36C26225Q0902 0002.docx

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) 06-20-2025 644-25-2-425-0009 None 36C262

NCO 22

Department of Veterans Affairs NCO 22 - Network Contracting 650 East Indian School Road Phoenix

AZ

85012 36C262

NCO 22

Department of Veterans Affairs NCO 22 - Network Contracting 650 East Indian School Road Phoenix

AZ

85012 To all Offerors/Bidders

36C26225Q0902 05-27-2025

X X X See CONTINUATION Page X The purpose for this amendment is to respond to additional questions and post the update quantity for the CLINs.

All questions are due NLT June 24, 2025, at 1:00 PM MST. All offers are due NLT June 30, 2025, at 1:00 PM MST.

Offerors shall be submitted via email to: Felicia Simpson, Contract Specialist at Felicia.Simpson@va.gov.

ALL OFFERS SHALL SUBMIT ALL DOCUMENTATION UNDER SECTION E and all AMENDMENTS, failure to provide any required document acknowledgment of all amendments will result in the offer to not be acceptable and will not be evaluated.

CONTINUATION PAGE

Questions and answers 36C26225Q0902 Sleep Apnea Test

1. The VA proposal appears to be structured in a way that results in a high-cost bid, limiting the equipment to a single unit type (Itamar WatchPAT One) and designating it as a set-aside for Veteran-Owned Small Businesses (VAOSB). Could the proposal be revised to include additional equipment types and open eligibility to a broader pool of small businesses? This approach could enhance governmental efficiency by balancing cost and quality, ensuring the best value for the government while maintaining high standards and increasing competition.

Answer: We are not designating that be solely offered to only VAOSB companies. Other devices that use different technology have more hardware that must be attached to the patient that often leads to patient not being able to put it on correctly as well as more items that can come off during the night making the study invalid, thus having to repeat the study or send them for in lab sleep study that costs considerably more to do. Minimizing the hardware that the veteran must wear and operate leads to more successful studies cutting down on cost. There are numerous devices that use PATsignal with some offering more than the required Minimum of 4 channels and have less hardware than the WatchPAT; Compumedics Somfit and Night Owl are examples of other devices both disposable and use PATsignal.

2. Are these services currently being provided under an existing contract?

Answer: No

3. If so, could you please share the contract/award number?

Answer: No contract has been awarded.

4. For ITEM NUMBER 0001, under "QUANTITY," the value is listed as 3, and under "UNIT," it is indicated as "MO." This does not match with the SOW where each device is being shipped, shouldn’t quantity be the total # of devices being requested for the contract year? Please clarify?

Answer: Quantity was 3000 testing devices for the year (Appears the quantities down the page are incorrect).

5. Interpretation and Diagnosis of Results: Is the interpretation and diagnosis of HST results expected to be provided by the offeror? Specifically, does a certified MD need to interpret the results and provide a diagnosis report, which will then be sent to PVAHC? Please confirm and clarify.

Answer: The VA sleep RPSGT will be doing the overscore and the VA providers will be doing the interpretations.

From section 3. Scope: The patient wears the device per the device manufacturer’s instructions and upon completion of the test the data is sent via the patients previously downloaded phone app to a secure portal for VA physician review or is shipped back to the contractor for download to be sent to a VA secure portal for Physician review.

From section 4: Results shall be immediately available through Somnoware if using disposable type IV peripheral arterial tone-based home sleep testing equipment for provider evaluation and review. The results should be available within 2-3 days if using reusable type IV peripheral arterial tone-based home sleep testing equipment pending timely return of the device from Veteran.

6. Required Forms for Proposal Submission: The solicitation requests submission of W-9, VA Form 10092, and the FMS Vendor File Update Request Forms, with proposals being deemed non-compliant if these forms are not provided. If the offeror is already registered and engaged in invoicing the VA for other contracts via the OB10 Tungsten-IPPS system, are these forms still required? This offeror has already completed the registration process through the Austin office.

Please confirm if these forms are necessary in such cases.

Answer: Yes, the vendor would be considered non-compliant if the forms were not provided. Yes, we must verify for each vendor that they are following the instructions to offers.

7. On page 32, Factor 1 – Experience, this is requesting experience regarding window washing services and not home sleep test. You may want to revisit and update to reflect the requested services in this solicitation (home sleep test). Also on page 33, Factor 1 – Experience also reference window washing services.

Answer: The experience will be updated to fit the sleep apnea test requirement.

