36C25018Q0762-0003000.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

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) 09-11-2018 Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor

MI

48105 Y Department of Veterans Affair Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor

MI

48105 To all Offerors/Bidders

36C25018Q0762 08-15-2018

X X X See CONTINUATION Page X One The purpose of this amendment to the solicitation is for the following:

A.1. Revise the Price/Cost Schedule. The attached price schedule shall replace the Price/Cost Schedule realeased in the solicitation and must be turned in as part of the offer.

A.2. Provide answers to questions submitted to the contracting officer. See page 4-5 of this amendment.

A.3. Provide changes to the solicitation not part of the price schedule. See page 6-9 for changes to the solicitation.

A.4 The due date/time for quotes of September 24, 2018 at 3:00 PM EST remains unchanged by this amendment.

Christopher Gundy Contracting Officer

CONTINUATION PAGE

See attached document: SCHEDULE.

A.2 Questions and Answers

Question # 1: Please confirm this is an annual volume as it seems very low compared to other VA Medical Centers. Does this include weight from sharp containers?

Answer: The weight does include the waste from sharp containers but the weight has been revised to the following and is included in each line item of the revised Price/Cost Schedule.

Base year: 21,000 lbs. for the year.

Option year 1: 22,000 lbs. for the year.

Option year 2: 23,000 lbs. for the year.

Option year 3: 24,000 lbs. for the year.

Option year 4: 25,000 lbs. for the year.

Question #2: Does the estimate for the weight for the Regulated Medical Waste and Sharps include the main facility and its CBOC’s?

Answer: Yes, the main facility and all clinics listed are included in the revised weight for Regulated Medical Waste and sharps.

Question #3: Solicitation states, “All sharps containers shall be of a vertical drop type and utilize existing Stericycle mounting brackets.” Does this mean all brackets currently in place will be left in place by current contractor?

Answer: This section is being revised to state, “All sharps containers shall be of a vertical drop type. Daniels brackets are currently in use. Stericycle or Daniels is preferred. Equivalent may be offered. Vendor must provide new brackets if non-Daniels brackets are used.”

Question #4: Are sharps containers disposable or reusable? Does the VA have a preference?

Answer: The sharps containers must be reusable (recyclable).

Question #5: Do any of the 8 gallon containers require a dolly?

Answer: Approximately 14 will require a floor mounted stand with foot activated flip top lid. Below is picture of Daniels model shown. Equivalent will be accepted.

Question #6: Will a site visit be offered if requested?

Answer: Note that this is for single location pickup at each site. No room to room sharps pickup. VA staff will move the sharps and bagged/boxed waste to a pick-up location at each site. State reason for site visit with the request. Site visit will only be able to be set up for main hospital location.

Question #7: Currently, the VA is utilizing a reusable trace chemo container. Is this a requirement or an appropriate container for the trace chemo as written ok?

Answer: It is not mandatory for the chemo containers to be reusable. Appropriate box or container may be used that meets requirements for the cytotoxic waste.

A.3 Changes to Solicitation

1. The following are changes to the following paragraph “SHARPS RECYCLEING SERVICES” within section B.3 (page 6) Statement of Work:

SHARPS RECYCLING SERVICES

Description/Specification / Work Statement

ORIGINAL

General: The Contractor shall provide all labor/personnel, waste processing, equipment, supplies, packaging, storage, manifests, and transportation services necessary for the distribution, loading dock pickup, disposal of the waste, sterilization and replacement of sharps containers. This shall be done in accordance with all local, state and federal regulations, specifically Chapter 333-MI Public Health Code Part 138; OAC Chapter 3745-27; and all terms and conditions of this contract. All contents of the sharps containers are being discarded by the Government and are considered to be infectious waste. All sharps containers shall be of a vertical drop type and utilize existing Stericycle mounting brackets models C-02RES 0203, C04RES-04, and C-08-2004LR.

Current inventory of sharps containers is as follows with numbers by location:

