36C24924R0075.pdf

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

36C24924R0075 09-24-2024

Christina Curley 11-07-2024

10:00AM CDT

Department of Veterans Affairs Network Contracting Office 9 (90C)

NCO 9

1639 Medical Center Parkway, Suite 204 Murfreesboro TN 37129

X 100

X

621512

$19 Million

N/A

X

Department of Veterans Affairs James H. Quillen VA Medical Center Lexington VA Medical Center

90C

Network Contracting Office 9 Department of Veterans Affairs c/o Christina Curley, Contract Specialist 1639 Medical Center Parkway Suite 204 Murfreesboro TN 37129

90C

FSC e-Invoicing Payment http://www.fsc.va.gov/fsc/einvoice.asp Invoice Setup Information 1-877-489-6135 Invoice must be submitted electronically

Setup 1-877-489-6135

See CONTINUATION Page

Mobile CT Lung Cancer Screening in support of the James H. Quillen VAMC and Lexington VAMC CBOCs.

See Schedule of Services on Page 4.

See Performance Work Statement on Page 6.

Please review solicitation in its entirety. Take note of "Instructions for the Preparation of Proposal" on Page 62 for quote submission guidance.

This requirement is being procured as a 100% Service Disabled Veteran-Owned Small Business set aside. Only SDVOSBs verified within the Small Business Administration’s VetCert database at The time of offer submissions will be considered for award.

Firms not verified within the Small Business Administration’s VetCert database will be rendered technically unacceptable Outright and shall not be eligible for award.

https://veterans.certify.sba.gov

X X

X 1

Angela Tucker Contracting Officer

36C24924R0075

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

ITEM INFORMATION

B.3 PERFORMANCE WORK STATEMENT

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (NOV 2023)

C.2 52.216-18 ORDERING (AUG 2020)

C.3 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.4 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.5 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.6 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.7 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR 1984)

C.8 VAAR 852.211-76 LIQUIDATED DAMAGES – REIMBURSEMENT FOR DATA BREACH

COSTS (FEB 2023) ALTERNATE I (FEB 2023)

C.9 VAAR 852.219-73 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED SERVICE-

DISABLED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

C.10 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—

CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023)

(DEVIATION)

C.11 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

C.12 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020)

C.13 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.14 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (MAY 2024)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E1.1 ADDENDUM to FAR 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES

INSTRUCTION FOR THE PREPARATION OF PROPOSAL

E.2 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS AND

VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.3 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT ORDERS—

REPRESENTATION AND DISCLOSURES (DEC 2023)

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

E.5 52.216-1 TYPE OF CONTRACT (APR 1984)

E.6 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018)

E.8 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB 1998)

E.9 852.273-73 EVALUATION-HEALTH-CARE RESOURCES (NOV 2021)

E.10 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (MAY 2024)

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:

CONTRACTOR: (POC)

(Business Name) (Address) (Address) (Phone Number) (Email)

(UEI)

(Tax ID Number)

GOVERNMENT: Christina Curley Contract Specialist

U.S. Department of Veterans Affairs Network Contracting Office 9 E-mail: christina.curley@va.gov

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

[X] 52.232-33, Payment by Electronic Funds Transfer -

System for Award Management, or [N/A] 52.232-36, Payment by Third Party

GOVERNMENT INVOICE ADDRESS: Invoices shall be submitted in arrears: Other [MONTHLY IN

ARREARS]

GOVERNMENT INVOICE ADDRESS: All invoices from the Contractor shall be submitted electronically to the VA Financial Services Center for payment processing, free of charge. For any questions about the e-invoicing program, please contact the FSC at the phone number or email address listed below:

Tungsten Support Phone: 1-877-489-6135 Website: http://www.tungsten-network.com/uk/en/ Department of Veterans Affairs Financial Service Center Phone: 1-877-353-9791 Email:

vafscched@va.gov mailto:christina.curley@va.gov http://www.tungsten-network.com/uk/en/ http://www.tungsten-network.com/uk/en/ mailto:vafscched@va.gov

B.2 SCHEDULE OF SERVICES

The Contractor shall furnish Mobile Computed Tomography (CT) Imaging Services to 11 rural Community Based Outpatient Clinics (CBOCs) in the James H. Quillen VAMC and Lexington VAMC catchment areas. Contractor’s care shall cover the range of imaging 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 national standards.

