36C25726Q0159 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) 04-01-2026

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 and update section E.1.G.

1.

a. See continuation page for questions and answers and section E.1.G.1.

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

Carlos Jaquez Contracting Officer

CONTINUATION PAGE

Q9. Typical number of clinic patients per day per provider?

A9. Outpatient – 10 procedures. Inpatient – 5-10 consults and 1-10 procedures.

Q10. What is the average number of endoscopic procedures performed daily?

A10. 10 procedures/day/provider.

Q11. Is there any expectation for advanced GI procedures?

A11. Not an expectation or requirement, but nice to have the ability.

Q12. What is the expected mix of outpatient vs. inpatient consults?

A12. The current need is predominantly inpatient care. While we will not exclude outpatient care, it is not possible to give a specific ratio.

Q13. What is the historical frequency of call-back events during a typical month?

A13. About four per month.

Q14. What percentage of call events require physically reporting onsite vs. phone consult only?

A14. During the regular tour of duty (TOD), they are expected to be on-site for the full 8.5 hours. On the weekends, the severity of our veterans’ conditions requires usually that the attending comes into round and new consults and follow up patients. After-hour calls requiring gastroenterology attendings to come in (e.g. for urgent/emergent endoscopies) occurs usually at a frequency of once per week.

Q15. What conditions most commonly trigger call-back?

A15. What would trigger a call-back would be an emergency or a situation that the attending/resident is unable to hand.

Q16. What is the expected credentialing approval timeline? Security clearance?

A16. Between two to three weeks.

Q17. It has been our experience that since Gastroenterology is a subspecialty of internal medicine, the physician will need to request core privileges in Gastroenterology as well as internal medicine from the facility. Although the physician will maintain board status in internal medicine, the Gastroenterologist typically does not provide general internal medicine patient care. This means that the physician will have current case logs in Gastroenterology, but not internal medicine. Will this prohibit the Gastroenterologist from obtaining facility privileges?

A17. No, active IM board certification is not required but GI board certification is required.

Q18. Given the need for LOIs for all staff on this contract will the government consider extending the solicitation due date as two weeks is an extremely short window given the type of position and need for such and extended bench beyond the 4.5 FTE? Is June a hard start date from your customer requiring the need for service which is why the window for response is so short? (Just a side note this is fairly restrictive on the amount of bids you might receive due to the combination of LOI's needed, specialty required, and short window. That may or may not be your intent here. I just wanted to throw it out there if more competition was the goal.)

A18. The requirement to submit letters of intent (LOI) has been removed. See updated section B.c.iii. The VA is flexible on the start date, the start date will be updated based on the credentialing and privileging process.

c. Part II:

i. Factor 1: Technical Capabilities

ii. Factor 2: Past Performance - D.4 Past Performance Questionnaire Worksheet - Locum GI Physician Services

iii. Submit a Curriculum Vitae (CV) for each physician that will be performing under this contract. Include copies of any and all licenses, board certifications, NPI, ACLS/BLS certifications to include primary source verification of all licensed and certified staff.

Q19. What is the standard credentialing timeline for the VA after submitting all the necessary information until receiving approval? Has this timeline been realistically factored into having credentialed physicians available by the June start or will the first TOs reflect a potentially later POP than June to accommodate the government credentialing timeline?

A19. See A16 and A18.

Q20. In regards to the CV's we typically redact the personal contact information for the physician and wanted to ensure that won't be an issue?

A20. Why is that being redacted? Sometimes it helps to look up patient reviews on physicians.

Q21. Can the Government please advise what the anticipated Gastroenterology caseload is (daily, monthly, or annually)?

A21. Outpatient: 10 procedures per day, 5 days a week, 4 weeks per month.

Q22. Can the Government provide the approximate breakdown between procedures performed with anesthesia versus those performed without anesthesia (to include moderate or no sedation)?

A22. Ratio is approx. 60:40 anesthesia-to-moderate sedation. That ratio might change dependent on anesthesia provider numbers.

G. FORMAL COMMUNICATIONS

1. Formal communications such as requests for clarification and information concerning this solicitation shall be submitted in writing. All communications shall be conducted via email. Telephone, fax, and oral questions will not be accepted. All questions regarding this solicitation must be submitted via email to Carlos Jaquez, Contracting Officer at carlos.jaquez@va.gov by 2:00 PM ET March 31, 2026. The Government reserves the right to refrain from answering questions not meeting this timeline.

End of Document