36C26118Q0536-0001000.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) 06-29-2018 N/A

612MCP

Department of Veterans Affairs VA Sierra Pacific Network (VISN 21) VA Northern California HealthCare System 5342 Dudley Blvd, Bldg 209 McClellan

CA

95652-2609

612MCP

Department of Veterans Affairs Department of Veterans Affairs VA Northern California HealthCare System 3230 Peacekeeper Way, Bldg. 209 McClellan

CA

95652-1012 To all Offerors/Bidders

36C26118Q0536 06-29-2018

X X July 9, 2018 at 11:00 am Pacific The purpose of this amendment is to revise the Performance Work Statements, add Quality Assurance Surveillance Plans, answer questions, revise evaluation criteria, and revise the Price Worksheet.

Please be sure to acknoweldge this amendment with quote submission.

Please see the following pages for specific details of this amendment.

Gary T. Basile Contracting Officer

CONTINUATION PAGE

Amendment A00001 36C26118Q0536 June 29, 2018

SUMMARY OF CHANGES

1. The SF 1449 will be revised to indicate one, one-year ordering period instead of two.

2. The Performance Work Statements (PWSs) are revised as of June 29, 2018.

3. The Quality Assurance Surveillance Plans (QASPs) are attached.

4. Answers are provided to questions received.

5. The evaluation criteria are amended.

QUESTIONS AND ANSWERS

Question 1: Will the Government please provide the times of the day required for the Call Pager on-duty hours?

Answer 1: On-call hours are the hours outside of regular business hours. Please see the revised PWSs for each labor category that defines the regular business hours.

Question 2: Is the Call Pager hours requirement specific to each of the specialty positions (ie Magnetic Resonance Imaging Technologist can only cover the Pager hours of that position?) or will all 5 specialty positions combined cover the total number of Call Pager hours?

Answer 2: The on-call pager hours are specific to each of the specialty positions. Please note the changes to the revised pricing worksheet.

Question 3: Given the hours of 2088 per position, are the positions required to have coverage when a Technician is out for Vacation, Sick Day, etc?

Answer 3: No, coverage is not required if the technician is out on sick leave for less than 3 days. However, please note the PWS requirement that if leave is longer than 3 days, then the contractor shall provide a qualified replacement.

Question 4: Will the government consider adding Level 2 & 3 hospital experience to the existing Level 1 requirement?

Answer 4: No.

Question 5: Will the Government consider changing the years of experience required from 5 years to 2 years?

Answer 5: No.

Question 6: Will the Government please tell us what type of Basic Cardia Life Support (BCLS) is allowed? ie American Heart Association, American Red Cross, etc.

Answer 6: Any BCLS certification is permitted.

Question 7: Will the Government please define the On-Call hours and/or provide a sample schedule?

Answer 7: On-call hours are the hours outside of regular business hours, and they vary for each position. Please see the revised PWSs.

Question 8: Will the Government please provide a copy of the QASP referenced in the PWS?

Answer 8: The QASPS are added with this amendment.

Question 9: Block 20 of the 1449 references "two one year ordering periods" but Section B.3 only reflects one. Please clarify.

Answer 9: That is a typo. The requirement is for one, one year ordering period.

Question 10. Para B.3 Price Schedule references aggregate value of $5M. I assume that is for each period so if the order is for two one year periods the aggregate will be for $10M. Please clarify.

Answer 10: No, the ceiling for the resulting contract will be $5M. Please the Government has chosen an Indefinite Delivery Indefinite Quantity contract, because it cannot say with any degree of certainty the exact number of hours of service required. The ceiling of $5M represents some amount higher than the anticipated value based on the estimated quantities to allow room for additional quantities over the estimates should the need be greater than anticipated over the next year.

Question 11: Page 9,81, 105 Para 2d Page 33,57, para 2c - Probationary Period. What are the implications if they pass the probationary period? With the California labor laws, I would recommend that this para be deleted. The VA always has the option throughout the contract to dismiss someone if they are not able to do the job. Reference page 10, para 2.1.3.6. Please clarify.

Answer 11: The Government will consider revising that language in the future in consultation with human resources. In the meantime, the language will remain unchanged.

Question 12: Page 10,35, 60, 84,108 para 2.1.7.2 - What are the OSHA requirements and VAMC memorandums that we need to track?

Answer 12: These sections in the PWS have been revised to indicate OSHA, Joint Commission, and CDC. Reference to VAMC memorandums has been removed. Please see revised PWSs dated June 29, 2018.

Question 13: Page 12, 36,61,84,108, para 2.1.7.8 - References "Physician"

Answer 13: Reference to “physician” has been deleted and changed to “personnel.” Please see revised PWSs dated June 29, 2018.

Question 14: Page 16,40,64, 88 para 3.1.1 - Work Schedule references an on call requirement. How was 1500 hrs calculated in the spreadsheet (CLINs 000Xe)? It seems low for this requirement. 16 off duty hours per day times 5 days/week times 52 weeks = 4,160 hrs/yr

Answer 14: Please see the revised price worksheet with updated estimated quantities. Some of the positions use VA employees for on-call and others are completely reliant on contractor support.

REVISED EVALUATION CRITERIA

E.8. ADDENDUM FAR 52.212-1 INSTRUCTIONS TO OFFERORS

Item 1 Experience is revised FROM: Identify experience providing Radiology Technologists in or around Palo Alto, California. If none, identify experience providing Radiology Technologists in general.

TO: Identify experience providing Radiology Technologists in or around Palo Alto, California. If none, identify experience providing Radiology Technologists in general. If none, identify experience as a health care staffing firm. Indicate if your company is certified with Joint Commission as a health care staffing firm. Certification is not mandatory.

E.9. VAAR 852.273-73 EVALUATION – HEALTH CARE RESOURCES

Item 1 Experience is revised FROM: The government will consider the experience indicated to see how recent and relevant it is to the current requirement. Experience that is considered recent (within the last 3 years) will be rated more favorably than those that are not recent. Experience that is considered highly relevant will be rated more favorably than less relevant experience. Experience providing staffing in the same geographic area as the current requirement will be considered more relevant than experience providing staffing in other geographic areas. Experience recruiting from the area local to the referenced project will be more favorable than providing travelling staff.

TO: The government will consider the experience indicated to see how recent and relevant it is to the current requirement. Experience that is considered recent (within the last 3 years) will be rated more favorably than those that are not recent. Experience that is considered highly relevant will be rated more favorably than less relevant experience. Experience providing staffing in the same geographic area as the current requirement will be considered more relevant than experience providing staffing in other geographic areas. Experience recruiting from the area local to the referenced project will be more favorable than providing travelling staff. Joint Commission certification as a health care staffing firm will be given positive consideration for evaluation.

See attached document: S06 Radiologic Technologist Mammographer (1).

See attached document: S06 Ultrasound Techs (4).

See attached document: S06 Computed Tomography (5).

See attached document: S06 Radiologic Technologist MRI (6).

See attached document: S06 Radiologic Technologists (4).

See attached document: S06 QASP-Mammograhy.

See attached document: S06 QASP-CT.

See attached document: S06 QASP-IR.

See attached document: S06 QASP-US.

See attached document: S06 QASP-MRI.

See attached document: S06 Price Worksheet.