Period of Performance: A contract resulting from this solicitation will be awarded as a 5-year IDIQ from Dates TBD upon award.

Estimated Quantities: Estimated days, and maximum quantities are stated for the purpose of evaluating the Contractor’s proposal.

Contractual minimum and maximum: The guaranteed minimum contract amount is 26 days, and the maximum contract amount shall not exceed 345 days.

Orders: This is a Fixed Price Indefinite Delivery Indefinite Quantity (IDIQ) contract (see FAR 52.216-22). Task Orders shall be placed against this IDIQ contract at the time of contract award, and as needed during the term of the contract. The Task Orders shall specify the estimated quantities of services for each period of performance and shall comply with FAR 52.216-18 and 52.216-19.

ITEM INFORMATION

ITEM

NUMBER

DESCRIPTION OF

SERVICES

ESTIMATED

QUANTITY UNIT UNIT PRICE

ESTIMATED

AMOUNT

260.00 DY __________________ __________________

Mobile CT Services

Contract Period: Ordering Period 1 POP Begin: Dates TBD Upon Award-NTE 1 year POP End:

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

Contract Period: Ordering Period 2 POP Begin: Dates TBD Upon Award-NTE 1 year POP End:

PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Ordering Period 3 POP Begin: Dates TBD Upon Award-NTE 1 year POP End:

PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Ordering Period 4 POP Begin: Dates TBD Upon Award-NTE 1 year POP End:

PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

Contract Period: Ordering Period 5 POP Begin: Dates TBD Upon Award-NTE 1 year POP End:

PRINCIPAL NAICS CODE: 621512 - Diagnostic Imaging

GRAND TOTAL __________________

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. Contractor to supply qualified technologist staffing and driver for mobile vehicle unit. The Contractor shall provide all labor, materials, equipment, maintenance, and repair of all Contractor-furnished equipment (including the mobile vehicle unit). The unit will be totally self-sufficient, to include a generator to generate electricity. No pad or other hook-ups will be provided. Contractor shall be responsible to maintain all of the equipment in good working order at all times and shall reimburse the VA for lost time, which may result from defective workmanship or equipment failure.

1.2 Contractor responsibilities summary but to include all items within this contract and requirements to be fully operational as a vehicle and as imaging units.

1.2.1 Contractor shall provide all personnel, transportation, and equipment.

1.2.2 Services shall be performed by Certified Technologists.

1.2.3 Contractor shall provide a mobile service solution that shall include a state-of-the-art

CT unit a suitable automobile. Vendor will complete 6550 and MDS2 will proposal.

1.2.4 Contractor shall provide two techs for CT unit in addition to a CDL-rated driver.

1.2.5 All patients scheduled and/or added on will be scanned by the contractor staff with all digital images transferred to VA Picture Archiving Communication System (PACS). Technologist will verify image transfer on all exams and complete all requirement work to bring exam to completion.

1.3 Supplies

Contractor shall solely be responsible for the procurement, receipt, dispensing, administration, and safekeeping of all supplies defined herein. These supplies include items for maintaining equipment, patient positioning, computer systems, and any other items required to operate equipment and perform exams.

1.4 Authority

Title 38 USC 8153, Health Care Resources Sharing Authority, to include FAR Part 12 in combination with VAAR 873.

1.5 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, Joint Commission, NEC, NFPA, VA, OSHA and other regulatory standards internal and external for which the VA is currently accountable and will be kept current with all federal and state regulations.

1.6 System Capability Requirements

Contractor shall provide an on-site Mobile CT unit that is a full system in accordance with the terms and conditions of this contract. The unit shall have the ability to perform diagnostic quality CT.

1.7 Mobile Unit Capabilities and Requirements

The mobile unit must have the following:

1.7.1 Hardware and software to support fully diagnostic uncompressed images to include compatible post processing advanced imaging.

