36C26323Q0289 0001.pdf

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

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, 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).

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED 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)

(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)

1 3

03-16-2023

None

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

316 Robert Street N. STE. 506 St. Paul MN 55101

To all Offerors/Bidders 36C26323Q0289

03-03-2023 X

X X

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:

(a) By completing Items 8 and 15, and returning ____1 ______ 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 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. 04-06-2023 / 12:00PM CDT

X 1

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

This amendment extends the deadline for proposals to 12:00 p.m. CDT on Thursday, 4/6/2023 and makes the following changes to the solicitation:

1. Provides answers to questions received regarding the solicitation (see pages 2 and 3).

All other terms and conditions remain unchanged.

36C26323Q0289 A0001

1. What is the structure of the clinic and how is it supported?

At this time, we have two Nurse Practitioners clinics, 2 Fellows clinics, and 1 VA Staff/provider clinic. These providers are supported by two Nurse Case MGRs, 1 LPN and 2 Schedulers. We also have a Chemo suite staffed with RNs.

2. What are your top cancer diagnosis seen?

Our top CA Diagnoses are Lung, CLL, Prostate and Colon cancers.

3. How many patients per day?

The providers staff between 9‐11 patients per day. Patients are mostly seen in their appt by

Fellows and NP/PA.

4. How many new diagnosed patients would be seen?

The clinic sees on average about 30 new patients a month. (Note new to the clinic does not necessarily mean new diagnosis)

5. What does a normal shift look like?

Patients are scheduled every 30 mins from 9 am to 2:30 pm; work shift seeing patients as a provider and supervising Fellows.

6. Do the Fellows cover the majority of the clinic or how does that role impact the practice? How do the fellows rotate through coverage?

Yes, it is mostly staffing Fellows. The University of Iowa manages the Fellows’ schedules/ rotation.

7. How many other providers working alongside?

There is usually one other provider staffing clinic.

8. What FTE will be required for physicians? Coverage Monday – Friday but how many doctors?

We are looking for 1.35 FTE staffed by a minimum of two contractor Key Personnel.

9. Would any nurse practitioner FTE be able to cover some of the need?

No, this would be a different contract and at the VA, mid‐levels do not staff Fellows

10. Is call required?

Yes (see item 3.1.2 of Section B.3 of the solicitation)

36C26323Q0289 A0001

11. What is the timeline to start coverage?

May 1 is an estimated date for the start of the period of performance. Candidates should be identified in proposal, we intend to award as quickly as we can, and credentialing may be expected to take 4 to 8 weeks

12. As we recruit for a physician, can we use a locum to cover or could the new patients be seen in our cancer care center?

No, providers working on contract will need to be vetted by the VA to work on VA contract. The

VA will not pay for providers that are not vetted by the VA , and the providers must be listed on the contract.