36C25526R0074 0004.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) 04-30-2026 None 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

36C25526R0074 02-25-2026

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 05-27-2026 11:00 AM CDT X Scope Lease and Service - VISN 15

The purpose of this amendment is to:

1) Provide response to questions submitted.

2) Update the RFP to make changes to the Statement of Requirements, Schedule of Requirments, Price Schedule, and add Clause 52.222-90.

3) Extend response date to 05/27/2026 11:00 AM CDT.

Changes are indicated in red font; deletions are indicated with struck-through text

We will not be accepting any further questions, including new, clarifying, or follow-up.

Arnold Payne Contracting Officer

RESPONSE TO QUESTIONS II:

1. In the schedule for each facility, all items are listed with a financing request by year, along with a single line item for service and maintenance. Could you please confirm whether you are requesting one lump-sum amount per year for service and maintenance for each facility?

No, as stated in Section B.1, all items are to be billed monthly in arrears.

2. Is there potential for multiple awards under this RFP?

At, this time the VA does not anticipate making multiple awards under this RFP.

3. Is this RFP for the procurement of the listed equipment or is the VISN looking to enter into a BPA or IDIQ agreement?

As stated on SF1449, this will result in a 4 Year Ordering ID/IQ contract.

4. Will the VA consider issuing a revised solicitation to address the bundling of GI, Respiratory, interface converters and single use endoscopic guidewires, only available from one source, with the multiple other products available from multiple sources at competitive prices which otherwise significantly limits competition?

At this time, the VA does not anticipate issuing a revised solicitation. The current configuration of requirements was developed based on the Government’s assessed needs and clinical considerations, including the necessity of obtaining a fully integrated and interoperable solution. While we recognize that some items may be available from multiple sources, separating the requirement would introduce operational and compatibility risks that could impact patient care and overall program performance.

5. The RFP states that a single vendor must have all scopes listed in the statement of work to support VISN 15. Is it acceptable for contractors to offer a one-vendor solution utilizing a teaming agreement, contractor teaming arrangement, or reseller agreement under which the products of two OEMs will be provided?

It will be acceptable for a one-vendor solution utilizing multiple vendors to provide the equipment and services necessary.

6. Please explain how the VA intends to evaluate proposals of offerors that are the subject of current FDA shipment holds for the latest technology.

The VA will evaluate all proposals in accordance with the solicitation and the established evaluation criteria. The presence of an FDA shipment hold will not automatically preclude an offeror from being evaluated. Each proposal will be evaluated fairly and the extent to which they meet the needs of the Government.

7. Will the solicitation requirements be amended to reflect clinical feedback received at the Industry Day?

If the solicitation requires an amendment due to clinical feedback, one will be provided and all interested parties will be notified of such amendment.

8. The POP in the SOW says 4/1/26 which obviously isn't feasible. The existing GI & Surgical leases are extended through September, so do you want the vendors to use 10/1/26 as the POP date instead? The POP date matters because the term of the lease will dictate the monthly payments by station. For example, if the POP date is 6 months and 3 Option Years (42 months) the monthly payment will be more than if it was 12 months and 3 Option Years (48 months). The total amount doesn't change, but the monthly payment does based on how many months on the contract. A car loan would operate the same way based on how many months you are finalizing the cost of the vehicle.

The Period of Performance for this new contract will start on 09/01/2026 to 08/31/2030.

The schedule has been adjusted in Section B.3.

9. In efforts to support the SDVOSB community, can the Veterans Preference Factor (per 852.215-70) with a 10% price credit evaluation factor be considered? Below is an excerpt used in other lease/ service requirements across the Nation.

VAAR clause was included in the solicitation; however, the VAAR clause does not include language granting a price credit or adjusting proposal prices for evaluation purposes.

10. How do you want the vendors to handle individual products that have ancillary equipment that is necessary to complete the system like cables, licenses, lamps, keys etc. or the product doesn't function properly? For example, each nCare Recording Device that connects to the VaultStream Server needs additional line items to transfer data from the old system to the new 4K recording device. Do you want us to add these in our quote by writing in what else is needed? This example is for St. Louis & Columbia, but is necessary for all the stations who have new Recording Devices.

