36C26318R0316-00001000.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 ITE M 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 r eference 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) 00001 03-29-2018 N/A None Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attention: Daniel Vagts 316 Robert Street N.

St. Paul MN 55101 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Attention: Daniel Vagts 316 Robert Street N.

St. Paul

MN 55101

To all Offerors/Bidders

36C26318R0316 03-29-2018

X X

Attention: Schedule of Services has been replaced as follows.

All other terms and conditions remain unchanged

Daniel Vagts Contract Officer

NCO2315L2-4547

SCHEDULE of SERVICES

The Contractor shall furnish all personnel to provide necessary services of an Orthopedic Surgeon to function as the Chief of Orthopedic Surgery Service to manage the clinical and administrative responsibilities of the service. Surgeon must be board certified by the American Board of Orthopedic Surgery. The Chief Orthopedic Surgery Service will also function as a practicing Orthopedic Surgeon and will provide services in clinic and will perform surgical procedures in the operating room. Services as the Chief of Orthopedic Surgery will be provided to eligible beneficiaries of the Department of Veterans Affairs on-site at the Minneapolis VA Health Care System (hereinafter referred to as MVAHCS).

The contractor’s physician’s care shall cover the range of Orthopedic services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards http://www.aaos.org/research/guidelines/guide.asp as established by the American Academy of Orthopedic Surgeons (AOS) http://www.aaos.org/.

Place of Performance: Services shall be provided on-site at the Minneapolis VA Health Care System, One Veterans Drive, Minneapolis, MN 55417.

Pricing Instructions:

The offeror is instructed to edit the number of sub-clins to correspond with the number of key personnel submitted for the contract line item number (CLIN). The Offeror is instructed to include all other-than-price-and-cost information supporting the proposed price, as directed in Instructions to Offerors addendum to 52.212-1 and/or Section D-Contract Documents, Exhibits, or attachments.

The Contractor is recommended to provide a 2.0 Full-Time Equivalent (FTE) of key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. Contractor must provide an adequate amount of key personnel necessary to ensure adequate, continual coverage.

On-call coverage is all inclusive within the CLIN structure listed below.

One FTE is defined by VA as a minimum of 80 hours every two week per year and does not include holidays.

Period of Performance: Base Year: July 1, 2018 through June 30, 2019

Annual Cost

KEY PERSONNEL

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

Period of Performance: Option Year 1: July 1, 2019 through June 30, 2020

Annual Cost

KEY PERSONNEL

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

Period of Performance: Option Year 2: July 1, 2020 through June 30, 2021

Annual Cost

KEY PERSONNEL

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

Period of Performance: Option Year 3: July 1, 2021 through June 30, 2022

Annual Cost

KEY PERSONNEL

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

Period of Performance: Option Year 4: July 1, 2022 through June 30, 2023

Annual Cost

KEY PERSONNEL

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

NAME:____________

TITLE/LEVEL OF EXPERIENCE:________

Total Base $_________________________________

Total Option Year 1 $_________________________________

Total Option Year 2 $_________________________________

Total Option Year 3 $_________________________________

Total Option Year 4 $_________________________________

Total Contract (Base plus Option Years) $_________________________________

*52.217-8 6-mo Option: $_________________________________ (use Option Year 4 Pricing for evaluation purposes only)

*For the purposes of the award of this Contract, the Government intends to evaluate the option to extend services under FAR 52.217-8 as follows: The evaluation will consider the possibility that the option can be exercised at any time, and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. The evaluation will assume that the prices for any option exercised under FAR 52.217-8 will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other, and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.