36C25726Q0159 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) 03-25-2026

MSO-2026-COM-0017

36C257 Department of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources Branch 11495 Turner Road El Paso TX 79936-1372 Carlos Jaquez, Contracting Officer carlos.jaquez@va.gov 36C257 See block 6

To all Offerors/Bidders

36C25726Q0159

X X X X

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

a. See continuation page for questions and answers.

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

Carlos Jaquez Contracting Officer

CONTINUATION PAGE

Q1. Is there an incumbent or is this a new contract?

A1. There is no incumbent, this is a new contract.

Q2. The maximum contract value is $17,500,000 for the base plus option years. That does not support the current market for Gastroenterologists, will the Government consider increasing the maximum contract value?

A2. Yes, the minimum and maximum amounts will be updated once the contract is awarded.

Q3. Are there currently any Gastroenterologists providing services at the VA?

A3. There are three (3) VA Gastroenterologists full-time employees at the Audie Murphy Memorial Veterans Hospital.

Q4. What is the anticipated call rotation?

A4. Inpatient attendings are assigned to the inpatient service for 1 week at a time. Dependent how many physicians we will have/get, it can be anywhere from Q4 weeks to less.

Q5. What is the anticipated daily schedule? (procedures vs. consults)

A5. The inpatient service that to my understanding would be the primary responsibility of locums includes both – consults and procedures. The number of procedures will depend on the type of consult and ratios fluctuate.

Q6. What are the procedures/surgeries are typically done at this Hospital by the Gastroenterologist?

A6. EGD diagnostic, EGD with biopsies, EGD with banding (EVL), EGD with removal of foreign body, EGD with PEG placement, EGD with treatment of bleeding sources, EGD with dilation, flexible sigmoidoscopies, colonoscopy diagnostic, colonoscopy with treatment of bleeding sources, colonoscopy with polypectomy, colonoscopy with colonic decompression.

Q7. Will the Provider be responsible for any inpatient rounding?

A7. Yes, inpatient rounding is expected.

Q8. Is ERCP and/or EUS required?

A8. No, it is not required.

End of Document