36C26219R0026-0006000.docx

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VA Loma Linda Healthcare System- Community Based Outpatient Clinics (CBOCs)
Solicitation number
36C26219R0026
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This document contains an amendment to a solicitation for Community Based Outpatient Clinics to be operated by a contractor on behalf of the VA Loma Linda Healthcare System. The amendment provides clarification on several questions received from offerors in response to the solicitation. Key details include the monthly volume of Choice/Mission Act referrals over the past year for each of the five clinic locations, with breakdowns by clinical service type. The amendment also addresses questions regarding medication and vaccine usage data, podiatry exam room requirements, distribution of over-the-counter medications, level of IT infrastructure detail to include, and organization of responses for evaluation factors and general responsibility information. Proposal deadlines are extended to allow time for offerors to update architectural plans based on mailroom clarifications. No other substantive changes are made to requirements.

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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 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) 10-08-2019 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

36C26219R0026 08-02-2019

X x x x Amendment 0006 is hereby issued to provide clarification for questions received in response to the solicitation.

CHELSEA BLACK

CONTRACTING OFFICER

CONTINUATION PAGE

1. Amendment 0002 listed the number of Choice/Mission Act referrals over the past 12 months for veterans enrolled at each of the Loma Linda CBOCs. Please specific how many were for primary care patients? How many were for VA Behavioral Health? How many for PCMHI Mental Health?

See report of the breakdown.

CBOC
ToRequestServiceName
Count of ConsultIEN
CORONA
COMMUNITY CARE-BH MEDICATION MGT
6
COMMUNITY CARE-BH MST
6
COMMUNITY CARE-BH PSYCHOTHERAPY
86

CORONA Total

MURRIETA VETERANS CLINIC
COMMUNITY CARE-ADMIN PRIMARY CARE
3
COMMUNITY CARE-BH MEDICATION MGT
67
COMMUNITY CARE-BH MST
7
COMMUNITY CARE-BH PSYCHOTHERAPY
741

MURRIETA VETERANS CLINIC Total

PALM DESERT CBOC
COMMUNITY CARE-ADMIN PRIMARY CARE
31
COMMUNITY CARE-BH MEDICATION MGT
13
COMMUNITY CARE-BH MST
21
COMMUNITY CARE-BH PSYCHOTHERAPY
285

PALM DESERT CBOC Total

RANCHO CUCAMONGA CBOC
COMMUNITY CARE-ADMIN PRIMARY CARE
1
COMMUNITY CARE-BH MEDICATION MGT
25
COMMUNITY CARE-BH MST
1
COMMUNITY CARE-BH PSYCHOTHERAPY
354

RANCHO CUCAMONGA CBOC Total

VICTORVILLE CLINIC
COMMUNITY CARE-ADMIN PRIMARY CARE
7
COMMUNITY CARE-BH MEDICATION MGT
4
COMMUNITY CARE-BH MST
2
COMMUNITY CARE-BH PSYCHOTHERAPY
236

VICTORVILLE CLINIC Total

Grand Total

2. Please provide data for medication and vaccine usage for these Choice/Mission Act referral patients.

The VA does not have this information.

3. RFP, Section 22.20: Does this mean the contractor does not need to supply a podiatry exam room or nail technician, and all patients will be referred and travel to Loma Linda VAMC for podiatric care?

A Podiatry exam room is not required, patients will be referred to the VA for all specialty care services.

4. Per Amendment 0002, Question 73, can the VA provide usage data on the volume of over-the-counter medications distributed at each CBOC in the past year?

The VA does not have this information.

5. Per Factor 2, what specific detail needs to be provided on the IT infrastructure. It is difficult to provide this information because our access to the facilities, in some cases, is limited.

For Factor 2, the offerors are to describe, for each of the five facilities, the offeror’s proposed physical resources including number/type of patient care areas, offices, information technology infrastructure, parking facilities, parking for employees and handicapped parking that the offeror will put in place to meet the requirements of the solicitation. Concerning the proposed information technology infrastructure, offerors should provide the level of detail, that the offeror believes is sufficient to describe how the offeror plans to meet the information technology needs described in the solicitation.

Proposal document Structure

6. Per Amendment 0002, Questions 99, 116, and 117 please further clarify where the General Responsibility Determination responses should be provided in the document. The answer references the RFP-page 134, section b, (2) and states that these responses are not part of the evaluation factors. Yet page 134 lists them as part of the evaluation factors.

The Information requested for the General Responsibility Determination is not part of the evaluation factors. This information shall be submitted in accordance with the format provided below. This information was included in Amendment 0003 – Page10.

1. Addendum to FAR 52.212-1 Instructions to Offerors -Commercial Items. 1. b. (2) is deleted in its entirety and is replaced with the following:

(2) Past Performance, Veteran Involvement and Price Proposal and Responsibility- Offerors shall submit a separate binder with the information the solicitation requires offerors to provide regarding the following items:

0. Past Performance evaluation

0. Veteran Involvement evaluation

0. Price evaluation

0. Responsibility Determination.

0. Signed 1449, SF30 Amendment(s), and Contractor Data Sheet Only one paper copy is required, but all shall be placed in one binder clearly marked with the Offeror’s name, Point of Contact, Phone Number and email address, and the RFP number. Additionally, one CD with an electronic version of all documents contained in this binder shall also be included in the binder.

7. Since the General Responsibility Determination includes the staffing plan, does this mean that the organizational chart/staffing plan for each clinic does not need to be included in the experience/management (Factor 4) section of the proposal?

The staffing plan for each of the clinics shall be included in the information requested under the General Responsibility Determination.

8. Does the VA want responses for Factors 2 and 3 in a separate binder for each of the five clinics? This would mean that a total of 30 binders (six copies each) would have to be submitted for these sections alone.

The responses can be in the same folder separated by tabs for each of the five (5) clinics.

9. Where should the signed amendment acknowledgements be placed in the proposal document? Typically, RFPs instruct them to be included in the Pricing volume, but the RFP does not state this.

This information was included in Amendment 0003 – Page10.

1. Addendum to FAR 52.212-1 Instructions to Offerors -Commercial Items. 1. b. (2) is deleted in its entirety and is replaced with the following:

(2) Past Performance, Veteran Involvement and Price Proposal and Responsibility- Offerors shall submit a separate binder with the information the solicitation requires offerors to provide regarding the following items:

0. Past Performance evaluation

0. Veteran Involvement evaluation

0. Price evaluation

0. Responsibility Determination.

0. Signed 1449, SF30 Amendment(s), and Contractor Data Sheet Only one paper copy is required, but all shall be placed in one binder clearly marked with the Offeror’s name, Point of Contact, Phone Number and email address, and the RFP number. Additionally, one CD with an electronic version of all documents contained in this binder shall also be included in the binder.

10. When working with our architects, we found that the government deleted the requirement for a separate ventilation system for mailrooms in the RFP. However, the government did not delete the requirement for mailrooms from section 1.02.4.2 of the RFP (requirements for Murrieta Audiology). Please advise if the government’s intention is to have any mailrooms in the CBOCs. Please extend proposal deadline to give offerors time to update their architectural floor plans.

The requirement in the Murrieta CBOC is for a 120-sf room for VA to place an all in-one copier with a counter for mail slots and an area to sort documents and distribution, which is standard in most VA administrative operations. This is for the VA employees and for mail drop off and pick up via VA courier. No separate ventilation system is required.

11. Section: Space Requirements, 1.02.3 (13) Does the Vestibulography room require any specialized construction to accommodate this testing?

The room does not require any specialized construction for testing other than what’s stipulation in the RFP.

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