5 - IS40916 : GX Tally Lamp

5 - ISM-1010008 : VAULTSTREAM

CONTENT MANAGEMENT

5 - ISM-1008563 : VaultStream Interfaces License

1 - VSS-INST-NEW-SVR : INSTALL NEW VSS PRODUCTION SERVER

1 - VSS-INST-NEW-T-SVR : INSTALL NEW VSS TEST SERVER

2 - VSS-ID-KEY : VAULTSTREAM SERVER IDENTIFICATION

1 - VSS-DICOM-CONF : NEW DICOM CONFIGURATION

For any ancillary equipment that is required for the equipment please include in your quote the schedule will be updated to reflect the required items upon award. You may add additional items as required to ensure the equipment will be fully operational.

11. Does the VA understand that the 1-year manufactured warranty does not cover some repairs outside manufacturer defect? Will the VA be willing to pay for those repairs outside the warranty in year 1?

The base contract will now include the service agreement.

12. Will the VA consider amending the solicitation requirements to include scopes with these characteristics because they meet the VA’s clinical need? Yes, if changes are made those changes will be made in SOR.

13. Is the interface with ProVation a solicitation requirement only for GI and Pulmonary? ProVation is not used in ENT or Urology services and there is a recording device listed in the schedule of requirements. ProVation is an image capture, documentation and billing system with a large footprint that is not conducive in the clinical environment.

As stated in the SOW, ProVation MD is standardized across VISN 15 as the procedure documentation software for Gastroenterology scopes. The interface with ProVation is a solicitation requirement for GI and Pulmonary (endoscopy) services. Endoscopy currently utilizes ProVation as the primary image capture, documentation and reporting system within the VA. Therefore, compatibility and integration with ProVation are required for endoscopy workflow. This requirement does not apply to ENT or Urology services, which utilize separate recording solutions.

14. Is it acceptable to offer an image capture solution that can import HL-7 data to populate worklists and export study to Vista or Genesis?

Your image capture must be compatible with ProVation, as stated in the SOW. If ProVation MD is not used, Offeror must supply compatible technology for replacement technology. Wichita VAMC currently uses both ProVation MD and Stryker OR Hub.

15. Does the solicitation require an image capture device capable of being networked to save images digitally to current and future electronic medical record pertain to Vista and Genesis?

Yes, please provide how the images can be transferred to VistA or the future electronic medical record.

16. Regarding the requirement that ENT scopes have the capabilities to show vascular structure using high performance filtering, this is typically a feature provided in the camera system software. Does a camera system that provides this feature and is compatible with all scopes meet this requirement?

Yes, as long as it delivers high performance filtering in accordance with the SOW.

17. Please provide an explanation regarding how the following equipment—flushing pump, roll stand, cables, cords processor, generator with footswitch, carts, trolley, various accessories for the carts or trolley, connectors, lamps, footswitch, keyboards, printers, forceps, graspers, travel cart, video screen for travel cart, electrosurgical unit, CO2 regulation unit, laser system, printer, electrosurgical generator, and other items that may be needed for operation of the scopes and system—is determined to be compatible with a high performance video filter.

This has been revised for clarity.

18. Will the VA consider amending the solicitation to more narrowly state which equipment is required to be compatible with a high-performance video filter?

This has been revised for clarity.

19. The requirement for ability to connect to HDMI, HD SDI, SDI, DVI, VGA and RCA are concerning since they do not allow for display of 4K. Are other video signal connectors acceptable if they can connect to ProVation?

Yes, any HD signal connectors are acceptable as long as they can connect to ProVation.

20. Please explain whether a Flexible Rhino-Laryngo scope with the following capabilities meets the clinical requirements of the agency: bending of 140° in both directions; field of view 85°; and high performance video filtering through our camera system. Will the VA consider amending the solicitation requirements to include scopes with these characteristics because they meet the VA’s clinical need?

This salient characteristic has been amended in the SOW.

