24VS-S2954 - Mobile X-Ray and Cardiac Services RFP - Final.pdf

Revised: 2023-05 Page 1 of 7 Mobile X-Ray and Cardiac Services

STATE OF NEVADA

DEPARTMENT OF ADMINISTRATION

Purchasing Division

515 East Musser Street, Suite 300 │ Carson City, NV 89701

Phone: 775-684-0170 │ Fax: 775-684-0188

Solicitation: 24VS-S2954

For

MOBILE X-RAY AND CARDIAC SERVICES FOR SOUTHERN NEVADA STATE VETERANS HOME

MANDATORY WALK- THROUGH: 09/12/2024 @ 10:00 am

Release Date: 09/05/2024

Deadline for Submission and Opening Date and Time: 10/03/2024 @ 2:00 pm

Single point of contact for the solicitation:

Heather Moon, Purchasing Officer II

Phone: 775-531-3309

Email Address: hmoon@admin.nv.gov

(TTY for Deaf and Hard of Hearing, 800-326-6868

Ask the relay agent to dial, 1-775-531-3309/V.)

TABLE OF CONTENTS

1. APPLICABLE REGULATIONS GOVERNING PROCUREMENT

2. PROJECT OVERVIEW

3. SCOPE OF WORK

4. ATTACHMENTS

5. TIMELINE

6. EVALUATION

7. MANDATORY MINIMUM REQUIREMENTS

8. CRITICAL ITEMS

9. SUBMISSION CHECKLIST

mailto:hmoon@admin.nv.gov

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1. APPLICABLE REGULATIONS GOVERNING PROCUREMENT

1.1. All applicable Nevada Revised Statutes (NRS) and Nevada Administrative Code (NAC) documentation can be found at: www.leg.state.nv.us/law1.cfm.

1.2. SINGLE POINT OF CONTACT. Vendors and/or their representatives shall only contact the single point of contract or use the electronic procurement system regarding this solicitation until after a notice of award (NOA) has been issued.

Failure to observe this restriction may result in disqualification of a proposal per NAC 333.155(3).

1.3. Prospective vendors are advised to review Nevada’s ethical standards requirements, including but not limited to NRS

281A, NRS 333.800, and NAC 333.155.

2. PROJECT OVERVIEW

2.1. The State of Nevada Purchasing Division, on behalf of the Nevada Department of Veterans Services (NDVS)/Southern

Nevada State Veterans Home (SNSVH) is seeking proposals from qualified vendors to provide mobile X-Ray, PICC ultrasound and cardiac services as described in the scope of work and attachments.

2.2. The State intends to award one (1) contract in conjunction with this Request for Proposals (RFP), as determined in the best interests of the State. The Nevada Department of Veterans Services (NDVS) shall administer contract(s) resulting from this solicitation. The resulting contract(s) are expected to be for a contract term of four years, subject to Board of

Examiners approval.

2.3. GOALS AND OBJECTIVES

2.3.1. NAC 449.74535(1) requires a facility for skilled nursing shall provide radiological and other diagnostic services to meet the needs of the patients in the facility or contract with qualified outside services to obtain such services.

2.3.2. The Southern Nevada State Veterans Home is seeking a vendor to provide mobile X-ray, ultrasound, cardiac and PICC services to residents of the SNSVH as required by doctors’ orders. The selected vendor will provide services in accordance with the standards set forth in the scope of work.

2.4. MANDATORY WALK-THROUGH

2.4.1. The State will conduct a mandatory walk-through that will be held on September 12, 2024 at 10:00 a.m.

2.4.2. Vendors who expect to propose must attend.

2.4.3. The walk-through will be held at the Southern Nevada State Veterans Home, 100 Veterans Memorial Drive, Boulder

City, NV.

2.4.4. Vendors must fill out the pre-registration form located within the ‘Attachments’ tab in NevadaEPro.

3. SCOPE OF WORK

3.1. The awarded vendor will comply with:

3.1.1. All applicable Federal and State regulations, including HIPPA requirements;

3.1.2. SNSVH rules;

3.1.3. Vendor must comply with all safety regulations and rules governing the facility, including (but not limited to) NRS 449, NAC 449, and CMS requirements under CFR 483.75.

3.1.4. Vendor must comply with all SNSVH policies and procedures (applicable, amended manuals will be made available to awarded vendor employees).

3.2. Services

3.2.1. Provide mobile X-ray, ultrasound, cardiac and PICC services to residents of the “Home” as required by doctors' orders.

3.2.2. Perform X-ray, ultrasound and cardiac services, and/or bedside PICC line insertion within a twenty-four (24) hour period after a physician’s orders except for STAT.

3.2.3. Perform STAT services within a two (2) hour period after a physician orders.

3.2.4. Vendor services will be available twenty-four (24) hours a day, three hundred and sixty-five (365) days a year (including holidays as necessary) at no additional charge.

http://www.leg.state.nv.us/law1.cfm

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3.2.5. Provide chest X-rays for pre-employment purposes when two (2) or more candidates can be scheduled at the facility at the same pricing as patient X-ray service.

3.2.6. Provide bone density scans for residents of the facility as ordered by the physician.

3.2.7. Provide echocardiograms for residents of the facility as ordered by the physician.

3.3. X-Ray Services – Results Reporting – Awarded vendor will:

3.3.1. Compile results within a twenty-four (24) hour period of the physician's orders to the facility either by fax, telephone, and/or other acceptable methods except for STAT.

3.3.2. Compile results for STATS requests within a four (4) hour period to the facility either by fax, telephone, and/or other acceptable methods.

3.3.3. Report results will include the test date, the test result, and the signature of the person performing the test.

3.3.4. Provide access to local radiology department for rereading of ambiguous results.

3.3.5. Provide that retakes of X-rays due to improper penetration or view to be treated as STAT at no additional charge to the facility.

3.3.6. Provide access to the Picture Archiving and Communication System (PACS) system, for online viewing of reports and

X-ray film online.

3.3.7. Provide training for any SNSVH employees who need access to the PACS system.

3.4. X-Ray Services – Additional Requirements

3.4.1. Vendor will provide the necessary equipment to perform the required services.

3.4.2. Vendors’ proposals should include a list of x-ray and ultrasound equipment that will be used in providing these services.

Sufficient description should be included with the list so that the State can determine the age/quality of the equipment.

3.4.3. A minimum staffing plan should be included in the proposal.

3.4.4. Vendor will respond to inquiries about X-ray, ultrasound, and PICC line services within a two (2) hour period following such inquiries.

3.4.5. Provide annual PICC line care education for clinical staff to be scheduled between vendor representative and SNSVH

Director of Nursing Services.

3.4.6. Vendor will participate in various SNSVH meetings and in-service training sessions, as requested.

3.4.7. Vendor will provide the Infection Control Preventionist with policy and procedures (that are reviewed annually and revised as necessary) for cleaning and disinfection of equipment.

3.5. X-Ray Services - Administrative

3.5.1. Vendor will treat all residents and staff with respect. Report any resident or staff problems immediately to the Director of Nursing Services or the Administrator.

3.5.2. Vendor will attend Medical Advisory Committee meetings as needed for problem solving.

3.5.3. Vendor will supply current copies of radiologists, radiological technologists, and diagnostic radiography licenses to the contract compliance monitor.

3.5.4. Vendor will provide proof of criminal background checks, CPR certification, TB testing and pre-employment physicals for any staff having contact with SNSVH residents or staff.

3.5.5. Vendor will provide SNSVH Fiscal Staff with their pricing/fee schedule(s) for X-Ray, PICC, ultrasound and cardiac services.

3.6. X-Ray Services – Health and Safety

3.6.1. The vendor is responsible for the health, safety, and protection of its employees in the performance of this contract.

3.6.2. Vendor employees shall exercise precautions at all times for the protection of persons and property.

3.7. X-Ray Services – Federal and State Licensing and Certification

3.7.1. The vendor must meet or exceed requirements of Federal and State licensing and certification agencies applicable to the services provided under this contract.

