36C24221Q0395_2.pdf

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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 1. REQUISITION NO.

632-21-1-460-0002

36C24221Q0395

36C242

Department of Veterans Affairs

Network Contracting Office 2

James J. Peters VA Medical Center

130 West Kingsbridge Road

Bronx NY 10468-3904

X 100

X

541690

$16.5 Million

N/A

X

VA NY Harbor Healthcare System Brooklyn Campus 800 Poly Place Brooklyn, NY 11209

36C242

Department of Veterans Affairs

James J. Peters VA Medical Center

Network Contracting Office 2

130 West Kingsbridge Road

Bronx NY 10468-3904

Tungsten Network http://www.tungsten-network.com/us/en

/veterans-affairs

The Department of Veterans Affairs (VA), New York Harbor VA Healthcare System, Brooklyn VAMC and St. Albans CLC has a requirement to provide Radiation Safety Inspection & Reporting Services. The contractor shall provide all necessary equipment, labor, tools, training, certification, supervision to provide

Radiation Safety Inspection & Reporting Services . The contract will be a firm-fixed-price (FFP) type of contract with an anticipated performance period of 15 March 2021 or Date of Award, until 14 March 2022 for the base year of the contract and four (4) 12 months option periods at the option of the Government.

Period of Performance:

Base Year: 03/15/2021 or Date of Award - 03/14/2022 Option Year 1: 03/15/2022 to 03/14/2023 Option Year 2: 03/15/2023 to 03/14/2024 Option Year 3: 03/15/2024 to 03/14/2025 Option Year 4: 03/15/2025 to 03/14/2026

Please see attached Statement of Work

X X

Andres Cepeda Contracting Officer NCO 2

03/02/2021

03/12/2021

12:00 PM EST

VA NY Harbor Healthcare System St. Albans Campus 79 Linden Blvd Jamaica, N.Y 11425

Andres Cepeda andres.cepeda@va.gov

36C24221Q0395

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND COMPLIANCE (JUN

2011)

1. Qualification of the Supervisor(s) of the Group Includes:

A. Radiographic Units:

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (JAN

2017)

C.2 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (NOV 2017)

C.3 52.203-99 PROHIBITION ON CONTRACTING WITH ENTITIES THAT REQUIRE

CERTAIN INTERNAL CONFIDENTIALITY AGREEMENTS (DEVIATION) (FEB 2015) .43

C.4 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.5 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ...44

C.6 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN 1997)

C.7 VAAR 852.203-70 COMMERCIAL ADVERTISING (JAN 2008)

C.8 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (DEC 2009)

C.9 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2012)

C.10 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.11 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.12 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (NOV 2017)

ALTERNATE II (NOV 2017)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JAN 2017) 56

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (NOV 2017)

E.4 52.219-27 NOTICE OF SERVICE-DISABLED VETERAN-OWNED SMALL

BUSINESS SET-ASIDE (NOV 2011)

E.5 VAAR 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-

OWNED SMALL BUSINESS EVALUATION FACTORS (JUL 2016)(DEVIATION)

E.6 VAAR 852.219-10 VA NOTICE OF TOTAL SERVICE-DISABLED VETERAN-

OWNED SMALL BUSINESS SET-ASIDE (JUL 2016)(DEVIATION)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

(continuation from Standard Form 1449, block 18A.)

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C242 Andres Cepeda

Department of Veterans Affairs

Network Contracting Office 2

James J. Peters VA Medical Center

130 West Kingsbridge Road

Bronx NY 10468-3904

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

[] 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 [X] Monthly

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.

Tungsten Network http://www.tungsten-network.com/us/en

/veterans-affairs

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

AMENDMENT NO DATE

B.2 LIMITATIONS ON SUBCONTRACTING-- MONITORING AND

COMPLIANCE (JUN 2011)

This solicitation includes . Accordingly, any contract resulting from this solicitation will include this clause. The contractor is advised in performing contract administration functions, the CO may use the services of a support contractor(s) retained by VA to assist in assessing the contractor's compliance with the limitations on subcontracting or percentage of work performance requirements specified in the clause. To that end, the support contractor(s) may require access to contractor's offices where the contractor's business records or other proprietary data are retained and to review such business records regarding the contractor's compliance with this requirement. All support contractors conducting this review on behalf of VA will be required to sign an “Information Protection and Non-Disclosure and Disclosure of

