36C24520R0043-001.docx

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

36C24520R0043 01-22-2020 Corey Black

(304) 429-6741 X3645 02-07-2020

2:00 PM EST

Department of Veterans Affairs Network Contracting Office 5 (NCO 5) 90C

NCO 5

1540 Spring Valley Dr Huntington WV 25704 X X x Y 541611 $16.5 Million N/A X Hershel Woody Williams VA Medical Center Network Contracting Office 5

NCO 5

1540 Spring Valley Dr Huntington WV 25704 Department of Veterans Affairs Network Contracting Office 5 (NCO 5) Satelite Office 1540 Spring Valley Drive Huntington WV 25704

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135 Contractor shall provide all labor, materials, equipment, and personnel/supervision for Joint Commission Inspections for VISN 5 VA Medical Centers.

This RFQ is for a single award BPA covering VISN 5 VAMC's.

This BPA shall be for a five-year period, which includes five, one-year ordering periods as noted in the price schedule.

Request for Inquiries (RFI) are due on January 27, 2020 at 2:00 PM EST.

Sumbit all proposals and RFI's to Corey.Black@va.gov.

Proposals are due by 02/07/2020 at 2:00 PM EST SDVOSBs, VOSB, and Small Businesses may submit offers for this Requirement.

X X X Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

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

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C245 Department of Veterans Affairs Network Contracting Office 5 (NCO 5) 90C

NCO 5

1540 Spring Valley Dr Huntington WV 25704

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

3. INVOICES: Invoices shall be submitted in arrears:

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.

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp Invoice Setup Information 1-877-489-6135 ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 MANDATORY TERMS AND CONDITIONS

Description of Agreement: The supplier shall furnish supplies or services, described in general terms, if and when requested by the contracting officer (or the authorized representative of the contracting officer) during a specified period and within a stipulated aggregate amount, if any.

Extent of obligation: The Government is obligated only to the extent of authorized purchases actually made under the BPA.

Purchase limitation dollar limitation: $7,000,000.

Individuals authorized to purchase under the BPA: Any VISN 5 Contracting Officer Delivery tickets, when applicable: All shipments under the agreement shall be accompanied by delivery tickets or sales slips that shall contain the following minimum information:

(i) Name of supplier.

(ii) BPA number.

(iii) Date of purchase.

(iv) Purchase number.

(v) Itemized list of supplies or services furnished.

(vi) Quantity, unit price, and extension of each item, less applicable discounts (unit prices and extensions need not be shown when incompatible with the use of automated systems, provided that the invoice is itemized to show this information).

(vii) Date of delivery or shipment.

Invoices. A summary invoice shall be submitted at least monthly or upon expiration of this BPA, whichever occurs first, for all deliveries or services made during a billing period, identifying the delivery tickets or services covered therein, stating their total dollar value.

36C24520R0043 Page 3 of58 Page 1 of Page 1 of

B.2 STATEMENT OF WORK

For Joint Commission Continuous Readiness Mock Surveys and Education Program

VISN 5

The following Statement of Work outlines contractor requirements regarding the provision of The Joint Commission (TJC) Continuous Readiness Assessment Services and Educational Programs to six (6) of the VISN 5 facilities along with their respective sub-stations and Community Based Outpatient Clinics:

· VA Maryland Health Care System (STA 512), Maryland (Multi-Division Site)

· Beckley VAMC (STA 517), Beckley, West Virginia

· Louis A Johnson VAMC (STA 540), Clarksburg, West Virginia

· Martinsburg VAMC (STA 613), Martinsburg, West Virginia

· Washington DC VAMC (STA 688), Washington DC

· Huntington VAMC (STA 581), Huntington, West Virginia Scope This Blanket Purchase Agreement (BPA) is for a five-year period, which includes five, one-year ordering periods. The Contractor is to provide a Continuous Readiness Assessment JC Survey and/or Education for the purpose of performance improvement, improving system effectiveness, and achieving and maintaining compliance with JC standards for the selected VISN 5 facilities and its CBOC’s. The assessment will be inclusive of the four TJC programs: Hospital, Home Care, Behavioral Health (including Opioid), and Nursing and Rehabilitation.

