36C24827Q0018_2.docx

36C24827Q0018

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

36C24827Q0018 11-06-2026 Rosetta Quinn 813-893-1814 12-06-2026

4:00PM

EST

36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Ste 160A Tampa FL 33637 X X Y 621512 $19 Million N/A X Department of Veterans Affairs Miami VA Healthcare System 1201 NW 16th Street Miami FL 33125 36C248 Department of Veterans Affairs Network Contracting Office 8 (NCO 8) 8875 Hidden River Pkwy Tampa FL 33637

Department of Veterans Affairs Financial Services Center P.O. Box 149971 Austin TX 78714-9971 See CONTINUATION Page The Contractor shall provide a 3T Mobile Magnetic Resonance Imaging (MRI) along with American Registry of Radiologic Technologists (ARRT), Certified Technologists in support of the Department of Veterans Affairs, Miami VA Healthcare System (MVAHCS), 1201 NW 16th Street, Miami, FL 33125.

Services should be provided in accordance with (IAW) the Performance Work Statement (PWS) and the terms and conditions listed herein.

This contract will be awarded for a base of one (1) year with four (4) - one (1) year option periods.

Reference pages six ) through eight (8) for the Price Schedule. Reference pages nine (9) through 4 for the PWS.

Please direct all questions concerning the Request for quotations (RFQ) and related documents to Rosetta Quinn at Rosetta.quinn@va.gov, no later than 4:00PM EST 11-1 -2026.

See CONTINUATION Page X X Rosetta Quinn 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: _____________________________ Title:

Address:

Telephone:

Facsimile:

Email:

Federal Taxpayer Identification Number:

Unique Entity ID:

b. GOVERNMENT: Contracting Officer 36C248 Rosetta Quinn Department of Veterans Affairs Network Contracting Office 8 (NCO 8) Rosetta.quinn@va.gov

(813) 893-1814

Contracting Officer Representative Primary. COR for this contract is:

Sergey Lihansky sergey.lihansky@va.gov 305-575-7000 ext. 17324

Alt. COR for this contract is:

Jyh-In Luc jyh-in.luc@va.gov 305-575-7000 ext. 13778

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. Invoicing shall be in accordance with the requirements of The Department of Veterans Affairs (VA) Financial Services Center (VAFSC). The latest information shall be used for invoicing and payments and may change during the Period of Performance of this acquisition. Current Invoicing information is located at http://www.fsc.va.gov/einvoice.asp.

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

6. SECURE FAX - please review VA Handbook 6500 that requires the following statement on all fax cover sheets be included: This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

7. CAUTION: Late submission, modification, and withdrawals: See Provision 52.212-1. Quotes are subject to all terms and conditions of this solicitation.

8. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by FAR 42.502 and any local policies established by their Head of Contracting Activity.

B.2 PRICE SCHEDULE

The Contractor must furnish one (1) 3Telsa (T) Mobile Magnetic Resonance Imaging (MRI) trailer including three (3) American Registry of Radiologic Technologists (ARRT) certified MRI Technologists to provide services necessary to perform onsite MRI services to eligible beneficiaries of the Bruce W. Carter Department of Veterans Affairs Medical Center (BWCVAMC), Miami Veterans Affairs Healthcare System (MVAHCS), 1201 NW 16th Street, Miami, FL 33125.

The MVAHS Imaging Service follows the standards of Abdominal/GU, Breast Imaging, Cardiovascular, General, Interventional, Musculoskeletal, Neuroradiology & guidelines set forth by American College of Radiology (ACR).

The Contractor’s MRI Technologists must cover the range of complete MRI services as would be provided in a state-of-the-art civilian medical treatment facility and services must be of a quality that meet or exceed the American College of Radiology Guidelines https://www.acr.org/-/media/ACR/Files/Practice-Parameters/IRClin-Prac-Mgmt.pdf.pdf Contract Type: Firm Fixed Price Place of Performance: MRI services shall be provided on site, at William “Bill” Kling Department of VA Clinic 9800 West Commercial Blvd, Sunrise, FL 33351.

