36C26226Q0230 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) 01-29-2026 664-26-3-151-0015 None 36C262 NCO 22 - Network Contracting Department of Veterans Affairs Mesa Annex 4135 S. Power Rd #103 RM 116 Mesa AZ 85212 36C262 NCO 22 - Network Contracting Department of Veterans Affairs Mesa Annex 4135 S. Power Rd #103 RM 116 Mesa AZ 85212 To all Offerors/Bidders

TBD

36C26226Q0230 01-14-2026

X X X See CONTINUATION Page X The purpose for this amendment is to respond to questions received and to update the SOW removing information that was ebbed within the SOW.

All questions are due NLT February 2, 2026, at 1:00 PM MST. All offers are due NLT February 13, 2026, at 1:00 PM MST.

Offerors shall be submitted via email to: Felicia Simpson, Contract Specialist at Felicia.Simpson@va.gov.

Contractor shall sign clause 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING-CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION) pg 31 of the solicitation.

ALL OFFERS SHALL SUBMIT ALL DOCUMENTATION UNDER SECTION E and all AMENDMENTS, failure to provide any required document and acknowledgment of all amendments will result in the offer not being accepted and will not be evaluated.

CONTINUATION PAGE

Q&A 36C26226Q0230-Stryker ProCare Equipment Q1 – Limitations on Subcontracting (LOS) feasibility given Stryker-trained technician requirement The SOW states that repairs/maintenance/diagnostics must be performed by Stryker trained and certified field technicians (see SOW technician language, pp. 12–15). Please explain how an SDVOSB prime can comply with VAAR 852.219-75 Limitations on Subcontracting if performance is restricted to Stryker-trained/certified technicians and Stryker is not an SDVOSB.

ANSWER:

The Government acknowledges the requirement for Stryker-trained and certified technicians. Subcontractor will provide Program Management support including responsibility for contract performance, management and oversight; administrative support to include invoicing, collections and payment of vendors; and contracting the OEM-trained and certified technicians.

Q2 – Confirm LOS applicability and measurement period The solicitation requires offerors to sign VAAR 852.219-75 and indicates the LOS box for Services is checked (see VAAR 852.219-75 clause, p. 31). Please confirm that the services LOS requirement applies to this procurement and how LOS will be measured (end of base period, each option period, or other).

ANSWER:

Stryker and San Diego VA which ever SDVOSB is awarded the contract we will check the status of the contract to ensure certification is still valid at the end of base, option year.

Q3 – Define ‘amount paid’ basis for LOS calculation For LOS compliance under VAAR 852.219-75 / 13 CFR 125.6 (see VAAR 852.219-75, p. 31), what is the Government’s interpretation of the ‘amount paid by the Government to the prime’ for purposes of the 50% calculation: (a) total contract dollars, (b) labor dollars only, or (c) another basis?

ANSWER:

Payment made to SDVOSB in its entirety Q4 – OEM subcontracting and LOS enforcement The SOW requires OEM-trained and certified technicians to perform diagnostics and repairs (see SOW technician requirements, pp. 12–15). Please confirm whether the Government anticipates that the OEM (Stryker) will perform some or all repair/PM work as a subcontractor. If yes, please describe how an SDVOSB prime is expected to remain LOS compliant under this structure.

ANSWER:

Assumption is that since the SOW requires OEM-trained and certified technicians to perform diagnostics and repairs, and the OEM (Stryker) is a large business that Subcontractor, will provide Program Management support including responsibility for contract performance, management and oversight; administrative support to include invoicing, collections and payment of vendors, etc.

Q5 – Lease and service bundling clarification The pricing schedule separates equipment lease CLINs (Items 001, 1001, 2001, 3001, 4001) from service/repair CLINs (Items 002, 003, etc.) (see Price Schedule, pp. 47–51). Additionally, pages 52–53 include a distinct ‘ROM FMV 60 Month Lease’ valuation section. Please clarify: (a) whether the Government considers the principal purpose of this acquisition to be equipment leasing or maintenance/repair services; (b) how NAICS 339113 was determined to be appropriate; (c) how VAAR 852.219-75 LOS is intended to apply to the equipment lease portion; and (d) whether VA considered issuing separate lease and service procurements, and if not, how combining them does not unduly restrict competition, particularly for SDVOSB primes who cannot directly provide OEM leasing or proprietary service.

