36C25521R0002 Amendment 0004.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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)

1 3

0004 01-05-2021 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

36C25521R0002

11-27-2020

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to:

Wichita IR/DR Radiology Physician Services The solicitation is amended as follows:

1. This amendment affirms correct version of solicitation Attachment 7 and replaces solicitation page 38.

A. Amendment 0003 provided an old version of Attachment 7, which should be discarded. The correct version is attached. Attachment 7 does not require Proof of Health Tests / Immunizations to be provided with proposals. Page 2.

B. Solicitation Page 38 is replaced in its entirety clarify that OSHA bloodborne pathogen self-study completions/ /passing is not required with proposal submission and would only apply to awardee. Page 3.

3. The Full Request for Proposal conformed to all changes made by Amendments 0001, 0002 0003 and 0004 is provided. All other versions should be discarded. The oonformed copy should be used for proposal submission.

No other changes are made. ---Last Entry Amendment 0004---

Michael Cumins Contracting Officer

VA-VHA-2019-C1CA342A

RFP 36C25521R0002 Amendment 0004, Verified Correct RFP Attachment 7

List of Proposed Key Personnel Checklist

Requirement Check

(Yes) (No)

Copy of Curriculum Vitae (CV)

Copy of Advance Cardiac Life Support/Basic Life Support (ACLS/BLS) Certifications

Current Board Certification / Current Board Eligibility / Current Subspecialty Certificates

National Provider Identifier

DEA Certificate

Rules of Behavior Appendix D

License to Practice Medicine

VSC Security Documents Do Not Provide with Offer

Do Not Provide with Offer

Replacement Solicitation Atch 7

RFP 36C25521R0002 Amendment 0004, Replacement Page 38, clarifies OSHA Bloodborne Pathogen Requirement

Replacement Page 38 of 114

ACLS/BLS Certification With Proposal;

Periodic: On renewals of documents, and at renewal of option periods and change of key personnel.

Contracting Officer and

COR

Contingency plan for replacing key personnel to maintain services as required under the terms of the contract

With Proposal Contracting Officer

Quality Control Plan: Description and reporting reflecting the contractor’s plan for meeting of contract requirements and performance standards

Upon proposal and as f requently as indicated in the performance standards.

Contracting Officer

Copy of Subcontracting Plan (as required) Copy of Contractor Certification Statement if non-subcontracting possibilities exist.

Upon proposal and as updated

Contracting Officer

Certif ication that staff list has been compared to HHS OIG list

Upon proposal and upon new hires.

Contracting Officer

Additional Deliverables:

Post-Award Orientation Within 21 calendar days of award Evidence of MOC With proposal and annually thereaf ter Submit replacement physician for key personnel (if physician unable to be credentialed/privileged or has those suspended or revoked during performance).

Within 10 workdays of physician loss

Evidence of Technical Proficiencies. With proposal and on request thereafter

CMEs On request Proof of Personnel testing, immunizations. Within 5 workdays of IDIQ award OSHA bloodborne pathogen self-study completions/passing TMS Training after award and as requested thereafter Evidence of clearance to return to contract work after an exposure Prior to anticipated/ requested return date Contingency plan for replacing key personnel to maintain services as required under the terms of the contract

Upon proposal and as updated

Organizational Conflicts of Interest With proposal and as required throughout performance period

Proposed Physician VSC Documents (OF 306, other related documents)

Within 5 workdays after Notice of Award

Provide replacement physician (from existing pool of physicians who are credentialed/privileged and listed in the contract) when a scheduled physician is unable to attend or complete an assigned shift.

Within 2 hours of shift start (for inability to attend), and within 2 hours of physician loss (for inability to complete shift)

Provide physicians who are competent, qualified and adequately trained to perform the requirements of the contract.

Throughout contract performance period