36C10B26Q0641.docx

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5820--Queuing Kiosk - SEPG 519908 EER 272280 (VA-26-00075155)
Solicitation number
36C10B26Q0641
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This is a Request for Information (RFI) and Product Description for the procurement of new patient queueing kiosk systems for the Department of Veterans Affairs North Las Vegas Medical Center. The requirement involves procuring and installing 19 Qmatic-brand 22-inch floor-standing self-service kiosks, one Qmatic proprietary patient queuing hub, and associated compatible equipment including barcode/QR scanners, network switches, cables, and audio equipment. All software must be Qmatic Orchestra 7 Platform compatible, including applications for journey management, counter operations, reporting, digital signage, customer notification, voice announcements, and media display functionality. The kiosks must integrate seamlessly with the existing Qmatic patient queuing infrastructure already in place at the facility. The RFI response deadline is July 20, 2026 at 12:00 PM Eastern Time, with responses limited to 10 pages and submitted to Contract Specialist Julia Renna at julia.renna@va.gov. The solicitation is classified under NAICS code 541519 (management consulting services) with a $34 million size standard.

Vendor responses must include company identification information, DUNS number, socioeconomic status, existing federal contract vehicles (GWAC, FSS, MAC), technical capability summaries, and corporate experience with specific references. Critical to this procurement is compliance with the VA's total set-aside requirement for Certified Service-Disabled Veteran-Owned Businesses (SDVOSBs), limiting subcontractor payments to no more than 50 percent of amounts paid to the prime. Installation must be performed by Qmatic factory-certified technicians, include a 30-day equipment burn-in period following systems acceptance testing, and comply with Section 508 accessibility standards, VA Technical Reference Model requirements, and VA Critical Security Controls effective July 1, 2025. The contractor must provide a Master Installation Plan within 20 days of award and deliver operational readiness certification within 7 business days of successful testing and burn-in completion. Hardware will be shipped FOB Destination to North Las Vegas, Nevada, with all shipments requiring prior notification to site points of contact and proper labeling with contract numbers and package identification.

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New Patient Queueing Kiosks TAC Number: VA-26-00075155

SUBJECT*
Queuing Kiosk - SEPG 519908 EER 272280 (VA-26-00075155)

GENERAL INFORMATION

CONTRACTING OFFICE’S ZIP CODE*
07724
SOLICITATION NUMBER*
36C10B26Q0641
RESPONSE DATE/TIME/ZONE
07-20-2026 12PM EASTERN TIME, NEW YORK, USA
ARCHIVE
14 DAYS AFTER THE RESPONSE DATE
RECOVERY ACT FUNDS
N

SET-ASIDE

PRODUCT SERVICE CODE*
5820
NAICS CODE*
541519
CONTRACTING OFFICE ADDRESS
Department of Veterans Affairs

Technology Acquisition Center

23 Christopher Way Eatontown NJ 07724

POINT OF CONTACT*

Contrct Specialist Julia Renna julia.renna@va.gov

PLACE OF PERFORMANCE

ADDRESS

North Las Vegas NV

POSTAL CODE
89086
COUNTRY
USA

ADDITIONAL INFORMATION

AGENCY’S URL

URL DESCRIPTION

AGENCY CONTACT’S EMAIL ADDRESS

EMAIL DESCRIPTION

DESCRIPTION

Request for Information New Patient Queuing Kiosks / 36C10B26Q0641

VA-26-00075155

1. Introduction

This Request for Information (RFI) is for planning purposes only and shall not be considered an Invitation for Bid, Request for Task Execution Plan, Request for Quotation or a Request for Proposal. Additionally, there is no obligation on the part of the Government to acquire any products or services described in this RFI. Your response to this RFI will be treated only as information for the Government to consider. You will not be entitled to payment for direct or indirect costs that you incur in responding to this RFI. This request does not constitute a solicitation for proposals or the authority to enter into negotiations to award a contract. No funds have been authorized, appropriated or received for this effort. Interested parties are responsible for adequately marking proprietary, restricted or competition sensitive information contained in their response. The Government does not intend to pay for the information submitted in response to this RFI.

