36C24922R0017 0001.docx

36C24922R0017 AMENDMENT 0001 UROLOGY PHYSICIAN SERVICES

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) 01-20-2022 None Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 400 Murfreesboro TN 37129 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 400 Murfreesboro TN 37129 To all Offerors/Bidders

36C24922R0017

X X X February 3, 2022 4:00 pm Central The purpose of this amendment is to correct the on-call hours on Page 27 of the solicitation in section 3.1.3. of the Performance Work Statement and to answer potential offeror questions.

The due date for offers is February 3, 2022.

B.4 Performance Work Statement Section 3.1.3. is hereby changed to state:

On-Call Coverage: Contractor must make the Contractor’s physician(s) available on-call during all hours when the James H. Quillen VAMC’s Urology clinic is closed, including evenings, weekends, and holidays, during the physician(s) assigned work week. On-call hours are from 4:00 p.m. to 7:00 a.m. on week days and from 4:00 p.m. on Friday until 7:00 a.m. on Monday for weekends not associated with a holiday. Holiday on-call will be for the on-call day only and will begin at the end of the clinic day or regular on call day.

QUESTIONS AND ANSWERS

1. Question: The solicitation lists a contract max of $752,000, if we identify a candidate who’s rate exceeds this can we submit? Will the service allow for a higher max on the contract?

Answer: All unit prices must be all inclusive firm-fixed prices including per diem, housing, and costs of all required security clearances. Potential offerors should propose rates as appropriate. The contract maximum is in correlation to Federal Acquisition Regulation clause 52.216-19 Order Limitations which sets a maximum the contract cannot exceed.

2. Question: Can the Physician do the TMS trainings during their orientation so they are paid for their time?

Answer: Yes

3. Question: Can we have multiple Urologists fill the schedule? (ex. 7 on/off rotation between 2 Providers) Answer: Yes, that is fine as long as one provider is here for a minimum of a week at a time. We would prefer not to have 12 different providers coming over 12 different weeks, but the same providers over a period of time (ie. provider A week one and Provider B week 2 with Provider A coming back week 3, etc.)

4. Question: Can you confirm you will except Board Eligible Urologists as well? (page 19, 2.1.2 states must be Board Certified) Answer: Must be board eligible or board certified

5. Question: Under section 2.7 (no employee status:… ) the Urologists are 1099 contractors and not employees, can this section be removed?

Answer: No, this section cannot be removed.

6. Question: How many other Urologists on staff?

Answer: 2.625 FTE (2 Full time; three part time)

7. Question: What is the call schedule? (from the pricing sheet it looks like they will be on call the majority of the time) Answer: When on-call, 4 p.m. to 7 a.m. during week days, and all day during Holidays and weekends. The Locums provider will be required to take on-call 2 weekends and 10 week days

8. Question: How often will they be going over to the Community living center? 4.4.2.1.2 on page 30 Answer: As needed for consults

9. Question: On average, how many calls does the Urologist receive during the weeknights? Weekends?

Answer: One to five on week nights; one to five on weekends. Most of these do not require the provider to come on site.

10. Question: On average, how often is the Urologist called back in on weeknights? Weekends?

Answer: One out of every four weekends of call; one to two nights a month for week nights

11. Question: What specialty Physician support is available?

Answer: General Surgery, Vascular Surgery, Interventional Radiology, Nephrology, Infectious Disease, Neurology, a Hospitalist service, Medical Oncology and Radiation Oncology, Dermatology, Cardiology

12. Question: What other support staff is available? (mid-levels, RN’s, etc) Answer: Four Urology mid-levels and five RNs in clinic

13. Question: What days are surgeries scheduled?

Answer: Specific Urology block dates and times will be identified once a provider has been named/credentialed; Currently Urology has OR block time on Tuesdays, Wednesdays, Thursdays and Fridays

14. Question: What procedures are required?

Answer:

Ureteroscopy and laser lithotripsy Cystoscopy and other indicated procedures (stent placement, retrograde pyelograms, TURBT, biopsy, bladder stone treatment, urethral dilation, DVIU) TURP/laser TURP Hydrocelectomy Vasectomy Circumcision/dorsal slit

ESWL

Spermatocelectomy/epdidymectomy Scrotal exploration/incision and drainage Prostate biopsy Radical or simple orchiectomy

15. Question: Are there any complex surgeries or robotic surgeries required?

Answer: Not for these providers

16. Question: Approximately how much time is spent in the clinic vs. the OR?

Answer: 30 OR/70 Clinic

17. Question: Quick question...am I reading this correctly that the facility is looking for 24/7/365 coverage?

Answer: Yes, the facility needs a total of one FTE 24/7/365. One FTE is defined by VA as a minimum of 80 hours every two weeks and does not include holidays. Regular coverage is 7:01 a.m. to 3:59 p.m. during week days. On Call coverage is 4 p.m. to 7 a.m. during week days, and all day during federal Holidays and weekends.

18. Question: Will the locum physician be the only urologist on staff?

Answer: No, there are 2 Full time and three part time urologists on staff.