S02 - 36C26324R0005 Amd 0001.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 5

MSO-2024-COM-0002

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

Same as Issued By

To all Offerors/Bidders

36C26324R0005

01-05-2024

X

X X

EXTENDED to February 9, 2024 10:00CST

The purpose of this amendment is to address the following:

1.) Vendor Questions (see attached questions).

2.) Past Performance Questionnaires must be received by February 6, 2024 @ 10:00am CST 3.) The Closing date and time to submit proposals has been extended to February 9, 2024 @ 10:00 CST All other terms and conditions remain unchanged.

Travis Johnson Contracting Officer

36C26324R0005 – 0001 Solicitation for the Pierre CBOC, Response to Questions received.

Pierre, South Dakota CBOC 36C26324R0005

Response to Questions

1. RFP, B.2 Schedule of Services, Page 7 of 174: Do enrollment figures reflect current actual enrollment at the clinic?

a. The enrollment figures were previously estimated. Current enrollment at the Pierre, South Dakota CBOC is 908 as of October 2023

2. RFP: Will the Government please provide a Microsoft Word version of the RFP?

a. No. The use of PDF deters manipulation of the solicitation document.

3. RFP Section 2.6 (page 19 of 174) and Section 4.7.8.1 (page 43 of 174): Information on the diagnostic radiologic technologist appears to conflict. The Ancillary Support Staffing section states that the Contractor is not required to staff the position. The radiology section states the Contractor is responsible for entering requests for radiology procedures into the VA EHR either directly to the VA parent sites (Fort Meade) or to Community Care if the radiology procedures needed are not available through the VAMC. Please clarify. Is the VA requiring the contractor to hire a Diagnostic Radiologic Technologist for the CBOC?

a. IAW the PWS, the Contractor is not required to staff the position.

4. RFP Section 2.6 and 2.7 (Page 19 of 174): Section 2.6 states that the Contractor is to provide a laboratory technologist/phlebotomist, but does not state an FTE. Section 2.7 states a formula for a telehealth tech. “For CBOCs with fewer than 1050 synchronous and/or asynchronous encounters anticipated, or those with an expansion target in the range of 1.5 – 2.0 FTE.” How do synchronous and asynchronous visits count in terms of/for labs and what is the target FTE for those positions?

a. Laboratory services are provided face-to-face; it is not believed that Asynchronous or synchronous care applies.

i. Refer to Definition 1.5.21 and Patient Care 4.7.2 for Asynchronous Care,

ii. Refer to Definition 1.5.103 and Patient Care 4.7.1 for Synchronous Care.

5. RFP, SF1449(Page 1 of 174): In block 15 the delivery address is Department of Veterans

Affairs, VA Black Hills Health Care System, 113 Comanche Road, Fort Meade, MN 57741. Should the address be changed to Department of Veterans Affairs, VA Black Hills Health Care System, 113 Comanche Road, Fort Meade, SD 57741?

a. Block 15 has been revised to reflect SD, versus MN.

6. RFP, B.2 (Page 7 of 174) and E.2 (Page 147 of 174): Page 7 states that the clinic must be located within the city limits of Pierre, South Dakota. Page 147 states the proposed clinic sites must be located in Pierre, South Dakota area, within a 5-mile radius of the 57501 USPS Zip Code. Due to the fact that there is limited space available in Pierre, South Dakota; will the Government consider a clinic located outside the five-mile radius of zip code of 57501?

a. The Government requires the clinic to be located within the 5-mile radius as stated within the PWS.

7. RFP, Section 2.1 (Page 14 of 174): Is a Full-Time Clinic Manager Required? If so, would the VA prefer the Clinic Manager be a Registered Nurse?

a. Section 2.1 references Care Managers who are credentialed as a Registered Nurse.

8. RFP, Section 4.7.6, 11) B) (Page 38 of 174): The RFP states, "Equipment such as privacy curtains, exam tables with stirrups and lights, bathrooms adjacent to where pelvic exams are performed, speculums, supplies, and equipment to perform Pap tests and point of care pregnancy testing should be on hand in the clinic area." If the Contractor is not able to purchase Thin Prep, will the Government supply Thin Prep?

a. The Contractor is required to supply the equipment and supplies needed to perform such tests.

9. RFP, Section 4.10 (Page 72 of 174): PACT Space Standards. Please confirm if the VA will provide the Phone Circuit and physical Phones.

a. The VA will provide the phone circuit and physical phones.

