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PAGE 1 OF 1. REQUISITION NO.

2. CONTRACT NO. 3. AWARD/EFFECTIVE DATE 4. ORDER NO. 5. SOLICITATION NUMBER 6. SOLICITATION ISSUE DATE

a. NAME b. TELEPHONE NO. (No Collect Calls) 8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY CODE 10. THIS ACQUISITION IS UNRESTRICTED OR SET ASIDE: % FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ IFB RFP

15. DELIVER TO CODE 16. ADMINISTERED BY CODE

17a. CONTRACTOR/OFFEROR CODE FACILITY CODE 18a. PAYMENT WILL BE MADE BY CODE

TELEPHONE NO. DUNS: DUNS+4:

PHONE: FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER

18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19. 20. 21. 22. 23. 24.

ITEM NO. SCHEDULE OF SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA 26. TOTAL AWARD AMOUNT (For Govt. Use Only)

27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA ARE ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA ARE ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________ 29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY (BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER)

30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION (REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

OFFEROR TO COMPLETE BLOCKS 12, 17, 23, 24, & 30

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 82

36C10B19Q0057 11-09-2018

Joseph Pignataro, Contract Specialist 732-795-1115 11-16-2018

3pm, EST

Department of Veterans Affairs

Technology Acquisition Center

23 Christopher Way

Eatontown NJ 07724

541519

$27.5 Million

X

N/A

X

See Delivery Schedule

23 Christopher Way

Financial Services Center

PO Box 149971

Austin TX 78714-8971

See CONTINUATION Page

See Section B.

Type of Contract: Firm Fixed Price (FFP)

Alternate POC: Asif Damji, 732-440-9674

Period of Performance: 12 months with four 12-month option periods.

Title: National Teleradiology Program Picture Archive and

Communicatoin System Service and Support

See CONTINUATION Page x x

Asif Damji

Contracting Officer

36C10B19Q0057

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS .. 1

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 GOVERNING LAW

B.2 SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL SUPPORT

B.3 CONTRACT ADMINISTRATION DATA

B.4 PRICE SCHEDULE

B.5 PRODUCT DESCRIPTION

3.2 INFORMATION SECURITY CONSIDERATIONS:

SECTION C - CONTRACT CLAUSES

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.2 52.203-19 PROHIBITION ON REQUIRING CERTAIN INTERNAL

CONFIDENTIALITY AGREEMENTS OR STATEMENTS (JAN 2017)

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (JUN 2016)

C.4 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO

IMPLEMENT STATUTES OR EXECUTIVE ORDERS- COMMERCIAL ITEMS (OCT

2018)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.6 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.7 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS

(NOV 2012)

C.8 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.9 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN

2008)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE

(FEB 1998)

E.2 52.203-18 PROHIBITION ON CONTRACTING WITH ENTITIES THAT

REQUIRE CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS OR

STATEMENTS—REPRESENTATION (JAN 2017)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (JUL

2013)

E.4 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (AUG 2018)

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

E.7 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.8 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE

RESOLUTION (SEP 2018)

E.9 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (SEP 2018)

E.10 52.222-35 EQUAL OPPORTUNITY FOR VETERANS (OCT 2015)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 GOVERNING LAW

Federal law and regulations, including the Federal Acquisition Regulations (FAR), shall govern this Contract/Order. Commercial license agreements may be made a part of this Contract/Order but only if both parties expressly make them an addendum hereto. If the commercial license agreement is not made an addendum, it shall not apply, govern, be a part of or have any effect whatsoever on the Contract/Order; this includes, but is not limited to, any agreement embedded in the computer software (clickwrap), any agreement that is otherwise delivered with or provided to the Government with the commercial computer software or documentation (shrinkwrap), or any other license agreement otherwise referred to in any document. If a commercial license agreement is made an addendum, only those provisions addressing data rights regarding the

Government’s use, duplication and disclosure of data (e.g., restricted computer software) are included and made a part of this Contract/Order, and only to the extent that those provisions are not duplicative or inconsistent with Federal law, Federal regulation, the incorporated FAR clauses and the provisions of this Contract/Order; those provisions in the commercial license agreement that do not address data rights regarding the Government’s use, duplication and disclosure of data shall not be included or made a part of the Contract/Order. Federal law and regulation including, without limitation, the Contract Disputes Act (41 U.S.C. § 7101 et seq.), the Anti-Deficiency Act (31 U.S.C. § 1341 et seq.), the Competition in Contracting Act (41

U.S.C. § 3301 et seq.), the Prompt Payment Act (31 U.S.C. §3901 et seq.), Contracts for Data

Processing or Maintenance (38 USC § 5725), and FAR clauses 52.212-4, 52.227-14, 52.227-19 shall supersede, control, and render ineffective any inconsistent, conflicting, or duplicative provision in any commercial license agreement. In the event of conflict between this Clause and any provision in the Contract/Order or the commercial license agreement or elsewhere, the terms of this Clause shall prevail. Claims of patent or copyright infringement brought against the

Government as a party shall be defended by the U.S. Department of Justice (DOJ). 28 U.S.C. §

516. At the discretion of DOJ, the Contractor may be allowed reasonable participation in the defense of the litigation. Any additional changes to the Contract/Order must be made by contract/order modification (Standard Form 30) and shall only be effected by a warranted

Contracting Officer. Nothing in this Contract/Order or any commercial license agreement shall be construed as a waiver of sovereign immunity.

