36C24526Q0688-NROP solicitation.docx

36C24526Q0688

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.

UEI:

EFT:

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. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

08-12-2026 Cassie White cassie.white@va.gov 09-07-2026 10am

EDT

19ACQ

Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405

X

813920 $23.5 Million

N/A

36C132 Department of Veterans Affairs VA Central Office (VACO) Specialty Care Services

Washington DC 20422

Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 308B Martinsburg WV 25405

PAYMENT WILL BE MADE BY

FSC e-Invoice Payment Invoice must be submitted electronically http://www.fsc.va.gov/einvoice.asp http://www.fsc.va.gov/einvoice.asp

See CONTINUATION Page This request for quote (RFQ) is for the Radiation Oncology Quality Surveillance Program for the Department of Veterans Affairs Specialty Care Services in accordance with the Statement of Work (SOW).

Period of Performance: Base Period Base year period: 9/30/2026-9/29/2027

Questions due by: August 24th, 2026 at 10am EST.

Offers due by: September 07, 2026 at 10am EST.

The award decision will be based on a quote submitted as the most technically capable.

See CONTINUATION Page

Cassie White

Table of Contents

Page 1 of

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- Cassie White Department of Veterans Affairs

VAMC (613)

VISN 5 Contract Satellite Office 510 Butler Avenue, Building 306A Martinsburg WV 25405

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.

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

B.2 STATEMENT OF WORK

Veteran Health Administration – Radiation Oncology Quality Surveillance (VHA‑ROQS) Program

1. Purpose The Contractor shall provide specialized support to the National Radiation Oncology Program (NROP) office to evaluate, update, expand, and sustain Clinical Quality Measures (CQMs) used for surveillance of radiotherapy quality across the Veterans Health Administration (VHA). The Contractor shall apply established, evidence‑based methods to assess radiotherapy practice quality, identify care gaps, support the adoption of current national guidelines, and facilitate continuous quality improvement. All work performed under this SOW shall support VHA’s radiation oncology quality surveillance program and shall not involve the establishment or alteration of VHA policy.

2. Background For more than a decade, the American Society for Radiation Oncology (ASTRO) has conducted national quality assessments for Radiation Oncology, developing CQMs for multiple disease sites and evaluating variation in practice across diverse settings. VHA previously adopted the American College of Radiology (ACR) Quality Research in Radiation Oncology methodology to develop CQMs, which have been used as quality indices to identify improvement opportunities. VHA now requires ongoing maintenance and expansion of these CQMs to ensure continuous, evidence‑driven oversight of radiotherapy delivered at all VHA Radiation Oncology Services.

3. Scope of Work The Contractor shall evaluate, revise, develop, and maintain CQMs for disease‑specific and disease‑agnostic radiotherapy practice areas treated within the VA. Updated and newly developed CQMs shall reflect current clinical evidence and/or consensus from Subject Matter Experts (SMEs). CQMs shall be designed to assess the quality and technical execution of radiotherapy, determine care gaps, and support pathways for continuous improvement across all 41 VHA radiation oncology practices.

4. Period of Performance The period of performance shall be September 30, 2026, through September 29, 2031, with four (4) 12‑month option periods.

5. Requirements and Tasks

5.1 Evaluation of Existing CQMs

The Contractor shall evaluate existing measure sets to determine update priorities. Evaluations may include assessment of performance data, scoring logic challenges, and review of current national guidelines. Each measure set shall be evaluated and revised at least once every two (2) years.

5.2 SME Panel Management

The Contractor shall convene SME panels, as needed, to develop or revise two (2) measure sets annually.

5.3 CQM Development and Revision

The Contractor shall ensure SME panels define and/or update CQMs, including:

• CQMs supported by current literature with demonstrated association to improved outcomes.

• Surveillance CQMs identifying processes or patient/tumor characteristics for ongoing tracking.

• Aspirational CQMs supported by emerging literature expected to become standard of care.

5.4 Expected Performance Rates

The Contractor shall define and/or update evidence‑ or consensus‑based performance expectations for each CQM.

5.5 Scoring Criteria and Logic Development

The Contractor shall develop and/or update scoring logic for each CQM, including:

• Clinical and dosimetry data elements required for scoring.

• Decision trees for Pass/Fail/Exclusion determinations.

• Validation of scoring logic to ensure usability across all 41 VHA radiation oncology practices.

The Contractor shall communicate any exceptions or limitations in writing to NROP.

During development, the Contractor and VHA Radiation Oncology Program Office shall jointly review and approve all data elements used within each CQM.