Pricing Instructions: Line-Item Number (LIN) for the base year and subsequent option years include quantity, unit, quoted unit price, quoted total annual amount for each LINs, and the grand total. Contract pricing shall be inclusive of all resources and personnel required to provide MRI services as outlined in the Performance Work Statement (PWS).

The Contractor shall propose three (3) ARRT certified MRI Technologists to be credentialed and be available for scheduling to meet the requirements of the contract.

LINE

ITEM NUMBER

DESCRIPTION

OF SUPPLIES

/SERVICES

Base Year: 04/15/2027 – 04/14/2028

3T Mobile Magnetic Resonance Imaging (MRI) Trailer, with American Registry of Radiologic Technologists (ARRT) - certified technologists in accordance with the Performance Work Statement (PWS).

Contract Period: Base POP Begin: 04-15-2027 POP End: 04-14-2028

PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging Centers PRODUCT/SERVICE CODE: Q522 - Medical - Radiology

Option Period I: 04/15/2028 – 04/14/2029

3T Mobile Magnetic Resonance Imaging (MRI) Trailer, with American Registry of Radiologic Technologists (ARRT) - certified technologists in accordance with the Performance Work Statement (PWS).

Contract Period: Option 1 POP Begin: 04-15-2028 POP End: 04-14-2029

PRODUCT/SERVICE CODE: Q522 - Medical – Radiology

Option Period II: 04/15/2029 – 04/14/2030

3T Mobile Magnetic Resonance Imaging (MRI) Trailer, with American Registry of Radiologic Technologists (ARRT) - certified technologists in accordance with the Performance Work Statement (PWS).

Contract Period: Option 2 POP Begin: 04-15-2029 POP End: 04-14-2030

Option Period III: 04/15/2030 – 04/14/2031

3T Mobile Magnetic Resonance Imaging (MRI) Trailer, with American Registry of Radiologic Technologists (ARRT) - certified technologists in accordance with the Performance Work Statement (PWS).

Contract Period: Option 3 POP Begin: 04-15-2030 POP End: 04-14-2031

Option Period IV: 04/15/2031 – 04/14/2032

3T Mobile Magnetic Resonance Imaging (MRI) Trailer, with American Registry of Radiologic Technologists (ARRT) - certified technologists in accordance with the Performance Work Statement (PWS).

Contract Period: Option 4 POP Begin: 04-15-2031 POP End: 04-14-2032

B.3 PERFORMANCE WORK STATEMENT

1. GENERAL:

1.1. Description of Services: The Contractor must provide one (1) 3T mobile MRI trailer including three (3) American Registry of Radiologic Technologists (ARRT) certified MRI Technologists and all equipment necessary to perform comprehensive on-site MRI services on-site in accordance with the specifications contained herein to beneficiaries of the Bruce W. Carter Department of Veteran Affairs Medical Center (BWCVAMC), Miami Veterans Affairs Healthcare System (MVAHCS), 1201 NW 16th Street, Miami, FL 33125.

The MRI services must support a full range of examinations, including but not limited to standard MRI and magnetic resonance angiography (MRA) examinations of the head, neck, chest, abdomen, pelvis, upper and lower extremities, spine, and run-offs.

The Contractor must also be capable of performing advanced and complex studies such as urography and magnetic resonance cholangiopancreatography (MRCP).

All services provided must fully comply with, and meet or exceed, the standards and guidelines established by the American College of Radiology (ACR). The MVAHCS Imaging Service follows ACR standards, and the Contractor must ensure all onsite MRI operations adhere to these requirements.

1.2. Place of Performance: MRI services must be provided on site at William “Bill” Kling Department of VA Clinic, 9800 West Commercial Blvd, Sunrise, FL 33351.

1.3. Authority: Title 38 USC 8153, Health Care Resources (HCR) Sharing Authority, Federal Acquisition Regulation (FAR) Part 12 Acquisition of Commercial Products and Commercial Services in combination with FAR part 19 IAW FAR Overhaul 12.103.

