NAICS Classification 334510 Government Contracts

Solicitation 36C25027AP0780 for 6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- DAYTON published by DEPT OF DEFENSE. Contractors must submit responses conforming to the requirements in the official SAM.gov solicitation notice and associated attachments.

Solicitation 36C10X26D0042 for NX EQ - Physiologic Monitors - EEG Modules published by DEPT OF DEFENSE. Contractors must submit responses conforming to the requirements in the official SAM.gov solicitation notice and associated attachments.

Solicitation 36C26326Q1078 for 6515--AWARDED Gastroscope and Colonoscope Systems in Support o Iowa City VA Healthcare System published by DEPT OF DEFENSE. Contractors must submit responses conforming to the requirements in the official SAM.gov solicitation notice and associated attachments.

Solicitation 36C25027AP0980 for 6515--SUPPLIES-IMPLANTABLE PULSE GENERATOR- DAYTON published by DEPT OF DEFENSE. Contractors must submit responses conforming to the requirements in the official SAM.gov solicitation notice and associated attachments.

1. Description of Requirement  VA Maine HCS (Togus) intends to award a firm-fixed-price contract for a NEW 36-month lease of Karl Storz endoscopy video systems, insufflators, wireless video components, monitors, carts, rigid and flexible scopes (including NIR/ICG imaging), OEM installation/configuration, training, and full-service maintenance. This lease supports continuity of surgical and diagnostic operations across General Surgery, Urology, Gynecology, ENT/Airway, and Arthroscopy.  2. Period of Performance  Base Year: 11/01/2026 10/31/2027  Option Year 1: 11/01/2027 10/31/2028  Option Year 2: 11/01/2028 10/31/2029  Contract Type: Firm-Fixed-Price; Commercial Items (FAR Part 12)  3. Intended Source  L1 Enterprises Incorporated (SDVOSB) is the exclusive authorized SDVOSB reseller designated by Karl Storz Endoscopy America, Inc. to provide and service the required endoscopy systems and scopes for VA Maine HCS (Togus). OEM authorization is documented in the acquisition record.  4. Justification (Summary)  VA Maine HCS requires OEM-authorized lease, installation/configuration, and full service/maintenance of Karl Storz systems to ensure clinical compatibility, sterilization/processing continuity, and patient safety. The OEM has identified L1 Enterprises (SDVOSB) as the exclusive authorized reseller for this solution at Togus; no other vendor is authorized to furnish the complete lease plus OEM service scope. A written sole-source justification has been prepared and will be made publicly available after award per FAR posting requirements.  5. Anticipated Award Date  On or about November 1, 2026.  6. Response Instructions (This is NOT a solicitation)  Evidence of current OEM authorization from Karl Storz Endoscopy America, Inc. for lease and full-service support of the listed systems/scopes at VA Maine HCS (Togus).  Detailed description of equipment equivalency and clinical compatibility addressing the complete PWS.  Past performance for comparable endoscopy system leases and maintenance (VA/DoD/hospital systems).  NAICS 339112 business size and active SAM registration (UEI).   Submission: Email PDF to Dewan Britton, Contract Specialist [email protected]  Subject Line: "Capability Statement NOI Sole Source Karl Storz Lease (Togus)".  7. Disclaimers  This Special Notice does not constitute a solicitation; no RFQ/RFP is available.  The Government will not reimburse costs incurred for responses.  The Government reserves the right to cancel this notice.  Information received will be used solely to determine whether to conduct a competitive procurement.Â

Source Sought - 36C25726Q0897 This is a Request for Information (RFI) issued solely for information and planning purposes only and does not constitute a solicitation. The submission of pricing, capabilities for planning purposes and other marketing information is highly encouraged and allowed in accordance with (IAW) Revolutionary FAR Overhaul (RFO) 15.101 (c). Disclaimer This RFI is issued solely for information and planning purposes only and does not constitute a solicitation. All information received in response to this RFI that is marked as proprietary will be handled accordingly. IAW Revolutionary FAR Overhaul (RFO) 15.101 (c), responses to this notice are not offers and cannot be accepted by the Government to form a binding contract. Responders are solely responsible for all expenses associated with responding to this RFI. Sources Sought Description This is NOT a solicitation announcement. This is a sources sought synopsis only. The purpose of this synopsis is to gain knowledge of potential qualified sources and their size classification relative to NAICS 334510 (size standard of 1,250 employees). Responses to this synopsis will be used by the Government to make appropriate acquisition decisions. After review of the responses to this sources sought synopsis, a solicitation announcement may be published. Responses to this sources sought synopsis are not considered adequate responses for a solicitation announcement. The Department of Veterans Affairs (VA), VISN 17 Network Contracting Office, is seeking sources that can provide Medical Physicist Services. Below are the test and services that the Physicist will provide in accordance with the Statement of Work. The Contractor Diagnostic Medical Physicist shall meet the following education, experience, certification, and qualification standards: Hold a Masters Degree in Medical Physics. American Board of Radiology Board Certification in Radiologic Physics American Board of Radiology Board Certification in Nuclear Medicine Physics American Board of Science in Nuclear Medicine Meet all NRC, ACR, FDA and Joint Commission requirements for a qualified medical physicist. All Texas Department of State Health Services, Radiation Control Regulations, and certifications Current recommendations of the NCRP and AAMP on medical imaging facility design and shielding, All current NRC regulations Current techniques for the calibration and testing of diagnostic x-ray equipment. Vendor must be capable to evaluate equipment below: Hologic Bone Densitometer GE 670 CZT Digital SPECT/CT Siemens Intevo Bold SPECT/CT GE Starguide SPECT/CT GE Discovery Digital MI PET/CT System GE 630 Gamma Camera SPECT/CT Systems Hologic Bone Densitometers PET/CT Systems Addresses for work performed will include: VA North Texas HCS (Dallas) Nuclear Medicine Service (115) Building 2J, 3rd Floor, Room 3B612 4500 S. Lancaster Road Dallas, TX 75216 VA Fort Worth Clinic Cow Town Clinic, Nuclear Medicine Service, Room 1N-238 2201 SE Loop 820 Fort Worth, TX 76119 Future CBOCs that will establish Nuclear Medicine Service The anticipated period of performance is Base Year and Four (4) Option Years. Base Year: 01/05/2027 01/04/2028 Option Year 1: 01/05/2028 01/04/2029 Option Year 2: 01/05/2029 01/04/2030 Option Year 3: 01/05/2030 01/04/2031 Line Items: Item Number Description Quantity Unit 0001 Quarterly Nuclear Medicine/per camera Performance Evaluation; (Completed every 3 Months except 1/Year) 18 EA 0002 Quarterly PET Camera Performance Evaluation (Completed Every 3 Months except 1/Year) 6 EA 0003 Annual Nuclear Medicine (NM) Physicist Camera Evaluation (Completed once annually in place of Line Item 0001) 6 EA 0004 Annual Pet Physicist Camera Evaluation (Completed once annually in place of Line Item 0002) 2 EA 0005 Annual CT Performance and Safety Evaluation (Spect/CT) 7 EA 0006 ACR PET System Evaluation 2 EA 0007 Initial NM Camera Testing 2 EA 0008 Initial PET Camera Testing 2 EA 0009 CT Repair Follow Up 3 EA 0010 Meeting Attendance: RSC, NMS Staff Meeting, QI Committee, Etc. (Hourly) 12 EA 0011 Miscellaneous Consulting Service (Hourly) 50 EA 0012 Shielding Integrity and Adequacy Evaluation (Doesn't Include Source) 7 EA 0013 NEMA PET Acceptance Testing (3 Days; Completed Once Every 4 Years) 2 EA 0014 Bone Density Repair Follow Up 3 EA 0015 Bone Density Annual Performance Evaluation 3 EA The information identified above is intended to be descriptive, not restrictive and to indicate the quality of the services will be satisfactory. It is the responsibility of the interested source to demonstrate to the government that the interested parties can provide the services that fulfill the required specifications. If you are capable of providing the required services, please provide the requested information as well as the information indicated below. Response to this notice should include company name, address, point of contact, size of business pursuant to the following questions: Is your business a: Service-Disabled Veteran Owned Small Business (SDVOSB), Veteran Owned Small Business (VOSB), Hubzone, Woman Owned Small Business (WOSB), Large Business, etc.? Is your company considered small under the NAICS code identified under this RFI? Does your company have FSS GSA/NASA SEWP/NAC or any other federal contract? If so, please provide the contract number. If you are an FSS GSA/NASA SEWP/NAC or federal contract holder, are the services you are providing information for available on your schedule/contract? Responses to this notice shall be submitted via email to [email protected]. Telephone responses shall not be accepted. Responses must be received no later than 11:00am EST (10:00am CST), on October 16, 2026. If a solicitation is issued it shall be announced at a later date, and all interested parties must respond to that solicitation announcement separately from the responses to this source sought. Responses to this sources sought notice are not a request to be added to a prospective bidders list or to receive a copy of the solicitation. Please reference RFI 36C25726Q0897 in the Subject of your response. (END OF DOCUMENT)

