36C25726Q0488 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 13

None

36C257

Department of Veterans Affairs Network Contracting Office (NCO) 17 Central Texas Veterans HCS 1901 Veterans Memorial Dr.

Temple TX 76504

36C257

Department of Veterans Affairs Network Contracting Office (NCO) 17 Central Texas Veterans HCS 1901 Veterans Memorial Dr.

Temple TX 76504

To all Offerors/Bidders

36C25726Q0488

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 06-16-2026 10:00 CDT

See CONTINUATION Page

1. The purpose of this amendment is to post answers to questions submitted by vendors.

2. See attached consolidated, follow up questions with answers included.

3. See attached revised Price/Cost Schedule.

4. Quotes are due No Later Than 6/16/2026 at 10:00 AM CST via email only to jennifer.stringer@va.gov.

Jennifer Stringer Contracting Officer

SF30 CONTINUATION PAGE

Consolidated, Follow Up Questions for ELP Home Oxygen Bridge (36C25726Q0488)

Note: Follow up questions in blue. Answers to follow up questions in red text, highlighted in yellow.

• 3.9 Oxygen Cylinder Refill Stations o Q: May the Government please confirm a maximum of two (2) self-fill cylinders are to be provided with each system?

VA Answer: Depending on the Liter Flow in the prescription, it should be max of 6, with provided replacement tanks per visit.

• Follow-up Question:

o The Government states a max of 6, with provided replacement tanks per visit.

Q: With a self-fill system, patients are able to fill the cylinder(s) from their Home Oxygen Concentrator. The system replaces the need for routine cylinder deliveries to the patient(s). May the Government please clarify if it is their intent for the contractor to switch the self-fill cylinders on a routine basis? Only Liquid Oxygen is to be made available for self-fill. Yes, the government intends for the contractor to switch the self-fill containers on a regular basis.

• 3.14 Government Owned Equipment The Contractor shall return Government-owned equipment to the VA in terminally cleaned condition for repairs, replacement, or disposal as appropriate. Government furnished equipment shall be handled in accordance with FAR 52.245-1 Government Property.

o Q: May the Government please clarify what Government Owned Equipment is expected for this short-term bridge contract?

VA Answer: There is to be no Government Owned Equipment for this contract. All equipment is to be vendor owned.

• 3.19 Stock Storage… The Contractor shall maintain a minimum of (1) 800+ SF storage facility within 35 miles of each VAMC included in the Region.

o Q: May the Government please clarify this requirement, as this is only asked when Government Owned Equipment is to be stored at a Contractors facility.

(please see question from section 3.14) Follow-up Question:

• A response to the question submitted prior to the due date allowed for questions was not received with the Amendment 0002. May the Government confirm if an additional amendment is to be expected? An amendment will publish the answers contained in this document. There is no Government equipment involved in this contract; thus, no space will be needed at contractor facilities for Government equipment.

• Item 0003 Rental portable concentrator setup with backup system consisting of compressed gas source, regulator, stand (nasal cannula or mask and humidifier, when specified.) Concentrator shall have a flow rate capacity up to

10LPM

o Q: This line item appears to be a duplicate of Item 0002. May the Government please confirm if this is a separate requirement?

VA Answer: CLINs 0002 and 0003 were copied from the previous contract (36C25723D0059) and should read as follows:

• VA Answer: 0002 with HCPCS E1390 is for a stationary concentrator which offers a liter flow of up to 10 LPM.

A Answer:

0003 appears to have the incorrect HCPCS. It should be HCPCS E1392 for a portable oxygen concentr ator o Q uestion: Portable oxygen concentrators (POCs) do not currently exist that deliver 10 Liters Per Minute (LPM) of continuous flow; 10 LPM devices are stationary home concentrators weighing 30–50+ lbs. Can you please clarify what you are requiring with this line item?

o VA Answer: This should read “Rental stationary concentrator to be up to 20 LPM. Back up, is to be tanks that can sustain 10 LPM.

