36C26220R0078-011.pdf

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)

1 5

0003 04-27-2020

36C262

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

36C262

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive

Suite 600

Long Beach CA 90815

To all Offerors/Bidders

36C26220R0078

04-27-2020

X

X

1.The purpose of this amendment is to change the due date proposal submittal to

05/12/2020 @ 1:00PM PST.

2.Revise the priority location - See Page 2-4

3.Revise Section: GENERAL INSTRUCTIONS FOR OFFER SUBMISSIONS -

- a) Submission of Proposals.

- c) Price Offer Submittal.

See Page 5

Don Weerasinghe

Contracting Officer

A0003 to 36C26220R0078

The following sections have been amended:

• SECTION: B.2 NOTIFICATION TO OFFERORS – #4. Paragraph 4 (Pg.5)

From: Failure to provide an address of the proposed facility that is within twenty-five

(25) miles of the VALBHS at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

To: Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS main hospital and located in Orange County (OC); within the

OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

• SECTION: BACKGROUND AND OVERVIEW – Paragraph 2 (Pg.9)

From: The contractor’s facility where services are to be provided shall be within twenty-five (25) miles of the VALBHS.

*Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

To: The contractor’s facility where services are to be provided shall be within twenty-five (25) miles of the VALBHS main hospital and located in Orange County (OC);

within the OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital.

*Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS main hospital and located in Orange County (OC); within the

OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

• SECTION: BACKGROUND AND OVERVIEW: E. - Paragraph 1 (Pg.10)

From: This contract shall be awarded to a contractor with a facility within twenty-five

(25) miles of VALBHS that meets the requirements outlined in the Tasks and

Deliverables. An HCHV VA Liaison to the contractor will be identified by the homeless program leadership at the VALBHS.

To: This contract shall be awarded to a contractor with a facility within twenty-five (25) miles of the VALBHS main hospital and located in Orange County (OC); within the

OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital that meets the requirements outlined in the Tasks and Deliverables. An HCHV VA Liaison to the contractor will be identified by the homeless program leadership at the VALBHS.

A0003 to 36C26220R0078 Continue

• SECTION: PLACE OF PERFORMANCE (Pg.10)

From: The Offerors facility where services are to be provided shall be within twenty-five

(25) miles of the VALBHS. Government furnished workspace will not be provided for this effort. However, the contractor will be required to host frequent meetings to discuss clinical and administrative matters. Additionally, Contractor must provide a location for

VA staff to meet with Veterans. In both cases, the space must be HIPPA compliant and is the sole responsibility of the contractor. *Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

To: The Offerors facility where services are to be provided shall be within twenty-five

(25) miles of the VALBHS main hospital and located in Orange County (OC); within the OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital. Government furnished workspace will not be provided for this effort. However, the contractor will be required to host frequent meetings to discuss clinical and administrative matters. Additionally, Contractor must provide a location for VA staff to meet with Veterans. In both cases, the space must be

HIPPA compliant and is the sole responsibility of the contractor. *Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the An HCHV

VA Liaison to the contractor will be identified by the homeless program leadership at the VALBHS main hospital and located in Orange County (OC); within the OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the

An HCHV VA Liaison to the contractor will be identified by the homeless program leadership at the VALBHS main hospital at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

• SECTION: D.3 PRE-AWARD SURVEY CHECKLIST – (Pg.70)

From: *The offeror shall provide the address of the proposed facility location on the

Pre-Award Survey. *Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

Description: Priority location shall be within 25 miles from the VA Long Beach

Healthcare System.

To: *The offeror shall provide the address of the proposed facility location on the Pre-

Award Survey. *Failure to provide an address of the proposed facility that is within twenty-five (25) miles of the VALBHS main hospital and located in Orange County

(OC); within the OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

Description: Priority location shall be within twenty-five (25) miles of the VALBHS main hospital and located in Orange County (OC); within the OC County line, in

Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital.

• SECTION: GENERAL INSTRUCTIONS FOR OFFER SUBMISSIONS. (Pg.77)

From: h) Offerors shall state the address of the proposed facility at the time of proposal submission. Failure to provide address of the proposed four (4) bed facility at the time of proposal submission will result in the proposing contractor to be removed from consideration for award. In addition, failure to provide an address of a proposed facility that is within twenty-five (25) miles of the VALBHS at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

To: h) Offerors shall state the address of the proposed facility at the time of proposal submission. Failure to provide address of the proposed four (4) bed facility at the time of proposal submission will result in the proposing contractor to be removed from consideration for award. In addition, failure to provide an address of a proposed facility that is within twenty-five (25) miles of the VALBHS main hospital and located in

Orange County (OC); within the OC County line, in Orange County zip codes which do not exceed twenty-five (25) miles from the VALBHS main hospital at the time of proposal submission will result in the proposing contractor to be removed from consideration for award.

• SECTION: GENERAL INSTRUCTIONS FOR OFFER SUBMISSIONS.: Submission of

Proposals. (Pg.77)

From: 1) Offerors proposals will contain two (2) hard copies, clearly marked with RFP

36C26220R0078. Offerors proposals shall be mailed to:

Rafael Cervantes, Contract Specialist

Department of Veterans Affairs

Network Contracting Office 22

4811 Airport Plaza Drive, Suite 600

Long Beach, CA 90815

2)Format. Offerors shall present their written offers on 8.5” by 11” paper, using legible and easy to read font, at least eleven (11) point font; single spaced, with 1” margins all around. The offer will not be more than 100 pages including all supporting documentation; bound with a black paper clip or placed in a three-ringed binder to allow for ease of disassembling sections of the offer.

To: 1) Offerors proposals will be submitted via email, clearly marked with RFP

36C26220R0078. Offerors proposals shall be emailed to: Rafael Cervantes, Contract

Specialist @ Rafael.Cerantes@va.gov

2)Format. Offerors shall present their electronic offers as a PDF file, using legible and easy to read font, at least eleven (11) point font; single spaced, with 1” margins all around. The offer will not be more than 100 pages including all supporting documentation.

• SECTION: GENERAL INSTRUCTIONS FOR OFFER SUBMISSIONS.: Price Offer

Submittal. (Pg.77)

From: Offeror’s pricing shall be submitted in a separate envelope.

To: Offeror’s pricing shall be submitted via email as a PDF file to

Rafael.Cervantes@va.gov mailto:Rafael.Cerantes@va.gov