Conflicts of Interest Agreement” to ensure the contractor's business records or other proprietary data reviewed or obtained in the course of assisting the CO in assessing the contractor for compliance are protected to ensure information or data is not improperly disclosed or other impropriety occurs. Furthermore, if VA determines any services the support contractor(s) will perform in assessing compliance are advisory and assistance services as defined in FAR 2.101, Definitions, the support contractor(s) must also enter into an agreement with the contractor to protect proprietary information as required by FAR 9.505-4, obtaining access to proprietary information, paragraph (b). The contractor is required to cooperate fully and make available any records as may be required to enable the CO to assess the contractor's compliance with the limitations on subcontracting or percentage of work performance requirement.

VA NEW YORK HARBOR HEALTHCARE SYSTEM

RADIATION SAFETY SERVICE

800 POLY PLACE

BROOKLYN, NY 11209

STATEMENT OF WORK

ANNUAL QC OF THE X-RAY UNITS

Annual QC of Diagnostic Unit in Brooklyn and St. Albans Campuses.

Introduction/Background

The VA New York Harbor Healthcare System provides quality health care to veterans using the abilities of all employees supported by our commitment to education and research.

We are recognized locally, regionally, and nationally as a leader in quality patient care, positive customer service, medical/allied health education, health-related research and employment opportunities. We seek to be the provider of choice of veterans and the community by offering an efficient, integrated quality health care system capable of providing a full range of primary, specialty and chronic health care services in a system that is readily accessible and responsive to change.

Our key business drivers are quality, financial integrity, patient satisfaction and employee satisfaction.

Because of potential hazards involved in the use of radioactive materials, the VA recognizes the need for a Radiation Safety Program. The program is intended to protect personnel from unnecessary radiation exposure, to prevent contamination of our natural resources and to meet the state and federal regulations governing the possession and use of radioisotopes. Radiation can be an invaluable tool in healthcare and research and properly used can provide great benefits to mankind with little or no attendant risk. However, improper use can bring risk of high radiation exposure resulting in chronic illness, injury or even death.

The key objectives of the Radiation Safety Programs are:

• To make every reasonable effort to maintain radiation exposures, and releases of radioactive material in effluents to unrestricted areas As Low As is Reasonably

Achievable (ALARA). The concept of ALARA is applied taking into account the state of technology and the economics of improvements in relation to benefits to the public health and safety, and other societal and socioeconomic considerations

• To ensure control of the possession and use of "Sources of Radiation" in VA operations, research and operating programs to minimize, insofar as practicable, hazards to personnel and loss of property arising from the use of such materials

• To ensure compliance with all Federal, State and local laws covering the use of such materials, machines and devices.

Objectives/Requirements

Attached are the specifications regarding:

Section (1) qualifications of the contractor physicists, Section (2) records and reports of the QC of each unit, Section (3) specifications of quality control tests of diagnostic units, Section (4) calculation of entrance exposure dose and organ dose, Section (5) general facility information and requirements, Section (6) Table of X-ray, CT, MRI and SPECTs units in each service and number of lead aprons.

located in the Brooklyn and St. Albans Campuses

Essential specifications:

1. The contractor must be knowledgeable regarding the JCO and New York State, New

York City, FDA, ACR, AAPM and National Health Physics Program (NHPP) standards for quality control of the radiological diagnostic units.

2. The contractor must be board certified by the American Board of Radiology (ABR) or the

American Board of Medical Physics (ABMP) in Radiological imaging.

3. The contractor must have liability insurance.

4. The contractor must provide necessary information as described in the attachment section

(1) for the VA panel to assess the qualification of the contractors.

5. The QC report must contain information that is described in section (2) of the attachment.

It is essential that the contractor follows reporting format as described in section (2). It is also essential that all described tests as indicated in section (3) and (4) for each unit be included in the report plus any other recommended tests e.g. recommendations from

FDA, New York State, AAPM , ACR and the VA National Health Physics Program

(NHPP) . All parameters and a brief explanation of each test must also be included in the reports. Three copies of the report must be provided by the contractor. One copy is to be sent to the Chief of the Service in which the X-ray units have been inspected, the second copy must be sent to the Radiation Safety Officer (VA Physicist) and a third copy is to be sent to the Chief, Biomedical Engineering.

