36C25919Q0087_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 ADM

INISTRATIVE 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 d ate 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 3

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

36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25919Q0087

X X X

X The purpose of this amendment is to post the Question and Answers as well as more attachments.

All other terms and conditions remain unchanged.

Pamela Barnes Contracting Officer

CONTINUATION PAGE

Question and Answers

1. Are you requesting to have the physical results reviewed by an MRO prior to submission to Montana VA Health Care System? I believe by MRO (Medical Review Officer) you mean AMO (Agency Medical Officer). Both titles can be the same person. And sometimes both titles are used interchangeably even when not the same person. They are not the same person for MTVAHCS. The MRO is the title used for the Drug-Free Workplace Program (DFWP). Our MRO is responsible for the review/sign off of urine drug testing. So, if your question refers to AMO, the answer is yes.

1. What specific drugs are you requesting to be tested? We test for the following illegal drugs under the DFWP: Marijuana, Opioids, Cocaine, Amphetamines, and Phencyclidine (PCP).

1. May a Nurse Practitioner or Physician Assistant perform the physical exam; as long as working under the direction of a Medical Doctor? Yes. This is our AMO.

2. Will the supervising physician be required to sign any documentation along with the NP or PA? Our AMO reviews/signs Part D of the OF178.

1. Can you please explain what is an “incoming courtesy request”? When another VA Station or Other Federal Agency requests our assistance in getting a pre-placement evaluation or pre-placement physical initiated.

1. What does a DEMPS exams entail? See attached document.

4. If possible, please provide appropriate ranges for the exam testing. When selected for actual deployment, the DEMPS volunteer will need a last minute medical clearance. At that time we can evaluate their current health status including current immunity status, where they are being deployed, what hazards they might face, whether or not they need any additional vaccinations and whether or not they are medically cleared for deployment.

1. Regarding the DECON exam, are you wanting a whisper hearing test or an actual audiogram? Whisper hearing test.

1. Please provide a job description for the Boiler Plant Operator, Firefighter, Police Officer and Volunteer to better understand each position. Attached.

See attached document: DEMPS Medical Clearance.

See attached document: Police Officer.

See attached document: Firefighter.

See attached document: Boiler Plant Operator.

See attached document: Volunteer.