36C25722Q0027 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) 36C671 Department Of Veterans Affairs Network Contracting Office 17 5441 Babcock Road Ste. 302 San Antonio

TX

78240 36C671 Department Of Veterans Affairs Network Contracting Office 17 5441 Babcock Road Ste. 302 San Antonio

TX

78240 To all Offerors/Bidders

36C25722Q0027 10-29-2021

X x The purpose of this amendment is to include FAR 52.223-99 and updated Statement of Work

VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

Dr. Vinicky Ann Ervin Ph.D.

Contract Specialist N/A Statement of Work Customizable Communication Platform VA Texas Valley Coastal Bend Health Care System 2601 Veteran Dr, Harlingen, TX 78550

General Information The VA Texas Valley Coastal Bend Health Care System (VATVCBHCS) in Harlingen, TX requires a service for a communication board system throughout the Health Care Center (HCC) and Community Based Outpatient Clinics (CBOC)s.

Contract Title: Customizable online patient health care communication system that utilizes digital signage and interactive screens.

Background: VATVCBHCS requires a service of a system that is interactive with both the patients and staff. In response to the COVID-19 pandemic, VATVCBHCS has been tasked to provide accurate and timely information and education, not only about COVID-19, but also important health and wellbeing messaging. Our facilities have been able to provide Veterans and the community a full range of primary, specialty and chronic health care services in a system that is readily accessible and responsive to change.

Scope of Work: The Veterans Experience Office (VEO) and the Public Affairs Office (PAO), underneath the Office of Director, remain committed to advancing Veterans’ health education by providing a contract for a digital patient health education system. The Veterans Experience Office believes that health education content has improved trust in the delivery of services, and would continue to improve compliance and improve success rates with national initiatives, such as Whole Health and Patient Centered Care. It is imperative that patients continue to manage their health; and it is our duty to remind them and deliver information that helps them do so.

Period of Performance: The period of performance (POP) of this contract shall consist of one twelve-month base period. At the discretion of the Contracting Officer (CO), the Government may exercise up to four, twelve-month option periods.

Type of Contract: Firm-Fixed Price

General Requirements Specific Task #1: Provide licenses as needed for unlimited access to an online patient health care education and health care system that is customizable to support all VATVCBHCS facilities. The health care education online patient health and care system is commercial (the government is not looking to develop a system), and is capable of providing the most trusted, meaningful and timely communication and education to patients and healthcare staff. Additionally, the online patient health and care system allows for unlimited capability to have custom messages created for use on waiting room monitors (ST#2). All monitors are capable of operating independently of the others.

Specific Task # 2: Provide maintenance and updates to the following supplies in waiting room and exam rooms throughout the VATVC BHCS:

Health care system exam rooms are equipped with interactive exam room touchscreen monitors that offers education to Veterans by any healthcare provider through multimedia functions within the interactive touchscreen that offers interactive anatomical by means of built in 3D models in an anatomy library within the interactive touchscreen online patient health and care system that also can be drawn on or written on to highlight certain areas of the anatomy. This same interactive touchscreen online patient health and care systems contains medical articles for managing health issues that can be emailed to Veterans or family members email address, as well as can ask Veterans to conduct patient survey’s or access their MyHealthyVet account. This can all be done within the exam room the Veteran is in.

Specific Task # 3: Provide training to new staff on use of the online patient health care and education system at all sites within the health care system at least once every six months. Provide training on updates and new technology with the online patient health care and education system as needed. Provide consultant service that is available 24/7 to assist with customer support for general assistance/questions related to the operation of the online patient health care and education system.

Specific Task # 4: Provide a warranty for the products as is industry standard for scope and duration.

Specific Task # 5: Provide combined licensing and support package for the health care education health care education online patient health and care system that will keep the account up to date and the health care education online patient health and care system functioning at 100% of its capability from the beginning from the online patient health and care system’s start-up through option period four.

Specific Task # 6: Provide all labor and hardware to maintain the functionality of the independent WIFI online patient health and care system throughout the medical for the online patient health and care system that run off independently. The monthly service charge for WIFI services shall be included into ST # 5 above.

