36C25618R0296-00001003.pdf

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

BY

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)

1 4

00001

None

00502

ALEXANDRIA VA HEALTH CARE SYSTEM

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

PO BOX 69004

ALEXANDRIA LA 71306-9004

00502

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 16

ALEXANDRIA VA HEALTH CARE SYSTEM

2495 SHREVEPORT HIGHWAY

PINEVILLE LA 71360-4004

To all Offerors/Bidders

36C25618R0296

03-21-2018

X

X X

X !

SEE CONTINUATION PAGE FOR DETAILS

Martin Priest

Contracting Officer

NCO1616L2-68195

CONTINUATION PAGE

The purpose of this amendment is to:

1. Add Evaluation Factors for evaluating Vendor and proposed surgeon(s) experience with the VA.

a. Items g and h have been added to Factor 2 – Technical Capability, Sub-Factor A

Qualifications & Experience of Medical Providers.

b. See attached amended 52.212-2 Evaluation Factors.

2. Clarifies that this solicitation is 100% Total Set-Aside for Small Business.

3. Remind vendors to pay close attention to the following:

a. Paragraph 6.1.1, pages 52-53 of the PWS identifies documents required to be submitted with the proposal

b. Provision 52.212-1 Addendum provides additional instructions for vendors.

c. Vendors are reminded that proposals and all documents required in the solicitation are to be sent to the Contracting Off Vendors are to sign this amendment and return with their proposals

All other terms and conditions of the solicitation remain the same.

36C25618R0296A00001

52-212-2 – Evaluation Factors:

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

EVALUATION: A best value approach will be used utilizing the Evaluation Criteria below. Individual physicians will be evaluated, management capability will be evaluated, past performance will be evaluated for best value to the Government. Price will be evaluated and determination will be made of fair and reasonableness. Prices are based on the CMS MEDICARE Per Procedure cost schedule with percentage reduction.

EVALUATION FACTORS:

FACTOR 1: SDVOSB/VOSB Credit: Eligible service-disabled veteran-owned offerors will receive full credit, and offerors qualifying as veteran-owned small businesses will receive partial credit for the Service-Disabled

Veteran-Owned and Veteran-owned Small Business Status evaluation factor. To receive credit, an offeror must be registered and verified in Vendor Information Pages (VIP) database (https://www.vip.vetbiz.gov).

FACTOR 2 - Technical Capability:

1) Sub-factor A Qualifications & Experience of Medical Providers: For each provider proposed under the contract, the following documentation is required:

a) Evidence of professional licensure/certification and transcript from educational institution(s) certifying completion of graduation requirements

b) CV’s/resumes documenting current and previous experience in providing general surgery physician services

c) Transcripts documenting educational requirements and continuing education

d) Names and contact information (telephone numbers and e-mail addresses) of three individuals who have firsthand knowledge of qualifications and competency of the proposed provider

e) Skills assessments, competencies and evaluation documenting performance

f) Health safety items for each proposed provider.

g) Vendor experience working with the VA in any capacity. i.e. on a VA contract, care in community situation, or in a Fee Basis situation. Number of surgeons with experience working with the VA and years of experience of each surgeon working in a VA facility performing procedures, using CPRS and providing services to eligible veterans.

h) In accordance with FAR 15.305(a) (2) (iv), if an offeror has no record of experience working with VA or surgeons with experience working with the VA, items g) and h) above, or for whom information is not available, they will not be rated favorably or unfavorably.

2) Sub-factor B Management Capability: Provide the following information detailing how the offeror will meet the requirements of the solicitation:

a) Ability to provide full range of services required in the Performance Work Statement

b) Ability to monitor quality, appropriateness of care and patient satisfaction.

c) Provide contingency plan when staff member leaves or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

https://www.vip.vetbiz.gov/

36C25618R0296A00001

Factor 3 – Past Performance. This factor will be used to assess an offeror’s likelihood of performing successfully on this contract. Past performance will be assessed for relevancy, recent, and confidence/success. For this factor:

a) The Government shall review available past performance data in the Federal Awardee

Performance and Integrity Information System found in the Past Performance Information

Retrieval System found at https://fapiis.ppirs.gov/.

b) Offerors shall identify three (3) current or recently completed (within the past three years) contracts that are similar in scope and dollar value to the contract being offered herein, to include contract name, dates of performance, point of contact, telephone number and e-mail address. Contracts listed may include those entered into with the Federal Government, State or local agencies, or commercial customers. Refer to ATTACHMENT 5 in Section D of the RFP.

c) Each offeror shall provide their references with a copy of the Past Performance

Questionnaire/Survey (ATTACHMENT 4) in Section D of the RFP, and have it returned to the CO by the response date listed in Block 8 of SF1449. Questionnaires can be scanned and emailed from the references only to martin.priestt@va.gov . It is the Offeror’s responsibility to ensure their references complete and submit these questionnaires.

d) The Government reserves the right to obtain past performance information from any available source and may contact customers other than those identified by the Offeror when evaluating past performance.

e) In accordance with FAR 15.305(a) (2) (iv), if an offeror has no record of relevant past performance or for whom information is not available, they will not be rated favorably or unfavorably.

FACTOR 4 - Price: Price analysis will be used to determine that the prices are fair and reasonable in accordance with FAR 13.106.3. Percentage below MEDICARE CMS Per Procedure Fee Schedule will be utilized to determine price fair and reasonableness.

Technical is more important than past performance and past performance is more important than price. Price will be evaluated for price reasonableness only.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

https://fapiis.ppirs.gov/ mailto:martin.priestt@va.gov