PROGRAM: 1219-S (12/16)

BASIS OF

ITEM NO. DESCRIPTION AWARD UNIT RATE COST UNIT RATE COST UNIT RATE COST UNIT RATE COSTI. PROOFS:

(a) Digital one-piece composite laminated halftone proofs.....per trim/page-size unit 64 7.50 480.00 $ 2.00 128.00 $ 6.00 384.00 $ 11.50 736.00 $ 

(b) System Timework per hour 96 65.00 6,240.00 $ 150.00 14,400.00 $ NC NC

II. COMPOSITION (all inclusive- Project Planning, Editorial Tasks):

(a) 8-Page Magazine per order 1 5,872.00 5,872.00 $ 10,800.00 10,800.00 $ 8,145.00 8,145.00 $ 9,200.00 9,200.00 $ 

(b) 12-Page Magazine per order 2 8,974.00 17,948.00 $ 16,200.00 32,400.00 $ 11,925.00 23,850.00 $ 13,900.00 27,800.00 $ 

(c) 32-Page Calendar per order 1 18,221.00 18,221.00 $ 19,000.00 19,000.00 $ 18,225.00 18,225.00 $ 19,800.00 19,800.00 $ 

III. PRINTING AND BINDING:

(a) 8-Page Magazine per product

(1) Makeready and/or Setup 1 NC 800.00 800.00 $ 4,440.00 4,440.00 $ 498.00 498.00 $ 

(2) Run Per 1,000 Copies 140 80.44 11,261.60 $ 113.00 15,820.00 $ 104.00 14,560.00 $ 49.00 6,860.00 $ 

(b) 12-Page Magazine per product

(1) Makeready and/or Setup 2 NC 1,100.00 2,200.00 $ 5,730.00 11,460.00 $ 980.00 1,960.00 $ 

(2) Run Per 1,000 Copies 280 107.67 30,147.60 $ 148.00 41,440.00 $ 145.00 40,600.00 $ 69.00 19,320.00 $ 

(c) 32-Page Calendar per product

(1) Makeready and/or Setup 1 NC 2,900.00 2,900.00 $ 9,205.00 9,205.00 $ 1,300.00 1,300.00 $ 

(2) Run Per 1,000 Copies 140 290.45 40,663.00 $ 350.00 49,000.00 $ 394.00 55,160.00 $ 219.00 30,660.00 $ 

(d) Labels: Per Sheet (55 Die-Cut labels; tipped in)

(1) Makeready and/or Setup 1 575.00 575.00 $ 900.00 900.00 $ NC 450.00 450.00 $ 

(2) Run Per 1,000 Copies 140 197.91 27,707.40 $ 225.00 31,500.00 $ 233.00 32,620.00 $ 9.00 1,260.00 $ 

IV. Readership Survey (MS PowerPoint Presentation included)

(a) Tabulation per 1,000 surveys 140 22.80 3,192.00 $ 300.00 42,000.00 $ 79.00 11,060.00 $ 5.00 700.00 $ 

V. VIDEO COMPLETE PRODUCT:

(a) Stock.....per order 2 2,100.00 4,200.00 $ 2,500.00 5,000.00 $ 3,466.00 6,932.00 $ 650.00 1,300.00 $ 

(b) Custom.....per order 2 7,250.00 14,500.00 $ 28,000.00 56,000.00 $ 10,289.00 20,578.00 $ 1,250.00 2,500.00 $ 

VI. ADDITIONAL OPERATIONS:

(a) Perforation per 1,000 copies 140 5.66 792.40 $ 2.00 280.00 $ 4.10 574.00 $ 0.45 63.00 $ 

(b) Drill per 1,000 copies 140 2.45 343.00 $ 2.00 280.00 $ 41.76 5,846.40 $ 0.33 46.20 $ 

VII. PACKING AND DISTRIBUTION:

(1) Bulk Shipments per container 345 7.15 2,466.75 $ 2.00 690.00 $ 1.25 431.25 $ 0.69 238.05 $ 

(2) Mailed Shipments per 1,000 copies 555 61.35 34,049.25 $ 25.00 13,875.00 $ 35.13 19,497.15 $ 7.70 4,273.50 $ 

TOTAL: $218,659.00 $339,413.00 $283,567.80 ----------------DISCOUNT: 0.00% 0.00 0.00% 0.00 0.00% 0.00 0.00%NET TOTAL: $218,659.00 $339,413.00 $283,567.80

AWARDED

Wainscot Media

Montvale, NJ

TITLE: Veterans Wellness Publications-VISN 2AGENCY: Department of Veterans Affairs

Staywell, LLC

Yardley, PA

American Institute for Preventive 

Medicine

Farmington Hills, MI

Schatz Publishing Group

Blackwell, OK

3/1/2016 ab1219-S 1
 PHILADELPHIA REGIONAL OFFICE 

928 Jaymor Road, Suite A-190 

Southampton, PA 18966-3820 

www.gpo.gov 

January 8, 2016 

Dear Bidder: 

This is Amendment No. 1. The specifications in our invitation for bids on Program 1219-S, scheduled for 

opening at 2 p.m., January 19, 2016, are amended as follows. The bid opening date is not extended. 

1. Change (page 1 of 19) under TERM OF CONTRACT 

From: ...and ending December 31, 2016, plus up to ....SECTION 1 of ths contract. 

To: ...and ending December 31, 2016. 

2. Delete (page 3 of 19) paragraph OPTION TO EXTEND THE TERM OF THE CONTRACT. 

3. Change (pages 6 – 7) under CRIMINAL SANCTIONS 

From: ...not more than $10,000.00. 

To: ...not more than $5,000,00. 

4. Change (page 10 of 19) under PDF Files 

From: ....Two (2) per order 

(1) For all publications, created and Section 508 Compliant. 

(2) For all publications, created and print ready. Files must be identical in output. 

To: For all publications, created and Section 508 Compliant. 

5. Change (page 11 of 19) under Labels: 

From: Tip In: One...issue. 

To: Fold, Insert, Saddle-stitch: One...issue. 

6. Change (page 18 of 19) under III. PRINTING AND BINDING: (d) Labels: 

From: Per ...; tipped in) 

To: Per ...; bound) 

All other specifications remain the same. 

If amendment is not acknowledged on bid, direct acknowledgement to: 
U.S. Government Publishing Office 

Philadelphia Regional Office 

928 Jaymor Road, Suite A-190 

Southampton, PA 18966-3820 

Telephone acknowledgement of this amendment is not acceptable. 

BIDDER MUST ACKNOWLEDGE RECEIPT OF THIS AMENDMENT PRIOR TO BID OPENING. 

Failure to acknowledge receipt of amendment, by amendment number, prior to bid-opening time, may be 

reason for bid being declared nonresponsive. 

