75H70623R00005_Amnd1- RefLab-PostQAs-RevPriceSched-RevAppBTechEx2-4.19.23-final.pdf

DEPARTMENT OF HEALTH & HUMAN SERVICES

Great Plains Area Indian Health Service Federal Building, Room 309 115 4th Ave. SE Aberdeen, SD 57401

April 19, 2023

OUR REFERENCE: AO-AS/DAM

Amendment No. One (1) Solicitation Number: RFP-75H70623R00005

To Whom It May Concern:

Attached is the executed SF-30 document(s) signed and dated by the Contracting Officer in reference to solicitation number RFP-75H70623R00005. Please retain for your own records.

Should you have any questions or need information, please contact Wenda Wright, Contract Specialist at wenda.wright@ihs.gov.

Sincerely, Craig J. Wells Contracting Officer Great Plains Area Indian Health Service

Attachments:

- SF 30 - Amendment One (1)

- Questions and Answers

- Revised Price Schedule

- Revised Appendix B - Technical Exhibit 2 - Attachment A

(excel spreadsheet attached separately)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

1. CONTRACT ID CODE

2. AMENDMENT/MODIFICAITON NO. 3. EFFECTIVE DATE 4. REQUISITION/PURCHASE REQ. NO. 5. PROJECT NO. (If applicble)

7. ADMINISTERED BY (If other than Item 6) CODE

STANDARD FORM 30 (REV. 10-83)

Prescribed by GSA FAR (48 CFR) 53.243

FACILITY CODE

9A. AMENDMENT OF SOLICIATION NO.

9B. DATED (SEE ITEM 11)

10A. MODIFICATION OF CONTRACT/ORDER NO.

10B. DATED (SEE ITEM 11)

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, is not extended.

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:

(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 telegram 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 RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment your desire to change an offer already submitted, such change may be made by telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPIRATION DATA (If required)

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS.

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

CHECK ONE 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.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor is not, is required to sign this document and return copies to the issuing office.

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.

15C. DATE SIGNED

15A. NAME AND TITLE OF SIGNER (Type or print)

16C. DATE SIGNED

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

PAGE OF PAGES

6. ISSUED BY CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code) (X)

CODE

15B. CONTRACTOR/OFFEROR

(Signature of person authorized to sign)

16B. UNITED STATES OF AMERICA

(Signature of Contracting Officer)

NSN 7540-01-152-8070

Previous edition unusable

Questions – RFP 75H70623R00005 – Reference Laboratory Testing and Pathology Services, GPAIHS

Solicitation Page #

Section # Section Title Question

10 2.1 Size of System and Government Experience

Define “independent laboratory”. Does it mean non-government laboratories such as hospital laboratories?

These would be laboratories that are not owned or affiliated with your system of care.

4; 22 B.4; C.7.O

Schedule of Prices;

Consultative Services, Laboratory Directors, and Utilization Reports (see also Section 9, Technical Exhibit 1, and Section D)

In Section B, Schedule of Prices, for the ‘Site visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)’ it indicates the frequency as “2 Semi-Annual”.

In Section 7.O, it states “currently two of the Hospitals (Eagle Butte and Fort Yates) are moderately complex labs with emergency release blood. These two facilities, as long as they are moderately complex labs, can have quarterly pathologist onsite visits…” Which frequency for the site visits for Eagle Butte and Fort Yates is correct, semi-annual or quarterly? The Pathologist visit would be Quarterly (4 visits per year about equally spaced) and the med tech consult visit would be quarterly (4 visits per year about equally spaced). Both available via electronic means in-between onsite visits and to meet regulations.

4; 22 B.4; C.7.P

Schedule of Prices;

Consultative Services, Laboratory Directors, and Utilization Reports (see also Section 9, Technical Exhibit 1, and Section D)

In Section B, Schedule of Prices, for the ‘Site Costs for Pathologists to 7 Health Clinics’ it indicates the frequency as “2 Semi-Annual”.

In Section 7.O, it states “Pathologists services to each health center at least once per year, and be available…” Which frequency for the site visits to the 7 Health Centers is correct, semi-annual or once per year? The Pathologist visit would be annual (1 visits per year about equally spaced) and the med tech consult visit would be quarterly (4 visits per year about equally spaced). Both available via electronic means in-between onsite visits and to meet regulations.

24 7.2.4 Telecommunication Interface Requirements

Is this requirement limited to the support & maintenance of the interface between the contractor’s LIS and the GIS only? Correct, and any printers/equipment that maybe needed to communicate results to IHS and orders to the reference lab, such as labels and electronic orders. Automated communication that results are ready to be entered into the RPMS system.

93 L General Instructions How do we submit SF-33, Section K, Appendix D, Appendix F, and FAR Certification documents? You can submit the SF-33, the Subcontracting Plan (if applicable), and the FAR Certification documents, Section K, as part of the RFP response packet. There are no page limits.

Appendix F will be completed by the GPAIHS upon award of the contract.

