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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) 04-28-2020 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

36C26120Q0567

X

The purpose of this amendment is to incorporate the revised Performance Work Statement and provide the Government's responses to Industry's questions.

Stephanie San Juan

VA-VHA-RPOW-2019-252FE611

See attached document: S04 Industry Qs Govt As 20200428.

STATEMENT OF WORK (SOW) Blanket Purchase Agreement (BPA) VA VISN 21 Hotel/Motel Lodging for Veterans Impacted by COVID-19 FY20

SCOPE

The Statement of Work (SOW) defines the scope for lodging requirements. The Contractor shall provide authorized veterans with hotel/motel lodging. The veterans to be provided room reservations will be those Impacted by COVID-19, specifically those who have tested positive, who are awaiting testing results, and/or who are healthy but have been exposed to the COVID 19. The Contractor shall provide standard hotel/motel lodging with the following items with all VA reservations:

· Limit access for Veteran referrals to hotel van transportation and common areas such as lobbies, gyms, and dining rooms.

· Limiting contact of Veteran referrals with hotel staff by limiting services such as baggage assistance or valet services, if offered, to only when necessary.

· Providing personal protective equipment (PPE) to those who interact with Veteran referrals such as front desk staff, employees who clean rooms and wash linens, and any other staff that may come into contact with Veterans.

· At the best of the their ability, protect patients not infected and employees from acquiring COVID-19 infection.

· Shift priorities, resources, and standards of care to accommodate a large influx of infectious patients.

· Physically and functionally separate suspected or confirmed COVID-19 patients from individuals who have not been exposed to the virus.

AUTHORITY: The Department of Veterans Affairs established short-term lodging, in accordance with Temporary Lodging 38 USC 1708. This requirement is pursuant under the Veterans Health Administration – Office of Emergency Management, COVID-19 Response Plan, Incident-specific Annex to the VHA High Consequence Infection HCI Base Plan, Page 17 Contingency Planning https://www.va.gov/opa/docs/VHA_COVID_19_03232020_vF_1.pdf

FACILITITES UNDER THIS BPA/ VISN 21 LOCATIONS:

San Francisco VA Health Care System 4150 Clement Street San Francisco, CA 94121

Palo Alto VA Health Care System 3801 Miranda Avenue Palo Alto, CA 94304

Northern California VA Health Care System 10535 Hospital Way Mather, CA 95655

Central California VA Health Care System 2615 E. Clinton Avenue Fresno, CA 93703

Pacific Islands VA Health Care System 459 Patterson Road Honolulu, HI 96819-1522

Southern Nevada VA Health Care System 6900 North Pecos Road N. Las Vegas, NV 89086

Sierra Nevada VA Health Care System 975 Kirman Avenue Reno, NV 89502

PERFORMANCE PERIOD: The contractor shall complete required work detailed in this SOW upon contract award, unless otherwise directed by the Contracting Officer (CO). The performance periods of the contract are identified in Table 1.

FY20
Ordering Period 1
17 April 2020 – 16 April 2021
FY21
Ordering Period 2
17 April 2021 – 16 April 2022

Table 1 CONTRACT TYPE: This is a Blanket Purchase Agreement for rooms EXCLUSIVELY set aside for use of veterans.

The facilities do not guarantee a minimum quantity. Estimated annual quantity of rooms for each location are found in table 2.

Length of Stay – Initial seven-night stay with length of stay to be reduced or extended as authorized by VA. Expected average length of stay 14 days. See “Determination of Eligibility.”

VISN 21 Service Requestors and Estimated Rooms

Service Requester
Estimate of Veterans per area
Estimated number of room-nights per Veteran
Total
San Francisco VA Health Care System
297
14
4158
Palo Alto VA Health Care System
318
14
4452
Northern California VA Health Care System
327
14
4578
Central California VA Health Care System
64
14
896
Pacific Islands VA Health Care System
178
14
2492
Southern Nevada VA Health Care System
108
14
1512
Sierra Nevada VA Health Care System
101
14
1414

Total

19,502

Table 2

EPISODE OF CARE/TREATMENT PROVIDED BY THE VA:

Please note that these teams have not yet been identified/developed and that they may look different from one VAMC to another dependent on the number of hotels/units, locations, and current staff. Each facility would provide the following:

· A Homeless Program COR for your VAHCS – there will be a primary COR for the VISN level contract, but each VAHCS will have a COR as alternates

· A dedicated multidisciplinary team of social workers, RNs, and an NP/APRN/RN with the following responsibilities:

· accepts referrals from within VA & the community and works with the COR to admit to the contracted hotels/motels

