36C25019Q0843-A0001000.docx
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36C25019Q0843-Battle Creek Outpatient, Substance Abuse Treatment
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) A0001 08-14-2019 None 36C250 Department of Veterans Affairs Network Contracting Office 10 2215 Fuller Road Ann Arbor
MI
48105 36C250 Department of Veterans Affairs Network Contracting Office 10 2215 Fuller Road Ann Arbor
MI
48105 To all Offerors/Bidders
36C25019Q0843 08-14-2019
X X X
MONDAY, AUGUST 19, 2019 @ 12NOON-EASTERN
X 1 (One) The purpose of this Amendment is to correct the quantities in the "Price Schedule", change "How Invoices should be submitted in Block 16a of SF1449" and "Extend Solicitation to Monday, August 19, 2019 @ 12 Noon (Eastern)".
** All Offerors SHALL complete the "Price Schedule" attached and Acknowledge this Amendment**.
SEE CONTINUATION PAGES.
Lisa Bailey Contracting Officer
PAGE 1 OF
1. REQUISITION NO.
2. CONTRACT NO.
3. AWARD/EFFECTIVE DATE
4. ORDER NO.
5. SOLICITATION NUMBER
6. SOLICITATION ISSUE DATE
a. NAME
b. TELEPHONE NO. (No Collect Calls)
8. OFFER DUE DATE/LOCAL
TIME
9. ISSUED BY
CODE
10. THIS ACQUISITION IS
UNRESTRICTED OR
SET ASIDE:
% FOR:
SMALL BUSINESS
HUBZONE SMALL
BUSINESS
SERVICE-DISABLED
VETERAN-OWNED
SMALL BUSINESS
WOMEN-OWNED SMALL BUSINESS
(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED
SMALL BUSINESS PROGRAM
EDWOSB
8(A)
NAICS:
SIZE STANDARD:
11. DELIVERY FOR FOB DESTINA-
TION UNLESS BLOCK IS
MARKED
SEE SCHEDULE
12. DISCOUNT TERMS
13a. THIS CONTRACT IS A
RATED ORDER UNDER
DPAS (15 CFR 700)
13b. RATING
14. METHOD OF SOLICITATION
RFQ
IFB
RFP
15. DELIVER TO
CODE
16. ADMINISTERED BY
CODE
17a. CONTRACTOR/OFFEROR
CODE
FACILITY CODE
18a. PAYMENT WILL BE MADE BY
CODE
TELEPHONE NO.
DUNS:
DUNS+4:
PHONE:
FAX:
17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED
SEE ADDENDUM
19.
20.
21.
22.
23.
24.
ITEM NO.
SCHEDULE OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
(Use Reverse and/or Attach Additional Sheets as Necessary)
25. ACCOUNTING AND APPROPRIATION DATA
26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED.
27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA
ARE
ARE NOT ATTACHED
28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________
29. AWARD OF CONTRACT: REF. ___________________________________ OFFER
COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND
DATED ________________________________. YOUR OFFER ON SOLICITATION
DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY
(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE
ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED
SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:
30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED
AUTHORIZED FOR LOCAL REPRODUCTION
(REV. 2/2012)
PREVIOUS EDITION IS NOT USABLE
Prescribed by GSA - FAR (48 CFR) 53.212
7. FOR SOLICITATION
INFORMATION CALL:
STANDARD FORM 1449
OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30
SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS
36C25019Q0843 08-01-2019 Michelle C. Ford/Contract Specialist 734-222-7151 08-1 -2019 pm( Eastern 36C250 Department of Veterans Affairs Network Contracting Office 10 P.O. Box 492 Ann Arbor MI 48106 X Y 623220 $15 Million X N/A X 36C5250 Department of Veterans Affairs Battle Creek, VAMC 5500 Armstrong Road Battle Creek MI 49037 36C250 Department of Veterans Affairs Network Contracting Office 10 P.O. Box 492 Ann Arbor MI 48106
Department of Veterans Affairs Financial Management System PO Box 149971 Austin TX 78714-9971 877-353-9791 512-460-5540 X Outpatient, Residential Substance Abuse Treatment and Halfway House Facility (HWH) Services for the Battle Creek, VAMC, in Battle Creek, MI. in accordance with the Performance Work Statement (PWS).
This acquisition will be conducted using the procedures in FAR Part 12, 13 and VAAR 873, utilizing the authority of
38 USC 8153.
This will be a Firm Fixed Price, Indefinite Delivery, Indefinite Quantity (IDIQ) Contract X X 1(one) Lisa Bailey Contracting Officer
36C25019Q0843-Battle Creek Outpatient, Substance Abuse Treatment
Page 1 of
Page 1 of
Page 1 of
SECTION B - CONTINUATION OF SF 1449 BLOCKS
B.1 CONTRACT ADMINISTRATION DATA
(continuation from Standard Form 1449, block 18A.)