1.4. Policy/Directives/Handbooks. The contractor shall be subject to the following policies, including any subsequent updates during the period of performance. The policies listed below can be accessed electronically at the following: VA Publications and VHA Publications

1.4.1. VA Directive 1663: Health Care Resources (HCR) Contracting – Buying Title 38 U.S.C. 8153

1.4.2. VHA Directive 1003.04: VHA Patient Advocacy

1.4.3. VHA Directive 1100.18: Reporting and Responding to State Licensing Boards

1.4.4. VHA Directive 1100.20: Credentialing of Health Care Providers

1.4.5. VHA Directive 1105.05 Magnetic Resonance Safety

1.4.6. VHA Directive 1192.01: Seasonal Influenza Vaccination Program for VHA Health Care Personnel

1.4.7. VHA Directive 1605.01: Privacy and Release of Information

1.4.8. VHA Directive 1907.01: VHA Health Information Management and Health Records

1.4.9. VHA Handbook 1100.17: National Practitioner Data Bank (NPDB) Reports

1.4.10. Privacy Act of 1974 (5 U.S.C. 552a) as amended: http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4.11. VHA Directive 1105.05 Magnetic Resonance (MR) Safety

1.5. Acronyms/Definitions: Terms used in this contract shall be interpreted as follows unless the context expressly requires a different construction and/or interpretation. In case of a conflict in language between the Definitions and other sections of this contract, the language in this section shall govern.

1.5.1. 3T: 3 Tesla

1.5.2. ACR: American College of Radiology

1.5.3. ADA: Americans with Disabilities Act

1.5.4. AED: Automatic External Defibrillator

1.5.5. AHA: American Hospital Association

1.5.6. AJIC: American Journal for Infection Control

1.5.7. ARRT: American Registry for Radiologic Technologist

1.5.8. BBA: Balance Budget Act

1.5.9. BLS: Basic Life Support

1.5.10. CAC: Common Card Access

1.5.11. CDC: Centers for Disease Control and Prevention

1.5.12. CMS: Centers for Medicare and Medicaid Services

1.5.13. CMP: Civil Monetary Penalty

1.5.14. CO: Contracting Officer. The person executing this contract on behalf of the Government with the authority to enter into and administer contracts and make related determinations and findings.

1.5.15. COTS: Commercial Off-The-Shelf

1.5.16. COR: Contracting Officer’s Representative. A person appointed by the CO to take necessary action to ensure the Contractor performs in accordance with and adheres to the specifications contained in the contract and to protect the interest of the Government. The COR shall report to the CO promptly any indication of non-compliance in order that appropriate action can be taken.

1.5.17. COS: Chief of Staff

1.5.18. CPARS: Contractor Performance Assessment Reporting System

1.5.19. CPRS: Computerized Patient Record System is the electronic health record system currently used at Miami VA.

1.5.20. Credentialing: Credentialing is the systematic process of screening and evaluating qualification and other credentials, including licensure, required education, relevant training and experience and current competence and health status.

1.5.21. DISA: Defense Information Systems Agency

1.5.22. DHHS: Department of Health and Human Services

1.5.23. EHR: Electronic Health Record

1.5.24. ESD: Enterprise Service Desk

1.5.25. EO: Executive Order

1.5.26. FAPIIS: Federal Awardee Performance and Integrity Information System

1.5.27. FAR: Federal Acquisition Regulation

1.5.28. FDA: Food and Drug Administration

1.5.29. FTE: Full-Time Equivalent VA’s standard definition is for full-time working the equivalent of 80 hours every two (2) weeks, 2080 hours per year. However, providers may propose using their standard FTE definition.