1.7.2 FIPS 140-2 compliant on all systems directly interfacing with government network.

1.7.3 Ability to create, store and export DICOM, JPEG and MPEG file formats.

1.7.4 DICOM 3.0 network capability for export of images within VA. Transport of images will be VA-supplied network infrastructure.

1.7.5 The mobile unit shall be equipped with a CD-R burner for a backup to transfer data and to burn disc for patients on request.

1.7.6 The mobile unit shall provide the space sufficient and the appropriate equipment for performing CPR, if necessary.

1.7.7 The mobile unit will require network connection for government furnished computer to be utilized by technologists to complete all government requirements for exam completion.

1.7.8 Contractor shall provide network connection solution for transferring of images to

VA network that meets all security requirements. Provide solution/s and/or options with proposal.

1.8 Mobile Unit Accessories

The following accessory equipment shall be provided by the Contractor:

1.8.1 Handicap accessibility, including patient lift

1.8.2 Intercom system between the control room and the scanning room

1.8.3 The mobile unit shall provide all equipment compatible with mobile unit, e.g. pads, sponges, patient moving accessories, wheelchair, etc.

1.9 Equipment Specifications

The following minimum performance characteristics of the equipment are required:

1.9.1 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.

1.9.2 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.

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

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

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

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

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

1.9.6 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.

1.9.7 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.

1.9.8 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.

1.9.9 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.

1.9.10 The imaging systems must be on the Vista Imaging Approved DICOM Modality Interface List.

1.10 Equipment Maintenance / Repairs

Equipment provided shall be in good working order at all times in order to provide high quality scans required under this contract. Contractor shall be completely responsible for the preventive maintenance, emergency and general repairs, safety, cleaning, and upkeep of all equipment furnished by the Contractor. Preventative maintenance/repairs on the mobile unit and all associated equipment shall be performed in accordance with the Conformance Standards and manufacturer’s recommendations. If the equipment should fail during normal working hours, every effort should be taken to reduce equipment downtime by expediting repairs.

Exams canceled or postponed due to failure of services provided by the contractor must be rescheduled and performed by the Contractor no later than the next regularly scheduled visit to the site and during normal operating hours of the clinic services. If it is not possible to reschedule the patient within this window and the clinic must make alternate arrangement to have the patient sent to another local facility for the tests, the Contractor shall bear the costs associated with such re-procurement. The VA will provide the Contractor with an itemized list of costs as a result of any service failure and cost will be deducted from the Contractor’s invoice for the period involved.

Contractor shall be responsible for the overall housekeeping of the unit including but not limited to removal and proper disposal of all debris on a daily basis or as often as necessary to maintain a sanitized and neat environment in accordance with the Conformance Standards.

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 VA 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.

1.11 Contractor Key Personnel Qualifications and Responsibilities

A proposal will be considered only from offerors who are regularly established in the business called for, who are financially responsible and have the necessary equipment and personnel to furnish service in the volume required for all items under this solicitation. The successful Contractor shall meet all Federal, State and Local codes and requirements for the operation of this service and equipment provided. Employees authorized by the Contractor to perform services under this specification and any resulting contract, (including all Technologists) shall be licensed and/or registered in a State, Territory or Commonwealth of the United States or the District of Columbia. Contractor shall provide with his or her signed proposal, a description of all personnel, who will be providing services under this RFP. These personnel shall include, but not be limited to the technologists, support and driver staff who may visit a medical center as part of their duties under this contract or have access to confidential personal patient information. In addition, the technologists shall be certified in the specific modality being performed as defined herein. The Contractor shall provide documentation of training and competency of all proposed technologists in all of the following areas:

1.11.1 CT Imaging

1.11.2 Operation of mobile unit/s and software applications

1.11.3 License to operate motorized vehicle

Proposals that do not contain ALL the required licensing/certifications at the time of offers shall automatically be rendered technically unacceptable and will not be eligible for award.

1.12 Contractor Key Personnel Qualifications and Responsibilities

1.12.1 Contractor shall provide all required modality certified Technologists and any qualified support staff (as patient volume requires) necessary to provide services for the VA patients.