Definitions and Terms: As used throughout this statement of work, the following terms shall have the meaning set forth below:

a. Environment of Care (EC) The goal of this chapter is to promote a safe, functional, and supportive environment within the hospital so that quality and safety are preserved. The environment of care is made up of three basic elements:

- The building or space, including how it is arranged and special features that protect patients, visitors, and staff

- Equipment used to support patient care or to safely operate the building or space

- People, including those who work within the hospital, patients, and anyone else who enters the environment, all of whom have a role in minimizing risks.

b. Fire Safety Management Activities selected and implemented by the organization to assess and control the risks of fire, smoke, and other byproducts of combustion that could occur during the organization’s provision of care, treatment, or services.

c. Fire-Rated Material that has undergone a test and is fire protection rated or fire resistance rated.

Two examples of the concept of fire-rated include the following:

- fire resistance rating - The time, in minutes or hours, that materials or assemblies have withstood a fire exposure, as determined by tests, or methods based on tests, prescribed by the National Fire Protection Association (NFPA).

- fire protection rating - A designation indicating the duration of fire test exposure to which a fire door assembly or fire window assembly was exposed and for which it met all the acceptance criteria, as determined in accordance with NFPA 252, Standard Methods of Fire Tests of Door Assemblies, or NFPA 257, Standard on Fire Test for Window and Glass Block Assemblies.

d. Fire Watch The assignment of a person or persons to an area for the express purpose of protecting occupants from fire or similar emergencies. Examples of this protection include:

- Notifying the fire department, the building occupants, or both of an emergency

- Preventing a fire from occurring

- Extinguishing small fires

e. Hazardous Materials and Waste Materials whose handling, use, and storage are guided or defined by local, state, or federal regulation, such as the Occupational Safety and Health Administration’s Regulations for Bloodborne Pathogens regarding the disposal of blood and blood-soaked items and the Nuclear Regulatory Commission’s regulations for the handling and disposal of radioactive waste. This also includes hazardous vapors (for example, glutaraldehyde, ethylene oxide, nitrous oxide) and hazardous energy sources (for example, ionizing or nonionizing radiation, lasers, microwave, ultrasound). Although The Joint Commission (TJC) considers infectious waste as falling into this category of materials, federal regulations do not define infectious or medical waste as hazardous waste.

f. Life Safety Code® A set of standards for the construction and operation of buildings intended to provide a reasonable degree of safety during fires. These standards are prepared, published, and periodically revised by the National Fire Protection Association (NFPA) and adopted by TJC to evaluate health care organizations under its life safety management program. The VHA adopts and uses the current edition of each NFPA code

g. Utility Systems Building systems that provide support to the environment of care, including electrical distribution and emergency power; vertical and horizontal transport; heating, ventilating, and air conditioning (HVAC); plumbing, boiler, and steam; piped gases; vacuum systems; and communication systems, including data exchange systems.

h. Acronyms Applicable to this Statement of Work:

COR - Contracting Officers Representative EC - Environment of Care LS - Life Safety NFPA – National Fire Protection Association TJC – The Joint Commission Period Of Performance This is a Blanket Purchase Agreement for a period of five years of performance, which includes five, one-year ordering periods.

Tasks to Be Accomplished: A Continuous Readiness Assessment is important so that all areas of potential non-compliance are identified before TJC survey team arrives. As part of the Continuous Readiness Assessment, the Contractor will contact the Contracting Officer’s Representative (COR) to have key documents sent to them for an off-site review at a minimum of four weeks prior to their visit. The on-site visit will follow the off-site review of the key documents. To accomplish the goal of TJC Continuous Survey Readiness, the Contractor shall perform the following activities:

a. Survey Readiness Services: The contractor shall provide a limited range of survey readiness services (Mock TJC EOC/LS Survey) to include accreditation-related services that are offered and conducted on a scheduled basis in the areas of EC and LS. There are currently up to 8 VISN 12 facilities that will be reviewed. Elements to be reviewed will include but are not limited to the following;

i. Environment of Care:

I. Plan (EC.01.01.01) II. Implement A. Safety and Security (EC.02.01.01, EC.02.01.03) B. Hazardous Materials and Waste (EC.02.02.01) C. Fire Safety (EC.02.03.01, EC.02.03.03, EC.02.03.05) D. Medical Equipment (EC.02.04.01, EC.02.04.03) E. Utilities (EC.02.05.01, EC.02.05.03, EC.02.05.05, EC.02.05.07, EC.02.05.09) F. Other Physical Environment Requirements (EC.02.06.01, EC.02.06.05) III. Staff Demonstrate Competence (EC.03.01.01) IV. Monitor and Improve (EC.04.01.01, EC.04.01.03, EC.04.01.05)

ii. Life Safety:

I. Administrative Activities A. Statement of Conditions (LS.01.01.01) B. Interim Life Safety Measures (LS.01.02.01) II. Health Care Occupancy A. All Health Care Occupancy Buildings

1. General Building Requirements (LS.02.01.10)

2. Means of Egress Requirements (LS.02.01.20)

3. Protection (LS.02.01.30)

i. Fire Alarm (LS.02.01.34)

ii. Extinguishment (LS.02.01.35)

4. Special Provisions (LS.02.01.40)

5. Building Services (LS.02.01.50)

6. Operating Features (LS.02.01.70) III. Ambulatory Health Care Occupancy A. All Ambulatory Health Care Occupancy Buildings

1. General Building Requirements (LS.03.01.10)

2. Means of Egress Requirements (LS.03.01.20)

3. Protection (LS.03.01.30)

i. Fire Alarm (LS.03.01.34)

ii. Extinguishment (LS.03.01.35)

4. Special Provisions (LS.03.01.40)

5. Building Services (LS.03.01.50)

6. Operating Features (LS.03.01.70

b. The Contractor shall provide:

I. Provide a draft Continuous Readiness Assessment Agenda and/or Education Plan to the VISN and Medical Center Point of Contact (POC) three weeks prior to the visits.

II. Assessment of patient-focused and organizational functions across all programs.

III. Performance of patient care and patient system tracer activities utilizing tracer methodology.

IV. Evaluation of patient records and other information systems that support the delivery of quality patient care.

V. Inpatient Mental Health Environmental Safety assessment.

VI. Examination of the organization’s Performance Improvement Process including the mechanisms in place to address sentinel and other untoward events.

VII. Review of competency assessments, orientation, training, education, credentialing and privileging, leadership and governance, and planning processes.

VIII. We will include an optional analysis of the condition of the physical plant, Environment of Care (EOC)/ Annual Workplace Evaluation (AWE), emergency management, Life Safety and, when applicable, the organization’s Statement of Condition and/or open plans for improvement (PFI). This requirement is optional due to an existing contract between the Department of Veterans Affairs (10E2) and a vendor who should provide these services. We will only include this as an optional task.

IX. Beginning-of-the-day strategic sessions with leadership to discuss the key findings of the day and to provide time for questions.

X. Provide a comprehensive exit briefing to the facility and VISN leadership and/or designated audience at the end of the facility survey.

XI. Educate and consult with staff, one-on-one and small groups, throughout the Continuous Readiness Assessment to improve their understanding of TJC survey process, quality performance and standards.

XII. Conduct education sessions, not to exceed 2 hours per session, on topics as specified by the facility POC’s.

XIII. Provide focus reviews for problematic areas identified during the mock survey process to assess progress.

XIV. Within two weeks of the completions of the Continuous Readiness Assessment, the contractor will provide a detailed report, which identifies areas of non-compliance to the VAMC Director and Director of Quality Management. Contractor will provide best practices and recommendations designed to bring VISN 5 Medical Centers and CBOC’s into compliance with TJC standards. The report will include description of findings and a recommended action plan, when deficiencies have been identified. A written and electronic copy of the report will be provided to the VAMC Director and VISN Quality Management Officer.

