36C26218Q0253-003.docx

A00001 TO RFQ 36C26218Q0253

FedBizOpps Amendment to a Previous Combined Solicitation

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* = Required Field FedBizOpps Amendment to a Previous Combined Solicitation Rev. March 2010 Q

MOHS HISTOTECHNICIAN SERVICES

VA Long Beach Healthcare System (VALBHS) VA San Diego Healthcare System (VASDHS) VA Greater Los Angeles Healthcare System (VAGLAHS) 90815 36C26218Q0253 03-02-2018 N 561320 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 Timothy Wanamaker timothy.wanamaker@va.gov VALBHS; VASDHS and VASDHS-CBOC; VAGLAHS see schedule

USA

timothy.wanamaker@va.gov Administrative Contracting Officer

AMENDMENT (A00001) OF RFQ 36C26218Q0253—MOHS HISTOTECHNICIAN SERVICES

1. Q: Is this a new requirement or is there an incumbent—if there is an incumbent, who was it and what was the contract number, total contract prices, and over what period of time?

1.1. A: Mobile Mohs Incorporated, VA262-17-P-3652 ($24,000); VA262-17-P-3608 ($91,000); VA262-17-P-3625 ($52,500). One (1) Year purchase orders.

2. Q: Is it possible for the Using Services(s) to share the number of FTEE incumbents currently performing work on the contract today?

2.1. A: VA Long Beach Healthcare System (VALBHS): no, not possible.

2.2. A: VA San Diego Healthcare System (VASDHS): not aware of sharing FTEE, but assume the current vendor assigns Mohs Histotechnicians based on the scheduling needs of each VA facility.

2.3. A: VASDHS-Community-Based, Outpatient Clinic (CBOC): not aware of sharing FTEE, but assume the current vendor assigns Mohs Histotechnicians based on the scheduling needs of each VA facility.

2.4. A: VA Greater Los Angeles Healthcare System (VAGLAHS): no.

3. Q: With the understanding that there is likely an incumbent vendor currently performing work today on this contract, we'd like to ask if the PWS under this new RFQ is staying consistent with the previous contract or if it is being expanded/reduced in terms of scope?

3.1. A: The PWS under this new RFQ is consistent with previous contracts. The requirement has expanded as such that a Blanket Purchase Agreement (BPA) will be most beneficial and provide the best value to the government in obtaining Mohs Histotechnician services to multiple VAMCs.

4. Q: PWS—General, states: “Contract Mohs Histotechnician candidates are needed to prepare and process tissue samples/specimens extracted during surgery for pathology, physician analysis and interpretation on an as-needed basis."

4.1. Can you provide an estimate of the number of hours expected for each location on a monthly basis?

4.1.1. A: VALBHS: estimate is 24 hours monthly.

4.1.2. A: VASDHS: Payment is by patient and per site/lesion.

4.1.3. A: VASDHS-CBOC: Payment is by patient and per site/lesion.

4.1.4. A: VAGLAHS: estimate is 72 hours monthly.

4.2. What has been the utilization historically?

4.2.1. A: VALBHS: 20-24 hours (per month).

4.2.2. A: VASDHS: Mohs Histotechnician needed at two (2) locations (La Jolla (VASDHS) and Oceanside (CBOC)) for approximately five to six (5-6) half-days per week. Changes occur, dependent on Mohs Surgeon capacity at both locations.

4.2.3. A: VASDHS-CBOC: Mohs Histotechnician needed at two (2) locations (La Jolla (VASDHS) and Oceanside (CBOC)) for approximately five to six (5-6) half-days per week. Changes occur, dependent on Mohs Surgeon capacity at both locations.

4.2.4. A: VAGLAHS: 72 hours (per month).

5. Q: PWS - 5.1.1 states: “The Contractor shall provide all equipment, uniforms, and supplies needed for Contract Mohs Histotechnicians to perform duties."