1.0 DESCRIPTION THIS IS A SOURCES SOUGHT NOTICE ONLY. This is not a solicitation for bids, proposals, proposal abstracts, or quotations. The Department of Veterans Affairs (VA) Enterprise Procurement Office (EPO), formerly the Strategic Acquisition Center (SAC), is issuing this Sources Sought Notice as a means of conducting market research to identify qualified sources with the capability and resources to meet the Veterans Health Administration s (VHA) Non-Expendable Equipment National Program requirement for Scanning Systems Ultrasonic Portable. The EPO in conjunction with VHA is seeking qualified sources capable of supplying the brand name or equal Fujifilm® Sonosite Scanning Systems Ultrasonic Portable machines on an agency-wide basis. VA is contemplating the award of a single Requirements Contract with Firm-Fixed Price (FFP) orders IAW FAR 16.503, Requirements Contracts, to a supplier of this equipment. Respondents will be required to deliver complete ultrasonic scanning systems to VA medical centers and facilities throughout the United States. The associated North American Industry Classification System (NAICS) code for this procurement is 334510 Electromedical and Electrotherapeutic Apparatus Manufacturing and the associated size standard is 1,250 employees. The FAR Provision found at 52.204-7 requires that The Offeror shall have an active Federal Government contracts registration in the System for Award Management (SAM) when submitting an offer or quotation. You may access the SAM website at SAM.gov | Home. All respondents must be certified with the appropriate NAICS code on the SAM website. All SDVOSB/VOSB respondents must be verified in the SBA database at: https://www.sba.gov/veterans/#vetcert at the time of submission. Submissions for this Sources Sought Notice shall be submitted by email no later than October 19, 2026, at 12:00pm Eastern Time to the Contract Specialist and Contracting Officer at the following email addresses: [email protected] [email protected] Email responses shall include the following subject line: Response to Sources Sought Notice 36C10X27Q0004. This notice is for planning purposes only and does not constitute a commitment on the part of the Government to award a contract, nor does the Government intend to pay for any information submitted as a result of this notice. This notice is part of a continuous process for obtaining the latest information on the commercial status of the industry with respect to their current and near-term abilities. The information provided herein is subject to change and in no way binds the Government to solicit for, or award, a competitive contract. It is emphasized that this is a notice solely for planning and informational purposes. Respondents are advised that the Government is under no obligation to acknowledge receipt of the information received or provide feedback to respondents with respect to any information submitted. The Government may or may not issue a solicitation as a result of this notice. There is no solicitation available at this time. 2.0 SCOPE OF WORK Scanning Systems Ultrasonic Portable are compact devices that use high frequency sound waves for real-time internal body imaging. Point-of-care ultrasound (POCUS) imaging is routinely used by medical clinicians to guide interventional percutaneous procedures such as vascular access, nerve blocks, and therapeutic injections. Ultrasonic scanning systems have an ultrasonic scanner, transducers (frequencies of 2 to 12 MHz are typical for vascular and abdominal scanning, procedure guidance, and nerve blocks), dedicated software, DICOM software for PACS compatibility and image storage, and an image recorder. Most ultrasonic scanners include continuous-wave and pulsed-wave Doppler capabilities (including a spectrum analyzer) for sensing the velocity and location of blood flow; they can be operated in multiple modes, including color flow mapping mode and triplex mode (i.e., simultaneous acquisition and display of 2-D gray-scale, spectral Doppler, and color flow data). Ultrasonic scanning systems usually display images of the vessels in conjunction with spectrum analysis to depict the vessel and its obstructions. Some ultrasonic scanners use a low frequency (typically 2 MHz) Doppler transducer to obtain the blood flow velocity recording in the intracranial arteries. These systems are used for transdermal examinations and diagnosis of diseases, occlusions, and obstructions in the peripheral vascular system, including a profile of the blood-flow velocity in the area under examination. Most of them also include capabilities for small-part examinations. The following Contract Line Items (CLINs) are being considered: Contract Line Items Manufacture Part Number Description 0001 Sonosite L22916 Transducer, L12-3 0002 Sonosite L23117 Transducer, C10-3 0003 Sonosite L23119 Transducer, C5-1 0004 Sonosite L23120 Transducer, L15-4 0005 Sonosite L23121 Transducer, IC10-3 0006 Sonosite L23972 Transducer, L19-5 0007 Sonosite L24087 Transducer, P5-1 0008 Sonosite L25100 Sonosite PX Ultrasound System 0009 Sonosite L25110 Sonosite PX Stand 0010 Sonosite L25200 Printer, B and W Hybrid Graphic, SONY UP-X898MD 0011 Sonosite L27766 T8-3 ULT-2020 Ultrasound Leakage Tester Kit 0012 Sonosite L28354 Sonosite LX Ultrasound System 0013 Sonosite L29076 Sonosite ECG Module 0014 Sonosite L29465 Transducer, T8-3 12 Months - Standard Coverage Warranty 0015 Sonosite L29671 Transducer, P11-3 0016 Sonosite L30229 Transducer, T8-3 POCUS Bundle -12 Months - Standard Coverage Warranty 0017 Sonosite L30257 Transducer, L13-6 0018 Sonosite L31500 Sonosite ST Ultrasound System 0019 Sonosite L33270 Transducer, UHF46-20 MHz Ultra High-Frequency -12 Months - Standard Coverage Warranty 0020 Sonosite P31199 Steep Needle Profiling, Sonosite ST 0021 Sonosite P31440 Sonosite Voice Assist -12 Months - Standard Coverage Warranty 0022 Sonosite P31987 Small Basket 0023 Sonosite P31988 Large Basket 0024 Sonosite P32357 - Sonosite PIV Assist Sonosite PIV Assist 0025 Sonosite P32441-SVCCON Point of Sale Warranty Plus (2 years), PX System 0026 Sonosite P32442-SVCCON Point of Sale Warranty Plus (2 years), LX System 0027 Sonosite P32443-SVCCON Point of Sale Warranty Plus (2 years), ST System 0028 Sonosite P32444-SVCCON Point of Sale Warranty Plus (2 years), PX/LX/ST/MT Transducers (Not applicable for the T8-3 or UHF46x Transducers) 0029 Sonosite Sonosite Institute for Point-of-Care Ultrasound Exclusive access to over 100 hours of education including courses, videos, webinars, quizzes, certificates and additional resources. Accessible via desktop, tablet or phone. (Included) Respondents should identify a complete solution including associated accessories, as required for full functionality. The following Salient Characteristics (SCs) are being considered: CLINs 0001-0013, 0015, 0017, 0020 apply to the following SC 1-9 CLINs 0014, 0016, 0019, 0021 apply to the following SC 10 CLINs 0026-0028 apply to the following SC 12 CLIN 0029 applies to the following SC 11 SC # SALIENT CHARACTERISTICS METHOD OF EVALUATION SC 1 Multiple configurations of the devices Literature Review SC 2 Must have High-quality image resolution1280 x 1024 pixels or higher Literature Review SC 3 Must have multiple Doppler modes to include color, and continuous Wave Literature Review SC 4 Must have 120V and Battery powered capability Literature Review SC 5 Must have a Phased Array Probe with a low frequency range of between 1-5 MHz Literature Review SC 6 Must have Endocavitary Probe with a frequency range between 2-12.5 MHz Literature Review SC 7 Must have Low to Mid Probe with a frequency range of at least 2-12 MHz Curvilinear Probe Literature Review SC 8 Must have Linear Probe with a frequency range greater than 12 MHz Literature Review SC 9 Must have needle visualization enhancement Literature Review SC 10 Must have a minimum one-year warranty Literature Review SC 11 Must provide Operator training Literature Review SC 12 Must provide Extended Service and Support plan Literature Review SC 13 Must be FDA approved FDA Letter SC 14 Must have Intraoperative system capable of interfacing with VA Electronic Health Record System Literature Review For each product identified in the response (brand name and part number), the response must include descriptive literature demonstrating that the product meets or exceeds the SCs specified above. The Government's intent is to include all ancillary items necessary to ensure the equipment can function as designed by the OEM and as required. Respondents are encouraged to identify any additional accessory, service, or configuration that may be necessary or beneficial to the functionality of the contemplated system. These items must be clearly identified by brand name and part number. In addition to the above CLINs and salient characteristics, the Government contemplates utilizing the below evaluation subfactors: Safety The device will be assessed for patient safety features, including, but not limited to, the following areas: Infection control Thermal injuries Probe maintenance Battery failure procedures Design Design features and functions of the offered device will be evaluated. Areas include but are not limited to the following: Durability of the system and the probes Display screens usability Barcode software to ID patients and physicians Low-Profile wheelbase to assist getting closer to patient Cordless charging station Number of Transducer ports Simplicity of system design for operator (ergonomics, easy setup, User-friendly software applications, reporting, and touch screen ease of use) Performance The device will be evaluated for its ability to perform its intended function. Areas include but are not limited to: Capabilities to support multiple medical services Batter run time Provided Installation Needle guidance system Quality/Construction/Training Extended Warranty Training Secure Data encryption HIPPAA/GDPR compliant Meets ANSI/AAMI ES6061 Electromechanical safety standards Responses to this Sources Sought Notice shall include the following: Full name and address of company. SAM Unique Entity Identifier (UEI). Business Size and socioeconomic status, if applicable (e.g., SDVOSB, VOSB, WOSB, HUBZone, 8(a)). Manufacturer or Distributor: If distributor, provide the full name, business size and address of the manufacturer. If distributor, provide evidence that your firm is currently an authorized distributor for the manufacturer of the products proposed, e.g. an authorized distributor letter with current date certified by the OEM. Country of Origin designation for all products proposed. Describe the firm s ability to provide uninterrupted supply of products on a national scale. Technical literature clearly demonstrating that the proposed product(s) meets the identified salient characteristics identifying the page number(s) where each requirement is met. Does respondent offer an annual service plan, Yes or No? If Yes: Describe what the plan covers? Identify whether the plan covers software updates, parts repair/replacement, or both Provide literature or other documentation describing the service plan. Identify whether service is provided by the OEM or a subcontractor. Identify any additional product, accessory, service, or configuration that may be necessary or beneficial to the functionality of the contemplated system. Include the applicable brand name and part number. Item pricing information of products, inclusive of flat rate shipping. Include any quantity discounts, noting at what order quantity the Government should expect tiered price reductions, if any. NOTE: In order for the Contracting Officer to determine whether a set-aside can be pursued, it is essential to provide pricing information. Without this information, the Contracting Officer will be unable to assess whether there is a reasonable expectation of receiving fair and reasonable pricing from socio-economic concerns. Does your firm anticipate any subcontracting opportunities for this requirement? If yes, identify the type and approximate scope of work that could be subcontracted. Identify any federal contract vehicles held by your firm through which your firm can provide this equipment. Are there any further standards or criteria VA should consider in a procurement action for this equipment? Are the Government s specifications unduly restrictive? If yes, identify the specific requirement(s) considered unduly restrictive and provide supporting rationale and recommended alternative language. Any additional information the Government should know prior to issuing a solicitation. Describe any minimum order quantities, geographic limitations, delivery constraints, lead times, or other limitations that could affect the firm's ability to support the requirement on a nationwide basis.