The North American Industry Classification System (NAICS) for this requirement is 541519 with a size standard of $34 million.

2. Submittal Information:

All responsible sources may submit a response in accordance with the below information.

There is a page limitation for this RFI of 10 pages. The Government will not review any other information or attachments included, that are in excess of the 10-page limit. NO MARKETING MATERIALS ARE ALLOWED AS PART OF THIS RFI. Generic capability statements will not be accepted or reviewed. Your response must address capabilities specific to the services required in the attached PD and must include the following:

a. Interested Vendors shall at a minimum, provide the following information in the initial paragraph of the submission:

Name of Company Address Point of Contact Phone Number Fax Number Email address Company Business Size and Status For VOSB and SDVOSBs, proof of verification in SBA VetCert.

NAICS code(s) Socioeconomic data Data Universal Numbering System (DUNS) Number Existing Contractual Vehicles (GWAC, FSS, or MAC)

b. Provide a summary of your capability to meet the requirements contained within the draft PD for the following areas:

(1) Provide a summary of your technical capability to meet the PD requirements.

c. Corporate experience or expertise in performing these services and specific examples or references. Specific examples or references provided must include the agency, point of contact, dollar value, and contract number.

d. Your company’s intent and ability to meet the set aside requirement in accordance with VAAR 852.219-73 (JAN 2023) (DEVIATION) VA Notice of Total Set-Aside For Certified SDVOSBs and 13 CFR §125.6, which states the contractor will not pay more than 50% of the amount paid by the government to the prime for contract performance to firms that are not certified SDVOSBs listed in the SBA certification database (excluding direct costs to the extent they are not the principal purpose of the acquisition and the SDVOSB/VOSB does not provide the service, such as airline travel, cloud computing services, or mass media purchases). When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract.

Your response shall include information as to available personnel and financial resources; full names of proposed team members and the PD requirements planned to be subcontracted to them, which must include the prime planned percentage or the names of the potential team members that may be used to fulfill the set aside requirement.

e. Has the draft PD provided sufficient detail to describe the technical requirements that encompass the software development and production operations support services to be performed under this effort.

______ YES _______ NO (if No, answer question c)

f. If “NO”, please provide your technical comments/recommendations on elements of the draft PD that may contribute to a more accurate proposal submission and efficient, cost-effective effort.

Sources Sought Notice Sources Sought Notice Responses are due by 12:00PM EST, Monday, July 20, 2026 via email to Julia Renna, Contract Specialist at julia.renna@va.gov. Please note “36C10B26Q0641” in the subject line of your response. Mark your response as “Proprietary Information” if the information is considered business sensitive. The email file size shall not exceed 5 MB.

*= Required Field
Sources Sought Notice

Sources Sought Notice

PRODUCT DESCRIPTION (PD) TEMPLATE

DEPARTMENT OF VETERANS AFFAIRS

North Las Vegas Medical Center Technology Office

New Patient Queueing Kiosks

Date: 6/16/2026

VA-26-00075155

PD Version Number: 0.2 Disclaimer: The TAC accepts no liability for the completeness or correctness concerning the Information Technology content of this template. This template is a means to simply assist the requiring activity in developing their requirements. It is the Requiring Activity’s responsibility to ensure the correctness of all requirements within their final Product Description.

DESCRIPTION
QTY
UNIT
Patient Queueing Kiosk Solution in accordance with (IAW) PD paragraphs 1.0 and inclusive of sub-paragraphs.
1
EA
Solution Support Requirements IAW PD paragraph 2.0 and inclusive of sub-paragraphs.
1
LO
Solution Supplemental Requirements IAW PD paragraph 3.0 and inclusive of sub-paragraphs.
1
LO
Solution Shipment Requirements IAW PD paragraph 4.0 and inclusive of sub-paragraphs.
1
LO
General Requirements IAW PD paragraph 5.0 and inclusive of sub-paragraphs.
1
LO
Contractor Personnel Security Requirements IAW PD paragraph 6.0 and inclusive of sub-paragraphs.
1
EA

PRODUCT REQUIREMENTS

The Department of Veterans Affairs North Las Vegas Medical Center (NLVMC) requires the procurement and installation of (19EA) (Qmatic patient queueing system compatible 22” floor kiosks and associated Qmatic kiosk operating software/equipment) Self-serve floor standing patient queuing kiosks. These kiosks must contain the Qmatic brand specific software to allow integration into the current Qmatic Patient Queueing infrastructure. This procurement will also include (1EA) Qmatic proprietary patient queuing HUB and associated Qmatic interoperable equipment and programming be installed at the same time as the 19 (Qmatic interoperable) patient queuing kiosks are done.