Follow-up Question:

• Stationary concentrators are only available in 5 LPM or 10 LPM. May the Government please clarify if this CLIN will be removed, as there are no 20 LPM concentrators available in the industry? Can be changed to 5 or 10 LPM.

Anything higher required to be in a medical facility. Please see revised Price/Cost Schedule.

• Item 0004 Rental Portable Concentrator System (compressed gas source) shall provide a minimum of 92% (+/-

3%) oxygen concentration at all flow settings. Weight <20 lbs. w/Power. FAA approved for flight o Q: May the Government please clarify this requirement, as a POC is not a compressed gas source?

Compressed gas is provided via a cylinder/tank.

VA Answer: Portable Oxygen Concentrator is battery operated. Portability is to be the compresses gas cylinders with conserving device. See revised Price/Cost Schedule.

o Question: A compressed gas source would be a cylinder, not a portable concentrator. Can you please clarify what you are requiring with this line item?

VA Answer: This is to be “equivalent to compressed gas source.

• Follow-up Question:

o The updated CLIN states “Portability is provided by compressed gas cylinders with conserving device. A POC is used for portability purposes, in place of a compressed gas source. May the Government please clarify the updated description? The Government does not require a POC and a compressed gas source simultaneously.

o The Government is requiring a portable oxygen system that performs the same function as compressed gas cylinders.

o Vendors may meet this portable requirement either with a POC or with compressed gas cylinders + conserving device, depending on patient need and the solicitation’s pricing structure. Please see revised Price/Cost Schedule.

• Item 0005 Rental Self-Filling Oxygen Concentrator: Single piece concentrator with capability to refill portable oxygen cylinder.

o Q: May the Government please confirm a maximum of two (2) self-fill cylinders are to be provided with the system?

VA Answer: Yes. Only for Liquid O2 patients. See revised Price/Cost Schedule.

o Question 1: What size cylinders are you requiring with this line item?

VA Answer: “H” tanks, “E” tanks, and/or “M” tanks. See revised Price/Cost Schedule.

o Question 2: How many cylinders are required under this line item?

VA Answer: One “E” tank for back up, and it’s hard to identify the number of tanks will be needed. This is to be identified against the prescription sent in; LPM.

• Follow-up Question:

o A self-filling oxygen concentrator system is not the equivalent of a Liquid O2 system. For a self-fill system, the cylinder sizes available are M6 (B) or M9 (C).

The updated description for this CLIN includes Liquid O2, H, M and E tanks, which are not part of a self-filling oxygen concentrator system. May the Government please consider updating the description to remove the Liquid O2, H, M and E? Liquid cannot be taken off. Please leave as is. Please see revised Price/Cost Schedule.

• Item 0020 Nebulizer Compressor with four handheld nebulizers o Q: May the Government please confirm if the nebulizer provided will be borne of the contractor or delivered from VA stock?

VA Answer: Nebulizers are provided directly by the VA to the Veteran from VA stock. The vendor will not be responsible for delivering nebulizers. Item 20 will be removed from Price/Cost Schedule. See new Price/Cost Schedule attached. See revised Price/Cost Schedule.

• Follow-up question:

o The Fee Schedule received with Amendment 2 reflects CLIN 0020 for the

Nebulizer. May the Government confirm if an additional amendment is expected, removing CLIN 0020? This is to be removed. Requested from previous questions. NO NEBULIZERS as we have them in stock at VA location. See revised Price/Cost Schedule.

• CLIN 0034 – “Travel Tank.”

o Question: Can you please provide a description of what you are requesting with this line item?

VA Answer: Travel tank is if a veteran is in need of a tank whether “e” “m” or whichever for local travel.

• Follow-up question:

o Is it the Government’s intent for the contractor to only provide E (portable tank) or M (stationary tank) for travel patients? Travel is to be understood as portability. Travel is to be in a Portable Oxygen Concentrator issuance. The M tank comes with what is called a conserving device, so it provides the oxygen that is in the tank. The M tank lasts about 4 hours, so typically patients on these takes about 3 or 4 with them when going around town, errands, appointments, leisure, etc. So, it is labeled as portability. See Revised Price/Cost Schedule.

