36C77020R0003 0004.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) NCO 15 Contracting Ofc - CMOP

10-16-2020

None

36C770 Department of Veterans Affairs NCO 15 Contracting Ofc - CMOP 3450 S. 4th St. Trafficway

Leavenworth KS 66048-5012

36C770 Department of Veterans Affairs NCO 15 Contracting Ofc - CMOP 3450 S. 4th St. Trafficway

Leavenworth KS 66048-5012 To all Offerors/Bidders

36C77020R0003 09-15-2020

X x x

11/09/2020 5:00pm CST x

THE PURPOSE OF THIS AMENDMENT IS TO:

1. Clarifying Submission Instructions and Evaluation Factors

2. Include additional clauses under C.21 52.212-5

3. Provide a revised 6-month usage report

4. Provide an estimated 6-month spend plan for both Med Surg and Enteral Nutritional items

5. Allow for further written questions to be submitted

6. Extend the due date on this solicitation

James Justus Contracting Officer

Continuation Page

AMENDMENT TO SOLICITATION 36C77020R0003 AMENDMENT 0004.

The purpose of this modification is to:

1. Clarifying the Submission Instructions and Evaluation Factors (changes in yellow):

SUBMISSION INSTRUCTIONS

The Government will consider an offeror’s compliance with the solicitation instructions to be indicative of the type of conduct that it may expect from the offeror during contract performance. Therefore, failure to comply with these instructions may be grounds for exclusion of the proposal from further consideration.

The following instructions are mandatory for all proposals in order to evaluate consistently. Failure to follow these instructions may be grounds to consider the offeror “Non-responsive” and exclude the offeror from further considerations.

Proposal format follows:

· Limited to no more than fifty (50) pages total (excluding divider pages). Section 1 and 3 requirements will not count towards the page limit. A double-sided page will count as two (2) pages;

· Page size of 8 ½” x 11”;

· Margin size of 1”;

· Times New Roman font size 12;

· Generic Capability Statements shall not be included in the proposal response.

SECTION 1:

1. Cover page – The cover page shall include the name, address, and DUNS number of the organization submitting the response and point(s) of contact to include e-mail address and phone number. The point of contact shall have the authority to bind and make representations for the organization relative to the proposal.

2. Signed SF1449 and complete solicitation, including the price schedule contained within the solicitation. All fill-ins must be completed throughout the solicitation.

3. Copy of certificate of professional and general liability insurance and workman’s comp insurance.

4. Signed Subcontractor Information Release Consent Form (if applicable, see attachment 6 in section D, Release of Past Performance).

5. Signed Business Associate Agreement (BAA), See attachment 7 in Section D.

SECTION 2:

Your technical proposal will be rated on the elements below. Should you rely on other business partners to meet contractual requirements (i.e. subcontracting, mentor-protégé, joint ventures), for each element, you shall provide the name and DUNS number of each partner company. In addition, address the following factors and subfactors for each of the partnering companies, to include what their responsibility will be concerning each factor and subfactor in relationship to contract performance. Additionally, you must obtain written permission from all proposed business partners via a signed Subcontractor Information Release Consent Form (see attachment 6 in section D, Release of Past Performance) as stated in section 1 item 4 above. If no release form is provided for a specific business partner, the business partner information shall not be evaluated.

1. FACTOR 1, Technical Capability: The technical proposal will be rated on the elements below.

1. Subfactor A: Operational Capabilities – The Operational Capabilities should include a description of the current inventory management system/process and value of the typical inventory and packing processes. Please provide specific information as to how your firm proposes to meet the requirements of the Performance Work Statement, including, but not limited to, the following information:

i) Provide flow mapping of the processes to be used for staging complete orders to the patients, including inventory ordering, picking, packing and patient labeling of the product and parcels. Identify labeling stations. Identify and describe any automated systems to be used.

ii) Provide the physical address(es) of the proposed warehouse facilities. Include drawings and pictures of the physical layout and square footage for each proposed facility. Identify the order fulfillment areas in the facilities that will be dedicated for use with this contract.

iii) Describe the current inventory management system in detail, including ordering and level setting processes.

iv) Describe the current inventory picking process (automated, manual, etc.) in detail. Include method of communication, inventory identification, and Rx/product verification processes and when the verification process occurs in the picking process.

