36C26125Q0914 0001.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 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) 09-09-2025

36C261-26-AP-0402

640-26-2-230-0003 36C261 Department of Veterans Affairs Network Contracting Office 21 VA Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 36C261 Department of Veterans Affairs Network Contracting Office 21 Southern Nevada Healthcare System 6900 N. Pecos Road, Building 6 North Las Vegas NV 89086 To all Offerors/Bidders

36C26125Q0914

X X X X See continuation page for responses to questions asked regarding the solicitation.

Edward Hunter Contracting Officer Mammography Tracking Software System Solicitation Questions with Responses (in red) 9/8/2025

1. Could you please clarify regarding the MDS2 worksheet referenced under Factor 1 – Technical of the RFQ, which asks quoters to submit the MDS2-Worksheet, VA Directive 6550 Appendix A (fillable), and Ports/Protocols/Services Template v1.6 with the quote.

We understand the intent is a cybersecurity review for solutions deployed on VA's medical device VLAN.

Our offered solution is software-only, deployed on VA-provided servers, accessed via web browser, and is not an FDA-regulated medical device. With that context, could you please confirm:

Is the MDS2 submission mandatory for this RFQ's software-only offering? (We see it listed in Factor 1, but want to ensure we're applying it correctly to a software-only deployment.) Yes, an MDS^2 document is required for this procurement as it provides important information relating to the risk profile of the application.

2. Is there a need for an Equip platform within the MIS application? No

3. When reviewing patient data, history, and risk assessment while reporting, will the radiologist expect to have the MIS application and the view station/PACS synced through and an EXL drop? The Mammography Tracking System must sync with the PACS application and voice recognition systems. The offeror must specify the sync mechanism that has been validated with the respective vendors.

a. If yes, how many workstations? 4

4. Do the radiologists expect a direct API with a dictation system? For example, PowerScribe? Yes, PS1.

5. What is the annual volume of the 4 listed locations? Estimated volume 7,500

6. Will the breast imaging department be providing risk assessment information to a genetic counseling team? No

7. Is there an expectation to add additional locations? Yes

a. If so, is there an estimate within the contacted terms? Optional task, no definitive plan yet.

8. Is there an expectation for enterprise locations? For instance, no limit? Can the offeror clarify their question? This is not an enterprise solution for all VHA mammography programs.

9. Will the VA NTP be tracking service act patients? Yes

10. Will the VA NTP be tracking patients with toxic exposure? Yes

11. Is there a need for customizable dashboards or built-in analytics for patient tracking or outcomes? Yes

12. What languages must patient letters and communication support? English is required. Additional languages, such as Spanish, would be beneficial.

13. Will any radiologist be reading remotely? All radiologists in NTP read remotely.