Where applicable; Installation vendor MUST be Qmatic factory certified as allowing the installation and programming into the in-place Qmatic Patient Queueing infrastructure.

Description
Part no.
Sustainable Product Certification, Designation, (Revolutionary Far Overhaul (RFO) 52.223-23 (NOV 2025))
Quantity
ELO Self-Service Kiosks 22” screen with floor base
E421325

E797162

19EA

19EA

Qmatic kiosk 22” floor install pack
Q30020036

19EA

ELO Barcode/QR scanner (Qmatic Compatible)
Q30010170

19EA

Queuing Hub (Qmatic compatible)
10216100

1EA

NETGEAR 4 port Ethernet switch
GS305

1EA

Cat 5E Ethernet cable 300 feet
56917748

1EA

Bogen 35-Watt Mixer Amplifier
CC4021

1EA

Atlas IED Control 12 C/T compact ceiling speakers
FAP33T-W

1EA

1.1 SALIENT CHARACTERISTCIS

The below listed Software must be used to allow integration with the current Qmatic patient queuing system currently in place at the NLVMC:

Software/applications
Name brand
part number
O7 Kiosk software platform with the folling options
Qmatic
10115901
Orchestra 7 Platform
Qmatic
10115600
Journey Manager -standard
Qmatic
10115624
Counter
Qmatic
10115640
Reports
Qmatic
10115660
Operations Panel
Qmatic
10115662
Staff Notifications
Qmatic
10115644
Media Display
Qmatic
10115682
Digital Signage
Qmatic
10115683
Customer Notification
Qmatic
10115680
Voice Announcements
Qmatic
10115681
Delivered services
Qmatic
10115700
Surface editor
Qmatic
10115722
Media player for Android
ELO
E793359
SW hub base license
Qmatic
10115400
SW hub media player license
Qmatic
10115403

1.2 LOCATION

Facility Name
Facility Address
POC/Phone
North Las Vegas VA Medical Center
6900 N. Pecos Rd. N. Las Vegas NV 89086
Steven Smith 702-791-9000 X14436

General SUPPORT REQUIREMENTS The following requirements are for the Patient Queuing Kiosk solution

2.1 SUPPORT REQUIREMENTS

1. This solution shall support integration into the current Qmatic Patient Queueing system (Orchestra 7 Platform) infrastructure in-place at the NLVMC

2.1.1 FUNCTIONAL/SOFTWARE CAPAPBILITY REQUIREMENT

1. All software applications will be compatible with the current version of Qmatic Orchestra 7 platform in-place at the NLVMC

2. All software components of the solution shall be VA OIT TRM approved.

3. All required software (Kiosk and HUB) must be officially Qmatic licensed.

2.1.2 KIOSK EQUIPMENT REQUIREMENT

1. This solution shall provide Qmatic Orchestra 7 platform compatible 22” patient queueing kiosks and Qmatic compatible HUB.

2. This solution will provide Qmatic compatible ancillary equipment as listed in the table above.

SUPPLEMANTAL REQUIREMENTS

3.1 PROJECT KICK OFF METTING

No later than 20 days after award or a mutually agreed upon date, an on-site project kick-off meeting shall be held at the facility. The purpose of the kick-off meeting is to review project scope; system requirements; verify site conditions; and to ensure there is an understanding between VA and the Contractor of the approach, major actions, the schedule for key milestones, and what is needed from VA and the Contractor to ensure project success. The Contractor shall deliver a Master Installation Plan and Schedule encompassing the site. The Plan shall include:

a. Installation schedule with associated tasks and any foreseen risks or constraints.

b. Equipment to be installed;

c. Connectivity diagram showing specific connection at each physical port;

d. Government Furnished Equipment requirements to include connections and type;

e. Other required items necessary for successful equipment installation.

