36C25023Q0025 0001.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

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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 NUMBERE

D 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 amendmen t, 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) 36C250 Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105 Y Department of Veterans Affairs Ann Arbor Healthcare System Network Contracting Office 10 2215 Fuller Road Ann Arbor MI 48105 To all Offerors/Bidders

36C25023Q0025 10-28-2022

X X X November 15, 2022, 2:00 PM EDT 1.

This purpose of this amendment is to address questions from prospective offerors and provide an updated paragraph

6.1 of the Performance Work Statement.

2. Answers to questions submitted to the Contracting Officer are addressed in paragraph A.1.

3. The updated paragraph 6.1 of the Performance Work Statement (PWS) is replaced with updated paragraph under paragraph A.2.

4. The hour and date specified for receipt of Offers is e xtended to November 15, 2022, 2:00 PM EDT.

5. No other changes are made to the solicitation.

Christopher Gundy Contracting Officer

A.1 ANSWERS TO QUESTIONS

Question 1: Who is doing the service and what is the old contract number?

Answer: Current contract is VA250-17-C-0245. Information can be found at www.fpd.gov.

Questions 2: In order to provide you the best accurate pricing for this project, we need to know the quantities or an estimate of quantities per month. On the historical data, it only totals the main facility, so does that mean we don't consider the other locations? Would you be able to provide us with that information?

Answer: Please take note on the Attachment A Historical Data does, the various locations are listed. The location name is under the “Location” header. You will see locations of Toledo, Jackson, Flint, and more. Each location has a date and amount of Bio waste picked up by weight. The clinics do not have chemo waste and will not be listed under chemo. Only the Ann Arbor VA Medical Center has chemo waste.

Question 3: It appears that Incineration is the only acceptable disposal method related to this bid. Is the Government willing to allow alternate acceptable disposal methods such as Autoclaving for all regulated medical waste other than Trace Chemo waste, Pathological Waste and Cytotoxic waste which must all be incinerated? Please advise as autoclaving is certainly allowed and not all waste requires incineration not to mention that Incineration is a much more expensive disposal method.

Answer 3: The Ann Arbor VAMC only allows for incineration.

Question 4: Are copies of waste facility permits/licenses required to be provided with the bid submission or can they be provided after contract award?

Answer 4: The copies of waste facility permits/licenses are required to be provided with the bid submission.

Question 5: Is the 40 Foot storage container/trailer required to be at dock height such as a trailer on wheels or is it acceptable to provide a storage container which is at ground level?

Answer 5: This trailer is on wheels and must be at dock height. This trailer is backed up to a dock.

Question 6: Please confirm that the VA staff members will be responsible for bagging the medical waste and bring to the Central Receiving Area (or the storage container/trailer)?

Answer 6: For the Ann Arbor VA Medical Center, staff do collect the medical waste and take it to the Central Receiving Area and load the containers into the trailer. For the clinics, bins will be collected from the storage room for infectious waste in each clinic.

Question 7: Why are there are dramatic spikes in Incineration Waste (Chemo waste) in certain weeks as identified on the Historical Data sheet attached? These dramatic spikes are not consistent and seem to be random depending upon the week which are making the volume of incinerate waste unusually high as compared to most other VA facilities?

Answer 7: The spikes are due to an increase in patients receiving chemo treatments at a given time.

A.2 PERFORMANCE WORK STATEMENT UPDATE

Paragraph 6.1 is now updated to the following:

6.1 One Wheeled Storage trailer, approximately 40 foot long in size, must be provided to the VA at the LTC Charles S. Kettles VA Medical Center. Storage container must be delivered weekly with new packaging supplies and must be backed up to dock.

This amendment to the solicitation is being issued to address questions from prospective offerors and provide an updated paragraph within the Performance Work Statement.

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