3.7.2. The vendor must take immediate action to correct any deficiencies found during facility surveys.

3.8. Property or Material Damage

3.8.1. If the vendor’s employees damage or destroy any property or materials of the SNSVH or its residents, the “Home”

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Administrator and the vendor shall negotiate a reimbursement to the SNSVH or its residents from the vendor to cover the loss to SNSVH or its residents.

4. ATTACHMENTS

4.1. ATTACHMENTS INCORPORATED BY REFERENCE. To be read and not returned.

4.1.1. Terms and Conditions for Services

4.2. ATTACHMENTS FOR REVIEW. To be read and not returned (unless redlining).

4.2.1. Contract Form

4.2.2. Insurance Schedule

4.3. PROPOSAL ATTACHMENTS. To be completed and returned.

4.3.1. Cost Schedule

4.3.2. Proposed Staff Resume

4.3.3. Reference Questionnaire

4.3.4. Attachments for Signature

A. Vendor Information Response

B. Vendor Certifications

C. Certification Regarding Lobbying

D. Confidentiality and Certification of Indemnification

5. TIMELINE

5.1. QUESTIONS. All questions regarding this solicitation shall be submitted using the Bid Q&A feature in NevadaEPro.

5.2. TIMELINE. The following represents the proposed timeline for this project.

5.2.1. All times stated are Pacific Time (PT).

5.2.2. These dates represent a tentative schedule of events.

5.2.3. The State reserves the right to modify these dates at any time.

A. Mandatory Site Visit .......................................................................................................... 10:00 am on 09/12/2024

B. Deadline for Questions .................................................................................. No later than 5:00 pm on 09/17/2024

C. Answers Posted .................................................................................................................. On or about 09/20/2024

D. Deadline for References................................................................................. No later than 5:00 pm on 10/02/2024

E. Deadline Proposal Submission and Opening ................................................. No later than 2:00 pm on 10/03/2024

F. Evaluation Period (estimated) ........................................................................................... 10/03/2024 - 10/09/2024

G. Notice of Intent (estimated) ............................................................................................... On or about 10/09/2024

H. Notice of Award (estimated) .............................................................................................. On or about 12/10/2024

I. BOE Approval (estimated) .................................................................................................................... 01/04/2025

J. Contract start date (estimated) ............................................................................................................... 02/01/2025

6. EVALUATION

6.1. Evaluation and scoring are conducted in accordance with NRS 333.335 and NAC 333.160-333.165.

6.1.1. Proposals shall be kept confidential until a contract is awarded.

6.1.2. In the event the solicitation is withdrawn prior to award, proposals remain confidential.

6.1.3. The evaluation committee is an independent committee established to evaluate and score proposals submitted in response to the solicitation.

6.1.4. Financial stability shall be scored on a pass/fail basis.

6.1.5. Proposals shall be consistently evaluated and scored based upon the following factors and relative weights.

A. Demonstrated competence of providing accurate and timely mobile x-ray and cardiac services

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B. Experience in providing mobile x-ray and cardiac services to like type facilities

C. Experience and availability of key personnel who will work with the facility

D. Ability to fulfill all aspects of scope of work

E. Cost Factor

6.1.6. Cost proposals will be evaluated based on the following formula.

A. Cost Factor Weight x (Lowest Cost Submitted by a Vendor / Proposer Total Cost) = Cost Score

7. MANDATORY MINIMUM REQUIREMENTS

7.1. Pursuant to NRS 333.311 a contract cannot be awarded to a proposal that does not comply with the requirements listed in this section. Proposal shall include confirmation of compliance with all mandatory minimum requirements.

7.2. NEVADA LAW AND STATE INDEMNITY. Pursuant to NRS 333.339, any contract that is entered into may not: (1)

Require the filing of any action or the arbitration of any dispute that arises from the contract to be instituted or heard in another state or nation; or (2) Require the State to indemnify another party against liability for damages.

