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This document contains an amendment to a solicitation for orthotics and prosthetics fabrication and repair services. The Department of Veterans Affairs VISN 22 is seeking these services for the Albuquerque, NM; Phoenix, AZ; Prescott, AZ; and Tucson, AZ healthcare systems under a five-year contract. The requirement is a partial small business set-aside with a NAICS code of 339113 and size standard of 750 employees. Offerors must acknowledge receipt of the amendment by completing blocks 15A and 15B in the standard form 30. The amendment removes the business associate agreement requirement and provides answers to questions from potential offerors regarding proposal requirements, invoicing for non-classified codes, and a request for the orthotics and prosthetics supply codes covered by the requirement.

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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 ITE M 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 r eference 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

BY

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) None 00262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 00262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 To all Offerors/Bidders

36C26218R0548

X X X This amendment is hereby issued to remove the Business Associate Agreement requirement from the solicitation and to answer questions.

Offerors must acknowledge this amendment by completing blocks 15A and 15B.

Please note the contractor name below:

CONTINUATION PAGE

QUESTIONS AND ANSWERS

1. Please confirm how many hard copies of the solicitation response are required. If multiple copies are required, there are over 150 pages of the certification documents for the clinicians/key personnel. Do you need multiple copies of this information as well? Or multiple copies of select sections?

ANSWER 1. Three (3) copies of your proposal are required.

2. Are there any requirements or guidelines for invoicing the NOC or not otherwise classified codes through CMS (ex. L5999) under this agreement? If not, will those NOC codes be managed by negotiation and only serviced upon agreement of negotiated price?

ANSWER 2. For invoicing the NOC or not otherwise classified codes, please see page 20 of the solicitation under “Reimbursement for Items Not Otherwise Classified of Specified (NOC) Code”

3. May the Business Associate Agreement (BAA) be removed from this solicitation and subsequent contract requirement due to the clarification language below and attached?

ANSWER 3. An amendment to the solicitation will be posted on tomorrow deleting the BAA requirement.

4. What timeframe is the historical demand reflecting in D.3 Attachment C: Price Worksheet/Historical Demand on Page 46 of the RFP?

ANSWER 4. The timeframe in the historical demand data under D.3 Attachment C: Price Worksheet/Historical Demand on Page 46 is three years.

5. Can the VA share how much of the historical demand was performed in-house by the VA and how much was performed by approved vendors?

ANSWER 5. The estimated quantities in the historical demand data under D.3 Attachment C: Price Worksheet/Historical Demand on Page 46 was performed by contractors.

6. Can we provide one certified key personnel who serves as both an orthotist and a prosthetist?

ANSWER 6. Yes

7. Will you please provide a deadline for questions for this solicitation or direct us to where the deadline for questions is posted?

ANSWER 7. The deadline for questions is Noon, Thursday, September 27, 2018.

8. To ensure our response to E.4 52.212-1, (b)(4) on Page 51 of the RFP thoroughly addresses each item being offered, can the VA provide a list of orthotic and prosthetic supply codes?

ANSWER 8. As the VA cannot predict what a patient will need, ALL orthotic and prosthetic supply codes apply and can be found at the HCFA’s Common Procedure Coding System. The link was provided on page 20 of the solicitation.

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