36C24918Q0151-00001000.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 ITE M 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 r eference 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) 00001 02-07-2018 626-18-2-4189-0008 90C Department of Veterans Affairs Network Contracting Office 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 90C Department of Veterans Affairs Network Contracting Office - 9 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 To all Offerors/Bidders

36C24918Q0151 02-07-2018

X This amendment is the list the Site Visit Attendance, a listing of the containers and size, annual net weight of sharps and questions and answer.

PLEASE SEE ATTACHNMENTS.

This amendment is the list the Site Visit Attendance, a listing of the containers and size, annual net weight of sharps and questions and answer.

A site Visit for the Sharps Visit was conducted on 2/6/17. The Contracting Officer discussed the administration section of the solicitation and the Technical Team explained the Statement of Work.

Here is the annual Net Weight for Nashville & Murfreesboro location:

Nashville annual Net weight: 20,770.6 lbs.

Murfreesboro annual Net weight: 9,840.3 lbs.

Question and Answers.

1. Question : Page 7 of 54 in the Statement of Work requires that the only acceptable disposable method(s) for the sharps waste is Co-Generation OR Incineration and that the vendor MUST be able to prove that the waste that may go to landfill be only 7-10% of the original waste volume that was collected. Given that the patented operation process for accepting, opening, emptying and processing Reusable Sharps containers are fully automated and robotic there are no companies that we are aware of that have the ability to incinerate sharps waste or dispose of via co-generation. Especially in this case as the closest co-generation facilities are on the East Coast. Transporting the sharps waste from the TVHS to co-generation facilities on the East Coast is simply not logistically or economically feasible. In addition, given the sharps waste is comingled with sharps waste from many other facilities during the disposal process there would be no way to verify that the specific waste from the TVHS has been reduced to the levels required by the solicitation. Requiring incineration of sharps waste from Reusable Sharps containers is not realistic and we are not aware that it is possible. Answer: Our knowledge indicates that there may be a facility(ies) in Alabama that can incinerate waste. We are aware of 2 companies that incinerate/cogen sharps waste. All weights need to be reported to TVHS (gross and net). How will vendor do this if they mix TVHS sharps waste with other facilities? If the vendor verifies that an incineration plant reduces weight (ash) to 10% of original weight on a regular basis, then it is acceptable that the vendor may consistently report that 10% of original weight was placed in landfill.

1. Page 49 of 54 Line Item 3 under Submission requires that “all applicable licensing/insurance, permits/certifications, MUST be in the name of the offeror. This is not possible as there are no SDVOSB companies that own or operate any co-generation, incineration or landfill facilities. These types of facilities are ALL owned by the Largest Corporations in the country. None of these types of facilities are owned and/or operated by small businesses. The vendor will need to acquire or provide proof of license/permits from those plants.

1. Is there a specific number of service hours that are required to be provided by the contractor each week/day via onsite sharps service technicians? The number of service hours are determined by the vendor to meet the prescribed service schedule and meet the contract needs. Service frequency is identified in the Statement of Work.

1. Finally, another major concern is that there are no sharps container location counts for each TVHS facility listed in the Statement of Work? This information will be included in this modification.

1. Can you provide the following as stated in the solicitation?

0. Type and size will be in accordance with the attached list provided by TVHS

0. Points of Collection: See attached survey. This information will be included in this amendment.

1. What is the size specification of the External Storage Unit? This will be included in this amendment.

1. Are you requiring reusable sharps? Refer to the Statement of Work.

1. Who is the current vendor? NEIE Medical Waste Services

1. What was the value of the last contract? A base and four option year was awarded.

1. Has there been a change in requirements since the last contract? This information is unknown, but the current of Statement of Work is the one that will be used for this contract.

1. What is the current contract number? VA249-13-D-0254

1. What are the current onsite labor hours for this contract? The number of service hours are determined by the vendor to meet the prescribed service schedule and meet the contract needs. Service frequency is identified in the Statement of Work.

See attached document: Copy of Murfreesboro VAMC Shaprs locations 2017.

See attached document: Copy of Nashville VAMC Sharps locations 2017.

See attached document: Copy of Clarksville Sharps locations.

See attached document: SiteVisit.SignIn.