6. The contractor must notify the RSO of his inspection schedule at least two weeks in advance.

7. The contractor must notify the Chief of the Service (or his representative) and the RSO regarding any non-compliance items immediately after the inspection of the equipment.

In addition, the RSO must be notified immediately when a unit output exposure level is above regulatory standards.

8. Four of the diagnostic inspections must be conducted in the presence of the RSO, VA's physicist.

9. The reports will be reviewed by the VA RSO and the contractor must willingly answer any questions that the RSO has regarding the contractor's report.

10. The contractor is responsible for providing all calibration, scanning, and survey equipment necessary for the successful completion of the work detailed in the “Scope of

Services”.

11. The contractor must be available during the JCO visit. In this case a separate purchase order will be issued for the contractor.

12. The contractor must be available when radiology service needs the contractor for different physics activities such as shielding assessment and QC of the new unit. In this case a separate purchase order will be issued for the contractor.

Attachments:

Section (1) Qualifications of the Contractor:

1. Qualification of the Supervisor(s) of the Group Includes:

a. Number of years’ experience in performing the annual QC of the X-ray units.

b. Copy of certificate and educational degrees.

c. Reference letters from the Chief of Radiology service regarding the supervisor (s) annual calibration of X-ray units.

d. Indicate % of the time that the supervisor(s) or a Certified Physicist are physically present during the annual QC of X-ray units. (Note that the % of the time that supervisor spends physically at the site during QC will be monitored by the VA staff; any deviation from the contractor’s statement will result in termination of the contract.)

e. Copies of the previous, MRI, SPECT, RF room, C-arm and CT scan.

Section (2) Records and Reports of the QC of Each Unit:

The final written report must include:

a. Date of inspection.

b. Location of the X-ray unit (room number) and service/department.

c. Manufacturer, model number, and serial number of the radiography, CT, MRI and

SPECT.

d. Manufacturer, model number, and serial number of the X-ray tube.

e. Brief explanation of each procedure of the QC test and parameters used.

800 POLY PLACE

BROOKLYN, NY 11209

f. Brief explanation of all generated data or calculated results.

g. Any advice regarding the JCO, New York City and State and Food and Drug

Administration (FDA), American College of Radiology (ACR) standards, and

AAPM (American Association of Physicist in Medicine) must be recorded in the summary of the report.

h. Any non-compliance item, which is compared with the JCO, New York State and

New York City, FDA, ACR and AAPM standards must be recorded in the summary of the report.

i. List of measuring equipment and date of calibration.

j. Provide a posting table of patient’s dose for each technique and skin entrance exposure dose to be posted in each room.

k. Three copies of the report must be provided by the contractor. One copy is to be sent to the Chief of the service in which the X-ray units have been inspected, the second copy must be sent to the Radiation Safety Officer and a third copy is to be sent to the Chief, Biomedical Engineering.

l. A table of the X-Ray units and the date of the inspection of each unit (similar to the attached table). See section (6).

Section (3): Specifications of Quality Control Tests of Diagnostic Units:

A. Radiographic Units:

Required tests as described by the New York City Article 175 and New York State regulations

Part 16, JCO and ACR and AAPM recommendations must be completed annually.

In addition, the following tests are expected to be included:

1. Collimator:

m. Field Size Indicator.

n. Light Field/X-Ray Field Alignment

o. Assessment of the Center alignment with image receptor

p. Assessment of the Positive Beam Limitations (if available)

q. Measurement of the light illumination on a designated Collimation

2. Assessment of SID Indicators.

3. Assessment of Half-Value Layer

4. Determine mA Exposure Linearity

5. Determine kVp Accuracy (from 50 kVp to maximum available kVp)

6. Timer Accuracy/Reproducibility

7. AEC Control

a. Reproducibility of the radiation sensing cells (RSCs) at zero density with an average size patient thickness.

b. Uniformity of the RSCs at zero density with average size patient thickness.

c. Sensitivity of all exposed RSCs versus different density dials with average size patient thickness.

d. Sensitivity of all exposed RSCs versus different phantom thicknesses at zero density.