1. CONTRACT ADMINISTRATION: All contract administration matters will be handled by the following individuals:
| a. CONTRACTOR: | Name: _______________________________________ |
| POC: ________________________________________ | |
| Address: _____________________________________ | |
| City, State, ZIP: ________________________________ | |
| Phone: _______________________________________ | |
| Email: _______________________________________ | |
| DUNS#: ______________________________________ |
| b. GOVERNMENT: | Michelle C. Ford, Contract Specialist | |
| Network Contracting Office 10 (NCO 10) | ||
| 24 Frank Lloyd Wright Drive, Suite M2200 | ||
| Ann Arbor, MI. 48105 | ||
| Phone: 734-222-7151 | ||
| Email: Michelle.Ford2@va.gov |
Lisa D. Bailey, Contracting Officer
| Network Contracting Office 10 (NCO 10) |
| 8888 Keystone Crossing, Suite 1100 |
| Indianapolis IN 46240 |
| Phone: 317-988-1530 |
| Email: Lisa.Bailey12@va.gov |
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with: 52.232-33, Payment by Electronic Funds Transfer – System for Award Management
3. INVOICES: Invoices shall be submitted in arrears: Monthly
4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72, Electronic Submission of Payment Requests. Invoicing shall be in accordance with the requirements of the Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments may change during the period of performance of this acquisition. Therefore, current invoicing information is located at: http://www.fsc.va.gov/einvoice.asp.
See Section A.22, Billing, of the Performance Work Statement for Invoice submission information.
All invoices shall include the following (see Section C1. 52.212-4, paragraph g, Invoice, of clause 52.212-4, Contract Terms and Conditions for additional Invoice Requirements and Supporting Documentation necessary for billing purposes).
1. Invoice Number
1. Invoice Date
1. Purchase Order Number (will always begin with 515)
5. CHANGES/MODIFICATIONS TO THE CONTRACT: The Contracting Officer will be the only person authorized to approve changes or modify any of the requirements under this resultant contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer will be authorized to make commitments or issue changes that affect price, quantity, delivery or quality of performance of this resultant contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered unauthorized by the local VAMC and no adjustment will be made in the contract price to cover any increase in cost incurred as a result thereof.
The Contracting Officer’s Representative (COR) will be responsible for the overall technical administration of this contract as outlined in the COR Delegation of Authority.
6. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:
| AMENDMENT NO |
| DATE |
7. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”
8. POST-AWARD ORIENTATION: The Contracting Officer will schedule a post-award orientation conference for contract orientation purposes.
B.2 SCHEDULE OF SUPPLIES OR SERVICES AND PRICE/COST SCHEDULE
The contractor shall provide Outpatient, Residential Substance Abuse Treatment and Halfway House Facility Services for veterans of the Battle Creek VAMC, 5500 Armstrong Road, Battle Creek, MI with particular focus on those who are homeless, in accordance with all terms, conditions, provisions and requirements listed herein. The Contract facility shall be able to serve veterans with substance diagnosis and or homeless veterans who are dually diagnosed.
Rates shall be inclusive of all services as may be necessary in the treatment of the veteran. Services shall be provided for a period of one (1) year from date of award with four (4) one-year option periods to be exercised at the discretion of the government.
The quantities stated in this price schedule represent the Government’s best estimate, based on historical usage and projected need. Please note that they are only estimates and are not a guarantee of future orders. The contract minimum of any resultant Firm Fixed Price, Indefinite Delivery, Indefinite Quantity (IDIQ) contract will be one (1) day. If no services are utilized, the one-time intake assessment minimum will be paid at the CLIN 0001 rate. The contract maximum will be 2,046 patients.
Note: This contract is firm fixed price and does not include an economic price adjustment mechanism. In lieu of an EPA clause, the following price schedule contains five distinct price list. Offerors shall price out base year and all option years.