• Question: Is this performance requirement to be billed under line item 0026 – “Additional Certified Respiratory Therapist (CRT) Registered Respiratory Therapist (RRT) or Registered Nurse (RN) visit.”? If not, then how will we bill for the 90-day visits and 30-day visits?

o VA Answer: Yes. This will fall under “Additional Certified Respiratory Therapist (CRT) Registered Respiratory Therapist. Line Item 0026, which included RRT and RN. See revised Price/Cost Schedule.

Follow-up Question:

• The unit for CLIN 0026 now reflects “HR”. Is it the Government’s intent for the contractor to bill the 30-day or 90-day visits in hourly increments in lieu of a service fee of “EA”? I cannot answer this as we are not familiar with what this is. Changed back to EA. See Revised Price/Cost Schedule.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

8.00 MO __________________ __________________

Rental Concentrator with backup system consisting of compressed gas source, regulator, stand (nasal cannula or mask with 2 firesafe cannula valves (or equivalent); and humidifier (when specified.) Concentrator shall have a flow rate capacity up to 5LPM. HCPCS: E1390 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027 PRINCIPAL NAICS CODE: 621610 - Home Health Care Services PRODUCT/SERVICE CODE: Q201 - Medical - Managed Healthcare

Rental Concentrator setup with backup system consisting of compressed gas source, regulator, stand (nasal cannula or mask and humidifier, when specified.) Concentrator shall have a flow rate capacity up to 10LPM (High Liter Flow). HCPCS: E1390 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental stationary concentrator setup with backup system consisting of compressed gas source, regulator, stand (nasal cannula or mask and humidifier, when specified.) Concentrator shall have a flow rate capacity up to 20 LPM. Back up tanks should sustain 10 LPM. (High Liter Flow).

HCPCS: E1390

Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

The contractor shall provide a portable oxygen delivery system that ensures continuous oxygen therapy during patient mobility. The system must meet the requirements listed below. The contractor may satisfy this requirement using either a Portable Oxygen Concentrator (POC) or compressed gas cylinders with a conserving device, provided the selected solution meets all performance and portability specifications.

Minimum Technical Requirements:

Oxygen Delivery Performance--Must deliver a minimum oxygen concentration of 92% (+/- 3%) at all available flow settings.

Weight and Power--The portable system shall weigh less than 20 lbs including batteries or required accessories. Must be battery-operated and include all batteries necessary for normal portable use.

FAA Compliance--The portable oxygen system shall be FAA-approved for air travel.

Portability Requirement (Equivalent to Compressed Gas Source)--

The system must provide portable oxygen capability equivalent to that of traditional compressed gas cylinders used with a conserving device.

To meet this requirement, the contractor shall provide one of the following:

A: A Portable Oxygen Concentrator (POC) meeting all specifications above; or B: Compressed gas cylinders with a conserving device, provided as the portability method when a POC does not meet patient-specific and clinical requirements. HCPCS: E1392 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental Self-Filling Oxygen Concentrator: The contractor shall provide a self-filling oxygen concentrator system capable of generating oxygen and refilling compatible portable cylinders for patient use. This system is required for patients who qualify clinically for a self-fill system and for patients who require Liquid Oxygen (LOX) support, as directed by the ordering clinician.

Minimum Technical Requirements:

1. Equipment Configuration--A single-piece stationary oxygen concentrator that produces oxygen and is capable of refilling portable oxygen cylinders designed for use with the specific self-fill system.

2. Self-Fill Cylinders--The system shall include up to two (2) self-fill portable cylinders, when prescribed, for patients authorized for self-fill use. Acceptable self-fill cylinder sizes are those compatible with the contractor’s self-filling device (typically M6/B or M9/C size cylinders).

3. Liquid Oxygen (LOX) Compatibility Requirement--Because some patients under this CLIN may require Liquid O2, the contractor must also be capable of providing LOX equipment when clinically required. LOX equipment may include LOX reservoirs and portable LOX units, with sizes determined by prescription.

