36C26324Q0024 0001.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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)

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

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

To all Offerors/Bidders 36C26324Q0024

X

1 3

05 October 2023

18 October 2023

X X

This amendment answers questions from interested Offerors regarding the solicitation.

It also extends the solicitation until 8 AM Central Daylight Time, Monday, October 23, 2023, to provide time for Offerors to adjust their quotes as needed.

Matthew Rose Contracting Officer

18 October 2023

Questions and answers relating to CRNA Solicitation 36C26324Q0024:

Is this a new or existing requirement?

Existing.

If this is an existing requirement, how many incumbent CRNAs are on this contract?

5 CRNAs credentialed, allotted 2 FTE per week.

If this is an existing requirement, who is the incumbent company?

RICE solutions (CAP).

How many CRNAs are in the department now?

3 full time VHA staff, 2 Locum staff.

How many Anesthesiologists are in the department now?

None.

How many CRNAs and/or Anesthesiologists equal a fully staffed department?

Approved for 5 CRNA and 1 MDA.

Is an Anesthesiologist required to be in the OR when a CRNA induces a patient?

No.

Is an Anesthesiologist required to administer induction medications for the CRNA?

No.

Is an Anesthesiologist required to be in the OR when a CRNA emerges/wakes up a patient?

No.

What are the COVID immunization requirements for the St. Cloud VA Health Care System?

Proof of immunization or we must have a medical or religious exemption on file approved by supervisor. HR has the COVID exemption forms.

Section 2.1.7.1 TB Testing states TST or IGRA testing shall be repeated annually. Updated CDC guidelines do not recommend annual screening (unless prevalent) after baseline. Will the Government consider removing annual testing?

St Cloud VA requires ICRA on hire, and then only repeat if there was a HRE to TB per CDC guidelines.

Section 3.1 states schedule is from 8am – 4:30pm, and section 3.2.2.3 states the schedule is from 7am – 3:30pm. Can the Government clarify which is the correct schedule?

0700-1530 is the normal schedule. There may be occasional variability where there needs to be a person stay after 1530 to cover PACU, but not longer than 1630 usually. No more than 40 hours per week.

Based on section 3, Hours of Operation, it appears this contract is for CRNA services for M-F, regular shifts.

Can the Government confirm that there are no WHEN (weekend, holiday, evening, night) requirements for this contract?

No WHEN required.

4.5.2.1.1 states surgical procedures are: general, orthopedic, plastic, ENT, urologic, podiatry, and ophthalmologic operations. Can the Government clarify if there are any other types of surgical procedures performed at this facility?

All correct, would add endoscopy, cardioversions. We may also be adding outpatient GYN services.

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4.5.2.1.2 states Contractor’s providers shall provide clinical care of patients undergoing diagnostic and therapeutic procedures OR and gastrointestinal clinic. Can the Government clarify what specific diagnostic and therapeutic procedures are performed at the St. Cloud VA Health Care System?

Endoscopy, Cardioversions, MAC sedation for minor procedures as needed.

How many Operating Rooms (ORs) are in the department?

3.

How many cases are done on average per day and per month?

5-8 cases/day. Up to 120 cases/month. Increasing total case amounts as we increase surgeon staffing.

Is there an Ultrasound Guided Regional Anesthesia (nerve block) program at this hospital?

Yes.

If there is an Ultrasound Guided Regional Anesthesia (nerve block) program at this hospital, must the CRNAs be proficient in nerve blocks?

Preferred proficient, but willing to teach.

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A.2 DELIVERY SCHEDULE