S06 36C79121R0008 0002 1 Oct 21.pdf

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)

1 47

N/A

Department of Veterans Affairs

Commodities & Services Acquisition Svc

(003B6E)

555 Corporate Circle

Golden CO 80401-5621

Department of Veterans Affairs

Commodities & Services Acquisition Svc

(003B6E)

555 Corporate Circle

Golden CO 80401-5621

To all Offerors/Bidders

36C79121R0008

09-09-2021

X x X

X 1

Amendment 0002 to Solicitation 36C79121R0008 revises and incorporates the following:

1.Revised Price Schedule; 2.Revised Price Proposal Evaluation Criteria 3.Revises Past Performance Criteria 4. Removes and add

Incorporate Clause 5.Revises Tech Refresh and Product Recall language. See attachment for revisions and incorporations.

See Q&A document as well. Please acknowledge receipt of this amendment by completing option (a) in box 11 above.

document as well.

All other solicitation language, terms, conditions, and provisions remain the same.

This amendment extends the proposal due date to October 25, 2021, 1300 MTN

Star M. Yeo

Contracting Officer

CONTINUATION PAGE

Amendment 0002 to 36C79121R0008 |

Amending the following in the Pricing Schedule pages 17- 33.

1. Removed “with modem” from the IVR (1-2b, 2-2b, etc.) and Web Browser (1-13, 2-13, etc.).

2. Added new CLN for modem as separate optional line item 1-27, 2-27, etc.

3. Corrected line-item numbering in year 6 for lines -6, -7, and -8.

Pricing Schedule: (old)

“Base Year One – Pricing Schedule

A Schedule with Required (R) and Optional (O) line items follows:

Line

Item

Req or

Opt

Description Ref.

Sec.

Manufacturer’s

Suggested

Retail Price

(MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

1-1 N/A General Service Fee*** Only GSF 1-1a or 1-1b will be awarded per vendor

3.1.C

1-1a R General Service Fee – Hosted on premise of VA

3.1.C $ 18,000

Data Center /MO

1-1b R General Service Fee –

Hosted on VA Enterprise

Cloud

3.1.C $

/MO

18,000

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price

(per item)

Estimated

Yearly

Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

1-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 22,500

1-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in GSF

12,250

1-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

1-3 R Pedometer 3.1.B $ $ 1,750

1-4 R Spirometer 3.1.B $ $ 100

1-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 7,250

1-6 R Manuals/User guides 3.4.C $ $ 3914

1-7 R Set up guide 3.4.C $ $ 3,914

1-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS

NOT COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

1-9 R** Digital Weight Scale 3.1.B $ $ 12,500

1-10 R** Electronic Digital Blood Pressure Monitor (predominantly Medium sized used)

3.1.B $ $ 29,500

1-11 R** Electronic Thermometer – Non-Bluetooth

3.1.B $ $ 1,000

1-12 R** Pulse Oximeter – Non- Bluetooth

3.1.B $ $ 5,500

OPTIONAL ITEMS

1-13 O Platform – Web Browser w/modem

3.1.B $ $ 250

1-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,000

1-15 O Platform – Mobile Device – Cellular Connectivity

3.1.B $ $ 360

1-16 O Telephone extension cord N/A $ $ 3,914

1-17 O Telephone adapter N/A $ $ 3,914

1-18 O AC Power cord N/A $ $ 4,166

1-19 O Scale Carpet Cups N/A $ $ 1,800

1-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

1-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

1-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

1-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

1-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

1-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

1-26 O Peripheral – Continuous - Blood Glucose adaptor/cable

3.1.B $ $ 250

* Quantities are for evaluation purposes only, and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in

Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 1-9 thru 1- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-

8) (Please read entire section).