5.6 Program Support and Communication

The Contractor shall provide ongoing support for the VHA‑ROQS program, including:

• Monthly calls with NROP to review implementation questions, results communication strategies, and program needs.

• A reliable mechanism for timely communication with the Contracting Officer’s Representative (COR) at frequencies defined in the contract; all communication shall occur during normal VHA business hours.

• A detailed project timeline outlining tasks, milestones, and deliverables

6. Security Requirements The Certification and Accreditation (C&A) requirements do not apply. A Security Accreditation Package is not required.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Develop a new set of clinical quality measures or undertake a total review and revision of an existing measure set related to a specific disease site, planning and delivery technology, or another clinical or technical component. A new topic requires a thorough environmental scan and full measure development. Total review and revision of an existing topic involves integrating VA performance data, evaluating current measure implementation to guide refinement and redesign of measures.

Contract Period: Base POP Begin: 09-30-2026 POP End: 09-29-2027 PRINCIPAL NAICS CODE: 813920 - Professional Organizations PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Monthly customer service/support for VHA ROQS Program Contract Period: Base POP Begin: 09-30-2026 POP End: 09-29-2027

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Develop a new set of clinical quality measures or undertake a total review and revision of an existing measure set related to a specific disease site, planning and delivery technology, or another clinical or technical component. A new topic requires a thorough environmental scan and full measure development. Total review and revision of an existing topic involves integrating VA performance data, evaluating current measure implementation to guide refinement and redesign of measures Contract Period: Option 1 POP Begin: 09-30-2027 POP End: 09-29-2028

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Contract Period: Option 1 POP Begin: 09-30-2027 POP End: 09-29-2028

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Develop a new set of clinical quality measures or undertake a total review and revision of an existing measure set related to a specific disease site, planning and delivery technology, or another clinical or technical component. A new topic requires a thorough environmental scan and full measure development. Total review and revision of an existing topic involves integrating VA performance data, evaluating current measure implementation to guide refinement and redesign of measures Contract Period: Option 2 POP Begin: 09-30-2028 POP End: 09-29-2029

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Contract Period: Option 2 POP Begin: 09-30-2028 POP End: 09-29-2029

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Develop a new set of clinical quality measures or undertake a total review and revision of an existing measure set related to a specific disease site, planning and delivery technology, or another clinical or technical component. A new topic requires a thorough environmental scan and full measure development. Total review and revision of an existing topic involves integrating VA performance data, evaluating current measure implementation to guide refinement and redesign of measures.

Contract Period: Option 3 POP Begin: 09-30-2029 POP End: 09-29-2030

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Contract Period: Option 3 POP Begin: 09-30-2029 POP End: 09-29-2030

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Develop a new set of clinical quality measures or undertake a total review and revision of an existing measure set related to a specific disease site, planning and delivery technology, or another clinical or technical component. A new topic requires a thorough environmental scan and full measure development. Total review and revision of an existing topic involves integrating VA performance data, evaluating current measure implementation to guide refinement and redesign of measures.

Contract Period: Option 4 POP Begin: 09-30-2030 POP End: 09-29-2031

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

12.00

MO

POP Begin: 09-30-2030 POP End: 09-29-2031

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Additional 6 month extension (if needed)

POP Begin: 09-30-2030 POP End: 09-29-2031

PRODUCT/SERVICE CODE: Q701 - Specialized Medical Support - Medical billing, third party liability, tumor register, referral management, medical evaluation board, nursing support; no direct patient care

Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

(a) Definitions. The clause at Federal Acquisition Regulation (FAR) 52.202-1, Definitions, is incorporated by reference.

(b) 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.

(c) 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.

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

(e) 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 FAR 52.233-1, Disputes, which is incorporated in this contract by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(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. Examples of occurrences include 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. When an excusable delay occurs, the Contractor shall—

(1) Notify the Contracting Officer in writing as soon as possible;

(2) Remedy the delay as quickly as possible; and

(3) Notify the Contracting Officer when the occurrence is over.

(g) Invoice. The Government will handle invoices according to the Prompt Payment Act (31 U.S.C. 3903) and 5 CFR part 1315. The Contractor shall submit invoices to the address designated in the contract to receive invoices. An invoice must include the information required by 5 CFR part 1315.9(b).

(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) 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 that appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(4) 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;

(D) Contractor point of contact; and

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

(5) 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 FAR part 33 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 FAR part 32).

(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 termination for cause.

(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 for interest credits prescribed in FAR part 32 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 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. The Government will send a cure notice to the Contractor, unless the reason for the termination is late delivery. 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 under this contract 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) 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; 40 U.S.C. chapter 37, Contract Work Hours and Safety Standards; 41 U.S.C. chapter 87, Kickbacks; 49 U.S.C. 40118, Government-financed air transportation; and 41 U.S.C. chapter 21 relating to procurement integrity.

