RFP 36C25925R0123.pdf

PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. UEI: EFT:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

36C25925R0123 10-02-2025

Fanta Cooper-Wells, Contract Specialist 918.525.8070 10-31-2025

17:00 MDT

36C259 Department of Veterans Affairs Network Contracting Office (NCO) 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

X

561320

$34 Million

N/A

Oklahoma City VA Medical Center

921 NE 13th Street Oklahoma City OK 73104

36C259

Department of Veterans Affairs Network Contracting Office

NCO 19

Department of Veterans Affairs Financial Service Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

On-site Otolaryngology Services for the Oklahoma City VAMC.

See subsequent pages for details and Schedule of Services and Price.

Proposals are due by due by 5:00PM MST on October 31, 2025, to Fanta.Cooper-Wells@va.gov.

Questions regarding this RFP shall be submitted via email to Fanta.Cooper-Wells@va.gov by 1:00PM EST on October 9, 2025.

Follow-on questions after October 9, 2025, will not be considered.

This is a new requirement.

$0.00 See CONTINUATION Page

X 1

Claudia Coria

36C25925R0123

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PRICE/COST SCHEDULE

B.3 PERFORMANCE WORK STATEMENT

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

C.1 TASK/DELIVERY ORDER INTRODUCTORY LANGUAGE

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

C.3 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.4 52.216-18 ORDERING (AUG 2020)

C.5 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.6 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.7 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.8 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.9 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC

2022)

C.10 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.11 VAAR 852.211-76 LIQUIDATED DAMAGES - REIMBURSEMENT FOR DATA

BREACH COSTS

C.12 VAAR 852.222-71, COMPLIANCE WITH EXECUTIVE ORDER 13899

(DEVIATION) (APR 2025)

C.13 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.14 VAAR 852.237-70 INDEMNIFICATION AND MEDICAL LIABILITY INSURANCE

(OCT 2019)

C.15 VAAR 852.237-72 CRIME CONTROL ACT—REPORTING OF CHILD ABUSE

(OCT 2019)

C.16 VAAR 852.237-74 NON-DISCRIMINATION IN SERVICE DELIVERY (OCT 2019)

C.17 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.18 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ...73

C.19 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION JUL 2025)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERICAL SERVICES

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998) (End of Provision)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

C.5 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS-

REPRESENTATION AND DISCLOSURES DISCLOSURES (DEC 2023)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.8 52.233-2 Service of Protest (SEPT 2006)

E.6 VAAR 852.209-70 ORGANIZATIONAL CONFLICTS OF INTEREST (OCT 2020) ..95

E.7 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED

BY REFERENCE

E.7 VAAR 852.273-70 LATE OFFERS (NOV 2021)

E.8 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

ADDENDUM to FAR 52.212-2 EVALUATION – COMPARATIVE EVALUATION

E.9 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION

FEB 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR: To Be Determined Name:

Address:

Phone:

Email:

Unique Entity ID Number: _______________________________________

TAX ID Number: _______________________________________________

b. GOVERNMENT: Contracting Officer 36C259 - NCO19HealthCareResources@va.gov

Department of Veterans Affairs Network Contracting Office (NCO) 19

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award

Management, or [] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Monthly In Arrears

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

5. Federal Acquisition Regulations (FAR) require all contractors doing business with the Government to register and maintain registration in two separate and individual online databases:

a. CONTRACTOR PERFORMANCE ASSESSMENT REPORTING SYSTEM (CPARS) - as prescribed in FAR Part 42.15, the Department of Veterans Affairs (VA) evaluates contractor mailto:NCO19HealthCareResources@va.gov past performance on all contracts that exceeds the simplified acquisition threshold. Additional information is found in section 4.9 of the Performance Work Statement (PWS).

b. SYSTEM FOR AWARD MANAGEMENT (SAM) - all prospective awardees shall be registered and maintain active registration in the SAM database prior to award, during performance, and through final payment of any contract resulting from this solicitation. After initial registration, the contractor is required to update registration data as changes occur and must re-register annually. Noncompliance will preclude the exercising of any option periods that may be included herein and may be cause for termination of the contract. Refer to FAR Clause 52.212-4(t) for more details.

