36C24926R0040 0003.docx

36C24926R0040 0003

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)

05-14-2026

None

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129 To all Offerors/Bidders

36C24926R0040

X

X

** HOUR & DATE for Receipt of Offers is EXTENDED to: 05-22-2026 17:00 EDT

The purpose of this amendment is to correct RFP 36C24926R0040 and answer vendor questions.

The due date for submissions of offers has been extended to May 22nd, 2026, at 17:00 PM EST.

Other changes include the following:

1. Item 1.3 updated to include that all bidders/offerors must submit proof of curent SAM and DSBS registries at time of offer. Any offeror or bidder that is not registered at time of offer will be rendered technically unacceptable.

2. Item 1.6 updated that no faxed offers will be accepted or considered. Email is the only allowable form of submission.

3. Item 2.1.1. includes that copies of ALL required licenses/certifications must be submitted at time of offer.

4. Services hours of operation shall include "Local Time" of facility.

5. C-10 VAAR 852.219-75 Offerors MUST attest, and sign or their proposal will be deemed technically unacceptable.

See continuation pages for answers to vendors' questions.

Samantha Shackelford Contracting Officer

A.1 VENDOR QUESTIONS

1. Attachment D.4 Past Performance Survey requires the customer reference to submit D.4 no later than April 16, 2026 @ 5:00 p.m. EST. Given the short duration between the publishing of the sources sought request on April 13, 2026, and an update of SAM.gov with solicitation documentation after April 14 with D.4 due date of April 16, could the government extend the Past Performance Survey submittal due date to on/before 4 May 2026, the solicitation due date?

A. This will be extended to match the solicitation due date. See attached document.

1. Is this a new TVHS VAMC requirement or is there an incumbent?

A. There is currently an incumbent performing on an emergency basis.

1. If there is an incumbent,

2. What is the incumbent company’s name?

2. How many Perfusionist are currently performing

2. What is the number of vacant positions?

A. SpecialtyCare and we cannot provide staffing information.

1. Kindly provide the cases performed annually:

3. On pump and off pump cases- Estimated 70-90 annually

3. VADs- Unknown

3. AngioVac - Unknown

3. Liver Transplants.- None

3. HIPEC Chemo cases for cancer treatments - Unknown

4. Are Perfusionists on standby, in the operating room? Yes

3. Non-cardiac Cell saver cases- Unknown the amount of cases

5. Are Perfusionists responsible for these? – Yes, although cardiac cases take priority

3. ECMO’s -

6. Who covers bedside ECMO monitoring? Perfusionist

6. If the Perfusionist, what is the average length of time a patient is on ECMO? Varies

1. Who is responsible for VAD monitoring?- Perfusionist

1. Does the TVHS VAMC observe AMSECT best standards such as N+1?

A. Contractor’s Perfusionists shall meet or exceed guidelines set forth by the American Board of Cardiovascular Perfusion (ABCP): http://www.abcp.org; The professional standards of The Joint Commission (TJC): https://www.jointcommission.org/en-us/standards/standards-manuals; The standards of the American Hospital Association (AHA): http://www.hpoe.org/resources?show=100&type=8 and; VA and TVHS policies and procedures.

1. How many Cardiac Surgeons and Physician Assistants/Nurse Practitioners are at the TVHS VAMC?- Although subject to change currently there are two surgeons, and two physician assistants.

1. What days are assigned to the operating room?- Varies as needed.

1. What days of the week are Open-Heart cases performed?- Varies as needed.

1. Can the TVHS VAMC confirm that all equipment will be provided by the VA?

A. Yes, except for the contractor shall furnish disposables if specifically requested in writing by the TVHS VAMC.

1. Who is the manufacturer of the equipment (i.e. ECMO, VADs, Heart Lung Machine (HLM), Cell Saver, Balloon Pump, etc.)?

A. Varies, TVHS will provide upgrades and annual maintenance, and safety inspections on equipment required to ensure full compliance with Joint Commission standards in effect during the term of this contract.

1. Are the Perfusionist required to be in the hospital if there are no cases scheduled?

A. Yes, One (1) Contractor Perfusionist shall be onsite each workday, Monday through Friday, except Federal Holidays; and one (1) Contractor Perfusionist shall provide on-call coverage.

1. Staffing and Coverage Requirements (Sections 3.1.2, 3.1.3, and 2.9):

Section 2.9 identifies the requirement as one (1) FTE (2080 hours annually), while Sections 3.1.2 and 3.1.3 elaborates on emergency services and off-hour coverage. On-call services are described as being included within the overall perfusion services and not separately compensated, with only hours worked billed at the standard rate.

Could you please clarify how the Government intends for offerors to account for the operational and staffing requirements associated with continuous 24/7 on-call coverage for a second perfusionist within the pricing structure, particularly given the single FTE baseline?

A. FTE staffing requirement has been changed to 1.7 FTE to better match the needs of the VAMC. There are two separate line items for staffing, one is for services during clinic hours and the other is for on-call services.

1. Operational Scenarios and Staffing Expectations:

Based on Section 4.4.1.2 (autotransfusion support for non-open-heart procedures), could the you help clarify whether concurrent coverage scenarios are anticipated, such as:

- The primary perfusionist engaged in an open heart procedure.

- The on-call perfusionist responding to an emergent ECMO insertion or balloon pump case.

- A simultaneous requirement for perfusion support for autotransfusion pumps for surgical procedures other than open heart (4.4.1.2.)

In such cases, should offerors plan for a third perfusionist to ensure uninterrupted coverage across all clinical needs? Additionally, are perfusionists required to monitor ECMO patients at bedside 24 hours a day and 7 days a week until the patient is decannulated, transferred to another facility, or decelerated?

A. The contractor is responsible for providing coverage during the clinic hours and on-call after hours. The requirement is that offerors propose a minimum of two (2) key personnel to be credentialed but it is desired that a third (3) key person be provided to assist with this coverage.

1. Workload and Historical Data:

Could you provide approximate annual volumes for:

- Open heart (OH) cases – Estimated 70-90 annually.

- ECMO cases - Varies

- VAD monitoring requirements - Varies

1. Incumbent Information:

-Is there an incumbent contractor currently supporting this requirement?

-Are there any performance gaps or areas of emphasis the Government is seeking to improve under this contract?

A. Yes, SpecialtyCare is the current incumbent. We are unable to provide this requested information.

1. In order to price our solution, could the TVHS VAMC clarify your bullet #10 regarding disposables? What is the manufacturer of the circuit and does the VAMC have a specific custom kit they want the vendor to supply?

A. Vendor’s do not have to price quote for disposables, that is listed as manufacture list price minus 10%. Disposables will be requested on an as needed basis.

1. Upon review of SAM.gov, the due date has been extended to May 08, 2026 at 05:00 PM EDT, correct?

A. Yes, response due date has been extended to May 22nd, 2026, at 5:00 PM EST.

1. Is there an error on Factor I- Technical Capabilities in which it states Urology Cryoablation Services?

A. Yes, this was done in error. Should read “Perfusionist Services”.

See attached document: D.4 - Past Performance Survey.