S06 - Solicitation No. 36C24120Q0352, Amendment 0001.docx

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)

06/09/2020

Department of Veterans Affairs Network Contracting Office 1 VA Maine Health Care System 1 VA Center Augusta ME 04330

Department of Veterans Affairs Network Contracting Office 1 (Code 90C)

1 VA Center Augusta ME 04330 To all Offerors/Bidders

36C24120Q0352 05-28-2020

X

PLEASE SEE SF-30 CONTINUATION PAGE FOR DESCRIPTION OF AMENDMENT

MARK A. GELSINGER

CONTRACTING OFFICER

CONTINUATION PAGE

1. The purpose of this Amendment is to make the following changes to Solicitation No. 36C24120Q0352 and to respond to the Pre-Quote Inquiries. Please see ATTACHMENT A, REPSONSES TO PRE-QUOTE INQUIRIES (PQI) FOR SOLICITATION NO. 36C241-20-AP-0352.

2. The following changes are hereby incorporated into Solicitation No. 36C24120Q0352:

CHANGE 1

The Price/Cost Schedule supplied in Section B.3 PRICE/COST SCHEDULE in the Request for Quotation is hereby REMOVED in its entirety and REPLACED with B.3 PRICE/COST SCHEDULE provided below for use by Quoters in providing the Price/Cost Schedule for this Solicitation. Line Items 0006, 0007, 0008, 1006, 1007 and 1008 have been Pre-Filled by the Government and Quoters shall utilize these totals in computing the Total Price for the Base Period, Total Price for Option Period 1 and the Grand Total Price as follows:

· The Base Period Price is the Sum of Line Items 0001, 0002, 0003, 0004, 0005, 0006, 0007 and 0008.

· The Option 1 Period Price is the Sum of Line Items 1001, 1002, 1003, 1004, 1005, 1006, 1007 and 1008.

· The Grand Total Price of Base and Option 1 is the Sum of All Line Items 0001, 0002, 0003, 0004, 0005, 0006, 0007, 0008, 1001, 1002, 1003, 1004, 1005, 1006, 1007 and 1008.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

2 FTE Board Certified / Board Eligible Cardiology (Non-Invasive) Locum Tenens Physician Services Contract Period: Base POP Begin: 07-15-2020 POP End: 01-14-2021

0001AA

Contractor Fill-In Required Contractor Fill-In Required

1 FTE Board Certified / Board Eligible Cardiology (Non-Invasive) Physician Locum Tenens Services

NAME: ___________________________________________

TITLE: ___________________________________________

Contract Period: Base

0001AB

Contractor Fill-In Required

Board Certified / Board Eligible Cardiology (Non-Invasive) Physician Services

TITLE: ___________________________________________

Contract Period: Base

Contractor Fill-In Required

On-Call Services: Weeknight Medical Call Monday - Friday, 4:30 P.M. to 08:00 A.M. (one (1) in four (4) rotation) Contract Period: Base

Contractor Fill-In Required

On-Call Services: Weekend Medical Call Sat - Sun (48 hours, one (1) in four (4) rotation) Contract Period: Base

Contractor Fill-In Required

Federal Holiday Call (2 holidays)

Contractor Fill-In Required

Call-Back Services (after hours charge)

Pre-Filled by Government

$2,000.00 NTE

Pre-Filled by Government

Travel - Airfare

* Travel cannot exceed the Joint Travel Regulation 1 Round-Trip Ticket per Cardiologist Pricing is Not to Exceed $1,000.00 per Round-Trip Ticket.

Contract Period: Base

Pre-Filled by Government

$19,229.64 NTE

Travel - Rental Car

6 months of Rental Car for each of the two (2) Cardiologist Physicians

* Pricing Not to Exceed $1,602.47/MO for each rental car.

Contract Period: Base

Pre-Filled by Government

$35,136.00 NTE

Travel - Hotel

* Travel cannot exceed Joint Travel Regulation 2 Cardiologist Physicians x 183 days of lodging/Cardiologist Physician

* Pricing Not to Exceed $35,136.00 for 366 days x $96.00/day Contract Period: Base

Board Certified / Board Eligible Cardiology (Non-Invasive) Physician Services Contract Period: Option 1 POP Begin: 01-15-2021 POP End: 07-14-2021

