36C25527Q0002 0001.pdf

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)

1 3

0001 08-03-2026

None

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

36C25527Q0002

07-22-2026

X

X X

X 1

Services, Non-Personal, On-Site Nephrology Physician Services in support of Robert J. Dole VA Medical Center (VAMC).

See continuation page to see answers to submitted questions reference Solicitation 36C25527Q0002.

Mike Carson

Contracting Officer

VA-VHA-RPOC-2025-0030

36C25527Q0002 0001

-CONTINUATION PAGE-

Answers to vendor questions in response to solicitation 36C25527Q0002_1 follow (there is no change to the solicitation due date):

1. Is there a reason that the opportunity was not solicited as a SDVOSB set aside? If not, could the requirement be modified to include that set aside? This was not set-aside

SDVOSB due to extensive market research. This will not be changed to a set-aside.

2. Is there an incumbent or is this a new requirement? If there is an incumbent, can you provide the contract number and current contractor? Link to incumbent award follows:

Contract 36C25521P0416 (must be signed into sam.gov for link to work). Full address follows if link above does not work after signed in:

https://sam.gov/workspace/contract/award/view/36C25521P0416?agencyID=3600&mod

Number=P00018&transactionNumber=0&refIdvPiid=null&idvAgencyID=null&contractTyp e=AWARD. If both do not work, search 36C25521P0416 in sam.gov.

3. Is this requirement intended to be: Full-Time Equivalent (FTE)? Part-Time Equivalent

(PTE)? PRN/As-Needed coverage? Hourly physician services? If FTE:

How many FTEs are required? What are the expected weekly hours? What are the expected weekend hours? What are the anticipated annual hours? If PTE: What is the expected percentage of effort? What is the minimum and maximum weekly commitment? Per the B.2 Schedule of Services, pgs 4-8 of the solicitation, vendors should provide an hourly rate for the estimated 208 hours of ½ Thursday Clinic and estimated 56 hours of potential call back per year (total 264 hours), an hourly rate for the estimated 3,184 hours of on-call per year, and an hourly rate for the estimated of 64 hours of weekend/holiday rounds when on call per year. This equates to 0.15 FTE.

Estimated hours can be found in B.3 Performance Work Statement paragraph 3.1

(including all subparagraphs), pg 17-18.

4. May multiple providers be utilized to satisfy the requirement? Yes, utilize attachment D.5 when submitting proposal. Ensure to provide all requirements for each listed in

Addendum to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (pgs 68-74).

5. How frequently is on-call expected? B.3 Performance Work Statement 3.1.3 (including all sub-paragraphs), pg. 18.

6. What is the average patient volume and daily workload? 2-8 Inpatients per day, 8-10 outpatients once a week. Inpatient consults total for FY24 and FY 25 (2 years): 412, Outpatient consults total for FY24 and FY25 (2 years): 400. Frequency of on-site call-back is 1-2 times per month. Typical phone consultation volume (and TEAMS), on average is 5-12 per on-call period. Phone consults include curbside questions, e-consults, and ABPM consults. Telephonic responses are included in on-call rate.

7. Is overtime authorized? No

8. Is the performance fully on-site, hybrid, or eligible for telehealth services? Thursday 1/2 day clinics are on-site at the VAMC. Providers on-call must be able to report the VAMC within 60 minutes if call-back is required (B.3 Performance Work Statement 3.1.3.7, pg

18).

9. Will the Government provide workspace, equipment, EMR access, and other required resources? Yes.

https://sam.gov/workspace/contract/award/view/36C25521P0416?agencyID=3600&modNumber=P00018&transactionNumber=0&refIdvPiid=null&idvAgencyID=null&contractType=AWARD https://sam.gov/workspace/contract/award/view/36C25521P0416?agencyID=3600&modNumber=P00018&transactionNumber=0&refIdvPiid=null&idvAgencyID=null&contractType=AWARD https://sam.gov/workspace/contract/award/view/36C25521P0416?agencyID=3600&modNumber=P00018&transactionNumber=0&refIdvPiid=null&idvAgencyID=null&contractType=AWARD https://sam.gov/workspace/contract/award/view/36C25521P0416?agencyID=3600&modNumber=P00018&transactionNumber=0&refIdvPiid=null&idvAgencyID=null&contractType=AWARD

36C25527Q0002 0001

10. What is the anticipated credentialing and privileging timeframe? Credentialing: After the candidate has completely finished their VETPRO entry and made any corrections, on average for Robert J. Dole VAMC (Wichita, KS) 30 days. 13 days for verification and 21 days to get before the board. Privileging: after candidate has completed and submitted all required security paperwork correctly, and received fingerprints, approximately 14 business days. Neither of the above listed times are a guarantee but can be used as an estimate.

11. Hourly rates? Daily rates? Annual FTE rates? Another format? Per Addendum to FAR

52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (pgs 68-74), utilize table in B.2 Schedule of Services (pgs 4-

8): hourly.

12. Are travel, lodging, and per diem reimbursable? No, per B.2 Schedule of Services pg 4.

13. Are subcontractors permitted under this effort? If subcontracting is allowed, are there any limitations on subcontracting requirements? Yes. All subcontracting must fall within limits provided by FAR 52.209-6 PROTECTING THE GOVERNMENT’S INTEREST

WHEN SUBCONTRACTING WITH CONTRACTORS DEBARRED, SUSPENDED,

PROPOSED FOR DEBARMENT, OR VOLUNTARILY EXCLUDED, FAR 52.219-14

LIMITATIONS ON SUBCONTRACTING (DEVIATION), FAR 523.244-6

SUBCONTRACTS FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

(DEVIATION), and VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON

SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND

CONSTRUCTION (DEVIATION) – all listed in the by reference section of the clauses under FAR 52.252-2 CLAUSES INCORPORATED BY REFERENCE (pgs 42-44).

Additionally, as listed in Addendum to FAR 52.212-1 INSTRUCTIONS TO

OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (pgs 68-

74), subcontracting plans are required in quotation submission, or signed letter explaining why no subcontracting opportunities are available.

14. Are resumes and letters of commitment required with proposal submission? Only resumes, not letters of commitment – see 52.212-1 INSTRUCTIONS TO OFFERORS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (pgs 68-74) for all quotation submission requirements.

15. Is there a required replacement timeframe for key personnel turnover? See B.3

Performance Work Statement 2.9.4 (and all subparagraphs), pg. 17.

16. What are the relative weights of Technical, Past Performance, and Price? Is there a minimum technical threshold for award consideration? See E.3 52.212-2 EVALUATION

–COMMERCIAL PRODUCTS AND SERVICES pgs 71-72. Basis for Award specifically located in (b) and (c) on page 72.

17. How many past performance references are preferred? See 52.212-1 INSTRUCTIONS

TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (pgs

68-74), specifically FACTOR 2 – Past Performance, pgs 69-70.

18. Are there specific cyber liability insurance requirements? Are there data breach indemnification requirements? Are any uncapped liability or indemnification provisions included in the contract? See B.3 Performance Work Statement numbers 7-11 and all subparagraphs (pgs 29-36) and C.13 VAAR 852.211-76 LIQUIDATED DAMAGES—

REIMBURSEMENT FOR DATA BREACH COSTS ALTERNATE I, pgs 60-61.