Bid 1608 - Intraoperative Neuromonitoring Services

Forrest Health
Bid # 1608
Company Name: ____________________________________________________
Contact Name: ______________________________________________________
Company Address: __________________________________________________
___________________________________________________________________
___________________________________________________________________
Phone Number: _____________________________________________________
Email Address: _____________________________________________________
Special Requirements for Bids
Forrest General Hospital
Attention: Purchasing Department
125 South 28th Avenue
Suite 100
Hattiesburg, MS 39401
(601) 288-1922
BID MUST BE RETURNED NO LATER THAN
May 26, 2026, at 2:00 p.m.
Return Bid Envelope Must Be Marked on Outside:
BID # 1608 ENCLOSED
"Intraoperative Neuromonitoring Services"
Bid Opening Date: Tuesday, May 26, 2026
Bid Opening Time: Immediately after 2:00 p.m.
Bid Opening To Take Place:
Forrest General Hospital
Purchasing Department
125 South 28th Avenue
Hattiesburg, MS 39401
Forrest Health reserves the right to accept or reject any or all bids, as well as
waive any and all informalities it deems appropriate.
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Forrest Health
Bid # 1608
From: Paul DeFreese
Forrest General Hospital
Purchasing Department
125 South 28th Avenue
Hattiesburg, MS 39401
SUBJECT: BID INSTRUCTIONS
You are invited to bid on the attached request for quotation. Please read the
information carefully.
The terms and conditions stated in this Request for Quotation shall be considered
agreed to, unless specified otherwise. The Board reserves the right to reject any and
all bids and to waive irregularities and informalities in the bid.
Please place your Company Name, Contact Name, Address, Telephone Number, and
Email Address on the top left of page one (1). Complete all information as specified
on pages seven (7) and eight (8). Provide signature of an official of your company at
the bottom of page nine (9). On the Standard Contract Addendum, provide the name
of the Contractor on page ten (10) and signatures on page eleven (11). On the
Business Associate Addendum, provide date and name of Business Associate on page
twelve (12), name and address on page seventeen (17), and signature and title on
page eighteen (18).
Mail your bid as specified on the attached "Special Requirements" page to the above
address for the Forrest General Hospital Purchasing Department in a sealed envelope.
Quotation envelope must be marked with "BID #1608 ENCLOSED" and
"Intraoperative Neuromonitoring Services" on the outside of the sealed envelope.
Quotations received after the specified date, time and/or without bid # on the
outside of the envelope, shall not be considered. Faxed copies of bid will only be
accepted if faxed to an outside source and delivered to Forrest General Hospital
Purchasing Department in a sealed envelope with all required information on outside
of envelope.
Thank you,
Paul DeFreese
Purchasing Analyst
Page 2 of 18

Forrest Health
Bid # 1608
REQUEST FOR QUOTATION/PROPOSAL
FORREST HEALTH
P. O. BOX 16389, HATTIESBURG, MS 39404
(FOR SPECIFIED LOCATIONS)
Forrest Health reserves the right to reject any/or all bids and waive any informalities.
"Intraoperative Neuromonitoring (IONM) Services"
For all practical purposes in other sections of these bid specifications, the proposing bidder
may be referred to as the "Vendor" and Forrest Health may be referred to as the "Hospital."
Clinical Requirements
1. Hospital will provide Vendor not less than two (2) hours advance notice of unscheduled or
emergency cases involving the provision of Services, and Vendor will ensure that Staff
provide the Services at that time and place reasonably requested by Hospital.
2. Vendor shall provide set up for Services in advance of the scheduled commencement of
the surgical procedure as mutually agreed.
3. Vendor shall be responsible for daily travel costs and costs of bringing in additional Staff
and/or Equipment as may be required for certain procedures.
4. When applicable, the professional component of the Services shall be contracted for by
Vendor. For remote monitoring, the professional shall be available to provide the surgeon
or attending physician, as applicable, with a verbal report, followed by written
authentication as required by regulatory agencies, of his or her interpretation of IONM
data collected during the performance of Services in such format as may be agreed upon
by the parties. As reasonably requested, Vendor agrees to use its reasonable efforts to
cause the written report to be provided within seventy-two (72) hours of the completion
of the procedure.
