36C24218R0404-0001001.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 ADM

INISTRATIVE 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 d ate 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 3

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) 03-13-2019 N/A Department of Veterans Affairs 400 Fort Hill Ave.

Canandaigua NY 14424 Department of Veterans Affairs Network Contracting Activity 400 Fort Hill Ave.

Canandaigua NY 14424 To all Offerors/Bidders

36C24218R0404 03-13-2019

X

CONTINUATION PAGE

Amendment A00001: Vendor Questions

1. Will the government consider key personnel trained in Family Medicine (American Board of Family Medicine) or will the government only accept candidates trained in Internal Medicine (American Board of Internal Medicine)?

VA Response: The VA will only consider candidates trained in Internal Medicine.

1. Is this a new requirement?

VA Response: Yes

1. Is there an incumbent vendor?

VA Response: No

1. Page 7 of the RFQ reads: “Services shall be provided on-site at the Stratton VAMC or one of its 6 Community Based Outpatient Clinics (CBOC) staffed by VA Personnel”. Additionally, the RFQ states the requirement is for 2 FTEs. The geographical footprint of the sites creates logistically challenges.

3. Can the government expand on how the providers will be assigned a worksite given the 7 locations?

3. Should proposed key personnel be prepared to be assigned any site at any time?

1. i.e Tuesday the provider will be assigned to the Saranac Lake CBOC and the provider is requested to be onsite at the Bainbridge CBOC the following day (extreme example)

3. Will an FTE be ‘ordered’ for a certain block of time (30 days, 90 days, etc) at a specific location?

VA Response: The assigned worksite will depend on the facility’s needs, and where vacancies exist. It is NOT expected that the provider will be assigned to multiple different sites from day to day or even week to week.

It is possible that a provider’s assignment would change during the contract period, but typically once assigned to a location, it is expected that the assignment for that worksite would last for at least 30-90 days. A change in assigned work location will be given at least 30 days notice.

1. What is the percentage of Direct Patient Care?

VA Response: 90% - See Section 4.4

1. Will the Government accept a Federal issued DEA?

VA Response: Yes

1. How many FTEs are required? Based on the number of hours and according to Section 4.4.4.1 of the SOL can we assume 2 FTEs are required to meet the CLIN hours?

VA Response: 2.0 FTE are required to meet the CLIN hours.

1. Does the Government provide/consider scribes for this opportunity?

VA Response: No

1. As we think about the potential housing / travel arrangements associated with a solicitation like this, identifying a central location is important as it relates both to recruiting efforts and pricing. To that end, can the contracting team please communicate how far the facilities / CBOCs are from the Stratton VAMC?

VA Response: Catskill CBOC: 33.7 miles Clifton Park CBOC: 21.8 miles Bainbridge CBOC: 109 miles Fonda CBOC: 45.8 miles Westport/Elizabeth Town CBOC: 125 miles Saranac Lake CBOC: 150 miles

1. Do any of the CBOCs have or require security?

VA Response: No