S06 - 36C24826Q0064 0002.pdf

5. PROJECT NUMBER (if applicable)

CODE 7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER 3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO. 1. CONTRACT ID CODE

FACILITY CODE CODE

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:

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

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ 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 ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office. is not, 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 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

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.

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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 16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30 PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243

(Type or print) (Type or print)

(Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code)

(If other than Item 6)

(Specify type of modification and authority)

(such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

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

1 13

0002 01-09-2026

None

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Suite 525 Tampa FL 33637

36C248

Department of Veterans Affairs Network Contracting Office 8 (NCO 8)

8875 Hidden River Pkwy Tampa FL 33637

To all Offerors/Bidders

36C24826Q0064

12-16-2025

X

X X

X one (1)

The purpose of this amendment is to:

1. Answer vendor questions for the above referenced Request for Quotations (RFQ), block 9A. Refer to pages three (3) through four (4) of this amendment for questions and responses.

2. Update the LINs/SLINs table, in section B.2, Schedule of Services, pages six (6) through eight (8) of the RFQ, to reflect the updated anticipated period of Performance. Refer to pages five (5) through seven (7) of this amendment for the update.

3. Update Section B.3, Performance Work Statement (PWS), Section 1.5, Acronyms/Definitions, pages ten (10) through thirteen (13) of the RFQ. See pages eight (8) through eleven (11) of this amendment for the update.

(SEE CONTINUATION SHEET)

Jayne Messer Contracting Officer

VA-VHARPOE-2023-0120

CONTINUATION SHEET

REQUEST FOR QUOTATIONS NUMBER 36C24826Q0064

AMENDMENT 0002

4. Update Section B.3, PWS, Section 2.1, Staff/Facility, Paragraph 2.1.2, page thirteen (13) of the RFQ. Refer to page twelve (12) of this amendment for the update.

5. Update the Addendum to FAR provision 52.212-1, Instructions to Offerors—Commercial Products and Commercial Services, Volume 2, Subfactor A, Qualifications of Candidates, item 2(b). Refer to pages twelve (12) to thirteen (13) of this amendment for the update.

Vendor Questions and Answers:

Q.1 Is there an incumbent?

A.1 Yes

Q.2 What is the current contract number?

A.2 36C24821D0022

Q.3 How many neurosurgeries and Orthopedic spine cases have there been over the last 24 months? How many of these surgeries have gone over 6 hours?

A.3 Between Neuro and Vascular, there have been a total of 674 completed cases in the last two fiscal years. 57 of those cases went over 6 hours long.

Q.4 How many cases have there been for each specialty over the last 24 months?

A.4 There were 290 Neurosurgery cases and 384 Vascular surgery cases. Keep in mind, not all used IONM.

Q.5 How many surgeons utilize IONM services?

A.5 A total of three Neurosurgeons utilize IONM and three Vascular surgeons.

Q.6 Can you confirm that ACLS certification is not required for the on-site or the remote RNP?

A.6 Per Section B.3, Performance Work Statement, paragraph 2.1.2, page 13 of the solicitation, All Contractor’s Neurophysiologist physician(s) and IONM technologist(s) must be currently certified in Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) or equivalency.

Per page 66 of the solicitation, addendum to provision E.1 52.212-1, Instructions to Offerors— Commercial Products And Commercial Services, Instructions to Quoters, Quote Submission Instructions, Volume 2 – Technical Capability, Subfactor A – Qualifications of Candidates, item number 4, for both Neurophysiologist Physician and IONM Technologist candidates quoted, the following documentation is required for submission a) Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications are required prior to award.

Q.7 . Attachment D.2 is a certification for a limitation on subcontracting for SDVOSB's and VOSB's; however, on the SF 1449 it states that it is a small business set aside. I wanted to see if that subcontract limitation applies to this solicitation.

A.7 Yes, it applies.

Q.8 What is the current contract #?

A.8 Refer to answer #2.

Q.9 Who is the incumbent?

A.9 Neurology Mobile System Associates Inc.

Q.10 When does the current contract with option periods end?

A.10 06/16/2026

Q.11 What is the likely date for award?

A.11 March 2026

Q.12 What is the target date for starting new services?

A.12 06/17/2026

Q.13 Please break out the estimated volume of IONM cases by case type (neuro, ortho, spine, carotids, ENT, peripheral nerve, etc.).