· works with local homeless service providers/partners on discharge planning for Veterans who are medically cleared exit the hotel/motel

· provides daily check-ins by phone/VVC

· provides in-person visits to the hotel/motel if deemed essential

· Clinical services to those in the hotels/motels

· Level one screenings/daily services: social workers provide daily phone/VVC contact for case management (housing, food, etc), clinical care (mental health & SUD) and screening for new/worsening COVID-19 symptoms

· Level two: RNs who would provide a secondary screening by phone for new/worsening COVID-19 or other medical symptoms (warm handoff from social worker directly to RN)

· Level three: NP/APRN/MD who would provide a third level screening for new/worsening symptoms COVID-19 or other medical symptoms (warm handoff by phone from RN directly to provider)

· Level four: NP/APRN/MD would arrange for transfer to a VAMC or other medical facility if Veteran requires ED/inpatient care

NON-NEGOTIABLE REQUIREMENTS: All rooms for this contract will be compliant with requirements outlined in The Americans with Disabilities Act (Public Law 101-336) (42 U.S.C. 12101 et. Seq.), the Hotel and Motel Safety Act of 1990 (Public Law 101-391) (15 U.S. C. 2201 et Seq) and compliant with the requirements of the National Fire Protection Association (NFPA) 101, Chapter 29, Life Safety code.

The contractor shall be paid full price based on awarded contract pricing for room reservations unless cancelled by the VA Contracting Officer’s Representative 24 hours in advance.

REQUIREMENTS: The contractor shall be responsible for ensuring contracted lodging facilities meets or exceeds the following criteria and are included with the awarded room price:

1. Lodging to be furnished to the Veteran patients authorized by the VISN 21 facilities. See “Determination of Eligibility.”

2. Lodgers must be able to check in at all hours.

3. All rooms must be compliant with requirements outlined in The Americans with Disabilities (ADA) Act (Public Law 101-336) (42 U.S.C. 12101 et. Seq.), and the Hotel and Motel Safety Act of 1990 (Public Law 101-391) (15 U.S. C. 2201 et Seq).

NOTE: ADA service animals will be allowed in the hotel and room.

4. All rooms must be located on the ground floor for handicapped patients, unless there is an accessible public elevator.

5. Rooms shall have at minimum one (1) double bed or larger for single occupancy.

6. Each Room shall have a bathroom.

7. Bar soaps and shampoos complementary

8. Working Refrigerators, microwaves, and TV in each room with remote and minimum basic cable to include network channels.

9. WIFI availability at no additional cost.

10. Hotel premises security will be provided and ensured.

11. Veterans residing in the shelter who have tested positive for COVID-19 or are awaiting testing should have limited use of transportation in hotel/motel vehicles, such as vans. They should also have limited access to common areas such as lobbies, gyms, and dining rooms.

12. Veterans residing in the shelter who have tested positive for COVID-19 or are awaiting testing should have limited contact with hotel staff by limiting services such as baggage assistance or valet services, if offered, only when necessary.

13. Prior to occupancy by new tenant, the rooms shall be thoroughly cleaned in accordance with CDC guidelines. A checklist shall be utilized with a rating system to evaluate the cleanliness of each room.

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/cleaning-disinfection.html

14. Housekeeping services will use CDC guidelines to clean rooms in regards to what to wear for Person Protective Equipment (PPE) while cleaning.

https://www.cdc.gov/coronavirus/2019-ncov/community/organizations/cleaning-disinfection.html

15. Lodging must be within 20 miles from each of the below locations, with the exception of the locations listed for the “Island of Hawaii,” Maui, Oahu, Kauai, Guam, and American Samoa. For these islands the hotel must be on each respective island:

Official Station Name
Street Address
Street Address-City
Street Address-State
Street Address-Zip Code
County (Street Address)
Spark M. Matsunaga Department of Veterans Affairs Medical Center
459 Patterson Road
Honolulu
HI
96819
Honolulu
Maui VA Clinic
203 Ho'ohana Street
Kahului
HI
96732
Maui
Hilo VA Clinic
45 Mohouli Street
Hilo
HI
96720
Hawaii
Kailua-Kona VA Clinic
75-377 Hualalai Road
Kailua-Kona
HI
96740
Hawaii
Lihue VA Clinic
4485 Pahe'e Street
Lihue
HI
96766
Kauai
Guam VA Clinic
498 Chalan Palasyo
Agana Heights
GU
96910
Guam
Faleomavaega Eni Fa'aua'a Hunkin VA Clinic
Fiatele Teo Army Reserve Building
Pago Pago
AS
96799
American Samoa
Leeward Oahu VA Clinic
91-2135 Fort Weaver Road
Ewa Beach
HI
96706
Honolulu
Fresno VA Medical Center
2615 East Clinton Avenue
Fresno
CA
93703
Fresno
Merced VA Clinic
340 East Yosemite Avenue
Merced
CA
95340
Merced
Tulare VA Clinic
1050 North Cherry Street
Tulare
CA
93274
Tulare
Oakhurst VA Clinic
40597 Westlake Drive
Oakhurst
CA
93644
Madera
North Las Vegas VA Medical Center
6900 North Pecos Road
North Las Vegas
NV
89086
Clark
Pahrump VA Clinic
220 South Lola Lane
Pahrump
NV
89048
Nye
Northwest Las Vegas VA Clinic
3968 North Rancho Drive
Las Vegas
NV
89130
Clark
Southeast Las Vegas VA Clinic
1020 South Boulder Highway
Henderson
NV
89015
Clark
Southwest Las Vegas VA Clinic
7235 South Buffalo Drive
Las Vegas
NV
89113
Clark
Northeast Las Vegas VA Clinic
4461 East Charleston Boulevard
Las Vegas
NV
89104
Clark
Master Chief Petty Officer Jesse Dean VA Clinic
3650 South Pointe Circle
Laughlin
NV
89029
Clark
West Cheyenne VA Clinic
3525 West Cheyenne Avenue
North Las Vegas
NV
89032
Clark
Sacramento VA Medical Center
10535 Hospital Way
Mather
CA
95655
Sacramento
Redding VA Clinic
351 Hartnell Avenue
Redding
CA
96002
Shasta
Oakland VA Clinic
2221 Martin Luther King Jr. Way
Oakland
CA
94612
Alameda
Fairfield VA Clinic
103 Bodin Circle
Travis AFB
CA
94535
Solano
Mare Island VA Clinic
201 Walnut Avenue
Mare Island
CA
94592
Solano
Martinez VA Medical Center
150 Muir Road
Martinez
CA
94553
Contra Costa
Chico VA Clinic
1601 Concord Avenue
Chico
CA
95928
Butte
McClellan VA Clinic
5342 Dudley Boulevard
McClellan Park
CA
95652
Sacramento
Yuba City VA Clinic
425 Plumas Boulevard
Yuba City
CA
95991
Sutter
Yreka VA Clinic
101 East Oberlin Road
Yreka
CA
96097
Siskiyou
Sierra Foothills VA Clinic
11985 Heritage Oaks Place
Auburn
CA
95603
Placer
Twenty First Street VA Clinic
525 21st Street
Oakland
CA
94612
Alameda
Cypress Avenue VA Clinic
760 Cypress Avenue
Redding
CA
96001
Shasta
Howe Road VA Clinic
2860 Howe Road
Martinez
CA
94553
Contra Costa
Palo Alto VA Medical Center
3801 Miranda Avenue
Palo Alto
CA
94304
Santa Clara
Palo Alto VA Medical Center-Menlo Park
795 Willow Road
Menlo Park
CA
94025
San Mateo
Palo Alto VA Medical Center-Livermore
4951 Arroyo Road
Livermore
CA
94550
Alameda
San Jose VA Clinic
5855 Silver Creek Valley Place
San Jose
CA
95138
Santa Clara
Capitola VA Clinic
1350 41st Avenue
Capitola
CA
95010
Santa Cruz
Sonora VA Clinic
13663 Mono Way
Sonora
CA
95370
Tuolumne
Fremont VA Clinic
39199 Liberty Street
Fremont
CA
94538
Alameda
Stockton VA Clinic
7777 South Freedom Road
French Camp
CA
95231
San Joaquin
Modesto VA Clinic
1225 Oakdale Road
Modesto
CA
95355
Stanislaus
Major General William H. Gourley VA-DoD Outpatient Clinic
201 9th Street
Marina
CA
93933
Monterey
Ioannis A. Lougaris Veterans' Administration Medical Center
975 Kirman Avenue
Reno
NV
89502
Washoe
Carson Valley VA Clinic
1330 Waterloo Lane
Gardnerville
NV
89410
Douglas
Lahontan Valley VA Clinic
1020 New River Parkway
Fallon
NV
89406
Churchill
Diamond View VA Clinic
110 Bella Way
Susanville
CA
96130
Lassen
Reno East VA Clinic
1201 Corporate Boulevard
Reno
NV
89502
Washoe
North Reno VA Clinic
1140 Selmi Drive
Reno
NV
89512
Washoe
Kietzke VA Clinic
2295 Kietzke Lane
Reno
NV
89502
Washoe
Capitol Hill VA Clinic
350 Capitol Hill Avenue
Reno
NV
89502
Washoe
Winnemucca VA Clinic
3298 Traders Way
Winnemucca
NV
89445
Humboldt
Virginia Street VA Clinic
3674 South Virginia Street
Reno
NV
89502
Washoe
San Francisco VA Medical Center
4150 Clement Street
San Francisco
CA
94121
San Francisco
Santa Rosa VA Clinic
3841 Brickway Boulevard
Santa Rosa
CA
95403
Sonoma
Eureka VA Clinic
930 West Harris Street
Eureka
CA
95503
Humboldt
Ukiah VA Clinic
630 Kings Court
Ukiah
CA
95482
Mendocino
San Bruno VA Clinic
1001 Sneath Lane
San Bruno
CA
94066
San Mateo
San Francisco VA Clinic
401 3rd Street
San Francisco
CA
94107
San Francisco
Clearlake VA Clinic
15145 Lakeshore Drive
Clearlake
CA
95422
Lake