The phantoms must simulate an average adult patient thickness and a small adult patient size thickness.

e. Sensitivity of all exposed RSCs versus 80 and 90 kVps at zero density with an average size patient thickness phantom.

8. Positive Beam Limitation (PBL).

7. Focal Spot Determination. (If it is required by City or State or FDA.)

8. KvP Accuracy from minimum used to maximum KvP used.

9. Measure output (mR/mAs) at several KvPs in accordance with current available protocol recognized by the scientific communities. Provide a characteristic output curve (mR/mAs) verses

KvP for each diagnostic unit.

10. Calculate the dose to each radiation effected organ and Cancer Determination Index in accordance with current available protocol recognized by scientific communities. The contractor may use reference No.1.

11. Provide a posting table of determined dosage in step 10 for each technique which is used. The table will be posted in each room.

Reference [1]: Marvin Rosenstein, Ph.D. Handbook of Selected Tissue Dose for Projections

Common in Diagnostic Radiology, U.S Department of Health And Human Services, December 19, 1998.

B. VARIOUS SAFETY CHECKS that shall be checked in each diagnostic X-ray room.

a. Visual inspection of cables, connectors, etc.

b. Fluoroscopic lead drapes.

c. Warning light over entrance door.

d. Door interlock- entrance door.

e. Door interlock- control booth door.

f. Radiographic tube locking devices.

800 POLY PLACE

BROOKLYN, NY 11209

g. Collimator light.

h. Console panel lights.

i. Controls.

j. Table controls movements and locks.

k. Bucky trays.

l. Fluoroscopic carriage movement and locks.

m. Review the technologists’ QC logbook.

B. Fluoroscopic Equipment.

Required tests as described by the New York State and City Article 175 and New York State regulations Part 16 and ACR, AAPM recommendations and JCO requirements must be completed on an annual basis. In addition, the following tests must be performed.

1. X-Ray field -Image Intensifier Alignment.

2. KvP, Accuracy from 50 KvP to maximum available KvPs.

3. Half-Value Layer.

4. Fluoro entrance exposure rate in: manual mode for different KvPs and automatic mode or any other available mode such as pulse mode/and or digital mode and frame rate at different available fields of views for: Small adult (pediatric), average adult, large adult and heavy patient.

5. Provide a posting table of measured entrance exposure rate level to be posted in the fluoroscopic room.

6. Compare the measured dosage from fluoroscopic unit with the displayed values in accordance with the manufacturer recommendations or current protocols recommended by the ACR or

AAPM.

7. Observe the lead aprons and make sure that necessary lead aprons, gonad leaded aprons or other protective equipment are available in the room. A list of lead apron should be posted in the room.

8. Report and record all non-compliance items.

D. Dental Units: Intraoral, Panoramic and Portable.

Required tests as described by the New York City Article 175 and New York State regulations

Part 16 and ACR, AAPM recommendations and JCO requirements must be completed on an annual basis. In addition, the following the following test must be performed.

1. Assessment of Minimum source Skin Distances

2.Diameter of useful beam.

3. Assessment of Patient Exposure (mR) at a normal technique.

4. Determination of HV layer.

5. Determine Patient’s exposure time related to our digital detectors.

6. Provide a posting table showing patient’s exposure for all units.

7. Mechanical support.

8. Availability of lead aprons.

D.1. Dental Unit: Cone Beam Computed Tomography (CBCT) QC

Required tests as described by the New York City Article 175 and New York State regulations

Part 16 and ACR, AAPM recommendations and JCO requirements must be completed on an annual basis. In addition, the following the following test must be performed

1. System Resolution

2. Distance Measurements Accuracy.

3. CT Number Accuracy

4. Uniformity

5. Artifact evaluation

6. Tube output reproducibility

7. kVp accuracy and HVL.

8. Beam size accuracy

9. Measurement of Dosage (CTDI vol).

E. Listed below are tests that the Contractor shall perform on the computerized tomography (CT SCANNERS) on an annual basis.

Recommended tests as described by American College of Radiology ACR, reference # 2 are expected to be completed. In addition, the following tests must be performed.