8. Veteran Responsiveness and Study Completion: Based on prior experience providing similar services, we have observed that veterans are often unresponsive in completing their HST after receiving the devices, requiring multiple follow-ups. Section 11 of the delivery schedule specifies that the study must be completed within 45 days. For cases where veterans are unresponsive despite offeror outreach, will PVAHC provide support to the offeror to facilitate the completion of these studies?

Answer: No additional support will be provided. We initially contact the veteran making them aware of the company that will be contacting them for their HST.

9. Sam.gov says the due date is June 16 but the Solicitation says it is due June 30th. Can you please clarify?

Answer: All offers are due June 30, 2025, at 1:00 PM MST to Felicia Simpson, Contract Specialist at Felicia.Simpson@va.gov.

10. The problematic language is on page 25 under Minimum Salient Characteristics---"Minimum Salient Characteristics: The type IV home sleep testing device is diagnostic testing equipment that utilizes that shall use Peripheral Arterial Tone (PAT) signal.

The device shall measure at a minimum 4 channels or more (PAT signal, heart rate, oximetry, actigraphy, AHI) via points of contact on the device worn. The device shall have the following capability of monitoring and recording central apnea, obstructive apnea, hypopnea, oximetry, heart rate, and snore sensor. Device shall be void of respiratory belts, airflow sensor, or need of additional monitoring sensors.”

This is essentially the definition of a WatchPAT One device---there are numerous other FDA disposable home sleep tests on the market and there are some others that interface with Somnoware as well. Itamar only allows one or two vendors to provide their services to the VA so you are greatly limiting competition by writing it this way.

Answer: Please see response to question 1. The fewer sensor that a veteran needs to place on themselves results in less invalid studies, cutting down on the need to retest.

11. Are you going to provide us with the corrected Price/cost Schedule reflecting the correct quantity of HST required per year?

Answer: Sorry, thought the updated price/cost schedule was attached in amendment one. The updated price/cost schedule is part of amendment two.

12. What evidence do you need to us to provide that we have submitted the required documents to CEP, would the sent email copy be sufficient?

Answer: Yes, email copy will be sufficient.

13. How do you want the proposal to be submitted, should it be separated in volume such as Price Volume, Technical Volume and Admin volume and if so then please identify what we can include in these volumes?

Answer: Yes, each volume should be labeled, and no pricing should be in the technical volume. You should have a file 1-technical, file 2-price, file 3-experience, file 4-other requirements vendorization forms, and all amendments need to be submitted with offers.

14. Based on the answers to question # 4, quantity updates to price schedule, #7-correction of required experience, is an updated complete version of the SF 1449 will be provided for offerors to complete (file name -36C26225Q0902_1.docx)?

Answer: Quantity has been updated and is part of amendment two.

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Base Year Funding for Home Sleep Apnea contract, POP July 1, 2025, to September 30, 2025.

Contract Period: Base POP Begin: 07-01-2025 POP End: 09-30-2025 PRINCIPAL NAICS CODE: 621498 - All Other Outpatient Care Centers PRODUCT/SERVICE CODE: Q521 - Medical - Pulmonary

Option Year 1 Funding for Home Sleep Apnea contract, POP Oct 1, 2025, to September 30, 2026.

Contract Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

Option Year 2 Funding for Home Sleep Apnea contract, POP Oct 1, 2026, to September 30, 2027.

Contract Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

Option Year 3 Funding for Home Sleep Apnea contract, POP Oct 1, 2027, to September 30, 2028.

Contract Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

Option Year 4 Funding for Home Sleep Apnea contract, POP Oct 1, 2028, to September 30, 2029.

Contract Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

A.2 DELIVERY SCHEDULE

Cart T. Hayden Medical Center 650 E. Indian School RD.

Phoenix, AZ 85012

USA

(602) 277-5551 7780 michael.sierra@va.gov

Cart T. Hayden Medical Center 650 E. Indian School RD.

Phoenix, AZ 85012

USA

Cart T. Hayden Medical Center 650 E. Indian School RD.

Phoenix, AZ 85012

USA

Cart T. Hayden Medical Center 650 E. Indian School RD.

Phoenix, AZ 85012

USA

Cart T. Hayden Medical Center 650 E. Indian School RD.

Phoenix, AZ 85012

USA

AMENDMENT TWO IS FOR RESPONDING TO ADDITIONAL QUESTIONS