1.5.30. GAO: Government Accountability Office

1.5.31. HCR: Health Care Resources

1.5.32. HIPAA: Health Insurance Portability and Accountability Act

1.5.33. HICPAC: Healthcare Infection Contral Practices Advisory Committee

1.5.34. HRA/OSP: Human Resources and Administration/Operations, Security and Preparedness

1.5.35. IGRA: Interferon-Gamma Release Assays

1.5.36. ISO: Information Security Officer

1.5.37. IT: Information Technology

1.5.38. MRA: Magnetic Resonance Angiography

1.5.39. MRCP: Magnetic Resonance Cholangiopancreatography

1.5.40. MRI: Magnetic Resonance Imaging

1.5.41. NISPOM: National Industrial Security Program Operating Manual

1.5.42. NIST: National Institute of Standards and Technology

1.5.43. OEM: Original Equipment Manufacturer

1.5.44. OIG: Officer of Inspector General

1.5.45. PD: Product Description

1.5.46. PHI: Protected Health Information

1.5.47. PIV: Personal Identity Verification

1.5.48. POP: Period of Performance

1.5.49. PPIRS: Past Performance Information Retrieval System

1.5.50. PPD: Purified Protein Derivative

1.5.51. PWS: Performance Work Statement

1.5.52. QA/QI: Quality Assurance/Quality Improvement

1.5.53. QASP: Quality Assurance Surveillance Plan

1.5.54. QM/PI: Quality Management/Performance Improvement

1.5.55. RF: Radio Frequency

1.5.56. RFQ: Request For Quote

1.5.57. ROB: Rule of Behavior

1.5.58. STIG: Security Technical Implementation Guide

1.5.59. TCJ: The Joint Commission

1.5.60. TLS: Transport Layer Security

1.5.61. TST: Tuberculosis Skin Test

1.5.62. UPC: Uninterruptible Power Supply

1.5.63. USC: United States Code

1.5.64. VetPro: A federal web-based credentialing program for healthcare providers.

1.5.65. VA: Veterans Affairs

1.5.66. VAAR: Veteran Affairs Acquisition Regulation

1.5.67. VHA: Veterans’ Health Administration

1.5.68. VISN: Veterans Integrated Services Network - the regional oversight for the VA medical centers.

1.5.69. VISTA: Veterans Information Systems Technology Architecture - A PC based system that will capture and store clinical imagery, scanned documents and other non-textual data files and integrates them into patient’s medical record and with the hospital information system.

2. QUALIFICATIONS:

2.1. Staff/Facility

2.1.1. Certification and Registration: All Contractor’s MRI technologists must hold certification and current registration for MRI by the ARRT and be certified in Basic Life Support (BLS). All continuing education courses required for maintaining certification and registration must be kept up to date at all times. Documentation verifying current certification and registration shall be provided by the Contractor to the VA COR on an annual basis for each year of contract performance, and whenever renewals occur.

2.1.2. Credentialing: Credentialing is to be done in accordance with the provisions of VHA Directive 1100.20 referenced above. The Contractor is responsible to ensure that proposed MRI technologists possess the requisite credentials enabling the granting of privileges. No services shall be provided by any Contractor’s MRI technologists prior to obtaining approval by the Facility Medical Executive Board and Medical Center Director.

2.1.2.1. If a Contractor’s MRI technologist is not credentialed or has credentials suspended or revoked, the Contractor must furnish an acceptable substitute without any additional cost to the government.

2.1.3. Technical Proficiency: Contractor’s MRI technologists must be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed. Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contractor’s personnel and contractor’s personnel shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.1.4. Training (BLS, EHR, and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s MRI technologists as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

2.1.5. STANDARD INFECTION CONTROL MEASURES (PPD, IMMUNIZATIONS, ETC.): Contractor shall provide proof of the following for Contractor’s MRI technologists within five (5) calendar days after contract award and prior to the first duty shift to the COR and Contracting Officer. Tests shall be current within the past year.

2.1.5.1. TUBERCULOSIS TESTING: Contractor shall provide proof of a negative Tuberculosis Skin Test (TST) or interferon-gamma release assays (IGRA) for all Contractor’s MRI technologists upon hire in accordance with CDC guidance. (This is applicable to all health care workers). A negative chest radiographic report for active tuberculosis shall be provided in cases of positive TST or IGRA results.

2.1.5.2. MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor MRI technologists (This is applicable to all health care workers).

2.1.5.3. VARICELLA: Contractors shall provide proof of immunity for all Contractor MRI technologists (This is applicable to all health care workers).

2.1.5.4. ACELLULAR PERTUSSIS: Contractors shall provide proof of one (1) dose of Tdap vaccination for all Contractor technologists (This is applicable to all health care workers).

2.1.5.5. INFLUENZA: Contractors shall provide proof that all Contractor MRI technologists have received the annual Influenza vaccine unless it is contraindicated. If the Contractor technologist has a medical contraindication to the vaccine they shall be required to wear a mask during the Influenza season (This is applicable to all health care workers).