DETERMINATION OF ELIGIBILITY

1) The contractor is expected to work with identified VA COR/Liaison to confirm each Veteran’s eligibility for a room reservation. The Contractor shall have capability of receiving emails from the VA that confirms a Veteran’s eligibility and reservation. Payment for Veterans admitted without an initial email regarding determination of eligibility may not be authorized for payment.

2) The contractor will be capable of providing rooms to Veterans the same day the reservations are made.

3) An email from the VA COR/Liaison with the Veterans name and start date constitutes authorization of an initial service period of up to 7 days (unless otherwise specified). The contractor will receive an email from the VA COR/Liaison if length of stay to be reduced or extended.

4) For Extension Requests the contractor is responsible for receiving email communication from the VA COR/Liaison regarding VA requests for stay extension of services beyond the initially authorized service period of 7 days via an authorized BPA call or modification to extend an existing BPA call.

CANCELLATION

1) Cancellation of a Veteran’s room by the contractor for policy violations or other reasons will be explained to the VA liaison immediately and no later than 24 hours.

2) Removal of Veterans from the hotel by hotel staff, security, local police, emergency medical personnel, etc. will be documented by the hotel and documentation will be made available to the VA.

3) Notification of ceasing payment for Veterans who are in the middle of a multi-day reservation will be communicated by email 24-hours in advance of reservation cancellation and remaining days will not be billed.

4) VA reserves the right to cease payment for any or all Veterans in the facility when it is determined to be in the best interest of the Veteran or VA in accordance with FAR 52.212-4(l) Termination for the Government’s Convenience.

INVOICES:

1) The monthly invoice is computed at the nightly rate multiplied by the total number of rooms occupied by Veterans for each night of the given month. Invoices should first be submitted to the VA COR for approval and signature by the 5th of the month immediately following the billing period in question. Once approved, invoices are to be submitted through the Tungsten Network (Electronic Invoicing System) by the 10th of the month immediately following the billing period in question.; all electronic invoices submitted should be accompanied by invoice bearing VA COR signature for reference of certifying official. (For additional information, Reference: VAAR 852.273-72 Electronic Submission of Payments pg.

23. and FAR 52.232-33 Payments by Electronic Funds Transfer—System for Award Management pg.27.)

Tungsten Network located at: http://www.fsc.va.gov/einvoice.asp

2) Payment to be made in monthly in arrears by certified invoices and must contain contract number and obligation number to be considered valid.

3) Invoices containing personal patient information and must be controlled.

4) The room rate per night will not include city, state or federal sales tax, from which the VA is exempt from paying.

SPECIAL NOTE: To be eligible for award under this solicitation, offeror must propose for use a facility that is compliant with the requirements of the Hotel and Motel Safety Act of 1990 (Public Law 101-391) (15 U.S.C. 220 et. Seq) and is listed on the U.S. Fire Administration Hotel and Motel National Master List found at http://www.usfa.fema.gov/hotel/search.cfm. Quotes proposing facilities that are not listed will not be evaluated for award. In addition, the offeror’s facility must be compliant with the requirements of the American Disabilities Act (Public Law 101-336) (42 U.S.C. 12101 et. Seq). Only hotels that can meet the requirements and provide items as listed above may respond to this solicitation. Award will be made to the offeror determined to be the Best Value to the government.

FACILITY PROGRAM OFFICE POINT OF CONTACT (AUTHORIZED USERS):

A. Contracting Officer's Representative (COR):.Stephen Bruner, COR, 925-628-3078 stephen.bruner@va.gov

B. Alternate Contracting Officer's Representative (COR): Iisha Toombs, COR 916-628-7532 iisha.toombs@va.gov

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