The VA Salem VA Medical Center in Salem, Virginia, requires construction services to expand and renovate an existing surgical suite in Building 143, including general construction, structural, architectural, fire suppression, plumbing, mechanical, electrical, and fire alarm work. The project will be performed in four phases to create new operating rooms, renovate existing operating rooms, update the nursing station/pre-op area, and renovate post-op recovery and surgical areas while minimizing patient care impacts. Performance will occur at 1970 Roanoke Blvd., Salem, VA 24153, with a period of performance of 840 calendar days from Notice to Proceed. The estimated construction magnitude is between $20,000,000 and $50,000,000. The solicitation is anticipated to be available on or around October 12, 2026, will be unrestricted with one award, and will be posted on SAM.gov.