B.2 SOFTWARE LICENSE, MAINTENANCE AND TECHNICAL

SUPPORT:

(1) Definitions.

(a) Licensee. The term “licensee” shall mean the U.S.

Department of Veterans Affairs (“VA”) and is synonymous with

“Government.”

(b) Licensor. The term “licensor” shall mean the contractor having the necessary license or ownership rights to deliver license, software maintenance and support of the computer software being acquired. The term “contractor” is the party identified in Block 17a on the SF1449. If the contractor is a reseller and not the Licensor, the contractor remains responsible for performance under this order.

(c) Software. The term “software” shall mean the licensed computer software product(s) cited in the Schedule of

Supplies/Services.

(d) Maintenance. The term “maintenance” is the process of enhancing and optimizing software, as well as remedying defects. It shall include all new fixes, patches, releases, updates, versions and upgrades, as further defined below.

(e) Technical Support. The term “technical support” refers to the range of services providing assistance for the software via the telephone, email, a website or otherwise.

(f) Release or Update. The term “release” or “update” are terms that refer to a revision of software that contains defect corrections, minor enhancements or improvements of the software’s functionality.

This is usually designated by a change in the number to the right of the decimal point (e.g., from Version 5.3 to 5.4). An example of an update is the addition of new hardware.

(g) Version or Upgrade. The term “version” or “upgrade” are terms that refer to a revision of software that contains new or improved functionality. This is usually designated by a change in the number to the left of the decimal point (e.g., from Version 5.4 to 6).

(2) Software License

(a) Unless otherwise stated in the Schedule of Supplies/Services, the Performance Work Statement or Product Description, the software license provided to the Government is a perpetual, nonexclusive license to use the software

(b) The Government may use the software in a networked environment.

(c) Any dispute regarding the license grant or usage limitations shall be resolved in accordance with the Disputes Clause incorporated in FAR 52.212-4(d).

(d) All limitations of software usage are expressly stated in the

Schedule of Supplies/Services and the Performance Work

Statement/Product Description.

(3) Software Maintenance and Technical Support

(a) If the Government desires to continue software maintenance and support beyond the period of performance identified in this contract or order, the Government will issue a separate contract or order for maintenance and support. Conversely, if a contract or order for continuing software maintenance and technical support is not received the contractor is neither authorized nor permitted to renew any of the previously furnished services.

(b) The contractor shall provide software support services, which includes periodic updates, enhancements and corrections to the software, and reasonable technical support, all of which are customarily provided by the contractor to its commercial customers so as to cause the software to perform according to its specifications, documentation or demonstrated claims.

(c) Any telephone support provided by contractor shall be at no additional cost.

(d) The contractor shall provide all maintenance services in a timely manner in accordance with the contractor’s customary practice or as defined in the Performance Work Statement/Product Description.

However, prolonged delay (exceeding 2 business days) in resolving software problems will be noted in the Government’s various past performance records on the contractor (e.g., www.ppirs.gov).

(e) If the Government allows the maintenance and support to lapse and subsequently wishes to reinstate it, any reinstatement fee charged shall not exceed the amounts that would have been charged if the

Government had not allowed the subscription to lapse.

(4) Disabling Software Code. The Government requires delivery of computer software that does not contain any code that will, upon the occurrence or the nonoccurrence of any event, disable the software.

Such code includes but is not limited to a computer virus, restrictive key, node lock, time-out or other function, whether implemented by electronic, mechanical, or other means, which limits or hinders the use or access to any computer software based on residency on a specific hardware configuration, frequency of duration of use, or other limiting criteria. If any such disabling code is present, the contractor agrees to indemnify the Government for all damages suffered as a result of a disabling caused by such code, and the contractor agrees to remove such code upon the Government’s request at no extra cost to the

Government. Inability of the contractor to remove the disabling software code will be considered an inexcusable delay and a material breach of contract, and the Government may exercise its right to terminate for cause. In addition, the Government is permitted to remove the code as it deems appropriate and charge the Contractor for consideration for the time and effort expended in removing the code.

(5) Manuals and Publications. Upon Government request, the contractor shall furnish the most current version of the user manual and publications for all products/services provided under this contract or order at no cost.

B.3 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

http://www.ppirs.gov/

b. GOVERNMENT: Contracting Officer 36C10B Asif Damji

Department of Veterans Affairs

Technology Acquisition Center

23 Christopher Way

Eatontown NJ 07724

2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award

Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [See B.4 Price Schedule]

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of

Payment Requests.