Sincerely, 

DEBRA L. ROZDZIELSKI 

Contracting Officer 

Written by: dp 
1219-S Page 1 of 19 

Specifications by DP 

Reviewed by MRN 

U.S. GOVERNMENT PUBLISHING OFFICE 

Philadelphia, PA 

For the Procurement of 

Veterans Wellness Publications – Veterans Integrated Systems Network (VISN) 2 

 As requisitioned from the U.S. Government Publishing Office (GPO) by the 

Department of Veterans Affairs - Network Public Affairs VISN 2 

Single Award 

TERM OF CONTRACT: The term of this contract is for the period beginning Date of Award and ending 

December 31, 2016, plus up to four (4) optional 12-month extension period(s) that may be added in accordance 

with the “OPTION TO EXTEND THE TERM OF THE CONTRACT” clause in SECTION 1 of this contract. 

BID OPENING: Bids shall be publicly opened at 2:00 P.M., prevailing Philadelphia, PA time, on January 19, 

2016. 

BID SUBMISSION: Submit bid in pre-addressed envelope furnished with solicitation or send to: 

U.S. Government Publishing Office, Customer Services, Philadelphia Regional Office, Agency Procurement 

Services, Southampton Office Park, 928 Jaymor Road, Suite A-190, Southampton, PA 18966-3820. Facsimile 

bids in response to this solicitation are permitted. Facsimile bids may be submitted directly to the GPO, Fax No. 

(215) 364-6476/6479. The program number and bid opening date must be specified with the bid. Refer to Facsimile 

Bids in Solicitation Provisions of GPO Contract Terms, GPO Publication 310.2, as revised June 2001. 

BIDDERS, PLEASE NOTE: These specifications have been extensively revised; therefore, all bidders are 

cautioned to familiarize themselves with all provisions of these specifications before bidding. 

Abstracts of contract prices are available at: 

http://www.gpo.gov/gpo/abstracts/abstract.action?region=Philadelphia. 

For information of a technical nature, contact Diane Peluso on (215) 364-6465, x4 (no collect calls).
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 2 of 19 

 SECTION 1. - GENERAL TERMS AND CONDITIONS 

GPO CONTRACT TERMS: Any contract which results from this Invitation for Bid will be subject to the 

applicable provisions, clauses, and supplemental specifications of GPO Contract Terms (GPO Publication 310.2, 

effective December 1, 1987 (Rev. 6-01)) ad GPO Contract Terms, Quality Assurance through Attributes Program 

for Printing and Binding (GPO Publication 310.1, effective May 1979 (Rev. 8-02)). 

GPO Contract Terms (GPO Publication 310.2) – http://www.gpo.gov/pdfs/vendors/sfas/terms.pdf. 

GPO QATAP (GPO Publication 310.1) – http://www.gpo.gov/pdfs/vendors/sfas/qatap.pdf. 

PREDOMINANT PRODUCTION FUNCTION: Project Planning, Editorial Tasks, Demography Research, 

Digital Media Services. Any contractor who cannot perform the predominant production functions will be declared 

non-responsible. 

SUBCONTRACTING: The provisions of GPO Publication 310.2 are modified to permit subcontracting of 

presswork. The predominant function for this procurement cannot be subcontracted. If subcontracting 

printing, the printing subcontractor must be a GPO approved Quality Level 3 contractor, to print on this contract. 

NOTE: The contractor shall be responsible for enforcing all contract requirements outsourced to a subcontractor. 

Subcontractor(s) must be approved by the Government prior to production starting in that facility. The 

subcontractor’s information must be provided in conjunction with the “preaward test” specified herein. 

If the contractor needs to add a subcontractor at any time after award, the subcontractor must be approved by the 

Government prior to production starting in that facility. If the subcontractor is not approved by the Government, 

then the contractor must submit new subcontractor’s information to the Government for approval five (5) calendar 

days prior to the start of production at that facility. 

DISPUTES: GPO Publication 310.2, GPO Contract Terms, Contract Clause 5. Disputes, is hereby replaced with 

the June 2008 clause found at www.gpo.gov/pdfs/vendors/contractdisputes.pdf. 

QUALITY ASSURANCE LEVELS AND STANDARDS: The following levels and standards shall apply to these 

specifications: 

Product Quality Levels: 

 (a) Printing (page related) Attributes -- Level III. 

 (b) Finishing (item related) Attributes -- Level III. 

Inspection Levels (from ANSI/ASQC Z1.4): 

 (a) Non-destructive Tests - General Inspection Level I. 

 (b) Destructive Tests - Special Inspection Level S-2. 

Specified Standards: The specified standards for the attributes requiring them shall be: 

 Attribute Specified Standard 

P-7. Type Quality and Uniformity Approved Proofs/Average type dimension/ 

 Electronic media 

P-8. Halftone Match (Single and Double Impression) Approved Proofs 

P-9. Solid and Screen Tint Color Match Pantone Matching System 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 3 of 19 

P-l0. Process Color Match Approved Proofs 

Prior to award, contractor may be required to provide a comprehensive list of current equipment including, but not 

limited to, types of presses (web or sheetfed), proofing systems with resolutions and bindery equipment used for 

production for evaluation of predominant and non-predominant functions. 

OPTION TO EXTEND THE TERM OF THE CONTRACT: The Government has the option to extend the 

term of this contract for a period of 12 months by written notice to the contractor not later than 30 days before the 

contract expires. If the Government exercises this option, the extended contract shall be considered to include this 

clause, except, the total duration of the contract may not exceed five (5) years as a result of, and including, any 

extension(s) added under this clause. Further extension may be negotiated under the “EXTENSION OF 

CONTRACT TERM” clause. See also “ECONOMIC PRICE ADJUSTMENT” for authorized pricing 

adjustment(s). 

EXTENSION OF CONTRACT TERM: At the request of the Government, the term of any contract resulting 

from this solicitation may be extended for such period of time as may be mutually agreeable to the GPO and the 

contractor. 

ECONOMIC PRICE ADJUSTMENT: The pricing under this contract shall be adjusted in accordance with this 

clause, provided that in no event will any pricing adjustment be made that would exceed the maximum permissible 

under any law in effect at the time of the adjustment. There will be no adjustment for orders placed during the first 

period specified below. Pricing will thereafter be eligible for adjustment during the second and any succeeding 

performance period(s). For each performance period after the first, a percentage figure will be calculated as 

described below and that figure will be the economic price adjustment for that entire next period. Pricing 

adjustments under this clause are not applicable to reimbursable postage or transportation costs, or to paper, if paper 

prices are subject to adjustment by separate clause elsewhere in this contract. 

For the purpose of this clause, performance under this contract will be divided into successive periods. The first 

period will extend from Date of Award through December 31, 2016, and the second and any succeeding period(s) 

will extend for 12 months from the end of the last preceding period, except that the length of the final period may 

vary. The first day of the second and any succeeding period(s) will be the effective date of the economic price 

adjustment for that period. 

Pricing adjustments in accordance with this clause will be based on changes in the seasonally adjusted “Consumer 

Price Index For All Urban Consumers - Commodities Less Food” (Index) published monthly in the CPI Detailed 

Report by the U.S. Department of Labor, Bureau of Labor Statistics. 

The economic price adjustment will be the percentage difference between Index averages as specified in this 

paragraph. An index called the variable index will be calculated by averaging the monthly Indexes from the 12-

month interval ending three (3) months prior to the beginning of the period being considered for adjustment. This 

average is then compared to the average of the monthly Indexes for the 12-month interval ending October 31, 2015, 

called the base index. The percentage change (plus or minus) of the variable index from the base index will be the 

economic price adjustment for the period being considered for adjustment. 