2.1.5.6. OSHA REGULATION CONCERNING OCCUPATIONAL EXPOSURE TO BLOODBORNE PATHOGENS: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor MRI technologists (This is applicable to all health care workers); provide their own Hepatitis B vaccination series and hepatitis B surface antigen test results following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.1.5.7. The facility shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control. Contractor shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.1.6. Conflict of Interest: The Contractor and all contractor’s MRI technologists are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of quote and during the entirety of contract performance. At the time of quote, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.1.7. Citizenship related Requirements:

2.1.7.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.1.7.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

2.1.7.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.1.7.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.1.7.5. The Contractor agrees to obtain a similar certification from its subcontractors. The certification shall be made as part of the offerors response to the RFQ using the subject attachment in Section D of the solicitation document.

2.1.8. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.1.8.1. Therefore, Contractor shall review the HHS OIG List of Excluded Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contractor’s MRI technologists are not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.1.8.2. By submitting their quote, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.2. Clinical/Professional Performance: The qualifications of Contractor MRI technologists are subject to review by VA Medical Facility COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Directive 1100.20 and VHA Directive 1100.21. Clinical/Professional performance monitoring and review of all clinical personnel covered by this contract for quality purposes will be provided by the facility COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

2.3. Non-Personal Healthcare Services: The parties agree that the Contractor and all contractor’s MRI technologists shall not be considered VA employees for any purpose.

2.4. Indemnification: The Contractor shall be liable for, and shall indemnify and hold harmless the Government against, all actions or claims for loss of or damage to property or the injury or death of persons, arising out of or resulting from the fault, negligence, or act or omission of the Contractor, its agents, or employees.

2.5. Prohibition Against Self-Referral: Contractor’s MRI technologists are prohibited from referring VA patients to contractor’s or their own practice(s)

2.6. Inherent Government Functions: Contractor and Contractor’s MRI technologists shall not perform inherently governmental functions. This includes, but is not limited to, determination of agency policy, determination of Federal program priorities for budget requests, direction and control of government employees (outside a clinical context), selection or non-selection of individuals for Federal Government employment including the interviewing of individuals for employment, approval of position descriptions and performance standards for Federal employees, approving any contractual documents, approval of Federal licensing actions and inspections, and/or determination of budget policy, guidance, and strategy.

2.7. No Employee status: The Contractor shall be responsible for protecting Contractor’s MRI technologists furnishing services. To carry out this responsibility, the Contractor shall provide or certify that the following is provided for all their staff providing services under the resultant contract:

2.7.1. Workers’ compensation

2.7.2. Professional liability insurance

2.7.3. Health examinations

2.7.4. Income tax withholding, and

2.7.5. Social security payments.

2.8. Tort Liability: The Federal Tort Claims Act does not cover Contractor or contractor’s MRI technologists When a Contractor or contractor’s MRI technologists has been identified as a provider in a tort claim, the Contractor shall be responsible for notifying their legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor’s (or contractor’s MRI technologists) action or non-action shall be the responsibility of the Contractor and/or insurance carrier.

2.9. Key Personnel:

2.9.1. The Contractor shall provide a minimum of three (3) technologists. This requirement includes two (2) ARRT certified MRI Technologists who shall perform all services onsite. An additional technologist shall be designated as backup to ensure continuity of operations.

2.9.2. The Contractor must be responsible for providing coverage to the VA during periods of absences/vacancies of the Contractor’s MRI technologists due to sick leave, personal leave, vacations and additional coverage as required. In the event a scheduled technologist is unable to complete an assigned shift, the contractor shall provide replacement coverage within two (2) hours and notify the Contracting Office Representative (COR) immediately of the schedule change.

2.9.3. Personnel Substitutions: During the first ninety (90) calendar days of performance, the Contractor shall make NO substitutions of key personnel unless the substitution is necessitated by illness, death or termination of employment. The Contractor shall notify the CO, in writing, within 15 calendar day(s) after the occurrence of any of these events and provide the information required below. After 90 days, the Contractor shall submit the information required below to the CO at least 15 calendar days prior to making any permanent substitutions.

