36C24919Q0184-0002000.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 4

0002 05-09-2019

90C

Department of Veterans Affairs

Network Contracting Office 9

1639 Medical Center Parkway

Suite 400

Murfreesboro TN 37129

90C

Department of Veterans Affairs

Network Contracting Office - 9

1639 Medical Center Parkway

Suite 400

Murfreesboro TN 37129

To all Offerors/Bidders

36C24919Q0184

04-26-2019

X

X

X 1

1. The purpose of this Amendment is to respond to questions received for Solicitation 36C24919Q0184.

2. The RFQ due date remains the same at TUESDAY, MAY 28, 2019 AT 10:00 am CST.

3. This RFQ is hereby amended to respond to vendor questions as noted herein below.

SEE CONTINUATION PAGE

Lori L Ellis

Contracting Officer

PAGE NO.

CONTRACT NO. ORDER NO. MODIFICATION NO.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (CONTINUED)

STANDARD FORM 30 (CONTINUATION)

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

CONTINUATION PAGE

SECTION SF30 BLOCK 14 CONTINUATION PAGES

Amendment 0002-Response to Vendor Questions

The following questions were received from potential offerors, with response to those questions:

Question 1. Is it expected that the vendors physicians will provide call coverage every day and every weekend?

If not, what are the expectations? Frequency of callback to the facility?

RESPONSE: Currently two weekday nights per week, no weekends (expected calls is 1-2 monthly with no return to hospital.

Question 2. How many staff gastroenterologists exist?

RESPONSE: There are currently Five part time and one full time Gastroenterology Chief

Question 3. How many total physicians will be sharing call?

RESPONSE: One other full-time physician will pull equal call - the rest is done by contract providers.

Question 4. Can you provide a breakdown of outpatient clinic metrics? How many per clinic? How many clinics per week? Time availability for new and follow-up patients?

RESPONSE: New patients- 60 minutes, follow up patients 30 minutes, so 7-14 per clinic. Currently there are 19 clinics per per week with three full-time NP’s in this mix (13 of the 19), plus e-consults daily.

Question 5. Can you provide the time allotment for procedures? Singles @ X minutes? Doubles @ X minutes? How many days per week in procedures?

RESPONSE: EGD/- 30 minutes with 15-minute turnover, colonoscopy/-45 minutes with 15-minute turnover, EGD/Colonoscopy-60 minutes with 15-minute turnover time.

Question 6. Hours of Operations?

RESPONSE: Monday - Friday 8-4:430

Question 7. How many surgeries? What days? What procedures?

RESPONSE: Depends on the schedule – EGD, Colon, EGD-Colon- 30,45 and 60 minutes- can be Monday-Friday 8-4pm

Question 8. What is the call ratio?

RESPONSE: Currently 2 nights a week per provider

Question 9. How many Gastroenterologists on staff?

RESPONSE: 1 full time, 1 – (.8), 4-(.4)

Question 10. Are their backup specialties available?

RESPONSE: Yes, and in the community

Question 11. Will this be a Small Business Set Aside?

RESPONSE: No, set aside for SDVOSB 100%

Question 12. Would he VA consider removing section 2.9.3? Gastroenterologist are very specialized and highly sought after. It would be nearly impossible for the vendor to have a GI Locum waiting on the sidelines that could report inside of 2 hours due to the primary GI locum getting sick halfway through a shift.

RESPONSE: The intent of this section is to ensure that during periods of absence the contractor provides coverage so that prescheduled clinics/procedures do not have to be cancelled

Continue on Page 3 and 4

36C24919Q0188

(CONTINUE FROM PREVIOUS PAGE)

Amendment 0002-Questions

Question 13. Can Document D.6. Contractor Rules of Behavior (ROB) be signed by the selected key personnel post award. The ROB form requests the last 4 of the social security number therefore is considered sensitive information that would needed to be safeguarded by the VA during the technical evaluation stages. Additionally, most physician candidates would consider it intrusive to ask for this during the candidacy stages.

RESPONSE: YES, these forms will not be needed till post award

Question 14. Will the physician be required to perform endoscopic retrograde cholangiopancreatography (ERCP) procedures?

RESPONSE: NO

Question 15. Will subcontractor past performance be rated equally to prime past performance for evaluation purposes?

RESPONSE: Any proposed subcontractor will be rated as part of the overall past performance evaluation for the proposal. If a subcontractor is proposed, the contractor must also state the amount of work that will be performed by the subcontractor in order to ensure there is no set-aside violation or subcontracting limitation violation.

Question 16. Will the VA accept past performance questionnaires from subcontractors of prime?

RESPONSE: Yes, past performance questionnaires need to be submitted for proposed subcontractors.