The Government will notify the contractor by contract modification specifying the percentage increase or decrease 

to be applied to invoices for orders placed during the period indicated. The contractor shall apply the percentage 

increase or decrease against the total price of the invoice less reimbursable postage or transportation costs and 

separately adjusted paper prices. Payment discounts shall be applied after the invoice price is adjusted. 

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor or any subcontractor, 

the Government reserves the right to conduct an on-site preaward survey at the contractor’s/subcontractor’s facility 

or to require other evidence of technical, production, managerial, financial, and similar abilities to perform, prior to 

the award of a contract. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 4 of 19 

PREAWARD SURVEY PLAN: The contractor being considered for award shall be required to submit their 

proposal for the safeguarding and handling of the Government furnished mailing addresses via email within 1 

workday after the review and confirm process for the ordering agency’s review for acceptance. 

Proper control and handling must be maintained at all times to prevent any information or materials required to 

produce the product ordered under these specifications from falling into unauthorized hands. Unless otherwise 

indicated herein, all extra copies, materials, waste, etc., must be destroyed upon job completion. 

PREAWARD TEST: The contractor being considered for award shall be required to complete the following 

preaward test, unless waived by the Contracting Officer. The Government may waive the requirement for a 

preaward test where supplies identical or similar to those called for have been previously furnished by the contractor 

and have been accepted by the Government. 

1. The prospective contractor who is in line for award must pickup, (1) magazine, (1) calendar, (1) label sheet, and 

(1) readership survey, as material is to be furnished for the test and produce a representative order that will include 

two of each item as described in "Section 2, Specifications". Additionally, (1) stock or custom video to be furnished 

for the test. 

2. The preaward test must be performed at the same facilities and on the same equipment that will be used to 

produce the publications and items required for this contract. 

3. This test must be delivered before the close of business on the 4th day beginning the day after the furnished test 

material is made available to the: 

U.S. Government Publishing Office, Customer Services, Philadelphia Regional Office, Agency Procurement 

Services, Southampton Office Park, 928 Jaymor Road, Suite A-190, Southampton, PA 18966-3820, ATTN: Diane 

Peluso (one set) and the Department of Veterans Affairs, VA at Clinton Crossings, 919 Westfall Road, Bldg. B, 

Room 115, Rochester, NY 14618, ATTN: Kathleen Hider (one set). 

4. Disapproval of Preaward Test: At the option of the Government and if so notified by the Contracting Officer, 

the contractor may be permitted additional time to correct defects or to submit additional test material. The time 

allowed to provide additional test material may differ depending upon the nature of the defects noted. This will be 

specified when notification is given. 

5. Approval of Preaward Test: Approval will be based upon fulfilling all of the requirements of the specifications 

within the time specified. A single deviation from the contract specifications or failure to complete delivery within 

the time specified may result in declaring the contractor nonresponsible. 

No charges will be allowed for costs incurred in the performance of the preaward test. 

COURTESY CREDIT LINES: Courtesy credit lines are permissible only for non-copyrighted materials 

contributed or loaned by non-governmental parties. They shall be subordinate in size of type to that of both text 

and legends for illustrations. When all materials have come from a single non-governmental source, credit lines 

shall be given only in an undisplayed paragraph. 

COPYRIGHT NOTICES: Copyright notices shall be subordinated in size of type to that of both text and legends 

for illustrations. When privately copyrighted material is reprinted in a Government publication, notice of copyright 

is essential in order that the public is not misled. 

All and any license agreements required between the contractor and the ordering agency, will be provided by 

contractor for review and signature by the ordering agency and are for contractual obligations. 

Copyright and Infringement: All laws relative to copyrights, etc., must be followed to any applicable laws. Any 

content incorporated in these issues, in part or whole, must have validated permission from that source to use 

material. A confirmation, such as email, must be available for said agreement. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 5 of 19 

SECURITY WARNING: It is the contractor’s responsibility to properly safeguard personally identifiable 

information (PII) from loss, theft, or inadvertent disclosure and to immediately notify the Government of any loss 

of personally identifiable information. PII is “information which can be used to distinguish or trace an individual’s 

identity, such as their name, social security number, biometric records, etc., alone, or when combined with other 

personal or identifying information which is linked or linkable to a specific individual, such as date and place of 

birth, mother’s maiden name, etc.” (Ref.: OMB Memorandum 07-16.) Other specific examples of PII include, but 

are not limited to: 

a. Personal identification number, such as passport number, driver’s license number, taxpayer identification number, 

or financial account or credit card number; 

b. Address information, such as street address or personal email address; 

c. Personal characteristics, including photographic image (especially of face or other distinguishing characteristic), 

 fingerprints, handwriting, or other biometric image or template data (e.g., retina scans, voice signature, 

facial geometry). 

ASSIGNMENT OF JACKETS, PURCHASE AND PRINT ORDERS: A GPO jacket number will be assigned 

and a purchase order issued to the contractor to cover work performed. The purchase order will be supplemented 

by an individual print order for each job placed with the contractor. The print order, when issued, will indicate the 

quantity to be produced and any other information pertinent to the particular order. 

ORDERING: Items to be furnished under the contract shall be ordered by the issuance of print orders by the 

Government. Orders may be issued under the contract from Date of Award through December 31, 2016, plus for 

such additional period(s) as the contract is extended. All print orders issued hereunder are subject to the terms and 

conditions of the contract. The contract shall control in the event of conflict with any print order. A print order 

shall be “issued,” for purposes of the contract, when it is either deposited in the U.S. Postal Service mail or otherwise 

furnished to the contractor in conformance with the schedule. 

REQUIREMENTS: This is a requirements contract for the items and for the period specified herein. 

Shipment/delivery of items or performance of work shall be made only as authorized by orders issued in accordance 

with the clause entitled “ORDERING.” The quantities of items specified herein are estimates only, and are not 

purchased hereby. Except as may be otherwise provided in this contract, if the Government’s requirements for the 

items set forth herein do not result in orders in the amounts or quantities described as “estimated,” it shall not 

constitute the basis for an equitable price adjustment under this contract. 

Except as otherwise provided in this contract, the Government shall order from the contractor all the items set forth 

which are required to be purchased by the Government activity identified on page 1. 

The Government shall not be required to purchase from the contractor, requirements in excess of the limit on total 

orders under this contract, if any. 

Orders issued during the effective period of this contract and not completed within that time shall be completed by 

the contractor within the time specified in the order, and the rights and obligations of the contractor and the 

Government respecting those orders shall be governed by the terms of this contract to the same extent as if 

completed during the effective period of this contract. 

If shipment/delivery of any quantity of an item covered by the contract is required by reason of urgency prior to the 

earliest date that shipment/delivery may be specified under this contract, and if the contractor will not accept an 

order providing for the accelerated shipment/delivery, the Government may procure this requirement from another 

source. 