Base Year Two – Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

2-1 N/A General Service Fee***

Only GSF 2-1a or 2-1b will be awarded per vendor

3.1.C

2-1a R General Service Fee – Hosted on premise of VA Data Center

18,180

2-1b R General Service Fee – Hosted on VA Enterprise

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price

(per item)

Estimated

Yearly

Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

2-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

2-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in GSF

6,250

2-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

2-3 R Pedometer 3.1.B $ $ 875

2-4 R Spirometer 3.1.B $ $ 25

2-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

2-6 R Manuals/user guides 3.4.C $ $ 3,914

2-7 R Set up guide 3.4.C $ $ 3,914

2-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

2-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

2-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

2-11 R** Electronic Thermometer – non-Bluetooth

3.1.B $ $ 500

2-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

OPTIONAL ITEMS

2-13 O Platform – Browser w/modem 3.1.B $ $ 6,250

2-14 O Platform – Video Hub – POTS & Cellular connectivity

3.1.B $ $ 500

(vendor provided Video Hub)

2-15 O Platform – Mobile Device – Cellular Connectivity

3.1.B $ $ 180

2-16 O Telephone extension cord N/A $ $ 3,914

2-17 O Telephone adapter N/A $ $ 3,914

2-18 O AC Power cord N/A $ $ 4,166

2-19 O Scale Carpet Cups N/A $ $ 1,800

2-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

2-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

2-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

2-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

2-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

2-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

2-26 O Peripheral – Continuous Blood Glucose Monitor

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 2-9 thru 2-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).

Year Three – Option Period 1 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

3-1 N/A General Service Fee***

Only GSF 3-1a or 3-

1b will be awarded per vendor

3-1a R General Service Fee – Hosted on premise of VA Data Center

18,362

3-1b R General Service Fee – Hosted on VA Enterprise Cloud

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price

(per item)

Estimated

Yearly

Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

3-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

3-2b 2/3R Platform – IVR with Modem

3.1.B Yes / No Included in

GSF

6,357

3-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

3-3 R Pedometer 3.1.B $ $ 875

3-4 R Spirometer 3.1.B $ $ 25

3-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

3-6 R Manuals/user guides 3.4.C $ $ 3,914

3-7 R Set up guide 3.4.C $ $ 3,914

3-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

3-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

3-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

3-11 R** Electronic Thermometer

– non-Bluetooth

3.1.B $ $ 500

3-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

3-13 O Platform – Browser w/modem

3.1.B $ $ 6,357

3-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 575

3-15 O Platform – Mobile Device

– Cellular Connectivity

3.1.B $ $ 180

3-16 O Telephone extension cord

N/A $ $ 3,914

3-17 O Telephone adapter N/A $ $ 3,914

3-18 O AC Power cord N/A $ $ 4,166

3-19 O Scale Carpet Cups N/A $ $ 1,800

3-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

3-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

3-22 O Peripheral – Bariatric Scale

3.1.B $ $ 63

3-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

3-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

3-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

3-26 O Peripheral – Continuous

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 3-9 thru 3-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

Year Four – Option Period 2 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

4-1 R General Service Fee***

Only GSF 4-1a or 4-1b will be awarded per vendor

4-1a R General Service Fee – Hosted on premise of VA Data Center

18,545

4-1b R General Service Fee – Hosted on VA Enterprise

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price

(per item)

Estimated

Yearly

Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

4-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

4-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in GSF

6,384

4-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

4-3 R Pedometer 3.1.B $ $ 875

4-4 R Spirometer 3.1.B $ $ 25

4-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

4-6 R Manuals/user guides 3.4.C $ $ 3,914

4-7 R Set up guide 3.4.C $ $ 3,914

4-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

4-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

4-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

4-11 R** Electronic Thermometer – non-Bluetooth

3.1.B $ $ 500

4-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

4-13 O Platform – Browser 3.1.B $ $ 6,384 w/modem

4-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 661

4-15 O Platform – Mobile Device – Cellular Connectivity

3.1.B $ $ 250

4-16 O Telephone extension cord N/A $ $ 3,914

4-17 O Telephone adapter N/A $ $ 3,914

4-18 O AC Power cord N/A $ $ 4,166

4-19 O Scale Carpet Cups N/A $ $ 1,800

4-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

4-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

4-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

4-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

4-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

4-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

4-26 O Peripheral – Continuous

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 4-9 thru 4-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

