36C25521R0002 Amendment 0006.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 8

0006 01-13-2021 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

Offers Remain Due 1/21/2021 4:30 PM CDT.

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

1. Answer Questions Asked. See amendment pages 3 and 4.

2. Replace solicitation pages 5, 22, 84 and 85 to make changes, clarications and additions. See amendment pages 5 through 8.

3. The Full Request for Proposal is conformed to all changes made by Amendments 0001 through 0006. The conformed copy of the solicitation is provided in conjunction with this amendment. Solicitation attachments 1 through 11 remain as most previously changed, without further changes. All prior versions of the solicitation should be discarded. The conformed copy, to Amendment 0006, is required for proposal submission.

---Last Entry Amendment 0006--- (block 14, items 1 and 2 are continued on page 2)

Michael Cumins Contracting Officer

VA-VHA-2019-C1CA342A

(continued from SF 30, block 14, items 1 and 2)

1. Questions and Answers, enumerated as Q. #26 and A. #26 through Q. #32 and A. #32, begin on page 3 and end on page 4 of this amendment.

2. Replacement solicitation Page 5 is page 5 of this amendment and included in the conformed copy of the solicitation.

Replacement solicitation Page 22 is page 6 of this amendment and included in the conformed copy of the solicitation.

Replacement solicitation Pages 84 and 85 are pages 7 and 8 of this amendment and included in the conformed copy of the solicitation.

See attached document: 0006 Technical Questions and Answers.

See attached document: 0006 Replacement_Page_5_Sec_B.1_5_Acknowledgment_Table.

See attached document: 0006 Replacement_Page_22_Sec_2.9.4.

See attached document: 0006 Replacement_Pages_84_and_85.

Questions and Answers:

The following questions (Q. #) have been asked. Government responses (A. #) are provided under each question.

** Questions Q. #1 through Q. #25 were answered in previously issued Amendments.

Q. #26: Section 2.9.6.: Are the forms submitted at the time of proposal or after contract award? Some forms in Section 6.1. state “with proposal”. Does offeror need to conform with 2.9.6. or 6.1.?

A. #26: Question refers to the VSC security documents listed in Section 2.9.5. Review of the question identified an error for correction in addition to the answer, as follows:

1. Section 6.1. (table following 6.1.1.), Additional Deliverables on page 38, clearly states the “Proposed physician VSC Document (OF 306, other related documents)” and “Within 5 workdays after Notice of Award”.

2. Page 22 is replaced to correct an associated error in Section 2.9.4, first sentence, by replacing “with its offer” with “after award” in that sentence. The conformed copy of the solicitation reflects this page replacement.

Q. #27: Section 6.2.2.1.: Will VA-provided CPT code information be identified by differentiating between DR (diagnostic) physician work and IR (interventional) physician work, referencing the previously issued Mock-up Sample spreadsheet’s tab for Radiologist A and Radiologist B?

A. #27: Yes, and:

1. The CPT codes performed by DR radiologists will be identified in a separate spreadsheet tab by the name of the DR physician and the CPT codes performed by that physician during the stated timeframe (month).

2. If more than one DR performed during that month, that physician’s CPT information will be listed as a separate spreadsheet tab.

3. The same would apply for IR physicians.

4. The names and position (DR or IR) will follow the Price Schedule listings of physician and designation as DR or IR.

Q. #28: Mock-up Sample (provided with Amendment 0005): Will the CPT codes shown in the Mock-up Sample are not AMA CPT codes. Will the monthly spreadsheets provided by the VA during contract performance be the actual AMA CPT codes?

A. #28: Correct, and Yes, and:

1. The mock-up sample was intentionally shown to be fictitious and with exaggerated data (i.e. made-up codes, along with intentionally mis-matched coding, descriptions, wRVUs and quantities).

2. The actual information to be provided will include AMA CPT codes, the abbreviated descriptions of those codes, and wRVU values and quantities.

Q. #29: Solicitation Page 84, Addendum to FAR 52.212-1 Instructions to Offerors – Commercial Items, item 1.

(b), item (9)(iv.): What is Health Safety Items – Provide proof of Health Record as required by solicitation?