v) Describe the product labeling process in detail. Include method of verification of the correct item and quantity requested, matching the item indicated on the patient label.

vi) Describe the packing process in detail including the appropriate packaging material for product size and type, dunnage/package fill materials determinations.

vii) Describe which packaging specifications will be followed, for example, International Safe Transit Association (ISTA), and other applicable regulations. Provide which packaging standards are in effect. (NOTE: Offeror provides acceptable standards, positive; no standards provided, negative.) ISTA has a number of standards and the offeror must respond with the appropriate standard or this will receive a negative rating.

viii) Provide the current overall daily package output rate from each system, the operational capability, and, reserve capacity in the event of future inventory line item expansion. Include the number of automated and/or manual packing stations and their descriptions currently in use at each facility.

ix) Provide pictures of the current inventory management and packing workstations to be used in the proposed solicitation.

x) Include the number of employees and workstations that will be dedicated to performing this contract. Include a description of the work performed by each employee category and at each workstation.

2. Subfactor B: Quality Control – The Quality Control submission should include a description of methods used for quality assurance and quality control, to include but not limited to, picking, packaging and patient labeling accountability functions which address accuracy of correct product to correct patient. All contents in the package must be for a single patient in order to avoid Health Insurance Portability and Accountability Act (HIPAA) and Personally Identifiable Information (PII) violations.

i) Provide copies of all Quality Control procedures related to performance of this contract. Include past quality assurance issues relevant to the type of work involved in this solicitation, whether or not fully resolved. Include present quality assurance controls the offeror developed and is using to overcome past quality assurance issues.

(1) Provide details of verification process used to validate that patient name on the package content labels match the patient name on the exterior label.

(2) Describe the processes and quality controls used for validating the correct patient label to correct product requested.

(3) Describe the processes and quality controls used for validating patient receives all products requested in correct quantities requested.

ii) Describe the quality control measures used during the packing process, including but not limited to, product damage prevention. Provide sample pictures of packed medical supply boxes packed at the proposed facilities for this contract.

iii) Describe the current process for addressing product recalls received from distributor/manufacturer.

2. FACTOR 2, Management, Policies, and Procedures: The Management technical proposal will be rated on the elements below.

1. Subfactor A: Staffing Management Plan – Offeror’s staffing management plan for maintaining the fill-rate/turn-around rate of this solicitation, implementation schedule, if required, and, a plan for contingency operations. Provide a description of the methods that address meeting and/or exceeding the required fill-rate/turn-around rates. Provide offeror’s complete management plan to attain and maintain quality operations that ensures allocation of staff and resources to accomplish the work required by this contract. The plan shall include a complete quality assurance plan, methods of monitoring compliance to follow applicable legal, regulatory, accrediting or local/state/federal requirements, including renewal of required (federal or state) certifications, if applicable. Provide complete monitoring parameters and monitoring frequency.

i) Provide a detailed organizational chart of the business, and, personnel functional flow chart of the inventory management, packing processes. Include personnel information for those critical employees (e.g., program manager, floor supervisor, warehouse manager) participating in this contract, including, but not limited to resume, position descriptions, total number of employees and critical employees, demonstrated experience, current responsibilities.

ii) Provide policies and procedures, training requirements, reporting levels and team recognition approach for employees involved in the performance of this contract.

iii) Provide a detailed implementation plan in the event a contract is awarded, covering the 120-day implementation period after award specified in the contract, e.g., workload scheduling, staffing, background checks, training. The implementation plan for the incumbent contractor will be limited to a 60-day plan. The plan should include specific milestones and a full description of each milestone. This should be in the form of a progress chart (Gantt chart).

iv) Provide a detailed disaster recovery plan in the event contingency operations are needed at the primary warehouse facility. This plan must identify the ability to provide uninterrupted support when under emergency and/or contingency conditions. This detailed disaster recovery plan must include internal emergencies, weather emergencies, natural disasters and labor disputes. Provide details of short term and long-term recovery actions (generator power vs. transfer of workload, crisis management staffing).

v) Provide offeror’s management plan to process workload in the event the offeror’s holiday absences do not coincide with recognized periods of Federal holidays, voluntary days/time off.