Year Five – Option Period 3 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s

Suggested Retail

Price (MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

5-1 R General Service Fee*** Only GSF 5-1a or 5-1b will be awarded per vendor

5-1a R General Service Fee – Hosted on premise of VA Data Center

18,731

5-1b R General Service Fee – Hosted on VA Enterprise Cloud

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price

(per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

5-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

5-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in

GSF

6,470

5-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

5-3 R Pedometer 3.1.B $ $ 875

5-4 R Spirometer 3.1.B $ $ 25

5-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

5-6 R Manuals/user guides 3.4.C $ $ 3,914

5-7 R Set up guide 3.4.C $ $ 3,914

5-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

5-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

5-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

5-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

5-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

5-13 O Platform – Browser w/modem 3.1.B $ $ 6,470

5-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,510

5-15 O Platform – Mobile Device – Cellular Connectivity

3.1.B $ $ 250

5-16 O Telephone extension cord N/A $ $ 3,914

5-17 O Telephone adapter N/A $ $ 3,914

5-18 O AC Power cord N/A $ $ 4,166

5-19 O Scale Carpet Cups N/A $ $ 1,800

5-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

5-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

5-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

5-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

5-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

5-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

5-26 O Peripheral – Continuous Blood Glucose Monitor

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 5-9 thru 5-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

Year Six – Option Period 4 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s

Suggested Retail

Price (MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

6-1 R General Service Fee*** Only GSF 6-1a or 6-1b will be

6-1a R General Service Fee – Hosted

18,918

6-1b R General Service Fee – Hosted

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price

(per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

6-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

6-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in

GSF

6,544

6-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

6-3 R Pedometer 3.1.B $ $ 875

6-4 R Spirometer 3.1.B $ $ 25

6-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

6-6 R Manuals/user guides 3.4.C $ $ 3,914

6-7 R Set up guide 3.4.C $ $ 3,914

6-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

6-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

6-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

6-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

6-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

6-13 O Platform – Browser w/modem 3.1.B $ $ 6,544

6-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor

3.1.B $ $ 875

6-15 O Platform – Mobile Device –

3.1.B $ $ 250

6-16 O Telephone extension cord N/A $ $ 3,914

6-17 O Telephone adapter N/A $ $ 3,914

6-18 O AC Power cord N/A $ $ 4,166

6-19 O Scale Carpet Cups N/A $ $ 1,800

6-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

6-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

6-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

6-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

6-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

6-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

6-26 O Peripheral – Continuous Blood

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 6-9 thru 6-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

Year Seven –Option Period 5 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s

Suggested Retail

Price (MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

7-1 R General Service Fee*** Only GSF 7-1a or 7-1b will be

7-1a R General Service Fee – Hosted

19,107

7-1b R General Service Fee – Hosted

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price

(per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

7-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

7-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in

GSF

6,602

7-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

7-3 R Pedometer 3.1.B $ $ 875

7-4 R Spirometer 3.1.B $ $ 25

7-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

7-6 R Manuals/user guides 3.4.C $ $ 3,914

7-7 R Set up guide 3.4.C $ $ 3,914

7-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

7-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

7-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

7-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

7-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

7-13 O Platform – Browser w/modem 3.1.B $ $ 6,602

7-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,006

7-15 O Platform – Mobile Device –

7-16 O Telephone extension cord N/A $ $ 3,914

7-17 O Telephone adapter N/A $ $ 3,914

7-18 O AC Power cord N/A $ $ 4,166

7-19 O Scale Carpet Cups N/A $ $ 1,800

7-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

7-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

7-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

7-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

7-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

7-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

7-26 O Peripheral – Continuous Blood

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 7-9 thru 7-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

Year Eight – Option Period 6 Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s

Suggested Retail

Price (MSRP)

Monthly

Fee (per patient

/MO)

