36C25222Q0541 0001 CRNA.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 NUMBERE

D 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 amendmen t, 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) 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 To all Offerors/Bidders

36C25222Q0541 05-10-2022

X X X Friday, May 20, 2022, 10:00 a.m. CDT X one This modification hereby makes the following changes to solicitation 36C25222Q0541:

1. The answers to the questions from the solicitation are on the continuation pages.

2. The hour and date for receipt of offerors is changed to May 20, at 10:00 a.m. local time.

See Continuation Pages

Patrice Bond Contracting Officer

CONTINUATION PAGE

Question and Answers

· Is this a new requirement or contract renewal?

This is a new requirement.

· Is this contract only for veterans?

This is a total Service-Disabled Veteran Owned Small Business set-aside.

· Is there an incumbent on this contract?

No

· How does the government want us to communicate our Past Performance?

Please refer to the Instructions to Offerors section of the solicitation for technical price and quote submittal instructions.

· How does the government want us to communicate the COVID Vaccination Status of our providers? Is that before or after the proposal is submitted?

This should be included with each candidate’s proposal package.

· Is there any chance that this contract will be extended?

The Government may extend the term of the contract by exercising option periods.

· How much time does the VA anticipate it will take to credential, privilege and provide medical staff appointments for the two CRNA providers?

The base period of performance will be for one year. The provider start dates can be different from the award date depending on adjudication and clearances.

· Does the VA anticipate this will be completed in time for the POP start date of 1 Jun 2022?

The start date for the providers is determined on the response and return of requested documentation the providers must complete and the VetPro / Background Investigation clearance.

· Is there mandatory VA training and orientation? If so, is the training on-site? If so, are the training hours billable to the government?

The VA has mandatory training that must be completed as part of the onboarding process.

· The solicitation states “the contractor shall provide the following for these personnel:

· Workers’ compensation

· Professional liability insurance

· Health examinations/immunizations/vaccinations

· Income tax withholding, and

· Social security payments.

Can the government clarify if it expects the contractor to be the actual payor of those items for the CRNAs, or can the contractor provide sufficient compensation to the CRNAs in kind, as well as verify that the CRNAs possess the listed items?

The Contractor is responsible.

· The government states “The payment for any leave, to include sick leave, annual leave, administrative leave, and holidays, are the responsibility of the contractor.” But, on page 5, the government states that each CRNA is responsible to work 1992 hours annually. This is easily calculated as 2080 available annual hours minus the specified 11 Federal Holidays.

This is correct.

· On page 10, the government states the work schedule is “five (5) days a week, Monday through Friday, excluding Federal Holidays.”

Correct

· Can the government clarify if it expects a 3rd CRNA to be credentialed in order to provide coverage for sick leave or annual leave? Or does the government accept that sick leave or annual leave will reduce the 1992 expected annual hours?

It is the responsibility of the Contractor to ensure “authorized” key personnel follow the work schedule.

· On page 67, the government states to submit the following

5. Copy of all current licenses and certifications of proposed service providers and competency checklists.

6. Three work related references for the providers.

7. Evidence of Malpractice Insurance including Professional Liability coverage for all proposed providers.

8. Information on malpractice claims, termination or suspension of privileges for each proposed service provider.

This verbiage assumes that every responding small business has already recruited for, and begun the hiring process for this solicitation. In this healthcare environment, especially for highly sought after CRNAs, it is not feasible to begin the hiring process for CRNAs when the position is only ‘pending’ (i.e. the small SDVOSB has not been awarded the contract yet), let alone provide costly malpractice insurance for named CRNAs in a position that is not yet guaranteed. Respectfully request that the government consider removing requirements #5 - #8.

This is a government requirement and will not be removed.

· From the time of RFQ submission, to award, to POP start date, the CRNAs submitted with the application may have already taken another position elsewhere. In such a situation, will the government accept fully qualified alternate CRNAs before the POP start date?

Please provide the candidate packages as part of the initial quote and each proposed candidate will be evaluated. Once the contract is awarded it is the responsibility of the Contractor awardee to ensure the required amount of authorized key personnel fill the requirement.

· Is there a page limit for the individual volumes or the entire proposal?

There is no page limit, however if you need to submit multiple emails, please ensure you follow the instructions for subject line and add for example 1 of 3, 2 of 3, etc.

· Does the technical volume need to address specific topics?

Please refer to Instructions to Offer section.

· How much past performance must the offeror submit to be considered?

Please provide past performance within the last 3 years.

· Must the Past Performance be submitted on a specific form or in a specific format?

There is no specific form or format.

· Can the proposal due date be extended?

The solicitation will be extended until Friday, May 20, 2022 at 10:00 a.m. local time.

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