Deliverable:

A. Master Installation Plan and Schedule

3.1.1 PATIENT KIOSK AND HUB INSTALLATION

The Contractor shall install all systems, software, and equipment procured under this contract in accordance with the accepted Master Installation Plan and Schedule.

The Contractor shall provide all necessary parts, racks, mounts, brackets, installation kits, connections/connectors, ancillary equipment, and cables necessary to install the required hardware and systems to an operational state. Any incidental hardware shall be identified in the Contractor’s quote or proposal.

If required by the Original Equipment Manufacturers (OEM), all equipment and systems shall be installed by OEM certified technicians and installers.

3.1.2 QUEUEING KIOSK TESTING AND BURN-IN

The contractor shall provide, at minimum, the results of the manufacturer’s recommended systems acceptance test within two (2) weeks of test completion.

The Contractor shall also execute a VA authored acceptance test plan with members of the VA operations staff. This test plan to be provided prior to installation of the solution.

The Contractor shall provide an equipment burn-in period of thirty (30) days immediately following the systems acceptance test, prior to commencement of the 12 MONTH warranty period. The contractor shall be responsible for any hardware or software failures during this same 30-day burn-in period.

All issues and failures identified during the testing and burn-in period shall be addressed by the Contractor at no additional cost to the government.

Upon successful conclusion of the installation, test, and burn-in at the facility, the Contractor shall submit a certification of operational readiness to the VA within 7 business days.

1. All Power, and Network and requirements will be handled by the VA Facility Management; and the offeror shall clearly state their requirements for compatibility with that cabling.

Contractor shall be responsible for any damage to furniture, or the building caused by the Contractor or their agents at the site listed above. It is incumbent upon the Contractor to identify to the COR any existing damage to the relevant areas of the building/furniture. All corrections and repairs to any building/furniture damage caused by the Contractor are at Contractor's expense.

NOTICE OF THE FEDERAL ACCESSIBILITY LAW AFFECTING ALL INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) PROCUREMENTS (SECTION 508)

On January 18, 2017, the Access Board issued a final rule that updated accessibility requirements covered by Section 508 and refreshed guidelines for telecommunications equipment subject to Section 255 of the Communications Act. The final rule went into effect on January 18, 2018. The revisions and updates to the Section 508-based standards and Section 255-based guidelines are intended to ensure that information and communication technology (ICT) covered by the respective statutes is accessible to and usable by individuals with disabilities.

1.1 SECTION 508 – INFORMATION AND COMMUNICATION TECHNOLOGY (ICT) STANDARDS

The Section 508 standards established by the Access Board are incorporated into, and made part of all VA orders, solicitations and purchase orders developed to procure ICT. These standards are found in their entirety at: Revised 508 Standards and 255 Guidelines (access-board.gov). A single PDF file version of the Revised Section 508 Standards and 255 Guidelines will be supplied upon request, or can be obtained from the Access Board website. Federal agencies must comply with the Rehabilitation Act of 1973, as amended.

The Contractor shall comply with “508 Chapter 2: Scoping Requirements” for all electronic ICT and content delivered under this contract. Specifically, as appropriate for the technology and its functionality, the Contractor shall comply with the technical standards marked here:

☐E205 Electronic Content – (Accessibility Standard -WCAG 2.0 Level A and AA Guidelines)
☒E204 Functional Performance Criteria
☒E206 Hardware Requirements
☒E207 Software Requirements
☒E208 Support Documentation and Services Requirements

1.2 COMPATABILITY WITH ASSISTIVE TECHNOLOGY

The standards do not require installation of specific accessibility-related software or attachment of an assistive technology device. Section 508 requires that ICT be compatible with such software and devices so that ICT can be accessible to and usable by individuals using assistive technology, including but not limited to screen readers, screen magnifiers, and speech recognition software.

1.3 ACCEPTANCE AND ACCEPTANCE TESTING

Deliverables resulting from this solicitation will be accepted based in part on satisfaction of Section 508 Chapter 2: Scoping Requirements standards identified above.

