36C24418R0678-0003000.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) 09-20-2018 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 The purpose of this Amendment is to address questions raised from potential offerors. Please see attached questions and responses.

The due date for proposals remains the same: Friday, September 28, 2018 at 2:00 PM

Be sure to acknowledge all Amendments in your proposal. It is the Offerors responsibility to review the Solicitation and all documents before submitting a proposal.

Maureen Jordan Contracting Officer

NCO415L3-0823

CONTINUATION PAGE

Questions/Responses Addressed regarding Solicitation Number: 36C24418R0678 Question #1:

How far in advance is the schedule made?

Response:

The schedule is made and distributed at least 1 month ahead.

Question #2:

1. The Performance Work Statement mentions Urgent Care Physician Services to be provided Monday – Friday, 8:00 a.m. – 8:00 p.m. or 10:00 a.m. – 10:00 p.m. and Saturday and Sunday 8:00 a.m. - 8:00 p.m., and to include Federal Holidays

Can you advise what the facility anticipates the schedule to be? (i.e. 3 on 4 off then 4 on 3 off, etc.?)

Response:

We anticipate that the schedule will allow several days in a row for the locum. The UCC currently does not utilize 3 on 4 off or 4 on then 3 off. The Medical Director of UCC will arrange the schedule to allow locums to work as many days in a row as possible. It will be 80 hours in a two-week period.

Question #3:

How many weekends per month?

Response:

A minimum of at least one (1) weekend per month per locum. We are requesting two locums so we anticipate that each locum will have to work at least one weekend. Staffing on weekends in the UCC is one physician on Saturday; one physician on Sunday.

Question #4 How many other Physicians/mid levels will they be working with?

Response:

Currently there is one staff Nurse Practitioner who works Monday-Friday and three 3 staff UCC physicians.

Question #5 What support services are available? ER, OB, Surgery?

Response:

Available services: Radiology, laboratory, anesthesia, surgery (no inpatient surgery; only ambulatory surgery, hospitalists, pharmacy, rehab medicine, dental, primary care, and behavioral health. Urology and Ortho services are available during the work days. The Erie VAMC is a smaller VAMC so we have the “normal” support services available for a smaller facility. Also, specialty services; i.e., cardiology, infectious disease, etc. are available for a phone consult with Pittsburgh VAMC and pulmonary and oncology services are contracted services and could also be available via phone consult.

Our ancillary services are limited therefore we transfer many patients out to community tertiary care centers and/or to VAMC PGH, if they are stable enough or if critical, locally with Chief of Staff approval.

Question #6 Are intubations required by the Urgent Care Physicians?

Response:

Yes they are required; however, anesthesia staff is available to perform difficult intubations.

Question #7 I just wanted to clarify the requested shift coverage.

In 2.1.1 it states the coverage is:

Urgent Care Physician Services to be provided Monday – Friday, 8:00 a.m. – 8:00 p.m. or 10:00 a.m. – 10:00 p.m. Saturday and Sunday 8:00 a.m. - 8:00 p.m.

Response:

These are the specific shifts that the locum physician would be required to work)

But in 4.1.1. it states the coverage is:

Contractor UCC Physician shall provide urgent care to all patients in the UCC from 8:00 a.m. and 10.00 p.m., Monday through Friday, Response:

This is the hours of operation that the Erie VAMC’s Urgent Care Center is open. The physician would be working at the maximum, 12-hour shifts with overlap by another physician working Saturday and Sunday, 8:00 a.m. – 8:00 p.m., including Federal holidays

End of Document