A. #29: Question refers to the original requirement for proof of personnel testing and immunizations, which was changed by following amendment action, and:

1. This item was missed during those amendments. This item is now stricken.

2. Page 84 is replaced to remove the requirement and adjust the enumeration of items iv. through viii. by changing to iv. through vii. The conformed copy of the solicitation reflects this page replacement.

Q. #30: Solicitation Page 85, Addendum to FAR 52.212-1 Instructions to Offerors – Commercial Items, item 1.

(d): Offers due date still shows 01/14/2021, 4:30 PM Central Time and didn’t change per the last amendment extending the due date to 01/21/2021, 4:30 PM Central Time. Which is correct?

A. #30: The offer due date is 01/21/2021, 4:30 PM Central Time, as extended by Amendment 0005. However, page 85 is replaced to reflect the accuracy of that prior extension. The conformed copy of the solicitation reflects this page replacement.

Q. #31: Solicitation Page 88, Proposal Submittal regarding (Check as applicable) items for insurance: Should the offeror submit only the page 88 with the appropriate entry checked or the entire solicitation (all 114 pages)?

A. #31: Review of the question identified a required corrective change to the proposal submittal requirements shown in the Addendum to FAR 52.212-1 Instructions to Offerors – Commercial Items, item 1. (b), Submission of offers, item (1). (page 84, also referenced in A. #29, 2. above).

3. Page 84 is replaced, per A. #29, 2. above, with section 1. (b) item (1) changed from “Completed and SF 1449 and Section B.1, 1.a.” to “Completed and signed SF 1449 and all solicitation pages, attachments and proposal submittal documents, including all ‘fill-in’ information.” The conformed copy of the solicitation reflects this page replacement.

B. #32: Solicitation Page 101 through 114, (2) Offeror to identify the applicable paragraphs at (c) through (v) of this provision that the offeror has completed for the purposes of this solicitation only, if any. Check the appropriate boxes and send only Pages 101-114 or the entire solicitation (all 114 pages)?

A. #32: Question refers to the solicitation’s Section E.9, Federal Acquistion Regulation (FAR) Provision 52.212-3, Offeror Representations and Certifications – Commercial Items (Oct 2020), paragraph (b)(2) (page 101).

1. Offerors should refer to the introductory paragraph of the provision at Section E.9, 52.212-3 (page 97), that provides instructions on completion of the annual representations and certifications electronically in www.sam.gov and instructions when not completed electronically in www.sam.gov.

2. Pursuant to the answer provided by above A. #31, the full solicitation, “Completed and signed SF 1449 and all solicitation pages, attachments and proposal submittal documents, including all ‘fill-in’ information” is required.

http://www.sam.gov/ http://www.sam.gov/

36C25521R0002

5. ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:*

AMENDMENT NO.* DATE

* 5.1 Offeror shall acknowledge all solicitation amendments by 1) entering the amendment number and the amendment date in the table above for each amendment issued, or 2) by completing items 8 (Name and Address of Contractor), and 15 (15A, 15B and 15C) for each amendment (SF 30) issued.

6. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notif ied that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.”

7. Post-Award Orientation (also referred to as a kick-off or pre-performance conference): Not later than 21 calendar days after contract award, the contractor shall attend, with appropriate key personnel, to include but not limited to program manager and any other designated key personnel or departments, e.g. billing, at a location to be determined. The post-award orientation may be held by teleconference in lieu of face-to-face meeting.

8. This document is a solicitation. All references to the solicitation, as amended; proposal;

offer; and offeror will be removed from any award resulting from this solicitation will be removed, except when included in a law, statute, regulation, clause; or other area within the Performance Work Statement or document, exhibit or attachment when required for the operation and performance of the contract.

9. The Contractor should designate a Program Manager if other than the person, reference SF 1449 block 30 b., and Section B. 1., submitting the offer/signing the award will manage the performance of the contracted services. The designated Program Manager should be a person other than a physician assigned to perform services under this contract.

9.1 The Contractor, or Program Manager if designated, shall communicate, directly with the Radiology Department Service Chief, all contractor physician matters including, but not limited to physician scheduling and assignment, physician replacement, receiving, reviewing and addressing OPPE and FPPE concerns issued by the Service Chief and initiating corrective actions where determined necessary, and periodic, i.e. monthly, services performance meetings with the Service Chief, COR and CO. Quality Assurance/Quality Improvement, Staff and Specialist Meetings information should be provided to the Contractor through the Program Manager, if designated.

