S06 - 36C246-21-R-0007-A0003 - EMERGENCY MEDICINE PHYSICIANS.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 11

0003 12-28-2020

NONE

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton VA 23667

Department of Veterans Affairs

Network Contracting Office 6

100 Emancipation Drive

Hampton VA 23667

To all Offerors/Bidders

36C24621R0007

10-09-2020

X

X X

X 1

This Solicitation is amended to provide the following information:

1. Revised B.2 Schedule of Services Base Period and Option Years requirements for CLIN 0001

2. Revised & Edited Section E.3 "Specific Instructions to Offerors Regarding Preparations and Submissions"

3. This Solicitation closing date is being extended: submit all requested documentation by: 29 JAN 2021 @4:00PM EST

4. Please see Continuation Page for details.

Warren O'Bryant

Administrative Contracting Officer

36C246-21-R-0007 / A0003

CONTINUATION PAGE

BOARD CERTIFIED EMERGENCY MEDICINE PHYSICIANS

This Amendment is changing the Physician description in the Solicitation and the following sections are being affected: Standard Form 1449, Block 20, Schedule of Services, page 5 – 9, Base Year of Performance and all Option Years Line Item numbers: 0001, 1001, 2001, 3001, 4001.

The E.3 Specific Instruction to Offerors regarding Request for Proposal (RFP) preparation and submission section note the following changes to the Reports and Deliverable table (see table below).

Please do not resend a complete and full proposal but only forward one (1) copy of the

CV’s per Physician and copies of all the requested Reports and Deliverables.

B.3 PERFORMANCE WORK STATEMENT

1. General

1.1. Services Provided: The Contractor shall provide Board Certified (BC) or Board Eligible

(BE) Emergency Medicine (EM) Physicians who are certified by the American Board of

Emergency Medicine (ABEM) https://www.abem.org) or the American Osteopathic

Board of Emergency Medicine (AOBEM) https://acoep.org or BC Family Practice (FP) /

BC Internal Medicine (IM) physicians with at least 5 years of Emergency Department experience within the last 8 years. Only Emergency Medicine board certification by

ABEM or AOBEM will be accepted to provide Emergency Department Physician

Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Fayetteville Veteran Affairs Medical

Center (Fayetteville VAMC).

1.2. Contractor will be required to have at least one (1) ABEM/AOBEM (BC or BE)

Physician present onsite 24/7/365.

1.3. Board Eligible (BE) Emergency Medicine Physicians who are eligible will be accepted, but Physicians must have completed an Emergency Medicine Residency accredited by

The American Council of Graduate Medical Education (ACGME) https://www.acgme.org and eligible for ABEM/AOBEM certification. Board Eligibility

(BE) for Emergency Medicine Physicians can’t exceed five (5) years from the date of residency graduation.

https://www.abem.org/ https://acoep.org/ https://www.acgme.org/

B.2 SCHEDULE OF SERVICES

The Contractor shall provide Board Certified Emergency Medicine Physicians who are certified by the American Board of Emergency Medicine (ABEM) https://www.abem.org) or the

American Osteopathic Board of Emergency Medicine (AOBEM) https://acoep.org. Only board certified by the ABEM or AOBEM will be accepted to provide Emergency Department

Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the Fayetteville Veteran Affairs Medical Center

(Fayetteville VAMC).

The Fayetteville VAMC Emergency Services are accredited by The Joint Commission (TJC) and follow the standards & guidelines set forth by American College of Emergency Physicians

(ACEP). A contractor providing onsite emergency department physician services shall provide services that meet or exceed the ACEP Guidelines http://www.ACEP.org/.

Place of Performance: Services shall be provided on site, Fayetteville VAMC, 2300 Ramsey

Street, Fayetteville, NC 28301.

Pricing Instructions:

The offeror is instructed to include all other than price and cost information supporting the proposed price and copies of both the primary and backups proposed candidates CV /

Resumes with their proposals as directed in the Instructions to Offerors addendum to 52.212-1 and/or Section D- Contract Documents, Exhibits, or attachments. Failure to submit the required CV / Copies of requested Certificates, Licenses and NPI reports will deem your response as Non-Responsive.

The Contractor shall propose a minimum of nine (9) candidates as key personnel to be credentialed and privileged and to be available for scheduling to meet the requirements of the contract. The contractor is also required to have as a minimum, nine (9) additional appropriately qualified Emergency Medicine Physicians to be available for substitution or placement upon requested by the Government for a combined total of eighteen (18) candidates to be credentialed and privileged.

Contractor will be required to have at least one (1) ABEM/AOBEM (BC or BE) Physician present onsite 24/7/365.

