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 2 J-FFP

0001 05-26-2026

N/A

None

36C598

Department of Veterans Affairs Network Contracting Office 16 Chief, A&MM (90C/NLR) Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 AT 72114-1706 Kolbi Barton, Contract Specialist kolbi.barton@va.gov

36C598

Department of Veterans Affairs Network Contracting Office 16 Central Arkansas Veterans HCS 2200 Fort Roots Drive, Bldg 41, Room 200 North Little Rock, AR 72114-1706

To all Offerors/Bidders

36C25626Q0801

X

X X

N/A

X 1

The purpose of this amendment 0001 is to:

1. HOUR & DATE for Receipt of Offers is EXTENDED to: 06-09-2026 12:00 PM CST

2. Provide complete Q& A session and updated Statement of Work

Ashley Haslauer Contracting Officer

QUESTIONS:

1) Can the 4K ICG camera head be sterilized by other widely acceptable methods like Sterrad and VPro? Would that meet requirement? Yes

2) Is there a list of equipment that specifies what the facility needs with quantities or should we use products and quantities from previous proposal provided to facility?

Review updated SOW Page# 5

3) Is there a list of items with quantities that the VA is requesting? Review updated

SOW Page# 5

4) Can we get clarification on the integration piece? Review updated SOW

5) Does the "Mediastinoscopy equipment” include camera/scope unit as well as instruments? Mediastinoscopy equipment often refers to the scope and instruments but may include the camera/video system depending on the manufacturer/supplier and the specifics of the quote or contract. Just the Scope.

STATEMENT OF WORK (SOW)

Endoscopy Equipment Lease G.V. (Sonny) Montgomery VA Medical Center Jackson, Mississippi

1. Purpose

The purpose of this requirement is to lease new, state-of-the-art Endoscopy equipment for the Operating Room (OR), ENT Clinic, and Urology Clinic at the G.V. (Sonny) Montgomery VA Medical Center (GVSMVAMC). The lease includes delivery, installation, integration, training, preventive maintenance, corrective maintenance, and full-service support.

2. Background

The medical center’s existing ENT scopes, Urology scopes, and OR endoscopy/visualization equipment require replacement due to age, reduced imaging quality, and lack of compatibility with current VA clinical documentation systems. New equipment is necessary to ensure safe, efficient, and modern surgical capability.

3. Scope of Work

The Contractor shall furnish new endoscopy systems covering the Operating Room, ENT Clinic, and Urology Clinic. Scope includes delivery, installation, integration, staff training, preventive and corrective maintenance, loaner equipment, manufacturer-certified service support, and all accessories, cabling, and routing components. Equipment will be inspected and accepted by Biomedical Engineering (HTM).

4. Equipment Requirements by Clinical Area

The Contractor shall provide all equipment identified for OR, ENT, and Urology in the quantities and categories specified in Attachment A – Salient Characteristics.

5. Contractor Responsibilities

5.1 General Responsibilities

The Contractor shall provide all labor, equipment, parts, materials, tools, and supervision required to fulfill this lease requirement. All equipment must be new, FDA-cleared, medical-grade, and compliant with VA and NFPA safety standards. Maintenance must follow manufacturer recommendations, and all replacement parts shall be OEM or OEM-equivalent. All technicians must be manufacturer-certified.

6. Installation Requirements

The Contractor shall coordinate installation with the VA, deliver, unpack, assemble, install, and configure all equipment. Installation documentation, schematics, and compliance certificates must be provided. All systems must integrate with existing VA routing equipment, imaging systems, capture devices, and video-to-chart workflows. DICOM support and compatibility with Vista/CPRS workflows are required.

7. Training Requirements

The Contractor shall provide on-site initial staff training, follow-up training within 14 days of VA request, and training on equipment operation, cleaning, safety, and troubleshooting.

8. Service & Maintenance Requirements

8.1 Preventive Maintenance

Preventive maintenance shall follow OEM specifications and shall be coordinated with Biomedical Engineering.

8.2 Corrective Maintenance

The Contractor shall provide all repairs, labor, parts, and travel at no additional cost. Response time shall be 4 hours during business hours and 24 hours after hours or during emergencies.

OEM-equivalent parts must be used for all repairs.

8.3 Loaner Equipment

If equipment is inoperable for more than 48 hours, the Contractor shall provide equivalent loaner equipment at no additional charge. Liquidated damages of $200 per day may be applied if loaners are not provided within the required timeframe. All removed equipment must be returned or replaced within 30 days, or the Government may terminate the contract for default.