106 Appendix B Technical Exhibit 2 There is no place to enter individual test pricing for the base year or any of the option years. How do we submit individual test pricing? Please see attached table

Base Period - 6/1/2023 – 5/31/2024 Rate Estimated Quantity

Total Price

0001 At least 2/Quarter Monthly Site Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0002 Possibly 1/Quarter Monthly Electronic Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0003 4 Quarterly Site Visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)

0004 1 Annual Site Costs for Pathologists to 7 Health Clinics 7

0005 4 Quarterly Site Costs for Med Techs to 5 Hospitals 20

0006 4 Quarterly Site Costs for Med Techs to 7 Health Clinics 28

0007 4 Quarterly Site Costs for Equipment Techs to 5 Hospitals 20

0008 2 Semi-annual Site Costs for Equipment Techs to 7 Health Clinics 14

0009 Monthly Reference Laboratory Testing Cost for All Sites

Total Cost for Base Year

Option Period One - 6/1/2024 – 5/31/2025 Rate Estimated Quantity

Total Price

0010 At least 2/Quarter Monthly Site Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0011 Possibly 1/Quarter Monthly Electronic Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0012 4 Quarterly Site Visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)

0013 1 Annual Site Costs for Pathologists to 7 Health Clinics 7

0014 4 Quarterly Site Costs for Med Techs to 5 Hospitals 20

0015 4 Quarterly Site Costs for Med Techs to 7 Health Clinics 28

0016 4 Quarterly Site Costs for Equipment Techs to 5 Hospitals 20

0017 2 Semi-annual Site Costs for Equipment Techs to 7 Health Clinics 14

0018 Monthly Reference Laboratory Testing Cost for All Sites

Total Cost for Option Year One $ -

Option Period Two - 6/1/2025 – 5/31/2026 Rate Estimated

Total Price

0019 At least 2/Quarter Monthly Site Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0020 Possibly 1/Quarter Monthly Electronic Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0021 4 Quarterly Site Visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)

0022 1 Annual Site Costs for Pathologists to 7 Health Clinics 7

0023 4 Quarterly Site Costs for Med Techs to 5 Hospitals 20

0024 4 Quarterly Site Costs for Med Techs to 7 Health Clinics 28

0025 4 Quarterly Site Costs for Equipment Techs to 5 Hospitals 20

0026 2 Semi-annual Site Costs for Equipment Techs to 7 Health Clinics 14

0027 Monthly Reference Laboratory Testing Cost for All Sites

Total Cost for Option Year Two $ -

Option Period Three - 6/1/2026 – 5/31/2027 Rate Estimated Quantity

Total Price

0028 At least 2/Quarter Monthly Site Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0029 Possibly 1/Quarter Monthly Electronic Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0030 4 Quarterly Site Visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)

0031 1 Annual Site Costs for Pathologists to 7 Health Clinics 7

0032 4 Quarterly Site Costs for Med Techs to 5 Hospitals 20

0033 4 Quarterly Site Costs for Med Techs to 7 Health Clinics 28

0034 4 Quarterly Site Costs for Equipment Techs to 5 Hospitals 20

0035 2 Semi-annual Site Costs for Equipment Techs to 7 Health Clinics 14

0036 Monthly Reference Laboratory Testing Cost for All Sites

Total Cost for Option Year Three $ -

Option Period Four - 6/1/2027 – 5/31/2028 Rate Estimated

Total Price

0037 At least 2/Quarter Monthly Site Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0038 Possibly 1/Quarter Monthly Electronic Visit Costs for Pathologists to 3 High Complex Hospitals (Pine Ridge, Rosebud, Belcourt)

0039 4 Quarterly Site Visit Costs for Pathologists to 2 Moderately Complex Hospitals (Eagle Butte and Fort Yates)

0040 1 Annual Site Costs for Pathologists to 7 Health Clinics 7

0041 4 Quarterly Site Costs for Med Techs to 5 Hospitals 20

0042 4 Quarterly Site Costs for Med Techs to 7 Health Clinics 28

0043 4 Quarterly Site Costs for Equipment Techs to 5 Hospitals 20

0044 2 Semi-annual Site Costs for Equipment Techs to 7 Health Clinics 14

0045 Monthly Reference Laboratory Testing Cost for All Sites

Total Cost for Option Year Four

BASE PERIOD PLUS FOUR (4) OPTION YEARS Total Price

BASE PERIOD: 6/1/2023 through 5/31/2024

OPTION PERIOD ONE: 6/1/2024 through 5/31/2025

OPTION PERIOD TWO: 6/1/2025 through 5/31/2026

OPTION PERIOD THREE: 6/1/2026 through 5/31/2027

OPTION PERIOD FOUR: 6/1/2027 through 5/31/2028

Total Cost for Base Period plus Four (4) Option Years

Amendment 1- SF30-IT-GPA-rev

Great Plains Area Office 115 4th Ave SE Aberdeen, SD 57401

A. Post Questions and Answers;

B. Post the revised Price Schedule;

B. Post the revised Appendix B - Technical Exhibit Two (2) - Attachment A (excel spreadsheet attached separately).

There are no other changes made by reason of this amendment.