1.12.2 In the event that additional technologists are required to increase services under this contract, the Contractor shall be requested to provide a written description of those personnel to the Administrative Contracting Officer for approval and security clearance (background investigation) prior to the commencement of any additional services.

1.12.3 The Contractor is required to develop and maintain the following documents for each Contractor employee working on the contract: credentials and qualifications for the job; a current competence assessment checklist (an assessment of knowledge, skills, abilities and behaviors required to perform a job correctly and skillfully;

including knowledge and skills required to provide care for certain patient populations, as appropriate.); a current performance evaluation supporting ability of the Contractor employee to successfully perform the work required in this solicitation; and listing of relevant continuing education for the last two (2) years.

The Contractor will provide current copies of these records at the time of contract award and annually on the anniversary date of contract award to the Contracting Officer’s Representative (COR), or upon request, for each Contractor employee working on the contract. Qualifications of personnel are subject to review and final approval by the VA Radiology ICC Lead.

1.12.4 Personnel assigned by the Contractor to perform the services covered by this contract shall be proficient in written and spoken English (38 USC 7402).

Contractor’s technologists will be required to pull from RIS worklist and/or type patient information into the imaging system computer ensuring that all images are identified with the correct patient information to include: full name, social security number, date/accession number and modality type. Contractor’s assigned personnel must be computer literate in the type of software and/or hardware associated with their duties.

1.12.5 The technologist shall complete training for government supplied software and hardware required for completion of exams performed.

1.12.6 Mobile Unit Driver shall be licensed as applicable to operate and drive the mobile vehicle in which the unit is housed.

1.12.7 Contractor technical employees shall be CPR BLS certified and are authorized to initiate this life-saving act if necessary.

1.12.8 The Imaging Technologist shall be trained and qualified to identify contraindications to imaging exams.

1.12.9 Imaging Technologist shall be responsible to screen patients prior to performing exams to verify the patient’s identification, pregnancy status, breastfeeding status, and confirm the procedure to be performed prior to commencement of any services.

Disqualification of a patient from the exam must be documented and provided to designated VA Point of Contact before the patient leaves the imaging unit.

1.12.10 The Imaging Technologist is responsible for the initial assessment and identification of medical emergencies and initiating the emergency response procedure for patients in their care. The training for this will be a part of initial facility orientation.

1.12.11 Imaging Technologist shall ensure that all imaging exams shall be acquired and processed per procedures and protocols provided by the facility Radiology physicians. Raw and processed data remain the property of the Government.

1.12.12 VA Radiology Physicians will perform interpretations of the examination(s).

Unsatisfactory/non-diagnostic examinations shall be re-performed at the discretion of designated Radiology Physician.

1.13 Certifications / Licensing of Technologist. Vendors shall submit with their offer the following documents:

1.13.1 Copy of all personnel’s current licenses (certification / registration)

1.13.2 List of experience of proposed contract employees

1.13.3 Competency checklist

1.13.4 CPR BLS certificate

1.14 Additional requirements for Contractor personnel and Contractor operation:

1.14.1 Contractor shall provide the VA seven (7) day per week telephone access to the mobile company used in performance of this contract.

1.14.2 Services provided by the Contractor shall be performed within the policies, procedures and regulations of the VA facilities, to include the following Medical Center Memorandums see section D for attachments.

James H. Quillen VAMC:

James H. Quillen Patient Identification Policy

James H. Quillen Abuse of Patients Policy

James H. Quillen Occupational Safety Policy

James H. Quillen Disclose of Adverse Events to Patients

James H. Quillen Emergency Notification Plan

James H. Quillen Exposure to Bloodborne Pathogens Through Work-Related Incidents

Lexington VAMC:

Lexington VAMC Patient Identification Memo

Lexington VAMC Patient Abuse, Neglect, Sexual Trauma, and Threats of Violence Policy

Lexington VAMC Exposure to Bloodborne Pathogens Through Work-Related Incidents

1.14.3 The Contractor's radiation and patient safety policies shall meet or exceed the VA policies for standards of care. The Contractor’s current policies for radiation and patient safety must be included with proposal for review by the VA. If policies are found to be less stringent than VA policies, Contractor shall meet or exceed the VA policies for standards of care.

