36C25818Q0069-00004000.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

BY

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) 00004 04-13-2018 None Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson

AZ

85723 Department of Veterans Affairs NCO22-Gilbert Network Contracting 3601 S. 6th Avenue Tucson

AZ

85723 To all Offerors/Bidders

36C25818Q0069 02-26-2018

X X N/A.

The purpose of this amendment is to:

A. Answer questions about the RFQ received by 04/02/18, the cut off date for questions.

B. Update the Instructions to Offerors.

L. Danielle Sepulveda Contracting Officer Question 1: We have a network of qualified radiologists throughout the country making it almost impossible for us to identify those individuals who will work on this project until awarded to us. Can the solicitation requirements be changed to provide representative CV/resumes of our personnel (the baseline for the minimum qualifications of our radiologists) and then actual CVs and documentation of the individuals who will work on the contract once awarded?

VA Answer: VAAR 852.273-73 EVALUATION -HEALTHCRE RESOURCES has been modified FROM:

The following areas will be reviewed as part of the comparative evaluation process:

Management Plan Curriculum Vitae (CV) of Proposed Staff Past Performance Price

TO:

The following areas will be reviewed as part of the comparative evaluation process:

Management Plan Past Performance Price

Submittal items has been modified FROM:

Submittal Items:

· SF 1449

· Price Schedule B.3

· Attachment 2 Organizational Conflict of Interest Statement in accordance with 2.1.9

· Attachment 3 Certification of Citizenship

· Listing of proposed key personnel performing technical delivery of services in the format provided in 2.8.1

· Provide Curriculum Vitae (CV) of the proposed staff to address the following:

Quality of experience: Descriptions of experience similar to the work involved/work setting in this contract would be valued. Experience in the following areas is desirable:

0. Proficiency interpreting a wide breadth of cases including plain films, CT, MRI ultrasound, and nuclear medicine cases.

0. Working at a busy tertiary care hospital.

0. Working in shared reading center environment.

0. Working independently with possibly minimal technical support available.

0. Working during non-standard work shifts, i.e. nights, weekends, and holidays.

0. Quality of the education: Identification of education and training in complex tertiary care settings is valued.

i. Relevant sub-specialization of the offered radiologists:

ii. Identification of additional fellowship training in musculoskeletal, neuroradiology, thoracic, and/or body imaging is valued.

· Management Plan

· Statement of management philosophy.

· Description of company’s mission statement and philosophy and how this it is aligned with the mission of the VA to care for the nation’s veterans.

· Specific plan for commencement of services.

· Statement of company’s action plan from the point of contract award to commencement of services.

· Description of how MDs will be scheduled to include how short notice sick leave will be covered and contingencies for loss of personnel. Rotation plan: if proposal is for multiple shifts, provide a description of how scheduling will occur and rotation plan between shifts.

· A description of management’s approach to resolving issues that may occur during contract performance.

· Organizational Chart: organizational chart that clearly illustrates relationships, lines of authority, duties and responsibilities of company and program/project level management expected to provide support for the resultant contract. It must include professional and administrative support staff (i.e. case managers) that may be required for the performance of the contract. Job titles, copies of licenses, diplomas, and or training certifications for each individual identified.

· Current or prior contracts in which relevant radiology interpretive services were provided, such as complexity of hospitals served, study modalities interpreted, patient populations served, study volumes delivered, and hours of coverage provided.

· Past Performance References-provide the Point of Contact Name, email address, and telephone number of your references. Note: Questionnaire should be sent directly from Reference to Lillian.Sepulveda@va.gov or fax 520-629-1817

To:

· SF 1449

· Price Schedule B.3

· Attachment 2 Organizational Conflict of Interest Statement in accordance with 2.1.9

· Management Plan

· Statement of management philosophy.

· Description of company’s mission statement and philosophy and how this it is aligned with the mission of the VA to care for the nation’s veterans.

· Specific plan for commencement of services.

· The Contractor shall furnish a copy of its policy and procedures for credentialing and privileging to ensure these meet the VAMC’s requirements for establishment of competence through these mechanisms.

· Statement of company’s action plan from the point of contract award to commencement of services.

· Description of how MDs will be scheduled to include how short notice sick leave will be covered and contingencies for loss of personnel. Rotation plan: if proposal is for multiple shifts, provide a description of how scheduling will occur and rotation plan between shifts.

· A description of management’s approach to resolving issues that may occur during contract performance.

· Organizational Chart: organizational chart that clearly illustrates relationships, lines of authority, duties and responsibilities of company and program/project level management expected to provide support for the resultant contract. It must include professional and administrative support staff (i.e. case managers) that may be required for the performance of the contract. Job titles, copies of licenses, diplomas, and or training certifications for each individual identified.

· Current or prior contracts in which relevant radiology interpretive services were provided, such as complexity of hospitals served, study modalities interpreted, patient populations served, study volumes delivered, and hours of coverage provided.

· Past Performance References-provide the Point of Contact Name, email address, and telephone number of your references. Note: Questionnaire should be sent directly from Reference to Lillian.Sepulveda@va.gov or fax 520-629-1817 End of Question 1

Question 2: – The contract requires 91.5 hours per week of coverage (those hours we may be called upon to perform radiology services) plus 24-hour coverage for each of the 10 holidays, a total of 4998 annual total coverage hours. To have this quantity of radiologists available to cover this coverage time, we need to have multiple individuals available to accommodate vacations, sick days, weather issues, and any of a number of reasons an individual may not be able to cover a work shift. This will require us to have a large number of VA pre-approved radiologists who are authorized to perform services on this contract.

Is the VA prepared for the offeror to present as many as 20 to 30 CVs and associated documentation and approvals as part of the proposal response?

VA Answer: This is a Performance Work Statement, it is up to the Contractor to propose the number of personnel in order to meet the requirement. See VA response to Question #1.

End of Question 2

The PWS has been updated to support the changes described above to the following and to correct the typos:

2.1.10 Conflict of Interest: and 2.1.11.5 FROM: ATTACMENT 2 TO: ATTACHMENT 2.

2.1.12.2 FROM: By submitting their quote, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractor and its proposed contract physician(s) are not listed as of the date the quote/contract was signed.

TO: By submitting their quote, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and will be reviewed upon any change in personnel and that the Contractor and its physician(s) are not listed.

2.8.1 FROM: Contractor shall submit a listing of proposed key personnel performing technical delivery of services in the following format:

Provider Name: ___________________ Title/Rank: __________________.

TO: Five days after notification of award: Contractor shall submit a listing of proposed key personnel performing technical delivery of services in the following format:

Provider Name: ___________________ Title/Rank: __________________.

2.8.2 FROM: Curriculum Vitae and qualification documents of each key personnel shall be submitted with the quote.

TO: REMOVED from this section. Note CV’s may be required in accordance with Credentialing and Privileging Process.

TO:

End of PWS update

Instructions to Offerors has been updated:

FROM:

Email to: Lillian.Sepulveda@va.gov AND Carlos.Acosta2@va.gov (you must receive an acknowledgment from the CO on emailed quote) or submit by:

TO:

Email to: Lillian.Sepulveda@va.gov (you must receive an acknowledgment from the CO on emailed quote) or submit by:

FROM:

Price Schedule: The offeror agrees to hold the prices in its quote firm for 90 calendar days from the date of their offeror. Estimated quantities are provided in Attachment 7 Price Worksheet.

TO:

Price Schedule: The offeror agrees to hold the prices in its quote firm for 120 calendar days from the date of their offeror. Estimated quantities are provided in Attachment 7 Price Worksheet.

End of Instructions to Offerors