36C25623R0009 0003.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)

03-30-2023

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

36C25623R0009 03-13-2023

X x x Due 04/12/2023 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. Any and all references to Internal Medicine (IM) or Family Practice (FP) physicians are not applicable.

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

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

Christopher D. Vu Contracting Officer

VA-VHA-SAOC-2018-E8E15CC2

Amendment: 0003 Questions and Answers Solicitation: 36C25623R0009 Onsite ER Physician Services

Question: PWS 2.1.6: In section 2.1.6 it references requirements for physicians who are Board Certified/ Board Eligible in Internal Medicine (IM) or Family Practice (FP). Will the VA be accepting Board Certified/ Board Eligible IM or FP physicians for this opportunity?

Answer: No. Internal Medicine (IM) or Family Practice (FP) physician references are not applicable and shall be removed.

Question: D.8: In lieu of the D.8 Past Performance Questionnaire, will the VA accept CPARS or previously completed Past Performance Questionnaires?

Answer: No.

Question: PWS 4.4.3: Due to the limited number of Emergency Department (ED) Physicians available nationally, is the VA willing to accept ED Physicians with experience providing emergency care outside of the VA, using systems similar to the Computerized Patient Records System (CPRS) and Emergency Department Integration Software (EDIS) system?

Answer: Yes.

Question: Instructions to Offerors 3.c, Prior experience: With the removal of the original Factor 4, will the VA also remove the VA ER prior experience special responsibility standard detailed on pages 79 and 80 of the solicitation?

Answer: No. Factor 4 Veteran participation of the evaluation criteria was removed as this is already a SDVOSB set aside. ER Prior Experience is not an evaluation factor.

Question: What is the annual volume?

Answer: 13709 in 2022

Question: What are the number of beds in the ED?

Answer: 15

Question: What are the shift times?

Answer: 7am, 7am, 8am, 10am, 12 noon, 2pm, 6pm, 7pm; 76 hours weekday/ 50 hours weekend

Question: Who creates the schedule?

Answer: ED Director and Contract company representative

Question: When are the instances of single and double physician coverage?

Answer: Single coverage from 12 midnight to 7am

Question: When are the APC staff scheduled?

Answer: One day shift that also covers telemedicine

Question: Is there a fast track / urgent care? If so, will the physicians cover?

Answer: No fast track yet.

Question: What nursing and support staff coverage is available?

Answer: Recently hired full contingency of RNS

(End of Amendment 0003)