36C24827Q0032 0001.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 5

0001 11-05-2026

None

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

36C24827Q0032

X

X X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 11-18-2026 4:00pm EST

The purpose of this amendment is to address vendor questions.

Rosetta Quinn Contracting Officer

CONTINUATIONPAGE

SOLICITATION NUMBER 36C24827Q0032

AMENDMENT 0001

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

1. Extend the due date and time for receipt of quotes until Wednesday, November 18, 2026, at 4:00 pm EST.

Vendor Questions and Answers:

Q1. Volume III – Past Performance, Item 2, which requires references from responsible individuals with firsthand knowledge of each proposed candidate:

Would providing one professional reference per proposed IONM Technologist and Neurophysiologist Physician, including the reference’s name, title, organization, contact information, professional relationship, and period of association, satisfy this requirement?

A1. Volume III – Past Performance, Item 2, page 70. The solicitation requirement remains unchanged. Offerors shall provide past performance information and references in accordance with Volume III – Past Performance as written. No revisions to this requirement are being made under this amendment.

Q2. Reference: PWS Section 2.1.2, Page 13; Section E, Volume 2 – Technical Capability, Subfactor A, Page 68

Question: The solicitation contains conflicting requirements regarding Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification.

Section 2.1.2 permits BLS, ACLS, or equivalent certification, while Section E, Volume 2, Subfactor A requires both BLS and ACLS certifications prior to award. Within the intraoperative neuromonitoring (IONM) industry, BLS certification is customarily maintained by CNIM-certified technologists, while ACLS certification is generally associated with healthcare professionals who directly participate in advanced cardiovascular resuscitation, including medication administration and advanced airway management. IONM technologists provide specialized neurophysiological monitoring under physician supervision and do not perform these advanced resuscitation interventions. Given the customary industry practice and the defined clinical responsibilities of IONM technologists, will the VA confirm that current BLS certification alone satisfies the certification requirement for CNIM-certified IONM technologists? Additionally, will the VA confirm that BLS certification is sufficient for remote interpreting neurophysiologist physicians who do not provide direct bedside patient care?

A2. Neither BLS nor ACLS should be mandatory for IONM technologists or remote interpreting physicians, as their responsibilities do not include direct participation in resuscitation.

Q3. Subject: RFQ 36C24827Q0032 – Clarification Regarding BLS/ACLS Requirements for Remote Interpreting Neurologists

For neurologists who are currently credentialed, privileged, and practicing at James A. Haley Veterans’ Hospital and/or C.W. Bill Bay Pines VA and currently providing remote intraoperative neuromonitoring interpretation services: Given that these physicians provide services exclusively through tele-neurology, are not physically present at the facility, and do not participate in cardiac codes or emergency resuscitation, would their existing VA credentialing and privileges satisfy the physician qualification requirements for the Bay Pines VA contract without current BLS and ACLS certifications?

Alternatively, would a formal exception or waiver of the BLS/ACLS requirements be necessary for these remote interpreting neurologists? Two of them currently have waivers from James Haley VA for this.

A3. Physicians already credentialed and privileged to provide remote IONM interpretation at another VA facility should be eligible, subject to confirmation of appropriate privileges.

Existing waivers should be considered without requiring unnecessary duplication.

Q4. On page 64 of the solicitation it states that the due date for solicitation bid is Nov 13. On Sam.gov it states that the due date is Dec 1. Please confirm the actual due date.

A4. Refer to Answer #1.

Q5. Contract ceiling and pricing clarification. Section B.2 sets a maximum aggregate contract value of $700,000 for the base year and four option years. If a quoter’s per-case pricing produces a five-year estimated total above that ceiling, will the quotation still be eligible for award with task orders limited to the ceiling, or will the quotation be deemed unacceptable?

A5. The $700,000 amount identified in Price Schedule, Section B.2 page 5, represents the maximum aggregate contract value for the base period and all option periods. A quotation will not be deemed unacceptable solely because the quoter's estimated total, based on projected quantities, exceeds the contract ceiling.

Q6. If the $700,000 ceiling is reached before the end of the contract period, does the VA anticipate increasing the contract ceiling or issuing a new solicitation for the remaining services?

A6. The Government cannot commit to future acquisition actions at this time. Should the contract ceiling be reached prior to the expiration of the contract period, the Government will assess its requirements and determine the most appropriate course of action in accordance with applicable procurement regulations and available funding. This could include, but is not limited to, a contract modification, a new procurement, or another acquisition strategy as determined by the Government's needs.

Q7. Subject: Clarification – Clinical Neurophysiology Fellowship Requirement

Regarding Solicitation 36C24827Q0032, Volume II, Subfactor A, Item 1(c), which requires certification of a Clinical Neurophysiology fellowship or equivalent/similar fellowship:

Would the VA accept a board-certified neurologist who does not possess formal Clinical Neurophysiology fellowship training but has relevant clinical experience and is currently credentialed, privileged, and approved by Bay Pines VA Neurology leadership to provide intraoperative neuromonitoring interpretation services?

If so, would documentation of the physician’s existing VA privileges and approval by the Chief of Neurology satisfy this qualification requirement in lieu of a fellowship certificate?

A7. Volume II, Subfactor A, Item 1(c), page 74. Fellowship requirements: A formal Clinical Neurophysiology fellowship should not be mandatory when a board-certified neurologist has documented IONM experience, demonstrated competence, and appropriate VA privileges.

These recommendations would maintain clinical standards while avoiding unnecessary restrictions on qualified providers.

Q8. Attachments Clarifications:

Section D, page 66, references seven attachments: the Quality Assurance Surveillance Plan, Organizational Conflict of Interest, Contractor Certification, Contractor Rules of Behavior, Past Performance Questionnaire, Limitations on Subcontracting Certificate, and Wage Determination.

1. We could not locate these attachments on SAM.gov or within the solicitation PDF.

Please provide the complete attachments applicable to Bay Pines solicitation 36C24827Q0032 or identify where they can be obtained.

A8. Section D – Contract Documents Attachments, Page 66. The referenced attachments were inadvertently omitted from the original solicitation posting. The following attachments are hereby incorporated into the solicitation and are included with this amendment:

1. Quality Assurance Surveillance Plan (QASP)

2. Organizational Conflict of Interest (OCI) Statement

3. Contractor Certification

4. Contractor Rules of Behavior

5. Past Performance Questionnaire

6. Limitations on Subcontracting Certificate

7. Applicable Wage Determination

Q9. Subject: Clarification of Proposal Submission Deadline – Solicitation 36C24827Q0032

The solicitation document (SF 1449, Block 8) identifies the proposal submission deadline as November 13, 2026, at 4:00 PM EST. However, the SAM.gov solicitation posting identifies December 1, 2026, at 4:00 PM EST.

Could the Contracting Officer please confirm which date is the official proposal submission deadline? Additionally, will an amendment be issued to reconcile the discrepancy between the solicitation document and the SAM.gov posting?

A9. Refer to Answer #1.