A.13 Refer to answer #4.

Q.12 What is the estimated case concurrency for when more than one IONM cases happens at a time?

A.12 one (1) – two (2) cases.

Q.15 2.1.2. Board Certification: All Contractor’s Neurophysiologist physician(s) must be Board Certified by the American Board of Neurological Surgery (ABNS).” ABNS is not the best practice for IONM. Please revise this section to be for “American Board of Psychiatry and Neurology

A.15 Section 2.1.2. is updated as follows per this amendment “2.1.2 Board Certification: All Contractor’s Neurophysiologist physician(s) shall be Board Certified by the American Board of Neurological Surgery (ABNS) or American Board of Psychiatry and Neurology (ABPN) and possess a certificate of Fellowship in Intraoperative Neuromonitoring.” Please also see the update to this section on page 12 of this amendment.

Section B.2, Schedule of Services, LINs/SLINs, pages six (6) through eight (8) of the RFQ, is hereby updated to read as follows:

LINs/SLINs

LIN SLIN

DESCRIPTION

OF SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE AMOUNT

Base Year: 06/17/2026 – 06/16/2027

0001 DO NOT

PRICE

DO NOT PRICE

IONM Services to include an on-site IONM Technologist and remote Board-Certified Neurophysiologist oversight in accordance with (IAW) the Performance Work Statement (PWS).

Contract Period: Base POP Begin: 02-17-2026 POP End: 02-16-2027

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q510 - Medical - Neurology

0001A

119.00 CS $_________ $_____________

IONM Services (Weekdays/24/7 on-call/call-back coverage)

0001B

4.00 CS $_________ $_____________

IONM Services (Weekends/holidays/24/7 on-call/call-back coverage)

0001C

5.00 EA $_________ $_____________

Probes-Tubes

0001D

4.00 EA $_________ $_____________

Cancellation Fee (less than 24-hour notice)

Estimated Total for Base Year: $____________ Option Year One (1): 06/17/2027 – 06/16/2028

DO NOT

PRICE

DO NOT PRICE

IONM Services to include an on-site IONM Technologist and remote Board-Certified Neurophysiologist oversight in accordance with (IAW) the Performance Work Statement (PWS).

Contract Period: Option 1 POP Begin: 02-17-2027 POP End: 02-16-2028

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q510 - Medical -

1001A

1001B

IONM Services (Weekends/holidays/24/7 on-call/call-

1001C

1001D

Estimated Total for Option Year One (1): $____________ Option Year Two (2): 06/17/2028 – 06/16/2029

DO NOT PRICE

IONM Services to include an on-site IONM Technologist and remote Board-Certified Neurophysiologist oversight in accordance with (IAW) the Performance Work Statement (PWS).

Contract Period: Option 2 POP Begin: 02-17-2028 POP End: 02-16-2029

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q510 - Medical -

2001A coverage)

2001B 4.00 CS $_________ $_____________

IONM Services (Weekends/holidays/24/7 on-call/call-

2001C

2001D

Estimated Total for Option Year Two (2): $____________ Option Year Three (3): 06/17/2029 – 06/16/2030

DO NOT PRICE

IONM Services to include an on-site IONM Technologist and remote Board-Certified Neurophysiologist oversight in accordance with (IAW) the Performance Work Statement (PWS).

Contract Period: Option 3 POP Begin: 02-17-2029 POP End: 02-16-2030

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists)

PRODUCT/SERVICE CODE: Q510 - Medical -

3001A

IONM Services (Weekdays/24/7 on call coverage)

3001B

IONM Services (Weekends/holidays/24/7 on call

3001C

3001D

Estimated Total for Option Year Three (3): $____________

Option Year Four (4): 06/17/2030 – 06/16/2031

DO NOT PRICE

IONM Services to include an on-site IONM Technologist and remote Board-Certified Neurophysiologist oversight in accordance with (IAW) the Performance Work Statement (PWS).

Contract Period: Option 4 POP Begin: 02-17-2030 POP End: 02-16-2031

PRINCIPAL NAICS CODE: 621111 - Offices of Physicians (except Mental Health Specialists) PRODUCT/SERVICE CODE: Q510 - Medical -

4001A

IONM Services (Weekdays/24/7 on call coverage) 4001B

IONM Services (Weekends/holidays/24/7 on call

4001C

5.00 EA $_________ $____________

4001D

Estimated Total for Option Year Four (4): $____________

Estimated Grand Total

Section B.3, Performance Work Statement (PWS), Section 1.5, Acronyms/Definitions, pages ten (10) through thirteen (13) of the RFQ, are hereby updated to read as follows:

1.1. Acronyms/Definitions: Terms used in this contract must 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 must govern.