(r) 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 Disputes, Payments, Invoice, Compliance with Laws Unique to Government Contracts, and Unauthorized Obligations paragraphs of this clause;

(3) Other contract clauses incorporated in the solicitation or contract;

(4) Addenda to this solicitation or contract,

(5) Solicitation provisions incorporated in the solicitation.

(6) Other paragraphs of this clause.

(7) Other documents, exhibits, and attachments; and

(8) The specification.

(s) Unauthorized obligations.

(1) Except as stated in paragraph (s)(2) of this clause, when any supply or service acquired under this contract is subject to any End User License Agreement (EULA), Terms of Service (TOS), or similar legal instrument or agreement, that includes any clause requiring the Government to indemnify the Contractor or any person or entity for damages, costs, fees, or any other loss or liability that would create an Anti-Deficiency Act violation (31 U.S.C. 1341), the following shall govern:

(i) Any such clause is unenforceable against the Government.

(ii) Neither the Government nor any Government-authorized end user shall be deemed to have agreed to such clause by virtue of it appearing in the EULA, TOS, or similar legal instrument or agreement. If the EULA, TOS, or similar legal instrument or agreement is invoked through an “I agree” click box or other comparable mechanism (e.g., “click-wrap” or “browse-wrap” agreements), execution does not bind the Government or any Government authorized end user to such clause.

(iii) Any such clause is deemed to be stricken from the EULA, TOS, or similar legal instrument or agreement.

(2) Paragraph (s)(1) of this clause does not apply to indemnification by the Government that is expressly authorized by statute and specifically authorized under applicable agency regulations and procedures.

(t) Comptroller General examination of record. This paragraph applies if this contract was awarded using other than sealed bid procedures and is in excess of the simplified acquisition threshold on the date of award of this contract.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor’s directly pertinent records involving transactions related to this contract.

(2) The Contractor shall make available at its offices, at all reasonable times, the records, materials, and other evidence for examination, audit, or reproduction, until 3 years after final payment under this contract or for any shorter period specified in FAR part 4, longer period required by statute, or periods specified in other clauses of this contract. If this contract is completely or partially terminated, the records relating to the work terminated shall be made available for 3 years after any resulting final termination settlement. Records relating to appeals under the disputes clause or to litigation or the settlement of claims arising under or relating to this contract shall be made available until such appeals, litigation, or claims are finally resolved.

(3) As used in this clause, records include books, documents, accounting procedures and practices, and other data, regardless of type and regardless of form. This clause does not require the Contractor to create or maintain any record that the Contractor does not maintain in the ordinary course of business or pursuant to a provision of law.

(u) Incorporation by reference. The Contractor’s representations and certifications, including those completed electronically via the System for Award Management (SAM), are incorporated by reference into the contract.

(End of Clause) ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

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

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/

(End of Clause)

C.3 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within 30 days.

(End of Clause)

C.4 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within 30 days; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 60 days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause) C.5 52.222-90 ADDRESSING DEI DISCRIMINATION BY FEDERAL CONTRACTORS (DEVIATION APR 2026) (a)Definitions. As used in this clause— Program participation means membership or participation in, or access or admission to: training, mentoring, or leadership development programs; educational opportunities; clubs; associations; or similar opportunities that are sponsored or established by the contractor or subcontractor.

Racially discriminatory diversity, equity, and inclusion (DEI) activities means disparate treatment based on race or ethnicity in the recruitment, employment (e.g., hiring, promotions), contracting (e.g., vendor agreements), program participation, or allocation or deployment of an entity's resources.

(b) In connection with the performance of work under this contract, the Contractor agrees as follows:

(1) The Contractor will not engage in any racially discriminatory DEI activities;

(2) The Contractor will furnish all information and reports, including providing access to books, records, and accounts, as required by the Contracting Officer, for purposes of ascertaining compliance with this clause;

(3) In the event of the Contractor's or a subcontractor's noncompliance with this clause, this contract may be canceled, terminated, or suspended in whole or in part, and the Contractor or subcontractor may be declared ineligible for further Government contracts;

(4) The Contractor will report any subcontractor's known or reasonably knowable conduct that may violate this clause to the Contracting Officer and take any appropriate remedial actions directed by the Contracting Officer; and

(5) The Contractor will inform the Contracting Officer if a subcontractor sues the Contractor and the suit puts at issue, in any way, the validity of this clause.

(6) The Contractor recognizes that compliance with the requirements of this clause are material to the Government's payment decisions for purposes of 31 U.S.C. 3729(b)(4).

