36C24924R0075_0002.docx

36C24924R0075 0002 Mobile X-Ray and Ultrasound Imaging Services 36C24924R0075 0002 Mobile X-Ray and Ultrasound Imaging Services

5. PROJECT NUMBER (if applicable)

CODE

7. ADMINISTERED BY

2. AMENDMENT/MODIFICATION NUMBER

CODE

6. ISSUED BY

8. NAME AND ADDRESS OF CONTRACTOR

4. REQUISITION/PURCHASE REQ. NUMBER

3. EFFECTIVE DATE

9A. AMENDMENT OF SOLICITATION NUMBER

9B. DATED

PAGE OF PAGES

10A. MODIFICATION OF CONTRACT/ORDER NUMBER

10B. DATED

BPA NO.

1. CONTRACT ID CODE

FACILITY CODE

CODE

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

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

E. IMPORTANT:

is extended,

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

12. ACCOUNTING AND APPROPRIATION DATA

(REV. 11/2016)

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

is not, A. THIS CHANGE ORDER IS ISSUED PURSUANT TO:

Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT ORDER NO. IN ITEM 10A.

15C. DATE SIGNED

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

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

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

D. OTHER

Contractor

16C. DATE SIGNED

14. DESCRIPTION OF AMENDMENT/MODIFICATION

16B. UNITED STATES OF AMERICA

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

15A. NAME AND TITLE OF SIGNER

16A. NAME AND TITLE OF CONTRACTING OFFICER

15B. CONTRACTOR/OFFEROR

STANDARD FORM 30

PREVIOUS EDITION NOT USABLE

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

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

(If required)

(SEE ITEM 11)

(SEE ITEM 13)

(X)

CHECK

ONE

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

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

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

(Signature of person authorized to sign) (Signature of Contracting Officer) 10/10/2024 Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129 90C Network Contracting Office 9 Department of Veterans Affairs Network Contracting Office (90C) 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129 To all Offerors/Bidders

36C24924R0075 09-24-2024

X x x

This solicitation is amended to answer all the questions submitted by interested parties.

See attached questions and answers.

Angela Tucker Contracting Officer

CONTINUATION PAGE

This solicitation amendment is answer to questions from interested parties as follows:

1. Can the CT be in a Mobile Trailer?

A: (Please refer to PWS 1.1 Introduction and Overview) Mobile CT imaging services typically utilize a self-propelled freightliner with box platform, equipped with a fully diagnostic CT unit with table. Additionally, there is the option to include extra mobile CT units to cover a wider service area. However, using a Winnebago Mobile Trailer is generally not recommended or acceptable due to the chassis/ lower weight capacity.

2. What are the minimum specs for the CT?

A: Bidders must provide the specifications for vehicle and unit as referenced in the PWS. The minimum requirements include handicap accessibility with a wheelchair lift, as well as a retractable awning to ensure patient protection during inclement weather.

(Please refer to PWS)

1. Contractor’s Furnished Equipment

Equipment shall include, but not be limited to, a Contractor-furnished, fully equipped, freightliner chassis with custom box housing a fully diagnostic CT imaging unit with table. CT imaging services will be performed on a mobile unit that meets facility approval (documentation of proposed units to be provided with bid). Equipment specifications will include year, manufacturer, model number, and make of all pertinent information. All equipment used will be FDA approved imaging equipment. The entire offering of Mobile Radiology services shall meet all local, state, federal, industry, JCAHO, NEC, NFPA, VA, OSHA and other regulatory standards internal and external for which the VISN is currently accountable and will be kept current with all federal and state regulations.

0. Contractor’s Furnished Equipment

Equipment shall include, but not be limited to, a Contractor-furnished, fully equipped, freightliner chassis with custom box housing a fully diagnostic CT imaging unit with table. CT imaging services will be performed on a mobile unit that meets facility approval (documentation of proposed units to be provided with bid).