21. Regarding Rigid Laryno Digital scopes, please explain the requirement to have “various directions of views and lengths.” Does this require a single rigid scope to have various directions of views and lengths? Rigid scopes come in a specific length and angle of view.

This salient characteristic has been amended in the SOW.

22. Please confirm the clinical need for the required characteristics for Rigid Laryno Digital scopes. Based on our market research, there is no approved procedure for the use of ICG in the ENT setting. Further, we are not aware of a 70° rigid laryno scope currently on the market that is ICG capable This salient characteristic has been amended in the SOW.

23. Please explain whether a Cysto-Nephro Flexible Digital scope with the following capabilities meets the VA’s clinical requirements: max angulation down to 140° and up to 210°; working length of 37 cm; channel width of 2.4mm; field view of 100°; high performance video filtering available through camera system; and wide field view. Will the VA consider amending the solicitation requirements to include scopes with these characteristics because they meet the VA’s clinical need?

Yes, please see updated SOW.

24. Please explain whether a Ureteroscope Flexible Digital scope with the following capabilities meets the VA’s clinical requirements: max angulation down 270° and up 270°; working length of 675mm; channel width no more than 3.6fr; field of view 90°; high performance video filtering available through camera system; and wide field view. Will the VA consider amending the solicitation requirements to include scopes with these characteristics if they meet the VA’s clinical need?

Yes, the salient characteristics on the SOW has those parameters listed already.

25. Please explain whether a Video Processor Light Source and Video Processor with Strobe Source systems with the following capabilities meets the VA’s clinical requirements:

· Offers multiple types of rigid and flexible endoscopes

· Enhances sensitivity in detecting mucosal abnormalities, distinguishing benign from malignant lesions, and predicting specific histological entities.

· Automatic Gain Control to adjust brightness when required in darker portions of the image

· Brightness adjustment module to increase light brightness when clinically required.

· Scope switch aspect Ratio 16:9 and 4:3 when using digital and rigid scopes

· Freeze image function

· Zoom feature

· Image Capture, archiving and exporting to Vista or Genesis through StreamConnect image capture system.

· Ability to have both rigid and flexible scopes in system and swap image when clinically required.

· Ability to strobe using both rigid and digital flexible scopes

Please provide this information with your proposal and how it meets or exceeds the requirements stated in the SOW.

26. Which medical specialty requires biopsy forceps with minimum 12° rigid optical?

These have been removed from the SOW.

27. Which medical specialty requires endoscopic guidewires? GI & ENT Does this solicitation include single use items? Will the VA consider removing guidewires and other single use items only offered by one vendor since this is a capital equipment RFP and limits competition.

These items have been removed for the SOW.

28. Can you clarify the requirement for printers to be able to upload video and photos to medical record? The image capture systems that utilize printers themselves provide this functionality. Is that acceptable?

The requirement is not simply the ability to print or locally store images, but the ability to integrate captured images and video into the patient’s medical record via HL-7 compatible system (ProVation). Systems relying solely on printer-based capture without this integration would not be considered acceptable for our clinical workflow. However, if your system can meet these specifications, please state in your proposal how your equipment meets the required salient characteristics.

29. Please explain the intended use and clinical need for a LCD Monitor Arm able to support at minimum 31-inch monitors. If not clinically necessary, would the VA consider modifying the requirement?

Yes, there is a need for the LCD Monitor Arm. If your system does utilize a Monitor Arm, please state in your proposal how your equipment meets the required salient characteristics.

30. Please explain the clinical need for an Interface Converter, when non-Olympus sources do not require such a converter, where inclusion of such a requirement thereby limits competition. If not clinically necessary, would the VA consider modifying the requirement?

Yes, there is a clinical need for the Interface Converter. If your system does not utilize a interface converter, please explain in your proposal how your equipment meets the required salient characteristics.

31. Please explain the clinical need for single-use endoscopic guidewires. If not clinically necessary, would the VA consider modifying the requirement?

This has been removed from the statement of work.

32. Please explain the clinical need for a 10 ft. Digital Remote Monitor Cable compatible with video processor. If not clinically necessary, would the VA consider modifying the requirement?

