36C26119Q0278-0003022.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) none

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

36C26119Q0278 01-22-

X

This combined synopsis/solicitati on is hereby reactivated on 2/27 /2019 and extended through 3/18/2019.

All responses are due by 3/18/2019, 4:00 pm Pacific Time in accordance with attached revised synopsis/solicitation.

COMBINED SYNOPSIS/SOLICITATION FOR COMMERCIAL ITEMS

General Information

Description This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Federal Acquisition Regulation (FAR) subpart 12.6, “Streamlined Procedures for Evaluation and Solicitation for Commercial Items,” as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; quotations are being requested, and a written solicitation document will not be issued.

This solicitation is a request for quotations (RFQ). The solicitation document and incorporated provisions and clauses are those in effect through Federal Acquisition Circular 2005-101 (effective 26 Oct 2018).

This requirement is set-aside for small business.

The associated North American Industrial Classification System (NAICS) code for this procurement is 511210 with a small business size standard of $38.5 million average annual receipts.

The Department of Veterans Affairs, Veterans Health Administration, VA Palo Alto Healthcare System (VAPAHCS) intends to award a firm-fixed price contract for a mobile application with 2 (two) licensing option years for use in the Palo Alto Veterans Affairs Medical Center, Polytrauma System of Care Headache Center of Excellence.

All interested companies shall provide quote for the following:

Price-Cost Schedule

Products (including software, licenses)

Salient Characteristics:

· Mobile application to include Headache Diary for patients to log daily information on types of headaches, duration of headaches, symptoms, pain intensity, interventions, triggers, medication, activities, food and nutrition.

· Mobile application to allow providers to administer various patient surveys that can be customized. Surveys include but not limited to the following: sleep log, satisfaction surveys and clinical measures.

· Mobile application to allow posting educational materials.

· Mobile application to sync with various devices to include but not limited to:

· Wearables and apps to track activity/sleep. Data to capture number of steps, pace, miles, heart rate, sleep, trends over time.

· Of the various devices/apps supported, application required to support Fitbit, Garmin and Strava.

· Mobile application to allow providers to set reminders for any clinical/program survey to remind patients to complete requested surveys.

· Mobile application to allow providers to receive alerts in real time for any health concerns to better track and provide timely interventions.

· Providers should be able to view all data captured remotely from a clinician dashboard without requiring patient to travel to the clinic to share data from their personal mobile device.

· Clinician dashboard to be accessed via a web-based interface.

· Various providers should be able to access web-based interface. Providers include but not limited to a physician, nurse, case manager, psychologist.

· Patients to access their personal data via the mobile application and web-based interface.

· Providers should be able to view all data collected from application in real time.

· Application to support daily, weekly and monthly report views across all surveys and measurements collected.

· Application to generate reports and export data to excel.

· Optional: Application to support a separate group-based format with the following features:

· Administer a healthy living competition among group members. Competition includes tracking of points when patients complete healthy behaviors/personal goals, and both patients and providers can track the status of the competition during the course of the program.

· Circle of Support- Application to support messaging between program participants only.

· Perceived group volume in Base year for group-based format is approximately 40 patients.

· Application will need to support Android and iOS.

· Application to be made available for download on the app store for iOS and Android devices.

· The contractor will provide licensing software to be able to utilize application for patient and clinician use.

· Application and data captured/stored will need to be compliant with all VA policies and procedures, HIPPA, VA Information Security Office, Office of Information and Technology, other departments as deemed necessary by the VA.

· Data will be owned by the VA Hospital.

· Training and support to be onsite upon delivery of application.

· The contractor will provide ongoing technical and customer support as needed. Ongoing training and support can be provided remotely as deemed appropriate by the Contracting Officer Representative (COR).

· All other pertinent information shall be submitted to the VA POC, upon request.

Delivery Requirement Delivery/installation of fully functional mobile application shall be completed no later than 90 days after receipt of order/award of contract. Delivery terms are to be FOB Destination.

Delivery shall be to:

Palo Alto Veterans Affairs Medical Center, Polytrauma System of Care Headache Center of Excellence 3801 Miranda Ave Palo Alto, CA 94304

The base period mobile application delivery and base period licensing will be payable upon government acceptance of fully functional application platform. The fully-functional, government-accepted platform shall be delivered within 90 days of award.

Background The Veterans Administration granted VAPAHCS Polytrauma System of Care a Headache Center of Excellence in FY18. The Headache Center of Excellence (HCoE) provides care to patients with refractory headaches. The program provides an array of services including assessment, diagnosis, treatment and prevention.

This contract will meet the organization’s needs to enhance the Polytrauma Headache Center of Excellence for delivering quality and innovative care to Veterans and Servicemembers with a history of polytrauma or traumatic brain injury. The program is seeking a mobile application platform to aid patients in managing their own health. The application platform will allow patients and providers to customize a personalized plan and share health related data in real time. Mobile application will be used as a tool to support management of headaches and to support self-care behaviors. No patient sensitive information will be accessed or shared with contractor.

Expected volume is 200 patients during the base year and during each of the two option years.

The expected outcomes of utilizing the finished mobile application are:

The Contractor shall furnish all supplies, equipment, facilities and services required to perform work under this contract. The contractor shall perform to the standards established in this contract.

THE GOVERNMENT INTENDS TO MAKE AWARD BASED ON INITIAL QUOTES. ACCORDINGLY, VENDORS ARE ENCOURAGED TO SUBMIT THEIR INITIAL QUOTES BASED UPON MOST FAVORABLE TERMS, PRICES, TECHNICAL AND OTHER FACTORS.

Vendors shall provide a quote in two (2) separate volumes:

(a) Volume 1: Completed “Price-Cost Schedule” (found above) accompanied by vendor quote.