1.14.4 Contractor shall meet the safety requirements of posting radiation hazardous signs around the mobile unit and make certain any cable is under a metal cover, if it crosses the crosswalk.

1.14.5 Neither the Contractor nor the contract personnel shall in any way undertake the practice of medicine, render medical opinions or services other than those services required to support the well-being of the patient, or in any way with the patient other than to provide all ancillary and technical services required for the operation of the unit. The Government may evaluate the quality of professional and administrative services provided but retains no control over the medical aspects of services rendered, in accordance with FAR 37.401(b), Non-Personal Health Care Services.

1.15 Personnel Policy. The Contractor shall be responsible for protecting the personnel furnishing services under this contract. To carry out this responsibility, the Contractor shall provide the following for these personnel:

1.15.1 Worker’s Compensation

1.15.2 Professional Liability Insurance

1.15.3 Income Tax Withholding

1.15.4 Social Security Payments

1.15.5 Holiday Pay

1.15.6 Health Examinations, including, but not limited to:

1.15.6.1 Tuberculosis Testing – Contractor shall provide proof of a negative reaction to Purified Protein Derivative (PPD) testing. A negative chest radiographic report for active tuberculosis shall be provided in cases of positive PPD results. The PPD test shall be repeated annually.

1.15.6.2 Rubella Testing – Contractor shall provide proof of immunization for measles, mumps, rubella or a rubella titer of 1.8 or greater. If the titer is less than 1.8, a rubella immunization shall be administered with follow-up documentation to the COR.

1.16 OIG List of Excluded Individuals / Entities

1.16.1 In accordance with The Health Insurance Portability and Accountability Act (HIPAA) and the Balanced Budget Act (BBA) of 1977, the Office of Inspector General 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.

1.16.2 Therefore, all offerors shall review the OIG List of Excluded Individuals/Entities on the OIG web site at www.hhs.gov/oig to ensure that the proposed candidate(s) and/or firm(s) are not listed. Offerors 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) of $10,000 for each item or service furnished during a period that the person or entity 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 health care providers and entities that employ or enter into contracts with excluded individuals or entities to provide items or services to Federal program beneficiaries.

1.16.3 By signing the offer, the Contractor certifies that he/she has reviewed the OIG List of Excluded Individuals/Entities and that the proposed candidate(s) and/or firm are not listed as of the date the offer was signed.

1.17 Tort Claims

The Federal Tort Claims Act does not cover Contractor employees. When a Contractor’s employee has been identified as a provider in a tort claim, The Contractor employee is responsible for notifying the Contractor’s legal counsel and/or insurance carrier. Any settlement or judgment arising from a Contractor employee’s action or non-action is the responsibility of the Contractor and/or insurance carrier.

2. Supporting Information

2.1 Schedule

Contractor shall perform clinical services up to ten (10) hours per day on a weekday or weekend to be established independently with the VA. Services are based on demand of patient exam volumes and/or limited equipment availability internal to VA. In the event that there is a need to increase the number of days per week in order 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 VA’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 eight (8) hour or ten (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. local time. 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.

2.2 Normal Hours of Operation

http://www.hhs.gov/oig

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. local time. 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.

2.3 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.

2.4 Daily Access to the CBOC facilities

The Contractor will be responsible for contacting the CBOC office manager at the site of service at the time of arrival. The Contractor will also be responsible for contacting the VA Police at the closing of each workday to ensure that both the building and the data port connections are secured. The location and contact numbers will be provided by the COR to the Contractor following contract award.

2.5 Commencement of Services

Commencement of service date is to be coordinated with the COR. Unit must be ready for patient services no later than 360 days after contract award, unless otherwise agreed to between the Contracting Officer and the Contractor.

2.6 Inspection and Acceptance

2.6.1 The delivery location of the mobile unit site shall be coordinated with the COR;

inspection and acceptance of all work performance, reports and other deliverables under this contract shall be performed at the place of delivery.

