36C26322R0091 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)

MSO-2022-COM-0036

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Contract Officer 4801 Veterans Drive St. Cloud

MN

56303

To all Offerors/Bidders

36C26322R0091 11-01-2022

X X X

December 21, 2022, at 10 AM CDT The purpose of this amendment is to address the following:

1. Vendor questions (see attached questions)

2. The closing date and time remain December 21, 2022, at 10 AM CDT.

3. All other terms and conditions remain the same.

Travis Johnson Contracting Officer Question: Will the VA please provide a list of all medications that the VA Black Hills employed Eye Technician could administer to patients?

Answer: Carboxymethylcellulose NA (pf) 0.5% 0.4ml- (2 boxes) Brimonidine tartrate 0.2% opth soln (1 btl) Dorzolamide 22.3/timolol 6.8mg/ml opth soln (1 btl) Fluorescein 0.25%/Benoxinate 0.4% 5ml (2btl) Latanoprost 0.005% (1 btl) refrig Phenylephrine 2.5% opth soln 15ml (2 btl) Pilocarpine 1% opth soln (1btl) Proparacaine 0.5% opth soln (2btl) Timolol 0.5% opth soln (1 btl) Tropicamide 1% opth soln 15ml (2 btl) Fluorescein opth Strip (1 box) Tetracaine 0.5% dropperette (4 vial)

Question: Is the 2 Nurse Practitioners, 3 RNs, 2 LPNs, and 2 MSAs listed VA staff and not contractor staff? If it is VA staff, where is the VA anticipating this VA staff will be in the clinic using the minimum space requirements listed in the solicitation?

Answer: I listed all staff that are currently working out of Scottsbluff CBOC (contract and VA Staff) I will clarify:

Contracted Staff: 2 NP’s, 1 MD, 3 RNs, 2 LPN’s, 2 MSA’s VA Staff: 1 Pharmacist, 1 Eye Technician, 1 Social Worker Eye technician exam room is already listed in the Space Requirement, 1 Pharmacy office and 1 Social Work office will need to be added to the Space Requirements.

Question: Does the VA prefer the contractor provide a copy of the TJC accreditation letter(s), certificate, and full report with the submission of proposal?

Answer: Yes Question: If we elect to not perform routine x-ray services on site, can we send patients in need of these services to local Scottsbluff radiology groups (such as hospitals)?

Answer: If it is chosen to not perform x-rays on site, yes a CITC consult can be placed for the patient to go to the community for x-rays.

Question: In amendment 1 the government was asked to list all VA staff that will be onsite at the clinic. The VA answered with what appears to be all members of the clinic—including contractor employees. Please clarify which employees the VA will staff at the clinic and which will be contractor employees.

Answer: Yes, All staff were listed, contract and VA staff. Clarification of VA Staff Only: 1 Pharmacist, 1 Eye Technician, 1 Social Worker.

Question: Please confirm transcripts are not required for candidates being submitted for this proposal.

Answer: Provide a list of the names and titles of qualified physicians, physician assistants, nurse practitioners, nurses, Pharm-D, LICSW, Radiology Techs, and other primary care provider staff intended to be utilized in the performance of this contract, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements. Also provide the name and title of the Medical Director to oversee the clinic.