36C25721R0043 0003.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 3

0003 05-21-2021

N/A

36C257

Department of Veterans Affairs VHA Regional Procurement Office West El Paso Contracting Office 11495 Turner Road El Paso TX 79936

To all Offerors/Bidders

36C25721R0043

04-02-2021

X

X 1

** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-11-2021 12:00 PM MST

X 1

The purpose of this amendment is to post clarification answers for Q&A in amendment 2 and extend receipt of offers to

06-11-2021 12:00 PM MST.

All other terms and conditions remain unchanged.

Frank Gamboa III Contracting Officer

VA-VHA-2020-58ED4EC5

CONTINUATION PAGE

RFP 36C25721R0043

New Braunfels, TX and Seguin, TX CBOC Services

Clarifications for QUESTIONS & ANSWERS Amendment 0002

Clarification Questions on Amendment 2 for New Braunfels, TX and Seguin, TX CBOC:

Q1. Confirm CBOC Congressional approved location must be within New Braunfels, TX city limits? If not, provide Congressionally approved location boundaries.

- Answer: Approved location must be within New Braunfels TX, City limits per CBOC approval.

Q2. Question 13 asks how many VA staffed personnel will be providing services at the New Braunfels CBOC and the answer is 8, Social Worker, Pharm. D, Mental Health and Prosthetic Technician; 2 Radiology Technicians, 2 Physical Therapist.

Is x-ray required onsite based on the need for 2 Radiology Technicians?

- Answer: Yes, X-ray would be done on site by VA staff radiology technicians

Does the VA need space for physical therapy for the 2 Physical Therapists?

- Answer: Yes, 2 exam rooms and 500 Sqft space for PT treatment. PT Would want the two exam rooms to be co-located with PACT. That will house 2 PTs. The additional 500 sq ft does not need to be co-located, and would be for additional staff beyond the 2 PACT PTs.

Q3. Question 44 provides a revised schedule of services. The VA outlines the estimated quantities for New Braunfels from the Base Year through Option Year 9. However, Seguin outlines the estimated quantities for the Base Year and Option Year 1 only. Was it the VA’s intent to close the Seguin CBOC after Option Year 1 or was it inadvertently deleted?

- Answer: Yes. The Seguin, TX CBOC will be deactivated on 4/30/2023 as indicated in line item number 1002. Seguin, TX veterans will be completely transferred to the New Braunfels, TX starting 5/1/2023.

Q4. Question 13 of Amendment 2 asks: How many VA staffed personnel will be providing services at the New Braunfels CBOC? Please list by job title and number of days per month.

The Governments Answer: 8, Social Worker, Pharm. D., Mental Health (5 days a week) and Prosthetic Technician, 5 days a week; 2 Radiology Technicians , 5 days a week, 2 Physical Therapist, 5 days a week.

Follow-up Questions:

Does the VA want the contractor to install on-site x-ray in the New Braunfels CBOC for use by the VA Radiology Technicians?

- Answer: No. The VA would procure and install the equipment needed for the Radiology Techs.

VA needs about 230 SQF for equipment for X-Ray and PACS. Ultrasound room would need about 130 SQF of space. Ultrasound space is in addition to the 230 SQF. Do not need a separate waiting room area.

Does the VA want the contractor to build-out and equip therapy space for VA Physical Therapist in the New Braunfels CBOC?

- Answer: Yes, 2 exam rooms and 500 Sqft space for PT treatment. PT would want the two exam rooms to be co-located with Primary Care PACT That will house 2 Physical Therapist. The additional 500 sq ft does not need to be co-located, and would be for additional staff beyond the 2 PACT PTs.

Does the VA have any special space and equipment requirements for the Prosthetic Agent?

- Answer: Needs space for desk, computer with dual monitors, access to scanner, printer, copier, fax machine. Will also need space (11 X12 closet or room) where Prosthetic Agent can lock and store durable medical equipment inventory (Blood pressure cuffs, canes, walkers, CPAP masks, wheelchairs etc) needed to support the clinical programs at the clinics (New Braunfels, Seguin and CBOC). Individual will be located at New Braunfels site.

Q5. Question 14 of Amendment 2 asks: How many offices will be needed at the New Braunfels CBOC for the VA provided staff (by position/function) identified in question 13?

The Governments Answer: 4, Social Worker, Pharm. D., Mental Health and Prosthetic Technician

Question 32 of Amendment 2 asks: How many VA staffed personnel will be providing services in the New Braunfels and how many offices will be needed for VA provided staff?

The Government Answer: 8 VA Staff, 6 offices

Follow up Question

Answers are conflicting. Please Clarify how many VA Staff offices the government wants in the New Braunfels CBOC…..4 or 6?

- Answer: 6 VA Staff Offices

Q6. Based on the estimated enrollment increase from Option 1 to Option 2, it appears that the Government is anticipating the Seguin, TX, enrollees to be absorbed by the New Braunfels, TX, clinic beginning on 05/01/23. Will the Government please confirm that these enrollees who are rolled over to the New Braunfels clinic will not require new vesting appointments, and the Contractor will be able to bill for the newly closed Seguin, TX, enrollees under the New Braunfels PMPM beginning on 05/01/23?

- Answer: Confirmed, enrollees who are rolled over from the closure of Seguin CBOC to New Braunfels CBOC will not require new vesting appointments.

End of Document