2.6.2 Deliverables will be inspected for content, completeness, and accuracy and conformance to contract requirements by the COR or his/her designee. Inspection will include validation of information or software through the use of automated tools and/or testing of the deliverables, as specified in the contract order. The scope and nature of this testing must be negotiated prior to the contract award and will be sufficiently comprehensive to ensure the completeness, quality, and adequacy of all deliverables.

2.6.3 Reports, documents, and narrative type deliverables will only be accepted when all discrepancies, errors, or other deficiencies identified in writing by the Government have been corrected.

2.6.4 Maintenance logs shall be made available upon request.

2.7 Non-Conforming Products or Services

Non-conforming products or services will be rejected. Unless otherwise agreed by the parties, deficiencies will be corrected within seven (7) days of the rejection notice. If the deficiencies cannot be corrected within seven (7) days, the Contractor will immediately notify the COR and the Administrative Contracting Officer of the reason for the delay and provide a proposed corrective action plan within seven (7) working days.

2.8 Contractor’s Responsibilities

2.8.1 Contractor will be responsible for the following:

2.8.1.1 Timely delivery of the mobile unit such that Contractor may facilitate the following startup functions prior to the commencement of services:

2.8.1.1.1 Contractor shall perform tests as necessary so that the mobile unit and all associated equipment is fully operational, safe and ready for services so that the schedule of patients is maintained at all times.

2.8.1.1.2 Contractor shall ensure that the mobile unit is properly positioned and docked. The temperature within the unit is set and maintained prior to performing services.

2.8.1.1.3 Contractor shall ensure that the mobile unit is level and set for the safety of patients and the appropriate utilities connected for proper warm-up of all onboard systems.

2.8.1.1.4 Contractor shall allow for sufficient time for contacting the VA Police when gaining access to a VA facility.

2.8.1.1.5 Communications will be operational.

2.8.2 Daily Quality Control time must not interfere with the regular scheduling of patients for exams. This start up functions must be completed prior to 8:00 a.m. local time on each day when unit is scheduled to be on site in time for the first patient to be on table at 8:00 a.m. local time.

2.8.3 Contractor shall be responsible for providing quality review in order to ensure quality diagnostic images at all sites. VA reserves the right to require corrective action if image quality or other service problems are brought to the attention of the Contractor.

2.8.4 Contractor will be responsible for monitoring the number of scans performed, by maintaining a daily log.

2.8.5 Contractor shall be Joint Commission (TJC) certified or shall follow established TJC guidelines as they pertain to mobile operations, and patient safety and shall follow the guidelines of the Department of Veterans Affairs (VA) and Occupational Safety Health Administration (OSHA). JCAHO accredited Quality Assurance survey reports shall be provided to the Contracting Officer’s Representative (COR) consistent with Joint Commission recommendations.

2.9 Emergency Repairs

2.9.1 Contractor shall provide, at no cost to the VA, all emergency services to include all required personnel, parts and labor, and preventive maintenance/repairs of structure and equipment to maintain a safe environment as recommended by the original equipment manufacturer (OEM) recommendations/specifications in accordance with the agreed upon schedule with the COR.

2.9.2 In the event of an equipment failure during normal working hours while in the performance of the Contractor’s services, the Contractor shall notify the COR or designee immediately after discovery of equipment failure while on site. All emergency repairs are the responsibility of the contractor.

2.9.3 The COR shall determine if appointments previously scheduled should be cancelled and rescheduled as a result of the equipment failure. In the event that the equipment fails and the failed equipment is un-repairable, the Contractor must obtain an alternate unit which meets all of the requirements of the resulting contract to ensure that services will be performed as agreed upon under this contract.

2.10 Contractor-Furnished Facilities, Services, Supplies and Equipment

2.10.1 Contractor shall contact the COR to make the necessary arrangements for a site visit of the actual locations where the mobile unit will be located so that precise measurements can be taken by the Contractor who shall be responsible to confirm compatibility of space.

2.10.2 Contractor shall be held responsible for any damages, which may be done to the property during delivery, hookup and/or removal of equipment at the site. Any damages caused by the Contractor shall be performed at the Contractor’s expense to the satisfaction of the facility Chief of Engineering.