The Government may issue orders which provide for shipment/delivery to or performance at multiple destinations. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 6 of 19 

Subject to any limitations elsewhere in this contract, the contractor shall furnish to the Government all items set 

forth herein which are called for by print orders issued in accordance with the “ORDERING” clause of this contract. 

PRIVACY ACT NOTIFICATION: This procurement action requires the contractor to do one or more of the 

following: design, develop, or operate a system of records on individuals to accomplish an agency function in 

accordance with the Privacy Act of 1974, Public Law 93-579, December 31, 1974 (5 U.S.C. 552a) and applicable 

agency regulations. Violation of the Act may involve the imposition of criminal penalties. 

PRIVACY ACT 

(a) The contractor agrees: 

(1) to comply with the Privacy Act of 1974 and the rules and regulations issued pursuant to the Act in the 

design, development, or operation of any system of records on individuals in order to accomplish an 

agency function when the contract specifically identifies (i) the system or systems of records and (ii) 

the work to be performed by the contractor in terms of any one or combination of the following: (A) 

design, (B) development, or (C) operation; 

(2) to include the solicitation notification contained in this contract in every solicitation and resulting 

subcontract and in every subcontract awarded without a solicitation when the statement of work in the 

proposed subcontract requires the design, development, or operation of a system of records on 

individuals to accomplish an agency function; and 

(3) to include this clause, including this paragraph (3), in all subcontracts awarded pursuant to this contract 

which require the design, development, or operation of such a system of records. 

(b) In the event of violations of the Act, a civil action may be brought against the agency involved where the 

violation concerns the design, development, or operation of a system of records on individuals to 

accomplish an agency function, and criminal penalties may be imposed upon the officers or employees of 

the agency where the violation concerns the operation of a system of records on individuals to accomplish 

an agency function. For purposes of the Act when the contract is for the operation of a system of records 

on individuals to accomplish an agency function, the contractor and any employee of the contractor is 

considered to be an employee of the agency. 

(c) The terms used in this clause have the following meanings: 

(1) “Operation of a system of records” means performance of any of the activities associated with 

maintaining the system of records including the collection, use, and dissemination of records. 

(2) “Record” means any item, collection or grouping of information about an individual that is maintained 

by an agency, including, but not limited to, his education, financial transactions, medical history, and 

criminal or employment history and that contains his name, or the identifying number, symbol, or other 

identifying particular assigned to the individual, such as a finger or voice print or a photograph. 

(3) “System of records” on individuals means a group of any records under the control of any agency from 

which information is retrieved by the name of the individual or by some identifying number, symbol, 

or other identifying particular assigned to the individual. 

CRIMINAL SANCTIONS: It is incumbent upon the contractor to inform its officers and employees of the 

penalties for improper disclosure imposed by the Privacy Act of 1974, 5 U.S.C. 552a. Specifically, 5 U.S.C. 552a 

(i)(1) which is made applicable to contractors by 5 U.S.C. 552a (m)(1), provides that any officer or employee of an 

agency, who by virtue of his/her employment of official position, has possession of or access to agency records 

which contain individually identifiable information, the disclosure of which is prohibited by the Privacy Act or 

regulations established there under, and who knowing that disclosure of the specific material is prohibited, willfully 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 7 of 19 

discloses the material in any manner to any person or agency not entitled to receive it, shall be guilty of a 

misdemeanor and fined not more than $10,000.00. 

WARRANTY: Contract Clause 15, “Warranty,” of GPO Contract Terms (GPO Publication 310.2, effective 

December 1, 1987 (Rev. 5-99)) is amended for the solicitation to the effect that the warranty period is EXTENDED 

from 120 days to one (1) calendar year from the date the check is tendered as final payment. All other provisions 

remain the same. 

PAYMENT: Submit all vouchers via FAX utilizing the GPO barcode coversheet program application. Instructions 

for the GPO barcode coversheet program application can be found at the following web address: 

http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html. Vouchers may also be mailed to: U.S. 

Government Publishing Office, Comptroller, Stop FMCE, Office of Financial Management, Washington, D.C. 

20401. 

NOTE: Contractor’s billing invoice must be itemized in accordance with the line items in the “SCHEDULE 

OF PRICES.” 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 8 of 19 

SECTION 2.- SPECIFICATIONS 

SCOPE: These specifications cover the production of the following publications - Magazines, Calendar, Labels, 

Web Content (Digital Media Services) with Section 508 Compliancy for videos, including operations such as 

demography research, content development, creativity, writing, composition, layout, editing, fact checking, board 

certified content, proofreading, interviewing, PDF creation, readership survey services, printing, addressing, 

packing, mailing, and shipping. 

TITLE: VETERANS WELLNESS PUBLICATIONS – VETERANS INTEGRATED SYSTEMS NETWORK 2 

FREQUENCY OF ORDERS: 

Contractor to create and print approximately 4 issues per year, as follows 

 1 Calendar with Label Sheet 

 3 Magazines 

QUANTITY: 

Calendar and Magazines: Approximately 130,000 to 165,000 copies per order. 

Labels: Approximately 130,000 to 165,000 copies per one (1) calendar. 

Readership Feedback Survey: Approximately 130,000 to 165,000 per one (1) magazine. 

NUMBER OF PAGES: 

Calendar: Approximately 32 pages 

Magazines: 8 or 12 pages. 

Labels: One (1) sheet with 55 labels 

TRIM SIZE: 

Calendar and Magazines: 8-3/8 x 10-3/4 

Label Sheet: Approximately 9” width x 12-5/8” height. Labels are approximately 1-1/16 x 1-1/16” to 

1-7/16 x 1-7/16" in various shapes. 

GOVERNMENT TO FURNISH: 

Electronic Media: 

Platform: IBM with Windows 2011 

Storage Media: FTP for MS Excel and MS Word Address Files; Email for MS Word Articles 

Software: Distribution Lists (MS Excel in zip code order and MS Word); MS Office 2010 

NOTE: All software upgrades (for specified applications) which may occur during the term of the contract, must 

be supported by the contractor. 

Fonts: “Branding Guidelines” for the VA includes fonts, colors, logos and graphics. The ordering agency will 

provide the branding guidelines to the awarded contractor. 

The furnished visuals of samples shown below are representative of some requirements which will be ordered under 

this contract. However, it cannot be guaranteed that future orders will correspond exactly to these exhibits. 

Furnished visuals as samples at: 

http://www.visn2.va.gov/VISN2/vet/wellness.asp
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 9 of 19 

Furnished pdf visual for label samples (1 pg) as Attachment 1. 

Furnished pdf visual for Readership Feedback Survey (2 pgs) as Attachment 2. 

One reproduction proof, Form 905 (R. 6/03), with labeling and marking specifications. 

A supply of blue labels and selection certificates for shipping Departmental Random copies. 

Identification markings such as register marks, commercial identification marks of any kind, etc., except GPO 

imprint, form number, and revision date, carried in the electronic files, must not print on finished product. 

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under “Government to 

furnish,” necessary to produce the products in accordance with these specifications. 

Contractor must provide a contractor-hosted Secure Web Portal (FTP site) for file upload of distribution lists. 

Appropriate log-on instructions and protocol must be provided at time of award. The contractor must provide the 

necessary security for the FTP, which at a minimum, must have a unique user ID and password. 

