36C25020Q0900-003.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. DUNS: DUNS+4:

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. 2/2012)

PREVIOUS EDITION IS NOT USABLE Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS 105

See Task Order(s)

36C25020Q00900

05-04-2020

Brad Burhite (513) 559-3704 05-07-2020 at 1500-EST

Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

518210

$35 Million

X

N/A

X

See SCHEDULE OF SERVICES – PRICE SCHEDULE and PWS

Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

This solicitation is being issued in accordance with the authority to sole source specified in FAR 6.302-1 under which all responsible sources may submit a capability statement, proposal or quotation which shall be considered by the agency.

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971

See CONTINUATION Page

The contractor shall provide all required labor, material, supplies, equipment and supervision of contractor personnel necessary to provide Tele-ICU/eICU® bedside monitoring for VISN-10 at VAMCs in Indianapolis (IN) and Fayetteville (NC) in which the contractor shall provide PHASE B new site eICU® implementation and PHASE C initial eICU® software license warranty sustainment support IAW the terms and conditions herein.

This is an indefinite-delivery type requirement as defined in FAR Subpart 16.5. Performance under this contract shall only be authorized through the award of funded task order(s) by the cognizant government contracting office which will specify the period of performance for each task order issued.

The overall period of performance is 11-May-2020 10-May-2022 with periods summarized as follows:

Base Period: 6-months from award of the contract task order;

Option One: 6-months from exercise of this option;

Option Two: 1-year from exercise of this option;

Option Three: 1-year from exercise of this option.

$0.00 See CONTINUATION Page

For accounting and appropriation data see each individually awarded task order. FAR 52.232-18 (Availability of Funds) applies to this contract.

X X

X 1

Bradley Burhite

VA-VHA-2020-230A0A03

36C25020Q0900

Table of Contents

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES – PRICE SCHEDULE (1 May 2020) B.3 PERFORMANCE WORK STATEMENT (PWS) dated 1 May 2020

B.4 IT CONTRACT SECURITY

SECTION C - CONTRACT CLAUSES

C.1 52.204-9 PERSONAL IDENTITY VERIFICATION OF CONTRACTOR PERSONNEL

(JAN 2011)

C.2 52.204-17 OWNERSHIP OR CONTROL OF OFFEROR (JUL 2016)

C.3 52.204-18 COMMERCIAL AND GOVERNMENT ENTITY CODE MAINTENANCE

(JUL 2016)

C.4 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018) ... 45

C.5 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT

2018)

C.6 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (Aug 2019)

C.7 52.215-22 LIMITATIONS ON PASS-THROUGH CHARGES—IDENTIFICATION OF

SUBCONTRACT EFFORTS (OCT 2009)

C.8 52.215-23 LIMITATIONS ON PASS-THROUGH CHARGES (OCT 2009)

C.9 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.10 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.11 52.217-5 EVALUATION OF OPTIONS (JUL 1990)

C.12 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

C.13 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

C.14 52.216-18 ORDERING (OCT 1995)

C.15 52.224-1 PRIVACY ACT NOTIFICATION (APR 1984)

C.16 52.224-3 PRIVACY TRAINING (JAN 2017)

C.17 52.224-2 PRIVACY ACT (APR 1984)

C.18 52.227-14 RIGHTS IN DATA—GENERAL (MAY 2014)

C.19 52.227-19 COMMERCIAL COMPUTER SOFTWARE LICENSE (DEC 2007)

C.20 52.232-18 AVAILABILITY OF FUNDS (APR 1984)

C.21 52.239-1 PRIVACY OR SECURITY SAFEGUARDS (AUG 1996)

C.22 52.242-15 STOP-WORK ORDER (AUG 1989)

C.23 52.244-5 COMPETITION IN SUBCONTRACTING (DEC 1996)

C.24 52.244-6 SUBCONTRACTS FOR COMMERCIAL ITEMS (OCT 2018)

C.25 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

C.26 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

C.27 VAAR 852.219-74 LIMITATIONS ON SUBCONTRACTING—MONITORING AND

COMPLIANCE (JUL 2018)

C.28 VAAR 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV

2018)

C.29 VAAR 852.236-76 CORRESPONDENCE (APR 1984)

C.30 VAAR 852.237-70 CONTRACTOR RESPONSIBILITIES (APR 1984)

C.31 VAAR 852.270-1 REPRESENTATIVES OF CONTRACTING OFFICERS (JAN 2008) 77

C.32 VAAR 852.271-74 INSPECTION (JAN 2008)

C.33 OPERATING SOFTWARE

C.34 SOFTWARE PERFORMANCE

C.35 CONFIGURATION CONTROL

C.36 USE OF HARDWARE AND/OR SOFTWARE MONITORS

C.37 DOCUMENTATION

C.38 SOFTWARE FURNISHED

C.39 INTERRUPTION OF SERVICE

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

B.1 BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BETWEEN THE DEPARTMENT OF VETERANS