2.9.3.1. The Contractor shall provide a detailed explanation of the circumstances necessitating the proposed substitutions, complete resumes for the proposed substitutes, and any additional information requested by the CO. Proposed substitutes shall have comparable qualifications to those of the persons being replaced. The CO will notify the Contractor within 15 calendar days after receipt of all required information of the decision on the proposed substitutes. The contract will be modified to reflect any approved changes of key personnel.

2.9.3.2. For temporary substitutions where the key person shall not be reporting to work for three (3) consecutive workdays or more, the Contractor shall provide a qualified replacement for the key person. The substitute shall have comparable qualifications to the key person. Any period exceeding two (2) weeks will require the procedure as stated above.

2.9.3.3. The Government reserves the right to refuse acceptance of any Contractor MRI technologists at any time after performance begins, if personal or professional conduct jeopardizes patient care or interferes with the regular and ordinary operation of the facility. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, or other conduct resulting in formal complaints by patient or other staff members to designated Government representatives. Standards for conduct shall mirror those prescribed by current federal personnel regulations. Should the VA COS or designee show documented clinical problems or continual unprofessional behavior/actions with any Contractor’s MRI technologists, s/he may request, without cause, immediate replacement of said Contractor’s MRI technologists The CO and COR shall deal with issues raised concerning Contractor’s MRI technologists conduct. The final arbiter on questions of acceptability is the CO.

2.9.3.4. Contingency Plan: Because continuity of care is an essential part of the Facility’s medical services, The Contractor shall have a contingency plan in place to be utilized if the Contractor’s MRI technologists leaves Contractor’s employment or is unable to continue performance in accordance with the terms and conditions of the resulting contract.

3. VA HOURS OF OPERATION/SCHEDULING:

3.1. VA Business Hours: The Miami VA Healthcare System operates 24 hours per day, 365 days per year. Imaging Service business hours at the William “Bill” Kling VA Clinic are 7:30 a.m. to 4:30 p.m. Eastern Standard Time (EST).

3.1.1. Schedule: Services must be provided five (5) days per week. Contractors must provide coverage for all required clinic days including holidays declared via executive order.

3.1.2. Hours of Service: The contractor must perform onsite services for eight (8) hours per day, Monday to Friday, from 7:30 AM to 4:30 PM. The first exam will begin at 7:30 a.m. with the last patient being seen such that the exam is completed no later than 4:30 p.m.

3.1.3. Contractor’s MRI technologists must be available and present in clinic during the established shift, which may be revised as deemed appropriate for patient care by the Chief of Staff.

3.2. Federal Holidays: The following holidays are observed by the Department of Veterans Affairs:

· New Year’s Day

· President’s Day

· Martin Luther King’s Birthday

· Memorial Day

· Juneteenth

· Independence Day

· Labor Day

· Columbus Day

· Veterans Day

· Thanksgiving

· Christmas Any day specifically declared to be a national holiday.

3.3. Prorated Fee/Cancellations: The Contractor shall prorate the monthly rental fee in the event the Contractor is unable to provide MRI services in accordance with the requirements of this PWS. The monthly fee shall be prorated based on the number of hours the MRI trailer is out of service during the scheduled operating hours of 7:30 a.m. to 4:30 p.m., at an hourly rate of $300.00.

The Contractor shall notify the COR and the CO immediately, but no later than one (1) hour after any service interruption, equipment malfunction, or other condition that prevents the MRI trailer from operating. Notification shall include the nature of the issue, the estimated downtime, and the Contractor’s proposed corrective actions. Failure to provide timely notification may result in additional deductions or remedies as determined by the CO. The Contractor shall reimburse the MVAHCS for any Community Care referral costs incurred as a direct result of the Contractor’s MRI trailer being out of service. The average cost of a Community Care MRI referral shall be provided by the VA at the time of occurrence and deducted from the Contractor’s next invoice.

4. CONTRACTOR RESPONSIBILITIES

4.1. Clinical Personnel Required: The Contractor must provide MRI technologists who are competent, qualified per this performance work statement and adequately trained to perform assigned duties.

4.1.1. Contractor’s technologists must sign in and out when in attendance. Time sheets will be used by the COR to confirm hours/day requirements are met.

4.1.2. Operation of the MRI machine must always be in compliance with VHA Directive 1105.05 Magnetic Resonance Safety. When MRI machine is in use, the Contractor must have a minimum of two (2) MRI technologists in Zones III through IV.