1.1.1. AANS: American Association for Neurological Surgeons

http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx

1.1.2. ABNS: American Board of Neurological Surgery https://abns.org/

1.1.3. ABPN: American Board of Psychiatry and Neurology https://abpn.org/

1.1.4. ABRET: American Board of Registration of Electroencephalographic and Evoked

Potential Technologists.

1.1.5. ACGME: Accreditation Council for Graduate Medical Education

1.1.6. ACLS: Advanced Cardiac Life Support

1.1.7. AHA: American Hospital Association

1.1.8. AJIC: American Journal for Infection Control

1.1.9. AOD: Admitting Officer of the Day

1.1.10. AQL: Acceptable Quality Level

1.1.11. BAA: Business Associate Agreement

1.1.12. BBA: Balanced Budget Act

1.1.13. BLS: Basic Life Support

1.1.14. BSEP: Brainstem evoked potential

1.1.15. BWCVAMC: Bruce W. Carter VA Medical Center

1.1.16. C&A: Certification and Accreditation

1.1.17. CCNE: Commission on Collegiate Nursing Education:

www.aacn.nche.edu/accreditation

1.1.18. CDC: Centers for Disease Control and Prevention

1.1.19. CDR: Contract Discrepancy Report

1.1.20. CEU: Certified Education Unit

1.1.21. CLIN: Contract Line-Item Number

1.1.22. 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.

1.1.23. CME: Continuing Medical Education

1.1.24. CMS: Centers for Medicare and Medicaid Services

http://aans.org/en/Education%20and%20Meetings/Clinical%20Guidelines.aspx https://abns.org/ https://abpn.org/ http://www.aacn.nche.edu/accreditation

1.1.25. CNIM: Certified Nerve Integrity Monitor

1.1.26. Contracting Officer (CO): 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.

1.1.27. Contracting Officer’s Representative (COR): 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 must report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.1.28. COS: Chief of Staff

1.1.29. COTR: Contracting Officer’s Technical Representative

1.1.30. CPARS: Contractor Performance Assessment Reporting System

1.1.31. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.1.32. CS: Case

1.1.33. DEA: Drug Enforcement Agency

1.1.34. ED: Emergency Department

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

1.1.36. EMG: Electromyography

1.1.37. EP: Electrophysiological

1.1.38. FAR: Federal Acquisition Regulation

1.1.39. FOIA: Freedom of Information Act

1.1.40. FPPE: Focused Provider Practice Evaluation

1.1.41. FSMB: Federation of State Medical Boards

1.1.42. 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.

1.1.43. HCR: Healthcare Resources

1.1.44. HHS: Department of Health and Human Services

1.1.45. HICPAC: Hospital Infection Practices Advisory Committee

1.1.46. HIPAA: Health Insurance Portability and Accountability Act

1.1.47. HR: Human Resources

1.1.48. IONM: Interoperative Neuromonitoring

1.1.49. IGRA: Interferon-gamma release assays

1.1.50. ISO: Information Security Officer

1.1.51. IT: Information Technology

1.1.52. ISO: Information Security Officer

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

1.1.54. LIN: Line-Item Number

1.1.55. MEP: Motor evoked potential

1.1.56. MRI: Magnetic Resonance Imaging

1.1.57. Medical Emergency: a sudden onset of a medical condition manifesting itself by acute symptoms of sufficient severity that the absence of immediate medical attention could reasonably result in: Permanently placing a patient's health in jeopardy, causing other serious medical consequences, causing impairments to body functions, or causing serious or permanent dysfunction of any body-organ or part.

1.1.58. MOD: Medical Officer of the Day

1.1.59. 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).