AFFAIRS VETERANS HEALTH ADMINISTRATION AND

B.2 WD 2015-4787 for Marion County, Indiana (see attached) B.3 WD 2015-4377 for Cumberland County, North Carolina (see attached)

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (OCT 2018)

E.2 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.3 52.212-4 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—COMMERCIAL

ITEMS (OCT 2018)

E.4 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

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: Philips Electronics North America Corporation Patricia Mckay

(425) 908-2172 pat.mckay@philips.com

b. GOVERNMENT: Contracting Officer 36C250

Bradley Burhite Department of Veterans Affairs Network Contracting Office (NCO) 10 260 E. University Avenue Cincinnati OH 45219

2. 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

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [X] Upon government confirmation that the contractor has provided all required deliverables specified herein.

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.

Department of Veterans Affairs

FMS-VA-2(101)

Financial Services Center PO Box 149971 Austin TX 78714-9971

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

AMENDMENT NO DATE

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.2 SCHEDULE OF SERVICES – PRICE SCHEDULE (1 May 2020)

SCHEDULE OF SERVICES – PRICE SCHEDULE | Base Period - CLIN-C0001

PHASE B New Site Tele-ICU/eICU® Implementation for VISN-10 at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10)

The period of performance shall not exceed 6-months from the date this option is exercised

NOTE 1: The contractor shall reference the contract number, PO number and Contract Line Item Number (CLIN) for all invoices submitted under this contract to be considered acceptable for payment by the government.

NOTE 2: The contractor shall not-to-exceed (NTE) the maximum quantity and total price established herein IAW terms and conditions of this contract.

CLIN Description of Services QTY

(NTE)

Unit of Issue

Unit Price Total Price (Max NTE)

C0001 A

PHASE B new site eICU® implementation service at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10): New site implementation service for fifteen (15) Tele-ICU/eICU® participating beds with twelve (12) assigned to the intensive care unit (ICU) and three (3) audio-visual (A/V) only beds located in the emergency department (ED).

EA

C0001 B

PHASE B new site eICU® initial software licenses at Richard L. Roudebush VAMC in Indianapolis (VISN-10): Initial eICU® perpetual licenses and sub-licenses for fifteen (15) Tele-ICU/eICU® with twelve (12) assigned to the ICU and three (3) AV only beds located in the ED summarized by info SLIN as follows:

LOT

865325-B11 - Perpetual software license for eICU® eCareManager® *Unit pricing is based on eICU® commercial price list dated 1- Jan-2019 for tier range of 500-749 eICU® beds

865325-E03 - Perpetual software license for

AUDIO-VISUAL (A/V) ONLY

*Unit pricing is based on eICU® commercial price list dated 1-Jan-2019

865325-A01 – Sub-license software for APACHE mortality assessment: *Unit of issue is one sub-license for each participating bed. **Commercial price is $600 per year.

NOTE: All third-party APACHE software sub-licenses required for this location are included in the implementation service fee for this CLIN

865325-FD1 – Sub-license software for FIRST DATA BANK (FDB) software formerly known as NDDF: *Unit of issue is one (1) sub-license for each medical unit.

**Commercial price is $2,500 per year.

NOTE: All third-party FDB software sub-licenses required for this location are included in the implementation service fee for this CLIN

865325-T04 - Perpetual software license for

INBOUND INTERFACE – PATIENT

ADMINISTRATION *Unit pricing is based on eICU® commercial price list dated 1-Jan-19

865325-T05 - Perpetual software license for

INBOUND INTERFACE – LAB RESULTS

865325-T07 - Perpetual software license for

INBOUND INTERFACE - FLOWSHEET

865325-T06 - Perpetual software license for

INBOUND INTERFACE - MEDS

865325-T03 - Perpetual software license for

VITAL SIGNS INTERFACE –

NO CHARGE *Unit pricing is based on eICU® commercial price list dated 1-Jan-2019

*NOTE: This CLIN includes PHASE C initial Tele-ICU/eICU® warranty sustainment support for all eICU® perpetual software licenses and all annual third-party APACHE and FDB sub-licenses which shall be executed as a separate option with a performance period of one-year from the effective date that the follow-on option is exercised (which shall also be considered the “go-live date”).

TOTAL – Base Period $_________

SCHEDULE OF SERVICES – PRICE SCHEDULE | Option One (1) - CLIN-C1001

PHASE B New Site Tele-ICU/eICU® Implementation for VISN-10 at Fayetteville VAMC in North Carolina (VISN-6)

The period of performance shall not exceed 6-months from the date this option is exercised

NOTE 1: The contractor shall reference the contract number, PO number and Contract Line Item Number (CLIN) for all invoices submitted under this contract to be considered acceptable for payment by the government.