2. Subfactor B: Licenses / Security – Offeror’s management plan to attain and maintain a quality-focused business, including but not limited to security practices, customer service, current licensure and renewal of any required (federal or state) certifications. All offerors must have proper licensure to be able to (issue, ship, dispense) Legend Items and/or Food and Drug Administration (FDA) classified Medical Devices.

i) Describe the management plan methods to attain and maintain a quality-focused business, included but not limited to customer service, e.g., error follow-up, QA inquiries, response time, contractor to contractor interactions. General time frame for new accounts/new products.

ii) Describe methods of monitoring compliance of current licensure and renewal of any required (federal or state) certifications.

iii) Provide copies of all accreditations, most recent accreditation site inspections, and citations received within the previous five years from date of solicitation, and recent corrective actions, all of which would be applicable to performing work under this contract.

iv) Provide copies of all Licensure, Local, State and Federal, which are required under this solicitation.

v) Detailed plan describing how the offeror intends to achieve and maintain the Information Technology (IT) security requirements prescribed in the solicitation.

vi) Detailed plan for the security of patient information, including both HIPAA and PII.

3. Factor 3, Past Performance will be evaluated as follows:

1. Past Performance - The Past Performance evaluation will assess the relative risks associated with an offeror’s likelihood of success in performing the solicitation’s requirements as indicated by that offeror’s record of past performance. Past performance will be assessed on: (Subfactor A) relevant, (Subfactor B) recent, and (Subfactor C) performance confidence basis. To be relevant, the performance must be the same or similar in size, nature and complexity to the services being procured under this solicitation. To be recent, the services must have been performed within the past 3 years from the date of this solicitation release. The following assessments will be performed by the Government when evaluating past performance:

i) Provide references (in the form of the Past Performance Questionnaire attached) from other entities with whom your organization has contracted with or had agreements with to provide Direct to Patient Distribution Services within the last three (3) years of the solicitation release date that are of similar size and scope. These references shall address your organizational ability to provide Direct to Patient Distribution Services, the quality of the service provided and the duration. Please provide contact information to include telephone number and e-mail addresses, contract description, size in terms of dollar value and numbers of personnel and scope, to include geographic locations served. If your organization has not provided Direct to Patient Distribution Services, please provide references on contracts other than Direct to Patient Distribution Services that speak to your ability to provide this requirement’s services in terms of size and scope. Past Performance Questionnaire (see attachment 5 in section D, Past Performance Questionnaire) shall be included as part of the proposal submissions and shall not be sent directly to the Contracting Officer from the reference source.

ii) If your firm will utilize subcontracting, mentor-protégé, or joint venture relationships to meet contract performance requirements, please provide past performance information as described in 1.a. above for each partner utilized under this requirement. If past performance is to be considered from entities other than the offeror, a signed Subcontractor Information Release Consent Form (see attachment 6 in section D, Release of Past Performance) must be included in Section 1 of the proposal submission for each partner proposed.

iii) The offeror shall submit and describe the extent of opportunities to be provided to: Service-Disabled Veteran-Owned small businesses and Veteran-Owned small businesses. Offeror shall identify the business size and socioeconomic status of their company. If participating in the VA Mentor-Protégé Program, provide a copy of a signed letter issued by the VA Office of Small and Disadvantaged Business Utilization approving your Mentor-Protégé Agreement. If your firm is a Large Business, provide your Subcontracting Plan. Eligible service-disabled veteran-owned small businesses offerors will receive full credit, and offerors qualifying as veteran-owned small businesses will receive partial credit for the Service-Disabled Veteran-Owned and Veteran-Owned Small Business Status evaluation factor. To receive credit, an offeror must be registered and verified in the Vendor Information Pages (VIP) database. Non-Veteran offerors proposing to use verified SDVOSBs or VOSBs as subcontractors will receive some consideration under this evaluation factor. Offerors must state in their proposals the names of the SDVOSBs and VOSBs with whom they intend to subcontract and provide a brief description of the proposed subcontracts and the approximate dollar values of the proposed subcontracts. In addition, the proposed subcontractors must be registered and verified in the VIP database.

SECTION 3:

Price worksheet – Complete the price worksheet as well as the price schedule in the solicitation. The price worksheet contains five tabs, one for each period of performance. Please complete workbook in accordance with section B.2 note 3 of this solicitation, error free. No changes are to be made to the formatting to include formulas, columns, rows, headers, etc. Monetary extensions shall be in two decimal positions only. For example: $0.27, not $0.27458.

