36C26224R0118 0002.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 7

02-25-2025

MSO-2023-COM-0007

36C262

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

To all Offerors/Bidders

36C26224R0118

01-07-2025

X

X X

See CONTINUATION Page

X 1

Jarrod Washington Contracting Officer

The purpose of this amendment is to amend the solicitation and provide responses to vendors questions received 01/15/2025.

The proposal submission deadline is extended to March 27, 2025. Proposals must be submitted by 10:00 AM PDT.

See page two (2) for details.

Solicitation: 36C26224R0118 Amendment: 0002

The solicitation is amended as follows:

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.3 PERFORMANCE WORK STATEMENT (PWS)

1. Subsection 2.8 License and Accreditation: (p. 25), is amended to read:

“The contractor shall not permit any staff to begin work at an outpatient site of care prior to confirmation from the VA that the individual’s background investigation has been reviewed and released to the Office of Personnel Management (OPM), by the Security and Investigations Center (SIC), and that credentialing and privileging requirements have been met. A copy of licenses shall be provided by the awarded contractor as part of the onboarding procedures and will be updated annually. Any changes related to the providers' licensing or credentials will be reported immediately to the VA Credentialing Office. In accordance with FAR 52.212-4 Contract Terms and Conditions – Commercial Products and Commercial Services failure to comply with these terms and conditions may result in any and all rights and remedies provided by law.”

2. Subsection 2.17 Conflicts of Interest: (p. 28), is amended to read:

The contractor and all contractor’s personnel are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The contractor shall also provide relevant facts that show how its organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject (see Section D - List of Attachments: D.3 – Organizational Conflicts of Interest).

3. Subsection 5.3 Pharmacy Services:, Medication Management: (p. 43), is amended to remove the following paragraph.

“The contractor shall provide quarterly, and annual anticoagulation quality assurance summaries as outlined by the local Pharmacy & Therapeutics Committee. For questions, please contact, POC, VA Anticoagulation Coordinator.”

4. Subsection 5.4 Ancillary Support Services:, Electrocardiogram (ECG) Services: (p. 45), is amended to read:

“MUSE-compatible EKGs shall be used which are interfaced with the VA EHR Imaging. This will be supplied by VA at cost to the contractor. EKGs are done by the Outpatient Site of Care and documentation will be sent electronically from the GE 5500 EKG machine directly into the VA EHR Imaging. When MUSE -compatible system is not available EKGs will be confirmed, interpreted and documented by the Contractor’s licensed provider. The report will be scanned directly into the VA EHR Imaging by the Outpatient Site of Care. The EKGs will be confirmed and/or read by Contractor’s providers.”

5. Subsection 5.6 Specialty Care Services: (p. 61), is amended to remove the following.

“Physical Therapy Support Services: The contractor shall provide the following clerical support services for physical therapy providers at the CBOC.

• Schedule and reschedule patients for physical therapists assigned to the clinic.

• Check in patients for the above clinics.

• Check out patients/encounters for the above clinics.

• Utilize the Insurance Capture Buffer to record Veteran insurance information.

• Place reminder calls to patients no later than one day prior to their appointment.

• Call patients to cancel and reschedule appointments when the provider is unable to see the patient.

• Receive and screen phone calls for the above clinics and providers.

• Process all consults/referrals for the above clinics.

• Provide support for the tele physical therapy appointments including scheduling, set-up.

• Participate in triaging secure messages.”

6. Subsection 5.7 Telehealth Services Requirements:, Space and Equipment Requirements for Telehealth: (p. 62), is amended to read:

The contractor is required to follow VA requirements and processes for space and equipment when delivering telehealth services and shall be prepared to offer synchronous and asynchronous services by telehealth. Designated space for asynchronous telehealth services is required; for synchronous services, space may be interchanged with office space for in-person care, if necessary, equipment and connectivity requirements are met. The VA will provide all video conferencing equipment, peripherals, and asynchronous telehealth equipment (e.g., teledermatology camera, eye imaging equipment) and all associated information technology equipment and access to the VA confidential data network. The VA will maintain the VA-provided telehealth equipment. The following rooms designated for telehealth services at this site: an exam room for a Clinical Access Station cart (CAS), rooms for dx 80 (can be used for Clinical Video Telehealth (CVT)), and a room for Store and Forward (teleretinal and/or teledermatology)).

7. Subsection 5.8 Telephone Access to Clinical Care: (p. 64), is amended to read:

The contractor shall make provisions for toll free telephone care, twenty-four (24) hours a day, seven (7) days a week, including evenings, weekends, and holidays, for all Veterans, in accordance with VHA Directive 1090, "Telephone Access for Clinical Care," (or subsequent revisions thereto).

The contractor shall ensure qualified, trained clinical and administrative staff members who have direct access to patient records are available to receive and answer incoming clinical care concerns to the clinic. This directive establishes telephone access performance metrics for telephone service, which can be used by VA to monitor contractor performance (e.g., call volume, abandonment rate, average speed to answer, and service line).