The Government will issue a single award resulting from this solicitation.

NOTE: PER DIEM AND TRAVEL WILL NOT BE AUTHORIZED.

present onsite 24/7/365 http://www.acep.org/

Period of Performance: BASE YEAR: from Date of Award

Base Year Total Cost: $______________________

LINE

ITEM

Description Qty. Unit Unit Cost

Total

Annual Cost

0001 Nine (9) BC or BE Emergency

Medicine Physicians who are certified by the American Board of Emergency Medicine

(ABEM) https://www.abem.org) or the American Osteopathic

Board of Emergency Medicine

(AOBEM) https://acoep.org or

BC FP/IM physicians with at least 5 years of Emergency

Department experience within the last 8 years to provide

Emergency Department

Physician Services.

No On-Call required.

18,720

Hours

0002 Onboard Training Hours 200 Hours $ $

0003 Shift Holdovers Hours 200 Hours $ $

0004 Administrative Work Hours 420 Hours $ $

TOTAL FOR BASE YEAR

Option Year 1 – Period of Performance: 01 April 2021 through 31 March 2022

Option Year-1 Total Cost: $______________________

Description Qty. Unit Unit Cost

Total

Annual Cost

1001 Nine (9) BC or BE Emergency

Medicine Physicians who are certified by the American Board of Emergency Medicine

(ABEM) https://www.abem.org) or the American Osteopathic

Board of Emergency Medicine

(AOBEM) https://acoep.org or

BC FP/IM physicians with at least 5 years of Emergency

Department experience within the last 8 years to provide

Emergency Department

1002 Onboard Training Hours 200 Hours $ $

1003 Shift Holdovers Hours 200 Hours $ $

1004 Administrative Work Hours 420 Hours $ $

TOTAL FOR OPTION YEAR 1 $

Option Year 2 – Period of Performance: 01 April 2022 through 31 March 2023

Option Year-2 Total Cost: $______________________

Description Qty. Unit Unit Cost

Total

Annual Cost

2001 Nine (9) BC or BE Emergency

Medicine Physicians who are certified by the American Board of Emergency Medicine

(ABEM) https://www.abem.org) or the American Osteopathic

Board of Emergency Medicine

(AOBEM) https://acoep.org or

BC FP/IM physicians with at least 5 years of Emergency

Department experience within the last 8 years to provide

Emergency Department

2002 Onboard Training Hours 200 Hours $ $

2003 Shift Holdovers Hours 200 Hours $ $

2004 Administrative Work Hours 420 Hours $ $

TOTAL FOR OPTION YEAR 2 $

Option Year 3 – Period of Performance: 01 April 2023 through 31 March 2024

Option Year-3 Total Cost: $______________________

Description Qty. Unit Unit Cost

Total

Annual Cost

3001 Nine (9) BC or BE Emergency

Medicine Physicians who are certified by the American Board of Emergency Medicine (ABEM) https://www.abem.org) or the

American Osteopathic Board of

Emergency Medicine (AOBEM) https://acoep.org or BC FP/IM physicians with at least 5 years of

Emergency Department experience within the last 8 years to provide Emergency

Department Physician Services.

3002 Onboard Training Hours 200 Hours $ $

3003 Shift Holdovers Hours 200 Hours $ $

3004 Administrative Work Hours 420 Hours $ $

TOTAL FOR OPTION YEAR 3 $

Option Year 4 – Period of Performance: 01 April 2024 through 31 March 2025

TOTAL COST BASE YEAR & ALL OPTION YEARS: $ _______________________

Description Qty. Unit Unit Cost

Total

Annual Cost

4001 Nine (9) BC or BE Emergency

Medicine Physicians who are certified by the American Board of Emergency Medicine (ABEM) https://www.abem.org) or the

American Osteopathic Board of

Emergency Medicine (AOBEM) https://acoep.org or BC FP/IM physicians with at least 5 years of

Emergency Department experience within the last 8 years to provide Emergency

Department Physician Services.

4002 Onboard Training Hours 200 Hours $ $

4003 Shift Holdovers Hours 200 Hours $ $

4004 Administrative Work Hours 420 Hours $ $

TOTAL FOR OPTION YEAR 4 $

E.3 52.212-1 SPECIFIC INSTRUCTIONS TO OFFERORS REGARDING REQUEST

FOR PROPOSAL (RFP) PREPARATIONS AND SUBMISSION

The following are brief descriptions of required documents that must be submitted by the

Contractor: upon proposal and award; weekly; monthly; quarterly’; annually, etc. identified throughout the PWS and is provided here as a guide for Contractor convenience. If an item is within the PWS and not listed here, the Contractor remains responsible for the delivery of the item.