ANSWER:

(a) The principal purpose of this acquisition is to ensure continued operational readiness of Government-owned medical equipment through leasing and maintenance support.

(b) NAICS 339113 was selected based on market research and the nature of the equipment involved.

(c) LOS applies to the service portion of the contract.

(d) The Government determined that a combined procurement best meets mission requirements and does not unduly restrict competition.

Q6 – NAICS code rationale The solicitation assigns NAICS 339113 (manufacturing) (see SF-1449 cover page, p. 1), while the PSC and SOW are predominantly service-based. Please confirm the rationale for NAICS selection.

ANSWER: NAICS code 339113 was chosen based off the market research that was conducted by the source sought.

Q7 – Lease vs service LOS treatment Please clarify how equipment lease payments are treated for LOS purposes under VAAR 852.219-75 (see VAAR 852.219-75 clause, p. 31).

ANSWER:

All-inclusive Lease and Service on a monthly basis.

Q8 – Duplicate and repeating equipment schedule lines The equipment schedule contains repeating and duplicative line items across CLINs and option years (see Equipment Schedule, pp. 47–51 and ROM FMV section, pp. 52–53). Please clarify: (a) which equipment schedule is the authoritative list for pricing and performance obligations; (b) whether repeated entries represent distinct equipment, duplicate entries, or drafting errors; (c) whether VA intends to issue a corrected consolidated equipment schedule; and (d) how VA will handle pricing and performance responsibility if duplicates remain unresolved at time of award.

ANSWER:

Reference the Contractor Master Lease Proposal / Equipment Lease. There are no duplicate entries. No corrected equipment schedule needed (please reference Master Lease Proposal as that is the authoritative list. There are no duplicate entries.

Q9 – Acceptance of exchange / loaner equipment The SOW references replacement of unserviceable parts on an ‘exchange basis’ and provision of ‘loaner equipment’ (see SOW repair/exchange language, pp. 14–16), but does not clearly state whether clinical end users are required to accept exchange or loaner equipment as an operational substitute. Please clarify: (a) whether VA clinical end users will accept exchange or loaner equipment in lieu of waiting for repair and return of the original equipment; (b) whether acceptance of exchange equipment fully satisfies contractor performance obligations; and (d) whether any circumstances exist where end users may decline exchange equipment and how that affects performance metrics.

ANSWER:

(a) Exchange or loaner equipment may be used to maintain continuity of care.

(b) Acceptance of exchange equipment satisfies performance requirements when clinically appropriate.

(c) N/A

(d) End users may decline exchange equipment based on clinical need, which will be coordinated through the Contracting Officer.

Q10 – Define ‘factory trained and certified’ The SOW requires ‘factory trained and certified’ technicians (see SOW technician qualification language, pp. 12–15). Please clarify whether ‘factory trained and certified’ means: (a) Stryker employees only, (b) third-party technicians trained/certified by Stryker, or (c) another definition.

ANSWER:

“Factory trained and certified” refers to technicians who have successfully completed OEM-approved training and certification, including OEM-authorized third-party technicians.

Q11 – Subcontracted technician permissibility Please confirm whether subcontracted technicians are permitted to perform SOW-required diagnostics and repairs provided they meet training/certification requirements.

ANSWER:

Yes. Subcontracted technicians may perform required services provided they meet all training and certification requirements.

Q12 – OEM authorization Does VA require offerors to provide proof of OEM authorization to access manuals/diagnostics/parts? If so, please confirm acceptable documentation.

ANSWER: Yes, letter from Stryker that the vendor is an authorized reseller Q13 – OEM parts requirement Please clarify whether non-OEM parts are permitted if they meet or exceed OEM specifications or whether strictly OEM parts are required.

ANSWER:

Non OEM parts are not permitted.

Q14 – Experience requirement Please confirm whether experience on functionally equivalent non-Stryker equipment will be considered acceptable for the experience factor.

