36C26119Q0324-0002000.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) 03-08-2019 612-19-2-297-0003

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

36C26119Q0324

X X X

The purpose of this amendment is to answer a question previously overlooked. It also incorporated revised Quality Assurance Surveillance Plans (QASPs) to have one for each speciality.

Please see page 2 for question and answer 13.

The due date and time for quotes is not extended.

Interested vendors must acknowledge all amendments with quote submissions.

Felicia A. DeMita

VA-VHA-SAOW-2018-2D91603A

CONTINUATION PAGE

QUESTION AND ANSWER

Continued from A0001

Question 13. The type of contract in E.1 52.216-1 TYPE OF CONTRACT states FFP but the CLINS are labor hour. Is this a LH (T&M) or FFP based contract?

Answer 13. The contract type as entered in 52.216-1 of the solicitation is correct as a Firm Fixed Price, Indefinite Quantity. A time and material (T&M) or labor-hour (LH) contract is one in which the contractor gets paid based on effort required with the important distinction that the contractor is determining how much effort is required, and the Government puts a ceiling on the amount possible to mitigate risk. It is primarily used for repairs or emergency responses where the contractor is asserting after performance it took a certain number of hours (and materials) to perform the repair or respond to the emergency. Although this contract will have a unit of measure of hours, that does not mean it is a LH contract, because for this contract the Government will be dictating the number of hours required – not the contractor. So, the inherent risk with T&M and LH contracts that the contractor will inflate the level of effort required to accomplish a task is non-existent for this type of a contract. This will be a health care staffing contract, and it is standard in the industry to pay on a per hour basis. That unit of measure does not by itself create a T&M or LH contractual relationship. Consequently, the solicitation as posted is not amended with respect to that provision.

REVISED QASPS

The solicitation is also amended to revise the QASPs for PT and OT, so they are separate documents for each specialty.

See attached document: P09 QASP_Physical Therapy_030119.

See attached document: P09 QASP_Occupational Therapy_030119.