36C24925R0056 0005.docx

36C24925R0056 00005 – Dyersburg CBOC Services

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)

MSO-2024-COM-0042

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

36C24925R0056 12-05-2025

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 01-27-2026 10AM CST The purpose of this amendment is as follows:

1. Provide answers to questions that were cutoff in Amendment 0004. These questions were received prior to the original due date for questions but were inadvertently omitted from prior Amendments. Additionally, provide answers to vendor questions that impact proposals. No additional questions will be taken.

2. Add 'Attachment D.20 Davis-Bacon Act WD TN20260156' and replace Attachment D.9 with 'Attachment D.9 - SCA WD 2015-4649 Rev 31 Dated 12.3.2025'.

3. Update period of performance in the price schedule included below.

4. Extend the due date to 1-27-2026 10AM Central Time.

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

Carol Franklin Contracting Officer Vendor Questions and VA Answers provided. Wage Determinations updated and included.

Question - Would the VA allow the teamwork to appropriately sized for the contractors staffing plan?

Space should accommodate at least 20 people.

The following price schedule replaces the schedule in the original RFP; this is to provide an accurate period of performance.

AMOUNT

Primary Health Care Services $______ x 1911 PMPM Contract Period: Base POP Begin: 10-01-2026 POP End: 09-30-2027 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers PRODUCT/SERVICE CODE: Q201 - Medical - General Health Care

Mental Health Care Services $______ x 573 PMPM

POP Begin: 10-01-2026 POP End: 09-30-2027

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2026 POP End: 09-30-2027

Total Base Period

Primary Health Care Services $______ x 1919 PMPM Contract Period: Option 1 POP Begin: 10-01-2027 POP End: 09-30-2028

Mental Health Care Services $______ x 576 PMPM

POP Begin: 10-01-2027 POP End: 09-30-2028

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2027 POP End: 09-30-2028

Total Option Period 1

Primary Health Care Services $______ x 1928 PMPM Contract Period: Option 2 POP Begin: 10-01-2028 POP End: 09-30-2029

Mental Health Care Services $______ x 578 PMPM

POP Begin: 10-01-2028 POP End: 09-30-2029

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2028 POP End: 09-30-2029

Total Option Period 2

Primary Health Care Services $______ x 1936 PMPM Contract Period: Option 3 POP Begin: 10-01-2029 POP End: 09-30-2030

Mental Health Care Services $______ x 581 PMPM

POP Begin: 10-01-2029 POP End: 09-30-2030

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2029 POP End: 09-30-2030

Total Option Period 3

Primary Health Care Services $______ x 1944 PMPM Contract Period: Option 4 POP Begin: 10-01-2030 POP End: 09-30-2031

Mental Health Care Services $______ x 583 PMPM

POP Begin: 10-01-2030 POP End: 09-30-2031

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2030 POP End: 09-30-2031

Total Option Period 4

Primary Health Care Services $______ x 1952 PMPM Contract Period: Option 5 POP Begin: 10-01-2031 POP End: 09-30-2032

Mental Health Care Services $______ x 586 PMPM

POP Begin: 10-01-2031 POP End: 09-30-2032

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2031 POP End: 09-30-2032

Total Option Period 5

Primary Health Care Services $______ x 1960 PMPM Contract Period: Option 6 POP Begin: 10-01-2032 POP End: 09-30-2033

Mental Health Care Services $______ x 588 PMPM

POP Begin: 10-01-2032 POP End: 09-30-2033

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2032 POP End: 09-30-2033

Total Option Period 6

Primary Health Care Services $______ x 1969 PMPM Contract Period: Option 7 POP Begin: 10-01-2033 POP End: 09-30-2034

Mental Health Care Services $______ x 591 PMPM

POP Begin: 10-01-2033 POP End: 09-30-2034

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2033 POP End: 09-30-2034

Total Option Period 7

Primary Health Care Services $______ x 1977 PMPM Contract Period: Option 8 POP Begin: 10-01-2034 POP End: 09-30-2035

Mental Health Care Services $______ x 593 PMPM

POP Begin: 10-01-2034 POP End: 09-30-2035

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2034 POP End: 09-30-2035

Total Option Period 8

Primary Health Care Services $______ x 1985 PMPM Contract Period: Option 9 POP Begin: 10-01-2035 POP End: 09-30-2036

Mental Health Care Services $______ x 595 PMPM

POP Begin: 10-01-2035 POP End: 09-30-2036

Injectable Medications administered at the CBOC which are not listed in Contract

POP Begin: 10-01-2035 POP End: 09-30-2036

Total Option Period 9

GRAND TOTAL

See attached document: Attachment D.9 SCA WD 2015-4649 Rev 31 Dated 12.3.25.

See attached document: Attachment D.20 Davis-Bacon Act WD TN20260156.