36C24821R0017 0002.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 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 03-23-2021

X X X

X The purpose of this amendment is to add information on Section B.3: Performance Work Statement, 3.9 Space Requirements, page 80 change Section B.3 Performance Work Statement, 4.6.3.2. Medication Management, page 48, omitted unintentionally on amendment 0001 and to correct numbering sequece on this solicitation (Reference Page two (2) and three (3)).

Mechelle D. Reaser Contracting Officer

CONTINUATION PAGE

SOLICITATION NUMBER 36C24821R0017

AMENDMENT 0002

· Section B.3, Performance Work Statement, 3.9 Space Requirements, number 3.9.1, now corrected as number 4.9.1 reads as follows:

4.9.1 Contractors shall provide space that meets the standards outlined in the PACT Space Module Design Guide (see link above) and for the purposes of this solicitation the following minimum space requirements are:

• 3 exam rooms per team/provider,

• 1 procedure room/ gyn room,

• 1 group room,

• 1 room for Telehealth,

• 1 office with 4 workstations for VA administrative staff

• 1 office for the HUD-VASH/Homeless Program Social Worker,

• 1 parking space for the HUD-VASH/Homeless Program Social Worker

4.9.1.1 The total approximate square footage amount for the office spaces is estimated at 535 Net Usable Square Feet. The mentioned square footage includes the following:

· 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 Note: The above approximate 535 Net Usable Square Feet will be awarded under a separate lease agreement to the awardee of this CBOC contract within 30 days post award under a sole source authority.

· Section B.3, Performance Work Statement, number 4.6.3.2, page 48 of the solicitation is changed to add the following: VA will provide all maintenance medications. VA will not supply vaccines.

· The numbers on below Sections of this solicitation will be corrected to follow proper sequence starting on page 40 for Sections and Sub-sections as follows:

Section 3.6.2 Women Veterans Health Care Services is corrected to 4.6.2 Section 3.6.2.1 Breast Cancer Screening is corrected to 4.6.2.1 Section 3.6.3 Pharmacy Services is corrected to 4.6.3 Section 3.6.4 Ancillary Support Services is corrected to 4.6.4 Section 3.6.5 Mental Health Services is corrected to 4.6.5 Section 3.6.6 Specialty Care Services is corrected to 4.6.6 Section 3.6.7 Tele Health Support and Services is corrected to 4.6.7 Section 3.6.8 Telephone Access to Clinical Care is corrected to 4.6.8 Section 3.6.9 Referral for Non-Emergent VA Inpatient Services is corrected to 4.6.9 Section 3.6.10 Emergency Response Requirements is corrected to 4.6.10 Section 3.6.11 Non-Emergency Transport Requests is corrected to 4.6.11 Section 3.6.12 Non-Emergent Specialty Consultations, Care, and Diagnostic Tests Performed at VA is corrected to 4.6.12 Section 3.6.13 Non-Emergent Specialty Consultations, Care, and Diagnostic Tests not Provided at VA or Contractor’s Site is corrected to 4.6.13 Section 3.7 Administrative is corrected to 4.7 Section 3.8 Grievance System Requirements is corrected to 4.8 Section 3.9 Space Requirements is corrected to 4.9 Section 3.10 Environment of CARE (EOC) is corrected to 4.10 Section 3.11 Equipment, Office Supplies and Technical Support is corrected to 4.11 Section 3.12 Performance Standards, Quality Assurance and Quality Improvement is corrected to 4.12 Section 4.7 Performance Standards and Surveillance is corrected to 4.13 Section 4.8 Measure-Clinical Reminders is corrected to 4.14 Section 4.9 Required Registration with Contractor Performance Assessment Reporting System (CPARS) is corrected to 4.15