Amendment 36C25725Q0448 0003.docx

Technical Questions & Answers

RFQ 36C25725Q0448

NTX Neuromonitoring Equipment and Technicians

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)

06/02/2025

36C257-24-AP-1978

None 36C257 Department Of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources Branh 11495 Turner Road El Paso TX 79936-1372 Brandy Riha - Contract Specialist brandy.riha@va.gov 36C257 See Block #6

To all Offerors/Bidders

36C25725Q0448

X

The purpose of this amendment is to:

a. Post Technical Questions/Answers.

b. All offers are due by 2:00pm EST, June 9, 2025.

c. All other terms and conditions remain in full force and effect.

Elsa Gomez Contracting Officer

1- Page 19, Section B.3.2.1.4 - Specifications for Neuromonitoring System, Bullet Point #1 a.1 No camera is required.

2 - (no page/reference) - MD/DO Credentialing for Professional Services

1.) Monitoring Professional (MD/DO) - Credentialing and Privileging

A.) Can you please detail the credentialing process for a vendors remote online MD/DOs?

B.) How many physicians will the facility allow us to credential?

C.) How long does the average application take to process to grant privileges?

a.2 Physicians will be required for real-time interpretation, must have an active and in good standing license to practice medicine in the state of Texas, and have graduated from a US based board-certified residency program in Neurology. If the contractor is a Joint Commission Accredited Organization, delegated credentialing of the remote MD/DOs may be appropriate to provide real-time remote interpretation of IONM data, pending confirmation with Dallas VA credentialing policies.

3 - (no/page reference) - Professional Monitoring Remote Connection Infrastructure

2.) Internet Connection:

A.) With the requirement for real-time, remote professional oversite, can you please detail the government's understanding and preferences of how the vendor will be able to utilize a government provided internet connection?

a.3 The facility may allow contractors to access facility's public Wi-Fi, assuming the vendor's internet connection meets all relevant HIPAA and data privacy policy requirements. If the public Wi-Fi is not available, the government may consider facilitating contractors to connect via hardwire LAN connections. Access to the internal network is not required.

4 - Please provide historical data about individual procedure types, dates, and total monitoring time by procedure for 2023, 2024, and YTD 2025?

a.4 2023 – 129, 2024 – 107, 2025 YTD 33

5 - How often, if at all, do you anticipate having more than 1 monitored case being performed simultaneously?

a.5 We do not do concurrent cases.

6 - Can you clarify cancellation volume?

a.6 Cancellations are exceedingly rare.