36C24626Q0402_1.docx

36C24626Q0402

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

659-26-2-050-0026 36C24626Q0402 04-07-2026

AMY BALICAT

AMY.BALICAT@VA.GOV

04-15-2026 08:00

EDT

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667 X 622110 $47 Million N/A X

SEE PERFORMANCE WORK STATEMENT

Department of Veterans Affairs Network Contracting Office 6 100 Emancipation Drive Hampton

VA

23667

Financial Services Center

PO BOX 149971

Austin

TX

78714-9971 512-460-5049 512-460-5221 x See CONTINUATION Page

THIS IS A SOLICITATION FOR LITHOTRIPSY TRAILER AND

SERVICE FOR THE SALISBURY VAMC IN

SALISBURY, NC.

SEE SECTION E FOR INSTRUCTIONS TO OFFERORS.

See CONTINUATION Page X

JAMIE SULLIVAN

CONTRACTING OFFICER

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 36C246 JAMIE SULLIVAN

Network Contracting Office 6 100 Emancipation Drive Hampton VA 23667

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.

VA Financial Service Center (FSC) Electronic Invoice Presentment and Payment System https://www.fsc.va.gov/einvoice.asp ACKNOWLEDGMENT OF AMENDMENTS: The offeror acknowledges receipt of amendments to the Solicitation numbered and dated as follows:

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

MOBILE LITHOTRIPSY TRAILER ESWL

PER PROCEDURE

Contract Period: Base POP Begin: 05-18-2026 POP End: 05-17-2027

MOBILE LITHOTRIPSY TRAILER ESWL

Contract Period: Option 1 POP Begin: 05-18-2027 POP End: 05-17-2028

MOBILE LITHOTRIPSY TRAILER ESWL

Contract Period: Option 2 POP Begin: 05-18-2028 POP End: 05-17-2029

MOBILE LITHOTRIPSY TRAILER ESWL

Contract Period: Option 3 POP Begin: 05-18-2029 POP End: 05-17-2030

MOBILE LITHOTRIPSY TRAILER ESWL

Contract Period: Option 4 POP Begin: 05-18-2030 POP End: 05-17-2031

B.3 SALIENT CHARACTERISTICS

Salisbury VA-26-00042431 Mobile Lithotripsy Trailer ESWL Salient Characteristics for Mobile Medical Lithotripsy Trailer Contractor Requirements:

Service Provision:

Contractor must provide turnkey service for a mobile medical trailer specifically designed for Extracorporeal Shock Wave Lithotripsy (ESWL).

Turnkey system to include, at a minimum, self-contained mobile medical unit with driver, all equipment (table, c-arm, lithotripter) supplies and personnel as necessary to conduct procedures within the trailer.

Equipment Specifications:

The mobile medical trailer must include all equipment necessary for performing ESWL procedures, including:

C-arm for fluoroscopic imaging.

Patient table.

Lithotripter for delivering shock waves to break up kidney stones.

Staffing Requirements:

Registered Nurse (RN):

Must be provided for moderate sedation.

Must have a current nursing license.

Must have current certification in Basic Life Support (BLS).

Must have current certification in Advanced Cardiovascular Life Support (ACLS).

Radiology Technologist:

Must be fully trained and certified in their field to operate the C-arm and other radiologic equipment. Technician must have radiologic certification by American Registry of Radiology Technologist or equal.

Delivery and Setup:

Contractor must deliver the mobile medical trailer with all required equipment.

Contractor must set up the mobile unit at the designated VA property location.

Contractor must maintain and service equipment routinely to ensure highest level of functioning condition without breakdowns.

Contractor will not bill any patient for any procedure. All costs will be charged only to Salisbury VA Health Care System at the designated rate(s) as listed by the Contractor in the Schedule of Items. Those rates will be all-inclusive per procedure.

Contractor will perform services within the policies, procedures, and regulations (such as the medical staff by-laws and professional standards board) governing the SVAHCS and related network facilities.

Contractor will hold and submit certificate of insurance for general liability and malpractice insurance, workmen’s compensation and vehicle insurance.

Contractor shall provide written certification of training compliance with the Bloodborne Pathogens Standards. Contractor/contractor staff shall adhere to VAMC Infection Control policies and procedures.

These specifications ensure that the mobile medical lithotripsy trailer is fully equipped and staffed to provide high-quality ESWL procedures safely and effectively.

