36C24920R0048 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) None 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

36C24920R0048 06-01-2020

X X X

The purpose of this amendment is to change Key personnel language starting on page 153.

Remove SUB-FACTOR E - KEY PERSONNEL starting on page 153 and replace with the attached SUB-FACTOR E. - KEY PERSONNEL

All other terms, conditions, and specifications remain the same.

An acknowledged copy of this amendment must be attached to proposal.

Darry l Scherer Contracting Officer

SUB-FACTOR E – KEY PERSONNEL

This sub-factor will be used to determine each Offeror’s ability to recruit and retain qualified staff. This sub-factor should identify that the Offeror has qualified staff that can provide primary services in the disciplines indicated in the solicitation that offers a successful contract performance. PWS Reference: Section 2, Staffing and Qualifications.

· Describe your management strategy, organizational structure, critical management support personnel, and key and support personnel at the CBOC level:

· For each CBOC, provide an organizational chart with a full description of each major organizational and management support element, along with key personnel and roles supporting each element. Describe the mechanisms you will employ to recruit and retain key personnel. Key Personnel shall have experience and qualifications that demonstrates the ability to successfully lead and manage their proposed roles.

· For each CBOC, provide a list of the titles, roles, and qualifications of all clinical staff members intended to be utilized in the performance of this contract, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements; and describe if each staff member is full-time (FT) or part-time (PT) and, if PT, list the number of hours the staff member will work each week. Also, provide the title, and qualifications of the Medical Director who will oversee the clinic, including whether s/he will be FT or PT, with the number of hours per week if PT. Please list PHC staff together, and MHC staff together.

· For each CBOC, provide a list of administrative support staff intended to be utilized in the operation of the CBOC, whether they will be FT or PT (including number of hours per week if PT), and describe the level of training and experience that will be utilized to meet contract requirements, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements.

· Describe Contractor’s strategy to train, develop and deploy management, technical, clinical, analytic, and support staff which will maintain and grow required skill sets ensuring long-term mission success, especially in rural settings.

· Describe the employment relationship between key personnel and the Contractor, and the arrangement between the parent organization(s) and the Contractor that enables the Key Personnel to participate in the management and operation of the CBOC, including any limitations to their participation in the management and operation of the CBOC (i.e. identify locum providers vs. employees and subcontracted staff/services).

· Describe contingency plan for covering enrolled patient's appointments due to scheduled or unscheduled vacancies to ensure that full patient grid of appointments is covered. The plan should demonstrate how Contractor shall provide seamless or minimal disruption in services. Include identified locum and/or permanent staff that may be privileged in advance to cover routine and emergency vacancies.

· Describe the Contractor’s vetting process for personnel prior to submitting personnel for VA credentialing. Also, describe the process established to ensure timely completion of VA background checks on employees providing services under this contract. The Contractor's approach should demonstrate to the VA that it has an active program to conduct background checks prior to being submitted to the VA, and to demonstrate Contractor cooperation to ensure completion and submission of documents to the VA for completion of VA background check on a timely basis.