36C26222R0050_1.docx

SUBJECT*

MSO-2021-COM-0056 CBOC Truth or Consequences, NM

GENERAL INFORMATION

SET-ASIDE

CONTRACTING OFFICE ADDRESS

Department of Veterans Affairs NCO 22 - Network Contracting 3601 S. 6th Avenue Tucson AZ 85723

POINT OF CONTACT*

Contract Specialist Arcelia Medina arcelia.medina@va.gov

PLACE OF PERFORMANCE

ADDRESS

Department of Veterans Affairs

NCO 22 - Network Contracting

Truth or Consequences

New Mexico

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Truth or Consequences RFP 36C26222R0050 Questions & Answers Amendment to a Previous Combined Solicitation

Page 1 of

Amendment to a Previous Combined Solicitation

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 f or 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. I

f 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 OFFIC

ER

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) 02/01/2022

MSO-2021-COM-0056

36C262 Department of Veterans Affairs NCO 22 - Network Contracting 3601 S. 6th Avenue Tucson AZ 85723 36C262 Department of Veterans Affairs NCO 22 - Network Contracting 3601 S. 6th Avenue Tucson AZ 85723 To all Offerors/Bidders

36C26222R0050 01-28-2022

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

Wednesday, February 09, 2022 @ 1500 EST X The purpose of this solicitation amendment is to respond to questions submitted by contractors in reference to this solicitation.

The solicitation is also amended to extend the proposal due date from 02/03/2022 to

02/09/2022 @ 1500 EST.

Trevor Hood Contracting Officer Page 1 of Page 1 of

Truth or Consequences RFP 36C26222R0050 Questions & Answers

Q1: Section 4.6.3.1 Please provide a list of the previous year's quantity of vaccines provided in the CBOC. Does this include Covid 19 vaccines? Here is an estimation over the last 18 months (1 ½ yrs); exact numbers are not available. Be aware that due to COVID restrictions this number may be lower than previously due to times of limited face-to-face care.

A: Shingrix: 210 doses T-Dap: 100 doses Hep B 5 doses Pneumovax 23: 90 doses Eligard: 1 Prevnar 13: 70 doses Hep A/B: 3 doses Flu High Dose: Over 230 doses Flu Regular Dose: Over 100 doses

Q2: Section 4.6.3.2.8 says that the contractor is responsible for providing quarterly and annual anticoagulation quality assurance summaries to the anticoagulation coordinator, if the VA is providing the anticoagulation service, will the Government provide the quarterly and annual quality assurance summaries?

A: The Government will provide the summaries, to VA Leadership. The Contractor performs the lab draws and would assist with seeting up a provider-to-clinic video (CVT) visit at their site when needed for the Anticoagulation Clinic.

Q3: Section 4.6.3.4 Will the VA provide a freezer unit to hold the Pfizer Covid vaccines?

A: No, VA will provide the temperature control monitoring alert system for the Contractor-provided medical grade refrigerator. Ultra Low freezers are not required at the contract CBOC location.

Q4: Section 4.6.4.4.1 Will the VA provide POC equipment for Glucose and anticoagulation testing?

A: No, the Contractor is responsible for monitoring their own equipment.

Q5: Section 4.11.1.5 States Contractor is responsible for procurement, installation, and maintenance of all printers, scanners, and fax machines. In our experience, the VA IT department will not network any items purchased by the contractor to interface with VA systems. The contractor will need printers, scanners, fax, and copiers that can be networked with VA.

A: The Contractor procures any scanners, faxes and copiers. The Government provides computers and printers for VA-related work.

Q6: Section 4.11.1.9 Contractor is responsible for purchasing a color printer used for patient education, Contractor will not be able to network this printer on VA network to print information from VA sources for patient education. Please confirm the VA will supply a color printer for this use.

A: Government will provide printers for use with Government-issued computers and a single workstation is provided for printing patient education material. The Contractor is responsible to provide fax machine and copiers.

