36C25619R0141-0003000.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) 09-17-2019

NONE

Department of Veterans Affairs

NCO 16

Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock

AR

72114 1706 Department of Veterans Affairs

NCO 16

Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock

AR

72114 1706 To all Offerors/Bidders

36C25619R0141 09-17-2019

X X X

The purpose of this amendment is to include all received questions in reference to the solicitation and Statement of Work. All questions from contractors were compiled and are included in this amendment if they were received before the due date of 16 September 2019.

All other terms and conditions remain unchanged.

Billy Morris Contracting Officer

CONTINUATION PAGE

1. Would an MR Safe Gurney meet the detachable table requirement? (pg. 18)

1. Detachable table is mandatory requirement. In the event of a code in the magnet, the staff have to able to get the patient out of Zone 4 as fast as possible. Too many limiting factors with a MR safe gurney.

1. The listed gradient requirement of 34 mT/m and 150 T/m/s is the base gradient strength configuration for the GE Voyager. Other state of the art mobile 1.5T systems offer base gradient configurations of 33 mT/m and 120 T/m/s. Would the slightly lower gradient strength of 33/125 be allowed for this RFP? (pg. 18)

1. Magnet gradient strength of 33/125 would be considered

1. A peripheral angio coil is no longer routinely used in clinical imaging. This has been replaced by the high channel count inherent body coil for upper and middle portions and the high channel torso coil for the lower portion. Can we omit/replace the peripheral angio coil as it is no longer the standard of care? (pg. 19)

1. Yes

1. TMJ coil are no longer used routinely in clinical imaging due to high channel count head coils. Could the TMJ coil requested be replaced with a high channel head coil? (pg. 19)

1. Yes

1. New state of the art 1.5T MR systems may include 3 (S/M/L) premium 16ch flex coils for MSK imaging. These 16ch flex coils are used for clinical imaging of the shoulder, elbow, wrist, hip, knee, ankle and foot. Would these premium flex coils with a higher channel count be considered as replacements for the lower channel shoulder/knee/ankle/foot/and wrist coils? (pg. 19)

1. Yes

1. Does the scheduler have to be on site in Shreveport or can they be virtual/ remote?

1. Scheduler would have to be on site. All MRI’s orders are reviewed and protocoled by the radiologist prior to be scheduled for maximum efficiency.

1. The price schedule mentions both a rate per scan and estimated hours for scheduler, porter and technician. Is the hourly estimate given to help us with pricing? Or are we required to have staff available for the time periods listed (regardless of cancelations)?

1. To assist with pricing, however if there are no scans or pending patients, contact employees are not required to stay full periods listed.

1. Aviate would like to confirm that the date on the page 15 of the Statement of Work is correct.

1. Changed via amendment 0001 to read Mobile MRI must be operational NLT April 1, 2020

1. The bid proposal is due on September 30th, however I noticed that you would like the MRI to be operational by 1 October 2019. Was this a typo or is this correct?

1. Amendment was created to indicate that the Mobile MRI must be operational NLT April 1, 2020

1. Please clarify the minimum requirement for shift staffing. The RFP was vague considering the total operational hours.

1. VA requires 2 MRI safety trained staff member in MRI while a patient is being scanned. 1 MRI technologist and one assistant/scheduler would be sufficient. Recommended hours is 12hrs per weekday, and 8hrs weekend. Since the contract is scoped for FEE per study, if the MRI section finishes early, or the schedule is complete, the group is free to leave early.

1. Are the Tech credentials required as part of the bid or post-award? FYI – in some cases like this with extensive operational hours new staff would be hired if the contract is awarded. All of my staff is Joint Commission certified?

1. Examples of credentials as part of bid is satisfactory. Joint commission certified or ARRT MRI Certification eligible is acceptable.

1. Can the scheduler be remote?

1. Scheduler would have to be on site. All MRI’s orders are reviewed and protocoled by the radiologist prior to be scheduled for maximum efficiency.

1. Would an MR Safe Gurney meet the detachable table requirement? (pg. 18)

1. Detachable table is mandatory requirement. In the event of a code in the magnet, the staff have to able to get the patient out of Zone 4 as fast as possible. Too many limiting factors with a MR safe gurney.

1. The listed gradient requirement of 34 mT/m and 150 T/m/s is the base gradient strength configuration for the GE Voyager. Other state of the art mobile 1.5T systems offer base gradient configurations of 33 mT/m and 120 T/m/s. Would the slightly lower gradient strength of 33/125 be allowed for this RFP? (pg. 18)

1. Magnet gradient strength of 33/125 would be considered.

1. A peripheral angio coil is no longer routinely used in clinical imaging. This has been replaced by the high channel count inherent body coil for upper and middle portions and the high channel torso coil for the lower portion. Can we omit/replace the peripheral angio coil as it is no longer the standard of care? (pg. 19)

1. Yes

1. TMJ coil are no longer used routinely in clinical imaging due to high channel count head coils. Could the TMJ coil requested be replaced with a high channel head coil? (pg. 19)

1. Yes

1. New state of the art 1.5T MR systems may include 3 (S/M/L) premium 16ch flex coils for MSK imaging. These 16ch flex coils are used for clinical imaging of the shoulder, elbow, wrist, hip, knee, ankle and foot. Would these premium flex coils with a higher channel count be considered as replacements for the lower channel shoulder/knee/ankle/foot/and wrist coils? (pg. 19)

1. Yes

1. Your current requirements for personnel does not meet the FTE that is stated.

1. How many MRI technicians need to be on site for each shift?

1. One MRI technologist, but two people required to be on the trailer at one time. May overlap with assistant or scheduler.

1. Will the Scheduler have complete control of the MRI schedule?

1. Radiologists will protocol all MRI exams prior to scheduling, but scheduler will have complete control of the schedule.

1. Will overtime ever be needed?

1. Overtime possible, but unlikely