Amendment No. 36C26021Q0677 A00001.docx

36C26021Q0677 A00001 36C26021Q0677 A00001

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) A00001 06-23-2021 N/A Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 To all Offerors/Bidders

36C26021Q0677 06-16-2021

X X X July 2, 2021 at 10:00AM Central Time The purpose of this Amendment is to provide answers to questions submitted by interested Vendors, and to make updates to the Performance Work Statement for clarification purposes.

See Continuation Page for details.

Vendors are reminded to sign and return this Amendment with submitted quote.

All other terms and conditions remain unchanged.

Laura Park Contracting Officer Continuation Page

a. Answers to Vendor Questions.

1. Question:

Is there an incumbent contractor currently performing these services, if similar services have been performed in the past, or if this is a new requirement? If this is a follow-on requirement, could you please provide the previous contract or task order number?

Answer:

This is a follow-on requirement and it has an incumbent Contractor. The previous contract number is 36C26018D0002.

2. Question:

Does the site want an IONM Staff member onsite during hours of operation or have an IONM Staff onsite within 2 hours after receiving a call? On Page 17 and Page 18, it reads that we need to provide a Staff Member during OR Hours, but page 18 it reads that the IONM Staff needs to be on Site within two Hours after getting a call for surgery.

Answer:

We do not require staff to be on-site during hours of operation unless there is a scheduled surgery. Most surgeries will be scheduled more than 24 hours ahead of time. The ‘within 2 hours of getting a call’ would be in emergent cases, of which there are few.

3. Question:

Historically, how often are there ER/Trauma/Stat Call Cases per year?

Answer:

It is possible; however, we have never had an ER/Trauma/Stat call to [the COR’s] knowledge. We have only had one (1) emergent case requested for same day surgery. In that case 5 hours’ notice was given. The Emergency Department at VA Puget Sound is not a designated trauma center and would not have trauma admits resulting in emergency Neurosurgery.

4. Question:

Can the site provide a breakdown of the number of Normal OR cases and Call Cases?

Answer:

The case load over the last few years are as follows. COVID greatly affected last year due to staffing and a mass reduction in the number of operative cases that could be performed. This year (last few months) cases have been increasing and current case counts project approx. 30-40 cases for the period of 3/1/21-2/28/22. All cases in the past 4 years would be considered “normal” cases and typically are scheduled a week in advance. We have only had 2 exceptions, both in the previous month. One case provided 5 hours’ notice and one case provided 24 hours’ notice.

5. Question:

Will the site allow our Remote Neurologists Provider to login via the internet/Wi-Fi? If we cannot use their internet /Wi-Fi can we bring in a Hotspot? During Normal Hours while IONM Clinicians are awaiting a Case, can our Staff be able to use their internet for work?

Answer:

Because it is a closed system and access is only for employees, the site does not allow internet login. The current Contractor uses a Hotspot. Vendor’s staff will not be able to use the internet.

6. Question:

If the Location is requesting an IONM Clinician during Normal Business hours, will a designated area be provided?

Answer:

Not needed as will only be on-station if a surgery is scheduled.

7. Question:

Will the IONM Clinician be required to be on Site during VA Normal Business Hours or be on site 2 hours after Call is received?

Answer:

During normal OR hours, an IONM Clinician will be onsite for the scheduled case. For an emergent case, IONM Clinician shall be onsite within 2 hours after Call is received for emergency case.

b. RFQ Corrections.

1. PWS Paragraph 2.9.2. is updated as follows:

2.9.2. The minimum number of credentialed technologist providers required to be on site for scheduled cases is variable as defined in paragraph Hours of Operation in this section.

2. PWS Paragraph 3.1.2. is updated as follows:

3.1.2. Contractor’s provider(s) shall be available and present for scheduled cases during normal PSHCS OR hours, PSHCS which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal OR hours are 6:30 am to 5:30 pm.

3. PWS Paragraph 3.1.3.2. is updated as follows:

3.1.3.2. For emergency cases, Contractor’s provider(s) must be available within 15 minutes by phone and on-site within 2 hours.