36C25726Q0274 0001.docx

36C25726Q0274 0001

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) 08-17-2026

36C257-27-AP-0088

MSO-2026-COM-0024

36C257 Department of Veterans Affairs VHA RPO West - NCO 17 Health Care Resources 11495 Turner Rd.

El Paso TX 79936-1372 Carolyn Reneau, Contract Specialist carolyn.reneau@va.gov See Block 6

To all Offerors/Bidders

36C25726Q0274 07-30-2026

X X X ** HOUR & DATE for Receipt of Offers is EXTENDED to: 09-04-2026 02:00pm CDT X The purpose of this amendment is to post questions and answers to the RFQ, add Attachment D.8 Past Performance survey and extend the due date to September 4, 2026.

a. Questions and Answers can be found in the continuation pages.

b. Attachment D.8 Past Performance Survey is being added to the Contract Attachments.

c. RFQ response date is extended to September 4, 2026.

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

Noel E Ramirez Contracting Officer

VA-VHA-RPOW-2024-0115

Questions and Answers – 36C25726Q0274 Neuromonitoring Services – South Texas VA Question 1: LIN 0001 estimates 240 IONM cases per year. Can STVHCS provide the actual historical IONM case counts for FY2024, FY2025, and FY2026 to date?

Answer 1: Actual cases performed in 2024 – 198; 2025 – 246; Jan 2026 – June 2026 - 87 Question 2: Are IONM services currently being provided at STVHCS? If so, is it under a contract or purchase order, and can the Government provide the contract number and expiration date?

Answer 2: Current contract is 36C25722D0026 and is awarded to Risen Video Production, LLC. Contract end date is January 16, 2027.

Question 3: Can STVHCS provide an approximate case mix for the 245 annual cases by service and procedure type, e.g., instrumented spine (ACDF, PLIF/TLIF, posterior cervical), non-instrumented decompression, cranial/tumor, carotid endarterectomy, ENT/thyroid, peripheral nerve?

Answer 3: STVHCS cannot guarantee an approximate case mix for the 245 annual cases, as this may fluctuate due to factors such as surgical instrumentation, patient health, and case cancellations. The current caseload is trending toward the projected 245 annual cases, particularly with the addition of new clinical staff. Several specialties, including Neurology, Orthopedics, Vascular, and ENT, currently request IONM services; as of now, no other services have submitted requests.

Question 4: How many surgeons currently request IONM, and by specialty? Are any additions or departures anticipated during the period of performance that would change the 245-case estimate?

Answer 4: Multiple surgeons across specialties—including Neurology, Orthopedics, Vascular, and ENT—currently request IONM. At this time, no specific changes in requesting providers are anticipated that would materially impact the estimated 245 annual cases. However, caseload may vary with staffing changes and new staff onboarding.

Question 5: What is the average and maximum case length for IONM cases?

Answer 5: Case length for IONM varies by patient needs and procedure. Both the average and maximum case duration are variable and determined on a case-by-case basis, based on what is required to safely and effectively complete each procedure.

Question 6: How frequently do two or more IONM cases run concurrently, and what is the maximum number of simultaneous IONM cases STVHCS expects the Contractor to cover? Are IONM cases concentrated on specific block days?

Answer 6: It is not frequent, but two or more IONM cases can be scheduled concurrently by different specialties on the same day. With proper notification, the Contractor is expected to provide coverage for the scheduled and agreed-upon cases. There are no specific block days designated for IONM cases.

Question 7: PWS §3.1 requires 24/7/365 availability with a 60-minute emergency response (§3.1.1). Over the last 12 months, how many IONM cases occurred outside 06:30–17:00 Monday–Friday, including nights, weekends, and holidays?

Answer 7: In the past 12 months, there have been zero IONM cases conducted outside of standard weekday hours (06:30–17:00, Monday–Friday). Across the entire contract to date, there have been a total of four cases requiring coverage outside these hours.

Question 8: Unit of Issue is “EA.” Is EA = to a case or a unit of time, e.g., an hour?

Answer 8: “EA” refers to each case. Price is to be submitted as an all-inclusive rate per case.

“Intraoperative Neuromonitoring (IONM) - Service to include an on-site IONM Technologist and remote oversight by a Board-Certified Neurophysiologist. Services shall include all resources, labor, travel, transportation, parts, materials, equipment, and IT connectivity necessary to meet the PWS requirements. “ Question 9: For Factor 2 – Past Performance: will a Past Performance Questionnaire template be provided?

Answer 9: Yes. See new Attachment D.8 – Past Performance Survey, Solicitation 36C25726Q0274. Please forward this survey to any references you would like the Government to consider. Completed surveys must be submitted to the Contract Specialist at Carolyn.Reneau@va.gov no later than the solicitation closing date.

Question 10: Please advise if you may potentially allow companies other than (SDVOSB) to compete.

Answer 10: This is a 100% SDVOSB set-aside. All offerors must be verified as an SDVOSB at time of proposal and time of award by the Small Business Administration (SBA) as an SDVOSB entity.

Question 11: We would like to know if this is a brand new contract OR if there is (was) an incumbent performing these services.

Answer 11: See Answer #2 Question 12: If not brand new, could you please provide the current / previous contract number?

Answer 12: See Answer #2.

End of Document See attached document: D.8 PAST PERFORMANCE SURVEY 36C25726Q0274.