This document is an amendment to a previous combined solicitation, number 36C25726Q0014, for the collection and removal of regulated medical waste. The solicitation, set aside for Service-Disabled Veteran-Owned Small Business Concerns (SDVOSBC), has a response date of November 20, 2025, at 16:00 Central Time. The contracting office is the Department of Veterans Affairs, Network Contracting Office 17, located in San Antonio, TX. The point of contact is Sherine Brooks at Sherine.Brooks@va.gov. The place of performance involves multiple locations, as detailed in the Statement of Work. This amendment provides updated information regarding the solicitation.

The Department of Veterans Affairs (VA) is soliciting proposals for regulated medical waste collection and removal services for the West Texas VA Health Care System and its associated Community Based Outpatient Clinics (CBOCs). This solicitation, number 36C25726Q0014, is a Service-Disabled Veteran-Owned Small Business (SDVOSBC) set-aside. The contract covers a base year and four option years, from January 26, 2026, to January 25, 2031. Services include the collection, transportation, processing, and disposal of regulated medical waste, trace-chemotherapeutic waste, pathological waste, pharmaceutical waste, pharmaceutical PPE, Cepheid Xpert Xpress Cartridges, and disposable sharps containers. The contractor must comply with all federal and local regulations, including OSHA, EPA, DOT, JCAHO, and HIPAA, and must be TCEQ licensed. Key responsibilities include providing containers, maintaining manifests, offering annual staff training, and ensuring proper disposal, primarily through incineration for certain waste types.

This document, "Attachment A - Approximate Weights," details the estimated quantities of various waste types requiring collection and removal from the West Texas VA Health Care System and its associated Community Based Outpatient Clinics (CBOCs) in San Angelo, Abilene, Wilson and Young, Hobbs, and Ft Stockton. The waste categories include Regulated Medical Waste, Pharmaceutical Waste, Hazardous Pharmaceutical Waste (including P-listed, PPE P-listed, and U-listed), Disposable Sharps Containers, and Cepheid Xpert Xpress Cartridge Disposal. While quantities are based on historical data, invoicing will be determined by actual weights and manifest reports. The document also lists the addresses for all service locations.

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This amendment to solicitation 36C25726Q0014, dated November 6, 2025, from the Department of Veterans Affairs, Network Contracting Office 17, addresses technical questions regarding a contract for regulated medical and pharmaceutical waste removal services. Key clarifications include confirming the incumbent contract number (36C25721D0048), affirming billing by pound, and providing estimated monthly sharps container exchanges for various facilities. The amendment also specifies container sizes used by the VA (2-gallon, 3-gallon, and 5.4 qt with counterbalanced doors). Significantly, it approves a request to adjust regulated medical waste (RMW) pickups at the West Texas VA main campus from weekly to bi-weekly, provided adequate supplies are maintained on-site and pickups occur during normal business hours as specified in the Statement of Work. All other terms and conditions of the original solicitation remain unchanged.