5.1. Can you identify the necessary equipment and supplies that the contractor will need to provide?

5.1.1. A: ink, blades, Cryostat, OCT, staining basins, microscopes slides, labels.

6. Q: PWS--37.2. states: “Any overtime and/or holiday pay that may be entitled to Contract Mohs Histotechnician candidates shall be the sole responsibility of the Contractor and shall not be billed to, nor reimbursed by, the Government."

6.1. Can you provide an estimate of overtime and holiday hours that will likely be needed?

6.1.1. A: VALBHS: Zero (0) hours needed.

6.1.2. A: VASDHS: none needed.

6.1.3. A: VASDHS-CBOC: none needed.

6.1.4. A: VAGLAHS: none needed.

6.2. Since the government will not pay for any overtime or holiday pay, can we bill for those hours at the regular hourly rate?

6.2.1. A: not applicable.

6.3. Since the government will not pay for any overtime or holiday pay, is it acceptable to manage the contract personnel such that they will not be allowed to work overtime or on holidays?

6.3.1. A: Yes, that is acceptable.

7. Q: Page 85 of the RFQ lists section A.5 Schedule of Services and Price as Section A.4. On Page 85, this section is listed as Section A.4 under the Factor 4—Price, section of the document. It is our understanding that in each of these instances the correct section is A.5. This is the section we intend to respond to, but are calling this out in the event that it may have compliance implications. Is this correct?

7.1. A: You are correct. Section A.4 is incorrectly labeled on pg. 85—it should be labeled A.5. Please respond to A.5. Schedule of Services and Price in lieu of these findings.

8. Q: In the Performance Work Statement, there are two (2) line items numbered 37. The second of these line items "Payments" states that the Dept. of VA will not be charged for patients who are no-shows for scheduled appointments. Can the Using Service(s) share past-performance metrics related to the average monthly/yearly number of no-shows?

8.1. A: Yes, line 37 is incorrectly labeled twice.

8.2. A: VALBHS: One to two (1-2) monthly no-shows.

8.3. A: VASDHS: not provided.

8.4. A: VASDHS-CBOC: not provided.

8.5. A: VAGLAHS: the user does not charge for any no-shows. They are paid by patient who shows up. They can share this information if needed. They only bill for patients who have had surgery.

9. Q: Regarding Wage Determination: can the Using Service(s) please confirm the Employee Class and Wage Determination amounts where there is no specific category for "Mohs Histotechnicians"

9.1. A: VALBHS: it is a set paid rate of $105 per case.

9.2. A: VASDHS: it is a set paid rate of $105 per case.

9.3. A: VASDHS-CBOC: it is a set paid rate of $105 per case.

9.4. A: VAGLAHS: it is a set paid rate of $95 per case.

10. Q: Regarding work metrics: can the Using Service(s) please share the average number of days per week Mohs services are typically required in each location?

10.1. A: VALBHS: approximately a half-day (0.5) per week.

10.2. A: VASDHS: approximately three (3) half-days per week.

10.3. A: VASDHS-CBOC: approximately three (3) half-days per week.

10.4. A: VAGLAHS: approximately 2.25 days per week.

11. Q: Can the Using Service(s) please speak to the average number of cases worked per day, per location?

11.1. A: VALBHS: three to four (3-4) cases per half-day.

11.2. A: VASDHS: four to six (4-6) patients per half-day.

11.3. A: VASDHS-CBOC: four to six (4-6) patients per half-day.

11.4. A: VAGLAHS: eight or ten (8-10) cases per day.

12. Q: Is it likewise possible to get an understanding of the average times per day Mohs services are typically required per each location?

12.1. A: VALBHS: half-day (0.5) day per week; three to four (3-4) cases each half-day.

12.2. A: VASDHS: four to six (4-6) hours per day.

12.3. A: VASDHS-CBOC: four to six (4-6) hours per day.

12.4. A: VAGLAHS: The Mohs Histotechnicians arrive on the days requested and leave once the cases are finished. It is variable and the VA pays the contractor by case (patient), not by hour.