1. Review of clinical Protocols

2. Scout Prescription and Alignment Light Accuracy

3. Image thickness

4. Table travel Accuracy

5. Radiation beam width

6. Low contrast Performance

7. Spatial Resolution

8. CT number accuracy

9. Artifact evaluation

10. CT # uniformity

11. Dosimeter: CTDI w for head, adult and pediatric abdomen.

12. Gray level performance of CT Acquisition Display

13. Monitors

14. Quality control of printer.

15. Display Monitor Quality Control.

Reference [2]: ACR 2012 Computer Tomography Quality Control, Dianna D. Cody, Ph.D., Doug

Pfeiffer, MS , Michael E. McNitt-Gray, Ph.D.: Tomas G. Ruckdeschel, M.S; Keith J. Strauss, MS, FACR

F. Quality Control in Mammography: All tests must be performed by the contractor on an annual basis in accordance with FDA. In addition, the following tests must be performed.

1. Mammographic Unit Assembly Evaluation.

2. Collimation assessments.

3. Focal spot size measurement

4. KvP accuracy and reproducibility.

5. Beam quality (Half value).

6. Automatic exposure control.

7. Uniformity of screen speed.

8. Breast entrance exposure and average glandular dose.

9. Image quality evaluation.

10. Artifact evaluation.

11. Review of the technologist’s QC logbook.

12. Perform necessary tests as required by ACR, FDA

Note! Image quality evaluation for digital mammography must be performed in accordance with the manufacturer.

G. Quality Control of Digital Image Detectors:

The tests that are recommended by AAPM or the manufacturer must be performed: In addition, the following tests must be performed.

1. Reproducibility of Exposure Index (EI) at a particular technique.

2. Low contrast resolution.

3. Spatial resolution.

4. Geometric Distortion.

5. Artifact Evaluation.

6. Grayscale Display (proper display of grayscale brightness variation).

7. Comparison of Detector Sensitivity (EI) with manufacturer recommendations.

8. Linearity of the detector at three sets of mAs.

9. Image plate uniformity

10. Comparison of the measured dose area product (DAP) with the displayed (DAP) in accordance with the manufacturer specification.

H. MRI Magnetic Resonance Imaging;

All tests that are recommended by ACR reference 3, Medical Physics section, must be performed by a an ABR certified medical physicists. The following tests are expected to be performed by the physicist:

1. Table positioning and set-up scanning.

2. Console Assessment

3. Monitor Display QC.

4. Magnetic field homogeneity

5. Center frequency

6. Geometric Accuracy

7. High-Contrast Spatial Resolution

8. Low contrast detectability

9. Slice Position Accuracy

10. Slice Thickness Accuracy

11. Image Intensity Uniformity

12. Percent signal Ghosting

13. Artifact Analysis

14. Radio Frequency Coils (clinically used)

15. MR Safety Program Assessment

16. Review of the Tech QC

Reference [3]: 2015, ACR Magnetic Resonance Imaging, Quality Control Manual

I. Nuclear Medicine Camera and PET.

G.1 SPECT and PET Camera: Two Nuclear Medicine SPECT Cameras, SMV DST-XLE, GE-

Infinia and PET must be checked in accordance with the current AAPM protocols and JCO requirements. In addition, the following tests must be performed by the contract:

1. Uniformity

2. Spatial Resolution

3. Energy Peak

4. SPECT Performance using Jaszcak Phantom to evaluate the camera resolution, contrast, uniformity and artifact.

5. System interlocks (Safety switches)

6. Acquisition Workstation QC (evaluation of SMPT test patterns)

The following tests are expected to be performed by the contractor for PET camera:

1. Resolution

2. Uniformity

3. Low-Contrast Detectability

4. Dose Calibrator Q.C.

5. Image Artifact

6. ACR PET Accreditation (SUV analysis worksheet)

7. PET Quality Control

CT tests of the PET/CT: The CT/PET camera must be tested in accordance with the current ACR and AAPM and/or manufacturer recommendations. In addition, the following the following test must be performed.

a. However, the following tests are expected to be performed by the contractor:

1. CT Number Accuracy

2. Image Noise

3. Field uniformity

4. Slice thickness

5. Slice Positioning Accuracy Indicator

6. Slice increment accuracy

7. KvP Accuracy and HVL measurements.

8. CT Number Scale Accuracy

9. Display Monitor (SMPTE)

10. Display Monitor Luminance

11. Display Monitor Uniformity

12. Dose Profile width

13. Spatial Resolution

14. Low contrast detectability

15. Dose measurement Head and Body

16. Review the Daily, weekly, quarterly QC performed by technologists.

CT Tests of the SPECT Camera: CT/SPECT camera must be tested in accordance with the current ACR and AAPM and/or manufacturer recommendations. In addition, the following tests must be performed:

