36C25623R0002 0002.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

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 10

0002 11-14-2023

36C256

Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750

Houston TX 77056

36C256

Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750

Houston TX 77056

To all Offerors/Bidders

36C25623R0002

10-11-2023

X x X

Due 12-18-2023 at 12:00 PM CST x 1 (one)

The purpose of this amendment is to update and incorporate the following into solicitation 36C25623R0002:

A. SF1449 block 10 is updated from Unrestricted to a Service-Disabled Veteran-Owned Small Business set aside.

B. Addendum to FAR 52.212-1 Instructions to Offeror and 52.212-2 Evaluation Criteria is hereby updated. Reference page 2.

hi d C. VAAR 852.219-70 has been removed and replaced with VAAR 852.219-73 VA Notice of Total Set-Aside for Certified Service-i bl d d ll i Disabled Veteran-Owned Small Businesses.

D. The hour and date specified for receipt of Offers proposal is extended to 12-18-2023 at 12:00 PM CST.

E. This amendment will need to be signed and returned with proposal submission to be eligible for award.

Stephanie Keo Contracting Officer

VA-VHA-RPOC-2023-0081

Amendment: 0002 Solicitation: 36C25623R0002 Meridian CBOC Primary Care Services

In accordance with 36C25623R0002 Amendment 0002 the following 52.212-1 addendum and 52.212-2 evaluation criteria is hereby incorporated to change the procurement method from Unrestricted to a Service-Disabled Veteran-Owned Small Business (SDVOSB) set aside.

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following provisions are incorporated into 52.212-1 as an addendum to this solicitation:

INSTRUCTIONS TO OFFERORS

1. The sole points of contact for this acquisition are the Contract Specialist and the

Contracting Officer. Proposals will only be accepted by email and no mailed proposals will be accepted. Proposals are due no later than December 18, 2023 at 12:00PM Central Standard Time (CST). Proposal maximum file size per email is 9MB or less;

therefore, multiple emails will be accepted with a proposal. A confirmation email will be sent by the Contract Specialist to confirm receipt of proposal. It is the offeror’s sole responsibility to follow up if no confirmation email was received from the Contracting Specialist before the closing date and time of the Solicitation. If an offeror cannot send the proposal via email, please advise Contract Specialist Troy Davis or email troy.davis@va.gov.

It is the Offeror’s full responsibility to ensure a legible proposal is submitted to the Contracting Officer and/or Contract Specialist before the closing date and time of the solicitation Late proposals will NOT be accepted. Faxed proposals will NOT be accepted.

2. Questions/Comments for the RFP must be submitted in writing to the Contracting Officer identified above no later than November 21, 2023 at 12 noon CST to ensure Government consideration. No questions will be accepted or answered by Fax or via telephone calls. Responses to questions will be consolidated and posted on the Contract Opportunities website as soon as possible. Offerors will review the Frequently Asked Questions (FAQ) attachment at D.26 and amendment 0001 prior to submitting a question to avoid duplication. Duplicate questions will not be answered.

NOTE: D-30 Past performance questionnaires are to be sent directly to the Contracting Officer and/or Contract Specialist via e-mail no later than 4:00 pm CST November 28, 2023.

All questions, comments and requests for information regarding this acquisition shall be sent by email, cite the solicitation number in the subject line, and be directed to the Contracting Officer and Contract Specialist using the following contact information:

mailto:troy.davis@va.gov

Name Email Stephanie Keo, Contracting Officer stephanie.keo@va.gov Troy Davis, Contract Specialist troy.davis@va.gov

3. This section provides specific instructions on the format and content of each proposal. Each section and volume shall be a “stand alone” document and be complete by itself. Any offeror that does not submit the correct number of electronic copies (and any other requirements) will be rendered as non-responsive and will not be evaluated.

Proposals will consist of submitting two separate proposal volumes: Volume I - Price and Volume II - Technical Capability, and Past Performance.

The completion and submission of the following items (a, b, and c) will constitute Volume I - Price Proposal. Offeror must submit one (1) copy of Volume I and it will indicate the offeror’s unconditional assent to the terms and conditions in the solicitation and any attachments hereto:

a. Complete blocks 17a, 30a, 30b, and 30c of a legible Standard Form (SF) 1449, Solicitation/Contract/Order for Commercial Items. To include any amendments (SF30) if applicable.

b. Insert legible proposed unit and extended prices in Section B Schedule of Services for each Line Item Number including all ordering periods. Prices shall be listed as an all-inclusive Per Member Per Month (PMPM) rate per month for services. The extended amount must equal the whole dollar unit price multiplied by the number of units (i.e., Estimated Quantity x Price Per Unit x 12 = Total Estimated Annual Cost). Line items for the base period and each ordering period shall be sufficiently completed. The price proposal shall be legible, specific, complete in every detail, and separate from the technical proposal. Offerors may submit alternative pricing or payment methods in their pricing proposal volume that address construction costs incurred during the build-out phase.