5. The Equipment shall be located at sites within Hospital's premises as mutually agreed by
Hospital and Vendor. Any such site shall have all utility, secure data transmission, and
other connections, hookups, or means of attachment recommended or requested by
Vendor to secure the Equipment to Hospital's premises or as otherwise necessary so that
the Equipment may be operated in the performance of the Services. Hospital shall not be
required to provide lockable space for Equipment.
6. IONM Modalities included in Services:
a. Somatosensory Evoked Potentials (SSEP) - an intraoperative modality that stimulates
the peripheral nerves in upper and lower extremities to obtain information about the
sensory function of the spinal cord.
b. Transcranial Motor Evoked Potentials (TcMEP) - an intraoperative modality that tests
the integrity of the motor tracks of the spinal cord via the use of electrical stimulation
through the cranium.
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Forrest Health
Bid # 1608
c. Electromyography (EMG) - an intraoperative modality used to stimulate the nerve
root to record compound muscle action potentials. The two (2) EMG techniques used
are triggered EMG and free running EMG.
d. Electroencephalography (EEG) - an intraoperative modality that records brain wave
activity.
e. Facial Nerve Monitoring - the recording of two (2) to four (4) channels of free-run and
triggered EMG responses during certain procedures where the facial nerve may be at
risk for injury.
f. Brainstem Auditory Evoked Potentials - intraoperative modalities used to test the
integrity of the auditory system.
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Forrest Health
Bid # 1608
Forrest General Hospital Responsibility
1. The hospital shall provide one or more representative(s) who will interface with the
Vendor's Representative to answer questions, verify bid specifications and verify
invoice information. Denise Jones-Lindley, Director of Surgery, will be the contact to
answer questions pertaining to this Bid at 601-288-1474 or
ajones@forrestgeneral.com.
2. The awarded vendor will be notified after the Bid opening by telephone, email or
letter.
3. The Hospital reserves the right to reject any or all Bids submitted and waive any
informalities, whichever is in the best interest of the Hospital.
4. The Hospital shall have, and hereby reserves and retains, the right and option to
terminate the contract with Vendor upon thirty (30) days prior written notice to
Vendor, either with or without cause.
Vendor Responsibility
1. It is recommended that the Vendor representative contact the Hospital representative
to discuss any questions about the bid specifications prior to submitting a bid proposal.
All bid documents are to be returned complete per bid specifications in order to be
considered.
2. Vendor must provide a copy of a Certificate of Insurance with bid. The amount of
Workers' Compensation coverage required by Mississippi State Law. Commercial
General Public Liability with a minimum coverage of $1,000,000.00 per occurrence and
$3,000,000.00 in the annual aggregate. Automobile General Liability with a minimum
coverage of $1,000,000.00.
3. Vendor is required to register the company and sales team, including drivers, with
Forrest Health's authorized Vendor Credentialing Program, Green Security.
4. The Vendor Representative will be responsible for completing and signing all
documents included in the bid packet. Vendors who do not submit all required
documents at the time of bid opening will not be considered.
5. Forrest Health will not be responsible for completing credit applications submitted by
the awarded vendor. Financial documents are included in the attached
documentation.
6. If two or more Vendors quote the same low (tie) bid and meets all bid specifications
and the terms in compliance with Section 31-7-15 (1), Mississippi Code 1972,
annotated, the hospital has the option to divide the purchase equally as possible to
each low Vendor or select the Awarded Vendor by drawing lots between or among the
low (tie) Vendors.
7. Forrest Health reserves the right to reject any or all bids and award one or more of the
options, whichever is in the best interest of the Hospital.
8. Documentation of trip logs must be provided to Forrest General for verification of
invoices. A sample of invoice is required in bid submission.
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Forrest Health
Bid # 1608
BID CHECKLIST
Complete section at top of Page 1 with Company Name, Contact Name, Company
Address, Phone Number, and Email Address.
On Page 9, check Yes or No to certify that you and your company qualify to do
business as a resident of the State of Mississippi.
On Page 9, if you are a non-resident person/firm/corporation, check Yes or No to
confirm that a copy of your Resident State's Law pertaining to your state's treatment
of non-resident bidders is attached.
On Page 9, fill in the information requested in the center of the page to include Date,
Vendor, Address, Official Signature, and Print Name & Title
On Page 10, Standard Contract Addendum - please enter Contractor's name in space
provided at top of the page
On Page 11, Standard Contract Addendum - please sign Contractor's name, and date
at the bottom left of the page.
On Page 12, Business Associate Addendum - please enter date and Business
Associate's name at the top of the page.