1001AA

Contractor Fill-In Required

Board Certified / Board Eligible Cardiology (Non-Invasive) Physician Services

TITLE: ___________________________________________

Contract Period: Option 1

1001AB

Contractor Fill-In Required

Board Certified / Board Eligible Cardiology (Non-Invasive) Physician Services

TITLE: ___________________________________________

Contract Period: Option 1

Contractor Fill-In Required

On-Call Services: Weeknight Medical Call Monday - Friday, 4:30 P.M. to 08:00 A.M. (one (1) in four (4) rotation) Contract Period: Option 1

Contractor Fill-In Required

On-Call Services: Weekend Medical Call Sat - Sun (48 hours, one (1) in four (4) rotation) Contract Period: Option 1

Contractor Fill-In Required

Federal Holiday Call (2 holidays)

Contractor Fill-In Required

Call-Back Services (after hours charge) Contract Period: Option 1

Pre-Filled by Government

$2,000.00 NTE

Travel - Airfare

1 Round-Trip Ticket per Cardiologist Pricing Not to Exceed $1,000.00 per Round Trip Ticket.

Contract Period: Option 1

Pre-Filled by Government

$19,229.64 NTE

Travel - Rental Car

6 months of Rental Car for each of the two (2) Cardiologist Physicians

* Pricing Not to Exceed $1,602.47/MO for each rental car.

Contract Period: Option 1

Pre-Filled by Government

$34,944.00 NTE

Travel - Hotel

* Travel cannot exceed Joint Travel Regulation 2 Cardiologist Physicians x 182 days of lodging/Cardiologist Physician

* Pricing Not to Exceed $34,944.00 for 364 days x $96.00/day Contract Period: Base

Contractor Fill-Inn Required

GRAND TOTAL PRICE OF

BASE AND OPTION 1

$_________________NTE

Contractor Fill-Inn Required

CHANGE 2

Please refer to SECTION E – SOLICITATION PROVISIONS, ADDENDUM to FAR 52.212-1 INSTRUCTION TO OFFERORS – COMMERCIAL ITEMS, VOLUME 1 – Price Quote – Submission Requirements, as follows:

The following paragraph is hereby REMOVED in its entirety: “Successful Quoters shall provide proof of Malpractice Liability Insurance for each Cardiologist Locum Tenens who will provide services under this contract prior to award of a contract”; and is REPLACED by the following paragraph: “Successful Quoters shall provide proof of Malpractice Liability Insurance for each Cardiologist Locum Tenens who will provide services under this contract at time of award of a contract.”

CHANGE 3

Please refer to SECTION E, SOLICITATION PROVISIONS, PARAGRAPH E.7, 52.212-2 EVALUATION – COMMERCIAL ITEMS (OCT 2014). PARAGRAPH E.7, 52.212-2 EVALUATION – COMMERCIAL ITEMS (OCT 2014) is hereby REMOVED in its entirety and REPLACED with Paragraph E.7, 52.212-2 EVALUATION – COMMERCIAL ITEMS (OCT 2014), as follows:

“E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

(a) The Government will award a contract resulting from this solicitation to the responsible Quoter whose Quote conforms to the solicitation and will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate Quotes: Price, Technical Expertise and Past Performance. (Because this is a FAR Part 13 procurement, solicitations are not required to state the relative importance assigned to each evaluation factor).

(b) Options. The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that a quote is unacceptable if the option prices are significantly unbalanced. Evaluation of options shall not obligate the Government to exercise the option(s).

(c) A written notice of award or acceptance of a quote, mailed or otherwise furnished to the successful Quoter within the time for acceptance specified in the quote, shall result in a binding contract without further action by either party. Before the Quoter's specified expiration time, the Government may accept a quote (or part of a quote), whether or not there are clarifications after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)”

CHANGE 4

The following requirement is added to SECTION E – SOLICITATION PROVISIONS, ADDENDUM to FAR 52.212-1 INSTRUCTION TO OFFERORS – COMMERCIAL ITEMS, VOLUME 1 – Price Quote – Submission Requirements:

“Vendors shall be registered as a Small Disadvantaged Veteran Owned Small Business (SDVOSB) on the Vendor Information Pages (VIP) at https://vip.vetbiz.va.gov to be eligible for award of a contract resulting from this solicitation.”

3. Except as Amended herein, all other Solicitation Terms and Conditions remain unchanged.

ATTACHMENT A - RESPONSES TO PRE-QUOTE INQUIRIES (PQI) FOR

SOLICITATION NO. 36C241-20-AP-0352

PQI #1: For admissions and discharges, how often will the Cardiologist be responsible for these duties? How often is the Hospitalist not available?

Response to PQI #1: The Cardiologist will not be responsible for admissions and discharges. There is always a Hospitalist on duty.