OPTIONAL PERIOD

1. The contractor will provide a 2-day follow-up visit to review the highest priority open recommendations (as determined by the VAMC Director, Director of Quality Management, and VISN Quality Management Officer upon review of the initial report).

Deliverables

1. Provide an optional on-site educational program for Environment of Care (EOC)/Life Safety including Annual Workplace Evaluation (AWE)/Emergency Management, Home Care, Behavioral Health and Nursing and Rehabilitation.

2. Provide on-site educational programs for 2020 JC Standards and National Patient Safety Goals, Workplace Violence and Physical Security, H&P Requirements to Care Planning, Pain Management and Care Planning, Patient Education and Care Planning, Infection Control, Medication Management (optional, if agreed upon by both parties).

3. Provide announced mock surveys inclusive of the four TJC programs: Hospital, Home Care, Behavioral Health (including Opioid), and Nursing and Rehabilitation.

4. Provide announced mock surveys at the five identified VISN 5 Medical Center and potentially one CBOC to cover the four TJC programs: Hospital, Home Care, Behavioral Health (including Opioid), and Nursing and Rehabilitation.

5. End-of-day strategic sessions with leadership to discuss the key findings of the day and to provide time for questions.

6. Provide a comprehensive exit briefing to the facility and VISN leadership at the end of the facility announced/unannounced mock surveys, where applicable.

7. Within two-weeks of the completions of the Readiness Assessment, contractor will provide a detailed report, which identifies areas of non-compliance. Contractor will provide best practices and recommendations designed to bring the VISN 5 facilities into compliance with the TJC standards. The report will include description of findings and a recommended action plan when deficiencies have been identified. A written and electronic copy of the report will be provided.

8. Physician(s) with qualifications and experience required to perform a methodical in-depth quality assessment for total of fourteen (14) business days for no less than eight (8) hrs/day.

9. Registered nurse(s) with qualifications and experience required to perform a methodical in-depth quality assessment for total of fourteen (14) business days for no less than eight (8) hrs./day.

10. Environmental consultant(s) with expertise in Life Safety Codes with qualifications and experience required to perform a methodical in-depth quality assessment for a total of fourteen (14) business days for no less than eight (8) hrs/day. Both parties will have to agree on this prior to any follow up visit.

11. Review specified Community Based Outpatient Clinic to be determined.

Follow up Site Visit:

1. Environmental consultant(s) with expertise in Life Safety Codes with qualifications and experience required to perform a methodical in-depth quality assessment for a total of ten (10) business days for no less than eight (8) hrs/day. Both parties will have to agree on this prior to any follow up visit.

2. Registered nurse(s) with qualifications and experience required to perform a methodical in-depth quality assessment for total of ten (10) business days for no less than eight (8) hrs/day.

Qualifications and Credentials The surveyor must possess the appropriate qualifications and credentials for conducting the surveys. The surveyor will be an expert on EC and LS matters, and have specific health care certifications, or equivalent. The surveyor must have at least five years’ experience in conducting mock TJC surveys on the whole range of Environment of Care, Life Safety, and Emergency Management-related issues. Experience on national committees or authoring articles on EC/LS related issues is preferred. Previous VA experience is preferred. If surveyor performance is less than satisfactory, the VA reserves the right to request a substitute surveyor at no additional cost to the VA.

a. The surveyor will use the most current TJC Standards published in the Hospital Accreditation Standards Manual, Environment of Care Essentials for Health Care, and other related publications as enforced by the VHA.

Travel Expenses All travel expenses associated with providing services under this contract are the responsibility of the contractor. The contractor must offer an all-inclusive price.

COR Responsibilities VISN 5’s Contracting Officer’s Representative (COR) will act as the Contracting Officer’s liaison and contractor’s dedicated representative.