1. CT number accuracy

2. Noise

3. Uniformity

4. Artifact evaluation

5. Low Contrast Detectability

6. Density Test (CT Number Scale)

7. Special Resolution

8. Slice Thickness

9. Slice Position Accuracy

10. Measure CTDIvol for a half and full rotation

11. Review Daily, weekly, quarterly QC performed by Technologists

J. Shielding Integrity of Lead Aprons

Shielding integrity of lead aprons, lead gloves and lead collars throughout the hospital must be determined by the contractor. Defective aprons must be reported to the responsible service for disposal. Aprons which have passed the test must be labeled, with the date of test, name of service, room # and initial of the contractor. The contractor is expected to provide a list of lead aprons throughout the hospital. This report includes number of aprons gloves and collars in each room.

Estimated total number of lead aprons, whole bodies, collars and gloves: 300

Section 4: Calculation and measurements of Entrance Exposure Dose and Organ Dose

• This inspection should include the calculation of a patient's entrance exposure dose and a patient's organ dose for all procedures performed in each X-ray room. A posting table of absorbed dose for each technique must be provided for each unit.

• Recent diagnostic units such as: CT, C-arm, Radiography and portable digital X-rays have a feature on which the dose to patient is given. This information is given by the Dose Area

800 POLY PLACE

BROOKLYN, NY 11209

Product and or by the Dose to the patient. The contractor is expected to compare the dose values on each unit with his measurements in accordance with manufacturer recommendations.

Section 5: General Facility Information and Requirements:

Place of Performance

Services will be provided at the Radiation Safety Service located at

VA NY Harbor Healthcare System

Brooklyn Campus

800 Poly Place

Brooklyn, NY 11209

VA NY Harbor Healthcare System

St. Albans Campus

79 Linden Blvd

Jamaica, N.Y 11425

Compliance

The contractor(s) will be compliant with the Joint Commission Accreditation of Health Care

Organization (JCO), FDA regulations, New York City and State Requirements and ACR, AAPM recommendations, and the VA Medical Center Regulations.

800 POLY PLACE

BROOKLYN, NY 11209

Information Security and Privacy

The contractor(s) will complete all NYHHS mandatory training which include but not limited to the following:

1. CO Compliance and Business Integrity (CBI) Awareness

2. VA privacy and Information Security Awareness

3. Privacy and HIPAA Training

Billing/Payments

The Radiation Safety Service shall establish and maintain a record keeping system that will record the hours worked by the contractor employee(s). Contractors shall report to the COR or designee upon arrival at the facility.

Invoices must be submitted to the COR delegated to this contract as well as submitted elsewhere as directed on the approved contract. The COR or designee will maintain all invoices and will review them for accuracy prior to payment.

Contractor will be paid monthly, in arrears by certified invoice, after receipt of proper invoice.

Invoice must reference the contract number and purchase order number, and contain the remittance name and complete address, including telephone number.

Security Clause

Contractor Personnel Security Requirements

800 POLY PLACE

BROOKLYN, NY 11209

All contractor employees who require access to the Department of Veteran’s Affairs computer systems shall be subject of a background investigation and must receive a favorable adjudication from the VA office of Security Investigation Center prior to contract performance. This requirement is applicable to all subcontractor personnel requiring the same access. If the investigation is not completed prior to the start date of the contract, the contractor will be responsible for the actions of those individuals they provide to perform work for the VA.

Position Sensitivity – The position has been designated as LOW RISK

Background Investigation – The level of background investigation commensurate with the required level access is NACI

Contractor responsibilities

The contractor shall bear the expense of obtaining background investigations. If the investigation is conducted by the Office of Personnel Management (OPM), the contractor shall reimburse the VA within 30 days.

The contractor shall prescreen all personnel requiring access to the computer systems to ensure they maintain a US citizenship and are able to read, write, speak and understand the English language

The Contractor shall submit or have their employees submit any required forms from the

VA Office of Security and Law Enforcement within 30 days of receipt.