Performance Monitoring: There will be a designated federal employee assigned by the COR to ensure that all equipment is installed and functioning correctly.

Place of Performance at the VATVCBHCS:

Health Care Center at Harlingen (HCC) 2601 Veterans Drive Harlingen, TX 78550

Harlingen Outpatient Clinic (HOPC) 2106 Treasure Hills Blvd.

Harlingen, TX 78550

Corpus Christi Outpatient Clinic (CCOPC) 5283 Old Brownsville Road Corpus Christi, TX 78405

Corpus Christi Specialty Clinic (CCSC) 205 S. Enterprize Parkway Corpus Christi, TX 78405

Laredo Outpatient Clinic (LOPC) 4602 N. Bartlett Ave.

Laredo, TX 78041

McAllen Outpatient Clinic (MOPC) 901 E. Hackberry Ave.

McAllen, TX 78503

Travel: The Government anticipates travel under this effort to perform the tasks associated with this contract. Contractor shall include all estimated travel costs in their firm-fixed price line items. These costs will not be directly reimbursed by the Government.

Changes to Statement of Work: Any changes to this SOW shall be authorized and approved only through written correspondence from the CO. Costs incurred by the contractor through the actions of parties other than the CO shall be borne by the contractor.

Security Requirements: N/A

Risk Control: If services and products do not conform to contract requirements, the Government may require the contractor to perform the services again in conformity with contract requirements, at no additional cost to the Government, if appropriate.

Period of Performance:

Base Year: 01 Jan 2022 - 31 Dec 2022 Option Year 1: 01 Jan 2023- 31 Dec 2023 Option Year 2: 01 Jan 2024- 31 Dec 2024 Option Year 3: 01 Jan 2025- 31 Dec 2025 Option Year 4: 01 Jan 2026- 31 Dec 2026

VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors 1.- Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, shall show proof of vaccination

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination

2) If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2.- Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the following website: COVID-19 Screening Tool. Regularly check the website for updates.

a. Contractor employees who work away from VA locations, but who will have direct patient contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3.- Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.”

The purpose of this amendment is to include FAR 52.223-99 and updated Statement of Work

VHA Supplemental Contract Requirements for Ensuring Adequate COVID-19 Safety Protocols for Federal Contractors

1. Contractor employees who work in or travel to VHA locations must comply with the following:

a. Documentation requirements:

1) If fully vaccinated, shall show proof of vaccination.

i. NOTE: Acceptable proof of vaccination includes a signed record of immunization from a health care provider or pharmacy, a copy of the COVID-19 Vaccination Record Card (CDC Form MLS-319813_r, published on September 3, 2020), or a copy of medical records documenting the vaccination.

2) If unvaccinated and granted a medical or religious exception, shall show negative COVID-19 test results dated within three calendar days prior to desired entry date. Test must be approved by the Food and Drug Administration (FDA) for emergency use or full approval. This includes tests available by a doctor’s order or an FDA approved over-the-counter test.

3) Documentation cited in this section shall be digitally or physically maintained on each contractor employee while in a VA facility and is subject to inspection prior to entry to VA facilities and after entry for spot inspections by Contracting Officer Representatives (CORs) or other hospital personnel.

4) Documentation will not be collected by the VA; contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

2. Contractor employees are subject to daily screening for COVID-19 and may be denied entry to VA facilities if they fail to pass screening protocols. As part of the screening process contractors may be asked screening questions found on the COVID-19 Screening Tool. Check regularly for updates.

a. Contractor employees who work away from VA locations, but who will have direct contact with VA patients shall self-screen utilizing the COVID-19 Screening Tool, in advance, each day that they will have direct patient contact and in accordance with their person or persons who coordinate COVID-19 workplace safety efforts at covered contractor workplaces. Contractors shall, at all times, adhere to and ensure compliance with federal laws designed to protect contractor employee health information and personally identifiable information.

3. Contractor must immediately notify their COR or Contracting Officer if contract performance is jeopardized due to contractor employees being denied entry into VA Facilities.