c. The Offeror shall submit the following legible attachments that require to be filled-in, signed and submitted with the proposal:

Section Attachment Title D.1 Quality Assurance Surveillance Plan – Signature Required D.4 Organization Conflict of Interest – Signature Required D.28 Small Business Subcontracting Plan/Certification – Sign Required D.29 Past Performance References – fill as necessary D.31 Contractor Certification Immigration and Nationality Act

To be eligible for award Offerors must complete the fill-in provisions 52.204-24, 52.209-7 and clause 852.219-75.

The completion and submission of the following items will constitute Volume II - Technical Capability Proposal. Offeror must submit one (1) copy of Volume II:

d. The following will be included and legible in each of the respective sections of Volume II:

Section Document Title 1 Technical Capability 2 Past Performance mailto:stephanie.keo@va.gov mailto:troy.davis@va.gov

Tab Section 1 – Technical – Offeror Capability A Offeror’s Capability/Experience B Quality Staffing C Coordination and Continuity of Care D Implementation Plan E Geographic Location/Accessibility

The following information shall be provided in reference to Geographic Location/Accessibility:

Location of the proposed facility to be utilized in the performance of the contract, including full street address

Describe access to public transportation to the facility Describe the location of the facility in relation to major highways Describe the availability of adequate parking at the facility Describe handicap accessibility to the facility Provide copies of floor plans for proposed space and schematics or maps showing locations relative to other services, etc. Describe compliance with ADA requirements and how the proposed space meets the design standards in the PACT Space Module Design Guide.(Reference PWS Section 4.9 for additional guidelines)

F Key Personnel, including salary range worksheet and all other supporting documents

Tab Section 2 – Past Performance G The following information shall be provided for each contract listed in the past performance:

Company/Division name Product/Service Contracting Agency/Customer Contract Number Contract Dollar Value Period of Performance Verified, up-to-date name, address, FAX & telephone number of the Contracting Officer Comments regarding compliance with contract terms and conditions Comments regarding any known performance deemed unacceptable to the customer, or not in accordance with the contract terms and conditions.

Subcontractor Consent: Past performance information pertaining to a subcontractor cannot be disclosed to the prime Offeror without the subcontractor’s consent. Provide with the proposal a letter from all subcontractors that will perform major or critical aspects of the requirement, consenting to the release of their past performance information to the prime contractor.

NOTE: D-30 Past performance questionnaires are to be sent directly to the Contracting Officer and/or Contract Specialist via e-mail no later than November 28, 2023, 4:00 pm CST.

e. Prior experience: All offerors must provide at least 3 years of prior experience in providing Community Based Outpatient Clinic (CBOC) services as the prime contractor and will be considered for responsibility purposes only and is not an evaluation factor.

Demonstrating familiarity with VA CBOC operations and procedures is needed to provide primary care health services to our Veterans and adequate contract performance. This specialized standard shall be a separate “stand alone” document that is titled “Prior Experience” (to include the offeror’s name) and submitted with the proposal. To demonstrate prior experience, a detailed description submitted for each year shall include, at a minimum, the following information:

i. Contract number

ii. Estimated annual dollar value of contract

iii. Description of services (including location) provided and the offeror’s level of responsibility and authority on the project.

iv. Date of contract start and completion.

v. Name, title, address, phone number, and email of customer contact. It is incumbent on the offeror to ensure the customer information is current and accurate.

Failure to provide the Prior Experience document with the proposal will render the entire proposal as non-responsive and that proposal will not be evaluated.

Note: Prior experience is not past performance. Prior experience refers to whether an offeror has done similar work before; whereas, past performance describes how well the offeror has done that work.

4. Potential contractors must be registered in the System for Award Management (SAM) to be eligible for award. The SAM website is http://www.sam.gov. Additionally, this is a 100% Service-Disabled Veteran Owned Small Business set aside procurement and potential contractors must be registered and certified at time of proposal and award as a SDVOSB in the SBA Veteran Small Business Certification (VetCert) Program located at Veteran Small Business Certification (sba.gov). Offers are due by the date and time in block 11 on page one of this solicitation. Offers shall be submitted via e-mail to troy.davis@va.gov.

