36C26018Q0200-00001000.docx

36C26018Q0200 00001

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 ITE M 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 r eference 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) 00001 05-21-2018 none 663A Department of Veterans Affairs Network Contracting Office 20 1495 Wilmington Drive, Suite 360 DuPont WA 98327 663A Department of Veterans Affairs Network Contracting Office 20 1495 Wilmington Drive, Suite 360 DuPont WA 98327 To all Offerors/Bidders

36C26018Q0200 04-25-2018

X X X See CONTINUATION Page

THE PURPOSE OF THIS

AMENDMENT IS TO POST QUESTIONS AND ANSWERS.

A. Questions and Answers begin on page 2.

B. Use the resulting Revised D.2 Price Worksheet for your price quote (attached).

C. There are no other changes to the solicitation as a resul t of this amendment, and all other terms and conditions remain unchanged.

POC at Contracting, Darlene Anderson, 253-888-darlene.anderson4@va.gov

DARLENE ANDERSON

Contracting Officer

NCO2015L3-2479

CONTINUATION PAGE

Questions and Answers – Laser Services Question 1: I am hoping to find out if there is 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?

Answer 1: There is an incumbent contractor although its contract does not specify as many services. The contract number is VA260-15-P-0002.

Question 2: Specifically what technology is needed to complete the requested cases? For instance, do the Holmium cases need to be done on a 60 watt or higher laser?

Answer 2: We have listed the laser technologies that have been specifically requested by our surgeons; however, we wish to keep the list intentionally open to allow for new technologies, or technologies that our surgeons have not previously considered. In light of changing technologies and updated practices, our surgeons would prefer to review what is available for use and at what levels these technologies are available.

Question 3: ESWL is listed in the notes but not in the case quantities on page 62, how many cases if any are included for ESWL?

Answer 3: ESWL is now included for anywhere from zero to approximately 3 per year – this is for backup purposes only. Should the VA’s new equipment fail, then more cases would be requested.

Transmyocardial Laser revascularization (TMR), qty 60 is also added to the Price Worksheet and PWS.

Please use the attached revised D.2 PRICE WORKSHEET for your quote.

Performance Work Statement (PWS) paragraph 1.0 is changed to include ESWL and TMR.

1.0 Scope of Work: Surgical Services at the Puget Sound Health Care System (PSHCS) requires a contractor to provide rental of: ESWL, Cyber TM High Power (Thulium), Cyber TM Scope, Holmium Laser, Microsurgical KTP Laser, Omniguide (brand name or equal) CO2 with additional fibers, CO2 Laser, GreenLight (brand name or equal) Laser, MoXy (brand name or equal) fiber, Continuous Flow Cystoscope, ESWL, and or Transmyocardial laser revascularization (TMR), with a technician to run the equipment and to provide technical support during the procedure. Laser services not listed above will be considered within the scope of this contract and may be added via contract modification by creating additional sub Contract Line Item Numbers (CLIN) and prices; this will be negotiated between the VA Contracting Officer and the contractor before these potential additional laser services can be ordered.

Question 4: Per page 73 Part III, “Note” it appears we will only bill for services rendered, please verify this will be applied for services rendered below and above the estimate.

Answer 4: Yes. This solicitation will result in a VA Indefinite Delivery Indefinite Quantity contract (Solicitation, page 1, Block 20.) The quantities of services are estimates only and are not purchased by the contract.

Question 5: By nature, surgical cases can only be estimated and are not exact. How do we guarantee we only bill for cases done if we are below what is estimated or bill for more cases if we are above what is estimated?

Answer 5: Solicitation Section B.5 contains the contract Minimum and Maximum.

Question 6: Different types of procedures can require a wide range of disposable items per case. How would we include these items in this RFP as each case, even if done with the same technology, may need different disposables?

Answer 6: The VA understands the need for disposables during laser procedures. Disposables will be covered under a separate agreement with the VA Logistics Service line after award. After award, the VA Contracting Officer’s Representative (COR) will require a full listing with cost information for all potential disposable items. These items will then go through a one-time vetting process prior to coming in to the hospital. The contractor’s Laser rep will be required to provide potential disposables at time of service. The VA will not stock or consign these disposables. Disposables will not be included as a billable item on this contract but will be invoiced separately.

Revised D.2 PRICE WORKSHEET

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Contract Period: Base POP Begin: 07-01-2018 POP End: 06-30-2023

Prices for Ancillary Services submitted on your Technical Subfactor 3, Ancillary Services submission (for example, less than 24-hour cancellation fee):