36C26318R0288-0001000.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 ITE M 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 r eference 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

BY

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) 08-31-2018 N/A 36C618 / 90C Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Sandra McAnany, Contracting Officer 316 Robert Street N. STE. 506 St. Paul MN 55101 36C618 / 90C Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Sandra McAnany, Contracting Officer 316 Robert Street N. STE. 506 St. Paul MN 55101 To all Offerors/Bidders

36C26318R0288 08-13-2018

X X X 3;00 pm CST 9/28/2018 Solicitation has been amended to extend the due date for proposals and to address questions received from potential contractors. See attached pages.

Sandra McAnany Contracting Officer

CONTINUATION PAGE

Question 1: Does the VA require a TCT (tele-health tech) 5 days a week?

Answer 1: Yes, there needs to be a TCT available 5 days per week.

Question 2: Regarding clinic hours- page 29 states 8am -5pm but page 39 states 8am -4:30pm. Please clarify.

Answer 2: Clinic hours should be 8:00 am to 4:30 pm.

Question 3: Will the VA be providing equipment and supplies for POC lab testing?

Answer 3: The VA will provide the test systems/instruments and reagents for contractor waived testing except for fecal occult blood testing cards and developer.

Question 4: Are x-ray services required on site or can they be subcontracted?

Answer 4: They can be sub-contracted.

Question 5: Please specify what vaccines are to be provided by the contractor.

Answer 5: At a minimum, they would have to provide: TB skin tests, Hepatitis A, Hepatitis B, Hepatitis A/B, HPV. Influenza, MMR, Tdap, TD, Shingrix, PPSV23, PCV13 Question 6: Who is responsible for the 10 day bridge/urgent medications- contractor or the VA?

Answer 6: The VA has a contract in place to provide 10-day bridge/urgent medications.

Question 7: Given the distance to the VA medical Center, will the VA be providing a choice coordinator or is the contractor required to provide one?

Answer 7: The Choice coordinator will be provided by the VA but will not be located at the facility. They are available by telephone or v-tel.

Question 8: Please clarify if the VA will be providing staff for the Homeless Veteran program?

Answer 8: The VA will provide this staff. They will not be located at the CBOC. They may request to utilize an office at the CBOC when they travel to Pierre.

Question 9: Will the government be doing site visits prior to award? If so, how much advance notice will the contractor be given?

Answer 9: There will be no site visits done prior to contract award.

Question 10: Are existing employees under a collective bargaining agreement?

Answer 10: Unknown.

Question 11: What is the current PM/PM Rate?

Answer 11: $64.64 Question 12: How many VA staffed personnel will be providing services at the CBOC? Please list by job title and number of days per month.

Answer 12: Personnel will provide services in accordance with the Performance Work Statement. At this time, VA knows a VA social worker will be at the CBOC approximately two days per month.

Question 13: What is the most recent number of billable enrollees at the clinic?

Answer 13: July 2018 enrollment was 1079 Question 14: Please explain why the VA believes the number of enrollees will grow by 100 per year until the last year of the contract.

Answer 14: There is a significant untouched population of veterans in this catchment area. With the new contractor doing outreach to this population, we feel the enrollment will grow. Current contractor has not provided outreach.

Question 15: Will the new contractor inherit the patient’s last vesting visit and be allowed to bill for one year from that date upon contract award?

Answer 15: Yes, the new contractor will be able to bill for current enrollment for 12 months.

Question 16: In section 4.7.1 it states that there is a need for a 600sf lab. This seems larger than necessary.

Answer 16: This space is required per VA BHHCS Facilities Director.