7.3. NO BOYCOTT OF ISRAEL. Pursuant to NRS 333.338, the State of Nevada cannot enter a contract with a company unless that company agrees for the duration of the contract not to engage in a boycott of Israel. By submitting a proposal or bid, vendor agrees that if it is awarded a contract, it will not engage in a boycott of Israel as defined in NRS

333.338(3)(a).

7.4. INDEMNIFICATION. Required contract terms on Indemnification: "To the fullest extent permitted by law, Contractor shall indemnify, hold harmless and defend, not excluding the State’s right to participate, the State from and against all liability, claims, actions, damages, losses, and expenses, including, without limitation, reasonable attorneys’ fees and costs, arising out of any breach of the obligations of Contractor under this contract, or any alleged negligent or willful acts or omissions of Contractor, its officers, employees and agents. Contractor’s obligation to indemnify the State shall apply in all cases except for claims arising solely from the State’s own negligence or willful misconduct. Contractor waives any rights of subrogation against the State. Contractor’s duty to defend begins when the State requests defense of any claim arising from this Contract."

7.5. LIMITED LIABILITY. Required contract terms on Limited Liability: "The State will not waive and intends to assert available NRS Chapter 41 liability limitations in all cases. Contract liability of both parties shall not be subject to punitive damages. Damages for any State breach shall never exceed the amount of funds appropriated for payment under this Contract, but not yet paid to Contractor, for the Fiscal Year budget in existence at the time of the breach. Contractor’s tort liability shall not be limited."

7.6. CONTRACT RESPONSIBILITY. Awarded vendor shall be the sole point of contract responsibility. The State shall look solely to the awarded vendor for the performance of all contractual obligations which may result from an award based on this solicitation, and the awarded vendor shall not be relieved for the non-performance of any or all subcontractors.

7.7. DATA ENCRYPTION. State IT requires that data be encrypted in transit and in rest.

7.8. STATESIDE DATA. State IT requires that State data assets must be maintained in the United States and data will not be held offshore.

7.9. NEVADA BUSINESS LICENSE. Pursuant to NRS 353.007, prior to contract execution awarded vendor must hold a state business license pursuant to NRS chapter 76 unless exempted by NRS 76.100(7)(b).

7.10. DISCLOSURE. Each vendor shall include in its proposal a complete disclosure of any alleged significant prior or ongoing contract failures, contract breaches, any civil or criminal litigation or investigations pending which involves the vendor or in which the vendor has been judged guilty or liable.

8. CRITICAL ITEMS

8.1. In addition to the Scope of Work and Attachments, the items listed in this section are critical to the success of the project.

These items will be used in evaluating and scoring the proposal. Vendor proposal should address items in this section in enough detail to provide evaluators an accurate understanding of vendor capabilities. Proposals that fail to sufficiently

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8.2. CONTRACT FORM. The State strongly prefers vendors agree to the terms of the attached Contract Form as is. Ability to agree to contract terms is a high priority to the State. Vendors who cannot agree to the contract as is must include a redlined Word version of the attached Contract Form with their proposal response. To the extent a vendor has prior contractual dealings with the State, no assumption should be made that terms outside those provided herein have any influence on this project.

8.3. INSURANCE SCHEDULE

8.3.1. The State strongly prefers vendors agree to the terms of the attached Insurance Schedule as is. Vendors who cannot agree must explain which areas are causing non-compliance and attach a red line if necessary.

8.3.2. Awarded vendor shall maintain, for the duration of the contract, insurance coverages as set forth in the fully executed contract.

8.3.3. Work on the contract shall not begin until after the awarded vendor has submitted acceptable evidence of the required insurance coverages.

8.3.4. Failure to maintain any required insurance coverage or acceptable alternative method of insurance shall be deemed a breach of contract.

8.4. VENDOR BACKGROUND

8.4.1. Company background/history and why vendor is qualified to provide the services described in this solicitation.

8.4.2. Provide a brief description of the length of time vendor has been providing services described in this solicitation to the public and/or private sector.

