36C24419Q0236-0001000.docx

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended, by one of the following methods:

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

E. IMPORTANT:

is extended,

(a) By completing Items 8 and 15, and returning __________ copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGMENT TO BE RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY is not extended.

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

is required to sign this document and return ___________ copies to the issuing office.

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

RESULT IN REJECTION OF YOUR OFFER. If by virtue of this amendment you desire to change an offer already submitted, such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

Except as provided herein, all terms and conditions of the document referenced in Item 9A or 10A, as heretofore changed, remains unchanged and in full force and effect.

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.243 (Type or print) (Type or print) (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

(Number, street, county, State and ZIP Code) (If other than Item 6) (Specify type of modification and authority) (such as changes in paying office, appropriation date, etc.)

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

13. THIS ITEM APPLIES ONLY TO MODIFICATIONS OF CONTRACTS/ORDERS,

IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 01-25-2019 642-19-1-449-0004 00244 Department of Veterans Affairs Network Contracting Office 4

00244 Department of Veterans Affairs Network Contracting Office 4

To all Offerors/Bidders

36C24419Q0236

X x x x

This amendment to the RFQ (see block 9a) provides the following information:

1. updated CLINS based on questions received

2. Answers to Questions received

3. RFQ close date has been extended by two (2) days. New close date is Wednesday, January 30, at 12 noon Eastern.

Base Year Period of Performance:

February 2019 thru February 2020

PRICE/COST SCHEDULE | ITEM INFORMATION

UNIT

JOB

Base year period TOTAL:

1st Option Year Period of Performance:

February 2020 thru February 2021

PRICE/COST SCHEDULE | ITEM INFORMATION

UNIT

JOB

Option year #1 period TOTAL:

2nd Option Year Period of Performance:

February 2021 thru February 2022

PRICE/COST SCHEDULE | ITEM INFORMATION

UNIT

JOB

Option year #2 period TOTAL:

3rd Option Year Period of Performance:

February 2022 thru February 2023

PRICE/COST SCHEDULE | ITEM INFORMATION

UNIT

JOB

Option year #3 period TOTAL:

4th Option Year Period of Performance:

February 2023 thru February 2024

PRICE/COST SCHEDULE | ITEM INFORMATION

UNIT

JOB

Option year #4 period TOTAL:

Total Contract Value:

Base year; plus 4 option years

1. On page 8, Item number 0006, SPECT Acceptance testing performed according to VA and vendor specifications. Can you please clarify and provide VA and vendor specifications?

2. On page 8, Item number 0007, SPECT/CT Acceptance testing performed according to VA and vendor specifications. Can you please clarify and provide VA and vendor specifications?

3. Is there a current incumbent?

The answers for 1 and 2 (above) will also pertain to these additional line items:

· 1st Option year: 1006 / 1007

· 2nd option year: 2006 / 2007

· 3rd Option year: 3006 / 3007

· 4th option year: 4006/ 4007 Answer to Question #1:

1. Vendor specifications are available, and should be obtained from the following respective vendors directly or from their web sites:

1. Nuclear Medicine Imaging Equipment

1. Siemens

1. PET -CT Biograph,

1. SPECT Symbia,

1. SPECT -CT Symbia-T,

1. E-cam gamma-SPECT camera

1. MRI – Avanto and Espree 1.5 Tesla

1. Spectrum-Dynamics

1. D-SPECT cardiac SPECT

1. CT Scanners in Radiology

1. Toshiba Aquilion-One [320-dectector CT]

1. Philips Ingenuity Elite [effective 128-deteotr CT ]

1. CT Simulator in Radiation Oncology

2. GE Lightspeed RT [16-detector CT]

Answer to Question #2:

1. Sources of testing information for SPECT and SPECT-CT [and MRI and PET] Any medical physics group applying for this contract should know the following sources for acceptance and/or annual performance testing and QC evaluations.

The following are available on line and are not the only sources. They are among the major information sources:

1. the vendor’s testing procedures for specific tests and performance specifications are available in their operator’s manual or from their physics technical support upon request

1. the American College of Radiology’s performance testing procedures described in its

1. Quality Control Manuals for CT and ACR CT Guidelines

1. The 2004 and updated 2015 ACR MRI QC Manual

1. ACR PET Accreditation Requirements and/or ACR Nuclear Medicine and PET accreditation requirements

1. The Society of Nuclear Medicine’s Quality Assurance Committee recommendations, performance testing and quality control information in their Journal such as

2. “Routine QC of Clinical Nuclear Medicine instrumentation: A Brief Review Journal of Nuclear Medicine July 2008 vol. 49 no. 7 1114-1131

2. European Association of Nuclear Medicine’s Guidelines on Quality Control for Nuclear Medicine Instrumentation Maria Lyra et al Dec2007

1. The American Association of Physicists in Medicine Task Force Reports , Training Programs and papers such as

3. Quantitation of SPECT Performance – TG Report # 52

3. “SPECT: Acceptance Testing and QC Programs” – 2012 Summer School Frederic.fahey@childrens.harvard.edu

3. ACR-AAPM Technical Standard for Medical Physics Performance Monitoring of SPECT-CT Equipment 2014 Revised Resolution 35.

1. NEMA (National Electrical Manufacturing Association) Standards are available but have to be purchased.

Answer to Question #3:

No, this is a newly established long-term contract for this VA facility

End of Document