Project Planning: For all publications, continuous communication (consultations and brainstorming) between 

contractor and the Network and Veteran Advisory Board for all services, content, and action items via phone calls 

and emails for each issue. 

Editorial Tasks: Research, write, create, design articles in the Health Care platform. 

Includes, but not limited to, headlines, content, photos, recipes, games, infographics, quotes, captions, word and 

hidden picture puzzles and other display type. Targeted Reading Level: 8th Grade 

Interviews: Conduct approximately 1 to 3 phone interviews with Veterans and doctors. The points of contact will 

be provided by the ordering agency, per print order. 

Demography Research: Conduct demographic research to explore the current market trends in health care 

consumption by benchmarking with other media outlets such as health care organizations and publishers. 

Publications will remain current for the health interests and trends. 

Digital Media Services: Provide pre-recorded (stock) or created videos. Provide PDF files for publications for 

ordering agency’s website upload. Section 508 compliancy mandatory. 

Note: Contractor must ensure their stocked health care articles, and video will be up-to-date in the health care field. 

Readership Feedback Survey: 

Serves as a mail back on covers 1 and 2 in one magazine issue, perforated, scored and addressed to contractor for 

tabulated results. Postage affixed by recipient for return. 

Contractor will analyze and provide results of the Readership Feedback via email to ordering agency as a MS Office 

PowerPoint presentation. 

The purpose is to get a pulse of the Veterans’ likes, dislikes and interests for services provided by the VA Health 

Care Upstate New York. 

Furnish one (1) sample of each order to the U.S. Government Publishing Office, Customer Services, Philadelphia 

Regional Office, Agency Procurement Services, Southampton Office Park, 928 Jaymor Road, Suite A-190, 

Southampton, PA 18966-3820. Mark for: 1219-S Program and Print Order No. 

ELECTRONIC PREPRESS: Prior to image processing, the contractor shall perform a basic check (preflight) of 

the furnished media and publishing files to assure correct output of the required production image. Any errors, 

media damage, or data corruption that might interfere with proper file image processing must be reported to the 

Government Publishing Office, Philadelphia Regional Office. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 10 of 19 

The contractor shall create or alter any necessary trapping, set proper screen angles and screen frequency, and define 

file output selection for the imaging device being utilized. Furnished files must be imaged as necessary to meet the 

assigned quality level.

The contractor shall have available all the screen and printer fonts required to successfully output each page. 

The contractor shall make all revisions to the electronic files. 

All halftones are to be 150-line screen or finer. 

Upon completion of each order, the contractor must furnish final production (digital deliverables). The digital 

deliverables must be an exact representation of the final printed product and shall be returned via email as an Adobe 

Acrobat Portable Document Format (PDF) files. 

PDF Files: Two (2) per order

(1) For all publications, created and Section 508 Compliant. 

(2) For all publications, created and print ready. Files must be identical in output. 

Provide via email to ordering agency for upload to website. 

PROOFS: 

Contractor to submit one “Press Quality” PDF soft proof (for content only) using the same Raster Image Processor 

(RIP) that will be used to produce the final printed product. PDF proof will be evaluated for text flow, image 

position, and color breaks. Proof will not be used for color match. Contractor must email and call point of contact 

as per print order to confirm receipt. 

Ordering agency anticipates approximately eight (8) PDF soft proofing stages per print order.

When ordered – 

1 set of digital one-piece composite laminated color proofs on the actual production stock (Kodak Approval, Screen 

TrueRite, Polaroid PolaProof, Latran Prediction, CreoSpectrum, or Fuji Final Proof) with a minimum resolution of 

2400 x 2400 dpi. Proofs must show dot structure and be in press configuration. Direct to plate must be used to 

produce the final product. 

In lieu of digital one-piece laminated proofs, at contractor’s option (1) set of inkjet proofs that are G7 profiled and 

use pigment-based inks may be submitted. A proofing RIP that provides option for high quality color matching 

such as Device Links Technology and/or ICC Profiles Technology, and meets or exceeds industry tolerance to ISO 

12647-2 standard for Graphic Technology (as of 3/19/09 and future amendments) must be utilized. Output must be 

a minimum of 720 x 720 dpi on a GRACoL or SWOP certified proofing media. Proofs must contain one of the 

following color control strips to be evaluated for accuracy: IDEAlliance ISO 12647-7 (2007 or later) Wedge or 

P2P25 Target. 

Proofs must contain color control bars for each color of ink on the sheet. Control bars must be placed parallel to the 

press’s ink rollers. The control bars (such as Brunner, GATF, GRETAG, or RIT) must show areas consisting of 

minimum 1/8” x 1/8” solid color patches; tint patches of 25, 50 and 75%; dot gain scale; and gray balance patches 

for process color (if applicable). These areas must be repeated consecutively across the sheet. The make and model 

number of the proofing system utilized shall be furnished with the proofs. These proofs must contain all elements 

and indicate margins. Proofs will be used for color match on press. 

All content must be approved by ordering agency for publications and videos. 

CONTRACTOR ERRORS: If any contractor’s errors are serious enough in the opinion of the GPO to require 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 11 of 19 

revised proofs, the revised proofs are to be provided at no expense to the Government. No extra time can be allowed 

for this reproofing; such operations must be accomplished within the original production schedule allotted in the 

specifications. 

Contractor must not print prior to receipt of an "OK" to print. 

STOCK/PAPER: The specifications of all paper furnished must be in accordance with those listed herein or listed 

for the corresponding JCP Code numbers in the “Government Paper Specification Standards No. 12” dated March 

2011. 

Government Paper Specification Standards No. 12 – http://www.gpo.gov/pdfs/customers/sfas/vol12/vol_12.pdf. 

All paper used in each copy must be of a uniform shade. 

Calendar and Magazines: White Matte Coated Offset Book, basis weight: 60 lbs. per 500 sheets, 25 x 38", equal 

to JCP Code A240. 

Labels: White Gloss Label Paper, 60 lbs. 

PRINTING AND BINDING: Print head to head for magazines, head to foot for calendar, self-covered, in fourcolor process (exact register). Publications consists of text, rule, pictures, illustrations, screens, reverse out type. 

Some facing pages print to and must align across the bind. 

Calendar and Magazines: Four color process with bleeds. Saddle-wire stitch in two places and trim three 

sides. Each product must contain complete 4-page signature after trimming. 

Calendar: Drill (1) hole 1/16” diameter, centered right to left, 5/16” from bottom. 

Labels: Four color process with bleeds and reverse out text for approximately 7 lots per sheet. 

Die-cut: Each color is a different shape. 

Tip In: One sheet per calendar issue. 

Adhesive coating: Coat back of labels with a permanent, pressure-sensitive adhesive. 

Mounting: Mount labels on suitable, slit backing sheet for easy removal. 

Readership Feedback Survey: 

Prints as Covers 1 and 2 for one (1) magazine issue. 

Cover 2 will serve as the survey to mail back.

Perforation: Front side, one full vertical perforation for easy separation. 

Scores: Back side, two horizontal scores to fold with address showing out. 