10. RFP, Section 4.11.1.2, (Page 79 of 174): The installation and maintenance of the network cabling infrastructure within the facility including all cabling located inside the walls and plenum space of the structure, cabling racks, network equipment racks, patch panels, wall ports, extension cabling from the demarc to the communications closet, and a secure communications closet space to house the networking equipment. Will the Government please confirm if CAT 6 or CAT 6A is preferred?

a. The section has been revised to include: “CAT 6A cabling is specified in standard ANSI/TIA-1179 Healthcare Facility Telecommunications infrastructure for new installations.”

11. RFP, Section 4.12.6.5, (Pages 81 of 174): Power requirements: Four (4) L6-20 receptacles, one (1) L6-30 receptacles in the closet. Will the Government please confirm the power requirements and if two 20-amp dedicated receptacles are acceptable?

a. The PWS is accurate. The Contractor may also reference VA Handbook 6500, Risk Management Framework for VA Information Systems.

12. RFP, Section 4.1.2.6.7, (Page 81 of 174): Infrastructure installer should install Leviton CAT6 patch panels and connectors in the rack. Please confirm if a comparable brand to Leviton is sufficient.

a. This has been revised to include (or equal)

13. RFP, Section 6.1.2, (Page 94 of 174): The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans. Will the Government consider 180 days from Contract Award to the commencement of the provision of medical care to local Veterans?

a. The Contractor shall have 90 days from contract award to commencement of the provision of medical care to local Veterans.

14. RFP, E.2 Proposal Preparation Instructions (Addendum to FAR 52.212-1): Offerors proposals are to be submitted in three parts: (1) a price proposal (the "Price Proposal"),

(2) a technical proposal (the "Technical Proposal"), and (3) Past Performance. Should proposals be emailed to Shanna Comparato at Shanna.Comparato@va.gov? Are there any email size restrictions when submitting the proposal electronically via email?

Should the Veteran Preference SDVOSB/VOSB status and subcontracting Plan be provided with the Technical Proposal, and if so, would it be in Section 4?

a. Please submit proposals via email to Shanna Comparato at Shanna.Comparato@va.gov

b. There are no email size restrictions. However, please ensure to follow specific instructions given IAW Section E.2 Proposal Preparation Instructions (Addendum to FAR 52.212-1).

c. (Contractor) SDVOSB/VOSB status is covered under

i. C.15 VAAR 852.215-70 Veterans Preference SDVOSB/VOSB Status

(Page 122 of 174),

ii. Factor III (Page 147 and 151 of 174).

d. Subcontracting Plan is covered under

i. C.17 VAAR 852.219-70 VA Small Business Subcontracting Plan (Page

121 of 174),

ii. Part II Technical Proposal, Section 3 – Narrative Responses to Evaluation

Factors, (d) 7 (Page 145 of 174), and

iii. Section D Attachment 9, Subcontracting Plan Template

15. RFP, E.2 Proposal Preparation Instructions (Addendum to FAR 52.212-1) (c) Section 3:

The RFP states, in order to evaluate each proposal, it is necessary that each offeror respond to all items in the same order as presented herein. No items were presented in (c) Section 3. What items is the bidder to respond to in the same order?

a. Please refer to page(s) 146 – 152

16. RFP, E.2 Proposal Preparation Instructions (Addendum to FAR 52.212-1): Factor 3 - Past Performance. Limited to no more than two (2) pages per contract listed. Only references for same or similar type contract. Quality and Satisfaction Rating for Contracts Completed in the Past Three (3) Years. Provide any information currently available (letters, metrics, customer surveys, independent surveys, etc.) which demonstrates customer satisfaction with overall job performance and quality of completed product for same or similar type contract. Given that one survey could be more than two pages, will the VA allow the bidder to provide letters, customer surveys, independent surveys, etc. as an attachment and not count towards the 2-page limit per contract in the Past Performance?

a. The Government is confident that such information can be presented in an effective and concise manner, within the two – page limit; which may be printed on the front and back.

17. General: Will the VA please provide the Pierre South Dakota CBOC historical enrollment for the past five years?

a.

Current Enrollment As of Oct 2023:

908 Veterans

Beg. Fiscal Year 2023 908 Beg. Fiscal Year 2022 954 Beg. Fiscal Year 2021 912 Beg. Fiscal Year 2020 964 Beg. Fiscal Year 2019 1,022

18. General: Does the current Pierre South Dakota CBOC facility meet the PACT Space

Module Design guidelines?

a. The Current clinical space is compliant with PACT space guidelines.

19. General: Does the current Pierre South Dakota CBOC facility meet the space requirements for this RFP? If not, will the location be "grandfathered in" and available for rebid "as is"?

a. The Current clinical space is compliant with space guidelines.