36C25623Q1320 0001.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)

08-08-2023

36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750 Houston TX 77056

36C256 Department of Veterans Affairs Network Contracting Office 16 5075 Westheimer Rd. Suite 750

Houston TX 77056 To all Offerors/Bidders

36C25623Q1320 08-01-2023

X x x Due 08/11/2023 at 12:00 PM CST x 1 (one)

The purpose of this amendment is to post questions and answers.

A. See attached questions and answers starting on page 2.

B. The hour and date specified for receipt of Offers remains unchanged.

C. This amendment will need to be signed and returned with proposal submission to be eligible for award.

Troy Davis Contracting Officer

VA-VHA-RPOC-2023-0045

Amendment: 0001 Questions and Answers Solicitation: 36C25623Q1320 Dermatology Services

Question: On average, how many patients per day will the Dermatologist see?

Answer: We have clinic every day except for Tuesday and Friday afternoons. We typically see 30-40 patients in the AM clinics between 3-4 residents (8-12 patients each based on PGY level). Wednesday is the surgery/procedure morning, so that morning clinic has 5-10 total patients in it (currently staffed by a General Surgeon). Afternoon clinics are the new patients and the cap is 20 per ½ day. There are 2 residents in each PM clinic. The CCC clinic is on Wednesday afternoons and it’s typically 5-6 patients (a separate upper level resident does this clinic). Thursday afternoons is the Attending clinic where a resident (separate from the consult clinic ones) rounds with Dr. Wong on his research patients.

Question: What are the most common cases/procedures? Skin cancers.

Answer: Shave, punch biopsies. ED&C. On Wed AM, wide local incision. We outsource for Moh’s.

Question: How many other Dermatologists on staff?

Answer: None on staff. We have 6 fee basis providers who cover various times in clinic.

Question: What other support staff is available?

Answer: APN in clinic, full clinic staff-RN, LPN, schedulers

Question: How many residents will the Dermatologist oversee at one time?

Answer: 4 residents rotate on a monthly basis. There are 3-4 residents each morning and 2 residents each afternoon (except Tue and Fri). On Wed afternoon, CCC clinic gets one additional resident. On Thursday afternoon, Dr. Wong gets one additional resident.

Question: How many inpatient admissions does the Dermatologist perform on average?

Answer: Dermatology does not admit. They are an inpatient consult service. If a dermatology patient needs admission, medicine would admit the patient and consult dermatology.

(End of Amendment 0001)