ANSWER:

The Government requirement is for Stryker-trained and certified technicians.

Q15 – Subcontractor experience credit Please confirm whether subcontractor experience may satisfy experience requirements if the SDVOSB prime has limited Stryker PM history.

ANSWER:

Yes. Subcontractor experience may be considered in the evaluation of experience, provided the prime demonstrates effective integration and management.

Q16 – Technical approach evaluation Please clarify how VA will determine whether a technical approach is acceptable versus unacceptable.

ANSWER: Please refer to the technical approach with the factors and if you can meet the Statement of Work.

Q17 – Past performance sources Please confirm whether non-CPARS references will be considered.

ANSWER: If this is saying if the vendor does not have a CPARS record, will they be considered, then the answer is yes. They will be considered satisfactory/neutral.

Q18 – Responsibility determination Please clarify whether a responsibility determination under FAR Subpart 9.1 will be conducted.

ANSWER: Please refer to FAR part 9.104-1 General Standards Q19 – Response-time standards Please define required response times for on-site service and restoration.

ANSWER:

Repairs / Loaners are 24hrs onsite services within 60 minutes.

Q20 – On-call coverage window Please define expected coverage hours and whether on-call requirements apply on federal holidays.

ANSWER:

Coverage hours are 6:30 AM to 3:00 PM Mon-Friday. Holidays excluded Q21 – Training deliverables Please clarify training frequency, format, and whether included in fixed pricing.

ANSWER:

Training requirements, frequency, and format are defined in the Statement of Work and are included in contract pricing unless otherwise stated.

Q22 – Equipment list authority Please confirm which equipment list governs pricing and performance obligations.

ANSWER:

The equipment list included in the final awarded contract governs pricing and performance obligations.

Q23 – Misuse/abuse exclusions Please clarify how misuse or abuse determinations will be made and by whom.

ANSWER:

Upon OEM inspection, abuse determination will be made.

Q24 – Solicitation number inconsistency Please confirm correct solicitation number given references to 36C26226Q0230_1 in submission instructions.

ASNWER: All documentation shall reference solicitation number 36C26226Q0230 and all documentation that requires a signature must be signed.

Q25 – ‘Two versions’ reference Please clarify what ‘two versions’ refers to and confirm offerors will be evaluated only against the final controlled solicitation.

ASNWER: Not sure what this question is referring to but if you mean _2 that does not refer to version. It is how the system numbers the same document.

Q26 – Unrelated subcontractor text Subcontractor instructions reference sleep apnea testing. Please confirm this is a drafting error and clarify required subcontractor information.

ANSWER: Sleep apnea was left in by mistake and should not be referred to and will be updated.

Q27 – Loaner requirements Please clarify required loaner response times, whether loaners must be identical OEM models, and whether loaner costs must be included in the fixed monthly price.

ANSWER:

24hrs and is included in the fixed monthly price and it will be identical model Q28 – Eight-hour exchange requirement Please clarify whether the eight-hour exchange requirement begins at notification, diagnosis, or part determination, and whether local stocking is required.

ANSWER:

Correction not an 8hr exchange it is a 24hr. Exchange requirement begins at notification.

Q29 – Urology scopes and Communications Equipment references The SOW references ‘Urology scopes’. Please confirm whether this is a drafting error and clarify intended scope. See page 47, SOW D1.4.2(e). There are also various references to Communications equipment (or communications) in the SOW & we’d like to know if these are drafting errors or in the intended scope.

ANSWER:

Currently there are no Urology Scopes cover in this proposal or communication equipment. OEM Technician will service communication VA owned equipment.

Q30 – Documentation for LOS compliance Please identify the documentation VA will require (at quote, award, and during performance) to verify LOS compliance.

ANSWER:

Final contract as awarded by the government. All subcontractors must possess Stryker certification.

Q31 – Pass-through risk Please confirm whether VA will deem an offer noncompliant if the SDVOSB prime’s role is primarily contract administration while the OEM performs the repair/PM work.

ANSWER: The government will adhere to all contracting guidance, policy and directives.