Department of Veterans Affairs

Technology Acquisition Center

Financial Services Center

PO Box 149971

Austin TX 78714-8971

ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

AMENDMENT NO DATE

B.4 Price Schedule

All deliverables will be destination inspection, acceptance and F.O.B.

Inspection/Acceptance: Destination

All electronic deliverables shall be submitted to the Department of Veterans Affairs Project

Manager and Contracting Officer’s Representative.

The period of performance (PoP) shall be 12 months from date of award with four 12- month option periods.

The overall contract PoP shall not exceed 60 months.

Days used in the table below refer to calendar days unless otherwise stated. Deliverables with due dates falling on a weekend or holiday shall be submitted the following Government work day after the weekend or holiday.

Base Period-The Base Period of Performance (PoP) shall be November 30, 2018 to November 29, 2019

CLIN DESCRIPTION

QT

Y

UNIT

UNIT

PRICE

TOTAL

PRICE

Veteran Health Administration (VHA)

National Teleradiology Program (NTP) in accordance with (IAW) paragraphs 1.1 through 1.5 of the Product Description

(PD)

The Contractor shall provide maintenance, software support, hardware support and ongoing system/application sustainment/development for the existing

NTP PACS.

This FFP CLIN includes all travel, labor, materials, project management and deliverables required for the successful completion of the requirements detailed in

PD paragraphs 1.1 through 1.5 and performance metrics IAW 1.7 inclusive of all subparagraphs and all deliverables listed in the PD.

*The unit price shall equal the monthly unit price for uptime performance of

99.9% and above.

IAW Section 1.7 of the PD please complete the chart below with your proposal to include discounted monthly pricing in the event of system uptime lower than 99.9%:

12 MO *$ $

Uptime

Performance

Discoun t Total

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $

Less than

99.0% 25% $

Government approval of invoices for payment shall be subject to successful completion of task requirements and associated deliverables required by the

PD.

0002 Training IAW PD paragraphs 1.6 inclusive of all subparagraphs.

Training is a "not separately priced"

(NSP) line item. All costs associated shall be allocated within firm fixed price sub-line Item Numbers (SLINs) 0002AA-

0002AE.

12 MO NSP NSP

0002AA Manhattan (1 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 A. Manhattan

1 EA $ $

0002AB Durham (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 B. Durham

0002AC San Bruno (2 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 C. San Bruno

0002AD Menlo Park (3 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 D. Menlo Park

0002AE Honolulu (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 E. Honolulu

0003 Deliverables

0003AA Monthly Downtime Report IAW PD

Paragraph 1.5

Due monthly throughout the period of performance.

The cost of this line item is included in

CLIN 0001.

Base Year Total $

Option Year One

This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, the Option Year One PoP shall be November 30, 2019 to November

29, 2020.

CLIN DESCRIPTION

QT

Y

UNIT

UNIT

PRICE

TOTAL

VHANTPIAW paragraphs 1.1 through 1.5 of the PD.

ongoing system/application deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of proposal to include discounted monthly

Uptime

Performance Discount Total

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $ completion of task requirements and

1001AA Hardware and Software Support for

Manhattan Reading Center – 2

IntelePACS servers, 1 PS360 server

(Appendix A 1.4.2). This is currently covered under an extended manufacturer’s warranty under another contract that ends on May 1, 2020.

The cost of this support shall be covered at CLINs 2001, 3001 and 4001 in Option

Years Two, Three, and Four, if exercised.

deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of

*The value of X equals the monthly unit price for uptime performance of 99.9% and above.

proposal to include performance discount of system uptime lower than 99.9%:

99.9%< = X 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

7 MO $ $

99.0%<x<99.

4% 20% $

PoP: May 1, 2020 – November 29, 2020.

completion of task requirements and associated deliverables required by the PD

1002 Training IAW PD paragraphs 1.6

Training is a NSP line item. All costs associated shall be allocated within firm fixed price SLINs 1002AA-1002AE.

1002AA Manhattan (1 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 A. Manhattan

1002AB Durham (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 B. Durham

1002AC San Bruno (2 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 C. San Bruno

1002AD Menlo Park (3 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 D. Menlo Park

1002AE Honolulu (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 E. Honolulu

1 EA $ $

1003 Deliverables 12 MO NSP NSP

1003AA Monthly Downtime Report IAW PD

CLIN 1001.

12 MO NSP NSP

Option Year One Total $

Option Year Two

This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, the Option Year Two PoP shall be November 30, 2020 to November

29, 2021.

CLIN DESCRIPTION

QT

Y

UNIT

UNIT

PRICE

TOTAL

ongoing system/application deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of proposal to include discounted monthly

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $ completion of task requirements and

2002 Training IAW PD paragraphs 1.6

Training is a "not separately priced"

(NSP) line item. All costs associated shall be allocated within firm fixed price sub-line Item Numbers (SLINs) 2002AA-

2002AE.

