36C25620R0056 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 4

0001 06-23-2020

None

Y 598

Department of Veterans Affairs

NCO 16

Central Arkansas Veterans HCS

2200 Fort Roots Drive, Bldg 41, Room 200

North Little Rock AR 72114 1706

Department of Veterans Affairs

NCO 16

Central Arkansas Veterans HCS

2200 Fort Roots Drive, Bldg 41, Room 200

North Little Rock AR 72114 1706

To all Offerors/Bidders

36C25620R0056

06-23-2020

X

X X

X 1

The purpose of this modification is to answer all submitted questions that were submitted before the deadline on the solicitation of 18 June 2020.

This modification also removes the Wage determination atachment which is not required and to uncheck the clause at

52.222-55 on page 65 of the solicitation. Also, verbiage on page 31, Section 6.3.1 that states "The contractor shall be paid only for actual work performed onsite at Overton Brooks VA Medical Center" will be changed to "The contractor shall be paid only for actual work performed onsite at VAMC Biloxi 400 Veterans Avenue, Biloxi, MS 39531"

The Correct date for proposal submission is 7/9/2020 at 3:00 PM CDT as indicated on the original SF1449.

All other terms and conditions of the solicitation remain unchanged.

Billy Morris

Contracting Officer

Question: The SF1449 indicates due date is 7/9/2020 at 15:00 PM CDT, however the beta.sam posting is showing Original Date Offers Due: Jul 10, 2020 03:30pm CDT. Please clarify correct due date.

Answer: The Correct date is 7/9/2020 at 3:00 PM CST as indicated on the SF1449

Question: Also, I noticed you attached the Wage Determination for Biloxi. However, Physicians are not subject to Wage Determination regulations. Can you remove the Wage Determination from the solicitation and un-check box (8) 52.222-55 on page 64 sine it will not apply, or can we disregard these items?

Answer: Wage Determination at Attachment D.6 will be removed and 52.222-55 is unchecked under C.19 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS. This will be accomplished in

Amendment 0001 which will be posted.

Question: Will you consider proposal from Locum Tenens companies using Independent

Contractor Physicians or are you only interested in receiving proposals from Pulmonology

Groups in the local region?

Answer: Customer Response: Groups and Independent providers.

Question: On page 18 of the PWS in section 3.1.3.2 it indicates Patients must be seen within 10 minutes of Physician being paged. This is a very short time if the Physician is off site during the page. Please clarify if this pertains to the Physician being on-call while on-site and if the time for response can be increased to 30 minutes if the paged Physician is on-call off site?

Answer: Customer Response: The provider is to be present within 10 minutes if on site. If the provider is on-call and is called back he/she will need to be present within 30 minutes.

Question: On page 31, Section 6.3.1 it references contractor shall be paid only for work performed onsite at Overton Brooks VA Medical Center. Please confirm this should be the VA

Biloxi location. Or, if work is also to be performed at the VA Overton Brooks facility? Please clarify locations since the solicitation references VA Biloxi, but also includes on page 9 of PWS in section 1.2 Place of Performance - "Contractor shall furnish services at the Gulf Coast

Veterans Health Care Systems" which is a bit confusing.

Answer: Should Read “Onsite at VAMC Biloxi 400 Veterans Avenue, Biloxi, MS 39531”

Question: There is no Set-Aside listed on beta.sam solicitation profile, but it is listed as

SDVOSB set aside on the SF1449. Please verify this is set-aside for SDVOSB and/or VOSB or strictly for SDVOSB?

Answer: This is a 100% SDVOSB Set-Aside as indicated on the SF1449.

Question: How many other pulmonologists are on staff?

Answer: One Pulmonologist is on staff. We should have two and 1 credentialed to step in for leave. (rotate opposite weeks – 7 on/ 7 off)

Question: How many patients on average are seen in the ICU per day?

Answer: 2.23

Question: Do you anticipate the schedule to be 7 days on and then 7 days off, rotated between the two locum providers? Or, will both locum providers work together, and in-house staff will cover the other week on?

Answer: 7 on/7 off rotating between providers. Opposite weeks.

Question: When on call, how often does the Pulmonologist get called back to the hospital?

Answer: Customer stated that “I have not known an instance when a physician was called back, but it is possible and built in the contract in the event the Pulmonologist is needed.”

Question: Do we understand correctly that a typical 12-hour shift will consist of morning ICU rounds, then a standard day in clinic, followed by evening rounds and other duties in the ICU?

Answer: 7 on/off, shifts are 12 hours on-site, 12 hours off site (on-call) (may be called back if needed). Provider may have standard clinic as needed for follow-up within 7 days of discharge.

Evening rounds and ICU duties included.

Question: Do we understand correctly that the physician covering the shift will also be on call overnight, as is the norm?

Answer: Correct. Physician may be called back.

Question: Is this a new requirement? If not, who is the incumbent and what is the contract number?

Answer: No. The incumbent is TDY MEDICAL STAFFING, INC. on contract number

36C25619D0002

Question: What is the patient volume? How many beds in the ICU?

Answer: Patient Volume is low (2 to 3 patients)/There are 10 beds in the ICU.

Question: Is the facility interested in a regular Pulmonologist or do they want an Intensivist?

Answer: Pulmonologist/Critical Care preferred not mandatory

Question: Could you please tell me if the Pre-solicitation posted as solicitation number

36C25620R0056 on FBO contains requirements similar to any work performed currently or in the past, or will this be a new requirement?

Answer: The current requirement is supported by the incumbent TDY MEDICAL STAFFING, INC.

Question: If possible, can you please provide the most recent contract or task order number?

Answer: The incumbent is TDY MEDICAL STAFFING, INC. on contract number

36C25619D0002.