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice.

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 28, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 29, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice.

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 28, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 29, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. (Updated September 30, 2026) AMENDMENT 00001 TO SOLICITATION NUMBER 36C79126R0011 ISSUED: Purpose: Amendment 00001 to Solicitation Number 36C79126R0011, Electro-Therapeutic Modalities for Pain Management (ETMPM) and Transcutaneous Electrical Nerve Stimulation (TENS) Requirement, is issued to implement mandatory corrections and clarifications identified during the Policy Quality Assurance (PQA) Division’s presolicitation review. This Amendment ensures the solicitation is fully compliant with current Federal Acquisition Regulation (FAR), VA Acquisition Regulation (VAAR), and VA policy requirements prior to continued proposal submission and evaluation. Summary of Key Revisions: • Removal of Attachment 0003: Attachment 0003 (VAAR Clause 852.219-76, Limitations on Subcontracting) has been removed from the solicitation package as a material requirement. Offerors are no longer required to submit this attachment as part of their proposal. • Removal of Attachment 0002 – FAR Provision 52.212-3: Attachment 0002 (FAR Provision 52.212-3, Offeror Representations and Certifications) is now “RESERVED” under the FAR overhaul and is no longer a material requirement. Offerors are not required to submit this document with their proposals. • Correction of Clause References and Dates: All outdated or superseded FAR, RFO, and VAAR clause citations and dates have been updated throughout the solicitation to reflect current deviation dates and regulatory requirements. All “RESERVED” clauses (e.g., 52.212-3, 52.212-5, 852.246-70) and invalid references (e.g., VAAR 852.270-1) have been removed. • Addition and Correction of VAAR Clauses: VAAR 852.219-10 has been replaced with VAAR 852.219-73 (VA Notice of Total SDVOSB Set-Aside). VAAR 852.212-71 (Gray Market and Counterfeit Items) has been added. VAAR 852.211-70 and 852.211-72 are now incorporated by full text with required CLIN-specific fill-ins. • Correction of Source Selection and Evaluation Citations: All references to source selection procedures have been corrected to cite the appropriate RFO provisions (e.g., LPTA procedures now cite RFO 15.103-2). The Certificate of Competency referral citation is corrected to RFO 19.204. • Correction of Attachment Numbering and Instructions: All attachment references have been corrected for accuracy. Instructions for completing Attachment 0001 – Price Matrix now include all CLINs/SLINs (including X003 and X004), and decimal quantity errors have been corrected to display whole numbers. • Update of Hyperlinks: All hyperlinks to FAR/RFO full-text repositories have been updated to the correct deviation guide URL. • Clarification of Evaluation Factor Importance: The relative importance statement for CLINs X001-X004 has been clarified to state that price is the deciding factor under LPTA procedures. What Remains Unchanged: • Scope and Objectives: The overall scope, objectives, and technical requirements of the ETMPM-TENS procurement remain unchanged. The solicitation continues to seek proposals for FDA-cleared electrotherapeutic devices and accessories as described in the Statement of Need and Minimum Technical Requirements. • Tiered Set Aside Evaluation Methodology and Competition Approach: The source selection methodology (LPTA for CLINs X001-X004, Best Value Tradeoff for CLIN X005), tiered set-aside evaluation approach, and all other competition procedures remain unchanged. • Proposal Submission Instructions: The process for submitting proposals, including the requirement to submit a signed SF 1449, completed Section B entries, Technical Capability Statement, and all required attachments (except those removed by this amendment), remains unchanged. Instructions to Offerors: Offerors are advised to carefully review the revised solicitation and all attachments. All proposals must conform to the updated requirements and instructions. Proposals that do not comply with the revised solicitation, including the removal of Attachment 0002 and Attachment 0003 as material requirements, may be deemed nonresponsive. Conclusion: Amendment 00001 is issued to ensure full compliance with current regulatory requirements and to clarify proposal submission obligations. No substantive changes have been made to the acquisition strategy, evaluation methodology, or competition approach. All other terms and conditions of Solicitation Number 36C79126R0011 remain unchanged. (End of Amendment 001 Explanation)