6. SECURE FAX: In accordance with VA Handbook 6500, the following statement is required on all fax cover sheets; if it is determined the ordering process will include a fax: “This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

7. MANDATORY WRITTEN DISCLOSURES: Mandatory written disclosures required by FAR clause 52.203-13 to the Department of Veterans Affairs, Office of Inspector General (OIG) must be made electronically through the VA OIG Hotline at OIG Hotline (va.gov) and clicking on "FAR clause 52.203-13 Reporting." If you experience difficulty accessing the website, call the Hotline at 1-800-488-8244 for further instructions.

8. FAR DEVIATION FEB 2025 Instructions: System updates may lag policy updates. The System for Award Management (SAM) may continue to require entities to complete representations based on provisions that are not included in agency solicitations. Examples include 52.222-25, Affirmative Action Compliance, and paragraph (d) of 52.212-3, Offeror Representations and Certifications—Commercial Products and Commercial Services.

Contracting officers will not consider these representations when making award decisions or enforce requirements. Entities are not required to, nor are they able to, update their entity registration to remove these representations in SAM.

B.2 PRICE/COST SCHEDULE

The Contractor shall furnish all personnel to provide services necessary to perform onsite Otolaryngology Physician Services to eligible beneficiaries of the Department of Veterans Affairs Medical Center, Oklahoma City (hereinafter referred to as facility). The contractor’s physician(s) (s)’ care shall cover the range of Otolaryngology services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized national standards as established by the American Academy of Otolaryngology (AAO) http://www.entnet.org/

Place of Performance: Services shall be provided on-site, OKC VAHCS, 921 NE 13TH Street, Oklahoma City, OK 73104.

Pricing Instructions: The offeror is instructed to edit the number of Sub-Line Item Number (SLIN) to correspond with the number of key personnel submitted for the line item number (LIN).

Affiliate Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted.

Also, renumber SUB-LINs if adding or removing Key Personnel.

The Contractor shall propose a minimum of one (1) primary and one (1) backup per specialty (total of 6) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract. Services will include clinic coverage, surgery coverage, remote consultations, on-site consultations, and emergent surgical services in the operating room.

Invoices shall be submitted to the nearest whole hour.

http://www.entnet.org/

PERIOD OF PERFORMANCE: November 1, 2025 to October 31, 2026

(Period of Performance contained herein is an estimate and will be adjusted accordingly prior to award.)

LIN No. SUB-

LIN

Description Qty. Unit Unit Cost Total Annual Cost

0001 None Board Certified/Board Eligible Otolaryngology Physician Services – Sinus/Sleep Specialist

1,992 Hours

0002 None Board Certified/Board Eligible Otolaryngology Physician Services – Otology Specialist

672 Hours

0003 None Board Certified/Board Eligible Otolaryngology Physician Services – Head and Neck Oncology

1,992 Hours

KEY PERSONNEL

None 0001a

Board Certified/Board Eligible Otolaryngology Physician Services – Sinus/Sleep Specialist

NAME: ____________

TITLE: ____________

Hours $__/hr. $__

None 0002a

Board Certified/Board Eligible Otolaryngology Physician Services – Otology Specialist

None 0003a

Board Certified/Board Eligible Otolaryngology Physician Services – Head and Neck Oncology

TOTAL COST

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Services Provided: The Contractor shall provide Board Certified /Board Eligible Otolaryngology Physician Services on site in accordance with the specifications contained herein to beneficiaries of the Department of Veterans Affairs (VA) and the and the Oklahoma City Veterans Affairs Health Care System (VAHCS). The Contractor’s patient care shall cover the range of services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality meeting or exceeding currently recognized national standards as established by the

1.1.1. The professional standards of The Joint Commission (TJC) http://www.jointcommission.org/standards_information/standards.aspx

1.1.2. The standards of the American Hospital Association (AHA) http://www.hpoe.org/resources?show=100&type=8

1.1.3. The American Board of Otolaryngology – Head and Neck Surgery: abohns.org

1.2. Contractor should thoroughly review the specifications and become familiar with the areas of coverage in order to become fully aware of the scope of requirements. Failure to understand the contract requirements shall not relieve the Contractor from performing in accordance with the specifications listed in the following Performance Work Statement (PWS). Costs not incorporated into the Contractor’s price will NOT be reimbursed by the Government.

