36C25623R0009 0002.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)

03-15-2023

36C256 Department of Veterans Affairs Network Contracting Office 16 5057 Westheimer Rd. Suite 750 Houston TX 77056

36C256 Department of Veterans Affairs Network Contracting Office 16 5057 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 the corrected Basis of Award for evaluation criteria.

A. See attached corrected Instructions to Offerors and Basis of Award 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.

Christopher D. Vu Contracting Officer

VA-VHA-SAOC-2018-E8E15CC2

Amendment: 0002 Solicitation: 36C25623R0009 Onsite ER Physician Services

52.212-1 Addendum

INSTRUCTIONS TO OFFERORS

1. The sole points of contact for this acquisition are the Contract Specialist and the Contracting Officer. Proposals will only be accepted by email and no mailed proposals will be accepted. Proposals are due by the date and time in block 8 on page one of this solicitation. Proposal maximum file size per email is 9MB or less; therefore, multiple emails will be accepted with a proposal. A confirmation email will be sent by the Contracting Specialist to confirm receipt of proposal. It is the offeror’s sole responsibility to follow up if no confirmation email was received from the Contracting Specialist before the closing date and time of the Solicitation. If an offeror cannot send the proposal via email, please advise Contracting Specialist Troy Davis or email troy.davis@va.gov.

It is the Offeror’s full responsibility to ensure a legible proposal is submitted to the Contracting Officer and/or Contract Specialist before the closing date and time of the solicitation Late proposals will NOT be accepted. Faxed proposals will NOT be accepted. Failure to conform with solicitation requirements will render contractor ineligible for award and that proposal will not be evaluated.

1. Questions/Comments for the RFP must be submitted in writing to the Contracting Officer identified above no later than March 17, 2023 at 12 noon CST to ensure Government consideration. No questions will be accepted after March 17, 2023 12:00 pm CST. No questions will be accepted or answered by Fax or via telephone calls. Responses to questions will be consolidated and posted on the Contract Opportunities website as soon as possible via solicitation amendment. Offerors will review the Frequently Asked Questions (FAQ) attachment at D.10 prior to submitting a question to avoid duplication.

All questions, comments and requests for information regarding this acquisition shall be sent by email, cite the solicitation number in the subject line, and be directed to the Contracting Officer and Contract Specialist using the following contact information:

1. This section provides specific instructions on the format and content of each proposal. Each section and volume shall be a “stand alone” document and be complete by itself. Any offeror that does not submit the correct number of electronic copies (and any other requirements) will be rendered technically unacceptable and will not be considered further for award. At a minimum, proposals will consist of Technical Capability, Key Personnel, Qualifications and Prior Experience, Past Performance, Veteran Participation, and Price.

1. Complete blocks 17a, 30a, 30b, and 30c of a legible Standard Form (SF) 1449, Solicitation/Contract/Order for Commercial Items. To include any amendments (SF30) if applicable.

1. Insert legible proposed unit and extended prices in Section B.2 Schedule of Services for each Line Item Number including all option years. The extended amount must equal the whole dollar unit price multiplied by the number of units. Line items for the base period and each option year shall be sufficiently completed. The price proposal shall be legible, specific, complete in every detail.

1. The Offeror shall submit the following legible attachments that require to be filled-in, signed and submitted with the proposal:

NOTE: Past performance questionnaires are to be forwarded directly to the Contract Specialist by 4pm CST, March 24, 2023. Past performance questionnaires sent directly from the offeror WILL NOT be accepted. It is the Offeror’s responsibility to ensure their references complete and submit these questionnaires.

Complete the fill-in provisions 52.204-24 and 52.209-7

Prior experience: All offerors must provide at least 3 years of prior experience in actually providing ER Physician Services for the VA Emergency Department, 24-hours a day, 7-days a week and will be considered for special responsibility purposes. Demonstrating familiarity with VA Emergency Department operations and procedures is needed to provide critical emergency health services to our Veterans and to ensure adequate contract performance. This is a specialized standard and not an evaluation factor and shall be a separate “stand alone” document that is titled “Prior Experience” (to include the offeror’s name) and submitted to the Contract Specialist no later than 12pm CST, March 21, 2023. To assist the contracting officer in determining if the special standards of responsibility applicable to this procurement are met, offerors are asked to provide the following information:

Failure to submit this information to the Contract Specialist no later than 12pm CST, March 21, 2023 could result in a contracting officer’s determination that an otherwise successful offeror is not eligible for contract award and that proposal will not be evaluated.