The Government reserves the right to test for Section 508 Compliance before delivery. The Contractor shall be able to demonstrate Section 508 Compliance upon delivery.

4.0 SHIPMENT OF HARDWARE OR EQUIPMENT

Inspection: Destination Acceptance: Destination Free on Board (FOB): Destination

Ship To and Mark For:

Primary

Alternate

Name:
Steven Smith
Name:
Eric Simmons
Address:
6900 N. Pecos Rd. N. Las Vegas NV 89086
Address:
6900 N. Pecos Rd. N. Las Vegas NV 89086
Voice:
702-791-9000 X14436
Voice:
702-791-9000X14961
Email:
Steven.smith13@va.gov
Email:
Eric.simmons3@va.gov

1.4 SPECIAL SHIPPING INSTRUCTIONS

Prior to shipping, 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 shall not make any changes to the delivery schedule at the request of Site POC.

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

All shipments, either single or multiple container deliveries, shall bear the VA IFCAP Purchase Order number (if applicable) on external shipping labels and associated manifests or packing lists. In the case of multiple container deliveries, a statement readable near the VA Integrated Funds Distribution, Control Point Activity, Accounting and Procurement (IFCAP) Purchase Order (PO) or Contract number shall indicate total number of containers for the complete shipment (e.g. “Package 1 of 2”), clearly readable on manifests and external shipping labels.

Packing Slips/Labels and Lists shall also include the following:

IFCAP PO # or Contract No.: ____________ (e.g., 166-E11234 (the IFCAP PO number is located in block #20 of the Standard Form, SF 1449)) Project Description: (e.g. Tier I Lifecycle Refresh)

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

GENERAL REQUIREMENTS

1.5 VA TECHNICAL REFERENCE MODEL

The Contractor shall comply with the VA OIT Technical Reference Model (VA TRM). Compliance with the VA TRM is achieved by using only technologies and standards that are listed as approved for use in the VA TRM. The Contractor shall provide all necessary information requested by VA to ensure TRM approval is obtained prior to use on VA’s network.

1.6 ZERO TRUST – VA CRITICAL SECURITY CONTROLS

VA has established minimum mandatory security requirements and requires that any network connected software system or service must meet the VA Critical Security Controls as outlined in the VA Memorandum, “VA Security Controls”, https://www.voa.va.gov/DocumentView.aspx?DocumentID=5010. VA Critical Security Controls identify the minimum mandatory requirements that must be implemented across all VA enterprise infrastructure, cloud computing environments, information systems, networks, and specialized devices (medical devices/systems, special-purpose systems, and research scientific computing devices) that process, store, and/or transmit VA data. Effective July 1, 2025, the Contractor shall implement these VA Critical Security Controls, within any network connected software system or service prior to being authorized for use in the VA. This functional requirement is not negotiable, and Plan of Action & Milestones (POAM) will not be accepted in the event these controls cannot be implemented for new systems. Critical Security Controls are intended to increase VA’s security posture and provide security and privacy risk visibility into the VA network and is not a new requirement. The Contractor’s failure to maintain these VA Critical Controls after implementation will result in VA discontinuing the use of the system.

1.7 SOCIAL SECURITY NUMBER (SSN) REDUCTION

The Contractor solution shall support the Social Security Number (SSN) Fraud Prevention Act (FPA) of 2017 which prohibits the inclusion of SSNs on any document sent by mail. The Contractor support shall also be performed in accordance with Section 240 of the Consolidated Appropriations Act (CAA) 2018, enacted March 23, 2018, which mandates VA to discontinue using SSNs to identify individuals in all VA information systems as the Primary Identifier. The Contractor shall ensure that any new IT solution discontinues the use of SSN as the Primary Identifier to replace the SSN with the Integrated Control Number (ICN) in all VA information systems for all individuals. The Contractor shall ensure that all Contractor delivered applications and systems integrate with the VA Master Person Index (MPI) for identity traits to include the use of the ICN as the Primary Identifier. The Contractor solution may only use a Social Security Number to identify an individual in an information system if and only if the use of such number is required to obtain information VA requires from an information system that is not under the jurisdiction of VA.