1.3. Place of Performance: Contractor shall furnish on-site services at the OKC VAHCS, 921 Northeast 13th Street, Oklahoma City, OK 73104.

1.4. Authority: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1065: Productivity and Staffing Guidance for Specialty Provider Group Practice

1.4.4. VHA Directive 1088(1): Communicating Test Results to Providers and Patients

1.4.5. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.6. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.7. VHA Directive 1100.21: Privileging

1.4.8. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.4.9. VHA Directive 1220(1): Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures in Any Clinical Setting

1.4.10. VHA Directive 1605.01: Privacy and Release of Information

1.4.11. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.12. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports http://www.jointcommission.org/standards_information/standards.aspx http://www.hpoe.org/resources?show=100&type=8 https://www.abohns.org/

1.4.13. Privacy Act of 1974 (5 U.S.C. 552a) as amended:

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.14. Contractor shall also be subject to all local, Oklahoma City directives, memorandums, standards of procedures.

1.5. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications VHA Publications

1.5.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.6. Acronyms/Definitions Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.6.1. ABS: American Board of Surgery http://www.absurgery.org/

1.6.2. ACGME: Accreditation Council for Graduate Medical Education

1.6.3. ACLS: Advanced Cardiac Life Support

1.6.4. AJIC: American Journal for Infection Control

1.6.5. AQL: Acceptable Quality Level

1.6.6. BAA: Business Associate Agreement

1.6.7. BBA: Balanced Budget Act

1.6.8. BLS: Basic Life Support

1.6.9. CDC: Centers for Disease Control and Prevention

1.6.10. CDR: Contract Deficiency Report

1.6.11. CEU: Certified Education Unit

1.6.12. Clinical Privileging: Clinical Privileging is the process by which a practitioner, licensed for independent practice; e.g., without supervision, direction, required sponsor, preceptor, mandatory collaboration, etc.; is permitted by law and the facility to practice independently, to provide specific medical or other patient care services within the scope of the individual’s license, based upon the individual’s clinical competence as determined by peer references, professional experience, health status, education, training and licensure. Clinical privileges must be facility-specific and provider-specific, and within available resources.

1.6.13. CME: Continuing Medical Education

1.6.14. CMP: Civil Monetary Penalty

1.6.15. CMS: Centers for Medicare and Medicaid Services

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm https://www.va.gov/vapubs/ https://www.va.gov/vhapublications/index.cfm https://www.va.gov/vhapublications/index.cfm http://www.absurgery.org/

1.6.16. CO: Contracting Officer: The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.6.17. COI: Conflict of Interest

1.6.18. COR: Contracting Officer’s Representative: A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.6.19. COS: Chief of Staff

1.6.20. CPARS: Contractor Performance Assessment Reporting System

1.6.21. Credentialing: Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health care provider to provide care or services in or for the VA health care system. Credentials are documented evidence of licensure, education, training, experience or other qualifications.

