented to monitor quality, appropriateness of care, access, and patient satisfaction.

b. Sub-Factor B: Detailed information about the proposed quality improvement plan.

4. TECHNICAL FACTOR 3: Management Approach: The offeror shall provide a narrative demonstrating the ability to provide timely access to medical care and resources.

a. Sub-factor A: The offeror shall provide a narrative demonstrating the ability to provide both medical (physically on site), mental health care (either physically on-site or by telehealth) to include support services such as pharmacy, laboratory, and x-ray.

b. Sub-factor B: The offeror shall provide a narrative demonstrating that the facility is able accept VA referrals in a timely fashion (within 48 hours of request / two (2) business days of request).

c. Sub-factor C: A detailed description of the offeror’s contingency plan for staffing clinic (s) in the event of absence of regularly scheduled staff.

d. Sub-factor D: A detailed description of the offeror’s length and breath of experience providing healthcare.

e. Sub-factor E: An organizational chart of personnel involved in the performance of this contract. This chart clearly shows organizational relationships, lines of authority and responsibility, as well as span of control.

f. Sub-factor F: The average personnel turnover rate and how it might affect contract performance. Describe the capability to recruit staffing to meet the needs of this contract. Explain how continuity of care will be maintained during periods of vacancy.

5. FACTOR 4: Geographic Location, proposed site should be physically located within the city limits ST. Thomas, USVIs.

The offeror shall submit a response that includes:

a. Sub-factor A: The location of the proposed facility to be utilized under the contract along with a detailed narrative as to how the facility’s geographic location can best serve veterans. Including mailing address, street address, city village, town and country, as applicable , if offeror proposes to use a temporary location in order to meet the requirement [that the successful contractor begin providing service no later than 120 days after award],provide full address of the proposed temporary location and plan to transition into the final VA approved location.

b. Sub-factor B: A detailed description of access to public transportation at the facility.

c. Sub-factor C: A detailed description of the location of facility in relation to major highways.

d. Sub-factor D: A detailed description of the proposed facility’s physical resources including number/type of patient care areas, offices, parking facilities (including handicapped parking), etc. Provide copies of floor plans for proposed space (ensuring room dimension are included for every room, including hallways/corridors) and schematics or maps showing locations relative to other services. Describe compliance with ADA requirements and how the proposed space meets the design standards in the PACT Space Module Design Guide.

e. Sub-factor E: A detailed description of whether or not the intended facility /resources will be devoted exclusively to the service of VA patients. If not, describe how specific contract requirements can be met when providing service within a general population setting. VA preference is for offeror to provide services in space exclusively dedicated to veterans.

6. FACTOR 5: Past Performance Evaluation: Past Performance information is one (1) indicator of an offeror’s ability to perform the contract successfully. The currency and relevance of the information, source of information, context of the data, and general trends in the offeror’s performance will be considered. In the case of an offeror without a record of relevant past performance or for whom information on past performance is not available, the offeror may not be evaluated favorably or unfavorably on past performance. Offerors may provide information on problems encountered on the identified contracts and the offeror’s corrective action. The government will consider this information as well as the information obtained from any other sources, when evaluating the offeror’s past performance.

Offerors are required to submit the following:

a) Provide a minimum of three (3) references of responsible individuals who have firsthand knowledge of your organization’s performance of required services under this contract.

b) Past performance evaluations will be conducted using the questionnaire (Section D of the solicitation), information obtained from the Contractor Performance Assessment Reporting System (CPARS) and other sources deemed appropriate. While the government may elect to consider data obtained from other sources, as well as, data on hand – the burdens of providing current and complete past performance information rests with the offeror. The past performance information obtained will be used for both the responsibility determination and this evaluation factor. A minimum of three (3) past performance evaluations are required.

Notes: Offerors who provide references of work experience from Department of Veterans Affairs Medical Centers will receive a more favorable rating than those without Department of Veterans Affairs experience.

c) The government requests that the offeror send out the questionnaire to each assessor. Assessor shall submit completed surveys directly to the CO via e-mail. Completed surveys must be received by the solicitation closing date. It is the offeror’s responsibility to ensure that questionnaires are received prior to the closing date of the solicitation.

Questionnaires must be submitted to the Contracting Officer via email at Mechelle.Reaser@va.gov before the proposal due date. Questionnaires must be submitted by the reference, not the offeror.

d) Offeror shall provide a list of references pertaining to contracts of similar size and scope (to this CBOC procurement). No more than three (3) total relevant contracts (within the past three (3) years of issuance of the solicitation) shall be submitted. The VA may contact references and parties other than those identified by the offeror, and information received may be used in the evaluation of the offeror’s past performance. Furnish the following information for each contract listed:

(i) Company/Division name

(ii) Product/Service

(iii) Contracting Agency/Customer

(iv) Contract Number

(v) Contract Dollar Value

(vi) Period of Performance

(vii) Verified, up-to-date name, address, FAX & telephone number of the Contracting Officer

(viii) Comments regarding compliance with contract terms and conditions

(ix) Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions.

Past performance information will be reviewed to determine how well the offeror performed work relevant to the type of effort and magnitude described in the performance work statement, and how recent the described experience is.

7. FACTOR 6: Price Evaluation: Prices shall be submitted as requested in Section B.2, Price Schedule for each contract line item number, including all option years. The government will review the price schedule for completeness and accuracy and will evaluate the reasonableness of the proposed prices. Offeror are required only to price the base year and four (4), one (1) year option periods. Evaluation of options shall not obligate the government to exercise the options.