2002AA Manhattan (1 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 A. Manhattan

2002AB Durham (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 B. Durham

2002AC San Bruno (2 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 C. San Bruno

2002AD Menlo Park (3 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 D. Menlo Park

2002AE Honolulu (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 E. Honolulu

2003 Deliverables 12 MO NSP NSP

2003AA Monthly Downtime Report IAW PD

CLIN 2001.

12 MO NSP NSP

Option Year Two Total $

Option Year Three

This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, the Option Year Three PoP shall be November 30, 2021 to

November 29, 2022.

ongoing system/application deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of proposal to include discounted monthly

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $

3001AA Hardware and Software Support for Main core PACS hardware, Regional ingest servers and reading center servers

(Appendix A 1.2.1-1.2.4, 1.3 & 1.4.1)

This is currently covered under an extended manufacturer’s warranty under another contract that ends on December

31, 2021.

deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of

99.9%< = * 0% *$

11 MO $ $

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $

PoP: December 31, 2021 – November 29, 2022.

completion of task requirements and

3002 Training IAW PD paragraphs 1.6 fixed price SLINs 3002AA-3002AE.

3002AA Manhattan (1 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 A. Manhattan

3002AB Durham (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 B. Durham

3002AC San Bruno (2 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 C. San Bruno

3002AD Menlo Park (3 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 D. Menlo Park

3002AE Honolulu (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 E. Honolulu

1 EA $ $

3003 Deliverables 12 MO NSP NSP

3003AA Monthly Downtime Report IAW PD

CLIN 3001.

12 MO NSP NSP

Option Year Three Total $

Option Year Four

This 12-month option may be exercised in accordance with FAR 52.217-9, Option to Extend the

Term on the Contract (MAR 2000). Work shall not commence until, and unless, a formal modification is issued by the Contracting Officer. If exercised, the Option Year Four PoP shall be

November 30, 2022 to November 29, 2023.

CLIN DESCRIPTION

QT

Y

UNIT

UNIT

PRICE

TOTAL

ongoing system/application deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of proposal to include discounted monthly

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $

4001AA Hardware and Software Support for

Sacramento – 2 IntelePACS QA PACS servers (Appendix A 1.2.5) This is currently covered under an extended manufacturer’s warranty under another contract that ends on December 31, 2022.

deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.1, through 1.5 and performance metrics IAW 1.7 inclusive of

99.9%< = * 0% *$

99.8%<x<99.

9% 5% $

99.6%<x<99.

8% 10% $

99.4%<x<99.

6% 15% $

99.0%<x<99.

4% 20% $

PoP: December 31, 2022 – November 29, 2023.

11 MO $ $

4002 Training IAW PD paragraphs 1.6 fixed price SLINs 4002AA-4002AE.

4002AA Manhattan (1 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 A. Manhattan

4002AB Durham (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 B. Durham

4002AC San Bruno (2 day) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 C. San Bruno

4002AD Menlo Park (3 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 D. Menlo Park

4002AE Honolulu (2 days) deliverables required for the successful completion of the requirements detailed in

PD paragraph 1.6 E. Honolulu

1 EA $ $

4003 Deliverables 12 MO NSP NSP

4003AA Monthly Downtime Report IAW PD

CLIN 4001.

12 MO NSP NSP

Option Year Four Total $

Total Contract Value $

B.5 PRODUCT DESCRIPTION

DEPARTMENT OF VETERANS AFFAIRS

Veterans Health Administration

National Teleradiology Program (NTP)

National Teleradiology Program Picture Archiving and Communication System Support

Date: September 28, 2018

TAC-19-52327

Product Description Version Number: 1.4

The proposed action is for a sole source, firm-fixed-price (FFP) contract. Veteran Health

Administration (VHA) National Teleradiology Program (NTP) is the Department of Veterans

Affairs’ (VA) in-house Teleradiology service and has been providing 24x7 Teleradiology service to VA facilities since 2010. NTP is currently supporting over 105 sites across all 21 VISNs and is projected to reach 1 million annual studies by 2020 with approximately 75% of the volume being stat interpretations. NTP presently staffs 5 Reading Centers across the country (Manhattan, NY;

Durham, NC; San Bruno, CA; Menlo Park, CA; and Honolulu, HI) with the potential to add additional reading centers as workload expands. Currently NTP has ~100 PACS workstations distributed across the 5 Reading Centers. NTP’s central Teleradiology PACS archive and application servers are located in the Sacramento Data Center and include a fully integrated voice recognition system via an Application Program Interface (API) to Powerscribe 360. The Picture

Archiving and Communication System (PACS) also consists of 2 peer review PACS servers and 4

Regional Digital Imaging and Communications in Medicine (DICOM) and Health Level 7 (HL7) ingest servers located in the Philadelphia, Little Rock, Cleveland and St. Louis Data Centers. The

Regional Data Centers manage the acquisition of images from our customer’s PACS (either via direct export or via PACS initiated query/retrieve) and forward the image data on to Sacramento for distribution to the reading centers via smart worklist routing. Additionally, each Reading

Center has local image cache servers and a voice recognition server on a GB network for Local

Area Network (LAN) level image display performance.

