36C24926R0006 0002.docx

36C24926R0006 A0002

36C24926R0006 A0002

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)

A0002

MSO-2026-COM-0008

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129 To all Offerors/Bidders

36C24926R0006 02-05-2026

X

The purpose of this amendment is to:

1) Provide answers to vendor questions. No additional questions will be taken.

2) Update Section 4.4.1 of the Performance Work Statement (PWS) in the Request for Proposal (RFP).

Please ensure all Proposals are emailed to olivia.cloutier@va.gov for consideration.

Samantha Shackelford Contracting Officer

Vendor Questions and Answers

1. Can the Government please clarify the required services with respect to onsite and on-call coverage. Please provide a sample schedule to show onsite and on-call requirements.

0. Services required under this contract are on-call and call-back only. There is no standing onsite requirement; any onsite presence would occur solely in response to a callback.

1. Can the Government please confirm the descriptions of the CLIN lines? The PWS indicates an onsite requirement, but there is no clear CLIN line to provide pricing for onsite services. All CLIN lines reference on-call related services.

1. Services required under this contract are on-call and call-back only. There is no standing onsite requirement; any onsite presence would occur solely in response to a callback.

1. Can the Government confirm how many providers are required for onsite services?

2. Only one provider per specialty is required to be on-call at any given time. Onsite presence is only required when responding to a callback request.

1. For on-call purposes, does the Government anticipate the contractor will need to provide on-call coverage every week?

3. Yes. On-call coverage is required every week, including nights, weekends, and holidays for cardiothoracic services, and as needed for vascular services.

1. For Call Back purposes, can the Government provide an idea of how often a provider may be called back to the facility, as the allotment for call-back hours is very low (10 hours according to the CLIN line)?

4. Callback hours are low because surgical procedures rarely occur during on-call shifts. As a result, the need for providers to return onsite is minimal.

1. Can the Government indicate how many providers are currently on staff, and if they are going to rotate the call schedules?

5. Staffing levels fluctuate. Currently, there is one full-time vascular surgeon available for on-call coverage. There is no cardiothoracic surgeon on staff to take call at this time.

1. For cardiothoracic surgery - Are cardiac and thoracic procedures only required as there is a separate need for vascular surgery? In other words, the CT surgeon would not need to provide vascular services, as well?

6. Yes, the VA requires both a cardiothoracic surgeon and a vascular surgeon to be on call. The cardiothoracic surgeon is not expected to provide vascular services, as these are covered by the vascular surgeon.

1. For CT surgery, it says approximately 5,020 hours of service needed, if my math is correct, this means about 14 days of coverage per month?

7. On-call coverage is required for nights, weekends, and holidays. The total hours listed (approximately 5,020 annually) reflect the cumulative on-call availability, not just onsite presence. This does not equate to 14 full days of onsite coverage per month, as onsite time only occurs when responding to a callback.

1. For vascular surgery, it says approximately 1,930 hours of service needed, if my math is correct, this means about 5 days of coverage per month?

· The vascular surgeon serves as backup to the VA provider who is on call. The actual time required will vary based on clinical needs, which is why the estimated hours do not translate directly into a fixed number of coverage days per month.

1. Are you looking for 2 providers for each specialty?

9. The Government is requesting two providers to be proposed for each specialty to ensure adequate coverage. However, only one provider per specialty will be required to be on call at any given time.

1. Does the Government anticipate an extension to the due date of the submission?

10. No extension to the submission due date is anticipated.

Section 4.4.1 is updated and replaced with the following:

4.4.1 Scope of Care: Contractor’s physician(s) shall provide cardiothoracic and vascular services, including consultation, operative intervention, and perioperative management. Services shall include, but are not limited to:

· Thoracic Surgery: Procedures involving the chest cavity, lungs, esophagus, mediastinum, and chest wall.

· Vascular Surgery: Procedures involving arterial and venous systems (excluding intracranial and coronary vessels), including open and endovascular interventions for peripheral vascular disease, aneurysms, and vascular access.