PERFORMANCE WORK STATEMENT

Description of services: Mobile medical unit for ESWL

Purpose of the contract: Turnkey Mobile Lithotripter unit to provide non-surgical treatment using Extracorporeal Shock Wave Lithotripsy (ESWL) of kidney stones. ESWL is the standard of care for patients with stones ≤ 10mm and who can tolerate sedation alone.

DESCRIPTION OF SERVICES:

The Salisbury VA Health Care System requires self-contained mobile medical trailer to support out of operating room Extracorporeal shock wave lithotripsy at the Kernersville HCC location. Physical address 1695 Kernersville Medical Parkway Kernersville, NC 27284. Extracorporeal shock wave lithotripsy (ESWL) is a common, non-invasive treatment for kidney stones. Kidney stones are solid pieces of material that form from dietary elements found in urine. Larger kidney stones may cause painful ureteral obstruction for patients as they move through the ureter. A kidney stone that manages to become lodged in a patient’s ureter may prevent drainage of urine from the kidney that causes swelling (hydronephrosis) that could lead to kidney damage. ESWL is the most common type of lithotripsy. ESWL utilizes focused, high intensity acoustic pulses to treat kidney stones. These acoustic pulses break kidney stones into small enough pieces so that patients may pass them without discomfort.

Contractor shall provide necessary equipment and staff to provide Mobile Lithotripter Unit based on the estimated quantity listed below:

1. Turnkey self-contained mobile medical unit for ESWLs to be on Kernersville Health Care Center Station grounds on outdoor prepared site/pad (not utilizing operating rooms inside the facility) on a scheduled basis – estimate 62 cases per year. The C&A requirements do not apply, and a Security Accreditation Package is not required.

Services will be provided on a scheduled per procedure cost basis.

a. Turnkey system to include, at a minimum, self-contained mobile medical unit with driver, all equipment (table, c-arm, lithotripter) supplies and personnel as necessary to conduct procedures within the trailer.

b. Provide Contractor radiologic technologist employees as necessary, fully trained, certified technicians for equipment/procedure set-up and assistance to VAMC Urologists. Technician must have radiologic certification by American Registry of Radiology Technologist or equal. Provide overall supervision by Contractor Medical Director.

c. Provide Contractor Registered Nurse for moderate sedation. RN must have current license, current certification in BLS and ACLS.

d. Operate the equipment in mobile medical unit on VAMC property as directed. Perform all standard Lithotripsy procedures including distal ureteral stones.

e. Deliver mobile medical trailer with all equipment and set up on VAMC property.

f. Contractor demonstrates a quality assurance program which documents each case with reports showing individual and corporate results and comparisons. Provide individual patient’s reports, detailing data, procedure type, referring physician, exact procedure times, etc., delivered upon completion of scheduled procedure to PACU nurse receiving patient. Procedure record will be scanned into VAMC electronic patient record. These medical records shall be the property of the Veteran’s Administration Hospital.

g. Be responsible for obtaining all necessary licenses, approvals, permits and follow all federal, state, and local laws and regulations applicable to the device and delivery of related services provided under the terms of this contract.

h. Maintain and service equipment routinely to ensure that the device is in the highest level of functioning condition without breakdowns, causing no delay to patient procedures. Maintain service records to document performance reports.

i. Provide Urologist training on the system at SVAHCS request.

j. Contractor will hold and submit certificate of insurance for general liability and malpractice insurance, workmen’s compensation and vehicle insurance. Under no circumstances will Contractor’s employees be considered SVAHCS employees.

k. Contractor shall perform all services under this agreement in accordance with all regulatory and accreditation standards applicable to facility, including without limitations, those requirements imposed by The Joint Commission (TJC). Contractor shall provide consultation, if requested, in the development of protocols, utilization review, peer review and risk management as required by TJC and other regulatory bodies.

l. Contractor will perform services within the policies, procedures, and regulations (such as the medical staff by-laws and professional standards board) governing the SVAHCS and related network facilities.

m. Under no circumstances will Contractor bill any patient for any procedure. All costs will be charged only to Salisbury VA Health Care System at the designated rate(s) as listed by the Contractor in the Schedule of Items. Those rates will be all-inclusive per procedure.

