S01_36C25524R0020_VISN 15 Eyeglasses Optician Services_Amendment 0004_final.pdf

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended. is not extended.

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:

(a) By completing items 8 and 15, and returning 1 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 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.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NUMBER AS DESCRIBED IN ITEM 14.

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER

NUMBER IN ITEM 10A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not is required to sign this document and return 1 copies to the issuing office.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

The purpose of this Amendment is to:

1. Revise the Units of Measure for certain LINs included in the Price Schedule;

2. Identify LINs 0021-0032 and 1021-1032 in the Price Schedule as “add-ons;” and

3. Add a guaranteed contract minimum and contract ceiling in the Price Schedule.

The proposal due date is extended. Proposals are due NLT 10:00am CT, January 3, 2024.

If an offeror has already submitted its proposal, a revised price proposal SHALL be submitted utilizing the enclosed Price Schedule.

Failure to submit a price proposal utilizing the enclosed Price Schedule will result in rejection of the proposal.

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 (Type or print) 16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

Philip A. Bouffard, Contracting Officer

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

16C. DATE SIGNED

Previous edition unusable STANDARD FORM 30 (REV. 11/2016) Prescribed by GSA FAR (48 CFR) 53.243

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

2. AMENDMENT/MODIFICATION NUMBER

PAGE OF PAGES

1 28

5. PROJECT NUMBER (If applicable)

6. ISSUED BY CODE 36C255 7. ADMINISTERED BY (If other than Item 6) CODE 36C255 Department of Veterans Affairs Department of Veterans Affairs Network Contracting Office (NCO) 15 Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway 3450 S 4th Street Trafficway Leavenworth, KS 66048 Leavenworth, KS 66048

8. NAME AND ADDRESS OF CONTRACTOR (Number, street, county, State and ZIP Code) 9A. AMENDMENT OF SOLICITATION NUMBER

36C25524R0020

9B. DATED (SEE ITEM 11)

10/31/2023

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED (SEE ITEM 13)

CODE 8CJP0

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE

(X)

4. RE4UISITION/PURCHASE RE4UISITION NUMBER 3. EFFECTIVE DATE

12/29/2023

1. CONTRACT ID CODE

36C25524R0020

36C25524R0020 0004

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

36C25524R0020 0001 11/29/23 36C25524R0020 0002 12/01/23 36C25524R0020 0003 12/22/23 36C25524R0020 0004 12/29/23

Replace B.2, PRICE/COST SCHEDULE in its entirety with the following:

B.2 PRICE/COST SCHEDULE

This is a five-year IDIQ contract with pricing periods:

The guaranteed contract minimum is $25,000.00 which will be satisfied during the five (5) year ordering period. The contract ceiling is $30,000,000.00.

ESTIMATED QUANTITIES CALCULATION: The estimated quantities were developed using the current contractor's actual VISN wide line-item usage report for the period of January 1, 2023 - June 30, 2023. For LINs 0001-0037, the Agency multiplied the line-item usage data for January 1, 2023 - June 30, 2023, to develop the estimated quantities for the 1-year base pricing period. The estimated quantities developed for the 1-year base pricing period were then increased by 4% for the subsequent 1-year pricing period.

This 4% increase was incrementally applied for each 1-year pricing period. The four (4) percent annual estimated increase was determined by averaging the VISN 15 enrollment data, enrollment data with an assigned primary care physician and patients served by prosthetics department data percentages of increase or decrease from FY22 end of year though end of June FY 23. See formula explanation below:

Qty for January 1, 2023-June 30, 2023 (6 months) x 2 = Base Pricing Period Estimated Qty

Base Pricing Period Estimated Qty x 4% = Pricing Period 1 Estimated Qty

Pricing Period 1 Estimated Qty x 4% = Pricing Period 2 Estimated Qty

Pricing Period 2 Estimated Quantity x 4% = Pricing Period 3 Estimated Qty

Pricing Period 3 Estimated Qty x 4% = Pricing Period 4 Estimated Qty

The following LINs with an estimated quantity equal to one (1) are hereby identified as a new government need in the contract. Therefore, these LINs do not have historical usage data within VISN 15 network or previous contracts. The following LINs are the new government's need and will used for price determination/evaluation purposes only.

Page of

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

0001AA

0001AB

0001AC

0001AD

0002AA

0002AB

0002AC

0002AD

0003AA

0003AB

0003AC

0003AD

0004AA

0004AB

0004AC

0004AD

0005AA

0005AB

0005AC

0005AD

0006AA

0006AB

0006AC

0006AD

0007AA

0007AB

0007AC

0007AD

0008AA

0008AB

0008AC

0008AD

0035 PR

0038AA

0038AB

0038AC

0038AD

0038AE

0038AF

0038AG

0038AH

0038AI

0038AJ

0038AK

0038AL

1001AA

1001AB

1001AC

1001AD

1002AA

1002AB

1002AC

1002AD

1003AA

1003AB

1003AC

1003AD

1004AA

1004AB

1004AC

1004AD

1005AA

1005AB

1005AC

1005AD

1006AA

1006AB

1006AC

Page 1 of

1006AD

1007AA

1007AB

1007AC

1007AD

1008AA

1008AB

1008AC

1008AD

1035 PR

1038AA

1038AB

1038AC

1038AD

1038AE

1038AF

1038AG

1038AH

1038AI

1038AJ

1038AK

1038AL

2001AA

2001AB

2001AC

2001AD

2002AA

2002AB

2002AC

2002AD

2003AA

2003AB

2003AC

2003AD

2004AA

2004AB

2004AC

2004AD

2005AA

2005AB

2005AC

2005AD

2006AA

2006AB

2006AC

2006AD

2007AA

2007AB

2007AC

2007AD

2008AA

2008AB

2008AC

2008AD

2035 PR

2038AA

2038AB

2038AC

2035AD

2038AE

2038AF

2038AG

2038AH

2038AI

2038AJ

2038AK

2038AL

3001AA

3001AB

3001AC

3001AD

3002AA

3002AB

3002AC

3002AD

3003AA

3003AB

3003AC

3003AD

3004AA

3004AB

3004AC

3004AD

3005AA

3005AB

3005AC

3005AD

3006AA

3006AB

3006AC

Page 2 of

3006AD

3007AA

3007AB

3007AC

3007AD

3008AA

3008AB

3008AC

3008AD

3035 PR

3038AA

3038AB

3038AC

3038AD

3038AE

3038AF

3038AG

3038AH

3038AI

3038AJ

3038AK

3038AL

4001AA

4001AB

4001AC

4001AD

4002AA

4002AB

4002AC

4002AD

4003AA

4003AB

4003AC

4003AD

4004AA

4004AB

4004AC

4004AD

4005AA

4005AB

4005AC

4005AD

4006AA

4006AB

4006AC

4006AD

4007AA

4007AB

4007AC

4007AD

4008AA

4008AB

4008AC

4008AD

4035 PR

4038AA

4038AB

4038AC

4038AD

4038AE

4038AF

4038AG

4038AH

4038AI

4038AJ

4038AK

4038AL

GRAND TOTAL __________________

B.3 DELIVERY SCHEDULE

ITEM NUMBER

ESTIMATED

QUANTITY

DELIVERY

DATE

ALL ALL