S222--VISN 5 Regulated Medical Waste and Sharps Disposal Services All VISN 5 VAMCs & CBOCs (Includes 8 VAMCs & 29 CBOCs) AMENDMENT 0002
Veterans Affairs · 245-NETWORK CONTRACT OFFICE 5 (36C245)
Capture briefs (a one-page, shareable copy of this page) are part of Pro. The CSV here holds the notice, its timeline and past awards.
Where this opportunity stands
Every notice posted under solicitation 36C24526Q0099 in this department, oldest first.
Next steps for this stage
Standard steps for the notice type; not advice about this buyer.
- Decide bid or no bid before the response deadline.
- Look at the past winners for likely competitors and teaming partners.
- Follow the opportunity to hear about amendments and the award.
What the notice says
36C24526Q0099 - VISN 5 Regulated Medical Waste (RMW) & Sharps Disposal Svcs RFQ Amendment 0002 is to provide the Vendor: Vendor Questions received with Government responses (v2) Updated SOW (v2) Edits in red text Updated Price/Cost Schedule Attachment (v2) Adjustments were made for the following CLINs/SLINs to include a RMW 30 yd roll off container line item for each VAMC per SOW changes. Added 0103 AF, 0203 AF, 0303 AF, 0403 AF, 0503 AF, 0603 AF, 0703 AF , 0803 AF Option year SLINs for each were also added: 1X03, 2X03, 3X03, 4X03 respective base year SLIN Changes in the estimated quantities f… (show all)
or the following SLINs due to the adjustment in the Statement of Work (SOW) for Loch Raven VAMC, which plans to use autoclave RMW/Sharps disposal as their anticipated process. 0201 AB-AC, 1201 AB-AC, 2201 AB-AC, 3201 AB-AC, 4201 AB-AC 0202 AB-AC, 1202 AB-AC, 2202 AB-AC, 3202 AB-AC, 4202 AB-AC 0205 AA-AH, 1205 AA-AH, 2205 AA-AH, 3205 AA-AH, 4205 AA-AH Updated Solicitation Attachment_VISN5 RMW_Sharps RFQ Price Sheet (v2) Adjustments were to change the following CLINs/SLINs Added 0103 AF, 0203 AF, 0303 AF, 0403 AF, 0503 AF, 0603 AF, 0703 AF, 0803 AF; also added option year SLINs for each respective base year SLIN Changes in the estimated quantities for the following CLINs and their respective options. 0201 AB-AC 0202 AB-AC 0205 AA-AH All other terms and conditions remain unchanged.
Who won similar work
60 award notices on SAM.gov in the last 24 months. Matched by: Same agency (Veterans Affairs), same product/service code (PSC) S222.
Single-winner award sizes (60): middle half $228K to $602K, median $438K; range $21K to $4.0M.
| Winner | Awards | Value | Last |
|---|---|---|---|
| EARTH SMART ENVIRONMENTAL SOLUTIONS LLC | 13 | $8.3M | Sep 18, 2026 |
| NEIE Medical Waste Services, LLC | 13 | $4.6M | Apr 24, 2026 |
| HAMILTON ALLIANCE INC | 4 | $8.1M | Oct 2, 2026 |
| ENVIRONMENTAL COMPLIANCE CONSULTANTS, INC. | 4 | $2.8M | Sep 6, 2026 |
| STERICYCLE INC | 3 | $618K | Oct 30, 2025 |
| ADVANT-EDGE SOLUTIONS OF MIDDLE ATLANTIC INC | 2 | $3.2M | Oct 1, 2026 |
| MILSPEC LOGISTICS LLC | 2 | $661K | May 16, 2025 |
| GREENWAY INNOVATION, INC | 2 | $564K | Mar 14, 2025 |
| Trilogy Medwaste, Inc. | 1 | $829K | May 4, 2026 |
| CLC SERVICES INC | 1 | $655K | Dec 10, 2025 |
Value counts single-winner awards. "Shared" awards are multiple-award contracts that list every winner with the same total ceiling; that ceiling is not one company's win, so it is not added in. Revenue next to a ticker is the company's last annual revenue from its 10-K.
- Oct 2, 2026HAMILTON ALLIANCE INC$3.2MS222--Regulated Medical Waste Treatment/DisposalNo listed company matched (Materiality N/A)
- Oct 1, 2026ADVANT-EDGE SOLUTIONS OF MIDDLE ATLANTIC INC$1.7MS222--Regulated Medical Waste and Sharps ServicesNo listed company matched (Materiality N/A)
- Sep 18, 2026EARTH SMART ENVIRONMENTAL SOLUTIONS LLC$1.7MS222--Hazardous Waste DisposalNo listed company matched (Materiality N/A)
- Sep 6, 2026ENVIRONMENTAL COMPLIANCE CONSULTANTS, INC.$1.0MHazardous Waste Disposal Service for Boise VAMCNo listed company matched (Materiality N/A)
- Sep 6, 2026ENVIRONMENTAL COMPLIANCE CONSULTANTS, INC.$928KHazardous Waste Disposal for Portland VAHCSNo listed company matched (Materiality N/A)
- Aug 26, 2026MEDICES Ontario CA 91761 USA$549KSharps Pickup and Disposal - VA Loma Linda Health Care SystemsNo listed company matched (Materiality N/A)
- Aug 20, 2026EARTH SMART ENVIRONMENTAL SOLUTIONS LLC$220KS222--FY26 Task Order #4 Regulated Medical and Hazardous Waste Removal Services-C60329No listed company matched (Materiality N/A)
- Jun 3, 2026HAMILTON ALLIANCE INC$4.0MS222--Waste, Recycle & Compost Services Long Term (VA-26-00045787)No listed company matched (Materiality N/A)
- May 4, 2026Trilogy Medwaste, Inc.$829KRegulated Medical Waste Disposal for Puget Sound VAHCSNo listed company matched (Materiality N/A)
- Apr 24, 2026NEIE Medical Waste Services, LLC$574KS222--HAZARDOUS WASTE PICK UP AND DISPOSALNo listed company matched (Materiality N/A)
Competitive landscape
For the 8 most frequent past winners above. Lobbying is matched by the company's exact name or exact ticker; agencies are as named on the filings.
- 0 of these past winners lobbied Veterans Affairs, Dept of (VA) since 2024 (0 filings)
- 0 of their lobbyists list a past Veterans Affairs, Dept of (VA) job
- No corporate PAC money from them to the overseeing committees since 2024
- 0 foreign-agent (FARA) registrations
Policy around it
Bills the past winners named while lobbying this agency's issues, rules from the department, and executive orders that name the agency, last 12 months.
- 0 bills named on the past winners' lobbying filings
- 25 rules from the department in the last 12 months
- 0 executive orders naming the agency in the last 12 months
Market
For past winners matched exactly to a listed company. Insider trades are open-market buys and sells (Form 4) in the last 90 days, shown as facts; our own study found insiders do not reliably buy ahead of awards. A sale marked 10b5-1 was made under a trading plan set up in advance.
- 0 of the past winners are listed companies
- 0 insider buys and 0 insider sells at them in the last 90 days
Sources: SAM.gov notices and award notices; Senate LDA lobbying filings; FEC filings; FARA; Federal Register; congress.gov; SEC Form 4. Every row above links to its record.
Companies are matched to tickers by exact name only. A company we could not match shows no market rows; that is a miss, not a finding.