NOTE 2: The contractor shall not-to-exceed (NTE) the maximum quantity and total price established herein IAW terms and conditions of this contract.

CLIN Description of Services QTY

(NTE)

Unit of Issue

Unit Price Total Price (Max NTE)

C1001 A

PHASE B new site eICU® implementation service at Fayetteville VAMC:

New site implementation service for six (6) Tele-ICU/eICU® participating beds assigned to the intensive care unit (ICU) at Fayetteville VAMC in NC (VISN-6)

C1001 B

PHASE B new site eICU® initial software licenses at Fayetteville VAMC:

Initial eICU® perpetual licenses and sub-licenses for six (6) Tele-ICU/eICU® participating beds assigned to the intensive care unit (ICU) at Fayetteville VAMC in North Carolina (VISN-6) summarized by informational SLIN as follows:

LOT

eICU® eCareManager® *Unit pricing is based on eICU® commercial price list dated 1- Jan-2019 for tier range of 500-749 eICU® beds issue is one (1) sub-license for each participating bed. **Commercial price is $600 per year.

NOTE: All third-party APACHE software sub-licenses required for this location are included in the implementation service fee for this CLIN

865325-FD1 – Sub-license software for FIRST DATA BANK (FDB) software formerly known as NDDF: *Unit of issue is

NOTE: All third-party FDB software sub-licenses required for this location are included in the implementation service fee for this CLIN

865325-T04 - Perpetual software license for

INBOUND INTERFACE – PATIENT

*NOTE: This CLIN includes PHASE C initial Tele-ICU/eICU® warranty sustainment support for all eICU® perpetual software licenses and all annual third-party APACHE and FDB sub-licenses which shall be executed as a separate option with a performance period of one-year from the effective date that the follow-on option is exercised (which shall also be considered the “go-live date”).

TOTAL – Option One (1) $_________

SCHEDULE OF SERVICES – PRICE SCHEDULE | Option Two (2) - CLIN-C2001

PHASE C Initial Tele-ICU/eICU® Warranty Sustainment for VISN-10 at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10)

The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”)

NOTE 1: The contractor shall reference the contract number, PO number and Contract Line Item Number (CLIN) for all invoices submitted under this

NOTE 2: The contractor shall not-to-exceed (NTE) the maximum quantity and total price established herein IAW terms and conditions of this contract.

CLIN Description of Services QTY

(NTE)

Unit of Issue

Unit Price Total Price (Max NTE)

C2001 PHASE C initial eICU® warranty sustainment fifteen (15) beds located at Richard L. Roudebush VAMC in Indianapolis (VISN-10): The contractor shall provide warranty sustainment support for all eICU® perpetual software licenses and all annual third-party APACHE and FDB sub-licenses previously purchased under CLIN-C0001. The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”) recapitulated from CLIN-C0001 as follows:

YR

eICU® eCareManager® *Unit pricing is based on eICU® commercial price list dated 1-Jan-2019 for tier range of 500-749 eICU® beds issue is one (1) sub-license for each

NOTE: All third-party APACHE software sub-licenses required for this location are included in the PHASE B implementation service CLIN.

865325-FD1 – Sub-license software for FIRST DATA BANK (FDB) software formerly known as NDDF: *Unit of issue is

NOTE: All third-party FDB software sub-licenses required for this location are included in the PHASE B implementation service CLIN.

865325-T04 - Perpetual software license for

INBOUND INTERFACE – PATIENT

TOTAL – Option Two (2) $_________

SCHEDULE OF SERVICES – PRICE SCHEDULE | Option Three (3) - CLIN-C3001

PHASE C Initial Tele-ICU/eICU® Warranty Sustainment for VISN-10 at Fayetteville VAMC in North Carolina (VISN-6)

The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”)

NOTE 1: The contractor shall reference the contract number, PO number and Contract Line Item Number (CLIN) for all invoices submitted under this

NOTE 2: The contractor shall not-to-exceed (NTE) the maximum quantity and total price established herein IAW terms and conditions of this contract.

CLIN Description of Services QTY

(NTE)

Unit of Issue

Unit Price Total Price (Max NTE)

C3001 PHASE C initial eICU® warranty sustainment for six (6) beds located at Fayetteville VAMC: The contractor shall provide warranty sustainment support for all eICU® perpetual software licenses and all annual third-party APACHE and FDB sub-licenses previously purchased under CLIN-C1001. The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”) recapitulated from CLIN-C1001 as follows:

YR

eICU® eCareManager® *Unit pricing is based on eICU® commercial price list dated 1-Jan-2019 for tier range of 500-749 eICU® beds issue is one (1) sub-license for each

NOTE: All third-party APACHE software sub-licenses required for this location are included in the PHASE B implementation service CLIN.