Note: Prior experience is not past performance. Prior experience refers to whether an offeror has done similar work before; whereas, past performance describes how well the offeror has done that work.

1. The completion and submission of the following items must be included in the Technical Capability Proposal:

Quality Control Plan

Copies of any and all licenses, board certifications, NPI, to include primary source verification of all licensed and certified staff

Certification that staff list have been compared to OIG list

Proof of Indemnification and Medical Liability Insurance

Contingency plan for replacing key personnel to maintain services as required under the terms of the contract

1. Potential contractors must be registered in the System for Award Management (SAM) to be eligible for award. The SAM website is http://www.sam.gov. Additionally, this is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) potential contractors must be registered and certified as a SDVOSB in the SBA Veteran Small Business Certification (VetCert) Program located at Veteran Small Business Certification (sba.gov). To be eligible for award as a small business concern, Offerors must meet the small business size standard for NAICS 621111. Offers are due by the date and time in block 8 on page one of this solicitation. Offers shall be submitted via e-mail to troy.davis@va.gov.

(End of Addendum 52.212-1)

BASIS OF AWARD (continuation of FAR 52.212-2)

a. Award will be made to an offeror on the basis of a best-value trade-off per FAR 15.101-1. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer, conforming to the solicitation, will be most advantageous to the Government, price and other factors considered. The Government intends to evaluate without conducting discussions with offerors, or solicit final revised quotes; thus, each initial offer should contain the offeror’s best terms from a cost or price and technical standpoint. The following factors (no sub-factors), listed in descending order of importance, will be evaluated:

b. All non-price factors (Factors 1, 2, and 3), when combined, are significantly more important than price (Factor 4) for the purposes of determining the best value to the Government, therefore, the Government may award to other than the lowest priced offeror if it is in the Government’s best interest to do so.

c. Resulting Contract shall be based on the Contractor’s Technical Capabilities to provide the services listed in the Performance Work Statement (factors 1 & 2), their Past Performance (factor 3), and the proposed Price (factor 4).

d. All proposals will be evaluated in accordance with FAR 15.305. The Government intends to award without discussions with offerors, however the Government reserves the right to conduct discussions if it is in its best interest to do so. If discussions are conducted, the Government may establish a competitive range of the most highly rated proposals, unless the range is further reduced for purposes of efficiency pursuant to FAR 15.306(c)(2).

2. EVALUATION FACTORS AND CRITERIA.

Offerors should address in detail their Technical Capabilities by describing their proposed approach to each factor. All factors will be considered based solely on the proposal provided, to the extent in which the proposal demonstrates a clear understanding of the requirements, and the contractor’s ability to meet those requirements. Performance and Proposal Risk shall also be evaluated. The bulleted items should not be construed as sub-factors.

Factor 1 – Contractor’s Technical and Management Approach (Technical). This factor will be evaluated at the factor level and will be used to determine the Contractor’s ability to successfully manage all contract requirements. Key areas that proposals shall address are:

· Experience of the Contract Manager administering the Contract, their longevity at the company, and their availability throughout the life of the contract.

· Recruitment and Retention Methodologies to ensure successful Emergency Department (ED) operations 24/7 to include contingencies for filling shifts on short notice due to unplanned absences.

· Process for the initial submission and ongoing maintenance of provider credentialing and privileging including yearly health requirements.

· Plan for training and oversight of all initial and yearly mandatory training for contract providers including the Computerized Patient Recordkeeping System to ensure accurate patient documentation is completed prior to the end of each shift.

· The Contractor’s Quality Improvement/Quality Assurance Programs to ensure successful ED operations 24/7, Patient Satisfaction, and Patient Safety.