(b) Volume 2: Technical

Grey Market Prevention Language

Gray market items are Original Equipment Manufacturers (OEM) goods sold through unauthorized channels in direct competition with authorized distributors. This procurement is for new OEM medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts) for VA Medical Centers. No remanufactures or gray market items will be acceptable.

Vendor shall be an OEM, authorized dealer, authorized distributor or authorized reseller for the proposed medical supplies, medical equipment and/or services contracts for maintenance of medical equipment (i.e. replacement parts), verified by an authorization letter or other documents from the OEM, such that the OEM’s warranty and service are provided and maintained by the OEM. All software licensing, warranty and service associated with the medical supplies, medical equipment and/or services contracts for maintenance of medical equipment shall be in accordance with the OEM terms and conditions.

The delivery of gray market items to the VA in the fulfillment of an order/award constitutes a breach of contract. Accordingly, the VA reserves the right enforce any of its contractual remedies. This includes termination of the contract or, solely at the VA’s election, allowing the Vendor to replace, at no cost to the Government, any remanufactured or gray market item(s) delivered to a VA medical facility upon discovery of such items.

Evaluation of Quotes:

The Government will select the quote that represents the best benefit to the Government at a price that can be determined reasonable.

The Government will evaluate the following: Price, technical features, delivery schedule, and past performance.

Following receipt of quotes, the Government will perform a comparative evaluation of the products/services quoted in an impartial and simplified manner based on FAR Part 13. The Government will compare quotes to one another to select the product/service that best benefits the Government by fulfilling the requirement. The evaluation of Government requirements outlined in this request for quote will determine suitability.

Contractors may submit more than one quote; however, contractors are strongly encouraged to submit their best technical solutions and prices in response to this request for quote. VA may ask questions to one or more submitters, but is not obligated to do so. The Government may reject all quotes. Quotes deemed too expensive or not practical for VA will not be considered further and without notice to the submitter. The contracting officer and VA users may use any means available to examine past performance, such as contractor reliability and reputation and suitability of the product or service to meet the VA’s need. VA may discuss price or price discounts with the one or more submitters before awarding an order or rejecting all quotes.

Once the Government determines there is/are a contractor(s) that can provide a product/service that meet(s) the requirements of this request for quote, the Government reserves the right to communicate with only those contractors quoting the best-suited product/service to address any remaining issues.

The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that a quote is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror shall result in a binding contract without further action by either party. The Government may accept a quote (or part of a quote), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

This is an open-market combined synopsis/solicitation for the items described and defined in this combined synopsis/solicitation. The government intends to award a purchase order pursuant to this combined synopsis/solicitation that will include the terms and conditions set forth herein. To facilitate the award process, all quotes must include a statement regarding the terms and conditions as follows:

"The terms and conditions in the solicitation are acceptable to be included in the award document without modification, deletion, or addition."

OR

"The terms and conditions in the solicitation are acceptable to be included in the award document with the exception, deletion, or addition of the following:"

Quoter shall list exception(s) and rationale for the exception(s).

Submissions shall be received not later than March 18 2019, 4:00 pm Pacific Time. Emailed offers will be accepted. Late submissions shall be treated in accordance with the solicitation provision at FAR 52.212-1(f). All quotations shall be emailed to angela.xavier@va.gov .

Any questions or concerns regarding this solicitation should be forwarded in writing via e-mail to the Contract Specialist, angela.xavier@va.gov before March 14, 2019, 11:00 a.m. Pacific Time.

Point of Contact Angela Xavier, Contract Specialist, Phone: 916-923-4559, angela.xavier@va.gov

Contracting Office Address

NCO 21

3230 Peacekeeper Way Bldg. 209 McClellan, CA

The following provisions are incorporated into 52.212-1 as an addendum to this solicitation:

The full text of FAR provisions or clauses may be accessed electronically at http://acquisition.gov/comp/far/index.html.

The following solicitation provisions apply to this acquisition:

1. FAR 52.212-1, “Instructions to Offerors–Commercial Items” (JAN 2017)

2. FAR 52.212-3, “Offerors Representations and Certifications–Commercial Items” (NOV 2017)

Offerors must complete annual representations and certifications on-line at http://sam.gov in accordance with FAR 52.212-3, “Offerors Representations and Certifications–Commercial Items.” If paragraph (j) of the provision is applicable, a written submission is required.

The following contract clauses apply to this acquisition:

· FAR 52.212-4, “Contract Terms and Conditions–Commercial Items” (JAN 2017) The following clauses are incorporated into 52.212-4 as an addendum to this contract:

· 52.217-5 Evaluation of Options (JULY 1990)

· 52.219-6 Notice of Total Small Business Set-Aside (NOV 2011)

· 52.232-50 Providing Accelerated Payments to Small Business Subcontractors (DEC 2013)

· VAAR 852.203-70 Commercial Advertising (JAN 2008)

· VAAR 852.232-72 Electronic Submission of Payment Requests (NOV 2012)

· VAAR 852.246-70 Guarantee (fill in is manufacturers standard warranty) (JAN 2008)

· VAAR 852.246-71 Inspection (JAN 2008)

· FAR 52.212-5, “Contract Terms and Conditions Required to Implement Statutes or Executive Orders- Commercial Items” (JAN 2018)

The following subparagraphs of FAR 52.212-5 are applicable:

Subparagraphs (b) 4, 8, 14(i), 22, 25, 26, 27, 28, 30, 33(i), 42, 46, 49, 55, and 57 are considered checked and apply.

The following clauses and provisions apply to this acquisition:

· FAR 52.217-9, “Option to Extend the Term of the Contract (Mar 2000)

· FAR 52.214-21 Descriptive Literature (APR 2002) Alternate I (APR 2002)