Sol_75H71026Q00184_Amd_0001.pdf

(x)

75H71026Q00184 x x

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 electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT 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 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.

x

Shiprock NM 87420 US Hwy 491 North Northern Navajo Medical CTR

06/16/20260001

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

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

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

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

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

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

06/16/2026

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

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

The purpose of Amendment 0001 is as follows:

1. The Combined Synopsis/Solicitation is amended to revise the Schedule of Items.

2. Provide questions and answers.

3. Extend the closing date to 06/26/2026 3:00 pm MDT.

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

MISTY J. BILLY

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

Questions for Solicitation 75H71026Q00184

1. Reference: Schedule of Items; PWS Section 5.2.2 The Schedule of Items identifies 1,040 Regular Hours per physician during each six-month performance period. The PWS work schedule describes overnight on-call coverage and call-back services but does not identify regularly scheduled onsite clinical, clinic, operating room, or inpatient coverage hours.

Question: Please clarify the duties and work schedule associated with the Regular Hours CLIN and identify when Regular Hours are expected to be utilized.

This position covers mostly nights but the shift starts at 5PM. Weekends are covered from 5PM Friday through Monday morning. Most hours will be nights and weekends. Occasionally the covering nocturnist may take a patient to the OR in the morning with the day time team either as primary or first assist. The intent is not to have “regular” M-F day time work scheduled. However the contract is flexible in case that change is needed in the future.

2. Reference: Schedule of Items; PWS Sections 5.1.4.4 and 5.2.2 The Schedule of Items identifies 1,040 Call-Back Hours per physician during each six-month performance period.

Question: Please clarify how Call-Back Hours are defined, tracked, and invoiced.

Specifically, does call-back time begin when the provider is contacted, when the provider arrives at the facility, or when patient care activities begin?

The contractor is paid a flat rate for all the hours worked regardless of context. So for example if the nocturnist is in the call apartment, not called in, they still are paid the same as if they came in to do a surgery or were rounding in the admitted patients, The contract is designed this way because the volume is relatively low but the services are greatly needed.

3. Reference: Schedule of Items; PWS Section 5.2.2 Question: Please confirm that the On-Call Hours CLIN applies to periods during which the contractor is carrying the pager and available for consultation but is not actively engaged in patient care activities requiring call-back to the facility.

The contractor is theoretically always engaged in care activities because if there are patients on the general surgery service the contractor is covering their care while on duty. In addition to covering inpatient surgical patients as well as any care support needed for general surgery patients during their duty hours (say questions on an outpatient antibiotic being picked up over the weekend by our pharmacy) they are also available for consultation. The difference is the contractor is able to take phone calls/cross cover from the call apartment and come in as needed.

4. Reference: Schedule of Items Question: Are the estimated quantities for Regular Hours (1,040), Call-Back Hours (1,040), and On-Call Hours (1,412) based on historical utilization, projected utilization, or estimated maximum requirements?

We anticipate that contractors will need to cover about 2080 hours during each 6 month period of the contract. This is based on known needs at the facility. We are designing the call coverage schedule around the nocturnist.

5. Reference: Schedule of Items Question: Please provide the Government's expected invoicing methodology for the three labor categories. Should contractors invoice actual hours worked within each category, or will invoicing be based on a predetermined allocation of hours?

Contractors shall invoice for actual hours worked

6. Reference: PWS Section 5.1.4.4 and 5.2.2 Question: Please identify any required response times for telephone consultations and any required arrival times when called back to the facility for patient care activities.

The expectation is to return pages within 10 minutes (or by proxy if in the OR) and arrival for assessment within 30 minutes.

7. Reference: PWS Section 5.2.2 Question: The PWS states that the contractor will cover one to two full weekends per month. Please confirm whether this requirement is assigned per individual physician or whether weekend coverage may be distributed among multiple awarded contractors.

Weekend coverage could be distributed but we would prefer one contractor per weekend to minimize hand offs. But each weekend could be covered by a different individual.

8. Reference: Schedule of Items Note The solicitation states that the Government may issue multiple awards to satisfy the requirement for two General Surgery Nocturnists.

Question: If multiple awards are made, how does the Government anticipate distributing shifts, call coverage, and estimated hours among awarded contractors?

Coverage will be based on the Government's need for two General Surgery Nocturnist positions.

9. Reference: Evaluation Factors and Key Personnel Requirements Question: May offerors propose multiple qualified physicians under a single quotation, and if so, will the Government evaluate staffing depth and continuity of coverage as a strength?

Yes. Offerors may propose multiple qualified physicians under a single quotation.

Quotations will be evaluated in accordance with the evaluation factors identified in the solicitation.

10. Reference: PWS Section 5.1.4.4 Question: For planning and pricing purposes, can the Government provide historical workload information from the most recent contract period, including:

a. Average number of overnight calls per month;

b. Average number of call-back events per month;

c. Average number of emergency surgical procedures performed during overnight coverage;

d. Average number of weekend call-back events per month?

This is very variable and depends on if patients or admitted or present to the ED.

An estimate would be 0-4 ED calls a night and 0-1 overnight cases. The service contains 0-4 patients.

I would estimate 1-3 cases done overnight per week, 0-2 cases sent out after stabilization, 0-5 cases scheduled overnight but done the next day per week.

In a 24 hour weekend day would anticipate 1-4 ED consults. An average weekend would estimate 4-10 ED consults, so 16-40 a month. Some consults are uncomplicated, some require admission, some require procedures and still other stabilization or more urgent intervention.

11. Reference: PWS Section 5.2.2

Question: Please confirm whether holiday coverage is included within the estimated CLIN quantities identified in the Schedule of Items. Can the Schedule of Items be modified to include a CLIN for holiday coverage hours?

Holiday hours are included and are at the same rate.

12. Are the quantities listed for Regular Hours, Call-Back Hours, and On-Call Hours estimated billing quantities only, or are they intended to represent the actual anticipated workload?

Anticipated workload is 2080 hours for 6 months.

13. How does the Government define and distinguish "Regular Hours" versus "Call-Back Hours" for invoicing and payment purposes?

They are invoiced at the same rate. The only distinction is time of day.

14. Should offerors price strictly against the quantities listed in the pricing schedule, regardless of the actual coverage hours described in the PWS?

Offerors shall provide pricing based on the quantities identified in the Schedule of Items.

15. Is the Government seeking coverage from a single physician, or does it anticipate making multiple awards and distributing the schedule among more than one physician?

The solicitation states that the Government may make multiple awards to satisfy the requirement for two General Surgery Nocturnist positions.

16. Is the provider required to remain physically present in the hospital during the overnight shifts, or is this considered home-call coverage with return to the facility only when paged?

Call apartment coverage with return to the facility when paged.

17. Could you please confirm if this date is correct and if there have been any updates or amendments that may not have been posted yet?

The dates on the solicitation notice are correct. Any changes or amendments will also be posted on SAM.gov.

18. What hours constitute Regular Hours?

All hours are billed at the same rate.

19. Is the General Surgery Nocturnist required to remain in-house during the overnight shift?

No, they can stay in the call apartment and return as needed

20. When does billable Call-Back time begin and end?

The entire time the surgeon is working, holding the pager etc is billed at the same hourly rate.

21. Is the contractor compensated for all scheduled overnight hours as Regular Hours in addition to On-Call Hours?

All hours worked receive the same rate.