36C25619R0027-0002000.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) 02-07-2019 None Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport

LA

71101 Department of Veterans Affairs Overton Brooks VA Medical Center (90C) 510 East Stoner Avenue Shreveport

LA

71101 To all Offerors/Bidders

36C25619R0027 02-07-2019

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

19 February 12:00PM CST X The purpose of this amendment is to post answer to submitted questions as well as extend the submission date to 19 February 2019 at 12:00 PM CST.

See continuation page for questions and answers. Update A.3 is attached.

SHERONDA STEWART

CONTRACTING OFFICER

CONTINUATION PAGE

** Are there currently incumbents on the contract? Yes.

** If there are current incumbents, how many spots are you looking to fill? 1 Nighttime Hospitalist on duty every night.

** Based on the set up of hours, will the candidates be working 7 days on and 7 days off? Yes 7 on 7 off 7p-7a ** Or, will the three proposed candidates being splitting shifts per week, in order to support having a single provider on site at all time from 7pm to 0700, 7 days per week, including holidays? The three will split the hours based on scheduling and availability ** For the past performance requested, are we looking for the past performance to only cover Veterans Affairs Facilities? No. All past performance relevant to this requirement is reviewable.

** To confirm, if we are submitting 10-99 employees are we still required to supply worker’s comp, Social Security, tax withholding, and general liability or are we allowed to simply submit a copy of our Medical Malpractice insurance for acceptance? No. The organization must submit their insurance information.

**Is there an incumbent performing these services? Yes. If so, what is the contract award #? VA256-17-C-0130 **If incumbent providers, are they given "first right of refusal" to new awardee? No. Any Resident supervision required? If so, how many residents per shift? At this time no Residents rotate through the night shift.

**What clinical support is available on each Nocturnist shift? i.e. RN's, NP's or PA's, emergency services, lab, etc... RN’s on the floors and 24/7 Emergency Room on site, specialists available on call, and 24/7 Respiratory Therapy

**How many VA Staff Nocturnists are there? 1 Nocturnist per night

**Is funding appropriated to this contract opportunity already? (Non-funded contracts are a deterrent in current Federal environment.) Page 5, Section A.3 indicates it is not currently funded. **Funds are currently available through 30 September 2019 **Page 5, Section A.3 item #2 Term of Contract indicates effective date through 30 September 2018. Please change to effective date through 30 September 2019. Dates Corrected **Are you looking for a local Hospitalist group or will you consider Locum Tenens candidates? Locum tenen candidates (we have never used a local Hospitalist group) **Normally, Hospitalist/Nocturnist are not paid a separate Overtime rate or Holiday pay rate. Can we modify the pricing CLINS to remove these pricing fields if we do not offer these pay options? The CLINS will remain—if your organization doesn’t pay a separate rate please list your standard rate for the Holiday and Overtime CLINS.

**Is this the same contract that was awarded to Ansible back in October? No.

**Is there an incumbent provider(s) on assignment? Yes

** How many beds are in the in-patient unit? 41 med surg beds and 15 on Psych ward

**Will the contract hospitalist be on duty alone, or will there be another hospitalist on duty as well? If on duty alone, are there residents and/or other support staff to assist? On duty alone, 24/7 Emergency Dept, Specialists on Call at night, RRT’s working 24/7

See attached document: A.3 Updated.