(End of 52.212-1 Addendum)

E.11 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2021)

a. The Government will award a Fixed Price single award Indefinite Delivery Indefinite Quantity contract resulting from this solicitation to the responsible offeror whose offer, conforming to the solicitation, is determined to be the best overall value to the Government, price and other factors considered. The evaluation of the offers submitted in response to the Request for Proposals (RFP) will be conducted IAW FAR 15.101-1 Best Value Tradeoff process. The following factors and sub-factors shall be used to http://www.sam.gov/ https://veterans.certify.sba.gov/ mailto:troy.davis@va.gov.N evaluate offers. Factors are listed in descending order of importance. Sub-factors listed within the technical capability factor are equal in importance.

Factors are listed in descendance order of importance. All non-price factors (Factors 1-3), when combined, are significantly more important to the Government when compared to price (Factor 4), and each sub-factor of Factor 1 is equal in importance, for the purposes of determining the best value to the Government; therefore, the Government may award to other than the lowest priced offeror if it is in the Government’s best interest to do so.

1. Evaluation factors and criteria.

a. Offerors should address in detail their Technical Capabilities by describing their proposed approach to each factor. All factors, except Past Performance, will be considered based solely on the proposal provided, to the extent in which the proposal demonstrates a clear understanding of the requirements, and the contractor’s ability to meet those requirements.

1) Factor 1 –Technical Capability. This factor will be used to determine the

Offeror’s ability to successfully manage the full range of contractual requirements, and background and relevant information regarding stability and strengths; each sub-factor is equally important.

Sub-factor (a) – Offeror’s Capabilities/Experience. The Below bullets are part of Sub-factor (a) and not separate Sub-factors.

Offerors shall provide evidence that they can provide a full range of services to include evidence of adequate staff, financial resources to acquire or obtain necessary equipment, meet start-up requirements including payrolls and staffing capabilities, including any teaming or subcontract arrangements that may be used.

Offerors shall describe medical and administrative equipment, other than VA-provided OIT or Tele-health equipment, and availability to be utilized under the contract. Describe contingency plan for equipment downtime. Describe familiarity with VA’s electronic medical record, specifically VHA/EHR.

Greater evaluation rating will be given to Offerors with experience in VA Health Information Systems.

Offerors shall confirm their capability to meet all staff/patient ratio requirements in the PWS.

Factor Evaluation Factors 1 Technical Capabilities:

Sub-factor (a) – Offeror’s Capability/Experience Sub-factor (b) – Quality Staffing Sub-factor (c) - Coordination and Continuity of Care Sub-factor (d) – Implementation Plan

2 Geographic Location/Accessibility 3 Past Performance 4 Price

Offerors shall provide current organizational chart and description of organization’s history.

Offerors shall describe the mechanism to schedule qualified credentialed physicians and staff to cover the required clinic schedule. Describe contingency plan for covering enrolled patient’s appointments due to scheduled or unscheduled leave.

Offerors shall describe average personnel turnover rate and how it may or may not affect contract performance. Describe the capability to recruit adequate staffing to meet contractual requirements.

Offerors shall provide a synopsis of their overall approach to quality control and improvement. Describe performance measurement process that will be implemented to monitor quality, appropriateness of care, access to care, and patient satisfaction.

Sub-factor (b) – Quality Staffing. The Below bullets are part of Sub-factor

(b) and not separate Sub-factors

Offerors shall provide a list of names of the qualified physicians, nurse practitioners and other primary care provider staff intended to be utilized in the performance of the contract and/or describe the mechanism used to provide qualified physicians, nurse practitioners and primary care provider staff to perform the contractual requirements.

Offerors shall emphasize if proposed qualified staff members possess experience providing services containing the same level of size, magnitude, and complexity of the requirements of the PWS. Greater evaluation rating will be given to Offerors proposing staff with experience providing services containing the same level of size, magnitude, and complexity of the requirements of the PWS.

Offerors shall provide copies of the following for any physician(s) to be assigned to perform services under the contract, including any physicians to provide coverage relief:

a) Board Certification in Internal Medicine and/or Family

Practice

b) Active, current, unrestricted license

Offerors shall provide copies of the following on any nurse practitioner(s) to be assigned to perform services under the contract, including any nurse practitioner(s) to provide coverage relief:

a) Transcript(s) from an Accredited Nurse Practitioner Program

b) Graduation Certificate from an Accredited Nurse Practitioner Program

c) Active, current, unrestricted license

Offerors shall provide a list of administrative support staff and describe the level of training and experience of each that will be utilized to meet the administrative support functions in the performance of the contract, including grievance system and quality assurance/performance improvement.