1.6.22. DEA: Drug Enforcement Agency

1.6.23. EHR: Electronic Health Record - electronic health record system used by the VA

1.6.24. EPA: Environmental Protection Agency

1.6.25. FAPIIS: Federal Awardee Performance and Integrity Information System

1.6.26. FAR: Federal Acquisition Regulation

1.6.27. FOIA: Freedom of Information Act

1.6.28. FPPE: Focused Provider Practice Evaluation

1.6.29. FSMB: Federation of State Medical Boards

1.6.30. FTE: Full Time Equivalent: VA’s standard definition is for full time working the equivalent of 80 hours every two weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.6.31. HHS: Department of Health and Human Services

1.6.32. HICPAC: Hospital Infection Practices Advisory Committee

1.6.33. HIPAA: Health Insurance Portability and Accountability Act

1.6.34. IGRA: Interferon-gamma Release Assays

1.6.35. ISO: Information Security Officer

1.6.36. Key Personnel: The individuals specified in this contract who are essential to work performance.

1.6.37. MRI: Magnetic Resonance Imaging

1.6.38. MST: Military Sexual Trauma

1.6.39. NPI: National Provider Identifier. NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The VHA must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers).

1.6.40. NPPES: National Plan and Provider Enumeration System

1.6.41. NSO: National Surgery Office

1.6.42. OGC: Office of General Counsel

1.6.43. OIG: Office of Inspector General

1.6.44. OPPE: Ongoing Provider Practice Evaluation

1.6.45. OR: Operating Room

1.6.46. POP: Period of Performance

1.6.47. PPD: Purified Protein Derivative

1.6.48. PPIRS: Past Performance Information Retrieval System

1.6.49. PWS: Performance Work Statement

1.6.50. QA/QI: Quality Assurance/Quality Improvement

1.6.51. QM/PI: Quality Management/Performance Improvement

1.6.52. QASP: Quality Assurance Surveillance Plan

1.6.53. RFP: Request for Proposal

1.6.54. SCS: Specialty Care Services

1.6.55. SSAC: Sole Source Affiliate Contract

1.6.56. TJC: the Joint Commission

1.6.57. TST: Tuberculosis Skin Test

1.6.58. USC: United States Code

1.6.59. VA: Department of Veterans Affairs

1.6.60. VA-FSC: VA Financial Services Center

1.6.61. VAAR: VA Acquisition Regulation

1.6.62. VETPro: is VHA’s mandatory credentialing software platform to document the credentialing of VHA health care Providers. This system facilitates completion of a uniform, accurate and complete credentials file.

1.6.63. VHA: Veterans Health Administration

1.6.64. VistA: Veterans Integrated Systems Technology Architecture

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. License: The Contractor’s physician(s) assigned by the Contractor to perform the services covered by this contract shall have a current license to practice medicine in any State, Territory, or Commonwealth of the United States or the District of Columbia) when services are performed onsite on VA property.

All licenses held by the key personnel working on this contract shall be full and unrestricted licenses. Contractor’s physician(s) who have current, full and unrestricted licenses in one or more states, but who have, or ever had, a license restricted, suspended, revoked, voluntarily revoked, voluntarily surrendered pending action or denied upon application will not be considered for the purposes of this contract.

Contractor is responsible for keeping the COR informed of anything that would adversely affect or otherwise limit their clinical privileges. Failure to meet this requirement may result in termination of the contract.

2.1.2. Board Certification: All contractor’s physician(s) shall be Board Certified /Board Eligible by the American Board of Otolaryngology http://www.aboto.org/, and be currently certified in Basic Life Support (BLS) Advanced Cardiac Life Support (ACLS) or equivalency. All continuing education courses required for maintaining certification must always be kept up to date. Documentation verifying current certification shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

2.1.3. Credentialing and Privileging: Credentialing and privileging is to be done in accordance with the provisions of VHA Directive 1100.20 and VHA Directive

1100.21 referenced above. The Contractor is responsible to ensure that proposed physician(s) possesses the requisite credentials enabling the granting of privileges.

No services shall be provided by any Contractor’s physician(s) prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.3.1. If a Contractor’s physician(s) and/or other contract provider(s) are not credentialed and privileged or has credentials/privileges suspended or revoked, the Contractor shall furnish an acceptable substitute without any additional cost to the government.

