36C25220Q0313-0001000.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 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) 05-15-2020 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

36C25220Q0313

X X X May 26, 2020 at 2:00pm local The purpose of this amendment is to address vendor questions and update Section 6 of the PWS.

Maureen Falaschi Questions & Answers

1. What is the current volume of transports (scheduled in advance, non scheduled, and drop off/pick up locations)?

Approximately 80% of the transports are scheduled in advanced. The place of performance is variable and outlined in Section 5 of the PWS. The majority of orders will have either a destination or origin at the Clement J. Zablocki VAMC.

2. Section E- Provide current Wisconsin certifications - If we do not have staff currently hired in Wisconsin, what do you need to fulfill this requirement?

Per the Instructions to Offerors in Section E, failure to provide any of the information requested may result in your proposal being excluded from further consideration for award. The Technical Proposal must contain all necessary supporting documentation listed in Section E.

PWS Changes Section 6 of the PWS has been updated in accordance with the tracked changes below:

6. Quality Control Plan

6.1 Quality Control Plan (QCP) and Quality Assurance Surveillance Plan (QASP)

6.1.1 The contractor shall provide maintain a Quality Control Plan (QCP) that contains, at a minimum, the following: the items listed below. The Contracting Officer will notify the contractor of acceptance or required modification to the plan before the contract start date. The contractor must make appropriate modifications and obtain acceptance of the plan by the Contracting Officer before the contract start date.

6.1.1.1 A description of the company’s organizational structure including a description of the roles and responsibilities of management and supervisors.

6.1.1.2 A description of the methods to be used by the contractor for identifying and preventing deficiencies or problems in the quality of service performed and specific steps the contractor will take for corrective action if needed.

6.1.1.3 A description of the company’s records and tracking system used to identify up-to-date background checks, applicable certifications, tests (e.g. TB tests), and training of each employee performing services under this contract.

6.1.1.4 A description of the method used to provide on-time ambulance services to meet the requirements of this contract (24/7 availability and up to 2 simultaneous transports for any mix of BLS, ALS, or CCT).

6.1.1.5 A description of the methods used to identify and prevent radio communication breakdowns and a detailed procedure for alternative communications in the event of electronic and mechanical breakdown of vehicle two-way radios.

6.1.1.6 A description of the method/system used to log all requests for service. The contractor shall confirm that the log indicates the date and time of service call, actual time of pick-up versus the scheduled time, name of patient requiring services, designated pick-up and delivery points, mileage, and actual waiting time at pick-up and delivery points if waiting charges are claimed. The contractor confirm the log sheet will be sent to the COR monthly.

6.2 Quality Assurance

6.1.22.1 The Government will evaluate the contractor’s performance under this contract to ensure that the contractor’s quality control plan QCP is adequate, and that quality is achieved through a Quality Assurance Surveillance Plan (QASP).

6.1.32.2 The Government shall prepare a QASP after contract award derived from the PWS and contractor’s submitted quality control plan QCP. The QASP is a “living document” and the Government may review and revise it at any time. However, the Government shall coordinate changes to the QASP with the contractor.

6.1.42.3 The QASP will specify the work requiring surveillance and the Government’s method of surveillance.

6.23 Minimum Performance Standards

6.23.1 The contractor shall maintain performance standards in accordance with the standards outlined in the table below. Failure to meet the Acceptable Quality Levels (AQL) may result in termination of the contract.

6.23.2 The QASP will include the standards below as well as others derived from the successful offeror’s quality control plan QCP.