36C26223Q0410 0001_1.docx

SUBJECT*

COMBINED WASTE STREAM DISPOSAL -Base plus 4 OY

GENERAL INFORMATION

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297

POINT OF CONTACT*

Contract Specialist Doreen "Leah" Masterson doreen.masterson@va.gov 480-466-7930

PLACE OF PERFORMANCE

San Diego VA Healthcare System

3350 La Jolla Village Drive

San Diego CA

COUNTRY

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Amendment to a Previous Combined Solicitation

Amendment to a Previous Combined Solicitation See Attached Amendment

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 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)

36C262-23-AP-1530

None 36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297 36C262

NCO 22

Department of Veterans Affairs NCO 22 - Gilbert Network Contracting 335 East Germann Road Gilbert AZ 85297 To all Offerors/Bidders

36C26223Q0410

X

The purpose of this amendment is to:

a. Provide answers to solicitation questions received (see attachment).

b. Verify that the facility is San Diego Healthcare system located at 3350 La Jolla Village Drive, San Diego, CA 92161

c. Response date has changed. Responses due by Monday, March 20, 2023 at 3:00 pm (PDT)

Anita Amodia Contracting Officer

VA-VHA-RPOW-2022-29463

Page 1 of Page 1 of Question 1: On page 24 of 64 under Background: The Background states that contractor will service the 40-yard roll off container approximately 8 times per month. As the incumbent, we have found that this 40-container requires service at least 3 times per week or it becomes over filled. Is the VA expecting there to be less waste that would allow a reduction in service to 2 times per week?

Answer: No. Due to hospital consensus, it will need to change to 3 times a week.

Question 2: On page 24 of 54 under 5. Specific Tasks: Under the first bullet point, the text indicated that one of the waste streams listed is controlled substance waste. This type of waste requires proprietary controlled substance waste containers that must be wall mounted in self-contained locked cages throughout the hospital. If an offeror uses a controlled substance waste system other than the currently installed system, will the contractor be responsible for the cost of removing the current system and the installation of the new system?

Answer: Yes.

Question 3: Currently the contractor’s technician services the proprietary Controlled Substance Waste Containers within the hospital. The technician goes to each location that has a controlled substance container, checks the fill level, and if the container is full the technician adds the required liquids and prepares the container for shipment and installs a new container. Is this technician service still required or will VA staff be performing these services?

Answer: Yes, the technician is still needed.

Question 4: On page 25 of 64 under 5.1 Specific Tasks: Task 5.1 states that, “the estimated amount of compacted, specialized, regulated medical waste and organic food waste to be picked-up and disposed of by the contract is approximately 12 tons per month”. During the past 12 months the average weight of the specialized waste collected from the 40-yard roll off was 158,500 pounds (79.25 tons) each month. Is the VA expecting there to be considerably less waste or should the contractor assume that the average monthly weight of the specialized waste collected from the 40-yard roll off will continue to be approximately 158,500 pounds (79.25 tons)?

Answer: Continually to be approximately 158,500 pounds.

Question 5: Page 5 of 64, Price/Cost Schedule, Line Item Number 0001 (Specialized General Waste): The text indicates that the unit of measure is “JB”. Based on the previous 12 months of service, the estimated annual weight of Specialized General Waste collected from the 40-yard roll off would be approximately 1,902,000 pounds (951 tons). Because the actual weight per month can fluctuate, would the VA consider changing unit of measure to a per pound price?

Answer: Yes, we would consider.

Question 6: Page 5 of 64, Price/Cost Schedule, Line Item Number 0002, (Regulated Medical Waste): The text states that this waste stream consists of Sharps commingled with Pharmacy waste, Pathological waste, Laboratory waste, and Controlled Substance waste.

Controlled Substance waste is treated as hazardous waste and is not transported on the same truck as Sharps commingled with Pharmacy waste, Pathological waste, or Laboratory waste. Further, these specialized containers/systems are serviced by contractor’s technician at various locations inside the hospital unlike the other included waste streams which are picked up at the loading dock.

Adding controlled substances waste services under this Line Item Number will greatly inflate the pricing for regulated medical waste. Would the VA consider adding a separate Line Item Number for monthly controlled substances services?

Answer: This would be a service as indicated under Line Item four.

Question 7: Page 5 of 64, Price/Cost Schedule, Line Item Number 0002, (Regulated Medical Waste): Based on the past 12 months there is approximately 13,000 pounds of Regulated Medical Waste, excluding controlled substances, collected each month. Does the VA expect this approximate monthly weight to stay the same?

Answer: Yes.

Question 8: Page 5 of 64, Price/Cost Schedule, Line Item Number 0002, (Regulated Medical Waste): Since the actual weight per month can fluctuate, would the VA consider changing unit of measure to a per pound price?

Answer: Yes we would consider.

Question 9: Page 5 of 64, Price/Cost Schedule: Under Price/Cost Schedule, there is no Line Item Number for biohazardous waste. We understand that most of this type of waste is collected as specialized waste but approximately 2,000 pounds of biohazardous waste is collected each month that did not go into the 40-yard roll off. Because this waste was not autoclaved on-site it must be autoclaved by the contractor. This waste could be accounted for under Line Item Number 002 but because of the difference in price for incinerated waste and autoclaved waste this would artificially inflate the price for biohazardous waste. Would the VA consider adding a separate Line Item Number for biohazardous waste with a per pound pricing?

Answer: Yes, we would consider this.