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 28, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 29, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. (Updated September 30, 2026) AMENDMENT 00001 TO SOLICITATION NUMBER 36C79126R0011 ISSUED: Purpose: Amendment 00001 to Solicitation Number 36C79126R0011, Electro-Therapeutic Modalities for Pain Management (ETMPM) and Transcutaneous Electrical Nerve Stimulation (TENS) Requirement, is issued to implement mandatory corrections and clarifications identified during the Policy Quality Assurance (PQA) Division’s presolicitation review. This Amendment ensures the solicitation is fully compliant with current Federal Acquisition Regulation (FAR), VA Acquisition Regulation (VAAR), and VA policy requirements prior to continued proposal submission and evaluation. Summary of Key Revisions: • Removal of Attachment 0003: Attachment 0003 (VAAR Clause 852.219-76, Limitations on Subcontracting) has been removed from the solicitation package as a material requirement. Offerors are no longer required to submit this attachment as part of their proposal. • Removal of Attachment 0002 – FAR Provision 52.212-3: Attachment 0002 (FAR Provision 52.212-3, Offeror Representations and Certifications) is now “RESERVED” under the FAR overhaul and is no longer a material requirement. Offerors are not required to submit this document with their proposals. • Correction of Clause References and Dates: All outdated or superseded FAR, RFO, and VAAR clause citations and dates have been updated throughout the solicitation to reflect current deviation dates and regulatory requirements. All “RESERVED” clauses (e.g., 52.212-3, 52.212-5, 852.246-70) and invalid references (e.g., VAAR 852.270-1) have been removed. • Addition and Correction of VAAR Clauses: VAAR 852.219-10 has been replaced with VAAR 852.219-73 (VA Notice of Total SDVOSB Set-Aside). VAAR 852.212-71 (Gray Market and Counterfeit Items) has been added. VAAR 852.211-70 and 852.211-72 are now incorporated by full text with required CLIN-specific fill-ins. • Correction of Source Selection and Evaluation Citations: All references to source selection procedures have been corrected to cite the appropriate RFO provisions (e.g., LPTA procedures now cite RFO 15.103-2). The Certificate of Competency referral citation is corrected to RFO 19.204. • Correction of Attachment Numbering and Instructions: All attachment references have been corrected for accuracy. Instructions for completing Attachment 0001 – Price Matrix now include all CLINs/SLINs (including X003 and X004), and decimal quantity errors have been corrected to display whole numbers. • Update of Hyperlinks: All hyperlinks to FAR/RFO full-text repositories have been updated to the correct deviation guide URL. • Clarification of Evaluation Factor Importance: The relative importance statement for CLINs X001-X004 has been clarified to state that price is the deciding factor under LPTA procedures. What Remains Unchanged: • Scope and Objectives: The overall scope, objectives, and technical requirements of the ETMPM-TENS procurement remain unchanged. The solicitation continues to seek proposals for FDA-cleared electrotherapeutic devices and accessories as described in the Statement of Need and Minimum Technical Requirements. • Tiered Set Aside Evaluation Methodology and Competition Approach: The source selection methodology (LPTA for CLINs X001-X004, Best Value Tradeoff for CLIN X005), tiered set-aside evaluation approach, and all other competition procedures remain unchanged. • Proposal Submission Instructions: The process for submitting proposals, including the requirement to submit a signed SF 1449, completed Section B entries, Technical Capability Statement, and all required attachments (except those removed by this amendment), remains unchanged. Instructions to Offerors: Offerors are advised to carefully review the revised solicitation and all attachments. All proposals must conform to the updated requirements and instructions. Proposals that do not comply with the revised solicitation, including the removal of Attachment 0002 and Attachment 0003 as material requirements, may be deemed nonresponsive. Conclusion: Amendment 00001 is issued to ensure full compliance with current regulatory requirements and to clarify proposal submission obligations. No substantive changes have been made to the acquisition strategy, evaluation methodology, or competition approach. All other terms and conditions of Solicitation Number 36C79126R0011 remain unchanged. (End of Amendment 0001 Explanation) (Updated October 02, 2026) Solicitation Number 36C79126R0011 Amendment 0002 Issued: Purpose of Amendment: Amendment 0002 to Solicitation 36C79126R0011 was issued to address critical clarifications and corrections necessary for the Electro-Therapeutic Modalities for Pain Management (ETMPM) procurement program. This amendment ensures that all technical requirements, pricing instructions, and regulatory clauses are fully aligned with the Government’s intent and industry standards, thereby supporting a fair, transparent, and competitive acquisition process. Background and Rationale: During the initial solicitation phase, several discrepancies and ambiguities were identified in the unit of issue definitions, SLIN-level Minimum Technical Requirements (MTRs), and pricing instructions. Additionally, feedback from prospective Offerors and internal Government review highlighted the need to revise certain clauses and correct errors in the solicitation attachments. These issues, if left unaddressed, could have resulted in confusion, inconsistent proposal submissions, and potential protest risk. Summary of Revisions and Changes: • Revision of SLIN-Level MTRs for Unit of Issue (Each - EA): Amendment 0002 clarifies and standardizes the unit of issue for all SLINs as “Each (EA)” throughout the solicitation. This ensures that Offerors price and deliver products consistently, with each SLIN representing a package of four (4) electrodes as the unit of issue. All product samples must be shipped to the VA’s Denver Logistics Service (DLS) Facility in the unit of issue EA, which equals one (1) device for CLINs and one (1) package of four electrodes for SLINs. • Revision of Attachment 0003 – VAAR Clause 852.219-76 Limitations on Subcontracting: The clause was updated for alignment under the Request for Offer (RFO) and Federal Acquisition Regulation (FAR), ensuring compliance with VA-specific subcontracting limitations and promoting opportunities for small business participation. • Correction of SLINs X001AC and X002AC Material Requirements: Amendment 0002 removes the requirement for 2 in. x 4 in. electrodes from SLIN X001AC and X002AC, aligning the material requirements with clinical needs and industry standards. All SLINs are now priced as a package of four electrodes, eliminating ambiguity and ensuring uniformity across all proposals. • Revision of Attachment 0001 – Price Matrix: The Price Matrix was corrected to address Government errors in the Excel spreadsheet, ensuring accurate entry of unit pricing for all CLIN/SLIN groupings. This revision supports clear, auditable pricing submissions and facilitates effective evaluation of proposals. • Clarification of Proposal Submission and Sample Shipping Requirements: Amendment 0002 reiterates that all pricing and sample shipments must adhere to the revised unit of issue EA, with explicit instructions for packaging and labeling. This change mitigates risk of misinterpretation and supports efficient receipt and evaluation of product samples at the VA’s DLS Facility. Conclusion: Amendment 0002 was necessary to resolve inconsistencies, clarify technical and pricing requirements, and ensure regulatory compliance within Solicitation 36C79126R0011. These revisions promote fairness, transparency, and operational efficiency in the ETMPM-TENS procurement process, supporting the VA’s mission to deliver safe, effective, non-opioid pain management solutions for Veterans. (End of Amendment 0002 Explanation)