4. Cylinder Size Clarification--For self-fill systems: Cylinder sizes must be the sizes compatible with the specific self-filling concentrator (commonly M6/B or M9/C). For LOX patients: The contractor may be required to provide LOX portable units and backup cylinders (e.g., E, M, or H) as prescribed. These sizes are determined by patient flow rate and clinical need.

5. Quantity of Cylinders--Self-fill patients:

Up to two (2) self-fill cylinders shall be provided when prescribed.

--LOX patients:

Quantity of LOX portable units or backup cylinders is prescription-dependent (e.g., based on liters per minute). At minimum, one E-size backup cylinder may be required when clinically indicated.

HCPCS: K0738

Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Stationary setup. Cylinder, size H, K, M60, or J set-up consisting of regulator, flow meter, safety stand, humidifier, and disposable supplies (emergency back up system or as primary). *Note: This is a monthly rental line item. HCPCS: E0424 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental Portable system consists of “E”, “D”,"C" or “B” (M6) size aluminum (or equivalent weight metal) cylinder with regulator, flow meter, handcart, pouch and disposable supplies. Not included with concentrator set-up. HCPCS: E0431 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental Demand Pulse Conserver Device (not included with any above set-up rate) not less than a 5:1 ratio or 60ML/pulse. HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

5,393.00 EA __________________ __________________

Cylinder, size “B(M6)” refill for Line Item 0007 above. Aluminum (or metal of equivalent weight) tanks required. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

1,750.00 EA __________________ __________________

Cylinder, size “C” refill for Line Item 0007 above. Aluminum (or metal of equivalent weight) tanks required. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

132.00 EA __________________ __________________

Cylinder, size “D” refill for Line Item 0007 above. Aluminum (or metal of equivalent weight) tanks required. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

5,738.00 EA __________________ __________________

Cylinder, size “E” refill for Line Item 0007 above. Aluminum (or metal of equivalent weight) tanks required. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Cylinder, size M60 refill. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Cylinder H refill. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Cylinder, size K refill. HCPCS: E0441 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Cylinder, size J refill (1320mm x 229mm diameter, full weight 78 kg, normal contents is 6800L.). HCPCS: E0441 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

8 Cylinder Safety Rack. Rental line item. HCPCS: E1355 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

E Tanks at VAMC. (Required E tanks for urgent situations at the facility.

No rack nor cart needed.) HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

B (M6) Tanks at VAMC. HCPCS: E0443 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental liquid oxygen system (90 –110 lbs) with stationary reservoir with ancillary supplies per beneficiary.. HCPCS: E0439 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental portable liquid oxygen system consists of the portable unit that is filled from the reservoir. HCPCS: E0434 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Rental portable liquid oxygen system with conserving devise and consists of large reservoir and portable unit that is filled from the reservoir.

HCPCS: E0434

Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

2,670.00 EA __________________ __________________

Liquid oxygen per pound. HCPCS: E0442 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Emergency Set up within 4-hour discharge from hospital (for expedited services). HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

2,800.00 EA __________________ __________________

Additional Certified Respiratory Therapist (CRT) Registered Respiratory Therapist (RRT) or Registered Nurse (RN) visit. HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Travel Coordination (O2 and equipment) fee per trip (not including cost of equipment/supplies). HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Concentrator Set-up by RT/RN @ hotel. HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Concentrator Pick-up @hotel. HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Portability Tank. Based on Veteran need--E or M tank for local travel.

HCPCS: E1399

Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Trip Charge Area A (0-50 miles). HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Trip Charge Area B (51-100 miles). HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Trip Charge Area C (100-200 miles). HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Area D Mileage Charge Per Mile Beyond 200 Miles. HCPCS: E1399 Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

Ventilators (primary and backup) including all supplies. *Note: This is a rental line item for the machine and purchase of supplies from contractor.

HCPCS: E0450

Contract Period: Base POP Begin: 07-01-2026 POP End: 02-28-2027

GRAND TOTAL __________________