Q32 – Similarly situated SDVOSB subcontractors Please confirm whether an SDVOSB prime may use similarly situated SDVOSB subcontractors to meet LOS requirements and whether such subcontractors must possess Stryker OEM training/certification.

ANSWER:

Yes. Similarly situated SDVOSB subcontractors may be used in accordance with LOS regulations and must meet applicable training and certification requirements. Is to provide comprehensive Equipment Repair and technician support in order to meet Surgical needs and provide safe care to our patients.

Q33 – Principal purpose for mixed lease/service structure Given the combined lease and service structure, please confirm what VA considers the principal purpose of this acquisition.

ANSWER:

The principal purpose of this acquisition is to ensure availability, reliability, and operational readiness of medical equipment in support of clinical operations.

D.1 STATEMENT OF WORK

1. GENERAL INFORMATION

The Department of Veterans Affairs (VA) San Diego Healthcare System (VASDHS) requires Stryker Equipment Leased and Preventive Maintenance Service for Endoscopy/Neurosurgery & Ortho Spine, at the VA San Diego Healthcare System (VASDHS) located at 3350 La Jolla Village Drive, San Diego, CA 92161. The Contractor shall provide all necessary and appropriate labor, certified technicians, travel, supervision, material, training, proof of licensing, documentation of required services, and permits when required to service, repair, and maintain the Stryker Leased Equipment Systems (hardware and software).

2.BACKGROUND

a) The purpose of this contract is to provide Preventive Maintenance Services for Leased Equipment available for Endoscopy/Neurosurgery & Ortho Spine Procedures in the Main Operating room at the VA San Diego Healthcare System. This Equipment is necessary during Surgical Procedures for the specify Services, the Equipment allows for Endoscopic Procedure, Neuro Surgical & Orthopedic Procedures to include Visualization and recorders, Surgical Instrumentations, power tools and auxiliary and supportive equipment necessary to complete the Surgical procedures for each service mention.

b) This Equipment is used in the Main Operating room for inpatient procedures, and it is necessary to perform the following types of procedures:

1. Endoscopy

2. Neurosurgery

3. Orthopedic Surgery

c) Dollar buy-out After the lease term ends (base and option years), the VA San Diego Healthcare System will have the option to purchase the equipment of their choosing and obtain full ownership for $1.00. Upon notification, the contractor will prepare the offer as required.

3. SCOPE OF WORK

A. The contractor shall provide Stryker Leased Equipment B. The contractor shall provide Stryker Preventive Maintenance Services for the Leased Equipment.

C. The contractor shall provide on-site Specialist

4. SPECIFIC TASK

1. Preventive Maintenance Inspections and Intervening Service calls

a) The Contractor shall provide all labor, supplies, parts, supervision, and materials required to repair and maintain Stryker Leased Surgical Equipment and Communications equipment. The contractor shall provide a full time on call factory trained and certified field Technician to perform repairs, maintenance, and diagnostics in accordance with the original equipment manufacturer (OEM) service manuals, specification, and recommendations.

b) The full-service contract shall include repair, exchange and maintenance on each unit, plus needed repairs during the term of the Leased, excluding misuse or abuse of the scope, equal or equivalent to the manufacture’s preventive maintenance service coverage. The full-service contract requires repairs, maintenance, and diagnostic assessment to be conducted by no individual other than Stryker Surgical Equipment and communications trained and certified field Technician.

c) The full-service contract requires Stryker Surgical Equipment and communications trained and certified field Technician on call and readily available Monday through Friday.

d) The Equipment must remain in good working condition as (VA San Diego Healthcare System) VASDHS is dependent on patient results within a limited agreed upon time. All service performed shall be provided by Stryker Surgical Equipment and communications trained and certified field Technician. All preventive maintenance and repair services shall be performed in accordance with original manufacturer’s specification/service manual.

e) Replacement parts shall be furnished on an exchange basis at the contractor’s expense and shall be a new part or reconditioned part equivalent to new. Replacement parts become the property of the contractor.