1.8 INTERNET PROTOCOL VERSION 6 (IPV6)

The Contractor solution shall support IPv6-Only based upon the memo issued by the Office of Management and Budget (OMB) on November 19, 2020 (https://www.whitehouse.gov/wp-content/uploads/2020/11/M-21-07.pdf). Which defines IPv6-only as the state of an operational system or service when IPv4 protocol functions (addressing, packet forwarding) are not in use. The NIST USGv6 profile defines technical requirements for a product to be capable of operating in IPv6-Only environments. IPv6-Only technology, in accordance with the USGv6 Program (https://www.nist.gov/programs-projects/usgv6-program/usgv6-revision-1), NIST Special Publication (SP) 500-267B Revision 1 “USGv6 Profile” (https://doi.org/10.6028/NIST.SP.500-267Br1), and NIST SP 800-119 “Guidelines for the Secure Deployment of IPv6” (https://doi.org/10.6028/NIST.SP.800-119), compliance shall be included in all IT infrastructures, application designs, application development, operational systems and sub-systems, and their integration. In addition to the above requirements, all devices, applications, and systems shall support all applicable functionality on native IPv6-Only as well as dual stack (IPv6 / IPv4) connectivity without additional memory or other resources being provided by the Government, so that they can function in a mixed environment. All public/external facing servers and services (e.g., web, email, DNS, ISP services, etc.) shall support native IPv6-Only and dual stack (IPv6 / IPv4) users and all internal infrastructure and applications shall support using native IPv6-Only and dual stack (IPv6 / IPv4) for all functionality and operations.

1.9 SOFTWARE AND LICENSING REQUIREMENTS

The Contractor shall be responsible for the provision of all software licenses and any associated licensing maintenance required for any development, delivery, integration, operation, and/or maintenance associated with its proposed application(s), software products, software solution, and/or system including, but not limited to, any and all application(s), software and/or software products that comprise, are a part of, or integrate with the Contractor’s proposed application(s), software products, software solution, and/or system for the life of any resulting contract.

1.10 TRUSTED INTERNET CONNECTION (TIC)

The Contractor solution shall meet the requirements outlined in Office of Management and Budget Memorandum M-19-26, “Update to the Trusted Internet Connections (TIC) Initiative“ (https://www.whitehouse.gov/wp-content/uploads/2019/09/M-19-26.pdf), VA Directive 6513 “Secure External Connections”, and shall comply with the TIC 3.0 Core Guidance Documents, including all Volumes and TIC Use Cases, found at the Cybersecurity & Infrastructure Security Agency (CISA) (https://www.cisa.gov/publication/tic-30-core-guidance-documents.)

1.11 CONTRACTOR PERSONNEL SECURITY REQUIREMENTS

Contractor Responsibilities:

1. The Contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain the appropriate Background Investigation, and are able to read, write, speak, and understand the English language.

Within 3 business days after award, the Contractor shall provide a roster of Contractor and Subcontractor employees to the COR to begin their background investigations in accordance with the PAL template artifact. The Contractor Staff Roster shall contain the Contractor’s Full Name, Date of Birth, Place of Birth, individual background investigation level requirement (based upon Section 6.2.1 Tasks), etc. The Contractor shall submit full Social Security Numbers either within the Contractor Staff Roster or under separate cover to the COR. The Contractor Staff Roster shall be updated and provided to VA within 1 day of any changes in employee status, training certification completion status, Background Investigation level status, additions/removal of employees, etc. throughout the Period of Performance. The Contractor Staff Roster shall remain a historical document indicating all past information and the Contractor shall indicate in the Comment field, employees no longer supporting this contract. The preferred method to send the Contractor Staff Roster or Social Security Number is by encrypted e-mail. If unable to send encrypted e-mail, other methods which comply with FIPS 140-2 (or its successor) are to encrypt the file, use a secure fax, or use a traceable mail service. (Note that by September 22, 2026, all FIPS 140-2 certificate validations will be placed on the Historical List. See FIPS Transition Effort Timeline for more details: https://csrc.nist.gov/projects/fips-140-3-transition-effort#schedule)

