36C26119Q1048-0002000.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 NUMBERE

D 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 amendmen t, 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) 654-20-1-087-0001

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

36C26119Q1048 09-25-2019

X X x HOUR & DATE for Receipt of Offers is EXTENDED to: 10/11/19 12:00PM (PST).

See CONTINUATION Page 654-3600160-087-824600-2580 0100246N5 The Purpose Of This Amendment Is To Update The Statement of Work Deliverables RFQ Package Due Date 10/11/19 at 12:00PM (PST).

All Other Clauses And Provisions Remain Unchanged.

Statement of Work Art Instruction VA Sierra Nevada Health Care System

Section 1: General Information

1.1 This is a personnel services contract to provide Art Instruction and promotion to Veterans at the VA Sierra Nevada Health Care System. The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the Contractor who, in turn is responsible to the Government.

1.2 Background: Art in the healing environment is not a new practice, however, the way VA is currently focusing on the influence’s art has on medical outcomes is. Recently, the Veterans Health Administration is putting an emphasis on whole health modalities as it relates to the Veterans personal goals. Arts in health care can be experienced through both structured and non-structured settings between therapists and patients. VA Sierra Nevada Health Care System has developed a new program, Community Integration Through Creativity, to advance Veterans’ skills in theater, digital media and visual arts with the help of established professional artist/contractors in the community. Though this practice is therapeutic in nature, this procurement does not fall into a category where clinicians nor professional counseling is required.

1.3 Period of Performance:

Option Year #1: October 15, 2019 to October 14, 2020 Option Year #2: October 15, 2020 to October 14, 2021 Option Year #3: October 15, 2021 to October 14, 2022 Option Year #4: October 15, 2022 to October 14, 2023

1.4 Place of Performance: Veterans Affairs Sierra Nevada Healthcare System 975 Kirman Avenue Reno, NV 89521

1.5 Type of Contract: The government will award a Firm Fixed Price contract.

1.6 Invoicing: All invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

VA’s Electronic Invoice Presentment and Payment System – The FSC uses a third-party contractor, Tungsten, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/US/en/veterans-affairs/ to begin submitting electronic invoices, free of charge.

More information on the VA Financial Services Center is available at http://www.fsc.va.gov/einvoice.asp.

Vendor e-Invoice Set-Up Information:

Please contact Tungsten at the phone number or email address listed below to begin submitting your electronic invoices to the VA Financial Services Center for payment processing, free of charge. If you have question about the e-invoicing program or Tungsten, please contact the FSC at the phone number or email address listed below:

· Tungsten e-Invoice Setup Information: 1-877-489-6135

· Tungsten e-Invoice email: VA.Registration@Tungsten-Network.com

· FSC e-Invoice Contact Information: 1-877-353-9791

· FSC e-invoice email: vafsccshd@va.gov

Contractor shall submit final invoice after the completion of repairs. Invoice shall include the Contract number, Purchase Order number, Order Date, Performance Period, Description of Services and itemized prices as negotiated.

Section 2: Definitions & Acronyms

COR – Contract Officer Representative

VA - Department of Veterans Affairs

Section 3: Government Furnished Property, Equipment, and Services

The government shall provide art materials to include acrylics, watercolors, colored pencils, inks, pastels, and chalks.

Section 4: Contractor Furnished Items and Services N/A

Section 5: Specific Tasks

The contractor shall provide 2 Art Instructors: 90 minutes of art instruction two days per week, Tuesday from 1330 to 1500 and Friday from 0930 – 1100, 288 hours annually (excluding Federal Holidays should a holiday land on a class session). Sessions are to take place at the open studio facility located within the VASNHCS, Community Living Center. The instructors will offer instruction in a variety of mediums: acrylics, watercolors, colored pencils, inks, pastels, and chalks.

5.1 Scope: In-patient and outpatient Veterans, 15-20 participants in each class.

The contractor shall accomplish:

a) Art Instruction

b) Metrics gathering

c) 2 Instructors per art class

5.2 Acceptance:

The designated VA Staff member will provide oversight of the contract

5.3 Qualifications: Only qualified and certified art instructors are to provide services.

Section 6: Applicable Publications and Attachments:

VA Handbook 6500.6, Contract Security, Appendix C is available at https://www.va.gov/vapubs/viewPublication.asp?Pub_ID=485&FType=2 Attachment #1 Quality Assurance Surveillance Plan (QASP).

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Art Therapy Sessions Per SOW Contract Period: Base POP Begin: 10-15-2019 POP End: 10-14-2020

Art Therapy Sessions Per SOW Contract Period: Option 1 POP Begin: 10-15-2020 POP End: 10-14-2021

Art Therapy Sessions Per SOW Contract Period: Option 2 POP Begin: 10-15-2021 POP End: 10-14-2022

Art Therapy Sessions Per SOW Contract Period: Option 3 POP Begin: 10-15-2022 POP End: 10-14-2023

Art Therapy Sessions Per SOW Contract Period: Option 4 POP Begin: 10-15-2023 POP End: 10-14-2024

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS

SUBMISSION INSTRUCTIONS

(a) General Instructions

(1) Electronic Submissions: Contractors must email their quote to Larry Facio at Larry.Facio@va.gov. In Subject line: 36C26119Q1048 Art Project RFQ VASNHCS. Any attachments must be readable using Microsoft Office or Adobe PDF. Quotes must be submitted electronically and will not be accepted through fax or postal mail.