ADDITIONAL GOVERNMENT REPRESENTATIVES

The POC’s at each respective VISN 5 Medical Center and respective CBOCs for this requirement are:

Beckley VA Medical Center and CBOC’s Samantha Birchfield 200 Veterans Drive Beckley, WV 25801

(304) 255-2121x4288 Samantha.Birchfield@va.gov

VA Maryland HCS (Baltimore VAMC, Perry Point and Loch Raven Divisions of VAMHCS and CBOCs) Lakesia Campbell 10 N. Greene Street Baltimore, MD 21201 410-605-7009 Lakesia.Campbell@va.gov

Louis A Johnson VA Medical Center and CBOC’s Jeffrey Swenskie 1 Medical Center Drive Clarksburg, WV 26301

(304) 623-3461 x2263 Jeffrey.Swenskie@va.gov

Martinsburg VA Medical Center and CBOCs Virginia (Denise) O’Dell 501 Butler Avenue Martinsburg, WV 25401 304-263-0811 ext. 4035 Virginia.Odell@va.gov

DC VA Medical Center and CBOCs Geraldlene (Geri) Adams 50 Irving Street, N.W.

Washington, DC 20422 202-745-8564 Geraldlene.Adams@va.gov

Hershel “Woody” Williams VA Medical Center and CBOC’s Paula McKee 1540 Spring Valley Drive Huntington, WV 25704 304.429.6741x2237 Paula.McKee@va.gov

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

0.00

Survey: Washington VAMC and 2 CBOCs Contract Period: Base POP Begin: 02-17-2020 POP End: 02-16-2021

0001AA

Physician Surveyor

0001AB

Nurse or CPHQ Surveyor

0001AC

EOC/LS Engineer Surveyor

0001AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0001AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Martinsburg VAMC and 2 CBOCs

0002AA

Physician Surveyor

0002AB

Nurse or CPHQ Surveyor

0002AC

EOC/LS Engineer Surveyor

0002AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0002AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Maryland HCS includes Baltimore, Perry Point and 2 CBOCs

0003AA

Physician Surveyor

0003AB

Nurse or CPHQ Surveyor

0003AC

EOC/LS Engineer Surveyor

0003AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0003AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Louis A Johnson VA Medical Center, Clarksburg, WV includes Facility and 2 CBOCs

0004AA

Physician Surveyor

0004AB

Nurse or CPHQ Surveyor

0004AC

EOC/LS Engineer Surveyor

0004AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0004AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Hershel "Woody" Williams VA Medical Center, Huntington, WV. Facility and 2 CBOC's

0005AA

Physician Surveyor

0005AB

Nurse or CPHQ Surveyor

0005AC

EOC/LS Engineer Surveyor

0005AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0005AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Beckley VA Medical Center, Beckley. Facility and 2 CBOC's

0006AA

Physician Surveyor

0006AB

Nurse or CPHQ Surveyor

0006AC

EOC/LS Engineer Surveyor

0006AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

0006AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Washington VAMC and 2 CBOCs Contract Period: Option 1 POP Begin: 02-17-2021 POP End: 02-16-2022

1001AA

Physician Surveyor

1001AB

Nurse or CPHQ Surveyor

1001AC

EOC/LS Engineer Surveyor

1001AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1001AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Martinsburg VAMC and 2 CBOCs

1002AA

Physician Surveyor

1002AB

Nurse of CPHQ Surveyor

1002AC

EOC/LS Surveyor

1002AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1002AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Maryland HCS includes Baltimore, Perry Point and 2 CBOCs

1003AA

Physician Surveyor

1003AB

Nurse or CPHQ Surveyor

1003AC

EOC/LS Engineer Surveyor

1003AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1003AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Louis A Johnson VA Medical Center, Clarksburg, WV includes Facility and 2 CBOCs

1004AA

Physician Surveyor

1004AB

Nurse or CPHQ Surveyor

1004AC

EOC/LS Engineer Surveyor

1004AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1004AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Hershel "Woody" Williams VA Medical Center, Huntington, WV. Facility and 2 CBOC's

1005AA

Physician Surveyor

1005AB

Nurse or CPHQ Surveyor

1005AC

EOC/LS Engineer Surveyor

1005AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1005AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Survey: Beckley VA Medical Center, Beckley. Facility and 2 CBOC's

