36C24719R0094-0001000.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 ADM

INISTRATIVE 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 d ate 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 3

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) 07-13-2019 544-19-3-041-0022

508/10N7/NCO

Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084

508/10N7/NCO

Department of Veterans Affairs VISN 7 Network Contracting Office LaVista Business Park - Bldg A 2008 Weems Road Tucker GA 30084 To all Offerors/Bidders

36C24719R0094 07-03-2019

X X X

X The purpose of the amendment 001 is to answer solicitation questions submitted by July 12, 2019 at 12:00 pm EST.

Please see continuation pages beginn ing on page 2.

Tanjia Harris Contracting Officer

UROLOGY PHYSICIAN SERVICES

1. Is there going to be an evaluation preference used that prioritizes SDVOSBs?

VA RESPONSE: The evaluation criteria is found in the solicitation.

2. In regards to Solicitation 36C24719R0094, can you please clarify if the VA wants 2 onsite Urology Physicians or 1 FTE Urology Physician, with the possibility of the same Physician to cover call and call back hours.

VA RESPONSE: 1 FTE with same physician providing call/call back support

3. In the pricing table, the hours are listed as 2,080 with an additional 300 hours of call/on call which can normally be completed by 1 Physician. However, in section 2.9.2 it states that The number of Board Certified Urology physicians required to be on site on a daily basis is two (2) as defined in paragraph Hours of Operation in this section.

VA RESPONSE: No. That is an error. We are recruiting actively for 2 but contract request is for 1 FTE to provide support

4. Does 2.9.2 imply that we need so supply two doctors and they share the 2080 hrs. making them 1/2 time each?

VA RESPONSE: No see above we are requesting 1 FTE not 2 ½ time

5. Shift Hours?

VA RESPONSE: TOD is 0800-1630 unless on call

6. How many surgeries? What types? What procedures?

VA RESPONSE: Surgery is dependent on provider and how they schedule- contract provider currently has Tuesday assigned all day. Procedures one must do include biopsy, cystoscopy, exploration, nephrostomy, nephrotomy, injections, fistula closure, introduction of catheters, stent guides, tube changes, urinary undiversion, urethrectomy, irrigations, voiding pressure studies, transurethral resection of bladder, urethroplasty, removal of foreign bodies, priapism procedures, repair procedures for penis injury, insertion of testicular prosthesis, repair of testicular injury, reduction of torsion, repair of tunica vaginalis hydrocele, aspiration of hydrocele, basotomy, besiculectomy, pelvic exenteration for cystectomy vaginal prolapse repair, sling operation, etc.

7. Call Ratio?

VA RESPONSE: Every 3-4 weeks

8. How many Urologists are on staff?

VA RESPONSE: 2 FTE

9. Will this be Small Business Set Aside?

VA RESPONSE: This will be unrestricted.

10. What is the average number of patients to be seen per day?

VA RESPONSE: 22 patients scheduled routinely.

11. What types of surgeries will the Urologists be performing? Are there specific days each week set aside for surgery? If so, what are the average number of cases on surgical days?

VA RESPONSE: Tuesday is currently the day assigned to contract urologist- what types of surgeries in previous response- number of cases depends on surgeon-if surgeon schedules a case that takes 3 hours they can add 1 small case or schedule 4-5 small cases-again it is up to the surgeon

12. What procedures are required (in addition to cystoscopies?)

VA RESPONSE: surgery is dependent on provider and how they schedule- contract provider currently has Tuesday assigned all day must do biopsy, cystoscopy, exploration, nephrostomy, nephrotomy, injections, fistula closure, introduction of catheters, stent guides, tube changes, urinary undiversion, urethrectomy, irrigations, voiding pressure studies, transurethral resection of bladder, urethroplasty, removal of foreign bodies, priapism procedures, repair procedures for penis injury, insertion of testicular prosthesis, repair of testicular injury, reduction of torsion, repair of tunica vaginalis hydrocele, aspiration of hydrocele, basotomy, besiculectomy, pelvic exenteration for cystectomy vaginal prolapse repair, sling operation, etc.

13. What is the call schedule?

VA RESPONSE: Call Ratio - Every 3-4 weeks

14. How many other Urologists are on staff?

VA RESPONSE: 2 full time staff urologist.

15. How many callbacks are typical? Average number of times a provider returns to hospital after a call? If on their rotation can range from 0-4 Daily Volume per day?

VA RESPONSE: 22 pt’s scheduled/doesn’t include emergency walk in’s Current number of staff urologists? Midlevels? 2 Can you provide a procedure list? surgery is dependent on provider and how they schedule- contract provider currently has Tuesday assigned all day. Must do biopsy, cystoscopy, exploration, nephrostomy, nephrotomy, injections, fistula closure, introduction of catheters, stent guides, tube changes, urinary undiversion, urethrectomy, irrigations, voiding pressure studies, transurethral resection of bladder, urethroplasty, removal of foreign bodies, priapism procedures, repair procedures for penis injury, insertion of testicular prosthesis, repair of testicular injury, reduction of torsion, repair of tunica vaginalis hydrocele, aspiration of hydrocele, basotomy, besiculectomy, pelvic exenteration for cystectomy vaginal prolapse repair, sling operation, etc.

16. Will there be any call coverage commitment?

VA RESPONSE: Yes

17. How many other Urologists are on staff?

VA RESPONSE: 2

18. In regards to Solicitation 36C24719R0094, can you please clarify if the VA wants 2 onsite Urology Physicians or 1 FTE Urology Physician, with the possibility of the same Physician to cover call and call back hours.

VA RESPONSE: 1 FTE with same physician providing call/call back support

19. In the pricing table, the hours are listed as 2,080 with an additional 300 hours of call/on call which can normally be completed by 1 Physician. However, in section 2.9.2 it states that The number of Board Certified Urology physicians required to be on site on a daily basis is two (2) as defined in paragraph Hours of Operation in this section.

VA RESPONSE: No my error we are recruiting actively for 2 but contract request is for 1 FTE to provide support

20. Does 2.9.2 imply that we need so supply two doctors and they share the 2080 hrs making them 1/2 time each?

VA RESPONSE: No. We are requesting 1 FTE not 2 ½ time. 1 FTE with same physician providing call/call back support. We are recruiting actively for 2 but contract request is for 1 FTE to provide support.

21. Reference CLIN 0001b and 1001b.

Is it possible to split CLINs XXXXb into the following:

CLIN 0001b On Call Weekdays 0001c On Call Weekends/Holidays 0001d Call Back Hours

1001b On Call Weekdays 1001c On Call Weekends/Holidays 1001d Call Back Hours

VA RESPONSE: You may propose the way you would like. If you do change the CLIN structure in your proposal you should explain the rationale for doing so. VA Business Hours: requirement is based on 8 hours a day at a minimum, five days a week for one.