On Page 17, Business Associate Addendum - please enter name and address of
Business Associate (if applicable) at the top of the page.
On Page 18, Business Associate Addendum - please sign Business Associate's name
and title at the end of the page.
Items Required with Bid:
Provide certificate of insurance:
Vendor must provide a copy of certificate of insurance with bid:
* The amount of Worker's Compensation coverage required by Mississippi State
Law.
* Commercial General Public Liability with a minimum coverage of $1,000,000.00
per occurrence and $3,000,000.00 in the annual aggregate.
* Automobile General Liability with a minimum coverage of $1,000,000.00.
Standard Contract Addendum (pages 10 & 11)
Business Associate Addendum (pages 12, 17, & 18)
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Forrest Health
Bid # 1608
Forrest County General Hospital requests your price quote for the following item(s) as per
bid specifications. Operational start date will be June 1, 2023.
Intraoperative Neuromonitoring Services
FEE SCHEDULE
Description Fee
1. Intra-Operative Neurophysiological Monitoring (IONM) Technical $______________
Services includes: per procedure
* Appropriate IONM Staff
* Initial Supplies as listed on Supplies Schedule
* Use of IONM Equipment as listed on Equipment Schedule
2. Miscellaneous Supplies $______________
SUPPLIES SCHEDULE
Description Quantity
Intra-Operative Neurophysiological Monitoring Initial Supplies
include:
* Subdermal needles _______________
* Surface Electrodes for SSEP stimulation _______________
* Basic Probe _______________
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Forrest Health
Bid # 1608
The following supplies are provided as additional cost to the Per Case Fee (if required) and
are used by Vendor as needed when providing Services:
Item # Description Cost
__________ Probe Monopolar Handle Only __________
__________ Monopolar Probe Disposable Probe, 100mm x 0.75mm, 1.9m Lead __________
__________ NIM Spine Probe 2.3mm Ball, 23cm Long __________
__________ Pedicle Screw Probe, 2.3mm Ball, 130mm x 1.9mm, 1.9m Lead __________
__________ Concentric Bipolar Disposable Probe 100mm x 1mm, 1.9m Lead __________
__________ Bipolar Disposable Probe, 2 x 100mm x 0.75mm, 1.9m Lead __________
__________ Pedicle Screw Disp Probe, 3mm Ball, 100mm x 0.75mm, 1.9m Lead __________
__________ Disposable Triple Hook Nerve Stimulator Probe __________
__________ Disposable Double Hook Nerve Stimulator Probe __________
__________ Probe 1.0mm Ball Tip (No Handle) __________
__________ Probe Monopolar Yingling Flex Tip __________
__________ Double Hook Probe, 2 x 2.4mm Hook, 38mm x 0.75mm, 1.9m Lead __________
__________ Triple Hook Probe, 2 x 2.4mm Hook, 38mm x 0.75mm, 1.9m Lead __________
__________ Natus Cortical Stim Bipolar Probe __________
__________ Dragonfly 2-Chan Laryngeal Surface Elec for 6.0-7.5mm ET Tube __________
__________ Dragonfly 1-Chan Laryngeal Surface Elec for 2.0-5.5mm ET Tube __________
__________ Endotracheal Tube, EMG 6mm __________
__________ Endotracheal Tube, EMG 7mm __________
__________ Endotracheal Tube, EMG 8mm __________
__________ Dragonfly 2-Chan Laryngeal Surface Elec for 8.0-9.5mm ET Tube __________
__________ Electrode, 10mm Cup, MR Conditional, 1.5m Lead __________
__________ 1x4-Contact Platinum Strip w/Attached Cable __________
__________ 4x4 16-Contact Platinum Grip Electrode w/Attached Cable __________
__________ 1x6-Contact Platinum Strip w/Attached Cable __________
__________ Spinal Electrode 3-Contact w/Attached Cable __________
__________ Multi-Stage Stimulating Clip, 1.83m Lead __________
EQUIPMENT SCHEDULE
Description Quantity
Intra-Operative Neurophysiological Monitoring Equipment:
Portable Neurophysiology Workstation __________
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Forrest Health
Bid # 1608
Bidders who are non-residents of the State of Mississippi must comply with the provisions
of Section 31-3-21(3) of the Mississippi Code of 1972, as amended.
I certify that my company and I qualify to do business as a resident of the State of
Mississippi.