1006AA

Physician Surveyor

1006AB

Nurse or CPHQ Surveyor

1006AC

EOC/LS Engineer Surveyor

1006AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

1006AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Washington VAMC and 2 CBOCs Contract Period: Option 2 POP Begin: 02-17-2022 POP End: 02-16-2023

2001AA

Physician Surveyor

2001AB

Nurse or CPHQ Surveyor

2001AC

EOC/LS Engineer Surveyor

2001AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2001AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Martinsburg VAMC and 2 CBOCs

2002AA

Physician Surveyor

2002AB

Nurse or CPHQ Surveyor

2002AC

EOC/LS Engineer Surveyor

2002AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2002AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Maryland HCS includes Baltimore, Perry Point and 2 CBOCs

2003AA

Physician Surveyor

2003AB

Nurse or CPHQ Surveyor

2003AC

EOC/LS Surveyor

2003AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2003AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Louis A Johnson VA Medical Center, Clarksburg, WV includes Facility and 2 CBOCs

2004AA

Physician Surveyor

2004AB

Nurse or CPHQ Surveyor

2004AC

EOC/LS Engineer Surveyor

2004AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2004AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Hershel "Woody" Williams VA Medical Center, Huntington, WV. Facility and 2 CBOC's

2005AA

Physician Surveyor

2005AB

Nurse or CPHQ Surveyor

2005AC

EOC/LS Engineer Surveyor

2005AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2005AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Beckley VA Medical Center, Beckley. Facility and 2 CBOC's

2006AA

Physician Surveyor

2006AB

Nurse or CPHQ Surveyor

2006AC

EOC/LS Engineer Surveyor

2006AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

2006AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Washington VAMC and 2 CBOCs Contract Period: Option 3 POP Begin: 02-17-2023 POP End: 02-16-2024

3001AA

Physician Surveyor

3001AB

Nurse or CPHQ Surveyor

3001AC

EOC/LS Engineer Surveyor

3001AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3001AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Martinsburg VAMC and 2 CBOCs

3002AA

Physician Surveyor

3002AB

Nurse or CPHQ Surveyor

3002AC

EOC/LS Surveyor

3002AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3002AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Maryland HCS includes Baltimore, Perry Point and 2 CBOCs

3003AA

Physician Surveyor

3003AB

Nurse or CPHQ Surveyor

3003AC

EOC/LS Engineer Surveyor

3003AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3003AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Louis A Johnson VA Medical Center, Clarksburg, WV includes Facility and 2 CBOCs

3004AA

Physician Surveyor

3004AB

Nurse or CPHQ Surveyor

3004AC

EOC/LS Engineer Surveyor

3004AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3004AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Hershel "Woody" Williams VA Medical Center, Huntington, WV. Facility and 2 CBOC's

3005AA

Physician Surveyor

3005AB

Nurse or CPHQ Surveyor

3005AC

EOC/LS Engineer Surveyor

3005AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3005AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Beckley VA Medical Center, Beckley. Facility and 2 CBOC's

3006AA

Physician Surveyor

3006AB

Nurse or CPHQ Surveyor

3006AC

EOC/LS Engineer Surveyor

3006AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

3006AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Washington VAMC and 2 CBOCs Contract Period: Option 4 POP Begin: 02-17-2024 POP End: 02-16-2025

4001AA

Physician Surveyor

4001AB

Nurse or CPHQ Surveyor

4001AC

EOC/LS Engineer Surveyor

4001AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4001AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Martinsburg VAMC and 2 CBOCs

4002AA

Physician Surveyor

4002AB

Nurse or CPHQ Surveyor

4002AC

EOC/LS Engineer Surveyor

4002AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4002AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Maryland HCS includes Baltimore, Perry Point and 2 CBOCs

4003AA

Physician Surveyor

4003AB

Nurse or CPHQ Surveyor

4003AC

EOC/LS Engineer Surveyor

4003AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4003AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Louis A Johnson VA Medical Center, Clarksburg, WV includes Facility and 2 CBOCs