Dress Code

Dress code for contractor employees shall follow hospital policy.

800 POLY PLACE

BROOKLYN, NY 11209

Section 6: Table of X-ray, CT, MRI and SPECTs Units in Each Service and Number of

Lead Aprons:

0 Service Location Unit Manufacturer

ROM # Model

1 Cardiology 10-213 Fluoro Siemens-Coroskop

2 Cardiology 10-215-EPA Lab Fluoro-C-ARM Philips BV

3 Dental BK I-403 Panoramic Planmeca

4 Dental BK I-403 & CBCT Planmeca

5 Dental BK I-403 Intra-Oral Planmeca

6 Dental BK I-408 -Surgery Intra Oral Planmeca-Prox

7 Dental BK Room-A X-ray tubes Intra Oral Planmeca

8 Dental BK Room-B X-ray tubes Intra Oral Planmeca

9 Dental BK Room-C X-ray tubes Intra Oral Planmeca

10 Dental BK Room-D X-ray tubes Intra Oral Planmeca

11 Dental BK Room-E X-ray tubes Intra Oral Planmeca

12 Dental BK Room-F X-ray tubes Intra Oral Planmeca

13 Dental BK Room-G X-ray tubes Intra Oral Planmeca

14 Dental BK Room-H X-ray tubes Intra Oral Planmeca

15 Dental BK Room-I X-ray tubes Intra Oral Planmeca

16 Dental St. Albans A-271 Panoramic Planmeca

17 Dental St. Albans A-271 And CBCT Planmeca

18 Dental St. Albans Op[eratory #1 Intra Oral Planmeca

19 Dental St. Albans Operatory # 3 Intra Oral Planmeca

20 Dental St. Albans Operatory # 5 Intra Oral Planmeca

21 Dental St. Albans Portable

Intra Oral portable Gendex

4th Floor North

East used to be OR -7 Fluoro-C-Arm Philips

800 POLY PLACE

BROOKLYN, NY 11209

23 Nuclear Med 2 Floor SPECT Infinia/GE Hawkeye

24 Nuclear Med 2.nd floor CT of SPECT Infinia/GE

25 Nuclear Med 2nd Floor SPECT SMV DST

26 Nuclear Med 2nd Floor PET GE

27 Nuclear Med 2nd floor CT of the PET GE

28 Pain Clinic s 3th Floor (pain clinic) Fluoro-C-Arm Philips-Veradius

29 OR 4t Floor Fluoro-C-Arm Philips-Veradius

30 OR $th Floor Mini-C-arm Hologic

Radiology

(Mammography)

7th Floor( Installed May

2020) Room 7-316

3Dimention-

Hologic GE (Hologenic)

Radiology

(Mammography) Room 7-316

Stertactic-

Equipment

Evaluation GE (Hologenic)

Radiology

(Mammography)

Work Station in Brooklyn

7-318 Installed Jun MDMC-12133 Barco

Radiology

(Mammography)

Work Station in

Manhattan Room-6563 Barco Barco

35 Radiology 3-floor -CT CT

Toshiba 64-Slice

Aquilion

36 Radiology Room 3-511 Siemens-Artis Zee Artis Zee

37 Radiology Room 3-506 (Radiography) CareStream DRX Evolution

38 Radiology Room 3-506 DR-Wall

2 DRs Wall and

Table

39 Radiology Room 3-506 DR Table

40 Radiology Room 8-Radiography Radiography GE-Advantx

41 Radiology Room-8 Fluoro GE

42 Radiology Room 8 One DR GE

43 Radiology Room-9 Radiography GE

44 Radiology Room-9 Fluoro GE

45 Radiology Room-9 One DR GE

46 Radiology Portable. Digital #1 Radiography Carestream

47 Radiology & One DR One DR Carestream

48 Radiology Port. Digital #2 Radiography Carestream

49 Radiology One DR for Part. #2 One DR Carestream

50 Radiology Portable # 3 Digital Radiography Carestream

51 Radiology One DR Rad & one Dr Carestream

52 Radiology G-Floor Out-Patient CT CT Toshiba Aquilion

53 Radiology

Out Patient Clinic Room

G-723 Radiography

Carestream-DRX

Evolution-

54 Radiology One Wall DR DR Model:RSD

55 Radiology One Table DR DR Model:RSD

56 Radiology G-Floor MRI Philips Ingenia

Radiology St.

