GSA

Department of Veterans Affairs
Federal Supply Service
Authorized Federal Supply Schedule Price List
Effective Date: October 1, 2005
On-line access to contract ordering information, terms and conditions, up-to-date pricing, and the option to create an
electronic delivery order are available through GSA Advantage!, a menu-driven database system. The Internet address
for GSA Advantage! is: www.GSAAdvantage.gov

Federal Supply Schedule (FSS) 621 I
Professional & Allied Healthcare Staffing Services

Product Service Code Q
Contract #: V797P-7031A
NAICS: 621399, 621999, 561320

For more information on ordering from Federal Supply Schedules click on the FSS Schedules at http://www.fss.gsa.gov

Contract Period: 10/01/2005 through 09/30/2010
Business Size: Small
Data Universal Number System (DUNS) Number: 027695407
Central Contractor Registration (CCR) Cage Code: 319A9

Customer Information:
1.        Table of awarded special item number(s):

                                                    SIN 621-      Description
                                         030(1)        Physician Assistant (Emergency Medicine)
                                         030(2)        Physician Assistant (Clinical)
                                         030(3)        Physician Assistant (Urgent Care)
                                         054             Registered Nurse Practitioner
2.        Maximum order: $1,000,000 per order.
3.        Minimum order: 36 hours
4.        Geographic coverage (service area): Alaska, Washington, Michigan, Florida, North Carolina, Nebraska,
Minnesota, Illinois, Virginia,
     North Dakota South Dakota, West Virginia, New York, Georgia, Iowa, New Mexico, Colorado, Arizona, Utah,
and Nevada.
5.        Prompt Payment Terms: net 30 days
6.        Government Commercial Credit Card: Accepts Government Credit Card up to and over the Micro
Purchase Threshold of $2,500.00
7.        Ordering address: 3210 W 11th St., Yankton SD 57078-6835
8.        Payment address: 3210 W 11th St., Yankton SD 57078-6835
9.        Prices shown herein are “net” ceiling prices-not to exceed rates.   The net ceiling rates include malpractice
insurance for non-
    personal services task-orders and exclude travel and lodging. Personal Services task-orders will also be
accepted.
10.        Minimum Qualifications of Professionals: See below
11.        Medical Liability Insurance Limits: $1 million per occurrence; $3 million aggregate.
12.        Ordering Procedures: For services, the ordering procedures, information on Blanket Purchase
    Agreements (BPA’s), are found in the Federal Acquisition Regulation (FAR) 8.405-3.

Physician Assistant Staffing Service, LLC (dba PASS LLC) Not to Exceed Hourly Rates

Note: Rates shown are ceiling rates, including malpractice insurance. The rates shown exclude lodging and transportation
charges.

Shift Differentials: Not Offered, Not awarded

Work Week: Sunday – Saturday

Overtime Rate(s): Not Offered, Not awarded

Holiday Rate(s): 1.3 times hourly rate

On-Call Rate(s): Not Offered, Not awarded

Call Back Rate(s): Not Offered, Not awarded

Minimum Qualifications of Professionals:

    621-030(1)        Physician Assistant – Emergency
Years Experience: : Must have 1+ years experience in the previous 24 months and/or residency trained in Emergency Medicine
Education: BS with PA certification
Certification: Current unrestricted state license, current NCCPA certification, and DEA license
Required: ACLS, BLS, ATLS.

            621-030 (2)        Physician Assistant – Clinic
Years Experience: Must have 1 years experience in the previous 24 months
Education: BS with PA certification
Certification: Current unrestricted state license, current NCCPA certification, and DEA license
Required: ACLS, BLS:

            621-030(3)        Physician Assistant – Urgent Care
Years Experience: Must have 1 years experience in the previous 24 months
Education: BS with PA certification
Certification: Current unrestricted state license, current NCCPA certification, and DEA license
Required: ACLS, BLS

             621-054        Nurse Practitioner
Years Experience: Minimum of twelve months experience in last 3 years
Education: MSN in Nursing and board NP certification
Certification: Current state license, DEA license, ANCC certification, and minimum practice requirements
Required: ACLS, BLS: