36C26323R0027 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-0024

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

Contract Officer 4801 Veterans Drive St. Cloud

MN

56303

To all Offerors/Bidders

36C26323R0027 07-27-2023

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to:

X The purpose of this amendment is to address the following:

1. Vendor questions (see attached questions)

2. The closing date and time is September 5, 2023, at 10 AM CDT.

3. Questions closed on August 10, 2023 at 10AM CDT.

4. All other terms and conditions remain the same.

Travis Johnson Contracting Officer Question: States “For Description/Specifications through Contract Clauses sections, the offeror shall submit only the pages that require a fill-in.” It’s not clear where the “Description/Specifications” section is located. Will the Government please provide the page/section numbers for the “Description/Specifications”?

Answer: please reference 52.212-1 starting on page 171, 52.204-24 on page 179, 52.209-7 on page 181, and 52.212-3 starting on page 194.

Question: On page 3 of the Q&A Amendment, there are two questions that allude to proposal requirements for including transcripts for NPs and proof of BLS/ACLS for Physicians. However, these requirements do not appear anywhere in the RFP. Can the government please confirm that those are not required with proposal submission and the only items that are required for the Key Personnel section are found in the below RFP requirements:

Provide a list of the names and titles of qualified physicians, physician assistants, nurse practitioners, nurses, and other primary care provider staff intended to be utilized in the performance of this contract, taking into consideration the enrollment numbers for the clinic and the minimum staffing requirements. Also provide the name and title of the Medical Director to oversee the clinic. The PACT staffing proposed for the location should match the requirements listed in the staffing grid in the solicitation.

Provide copies of CAP, CLIA, or Joint Commission accreditation and current applicable state licensing and/or Center for Disease Control (CDC) accreditation or proof that such documents are being processed for Laboratory Services.

List the administrative support staff and describe the level of training and experience that will be utilized to meet the administrative support functions of this contract, including such functions as patient scheduling, medical record documentation, record processing and reporting, grievance system, and quality assurance and performance improvement.

Identify processes to ensure retention of qualified key personnel.

Answer: Correct, not required for the proposal submission and the items that are required for the Key personnel section are found above.

Question: Respectfully requesting further clarification, the solicitation states 0.05 MD for each location and the PACT providers can be MD, NP or PA. The 1 FTE MD requirement in the Q&A is significantly different than what is in the RFP. Is this what the government is intending?

Answer: A minimum of 1 FTE MD in person is required between the two locations. Other providers can be NP or PA. If a PA is provided they would fall under the contracted MD supervision. A provider needs to be present on site during normal business hours. Director must be an MD and can be remote.

Question: Can the government please provide the definition or a list of all primary care approved procedures?

Answer: Contractor should perform procedures that are common in Primary care. Supplies needed for procedures would be provided by contractor. List below isn’t all inclusive. Examples- skin biopsies, joint injections, wound care, battlefield acupuncture, inserting/removing foley catheters, cryotherapy, superficial abscesses, tick removal, tapping a joint, Women’s health procedures. Etc.

Question: Can the government please provide a list of all medication the contractor is required to order and administer onsite?

Answer: Contractor needs to provide any and all medications administered in the clinic. Any routine outpatient meds (meds used at home) will use our mail order system provided by the VA. No list is available.

Question: Can the government please provide list of all anticipated primary care procedures?

Answer: List below isn’t all inclusive. Examples- skin biopsies, joint injections, wound care, battlefield acupuncture, inserting/removing foley catheters, cryotherapy, superficial abscesses, tick removal, tapping a joint, Women’s health procedures. Etc.