Q7: Section 4.11.3.4 Will the Government supply the telephones for use at the clinic?

A: Yes

Q8: Section 6.1.3 States that the Contractor will have 90 days from the date of the award to have the clinic open for business. Due to the current backlogs in the supply chain, would the Government consider 120 days from the date of the award?

A: The Government understands the supply chain issues and may find it justifiable to change this to 120 days.

Q9: Please provide the number of respondents to the government’s sources sought notice on 3/16/21.

A: Three contractors responded to the notice.

Q10: Contracting to answer. Please explain why this opportunity was not set aside as there are now three SDVOSB companies able to provide services under this contract, each successfully managing VA CBOCs.

A: At the time that market research was conducted for the Truth or Consequence NM area, there was only one SDVOSB who responded with interest in this acquisition. In order to set aside a solicitation two or more contractors are required to not only respond to the sources sought notice but to also want to participate in an upcoming acquisition.

Q11: COR thinks this is the usual way.Will the new contractor inherit the patient’s last Primary Care vesting visit and be allowed to bill for one year from that date upon contract award?

A: Yes, a new awardee will inherit all patients and be authorized to bill for a year of vesting visit.

Q12: How many veterans are currently on the Truth or Consequences CBOC Primary Care invoice (most recently billed by the current vendor)?

A: December 2021 billable roster was for 667 patients.

Q13: Can the government provide a breakdown showing the number of enrollees by the enrollee’s home zip code? Here is an estimated breakdown in percentages:

A:

Q14: With declining Veteran populations, please provide an explanation of why the government believes this clinic will grow over the life of the contract?

A: Per the VHA Support Service Center’s Outpatient Sites of Care and Workload Facility Data, data which is cumulative through March 24, 2021: 86% of veterans in Priority Group 1-6 veterans and 13% of veterans in Priority Group 7-8 comprise TorC’s enrolled workload currently. With 87% of PG 7-8 vets untapped, potential for growth exists by outreach and recruitment efforts. The TorC catchment area population, like many New Mexico rural areas, is lower income and has fewer healthcare options.

Q15: Please list all positions the VA will staff on site at the CBOC by title and number of hours per week/month those employees will be on site.

A: No VA staff will be based on site. VA staff will provide support in specified areas remotely, via Telehealth and video teleconference.

Q16: Will the Contractors proposed space be required to meet the on-stage/off-stage design with the PACT Zone?

A: Yes, that contractor is required to meet on-stage/off-stage design requirements.

Q17: Is the current facility and existing layout of the clinic acceptable to the VA?

A: No, The Information Technology closet used by VA for computer network devices does not meet current size requirements.

Q18: If the current facility is acceptable to the VA, please explain how the government will level the playing field for construction costs for all bidders who are not the incumbent?

A: The VA is not responsible and not authorized to provide a competitive advantage to any potential offeror.

Q19: Is the Cost Proposal required to be emailed separately from the Technical Requirements?

A: The offeror shall properly complete the solicitation document (SF1449) along with any amendments (SF 30), if any are issued and submit as “36C26222R0050 General Information and Price/Cost Schedule”. Not combined with the technical requirements File.

Q20: Do you require a hard copy of any items listed in the solicitation?

A: Reference Section E.1 Addendum to FAR 52.212-1 Instructions to Offerors – Commercial Items Page 179 of the solicitation. Offer Due Date: The Offeror shall submit completed proposal electronically to Arcelia.Medina@va.gov by the time and date specified on Block 8 of the SF-1449.

Q21: Do you require the total amount on the first line of the Form SF 1449 Section B.2 (Item Number 0001 is 0.00 Quantity) to be the total annual cost or should it be zero since the quantity is listed as 0.00?

A: There should be No amount listed in the lines with 0.00 quantity and NSP Unit of Measure.

Q22: Should the total at the end of the section be the total 10 year cost?

A: The “Grand Total” should be all 10 years added.