36C25919R0175-0002000.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) 09-04-2019 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

750 NE 13th Street, Suite 230 Oklahoma City

OK

73104 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

750 NE 13th Street, Suite 230 Oklahoma City

OK

73104 To all Offerors/Bidders

36C25919R0175 09-12-2019

X X

See CONTINUATION Page X The purpose of this modification is to add a Training Line item number 0007 and to revise 3 sections of the Performance Work Statement.

All other terms and conditions as posted in the original solicitation remain unchanged

Leigh A Nunn Contracting Offficer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

HEMODIALYSIS REGULAR BASE RATE - WORKING HOURS

HEMODIALYSIS TREATMENTS - MULTIPLE

HEMODIALYSIS BASE RATE AFTER HOURS AND WEEKENDS LOCAL STOCK NUMBER 623.5

DELAY INITIATION DUE TO HOSPITAL ISSUES

EQUIPMENT MAINTENANCE (MONTHLY)

ANCILLARY CHARGE - 2 TIMES PER YEAR - MUST GO THROUGH COR FOR APPROVAL PRIOR TO PROVIDING

TMS Hours for Education/ Training for up to 10 qualified dialysis staff

A.2 DELIVERY SCHEDULE

200.00

50.00

90.00

140.00

12.00

2.00

3.00

ACUTE HEMODIALYSIS SERVICES

EASTERN OKLAHOMA VA HEALTH CARE SYSTEM

MUSKOGEE, OKLAHOMA

Performance Work Statement (PWS) Revisions:

The following three (3) sections of the PWS have been revised as follows:

1. The contractor shall perform hemodialysis services to beneficiaries of the EOVAHCS facility, utilizing contractor’s staff and equipment. The contractor shall provide the necessary qualified dialysis nursing staff to perform and supervise all inpatient hemodialysis treatments.

Not to exceed 10 qualified dialysis nurses.

2. e. Required Training – Contractors shall complete computerized initial and annual training, provided by the Contracting Officer’s Representative (COR), required in accordance with contract services provided. Training includes:

*The following training classes have been removed in their entirety from the PWS.

Mission Act TMS Modules VA 4504997 - Eligibility 101 VA 4504999 - Urgent Care 101 VA 4507398 - What’s new in Community Care VA 38464 -Decision Support Tool (DST) Complete Overview VA 38465 - Eligibility 201 (Detailed Process Training) VA 38466 - Emergency Care Reimbursement 101 VA 38480 - Veteran Care Agreements (VCA) 101 VA 38438 - MISSION Act Urgent Care in Clinical Contact Centers VA 38471 - An Overview of Community Care VA 38474 - Provider Exclusionary Management (PEM) VA 38475 - Urgent Care 201

3. FAR 52.212-1 Instructions to Offerors Addendum Revision-

The following area of FAR 52.212-1 Instructions to Offerors Addendum- Technical Evaluation Criteria has been revised as follows:

Added- Factor 3 Price

· Offeror must provide hourly salary breakdown of all candidates submitted in order for the government to be able to pay cost on the training line item