Replacement Page 5, Page 5 of 8

2.9.4. Contractor shall submit VSC security documents to the Contracting Officer, after award, in submittal of proposed physicians to work under the contract and at any time a replacement physician is required. VSC documents are the same documents used as-if the physician were applying for federal employment. Documents require PII, such as social security account numbers, dates of birth and other non-public information. They are handled in the same manner as any other personnel or patient-related information.

2.9.5. Required VSC documents, listed here, are strictly scrutinized and commonly returned even for minor errors, attention to detail and information shall be observed when completing the documents required for each proposed physician to avoid returns that delay ability to perform the contract.

- OF 306, Declaration for Federal Employment – 1 for each physician

- VA Form 0710, Authorization for Release of Information – 1 for each Physician

- Form 1A, Contract Security Services Request – use for groups up to 7 physicians

- Use Form 1B when additional personnel, e.g. more than 7 physicians

- Form 2, Contractor/Employee Fingerprinting Request Form – 1 for each physician

- Form 3, VHA Service Center PIV Sponsorship Form – 1 for each physician

- Self-Certification of Continuous Service Form – 1 for each physician

2.9.6. The forms must not be submitted at the time of proposal but shall be submitted after contract award within the time stated in PWS section 6.1, Deliverables, completed per each form’s instructions and signed. Forms may be handwritten; however typewritten forms are preferred and remove (or reduce) instances of error or return due to being illegible.

2.9.7. Contractor performance (including by any physician of the contractor) shall not occur prior to full processing of the above.

2.9.8. On completion of the above, the VSC shall have sponsored the applying physician for receipt of an RJD VAMC issued PIV badge and indicated in the contract by name.

2.9.9. Each sponsored physician will be issued a VA electronic mail address as part of the above process.

2.9.10. Each physician will be evaluated for RJD VAMC onboarding – credentialing and privileging

– and must enter information in VetPro (link sent to contractor and/or individual physicians as part of the process. Documents required include other credentials, physician state licenses, physician federal licenses (e.g. DEA), education, relevant training and experience, and current competence and health status. These are required for ultimate approval by the RJD VAMC Professional Standards Board, Medical Executive Board and Medical Center Director. Failed credentialing and privileging candidates shall be replaced by the contractor with a suitable substitute.

2.9.11. Continuing Medical Education (CME), Talent Management System (TMS), and other training, including ACLS, BLS, CPRS, VA Mandatory training requirements, e.g. Privacy and Rules of Behavior and Transient Clinical Staff training.

2.10. CV/Resume, educational and experience background documents and training certification

– ACLS, BLS, CPR – will be provided at the time of proposal and any physician replacement needs.

2.10.1. The contractor shall provide the quantity and type of Board Certified/Board Eligible and Fellowship-Trained radiology physicians sufficient to meet the VA’s needs for radiological study production requirements of the RJD VA Medical Center on an on-site daily basis by providing at least one radiologist, not to exceed two radiologists per day. The available workspace for contractor radiologists is two work areas/spaces and associated equipment (e.g. computer, etc.). All interpretations will be performed on-site.

2.10.2. Key personnel shall include adequate PET/CT credentialed physicians to maintain daily on-site coverage at the RJD VA. All PET/CT exams performed at the RJD VA will be interpreted and supervised by appropriately credentialed contract radiologists. These exams shall be interpreted the same day as the exam, except interpretations may

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ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS

1. In supplement and addition to the requirements of FAR 52.212-1:

(a) NAICS code and small business size standard: 621111, $12.0 million.

(b) Submission of offers. Offeror shall include the following in their proposal in addition to the requirements stated in FAR 52.212-1

(1) Completed and Signed SF 1449 and all solicitation pages, attachments and proposal submittal documents, including 'fill-in' information.

(2) Completed price schedule for all Line Item Numbers / Sub-Line Item Numbers (LINs / SLINs).

(3) Signed Atch 3, Conflict of Interest Memo from Section D - Contract Documents, Exhibits, or Attachments.

