36C25025Q0020 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) 11-22-2024

MSO-2025-COM-0001

36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 Chalmers P. Wylie Ambulatory Care Center 420 North James Road Columbus OH 43219-1834 36C250 Department of Veterans Affairs Network Contracting Office (NCO) 10 Chalmers P. Wylie Outpatient Clinic 420 North James Road Columbus OH 43219-1834 To all Offerors/Bidders

36C25025Q0020 11-13-2024

X X X

Solicitation 36C25025Q0020 is herreby amended to address questions received from interested parties. See pages 2-4 for the Questions and Answers document.

The date and hour specified for receipt of offers shall remain the same, 12/4/2024 at 2:00 pm EST.

There are no other changes

Karen Williams

SOLICITATION 36C25025Q0020

PERFUSIONIST SERVICES

Amendment 0001 – Questions and Answers

1. Who is the incumbent vendor? What is the contract number?

Answer: Circulatory Services, Inc., 10904 SW 27th Avenue, Gainesville, FL 32608. Contract Number 36C25019C0086.

1. What is the expected award date? What is the expected performance start date? Will the VA agree to have the performance start date no sooner than 60 days from the award?

Answer: The exact expected award date is unknown, but we anticipate awarding mid-January. The effective date of the award (performance start date) is 2/15/2025. The VA requires a start date of 2/15/2025, this does not change.

1. Consistent with common practice nationally in the perfusion field, would the VAMC allow the contractor to provide a transitional bridge team until the permanent team is onboarded?

Answer: No

1. How often are perfusionists called to cover cases outside normal hours?

Answer: Historically, it has been approximately one to two times per month.

1. What is the estimated number of concurrent perfusion cases by day of the week? Maximum concurrency vs average concurrency.

Answer: less than one.

1. Will VA consider extending the on-call response time from 30 to 60 minutes?

Answer: No.

1. How many Cardiac Surgeons do you have? Are the Cardiac Surgeons Government employees or contractors?

Answer: Five, and they are VA employees.

1. Is the Perfusionist required to be in the hospital even when no cases are scheduled?

Answer: Yes, primarily for Thoracic and occasionally cardiac catheterization lab.

1. What is the historical volume of perfusion cases (not hours) for 2023 and 2024 YTD? How many average hours per case?

Answer: 244, 245, averaging eight hours per case.

1. How many non-cardiac cell saver cases does this VAMC do annually? Will the perfusion contractor be responsible for these?

Answer: No non-cardiac cell saver cases are performed at this site.

1. Are there any services beyond open hearts that the perfusion contractor must cover? Examples: PRP, Transplants, Non-Cardiac Cell Savers/ATS, HIPEC, NRP. If yes, please provide estimated annual volumes of each that require support.

Answer: Just Thoracic Cases, none of the others listed.

1. For ECMO, how many cases are started at the VAMC annually? How many ECMO hours, on average, are monitored at the VAMC? How many ECMO patients are transported to other facilities? Will the perfusionist be required to transport it?

Answer: Approximately two cases a year. Usually all cardiac cases are around eight hours. Historically, the ECMO patients are transported to other facilities. The Cleveland VAMC will transport.

1. Who provides the perfusion-related supplies: the perfusion contractor or the hospital?

Answer: Cleveland VAMC

1. Section 5.1 lists government-provided equipment. This list does not include ECMO machines. Will the government provide ECMO equipment and supplies?

Answer: Cleveland VAMC will provide.

1. Current Services: Does the medical center have issues receiving perfusionist services?

Answer: No.

1. PWS Section 3: VA Hours of Operation/Scheduling,“ 3.1.1. Work Schedule: Regular work hours are 6:30am – 4:30pm Monday through Friday will be on an as needed basis to support scheduled surgeries. Occasional excursions from regular work hours will be required depending on the surgical schedule and patient care needs” If the government requires significant call back outside of the outlined 7280 hours per year expected for the positions, how will this be billed to the government? Would the government consider adding a separate pool of “call back hours” differentiated from the standard CLIN, billed at the same rate as standard hours?

Answer: As seen in our answer to #4, we do not anticipate a significant number of call back hours and there is enough hours built into the contract maximum to cover.

1. PWS Section 3.1.3: Off Hours Coverage “The contractor shall provide one (1) full time Perfusionist for on-call services 24-hours a day and seven (7) days a week including all Federal Holidays. Contactor shall report to the facility within 30 minutes of notification of an unscheduled or emergency case. On-call service is considered part of the Perfusionist services and will not be paid separately. Any hours worked during an on-call status for an emergency procedure shall be paid the same rate as stated in the appropriate LIN/SLIN in Section B.2 Schedule of Services “0002 - Overtime Rate: Base pay for hours worked over 40 hours per week”

It is stated that the contractor is expected to have at least one available Perfusionist on call 24/7 to meet the needs of the site. Is this call responsibility shared at all with permanent staff at the VA, or is it the sole responsibility of the contractor? Is there an expected hourly amount of on call hours or is it any hour during the period of performance that a contractor is not present on site? Understanding your statement that call will not be line itemed separately, can we clarify how this will be monitored by the government for scheduling and billing purposes?

Answer: Contractor provides on-call responsibility. See PWS 3.1.3, the contractor shall provide one (1) full time Perfusionist for on-call services 24-hours a day and seven (7) days a week including all Federal Holidays. Submission of on-call hours considered the same as working hours, so no special rate or separate billing.

1. Could you please confirm the correct set-aside if it is for Small business or Veteran-Owned Small Business?

Answer: This is a VOSB set-aside. See page 1 of the SF1449, in Block 20 it states, “This Procurement Is Set-Aside 100% For Veteran Owned, Small Business Concerns (VOSB)”.

Perfusionist Services, amendment 0001 – Questions and Answers.

The date and hour specified for receipt of offers shall remain the same, 12/4/2024 at 2:00 pm EST.

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