36C25019R0093-A00008000.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)

A00008 02-26-2020

NONE

Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240

Department of Veterans Affairs Network Contracting Office 10 8888 Keystone Crossing Suite 1100 Indianapolis IN 46240 To all Offerors/Bidders

36C25019R0093 12-06-2019

X

March 31, 2020 at 15:00 ET

1 (one) The purpose of this amendment is to answer contractor questions. Please see the attached (beginning on page 2) for the list of the questions and thier respective answers. This amendment answers questions that were received on February 24, 2020.

All questions pertaining to this amendment shall be submitted electronically to Lisa.Bailey12@va.gov no later than 15:00 ET on March 6, 2020. This amendment also extends the solicitation due date from March 17, 2020 to March 31, 2020.

Lisa Bailey Contracting Officer

Questions Received from Vendors on 2.24.20

1. This answer is to provide confirmation to question 5i from amendment A00006 regarding a locked medication room. The answer provided on February 26, 2020 under Amendment A00006 stated:

5i. The only space requirement for medication seems to be the “Alcove, Medication” on page 4. Is there a separate requirement for a locked medication room? If so, what is the square footage required for this room? We are working on verifying this to see if this alcove is planned to be the locked Medication Room or if there is supposed to be a separate locked medication room. An updated answer will be posted via a separate amendment. To clarify for now: At minimum, there has to be a locked medication room and per the PACT Space Module Design Guide it requires a sink, fridge, counter, etc. (please see the Design Guide for all specifics). the alcove appears to be for pyxis or Omnicell; but Goshen isn’t going to have a automated medication system. With that, Amy is going to verify if we need a separate locked med room or if the alcove is sufficient.

The verified/confirmed answer to this question is provided under this amendment (A00008) and the previous answer provided under Amendment A00006 is rescinded: It has been verified that this solicitation does not require an Alcove (RM Code RCA06) and does require a 100 sq. ft. Locked Medication Room. The locked medication room shall meet the specifications of the PACT Space Module Design Guide. Just to reiterate, there is no requirement for an automated prescription dispensary such as a Pyxis or Omnicell. The Revised PACT Model provided under amendment A00004 on February 13, 2020 amended to remove the Alcove area (RM Code RCA06) under Functional Area: 2- Patient Aligned Care Team (PACT) Clinic 1 from the PWS paragraph 4.9.1 PACT Model Table and to add a Locked Medication Room (RM Code PHOD4) to Functional Area: 16- Pharmacy Service. For consistency purposes, the PACT Model table provided under Amendment A00004 is rescinded in its entirety and replaced with the attached PACT Model Table dated February 28, 2020.

2. In general, what is the design and functional intent behind providing back-up power? Are we providing power to continue the day-to-day operation of the clinic or power to back up critical power circuits? It has been confirmed that a generator is not a requirement for this clinic. However, the contractor will be required to provide a backup system (i.e. battery backup) for medication refrigerator(s) in the event of a power outage, as well as a contingency plan to store the medications if the power outage continues beyond the capability of the backup system (i.e. a storage cooler to maintain the necessary of the medications. Please see the attached newly published VHA Notice titled “VHA Notice 2020-02, Storage of Vaccines and Medications in Pharmaceutical Grade Purpose-built Refrigerators and Freezers” for more information.

3. What is the total number of hours the CBOC will need to sustain back-up power? N/A see answer to #2 above.

4. Will the government be responsible for determining what circuits are critical power? N/A see answer to #2 above.

5. Will the government require an emergency power plan and will this need to be resubmitted annually? N/A see answer to #2 above.

6. Is there a fuel provision contract set by the government? N/A see answer to #2 above.

7. Will the government want an auto transfer switch or manual? This will need to be run through an ATS. There is significant safety risk with a manual cut over. N/A see answer to #2 above.

8. Will we need to provide an enclosure and bollards to protect the generator? N/A see answer to #2 above.

9. Can the generator be skid mounted or will it need to be pad mounted? N/A see answer to #2 above.

10. Will the generator need to provide power to the roof top cooling? Or will spot coolers be considered adequate for temporary cooling? N/A see answer to #2 above.

11. In the answers to questions 28 and 29 of Amendment A0003 the VA states that the PACT model is a new requirement for the CBOC (answer to question 28) and that all proposed locations must meet the on-stage/off-stage design with PACT Zone (answer to question 29). How will the VA verify that the incumbent will be in compliant with this requirement if the incumbent proposes the current facility in their proposal? See answer to question 3 of Amendment A00006.

12. In your answer to Question 3A you state that any potential site in Kosciusko Co must be within US Congressional District 2. Did you know that the city of Warsaw is almost entirely in US Congressional District 3? Thus based on this answer, it would eliminate Warsaw from being a qualified location for a CBOC site. Is this the VA’s intent? Kosciusko County exists in both the 2nd and 3rd Congressional districts. Half of Warsaw exists in the 2nd Congressional District and the other half exists in the 3rd Congressional district. The following twelve townships are in the 2nd Congressional District: Clay, Etna, Franklin, Harrison, Jefferson, Lake, Plain, Prairie, Scott, Seward, Turkey Creek, and Van Buren. Offerors’ potential CBOC location must be located in the Congressional District 2 area.

13. A request to extend the solicitation due date has been received. Solicitation is extended to March 31, 2020. Question & Answer period for this amendment is open from February 28, 2020 through March 6, 2020.

** See attached document: S06- 36C25019R0093 A00008- Backup Documentation- Revised PACT Table (02.28.20).

** See attached document: S06- A00008 Attachment D26- VHA Notice 2020-02, Storage of Vaccines and Medications in Pharm Grade Refrigerators and Freezers.