MARGINS: Adequate gripper margins throughout. Publications bleed all sides. 

Video: One (1) per order. Approximately three (3) orders per year will require a video. 

A health and wellness, online video, approximately 3 to 5 minutes in length, to enhance the publication content. 

Provide link via email to ordering agency for upload to website. 

 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 12 of 19 

PACKING: 

For self-mailers, mailing address out. Contractor to affix the required number of wafer seals per USPS regulations. 

Wafer seals should be removable and clear to ensure no damage to magazines. 

Bulk Shipments: Pack in shipping containers not to exceed 45 pounds when fully packed. 

All shipments which fill less than a shipping container must be packaged with materials of sufficient strength and 

durability and in such a manner which will guarantee that the product will not be damaged and the package will not 

open nor split when processed through the U.S. mail system or a small package carrier delivery system. 

Mailed Shipments: Single copies must be mailed as self-mailers. 

LABELING AND MARKING: 

Bulk Shipments: Reproduce shipping container label from furnished repro, fill in appropriate blanks, and attach to 

shipping containers. 

Mailed Shipments: Image mailing address directly onto each copy mailed as a self-mailer. 

DEPARTMENTAL RANDOM COPIES (BLUE LABEL): All orders must be divided into equal sublots in 

accordance with the chart below. A random copy must be selected from each sublot. Do not choose copies from 

the same general area in each sublot. The contractor will be required to execute a statement furnished by GPO 

certifying that copies were selected as directed. The random copies constitute a part of the total quantity ordered, 

and no additional charge will be allowed. 

 Quantity Number of 

 Ordered Sublots 

 500 - 3,200 50 

 3,201 - 10,000 80 

 10,001 - 35,000 125 

 35,001 and over 200 

These randomly selected copies must be packed separately and identified by a special Government-furnished blue 

label, affixed to each affected container. The container and its contents shall be recorded separately on all shipping 

documents and sent to the agency point of contact as specified on the print order. 

A copy of the print order/specification and a signed Government-furnished certificate of selection must be included. 

A copy of the Government-furnished certificate must accompany the invoice sent to U.S. Government Publishing 

Office, Financial Management Service, for payment. Failure to furnish the certificate may result in delay in 

processing the invoice. 

QUALITY ASSURANCE RANDOM COPIES: In addition to the Departmental Random Copies (Blue Label), 

the contractor may be required to submit quality assurance random copies to test for compliance against the 

specifications. The print order will indicate the number required, if any. When ordered, the contractor must divide 

the entire order into equal sublots and select a copy from a different general area of each sublot. The contractor 

will be required to execute a statement furnished by GPO certifying that copies were selected as directed. Copies 

will be paid for at the running rate offered in the contractor's bid and their cost will not be a consideration for award. 

Business Reply Mail labels will be furnished for mailing the quality assurance random copies. The copies are to be 

mailed at the same time as the first scheduled shipment. A copy of the print order must be included. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 13 of 19 

A U.S. Postal Service approved Certificate of Mailing, identified by Program, Jacket and Print Order numbers, must 

be furnished with billing as evidence of mailing. 

DISTRIBUTION: Ship/Mail F.O.B. Contractor’s City. 

Mailing Indicia and Return Address:

Contractor must print the VA Health Care Upstate, NY mailing indicia in black ink on Cover 4. 

Contractor must print the Network 2 Communications, VA at Clinton Crossings, 919 Westfall Road, Building B, 

Room 115, Rochester, NY, 14618 return address in black ink on Cover 4. 

Magazines: 

 Ship f.o.b. contractor’s city for approximately 2 to 50 copies to one-hundred ten (110) addresses. 

 Mail f.o.b. contractor’s city the balance of each order (self-mailers), to addresses nationwide. 

Calendar: 

 Ship f.o.b. contractor’s city for approximately 2 to 500 copies to fifteen (15) addresses. 

 Mail f.o.b. contractor’s city the balance of each order (self-mailers) to addresses nationwide.

Readership Feedback Survey: 

 Contractor will print addressee only. Recipient will apply US postage stamp and their return address. 

Complete addresses and quantities will be furnished with the print orders. 

All contractor mailing shall be made at the Presorted Standard Class rate - reimbursable. 

All small packages, not delivered by the contractor’s vehicle, must be transported via the U.S. mail. This includes 

proofs, if required, and the return of furnished material, if required. 

Contractor is required to apply the appropriate postage to each mailing. Contractor will be reimbursed for postage 

by submitting a properly completed postal service form (or equivalent) with the billing invoice for payment. 

All copies mailed must conform to the appropriate regulations in the U.S. Postal Service manuals for “Domestic 

Mail” or “International Mail”, as applicable. 

In accordance with United States Postal Service (USPS) regulations, the contractor will be required to run 

distribution files on each order through the National Change of Address (NCOA) service database to verify that 

addresses are NCOA certified, as required. All related costs to perform this operation must be included in submitted 

bid pricing. No additional reimbursement will be authorized. 

Additionally, the contractor is required to perform the Coding Accuracy Support System (CASS) certification using 

USPS certified ZIP+4 software to generate ZIP+4 Codes and Delivery Point Barcodes (and the Intelligent Mail 

Barcode when implemented by the ordering agency). Contractor is required to furnish USPS with any required 

CASS certificates. All related costs to perform this operation must be included in submitted bid pricing. No 

additional reimbursement will be authorized. 

NOTE: Contractor to provide file of bad addresses to the ordering agency for agency to update their database. 

Receipt for Delivery: Contractor must furnish their own receipts for delivery. These receipts must include the GPO 

jacket, program, and print order numbers; total quantity delivered; number of cartons and quantity per carton; date 

delivery made; and, signature of the Government agent accepting delivery. The original copy of this receipt must 

accompany the contractor’s billing invoice for payment. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 14 of 19 

Upon completion of each order, contractor must notify the ordering agency (on the same day the order 

shipping/mailing) via email to the address indicated on the print order. The subject line of the email shall be 

“Distribution Notice for Program 1219-S, Print Order XXXXX, Jacket Number XXX-XXX.” The notice must 

provide all applicable tracking numbers, delivery/mailing methods, and title of product. Contractor must be able to 

provide copies of all delivery/mailing receipts upon agency request. 

Upon completion of each order, contractor must return all furnished materials and digital deliverables (if applicable) 

to address and point of contact on print order. 

All expenses incidental to picking up and returning materials (if applicable), submitting proofs, and furnishing 

sample copies must be borne by the contractor. 

SCHEDULE: Adherence to this schedule must be maintained. Contractor must not start production of any job 

prior to receipt of the individual print order (GPO Form 2511). 

Hard copy proofs must be delivered to and picked up from address as specified on the print order. 

PDF soft proofs to be furnished via email to the address specified on the print order. Contractor must call point of 

contact at phone number on print order. 

The following schedule begins the workday after notification of the availability of print order and furnished 

material; the workday after notification will be the first workday of the schedule. 

 Orders must be completed and shipped within 60 workdays. 

 No specific date is set for submission of proofs. Proofs must be submitted as soon as possible to allow for 

revised proofs if contractor’s errors are judged serious enough to require them. 