Estimated

Monthly

Quantity*

8-1 R General Service Fee*** Only GSF 8-1a or 8-1b will be

8-1a R General Service Fee – Hosted

19,299

8-1b R General Service Fee – Hosted

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price

(per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

8-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

8-2b 2/3R Platform – IVR with Modem 3.1.B Yes / No Included in

GSF

6,642

8-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

8-3 R Pedometer 3.1.B $ $ 875

8-4 R Spirometer 3.1.B $ $ 25

8-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

8-6 R Manuals/user guides 3.4.C $ $ 3,914

8-7 R Set up guide 3.4.C $ $ 3,914

8-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

8-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

8-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

8-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

8-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

8-13 O Platform – Browser w/modem 3.1.B $ $ 6,642

8-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,157

8-15 O Platform – Mobile Device – 3.1.B $ $ 250 Cellular Connectivity

8-16 O Telephone extension cord N/A $ $ 3,914

8-17 O Telephone adapter N/A $ $ 3,914

8-18 O AC Power cord N/A $ $ 4,166

8-19 O Scale Carpet Cups N/A $ $ 1,800

8-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

8-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

8-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

8-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

8-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

8-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

8-26 O Peripheral – Continuous Blood

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 8-9 thru 8-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).”

Amended Pricing Schedule to be incorporated into contract: (new)

“Base Year One – Pricing Schedule

A Schedule with Required (R) and Optional (O) line items follows:

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

1-1 N/A General Service Fee*** Only GSF 1-1a or 1-1b will be awarded per vendor

3.1.C

1-1a R General Service Fee – Hosted on premise of VA Data Center

3.1.C $

/MO

18,000

1-1b R General Service Fee – Hosted on VA Enterprise

18,000

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

1-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 22,500

1-2b 2/3R Platform – IVR 3.1.B Yes / No Included in GSF

12,250

1-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

1-3 R Pedometer 3.1.B $ $ 1,750

1-4 R Spirometer 3.1.B $ $ 100

1-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 7,250

1-6 R Manuals/User guides 3.4.C $ $ 3914

1-7 R Set up guide 3.4.C $ $ 3,914

1-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

1-9 R** Digital Weight Scale 3.1.B $ $ 12,500

1-10 R** Electronic Digital Blood Pressure Monitor (predominantly Medium sized used)

3.1.B $ $ 29,500

1-11 R** Electronic Thermometer – Non-Bluetooth

3.1.B $ $ 1,000

1-12 R** Pulse Oximeter – Non- Bluetooth

3.1.B $ $ 5,500

OPTIONAL ITEMS

1-13 O Platform – Web Browser 3.1.B $ $ 250

1-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor

3.1.B $ $ 1,000

1-15 O Platform – Mobile Device –

3.1.B $ $ 360

1-16 O Telephone extension cord N/A $ $ 3,914

1-17 O Telephone adapter N/A $ $ 3,914

1-18 O AC Power cord N/A $ $ 4,166

1-19 O Scale Carpet Cups N/A $ $ 1,800

1-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

1-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

1-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

1-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

1-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

1-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

1-26 O Peripheral – Continuous - Blood Glucose adaptor/cable

3.1.B $ $ 250

1-27 O Modem (for use with IVR or web browser)

N/A $ $ 12,250

* Quantities are for evaluation purposes only, and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 1-9 thru 1- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).

Base Year Two – Pricing Schedule

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

2-1 N/A General Service Fee***

Only GSF 2-1a or 2-1b will be awarded per vendor

3.1.C

2-1a R General Service Fee – Hosted on premise of VA Data Center

3.1.C $

/MO

18,180

2-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or

Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

2-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

2-2b 2/3R Platform – IVR 3.1.B Yes / No Included in GSF

6,250

2-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

2-3 R Pedometer 3.1.B $ $ 875

2-4 R Spirometer 3.1.B $ $ 25

2-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

2-6 R Manuals/user guides 3.4.C $ $ 3,914

2-7 R Set up guide 3.4.C $ $ 3,914

2-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE

WITH VA PROVIDED PERIPHERALS**)