4004AA

Physician Surveyor

4004AB

Nurse or CPHQ Surveyor

4004AC

EOC/LS Engineer Surveyor

4004AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4004AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Hershel "Woody" Williams VA Medical Center, Huntington, WV. Facility and 2 CBOC's

4005AA

Physician Surveyor

4005AB

Nurse or CPHQ Surveyor

4005AC

EOC/LS Engineer Surveyor

4005AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4005AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

0.00

Survey: Beckley VA Medical Center, Beckley. Facility and 2 CBOC's

4006AA

Physician Surveyor

4006AB

Nurse or CPHQ Surveyor

4006AC

EOC/LS Engineer Surveyor

4006AD

2-Day Follow Up Site Visit (if Mutually agreed upon): Nurse or CPHQ

4006AE

2-Day Follow Up Site Visit (if Mutually agreed upon): EOC/LS Engineer

SECTION C - CONTRACT CLAUSES

C.1 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR INFORMATION SYSTEMS (JUN 2016)

(a) Definitions. As used in this clause— Covered contractor information system means an information system that is owned or operated by a contractor that processes, stores, or transmits Federal contract information.

Federal contract information means information, not intended for public release, that is provided by or generated for the Government under a contract to develop or deliver a product or service to the Government, but not including information provided by the Government to the public (such as on public Web sites) or simple transactional information, such as necessary to process payments.

Information means any communication or representation of knowledge such as facts, data, or opinions, in any medium or form, including textual, numerical, graphic, cartographic, narrative, or audiovisual (Committee on National Security Systems Instruction (CNSSI) 4009).

Information system means a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information (44 U.S.C. 3502).

Safeguarding means measures or controls that are prescribed to protect information systems.

(b) Safeguarding requirements and procedures. (1) The Contractor shall apply the following basic safeguarding requirements and procedures to protect covered contractor information systems. Requirements and procedures for basic safeguarding of covered contractor information systems shall include, at a minimum, the following security controls:

(i) Limit information system access to authorized users, processes acting on behalf of authorized users, or devices (including other information systems).

(ii) Limit information system access to the types of transactions and functions that authorized users are permitted to execute.

(iii) Verify and control/limit connections to and use of external information systems.

(iv) Control information posted or processed on publicly accessible information systems.

(v) Identify information system users, processes acting on behalf of users, or devices.

(vi) Authenticate (or verify) the identities of those users, processes, or devices, as a prerequisite to allowing access to organizational information systems.

(vii) Sanitize or destroy information system media containing Federal Contract Information before disposal or release for reuse.

(viii) Limit physical access to organizational information systems, equipment, and the respective operating environments to authorized individuals.

(ix) Escort visitors and monitor visitor activity; maintain audit logs of physical access; and control and manage physical access devices.

(x) Monitor, control, and protect organizational communications (i.e., information transmitted or received by organizational information systems) at the external boundaries and key internal boundaries of the information systems.

(xi) Implement subnetworks for publicly accessible system components that are physically or logically separated from internal networks.

(xii) Identify, report, and correct information and information system flaws in a timely manner.

(xiii) Provide protection from malicious code at appropriate locations within organizational information systems.

(xiv) Update malicious code protection mechanisms when new releases are available.

(xv) Perform periodic scans of the information system and real-time scans of files from external sources as files are downloaded, opened, or executed.

(2) Other requirements. This clause does not relieve the Contractor of any other specific safeguarding requirements specified by Federal agencies and departments relating to covered contractor information systems generally or other Federal safeguarding requirements for controlled unclassified information (CUI) as established by Executive Order 13556.

(c) Subcontracts. The Contractor shall include the substance of this clause, including this paragraph (c), in subcontracts under this contract (including subcontracts for the acquisition of commercial items, other than commercially available off-the-shelf items), in which the subcontractor may have Federal contract information residing in or transiting through its information system.

(End of Clause)

C.2 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

(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.