SVAHCS will provide the following:

a. Electrical, data and phone connections for mobile medical unit.

b. Urology surgeon services.

c. SVAHCS will provide pre-procedure evaluation, pre-op care, and (PACU) post-procedure treatment to discharge. Transport to mobile medical trailer from pre-op and from mobile medical trailer to PACU.

d. Responsible for scheduling patients for the unit.

e. Pre-operative preparation of patients obtains electronic patient consent, provide patients with the necessary services relating to post-procedure recovery. Facility shall be responsible for providing emergency service personnel, physicians, facilities and supplies necessary to provide patients with emergency medical care as may be required, as well as physicians, facilities and supplies necessary to provide patients with inpatient or outpatient post-procedure care.

f. The medical center EMS will provide trash receptacle outside the trailer for general trash and pick up at the end of the day.

g. Contract staff will have access to restroom facilities in the medical center.

3. INFECTION CONTROL COMPLIANCE: Contractor shall provide written certification of training compliance with the Bloodborne Pathogens Standards. Contractor/contractor staff shall adhere to VAMC Infection Control policies and procedures.

a. TB Testing- Contractor shall provide evidence to the Administrative Contracting Officer:

(1) Negative PPD test within fourteen (14) calendar days prior to beginning service. If an earlier PPD test was given over twelve (12) months previously.

(2) Medical evidence that personnel are disease free for those having a positive PPD.

(3) A regular annual re-testing program for TB shall be established and maintained by the Contractor. Contractor shall provide evidence of re-tests to the Administrative Contracting Officer within ten (10) calendar days of the re-test.

b. Hepatitis B Vaccination

(1) The Contractor shall consider the need for Hepatitis B vaccine and vaccination series within ten (10) days of contract employment and follow-up if there has been an exposure incident. VA shall not provide the vaccine or vaccination series.

(2) VA Form 10-5549c, Information About Hepatitis B Vaccine (Recombinant), Consent Form or VA Form 1 0-549d, Hepatitis B Vaccine Declination (Mandatory) shall be submitted to the Administrative Contracting Officer within thirty (30) days of waiver or completion of the first in the series of the Hepatitis B Vaccine and at completion of the vaccination series.

c. Drug Testing: All Contractor personnel shall be subject to VA’s Drug-Free Workplace Policy. Personnel may receive a drug test and are subject to random drug testing thereafter. This includes any situation of “reasonable suspicion” and “accident or unsafe practice testing”. Refusal to be tested or interfering with the process shall result in immediate termination of the contract. In addition, Contractor shall be subject to background check.

4. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) Training:

For all providers that will be utilizing moderate sedation, evidence of current ACLS training is required. This includes the RN for sedation and the Urologist that will be doing the procedure and supervising. For providers that will not be utilizing moderate sedation, evidence of current BLS training or equivalent will be required. A certificate of training must be provided to the clinical service’s Administrative Officer with a copy forwarded to the COR.

a. ACLS: The following identifies the training requirements for VA individuals administering, monitoring, and/or supervising moderate sedation:

(1) Current Advanced Cardiac Life Support (ACLS) certification by the American Heart Association (every 2 years) AND

(2) Successful completion of National Moderate Sedation Module in the VA Learning Management System (TMS) Note: Successful completion of BLS must be done prior to taking the ACLS course. A current BLS card is required, and certification must remain current.

5. Professional Requirements:

Contract staff supplied by the contractor must comply with and complete the VA Salisbury Nursing Professional Standard Board approval for nursing and technicians not covered by NSB must meet VA Medical Center approval.

HOURS OF OPERATION: The services covered by this contract shall be furnished by the contractor as defined herein.

a. Normal operating room hours are Monday through Friday, 0800 – 1730. Services will be scheduled for 2 half days per month based on demand. Scheduled day may vary based on Urologists’ schedule and will be mutually agreed upon by contractor and facility.

b. Service will not be needed on the following Federal holidays:

d. When one of the holidays falls on Sunday, the following Monday shall be observed as a national holiday. When a holiday falls on a Saturday, the preceding Friday is observed as a national holiday by U.S. Government Agencies. Also included would be any day specifically declared by the President of the United States of America as a National holiday.