This requirement is being solicited under the authority of Public Law 104-262, and FAR Parts 12 and 15.

The period of acceptance of offers is 120 calendar days from the date offer is received.

Responses will be evaluated for both technical merit and price reasonableness. In order to provide full consideration of qualifications for contract award, offerors are encouraged to ensure that the information furnished in support of the technical response is factual, accurate and complete. The Government reserves the right to verify any information provided for evaluation purposes.

NOTE: It is the Government’s intent to award without exchanges. The Government is not obligated to request any additional information from an offeror who does not provide sufficiently detailed information of which an accurate evaluation can be made of an offeror’s response. Failure to submit complete information in the manner described in the instructions may be grounds to consider the offeror “Non-responsive” and exclude the proposal from further considerations. It is, therefore, in the offeror’s best interest to submit all required documentation to the fullest degree possible in the order as stated. If an offeror cannot provide all information required by the evaluation factors, a statement documenting each omission shall be included in the offeror’s submission addressing the omission(s) in the appropriate section.

E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers:

Factor 1: Technical Capability Subfactor A: Operational Capabilities Subfactor B: Quality Control Factor 2: Management, Policies, and Procedures Subfactor A: Management and Contingency Plan Subfactor B: Licenses and Security Factor 3: Past Performance Subfactor A: Relevancy Subfactor B: Recency Subfactor C: Performance Confidence Assessment Subfactor D: SDVOSB / VOSB Participation and Subcontracting Plans Factor 4: Price Factors 1, 2, and 3, when combined, are significantly more important than Factor 4. Factors 1, 2, and 3 are of equal importance. All Subfactors within Factors 1, 2 and 3 are of equal importance.

Past performance information provided will be evaluated as stated in the evaluation criteria. However, the Government will also review available past performance data in the Contractor Performance Assessment Reporting System (CPARS). Additionally, the Government reserves the right to obtain past performance information from any available source, may contact customers other than those identified by the offeror in their proposal, or use their own personal knowledge of the Contractor’s performance. The subcontracting plan shall be negotiated within the time specified by the Contracting Officer. Failure to submit and negotiate a subcontracting plan shall make the offeror ineligible for award of a contract.

Price analysis will be used to determine that the prices are fair and reasonable in accordance with FAR Part 15.404-1(b). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options shall not obligate the Government to exercise the option(s). As part of price evaluation, the Government will evaluate its Option to Extend Services, FAR Clause 52.217-8, by adding one-half of the offeror's final option period prices to the offeror's total price.

(b) Options. The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

For purposes of award of this Contract, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows: The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be those rates in effect under the contract each time an option is exercised under this clause. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other, and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

(c) A written notice of award or acceptance of an offer, mailed or otherwise furnished to the successful offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

2. Include additional clauses under C.21 52.212-5 (changes in yellow):

C.21 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (MAR 2020) Shall now read:

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115–91).

(3) 52.204–25, Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment. (AUG 2019) (Section 889(a)(1)(A) of Pub. L. 115–232).

(4) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(5) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(6) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[X] (48) 52.225-1, Buy American—Supplies (MAY 2014) (41 U.S.C. chapter 83).

[X] (49)(i) 52.225-3, Buy American—Free Trade Agreements—Israeli Trade Act (MAY 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

3. Provide a revised 6-month usage report.

See Attached

4. Provide an estimated 6-month spend plan for both Med Surg and Enteral Nutritional items.

a. The estimated 6-month spend for the DTP Med Surg is $56M.

b. The estimated 6-month spend for Enteral Nutrition Items is $8M.

5. Allow for further written questions to be submitted.

a. The Question and Answer period is being opened up for follow-on questions.

b. Written questions will be accepted via email to the Contract Specialist at jeffrey.crysler@va.gov NLT 5pm CST on 10/21/2020.

c. Answers to new written questions will be answered via an amendment within 3-5 days following the submission deadline of 10/21/2020.

d. This is the final round of questions. We will not accept further questions and we will not accept late submissions. We will not extend the final round of questions beyond the current deadline.

6. Extend the due date on this solicitation.

This solicitation is extended to 5pm CST on 11/09/2020. Any quote received after such time will be ineligible for award.