2.10.3 Proper installation/staging of the Contractor’s furnished equipment including the mobile unit must be completed in accordance with industry standards, all OSHA regulations, and applicable manufacturer’s recommendations. The above must be completed prior to commencement of services. Dates and time for completion of the above shall be mutually agreed upon between the VA and the Contractor.

2.10.4 The Contractor will supply all IT technical support and vendor specific engineer for all provided systems. Contractor provided Information Systems technical support and engineer will assure connectivity and functionality of all equipment during initial setup and thereafter. Contractor will assure availability of all support for timely contact and resolution.

2.11 Government-Furnished Facilities, Services, Supplies and Equipment

VA shall provide all patient services, with exception of the services required of the Contractor within this contract, including the following:

2.11.1 Retain full medical responsibility for its patients. Contractor shall be responsible for patient upon pickup at the VA facility designated waiting area, while on the Mobile unit and during the entire scanning procedure until patient is returned to the designated waiting area.

2.11.2 Approval and scheduling of patients for exams will be provided by the VA facility where the services are provided. The VA facility will fax a patient list of exams and exam times to the Contractor in a fashion that is timely and convenient to the Contractor. The Contractor will follow up with phone verification of the patient list.

2.11.3 Contractor shall be responsible for picking up and transporting the patient to the mobile unit. Upon completion of services, the Contractor shall return patient to the designated waiting area within the facility.

2.11.4 The VA facility shall ensure each patient arriving for the scans has physician orders to receive services and such other forms or information as required. Contractor is required to identify patients using two unique full identifiers prior to performing radiology exams.

2.11.5 The VA facility will provide qualified physicians who will be available to review orders for appropriateness, interpret reports and take such other steps as may be medically necessary.

2.11.6 The VA facility will provide all medical supplies, facilities, personnel and physicians required to provide patients with medical care as may be required, including oxygen, aspirator and AED. In addition to adhering to policy and activating the 911 response when deemed necessary.

2.11.7 The Contractor agrees to ensure compliance/acceptance testing of the imaging equipment is performed on at least an annual basis or if major components of the machine is serviced or replaced. The compliance/acceptance tests will be done in accordance with nationally recognized standards.

2.11.8 The Contractor is responsible for ensuring the compliance testing of the mobile imaging device by a qualified medical physicist. A qualified medical physicist as defined is an individual who is certified by the American Board of Radiology, American Board of Health Physics, or American Board of Medical Physics in the appropriate disciplines of radiologic physics and maintains state certification as a Health Physicist in the states of Tennessee and/or Kentucky. A copy of the annual medical physicist report will be provided to the VA Point of Contact (COR).

2.12 Cancellations / No Charge Services

The Contractor will not charge the VA for services or supplies when the vehicle and/or imaging units are inoperable due to equipment malfunction, staff shortage, or any other fault on the part of the Contractor.

2.13 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 will also be responsible for the following daily exit functions:

2.13.1 Ensure that the day’s entire exam data is completely transferred to each Contractor-provided advanced analysis workstation inside the VA facility and to the VistA Imaging Archiving System. Contractor personnel will complete a checklist to assure that all patient images transferred completely to the primary Contractor-provided advanced analysis workstation and provide this signed checklist to the COR or other designee.

2.13.2 All patient exam data is purged from Contractor’s computer systems once it is verified that exams are viewable on the primary Contractor-provided advanced analysis workstation.

2.13.3 At the termination of the contract, the Contractor will remove the hard drives of the workstations and supply them to the COR.

2.13.4 VA information retained by the imaging units and other Contractor equipment will be erased at the end of the day after the last patient exam has been confirmed to have been transmitted successfully to VA Picture Archiving System to include thin slices if further post processing is required. The security of information retained by the imaging units and other Contractor equipment both during the contract period and post contract period will be the responsibility of the vendor.

2.13.5 All connections from the unit to property are properly disconnected.

2.13.6 Any temporary site preparations are removed upon completion of services on a daily basis.

2.14 Documentation / Reports

2.14.1 The Contractor will provide to the COR equipment and maintenance reports if requested by the COR during the duration of the contact. The Contractor will also provide system pre-check and associated documentation at the time the unit is set up at the site where services are to be performed. This is to ensure safety of equipment utilized by VA personnel/beneficiaries.