CONTRACT PERFORMANCE MONITORING:

a. Monitoring of contractor’s performance shall be done by the Contracting Officer’s Representative (COR). Incidents of contractor noncompliance as evidenced by the monitoring procedures shall be forwarded immediately to the Contracting Officer. A Quality Assurance Surveillance Plan will be signed by the Contractor Program Manager and COR, outlining the evaluation criteria to ensure the contractor is aware of the management and quality criteria required to meet the terms of the contract.

b. Frequency of Measurement: During contract performance, the COR will periodically analyze whether the negotiated frequency of surveillance is appropriate for the work being performed.

c. Frequency of Performance Assessment Meetings. The COR shall visit/correspond with the contractor either on an as-needed basis or, at a minimum, twice during the contract period: (1) middle of contract period and (2) end of contract period to assess performance and shall provide a written assessment. This written assessment will be forwarded to the Contracting Officer as documentation of contractor’s performance and/or for a request to exercise option period, renewal of a contract or termination of a contract.

d. Contractor will review semi-annual performance measure reports and acknowledge receipt of report by returning a signed copy, along with any comments, to the Contracting Officer within 30 days of receipt of the report.

CONTRACT PERFORMANCE METRICS

TASK

Clinical Info Return

Compliance Awareness Training TMS course #43790 shall be completed by the contractor prior to access to any facility systems within VISN 6. The class is required within 90 days of hire and annually thereafter, with a test out option.

The vendor has responsibility for “Duty to Report” any fraud, waste and abuse witnessed while on VA premises to the Integrity and Compliance Officer.

RECORDS MANAGEMENT CONTRACT LANGUAGE

Prior to termination or completion of this contract, contractor/subcontractor(s) must not destroy information received from the VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of the VA by a contractor/subcontractor(s) must be done in accordance with the National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1, Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitation. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.

36C24626Q0402

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SECTION C - CONTRACT CLAUSES

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.1 52.216-19 ORDER LIMITATIONS (OCT 1995)

(a) Minimum order. When the Government requires supplies or services covered by this contract in an amount of less than $15,000, the Government is not obligated to purchase, nor is the Contractor obligated to furnish, those supplies or services under the contract.

(b) Maximum order. The Contractor is not obligated to honor—

(1) Any order for a single item in excess of $280,000;

(2) Any order for a combination of items in excess of $280,000; or

(3) A series of orders from the same ordering office within 3 days that together call for quantities exceeding the limitation in paragraph (b)(1) or (2) of this section.

(c) If this is a requirements contract (i.e., includes the Requirements clause at subsection 52.216-21 of the Federal Acquisition Regulation (FAR)), the Government is not required to order a part of any one requirement from the Contractor if that requirement exceeds the maximum-order limitations in paragraph (b) of this section.

(d) Notwithstanding paragraphs (b) and (c) of this section, the Contractor shall honor any order exceeding the maximum order limitations in paragraph (b), unless that order (or orders) is returned to the ordering office within 3 days after issuance, with written notice stating the Contractor's intent not to ship the item (or items) called for and the reasons. Upon receiving this notice, the Government may acquire the supplies or services from another source.

(End of Clause)

C.2 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 10 days of the end of the current period of performance.

(End of Clause)

C.3 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 10 days of the end of the current period of performance; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least 10 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.4 52.252-6 AUTHORIZED DEVIATIONS IN CLAUSES (NOV 2020)

(a) The use in this solicitation or contract of any Federal Acquisition Regulation (48 CFR Chapter 1) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the date of the clause.

(b) The use in this solicitation or contract of any VAAR (48 CFR Chapter FEDERAL ACQUISITION REGULATION (48 CFR Chapter 1)) clause with an authorized deviation is indicated by the addition of "(DEVIATION)" after the name of the regulation.

(End of Clause)

C.5 VAAR 852.204-72 PERSONNEL VETTING AND CREDENTIALING (MAR 2026) (DEVIATION)

(a) Definitions. As used in this clause – VA Information system is the same as information system and means, pursuant to 38 U.S.C. 5727, a discrete set of information resources organized for the collection, processing, maintenance, use, sharing, dissemination, or disposition of information whether automated or manual.

VA sensitive information means all VA data, on any storage media or in any form or format, which requires protection due to the risk of harm that could result from inadvertent or deliberate disclosure, alteration, or destruction of the information and includes sensitive personal information. The term includes information where improper use or disclosure could adversely affect the ability of VA to accomplish its mission, proprietary information, records about individuals requiring protection under various confidentiality provisions such as the Privacy Act and the HIPAA Privacy Rule, and information that can be withheld under the Freedom of Information Act. Examples of VA sensitive information include the following: individually-identifiable medical, benefits, and personnel information; financial, budgetary, research, quality assurance, confidential commercial, critical infrastructure, investigatory, and law enforcement information; information that is confidential and privileged in litigation such as information protected by the deliberative process privilege, attorney work-product privilege, and the attorney-client privilege; and other information which, if released, could result in violation of law or harm or unfairness to any individual or group, or could adversely affect the national interest or the conduct of Federal programs.