8.5. VENDOR STAFF RESUMES

8.5.1. A resume shall be included for each proposed key personnel, see Proposed Staff Resume.

8.5.2. A resume shall also be included for any proposed key subcontractor personnel.

8.6. SUBCONTRACTORS

8.6.1. Subcontractors are defined as a third party, not directly employed by the contractor, who shall provide services identified in this solicitation. This does not include third parties who provide support or incidental services to the contractor.

8.6.2. Proposal should include a completed Vendor Information Response form for each subcontractor.

8.6.3. Vendor shall not allow any subcontractor to commence work until all insurance required of the subcontractor is provided to the vendor.

8.6.4. Vendor proposal shall identify specific requirements of the project for which each subcontractor shall perform services.

A. How the work of any subcontractor(s) shall be supervised

B. How channels of communication shall be maintained

C. How compliance with contracts terms and conditions will be assured

D. Previous experience with subcontractor(s)

8.7. VENDOR FINANCIAL INFORMATION

8.7.1. The information requested in this section is designated as confidential business information by the Administrator pursuant to NRS 333.020(5)(b) and is not public information pursuant to NRS 333.333.

8.7.2. This information should be submitted as a separate attachment, flagged as confidential in NevadaEPro.

8.7.3. Proposing vendor shall provide the following financial information and documentation:

A. Dun and Bradstreet Number

B. Federal Tax Identification Number

C. The last two (2) full years and current year interim:

1. Profit and Loss Statements

2. Balance Statements

8.8. BUSINESS REFERENCES

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8.8.1. The information requested in this section is designated as confidential business information by the Administrator pursuant to NRS 333.020(5)(b) and is not public information pursuant to NRS 333.333.

8.8.2. Vendors shall provide a minimum of three (3) business references from similar projects performed for private and/or public sector clients within the last five (5) years, see Reference Questionnaire.

8.8.3. The purpose of these references is to document relevant experience and aid in the evaluation process.

8.8.4. Business references should return Reference Questionnaire directly to Single Point of Contact via email.

8.8.5. Business references will not be accepted directly from proposing vendor.

8.8.6. Business references shall not be requested from the soliciting agency.

8.8.7. The State will not disclose submitted references, but will confirm if a reference has been received.

8.8.8. The State reserves the right to contact references during evaluation.

9. SUBMISSION CHECKLIST

9.1. This section identifies documents that shall be submitted to be considered responsive. Vendors are encouraged to review all requirements to ensure all requested information is included in their response.

9.1.1. Proposals must be submitted as a Quote through NevadaEPro, https://NevadaEPro.com.

9.1.2. Vendors are encouraged to submit a single file attachment per proposal section if possible.

9.1.3. Technical proposal information and Cost proposal information shall not be included in the same attachment.

9.1.4. Cost proposal attachment shall not be flagged as confidential in NevadaEPro.

9.1.5. Additional attachments may be included, but are discouraged and should be kept to a minimum.

9.2. TECHNICAL PROPOSAL

A. Title Page

B. Table of Contents

C. Response to Mandatory Minimum Requirements

D. Response to Critical Items

E. Response to Scope of Work

F. Proposed Staff Resumes

G. Other Informational Material

9.3. PROPRIETARY INFORMATION. If necessary. Attachment should be flagged confidential in NevadaEPro.

A. Title Page

B. Table of Contents

C. Trade Secret information, cross referenced to the technical proposal

9.4. COST PROPOSAL

9.5. VENDOR FINANCIAL INFORMATION. Attachment should be flagged confidential in NevadaEPro.

9.6. SIGNED ATTACHMENTS

A. Vendor Information Response

B. Vendor Certifications

C. Confidentiality and Certification of Indemnification

D. Certification Regarding Lobbying

9.7. OTHER ATTACHMENTS. If necessary, not recommended.

9.8. REFERENCE QUESTIONNAIRES. Not submitted directly by vendor.

https://nevadaepro.com/