36C24826Q0341 0001.docx

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) 06-23-2026

MSO-2026-COM-0016

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Ste 160A 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

36C24826Q0341

X X X The purpose of this amendment is to address vendor questions.

Rosetta Quinn Contracting Officer

CONTINUATION PAGE

SOLICITATION NUMBER 36C24826Q0341

AMENDMENT 0001

The purpose of this amendment is to make the following changes to the RFQ:

1. Revised Contract Provision Section E, Volume 2 – Technical Capability, Subfactor A – Qualifications of Candidates, 3. For both Neurophysiologist Physician and IONM Technologist candidates quoted, the following documentation is required for submission.

“For IONM Technologist candidates quoted, the following documentation is required for submission.”

Vendor Questions and Answers:

Q1. 1.1 Description of Services says IONM providers must be able to support “Spine surgery, Neurosurgery, Vascular Surgery, Otolaryngology, Cardiac Surgery, Thoracic Surgery, Orthopedics, and if necessary, Interventional Neuroradiology.” Can you please break out the estimated volume of each case type?

A1. The estimated volumes are as follows:

· Neurosurgery: 245 cases total, consisting of approximately 5–10 craniotomies, with the remaining cases involving spine and peripheral nerve procedures.

· Vascular: 24 cases, including open carotid endarterectomy and transcarotid stent procedures.

· Other Specialties Listed (Spine, Neurosurgery, Vascular, Otolaryngology, Cardiac, Thoracic, Orthopedics, Interventional Neuroradiology): No recent IONM‑supported cases outside the neurosurgery and vascular categories.

Reference: PWS Section 1.1, Description of Services, page 9.

Q2. Can you please clarify the types of cases you classify under cardiac surgery?

A2. Cardiac surgery cases that may require IONM include arch or aneurysm procedures, and on rare occasions, high‑risk valve or coronary bypass cases. Reference: PWS Section 1.1, Description of Services, page 9.

Q3. How many estimated cranis per year?

A3. Estimated at 5–10 cases annually. Reference: PWS Section 1.1, Description of Services, page 9.

Q4. What is the average concurrency of cases that need IONM? What is the maximum concurrency?

A4. Concurrency typically occurs every other week, with a maximum of two rooms requiring IONM services at the same time.

Q5. How many surgeons at JAHVH use IONM? Can you please provide their specialties?

A5. Currently, all Neurosurgery and Vascular Surgery providers use IONM (approximately 8 surgeons), with rare use by one Otolaryngologist (ENT) and one Orthopedic surgeon.

Q6. Do you anticipate a change in surgeon staffing or case types covered that would increase/decrease these case types over the next few years?

A6. A slight increase in case volume is anticipated in 2027, though no major shifts in provider staffing or case types are expected at this time.

Q7. Page 63 requires Basic Life Support (BLS) for both the onsite IONM technologists and the remote neurologists. The Neurophysiologist Physician is a remote role. Because they will never physically be in a position to administer direct life support, please remove the requirement for the Neurophysiologist Physician to have Basic Life Support (BLS) and/or Advanced Cardiovascular Life Support (ACLS) certification.

Q7. Refer to answer #1 above.

Q8. What is the name and UEI of the incumbent contractor for these services?

A8. This is a new requirement, and there is no incumbent contractor.

Q9. What is the contract number of the current agreement for these services?

A9. This is a new requirement, and no prior contract exists.

Q10. Will the new agreement be exclusive or will other vendor(s) be allowed to perform services under other arrangement such as PO on case-by-case basis?

A10. This procurement will be awarded to a single source and not multiple awards.

Q11. Please clarify the timeframe. With proposals due July 1, will services still be expected to start under new contract August 1? When will award happen?

A11. Proposals are due July 1, 2026, at 4:00pm. The new contract is anticipated to be awarded by August 1, 2026, with services expected to begin immediately upon award.