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 28, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 29, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. (Updated September 30, 2026) AMENDMENT 00001 TO SOLICITATION NUMBER 36C79126R0011 ISSUED: Purpose: Amendment 00001 to Solicitation Number 36C79126R0011, Electro-Therapeutic Modalities for Pain Management (ETMPM) and Transcutaneous Electrical Nerve Stimulation (TENS) Requirement, is issued to implement mandatory corrections and clarifications identified during the Policy Quality Assurance (PQA) Division’s presolicitation review. This Amendment ensures the solicitation is fully compliant with current Federal Acquisition Regulation (FAR), VA Acquisition Regulation (VAAR), and VA policy requirements prior to continued proposal submission and evaluation. Summary of Key Revisions: • Removal of Attachment 0003: Attachment 0003 (VAAR Clause 852.219-76, Limitations on Subcontracting) has been removed from the solicitation package as a material requirement. Offerors are no longer required to submit this attachment as part of their proposal. • Removal of Attachment 0002 – FAR Provision 52.212-3: Attachment 0002 (FAR Provision 52.212-3, Offeror Representations and Certifications) is now “RESERVED” under the FAR overhaul and is no longer a material requirement. Offerors are not required to submit this document with their proposals. • Correction of Clause References and Dates: All outdated or superseded FAR, RFO, and VAAR clause citations and dates have been updated throughout the solicitation to reflect current deviation dates and regulatory requirements. All “RESERVED” clauses (e.g., 52.212-3, 52.212-5, 852.246-70) and invalid references (e.g., VAAR 852.270-1) have been removed. • Addition and Correction of VAAR Clauses: VAAR 852.219-10 has been replaced with VAAR 852.219-73 (VA Notice of Total SDVOSB Set-Aside). VAAR 852.212-71 (Gray Market and Counterfeit Items) has been added. VAAR 852.211-70 and 852.211-72 are now incorporated by full text with required CLIN-specific fill-ins. • Correction of Source Selection and Evaluation Citations: All references to source selection procedures have been corrected to cite the appropriate RFO provisions (e.g., LPTA procedures now cite RFO 15.103-2). The Certificate of Competency referral citation is corrected to RFO 19.204. • Correction of Attachment Numbering and Instructions: All attachment references have been corrected for accuracy. Instructions for completing Attachment 0001 – Price Matrix now include all CLINs/SLINs (including X003 and X004), and decimal quantity errors have been corrected to display whole numbers. • Update of Hyperlinks: All hyperlinks to FAR/RFO full-text repositories have been updated to the correct deviation guide URL. • Clarification of Evaluation Factor Importance: The relative importance statement for CLINs X001-X004 has been clarified to state that price is the deciding factor under LPTA procedures. What Remains Unchanged: • Scope and Objectives: The overall scope, objectives, and technical requirements of the ETMPM-TENS procurement remain unchanged. The solicitation continues to seek proposals for FDA-cleared electrotherapeutic devices and accessories as described in the Statement of Need and Minimum Technical Requirements. • Tiered Set Aside Evaluation Methodology and Competition Approach: The source selection methodology (LPTA for CLINs X001-X004, Best Value Tradeoff for CLIN X005), tiered set-aside evaluation approach, and all other competition procedures remain unchanged. • Proposal Submission Instructions: The process for submitting proposals, including the requirement to submit a signed SF 1449, completed Section B entries, Technical Capability Statement, and all required attachments (except those removed by this amendment), remains unchanged. Instructions to Offerors: Offerors are advised to carefully review the revised solicitation and all attachments. All proposals must conform to the updated requirements and instructions. Proposals that do not comply with the revised solicitation, including the removal of Attachment 0002 and Attachment 0003 as material requirements, may be deemed nonresponsive. Conclusion: Amendment 00001 is issued to ensure full compliance with current regulatory requirements and to clarify proposal submission obligations. No substantive changes have been made to the acquisition strategy, evaluation methodology, or competition approach. All other terms and conditions of Solicitation Number 36C79126R0011 remain unchanged. (End of Amendment 0001 Explanation) (Updated October 02, 2026) Solicitation Number 36C79126R0011 Amendment 0002 Issued: Purpose of Amendment: Amendment 0002 to Solicitation 36C79126R0011 was issued to address critical clarifications and corrections necessary for the Electro-Therapeutic Modalities for Pain Management (ETMPM) procurement program. This amendment ensures that all technical requirements, pricing instructions, and regulatory clauses are fully aligned with the Government’s intent and industry standards, thereby supporting a fair, transparent, and competitive acquisition process. Background and Rationale: During the initial solicitation phase, several discrepancies and ambiguities were identified in the unit of issue definitions, SLIN-level Minimum Technical Requirements (MTRs), and pricing instructions. Additionally, feedback from prospective Offerors and internal Government review highlighted the need to revise certain clauses and correct errors in the solicitation attachments. These issues, if left unaddressed, could have resulted in confusion, inconsistent proposal submissions, and potential protest risk. Summary of Revisions and Changes: • Revision of SLIN-Level MTRs for Unit of Issue (Each - EA): Amendment 0002 clarifies and standardizes the unit of issue for all SLINs as “Each (EA)” throughout the solicitation. This ensures that Offerors price and deliver products consistently, with each SLIN representing a package of four (4) electrodes as the unit of issue. All product samples must be shipped to the VA’s Denver Logistics Service (DLS) Facility in the unit of issue EA, which equals one (1) device for CLINs and one (1) package of four electrodes for SLINs. • Revision of Attachment 0003 – VAAR Clause 852.219-76 Limitations on Subcontracting: The clause was updated for alignment under the Request for Offer (RFO) and Federal Acquisition Regulation (FAR), ensuring compliance with VA-specific subcontracting limitations and promoting opportunities for small business participation. • Correction of SLINs X001AC and X002AC Material Requirements: Amendment 0002 removes the requirement for 2 in. x 4 in. electrodes from SLIN X001AC and X002AC, aligning the material requirements with clinical needs and industry standards. All SLINs are now priced as a package of four electrodes, eliminating ambiguity and ensuring uniformity across all proposals. • Revision of Attachment 0001 – Price Matrix: The Price Matrix was corrected to address Government errors in the Excel spreadsheet, ensuring accurate entry of unit pricing for all CLIN/SLIN groupings. This revision supports clear, auditable pricing submissions and facilitates effective evaluation of proposals. • Clarification of Proposal Submission and Sample Shipping Requirements: Amendment 0002 reiterates that all pricing and sample shipments must adhere to the revised unit of issue EA, with explicit instructions for packaging and labeling. This change mitigates risk of misinterpretation and supports efficient receipt and evaluation of product samples at the VA’s DLS Facility. Conclusion: Amendment 0002 was necessary to resolve inconsistencies, clarify technical and pricing requirements, and ensure regulatory compliance within Solicitation 36C79126R0011. These revisions promote fairness, transparency, and operational efficiency in the ETMPM-TENS procurement process, supporting the VA’s mission to deliver safe, effective, non-opioid pain management solutions for Veterans. (End of Amendment 0002 Explanation) (Updated 10/06/2026 - Amendment 0003 to Solicitation Number 36C79126R0011 Issued - Solicitation Number 36C79126R0011 as Revised by Amendment 0003 is in full force and effect.) • Amendment 0003 to Solicitation Number 36C79126R0011 includes the following seven revisions: • Removal of Attachment 0004 – BAA Certificate and all related solicitation language. • New Mandatory Requirement for Separate Attachment 0001 – Price Matrix Files for Each Alternate Electrode Option (AD SLINs). • Clarification of How the VA “Rule of Two” Applies Under Tiered Evaluation. • Clarification That AD SLINs Must Always Be Included in the Primary TEP Matrix (Not Optional). • Clarification That Multiple AD Matrices Supplement—but Do Not Replace—the Required Primary Price Matrix. • Minor Clarifying Adjustments to Related Sections (Non‑Substantive), including sample labeling and compatibility evaluation. • Retention of Attachment 0003 – VAAR 852.219‑76 Limitations on Subcontracting Certificate.Amendment 0003 to Solicitation 36C79126R0011 is issued to strengthen clarity, consistency, and evaluation integrity within the ETMPM‑TENS national procurement program. Since the solicitation’s release on September 18, 2026, and following more than one-hundred (100 +) prospective Offerors’ questions submitted by the October 5, 2026, Q&A submission deadline, the VA identified several areas requiring formal clarification to preserve fair competition and defensible source selection. The need for this amendment arises from the evolving understanding of how Offerors intend to structure alternate electrode (AD) offer submissions, how end-product country-of-origin (COO) certifications apply under a TAA‑only procurement, and how mandatory small-business compliance documents are to be properly enforced. • Earlier amendments corrected pricing tables, SLIN units of issue, and MTRs alignment, but did not address structural submission and evaluation alignment issues revealed during prospective Offerors engagement. • Amendment 0003 therefore incorporates seven (7) targeted revisions.