(1.10 Equipment Specifications)

The following minimum performance characteristics of the equipment are required:

0. The imaging equipment shall provide images with consistently high technical quality to be assessed by VA-employed experts. Poor image quality will be considered non-performance under this contract and must be remedied within 10 days of notification or incur default.

0. The imaging equipment shall be capable of acquiring diagnostic quality of images of all parts of the body including Lung Cancer Screening LDCT within the radiation dose limits prescribed by VA.

0. The imaging equipment shall be capable of acquiring images and all post processing requirements to deliver high quality diagnostic images.

0. Contractor shall provide generator for self-contained power to fully operate entire coach and all equipment within, possibly for extended periods of time.

0. The mobile imaging unit shall be ready for use regardless of outside environmental conditions, and shall adhere to the following:

4. The mobile unit shall maintain a temperature to assure proper operation of equipment without frequent calibration and provide for patient comfort.

4. The mobile unit and imaging equipment shall meet all federal, state, fire, and safety requirements.

0. The mobile unit shall be equipped with outlet jacks’ connections capable of transmitting data and voice through Government-provided category five (5) and dual power phone cable.

0. The mobile unit shall be equipped with secured landline and wireless technology that will allow for transmission of images. Contractor shall provide full solution within proposal.

0. Pedestal power and landline network will not be provided by government due to separate existing building lease contract restraints. Contractor may work independently with building owner to establish pedestal power and landline at contractor expense. Please note each location is unique environment and all have different building owners.

0. The imaging equipment shall support DICOM Modality Worklist (DMWL) for future use and shall be able to export DICOM images to at least one destination.

3. What are the power requirements for each location?

A: (Please refer to PWS under Equipment Specifications.)

The mobile unit will not rely on external power from any location. It must have an independent generator power source to remain fully operational during work hours. However, shore power is required when the system is parked overnight.

Shore power is needed while the unit is parked to ensure the system remains plugged in. This is critical for maintaining the required climate control (e.g., humidity and temperature) for the CT scanner. Although the vehicle doesn’t need to be stored indoors, it is recommended to park it in a location that allows connection to shore power overnight to ensure the onboard environmental units (A/C, Heater) maintain optimal conditions. It is advisable to use a shoreline power connection to regulate the environment, and the contractor will be responsible for determining the overnight storage location.

(Per PWS)

Removal of Contractor’s Equipment

Contractor will be responsible for the timely removal of the mobile imaging unit from the VA premises as agreed upon with the COR not to exceed an eight (8) hour period after completion of the last procedure is performed unless otherwise agreed upon by the COR, ACO and the Contractor.

Contractor shall be responsible for all equipment while on VA premises. At least one of Contractor’s personnel must be present during working hours while the equipment is located on VA premises. The VISN will not be held responsible for any loss or damage to the Contractor’s property, which may be vandalized or damaged, including the mobile unit while on site. Contractor shall maintain property insurance on all equipment throughout the duration of the contract and the successful Contractor shall provide proof of insurance as required herein.

4. What is the scan volume for each location?

A: (Please refer to PWS under Schedule section 2.1.)

The scan volume and schedule will be determined by the VA and will be based on clinical needs. However, the VA will collaborate with the Contractor to ensure the schedule is optimized, considering travel time between the various CBOC sites. Services will be provided Monday through Friday, excluding Federal Holidays.

Schedule 2.1

Contractor shall perform clinical services up to 10 hours per day on a weekday or weekend to be established independently with the VISN. Services are based on demand of patient exam volumes and/or limited equipment availability internal to VA. If there is a need to increase the number of days per week to accommodate patient services, the Government reserves the right to increase the number of days as noted herein. Contractor will be given at least sixty (60) calendar days’ notice of the VISN’s intention of increasing the number of days per month for which the Contractor will perform services on site. Additional days periodically may be added to meet backlog of exams with sufficient notice, not to exceed thirty (30) days. Additional days of service will be performed for same daily lease rate or less. Overtime charges are not authorized. Schedule rate will be based on 8 hour or 10-hour days of direct clinical care. Start of time and/or QC time will be outside of direct clinical care hours. Unresolved scheduling conflicts will be decided by the Administrative Contracting Officer; the decision made will be final.

