36C25625R0102 0001.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 8

0001 07-23-2025

None

36C256

Department of Veterans Affairs

Network Contracting Office 16

Central Arkansas Veterans HCS

2200 Fort Roots Drive, Bldg 41, Room 200

North Little Rock AR 72114 1706

36C256

Department of Veterans Affairs

Network Contracting Office 16

Central Arkansas Veterans HCS

2200 Fort Roots Drive, Bldg 41, Room 200

North Little Rock AR 72114 1706

To all Offerors/Bidders

36C25625R0102

X

X X

See CONTINUATION Page

This amendment answers all questions received by the due date of 7/17/2025 12PM CDT. Answers to all questions hereby revise the original solicitation as answered in the continuation pages. This amendment also revises the quantities in the price schedule for each ordering period from 6,000 scans to 5,771 scans.

All other terms and conditions remain unchanged.

Thomas M. Kovarovic

Contracting Officer

VA-VHA-RPOC-2024-0041

CONTINUATION PAGE

A.1 PRICE SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

5,771.00 EA __________________ __________________

Estimated MRI Scans

Contract Period: Ordering Period 1 POP Begin: 10-01-2025 POP End: 09-30-2026

Contract Period: Ordering Period 2 POP Begin: 10-01-2026 POP End: 09-30-2027

Contract Period: Ordering Period 3 POP Begin: 10-01-2027 POP End: 09-30-2028

Contract Period: Ordering Period 4 POP Begin: 10-01-2028 POP End: 09-30-2029

Contract Period: Ordering Period 5 POP Begin: 10-01-2029 POP End: 09-30-2030

GRAND TOTAL __________________

Amendment to answer all questions received

Questions asked in response to solicitation 36C25625R0102 MRI Equipment/Trailer and Staff.

1. In regard to the estimated scans per year of 6,000. Would it be acceptable for the customer to provide a more accurate number of what the annual actual scans are?

Answer: The projected scans per year have been revised to 5,771

2. What was the number of scans per year on the previous contract?

Answer: 5,100

3. What was the price per scan per year from the previous contract?

Answer: Requested that you provide your own independent rate per scan, as the current contractor may be competing.

4. Will we need to provide a Radiologist to read the exams?

Answer: No

5. Where will the scheduler be housed?

Answer: TBD given uncertainty following recent RTO directives.

6. Do we provide contrast or does the VA?

Answer: The VA orders the contrast material.

7. What electric connectivity is provided by the VA? Does VA have all electric?

Answer: 440v Shore power hook-up

8. Does the current vendor currently have a 70cm bore machine onsite? Going from a 60cm bore machine to a 70 cm bore drastically increases the cost of the machine.

Answer: We are currently using a temporary loaner due to construction contractor damage to the prior MRI. The current MRI Vendor is delivering the new MRI in 30 days which is a 70 cm bore.

9. How are (3) MRI Certified Technologists, (2) Tech assistants -Transporter, (2) Schedulers scheduled currently? Are they divided over 76 hours of work in a week?

Answer: Answer: 7a-7p Monday – Friday and 8a-5p Saturday, one tech and one assistant on the trailer each day. Two schedulers work 8 hours per day Monday –

Friday.

10. Please provide the contract number and vendor information for the active Mobile MRI contract Answer: Contract Number: 36C25621D0006; Vendor Information: Salvadorini

Consulting, LLC.

11. Please provide the historical number of annual scans for the last three periods of performance, if able

Answer: The Numbers provided above are what we have available

12. Please provide the historical number of daily scans, if able Answer: ~20-24

13. Please provide the historical number of FTEs supporting this contract and their labor categories for the last three periods of performance, if able Answer: 5 (2- MRI Techs, 1- Tech Assistant, 2- Schedulers)

14. Please provide the Name/Type of the current MRI Unit Answer: We are currently using a temporary loaner Siemens Espree due to construction contractor damage to the prior MRI. The current MRI Vendor is delivering the new MRI in 30 days, which is a Siemens Aero.

15. Please provide the Age of the Current MRI Unit Answer: We are currently using a temporary loaner due to construction contractor damage to the prior MRI. The current MRI Vendor is delivering the replacement MRI in 30 days, which is a 6-year-old unit.

16. Please advise if the Current MRI Unit is compliant with this Solicitation’s MRI system minimum requirements outlined in the Scope of Work Answer: We are currently using a temporary loaner due to construction contractor damage to the prior MRI. The current MRI Vendor is delivering the new

MRI in 30 days, which is compliant with the minimum requirements of the new contract.

17. B3. #6 states “VA requires the vendor to provide sufficient staff (during normal operational hours) to provide MRI services/patient access covering the required 7 days per week, 7:00 am – 7 pm”

- Can the government please provide the following information:

- What is the standard first scan time of the day

Answer: 7:00 am

- What is the standard last scan time of the day

Answer: 6:30 pm

18. B3. #6 states, “The contracted employees will be responsible for cleaning and infection control measures.”

- Please advise if the VA currently provides or will provide any janitorial-type measures like taking out trash, etc.

Answer: MRI techs take out their own trash. VA disposes of sharps.

19. B3. #8 states “Responsibility of the VA - L) Transportation of inpatients to/from their medical ward.”

- Please advise if the VA transports all patients back and forth from the hospital to the

MRI Unit for their appointment.

Answer: VA transports inpatients to and from the trailer.

20. B3. #11 states “ Scheduling - The contractor is responsible for coverage from 7:00 am to 7:00 pm weekdays and from 8:00 am to 5:00 pm every Saturday and Sunday, depending on workload volume.”

