Solicitation Amendment 36C26324R0100 0002.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

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)

1 3

36C263

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105 Angela Stewart angela.stewart438@va.gov

Department of Veterans Affairs

NETWORK 23 CONTRACTING OFFICE

2501 W. 22nd St.

Sioux Falls SD 57105

To all Offerors/Bidders 36C26324R0100

08-22-2024 X

X X

10:00am Central Tim on 09/06/2024

See CONTINUATION Page

X one

Solicitation 36C26324R0100 for anesthesiologist physician services to support the Minneapolis VA Health Care System is hereby amended to provide questions, answers, and clarification as detailed below.

Offerors are required to acknowledge this amendment by signing and returning one copy with the offer. The solicitation closing date and time remains at 10:00am Central Time on September 6, 2024.

Angela Stewart Contracting Officer

VA-VHA-RPOC-2022-19642

Solicitation 36C26324R0100 Amendment 0002

Questions, Answers, and Clarification

1. Is this a new requirement or is there an incumbent?

Answer: Procurement history can be found at fpds.gov.

2. Addendum to FAR 52.212-1 Instructions states that “For each professional/key personnel to provide services, provide 8) Health Safety Items – Provide proof of Health Record as required by solicitation” but section 2.1.8 of the PWS states “contractor shall proof of the following for physicians within five (5) calendar days after contract award”.

Due to HIPPA rules and regulations, we are unable to provide these documents upon proposal. Can you remove this candidate documentation requirement from the solicitation instructions?

Answer: Proof of Health Record is not required to be submitted with the offer but will be required within five (5) calendar days after contract award.

3. B.2 Schedule of Services Line Item Number 0002: What are the typical timings for off-site call coverage (carrying pager)?

Answer: See Performance Work Statement paragraph 3.1.7. Call Coverage Tour:

It is estimated there will be one call back per week. Current on-call hours are:

• Weekday Call: Monday – Friday coverage is 7:00 p.m. – 7:00 a.m. next day

• Weekend Call: starts Saturday at 7:00 a.m. and goes to 7:00 a.m. on Monday

• Holiday Call: coverage is from 7:00 a.m. – 7:00 a.m. next day

4. B.2 Schedule of Services Line Item Number 0002: What specific days are required to cover (weekdays or weekends)?

Answer: Both weekdays and weekends. Every 1 out of 7 weekdays; Every 7th weekend.

5. How frequently do anesthesiologists have to return to the hospital while they are on call at nighttime?

Answer: 3.1.7. Call Coverage Tour: It is estimated there will be one call back per week. *Current contract historical trend shows only one callback over a four month period.

6. Is there any weekend daytime or weekend night call coverage needed in this contract?

Answer: See Performance Work Statement paragraph 3.1.7. Call Coverage Tour: It is estimated there will be one call back per week. Current on-call hours are:

• Weekday Call: Monday – Friday coverage is 7:00 p.m. – 7:00 a.m. next day

• Weekend Call: starts Saturday at 7:00 a.m. and goes to 7:00 a.m. on Monday

• Holiday Call: coverage is from 7:00 a.m. – 7:00 a.m. next day

7. How many anesthesiologists are currently working at the Minneapolis VA Health Care

System now?

Answer: 17 (some are intermittent)

8. How many CRNAs are working at the Minneapolis VA Health Care System currently?

Answer: 32 (some are intermittent)

9. Is cardiothoracic experience mandatory for these anesthesiologists?

Answer: Yes, see Performance Work Statement paragraph 2.1.3. Experience – Anesthesiologist must have a minimum of two years recent experience providing anesthesiology services in a hospital operating room setting and must have recent cardiothoracic experience.

10. Regarding B.2 Schedule of Services Clin 0002, 0003, 3.17 Call Coverage Tour, and Offsite call Coverage, Holiday Call Coverage. “It is estimated there will be one call back per week” Question: The government outlines 2 separate CLINs for call coverage. What is the anticipated schedule of these call hours divided between the two physicians? We understand that the anticipated or average call back is once per week, but how many days per week/month are the contract anesthesiologists expected to cover to align with the allotted hours outlined in CLINs 0002 and 0003?

Answer: See Performance Work Statement paragraph 3.1.7. Call Coverage Tour: It is estimated there will be one call back per week. Current on-call hours are:

• Weekday Call: Monday – Friday coverage is 7:00 p.m. – 7:00 a.m. next day

• Weekend Call: starts Saturday at 7:00 a.m. and goes to 7:00 a.m. on Monday

• Holiday Call: coverage is from 7:00 a.m. – 7:00 a.m. next day

11. Regarding B3 Performance Work Statement, Section 2.8.1 and “Tuberculosis Testing:

“Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s physician(s) upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.”

Question: To confirm, annual TB testing is not required? Annual testing is not recommended per CDC guidelines unless there are exposure concerns.

Answer: Yes, annual TB testing is not required.

12. Regarding 2.7 No Employee Status, “the Contractor shall provide Worker’s Compensation, Professional liability insurance, health examinations, income tax withholding, and social security payment.”

Question: Would the government clarify this requirement and/or consider removing this requirement (excluding professional liability insurance) due to the common industry standard of how Physicians are employed?

Answer: These are federal requirements and will not be removed.

13. The table on page 29 of the Solicitation requires BLS and ACLS “Upon Award.” Page 87 of the Solicitation lists BLS and ACLS as required with the proposal. Are the BLS and ACLS documents required with the offer and upon award?

Answer: Yes, the BLS and ACLS documents are required both with the offer and upon award.