36C25721R0087 0004.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) None Department of Veterans Affairs Central Texas Veterans HCS 2002 Scott Blvd.

Temple

TX

76504 Department of Veterans Affairs Central Texas Veterans HCS 2002 Scott Blvd.

Temple

TX

76504 To all Offerors/Bidders

36C25721R0087 07-02-2021

X X X

X The purpose of this modification is to update the PWS, paragraph 8 to require Opticians to comply with VHA Directive 1193.

Please see continuation page, conformed solicitation 0004 and VHA Directive 1193 Coronavirus Disease 2019 Vaccination Program for VHA Health Care Personnel, Effective August 13, 2021.

Lindsey Hooge Contracting Officer

VA-VHA-2021-781C9D52

CONTINUATION PAGE

Paragraph 8 of the PWS is hereby changed to the below (See conformed solicitation 0004):

8. ON-SITE FITTERS/OPTICIANS (VHA HCP):

8.1. Optician Qualifications: Personnel assigned by the Contractor to perform the On-Site Fitters (Optician) services covered by this contract shall:

8.1.1. The Optician must have evidence of professional knowledge, which may be demonstrated by substantial on-the-job experience, professional degree, or current certification of one or more of the following types: Certification as an Optician by the American Board of Opticianry; Certification by the Joint Commission on Allied Health Personnel in Ophthalmology as a Certified Ophthalmic Assistant (COA), Certified Ophthalmic Technician (COT) or Certified Ophthalmic Medical Technician (COMT); Certification by the American Optometric Association, Commission on Paraoptometric Certification as a Certified Paraoptometric (CPO), Certified Paraoptometric Assistant (CPOA) or Certified Paraoptometric Technician (CPOT). Proof of professional knowledge must be provided to the Contracting Officer.

8.1.2. On-site Fitters/Opticians (VHA HCP) working in VA medical facilities, are required to comply with VHA Directive 1193 and requirements outlined in the directive by:

(1) Receiving a complete COVID-19 immunization series or obtaining an exemption for medical or religious reasons.

(2) Submitting the Health Care Personnel COVID-19 Vaccination Form, VA Form 10-263 (See Appendix B of the Directive) to Employee Occupational Health (EOH).

(a) If a VHA HCP is vaccinated at a VHA location, by VHA EOH, they are not required to complete and submit VA Form 10-263 to EOH.

(b) If a VHA HCP is vaccinated outside of EOH and has submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they are not required to complete and submit VA Form 10-263 to EOH.

(c) If a VHA HCP is vaccinated outside of EOH, but has not submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they must complete and submit VA Form 10-263 to EOH with all required documentation and within the timelines as prescribed in this directive.

(d) If a VHA HCP is exempt from COVID-19 vaccination for medical or religious reasons, they must complete the COVID-19 Vaccination VA Form 10-263 (Appendix B), declaring the exemption and acknowledging the requirement to wear a face mask when under conditions in the work environment described (See Appendix A, paragraph 5.a and Appendix B).

8.1.3. Be proficient in spoken and written English language (38 U.S.C. 7401).

8.1.4. Be computer literate because patient documentation is directly entered in the patient’s electronic medical record.

8.1.5. All contract opticians will have access to patient healthcare information (PHI) and to the VA information System (VistA).

8.1.6. The contract optician must be capable of submitting invoices via electronic encryption transmission, the appropriate VAMC and/or centralized Prosthetics Purchasing Department as specified on the purchase/delivery order.

8.1.7. The contract optician shall have access to and document all activities where applicable to job duties into CPRS.

8.2. Provision of space for the Optician will be provided by each VA facility and CBOC for which a task order is issued. The space requirements including phones are the responsibility of the VA. The contractor is responsible for display boards, equipment and tools required for the display of frames. Contractor will set up remote access for the Government to their work in progress software for Government tracking purposes.

8.3. The contractor shall supply a licensed Dispensing Optician as required per task order to each VA Medical Center and associated CBOCs in the VISN five days a week, Monday through Friday.

8.4. Optician Duties:

· The Optician will take all necessary facial and frame measurements to order eyeglasses as per doctor's prescription using the VHA VISTA CPRS electronic consult package. Measurements and refraction data may be entered into this consult package; information entered in the electronic consult package will then be forwarded electronically to the facility Prosthetic Service.

· Should changes of prescription be required, the Optician will direct the Veteran to their prescribing physician as the prescribing physician must enter a new consult reflecting changes as required.

· The Contract Optician cannot change prescription at any time.

· The Optician will be responsible for dispensing, adjusting, and repairing all VA glasses.

· Should arrangements be made with contractor for Veterans to purchase eyeglasses through contractor, the Optician will be responsible for measuring, ordering, and adjusting glasses as needed.

· The Optician must perform lensometry to verify accuracy of prescription, and adjustments to verify proper alignment of lenses.

· Services include but are not limited to eyeglass selection, ordering, dispensing and repairing. The Optician must also be able to verify eyeglass prescription specifications provided by the VAMC Eye Clinic. No examinations are required.

8.5. The Contractor shall be required to submit the following within 30 business days after task order award:

· Optician Resume

· Optician Licenses

· Other information required for Optician Background Investigations

· Submit the Health Care Personnel COVID-19 Vaccination Form, VA Form 10-263 (See Appendix B of the Directive) to Employee Occupational Health (EOH).

· If a VHA HCP is vaccinated at a VHA location, by VHA EOH, they are not required to complete and submit VA Form 10-263 to EOH.

