36C26120Q0567-0001000.docx
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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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