(4) Signed Atch 4, Immigration Certification from Section D - Contract Documents, Exhibits, or Attachments.

(5) Signed Atch 2, Quality Assurance Surveillance Plan (QASP) from Section D - Contract Documents, Exhibits, or Attachments.

(6) For each Key Personnel: Signed Atch 8, Contractor Rules of Behavior from Section D – Contract Documents, Exhibits, or Attachments.

(7) Atch 6, Contingency Plan for Key Personnel substitutions.

(8) Copy of VETS 4212 Report if the offeror currently holds a federal contract or subcontract worth $150,000.00 or more or held one during the previous fiscal year 2020 (any period between 10/1/2019 through 9/30/2020) worth $150,000.00 or more. See https://www.dol.gov/agencies/vets/programs/vets4212#faqs

(9) Listing of Key Personnel in the schedule with required qualification information for each:

i. Copy of Curriculum Vitae (CV) ii.Copies of Advance Cardiac Life Support/Basic Life Support (ACLS/BLS) Certifications

iii. Board Certification (or documentation demonstrating board eligibility)

iv. Drug Enforcement Agency (DEA) Card/Certificate.

v. National Provider ID (NPI)

vi. For each Key Personnel: Atch 5, Information for Proposed Physician Sheet, completed per submitted physician

vii. Atch 7, Key Personnel Checklist

(10) Atch 1, Subcontracting Plan – Radiology – if Business Size is Other Than Small

Business for the NAICS stated in the solicitation, 621111, $12.0 million. If Other Than a Small

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Business AND no subcontracting opportunities exist, the offeror shall clearly state that no subcontracting opportunities exist.

(c) Multiple offers. Offerors are encouraged to submit multiple offers presenting alternative terms and conditions, including alternative line items (provided that the alternative line items are consistent with subpart 4.10 of the Federal Acquisition Regulation), or alternative commercial items for satisfying the requirements of this solicitation. Each offer submitted will be evaluated separately. In order to evaluate multiple offers, each must be submitted separate from the other and clearly marked to differentiate between them, e.g. “Proposal 1 of x”, and so on.

(d) Offers are due Not Later Than 01/21/2021, 4:30 P.M. Central Time. FAR 52.212-1 (c) is tailored to replace “The offeror agrees to hold the prices in its offer firm for 30 calendar days from the date specified for receipt of offers,” with “The offeror agrees to hold the prices in its offer firm for 90 calendar days from the date specified for receipt of offers,”. Proposals shall be submitted either electronically by e-mail to michael.cumins@va.gov, or hard copy by U.S. Postal Service or private delivery service to Dept. of Veterans Affairs, Network Contracting Office 15, Healthcare Branch, Attention Michael Cumins, 3450 S. 4th Street Trafficway, Leavenworth, Kansas 66048. Due to limitations of COVID19 Pandemic, Hand-carried submission may be utilized, but requires at least 2-hours notification by phone to Michael Cumins, (913) 946-1122 to arrange for hand-carry delivery at an agreed time to the address above. Facsimile submittal shall not be accepted. Internet hyperlinked versions shall not be accepted or accessed. Offeror signatures must be “wet-ink” fashion as VA does not recognize non-Government electronic/digital signatures.

(e) Documents, including laws, regulations, standards and VA, VHA or Robert J. Dole specific directives, handbooks or policies may be referenced, cited or internet web site hyperlinked in lieu of included as documents, exhibits or attachments. Those referenced, cited or hyperlinked items will be provided to the offeror upon request if otherwise unavailable or inaccessible to the offeror.

2. Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

3. Basis for Contract Award

(a) This is a best value source selection. The Government will select the best overall offer, based upon evaluation of all technical and past performance factors and subfactors stated in this section. Contract may be awarded to the offeror who is deemed responsible in accordance with the FAR, whose offer conforms to the solicitation’s requirements (to include all stated terms, conditions, representations, certifications, and all other information required by the Performance Work Statement) and is judged by an overall assessment of the evaluation factors that represent the best value to the Government.

THE GOVERNMENT RESERVES THE RIGHT TO AWARD TO OTHER THAN THE LOWEST

PROPOSED PRICE. However, the degree of importance of price as a factor in determining award could become greater depending upon the equality of the offers evaluated in the non-

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