36C24524Q0458 0001.pdf

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

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)

1 3

05/01/2024

None

Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101, Room 4 Perry Point MD 21902

Department of Veterans Affairs VA Maryland Health Care System Contracting Officer (90C) P.O. Box 1000, Bldg. 101C Room 4 Perry Point MD 21902

To all Offerors/Bidders

36C24524Q0458

X

X 1

The purpose of this modification is to extend the offers due date to 05/06/2024 and to add questions and responses.

See page 2.

Crystal S. Hinton Contracting Officer

Questions/Responses

1. What is the setting? Mostly operating room and endoscopy but might need to go to emergency room, inpatient areas and MRI. Includes 4 operating rooms and 2 endoscopy suites.

2. How many cases in a typical workday? 1-8

3. Will the contractor be required to work cardiac or heads? Only pacemakers/defibulators, ENT stuff and cataracts/oculoplastics, etc..

4. Will the contractors supervise CRNAs? Yes they will supervise but they will also be required work independently in their own room as well.

5. What support staff is available? Anesthesiologists, CRNA’s and nurses

6. How many staff anesthesiologists does VAMC Clarksburg have? 2 staff anesthesiologists

7. Are green card holders accepted at this location? Yes, with proper qualifications and experience.

8. What subspecialties are available? Urology, vascular, general surgery, podiatry, orthopedics, ophthalmology, otolaryngology, gynecology

9. What type of cases do they see? endoscopies, cataracts, total joints, vascular cases, endourology, ENT, general surgery.

1 Is this a new or existing requirement? existing

2 If this is an existing requirement, is there an incumbent Anesthesiologist already working? We have 2 staff anesthesiologists.

3 How many Anesthesiologists are in the department now? 2 staff, in addition to locums working occasionally when available.

4 Can the Government clarify if the Anesthesiologists will only be supervising CRNAs, or will Anesthesiologists also perform their own cases/anesthesia? Anesthesiologist will supervise CRNA’s and work independently doing their own cases.

1. On average, how many cases would the anesthesiologist be doing per day? Approx. 1-8 cases per day.

What are the most common types of cases that they see? endoscopies, cataracts, total joints, vascular cases, endourology, ENT, general surgery.

2.How many Anesthesiologists are on staff? 2 Staff anesthesiologists

3.Will the Anesthesiologist supervise CRNAs? Yes, but not all the time. They do independent cases too.

4.What is the credentialing timeline? Approx. 8 weeks.

5.Does the anesthesiologist have the Monday following the weekend on call off? No, weekend call is not busy. They don’t get called in very often, occasionally, but not often.