36C26018Q0075-00002000.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

BY

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) 00002 12-11-2017 N/A Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver

WA

98662 Y Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver

WA

98662 To all Offerors/Bidders

36C26018Q0075 12-05-2017

X X X

1. The purpose of this modification is to respond to questions in regard to 36C26018Q0075.

2. Please refer to the Questions 1 - 9 for susbsequent revisions to the Performance Work Statement.

3. Submission time and due date remain unchanged.

4. VA POC for this amendment is Enshane H. Nomoto, at enshane.hill-nomoto@va.gov.

AMENDMENT 2

1. Is there an incumbent contractor currently performing these services or if this is a new requirement? If there is an incumbent, could you please provide the contract number?

YES – the current contract is VA260-17-P-0982.

2. In the solicitation, there is not a historical estimate of the transport volume. Can the VA provide simple counts for the BLS, ALS and CCT transports provided during the last 12-month period? The end user provided estimated trips for ONE YEAR:

· Base Rate for Basic Life Support (BLS) One-way only per trip: 1475 Trips

· Base Rate for Basic Life Support (BLS) Ambulance with Power Wheel Chair Lift and Lockdowns One-way only per trip: 65 Trips

· Base Rate for Advanced Life Support (ALS) Ambulance One way only per trip: 490 Trips

· Base rate for Critical Care Transport (CCT) Ambulance One-way only per trip: 455 Trips

· Emergent Ambulance Service PERCENTAGE ABOVE OR BELOW Medicaid Rates: 1,000 Trips

3. The solicitation makes reference to a “Basic Life Support (BLS) Ambulance with Power Wheel Chair Lift and Lockdowns” (Pg 9 of 79). Can you clarify the VA’s intended use of this vehicle? If it is for wheelchair transports, should the vehicle type be a wheelchair van as opposed to a BLS ambulance? We intend to use wheelchair transport for this agreement, but a wheelchair van is not an appropriate solution to this requirement. We expect transport to be an ambulance transport.

4. Is wheelchair transportation part of this solicitation? Yes.

5. EMT’s in Washington State are not trained to intubate as required under the BLS ambulance requirements on page 9 of 79. Can you clarify? The End User has removed the requirement, “EMTs certified to use cardiac defibrillators, perform emergency pharyngeal-tracheal lumen intubations,” for ALL BASIC LIFE SUPPORT. The expectation is that VA staff would do all of that before the EMTs pick up the Veteran.

6. Can the VA clarify the following statement from the B.3 PRICE/COST SCHEDULE, “Price list showing rates (with % applied) will be attached to each call placed on the agreement. What does the “%” refer to? We are expecting all rates to be in accordance with Medicaid, with an increase or discount provided by the vendor. Per the revised Price Schedule in Amendment 1, please indicate if there will be an increase or a decrease. Next to that, please indicate what, if available, the percentage will be of the increase or decrease to the Medicaid rate.

7. Background Criminal Checks and Investigations – Based on past experience providing services to the VA, the background check process it not a swift process and therefore with the contract start date of January 1, 2018, it will not be possible for a new provider to have all employees processed by the contract start date. How will this be addressed by the VA? – The PWS is revised to read: “The certification & authorization requirements do not apply, nor is a Security Accreditation Package required.”

8. What is the quantity for the unit hour price? The quantity is listed as 0.00 EA within the RFP. – Please refer to the revised price schedule, located in 36C26018Q0075 00001 of the solicitation. Estimated quantities are provided in response to Question 2, above.

9. Would the VA consider extending the solicitation response due date beyond the posted 12/13/2017 @ 12pm PST? - No. We have an aggressive schedule due to the current contract expiration date, which cannot be extended beyond 12/31/2017.

(End of Amendment Questions and Answers)