36C24919R0005_0001.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

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) 01-08-2019 N/A 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

36C24919R0005 01-08-2019

X X X

JANUARY 19, 2018 AT 3:00 PM CT

X The purpose of this amendment is to respond to RFP questions.

The due date for proposals is extended to Saturday, January 19, 2019 at 3:00 pm Past Performance Surveys are still due Friday, January 18, 2018 at 3:00 pm

Kimberly S. Carson Contracting Officer

RFP 36C24919R0005 – ORTHOPEDIC SURGEON SERVICES QUESTIONS & ANSWERS

Q1: On the SF 1449, it states that the solicitation due date is 19 JAN 19. However, on page 61, it reflects a due date of 18 JAN 19. Could the government please clarify the actual due date.

A1: The RFP due date is updated to Saturday, January 19, 2019 at 3:00 pm; however, the past performance surveys are still due Friday, January 18, 2018.

Q2: Is this a new requirement or are there incumbent physicians available?

A2: Currently, there are no incumbent physicians available, so this is a new requirement

Q3: Can you tell me if this is total joint replacement?

A3: Yes

Q4: I see in the solicitation that this is 1.5 FTE requirement, and the solicitation requires a minimum submission of three key personnel for credentialing. Are you looking to have a local practice fill this need? As a locums company I am not sure we would be able to deliver 1.5 FTE weekly with at least three credentialed docs on the roster.

A4: We ask for 3 because the process to have individuals credentialed and go through background checks is very extensive and coverage is required. If one of the physicians had to call in sick or suddenly leave and you had to have a back-up physician fill-in, that person would have to be credentialed and have the background check completed in order to be able to perform at the facility. You wouldn’t be able to just have someone provide coverage without going through the process so that’s why we ask for the additional physicians up front. We are looking to have the requirement filled the best way we can. I can tell you that we are going to try and make a decision as quickly as possible, once proposals are received. Our tentative start date is the beginning of March.

Q5: Please provide additional details regarding the type cases, clinical and surgical, the Orthopedic Surgeon could expect to see during the period of performance.

A5: Typical surgeries include: Total knee/hip/shoulder arthroplasty; hip, shoulder, knee arthroscopy, ORIF/CRIF hand, wrist, hip, ankle, foot fractures, hand cases such as trigger finger, carpal tunnel, Dupuytren’s release etc.

Typical clinical day would include approximately 20 patients. Surgery pre-op and follow-up appointments, acute and follow-up fractures.

Q6: After reading this solicitation I would like to know if you are looking for a local group or a locum tenens physician? Since one doctor would only be working 2 days per week and it looks like you want the doctors to run the clinics I want to clarify exactly what you are looking for.

A6: We are looking for locum tenens physicians. Orthopedics traditionally has operating room time slots for surgeries 2-4 days a week. The orthopedic clinic has a need for a physician in the clinic up to 5 days a week to evaluate and treat complex orthopedic clinic patients as outlined above (see A6).