(c) The Contractor must include the substance of this clause, including this paragraph (c), in subcontracts at any tier, including those for commercial products and commercial services, except those where the place of delivery or performance is outside the United States.

(End of Clause)

(End of Addendum to 52.212-4)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

D.1 PAST PERFORMANCE QUESTIONNAIRE

Attached document: Past Performance Questionnaire.

Page 1 of

Page 1 of

SECTION E - SOLICITATION PROVISIONS

ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES Provisions that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following provisions are incorporated into 52.212-1 as an addendum to this solicitation:

E.1 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (OCT 2025) (DEVIATION)

(a) Evaluation factors. The Government will award a contract resulting from this solicitation to the responsible Offeror whose offer conforming to the solicitation will be most advantageous to the Government, price and other factors considered. The following factors will be used to evaluate offers:

Technical Past Performance Price

(b) Options (if applicable). The Government will evaluate offers for award purposes by adding the total price for all options to the total price for the basic requirement. The Government may determine that an offer is unacceptable if the option prices are significantly unbalanced. The evaluation of options does not obligate the Government to exercise the option(s).

(c) Notice of award. A written notice of award or acceptance of an offer furnished to the successful Offeror within the time for acceptance specified in the offer, shall result in a binding contract without further action by either party. Before the offer's specified expiration time, the Government may accept an offer (or part of an offer), whether or not there are negotiations after its receipt, unless a written notice of withdrawal is received before award.

(End of Provision)

E.2 SUPPLEMENTAL INSTRUCTIONS TO OFFERORS

OFFEROR MUST ENSURE THAT ITS QUOTE IS SUBMITTED TIMELEY TO ENSURE DELIVERY AND RECEIPT BY THE DUE DATE AND TIME IDENTIFIED IN BOX 20 ON THE SF1449 (Page 1 of the solicitation). LATE QUOTES WILL NOT BE ACCEPTED. THERE WILL BE NO EXTENSIONS FOR THIS SOLICITATION.

Quotes may be submitted by: Email Only: cassie.white@va.gov The subject line must specify “Radiation Oncology Quality Surveillance Program 36C24526Q0688”. Responses failing to conform to this nomenclature will not be accepted.

Questions due by: 24 August 2026 at 10:00am Eastern.

Quotes due by: 07 September 2026 at 10:00am Eastern.

Type of award: The intended contract will be a base plus four option years and one six month option if needed Fixed Price contract. Quotes must comply with all aspects of the Statement of Work.

Award Decision: The award will be made based on the most Technically Acceptable.

Offeror must:

A. Complete Box 12, 17, and 30 of the SF 1449 (Page 1) of the solicitation. Provide the legal entity name, address, telephone number and SAM UEI identifier in Box 17.

B. Complete Section B.1 ADMINISTRATIVE DATA, contractor POC information.

C. Complete all sections in B.2 through B.3, quotes can assume the Award date will be Base period: 30 September 2026 – 29 September 2027, with an Ultimate Completion Date of 29 September 2031.

D. Complete Section B.3 Price/Cost Schedule: You must enter your individual cost for each unit each CLIN. You may separately include a narrative explanation of the criteria, assumptions and the like that were taken into consideration to arrive at the quoted prices.

E. Section D Past Performance Questionnaires must be completed by a minimum of three (3) references and submitted with the quotation.

Offeror’s ability to meet all requirements described in the Statement of Work (SOW), including:

Comparative Evaluation Factors The Government will conduct a comparative evaluation of quotations to determine which vendor provides the best overall value. Factors are listed in descending order of importance.

1. Technical Capability (Most Important Factor) The Government will compare vendors’ submissions to determine which offer the strongest capacity to perform the specialized radiation oncology quality surveillance tasks described in the SOW. Technical capability will be evaluated using the following subfactors, all derived directly from SOW requirements:

Subfactor 1 – Understanding of the Requirements The Government will assess how well each vendor demonstrates a clear understanding of:

· The purpose of the VHA‑ROQS Program, including evaluation, updating, and sustaining Clinical Quality Measures (CQMs) across VHA radiation oncology practices.

· The need for evidence‑based quality assessment and continuous improvement across 41 VHA radiation oncology sites.

Vendors offering deeper insight into the mission and technical purpose will be evaluated more favorably.

Subfactor 2 – Technical Approach The Government will compare each vendor’s proposed approach for executing the SOW tasks, including:

· Evaluating existing CQMs at least every two years.

· Supporting SME panels to update/develop two measure sets annually.

· Developing evidence‑based CQMs, including surveillance and aspirational CQMs.

