36C25918R0596-0003000.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 ADM

INISTRATIVE 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 d ate 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 3

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) None 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 36C259 Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111 To all Offerors/Bidders

36C25918R0596

X

Q&A are closed, see attachment for Q&A

No other changes

1) The solicitation lists services required for 2.36 FTE, which is defined as 80 hours every two weeks, however the pricing only lists 3875 hours per year. At 40 hours per week the total hours should be 4,908.80. It should be 1.86. It is changed in Amendment 1

2) The solicitation also lists “on-call” coverage, what is the expected call rotation and should we add CLIN’s to the pricing for weekday and weekend call rates? No CLINs are in there for Call. The call would be divided fairly among the Contract and FTE Providers.

3) Will the VA consider proposals with less than 8 FTEE key personnel? No

4) Page 14, section 2. Qualifications in subsection 2.1.1. indicates a State of CO medical license is required. Please confirm as it is unusual for Federal Contract opportunities to limit the medical license to the state of performance. Yes this is correct

5) Page 14, section 2 Qualifications in subsection 2.1.2. indicates BLS required. However, on page 15 in section 2. Qualifications in subsection 2.1.6. indicates BLS and ACLS required and is also listed in Instructions to Offerors to include ACLS. Please clarify if both BLS and ACLS are required? BLS is required by all

6) On page 18, section 2.7, No Employee Status indicates Worker's Comp is required, however we utilize Independent Contractors that are not subject to Worker's Comp. Or, will page 52, Section C.12 Supplemental Insurance Requirements apply to the Independent Contractor's Workman's Comp issue? Yes that is correct If not, how is this Workman's Comp requirement handled?

7) Page 23, section 4.4.2.1.2. indicates a list of types of Operative Services to be performed (not limited to...) however there is no list of the most common types of surgeries performed. Can you include a list of most common types of surgeries? Our most prevalent is Total Adult Reconstruction.

8) Will there be any Resident Supervision duties? No If so, how many Residents accompany the ORS during rounds?

9) Are there clinical support personnel available? If so, how many RN's, Nurse Practitioners, Physicians Assistants, or other clinical personnel, etc...are available per shift? We do have PAs that assist the surgeons.

10) How many VAMC Staff Orthopedic Surgeons are on schedule or is this opportunity structured to provide the only Orthopedic Surgeons that will be at facility? It depends . Currently we have 2.5 FTEs on board and are working toward a total of 5

11) Page 52-53, Section C.16 through C.18 regarding VA Small Business Contracting Plan indicates this applies to companies required to have a subcontracting plan in this instance, however it also states that the requirements are to be met according to the VA Goals. My understanding is the VAMC is now following the SBA Goals which are different for this requirement than the VA goals. Please clarify. It will be the VA goals which are sent to SBA.

12) Section D Attachments 1 thru 5 do not appear to be included? Added to Amendment 1

13) Is this a new contract? No the incumbent is University of Colorado and Current Contract Number is 36C25918C0265.

14) Will Government Furnished Equipment (GFE) be provided? No

15) Also does it ok if the Project Manager work remotely? Depends on your Staffing

16) Will set aside remain the same because we are not a SDVOSB/VOSB. This is unrestricted requirement

17) How many key personnel resumes (providers) should we submit with the proposal? 8

18) Will the Government accept 1 resume for proposal submission? We will need resumes from all 8 individuals

19) Is there a listing of procedures/duties that the Ortho Surgery will be expected to do? Procedures of a Joint/Tumor/Spine/Hand Surgeon. There is also call and Charting,notes, etc…Things they would do in their current setting. TMS is also in the contract!

20) What is FAR 52.212-3? http://farsite.hill.af.mil/ This is mentioned in Section E.1 (8). It states that we must provide a completed copy of the representations and certifications at FAR 52.212-3, so was wondering if you could provide clarity on what that means. Is that simply indicating that it’s the third iteration of the RFP?

4.1201 Policy. (a) Offerors and quoters are required to complete electronic annual representations and certifications in SAM accessed via https://www.sam.gov as a part of required registration (see FAR 4.1102).

21) Do we need to provide a Unique entity identifier or be registered in the System for Award Management? Your DUNS will be the Unique Identifier

22) Do you need a TIN? Yes

23) Is there anything that must be signed or completed for VA Directive 1663? No

24) What is a VETS 4212 Report and where can I find it?

https://www.dol.gov/vets/vets4212.htm

25) Is the NDA and Statement of Financial Interest the same thing as the “Signed Conflict of Interest Memo from Section D?” If not, do you know where I can find the Signed conflict of interest Memo? Yes it is the same thing