2-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

2-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

2-11 R** Electronic Thermometer – non-Bluetooth

3.1.B $ $ 500

2-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

OPTIONAL ITEMS

2-13 O Platform – Browser 3.1.B $ $ 6,250

2-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 500

2-15 O Platform – Mobile Device –

3.1.B $ $ 180

2-16 O Telephone extension cord N/A $ $ 3,914

2-17 O Telephone adapter N/A $ $ 3,914

2-18 O AC Power cord N/A $ $ 4,166

2-19 O Scale Carpet Cups N/A $ $ 1,800

2-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

2-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

2-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

2-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

2-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

2-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

2-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

2-27 O Modem (for use with IVR or web browser)

N/A $ $ 6,250

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 2-9 thru 2- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire

Year Three – Option Period 1 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

3-1 N/A General Service Fee***

Only GSF 3-1a or 3- 1b will be awarded per vendor

3-1a R General Service Fee – Hosted on premise of VA Data Center

3.1.C $

/MO

18,362

3-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

3-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

3-2b 2/3R Platform – IVR 3.1.B Yes / No Included in

GSF

6,357

3-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

3-3 R Pedometer 3.1.B $ $ 875

3-4 R Spirometer 3.1.B $ $ 25

3-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

3-6 R Manuals/user guides 3.4.C $ $ 3,914

3-7 R Set up guide 3.4.C $ $ 3,914

3-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF the proposed PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

3-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

3-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

3-11 R** Electronic Thermometer

– non-Bluetooth

3.1.B $ $ 500

3-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

3-13 O Platform – Browser 3.1.B $ $ 6,357

3-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 575

3-15 O Platform – Mobile Device

– Cellular Connectivity

3.1.B $ $ 180

3-16 O Telephone extension cord

N/A $ $ 3,914

3-17 O Telephone adapter N/A $ $ 3,914

3-18 O AC Power cord N/A $ $ 4,166

3-19 O Scale Carpet Cups N/A $ $ 1,800

3-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

3-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

3-22 O Peripheral – Bariatric Scale

3.1.B $ $ 63

3-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

3-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

3-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

3-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

3-27 O Modem (for use with IVR

N/A $ $ 6,357

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 3-9 thru 3- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire

Year Four – Option Period 2 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

4-1 R General Service Fee***

Only GSF 4-1a or 4-1b will be awarded per vendor

4-1a R General Service Fee – Hosted on premise of VA Data Center

3.1.C $

/MO

18,545

4-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price

(MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

4-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

4-2b 2/3R Platform – IVR 3.1.B Yes / No Included in GSF

6,384

4-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in GSF

1,250

PERIPHERALS

4-3 R Pedometer 3.1.B $ $ 875

4-4 R Spirometer 3.1.B $ $ 25

4-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

4-6 R Manuals/user guides 3.4.C $ $ 3,914

4-7 R Set up guide 3.4.C $ $ 3,914

4-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT

COMPATIBLE WITH VA PROVIDED PERIPHERALS**)

4-9 R** Digital Weight Scale (Regular)

3.1.B $ $ 6,250

4-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

4-11 R** Electronic Thermometer – non-Bluetooth

3.1.B $ $ 500

4-12 R** Pulse Oximeter – non- Bluetooth

3.1.B $ $ 2,750

4-13 O Platform – Browser 3.1.B $ $ 6,384

4-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 661

4-15 O Platform – Mobile Device – Cellular Connectivity

3.1.B $ $ 250

4-16 O Telephone extension cord N/A $ $ 3,914

4-17 O Telephone adapter N/A $ $ 3,914

4-18 O AC Power cord N/A $ $ 4,166

4-19 O Scale Carpet Cups N/A $ $ 1,800

4-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

4-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

4-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

4-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

4-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

4-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

4-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

4-27 O Modem (for use with IVR

N/A $ $ 6,384

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 4-9 thru 4- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire

Year Five – Option Period 3 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

5-1 R General Service Fee*** Only GSF 5-1a or 5-1b will be

5-1a R General Service Fee – Hosted

3.1.C $

/MO

18,731

5-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

5-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

5-2b 2/3R Platform – IVR 3.1.B Yes / No Included in

GSF

6,470

5-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

5-3 R Pedometer 3.1.B $ $ 875

5-4 R Spirometer 3.1.B $ $ 25

5-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

5-6 R Manuals/user guides 3.4.C $ $ 3,914

5-7 R Set up guide 3.4.C $ $ 3,914

5-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

5-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

5-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

5-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

5-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

5-13 O Platform – Browser 3.1.B $ $ 6,470

5-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,510

5-15 O Platform – Mobile Device –

5-16 O Telephone extension cord N/A $ $ 3,914

5-17 O Telephone adapter N/A $ $ 3,914

5-18 O AC Power cord N/A $ $ 4,166

5-19 O Scale Carpet Cups N/A $ $ 1,800

5-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

5-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

5-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

5-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

5-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

5-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

5-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

5-27 O Modem (for use with IVR or web browser)

N/A $ $ 6,470

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 5-9 thru 5- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire section).”

Year Six – Option Period 4 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

6-1 R General Service Fee*** Only GSF 6-1a or 6-1b will be

6-1a R General Service Fee – Hosted

3.1.C $

/MO

18,918

6-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

6-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

6-2b 2/3R Platform – IVR 3.1.B Yes / No Included in

GSF

6,544

6-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

6-3 R Pedometer 3.1.B $ $ 875

6-4 R Spirometer 3.1.B $ $ 25

6-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

6-6 R Manuals/user guides 3.4.C $ $ 3,914

6-7 R Set up guide 3.4.C $ $ 3,914

6-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

6-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

6-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

6-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

6-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

6-13 O Platform – Browser 3.1.B $ $ 6,544

6-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 875

6-15 O Platform – Mobile Device –

6-16 O Telephone extension cord N/A $ $ 3,914

6-17 O Telephone adapter N/A $ $ 3,914

6-18 O AC Power cord N/A $ $ 4,166

6-19 O Scale Carpet Cups N/A $ $ 1,800

6-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

6-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

6-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

6-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

6-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

6-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

6-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

6-27 O Modem (for use with IVR or web

N/A $ $ 6,554

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 6-9 thru 6- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire

Year Seven –Option Period 5 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

7-1 R General Service Fee*** Only GSF 7-1a or 7-1b will be

7-1a R General Service Fee – Hosted

3.1.C $

/MO

19,107

7-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

7-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

7-2b 2/3R Platform – IVR 3.1.B Yes / No Included in

GSF

6,602

7-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

7-3 R Pedometer 3.1.B $ $ 875

7-4 R Spirometer 3.1.B $ $ 25

7-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

7-6 R Manuals/user guides 3.4.C $ $ 3,914

7-7 R Set up guide 3.4.C $ $ 3,914

7-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

7-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

7-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

7-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

7-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

7-13 O Platform – Browser 3.1.B $ $ 6,602

7-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,006

7-15 O Platform – Mobile Device –

7-16 O Telephone extension cord N/A $ $ 3,914

7-17 O Telephone adapter N/A $ $ 3,914

7-18 O AC Power cord N/A $ $ 4,166

7-19 O Scale Carpet Cups N/A $ $ 1,800

7-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

7-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

7-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

7-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

7-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

7-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

7-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

7-27 O Modem (for use with IVR or web

N/A $ $ 6,602

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 7-9 thru 7- 12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read entire

Year Eight – Option Period 6 Pricing Schedule

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Monthly Fee (per patient

/MO)

Estimated Monthly Quantity*

8-1 R General Service Fee*** Only GSF 8-1a or 8-1b will be

8-1a R General Service Fee – Hosted

3.1.C $

/MO

19,299

8-1b R General Service Fee – Hosted on VA Enterprise Cloud

3.1.C $

Req or Opt

Description Ref.