(b) General. Contractor personnel assigned to work for or on behalf of VA must undergo a background investigation commensurate with the risk and sensitivity level designation associated with the work to be performed at the level indicated in the contract. The Contractor and subcontractors shall comply with VA Directive/Handbook 0710, Personnel Security and Suitability Program, which can be accessed at: https://vaww.va.gov/vapubs/index.cfm

(c) Risk and Sensitivity Levels. The following table identifies the risk and sensitivity levels that apply to any personnel providing services under this contract.

*VA Administrations, organizations and staff offices will use the OPM Position Designation Tool.

Positions/Tasks Designated as Non-Sensitive Positions - Tier 2/ Low Risk Commercial truck Driver – Delivers the Unit Registered Nurse – Assist with Treatment Radiologic Technician – Assist with Treatment

Security clearances are granted to individuals with a specific requirement for access to classified material (for example, Confidential, Secret and Top Secret). Contractor personnel that are required to obtain a security clearance will be subject to a Tier 3 or Tier 5 investigation. The following sensitivity designations have been assigned for the identified Tier 3 and Tier 5 required by this contract:

Tier 3: Not applicable Tier 5: Not applicable.

(d) Fitness. The results from a background investigation are used to determine if an individual’s fitness is sufficient for that individual to perform work for or on behalf of VA in the position identified in this contract. Contractor fitness determinations are made in accordance with 5 CFR Part 731.202.

Fitness requirements for employment are separate and distinct from job qualifications. If a Contractor or subcontractor employee is found to be unsuitable or unfit to provide services under this contract, the Contractor shall immediately remove the employee from working on this contract and take those necessary steps that restrict the employee’s logical access to VA data, information, VA sensitive information, or information technology or VA information systems containing such data or information.

The Contractor shall advise the employee that they are not permitted to access any VA controlled building or real property in relation to this contract.

The removal of an unfit Contractor or subcontractor employee does not alleviate the Contractor from satisfying the requirements of this contract. The Government will not reimburse the Contractor for any costs associated with the recruitment/replacement of an employee or subcontractor employee who is found to be unfit.

(e) Identification Cards. The Government will provide a Personal Identification Verification (PIV) card or other identification card, as necessary, to fit Contractor personnel who require physical access to VA facilities and/or logical access to VA data, information, VA sensitive information, or information technology or VA information systems containing such data or information. Contractor and subcontractor personnel shall prominently display their PIV/identification card on their persons while working at a VA facility and shall present their PIV/identification card for inspection upon request by a VA official. The Contractor must surrender the employee or subcontractor employee’s PIV/identification card in accordance with the requirements set forth in Directive/Handbook 0735 when any of the following events occur:

1. When no longer needed for contract performance.

2. Upon completion of the Contractor/subcontractor employee’s employment.

3. Upon contract completion or termination.

(f) Lost/stolen. Immediately upon detection, the Contractor shall report a lost or stolen PIV/identification card to the Government authorities as identified in Directive/Handbook 0735. Within 48 hours of reporting the lost/stolen PIV/identification card, the Contractor shall submit to the Program Manager an incident report that describes the relevant facts and circumstances regarding the loss/theft. If the loss/theft was reported by the Contractor to the local police, the Contractor shall further submit a copy of the final police report to the Program Manager within 48 hours of the report being made available by the local police department. The Government will not reimburse the Contractor for any costs that result from lost/stolen PIV/identification card(s).

