Post Amendment2_RFP-75H70621Q00002_ERPhysiciansBelcourtND.pdf

DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Health Service Division of Acquisitions Management

Date Issued: March 11, 2021 Date Due: 12pm CST, March 15, 2021

Ladies and Gentlemen:

Enclosed is Amendment No. Two (2) to Solicitation No. RFP-75H70621Q00002 for the purpose of providing Emergency Room Physician Services at the Quentin N. Burdick Memorial Healthcare Facility (IHS) in Belcourt, North Dakota.

Amendment No. Two (2) to the solicitation hereby incorporates the following changes:

Attached, are second set of answers to questions submitted by vendors interested in submitting proposals to solicitation RFP-75H70621Q00002 Closing date for submission of proposals remains as 12pm CST, Monday, March 15, 2021.

No other changes are made by reason of this amendment.

Please review and acknowledge receipt of this amendment prior to the hour and date due for submission of the proposal as specified in this Amendment. Acknowledgement shall be performed by returning two (2) completed copies of the amendment. To complete, Items eight (8), and Fifteen (15A, 15B, and 15C) of the Standard Form 30 must be filled in.

If you have any questions or concerns, please contact Phyllis Gourneau at (701) 477-8419 or myself.

Sincerely, Craig J. Wells Chief of the Contracting Office Great Plains Area Indian Health Service

Reference: GPAO / Div. Acquisition Mgmt. - Commercial Contracts Request for Proposal: RFP-75H70621Q00002 Amendment Number Two (2)

Great Plains Area Indian Health Service Federal Building, Room 309 Aberdeen, SD 57401-4381

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT 1. CONTRACT ID CODE

OMB#0990-0115

PAGE OF PAGES

2. AMENDMENT/MODIFICATION

Two (2)

3. EFFECTIVE DATE

March 11, 2021

4. REQUISITION/PURCHASE REQ. NO.

5. PROJECT NO. (If applicable)

6. ISSUED BY CODE

Quentin N Burdick Memorial Healthcare Facility Attn: Phyllis Gourneau, Contract Specialist PO box 160 1300 Hospital Loop Belcourt, ND 58316

7. ADMINISTERED BY (If other than Item 6) CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

(X) 9A. AMENDMENT OF SOLICITATION NO.

RFP 75H70621Q00002

X

9B. DATED (SEE ITEM 11)

03/11/2021

10A. MODIFICATION OF CONTRACT/ORDER

NO.

10B. DATED (SEE ITEM 13)

CODE FACILITY CODE

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers is extended, X is not extended.

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 telegram 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 telegram or letter, provided each telegram or letter makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

12. ACCOUNTING AND APPROPRIATION DATA (If required)

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

(X) 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 9A.

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, appropriation date, etc.).

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

D. OTHER (Specify type of modification and authority)

E. IMPORTANT: Contractor Offers is not, x is required to sign this document and return _______1____ copies to the issuing office.

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

Amendment Number Two (2) to RFP 75H70621Q00002 as follows:

1. Additional Questions and Answers

Question 17. Hey, can you tell me what changed in the bid?

Answer 17. All changes are listed on the Amendment letter that was posted on beta.sam.gov.

Question 18. Also, can you tell me what the shift times are for the PA’s/NP’s? Just making sure you have NP and PA’s working.

Answer 18 the shift times aren’t set they are at the discretion of the Clinical Director.

Question 19. Can you suggest a hotel the Docs usually stay at in Belcourt?

Answer 19. The hotel in Belcourt is the sky Dancer hotel and Casino, 3965 Sky Dancer Way, NW Belcourt ND 58316 1(877)676-0048. Skydancercasino.com

Question 20. Also, will the EM provider have to sign on an the PA and NP Charts?

Answer 20. We have Np’s in the ER setting and they are considered independent practitioner’s.

Question 21 Clarification of hours 2 weeks on, 2 weeks off.

Answer 21. All the scheduling of shifts is completed by Dr. Bercier. In the ER they work 12 hr. Shifts, 2 weeks off. 2 weeks on.

Question 22.

Can you please confirm that the following documents must be submitted at time of quote?:

1. Complete and sign Agreement of Child Care Position of Provisional Authorization.

2. Complete and sign Declaration for Federal Employment Option Form 306

3. Complete and sign Addendum to Declaration for Federal Employment Option Form 306

10. Copies of Continue Education

13. Copy of recent Health Examination

Answer 22 Yes to all

Question 23. If the Federal Employment Option Form 306 is required at time of quote, is it possible to leave the social security numbers blank so as not to risk compromise of the numbers in an email attachment? Can IHS accept outside encrypted email service to receive these documents?

Answer: You may leave the social security #’s off.

Question 24. If a copy of recent Health Examination is required at the time of quote, is there a specific IHS assessment form or vaccination record that should be used? Similar to concerns regarding social security number, can copies of this PHI be sent using encrypted email?

Answer 24 there is no Special Form

There are no other changes to this amendment.

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 (Type of print)

16. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)

CRAIG J. WELLS, IHS-CO-19-0009

15B. CONTRACTOR/OFFEROR

(Signature Of person authorized to sign)

15C. DATE SIGNED

16B. UNITED STATES OF AMERICA

(Signature Of Contracting Officer)

16C DATE SIGNED

NSN 7540-01-152-8070 30-105 STANDARD FORM 30 (REV. 10-83)

PREVIOUS EDITION UNUSABLE Prescribed by GSA

FAR (48 CFR) 53.243