· Plan for transition of key personnel during the first 90 days of the contract period of performance to ensure successful ED operations 24/7.

Factor 2 – Qualification and Quality of Offered Physicians (Technical). This factor will be evaluated at the factor level and will be used to determine the qualifications and quality of the offered physicians. Proposals shall offer at least the number of physicians required to provide the 24/7 coverage, additional coverage M-F, and contingency (short notice) coverage. In addition to meeting basic qualifications as identified in paragraph 2, Qualifications, of the PWS, the Government will consider the years and quality of experience, quality of the education, and any specialization of the offered physicians. For contingency purposes it is required that 50% of staff be within a 2 hour drive or within 100 miles of the VAMC. Physicians are requested to work a minimum of 1-2 shifts per month primarily to maintain computer access.

Proposal will include the Curriculum Vitae (CV) of the offered physicians and shall include supporting documentation attesting:

· Board certification and/or Board Eligible in Emergency Medicine

· Active/unrestricted license in a State, Territory, or Commonwealth of the U.S. or in the District of Columbia

· DEA certificate

· American Heart Association issued Basic Life Support and Advanced Cardiac Life Support certification cards (must be current)

· Three (3) references to include their email address

· Address of primary residence to demonstrate that physician is located or not located within 2 hour drive or within 100 miles of the VAMC. May also state that physician is willing to relocate prior to award/start.

· Included shall be a letter of commitment and availability signed by the offered physician(s) attesting to his/her availability to work on this contract starting on or about June 1, 2023. As stated above, physicians are requested to work a minimum of 1-2 shifts per month.

*In addition to the above, the PWS states that the contractor shall designate a physician(s) to serve as a primary point of contact/liaison to provide oversight of the quality of work and performance of contract employees in support of the Emergency Department program. More than one is allowable, however, for those physicians, the following additional information is requested and should be noted and may have already been provided as part of key personnel in factor 2:

(*) Relevant experience in clinical oversight of a level II Emergency Department 24/7 with 100% contract providers including managing short notice shift vacancies.

(*) Experience in the daily management of Emergency Department Flow

(*) Past experience serving as an ED subject matter expert

(*) Ability to respond to emergencies and meet required attendance at short notice meetings on the G.V. (Sonny Montgomery VA Medical Center campus or within the local commuting distance of the G.V. (Sonny Montgomery VA Medical Center.

Factor 3 – Past Performance. This factor will be evaluated at the factor level and will be used to assess an offeror’s likelihood of performing successfully on this contract. Past performance will be assessed for relevancy, recent, and confidence/success. For this factor:

· The Government shall review available past performance data in the Federal Awardee Performance and Integrity Information System found in the Past Performance Information Retrieval System found at https://fapiis.ppirs.gov/.

· Offerors shall identify three (3) current or recently completed (within the past three years) contracts that are similar in scope and dollar value to the contract being offered herein, to include contract name, dates of performance, point of contact, telephone number and e-mail address. Contracts listed may include those entered into with the Federal Government, State or local agencies, or commercial customers. Refer to ATTACHMENT D in section D.7.

· Each offeror shall provide their references with a copy of the Past Performance Questionnaire attached in section D.8, and have it returned to the point of contact by the response date listed on the questionnaire. Questionnaires can be scanned and emailed from the references only to Troy.davis@va.gov . It is the Offeror’s responsibility to ensure their references complete and submit these questionnaires.

· The Government reserves the right to obtain past performance information from any available source and may contact customers other than those identified by the Offeror when evaluating past performance.

· In accordance with FAR 15.305(a)(2)(iv), if an offeror has no record of relevant past performance or for whom information is not available, they will not be rated favorably or unfavorably.

Factor 4 – Price.

· Offerors shall submit their Price using the Schedule of Services. The price proposal shall be specific, complete in every detail, and separate from the technical proposal. Line items for base period and each option year shall be sufficiently completed.

· Prices shall be evaluated for fairness and reasonableness and will be compared against competing proposals and the independent Government cost estimate.

· Prices shall be listed as an all-inclusive hourly rate for services.

(End of Basis of Award)

(End of Amendment 0002)