2. Preventive Maintenance (PM) and Intervening Services: PM and Intervening Services shall include, but not limited to the following:

a) All labor, parts, equipment/instruments, and travel are all inclusive for schedule and unscheduled services.

b) Annual preventive maintenance in accordance with Original Equipment Manufacturer (OEM) specifications and service manual.

c) Schedule services to perform OEM’s Periodic Manufacture’s Certification solely by Stryker Surgical Equipment and communications trained and certified field Technician.

d) Use of OEM parts only.

e) Unlimited on-site repair services solely managed trained and certified field Technician.

f) Diagnostic checks.

g) An unlimited number of repairs of service equipment.

h) Loaner of Equipment

j) Train the VASDHS personnel and surgeons on how to use any products Leased by VASDHS.

3. Parts:

a) The contractor shall furnish replacements parts meeting or exceeding the original equipment manufacturer (OEM) specifications.

b) Replaced parts are to be disposed of by the contractor after obtaining approval from the COR, except for hard drives that have capability of storing sensitive information. They must be disposed of according to local Facility Policy and with the information Security Officer (ISO) concurrence.

c) Operating and consumables supplies are not part of this contract. Replaced parts covered by the Preventive Maintenance Inspection or intervening services shall be itemized as a no-charge item on the contractor’s invoice and shall be identified by the part listed on the manufacturer’s schematics or part list.

d) The contractor shall have sufficient supply in stock or be able to obtain all parts required for work under this contract. The contractor shall have complete service documentation, including necessary manuals and schematics.

e) Unserviceable parts shall be replaced by the contractor on an exchange basis within eight (8) hours, which includes labor to install replacement parts are included.

f) Parts numbers as shown on manufacture schematics/parts list will identify all parts that are replaced. All newly installed replacement parts become the property of the contractor. Any worn defective parts will be replaced free of any charges.

4. On Site Specialist

a) Routine maintenance on the Equipment including pre-use inspection, periodic functionality testing, evaluation of Equipment malfunction as necessary, and assisting Stryker personnel with installation of Equipment

b) Set-up and break down of Video tower/system Equipment for assigned procedures in the operating room

c) Work with Customer and Customer’s facility support teams during installation and maintenance processes.

d) Monitoring and reasonable reporting as requested of Customer’s Equipment repair expenditures, as well as noticed to Customer’s designee of significant repair issues or occurrences.

e) Coordination with shipping and receiving departments to expedite repairs of the Equipment.

f) Work with Customer to coordinate periodic evaluation of the Equipment to make determinations as to repair or replacement needs in the event of damage, loss, wear and tear, etc., pursuant to Customer’s procedures for notification, tracking, and reporting.

g) Provide in-service sessions for departmental or hospital personnel on Equipment as necessary.

h) Manage Loaner Units and replacement Equipment, as applicable and as requested.

i) Manage Supplies as requested.

j) Communicate with Stryker personnel, as necessary.

5. EQUIPMENT LIST

ROM FMV 60 MO LEASE

6. HOLIDAY INFORMATION

The following Federal holidays are observed by the Federal Government: The Contractor is not required to provide services on the following National Holidays, nor shall the contractor employee be paid for those days.

When a holiday falls on a Sunday, the following Monday shall be observed as a legal holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a legal holiday. Also, included would be any other day specifically declared by the President of the United States to be a National Holiday.

7. INVOICE AND PAYMENTS

The contractor shall submit monthly invoices in the arrears electronically via the Tungsten-Network System at the end of each month, for payment of the storage containers in that billing period. The contractor shall submit the original invoice electronically to:

Department of Veterans Affairs Financial Services Center http://www.tungsten-network.com (Toll-free telephone number: (877) 489-6135) Payment shall be made monthly in the arrears upon receipt of a properly prepared invoice.

The invoice MUST be itemized to include the following information. Any information listed below that is not provided on an invoice will render that invoice incomplete and the invoice will be returned for immediate correction.

a. Dates of service.

b. Description of services.

c. Invoice number, date.

d. Contract number.

e. Obligation number

Failure to comply with the above shall delay payment to the Contractor.

AMENDMENT ONE IS IN RESPONDS TO QUESTIONS AND TO UPDATE THE SOW.