Solicitation Notice: 36C79126R0011 – Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program Notice Type: Solicitation Issuance Notice Solicitation Number: 36C79126R0011 Posted Date: September 18, 2026 Response Due Date: October 19, 2026, 3:00 PM Central Daylight Time (CDT) NAICS Code: 334510 – Electromedical and Electrotherapeutic Apparatus Manufacturing. The Small Business size standard for NAICS Code 334510 is 1,250 employees. This NAICS code is appropriate as it encompasses the manufacturing of FDA‑regulated electromedical therapeutic equipment including TENS, IFC, neuromodulation, and diathermy devices. PSC: 6515 – Medical and Surgical Instruments, Equipment, and Supplies Set-Aside: The Tiered Set-Aside Evaluation Approach used by the VA is not classified as a traditional Small Business set-aside, but rather as a competitive negotiated procurement, conducted via a tiered evaluation process aimed at prioritizing award to successive small business categories. This acquisition will be conducted using the VA Tiered Set‑Aside Evaluation Approach pursuant to the authority of 38 U.S.C. 8127, including the statutory priority ordering prescribed in 38 U.S.C. § 8127(h) (a subsection of the Veterans First Contracting Program statute) and the procedures outlined in Veteran Affairs Acquisition Regulation (VAAR) 815.101‑370 (Class Deviation). Under this approach, the Government will solicit offers from all tiers of Offerors simultaneously; however, proposal evaluations and award determination will occur sequentially in the prescribed order of priority. The tiers for this procurement are as follows: • Tier-1 Service‑Disabled Veteran‑Owned Small Business (SDVOSB): SDVOSBs shall be evaluated first in accordance with VA’s statutory obligation to prioritize verified SDVOSBs when the VA Rule of Two is met. If no award can be made at Tier-1, then verified VOSB offers will be evaluated next in Tier-2, consistent with the Veterans First hierarchy. • Tier-2 Veteran‑Owned Small Business (VOSB): If no award can be made at Tier 2, the Government will evaluate offers from all other eligible small business concerns, (e.g., 8(a), HUBZone, and WOSB are considered before considering other small business concerns), in Tier 3 following the tiering procedures established in VAAR 815.101-3 and VAAR 815.101-370 (Class Deviation). • Tier-3 Other Small Business Concerns: If no award can be made at Tier-3, the Government will evaluate offers from all Other-Than-Small-Business (OTSB) Concerns (Large Businesses)) in Tier 4 following the tiering procedures established in VAAR 815.101‑3 and 815.101‑370 (Class Deviation). • Tier-4 Other‑Than‑Small Business (OTSB) Concerns (Large Businesses): If no award can be made under any small business Tier 1 through 3, the Government will evaluate offers from other‑than‑small businesses or large business concerns in Tier 4. This tiered evaluation methodology is authorized under 38 U.S.C. 8127 and implemented through the VA’s Class Deviation to VAAR 815.101‑370, which permits the use of tiered set‑aside procedures to minimize procurement delays in situations where market research indicates that award at the SDVOSB or VOSB tiers is uncertain. Contracting Office: Department of Veterans Affairs, Enterprise Procurement Office, Acquisition Service Four Delta Team, 555 Corporate Circle, Golden, CO 80401-5621. Introduction: The Department of Veterans Affairs (VA) is pleased to announce the release of Solicitation Number 36C79126R0011, the official Request for Proposals (RFP) for the Electro-Therapeutic Modalities for Pain Management (ETMPM) – Transcutaneous Electrical Nerve Stimulation (TENS) Procurement Program. The objective of this national procurement program is to establish multiple single-awards of Firm-Fixed-Price (FFP), Indefinite Delivery/Indefinite Quantity (IDIQ) Base contracts and resultant FFP/IDIQ Delivery Order contracts to be awarded on a per-Contract Line Item Number (CLIN) and per-Sub-Line Item Number (SLIN) basis for the procurement of FDA-cleared electro-therapeutic devices and accessories supporting non-opioid pain management for Veterans across all VA Medical Centers and Community-Based Outpatient Clinics. This solicitation recompetition of the expiring legacy TENS contract and expands the legacy TENS procurement program to include Interferential Current Therapy (IFC) devices, Short-Wave Diathermy (SWD) devices (thermal and non-thermal), and portable Neuromodulation systems - for the treatment of headache disorders to be inclusive all unique parent CLIN devices and the device accessories has enumerated at the discrete subordinate SLINs. The device accessories categorized as SLINs include but are not limited to electrodes, lead wires, power chargers, garment-based applicators, and associated other consumables. Each product of the ETMPM-TENS requirement is mapped to unique parent CLIN and a discrete subordinate SLINs with universal Minimum Technical Requirements (MTRs) applicable to all CLINs/SLINs and individual CLIN/SLIN-specific MTRs. Key Dates: • RFP Questions Due-In Date: On or before but no later than October 5, 2026, at 3:00 PM CDT, questions received after this deadline may receive a Government response or receipt acknowledgement. • Proposal Package and Product Samples Due-In Date: On or before but no later than October 19, 2026, at 3:00 PM CDT. Early proposal package and product samples are encouraged. • Anticipated Award: The results of competition ultimately determine when and if award(s) can be made, but the VA intends to finalize award decisions on or before but no later than January 19, 2027, the expiration date of the legacy TENS contract. The VA reserves the right not to make an award or to make award on some CLINs/SLINs but not all the CLINs/SLINs enumerated in the solicitation. Proposal Package Submission Instructions: A responsive proposal is one that conforms to the solicitation in all material respects and complies fully with all instructions contained therein, including but not limited to Offerors’ certifications, representations, submission formatting, inclusion of all mandatory documentation, and the shipment of product samples to the VA’s Denver Logistic Services facility in Golden, Colorado in accordance with the product samples delivery requirements as stated throughout the RFP. Submission of a proposal package in response to Solicitation Number 36C79126R0011 is strictly voluntary. All costs associated with the preparation, development, and submission of proposals, proposal package documentation, and any required product samples shall be borne solely by the Offeror. The Department of Veterans Affairs will not reimburse, compensate, or otherwise pay Offerors for any expenses incurred in the preparation or submission of proposal materials or product samples. Offerors shall not invoice the Government for such costs. All proposal preparation and submission activities are performed at the Offeror’s own expense. Policy Note: In the event of a conflict between this Solicitation Notice posted at the Government-wide Point of Entry (GPE) website at https://www.sam.gov and solicitation number 36C79126R0011, the solicitation shall prevail, govern, and control. Proposal Packages must include but are not limited to the following: • Properly Executed SF 1449: Complete the name/title, signature, and date signed Blocks 30a–30c of the SF 1449. Complete the information entries of all Section B Continuation Pages to include filling in all required YELLOW highlighted text fields for the Offeror’s primary point of contact. Include the fully executed SF 1449 as a separate document attachment to the proposal submission email message. • Submission of a Technical Capability Statement: All Offerors shall submit a Technical Capability Statement that adequately demonstrates the Offeror’s capability to fulfill all universal MTRs and the CLINs/SLINs-specific MTRs for all offered products and adequately demonstrates the Offeror’s clear and complete understanding of the ETMPM-TENS requirement and the Offeror’s capability to deliver the required products as ordered within 30 calendar days of order receipt. The Technical Capability Statement shall be submitted as a separate document attachment to the proposal submission email message. • OEM-issued Authorized Distributor Letters (Required for all Non-Manufacturers): Submit a current, valid OEM-issued Authorized Distributor Letter(s) accounting for all non-manufacturer products on a per-CLIN/SLIN basis. The OEM-issued Authorized Distributor Letters shall be submitted as a separate document attachment to the proposal submission email message. • FDA Clearance Letters: All Offerors shall submit valid FDA 510(k) clearance letters/documentation or other applicable FDA authorization for every device and accessory offered on a per-CLIN/SLIN basis. The FDA Clearance Letters shall be submitted as a separate document attachment to the proposal submission email message. • Past Performance Documentation: All Offerors shall submit the three (3) most recent official CPARS Evaluation Reports, if an Offeror is unable to submit completed CPARS Evaluation Reports due to a lack of past performance, the Offeror shall submit Past Performance Questionnaires (PPQs) completed by the Offeror’s three (3) most recent customers. All Offerors shall submit three (3) past performance documents for Government evaluation that may consist of a combination of official CPARS Evaluation Reports and/or Past Performance Questionnaires (PPQs). The PPQs shall be completed and submitted by the Offeror’s customer(s) directly to the VA’s Contract Specialist via separate document attachments to the PPQs submission email message. The Offeror submitted CPARS Evaluation Reports shall be submitted as a separate document attachment(s) to the proposal submission email message. • Product Samples: All Offerors shall ship a product sample for every product offered on a per-CLINs/SLINs basis at no cost to the Government. Ship all required product samples for each proposed CLIN/SLIN to: Department of Veterans Affairs Denver Logistics Service (DLS) 555 Corporate Circle, Golden, CO 80401-5621 Attention: Javier Ramirez and Lisa Mello RFP Number 36C79126R0011 • All product samples must be received by the Government personnel at the VA’s DLS facility on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. The early submission of product samples is encouraged. • All Required Solicitation Attachments: All Offerors are required to complete, certify, and submit all solicitation attachments (Attachment 0001 - Price Matrix, Attachment 0002- Offeror’s Representations and Certifications, Attachment 0003 - Limitations on Subcontracting, Attachment 0004 - Buy American Certificate, Attachment 0005 - Trade Agreements Certificate, and Attachment 0006 - Past Performance Questionnaire - utilized by Offerors on an as needed basis). The Attachments to this solicitation shall be submitted as a separate document attachment(s) to the proposal submission email message. Policy Note: If any conflict exists between offered end-product country-of-origin (COO) entries in Attachment 0002 (FAR 52.212-3) and Attachments 0004 (FAR 52.225-2) or 0005 (FAR 52.225-6), the entries in Attachments 0004 and 0005 shall govern for end-product COO eligibility and evaluation under FAR Part 25. The VA will rely on CLIN/SLIN-level COO declarations in these attachments for Buy American Act and Trade Agreements Act compliance. • Proposal Package Documentation Submission Method: Submit all proposal documents electronically by email message with attached documents to: • John Overstake, Primary Contract Specialist: [email protected]; • Carbon Copy (“CC”): Alternate Contract Specialist Susanna Huffmaster: [email protected]>[email protected]; • Carbon Copy (“CC”): Maurice Walker, Contracting Officer and Source Selection Authority: [email protected]; • Use Email Subject Line: “Proposal Submission – RFP 36C79126R0011 – [Offeror Name]”; and • The VA will confirm receipt of proposal packages by brief email reply message. Evaluation and Award Methodology: • CLINs/SLINs X001–X004: Evaluated using Lowest Price Technically Acceptable (LPTA) source selection procedures. • CLIN/SLIN X005 and X005AA: Evaluated using Best Value – Tradeoff source selection procedures. Responsiveness: Only proposals meeting all material requirements as stated in solicitation number 36C79126R0011 will be evaluated and considered for award. RFP Questions & Government Responses: All questions regarding this RFP