Sec.

Manufacturer’s Suggested Retail Price (MSRP)

Unit Price (per item)

Estimated Yearly Quantity*

PLATFORMS (HUB, IVR, Mobile app) Must propose 2 of 3 platforms

8-2a 2/3R Platform - Hub with Cellular & POTS capability

3.1.B $ $ 11,250

8-2b 2/3R Platform – IVR 3.1.B Yes / No Included in

GSF

6,642

8-2c 2/3R Platform - Mobile App 3.1.B Yes / No Included in

GSF

1,250

PERIPHERALS

8-3 R Pedometer 3.1.B $ $ 875

8-4 R Spirometer 3.1.B $ $ 25

8-5 R Non-pharmacy digital blood glucose meter cable/cradle or glucose meter adapter that interfaces with VA provided blood glucose meters

3.1.B $ $ 3,750

8-6 R Manuals/user guides 3.4.C $ $ 3,914

8-7 R Set up guide 3.4.C $ $ 3,914

8-8 R New/initial Vendor developed DMP and implementation

3.2.A $ $ 1

PERIPHERALS (Offerors must price the following ONLY IF PLATFORM IS NOT COMPATIBLE WITH VA

PROVIDED PERIPHERALS**)

8-9 R** Digital Weight Scale (Regular) 3.1.B $ $ 6,250

8-10 R** Electronic Digital Blood Pressure Monitor – Non- Bluetooth (predominantly Medium sized used)

3.1.B $ $ 14,750

8-11 R** Electronic Thermometer – non- Bluetooth

3.1.B $ $ 500

8-12 R** Pulse Oximeter – non-Bluetooth 3.1.B $ $ 2,750

OPTIONAL ITEMS

8-13 O Platform – Browser 3.1.B $ $ 6,642

8-14 O Platform – Video Hub – POTS & Cellular connectivity (vendor provided Video Hub)

3.1.B $ $ 1,157

8-15 O Platform – Mobile Device –

* Quantities are for evaluation purposes only and reflect one-fourth of the current total estimated quantity.

** For proposed platforms that are not compatible with VA provided peripherals (defined in Attachment I), submit pricing for either Bluetooth or non-Bluetooth items as defined by line item listed in the table above (items 8-9 thru 8-

12) but not both.

***General Service Fee shall include items outlined in section 3.1.C “General Service Fee” (items 1-8) (Please read

8-16 O Telephone extension cord N/A $ $ 3,914

8-17 O Telephone adapter N/A $ $ 3,914

8-18 O AC Power cord N/A $ $ 4,166

8-19 O Scale Carpet Cups N/A $ $ 1,800

8-20 O Peripheral – Electronic Stethoscope (for Video Hub only)

3.1.B $ $ 250

8-21 O Peripheral – Electro Cardio Graph (ECG)

3.1.B $ $ 250

8-22 O Peripheral – Bariatric Scale 3.1.B $ $ 63

8-23 O Peripheral – Health & Fitness Tracker (for daily wear/use)

3.1.B $ $ 250

8-24 O Peripheral – Talking Weight Scale

3.1.B $ $ 250

8-25 O Peripheral – Coagulation Monitoring Device

3.1.B $ $ 63

8-26 O Peripheral – Continuous Blood Glucose Monitor

3.1.B $ $ 250

8-27 O Modem (for use with IVR or web

N/A $ $ 6,642

Amending the evaluation of Optional CLIN Items to reflect the addition of the modem (1-27, 2-

27, etc.) as a separate line item (p.153).

Revised From: (old)

“Optional CLIN Items 1-13 through 1-26: Optional items will only be considered for award if an award is made for the corresponding required CLINs. If pricing is determined to be unreasonable for optional items no award will be made for these items. If awards are made for optional items, it will only be those that are deemed to add value to the functionality of the platforms.”

Revised To: (new)

“Optional CLIN Items 1-13…