- Please confirm that the government requires two schedulers to be onsite at all times to provide scheduling services Monday–Friday, 7 am – 7 pm, and Sat–Sun 8 am – 5 pm, totaling a minimum of 2 schedulers on site, covering 76 hours Answer: Schedulers are not required on site on weekends and holidays

21. B3. #6 States “Clinical Staffing Estimates: Recommended but not limited to the vendor providing the following staff: (2) Schedulers” Answer: The MR scheduling volume requires at least two full-time high-volume schedulers. Lower volume employees may require 3 schedulers to complete the scheduling duties as per VHA direction 1234

22. B3. #11 states “ Scheduling - The VAMC is responsible for the audits of scheduling for patients and will oversee the contract scheduler’s daily tasks.”

- Please advise how the government will train newly hired Schedulers on VA process/equipment/computer systems/scheduling software to maintain compliance with the SOW Answer: Required two-week MSA course provided by the Business office, followed by one one-on-one training with the Radiology AMSA supervisor

- Please advise how long the government takes to train newly hired Schedulers (i.e., one week of training) Answer: 2 weeks

- Please advise how often the government provides a “New Employee Orientation” to onboard/train newly hired schedulers for service Answer: One week per month, but New Employee Orientation is not required for Contracted staff

23. For MRI Technologists & and MRI Assistants

- Please advise how the government will train newly hired MRI Techs on the VA process/equipment/computer systems/ software to maintain compliance with the

SOW

Answer: Same as current employees

- Please advise how long the government takes to train newly hired Schedulers (i.e. One week of training) Answer: 2 weeks

- Please advise how often the government provides a “New Employee Orientation” to onboard/train newly hired MRI Techs for service Answer: One week per month, but New Employee Orientation is not required for Contracted staff

24. Are MRI Techs, MRI Assistants, and Schedulers all required to complete VetPro?

Answer: Only MRI Techs and MRI Assistants are required to complete VetPro

25. Are MRI Techs, MRI Assistants, and Schedulers all required to complete standard VA Security Processing?

Answer: Yes

26. Please advise the current Overton Brooks credentialing time frame and security processing time frame for the above-referenced labor categories.

Answer: Per the Credentialing and Privileging Manager, 30 days from the date the selectee has been presented to their service

27. In the event the chosen vendor offers positions to active staff compliant with Non- Displacement of Qualified Workers, but incumbent Personnel does not take the position, will the government provide at least a 30-day lead time for credentialing/security processing to occur from the award to POP start date, in order to be compliant with service requirements on Day 1 (10/01/25).

Answer: To limit downtime as much as reasonably possible, we would anticipate training new personnel as soon as the contract is awarded.

28. In the event a new vendor is chosen, what is the transition time to allow for the vendor to train its personnel on the new machine versus the POP start date of 10/1/25 Answer: To limit downtime as much as reasonably possible, we would anticipate training new personnel as soon as the contract is awarded.

29. B3. #13 States “Contract Monitoring Procedures a) The cost will be monitored by the number of successful exams completed per month.”

- The current B2 Price is charged at a cost per scan. Multiple scans occur per exam.

Please advise what the government means by cost per exam.

Answer: Cost per CPT code. One CPT code for one exam. For example, a patient receiving MRI C,T,L spine would be three CTP codes for three exams and three charges.

30. B3. #20 States “Contractor’s employees may be required to work on Holidays.”

- Please advise if the MRI Unit historically is open on Federal Holidays, and if patients are scheduled on Federal Holidays Answer: MRI is open on federal holidays when the employees agree to work that day. It is currently optional

31. Factor 2 Past Performance States:

- Recency of past performance will be determined by the submission of past performance examples that occurred within the past five (5) years.

o However, it also states:

- Provide no more than five (5) documents of recent and relevant past performance, and that performance must have taken place within the past ten (10) years from the date that proposals are due

- Please confirm which time frame the government wants, relevant to the Past Performance Examples provided Answer: This amendment hereby changes page 85 of the solicitation under

Factor 2- Past Performance to change the sentence that reads “For this factor:

Provide no more than five (5) documents of recent and relevant past performance and that performance must have taken place within the past ten

(10) years from the date that proposals are due.”

To the Following”

“For this factor: Provide no more than five (5) documents of recent and relevant past performance and that performance must have taken place within the past ten

(5) years from the date that proposals are due.”

32. Factor 2 Past Performance –

- Will the VA allow potential SDVOSB bidders to use past performance from a subcontractor for similar work and scope?

Answer: Yes, but any past performance provided that shows that the SDVOSB

Contractor is the sole Prime Contractor may be rated more favorably.

The following verbiage will be added to Factor 2-Past Performance as letter e. of the solicitation:

e. The VA will allow bidders to use past performance from a subcontractor for similar work and scope, and Sub-Contractor consent will be required.

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.

33. Factor 2 Past Performance States “c. The Government shall review available past performance data in the Contractor Performance Assessment Reporting System (CPARS) found at https://cpars.gov.”

- Will the government/does the government intend to review CPARS Integrity Reports for each responding vendor for documented Terminations for Cause, Default, or Material Failure to Comply, as part of its Past Performance and risk review.

https://cpars.gov/

Answer: This amendment hereby incorporates the following verbiage as letter

f. of the solicitation under Factor 2 – Past Performance:

f. 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.

34. Please advise what the transition plan is between the incumbent system and the new system for a POP start date of 10/01/2025 Answer: Will be determined when contract is awarded (The Clause 52.217-8

Option to Extend Services for up to 6 months is available for transition time)