1.0 REQUIREMENTS

The Contractor shall provide maintenance, software support, hardware support and ongoing system/application sustainment/development for the existing NTP PACS which has an annual study capacity (cases read by NTP) of up to 1.1 million studies (1 million studies plus a 10% buffer).

The place of performance for this effort is the Contractor’s facility via remote connectivity to the

VA network through a Site to Site Virtual Private Network (S2S VPN).

VA Facilities:

There are 3 types of facilities covered under this effort:

1. Core PACS – Sacramento Data Center

A. Sacramento Data Center

1100 North Market Blvd

Sacramento, CA 95834

2. Reading Centers

A. Manhattan Reading Center

423 E 23rd street

New York, NY 10010

B. Menlo Park Reading Center

795 Willow Rd, Bldg 334

Menlo Park, CA 94025

C. San Bruno Reading Center

1001 Sneath Lane, Suite 100

San Bruno, CA 94066

D. Honolulu Reading Center

500 Ala Moana Blvd

Bldg 7 Suite 405

Honolulu, HI 96813

E. Durham Reading Center

3022 Croasdaile Dr., Suite 101

Durham, NC 27705

3. Regional Data Centers (Ingest Servers)

A. Philadelphia Information Technology Center

5000 Wissahickon Avenue

Philadelphia, PA 19144

B. Little Rock Data Center

2200 Fort Roots Drive Building 182

North Little Rock, AR 72114

C. St. Louis Federal Data Center

4300 Goodfellow Blvd, Bldg 103

St. Louis, MO 63120

D. Cleveland Data Center

10701 East Blvd

Cleveland, OH 44106

Period of Performance:

Base Year: November 30, 2018 to November 29, 2019

Option Year 1: November 30, 2019 to November 29, 2020

Option Year 2: November 30, 2020 to November 29, 2021

Option Year 3: November 30, 2021 to November 29, 2022

Option Year 4: November 30, 2022 to November 29, 2023

1.1 HARDWARE AND SOFTWARE SUPPORT

The Contractor shall provide software support to the overall system and shall also include the integrated Powerscribe 360 system, DICOM and HL7 components. The majority of the PACS hardware was recently purchased through a different contract vehicle and is currently under extended warranty that will end during the course of this contract, see Appendix A for a list of

PACS components. The Contractor shall initially provide hardware support for the PACS equipment which is not covered by existing warranties.

The 3 items listed below represent the distinct PACS components that will come off manufacturer’s warranty during the 5-year period of performance of this contract:

1. Manhattan Reading Center – 2 IntelePACS servers, 1 PS360 server (Appendix A

1.4.2). Currently covered under an extended manufacturer’s warranty that ends on

May 1, 2020.

2. Sacramento – 2 IntelePACS QA PACS servers (Appendix A 1.2.5) - Currently covered under an extended warranty that ends on December 31, 2022

3. Sacramento – Main core PACS hardware, Regional ingest servers and reading center servers (Appendix A 1.2.1-1.2.4, 1.3 & 1.4.1) - Currently covered under an extended warranty that ends on December 31, 2021

Support for this equipment shall be included under this contract as it drops off the current warranty periods. The period or performance for the maintenance will be detailed in the respective option year that the maintenance support shall begin as well as the schedule of deliverables section B.4

The Contractor shall furnish all necessary replacement hardware or hardware components, software, software licenses such as vSphere or any other PACS component, software updates, upgrades, ongoing software development for PACS system and assignment engine/workflow optimization and technical support services required to maintain the NTP PACS and all associated components at a minimum 99.9% uptime. Contractor must have Food and Drug

Administration (FDA) 510K certification to provide ongoing software updates and upgrades for the previously developed NTP PACS application, IntelePACS. The Contractor shall also provide all PACS and voice recognition software updates and upgrades throughout the period of

The Contractor shall provide ongoing HL7 support to existing VA NTP sites for link/message troubleshooting/resolution, configuration support for HL7 version conversions across all NTP sites, HL7 activations for new facilities, VistA IP changes, and site-specific mapping for NTP configuration up to a system capacity of 1.1 million interpreted studies per year. HL7 support will include the aforementioned tasks for up to 140 distinct links from individual or consolidated facilities and includes mapping/normalizing the data elements and HL7 fields for each link to ensure that incoming orders and reports from facilities are standardized in their presentation for input into the PACS and Powerscribe and transmission of reports and addendums back to the sites. Additionally, the Contractor will be required to provide link support and mapping for new

HL7 feeds from sites as they convert to VA’s new Electronic Medical Record (EMR) from

Cerner.