(2) The quote must be prepared in two files consisting of a "Technical Approach" and separate file for "Pricing Information". Each of the parts shall be separate and complete so that evaluation of each part can be accomplished independently. Title each file with company name and its corresponding contents, i.e. “ACME 36C26119Q1048 Technical”, “ACME 36C26119Q1048 Price”.

(3) If contractor intends to sub-contract the name and contact information of the sub-contractor must be disclosed to include DUNS #, company size related to NAICS, and percentage of work to be sub-contracted.

(b) Selection Process

(1) Evaluations will be conducted under the procedures of FAR Part 13.

(2) In accordance with FAR 13.106-2(b)(3), the quotes will undergo a comparative evaluation to determine which vendor provides the best value to the government in terms of high technical capability and past performance, while also providing a competitive price.

(c) Technical Approach

(1) The technical approach must not contain any references to pricing. Resource information such as data concerning labor hours and categories, equipment, materials, subcontracts, should be included in so that contractor’s understanding of the Scope of Work may be evaluated; however, any reference to pricing must not be included.

(2) The technical approach must address all of the required information for Factor #1, Technical Capability and Factor #2, Past Performance.

(3) The technical approach must clearly identify each element of the technical capability factor listed in provision 52.212-2. There are 2 elements listed and the vendors must indicate in the technical approach document which element they are addressing so that the Government can clearly identify which factor the information is addressing. This is not intended to be an overly burdensome task and can be accomplished by a simple heading indicating which element is being addressed followed by the supporting information. The Government will not sift through several pages of a technical approach document trying to determine which element is being addressed. The Government is not requesting boilerplate technical approaches that have been prepared for a wide variety of Government solicitations.

(4) For the individual elements of the technical capability factor, the quote must state how the contractor will address each element and cannot simply restate the Statement of Work, restating the Statement of Work will not be accepted.

(5) For Factor #2 Past Performance, the past performance will be incorporated into the technical approach document. Please include at least three but not more than five recent (within the past five years) and relevant (similar in size and scope) completed references or surveys. If completed surveys are provided they can be compiled by the contractor and submitted as part of a technical approach package. Also, any CPARS documentation will also be accepted. Past Performance must include: Dates, Contract Value, Description of Project, Location, and Contact Information of Contracting Officer or Representative.

(d) Pricing Information

(1) The pricing information will be stated within the Cost Price Schedule of the solicitation. This pricing will consist of the contractor’s overall price to provide these services. It is the contractor’s responsibility to provide accurate labor pricing which is in complete adherence to State law and Federal mandates with regards to Services Contract Act, Health and Welfare, Executive Order 13706, Holiday Pay and Vacation Pay, and Wage Determination scales.

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible contractor whose quote conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate the quotes:

1) Factor #1, Technical Capability

2) Factor #2, Past Performance

3) Factor #3, Price In accordance with FAR 13.106-2(b)(3), the quotes will undergo a comparative evaluation to determine which vendor provides the best value to the government in terms of high technical capability and past performance, while also providing a competitive price.

FACTOR 1 – Technical Capability The quotes will be evaluated using the information submitted in the technical approach addressing the following elements:

1) Expertise: What is the Contractor’s level of expertise in this field?

2) Subcontracting: Does the Contractor plan to subcontract out any portion of the work? If so, do they have a letter of commitment from the subcontractor indicating their commitment to this project prior to award?

Contractor shall provide sub-contractor’s company name, DUNS#, business size, and written description and declaration of the percentage of work to be performed.

FACTOR 2 – Past Performance The past performance consists of related projects or contracts within the past 5 years. Consideration will also be given to relevant (similar size and magnitude) contracts and projects. Contractors are to provide Contract Number, Location, Period-of-Performance, Contract or Project Dollar Value, Point of Contact to include Title and Contact Information (email, phone number), and any feedback or performance ratings associated with the contract or project, CPARS is highly preferred.

FACTOR 3 – Price The pricing information will consist of the contractor’s overall price to provide these services. In evaluating the contractor’s price, the Government’s determination will include whether the price reflects a clear understanding of the requirements, is consistent with the information provided in the contractor’s quote, and is reasonable in comparison with other quotes that have been submitted in response to the solicitation.

The evaluation will also consider the possibility that FAR 52.217-8 Option to Extend Services can be exercised unilaterally if given 30 day notice and incrementally from one to six months, but for no more than a total of six months during the life of the contract. The evaluation will assume that the prices exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

(End of Provision)