36C26224R0121 0001.docx

Amendment 0001 to RFP 36C26224R0121

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) 10/10/2024

MSO-2024-COM-0033

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

36C26224R0121 09-25-2024

X x x This amendment is issued to amend the solicitation and answer questions received.

The proposal due date has been extended to October 28, 2024. Proposals must be received by 10:00 AM Pacific Time.

Please see attached for details.

All other terms and conditions shall remain unchanged.

Alice McGruder Contracting Officer

1. The solicitation is amended as follows:

a) Section B.3 Performance Work Statement (PWS), paragraph 2.8. License and Accreditation 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 all rights and remedies provided by law.

b) Section B.3 PWS, paragraph 12 ENVIRONMENT OF CARE (EOC) is amended to read:

“Contractor shall meet VHA standards regarding EOC and shall provide EOC management plans addressing safety, security, hazardous materials, hazardous waste, emergency preparedness, life safety, medical equipment, infection control, and utility systems within 15 calendar days after contract award.”

c) Section B.3 PWS, paragraph 13 EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT is amended to read:

“The installation and maintenance of the network cabling infrastructure within the facility including all cabling located inside the walls and plenum space of the structure, cabling racks, network equipment racks, patch panels, wall ports, and a secure communications closet space to house the networking equipment. Cabling infrastructure and closet design shall adhere to American National Standards Institute (ANSI)/Independent Technical Authority (ITA)-568, International Organization for Standardization (ISO)/International Electrotechnical Commission (IEC) 11801, and VA EHRM standards, per attachment DX EHRM rack power specs.”

d) Section B.3 PWS, paragraph 13 EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT amended to read:

“VA OIT will provide the primary data and voice circuit read." The Contractor is responsible for providing the circuit and physical phones.”

e) Section B.3 PWS, paragraph 13 EQUIPMENT, OFFICE SUPPLIES AND TECHNICAL SUPPORT 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 must 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.”

f) Section B.3 PWS, paragraph 5.3 Pharmacy Services is amended to delete the section:

“The contractor shall meet all requirements for anticoagulation management outlined in VHA Directive 1108.16 Anticoagulation Therapy Management (or subsequent revisions thereto) as well as local policy related to the management of patients on anticoagulation. Local policy is included in Section D (attachments). 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 Elizabeth.gramer@va.gov.”

g) Section B.3 PWS, paragraph 18 SPECIAL CONTRACT REQUIREMENTS is amended to read:

“The contractor shall have 180 calendar days from contract award to commencement of the provision of medical care to VA parent facility patients.”

h) Section E.4. ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES, EVALUATION FACTORS AND CRITERIA, b. FACTOR 2: ACTIVATION PLAN is amended to read:

“This factor will be used to assess the Offeror’s plan to commence services to the patients who will be assigned to the Escondido CBOC within the 180-day period required in the Performance Work Statement for this procurement. Offerors shall provide the following in response to this evaluation factor:

1. A narrative describing the Offeror’s plan to activate the CBOC proposed for this procurement. Offerors must describe 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 build out, permitting, and clinical staffing.

i) Section E.5 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (NOV 2021), FACTOR 2: Activation Plan is amended to read:

“This factor will be used to assess the Offeror’s plan to commence services to the patients who will be assigned to the Escondido CBOC within the 180-day period required in the Performance Work Statement for this procurement.”

The solicitation Section D – Contract Documents, Exhibits, OR Attachments is amended to include:

D.19 DX EHRM RACK POWER SPECS. Please see attachment.

2. The following are answers to questions received in response to the solicitation:

Q1: Please list the vaccines the contractor is responsible for purchasing and provide information on how many of each vaccine were used at the clinic in the past year.

A2:

Please see additional questions and answers in attached Excel Spreadsheet: Amendment 0001 - RESPONSE TO QUESTIONS: SOLICITATION 36C26224R0121 - ESCONDIDO CBOC PRIMARY CARE SERVICES.

See attached document: D. 19 DX EHRM RACK POWER SPECS.

See attached document: Response to Questions - Escondido CBOC Primary Care Services_10-10-24.

image1.png