36C24924Q0103 0001.pdf

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 O F 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)

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

90C

Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129

To all Offerors/Bidders 36C24924Q0103

01-05-2024 X

X X

January 18, 2024 by 10:00 a.m. (CST)

The purpose of this amendment is to provide answer to questions received for solicitation 36C24924Q0103 TVHS Regulated Medical Waste and Sharps Removal.

In response to questions received, the quote due date is changed to, by 10:00 a.m. (CST), January 18, 2024.

A site visit is scheduled for 8:00 a.m. on January 12, 2024. Meet at EMS main office in the basement E09.

VA TVHS Medical Center Nashville, 1310 24th Avenue South Nashville, TN 37212-2637. When finished at the Nashville Campus we will move to the VA Medical Center Murfreesboro, Alvin C. York Campus 3400 Lebanon Road Murfreesboro, TN 37129-1237. Point of Contact is Tina Taylor-Jackson at tina.taylor-jackson@va.gov

See attachment.

36C24924Q0103 Regulated Medical Waste and Sharps Removal Q&A

X 1

Q1. Is there a container count, mainly for the sharps?

A1. Please see attached spreadsheet.

Q2. Is there currently an incumbent and if so, what is their name?

A2. NEIE Medical Waste Services, LLC.

What's the contract number? 36C24919C0057 What is the contract value? $884,901.36

Q3. The SOW CLINs call for 26,000 / YR yet the SOW later states the contractor shall furnish appropriate containers for pick-up, and disposal of all specified waste. Based on the estimated monthly weight of – regulated medical waste 349,464 lbs. a year 29,122 lbs. a month; chemotherapy waste 6000 lbs. a year and 500 lbs. a month), pick [1] ups will be scheduled at a minimum of three times per week.

Which is it?

A3. RMW autoclaved 2,231.25lb per month.

Incinerated Waste: 1031.5 lbs. per month.

Q4. Is there a site visit planned for this? We would like to see if that is possible.

A4. Yes. January 12, 2024, at 8:00 a.m. See SF30 for more information.

Q5. Could you kindly provide us with the exact due date and time for this opportunity.

A5. Quotes must be received NLT January 18, 2024, by 10:00 AM Central Time.

Q6. With larger containers would the following schedule adjustment be possible?

A6. No, that adjustments will not be possible.

Q7. What is the total lbs. per month?

A7. RMW autoclaved 2,231.25lb per month.

Incinerated Waste: 1031.5 lbs. per month.

Q8. How many containers or pick up per months.?

A8. Please see attached spread sheet.

Q9. What size they are 8-gallon 2 gallon can you please confirm.?

A9. Please see attached spread sheet.

CBOCs:

Q10. What size containers are being used at the offsite locations for reusable sharps?

A10. Please see attached spread sheet.

Q11. What size containers are being used for RMW?

A11. 96-gallon containers

Q12. What is the frequency of pickup at the offsite locations?

A12. Please review the solicitation

Q13. Does the Nashville or Murfreesboro VA have any intention on installing an autoclave at either facility during the proposed contract time frame?

A13. No

Q14. Is TVHS be open to optimized truck service and have storage on site?

A14. No, this is not an option.

Q15. The solicitation doesn’t state a requirement for a trailer, but Steri does have a 20 ft trailer that sits permanently at the dock, will there be a need for one with the new contract?

A15. The trailer is permanent and will remain at the location.

Q16. Is the 26K figure per month or per year for the RMW?

A16. 26,775.87 per year.

Q17. The waste totals on the bid sheet are different than page 8 of the solicitation. Can you please update the bid schedule or the statement of work to properly reflect the correct totals annually?

A17. The contractor shall furnish appropriate containers for pick-up, and disposal of all specified waste. Based on the estimated monthly weight of regulated medical waste 26,775.87 lbs. a year 2,231 lbs. a month; chemotherapy waste 12,378 lbs. a year and 1031.5 lbs. a month), pick-ups will be scheduled at a minimum of three times per week.

Q18. The statement of work specifies that our sharps tech would be responsible for replacing disposable sharps containers as well. Are these containers provided by the VA?

A18. No, we are requesting a reusable sharps program.

Q19. If not, there would need to be a separate purchase line item for the cost of these one-time use containers.

A19. This item is already in the solicitation, listed as reusable sharps containers.

Q20. How many of these is the VA going through monthly and what model number(s)?

A20. Please see excel spread sheet.

Q21. Page 9 discusses the use of 96-gallon RMW containers, however, page 8 states that containers must be stackable and the gov employees shall not lift more than 35 lbs. Is the VA 96’s and not stacking them or are they using boxes? If so, how many 96-gallon containers are being utilized per pickup?

A21. The facility has minimal space and must optimize space for storage, 96-gallon containers can be stacked when arriving.

A22. Boxes?

A22. No

Facility

2 3 3 4 4 8 8

17 Gallon Gallon Wall Mount

Gallon Wall Mount

Gallon Counter Top

Gallon Wall Mount

Gallon Counter Top

Gallon Trap Top

Gallon Funnel

Top Alvin C. York VA Medical Center 3400 Lebanon Pike Murfreesboro, TN 96 392 16 24 2

Nashville Campus 1310 24th Avenue South Nashville, TN 146 382 99 17

Chattanooga VA Outpatient Clinic 6098 Debra Rd Suite 5200, Bldg. 6200 Chattanooga, TN 2 89

Athens Clinic 9 1 1

Charlotte Avenue Clinic 1919 Charlotte Avenue Nashville, TN

Women Veterans Healthcare Center 1919 Charlotte Avenue Suite 300 Nashville, TN

Albion Street Outpatient Clinic 1818 Albion Street Nashville, TN

Tullahoma Outpatient Clinic 225 Von Karman Road Arnold Air Force Base, TN

Clarksville Dental Clinic 2291 Dalton Drive Suite F Clarksville, TN 7 1

International Plaza VA Clinic 2 International Plaza Suite 300 Nashville, TN

Clarksville VA Medical Clinic 782 Weatherly Drive Clarksville, TN

36 2 5

Total 0 0 915 0 26