The Contractor shall be required to confirm the scheduled examinations, by contacting the COR or designee two (2) business days prior to the date of services. Procedures will be established and will be mutually agreed upon between the COR, ACO and the successful Contractor during the post-award orientation.

The Contractor, based on the knowledge of their imaging system shall determine a maximum number of patients that may be imaged within a day where the first patient begins at 8:00 a.m. In accordance with the above, vendors shall submit with his/her signed proposal, a proposed schedule based upon the level of expertise of the proposed Contractor personnel.

Normal Hours of Operation

Contractor personnel shall be available on site to perform exams on patients on the scheduled weekday, excluding Federal holidays. The first exam will start at 8:00 a.m. Unit delivery, setup and daily quality control procedures shall be performed prior to first exam and will not delay the start of the examinations. Contractor and COR shall mutually agree upon a schedule establishing dates and time for the mobile unit with technicians to be present on station. Hours of operation must be approved in advance by the COR.

National Holidays and the Weekly Schedule

The eleven (11) holidays observed by the Federal Government are New Year’s Day, Martin Luther King’s Birthday, Washington’s Birthday, Memorial Day, Juneteenth, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving, and Christmas, and any other day specifically declared by the President of the United States to be a national holiday. The Government reserves the right to request an alternate day for performing services to be agreed upon between the COR and the Contractor.

5. What is the length of time the Mobile CT will stay at a specified location?

A: This unit is expected to serve at least 10 remote clinic locations in eastern Kentucky, southwest Virginia, and northeast Tennessee. Services will be provided Monday through Friday, excluding Federal Holidays.

The VA will also work with the Contractor to establish a rotating schedule, with a minimum of one visit per month at each site. Clinics with higher volumes may require consecutive days of service.

6. In the bid you spec a Freightliner (manufacturer) chassis – See below and I highlighted.

B.3 PERFORMANCE WORK STATEMENT

1. General Information

1.1 Introduction and Overview

The James H. Quillen and Lexington VAMC Radiology requires contractual services to provide Mobile Computed Tomography (CT) Imaging Services to 11 rural Community Based Outpatient Clinics (CBOCs) in the Mountain Home VA and Lexington VA catchment areas. Mobile CT imaging services includes a primary self-propelled freightliner with box platform containing a fully diagnostic CT unit with table. Mobile vehicle will transport equipment and personnel to multiple locations on a rotating schedule. CT imaging equipment will be fully diagnostic CT unit to include table and all other equipment to be fully operational.

I request you change the language to say “Freightliner or equivalent”.

A: Due to current shortages and backlogs, it does specifically have to be the freightliner manufacturer; an equivalent option may be acceptable. However, it will need to be presented and approved during the bidding process. The term freightliner was meant as the desired type of platform not necessarily the brand.

7. In 1.7.3 ability to create, store and export DICOM, JPEG, and MPEG file formats. We only provide DICOM images off our CT Scanner. Is the VA requiring all three of these formats or just one of the three?

A: DICOM would be the primary requirement, JPEG would only be necessary for any scanned documents. MPEG will not be needed.

8. In 2.13.2 All patient exam data is purged from the Contractor’s computer systems once it is verified that exams are viewable on the primary Contractor-provided advanced analysis workstation. We have a question regarding the term “purged”. Is this just referring to deleting images off the CT system. The images are typically stored on both systems for several days and weeks. We need clarification as to what the VA is requesting here?

A: Images are to be deleted from the mobile unit systems after verifying that all images are correct and viewable in Radiology PACS system.

The purpose of this amendment is to answers questions posed about the solicitation by interested parties.