Amendment - 36C26223R0131 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)

MSO-2023-COM-0026

36C262 Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815

Department of Veterans Affairs Network Contracting Office 22 4811 Airport Plaza Drive Suite 600 Long Beach CA 90815 To all Offerors/Bidders

36C26223R0131

X

X

This solicitation is hereby amended in accordance with Federal Acquisition Regulation (FAR) § 15.206. Offerors shall submit new proposals that respond to the updated requirements.

Please see pages 2-11 for updates. Proposals are due December 6, 2023 at 12:00pm PST.

All other terms and conditions shall remain unchanged.

Tashodra Rogers Contracting Officer

SECTION B – CONTINUATION OF SF 1449 BLOCKS

Section B.3 is now updated to:

B.3 SCHEDULE OF SERIVES AND PRICE

The Contractor(s) shall furnish all personnel to provide services necessary to perform onsite Family Medicine and Internal Medicine Physician Services (collectively “Services”) to eligible beneficiaries of the Department of Veterans Affairs Medical Center, VA San Diego Healthcare System (hereinafter referred to as VASDHS), 3350 La Jolla Village Drive, San Diego, CA 92161.

The VASDHS Services are accredited by The Joint Commission (TJC) and follow the standards & guidelines set forth by The American College of Physicians (encompassing all of internal medicine) and the American Board of Family Medicine (http://www.theabfm.org). Contractors providing onsite Family Medicine and Internal Medicine physician services shall provide services that meet or exceed those guidelines.

Place of Performance: Services shall be provided on site, VA San Diego Healthcare System (hereinafter referred to as VASDHS), 3350 La Jolla Village Drive, San Diego, CA 92161. The Contractor(s) shall provide Services, as needed, at the following VASDHS facility locations:

1. VASDHS 3350 La Jolla Village Drive San Diego, CA 92161

2. Kearny Mesa VA Clinic 8875 Aero Drive San Diego, CA 92123

3. Oceanside VA Clinic 1300 Rancho del Oro Drive Oceanside, CA 92056

4. Chula Vista VA Clinic 353 H Street Chula Vista, CA 91910

5. Sorrento Valley VA Clinic 10455 Sorrento Valley Road Suite 210 San Diego, CA 92121 The Government desire’s multiple locations to accommodate Veterans within the above catchment area of San Diego County. Therefore, multiple awards may result from this solicitation.

Pricing Instructions:

The Contractor(s) shall propose a minimum of Six (6) key personnel to be credentialed (3 Family Medicine Physicians and 3 Internal Medicine Physician) and be available for scheduling to meet the requirements of the contract. The Contractor shall provide as a minimum, enough appropriately qualified physicians to be credentialed and privileged that meet or exceed twice the number of Full Time Equivalent Employee (FTEE) required to fulfill contract obligations.

Orders: Orders shall be placed against this (FFP-IDIQ) contract at the time of contract award, and as needed during the term of the contract. Task Orders shall specify the estimated quantities of services for the period of performance and shall comply with FAR 52.216-18 and 52.216-19.

Ordering Procedures: Individual task orders will be based on the clinical coverage required for the defined period of performance for the task order. Task orders will be funded annually by the Contracting Officer and issued to the contractor(s). The guaranteed minimum for the initial fiscal year in which this contract is awarded is $500.00. The maximum total value of the contract, inclusive of the base year and all options exercised, shall not exceed $8,000,000.00. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum award amount.

The previous option year pricing will apply to any extension pursuant to FAR 52.217-8.

Period of Performance: ESTIMATED BASE YEAR: April 15, 2024_ to _April 14, 2025____

Qty.

Annual Cost

Family Medicine and Internal Medicine Physician Services

KEY PERSONNEL

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR BASE

Hours

ESTIMATED OPTION YEAR ONE (1): April 15, 2025__ to _April 14, 2026_______

Qty.

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 1

ESTIMATED OPTION YEAR TWO (2): April 15, 2026_ to _April 14, 2027_

Qty.

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 2

ESTIMATED OPTION YEAR THREE (3): April 15, 2027_ to _April 14, 2028_

Qty.

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 3

ESTIMATED OPTION YEAR FOUR (4): April 15, 2028_ to _April 14, 2029_

Annual Cost

Board-Certified/Board Eligible Physician

Board-Certified/Board Eligible Physician

TOTAL FOR Option Year 4

Base Year Price: ____________________

Option Year 1 Price: __________________

Option Year 2 Price: __________________

Option Year 3 Price: __________________

Option Year 4 Price: __________________

Total Price for Base plus Four Option Years: ______________________

The following clauses are now included in this amended solicitation:

SECTION C – CONTRACT CLAUSES

C.15 52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from April 15, 2024 through October 15, 2029.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of Clause)

C.16 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $500.00, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of $2,000,000.00;

(2) Any order for a combination of items in excess of $2,500,000.00; or

(3) A series of orders from the same ordering office within three (3) days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 30 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

C.17 52.216-22 INDEFINITE QUANTITY (OCT 1995)

(a) This is an indefinite-quantity contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies and services specified in the Schedule are estimates only and are not purchased by this contract.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. The Contractor shall furnish to the Government, when and if ordered, the supplies or services specified in the Schedule up to and including the quantity designated in the Schedule as the "maximum." The Government shall order at least the quantity of supplies or services designated in the Schedule as the "minimum."

