36C24218R0255-00002000.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 ITE

M 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 r eference 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

BY

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) 00002 03-13-2018

NONE

Network Contracting Office

(NCO) 2

Department of Veterans Affairs Western New York Healthcare System 2875 Union Road, Suite 3500 Cheektowaga NY 14227 Department of Veterans Affairs Western New York Healthcare System Network Contracting Office/ATTN

90NCA

2875 Union Road, Suite 3500 Cheektowaga NY 14227 To all Offerors/Bidders

36C24218R0255 03-06-2018

X x x x

The purpose of this amendment is to address vendor questions recieved through 3/13/2018.

See Attachment 1 and 2 below.

Allan Preston Contracting Officer

ATTACHMENT 1 – VENDOR QUESTIONS AND ANSWERS

Amendment A00001, Solicitation 36C24218R0255, Emergency Medicine Physician Services for the Samuel S. Stratton VA Medical Center Located in Albany, NY.

Effective 3/13/2018 Vendor Questions received through March 13, 2018:

1. Please advise if you would be willing to consider utilizing the past performance forms you received on our behalf from our references in the previous unrestricted solicitation?

Response: No, the information may not have been received from past performance references, as well as the forms have updated information on them and are required to be used from the SDVOSB set-aside solicitation.

***Please Note: Due date and time for references to return to Sally L Leitch their Past Performance Questionnaires is 4/2/2018 @ 4:30 p.m. ET. Updated Past Performance Questionnaire is attached.

2. Section 2.9.2 states, “In the event a scheduled physician is unable to begin or complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) at the Samuel S. Stratton VA Medical Center immediately of the schedule change.”

Would you be able to remove that section or adjust it to say 4 hours or 6 hours?

Response: VA requires a 2 hour turnaround time, and will remain 2 hours.

ATTACHMENT 2 – PAST PERFORMANCE QUESTIONNAIRE

RFP 36C24218R0255 – EMERGENCY MEDICINE PHYSICIAN SERVICES – ALBANY VAMC

You have been identified as a point of contact for a past and/or present performance evaluation of the Contractor listed on the attached questionnaire. It is requested that you complete the attached questionnaire, providing detailed information about the performance history of the Contractor. It is essential that this officer receive your official response no later than 4/2/2018 at 4:30 p.m. ET. Late responses will not be considered.

You may email your response to: Sally.Leitch@va.gov

PAST PERFORMANCE QUESTIONNAIRE: RFP 36C24218R0255

RESPONDENT COMPANY:______________________________________________DATE:______________________

EVALUATOR’S Name:_____________________________________________________________________________

EVALUATOR’S SIGNATURE:________________________________________________________________________

EVALUATOR’S PHONE NUMBER:____________________________________________________________________

EVALUATOR’S EMAIL:_____________________________________________________________________________

CONTRACTOR:

(1) QUALITY OF SERVICE

A. Describe the Contractor’s staff turnover and how it may have affected the Contractor’s performance:

B. Did the Contractor consistently cover all shifts required in the contract? ____Yes ____No If no, what actions were taken by the Contractor to remedy this situation? __________________________________________________________________________________ C. Did the Contractor comply with all contract requirements? ____Yes ____No If no, please explain:

D. How would you rate the quality of the Contractor’s services under this contract?

____Excellent ____Good ____Fair ____Poor ____Unsatisfactory If you rated the Contractor as poor or unsatisfactory, please explain:

(2) CUSTOMER/VA SATISFACTION

A. How would you rate the Contractor on the basis of customer (end-user) satisfaction?

____Excellent ____Good ____Fair ____Poor ____Unsatisfactory If you rated the Contractor as poor or unsatisfactory, please explain:

B. Would you select this Contractor again? ____Yes ____No If no, please explain:

(3) BUSINESS RELATIONS

A. Was Management effective?

____Always ____Most of the Time ____Sometimes ____Never B. Did the Contractor exhibit reasonable/cooperative behavior?

____Always ____Most of the Time ____Sometimes ____Never C. Was the Contractor flexible?

____Always ____Most of the Time ____Sometimes ____Never D. Did the Contractor recommend effective solutions to problems?

____Always ____Most of the Time ____Sometimes ____Never E. How would you rate the Contractor in the area of business relations?

____Excellent ____Good ____Fair ____Poor ____Unsatisfactory

ADDITIONAL COMMENTS:

Completed Past Performance Questionnaires should be emailed to: Sally.Leitch@va.gov by 4/2/2018 @ 4:30 PM ET