4. The RFQ is amended to correct the comment (Please note, page 75 of the solicitation references ‘Primary Care

Physician’ and not ‘Gastroenterologist’: “Proof of citizenship with an ability to speak and understand English –

Contractor must certify that all offered Primary Care Physician candidates possess this ability.”) was submitted with the questions. Therefore, the Solicitation is hereby amended to remove and replace paragraph 2 under the

Section E.12 52.212-2 Evaluation-Commercial Items (OCT 2014) of the Solicitation as follows:

Remove paragraph 2. From Section E.12 52.212-2 Evaluation-Commercial Items (OCT 2014) beginning on page 75 which reads as follows:

Provide copies of the following information for each proposed Physician:

• Unrestricted License- from any state, territory, Commonwealth of the United States or the District of

Columbia in good standing.

• Board Certification or Board Certification Eligibility by the American Board of Internal Medicine (ABIM) in Internal Medicine and Gastroenterology– from any state, territory, Commonwealth of the United States or the District of Columbia in good standing.

• Proof of Professional/Medical degree

• Evidence of malpractice insurance coverage.

• Proof of citizenship with an ability to speak and understand English – Contractor must certify that all offered Primary Care Physician candidates possess this ability.

• Document evidencing of a minimum of one (5) years of clinical experience as a Gastroenterology physician

Replace Paragraph 2 with the following:

Provide copies of the following information for each proposed Physician:

• Unrestricted License- from any state, territory, Commonwealth of the United States or the District of

Columbia in good standing.

• Board Certification or Board Certification Eligibility by the American Board of Internal Medicine (ABIM) in Internal Medicine and Gastroenterology– from any state, territory, Commonwealth of the United States or the District of Columbia in good standing.

• Proof of Professional/Medical degree

• Evidence of malpractice insurance coverage.

• Proof of citizenship with an ability to speak and understand English – Contractor must certify that all offered Gastroenterology Physician candidates possess this ability.

• Document evidencing of a minimum of one (5) years of clinical experience as a Gastroenterology physician

36C24919Q0188

5. The RFQ/Solicitation is hereby amended to correct Clause 52.212-5 and add a required clause 52.219-27 by reference. Therefore, the solicitation is hereby amended to correct clause C.19 52.212-5 CONTRACT TERMS AND

CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JAN 2019) add a check mark under the clauses 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C.

657f).

6. The RFQ/Solicitation is hereby amended to correct Clause 52.212-5 and add a required clause, Limitations on

Subcontracting. Therefore, the solicitation is hereby amended to correct clause Class Deviation 2019-O0003 (dtd

12/3/18)—Limitations on Subcontracting for Small Business. Effective immediately this deviation remains in effect until it is incorporated into the FAR and DFARS, or otherwise rescinded.

Limitations on Subcontracting (Jan 2019) (DEVIATION 2019-O0003)

(a) This clause does not apply to the unrestricted portion of a partial set-aside.

(b) Definition. As used in this clause—

“Similarly situated entity” means a first-tier subcontractor, including an independent contractor, that has the same small business program status as that which qualified the prime contractor for the award and that is considered small for the NAICS code the prime contractor assigned to the subcontract the subcontractor will perform. An example of a similarly situated entity is a first-tier subcontractor that is a HUBZone small business concern for a HUBZone set-aside or sole source award under the HUBZone Program.

(c) Applicability. This clause applies only to—

(1) Contracts that have been set aside or reserved for small business concerns or 8(a) participants;

(2) Part or parts of a multiple-award contract that have been set aside for small business concerns or 8(a) participants; and

(3) Orders set aside for small business or 8(a) participants under multiple-award contracts as described in

8.405-5 and 16.505(b)(2)(i)(F).

(d) Independent contractors. An independent contractor shall be considered a subcontractor.

(e) Agreement. By submission of an offer and execution of a contract, the Offeror/Contractor agrees in performance of the contract in the case of a contract for—

(1) Services (except construction), it will not pay more than 50 percent of the amount paid by the Government for contract performance to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 50 percent subcontract amount that cannot be exceeded;

(2) Supplies (other than procurement from a non-manufacturer of such supplies), it will not pay more than 50 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 50 percent subcontract amount that cannot be exceeded;

(3) General construction, it will not pay more than 85 percent of the amount paid by the Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 85 percent subcontract amount that cannot be exceeded; or

(4) Construction by special trade contractors, it will not pay more than 75 percent of the amount paid by the

Government for contract performance, excluding the cost of materials, to subcontractors that are not similarly situated entities. Any work that a similarly situated entity further subcontracts will count toward the 75 percent subcontract amount that cannot be exceeded.

(f) A joint venture agrees that, in the performance of the contract, the applicable percentage specified in paragraph (e) of this clause will be performed by the aggregate of the joint venture participants.

(End of clause)

(End of Amendment 0002)