· If a VHA HCP is vaccinated outside of EOH and has submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they are not required to complete and submit VA Form 10-263 to EOH.

· If a VHA HCP is vaccinated outside of EOH, but has not submitted acceptable and complete documentation of vaccination, as prescribed in Appendix A, to EOH, they must complete and submit VA Form 10-263 to EOH with all required documentation and within the timelines as prescribed in this directive.

· If a VHA HCP is exempt from COVID-19 vaccination for medical or religious reasons, they must complete the COVID-19 Vaccination VA Form 10-263 (Appendix B), declaring the exemption and acknowledging the requirement to wear a face mask when under conditions in the work environment described (See Appendix A, paragraph 5.a and Appendix B).

8.6. HHS/OIG: To ensure that the individuals providing services under this contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the contractor is required to check the Health and Human Services – Office of Inspector General (HHS/OIG), Lists of Excluded Individuals/Entities on the OIG Website (www.hhs.gov/oig) for each person providing services under this contract. Further the contractor is required to certify in its proposal that all persons listed in the contractor’s proposal have been compared against the OIG list and are NOT listed. During the performance of this contract the Contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities.

8.7. An On-Site Fitter, (Optician) is currently projected to be required as follows (To be ordered via task order): Note: As projected clinics are opened, the resulting contract will be modified to include Opticians to provide services at those locations. Furthermore, Optician quantities are estimated based on current need and level of service, and may change at the task order level:

Amarillo, TX 79106 8:00am – 4:30pm (CENTRAL)

Big Spring, TX 79720 8:00am – 4:30pm (CENTRAL)

Dallas, TX 75216 8:00am – 5:00pm (CENTRAL)

Bonham, TX 75418 8:00am – 4:30pm (CENTRAL)

Tyler, TX 75701 8:00am – 4:30pm (CENTRAL)

Fort Worth, TX 76119 8:00am – 4:30pm (CENTRAL)

Garland, TX 2300 Marie Curie Blvd.

Garland, TX 75042 8:00am – 4:30pm (CENTRAL)

San Antonio, TX 78229 8:00am – 4:30pm (CENTRAL)

San Antonio, TX 9939 State Hwy 151 San Antonio, TX 78251 8:00am – 4:30pm (CENTRAL)

Temple, TX 76504-7451 8:00am – 4:30pm (CENTRAL)

Harlingen, TX 78550 8:00am – 4:30pm (CENTRAL)

El Paso, TX 79930-4211 8:00am – 4:30pm (CENTRAL)

Kerrville, TX

Pre-approval from the Contracting Officer is not required for the contractor to work up to 30 minutes outside of the optical shop’s closing time. Any time in excess of 30 minutes requires pre-approval from the Contracting Officer. Please be advised that Optical Shop Hours may be modified to support the Optical Program. NOTE: In instances where Veterans are still waiting for service at the time the optical shop is scheduled to close, pre-approval from the Contracting Officer is not required for the contractor to work up to 30 minutes outside of the Optical shop’s closing time. Over-time will be approved for this additional 30 minutes. Please be advised that Optical Shop Hours may be modified to support the Optical Program.

The parties agree that such personnel shall not be considered VA employees for any purpose and shall be considered employees of the contractor. Any subcontractor used by the contractor for the provision of services required under this contract shall meet the same qualifications specified herein for the contractor. The contractor shall obtain approval from the Contracting Officer for any subcontractors to be utilized for the provision of services required under this contract.

8.5 No work can be performed at a VA facility by the (Fitter) Optician without initiation of a background investigation, regardless of whether or not the background investigation delays the effective date.

8.6 The contractor is responsible for ensuring proper/ planned coverage for fitters in the event of sick leave, planned vacations. In the event of non-availability of contract fitter(s) for more than one work day, the contractor will immediately contact the VA COR and informing them of the fitter(s) absence and provide the name of the authorized individual that will fill in until the customary contract staff fitter(s) returns to duty. Within 30 business days of task order award, but prior to the effective start date of the task order, the contractor will identify both the customary staff fitter(s) and a backup staff fitter to allow all background checks to be completed. The VA specified COR will be informed by the contractor within 4 hours, should the customary contract staff fitter call in sick for one workday or less. The Contractor will inform the COR(s) at a minimum by e-mail.

8.7 All employees assigned as fitters shall complete annual training required by VHA policy including privacy/HIPPA training, cyber security training and any other training specified by the COR at contractor expense via the internet. This includes a background security check initiated before performing any work. This applies to all contract employees requiring any type of IT access. This includes all fill-in personnel.

8.8 Each contract employee is required to have their own access/password (including fill ins) before beginning work under this contract. NOTE: This password is not to be shared with another person. When contract employees exit, the applicable VA specified COR will contact the Information Rights Management (IRM) help desk and request disabling of the contract fitter(s) access/password.

8.9 Holidays: The eleven holidays observed by the Federal Government are:

And any other day specifically designated as a national holiday by the President of the United States.

Contractor employees to include subcontractors are not required to work on federal holidays or any other day specifically declared by the President of the United States to be a national holiday.

*** “When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday. When a holiday falls on a Saturday, the preceding Friday is observed by U.S. Government agencies.

See attached document: 36C25721R0087 - Conformed Solicitation 0004.

See attached document: VHA Directive 1193 Coronavirus Disease 2019 Vaccination Program for VHA Health Care Personnel (HCP) 02.