4.2. Standards of Care: The contractor’s technologists must cover the range of MRI services as would be provided in a state-of-the-art civilian medical treatment facility and the standard of care shall be of a quality, meeting or exceeding currently recognized by ARRT, The Joint Commission, VA, and national standards as established by:

4.2.1. ARRT Guidelines: https://www.arrt.org/

4.2.2. The professional standards of The Joint Commission (TJC): http://www.jointcommission.org/standards_information/hap_requirements.aspx

4.2.3. The standards of the American Hospital Association (AHA): http://www.hpoe.org/resources?show=100&type=8 and;

4.2.4. The requirements contained in this PWS.

4.3. MRI Unit Equipment Requirements: Contractor must provide a mobile 3T MRI unit (five (5) years old or newer) including scanner, acquisition, and processing station with a high-performance gradient system. Specific equipment requirements include:

· The operating system must be Windows 10 or newer/ Linux.

· A power injector for intravenous contrast administration must be included.

· A properly sized online double-conversion UPS system that meets the MRI manufacturer’s specifications and supports the MRI trailer’s electrical load. The UPS must provide continuous conditioned power, surge protection, voltage regulation, and a minimum of 15 minutes of battery backup during power interruptions.

· The scanner must include some form of effective noise abatement system for patients.

· The scanner must offer a patient entertainment system that enables the patient to experience digital media during the MRI scan procedures.

4.4. MOBILE TRAILER EQUIPMENT SPECIFICATIONS: The following minimum performance characteristics of the equipment are required:

· Contractor must make whatever adaptations are necessary so that the contractor's equipment is compatible with the Miami VA data network and power supply.

· MRI trailer must be a minimum of 12’x46’ transportable unit.

· 42” wide stairs with handrails on both sides of step.

· Americans with Disabilities Act (ADA) compliant aluminum lift assembly for entering and exiting of the MRI trailer.

· 40” minimum width radio frequency (RF) scan room door.

· Handwashing facilities.

· Patient stairs & landing.

· Ready for use regardless of outside environmental conditions.

· Maintains a temperature to ensure proper operation of the scanner and provide for patient comfort.

· Includes a private dressing area with secured cabinets for patient use.

· Includes MRI-compatible wheelchair and stretcher.

· Includes an MRI-compatible Automatic External Defibrillator (AED). The system must contain the minimum characteristics:

1. AED Unit with LCS Screen showing voice prompt messages, device advisory messages, elapsed time, shock count and chest compression graph, Operator's Guide, and Carrying Case.

2. Two (2) Sets of CPR-D Pads, one piece defibrillation and CPR system with compression, depth, and rate sensors, supplies with gloves, barrier mask, scissors, razor, wet wipes, and dry wipes;

3. Two (2) Sets of type 123 Lithium Batteries with storage sleeve.

4.5. MEDICAL RECORDS

4.5.1. Authorities: Contractor’s MRI technologists providing healthcare services to VA patients shall be considered as part of the Department Healthcare Activity and shall comply with the 5 U.S.C.552a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records), Title 5 U.S.C. § 522a (Records Maintained on Individuals) as well as 45 C.F.R. Parts 160, 162, and 164 (HIPAA).

4.5.2. HIPAA: This contract and its requirements meet exception in 45 CFR 164.502(e), and do not require a BAA in order for Covered Entity to disclose Protected Health Information to: a health care provider for treatment of VA patients. Based on this exception, a BAA is not required for this contract. Health records generated by this contract or provided to the Contractors by the VA are covered by the VA Privacy Act system of records entitled ‘Patient Medical Records-VA’ (24VA10A7). Contractor generated VA Patient records are the property of the VA and shall not be accessed, released, transferred, or destroyed except in accordance with applicable laws and regulations. Contractor shall ensure that all records pertaining to medical care and services provided to VA patients are captured in the VA electronic health record system as required by VA policy as discussed in 4.4.4.

