36C25723Q0573 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 NUMBERE

D 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 amendmen t, 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)

MSO-2023-COM-0028

36C257 Department of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources Branch I 11495 Turner Road El Paso TX 79936-1372 Carlos Jaquez - 915-217-1249 carlos.jaquez@va.gov 36C25700756 See block #6

To all Offerors/Bidders

36C25723Q0573 07-25-2023

X X X

X The purpose of this amendment is to post questions and answers for RFP 36C25723Q0573.

a. See continuation page for questions and answers.

b. All other terms and conditions remain in full force and effect.

Marisela Galarza Contracting Officer

Q2. Just clarifying that the GI is a SDVOSB set aside? The box is checked on the 1449, but does not denote such on the face page in SAM.

A2. Yes, RFQ 36C25723Q0573 is 100% SDVOSB Total Set Aside.

Q3. Would the Physicians be assigned to one location for the duration of their contract, or would they be expected to rotate between the Hospitals as needed?

A3. The main assigned location will be Audie L. Murphy VA Medical Center. The Kerrville VA Medical Center location will be as needed.

Q4. If the Physicians need to rotate between Hospitals, how far in advance is the schedule made?

A4. No, if the physician(s) is required at the Kerrville VA Medical Center they will be given a 30-day notice unless it’s an emergency and coverage is required immediately.

Q5. Are there any permanent VA Gastroenterologists on staff?

A5. Yes, there are four (4) at the Audie L. Murphy Medical Center and one (1) at the Kerrville VA Medical Center.

Q6. What other support staff is available? (Specialty Physicians? Advance Practice Clinicians? RN’s)

A6. Three (3) Nurse Practitioner, three (3) Registered Nurses, and two (2) Specialty Physicians

Q7. Will the Physicians be responsible for supervising Residents?

A7. No.

Q8. The maximum contract value is listed at 15 million, the current market price for Gastroenterologists exceeds this dollar amount. Will the VA consider taking the max contract value language out or raising the maximum contract value?

A8. Yes, the VA may raise the maximum contract value if needed based on the amount of the awardee.

Q9. On average, how many patients per day does the Physician see in the clinic?

A9. About 15.

Q10. On average, how many surgeries does the Physician perform during Operating Room scheduled days?

A10. About nine (9).

Q11. How many days per week does the Physician perform surgeries?

A11. Five (5).

Q12. Physicians are considered Professional Service providers and are not W2 employees but rather 1099 contractors. Therefore, the contracting company does not withhold income taxes or social security payments, will the VA consider removing this language from the contract?

A12. No

End of Document