2 GAL: 440

1. Saginaw VA Medical Center: 249

2. Saginaw Healthcare Annex: 12

3. Alpena CBOC: 19

4. Bad Axe CBOC: 27

5. Cadillac CBOC: 26

6. Cheboygan CBOC: 19

7. Clare CBOC: 20

8. Gaylord CBOC: 17

9. Grayling CBOC: 10

10. Oscoda CBOC: 16

11. Traverse City CBOC: 22

12. Grand Traverse CBOC: 3

1. Saginaw VA Medical Center: 19

2. Saginaw Healthcare Annex: 1

3. Alpena CBOC: 1

4. Bad Axe CBOC: 2

5. Cadillac CBOC: 1

6. Cheboygan CBOC: 2

7. Clare CBOC: 2

8. Gaylord CBOC: 1

9. Grayling CBOC: 3

10. Oscoda CBOC: 1

11. Traverse City CBOC: 1

12. Grand Traverse CBOC: 2 Subtotal (All sizes): 524

CHANGED TO

General: The Contractor shall provide all labor/personnel, waste processing, equipment, supplies, packaging, storage, manifests, and transportation services necessary for the distribution, loading dock pickup, disposal of the waste, sterilization and replacement of sharps containers. This shall be done in accordance with all local, state and federal regulations, specifically Chapter 333-MI Public Health Code Part 138; OAC Chapter 3745-27; and all terms and conditions of this contract. All contents of the sharps containers are being discarded by the Government and are considered to be infectious waste. All sharps containers shall be of a vertical drop type. Daniels brackets are currently in use. Stericycle or Daniels is preferred. Equivalent may be offered. Vendor must provide new brackets if non-Daniels brackets are used.

Current inventory of sharps containers is as follows with numbers by location:

2 GAL: 448

13. Saginaw VA Medical Center: 297

14. Saginaw Healthcare Annex: 12

15. Alpena CBOC: 19

16. Bad Axe CBOC: 27

17. Cadillac CBOC: 26

18. Cheboygan CBOC: 19

19. Clare CBOC: 20

20. Gaylord CBOC: 17

21. Grayling CBOC: 10

22. Oscoda CBOC: 16

23. Traverse City CBOC: 22

24. Grand Traverse CBOC: 3

13. Saginaw VA Medical Center: 19

14. Saginaw Healthcare Annex: 1

15. Alpena CBOC: 1

16. Bad Axe CBOC: 2

17. Cadillac CBOC: 1

18. Cheboygan CBOC: 2

19. Clare CBOC: 2

20. Gaylord CBOC: 1

21. Grayling CBOC: 3

22. Oscoda CBOC: 1

23. Traverse City CBOC: 1

24. Grand Traverse CBOC: 2 Subtotal (All sizes): 524

2. The following are changes to the following paragraph “INFECTIOUS WASTE DISPOSAL DESCRIPTION/SPECIFICATION/WORK STATEMENT” within section B.3 (page 8) Statement of Work:

ORIGINAL

General: The Contractor shall provide all labor/personnel, waste processing, equipment, supplies, packaging, manifests, and transportation services necessary for the disposal of the waste in accordance with all local, state, and federal regulations, specifically Chapter 333 – MI public Health Code Part 138 and all terms and conditions of this contract. All red-bagged items, regardless of their condition, are being discarded by the Government and are considered to be infectious waste. Pickup at the Saginaw VAMC and CBOCs shall be weekly or as determined by the Contracting Officer Representative (COR).

Estimated Annual Quantities:

a. Regulated Medical and Infectious Waste 7,500 lbs. Red containers kept onsite at each facility is below.

1. Saginaw VA Medical Center: 30

2. Saginaw Healthcare Annex: 2

3. Alpena CBOC: 2

4. Bad Axe CBOC: 2

5. Cadillac CBOC: 2

6. Cheboygan CBOC: 2

7. Clare CBOC: 2

8. Gaylord CBOC: 2

9. Grayling CBOC: 2

10. Oscoda CBOC: 2

11. Traverse City CBOC: 22

12. Grand Traverse CBOC: 2

b. Cytotoxic Waste: 52 BX/ (Current Cytotoxic Box volume is 16 gallons.) 6 boxes/containers are kept onsite at all time.

CHANGED TO

General: The Contractor shall provide all labor/personnel, waste processing, equipment, supplies, packaging, manifests, and transportation services necessary for the disposal of the waste in accordance with all local, state, and federal regulations, specifically Chapter 333 – MI public Health Code Part 138 and all terms and conditions of this contract. All red-bagged items, regardless of their condition, are being discarded by the Government and are considered to be infectious waste. Pickup at the Saginaw VAMC and CBOCs shall be weekly or as determined by the Contracting Officer Representative (COR).

Estimated Annual Quantities:

c. Regulated Medical and Infectious Waste 7,500 lbs.

Estimated annual quantities:

Base year: 21,000 lbs. for the year.

Option year 1: 22,000 lbs. for the year.

Option year 2: 23,000 lbs. for the year.

Option year 3: 24,000 lbs. for the year.

Option year 4: 25,000 lbs. for the year

Red containers (28 Gallon) kept onsite at each facility is below.

1. Saginaw VA Medical Center: 30

2. Saginaw Healthcare Annex: 2

3. Alpena CBOC: 2

4. Bad Axe CBOC: 2

5. Cadillac CBOC: 2

6. Cheboygan CBOC: 2

7. Clare CBOC: 2

8. Gaylord CBOC: 2

9. Grayling CBOC: 2

10. Oscoda CBOC: 2

11. Traverse City CBOC: 2

12. Grand Traverse CBOC: 2

d. Cytotoxic Waste: 52 BX/ (Current Cytotoxic Box/Container volume is 16 gallons.) 6 containers are kept onsite at all time.

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