36C25519Q0762-0001000.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) 09-03-2019 N/A 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048 To all Offerors/Bidders

36C25519Q0762 09-03-2019

X X x Sepptember 26, 2019 x Under the authority of 38 USC 8153 and FAR Part 13.303 the Request for Quote (RFQ)36C25519Q0762 is for a non-personal healthcare resources for Certified Registered Nurse Anesthetist (CRNA) services for Kansas City Medical Center, Kansas City, MO.

1. The purpose of this Amendment is to provide responses to questions received as of 09/03/2019 and to correct the FBO data field response date. See Block 11 with the corrected date for quote submissions.

2. See continuation page for the listing of questions and answers provided.

3. As a courtsey, all intested parties shall completed blocks 15 a-c of this SF30 0001 Amendment with each quote submission.

Kathleen Sciortino

VA-VHA-SAOC-2019-1257353F

Contracting Officer

CONTINUATION PAGE

Questions and Responses for CRNA Solicitation 36C25519Q0762

What is the historical patient volume per day?

Contracting Officers (CO) Response: There is an average of 15-25 cases per day.

Are any procedures required and if so, which one(s)?

Contracting Officer Representative (COR’s) Response: There are no specified procedures, but KC VAMC covers all Sub-Specialties. See PWS 4.4.2.1.1. - Operative services: contract holder’s personnel shall provide comprehensive clinical anesthesiology services including patients undergoing cardiac surgery, orthopedic joint replacement, and major vascular, thoracic, neurosurgical, plastic, ENT, urologic and ophthalmologic operations.

How many VA Staff CRNA are there?

CO’s Response: There are currently 11 CRNA’s including the Servicing Manager

Does incumbent CRNA have first right of refusal?

CO’s Response: Under Executive Order 13495, FAR 52.222-17, Nondisplacement of Qualified Workers (MAY 2014) (E.O. 13495) is applicable to this requirement, Section C, 52.212-5 Contract Terms and Conditions Required to Implement Statues or Executive Orders – Commercial Items, pg. 68.

Is this contract subject to the SCA - Service Contract Act? If so, can you please attach the Wage Determination?

CO’s Response: See Section C, 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67) pg. 68 as SCA is applicable to this requirement. Attached is the Department of Labor Wage Determination No. 2015-5105, Revision No. 9; CRNA’s shall fall under Occupational Code 12315, Registered Nurse III Anesthetist.

What is the incumbent (Loyal Source) contract award number?

CO’s Response: Blanket Purchase Agreement VA255-14-A-0062

Please confirm proposal due date of 9/26/19 at 4pm Central Time as noted on the SF1449 as the correct closing time/date? (FBO posting shows 9/22/19.)

CO’s Response: Please refer to SF 1449 Block 8, Offer Due Date, 09/26/2019, 4:00pm CST. FBO date was erroneously listed as 09/22/2019.

With size standard of $27.5M. Our size standard is approx. $9M which exceeds the NAICS 621399 qualification. Would you consider a proposal from our company as a small business through NAICS 561320?

CO’s Response: NAICS 621399 Office of all Other Miscellaneous Health Practitioners Size Standard $8M that has been selected will remain the same and unchanged. The procurement is for CRNA’s to perform services within a Government Facility for approximately up to five years in duration using FAR Clause 52.217-9, Option to Extend Services. This is not a requirement where services shall be temporarily provided, with temporary meaning of short duration. Based on historical data, and current contract inplace, services have been exercised for all four Option Periods. Reference VA255-14-A-0062.

How many CRNAs will the facility allow the contractor to credential?

CO’s Response: A contractor can submit a CRNA candidates who meets the qualifications under Section 2. Qualifications. At this time, KC VAMC is only requiring submitting one candidate IAW Price Schedule pg. 6. “Contractor shall propose a minimum of one (1) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract in your quote submission”. Once a Contract is awarded, there is no limit on how many CRNAs the Contractor would like to be considered. It is determined by the Chief of Surgery whether a CRNA meets the minimum standards and is accepted to proceed with the onboarding process.

DEA- Will CRNAs need a DEA registration? As it is rare for CRNAs, we are inquiring so we follow expectations.

CO’s Response: PWS Para 2.1.18 states that the Contractor holder shall provide copy of current DEA certificate. CRNAs are not required to be DEA registered, however if a candidate has the Certificate, then 2.1.18 is applicable.

As CRNAs are 1099 independent contractors while providing locum tenens, worker’s comp and tax withholdings are the CRNA’s obligation. Is it acceptable to strike through these items in the solicitation document?

CO’s Response: C.12 Supplemental Insurance Requirements IAW FAR 28.307-2 and FAR 52.228-5 will remain and shall not be removed from Solicitation .6C25519Q0762.

2.7 Under para 2.7 No Employee status is standard verbiage and shall not be removed. Once a contract is awarded, then at that time shall the Contractor provide or certify that the following 2.7.1 through 2.7.5 are applicable to that agency.

I'm reviewing the solicitation for CRNA services and wanted to check in with you to see if there is an opportunity for a site visit prior to the September 10 due date. Our company is planning to bid on this and I'd like to visit if possible. Thank you.

CO’s Response: Thank you for your email requesting a site visit for CRNA services for Kansas City VAMC. If that is something that you and your company would like to pursue I wouldn’t see it being a problem. I would recommend reviewing the Solicitation to see if you even qualify to submit a Quote. I wouldn’t want a contractor to waste their time and funds if an agency doesn’t meet the minimum requirements. All contractors shall have the same opportunity for a site Visit if one deems necessary.

If you still would like to coordinate a site visit, please let me know as soon as possible. In order to prepare for the visit, what would your agency like to see at the Medical Center in order for the agency to have a better understanding of the requirements being asked that is outlined within the PWS?