36C25220Q0044-0001000.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 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) None 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 To all Offerors/Bidders

36C25220Q0044

X X X 2:00pm local time October 16, 2019 The purpose of this amendment is to address vendor questions and update sections of the PWS.

The proposal due date has been extended to 2:00pm local time on October 16, 2019.

Maureen Falaschi Q&A

1. Section 4.6.1.7.1, it states: "For a transport request for a critical patient (as deemed by the physician) with pick up at Hines VAH, the contractor will be allotted up to a thirty (30) minute response time.".

· Can you please clarify this clause as it conflicts with the 60 min standard and is subjective based on a physician determination?

· Is this only for CCT patients?

· Does the allowable 30 min window apply to this 30-minute response time as well?

· How will this be regulated so there is not a spike in emergent calls because nurses or doctors didn’t want to wait?

The transport requests for critical patients (as deemed by the physician) are for patients that are stable but require a transfer for definitive care (typically stroke or heart attack patients).

These transports are urgent and may be BLS, ALS, or CCT as applicable.

Orders will be placed appropriately by the physician. The contractor should expect 4-5 orders/month of this nature.

**Please see updated Section 4.6.1.7 of the PWS**

2. What will the start date be for this contract? Will there be a 30 day ramp-up from time of award?

The Government anticipates a start date of 11/15/2019.

3. Employee TB test results. Is it ok to submit a copy of the TB test results for our employees with this RFQ or could that be a HIPAA violation?

Section 4.4.2.2 of the PWS has been updated to state the following:

The contractor shall have its personnel tested for TB annually and provide written confirmation to the COR that all personnel performing services under this contract are current in their TB test.

Addendum to FAR 52.212-1 Instructions to Offerors – Commercial Items (Paragraph 4 Technical Proposal on Page 53 of the solicitation) has been updated to state “Provide the Tuberculosis Exposure Control Policy in accordance with Section 4.4.2 of the PWS. Offeror must provide written confirmation that all personnel performing services under this contract are current in their TB test.

CHANGES TO THE PERFORMANCE WORK STATEMENT (PWS)

The following changes have been made to the PWS:

Section 4.4.2.2 has been changed FROM:

The contractor shall have its personnel tested for TB annually and provide each of these test results to the VA.

Section 4.4.2.2 has been changed TO:

The contractor shall have its personnel tested for TB annually and provide written confirmation to the COR that all personnel performing services under this contract are current in their TB test.

Section 4.6.1.7 has been changed FROM:

4.6.1.7. Response Times*

4.6.1.7.1 For all transportation requests (BLS, ALS, CCT), with pick up at Hines VAH, the contractor will be allotted up to a sixty (60) minute response time from time of order placement for transportation requests that are not previously scheduled in advance (7pm the day before). For a transport request for a critical patient (as deemed by the physician) with pick up at Hines VAH, the contractor will be allotted up to a thirty (30) minute response time.

4.6.1.7.2 For all transportation requests, which have a pick-up address within a 30-mile radius of the Hines VAH:

a. The contractor shall be on time for patient pick-up, and

b. The contractor will be allotted up to a ninety (90) minute response time from time of order placement for transportation requests that are not previously scheduled in advance (7pm day before).

4.6.1.7.3 For all transportation requests which have a pick-up address beyond a 30-mile radius of the Hines VAH:

a. The contractor may be required, if requested by the VA, to dispatch ambulances on short notice for transportation request not scheduled in advance (7pm day before); for these transportation requests the contractor shall dispatch ambulances within fifteen (15) minutes of receiving the order;

b. Pick-up appointment times shall be agreed upon by the VA and contractor at time of order placement and be reasonable based upon travel distance, speed limits, and weather conditions.

c. The contractor’s patient pick-up time shall not deviate by more than thirty (30) minutes of the scheduled pick-up time for transportation requests scheduled in advance (7pm day before).

* The contractor shall not be held liable for nonperformance caused by an occurrence beyond the reasonable control of the contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, and unusually severe weather. The contractor MUST notify the VA with as much advance notice as possible should any of these occur.

Section 4.6.1.7 has been changed TO:

4.6.1.7 Response Times*

4.6.1.7.1 Orders that are scheduled by 7pm local time the day before the required services are defined as being scheduled in advance. With the exception found under 4.6.1.7.4(c) below, the contractor shall arrive on time for all orders scheduled in advance.

4.6.1.7.2 For all transportation requests with pick-up at Hines VAH:

a. The contractor will be allotted up to a sixty (60) minute arrival response time from time of order placement for transportation requests that are not previously scheduled in advance.

b. For an urgent transport request for a critical patient (as deemed by the physician) with pick up at Hines VAH, the contractor will be allotted up to a thirty (30) minute arrival response time.

4.6.1.7.3 For all transportation requests, which have a pick-up address within a 30-mile radius of the Hines VAH:

a. The contractor will be allotted up to a ninety (90) minute arrival response time from time of order placement for transportation requests that are not previously scheduled in advance.

4.6.1.7.4 For all transportation requests which have a pick-up address beyond a 30-mile radius of the Hines VAH:

a. The contractor may be required, if requested by the VA, to dispatch ambulances on short notice for transportation request not scheduled in advance; for these transportation requests the contractor shall dispatch ambulances within fifteen (15) minutes of receiving the order;

b. Pick-up appointment arrival times for requests not scheduled in advance shall be agreed upon by the VA and contractor at time of order placement. Pick-up arrival time shall be reasonable based upon travel distance, speed limits, and weather conditions. The contractor’s patient pick-up time shall not deviate by more than fifteen (15) minutes.

c. The contractor’s patient pick-up arrival time shall not deviate by more than thirty (30) minutes of the scheduled pick-up time for transportation requests scheduled in advance.

* The contractor shall not be held liable for nonperformance caused by an occurrence beyond the reasonable control of the contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, and unusually severe weather. The contractor MUST notify the VA with as much advance notice as possible should any of these occur.