Contractor shall also provide ongoing DICOM support to existing VA NTP sites for image transmission (store and query/retrieve) troubleshooting/resolution, configuration support for

PACS version/Contractor conversions across all NTP sites and DICOM activations for new facilities up to a system capacity of 1.1 million interpreted studies per year. Support to include sustainment of IntelePACS interface to VHA electronic medical record via Joint Legacy Viewer or successor technology, validation of DICOM conformance with image data sets, troubleshooting image transmission and display issues, duplicate study identification, patient data merges, and DICOM indexing of source PACS.

The Contractor shall provide both the software support for all components of the system at all above specified VA locations and the specified hardware support at Sacramento and Manhattan, whether they are the Original Equipment Manufacturer (OEM) or utilizing the system as a component to the comprehensive NTP IntelePACS solution.

1.2 HELPDESK SUPPORT

The Contractor shall maintain a staffed in-house support desk with staff trained specifically on the NTP PACS and shall be located at the Contractor’s facilities on duty and fully available for all support requests during the hours of 3 AM to 9 PM Pacific Standard Time, Monday through

Friday, including federal holidays. NTP’s heaviest volume occurs on weekends and holidays from 5 AM pacific to 3 PM pacific, so the in-house support desk should be staffed during those hours as well to address critical issues, as well as system reconfiguration projects such as HL7 remapping. During the hours when staff who are trained on the NTP PACS are not in house, remote support via call-back shall be available within 15 minutes of notification from NTP. Call center staff or callback shall be accessible 24 hours a day, 7 days per week, 365 days per year

(24x7x365). Critical system issues impacting the delivery of STAT or Critical cases will be escalated to senior technical support specialists within 15 minutes of notification from NTP. The

Contractor shall provide on-site service if remote service fails.

On-site service at the data center for critical hardware failures shall be available within 4 hours from the time of initial contact by VA and confirmation of a hardware problem (via remote software diagnosis) by the Contractor or its local service provider, 24x7x365. A failure is deemed critical if it prevents the timely provision of teleradiology service. On-site service at a

Regional Data Center or Reading Center for critical hardware failures should be available within

24 hours from the time of initial contact by VA and confirmation of a hardware problem (via remote software diagnosis) by the Contractor or its local service provider, 24x7x365. A failure is deemed critical if it prevents the timely provision of teleradiology service. All parts for maintenance, repair and sustainment of the PACS, such as RAM, hard drives, power supplies, RAID controllers, or motherboards, shall be provided by the Contractor. See Appendix A for a full system list.

Contractor shall provide pro-active system monitoring of all servers, storage and critical services/processes to ensure uptime target is met. Critical system messages will also be sent to vhantpsupport@va.gov to ensure that NTP is advised of an issue.

1.3 CONFORMANCE STANDARDS

The Contractor shall provide services and material to ensure that the equipment functions in conformance with the latest requirements of NFPA-99, The Joint Commission (TJC), National

Electric Code (NEC), Federal and VA information security specifications and requirements as applicable. The equipment shall be maintained such that it meets or exceeds the performance specifications as established in the OEM’s technical specifications. Additional performance specifications that exceed the OEM specifications shall be specified in writing by the VA.

1.4 PREVENTATIVE MAINTENANCE

Contractor shall monitor and manage operating system patching on all PACS servers. Operating

System (OS) patches shall be installed no later than 14 days post Contractor approval and anti-virus updates on Windows operating system servers will occur on a nightly basis. Systems will be set up to sync with the VA national time server to ensure that all systems have a common time reference. Contractor will proactively monitor system health with real-time server status monitoring and will take corrective/preventive action when system performance is outside of normal operating limits.

1.5 CONTRACTORS QUALITY CONTROL PROGRAM (QCP)

The Contractor shall establish and maintain quality control to ensure all contract requirements are met. The Contractor's QCP shall include the following or have incorporated into during performance of contract, at a minimum:

mailto:vhantpsupport@va.gov

The Contractor shall provide a Monthly Downtime Report identifying all system outages where

NTP was unable to provide timely service due to a PACS failure. This is also to be provided as a component of monthly invoicing.

The Contractor shall provide an on-line web portal for tracking work orders generated by NTP.

The Contractor shall have an on-line 24x7 proactive monitoring tool that identifies issues with critical system processes. Corrective action shall be taken as a result of a process triggering an alert.

The Contractor shall maintain on-site records identifying the security credentials, certifications and ongoing training of each employee performing services under this contract.

The Contractor shall have methods of identifying and preventing communication breakdowns and provide a detailed procedure for alternative communications in the event of a breakdown of the communication system.

The Contractor shall participate in weekly scheduled and/or non-scheduled conference calls with the VA representatives to provide a report of on-going operational issues.

