36C24924R0063 A00009.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) x A00009 06-11-2025

MSO-2024-COM-0044

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

36C24924R0063 02-11-2025

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-30-2025 12PM CDT The purpose of this amendment is to execute the following:

1. Extend the solicitation close date from 06-13-2025 to 06-30-2025 at 12:00PM Central Time.

2. Provide answers to vendor questions. No additional questions will be taken.

3. Update the Contracting Specialist from Angela Tucker to Laura Edelman, laura.edelman@va.gov.

Please ensure all Proposals and Past Performance Surveys are emailed to laura.edelman@va.gov for consideration.

Carol Franklin Contracting Officer See attached document: Revised PWS Holly Springs.

See attached document: Attachment D.9 - SCA WD 2015-5127 Rev 27.

See attached document: Attachment D.14 - Past Performance Survey - CS Updated.

See attached document: Attachment D.15 - Annual Vaccine and Medication History.

The purpose of this amendment is to address received questions and update the solicitation where required:

Vendor Questions and VA Answers – Part III

That answer was a typo. Yes, the VA will accept physicians who are Board Certified or Board Eligible.

1 Ophthalmology room… Will have to be separate rooms

6 rooms total. 5 telehealth/ 1 Optometry

The contractor is required to have a minimum of two (2) certified women’s healthcare providers credentialed staff at the clinic at all times. You do not have to have more credentialed women’s health providers on staff on a day to day basis. Rather there must be a minimum of two (2) credentialed women’s healthcare providers assigned to the clinic so one is working while the clinic is open to ensure sufficient coverage of women’s healthcare needs.

2 consultation rooms total

They are additional rooms

3 rooms are required per PACT team. A women’s health room can be counted.

Space should accommodate group therapy for 20 patients with capabilities of telehealth and F2F groups. Room must meet fire safety and accessibility.

3 rooms are required per PACT team. Each designated women’s health provider shall have an appropriate exam room to conduct the annual women’s health exam.

*At least 2 providers are required at all times.

3 rooms are required per PACT team. Each designated women’s health provider shall have an appropriate exam room to conduct the annual women’s health exam.

*At least 2 providers are required at all times.

Yes, confirmed.

No

The VA does not provide supplies or equipment.

Note: At least 2 providers are required at all times. See answer to question 7.

To ensure that we fully understand the requirement, can the Government please clarify if the total number of exam rooms required for the clinic is 3 overall, or if it is 3 exam rooms per PACT teamlet?

Can the Government also please clarify the total number of exam rooms the VA requires for the clinic?

3 rooms are required per PACT team.

To ensure that we fully understand the requirement, can the Government please clarify if the total number of consultation rooms required for the clinic is 2 overall, or is it 2 consultation rooms per PACT teamlet?

Can the Government also please clarify the total number of consultation rooms the VA requires for the clinic?

2 consultation rooms total

January: 30 tests, 8 mammograms February: 31 tests; 5 mammograms March: 26 tests; 2 mammograms April: 31 tests, 7 mammograms May: 54 tests; 8 mammograms June: 40 tests; 6 mammograms July: 19 tests; 3 mammograms August: 20 tests; 2 mammograms September: 23 tests; 3 mammograms October: 32 tests; 5 mammograms November: 27 tests; 2 mammograms December: 13 tests; 12 mammograms

1 Tele spirometry room 1 general exam room with exam table 1 audiology room

Is the procedure room separate from the Women’s Health Exam Room(s)?

Does a procedure room count toward the Women’s Health Exam Room requirement?

3 rooms are required per PACT team. A procedure room can count toward a women’s health room as long as it is properly equipped.

Attaching historical data entitled, “Attachment D.15 - Annual Vaccine and Medication History”

Yes, 2 women’s health providers are required at all times. See response to question 7.

It must be a VA PIV card. The room also cannot be shared with their IT equipment. The PIV reader must be connected to a Panel which then connects to the VA Network. The lock would be an electrified storeroom mortise lockset or a Storeroom mortise lockset with an electric strike. Wiring for the PIV reader, panel and lockset would be required. A mag lock is NOT required by VA Handbook 0730.

Specifically, Wage Determination 2015-5127, Revision 26 which is dated December 23, 2024 has been released.

Will the Government furnish the latest Wage Determination?

Updated Wage Determination is attached with this Amendment.

The following updates are incorporated via this amendment:

1. Attached is the Revised PWS based on amendments issued and answers to Vendor Q&A.

2. Government Point of Contact updated throughout the RFP (B.1 Contract Administrative Data, B.3 Section 18 Government Responsibilities and Instructions for the Preparation of Proposal):

FROM:

Angela Tucker, Contract Specialist: angela.tucker2@va.gov

TO:

Laura Edelman, Contract Specialist: Laura.edelman@va.gov

3. Attachment D.9 – SCA WD 2015-5127 Rev 27, updated to current version.

4. Attachment D.14 – Past Performance Survey updated:

FROM:

Please have evaluator complete and email directly to Angela Tucker at angela.tucker2@va.gov by April 30, 2025 at 10:00AM CT. Surveys will not be accepted if sent by the Offeror.

TO:

Please have evaluator complete and email directly to Laura Edelman at laura.edelman@va.gov by June 30, 2025 by 12:00PM CT. Surveys will not be accepted if sent by the Offeror.

5. Attachment D.15 - Annual Vaccine and Medication History incorporated.

**Please ensure all Proposals and Past Performance Surveys are sent to laura.edelman@va.gov for consideration.**

Amendment A00009 answering Vendor questions, updating the PWS and incorporating additional attachments is provided.