Albans 4-A359

Digital

Radiography Philips

Radiology St.

Albans One Wall DR DR Philips

Radiology St.

Albans One Table DR DR Philips

Radiology St.

Albans Portable #4 Digital Digital Rad & Carestream

Radiology St.

Albans One DR Dr Carestream

Radiology St.

Albans Corner Room Across A-349 BV Pulsera Philips

Radiation

Oncology Sim CT Sim

Philips Brilliance-Big

Bore

Radiation

Oncology Varain Room LINAC-CT Truebeam STX

65 Urology OP Fluoro-C-Arm Philips-Veradius

66 Lead Aprons 300 pieces

Expected Two

Business days work

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

12.00 MO __________________ __________________

Radiation Safety Inspection and Reporting Services. Please see equipment list.

Contract Period: Base POP Begin: 03-15-2021 POP End: 03-14-2022 equipment list.

Contract Period: Option 1 POP Begin: 03-15-2022 POP End: 03-14-2023 equipment list.

Contract Period: Option 2 POP Begin: 03-15-2023 POP End: 03-14-2024 equipment list.

Contract Period: Option 3 POP Begin: 03-15-2024 POP End: 03-14-2025 equipment list.

Contract Period: Option 4

POP Begin: 03-15-2025 POP End: 03-14-2026

GRAND TOTAL __________________

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

ITEMS (JAN 2017)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The

Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered;

and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims

Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the

Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the

Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the

Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by

Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt

Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212-

5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting

Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the

Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in 32.608-2 of the Federal Acquisition Regulation in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the

Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The

Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance. In the event of termination for cause, the Government shall not be liable to the Contractor for any amount for supplies or services not accepted, and the

Contractor shall be liable to the Government for any and all rights and remedies provided by law. If it is determined that the Government improperly terminated this contract for default, such termination shall be deemed a termination for convenience.

(n) Title. Unless specified elsewhere in this contract, title to items furnished under this contract shall pass to the Government upon acceptance, regardless of when or where the Government takes physical possession.

(o) Warranty. The Contractor warrants and implies that the items delivered hereunder are merchantable and fit for use for the particular purpose described in this contract.

(p) Limitation of liability. Except as otherwise provided by an express warranty, the Contractor will not be liable to the Government for consequential damages resulting from any defect or deficiencies in accepted items.

(q) Other compliances. The Contractor shall comply with all applicable Federal, State and local laws, executive orders, rules and regulations applicable to its performance under this contract.

(r) Compliance with laws unique to Government contracts. The Contractor agrees to comply with 31 U.S.C. 1352 relating to limitations on the use of appropriated funds to influence certain

Federal contracts; 18 U.S.C. 431 relating to officials not to benefit; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 41 U.S.C. 4712 and 10 U.S.C. 2409 relating to whistleblower protections; 49 U.S.C. 40118, Fly American; and

41 U.S.C. chapter 21 relating to procurement integrity.

(s) Order of precedence. Any inconsistencies in this solicitation or contract shall be resolved by giving precedence in the following order:

(1) The schedule of supplies/services.

(2) The Assignments, Disputes, Payments, Invoice, Other Compliances, Compliance with

Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) The clause at 52.212-5.

(4) Addenda to this solicitation or contract, including any license agreements for computer software.

(5) Solicitation provisions if this is a solicitation.

(6) Other paragraphs of this clause.

(7) The Standard Form 1449.

(8) Other documents, exhibits, and attachments

(9) The specification.

(t) System for Award Management (SAM).

(1) Unless exempted by an addendum to this contract, the Contractor is responsible during performance and through final payment of any contract for the accuracy and completeness of the data within the SAM database, and for any liability resulting from the Government's reliance on inaccurate or incomplete data. To remain registered in the SAM database after the initial registration, the Contractor is required to review and update on an annual basis from the date of initial registration or subsequent updates its information in the SAM database to ensure it is current, accurate and complete. Updating information in the SAM does not alter the terms and conditions of this contract and is not a substitute for a properly executed contractual document.

(2)(i) If a Contractor has legally changed its business name, "doing business…