36C24418R0678-0001000.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

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) 09-18-2018 none 00244 Department of Veterans Affairs Network Contracting Office 4 100 S. Independence Mall West 5th Floor Philadelphia

PA

19106 00244 Department of Veterans Affairs Network Contracting Office 4 See Block 6

To all Offerors/Bidders

36C24418R0678 09-18-2018

X X X X This Solicitation is being amended to replace Section E2. "Supplemental Instructions to Offerors" in this solicitation.

Please delete previously issued section and replace with the attached.

MAUREEN JORDAN

CONTRACTING OFFICER

NCO415L3-0823

CONTINUATION PAGE

E.2 Supplemental Instructions to Offerors

For the purposes of evaluating competing offers, offerors should submit quotes that include the following documentation:

Solicitation:

Page 1 – Complete Blocks 17a., 30a, 30b., and 30c.

Page 3 – Complete Contractor POC Information and Acknowledge Amendments, if applicable.

Page 4-6 – Complete Section B.2 Price/Cost Schedule for each CLIN. The Contractor may submit a quote for one or all of the Physicians listed. If submitting one price, CO will assume price is the same for all Physicians.

Complete – FAR 52.212-3 Complete Offeror Representations and Certifications. If this information is available in SAM, please note.

Section D – Fill out and provide attachments: Organizational Conflict of Interest and Contractor Certification Immigration and Nationality Act

Please prepare and send three separate documents: (1) Technical Capability Documentation; (2) Past Performance Information; and (3) Price/Cost Schedule for each CLIN. The maximum file size is 20 MB that I can receive in an email.

Proposal should be submitted via email to: Maureen Jordan, Contracting Officer @ Maureen.Jordan@va.gov. Include in the subject line of the email: Solicitation 36C24418R0678 Urgent Care Center Physician Services for Erie VAMC.

Proposals are due: Friday, September 28, 2018 at 2:00 PM.

Technical Capability and Documentation:

1. Provide a narrative statement affirming that the offeror’s business practices are in compliance with Joint Commission standards for Professional & Allied Healthcare Staffing Agencies.

2. Technical Approach/Plan – Provide a narrative statement specifically detailing offerors ability to provide Urgent Care Center Physicians, Family Practice or Internal Medicine Physicians (all with two-three years of experience in an Emergency Department or Urgent Care Center) at the Erie VA Medical Center location. This statement may also include the approximate number of physicians currently on staff and available to provide immediate, full time, intermittent, or temporary coverage. Explain offeror’s ability to provide a full range of services and ability to comply with Joint Commission standards as well as all other policies, procedures and regulations outlined in this solicitation. Explain how these services will be performed and how performance will be measured. Propose an implementation plan indicating ability to provide organizational structure, personnel, training, scheduling plan, and back-up plans. The offeror shall discuss procedures used to safeguard records. Include documentation regarding the physical security of records, and steps taken to prevent disclosure of an individual’s records, reports, or other private information. Explain how the contractor's employee/physicians will maintain current certification and licensure as required by their profession.

2. Copies of any and all Resume/CV, licenses, NPI#s, ACLS/BLS certifications, DEA Certification Cards, and board certifications, to include primary source verification of all licensed and certified staff proposed to provide services under the contract. This includes copies of education, training, and experience (level of education/length of employment/experience). At least two references shall also be provided for each candidate that can be checked to verify experience. Also include an intubation letter which includes the number of intubations completed in the last two years. Any history of malpractice information must also be included. Any candidates who have the following elements of malpractice will not be considered/credentialed:

· Three or more medical malpractice payments in payment history;

· A single medical malpractice payment of $550,000 or more, or;

· Two medical malpractice payments totaling $1,000,000 or more.

3. Certification that staff have been compared to the Health & Human Services, Office of Inspector General (HHS OIG) exclusions list.

4. Proof of Indemnification and Medical/Malpractice Liability Insurance.

5. Submit a contingency plan to be utilized in the event a scheduled physician is unavailable for a tour of duty in accordance with the terms and conditions of the resulting contract. This includes your plan for recruitment and retention of qualified personnel. Explain how uninterrupted support will be provided during emergencies taking into account that all healthcare professionals must be credentialed and privileged prior to working at the VAMC.

Past Performance—Offeror shall provide up to three (3) references, preferably of Government work, performed in the last five (5) years that are similar in scope and complexity to the requirements of this solicitation. All past performance references shall include name of temporary position filled, client, customer point of contact, customer telephone number, contract number, award amount, project/service location, and other relevant information. Offerors are responsible for sending out past performance questionnaires to their past performance references ensuring submission of the completed past performance. See Questionnaire provided in this Solicitation. This Questionnaire is to be emailed to Maureen Jordan, Contracting Officer at Maureen.Jordan@va.gov prior to the closing date on the solicitation.

Price:

Note: Technical and Past Performance is significantly more important than price.

The service disabled veteran owned small business contractor shall submit a price breakout in a MS Excel spreadsheet identifying the labor category, labor rate, and labor hours by CLIN for the base and all option periods The Total Amount for each period of performance (POP) in Section B.2. Price/Cost Schedule CLIN should match the total amounts identified in the Price Quote. In the event of a discrepancy in pricing between the Price Cost Schedule CLIN and the Price Quote, the Price Quote will be considered to represent the Offeror’s intent.

End of Document