36C25721Q0465 Amendment 0001.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)

Department of Veterans Affairs VISN17 Network Contracting Activity 5441 Babcock Rd., Ste 302 San Antonio TX 78240

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229 To all Offerors/Bidders

36C25721Q0465 06-25-2021

X

6/28/2021 - 12:00 PM CST

The purpose of this amendment is to provide answers to vendor questions.

The closing date and time of the solicitation will remain as 6/28/2021 - 12:00 PM CST.

No further questions are being accepted regarding this solicitation.

Robyn Nussbaum Contracting Officer

Questions and Answers for RFQ 36C25721Q0465 Question: Looking at the 1st item, STAT acetaminophen testing in 1 hour, this time would be extraordinary challenging for an in-house facility. A 2-hour TAT for in-house on-site testing would be more aligned with best practice standards. Also, including additional time for the couriers to pick up the specimens to deliver to a laboratory should also be included. Would you consider for STAT testing including additional time? Possibly providing an estimated time of no greater than 3 hours for transportation and testing reporting?

Answer: The reason for the STAT TAT for acetaminophen is that this particular drug (along with Salicylate) can be very toxic to the liver during an overdose and these patients are often seen in the Emergency Department. The Amarillo VA has 2 analyzers that can perform the testing but by some off chance the Amarillo VA is out of reagents, the controls do not work, or the analyzer is down, the risk cannot be taken of delaying results longer than 1 hour at this time. This is a firm 1 hour or less test.

Regarding some of the other TAT requested in the SOW as 1 hour or less, they too are firm. These times are crucial during patient interventions for the providers in ED, Surgery, PACT, ICU, and during rapid responses, code blues, etc. Many of the therapeutic drugs are toxic to the kidney and could result in permanent dialysis if results are too high, Cardiac markers (BNP, CK, CK-MB, and Troponin I) can be the reason of life or death, Coagulation testing (PT,PTT, fibrinogen, and D-dimer) can result in the patients bleeding to death due to too much warfarin, coumadin, heparin or assist in diagnosing a blood clot.

The VA providers are used to us giving results in 1 hour or less 24/7/365 for the tests listed below. The SOW is for the “STAT/URGENT 24/7/365” and is mainly in lieu of the Amarillo VA laboratory not being able to perform the required testing due to analyzer downtime for whatever reason. This SOW is not for ordinary reference lab testing.

Total CO2, Ventilation) <1 hour