Deliverable:

A. Monthly Downtime Report

1.6 ONGOING TRAINING

The Contractor shall provide annual in-service application training for NTP clinical and technical staff at each of the 5 Reading Centers. The Contractor shall send one trainer to each facility for the specified number of days to provide one on one application training covering best practices and techniques for all aspects of PACS. Training sites and days on site are listed below and can be reallocated by mutual agreement of the COR and the Contractor:

A. Manhattan – 1 day

B. Durham – 2 days

C. San Bruno – 2 days

D. Menlo Park – 3 days

E. Honolulu – 2 days

1.7 UPTIME PERFORMANCE DISCOUNTS

In the event that Contractor is unable to meet the specified uptime performance guarantee in a particular month. Uptime is measured for each month individually and then the minutes of system downtime for the entire month are used to calculate the discount. In a typical month, there are 4320 minutes and if the system is down for a total of over 43 minutes, discounts start to apply. The Contractor shall discount that month’s overall Service Fee as follows:

Uptime Performance Discount

99.9%<x None

99.8%<x<99.9% 5%

99.6%<x<99.8% 10%

99.4%<x<99.6% 15%

99.0%<x<99.4% 20%

Less than 99.0% 25%

1.8 OPTION YEAR 1

If exercised by the Government, the Contractor shall perform all tasks detailed in PD sections 1-

1.7 of this PD. The contractor shall also provide Hardware support for the Manhattan Reading

Center (2 IntelePACS servers, 1 PS360 server – Appendix A 1.4.2) currently covered under an extended manufacturer’s warranty that ends on May 1, 2020 (VA118-17-C-1905, 640-C79247).

1.9 OPTION YEAR 2

If the Option Period is exercised by VA, all tasks in paragraphs 1.0 through 1.7 shall be executed in Option Period 2.

1.10 OPTION YEAR 3

If exercised by the Government, the Contractor shall perform all tasks detailed in PD sections 1-

1.7 of this PD. The Contractor shall also provide Hardware support for the following equipment currently covered under a 3-year extended warranty ending December 31, 2021 (VA118-17-C-

2442, 640-A79040).

Main core PACS hardware, Regional ingest servers and reading center servers – Appendix A

1.2.1-1.2.4, 1.3 & 1.4.1, see below

1. Sacramento Data Center– 14 Core IntelePACS servers, 300 TB archive and associated switch/storage/archive components

2. 4 Regional Data Centers (Philadelphia, Little Rock, St. Louis, and Cleveland) - 4

IntelePACS PACS servers

3. 4 Reading Centers (Menlo Park, Durham, San Bruno, and Honolulu) - 2 IntelePACS servers, 1 PS360 server

4. Durham Reading Center – 1 IntelePACS fax server and fax card

1.11 OPTION YEAR 4

If exercised by the Government, the Contractor shall perform all tasks detailed in PD sections 1-

1.7 of this PD. The Contractor shall also provide Hardware support for the following equipment currently covered under a 3-year extended warranty ending on December 31, 2022 (VA118-17-

C-1905, 640-C79247):

Sacramento – 2 IntelePACS QA PACS servers – Appendix A 1.2.5

2.0 INFORMATION TECHNOLOGY USING ENERGY-EFFICIENT PRODUCTS

The Contractor shall comply with Sections 524 and Sections 525 of the Energy Independence and Security Act of 2007; Section 104 of the Energy Policy Act of 2005; Executive Order 13514, “Federal Leadership in Environmental, Energy, and Economic Performance,” dated October 5, 2009; Executive Order 13423, “Strengthening Federal Environmental, Energy, and

Transportation Management,” dated January 24, 2007; Executive Order 13221, “Energy-

Efficient Standby Power Devices,” dated August 2, 2001; and the Federal Acquisition

Regulation (FAR) to provide ENERGY STAR®, FEMP designated, low standby power, and

Electronic Product Environmental Assessment Tool (EPEAT) registered products in providing information technology products and/or services.

The Contractor shall ensure that information technology products are procured and/or services are performed with products that meet and/or exceed ENERGY STAR, FEMP designated, low standby power, and EPEAT guidelines. The Contractor shall provide/use products that earn the

ENERGY STAR label and meet the ENERGY STAR specifications for energy efficiency.

Specifically, the Contractor shall:

1. Provide/use ENERGY STAR products, as specified at www.energystar.gov/products

(contains complete product specifications and updated lists of qualifying products).

2. Provide/use the purchasing specifications listed for FEMP designated products at www.femp.energy.gov/procurement. The Contractor shall use the low standby power products specified at http://energy.gov/eere/femp/low-standby-power-products.

3. Provide/use EPEAT registered products as specified at www.epeat.net. At a minimum, the Contractor shall acquire EPEAT® Bronze registered products. EPEAT registered products are required to meet the technical specifications of ENERGY STAR, but are not automatically on the ENERGY STAR qualified product lists. The Contractor shall ensure that applicable products are on both the EPEAT Registry and ENERGY STAR Qualified

Product Lists.

4. The Contractor shall use these products to the maximum extent possible without jeopardizing the intended end use or detracting from the overall quality delivered to the end user.