Yes, if your system does not require the cable for your equipment to be fully functional, please state so in your proposal. The VA is requesting all ancillary and peripheral equipment for the systems to be fully functional.

33. Please provide clarification on the request for Video Process Light Source Video System and Video System. This throughout equipment schedule, not sure why you would have both on same cart? If not clinically necessary, would the VA consider modifying the requirement if not needed for other vendors?

Yes, both systems are required in one cart. If your system does not utilize or has both in one system, please explain in your proposal how your equipment meets the required salient characteristics.

34. Please provide clarity on need for monitor cables. If not clinically necessary, would the VA consider modifying the requirement.

Monitor cables are required to ensure the towers are functional.

35. Kansas City Schedule: Please provide diameter requested for ENT rigid 0,30 and 45 scopes.

The requested diameter is 4mm outer diameter.

36. Kansas City Schedule: Please clarify the need for irrigation Flushing Pumps w/water containers in an ENT Clinic. This is not typically a clinical need in an ENT clinic. If not clinically necessary, would the VA consider modifying the requirement.

No flushing pumps for any of the ENT scopes, flexible or rigid.

37. Kansas City Schedule: Please clarify the need for the GI guidewire in an ENT Clinic. If not clinically necessary, would the VA consider modifying the requirement.

These have been removed

38. Kansas City Schedule: Please confirm that a camera head is not required for ENT. There are video processors listed but no camera heads Required: the camera head is used in combination with the processing unit to provide high-definition images. The camera had captures light from a telescope, converts it into digital video, and sends it to the processor, which enhances the images for display on a monitor to then be saved in the medical record.

39. Columbia Schedule: Please confirm how the 40-inch, 50-inch, 32-inch and 19-inch monitors will be mounted, wall or on a cart?

All monitors with the exception of the 50-inch monitor will be on a cart. The 50-inch monitor will be wall mounted.

40. Columbia Schedule: Please confirm if the 10 each 4K UHD Camera Heads, 5 each Video Processors and 5 each Video Processors Light Sources Video Systems being used in GI or OR?

This will be for the OR department.

41. Does the solicitation require single use or reusable biopsy and grasping forceps for Columbia? Is there a diameter in length requirement?

These items have been removed from the SOW.

42. Columbia Schedule: Please provide requirements for ENT and Urology Biopsy and Grasping Forceps. Are they rigid or flexible, single use or reusable? Size? If not clinically necessary, would the VA consider modifying the requirement.

These items have been removed from the SOW.

43. Columbia Schedule: Please confirm what service the rigid 0 and 30 degree scopes are for ENT or Urology?

ENT

44. Columbia Schedule: Please provide diameter and length of scopes.

The requested diameter is 4mm outer diameter.

45. Columbia Schedule: Please confirm what service the flexible scopes x 37 are for ENT or Urology?

ENT & Speech Pathology

46. Columbia Schedule: Please clarify what the cystoscope x 3 requirement is, is it for flexible or rigid scopes? If flexible, are you requesting fiber or digital?

Flexible. Digital

47. Columbia Schedule: There are 3 rigid telescopes set requested (not sure if ENT or Urology), the quantity of bridges and sheaths is 10. Please confirm quantities.

ENT, quantity is correct.

48. Columbia Schedule: Please confirm the request for Hysteroscopic resection inner sheaths and obturators is GYN and nor Urology. All items above, including telescopes are Urology.

These have been removed from Schedule.

49. Columbia Schedule: Please confirm what is required for the cystoscopy and hysteroscopy sets. They appear to be mixed up and incomplete The hysteroscopy has been removed. What has been listed in the Urology section is what is required at this time, should additional equipment be required for the functionality of the cystoscopy, please state in your proposal and the facility will determine if that additional equipment is needed.

50. Columbia Schedule: Please clarify Foot Switch requirement. If not clinically necessary, would the VA consider modifying the requirement.

Yes, if your system does not require a foot switch for your equipment to be fully functional, please state so in your proposal. The VA is requesting all ancillary and peripheral equipment for the systems to be fully functional.