1. The Contractor should coordinate with the location of the nearest VA fingerprinting office through the COR. Only electronic fingerprints are authorized. The Contractor shall bring their completed Personnel Security Adjudication Center (PSAC) Fingerprint request form with them (see paragraph d.4. below) when getting fingerprints taken.

b. The Contractor shall ensure the following required forms are submitted to the COR within 5 days after contract award:

1) Optional Form 306

2) Self-Certification of Continuous Service

3) VA Form 0710

4) Completed PSAC Fingerprint Request Form The Contractor personnel shall submit all required information related to their background investigations (completion of the investigation documents (SF85, SF85P, or SF 86) utilizing the Defense Counterintelligence and Security Agency (DCSA) National Background Investigation Services (NBIS) Electronic Application (eAPP) (formerly e-QIP) after receiving an email notification from the PSAC.

The Contractor employee shall certify and release the eAPP document, print, and sign the signature pages, and send them encrypted to the COR for electronic submission to the PSAC. These documents shall be submitted to the COR within 3 business days of receipt of the eAPP) notification email. (Note: DCSA is moving towards a “click to sign” process. If click to sign is used, the Contractor employee should notify the COR within 3 business days that documents were signed via eAPP).

1. The Contractor shall be responsible for the actions of all personnel provided to work for VA under this contract. In the event that damages arise from work performed by Contractor provided personnel, under the auspices of this contract, the Contractor shall be responsible for all resources necessary to remedy the incident.

1. A Contractor may be granted unescorted access to VA facilities and/or access to VA Information Technology resources (network and/or protected data) with a favorably adjudicated Special Agreement Check (SAC), completed training delineated in VA Handbook 6500.6 (Appendix C, Section 4), signed “Contractor Rules of Behavior”, and with a valid, operational Personal Identity Verification (PIV) credential for PIV-only logical access to VA’s network. A PIV card credential can be issued once your SAC has been favorably adjudicated and your background investigation has been scheduled by DCSA. However, the Contractor will be responsible for the actions of the Contractor personnel they provide to perform work for VA. The investigative history for Contractor personnel working under this contract must be maintained in the database of DCSA.

1. The Contractor, when notified of an unfavorably adjudicated background investigation on a Contractor employee as determined by the Government, shall withdraw the employee from consideration in working under the contract.

Failure to comply with the Contractor personnel security investigative requirements may result in loss of physical and/or logical access to VA facilities and systems by Contractor and Subcontractor employees and/or termination of the contract for default.

PIV Credential Holders must follow all HSPD-12 policies and procedures as well as use and protect their assigned identity credentials in accordance with VA policies and procedures, displaying their badges at all times, and returning the identity credentials upon termination of their relationship with VA.

Deliverable:

A. Contractor Staff Roster

ADDENDUM B – VA INFORMATION AND INFORMATION SYSTEM SECURITY/ PRIVACY LANGUAGE

NOTE: In the event of a conflict, VA Acquisition Regulation (VAAR) Security Clauses take precedence over the language in this Addendum B.

APPLICABLE SECTIONS TAILORED FROM: VA NOTICE 24-12, APRIL 22, 2024, UPDATE TO VA HANDBOOK 6500.6, CONTRACT SECURITY, APPENDIX C VA INFORMATION AND INFORMATION SYSTEM SECURITY/PRIVACY LANGUAGE, FOR INCLUSION INTO CONTRACTS, AS APPROPRIATE

a. approved boundary protection devices (e.g., internet proxies, gateways, routers, firewalls, guards or encrypted tunnels).

b. The Contractor shall encrypt all traffic across the segment of the Wide Area Network (WAN) it manages and no unencrypted Out of Band (OOB) Internet Protocol (IP) traffic will traverse the network.

c. The Contractor shall ensure tunnel endpoints are routable addresses at each VA operating site.

d. The Contractor shall secure access from Local Area Networks (LANs) at co-located sites in accordance with VA TIC Reference Architecture, VA Directive and Handbook 6513, and MOU/ISA process specified in the VA Information Security Knowledge Service.

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