36C24518R0105-00002000.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 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) 00002 02-14-2018 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 02-14-2018

X X X See CONTINUATION Page Amendment number 2 to Correct estimated hours on CL I N and a dditional Questions and Answers on page 3.

This includes options under FAR 52.217-8, Option to Extend Servies, wh ich applies to this solicitation Evaluation of options under F AR 52.217-8 will be accomplished by using the prices offered for the last option period to determine the price for a 6-month option period, which will be added to the base and other option years to arrive at the total price.

Evaluation of options will not obligate the Government to exercise the option(s).

Pas chal Dawson Contracting Officer

A.1 PRICE/COST SCHEDULE

ITEM INFORMATION

Contract Period: Base POP Begin: 03-01-2018 POP End: 09-30-2018

Contract Period: Base POP Begin: 03-01-2018 POP End: 09-30-2018

Contract Period: Base POP Begin: 03-01-2018 POP End: 09-30-2018

Contract Period: Option 1 POP Begin: 10-01-2018 POP End: 03-31-2019

Contract Period: Option 1 POP Begin: 10-01-2018 POP End: 03-31-2019

Contract Period: Option 1 POP Begin: 10-01-2018 POP End: 03-31-2019

Questions and Answers List of Questions:

1. How many GS are on staff now?

1. What supporting staff is available to the GS?

1. Do you have a list of procedures/surgery types performed in the past 6 months to a year?

1. Please clarify on-call requirements? Q and A seems to indicate call varies and there is no standard call schedule?

Answers:

1. There are normally 3 full time general surgeons who share call EQUALLY ( 1 in 3 ) One of the 3 will be retiring at the end of this month so the locums will be to fill that 3rd spot in the clinic, OR and call schedule until a full time 3rd general Surgeon is hired.

1. There is a full complement of administrative and clerical support staff as well as a PA and 2 nurses in the clinic.

1. No we don’t have a list of procedures but the surgeries run the spectrum of a general surgery practice in a community hospital ( i.e. lap gallbladder, lap hernia, lap colon as well as open gallbladder, open colon and hernia. There is no robotic surgery and no bariatric surgery. There are mediports and PICC lines occasionally. The surgeons typically scrub with each other for most cases.

1. There is a standard call schedule made at least a month in advance and the locums surgeon will share equally in the 1:3 call schedule We have no surgery residents but regularly have PA and med students