Base Year - Period of one (1) year beginning on the date of contract award
| Service |
| Rate |
| Estimated |
Number of Veterans p/year Cost
| 0001 |
| Intake Assessment will at minimum include a synopsis of an individual’s presenting concerns, psychiatric, medical and educational history, substance use history, risk assessment for suicidal and homicidal behavior and Multi-axial diagnosis. Therapeutic treatment goals and planned interventions are identified, as well. |
| $_____________ 1-time session to be completed at onset of services. |
| 0002 |
| METHADONE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens). |
| $___________PER WEEK (x 52 weeks) |
| 0003 |
| BUPRENORPHINE INDUCTION |
| $_____________1-time session to be completed at onset of services. |
| 0004 |
| BUPRENORPHINE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens) |
| Up to 8mg/day-$__________ per week |
Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week (x 52 weeks)
ALL PRICES ARE FIRM FIXED PRICE
Total Cost for Base Year: $____________________
Option Year One (1): - Period of one (1) year beginning on the day following the last day of the base year
| Service |
| Rate |
| Estimated |
Number of Veterans p/year Cost
| 1001 |
| Intake Assessment will at minimum include a synopsis of an individual’s presenting concerns, psychiatric, medical and educational history, substance use history, risk assessment for suicidal and homicidal behavior and Multi-axial diagnosis. Therapeutic treatment goals and planned interventions are identified, as well. |
| $_____________ 1-time session to be completed at onset of services. |
| 1002 |
| METHADONE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens). |
| $___________PER WEEK (x 52 weeks) |
| 1003 |
| BUPRENORPHINE INDUCTION |
| $_____________1-time session to be completed at onset of services. |
| 1004 |
| BUPRENORPHINE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens) |
| Up to 8mg/day-$__________ per week |
Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week (x 52 weeks)
ALL PRICES ARE FIRM FIXED PRICE
Total Cost for Option Year 1: $____________________
Option Year Two (2) – Period of one (1) year beginning on the day following the last day of the option year one (1)
| Service |
| Rate |
| Estimated |
Number of Veterans p/year Cost
| 2001 |
| Intake Assessment will at minimum include a synopsis of an individual’s presenting concerns, psychiatric, medical and educational history, substance use history, risk assessment for suicidal and homicidal behavior and Multi-axial diagnosis. Therapeutic treatment goals and planned interventions are identified, as well. |
| $_____________ 1-time session to be completed at onset of services. |
| 2002 |
| METHADONE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens). |
| $___________PER WEEK (x 52 weeks) |
| 2003 |
| BUPRENORPHINE INDUCTION |
| $_____________1-time session to be completed at onset of services. |
| 2004 |
| BUPRENORPHINE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens) |
| Up to 8mg/day-$__________ per week |
Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week (x 52 weeks)
ALL PRICES ARE FIRM FIXED PRICE
Total Cost for Option Year 2: $____________________
Option Year Three (3) - Period of one (1) year beginning on the day following the last day of the option year two (2)
| Service |
| Rate |
| Estimated |
Number of Veterans p/year Cost
| 3001 |
| Intake Assessment will at minimum include a synopsis of an individual’s presenting concerns, psychiatric, medical and educational history, substance use history, risk assessment for suicidal and homicidal behavior and Multi-axial diagnosis. Therapeutic treatment goals and planned interventions are identified, as well. |
| $_____________ 1-time session to be completed at onset of services. |
| 3002 |
| METHADONE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens). |
| $___________PER WEEK (x 52 weeks) |
| 3003 |
| BUPRENORPHINE INDUCTION |
| $_____________1-time session to be completed at onset of services. |
| 3004 |
| BUPRENORPHINE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens) |
| Up to 8mg/day-$__________ per week |
Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week (x 52 weeks)
ALL PRICES ARE FIRM FIXED PRICE
Total Cost for Option Year 3: $____________________
Option Year Four (4) - Period of one (1) year beginning on the day following the last day of the option year three (3)
| Service |
| Rate |
| Estimated |
Number of Veterans p/year Cost
| 4001 |
| Intake Assessment will at minimum include a synopsis of an individual’s presenting concerns, psychiatric, medical and educational history, substance use history, risk assessment for suicidal and homicidal behavior and Multi-axial diagnosis. Therapeutic treatment goals and planned interventions are identified, as well. |
| $_____________ 1-time session to be completed at onset of services. |
| 4002 |
| METHADONE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens). |
| $___________PER WEEK (x 52 weeks) |
| 4003 |
| BUPRENORPHINE INDUCTION |
| $_____________1-time session to be completed at onset of services. |
| 4004 |
| BUPRENORPHINE MAINTENANCE (ALL INCLUSIVE RATE- would include dosing, medication review by doctor, individual and group counseling and drug screens) |
| Up to 8mg/day-$__________ per week |
Up to 16mg/day-$__________ per week Up to 24mg/day-$__________ per week (x 52 weeks)
ALL PRICES ARE FIRM FIXED PRICE
Total Cost for Option Year 4: $____________________
Total Cost including Base and All Option Years: _____________________ Page 1 of Page 1 of
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