2.1.3.2. No Contractor’s physician(s) shall be scheduled or tentatively placed on an upcoming schedule to perform patient care services at the OKC VAHCS prior to completing the bulleted items directly below:

2.1.3.2.1. Fully credentialied by the OKC VAHCS Physicians Standards Board (PSB)

2.1.3.2.2. Favorably adjudicated fingerprints and completed background check

2.1.3.2.3. Computer access to the VA Network at the OKC VAHCS http://abop.org/board-certification/

2.1.3.2.4. Unless pre-approved in writing by the Chief of Surgery or Chief of Staff, the Contractor’s physician(s) shall not submit a physician for credentialing who had a prior conviction of any type.

2.1.3.2.5. Unless pre-approved in writing by the Chief of Surgery or Chief of Staff, the Contractor shall not submit a physician for credentialing who had or have any of the following:

2.1.3.2.5.1. Three or more medical malpractice payments in payment history

2.1.3.2.5.2. A single medical malpractice payment of $550,000 or more

2.1.3.2.5.3. Two medical malpractice payments totaling $1,000,000 or more

2.1.3.2.6. Contractor must provide the following documents to initiate credentialing at the OKC VAHCS:

2.1.3.2.6.1. Current CV, clearly defining qualifications as stated in the

PWS

2.1.3.2.6.2. OF-306, and accompanying documents (if needed)

2.1.3.2.6.3. VetPro enrollment form

2.1.3.2.6.4. Copy of Social Security card

2.1.3.2.7. Contractor must provide the following documents to initiate background check:

2.1.3.2.7.1. Contract Security Services Request form #1A

2.1.3.2.7.2. Contractor/Employee Fingerprinting Request form #2

2.1.3.2.7.3. VHA Service Center PIV Sponsorship form #3

2.1.3.2.7.4. Self-Certification of Continuous Service

2.1.3.2.7.5. VA Form 0710

2.1.3.2.8. Requirements for VA Network Access:

2.1.3.2.8.1. TMS Training VA Privacy and Information Security Awareness and Rules of Behavior

2.1.3.2.8.2. VA PIV

2.1.3.2.8.3. CPRS and VISTA verify and access codes

2.1.3.2.8.4. Active Directory account

2.1.3.2.8.5. Favorably adjudicated fingerprints

2.1.4. Technical Proficiency: Contractor’s physician(s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor’s physician(s) and contractor’s physician(s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.5. Continuing Medical Education (CME)/ Certified Education Unit (CEU) Requirements: Contractor shall provide the COR copies of current CMEs as required or requested by the facility. Contractor’s physician(s) registered or certified by national/medical associations shall continue to meet the minimum standards for CME to remain current. Contractor shall report CME hours to the credential’s office for tracking. These documents are required for both privileging and re-privileging. Failure to provide shall result in loss of privileges for contractor’s physician(s).

2.1.6. OPPE, FPPE, or Low Volume Provider Evaluations: The Contractor is responsible for completing the contracted physician’s provider OPPE, FPPE, or low volume provider evaluations. Evaluation(s) must be completed within 30 days of written notice, from the OKC VAHCS, of a review initiation.

2.1.6.1. FPPE reviews are performed after 90 days of services for any newly credentialed Contract provider.

2.1.6.2. OPPE reviews are conducted bi-annually or every 6-months:

2.1.6.2.1. January 1 through June 30

2.1.6.2.2. July 1 through December 31

2.1.6.3. Providers who perform less than 5 separate recorded patient care activities, in CPRS, during an OPPE or FPPE review period, will be evaluated using the low volume provider evaluation. Low volume provider evaluations are completed by the Contractor and the facility that the physician practices outside of the OKC VAHCS.