PQI #2: Are there interns or residents on site?

Response to PQI #2: There are medical students and residents that do a rotation with the Hospitalists. There is not always a medical student or resident on site.

PQI #3: Are there any incumbents or is this a new contract?

Response to PQI #3: There are no incumbents. This is a new contract.

PQI #4: Approximately how many calls are received during weeknight call? Weekend call?

Response to PQI #4: Zero (0) to four (4) calls during weeknight or weekend call.

PQI #5: Approximately how many callbacks during weekend call? Weeknight call?

Response to PQI #5: Zero (0) to two (2) calls on weekends; and zero (0) to one (1) call(s) on weeknights.

PQI #6: What is the average patient volume per day for each cardiologist?

Response to PQI #6: 14 to 16 encounters per day for each cardiologist (clinic, graphics, inpatient).

PQI #7: What support staff will be on-site with the contract providers?

Response to PQI #7: Nursing, Secretarial and Echocardiogram Technicians

PQI #8: I just wanted to inquire is past performance a requirement for this solicitation in order my start-up company to be in compliance?

Response to PQI #8: Please refer to the ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL ITEMS, which begins on page 75 of 99; VOLUME II – Technical Quote – Technical Expertise and Past Performance – Submission Requirements on page 76 of 99; and Past Performance on page 77 of 99.

PQI #9: Re item 4.4.1.10 - are pacemaker inserts actually included in the scope for this position?

Response to PQI #9: Permanent Placer Implementation (PPI) insertion and transvenous pacer insertion is preferred, but not required.

PQI #10: Do we understand correctly that call will be one full week at a time, every four weeks? This will be a Monday through Sunday period?

Response to PQI #10: We are NOT doing one full week at a time and are doing one in every 4 call.

PQI #11: We have a pair of providers who frequently work together to cover a single FTE, working two weeks on and two weeks off. Assuming we absorb the cost of their travel, would this be acceptable to the facility to have these physicians split an assignment as described?

Response to PQI #11: Yes.

PQI #12: Non-invasive call is normally a telephone exercise. Do you have any history of frequency of physical call back to the facility for this service?

Response to PQI #12: Uncommon. Average need to come to the facility after hours is zero (0) to three (3) times per month.

PQI #13: Is this a new procurement? If not, who is the incumbent contractor, and what is their current contract number?

Response to PQI #13: This is a new contract. There are no incumbents, and thus no contract number.

PQI #14: Can the government confirm Quoters are not required to price CLINS 006, 007, 008, 1006, 1007, and 1008?

Response to PQI #14: Please refer to CHANGE 1 on the SF-30 Continuation Page above.

PQI #15: Can vendors provide proof of Malpractice insurance at time of award?

Response to PQI #15: Please refer to CHANGE 2 on the SF-30 Continuation Page above.

PQI #16: Can the government clarify the Evaluation factors for this procurement?

“E.7 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

The Government will award a contract resulting from this solicitation to the responsible offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors shall be used to evaluate offers: Technical and past performance, when combined, are .” The last line of E.7 is not complete, can the government clarify/ complete the sentence?

Response to PQI #16: Please refer to CHANGE 3 on the SF-30 Continuation Page above.

PQI #17: What is the PACT level support per cardiologist?

Response to PQI #17: If by “PACT” level of support per cardiologist refers to support staff, the clinic shares 1.6 Nurses; 1 Health Technician; 2 Echocardiographic Technicians; 2 Nurse Practitioners; and 2 Secretarial Staff.

PQI #18: Is BLS and ACLS required?

Response to PQI #18: Please refer to Section B.4 – PERFORMANCE WORK STATEMENT, Paragraph 2. QUALIFCATIONS, Subparagraph 2.1.2, Board Certification, which states: “Board Certification - All Contractor’s physician(s) shall be Board Certified /Board Eligible by the American Board of Internal Medicine in Cardiology, http://www.abim.org/, and be currently certified in Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must be kept up to date at all times. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.”

PQI #19: How many clinical days vs. procedures days can each provider expect each week?

Response to PQI #19: VA Maine HCS Cardiology Department mostly does clinical work. There are graphics (ECHO, ECG, Stress Testing) that need to be read. If a pacer needs to be placed or a Direct Current Cardioversion (DCCV) needed to be done, VA would give protected time for this. We have no angiographic or electrophysiology facilities (VA Maine HCS has the equipment to monitor devices, but VA Maine HCS does not perform the electrophysiology procedures).