36C25722Q0080 0002.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)

36C257-21-AP-3500

None 36C257 Department of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources Branch I 11495 Turner Road El Paso TX 79936-1372 Nesha Nelson - (915) 217-1250 nesha.nelson@va.gov 36C257 See block # 6

To all Offerors/Bidders

36C25722Q0080 12-08-2021

X X X

10:00 AM ET, 03/21/2022

To be funded by Individual Task Orders X The purpose for this amendment is to update the solicitation due date, Schedule of Services, Performance Work Statement, ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS, and 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014).

a. Solicitation due date has been extended to 03/21/2022 at 10:00 AM ET.

b. See continuation pages for Schedule of Services, Performance Work Statement, Addendum and evaluation for updates.

c. All other terms and conditions remain in full force and effect.

Carlos Jaquez Contracting Officer

B.2 SCHEDULE OF SERVICES

Period of Performance

Base Year: March 26, 2022 through March 25, 2023

Base Year Total

Option Year One: March 26, 2023 through March 25, 2024

Option Year One Total

Option Year Two: March 26, 2024 through March 25, 2025

Option Year Two Total

Option Year Three: March 26, 2025 through March 25, 2026

Option Year Three Total

Option Year Four: March 26, 2026 through March 25, 2027

Option Year Four Total

Grand Total: $__________________________

B.3 PERFORMANCE WORK STATEMENT

2.1.1. The Contractor’s personnel assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in the State of Texas or a Multi-state License recognized in Texas when services are performed onsite on VA property. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. The qualifications of such personnel shall also be subject to review by the VAMC Clinical Executive Board, Chief of Staff, and approval by the VAMC Director. Each person assigned by the Contractor to work under this contract shall be licensed by the governing or cognizant licensing board.

2.1.4. Credentialing and Practice/Privileging

2.1.4.1. The Registered Nurse(s) trained in Hemodialysis shall maintain credentialing requirements and notify the COR and Privileging and Credentialing Officer within twenty-four (24) hours of Contractor’s discovery of personnel not in compliance.

2.1.4.2. The Registered Nurse(s) trained in Hemodialysis is required to report to the Contracting Officer within twenty-four (24) hours of Contractor’s discovery any disciplinary action taken by the State Board or the institution against the Registered Nurse(s) trained in Hemodialysis performing under this contract.

2.1.4.3. The Contractor is responsible to provide complete and timely documentation to support the Credentialing and Privileging Process. Evidence of completion of required licensure, credentials, required training and current competencies shall be received by the VA credentialing office. The Registered Nurse(s) trained in Hemodialysis must be able to pass the VAMC’s credentialing process in accordance with the Department of Veterans Affairs’ guidelines and regulations. All information required for credentialing shall be provided in a timely manner.

2.1.4.4. The credentialing and privileging of all contract providers will comply with Veterans Health Administration (VHA) Handbook 1100.19 – Credentialing and Privileging. http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910.

2.1.4.5. VetPro is VHA’s electronic credentialing system and shall be used for credentialing all Registered Nurses who are selected to provide services for this contract. Re-credentialing and reappointment shall occur annually. Current contracted registered nurses must supply credentialing information at least 30 days prior to expiration to allow for VetPro renewal and approval.

4.8. The Contracting Officer will ensure that the Contractor provides evidence that investigations have been completed or are in the process of being requested. Commencement of background investigations must be validated by the Contracting Officer for all contracted Registered Nurse’s referred to perform services under this agreement prior to providing direct patient care.

SECTION E - SOLICITATION PROVISIONS

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS

D. SPECIFIC INSTRUCTIONS

1.3. Sub-Factor C Equipment Capability: Provide the following information detailing how the offeror will meet the requirements of the solicitation.

1.3.1. Submit the manufacturers literature of the equipment and supplies being proposed.

1.3.2. Submit equipment maintenance, upkeep, and upgrade procedures; describe equipment details and backup plan if equipment fails. Identify the maintenance schedules of all equipment that are reflective of manufacturers’ recommended timetables. The offeror shall include their Standard Operating Procedures concerning equipment upkeep.

1.3.3. Submit the plan for scheduled maintenance and upkeep on the Water Treatment System.

E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

1.3. Sub-Factor C Equipment Capability: Provide the following information detailing how the offeror will meet the requirements of the solicitation.

1.3.1. Submit the manufacturers literature of the equipment and supplies being proposed.

1.3.2. Submit equipment maintenance, upkeep, and upgrade procedures; describe equipment details and backup plan if equipment fails. Identify the maintenance schedules of all equipment that are reflective of manufacturers’ recommended timetables. The offeror shall include their Standard Operating Procedures concerning equipment upkeep.

1.3.3. Submit the plan for scheduled maintenance and upkeep on the Water Treatment System.

End of Document