VA Medical Center, 3495 Bailey Avenue, Buffalo, NY 14215

Q -- DERMATOLOGY SERVICES SOL RFQ 528-06-00 DUE 053100 POC Mary T. Betker 716-862-6385 E-MAIL: Mary.Betker@med.va.gov, Mary.Betker@med.va.gov. This is a combined synopsis/solicitation for commercial items prepared in accordance with the format in Subpart 12.6; as supplemented with additional information included in this notice. This announcement constitutes the only solicitation; proposals are being requested and a written solicitation will not be issued. This solicitation is being issued as a Request for Quotation (RFQ) and is being conducted under the Simplified Acquisition Procedures (FAR Part 13). The solicitation reference number is RFQ 528-06-00 and incorporated provisions and clauses are those in effect through Federal Acquisition Circular (FAC) 97-17, dated 4/26/00. This solicitation is set aside for small business, if two small businesses do not respond, solicitation will be full and open; the associated Standard Industrial Classification (SIC) code is 8099 (Size: 5 Million). The VA Healthcare Network Upstate NY (VAHNUNY) (VISN 2) intends to contract for a Licensed Dermatologist, with work being performed at the VA Medical Center in Buffalo known as Western New York Healthcare System. Estimated Hours of this contract will be for a minimum of 120 hours and a maximum 240 hours during the course of the contract (regular workday Monday Friday 8:00 AM 4:30 PM) Minimum 2 Dermatology Clinic Sessions per week up to a maximum of four (4) sessions per week (minimum of four (4) hours per session). Contract period will be from Contract award through September 30, 2000 and 4 quarter option periods (a quarter option period consists of 3 months each). Option Quarters will be at the discretion of the WNYHS (Western New York Healthcare System). Rates submitted are to be hourly for regular workday. Rates for option term is required. Rates shall be all inclusive. Additional charges for travel, transport, lodging, meals, etc. will not be paid by VA. Dermatologist shall be Board Certified. Contractor may be required to provide upon request of the VA: A current copy of Job Description, a current, completed Competency Assessment Checklist, A current performance evaluation, and a listing of relevant continuing education for the last two years for each Contractor employee who is proposed to provide services under a contract resulting from this solicitation. Anticipated date of award is June 15, 2000. Duties: Perform all duties and responsibilities of a staff Dermatologist. Duties include, but not limited to, Outpatient consultative and, in appropriate circumstances requiring longitudinal co-management, continuing care of patients with Dermotologic disorders. No primary care will be offered. These services shall be provided in the outpatient setting in at least two (2) regularly scheduled clinics per week. Exceptions include closure of the Outpatient Clinic for official holidays. The Outpatient services provided will be according to current VAMC guidelines for waiting time in clinic and timeliness of availability of visit for new patients. Currently these services shall be provided as follows: Patients shall be seen within fifteen (15) minutes of scheduled appointment. Dermatology Staff shall: 1) Establish, with the clinic staff, the clinic profile for scheduling new and follow up patients. 2) Become familiar with the VAMC formulary and use of the computer system as needed for efficient practice. 3) Communicate results of consultations and tests to appropriate providers in inpatient and outpatient settings. All services shall be performed at the Buffalo VA Medical Center, Buffalo, NY, using government owned space and equipment. The individual's primary clinical experience shall be with the adult population. Must be clinically competent to perform examinations, diagnosis, render therapeutic treatment, be effective in handling emergencies, patient management and document in patient records. Patient record documentation shall be completed within 8 hours after performance of each procedure. Consultation coverage shall be provided in addition to the Dermatology Clinic coverage. Consultation and Dermatology Clinic services shall be rendered in accordance with hourly rate quoted. All procedures performed by the Contractor shall include provisions for urgent cases to be handled with first priority. Must be effective in teaching patient/family education and co-workers. Provide oversight and recommendations to the Medical VA Care Line Manager on Dermatological programs and procedures for treatment planning and follow-up of veteran beneficiaries receiving care. Provide oversight and assistance to VA and other clinical personnel on Dermatology support functions necessary for patient therapeutic care. Provide assistance and advice to VA Program Personnel for developing new techniques in patient related Dermatology programs. Must be effective in planning, using administrative judgment and should have sound decision making skills. Individual will follow and meet all Western New York Healthcare System policies, rules and regulations. The individual must pass the Medical Center credentialing process, including no adverse actions noted on the National Practitioner Data Bank. Individual will be required to utilize the electronic medical record and other computer programs available to staff at this Western New York Healthcare System. Individual will participate in organizational meetings as requested. Actual times of clinic sessions will be the same each week as mutually agreed upon by the Contractor and Medical VA Care Line Manager. Requirement may increase as patient load determines. There will be a maximum of 4 clinics a week and a maximum of 8 hours a day with an unpaid lunch break. Interested parties shall submit information identifying clear and convincing documentation (including pricing) that they can meet the salient characteristics. Contractor must supply a separate Price, Technical, and Past Performance Information for evaluation purposes. A copy of the Dermatologists License, awards and pertinent data, that will perform the service, is to be included with the Technical Information. No solicitation document is available. The evaluation will be based on price, technical qualifications and past performance in declining order. Offerors shall include a completed copy of the provision at FAR 52.212-3, Offeror Representations and Certifications- Commercial Items. The clauses at FAR 52.212-4, Contract Terms and Conditions- will apply. Addendum to FAR 52.212-4 SPECIAL CONTRACT REQUIREMENTS Under the authority of Public Law 104-262 and 38 USC 8153, the contractor agrees to provide Health Care Resources in accordance with the terms and conditions stated herein, to furnish to and at the Department of Veterans Affairs Western New York Healthcare System, the services and prices specified in the Section entitled Schedule of Supplies/Services of this contract. 