36C25621R0021 0002.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 36C256 Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe Boulevard Houston TX 77030 4298 36C256 Department of Veterans Affairs Network Contracting Office 16 Michael E. DeBakey VA Medical Center 2002 Holcombe Boulevard Houston TX 77030 4298 To all Offerors/Bidders

36C25621R0021

X X X

This amendment addresses questions received by the due date of May 14, 2021. Questions are no longer accepted.

All other terms and conditions remain unchanged.

Christopher D. Vu Contracting Officer

VA-VHA-SAOC-2018-E8E15CC2

CONTINUATION PAGE

Question: Physician staffing qualifications state Board Certification as mandatory requirement. Will the Government please confirm if Board Eligible candidates are acceptable?

Answer: Family Practice and Internal Medicine Board Certification as well as Board Certification Eligible on an individual basis will be considered acceptable candidates.

Question: Section 4.6.2.4.7 states that the Contractor will provide supplies for PAP testing; however, the contractor is not able to purchase Thin Prep. Will the Government please confirm that the VA will supply Thin Prep?

Answer: The VA is currently supplying the Thin Prep pap smear kits to the contracted Mt Home CBOC and will continue to supply them.

Question: Will the Government please confirm who covers the cost of those medications, the VA, or the contractor?

Answer: The VA/CAVHS will cover the cost for urgent/emergent medications that are prescribed by a contract provider for a 10 day supply. The VA/CAVHS will provide mail prescriptions after 10 days for urgent and emergent prescription. The contractor is responsible for “Ward Stock” medications and immunizations that will be administered onsite at the clinic.

Question: Will the Government please confirm:

a) What is the clinical need or indication for a rapid HIV POC test at this site?

b) If a dipstick urinalysis can be added?

Answers: a) The RAPID HIV test is indicated only for an exposure (needlestick, cut, etc…), CAVHS P&LMS currently provides the tests and performs the competency for the contracted staff that are trained, since it is mandated that the clinic be able to perform the RAPID HIV testing. Pregnancy testing is provided by the contractor clinic. Pregnancy testing supplies, competency and training is the responsibility of the contractor.

b) If the contracted clinic wants to perform any other waived (POC) testing, then the contractor is responsible for the purchase of the test or equipment, the training and the competencies.

Question: Section 4.11 states that the contractor is unable to network contractor owned equipment to VA network if it is not owned and operated by VA, yet Section 4.11.1.5 states the contractor shall provide installation and maintenance of all printers, copiers, scanners, fax machines*, shredders, or other peripheral office equipment and all related and ongoing supplies (paper, toner, ink cartridges) required to operate the equipment in support of the facility under the specifications of this contract. Will the Government please provide the list of equipment that the VA will be supplying, installing, and maintaining that will be connected to the VA network on behalf of the Contractor, for the Contractor to achieve compliance with both the RFP and Information Security requirements?

Answer: The VA/CAVHS will provide a Multifunction Device (MFD) printer/fax/copy machine that all supplies, cartridges, ink and repairs are completed under an established maintenance contract. The MFD is connected to the network, therefore it is provided and maintained by VA/CAVHS.A document destruction contract is established by the contractor to ensure shredding of documents. A shredder is not connected to the network therefore, the contractor is expected to provide document shredder capabilities.

Question: Will the Government please confirm that VA will supply small desktop color printer for patient education documents since contractor owned equipment is not permitted on VA network?

Answer: The VA/CAVHS will provide desktop color printers since the printers are connected to the network. However, supplies, cartridges and ink will be provided by the contractor for desk top printers.

Question: How many VA staffed personnel will be providing services at the CBOC? Will the Government please provide job title and number of days per month.

Answer:

1.0 FTE Mental Health Nurse

1.0 FTE Nutritionist

1.0 FTE Mental Health Social Worker

1.0 FTE Mental Health Social Worker

1.0 FTE Mental Health Provider

1.0 FTE Telehealth Coordinator

1.0 FTE Physical Therapist

1.0 FTE Physical Therapist

1.0 FTE Clinical Pharmacist

Question: Will the Government please confirm how many veterans are currently on the billable roster?

Answer: 3,617 Active/Pending veterans for May 2021.

Question: Will the Government please provide historical enrollment for the last 5 years?

Answer:

3,617 Active/Pending Veterans 2021 3,663 Active/Pending Veterans 2020 3,668 Active/Pending Veterans 2019 3,708 Active/Pending Veterans 2018 3,541 Active/Pending Veterans 2017

Question: Is the VA planning to provide mental health administrative support staff or will it need to be provided by the contractor?

Answer: The Mental Health Support Staff is an MSA that completes the scheduling for the Mental Health Providers. The contractor should ensure MSA support for all CAVHS programs practicing in the Medical Sharing clinic.

Question: Will the VA provide telehealth technician staffing or will the contractor provide this position?

Answer: The VA/CAVHS will hire and train a tele-health technician and will staff the position.

Question: If we are retrofitting an existing space, will the space need to be 2015 PACT design compliant?

Answer: Yes, a PACT compliant proposal is what is expected from contractors.

Question: Can the VA provide clarification on the size requirements for the VTEL rooms and VA staff offices

Answer: VTELL rooms and office space require 160 sq. ft. to fit equipment and furniture into the space.

Question: Can the two women's health exam rooms be included in the PACT exam count? Or do they need to be separate?

Answer: Each PACT team requires two exam rooms and the two additional exam rooms are required for women’s health with bathroom access.

Question: Does the radiology room also require a dedicated viewing room?

Answer: No, Radiology does not require a dedicated viewing room.

Question: “F- Key Personnel, including salary range worksheet and all other supporting documents. “ Does the government intend for contractors to include pricing information in the Technical Proposal in Volume II?

Answer: No. Please omit the salary range worksheet from Volume II – Technical Proposal but include key personnel. It is expected that the salary range or any other pricing information to be presented in Volume I – Price.

Question: “Past performance questionnaires are to be forwarded directly to the Contract Specialist by 4pm CST, May 14, 2021.” Will the government accept past performance questionnaires through the proposal submission date?

Answer: Amendment 0001 to 36C25621R0021 posted on Contracting Opportunities on May 18, 2021 extended the past performance questionnaire due date from May 14, 2021 to June 1, 2021.