36C25526Q0259 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 amen dment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and ame ndment 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 CONTRAC T 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 chan ge 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, rema ins 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 3

0001 06-04-2026

N/A

36C255

Department of Veterans Affairs

Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

36C255

Department of Veterans Affairs

Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

To all Offerors/Bidders

36C25526Q0259

X

X X

X 1

The purpose of this solicitation amendment is to provide answers to questions received in response to Solicitation 36C25526Q0259

Answers are provided on page 2-3.

Except as provided herein, all terms and conditions of the document referenced in Item 9A remains unchanged and in full force and effect.

Stephen Showers

Contracting Officer

Solicitation for IONM Services 36C25526Q0259 0001

Submitted 19 May 26

Question 1. The solicitation scope of work references a quantity of 450 hours during normal business hours and 12 hours outside normal business hours, with the unit of measure listed as

“hr.” To help us accurately assess staffing and pricing requirements, would you be able to provide the average case length and/or the approximate annual number of surgical cases this hourly volume represents?

Answer 1. On an average, cases are about 4-5 hours. That would put us at around 90-100 cases a year.

Question 2. Could you also provide insight into the surgeon specialties currently utilizing intraoperative monitoring services, along with the approximate procedural mix? Precision is not necessary—an estimated breakdown would be very helpful (for example: 50% elective spine, 25% complex spine, 25% craniotomy).

Answer 2. 3 surgeons use IONM. ENT-thyroids, Vascular-carotids and Neurosurgery-ACDF’s and some posterior cervical decompressions and fusions, PLIF’s.

Submitted 20 May 26

Question 1. What is the current contract #? When does the contract with option periods end?

Answer 1. No current contract. This is a new requirement.

Question 2. Who currently provides the services, whether by contract or other means like purchase order?

Answer 2. A local vendor within the VA’s vicinity provides IONM services.

Question 3. If the target date for starting new services is Sept 15, what is the likely date for award?

Answer 3. We are hoping to award the contract on 15 September 2026.

Question 4. What is the anticipated annual volume of cases (not hours) for IONM services?

Answer 4. 75-90 cases a year

Question 5. Please break out the estimated annual volume of IONM cases by case type: neuro, ortho, spine, carotids, ENT, peripheral nerve, etc.

Answer 5. 2025 numbers-Neurosurgery- 62, ENT- 9, Vascular -7; Neurosurgery at least 50% of the spine cases will need IONM.

Question 6. What is the estimated case concurrency for when more than one IONM case happens at a time?

Answer 6. 3-4 times a year where 2 cases may be concurrent. It is usually a neuro and ENT case since they operate on the same days.

Solicitation for IONM Services 36C25526Q0259 0001

Question 7. How often do you typically need IONM coverage for emergent cases on nights, weekends, or holidays?

Answer 7. Not needed for emergencies or after hours.

Question 8. How many surgeons at the facility currently use IONM? What changes in surgeon staffing do you anticipate (new hires, retirements, etc.)?

Answer 8. 3 surgeons use IONM. ENT-thyroids, Vascular-carotids and Neurosurgery-ACDF’s and some posterior cervical decompressions and fusions, PLIF’s. Possible addition of a

Neurosurgeon.

Question 9. On 3.1 Business Hours, please confirm that contracted staff report for cases as needed, not waiting on site during the full hours of operations even when cases aren’t scheduled.

Answer 9. Yes, personnel will report when needed.