must be submitted in writing by email message only addressed to John Overstake at email address [email protected], with a carbon copy (“CC”) message to Susanna Huffmaster: [email protected] and a carbon copy (“CC”) message to [email protected]. All Offerors’ RFP questions shall be received on or before but no later than October 5, 2026, at 3:00 PM CDT. The VA will acknowledge receipt of all timely questions received. All Government responses to timely questions shall be posted on the GPE website at https://www.sam.gov on or before but no later than the common due-in date/time established for the receipt of all proposal submission in response to the issuance of Solicitation Number 36C79126R0011. Questions received after the established deadline for the receipt of all questions to the Government in response to the issuance of Solicitation Number 36C79126R0011 may not receive a Government receipt acknowledgement and may not receive a Government response at the sole discretion of the Government. Closing Statement: The Department of Veterans Affairs (VA) sincerely thanks all prospective Offerors for their interest and the significant effort required to prepare and submit responsive proposals. The VA recognizes the substantial commitment time, effort, and resources involved and commends your dedication to supporting our mission. Together, we serve those who have served our great nation with honor, courage, and commitment. It is our privilege to partner with industry participants in delivering the highest quality healthcare and support of America’s Veterans. For full details, instructions, and all solicitation documents, please download the complete RFP package and all six (6) solicitation attachments from this posting. (End of Solicitation Notice 36C79126R0011) Clarifications-Only No Changes Made: (Updated September 19,2026, Offerors' Questions and Government Responses document attached). Updated: September 21, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 22, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment to this notice. Updated: September 28, 2026, added Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 28, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. Updated: September 29, 2026, a significant number of additional questions were received to justify adding an updated Prospective Offerors' Questions and Government's Clarifications document as an attachment document to this notice. (Updated September 30, 2026) AMENDMENT 00001 TO SOLICITATION NUMBER 36C79126R0011 ISSUED: Purpose: Amendment 00001 to Solicitation Number 36C79126R0011, Electro-Therapeutic Modalities for Pain Management (ETMPM) and Transcutaneous Electrical Nerve Stimulation (TENS) Requirement, is issued to implement mandatory corrections and clarifications identified during the Policy Quality Assurance (PQA) Division’s presolicitation review. This Amendment ensures the solicitation is fully compliant with current Federal Acquisition Regulation (FAR), VA Acquisition Regulation (VAAR), and VA policy requirements prior to continued proposal submission and evaluation. Summary of Key Revisions: • Removal of Attachment 0003: Attachment 0003 (VAAR Clause 852.219-76, Limitations on Subcontracting) has been removed from the solicitation package as a material requirement. Offerors are no longer required to submit this attachment as part of their proposal. • Removal of Attachment 0002 – FAR Provision 52.212-3: Attachment 0002 (FAR Provision 52.212-3, Offeror Representations and Certifications) is now “RESERVED” under the FAR overhaul and is no longer a material requirement. Offerors are not required to submit this document with their proposals. • Correction of Clause References and Dates: All outdated or superseded FAR, RFO, and VAAR clause citations and dates have been updated throughout the solicitation to reflect current deviation dates and regulatory requirements. All “RESERVED” clauses (e.g., 52.212-3, 52.212-5, 852.246-70) and invalid references (e.g., VAAR 852.270-1) have been removed. • Addition and Correction of VAAR Clauses: VAAR 852.219-10 has been replaced with VAAR 852.219-73 (VA Notice of Total SDVOSB Set-Aside). VAAR 852.212-71 (Gray Market and Counterfeit Items) has been added. VAAR 852.211-70 and 852.211-72 are now incorporated by full text with required CLIN-specific fill-ins. • Correction of Source Selection and Evaluation Citations: All references to source selection procedures have been corrected to cite the appropriate RFO provisions (e.g., LPTA procedures now cite RFO 15.103-2). The Certificate of Competency referral citation is corrected to RFO 19.204. • Correction of Attachment Numbering and Instructions: All attachment references have been corrected for accuracy. Instructions for completing Attachment 0001 – Price Matrix now include all CLINs/SLINs (including X003 and X004), and decimal quantity errors have been corrected to display whole numbers. • Update of Hyperlinks: All hyperlinks to FAR/RFO full-text repositories have been updated to the correct deviation guide URL. • Clarification of Evaluation Factor Importance: The relative importance statement for CLINs X001-X004 has been clarified to state that price is the deciding factor under LPTA procedures. What Remains Unchanged: • Scope and Objectives: The overall scope, objectives, and technical requirements of the ETMPM-TENS procurement remain unchanged. The solicitation continues to seek proposals for FDA-cleared electrotherapeutic devices and accessories as described in the Statement of Need and Minimum Technical Requirements. • Tiered Set Aside Evaluation Methodology and Competition Approach: The source selection methodology (LPTA for CLINs X001-X004, Best Value Tradeoff for CLIN X005), tiered set-aside evaluation approach, and all other competition procedures remain unchanged. • Proposal Submission Instructions: The process for submitting proposals, including the requirement to submit a signed SF 1449, completed Section B entries, Technical Capability Statement, and all required attachments (except those removed by this amendment), remains unchanged. Instructions to Offerors: Offerors are advised to carefully review the revised solicitation and all attachments. All proposals must conform to the updated requirements and instructions. Proposals that do not comply with the revised solicitation, including the removal of Attachment 0002 and Attachment 0003 as material requirements, may be deemed nonresponsive. Conclusion: Amendment 00001 is issued to ensure full compliance with current regulatory requirements and to clarify proposal submission obligations. No substantive changes have been made to the acquisition strategy, evaluation methodology, or competition approach. All other terms and conditions of Solicitation Number 36C79126R0011 remain unchanged. (End of Amendment 0001 Explanation) (Updated October 02, 2026) Solicitation Number 36C79126R0011 Amendment 0002 Issued: Purpose of Amendment: Amendment 0002 to Solicitation 36C79126R0011 was issued to address critical clarifications and corrections necessary for the Electro-Therapeutic Modalities for Pain Management (ETMPM) procurement program. This amendment ensures that all technical requirements, pricing instructions, and regulatory clauses are fully aligned with the Government’s intent and industry standards, thereby supporting a fair, transparent, and competitive acquisition process. Background and Rationale: During the initial solicitation phase, several discrepancies and ambiguities were identified in the unit of issue definitions, SLIN-level Minimum Technical Requirements (MTRs), and pricing instructions. Additionally, feedback from prospective Offerors and internal Government review highlighted the need to revise certain clauses and correct errors in the solicitation attachments. These issues, if left unaddressed, could have resulted in confusion, inconsistent proposal submissions, and potential protest risk. Summary of Revisions and Changes: • Revision of SLIN-Level MTRs for Unit of Issue (Each - EA): Amendment 0002 clarifies and standardizes the unit of issue for all SLINs as “Each (EA)” throughout the solicitation. This ensures that Offerors price and deliver products consistently, with each SLIN representing a package of four (4) electrodes as the unit of issue. All product samples must be shipped to the VA’s Denver Logistics Service (DLS) Facility in the unit of issue EA, which equals one (1) device for CLINs and one (1) package of four electrodes for SLINs. • Revision of Attachment 0003 – VAAR Clause 852.219-76 Limitations on Subcontracting: The clause was updated for alignment under the Request for Offer (RFO) and Federal Acquisition Regulation (FAR), ensuring compliance with VA-specific subcontracting limitations and promoting opportunities for small business participation. • Correction of SLINs X001AC and X002AC Material Requirements: Amendment 0002 removes the requirement for 2 in. x 4 in. electrodes from SLIN X001AC and X002AC, aligning the material requirements with clinical needs and industry standards. All SLINs are now priced as a package of four electrodes, eliminating ambiguity and ensuring uniformity across all proposals. • Revision of Attachment 0001 – Price Matrix: The Price Matrix was corrected to address Government errors in the Excel spreadsheet, ensuring accurate entry of unit pricing for all CLIN/SLIN groupings. This revision supports clear, auditable pricing submissions and facilitates effective evaluation of proposals. • Clarification of Proposal Submission and Sample Shipping Requirements: Amendment 0002 reiterates that all pricing and sample shipments must adhere to the revised unit of issue EA, with explicit instructions for packaging and labeling. This change mitigates risk of misinterpretation and supports efficient receipt and evaluation of product samples at the VA’s DLS Facility. Conclusion: Amendment 0002 was necessary to resolve inconsistencies, clarify technical and pricing requirements, and ensure regulatory compliance within Solicitation 36C79126R0011. These revisions promote fairness, transparency, and operational efficiency in the ETMPM-TENS procurement process, supporting the VA’s mission to deliver safe, effective, non-opioid pain management solutions for Veterans. (End of Amendment 0002 Explanation) (Updated 10/06/2026 - Amendment 0003 to Solicitation Number 36C79126R0011 Issued - Solicitation Number 36C79126R0011 as Revised by Amendment 0003 is in full force and effect.) • Amendment 0003 to Solicitation Number 36C79126R0011 includes the following seven revisions: • Removal of Attachment 0004 – BAA Certificate and all related solicitation language. • New Mandatory Requirement for Separate Attachment 0001 – Price Matrix Files for Each Alternate Electrode Option (AD SLINs). • Clarification of How the VA “Rule of Two” Applies Under Tiered Evaluation. • Clarification That AD SLINs Must Always Be Included in the Primary TEP Matrix (Not Optional). • Clarification That Multiple AD Matrices Supplement—but Do Not Replace—the Required Primary Price Matrix. • Minor Clarifying Adjustments to Related Sections (Non‑Substantive), including sample labeling and compatibility evaluation. • Retention of Attachment 0003 – VAAR 852.219‑76 Limitations on Subcontracting Certificate.Amendment 0003 to Solicitation 36C79126R0011 is issued to strengthen clarity, consistency, and evaluation integrity within the ETMPM‑TENS national procurement program. Since the solicitation’s release on September 18, 2026, and following more than one-hundred (100 +) prospective Offerors’ questions submitted by the October 5, 2026, Q&A submission deadline, the VA identified several areas requiring formal clarification to preserve fair competition and defensible source selection. The need for this amendment arises from the evolving understanding of how Offerors intend to structure alternate electrode (AD) offer submissions, how end-product country-of-origin (COO) certifications apply under a TAA‑only procurement, and how mandatory small-business compliance documents are to be properly enforced. • Earlier amendments corrected pricing tables, SLIN units of issue, and MTRs alignment, but did not address structural submission and evaluation alignment issues revealed during prospective Offerors engagement. • Amendment 0003 therefore incorporates seven (7) targeted revisions. (Updated October 09, 2026) Final Q&A document uploaded as an attachment to the Solicitation Notice Number 36C79126R0011 as revised by Amendment 0003.