 Submit revised page proofs within 1 workday(s) after receipt of page proofs. Note: The first workday 

after receipt of page proofs is day one. 

 Final Proof will be approved by ordering agency no later than three (3) weeks prior to delivery date on print 

order. 

 All proof and transit time is included in the 60-workday schedule. 

 Distribution Lists will be provided by ordering agency to contractor no later than two (2) weeks from print 

order. 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be 

furnished with the order or shortly thereafter. In the event such information is not received in due time, the 

contractor will not be relieved of any responsibility in meeting the shipping schedule because of failure to request 

such information. 

 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 15 of 19 

 SECTION 3. - DETERMINATION OF AWARD 

The Government will determine the lowest bid by applying the prices offered in the “SCHEDULE OF PRICES” to 

the following units of production which are the estimated requirements to produce one (1) year’s production under 

this contract. These units do not constitute, nor are they to be construed as, a guarantee of the volume of work 

which may be ordered for a like period of time. 

The following item designations correspond to those listed in the “SCHEDULE OF PRICES.” 

I.(a) 64 

 (b) 96 

II.(a) 1 

 (b) 2 

 (c) 1 

 (1) (2) 

III.(a) 1 140 

 (b) 2 280 

 (c) 1 140 

 (d) 1 140 

IV.(a) 140 

V. (a) 2 

 (b) 2 

VI. (a) 140 

 (b) 140 

VII.1. 345 

 2. 555 

 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 16 of 19 

This page intentionally left blank. 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 17 of 19 

SECTION 4. - SCHEDULE OF PRICES 

Bids offered are f.o.b. contractor’s city. 

Prices must include the cost of all required materials and operations for each item listed in accordance with these 

specifications. 

Bidder must make an entry in each of the spaces provided. Bids submitted with any obliteration, revision, or 

alteration of the order and manner of submitting bids may be declared non-responsive. 

An entry of NC (No Charge) shall be entered if bidder intends to furnish individual items at no charge to the 

Government. 

Bids submitted with NB (No Bid) or blank spaces for an item may be declared non-responsive. 

The Contracting Officer reserves the right to reject any offer that contains prices for individual items of production 

(whether or not such items are included in the DETERMINATION OF AWARD) that are inconsistent or unrealistic 

in regard to other prices in the same offer or to GPO prices for the same operation if such action would be in the 

best interest of the Government. 

All invoices submitted to the GPO shall be based on the most economical method of production. 

Contractor’s billing invoices must be itemized in accordance with the line items in the “SCHEDULE OF 

PRICES.” 

The basic prices listed include the cost of all necessary materials and operations for each item listed in accordance 

with these specifications. 

Fractional parts of 1,000 will be prorated at the per 1,000 rate. 

I. PROOFS: 

 Per trim/page-size unit 

 

(a) Digital one-piece composite laminated halftone proofs................... $___________ 

 

 Per hour 

(b) System Timework..............................................................$___________ 

II. COMPOSITION (all inclusive- Project Planning, Editorial Tasks): 

 Per order 

(a) 8-Page Magazine........................................................................ $____________ 

(b) 12-Page Magazine...................................................................... $____________ 

 

(c) 32-Page Calendar........................................................................$____________ 

 

______ 

Initials 
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 18 of 19 

III. PRINTING AND BINDING:

 Makeready and/or Setup Run per 1,000 copies 

 (1) (2) 

 

(a) 8-Page Magazine per product $____________ $___________ 

(b) 12-Page Magazine per product $____________ $____________ 

(c) 32-Page Calendar per product $____________ $____________ 

(d) Labels: Per Sheet (55 Die-Cut labels; tipped in) $____________ $____________

 

IV. READERSHIP SURVEY (MS PowerPoint presentation included) 

 

(a) Tabulation per 1,000 surveys $____________

 

V. VIDEO COMPLETE PRODUCT: 

 

(a) Stock....per order $____________ 

 

(b) Custom ...per order $____________ 

VI. ADDITIONAL OPERATIONS: 

 Per 1,000 copies 

 

(a) Perforation $____________ 

(b) Drill $___________ 

VII. PACKING AND DISTRIBUTION: Prices offered must be all-inclusive, as applicable, and must include 

the cost of packing and shipping containers; all necessary wrapping and packing materials; labeling and marking; 

NCOA/CASS verification; and complete distribution, in accordance with these specifications. 

 

1. Bulk Shipments – 

 Packing and sealing shipping containers......................................................per container 

 

 $___________ 

 

2. Mailed Shipments – 

 Addressing single copies (self-mailers), including folding down to 8-3/8 x 10-3/4” and applying wafer 

 seals............................................................................................. per 1,000 copies 

 $___________ 

ALL MAILING WILL BE MADE FROM

Contractor must fill in and include in the bid the following statement: 

"All mailing will be made from the ___________________________ Post Office located at City 

__________________________________ State _____________________________." 

 _______ 

 Initials
Veterans Wellness Publications-VISN 2 

1219-S (12/16) Page 19 of 19 

TRANSPORTATION CHARGES ARE/ARE NOT A FACTOR 

Transportation charges are not a factor in determining award. However, bidder must state in the bid, the location 

(city and state) of the plant(s) from which this product will be shipped. If shipment is not made from this 

location, contractor may be responsible for any additional shipping costs incurred. 

INSTRUCTIONS FOR BID SUBMISSION: Fill out “SECTION 4.-SCHEDULE OF PRICES,” initialing or 

signing each page in the space(s) provided. Submit two copies (original and one exact duplicate) of the 

“SCHEDULE OF PRICES” with two copies of the GPO Form 910 “BID” form. Do not enter bid prices on GPO 

Form 910; prices entered in the “SCHEDULE OF PRICES” will prevail. 

Bidder 

______________________________________________________________________________________ 

______________________________________________________________________________________ 

 (City - State) 

By ____________________________________________________________________________________ 

 (Signature and title of person authorized to sign this bid) 

_______________________________________________________________________________________ 

 (Person to be contacted) (Telephone Number)

 

▼ detach here and mail today

▼

5. As a result of receiving Veterans’ Wellness magazine, 

I and/or a member of my family used services at a 

VA Health Care Upstate New York facility in the past year.

◻ Yes ◻ No

◻ Have scheduled for the future

6. Please indicate how important it is to 

you to read about the following topics 

in future issues of Veterans’ Wellness.

[a] Veterans’ health care success stories

[b] Health advice from VA doctors

[c] Medical research being done at upstate 

New York VA medical centers 

[d] Healthy eating

[e] How to manage stress

[f] Ways to exercise for health

[g] Alternative medicine

[h] Arthritis

[i] Cancer

[j] Diabetes

[k] Heart Disease

[l] Women’s health

[m] Posttraumatic Stress Disorder (PTSD)

[n] Other topics (describe):

_______________________________________

_______________________________________

7. How often do you go to your medical center’s 

Canteen Store to redeem a coupon from 

Veterans’ Wellness magazine?

