Solicitation Amendment 36C26326Q0204 0003.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 2

0003 01-22-2026

36C263

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 23

2501 W. 22ND STREET

SIOUX FALLS SD 57105

DEPARTMENT OF VETERANS AFFAIRS

NETWORK CONTRACTING OFFICE 23

2501 W. 22ND STREET

SIOUX FALLS SD 57105

To all Offerors/Bidders

36C26326Q0204

12-11-2025

X

X X

X one

Solicitation 36C26326Q0204 for gastroenterology physician services to support the Central Iowa VA Health Care System is hereby amended to provide questions, answers, and clarification as detailed below.

Quoters are required to acknowledge this amendment by signing and returning one copy with their quote. The solicitation closing date and time remains at 10:00am CT on 01/28/2026.

Angela Stewart Contracting Officer

VA-VHA-RPOC=2022-19642

Solicitation 36C26326Q0204 Amendment A00003

Questions, Answers, and Clarification

1. Is there an incumbent provider for gastroenterology physician services?

Response: Yes, prior contract 36C26324P0691 was awarded to Iowa Digestive Disease Center.

2. Please confirm whether key personnel resumes must be submitted with the quotation, or whether confirmation of availability is sufficient at the time of submission, with finalized resumes provided prior to award or during the credentialing process.

Response: See Section E.10 52.212-2 Evaluation for the information requested for evaluations.

3. Please confirm whether a healthcare staffing firm may bid as the prime contractor for this requirement, provided the firm can supply qualified, board-certified Gastroenterology physicians and meet all credentialing, compliance, and performance requirements outlined in the solicitation.

Response: There is no prohibition on staffing firms submitting quotes for this procurement if they meet all requirements.

4. Please confirm whether a firm not currently registered under NAICS 621111 may submit a quotation, and whether updating SAM registration prior to award would be required.

Response: So long as a firm meets the applicable size standard for NAICS 621111, the firm is not required to have the NAICS 621111 listed on the SAM registration.

5. Please confirm whether the 832 hours per year represents a maximum ceiling or an anticipated workload, and whether billing is based solely on actual hours worked.

Response: 832 hours per year, 16 hours per week, are anticipated. Billing is based on actual hours worked.

6. Please confirm whether the Government anticipates the same hourly rate for the base period and all option periods, or whether rate escalation across option years is expected or preferred.

Response: The quote should include the hourly unit price for each Line Item Number. See Section B.2. The unit price may vary by line item, if appropriate.

7. How would providers keep track of time?

Response: The VA will have a spreadsheet or other tool (e.g. the LEAF system) to track provider hours.

8. How would the Contractor be notified of time?

Response: The VA will schedule procedures with patients in advance and communicate the appointments to the Contractor to give them advance notice. Last minute changes to the schedule such as cancellations will be communicated to the vendor with as much advance notice as possible to allow the Contractor to modify their schedule, if needed.

9. Would there be a guarantee of so many hours per day (as there may be patient cancellations)?

Response: The VA anticipates 8 hours per service day for procedures. If there are patient cancellations, the provider could use the time for eConsults or required training as noted in the Performance Work Statement.