4.5.3. Disclosure: Contractor’s MRI technologists may have access to patient medical records for the purpose of providing medical care and services to VA patients and performing services under the contract. VA authorizes the Contractor to discuss patient health information for coordination of care with community health care providers in compliance with VA regulations, HIPAA and VHA Directive 1605.01, Privacy and Release of Information. The VA will provide the Contractor with a copy of VHA Directive 1907.01, Health Information Management and Health Records and VHA Directive 1605.1, Privacy and Release of Information. The penalties and liabilities for the unauthorized disclosure of VA patient information mandated by the statutes and regulations mentioned above, apply to the Contractor.

4.5.4. Professional Standards for Documenting Care: Care shall be appropriately documented in medical records in accordance with standard commercial practice and guidelines established by VHA Directive 1907.01 Health Information Management and Health Records: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=9235 and all guidelines provided by the facility.

4.5.5. Release of Information: The VA shall maintain control of releasing any copies of patient health information or health records and will follow policies and standards as defined but not limited to Privacy Act requirements. Contractor will not release or disclose copies of records and will refer all such requests to the Release of Information Department at the VA facility where assigned.

4.5.6. Management for Medical Records: National Archives and Records Administration record disposition requirements are found in RCS 10-1 Chapter six (6), 6000 series.

4.6. DIRECT PATIENT CARE: Estimated 95% of the time involved in direct patient care. Contractor’s MRI Technologists must be responsible for:

4.6.1. Performing a full range of technical functions related to MRI procedures including but not limited to examinations of the head, neck, chest, abdomen, pelvis, upper and lower extremities, and entire spine; angiography (MRA) of the head, neck, spine, chest, abdomen, pelvis, upper and lower extremity, and run-offs.

4.6.2. Performing studies of the kidneys, adrenal glands, nodes and urinary bladder using real time techniques to perform examinations for detection of renal cysts and tumors, adrenal masses, lymph node enlargement, retro peritoneal hematomas, abscesses and abnormalities of the urinary bladder.

4.6.3. Performing abdominal, visceral and peripheral MRI scans; scrotal and thyroid MRI.

4.6.4. Performing all MRI procedures independently and of the highest diagnostic quality for the anatomical part or blood vessel being imaged.

4.6.5. Administering contrast material according to patient weight and pathology, under the direct supervision of a radiologist or other designated licensed independent practitioner, following protocols and in accordance with State and Federal regulations.

4.6.6. Documenting contrast administration in the EHR per local medical center policy.

4.6.7. Monitoring patients for complications and/or adverse reactions during and after contrast administration and implementing emergency protocols as needed.

4.6.8. Conferring with the radiologists and Lead Tech to establish nonstandard examinations to determine technical factors, positioning etc. to satisfy requirements in non-standard examinations.

4.6.9. Performing and documenting daily quality control of MRI system.

4.6.10. Performing basic MRI clearance by evaluating implants/devices for MRI compatibility.

4.6.11. Ensuring each patient has an appropriate EHR imaging order to receive an MRI exam and a completed MRI screening checklist.

4.6.12. Using appropriate screening devices to ensure the patient has no ferromagnetic materials on or in their body.

4.6.13. Transmitting electronic data after each exam and ensuring all of the day’s exam data is completed transferred to the Miami VA computer systems.

4.6.14. Performing routine tasks on the computer using the Veterans Information Systems Technology Architecture (VISTA), Computerized Patient Record System (CPRS), and Picture Archiving and Communication System (PACS) to pull work lists, register patients, edit examinations, technically disposition procedures, transfer MRI images to the correct procedure file, and scan documents.

4.6.15. Communicating effectively and courteously while working as a healthcare team member, providing excellent service as defined by the customer (health care providers, patients, and others).

4.6.16. Evaluating the nature of critical and emergency cases, and rearranging patients scheduled to accommodate such cases.

4.7. ADMINISTRATIVE: Estimated 5% of time not involved in direct patient care

4.7.1. Mandatory Training: The Contractor’s shall be MRI technologists responsible for meeting all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the MRI technologists as required by the VA.

4.7.2. Patient Safety Compliance and Reporting: Contractor’s MRI technologists shall follow all established patient safety and infection control standards of care. Contractor’s MRI technologists shall make every effort to prevent falls and patient injury caused by acts of commission or omission in the delivery of care. All events related to patient injury and other breeches of patient safety shall be documented in the medical record of those impacted and disclosed to the patient or surrogate.