36C24518R0105-00001000.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) 00001 02-13-2018 613-18-2-143-0011 none 90C Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405 90C Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405 To all Offerors/Bidders

36C24518R0105 02-13-2018

2/12/2018 X X X

1. A mendment to offer clarification to the solicitation.

See page 2.

No other Terms and Conditions have changed.

Send all offers to Bradley.Davis3@va.gov

Paschal Dawson Contracting Officer

Clarifications to solicitation:

No Travel This is a Temporary contract while the VA hires a surgeon.

Here is a reasonable list of surgical expectations for the locums physician:

1. Surgical on call is taken from home ( no more than 30 minutes away) every 3rd night and every third weekend and occasionally every other night or weekend, when needed. Mostly every 3rd.

1. Must be board certified or board eligible in general surgery.

1. Procedures to include but not limited to: inguinal hernia repair, ventral hernia repair, exploratory laparoscopy, exploratory laparotomy, laparoscopic and open cholecystectomy , surgery for perforated duodenal ulcer, partial gastrectomy, bowel resection ( large bowel and small bowel), placement of central lines including dialysis catheters and subcutaneous ports, placement of chest tubes, tracheostomy, appendectomy, excision of benign and malignant skin lesions, surgical treatment of anorectal disease including hemorrhoids, anal fistulas and abscesses, basic wound care management, occasional assistance provided to vascular surgery when on call, postoperative management including ICU care with assistance of intensivists who are present 24/7, abscess drainage, lower extremity amputations, evaluation of breast disease and management, lymph node biopsy where indicated.

1. No requirement for endoscopy unless one wishes to perform them.

1. Routine clinic evaluation of patients. Coverage of ER as mentioned above call.

Basic Education: MD or DO Minimal formal Training: Successful completion of an approved residency program in General Surgery.

Board Certification: Board certification is encouraged.

Required Previous Experience: The successful applicant must be able to demonstrate that he/she has performed at least 75 general surgical procedures during the past 24 months. A letter of reference must come from the residency director or chief of surgery from another hospital where applicant has been affiliated for the last two years.

If you meet the criteria above, you may request privileges as specified below. Any special requests you make will be considered only if you meet the threshold criteria for each request.

Setting Specific Areas: Inpatient (Med/Surg); OR Suite; ICU; Long Term Care; Domiciliary; ER; Outpatient Clinics; Imaging GENERAL SURGERY CORE CLINICAL PRIVILEGES: include admission, consultation, work-up, preoperative and postoperative care to correct or treat various conditions illnesses and injuries of the alimentary tract; abdomen and its contents; breasts, skin, and soft tissue; head and neck; vascular system (excluding the intracranial vessels, the heart, and those vessels intrinsic and immediately adjacent thereto), endocrine system; and minor extremity surgery (biopsy, I&D, varicose veins, foreign body removal, and skin grafts). General surgery core clinical privileges include insertion and management of central venous catheters, thoracentesis, placement of chest tube and sentinel node biopsy for cancer.