36C25621Q1615 0001.docx
DOCX document 20 KB Posted
- Solicitation number
- 36C25621Q1615
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| File | Type | Posted |
|---|---|---|
| 36C25621Q1615 0002.docx | DOCX document | |
| D.1 VHA Handbook 1660.3 Conflict of Interest.pdf | ||
| D.2 Contractor Certification of Citizenship.pdf | ||
| 36C25621Q1615.docx | DOCX document |
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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) 667-21-3-049-0332 00586 Department of Veterans Affairs Network Contracting Office (NCO 16) 715 S. Pear Orchard Rd.
Ridgeland
MS
39157 10N16 Department of Veterans Affairs Network Contracting Office (NCO 16) 715 South Pear Orchard Road Ridgeland
MS
39157 To all Offerors/Bidders
36C25621Q1615 08-24-2021
X X X
See CONTINUATION Page X One (1) The purpose of this amendment is to correct the following in the Performance Work Statement and Price Schedule:
1. Remove Policy/Handbook hyperlink, section 1.4.4, page 14.
2. Remove paragraph 2.1.7.1, page 19 in its entirety.
3. Correct number of FTE required in the price schedule, line item 0001, pg 36 and 1001, pg 37 to 1.0 FTE and decrease the quantity from 3840 hours ,to 1,920 hours.
To clarify further, the requirement is for 1.0 FTE plus the requirement to provide on call services nights, weekends and holidays which are priced separately in line items 0002, 0003, 0004, 1002, 1003 and 1004.
All other terms and conditions remain in effect.
END OF AMENDMENT
TONI A. CLENDENEN
CONTRACTING OFFICER
CONTINUATION PAGE
A.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| QUANTITY |
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 1,920.00 |
| EA |
| __________________ |
| __________________ |
Board Certified /Board Eligible Gastroenterology Physician Services - 2.0 FTEE Contract Period: Base POP Begin: 10-01-2021 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology
KEY PERSONNEL
Contract Period: Base POP Begin: 09-01-2021 POP End: 08-31-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology Board Certified /Board Eligible Gastroenterology Physician Services during normal business hours to provide on-site:
Monday through Friday, 8:00 a.m. - 4:30 p.m., with ½ hour lunch;
NAME:_______________________
TITLE:_________________________
NAME: ________________________
TITLE: _________________________
| 261.00 |
| DY |
| __________________ |
| __________________ |
WEEKNIGHT GASTROENTEROLGY PHYSICIAN (ON-CALL)
POP Begin: 10-01-2021 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology Monday through Friday on-call, 4:30 p.m.- 8:00 a.m.
Call frequency: One week of call; every other week to every third week.
| 104.00 |
| DY |
| __________________ |
| __________________ |
WEEKEND GASTROENTEROLGY PHYSICIAN (ON-CALL)
POP Begin: 10-01-2021 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology Estimate of Two weekends per Month to include Friday from 4:30 pm through Monday at 8:00 am
| 80.00 |
| hr |
| __________________ |
| __________________ |
Gastroentrology Physician (Holidays) - Estimated
POP Begin: 10-01-2021 POP End: 09-30-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)
See PWS Section 3.2 for list of Federal Holidays (11 per year + any day designated a holiday be the President of the United States)
| 1,920.00 |
| EA |
| __________________ |
| __________________ |
Board Certified /Board Eligible Gastroenterology Physician Services - 2.0 FTEE Contract Period: Option 1 POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology
KEY PERSONNEL
Contract Period: Base POP Begin: 09-01-2021 POP End: 08-31-2022 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology Board Certified /Board Eligible Gastroenterology Physician Services during normal business hours to provide on-site:
Monday through Friday, 8:00 a.m. - 4:30 p.m., with ½ hour lunch;
NAME:_______________________
TITLE:_________________________
NAME: ________________________
TITLE: _________________________
| 261.00 |
| DY |
| __________________ |
| __________________ |
WEEKNIGHT GASTROENTEROLGY PHYSICIAN (ON-CALL)
POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q505 - Medical - Gastroenterology Monday through Friday on-call, 4:30 p.m.- 8:00 a.m.
Call frequency: One week of call; every other week to every third week.
| 104.00 |
| DY |
| __________________ |
| __________________ |
WEEKEND GASTROENTEROLGY PHYSICIAN (ON-CALL)
POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)
Estimate of Two weekends per Month to include Friday from 4:30 pm through Monday at 8:00 am
| 80.00 |
| hr |
| __________________ |
| __________________ |
Gastroentrology Physician (Holidays) - Estimated
POP Begin: 10-01-2022 POP End: 09-30-2023 PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)
See PWS Section 3.2 for list of Federal Holidays (11 per year + any day designated a holiday be the President of the United States)
| GRAND TOTAL |
| __________________ |
A.2 DELIVERY SCHEDULE
| ITEM NUMBER |
| QUANTITY |
| DELIVERY DATE |
1,920.00
261.00
104.00
80.00
1,920.00
261.00
104.00
80.00
End of Document
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