1.1.60. NLNAC: National League for Nursing Accrediting Commission. www.nlnac.org

1.1.61. Non-Contract Provider: any person, organization, agency, or entity that is not directly or indirectly employed by the Contractor or any of its subcontractors

1.1.62. NP: Nurse Practitioner

1.1.63. NPPES: National Plan and Provider Enumeration System

1.1.64. NSO: National Surgery Officer

1.1.65. OIG: Office of Inspector General

1.1.66. OPPE: Ongoing Provider Practice Evaluation

1.1.67. OR: Operating Room

1.1.68. PA: Physician Assistant

1.1.69. PALS: Pediatric Advanced Life Support

1.1.70. PII: Personally Identifiable Information

1.1.71. POP: Period of Performance

1.1.72. PPD: Purified Protein Derivative

1.1.73. PWS: Performance Work Statement

1.1.74. Privileging (Clinical Privileging): 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.

1.1.75. QA/QI: Quality Assurance/Quality Improvement

1.1.76. QM/PI: Quality Management/Performance Improvement

1.1.77. QASP: Quality Assurance Surveillance Plan

1.1.78. RFQ: Request for Quotation

1.1.79. SLIN: Sun-Line Item Number

http://www.nlnac.org/

1.1.80. SSEP: Somatosensory evoked potential

1.1.81. TJC: The Joint Commission

1.1.82. TST: Tuberculosis Skin Test

1.1.83. VA: Department of Veteran Affairs

1.1.84. Veterans Health Administration (VHA): The central office for administration of the

VA medical centers through throughout the United States. The VHA is located in Washington, D.C.

1.1.85. VA-FSC: VA Financial Services Center

1.1.86. VAAR: VA Acquisition Regulation

1.1.87. VAMC: VA Medical Center

1.1.88. VISN: Veterans Integrated Services Network - the regional oversight for the VA medical centers.

1.1.89. VistA (Veterans Integrated Systems Technology Architecture): A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

1.1.90. VetPro: a federal web-based credentialing program for healthcare providers.

Section B.3, Performance Work Statement (PWS), Section 2.1, Staff/Facility, Paragraph 2.1.2, page thirteen (13) of the RFQ, is hereby updated to read as follows:

2.1.2 Board Certification: All Contractor’s Neurophysiologist physician(s) shall be Board Certified by the American Board of Neurological Surgery (ABNS) https://abns.org/ or American Board of Psychiatry and Neurology (ABPN) https://abpn.org/ and possess a certificate of Fellowship in Intraoperative Neuromonitoring. and possess a certificate of Fellowship in Intraoperative Neuromonitoring. All Contractor’s IONM technologists must hold a certificate (be certified) of Neurophysiologic Interoperative Monitoring (CNIM) from the American Board of Registration of Electroencephalographic and Evoked Potential Technologists (ABRET).

All Contractor’s Neurophysiologist physician(s) and IONM technologist(s) must 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 must be provided by the Contractor to the VA COR on an annual basis for each year of contract performance.

Addendum to FAR provision 52.212-1, Instructions to Offerors—Commercial Products and Commercial Services, Volume 2, Subfactor A, Qualifications of Candidates, item 2(b), pages 66 to 67 of the RFQ, is hereby updated as follows:

• Volume 2 – Technical Capability

Subfactor A – Qualifications of Candidates:

1. For each Neurophysiologist Physician candidate quoted, the following documentation is required for submission:

2.

a) Evidence of transcript or equivalent from educational institution(s) certifying completion of a relevant degree in Neurodiagnostic, Neurophysiology, or a closely related field.

b) Copies of certification by the Board Certified by the American Board of Neurological Surgery (ABNS) or the American Board of Psychiatry and Neurology (ABPN).

c) Copies of Board certification in clinical neurophysiology or a related area.

d) Copies of certification of completion of fellowship or specialized training in intraoperative neurophysiological monitoring (IONM).

e) Copies of any and all licenses, board certifications, NPI, to include primary source verification of all licensed and certified staff.

3. For each Interoperative Neuromonitoring (IONM) technologist candidate quoted, the following documentation is required for submission.

https://abns.org/ https://abpn.org/

a) Copies of Neurophysiologic Intraoperative Monitorist (CNIM) certification by ABRET (American Board of Registration of Electroencephalographic and Evoked Potential Technologists).

4. For both Neurophysiologist Physician and IONM Technologist candidates quoted, the following documentation is required for submission.

a) Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications are required prior to award.

b) Certification that the staff list has been compared to the OIG exclusion list.

c) Demonstrate evidence of meeting continuing education requirements.

5. Proof of Indemnification and Medical Liability Insurance.

6. Must meet the VA Privileging requirements.

7. Prior malpractice claims for each provider must be submitted.