2.14.2 The Contractor will permit on-site inspection by personnel selected without prior notice to insure the Contractor’s equipment is operated in accordance with appropriate safety guidelines and/or regulations as applicable.

2.14.3 Additional Reports/Documentation required by the successful Contractor prior to commencement of services of both Technologist and PM/Repair services, unless otherwise stated. This VA may require specialized documentation to satisfy the requirements of local state and federal government agencies, and independent consultants such as the Joint Commission on Accreditation for Hospitals, as well as for “services rendered” verification for payment of monthly statement. At a minimum, the following information will be provided to the Contracting Officer by the time of offers due:

2.14.3.1 Certificate of Insurance, including, but not limited to, Professional Liability, Worker’s Compensation, liability, and property insurance of Contractor’s furnished equipment which shall be submitted to the Administrative Contracting Officer within ten (10) calendar days of receipt of notification of award. It is agreed upon and understood that the VA will not be held responsible for any damage or vandalism, which may be caused to the Contractor’s equipment while on premises.

2.14.3.2 Copy of appropriate Business License submitted with proposal.

2.14.3.3 Contractor’s employees Certifications/Registrations, Competency Check List and Training Certificates to be submitted with signed proposal as defined herein.

2.14.3.4 Technologists Health examination records of Annual TB Skin Test and recent chest X-ray if there is a history of positive TB skin test. Copies of records shall be submitted to the Contracting Officer prior to commencement of services.

2.14.3.5 Documentation of scanner(s) make, model, and year of manufacture and specifications, plus brand and release number of reconstruction software for contractor supplied independent interpretation workstation.

Documentation to be submitted with signed proposal.

2.14.3.6 A copy of the coach requirements for parking/space will be submitted with signed proposal.

2.14.3.7 Documentation of a proposed schedule included in the submission along with maximum throughput of proposed system(s) will be submitted with signed proposal.

2.14.3.8 Documentation of The Joint Commission certification (if available) will be submitted with signed proposal.

Any offeror that fails to submit this information shall be rendered technically unacceptable outright and shall not be considered for award.

2.15 Medical Records

Medical records and other patient information shall be provided pursuant to VA policy and standards which are designed to protect the confidentiality of the patient’s medical records in accordance with applicable state and federal laws and recognized standards of professional practice. It will be the responsibility of the VA to obtain and provide evidence of patient’s written authorization prior to release of patient information to non-VA medical personnel working on behalf of the Contractor.

Patient medical records are confidential and are protected by the Privacy Act of 1974, 5 U.S.C. 552a; VA Claims Confidentiality Statute, 38 U.S.C. 5701 and Drug/Alcohol Abuse Confidentiality Statute, 38 U.S.C. 773. Any individual making unauthorized disclosures may be criminally liable for violations of the Act.

2.16 Protection of Government Property

During work execution, the Contractor shall take special care to protect Government property including, but not limited to, all furniture, walls, baseboards, exterior and other surfaces. Damage resulting from Contractor operations shall be repaired by the Contractor, including painting, refinishing, or replacement (if necessary), at no additional cost to the Government. Contractor shall be responsible to meet all OSHA/Safety requirements in the performance of the work. Installation shall be coordinated between the COR and the Construction/Renovation Contractor. Contractor shall be held responsible for any injuries and/or damage, which may be caused as a result of the Contractor’s negligence or failure to adhere to these requirements.

2.17 Timely Invoicing

The Contractor shall submit invoices monthly in arrears covering the services performed under this contract. Within 30 days of the end of each month services were provided, as described above, the Contractor shall provide itemized invoicing to the required VA invoicing address. All itemized invoices are to be provided within 30 days of the end of each month services are delivered. Invoices for services provided in the month of September must be received for certification no later than October 31st.

The invoices shall contain the following information at a minimum:

Contract Number (example: 36C24925DXXXX) Purchase Order Number (example: 621CXXXXX) Break-Down of Cost per Week, to include:

Date of Exam to include full accession number Patient Name and…