This is a combined synopsis/solicitation for commercial products prepared in accordance with the Revolutionary Federal Acquisition Regulation (FAR) Overhaul (RFO) Parts 12 and 15. This announcement constitutes the only solicitation. Offers are being requested and a separate written solicitation will not be issued. Solicitation number 36C10G26R0055 is issued as a Request for Proposal (RFP) for NX EQ Scanning Systems Ultrasonic Ophthalmic AB Scan and related accessories. This acquisition is set-aside for Service-Disabled Veteran-Owned Small Business (SDVOSB) concerns. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov. Line Items: Refer to ATTACHMENT A PRICE COST SCHEDULE NX EQ AB Scan for CLINs, quantities, and units of measure. Description of Requirements: Offerors shall provide descriptive literature which will be used to determine the extent to which it meets the salient characteristics listed in the Attachment B Product Description. All of the salient characteristics listed in the solicitation must be met to be considered eligible for award. Those proposals which fail to meet all of the salient characteristics will be rated Unacceptable and will be ineligible for award. Only new OEM equipment is acceptable. No refurbished, remanufactured, or gray market items will be considered. Delivery and Acceptance: Delivery is FOB Destination. Specific delivery locations and dates will be identified in individual orders issued under the contract.

The federal government has issued this official active requirement (36C26226Q1415) on SAM.gov. Complete technical specifications, statements of work, evaluation criteria, and attachments are accessible directly on the authoritative federal record.

The federal government has issued this official active requirement (36C26226Q1415) on SAM.gov. Complete technical specifications, statements of work, evaluation criteria, and attachments are accessible directly on the authoritative federal record.

This is a combined synopsis/solicitation for commercial products prepared in accordance with FAR part 12. This announcement constitutes the only solicitation. Proposals are being requested and a separate written solicitation will not be issued. Solicitation number 36C10X27R0004 is issued as a Request for Proposals (RFP) for Image-Guided Surgical Navigation Systems. This acquisition is set aside for Service-Disabled Veteran-Owned Small Businesses. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov. Line Items: Refer to ATTACHMENT A - PRICE COST SCHEDULE_NX EQ Image-Guided Surgical Navigation System for CLINs, quantities, and units of measure. Description of Requirements: Offerors shall provide NX EQ Image-Guided Surgical Navigation Systems that meet the salient characteristics listed in ATTACHMENT B PRODUCT DESCRIPTION. Only new OEM equipment is acceptable. No refurbished, remanufactured, or gray market items will be considered. Delivery and Acceptance: Delivery is FOB Destination. Specific delivery locations and dates will be identified in individual orders issued under the contract.

This is a combined synopsis/solicitation for commercial products prepared in accordance with FAR part 12. This announcement constitutes the only solicitation. Proposals are being requested and a separate written solicitation will not be issued. Solicitation number 36C10X27R0004 is issued as a Request for Proposals (RFP) for Image-Guided Surgical Navigation Systems. This acquisition is set aside for Service-Disabled Veteran-Owned Small Businesses. This solicitation incorporates provisions and clauses by reference. The full text of provisions and clauses may be accessed electronically at www.acquisition.gov. Line Items: Refer to ATTACHMENT A - PRICE COST SCHEDULE_NX EQ Image-Guided Surgical Navigation System for CLINs, quantities, and units of measure. Description of Requirements: Offerors shall provide NX EQ Image-Guided Surgical Navigation Systems that meet the salient characteristics listed in ATTACHMENT B PRODUCT DESCRIPTION. Only new OEM equipment is acceptable. No refurbished, remanufactured, or gray market items will be considered. Delivery and Acceptance: Delivery is FOB Destination. Specific delivery locations and dates will be identified in individual orders issued under the contract.