S02 - 36C77622R0126 0005 - SHEP IDIQ.docx

DOCX document 117 KB Posted

Attached to
R422--Survey of Healthcare Experiences of Patients (SHEP) Program
Solicitation number
36C77622R0126
Issued by

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Other files

File Type Posted
36C77622R0126 0006.docx DOCX document
Attachment G - SHEP IDIQ Line Item Worksheet 7.10.23.xlsx XLSX spreadsheet
Solicitation Questions and Answers 7.10.23 - SHEP IDIQ.xlsx XLSX spreadsheet
Attachment A - PWS 6.27.2023 - SHEP IDIQ.docx DOCX document
36C77622R0126 0004.docx DOCX document
36C77622R0126 0003.docx DOCX document
FedRAMP Clarification - Amendment 0003.docx DOCX document
Solicitation Questions and Answers 6.21.23 - SHEP IDIQ.xlsx XLSX spreadsheet
36C77622R0126 0002.docx DOCX document
S02 - 36C77622R0126 0001 - SHEP IDIQ.docx DOCX document
Attachment H - SHEP IDIQ Labor Categories Worksheet 6.14.23.xlsx XLSX spreadsheet
Attachment G - SHEP IDIQ Line Item Worksheet 6.14.23.xlsx XLSX spreadsheet
Attachment A - PWS 6.14.2023 - SHEP IDIQ.docx DOCX document
Solicitation Questions and Answers - SHEP IDIQ.xlsx XLSX spreadsheet
36C77622R0126 0001.docx DOCX document
Attachment G - SHEP IDIQ Line Item Worksheet.xlsx XLSX spreadsheet
Attachment E - SHEP Sample Survey Materials.pdf PDF
Attachment D - Sample SHEP Schedule FY2022.pdf PDF
Attachment C - SHEP QASP - Draft.doc DOC document
Attachment B - PWS SHEP Sample Task Order Advanced Analytics 2022 07 29.docx DOCX document
Attachment H - SHEP IDIQ Labor Categories Worksheet.xlsx XLSX spreadsheet
Attachment F - VHA 1605.05 BUSINESS ASSOCIATE AGREEMENT 2020.docx DOCX document
36C77622R0126.docx DOCX document
Attachment A - PWS 3.27.2023 - SHEP IDIQ.docx DOCX document
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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)

None 36C776 Department of Veterans Affairs Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490 Independence OH 44131

36C776 Department of Veterans Affairs Program Contracting Activity Central

6100 Oak Tree Blvd, Suite 490 Independence OH 44131

36C77622R0126 06-28-2023

X

X

7-14-2023, 12:00 PM EST

See CONTINUATION Page

The purpose of this amendment is to extend the due date for submission of offers to 7-14-2023, 12:00 PM EST.

In addition, this amendment is issued to revise the size standard listed on page 1, Block 10 of the solicitation, which incorrectly lists the applicable size standard as $20 Million under NAICS Code 541910. The current size standard for NAICS Code 541910 is $22.5 Million, which will be applied to this solicitation by virtue of this amendment. The remainder of the information set forth within page 1, Block 10 of the SF1449 remains unchanged.

Nicholas Sparks Contracting Officer

CONTINUATION PAGE

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM NUMBER
DESCRIPTION OF SUPPLIES/SERVICES
QUANTITY
UNIT
UNIT PRICE
AMOUNT
14,500.00
EA
__________________
__________________

Recently Discharged Inpatient Survey Contract Period: Base POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling PRODUCT/SERVICE CODE: R422 - Support - Professional: Market Research/Public Opinion Est. 14,500/MO

60,375.00
EA
__________________
__________________

Patient Centered Medical Home (PCMH)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Est. 60,375/MO

54,000.00
EA
__________________
__________________

VA Specialty Care

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Est. 54,000/MO

10,000.00
EA
__________________
__________________

Care in the Community

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Est. 10,000/MO

1.00
MO
__________________
__________________

White Mail

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Number of pieces varies month to month. Anticipate estimated 300-400 individual pieces per month

0.00

__________________
__________________

Advanced Analytics

POP Begin:

POP End:

0006AA

11.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Based on historical average per year

0006AB

7.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0006AC

5.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Training/Education Products

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Price at TO level

0.00
EA
__________________
__________________

Other Surveys Ad Hox

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

Veteran Insight Panel - Monthly Maintenance

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

Monthly

0.00

__________________
__________________

Quantitiative Study

0010AA

2.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0010AB

2.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0010AC

2.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2.00

__________________
__________________

Qualitative Study

POP Begin:

0011AA

2.00
EA
__________________
__________________

Blog, Deep Dive, Diary, Discussion Board

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0011AB

5.00
EA
__________________
__________________

Moderated Live Chat

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

14,500.00
EA
__________________
__________________

Recently Discharged Inpatient Survey Contract Period: Option 1 POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

60,375.00
EA
__________________
__________________

Patient Centered Medical Home (PCMH)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

54,000.00
EA
__________________
__________________

VA Specialty Care

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

10,000.00
EA
__________________
__________________

Care in the Community

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

White Mail

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Advanced Analytics

1006AA

11.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1006AB

7.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1006AC

5.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Training/Education Products

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Other Surveys Ad Hox

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

Veteran Insight Panel - Monthly Maintenance

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Quantitiative Study

1010AA

2.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1010AB

2.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1010AC

2.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2.00

__________________
__________________

Qualitative Study

POP Begin:

1011AA

2.00
EA
__________________
__________________

Blog, Deep Dive, Diary, Discussion Board

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1011AB

5.00
EA
__________________
__________________

Moderated Live Chat

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

14,500.00
EA
__________________
__________________

Recently Discharged Inpatient Survey Contract Period: Option 2 POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

60,375.00
EA
__________________
__________________

Patient Centered Medical Home (PCMH)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

54,000.00
EA
__________________
__________________

VA Specialty Care

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

10,000.00
EA
__________________
__________________

Care in the Community

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

White Mail

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Advanced Analytics

2006AA

11.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2006AB

7.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2006AC

5.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Training/Education Products

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Other Surveys Ad Hox

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

Veteran Insight Panel - Monthly Maintenance

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Quantitiative Study

2010AA

2.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2010AB

2.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2010AC

2.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2.00

__________________
__________________

Qualitative Study

POP Begin:

2011AA

2.00
EA
__________________
__________________

Blog, Deep Dive, Diary, Discussion Board

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2011AB

5.00
EA
__________________
__________________

Moderated Live Chat

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

14,500.00
EA
__________________
__________________

Recently Discharged Inpatient Survey Contract Period: Option 3 POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

60,375.00
EA
__________________
__________________

Patient Centered Medical Home (PCMH)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

54,000.00
EA
__________________
__________________

VA Specialty Care

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

10,000.00
EA
__________________
__________________

Care in the Community

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

White Mail

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Advanced Analytics

3006AA

11.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

3006AB

7.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

3006AC

5.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Training/Education Products

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Other Surveys Ad Hox

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

Veteran Insight Panel - Monthly Maintenance

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Quantitiative Study

3010AA

2.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

3010AB

2.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

3010AC

2.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2.00

__________________
__________________

Qualitative Study

POP Begin:

3011AA

2.00
EA
__________________
__________________

Blog, Deep Dive, Diary, Discussion Board

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

3011AB

5.00
EA
__________________
__________________

Moderated Live Chat

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

14,500.00
EA
__________________
__________________

Recently Discharged Inpatient Survey Contract Period: Option 4 POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

60,375.00
EA
__________________
__________________

Patient Centered Medical Home (PCMH)

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

54,000.00
EA
__________________
__________________

VA Specialty Care

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

10,000.00
EA
__________________
__________________

Care in the Community

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

White Mail

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Advanced Analytics

4006AA

11.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

4006AB

7.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

4006AC

5.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Training/Education Products

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00
EA
__________________
__________________

Other Surveys Ad Hox

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

1.00
MO
__________________
__________________

Veteran Insight Panel - Monthly Maintenance

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

0.00

__________________
__________________

Quantitiative Study

4010AA

2.00
EA
__________________
__________________

Low Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

4010AB

2.00
EA
__________________
__________________

Medium Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

4010AC

2.00
EA
__________________
__________________

High Complexity

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

2.00

__________________
__________________

Qualitative Study

POP Begin:

4011AA

2.00
EA
__________________
__________________

Blog, Deep Dive, Diary, Discussion Board

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

4011AB

5.00
EA
__________________
__________________

Moderated Live Chat

POP Begin:

POP End:

PRINCIPAL NAICS CODE: 541910 - Marketing Research and Public Opinion Polling

GRAND TOTAL
__________________

End of Document The VA is issuing this RFP for the anticipated purpose of entering into an Indefinite Delivery Indefinite Quantity (IDIQ) for the provision of services for the Survey of Health Experiences of Patients (SHEP) Program IAW this solicitation and all attachments. Further details can be found in the Performance Work Statement (PWS), Attachment A.

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