· Creating or updating scoring logic, decision trees, clinical/dosimetry data elements, and validation methods.

Approaches demonstrating practicality, clarity, and reduced performance risk will be viewed more favorably.

Subfactor 3 – Subject Matter Expertise (SMEs) The Government will assess the strength, qualifications, and relevance of the SMEs proposed, particularly in:

· Radiation oncology clinical practice

· Dosimetry and treatment planning

· CQM development and validation

· National guideline alignment Vendors demonstrating access to highly qualified SMEs with relevant clinical and technical backgrounds will be rated more favorably.

· Expertise in evaluating automatic data abstraction

Subfactor 4 – Project Management and Communication The Government will compare vendors’ ability to:

· Maintain communication through monthly calls with NROP.

· Provide timely responses and structured communication with the COR.

· Develop and adhere to a detailed project timeline showing tasks, milestones, and deliverables.

2. Past Performance (Second Most Important) The Government will compare vendors based on relevant past performance regarding:

· Experience performing similar clinical quality measurement, analytic, oncology, or healthcare surveillance programs.

· Timeliness and quality of deliverables.

· Demonstrated performance with SME management, guideline‑driven analysis, or nationwide implementations.

Past performance is less important than Technical Capability, but more important than Price.

Please submit three (3) past performance questionnaires with your quote. See Section D for the attachment.

3. Price (Least Important) Price will be compared for:

· Completeness

· Reasonableness

· Alignment with the vendor’s proposed approach and level of effort Price is the least important factor but may be used as a determining factor when quotations are otherwise comparable.

Basis for Award Award will be made to the vendor whose quotation is determined to be most advantageous to the Government after comparing technical capability, past performance, and price. The Government may select a higher‑priced quotation if it offers superior technical capability or past performance.

E.3 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

This solicitation incorporates one or more solicitation provisions by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. The offeror is cautioned that the listed provisions may include blocks that must be completed by the offeror and submitted with its quotation or offer. In lieu of submitting the full text of those provisions, the offeror may identify the provision by paragraph identifier and provide the appropriate information with its quotation or offer. Also, the full text of a solicitation provision may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/

(End of Provision)

E.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

(a) Definitions. As used in this provision— "Administrative proceeding" means a non-judicial process that is adjudicatory in nature in order to make a determination of fault or liability (e.g., Securities and Exchange Commission Administrative Proceedings, Civilian Board of Contract Appeals Proceedings, and Armed Services Board of Contract Appeals Proceedings). This includes administrative proceedings at the Federal and State level but only in connection with performance of a Federal contract or grant. It does not include agency actions such as contract audits, site visits, corrective plans, or inspection of deliverables.

"Federal contracts and grants with total value greater than $10,000,000" means—

(1) The total value of all current, active contracts and grants, including all priced options; and

(2) The total value of all current, active orders including all priced options under indefinite-delivery, indefinite-quantity, 8(a), or requirements contracts (including task and delivery and multiple-award Schedules).

"Principal" means an officer, director, owner, partner, or a person having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a division or business segment; and similar positions).

(b) The offeror [ ] has [ ] does not have current active Federal contracts and grants with total value greater than $10,000,000.

(c) If the offeror checked "has" in paragraph (b) of this provision, the offeror represents, by submission of this offer, that the information it has entered in the Federal Awardee Performance and Integrity Information System (FAPIIS) is current, accurate, and complete as of the date of submission of this offer with regard to the following information:

(1) Whether the offeror, and/or any of its principals, has or has not, within the last five years, in connection with the award to or performance by the offeror of a Federal contract or grant, been the subject of a proceeding, at the Federal or State level that resulted in any of the following dispositions:

(i) In a criminal proceeding, a conviction.

(ii) In a civil proceeding, a finding of fault and liability that results in the payment of a monetary fine, penalty, reimbursement, restitution, or damages of $5,000 or more.

(iii) In an administrative proceeding, a finding of fault and liability that results in—

(A) The payment of a monetary fine or penalty of $5,000 or more; or

(B) The payment of a reimbursement, restitution, or damages in excess of $100,000.

(iv) In a criminal, civil, or administrative proceeding, a disposition of the matter by consent or compromise with an acknowledgment of fault by the Contractor if the proceeding could have led to any of the outcomes specified in paragraphs (c)(1)(i), (c)(1)(ii), or (c)(1)(iii) of this provision.

(2) If the offeror has been involved in the last five years in any of the occurrences listed in (c)(1) of this provision, whether the offeror has provided the requested information with regard to each occurrence.

(d) The offeror shall post the information in paragraphs (c)(1)(i) through (c)(1)(iv) of this provision in FAPIIS as required through…