◻ Once or twice a year

◻ A few times a year

◻ Never, but would if there was a coupon for something 

I wanted

◻ Never, and not likely to do so 

8. What is your age group? 

◻ 18-34 ◻ 35-44 ◻ 45-64 ◻ 65 or more

9. Are you:

◻ Male ◻ Female

10. Please write in your suggestions for improving 

Veterans’ Wellness magazine, including any topics 

or features that would make it more useful for you.

1. My opinion of Veterans’ Wellness magazine is:

◻ Very Positive ◻ Positive ◻ Poor ◻ No Opinion

2. Please indicate how much you agree or 

disagree with each of the statements 

listed below. Because of the 

information provided in 

Veterans’ Wellness magazine:

[a] I am motivated to take better care 

of my health.

[b] I can help others take better care 

of their health.

[c] I and/or a family member have 

changed the way we take care 

of ourselves.

3. Please indicate how much you agree 

or disagree with each of the statements 

listed below. As a result of receiving

Veterans’ Wellness magazine:

[a] I believe VA Health Care is trying 

to help Veterans make better 

health care decisions.

[b] I have learned about VA Health Care 

services I was not aware of.

[c] I would recommend VA Health Care 

to other Veterans.

[d] I have a better understanding of 

how to access specific types of care 

and/or services.

4. As a result of reading Veterans’ Wellness magazine, 

I have: (Please check all that apply.)

◻ Met my Patient Aligned Care Team (PACT) members

◻ Registered on My HealtheVet (www.myhealth.va.gov)

◻ Completed my In-Person Authentication for My HealtheVet

◻ Sent a secure message to my VA provider via My HealtheVet

◻ Used telehealth for some of my health care

◻ Friended my VA on Facebook

◻ Called my VA health care provider about managing my 

weight through MOVE!

◻ Checked out www.visn2.va.gov or my VA medical 

center’s website 

◻ Checked out the new videos at www.visn2.va.gov

◻ Shopped online at www.vacanteen.va.gov 

10400M-MAR13

| Strongly Agree

| Agree

| Strongly Agree

| Agree

| Strongly Disagree

| Disagree

| Strongly Disagree

| Disagree

| Very Important

| Important

| Not Important

Your opinion matters!

Take our 5-minute survey to let us know what you think 

of your Veterans’ Wellness magazine.

Your answers 

will help us 

serve you 

better.

1/3 cup graham cracker crumbs

1/3 cup quick oats

2 tablespoons brown sugar

2 pounds apples (about 6, 

medium-sized)

1⁄2 cup water

1 teaspoon cinnamon

1 tablespoon butter 

Preheat oven to 375 degrees. In a 

small bowl, mix graham cracker 

crumbs, oats and brown sugar. 

Wash and peel apples. Quarter 

them; cut out core and seeds. Slice 

apple quarters. Spread apples in 

a 12-by-8-inch baking pan. Add 

1⁄2 cup of water to the pan.

Sprinkle cinnamon and topping 

mixture over apples and dot with 

butter. Bake for about 45 minutes 

or until apples are soft and topping 

is browned. Serves six. 

Per Serving: 134 calories, 3 grams 

fat, 1 gram saturated fat, 

44 milligrams sodium, 28 grams 

carbohydrates, 1 gram protein, 

3 grams fiber

Quick Apple Crisp
NO POSTAGE 

NECESSARY 

IF MAILED 

IN THE

UNITED STATES

POSTAGE WILL BE PAID BY ADDRESSEE

BUSINESS REPLY MAIL

First

FOR ADDITIONAL INFORMATION

PLEASE CONTACT THE US POSTAL SERVICE

REPRESENTATIVE BELOW:

ALIGN

WITH

UPPER

RIGHT

CORNER

ALIGN

WITH

LOWER

RIGHT

CORNER

CAUTION:

USE ONLY FOR ADDRESS BEARING THE ZIP+4 CODE

ABOVE. SEE PUBLICATION 353 FOR PRINTING

REQUIREMENTS.

THIS POSITIVE PREPARED FOR: BUSINESS REPLY MAIL 1 OZ. ONLY

PERMIT NO. 967 EVANSTON IL

RESEARCH ASSOCIATES

909 DAVIS ST STE 600

EVANSTON IL 60201-9938

TO BE USED ONLY WITH FIM - C (Business Reply Mail) AND ZIP CODE: 60201-9938 CK=2

(c) 1989-2009 Envelope Manager version 3.011.006. Created January 23, 2009 6:30 PM

Use Envelope Manager's DAZzle Designer to create a complete courtesy or business reply mail artwork in minutes!

www.EnvelopeManager.com (800) 576-3279

**********************************************************************************

SIZE: FIM & BARCODE ARE ACTUAL SIZE: DO NOT ENLARGE OR REDUCE!

FOR ADDITIONAL INFORMATION

PLEASE CONTACT THE US POSTAL SERVICE

REPRESENTATIVE BELOW:

ALIGN

WITH

UPPER

RIGHT

CORNER

ALIGN

WITH

LOWER

RIGHT

CORNER

CAUTION:

USE ONLY FOR ADDRESS BEARING THE ZIP+4 CODE

ABOVE. SEE PUBLICATION 353 FOR PRINTING

REQUIREMENTS.

THIS POSITIVE PREPARED FOR: BUSINESS REPLY MAIL 1 OZ. ONLY

PERMIT NO. 967 EVANSTON IL

RESEARCH ASSOCIATES

909 DAVIS ST STE 600

EVANSTON IL 60201-9938

TO BE USED ONLY WITH FIM - C (Business Reply Mail) AND ZIP CODE: 60201-9938 CK=2

(c) 1989-2009 Envelope Manager version 3.011.006. Created January 23, 2009 6:30 PM

Use Envelope Manager's DAZzle Designer to create a complete courtesy or business reply mail artwork in minutes!

www.EnvelopeManager.com (800) 576-3279

▼ detach here and mail today ▼

Help Us Improve Veterans’ Wellness!

Name

Address

City State ZIP

Phone

Email

1 Fold this panel up along the dotted line.

ake sure the return mail panel is visible and then tape shut. 3 Fold this panel down. 

Your opinion matters! Please complete the survey, and fill in the form 

below. After you’re done, detach, fold, seal, and mail by April 30. 

NO POSTAGE NECESSARY. Thank you in advance for your consideration!

1⁄4 cup chopped red bell pepper

1⁄4 cup chopped Vidalia, Spanish 

or other sweet onion 

1⁄2 cup sliced mushrooms

1⁄2 cup broccoli florets

1⁄2 cup instant brown rice

1⁄2 cup fat-free chicken broth

1⁄2 chicken breast (about 4 ounces) 

cut into bite-size pieces

Mix everything in a deep microwavable bowl. Cover with plastic 

wrap. Microwave on high for 

seven minutes. Let stand three to 

five minutes. Fluff with a fork. 

Variations: Add a south-ofthe-border taste with Tabasco 

and salsa, an Asian flavor with 

soy sauce and bean sprouts, or, 

after cooking, a chopped tomato 

and sprinkle of Parmesan cheese.

Makes one hearty main dish 

serving.

Per Serving: 376 calories, 

35 grams protein, 5 grams fat, 

46 grams carbohydrates, 

831 milligrams sodium, 

5 grams fiber

Do-It-Yourself 

Rice Bowl