36C26319R0128-0002000.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 NUMBERE

D 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 amendmen t, 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) 11-01-2019

NONE

36C263 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Sandra McAnany, Contracting Officer 316 Robert Street N. STE. 506 St. Paul MN 55101 Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Sandra McAnany, Contracting Officer 316 Robert Street N. STE. 506 St. Paul MN 55101 To all Offerors/Bidders

36C26319R0128 11-01-2019

X

X Solicitation amendment issued to answer questions from potential contractors. Please see page 2.

All other terms and conditions remain the same.

Sandra McAnany Contracting Officer

CONTINUATION PAGE

36C26319R0028 - Neurology Solicitation Questions Question One: Can you confirm that is acquisition is set aside for SDVOSB?

Answer One: Yes, this is a set-aside.

Question Two: What is the staffing mix that will support the contractor?

Answer Two: The Sioux Falls VA Health Care System typically has an RN assigned to the provider during clinic hours, which may be shared with other providers. There is also a scheduler assigned neurology scheduling duties.

Question Three: Who is the current incumbent contractor? Can you provide the contract number if there is an incumbent?

Answer Three: Colonial Federal Healthcare, LLC. 36C26318C0120 Question Four: Is there a staffing mix that the government would prefer; for example two (2) physicians and one (1) midlevel or three (3) physicians? Each option will have a significate cost difference. How will the government evaluate the different vendor offers with this level of variance? Is one option more preferable to the other?

Answer Four: either mix is fine and the government will evaluate the proposals in accordance with evaluation factors within the solicitation.

Question Five: How may contractors are currently being used to meet the requirements?

Answer Five: One contractor.

Question Six: How many hours have been billed in the last year if there is an incumbent contractor?

Answer Six: The current contractor could not meet the full need.

Question Seven: Can offers provide proof of medical liability insurance at time of award?

Answer Seven: No, this should be submitted with proposal.

Question Eight: Can offers provide transcripts at time of award? It would be difficult to receive this level of information in time for proposal submission.

Answer Eight: Yes Question Nine: Can the government clarify Part 1 Technical Proposal (f) 4 “Additional information may be required to determine fair and reasonable price?” What is the government requesting?

Answer Nine: Additional information may be requested as needed during any pricing negotiations or to determine proposed pricing is fair and reasonable.

Question Ten: Is this requirement for all three providers to provide both inpatient and outpatient coverage or is it the service lines' intention to have one of the three providers providing strictly outpatient coverage?

Answer Ten: Inpatient and outpatient during normal tour of duty.