B.08 Amendment Contractor Questions and Responses to Contractor Questions.pdf

W40M RHCO-ATLANTIC USAHCA

WOMACK ARMY MEDICAL CENTER

POC: MEGAN A. BYRNES

2817 REILLY RD BLDG 4

FORT BRAGG NC 28310

0011813301

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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 (Type or print)

30-105-04EXCEPTION TO SF 30

APPROVED BY OIRM 11-84

STANDARD FORM 30 (Rev. 10-83) Prescribed by GSA

FAR (48 CFR) 53.243

a. The purpose of the amendment is to provide responses to the interested contractor's questions.

b. All other terms and conditions remain the same.

1. CONTRACT ID CODE PAGE OF PAGES

J 1 4

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

16C. DATE SIGNED

BY 31-Aug-2022

16B. UNITED STATES OF AMERICA15C. DATE SIGNED15B. CONTRACTOR/OFFEROR

(Signature of Contracting Officer)(Signature of person authorized to sign)

8. NAME AND ADDRESS OF CONTRACTOR (No., Street, County, State and Zip Code) X W91YTZ22Q0108

X 9B. DATED (SEE ITEM 11)

29-Jul-2022

10B. DATED (SEE ITEM 13)

9A. AMENDMENT OF SOLICITATION NO.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

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

Offer 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 1 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 you 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 APPROPRIATION DATA (If required)

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

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

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.

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

10A. MOD. OF CONTRACT/ORDER NO.

2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO.(If applicable)

6. ISSUED BY

3. EFFECTIVE DATE

31-Aug-2022

CODE

W40M RHCO-ATLANTIC USAHCA

NORTHERN REG CONTR OFC NRCO

6021 5TH ST BLDG 1467

FORT BELVOIR VA 22060-5580

W91YTZ 7. ADMINISTERED BY (If other than item 6)

4. REQUISITION/PURCHASE REQ. NO.

CODE W91YTZ

FACILITY CODECODE

EMAIL:TEL:

W91YTZ22Q0108

SECTION SF 30 BLOCK 14 CONTINUATION PAGE

SUMMARY OF CHANGES

(End of Summary of Changes)

The following items are applicable to this modification:

QUESTIONS AND ANSWERS

Contractor Questions and Responses to Contractor Questions

CLIN0001: The contact is structured with a single CLIN with the 18 discreet cadavers.

Question 1. How does the Government plan for invoicing following a completed profusion?

Answer: The contract is structured as a IDIQ and will be issued task orders against the IDIQ contract for specific training events and then we will create funded PRs. The invoices will be submitted via the WAWF system for each training event.

Question 2. Will the Government narrow down or specify the delivery requirements associated with this solicitation to save unnecessary costs associated with an open requirement?

Answer: Yes, the training units will request the dates, locations, and requirements associated with the product as part of their training concept of operations (CONOP).

Most of our training events event will be structured two cadavers over a two day training period. We expected to conduct 2-3 training events per quarter.

PWS 1.1: The PWS states "The Contractor will provide up to 18 non-prosected/non-dissected perfused cadavers to the 44th Medical Brigade (44thMED BDE) at Ft. Bragg, NC, Fort Campbell, KY, and Fort Stewart-Hunter Army Airfield (HAAF), GA,"

Question 3. What is the Governments planned dispersion of Perfused cadavers between each site?

Answer: Based on an assumption of missions: 10 cadavers at Fort Bragg, 2 cadavers at Fort Stewart, 6 cadavers at Fort Campbell, however due to mission requirements these number could change annually.

The PWS states "Perfused cadavers must be capable of replicating traumatic hemorrhage and associated physiologic changes [Blood Pressure (BP), Mean Arterial Pressure (MAP), and Pulse Pressure (PP)]"

Question 4. During training, are both the venous and arterial circulatory systems required to be perfused with a pulsatile flow?

Answer: The majority of the procedures performed will need arterial perfusion. The units that require additional venous perfusion will request prior to training event.

The PWS states "cadavers will be available for training for a period not to exceed 12 hours during each training day during the ordering period."

Question 5. Will the cadavers require an absence of or limited third spacing during the 10 -12 hours of perfusion per day?

Answer: No, we understand that with perfusion and how much it is utilized during training there is a degradation the tissues and these hours may not apply and non-perfused may last 10-12 hours.

PWS 1.4: The PWS states "The Contractor provided training area must be equipped to handle up to four (4) cadavers in one training session."

Question 6. What clarity or explanation can you provide to define the Governments requirements for the Contractor provided training area?

Answer: The contractor must be able to provide up to 4 cadavers at the same location in an austere environment or a classroom setting and will provide delivery, transport, and storage. Additionally, a CONOP from the unit can provide additional requirements regarding location of select training area to meet units training goals. Examples of training areas and locations can be provided to the contractor to better allow them to prepare for training event.

The PWS states "The cadaver training will be conducted in the field or classroom environment on Fort Bragg, NC, Fort Campbell, KY, and Fort Stewart-HAAF, GA".

Question 7. Will contractor be required to provide battery source for perfusion pumps for austere environments if electricity is unavailable?

Answer: The government will be supplying the battery sources/electrical source for the austere environments. There will not be a requirement for battery or alternate power source for perfusion pumps if training is conducted in the classroom setting.

PWS1.4.1. The PWS mentions the deliverable of a blood product. "The required additional equipment (pump, reservoir, tubing, blood product, etc.)

Question 8. What type of perfusion solution is required E.g. (water, saline, whole blood, synthetic blood substitute)?

Answer: Perfusion solution most likely will be a synthetic blood substitute to provide a high fidelity training platform. A CONOP from the units will provide clarity of what perfusion solution will be most suitable for the intended training goals.

Question 9. Will the blood product being requested for perfusion need to functionally coagulate when hemostatic interventions are applied during "traumatic hemorrhage"?

Answer: The blood product will not need to functionally coagulate with hemostatic interventions (i.e. Quick Clot).

The PWS states "Contractor will provide perfusionist training and education on perfusion on a quarterly basis."

Question 10. What are the 5Ws associated with the Government's perfusionist training requirement?"

Answer: Who: the contractor should be able to provide "train the trainer" for our providers.

What: The providers will be available prior to the training event to receive hands on or in person perfusion training.

When: Prior to the training event and will coordinate with the contractor on the same day as delivery.

Where: On site at the training location.

Why: To allow the providers autonomy while training soldiers.

Question 11: How far in advance will the contractor need these requirements and what is the last date that any changes can be made to the request?

Answer: The PWS states in section 1.1 the contractor will be given a notice of 30 calendar days before training event.

Question 12: What are the additional costs/time/equipment/personnel needed for either arterial versus venous perfusion?

Answer: Each contractor is responsible for responding with their pricing data in their bid. Please specify if costs are different between various forms of perfusion and the break-down of costs.