The following is a list of information technology products for which ENERGY STAR, FEMP designated, low standby power, and EPEAT registered products are available:

http://www.energystar.gov/products http://www.femp.energy.gov/procurement http://energy.gov/eere/femp/low-standby-power-products http://www.epeat.net/

1. Computer Desktops, Laptops, Notebooks, Displays, Monitors, Integrated Desktop

Computers, Workstation Desktops, Thin Clients, Disk Drives

2. Imaging Equipment (Printers Copiers, Multi-Function Devices, Scanners, Fax Machines, Digital Duplicators, Mailing Machines)

3. Televisions, Multimedia Projectors

This list is continually evolving, and as a result is not all-inclusive.

3.0 SHIPMENT OF HARDWARE OR EQUIPMENT

Inspection: Destination

Acceptance: Destination

Free on Board (FOB): Destination

Ship To and Mark For:

Primary: Alternate:

Name: David Pettit Name: Jennifer Gersten

Address: VA Northern California Health

Care System c/o Biomedical Engineering

(138B)

150 Muir Road

Martinez, CA 94553

Address:

Voice: (925) 372-2714 Voice: (319) 688-3709

Email: Dave.Pettit@va.gov Email: Jennifer.Gersten@va.gov

3.1. Special Shipping Instructions

Prior to shipping, the Contractor shall notify Site POCs, by phone followed by email, of all incoming deliveries including line-by-line details for review of requirements. The Contractor cannot make any changes to the delivery schedule at the request of Site POC.

Contractors must coordinate deliveries with Site POCs before shipment of hardware to ensure sites have adequate storage space.

All shipments, either single or multiple container deliveries, shall bear the VA Purchase Order number on external shipping labels and associated manifests or packing lists. In the case of multiple container deliveries, a statement readable near the VA PO number will indicate total number of containers for the complete shipment (ex. “Package 1 of 2”), clearly readable on manifests and external shipping labels.

Packing Slips/Labels and Lists shall include the following:

IFCAP PO # ____________ (e.g., 166-E11234. The IFCAP PO number is located in block #20 of the SF 1449.)

Project Description: (e.g., Tier I Lifecycle Refresh)

Total number of Containers: Package ___ of ___. (e.g., Package 1 of 3)

3.2 INFORMATION SECURITY CONSIDERATIONS:

The Assessment and Authorization (A&A) requirements do not apply and a Security

Accreditation Package is not required.

All VA sensitive information shall be protected at all times in accordance with local security field office System Security Plans (SSP’s) and Authority to Operate (ATO)’s for all systems/LAN’s accessed while performing the tasks detailed in this Product Description.

a. A prohibition on unauthorized disclosure: “Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA.” See VA handbook 6500.6, Appendix C, paragraph 3.a.

b. A requirement for data breach notification: Upon discovery of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access, the contractor/subcontractor shall immediately and simultaneously notify the COR, the designated ISO, and Privacy Officer for the contract. The term “security incident” means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. See VA

Handbook 6500.6, Appendix C, paragraph 6.a.

c. A requirement to pay liquidated damages in the event of a data breach: “In the event of a data breach or privacy incident involving SPI the contractor processes or maintains under this contract, the contractor shall be liable to VA for liquidated damages for a specified amount per affected individual to cover the cost of providing credit protection services to those individuals.” See VA handbook 6500.6, Appendix C, paragraph 7.a., 7.d.

d. A requirement for annual security/privacy awareness training: “Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall complete on an annual basis either: (i) the VA security/privacy awareness training (contains VA security/privacy requirements) within 1 week of the initiation of the contract, or (ii) security awareness training provided or arranged by the contractor that conforms to VA’s security/privacy requirements as delineated in the hard copy of the VA security awareness training provided to the contractor. If the contractor provides their own training that conforms to VA’s requirements, they will provide the COR or CO, a yearly report (due annually on the date of the contract initiation) stating that all applicable employees involved in the VA’s contract have received their annual security/privacy training that meets VA’s requirements and the total number of employees trained. See VA Handbook 6500.6, Appendix C, paragraph 9.

e. A requirement to sign VA’s Rules of Behavior: “Before being granted access to VA information or information systems, all contractor employees and subcontractor employees requiring such access shall sign on annual basis an acknowledgement that they have read, understand, and agree to abide by VA’s Contractor Rules of Behavior which is attached to this contract.” See VA Handbook 6500.6, Appendix C, paragraph 9, Appendix D. Note: If a medical device vendor anticipates that the services under the contract will be performed by

10 or more individuals, the Contractor Rules of Behavior may be signed by the vendor’s designated representative. The contract must reflect by signing the Rules of Behavior on behalf of the vendor that the designated representative agrees to ensure that all such individuals review and understand the Contractor Rules of Behavior when accessing VA’s information and information systems.

3.3 POINT(S) OF CONTACT:

VA Program Manager

Name: David Pettit

Address: VA Northern California Health

Care System c/o Biomedical Engineering

(138B)

150 Muir Road

Martinez, CA 94553

Voice: (925) 372-2714

Email:…

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