Sub-factor (c) – Coordination and Continuity of Care. The Below bullets are part of Sub-factor (c) and not separate Sub-factors

This sub-factor will be used to determine the Offeror’s ability to provide the full range of services under this contract in a coordinated manner that maintains continuity of patient care in a timely fashion. The Offeror shall successfully demonstrate the ability to provide patient care that is consistent, safe, and high quality, in accordance with VA policies, policies of regulatory agencies as described in the solicitation, and the requirements and evaluation criteria of this solicitation. (PWS Reference: Section 4, Contractor Responsibilities)

Offeror shall provide the following information: Your proposal should demonstrate that patient care will not be compromised or adversely affected in the event there are periods of time where the use of computers is not available. Describe mechanism for providing continuity of care to include the method/plan for assuring communication of clinical issues between the Offeror and the VA. The Offeror’s plan shall demonstrate that the Offeror will provide services with continuity of care as the focal point for primary care providers and to ensure that continuity of care is met throughout the contract period. Provide a transition plan covering a phase-in period prior to assuming responsibility under the contract. This plan should address specific steps and key milestones necessary to assume full responsibility for the management and operating activities required to become fully operational under the resulting contract. The objectives of this transition plan are to minimize the impacts on startup of operation and/or continuity of operations, identify key issues, and overcome barriers to the transition. Upon award, the successful Offeror is responsible for performing due diligence to ensure that all the transition activities are completed, and that Offeror is prepared to assume full operational responsibility.

Sub-factor (d) – Implementation Plan. The Below bullets are part of Sub-factor (d) and not separate Sub-factors.

Offerors shall describe their ability to meet performance measures related to Patient Aligned Care Team (PACT) implementation (staffing ratios, exam room access, access measurements, continuity, discharge follow-up calls as indicated in the Performance Work Statement.

Offerors shall provide a detailed operational plan to include staffing that shows the CBOC will be ready to provide services within 90 days of contract award in accordance with the Performance Work Statement.

Offerors shall indicate if the Offeror has experience with VA health record information database systems. Greater evaluation rating will be given to Offerors with experience in VA Health Information Systems.

2) Factor 2 – Geographic Location/Accessibility. The Below bullets are part of

Factor 2 and not separate Sub-factors.

Offerors shall specify the location of the proposed facility to be utilized in the performance of the contract, including full street address (the government will evaluate proposals to determine whether offered facilities/locations are within the city limits of Meridian, MS).

Provide copies of floor plans for the proposed space and schematics or maps showing locations relative to other services, etc. Describe compliance with ADA requirements and how the proposed space meets the design standards in the PACT Space Module Design Guide.

Offerors shall describe access to public transportation to the facility

Offerors shall describe the location of the facility in relation to major highways

Offerors shall describe the availability of adequate parking at the facility

Offerors shall describe handicap accessibility to the facility Greater evaluation credit will be given to Offerors that show greater/easier access to public transportation, major highways, and parking.

The Government may require a site visit.

3) Factor 3 – Past Performance. Limited to no more than 2 pages per contract listed. Only references for same or similar type contract desired. Past Performance evaluation will include information provided by the Offeror and information close at hand from other sources.

Quality and Satisfaction Rating for Contracts Completed in the Past Three Years prior to the solicitation release date: Provide any information currently available (letters, metrics, customer surveys, independent surveys, etc.) which demonstrates customer satisfaction with overall job performance and quality for same or similar type contracts. In addition, explain corrective actions taken in the past, if any, for substandard performance and any current performance problems. 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.

Performance Surveys: The government will evaluate the quality and extent of the offeror’s performance deemed relevant to the requirements of this solicitation. The government will use information submitted by the Offeror and other sources such as other Federal Government offices and commercial sources, to assess performance. Provide a list of three (3) to five (5) most recent relevant contracts performed for Federal agencies and commercial customers within the last three (3) years; greater evaluation rating will be given to recent contracts that include experience providing VA community based outpatient clinic services or clinic services to Federal agencies. The evaluation of past performance information will take into account past performance information regarding predecessor companies, key personnel who have relevant experience, or subcontractors that will perform major or critical aspects of the requirement when such information is relevant to the current acquisition.

4) Factor 4 – Price

a. Prices shall be evaluated for fairness and reasonableness and will be compared against competing proposals and the independent Government cost estimate.

b. Ordering Periods. The Government will evaluate offers for award purposes by adding the total price for all ordering periods to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the ordering period prices are significantly unbalanced. Evaluation of the ordering period shall not obligate the Government to issue task orders for an ordering period(s).

c. All proposals will be evaluated in accordance with FAR 15.305. The Government intends to award without discussions with offerors. However, the Government reserves the right to conduct discussions if it is in its best interest to do so. If discussions are conducted, the Government may establish a competitive range of the most highly rated proposals, unless the range is further reduced for purposes of efficiency pursuant to FAR 15.306(c)(2).

d. 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 purchase order 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 communications after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

**Correction to question previously answered:

Question: What is the Minimum and maximum dollar value for this contract?

Answer: The minimum and maximum are based on number of patients. Ref: 52.216-19

(End of Amendment 0002)

E.11 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021)