36C25926Q0822 0001.pdf

5. PROJECT NUMBER (if applicable)

CODE7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER3. 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 CODECODE

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 5

0001 09-15-2026 0

36C259

Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

36C259

Department of Veterans Affairs Network Contracting Office

NCO 19

6162 South Willow Drive, Suite 300 Greenwood Village CO 80111

To all Offerors/Bidders

36C25926Q0822

X

X X

X 1

The purpose of this amendment is to:

a) Price/Cost Schedule updated to change Period of Performance and Quantity.

b) Provide answers to questions from the industry.

c) Include Wage Determination 15-8429.

d) See Continuation Page for Summary of Changes and Questions & Answers.

Claudia Coria Contracting Officer

CONTINUATION PAGE

SUMMARY OF CHANGES:

Request for Proposal 36C25926Q0822 is updated as follows:

B.2 PRICE/COST SCHEDULE

Contractor shall provide both normal business hours and after-hours coverage of intraoperative neurophysiologic monitoring (IONM) services including providing certified technicians, equipment, instrumentation and disposable accessories that are required for the accurate neurophysiologic monitoring of the beneficiaries of the Salt Lake City Veterans Affairs Medical Center (SLCVAMC). Neurophysiologic monitoring is the use of electrophysiological methods such as electroencephalography (EEG), electromyography (EMG), and evoked potentials to monitor the functional integrity of certain neural structures (e.g., nerves, spinal cord, and parts of the brain) during surgery. The purpose of intraoperative neurophysiologic monitoring is to reduce the risk to the patient of iatrogenic damage to the nervous system, and/or to provide functional guidance to the surgeon and anesthesiologist. Contractor personnel shall be available for emergent cases as needed.

Period of Performance: BASE YEAR: September 25, 2026, to August 31, 2027

OPTION YEAR 1: September 1, 2027, to August 31, 2028

LIN Description Qty. Unit Unit Cost Total

Annual Cost

0001 Scheduled Interoperative Neuromonitoring Cases 75 Case $_______/CS $______________

0002 IOMN Equipment 80 Case $_______/CS $______________

0003 Stimulating Probe for IOMN 80 Case $_______/CS $______________

0004 Call Back 5 Case $_______/CS $______________

TOTAL FOR BASE $_____________________________

LIN Description Qty. Unit Unit Cost Total

Annual Cost

1001 Scheduled Interoperative Neuromonitoring Cases 75 Case $_______/CS $______________

1002 IOMN Equipment 80 Case $_______/CS $______________

1003 Stimulating Probe for IOMN 80 Case $_______/CS $______________

1004 Call Back 5 Case $_______/CS $______________

OPTION YEAR 2: September 1, 2028, to August 31, 2029

OPTION YEAR 3: September 1, 2029, to August 31, 2030

OPTION YEAR 4: September 1, 2030, to August 31, 2031

TOTAL FOR OPTION YEAR 1 $_____________________________

LIN Description Qty. Unit Unit Cost Total

Annual Cost

2001 Scheduled Interoperative Neuromonitoring Cases 75 Case $_______/CS $______________

2002 IOMN Equipment 80 Case $_______/CS $______________

2003 Stimulating Probe for IOMN 80 Case $_______/CS $______________

2004 Call Back 5 Case $_______/CS $______________

TOTAL FOR OPTION YEAR 2 $_____________________________

LIN Description Qty. Unit Unit Cost Total

Annual Cost

3001 Scheduled Interoperative Neuromonitoring Cases 75 Case $_______/CS $______________

3002 IOMN Equipment 80 Case $_______/CS $______________

3003 Stimulating Probe for IOMN 80 Case $_______/CS $______________

3004 Call Back 5 Case $_______/CS $______________

TOTAL FOR OPTION YEAR 3 $_____________________________

LIN Description Qty. Unit Unit Cost Total

Annual Cost

4001 Scheduled Interoperative Neuromonitoring Cases 75 Case $_______/CS $______________

4002 IOMN Equipment 80 Case $_______/CS $______________

Total for base performance period and all option years: $_________________________

Neuromonitoring Solicitation 36C25926Q0822

Industry Questions & Answers

Question 1: Does the medical center require concurrent coverage?

Answer 1: Neurosurgery: No

Ortho Spine: Since there are 2 spine surgery teams, there is always the possibility of having concurrent cases that would require neuromonitoring. I am not aware of this happening and if it did, this would be a rare, especially given that ortho spine and neurosurgery have different OR days. Regardless, the capability for concurrent case coverage is needed.

Question 2: What historical case mix, average case duration and after-hours usage can the VA provide?

Answer 2: Neurosurgery: Primarily spine cases (all cervical cases and lumbar fusions), occasional cranial cases; Average 3 hours

Ortho Spine: Our use of neuromonitoring is primarily for cervical spine surgeries both anterior and posterior which range from 2-3 hours in length. We will use neuromonitoring for our lateral approach lumbar cases, but this is rare, maybe 1-2 times a year and these cases are usually 3-4 hours long.

Question 3: How many after-hour cases have there been over the last 36 months?

Answer 3: Neurosurgery: 10

Ortho Spine: After-hour cases are rare with our service if defining after hours by those occurring on weekends and/or cases that start between the hours of 5 pm and 7 am. If so, our after-hours cases are fewer than 10 a year.

Question 4: How many surgeons are using IONM services?

Answer 4: Neurosurgery: 2 Neurosurgeons (not concurrently)

Ortho Spine: We have 4 attendings and 3 fellows, but they rotate through. We only have scheduled OR time on Wednesdays with time for 1-3 cases, however 3 cases in one day is rare.

Question 5: How many canceled cases have there been over the last 36 months?

Answer 5: Neurosurgery: 18

4003 Stimulating Probe for IOMN 80 Case $_______/CS $______________

4004 Call Back 5 Case $_______/CS $______________

TOTAL FOR OPTION YEAR 4 $_____________________________

Ortho Spine: OR cancellations are rare with our service, with 4 in the last 31 months. Of those 4 only 1 had neuromonitoring ordered.

See attached document: Wage Determination No 15-5489.

B.2 PRICE/COST SCHEDULE