1. SERVICES: a. The services specified in the Sections entitled Schedule of Supplies/Services and Special Contract Requirements may be changed by written modification to this contract. The modification will be prepared by the VA Contracting Officer and, prior to becoming effective, shall be approved by the VA Under Secretary for Health or his/her designee. b. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming. c. The services to be performed by the contractor will be performed in accordance with VA policies and procedures and the regulations of the medical staff by laws of the VA facility. d. The services to be performed by the contractor will be under the direction of the VA Western New York Healthcare System Chief of Staff. 2. TERM OF CONTRACT: This contract is effective from date of award through June 30, 2000. The contract is subject to the availability of VA funds. No service shall be performed by the contractor after September 30, each year until the contracting officer authorizes such services in writing. 3. QUALIFICATIONS: Personnel assigned by the Contractor to perform the services covered by this contract shall be licensed in a State, Territory, or Commonwealth of the United States or the District of Columbia. All licenses held by the personnel working on this contract shall be full and unrestricted licenses. The qualifications of such personnel shall also be subject to review by the Physician Executive and approval by the VA Facility Director. Each person assigned to work under this contract shall be licensed by the appropriate board governing their field of practice. 4. WORK HOURS: a. The services covered by this contract shall be furnished by the contractor as defined herein. The contractor will not be required, except in case of emergency, to furnish such services during off-duty hours as described below. b. The following terms have the following meanings: (1)Work hours: Monday through Friday, 8:00 a.m. -- 4:30 p.m. (2)National Holidays: The 10 holidays observed by the Federal Government are: New Years Day Martin Luther Kings Birthday Presidents Day Memorial Day Independence Day Labor Day Columbus Day Veterans Day Thanksgiving Christmas and any other day specifically declared by the President of the United States to be a national holiday. 5. PERSONNEL POLICY: The contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the contractor shall provide the following for these personnel: -- workers compensation -- professional liability insurance -- health examinations -- income tax withholding, and -- social security payments. The parties agree that the contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose. 6. RECORD KEEPING: The VA operated facility shall establish and maintain a record keeping system that will record the hours worked by the contractor's employee(s). Contractor's employee(s) shall report to the service Administrative Officer, or designee upon arrival at the VA operated facility. 7. CONTRACT PERFORMANCE MONITORING: Monitoring of contractors time shall be demonstrated through sign-in/sign-out sheets. The contractor shall be required to sign an attendance log upon reporting to work and departing from work. The Contracting Officer's Technical Representative (COTR), as designated by the Contracting Officer shall be the VA official responsible for verifying contract compliance. After contract award, any incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. 8. KEY PERSONNEL AND TEMPORARY EMERGENCY SUBSTITUTIONS: The Contractor shall assign to this contract the following key personnel: During the first ninety (90) days of performance (if options are exercised), 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 Contracting Officer, in writing, within 15 calendar days after the occurrence of any of these events and provide the information required by paragraph (c) below. After the initial 90-day period of the contract, the Contractor shall submit the information required by paragraph (c) to the Contracting Officer at least 15 days prior to making any permanent substitutions. 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 Contracting Officer. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The Contracting Officer 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. For temporary substitutions where the key person will not be reporting to work for three (3) consecutive work days or more, the Contractor will provide a qualified replacement for the key person. This substitute shall have comparable qualifications to the key person.Any period exceeding two weeks will require the procedure as stated above. Sums due the Contractor shall be paid monthly, in arrears, upon receipt of a properly prepared invoice. The Contractor shall submit invoice to Chief, Fiscal Service, VA WNY Healthcare System, 3495 Bailey Ave., Buffalo, NY 14215. Commercial Items, and FAR 52.212-5, Contract Terms and Conditions Required to Implement statutes or Executive orders-Commercial Items, apply to this acquisition. The following FAR clauses cited in FAR clause 52.212-5(b) are applicable 1(11) 52.221-21, Prohibition of Segregated Facilities (Feb 1999)., (12) 52.222-26, Equal Opportunity (E.O. 11246).1(13) 52.222-35, Affirmative Action for Disabled Veterans and Veterans of the Vietnam Era (29 U.S.C. 793).1(14) 52.222-36, Affirmative Action for Workers with Disabilities (29 U.S.C. 793). 52.232-18 Availability of funds. 52.232-19 Availability of Funds for the Next Fiscal Year. 52.252-2 Clauses incorporated by reference. 52.217-8 Option to Extend Services. 52.222-21Prohibition of Segregated Facilities. 52.224-1 Privacy Act Notification. 52.237-1 Site Visit. 52.237-2 Protection of Government Buildings, Equipment, and Vegetation. 52.237-3 Continuity of Services. Provisions and clauses found at FAR 52.216-18, 52.216-19, 52.216-21, VAAR 852.203-70, 852.209-70, 852.219-70, 852.216-70, 852.270-1, 852.270-4, 852.271-70, 852.271-75, 852.770-4, 852,237-7 Indemnification and Medical Liability Insurance (1 Million dollars) also apply to this acquisition. Full text of clauses and provisions are available at Federal Acquisition Regulations (FAR): http://www.arnet.gov/References/References.html and Veterans Affairs Acquisition Regulations (VAAR): http://www.va.gov/oa&mm/vaar . Proposals shall be submitted to the address listed above or faxed to 716-862-8893 and directed to the attention of Mary T. Betker (528/2-90(NCA) by May 31, 2000 @ 4:30 p.m.. The Solicitation number RFQ 528-06-00 shall be listed on the outside of the quotation envelope. Posted 05/22/00 (W-SN457297). (0143)

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