Yes __________ No __________
As a non-resident person, firm or corporation, I confirm that a copy of my Resident State's
Law pertaining to my state's treatment of non-resident bidders is attached.
Confirmed: Yes __________ No __________
We quote/propose you as specified by Forrest Health in this Bid.
Date:
Vendor:
Address:
Official Signature:
Print Name & Title:
Page 9 of 18

Forrest Health
Bid # 1608
FORREST COUNTY GENERAL HOSPITAL
STANDARD CONTRACT ADDENDUM
This standard contract addendum ("Addendum") is an integral part of contracts entered into by Forrest County
General Hospital ("FCGH") and shall become a part of the following listed Agreements with
_____________________________________ ("Contractor") as if fully copied into the body of that Agreement.
FCGH owns, leases, operates, and/or does business as the following entities: Jefferson Davis General Hospital,
Marion General Hospital, Walthall General Hospital, Pearl River County Hospital, Highland Community Hospital,
and Perry County General Hospital.
The following terms shall control over any and all conflicting parts of the Agreement:
1. FCGH is a political subdivision of the State of Mississippi and is afforded the protection of limited sovereign
immunity pursuant to the Mississippi Tort Claims Act (Mississippi Code Annotated, Section 11-46-1, et seq.
as amended) and the Mississippi Constitution, including Article 4, Section 100. Any action against FCGH shall
be subject to the limitations contained in those and other applicable laws, including interpretations by the
Mississippi Attorney General's Office of the laws applicable to FCGH and/or the Agreement, none of which
are waived by FCGH by entering into the Agreement.
2. FCGH contracts (including the Agreement) are governed by and interpreted under the laws of the State of
Mississippi and the jurisdiction/venue for any litigation, special proceeding or other proceeding as between
the parties that may be brought, or arise out of, in connection with, or by reason of the Agreement shall be
in Forrest County, Mississippi.
3. No contract (including the Agreement) may be for a term of more than three (3) years unless it is an
agreement regarding physical property (i.e., lease agreement for buildings, property, etc.).
4. Generally, Mississippi law does not allow FCGH to agree to contractual provisions under which it indemnifies
or holds harmless another person or entity. Only to the extent permissible by Mississippi law does FCGH
agree to any vendor's references, if any, to limitation of liabilities, damages, and indemnifications.
5. Any references to attorney's fees to be paid by FCGH are deleted. Any reference to FCGH indemnifying or
holding harmless the Contractor is deleted; FCGH does not agree to defend any contractor. Each party shall
be responsible for its own defense against all claims, liabilities, losses and expenses, including reasonable
costs, collection expenses and attorneys' fees, which may arise because of the negligence, misconduct or
other fault of its own agents or employees in the performance of its obligations under this Agreement.
Mississippi law also does not allow FCGH to agree to mandatory arbitration, choice of law (other than
Mississippi), or choice of venue (other than Forrest County, Mississippi), and provisions in the Agreement to
the contrary are hereby deleted.
6. All references to interest, penalties, and/or late fees to be paid by FCGH on other than lease-purchase
contracts not exceeding five years are deleted. FCGH will pay within forty-five (45) days of invoice, receipt,
inspection and approval of goods and services as provided in 31-7-305(3) of the Code.
7. In the event Contractor does not furnish products or services as agreed upon in the Agreement, including
any stated time period to cure, FCGH may, at its discretion, declare the Agreement null and void by written
notice to the Contractor or may require the Contractor, at Contractor's expense, to make such modification
as necessary to make the products or services satisfactory.
8. As a political subdivision of the State, FCGH maintains professional and general liability coverage (or
equivalent self-insurance) in the amounts set forth by the Mississippi Tort Claims Act under MS Code
Annotated, Section 11-46-1, et seq.) and does not name others as additional insureds.
9. In the event of any conflict between the terms of the Agreement and the terms of this Standard Addendum,
the terms of this Addendum shall control. This Addendum and the Agreement constitute the entire
agreement of the Parties with regard to the subject matter of the Agreement. In all other respects, the
Agreement shall remain unchanged. No modification to the Agreement or any term thereof may be
amended except pursuant to in writing signed by an authorized representative of FCGH. Contractor hereby
acknowledges that no other person has authority to bind FCGH to any change in any term of the Agreement,
and specifically agrees that any Contractor cannot vary the terms of the Agreement by invoice, purchase
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