13. Q: Do the locations referenced in the RFQ typically require more than one (1) Mohs Histotechnician a day?

13.1. A: VALBHS: no.

13.2. A: VASDHS: no.

13.3. A: VASDHS-CBOC: no.

13.4. A: VAGLAHS: no.

14. Q: Regarding past performance. Is it okay for us to reference specific providers as opposed to the medical facility?

14.1. A: VALBHS: no, we have multiple Mohs surgeons.

14.2. A: VASDHS: yes.

14.3. A: VASDHS-CBOC: yes.

14.4. A: VAGLAHS: yes.

15. Q: The price list is given in units of hours. Previously it was in units of Cases/Surgical sites. Are Using Services accepting bids on units of surgical sites?

15.1. A: VALBHS: yes, we could accept bids on units of surgical sites.

15.2. A: VASDHS: yes.

15.3. A: VASDHS-CBOC: yes.

15.4. A: VAGLAHS: Using services prefer units of surgical sites.

D.1 PRICE WORKSHEET (AMENDED)

1. PRICE WORKSHEET FOR VALBHS:

VALBHS - VA Tibor Rubin Medical Center, 5901 E 7th St, Long Beach, CA 90822

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

Base Year Sub Total: $_______________

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

Option Year One (1) Sub Total: $_______________

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

Option Year Two (2) Sub Total: $______________

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

Option Year Three (3) Sub Total: $_______________

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023

Option Year Four (4) Sub Total: $_______________

VALBHS GRAND TOTAL: $ _______________

1. PRICE WORKSHEET FOR VASDHS AND VASDHS-CBOC:

VASDHS - 3350 La Jolla Village Dr., San Diego, CA 92161 CBOC - 1300 Rancho Del Oro Dr., Oceanside, CA 92056

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

Base Year Sub Total: $_______________

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

Option Year One (1) Sub Total: $_______________

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

Option Year Two (2) Sub Total: $______________

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

Option Year Three (3) Sub Total: $_______________

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023

Option Year Four (4) Sub Total: $_______________

VASDHS AND CBOC GRAND TOTAL: $ _______________

1. PRICE WORKSHEET FOR VAGLAHS:

VAGLAHS - 11301 Wilshire Blvd., Los Angeles, CA 90073

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

Base Year Sub Total: $_______________

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

Option Year One (1) Sub Total: $_______________

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

Option Year Two (2) Sub Total: $______________

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

Option Year Three (3) Sub Total: $_______________

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023

Option Year Four (4) Sub Total: $_______________

VAGLAHS GRAND TOTAL: $ _______________

***************BASE, PLUS FOUR (4) OPTION YEARS, GRAND TOTAL: $_____________________

A.5 SCHEDULE OF SERVICES AND PRICE (AMENDED).

1. Prices shown in the tables below are all-inclusive of labor, incidental costs, overhead costs, and insurance premium payments for applicable insurance coverage. Costs not incorporated into the contractor’s price will not be reimbursed by the government.

1. ***The previous option year pricing will apply to any extension pursuant to FAR 52.217-8***

1. SCHEDULE FOR VALBHS:

VALBHS - VA Tibor Rubin Medical Center, 5901 E 7th St, Long Beach, CA 90822

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023

1. SCHEDULE FOR VASDHS AND VASDHS-CBOC:

VASDHS - 3350 La Jolla Village Dr., San Diego, CA 92161 VASDHS-CBOC - 1300 Rancho Del Oro Dr., Oceanside, CA 92056

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023

1. SCHEDULE FOR VAGLAHS:

VAGLAHS - 11301 Wilshire Blvd., Los Angeles, CA 90073

BASE PERIOD: 04-01-2018 THROUGH 03-31-2019

OPTION PERIOD ONE (1): 04-01-2019 THROUGH 03-31-2020

OPTION PERIOD TWO (2): 04-01-2020 THROUGH 03-31-2021

OPTION PERIOD THREE (3): 04-01-2021 THROUGH 03-31-2022

OPTION PERIOD FOUR (4): 04-01-2022 THROUGH 03-31-2023