What Submit as noted Submit To

Quality Control Plan: Description and reporting reflecting the contractor’s plan for meeting of contract requirements and performance standards

Upon Proposals and as frequently as indicated in the performance standards.

Contracting

Officer

Copies of all licenses, board certifications, NPI, to include primary source verification of all licensed and certified staff

Upon Proposals and upon renewal of licenses and upon renewal of option periods or change of key personnel.

Contracting

Officer with

Proposals;

renewal submitted to VETPRO system.

Certification that staff list have been compared to OIG list

Upon Proposals and upon new hires.

Contracting

Officer

Proof of Indemnification and Medical

Liability Insurance

Upon Proposals and upon renewals.

Contracting

Officer

Certificates of Completion for Cyber

Security and Patient Privacy Training

Courses

Before receiving an account on VA Network and annual training and new hires.

Contracting

Officer

ACLS/BLS Certification Upon Proposal and every two years after award.

Contracting

Officer & COR

Contingency plan for replacing key personnel to maintain services as required under the terms of the contract

Upon Proposals and as updated

Contracting

Officer & COR

c. The Government intends to evaluate proposals and award a contract without exchanges with offerors. Therefore, the offeror’s initial proposal should contain the offeror’s best terms from a price and technical capability standpoint. The Government reserves the right to conduct exchanges if the Contracting Officer later determines them to be necessary. The solicitation notifies offerors that, based on the number of offers received in response to this solicitation, the best value pool can be limited for purposes of making an efficient, timely, and economical award, the Contracting Officer may limit the number of proposals in the best value pool to the greatest number that will permit an efficient competition among the proposals offering the greatest likelihood of award. Therefore, exchanges, if conducted, will only be conducted with those offerors in the best value pool, and whose offers are viable for award and otherwise responsive, after the technical portion of the evaluation is complete. Award of a contract may be made without exchanges.

TECHNICAL FACTOR 1: CORPORATE EXPERIENCE:

Offerors should provide a narrative addressing its relevant technical capabilities (as it applies to the requirement) addressing the following sub-areas under Corporate Experience:

a. The Offeror must demonstrate that it has at least the minimum of five (5) years of experience in providing on-site Emergency Medicine physician staffing services.

b. The Offeror must provide a history of successful personnel placements in the Emergency

Medicine physician staffing labor category and that has in place processes, methods, plans, personnel and other resources as necessary that together meet all the technical capabilities of this requirement.

TECHNICAL FACTOR -3: PERSONNEL QUALIFICATIONS / STAFFING:

Offerors should provide a narrative addressing its relevant technical capabilities (as it applies to the requirement), addressing the following sub-areas under Personnel Qualifications/Staffing:

a. Contractor performing the services covered by this contract shall a current unencumbered licensure in a State, Territory, or Commonwealth of the United States, or the District of

Columbia. The qualifications of the Contractor shall be subject to review by the VAMC

Chief of Staff, and approval by the VAMC Director.

b. Contractor’s employee (s) shall be fully credentialed and privileged by the Fayetteville

VAMC Medical Executive Board prior to performing any work under this contract. Use of the internet site “VetPro” is mandatory for credentialing.

c. Be a US Citizen or have evidence of having a green card.

d. Contractor must speak and write English proficiently.

e. Provide a copy of the Basic Life Support (BLS) and Advanced Cardiac Life Support

(ACLS) Certified from the American Heart Association within the past 2 years.

f. The Contractor shall provide Board-Certified Emergency Medicine Physicians who are certified by the American Board of Emergency Medicine (ABEM) https://www.abem.org) or the American Osteopathic Board of Emergency Medicine (AOBEM) https://acoep.org.

Only board certified by the ABEM or AOBEM will be accepted.

g. Board Eligible (BE) Emergency Medicine Physicians who are eligible will be accepted, but Physicians must have an Emergency Medicine Residency accreditation by The

American Council of Graduate Medical Education (ACGME) https://www.acgme.org.

Board Eligibility (BE) for Emergency Medicine Physicians can’t exceed five (5) years from the date of residency graduation.

h. BC Family Practice (FP) / BC Internal Medicine (IM) physicians with at least 5 years of

Emergency Department experience within the last 8 years. VA experience is preferred but not mandatory.

i. Offeror must provide Proof of Insurance.

j. Provide proof/certification that all persons are compared against and are not listed on the

OIG excluded parties list.

k. Provide names of most current employer(s) and two (2) peer reference contacts with current phone numbers.

https://www.abem.org/ https://www.acgme.org/