9. Integration & IT Requirements

The Contractor shall support DICOM image and video export, provide compatibility with Vista/CPRS workflows, and supply integration specifications for future EMR transitions.

Systems must integrate with existing routing infrastructure and video documentation workflows.

VA IT staff will support internal network tasks.

10. Performance Requirements

All equipment must meet VA, FDA, ISO, IEC 60601-1, and NFPA 99 standards, pass Biomedical Engineering inspection, maintain ≥98% uptime, and integrate seamlessly with OR routing and documentation systems.

11. Period of Performance

Base Year: July 1, 2026 – June 30, 2027 Option Year 1: July 1, 2027 – June 30, 2028 Option Year 2: July 1, 2028 – June 30, 2029

12. Deliverables

The Contractor shall provide installation documentation, training documentation, service logs upon request, and any required reporting for covered articles subject to FASCSA orders.

13. Contractor Qualifications

The Contractor shall be an authorized reseller or manufacturer of medical-grade endoscopy equipment and must have hospital-grade endoscopy support experience. Technicians must be licensed or certified as required and must be manufacturer-trained. Contractor shall maintain liability, vehicle, and workers’ compensation insurance.

14. Place of Performance

G.V. (Sonny) Montgomery VA Medical Center 1500 E. Woodrow Wilson Ave.

Jackson, MS 39216

15. Evaluation Criteria

Award will be made using Lowest Price Technically Acceptable (LPTA). Quotes will be evaluated for technical compliance with the SOW and Attachment A, total evaluated price, past performance, and the ability to meet required timelines.

16. Special Contract Considerations

Work outside the approved scope shall not be performed without written approval from the Contracting Officer. Changes will be issued via SF-30 in accordance with FAR 52.243-1.

Non-compliance may result in withheld payment or termination for default.

ATTACHMENT A – SALIENT CHARACTERISTICS

1. Operating Room (OR) Endoscopy Systems

• (5) 4K surgical imaging platform

• (3) ICG fluorescence capability

• (2) Mobile carts with medical-grade casters

• (10) (4K) monitors

• (3) -0° VIU scopes

• (2) VIU sets

• (6) 4K camera consoles

• (10) Autoclavable 4K camera heads

• (6) LED or laser light sources

• (6) 4K medical-grade printers

• (3) Image capture and chart relay components

• (6) CO₂ insufflators with adjustable flow

• (3) Full 4K video routing systems +cables

• (4) Telescopes for laryngoscopy

• (4) laparoscopic instrument sets.

• (4) laparoscopic lens sets 10mm-(0, 30° and 45°. Each)

• (4) laparoscopic lens sets 5mm- (0°, 30° and 45°. Each)

• (4) Laparoscopic lenses in 0°, 30°, and 45° in 5mm and 10mm

• (4) Laparoscopic instrument sets

• (4) Rigid cystoscopy sets

• (2) flexible cystoscopes

• (4) Flexible and rigid ureteroscopes

• (3) Semi-rigid ureteroscopes

• (3) Nephroscopes and extended nephroscopes

• (4) FESS scopes and instruments

• 6) Flexible nasal and laryngeal/pharyngeal scopes

• (2) Mediastinoscopy equipment

• (2) OR LAPAROSCOPIC(GENSURG) / ENDOSCOPIC(ENT/UROLOGY) mobile workstations

• (6) Portable light sources

• (3) Integrated surgical room

• (2) compatible flex scope connection/components

• (3) 0° FESS lens, Three (3) 45°FESS lens.

• (3) fess 30° FESS lens

2. ENT Endoscopy System

• (4)HD or 4K ENT-optimized camera system

• (4) Compatible rigid and flexible ENT scopes

• (2)LED light source

• (2) Image/video capture with chart relay

• (3) Medical-grade, HTM-compliant components

(2) ENT Endoscopy workstations

3. Urology Endoscopy System

• (4) High-resolution imaging platform

• (4) Compatible flexible and rigid cystoscopes

• Support for cystoscopy and ureteroscopy procedures

• (4) LED or laser illumination

• (8) Image/video capture with chart relay

4. Video Routing & Integration

• (5) 4K multi-input/output routing

• All required cables included

• Support for ICG and 4K displays

• Compatibility with VA routing systems

• Integration with Vista/CPRS workflows

5. Safety & Compliance

• FDA-cleared medical equipment

• Compliant with NFPA 99 and IEC 60601-1

• Must pass HTM inspection

• No refurbished components

6. Service & Replacement Standards

• ≥98% uptime

• Manufacturer-certified service personnel

• Loaner units required if repair exceeds 48 hours

• All maintenance, repairs, parts, and labor included

(End of Document)