51. Columbia Schedule: Please provide the clinical requirements for: additional LCD monitor, Nurse Control Arm, sliding tray, serial digital interface (SDI) cable, disposable distal cap. They are not required for other vendors’ systems. If not clinically necessary, would the VA consider modifying the requirement.

Yes, if your system does not require these items for your equipment to be fully functional, please state so in your proposal. The VA is requesting all ancillary and peripheral equipment for the systems to be fully functional.

52. Columbia Schedule: Please confirm the service requesting the video processors light source video systems and video processors x 6. Is this for ENT, Urology clinics or Operating Room?

Operating Room.

53. The VA Columbia requested 12, 4k UHD Autoclavable camera heads. 8 of the camera heads are for ENT clinic towers, 4 for URO OR towers. The OR towers are being upgraded to the newest technology. VA Columbia owns 12 CH-S190-08-lB camera heads for use in the OR. These camera heads are not compatible with the newest technology, meaning they will only have 4 camera heads to use in the OR. Would the station like to add more camera heads to the SOW so they are compatible with the new tower technology.

The quantities that are stated are correct, if additional camera heads are required, this will be done through a modification.

54. Topeka Schedule: Please confirm what service the requested Cystoscopes and Ureteroscopes are being used.

Urology department.

55. Topeka Schedule: Please confirm is the 2 Video Processors and printer for use with the Cystoscopes and Ureteroscopes Yes, the video processors are for use with both cystoscopes and ureteroscopes.

56. Topeka Schedule: Please confirm that light source, image capture or camera heads are required for the 2 Video Processors.

Yes, all is required for the 2 video processors.

57. Leavenworth Schedule: Please confirm if equipment is being used in Urology clinic or OR. It will be used in both departments.

58. Leavenworth Schedule: Please confirm that a light source is not required.

A light source is required.

59. Leavenworth Schedule: Please confirm that an image capture system is not required.

A light source is required.

60. Wichita Schedule: Please confirm what specialty the Telescopes HD, 30-, 70-, 12-and 70-degree long scope are for.

Urology Please confirm length of x-long 12- and 70-degree scopes.

Telescope - 12° 4MM – 272mm working length", 70°- 4MM, 272mm working length

61. Wichita Schedule: Please provide more information on HD Ultra-Light camera head. Is this an offset pendulum camera head for urology?

HD ULTRA-LIGHT UROLOGY CAMERA: is a pendulum camera head for urology.

62. Wichita Schedule: Please provide more information for the Endoscope Video System. GI and Surgery have two separate locations. Will there be video systems located at both and if so, what is quantity?

This has been stated in the Schedule of Requirements.

63. Wichita Schedule: Looks to reference Arthroscopy and Urology telescopes but no sheath, bridges or other items required for use. How will you add to service without required items.

These items are currently stored here at the facility and pulled when the scopes are used.

64. The VA Wichita included new EUS scopes in their GI needs, but they didn't include the new EUS processor. The old processor isn't compatible with the new scopes because it is so old. The new EUS scopes are worthless without the new processor. How do you want the vendors to handle this when the EUS processor wasn't included in the SOW?

It is stated in the SOW:

Ultrasonic Processor for Endoscopic Ultrasound:

65. St. Louis Schedule: Please confirm diameter for 0, 30 and 70 degree scopes.

The outer diameter is 4mm.

66. St. Louis Schedule: Please confirm the Rigid Laryngo Digital Scope is 70 degrees.

Yes, that is correct.

67. St. Louis: The following scopes are currently listed on the Surgical lease for St. Louis but not covered in the RFQ SOW for the station. The station owns their processor/lights source in the OR and are leasing these scopes below. If they are not included in RFQ they will be sent back at the end of the current lease extension with no Olympus scopes in the OR for procedures. Will these scopes be added to the RFQ for all the vendors to quote or is there a plan to upgrade?

At this equipment is not on St. Louis list, however If this equipment is required it will be added via a modification.

68. Should the service & maintenance quote include scopes, electronics (monitors, processors & light sources), camera heads and telescopes? Please confirm all products to be included.

The service and maintenance shall include scopes, electronics (monitors, processors and light sources), camera heads and telescopes.

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