(g) Regular Reporting. The Contractor shall submit a status report to PIV Sponsor within 5 working days after the end of each calendar quarter and as requested by the Government in order to initiate contract closeout procedures. The report must provide the status of each contractor/subcontractor employee who is required to have a PIV/identification card during the performance of the contract. The report shall identify the Contractor and the contract number, and list the following status for each contractor/subcontractor employee who holds a PIV/identification card under this contract:

1. Contractor/subcontractor employee name.

2. Name of VA facility where Contractor/subcontractor employee works, if applicable.

3. Date background check submitted for Contractor/subcontractor employee.

4. Date PIV/identification card issued to Contractor/subcontractor employee.

5. Contractor/subcontractor employee’s PIV/identification card number, as applicable.

6. Date Contractor/subcontractor employee no longer has need for PIV/identification card.

7. Date Contractor notified VA that PIV/identification card is no longer required.

8. Date Contractor returned PIV/identification card was returned to VA.

(h) Flow down of clause. The Contractor shall include the substance of this clause in subcontracts, third-party agreements, and BAA’s, in which subcontractors, third-party servicers/employees, and business associates will perform functions where they will have physical access to a VA facility or logical access to VA data, information, VA sensitive information, or information technology or VA information system containing such data or information.

(End of Clause)

C.6 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/far-overhaul/far-part-deviation-guide/far-overhaul-part-52 #FAR_52_252_1 (FAR) and http://www.va.gov/oal/library/vaar/index.asp (VAAR) (End of Clause)

C.7 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

The Contracting Officer reserves the right to designate an Administrative Contracting Officer (ACO) for the purpose of performing certain tasks/duties in the administration of the contract. Such designation will be in writing through an ACO Letter of Delegation and will identify the responsibilities and limitations of the ACO. A copy of the ACO Letter of Delegation will be furnished to the Contractor.

(End of Clause)

C.8 SUPPLEMENTAL INSURANCE REQUIREMENTS

In accordance with FAR 28.307-2 and FAR 52.228-5, the following minimum coverage shall apply to this contract:

(a) Workers' compensation and employers liability: Contractors are required to comply with applicable Federal and State workers' compensation and occupational disease statutes. If occupational diseases are not compensable under those statutes, they shall be covered under the employer's liability section of the insurance policy, except when contract operations are so commingled with a Contractor's commercial operations that it would not be practical to require this coverage. Employer's liability coverage of at least $100,000 is required, except in States with exclusive or monopolistic funds that do not permit workers' compensation to be written by private carriers.

(b) General Liability: $500,000.00 per occurrences.

(c) Automobile liability: $200,000.00 per person; $500,000.00 per occurrence and $20,000.00 property damage.

(d) The successful bidder must present to the Contracting Officer, prior to award, evidence of general liability insurance without any exclusionary clauses for asbestos that would void the general liability coverage.

(End of Clause)

C.9 52.216-18 ORDERING (AUG 2020)

(a) Any supplies and services to be furnished under this contract shall be ordered by issuance of delivery orders or task orders by the individuals or activities designated in the Schedule. Such orders may be issued from 05/18/2026 through 05/17/2031.

(b) All delivery orders or task orders are subject to the terms and conditions of this contract. In the event of conflict between a delivery order or task order and this contract, the contract shall control.

(c) A delivery order or task order is considered "issued" when—

(1) If sent by mail (includes transmittal by U.S. mail or private delivery service), the Government deposits the order in the mail;

(2) If sent by fax, the Government transmits the order to the Contractor’s fax number; or

(3) If sent electronically, the Government either—

(i) Posts a copy of the delivery order or task order to a Government document access system, and notice is sent to the Contractor; or

(ii) Distributes the delivery order or task order via email to the Contractor’s email address.

(d) Orders may be issued by methods other than those enumerated in this clause only if authorized in the contract.

(End of Clause)

C.10 52.216-21 REQUIREMENTS (OCT 1995)

(a) This is a requirements contract for the supplies or services specified, and effective for the period stated, in the Schedule. The quantities of supplies or services specified in the Schedule are estimates only and are not purchased by this contract. Except as this contract may otherwise provide, if the Government's requirements do not result in orders in the quantities described as "estimated" or "maximum" in the Schedule, that fact shall not constitute the basis for an equitable price adjustment.

(b) Delivery or performance shall be made only as authorized by orders issued in accordance with the Ordering clause. Subject to any limitations in the Order Limitations clause or elsewhere in this contract, the Contractor shall furnish to the Government all supplies or services specified in the Schedule and called for by orders issued in accordance with the Ordering clause. The Government may issue orders requiring delivery to multiple destinations or performance at multiple locations.

(c) Except as this contract otherwise provides, the Government shall order from the Contractor all the supplies or services specified in the Schedule that are required to be purchased by the Government activity or activities specified in the Schedule.

(d) The Government is not required to purchase from the Contractor requirements in excess of any limit on total orders under this contract.