(c) Except for any limitations on quantities in the Order Limitations clause or in the Schedule, there is no limit on the number of orders that may be issued. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(d) Any order issued during the effective period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's effective period; provided, that the Contractor shall not be required to make any deliveries under this contract after October 15, 2023.

(End of Clause)

C.18 52.216-27 SINGLE OR MULTIPLE AWARDS (OCT 1995)

The Government may elect to award a single delivery order contract or task order contract or to award multiple delivery order contracts or task order contracts for the same or similar supplies or services to two or more sources under this solicitation.

(End of Provision)

SECTION E - PROVISIONS

The current Provision:

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a Firm-Fixed-Price contract resulting from this solicitation.

Is now updated to:

E.7 52.216-1 TYPE OF CONTRACT (APR 1984)

The Government contemplates award of a Firm-Fixed-Price, Indefinite Delivery – Indefinite Quantity contract resulting from this solicitation.

The current Provision:

E.5 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1b. Offerors’ proposals are to be submitted via email to the Contracting Officer at Tashodra.Rogers@va.gov by 12:00 pm Pacific Time on September 28, 2023. Subject Line for Offeror’s submission shall read as follows: 36C26223R0131_Offeror/Company Name.

c. Offerors shall submit proposals via email in two (2) attachments as indicated below. Email size shall not exceed 7MB. It is the responsibility of the Offeror to ensure their proposal submission has been received.

Volume 1 – SF 1449 completed and signed; section B.1 Contract Administration completed; section B.2 Schedule of Services and Price completed in its entirety; signed amendments (if applicable), and Offeror Representations and Certifications. All documents shall be in PDF or Word.

Volume 2 – Cover Letter (optional), Offeror’s Response to Proposal Acceptability Criteria; Offeror’s Response to Trade-off evaluation Factor 1; Offerors must use the Reference Contract Worksheet provided in Section D.1 ATTACHMENT 1 for Offeror’s Response to Trade-off evaluation Factor 1 – Experience. Offerors must submit a separate Worksheet for each reference contract Offeror submits for evaluation for Factor 1. All documents must be in PDF or MS Word format.

Is now updated to:

1b. Offeror’s proposals are to be submitted via email to the Contracting Officer at Tashodra.Rogers@va.gov by 12:00pm Pacific Standard Time (PST) on December 6, 2023. Subject Line for Offeror’s submission shall read as follows: 36C26223R0131_Offeror/Company Name.

c. Offerors shall submit proposals via email in two (2) attachments as indicated below. Email size shall not exceed 7MB. It is the responsibility of the Offeror to ensure their proposal submission has been received.

Volume 1 – SF 1449 completed and signed; section B.1 Contract Administration completed; section B.2 Schedule of Services and Price completed in its entirety; signed amendments (if applicable), and Offeror Representations and Certifications. All documents shall be in PDF or Word.

Volume 2 – Cover Letter (optional), Offeror’s Response to Proposal Acceptability Criteria; Offeror’s Response to Trade-off evaluation Factor 1; Offerors must use the Reference Contract Worksheet provided in Section D.1 ATTACHMENT 1 for Offeror’s Response to Trade-off evaluation Factor 1 – Experience. Offerors must provide a detailed response. Offerors must submit a separate Worksheet for each reference contract Offeror submits for evaluation for Factor 1. All documents must be in PDF or MS Word format.

The current Provision:

E.5 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

2. Anticipated Award. The Government intends to make a single contract award in response to this solicitation.

Is now updated to:

2. Anticipated Award. The Government intends to make multiple contract awards in response to this solicitation.

The current Provision:

E.5 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS – COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

1f. Questions pertaining to this solicitation shall be emailed to Tashodra.Rogers@va.gov by September 11, 2023. Questions will be answered via an amendment to this solicitation on or about September 14, 2023. No telephone inquiries will be considered.

Is now updated to:

1f. Questions pertaining to this solicitation shall be emailed to Tashodra.Rogers@va.gov by November 21, 2023 no later than 12:00pm PST. Questions will be answered via an amendment to this solicitation on or about November 27, 2023. No telephone inquiries will be considered.