The contractor may configure toll free telephone care that will automatically forward calls to the VA parent facility call center after business hours, including evenings, weekend and holidays.

VA parent facility phone number(s): (800) 465-8262 or (505) 265-1711.

Nurse Triage Line: (877) 252-4866 extension: 6601.

8. Subsection 11. SPACE REQUIREMENTS: (p. 75), is amended to read:

Contractors shall provide space that meets the standards outlined in the PACT Space Module Design Guide (see link above) and for the purposes of this contract the following minimum space requirements are Minimum of 2 exam rooms per teamlet and 1 consultation room per teamlet.

Minimum of 1 group room with capability to support Telehealth equipment, 1 procedure room, work area of team, supply room, clean and dirty utility rooms. Minimum of 4 Telehealth rooms (1 exam room for a Clinical Access Station cart (CAS), 2 rooms for dx 80 (can be used for Clinical Video Telehealth (CVT)), 1 room for Store and Forward (teleretinal and/or teledermatology)).

9. Subsection 12. ENVIRONMENT OF CARE (EOC): (p. 80), is amended to read:

“Contractor shall meet VHA standards regarding EOC and shall provide initial EOC management plans addressing safety, security, hazardous materials, hazardous waste, emergency preparedness, life safety, medical equipment, infection control, and utility systems with the submission of their proposal. The VA will review these plans during evaluation process, and the selected contractor shall submit final management plans, within 15 calendar days after contract award. The VA parent facility safety officer shall approve the EOC documents prior to commencement of patient care activities at the clinic. The EOC management plans shall be updated annually, along with a summary of performance and opportunities for improvement. Environment of care (EOC) rounds will be conducted at least once per fiscal year (FY) in nonpatient care areas and twice per FY in patient care areas. These rounds will be conducted by VA in accordance with VHA Directive 1608 Comprehensive Environment of Care (CEOC) Program using the Comprehensive Environment of Care Assessment and Compliance Rounding Tool. Contractor shall address deficiencies identified during EOC rounds and ensure they are closed within 14-business days or have a documented plan for action (PFA) for deficiencies that take longer than 14 business days to correct.”

10. Subsection 13. EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT: (p. 81), is amended to read:

“Having a contingency plan for computer downtime that defines the processes to ensure continuity of patient care and maintenance of the integrity of the patient’s medical record during periods of loss of computer functions. The contingency plan for computer downtime shall be reviewed and approved by the Contracting Officer prior to performance. In addition, a contingency plan template that designates criticality of application/system, estimate of impact, locations of equipment, and contact persons will be provided to the contractor for completion after award of the contract. The contingency plan shall mirror VA OIT DevSecOP’s COOP plan. Providing one small desktop color printer for printing patient education information.”

11. Subsection 13. EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT:, Racks:

(p. 83), is amended to read:

Infrastructure installer shall install CAT6A patch panels and connectors in the rack.

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENT

12. Subsection D.3 - Organizational Conflict of Interest (OCT 2020) (attached) (p. 151), replaces

D.3 - Conflict of Interest for Sharing of Health Care Resources).

SECTION E - SOLICITATIONS PROVISIONS

Section E.3 ADDENDUM TO FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES:

13. Subsection 1. GENERAL INSTRUCTIONS FOR PROPOSAL SUBMISSION, d., (p. 156)

a. Solicitation Questions/Technical Inquiries: Offeror questions and inquiries concerning the solicitation will be accepted until January 15, 2025. Questions shall be sent via email sent to Ramonalisa.Aviles@va.gov.

i. The government will make every effort to provide responses via an amendment to the solicitation on or about January 22, 2025. However, responses are subject to the availability of information and the government does not guarantee that all questions will be answered within the specified timeframe. If response cannot be provided before the proposal due date, offerors will be notified accordingly.

ii. Extensions to the proposal due date will be considered at the government’s discretion based on the nature of outstanding inquiries but are not guaranteed. Any extension, if granted, will be applied equitably to all offerors and communicated through an amendment.

14. Subsection 1. GENERAL INSTRUCTIONS FOR PROPOSAL SUBMISSION, e., (p. 156)

e. Proposal Submittal Instructions: Proposals shall be emailed to Ramonalisa.Aviles@va.gov by the deadline specified in the solicitation. Late submission will not be accepted. All submission must be in Word, Excel or PDF format. No Zip Files will be accepted. Facsimile offers will not be accepted. Email shall not exceed 7MB. If a volume (file) exceeds 7MB, submit in multiple emails. No more than three (3) emails per Offeror. It is the responsibility of the Offeror to confirm that their proposal has been received before the deadline.

i. Subject line format:

• Single email: Subject line format: [Solicitation Number] – Proposal Submission – [Offeror Name].

• Multiple emails: Subject line format: [Solicitation Number] – Proposal Submission –

[Offeror Name] [ 1of X] (e.g., 1 of 3, 2 of 3, etc...)

