36C26021Q0677 A00002.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 NUMBERE

D 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 amendmen t, 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) A00002 N/A Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 Department of Veterans Affairs Network Contracting Office 20 5115 NE 82nd Ave, Suite 102 Vancouver WA 98662 To all Offerors/Bidders

36C26021Q0677 06-16-2021

X X X July 2, 2021 at 10:00AM Central Time The purpose of this Amendment is to provide additional answers to questions submitted by interested Vendors, to make an update to the Performance Work Statement, and order limitations under FAR Clause 52.216-19 Order Limitations.

Vendors are reminded to sign and return this Amendment with submitted quote.

All other terms and conditions remain unchanged.

Laura Park Contracting Officer Continuation Page

a. Answers to Vendor Questions.

1. Question:

Can you elaborate on the typical volume, types of casework and frequency typical for the VA Puget Sound Health Care System? (spine vs craniotomies vs vascular vs ENT vs orthopedic surgeries) Answer:

The VA Puget Sound Health Care System performs almost exclusively spine cases.

2. Question:

Some cases are much longer than others and some require variability of intraoperative tests (8 channel EEG, functional cortical mapping, ABR responses, for craniotomies versus EMG, SEP, MEP, 2 Channel EEG for spine, etc.). How should each unit be priced?

Answer:

Pricing shall be priced per as an all-inclusive case in accordance with B.2 Schedule of Services in the RFQ.

3. Question:

Are neuromonitoring supplies stocked at your VA (needle electrodes, corkscrew electrodes, cortical strip electrodes, ball-tip probes, yingling probes, specialty items, etc.) or are these provided by the Contractor?

Answer:

All supplies are provided by the Contractor.

4. Question:

Referring to section 4.4.1.1, it states that the contractor shall be local to the Seattle/Puget Sound area and have more than one backup technician, 3.1.3.2 states that the contractor must be available within 2 hours and E.2.D.1 states to provide a minimum of 5 qualified technologists who reside within 75 miles. Can you please clarify what the preferred requirements are and if there is any flexibility for per diem travel?

Answer:

The Contractor shall have a minimum of 5 technologists who resided within 75 miles of the VA Puget Sound Health Care System, available to provide services. This requirement supports the 2-hour response time to perform emergency IONM cases. Due to historical issues with traveling IONM technologists, there is no flexibility for per diem travel.

b. RFQ Corrections.

1. The first two (2) sentences of PWS Paragraph 4.4.1.1. is updated as follows:

To provide PSHCS on-site complete Intraoperative Neuromonitoring Services to include after-hours coverage in support of PSHCS, 1660 S Columbian Way, Seattle, WA 98108, The Contractor shall have a minimum of five (5) technologists who are local to the Seattle/Puget Sound area, reside within 75 miles of the PSHCS, and are available to provide IONM Services.

2. On Page 5 of Section B.2 Schedule of Services, the minimum and maximum single order amounts are updated as follows:

In accordance with FAR 52.216-19, the minimum single order amount is 5 cases, and the maximum single order amount is 70 cases.

3. Section C.2.2, FAR Clause 52.216-19 Order Limitations is updated as follows:

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than 5 cases, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of 70;

(2) Any order for a combination of items in excess of 70 cases; or

(3) A series of orders from the same ordering office within 10 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)