(e) If the Government urgently requires delivery of any quantity of an item before the earliest date that delivery may be specified under this contract, and if the Contractor will not accept an order providing for the accelerated delivery, the Government may acquire the urgently required goods or services from another source.

(f) Any order issued during the ordering period of this contract and not completed within that period shall be completed by the Contractor within the time specified in the order. The contract shall govern the Contractor's and Government's rights and obligations with respect to that order to the same extent as if the order were completed during the contract's ordering period; provided, that the Contractor shall not be required to make any deliveries under this contract after 05/17/2031.

(End of Clause)

(End of Addendum to 52.212-4)

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SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

See attached document: Attachment A - APPENDIX C VA INFORMATION AND INFORMATION SYSTEM SECURITY_PRIVACY LANGUAGE FOR INCLUSION INTO CONTRACTS.

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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:

Note that FAR PART 12 Procedures will be used.

1. OFFER SUBMISSION

Offerors shall submit their quote via email to Amy Balicat at amy.balicat@va.gov by 08:00 AM EST on April 15, 2026. Offers shall be assembled by the following Sections: each section shall be easily identified.

Section A - Offer Form (Standard Form 1449) Signed and dated, include the North American Industry Classification System (NAICS) code and small business size standard in Block 10. Unique Entity Identifier Number (UEI) shall be entered in the block with the Offerors name and address.

Section B – Pricing

Section C – Technical/Management Approach Offerors shall submit a quote that addresses all aspects of the Performance Work Statement. All technical elements applicable to the utilization of subcontractors must be addressed in the technical quote and detail provided.

The Technical submission must provide sufficient information to demonstrate the corporate capabilities and approach to satisfactorily perform the work detailed in the Performance Work Statement. It must minimally address the following:

· Technical Capability and Quality of Offeror’s equipment and key personnel to service this contract; Collaborative skills--Demonstrate ability to work effectively with physicians and staff from referral specialties, etc.

· Management Approach: Certifications; related experience; specialized experience; and training experience. Management capabilities and responsibility. Experience in management positions within the healthcare community. Capability to meet all time requirements. Possession of necessary organization, experience, and technical skills to perform the work. Compliance with submission of qualifications and references with the technical submission. Proof of medical liability coverage in the form of invoices/certificates, etc.

· Past Performance and quality of service offered: Identify Federal, state, and local Government and private contracts that are similar in scope and size. References should include all on-going contracts or those completed within the last three (3) years. Past performance information is relevant information regarding a contractor's actions under previously awarded contracts including customer satisfaction. It includes professional background, experience, and level of professional competence. Provide a list of three references pertaining to those contracts including name, address, contact person, contract number, and telephone numbers.

All Offerors shall be registered and current in the System for Award Management (SAM) database at the time of quote submission.

Failure to submit a complete quote submission may result in a technically unacceptable determination.

2. Amendments:

Amendments to this solicitation will be posted to SAM.gov to potential offerors. Paper copies of the amendments will NOT be individually mailed. Offerors will be notified by email of any new amendments that have been issued. No other notification of amendments will be provided. Potential Offerors are advised that they are responsible for obtaining and acknowledging any amendments to the solicitation. Failure to acknowledge an amendment may result in your quote being considered unacceptable.

3. AWARD BASIS

Note that FAR Part 12 procedures will be used. The Government intends to award a contract resulting from this solicitation to the responsible offeror whose quote, conforming to the solicitation, quotes the lowest price, whose quoted price does not exceed the amount of funding available for the procurement, and whose quoted price is found to be reasonable. A rating of “acceptable” or “unacceptable” will be assigned to each non-priced factor.

The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement. Evaluation of options shall not obligate the Government to exercise the option(s).

4. TECHNICAL QUESTIONS

Offerors should submit all technical questions regarding this solicitation to the Contracting Officer in writing, via email, to Amy Balicat at amy.balicat@va.gov on or before 13:00 PM, EST on April 10, 2026.

Address Subject Line: 36C24626Q0402 Telephonic (verbal) questions Will Not be addressed.

All responses to questions, which may affect quotes, will be incorporated into a written amendment to the Request for Quote.

5. DUE DATES

All quotes shall be submitted by 08:00 AM EST on April 15, 2026 via email to Amy Balicat at amy.balicat@va.gov.

Facsimiles are not authorized under this announcement.

E.1 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…