15. Subsection 1. GENERAL INSTRUCTIONS FOR PROPOSAL SUBMISSION, f, and g., (p. 156)

f. Proposal Submission Volumes: Offerors shall submit their proposals in three (3) separate volumes (files), as detailed below. Each volume must be clearly labeled and submitted in compliance with the instructions:

i. Volume 1 – Administrative & Compliance Documents

ii. Volume 2 – Technical Proposal

iii. Volume 3 – Price Proposal (See Section B.2 – Schedule of Services and Price)

g. Content Organization: Each volume must contain the following required documents.

i. Volume 1 – Administrative & Compliance Documents: Offerors shall complete and submit the following: (Word or PDF format).

(1) Standard Form (SF) 1449 – Completed Block 17a, 30b, 30c and sign 30a.

(2) SF 30 Amendment(s) – Complete Block 15A, 15C and sign 15B. (if applicable)

(3) Section B.1 Contract Administration – Completed

(4) VAAR 852.219-75 VA Notice of Limitations on Subcontracting Certification for

Services and Constructions – Completed and signed (See Section C.17)

(5) FAR 52.212-3 – Offeror Representations and Certifications-Commercial Products and

Commercial Services – Completed (See Section E.14) mailto:Ramonalisa.Aviles@va.gov mailto:Ramonalisa.Aviles@va.gov

(6) Organizational Conflicts of Interest Statement – Completed and signed (See Section D.3)

(7) Contractor Certification: Immigration and Nationality Act – Completed and signed (See Section D.4)

ii. Volume 2 – Technical Proposal: Offerors shall submit responses addressing non-price evaluation factors: (Word or PDF Format).

(1) Cover Letter: (This is not an evaluation factor but optional for submission)

(2) Factor 1 – Experience (Use the Contract Reference Worksheet – See Section C.31)

(3) Factor 2 – CBOC Activation Plan

(4) Factor 3 – Proposed Site

iii. Volume 3 – Price Proposal: Offerors shall submit the completed pricing section: (Word or PDF Format).

(1) Section B.2 – Schedule of Services and Price – Completed (this is the Offeror’s response to Factor 4)

16. Subsection 2. NOTICE OF COMPLIANCE CHECK: (p. 157).

a. The proposal package must be clearly labeled with the Offeror’s name, business address, solicitation number, and designated point of contact (including name, telephone number, and email address). The government is not responsible for identifying inconsistencies between multiple points of contact and may rely on either version at its discretion.

b. Offerors must submit the name and contact information of the individual who can response to inquiries regarding the proposal. This includes full name (first and last), telephone number and email address.

c. In-order to be considered for selection, the Offeror must submit a complete response to this solicitation following the sequence and format instructions outlined in the Proposal Submittal Instructions and Content Organization.

d. Offerors shall NOT submit any classified information. It is the responsibility of the Offeror to review this entire solicitation and ensure that their proposal meets all submission requirements before submission.

17. Subsection 3. EVALUATION FACTORS AND CRITERIA, (p. 157).

b. Factor 2 – CBOC Activation Plan: (p. 158), is amended to read:

1. “A narrative describing the Offeror’s plan to activate the CBOC proposed for this procurement. Offerors must describe the specific the specific risks and mitigation strategies anticipated to establish and make ready for operations a CBOC for this procurement within 180 days of contract award, including risks associated with buildout, permitting, and clinical staffing.”

c. Factor 3: Proposed Site: This factor will be used to assess the location of the Offeror’s proposed CBOC site including the area surrounding the Offeror’s proposed site. In response to this factor, Offerors shall provide the full address of the Offeror’s proposed CBOC site and provide a narrative in no more than 1-page describing the proposed CBOC site and the area surrounding the proposed site. Up to four (4) pictures of the proposed site may be included in addition to the 1-page narrative.

d. Factor 4 – Price: This factor will be used to assess the reasonableness of the Offeror’s proposed prices. For this factor, Offerors shall submit their price proposal using B.2 Schedule of Services and Price.

18. Subsection 4. FLOOR PLAN/CLINICAL LAYOUT (p. 157).

“Upon notification of award and completion of the post-award conference, the successful Offeror shall have seven (7) calendar days to submit a floor plan and schematic of the facility layout demonstrating compliance with the PACT Space Module Design Guide and other requirements of the PWS. The contractor’s plan will be reviewed by NMVAHCS. No permits or any work in relation to the buildout of the facility shall commence until the awarded Contractor has received approval of their floor plan and facility layout plan by the VA. Format for the submission will be discussed at the post award conference.”

Section E.13 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021), (a) (p. 165-166).

19. FACTOR 3 - Proposed Site. This factor will be used to assess the location of the Offeror’s proposed CBOC site including the area surrounding the offeror’s proposed site.

20. FACTOR 4 – Price: This factor will be used to assess the reasonableness of the Offeror’s proposed prices.

(End of Solicitation Amendment)