2.1.7. Training (ACLS, BLS, EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s physician(s) as required by the VA.

Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training Frequency Annual Hours ACLS/BLS Biennial 1 Active Threat Training Annual 1 Blood Administration:

Complications

Annual 1.5

EHR One time 2 Government Ethics Annual 0.3 Hospice and Palliative Care for VA Clinicians

One time 1

Military Sexual Trauma (MST) for Medical Providers

One time 1

Moderate Sedation In- Service Training

One time 2

PACT Act 2022 Toxic Exposure Screening (TES)

One time 1

Patient Abuse One time .15 Patient Rights Annual .15 Patient Safety Annual 0.5 Prevention/Management of Disruptive Behavior/Violence Prevention Level I

Annual 2

Prevention of Workplace Harassment/No Fear Act

Annual 0.33

Suicide Prevention: Suicide Risk Management Training for Clinicians

Annual 1

SUX Infection Control and Blood Borne Pathogens

Annual 1

VA Core Values Training (ICARE Recommitment)

Annual 0.5

VA Privacy and Information Security Awareness and Rules of Behavior

Annual 0.5

VHA MRI Safety Training Level 1 Training (all who enter MRI suites)

Annual 0.5

VHA Privacy and HIPAA Focused Training

Annual 0.5

VistA Imaging One time 0.5

2.1.8. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS,

ETC.): Contractor shall provide proof of the following for physicians within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.8.1. 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.

2.1.8.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor physicians {This is applicable to all health care workers}.

2.1.8.5. INFLUENZA: Contractors shall provide proof that all Contractor physicians have received the annual Influenza vaccine unless it is contraindicated. If the Contractor physician has a scmedical contraindication to the vaccine, they shall be required to wear a mask during the Influenza season. {This is applicable to all health care workers}.

2.1.8.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO

BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor’s physician(s) {This is applicable to all health care workers}; provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series;

maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.8.7. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289- 354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.9. National Provider Identifier (NPI): NPI is a standard, unique 10-digit numeric identifier required by HIPAA. The Veterans Health Administration must use NPIs in all HIPAA-standard electronic transactions for individual (health care practitioners) and organizational entities (medical centers). The Contractor shall have or obtain appropriate NPI and if pertinent the Taxonomy Code confirmation notice issued by the Centers for Medicare and Medicaid Services (CMS) National Plan and Provider Enumeration System (NPPES) be provided to the Contracting Officer with the proposal.

2.1.10. DEA: Contractor shall provide copy of current DEA certificate.

2.1.11. Conflict of Interest: The Contractor and all contractor’s physician(s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided.

The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.1.12. Citizenship related Requirements:

2.1.12.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.12.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.12.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.12.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C.

1001.

2.1.12.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.1.13. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.13.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed http://oig.hhs.gov/exclusions/index.asp contractor’s physician(s) are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.13.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s physician(s) shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition against Self-Referral: Contractor’s physicians are prohibited from referring VA patients to contractor’s or their own practice(s).

2.6. Inherent Government Functions: Contractor and Contractor’s physician(s) shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s physician(s) furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.8. Workers’ compensation

2.7.9. Professional liability insurance

2.7.10. Health examinations

2.7.11. Income tax withholding, and

2.7.12. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s physician(s). When a Contractor or contractor’s physician(s) has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contractor’s physician(s)) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The VA Full Time Equivalency (FTE) for the services required is 2.3 FTE.

2.9.1.1. 1.0 FTE: General Otolaryngologist, specialized in Sleep Medicine, Rhinology/Sinus/Anterior Skull Base surgeries to include:

2.9.1.1.1. Tympanomastoid

2.9.1.1.2. Tympanotomy

2.9.1.1.3. Simple mastoidectomy

2.9.1.1.4. Ventiliation tube placement

2.9.1.1.5. Nose and sinuses

2.9.1.1.6. Intranasal operations

2.9.1.1.7. Antrostomy

2.9.1.1.8. Ethmoidectomy

2.9.1.1.9. Sphenoidectomy

2.9.1.1.10. Polypectomy

2.9.1.1.11. Submucous resection or septoplasty

2.9.1.1.12. Facial fractures

2.9.1.1.13. Benign tumors, cysts

2.9.1.1.14. Oral cavity and tongue

2.9.1.1.15. Parotid

2.9.1.1.16. Other salivary glands

2.9.1.1.17. Neck

2.9.1.1.18. Malignant tumors

2.9.1.1.19. External nose

2.9.1.1.20. Nasal space, sinuses

2.9.1.1.21. Oral cavity and tongue

2.9.1.1.22. Mandible and adjacent structures

2.9.1.1.23. Parotid/Thyroid

2.9.1.1.24. Tonsillectomy

2.9.1.1.25. Larynx

2.9.1.1.26. Laryngoscopy/esophagoscopy/Esophageal dilation

2.9.1.1.27. Tracheostomy

2.9.1.1.28. Stoma revision

2.9.1.1.29. Radical cervical node resection

2.9.1.1.30. Facial soft tissue excision or repair

2.9.1.1.31. Bronchoscopy

2.9.1.1.32. Panendoscopy

2.9.1.1.33. Endoscopic sinus surgery

2.9.1.1.34. Excision cervical lymph node

2.9.1.1.35. Vocal cord stripping

2.9.1.1.36. Debridement of wound

2.9.1.1.37. Control of bleeding

2.9.1.1.38. Change T tube

2.9.1.1.39. Debridement of wound

2.9.1.1.40. Control of bleeding

2.9.1.1.41. Change T tube

2.9.1.1.42. Sleep disorders

2.9.1.1.43. Sleep apnea surgery

2.9.1.1.44. Sleep investigations

2.9.1.1.45. Sinusitis / Sinus Surgery

2.9.1.1.46. Apnea

2.9.1.1.47. Snoring

2.9.1.1.48. Fellowship training in Sinus/Sleep Medicine required

2.9.1.2. 0.3 FTE: General Otolaryngologist, specialized in Otology (Ears), to include:

2.9.1.2.1. Ear

2.9.1.2.2. Hearing

2.9.1.2.3. Balance

2.9.1.2.4. Tympanomastoid

2.9.1.2.5. Tympanotomy

2.9.1.2.6. Simple mastoidectomy

2.9.1.2.7. Radical mastoidectomy

2.9.1.2.8. Cochlea implant

2.9.1.2.9. Stapedectomy

2.9.1.2.10. Bone anchored Hearing aid

2.9.1.2.11. Ear excision

2.9.1.2.12. Fellowship training in Otology required

2.9.1.3. 1.0 FTE: General Otolaryngologist, specialized in Head and Neck

Oncology surgieries to include:

2.9.1.3.1. Nose and Sinus

2.9.1.3.2. Intranasal operations

2.9.1.3.3. Antrotomy

2.9.1.3.4. Ethmoidectomy

2.9.1.3.5. Sphenoidectomy

2.9.1.3.6. Polypectomy

2.9.1.3.7. Submucous resection or septoplasty

2.9.1.3.8. Fractures

2.9.1.3.9. Frontal

2.9.1.3.10. Mid facial

2.9.1.3.11. Benign tumors, cysts

2.9.1.3.12. Oral cavity and tongue

2.9.1.3.13. Parotid

2.9.1.3.14. Other salivary glands

2.9.1.3.15. Neck

2.9.1.3.16. Malignant tumors

2.9.1.3.17. External nose

2.9.1.3.18. Nasal space, sinuses

2.9.1.3.19. Oral cavity and tongue

2.9.1.3.20. Mandible and adjacent structures

2.9.1.3.21. Parotid

2.9.1.3.22. Tonsillectomy

2.9.1.3.23. Larynx

2.9.1.3.24. Laryngoscopy (direct)

2.9.1.3.25. Hemilaryngectomy

2.9.1.3.26. Laryngectomy

2.9.1.3.27. Tracheotomy

2.9.1.3.28. Stoma revision

2.9.1.3.29. Tracheal-esophageal

2.9.1.3.30. Esophageal dilation

2.9.1.3.31. Radical cervical nose resection

2.9.1.3.32. Facial soft tissue excision or repair

2.9.1.3.33. Bronchoscopy

2.9.1.3.34. Panendoscopy

2.9.1.3.35. Endoscopic sinus surgery

2.9.1.3.36. Excision cervical lymph node

2.9.1.3.37. Medialization of TVC

2.9.1.3.38. Vocal cord stripping

2.9.1.3.39. Cricopharyngeal myotomy

2.9.1.3.40. Debridement of wound

2.9.1.3.41. Control of bleeding

2.9.1.3.42. Pharyngocutaneous fistula closure

2.9.1.3.43. Change of T tube

2.9.1.3.44. Glottic closure

2.9.1.3.45. Oropharyngeal

2.9.1.3.46. Skin cancer of the head and neck

2.9.1.3.47. Thyroid cancer

2.9.1.3.48. Endocrine surgery of the head and neck

2.9.1.3.49. Skull base surgery

2.9.1.3.50. Free flap reconstruction

2.9.1.3.51. Fellowship training in Head and Neck Oncology required

2.9.2. The minimum number of Board Certified /Board Eligible Otolaryngology physicians, specializing in Sleep Medicine and Rhinology/Sinus/Anterior Skull Base Surgeries, required to be on site daily is 1.0 FTE as defined in paragraph Hours of Operation in this section. An additional 0.3 FTE Otolaryngology physician, specializing in Otology, shall be scheduled every other week, as defined in paragraph Hours of Operation in this section. A daily 1.0 FTE is required to be on site for an Otolaryngology physician, specializing in Head and Neck Cancers.

2.9.3. The Contractor shall be responsible for providing coverage to the VA during periods of vacancies of the Contractor’s personnel due to sick leave, personal leave, vacations, and additional coverage as required. In the event a scheduled physician is unable to complete an assigned shift, the contractor shall provide replacement physician coverage within 2 hours and notify the Contracting Office Representative (COR) immediately of the schedule change.

2.9.4. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death, or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar day(s) after the occurrence of any of these events and provide the information required below.

After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.9.4.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO.

Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.4.2. For temporary substitutions where the key person shall not be reporting to work for 3 consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two weeks will require the procedure as stated above.

2.9.4.3. The Government reserves the right to refuse acceptance of any Contractor personnel at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction, or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s physician(s), s/he may request, without cause, immediate replacement of said Contractor’s physician(s).

The CO and COR shall deal with issues raised concerning Contractor’s physician(s) conduct. The final arbiter on questions of acceptability is the

CO.

2.9.4.4. Contingency Plan: Because continuity of care is an essential part of facility’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s physician(s) leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING

3.1. VA Business Hours: Monday through Friday, 0800 to 1630

3.2. 1.0 FTE: General Otolaryngologist, specialized in Sleep Medicine, Rhinology/Sinus/Anterior Skull Base surgeries

3.2.1. Clinic Schedule: Tuesday and Friday, Every other Wednesday, 0800 to 1630 with 30 minute lunch (unpaid)

3.2.1.1. Contractor’s physician(s) shall be available and present in clinic during normal facility clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 0800 to 1630.

3.2.2. OR Schedule: Monday and Thursday, Every other Wednesday 0700 to 1530 with 30 minute lunch (unpaid)

3.2.2.1. Contractor’s physician(s) shall be available and present in OR during OR hours, which will be established, and may be revised, as deemed appropriate for patient care by the COS. Currently, normal OR hours are Thursday through Friday, 0700 to 1530.

3.3. 0.3 FTE: General Otolaryngology physician, specialized in Otology

3.3.1. Clinic Schedule: Every other Tuesday and Thursday, 0800 to 1630 with 30 minute lunch (unpaid)

3.3.1.1. Contractor’s physician(s) shall be available and present in clinic during normal facility clinic hours, which will be established, and may be revised, as deemed appropriate for patient care by the Chief of Staff. Currently, normal clinic hours are 0800 to 1630.

3.3.2. OR Schedule: Every other Wednesday, 0700 to 1530 with 30 minute lunch (unpaid)

3.3.2.1. Contractor’s physician(s) shall be available and present in OR during OR hours, which will be established, and may be revised, as deemed appropriate for patient care by the COS.