865325-FD1 – Sub-license software for FIRST DATA BANK (FDB) software formerly known as NDDF: *Unit of issue is

NOTE: All third-party FDB software sub-licenses required for this location are included in the PHASE B implementation service CLIN.

865325-T04 - Perpetual software license for

INBOUND INTERFACE – PATIENT

TOTAL – Option Three (3) $_________

SCHEDULE OF SERVICES – PRICE SCHEDULE

PRICE SUMMARY ROLL-UP for Base and Option Periods

Tele-ICU/eICU® Bedside Monitoring for VISN-10 at VAMCs in Indianapolis IN (VISN-10) and Fayetteville NC (VISN-6)

NOTE: The IDIQ minimum shall be applied to the BASE PERIOD only which shall not exceed 15% of the total value established herein.

CLIN and

Base/Option Periods

Requirement Title and

Performance Period

Total Price (Minimum)

IDIQ Minimum is 15% for Base Period Only

Total Price (Max NTE)

CLIN-C0001

Base Period

PHASE B new site Tele-ICU/eICU® implementation for fifteen (15) participating beds located at Richard L.

Roudebush VAMC in Indianapolis Indiana (VISN-10).

The contractor shall complete this effort not later than 6-months after the contract award date.

CLIN-C1001

Option One (1)

PHASE B new site Tele-ICU/eICU® implementation for six (6) participating beds located at Fayetteville VAMC in North Carolina (VISN-6).

The contractor shall complete this effort not later than 6-months after the contract award date.

CLIN-C2001

Option Two (2)

PHASE C initial Tele-ICU/eICU® warranty sustainment for fifteen (15) participating beds located at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10).

The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”).

CLIN-C3001

Option Three (3)

PHASE C initial Tele-ICU/eICU® warranty sustainment for six (6) participating beds located at Fayetteville VAMC in North Carolina (VISN-6).

The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”).

TOTAL PRICE $__________

B.3 PERFORMANCE WORK STATEMENT (PWS) dated 1 May 2020

PERFORMANCE WORK STATEMENT (PWS)

Tele-ICU/eICU® Bedside Monitoring for VISN-10 at VAMCs in Indianapolis (IN) and Fayetteville (NC)

1 May 2020

1. GENERAL. This is a non-personal services contract to provide Tele-Intensive Care Unit (Tele-ICU)/eICU® remote bedside monitoring for VISN-10 at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10) and Fayetteville VAMC in North Carolina (VISN-6). The scope of this contract shall include eICU® proprietary software, associated software sub-licenses (i.e. APACHE, First Data Bank, etc.). The Government shall not exercise any supervision or control over the contract service providers performing the services herein. Such contract service providers shall be accountable solely to the contractor who, in turn is responsible to the Government. The contractor shall provide eICU® new site assessments, eICU® new site implementation and procurement of eICU® perpetual software licenses with one-year sustainment support from the go-live dates for the aforementioned locations which are summarized as follows:

Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10): Fifteen (15) total participating beds at

Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10) with twelve (12) assigned to the intensive care unit (ICU) and three (3) audio-visual (A/V) only beds located in the emergency department (ED).

Fayetteville VAMC in North Carolina (VISN-6): Six (6) participating beds at Fayetteville VAMC in North Carolina (VISN-6) which are all located within an intensive care unit (ICU).

The contractor shall be the primary contact for the customer associated with this contract for all maintenance and support concerns or reported issues that interface with the prime contractor’s intellectual property and/or sub-licenses the prime contractor has obtained which are associated with the prime contractor’s intellectual property, if required for intellectual property to perform. The contractor shall perform to the standards in this contract. The eICU® proprietary software and associated sub-licenses involves four (4) major acquisition life-cycle phases:

Phase A | eICU® New Site Assessments: The purpose of eICU® Phase A (new site assessments) is for the contractor to provide the government a list of all prerequisite items that the government must complete at the participating site to be prepared for implementation to go-live with operational usage as eICU® implementation ready. During this phase, the contractor shall conduct an onsite assessment of the units that will be monitored by Tele-ICU. In addition, the contractor shall document the cabling and power locations and equipment installation locations in each room to be monitored by Tele-ICU. Network closets and switch capacity on the current network are reviewed for the needs of the Tele-ICU program. The bedside monitoring system is also reviewed with the onsite BioMed for HL7 vital signs feed and wave form viewer requirements for Tele-ICU. The Clinical Information System (CIS) is reviewed for HL7 flowsheet interface feed requirements for Tele-ICU. The contractor shall provide the government a final site assessment report which includes a list of materials that must be procured prior to Phase B and the locations of all pre-existing cabling, power, and Tele-ICU equipment. Equipment specifications and requirements for room preparation are provided as well.

Phase B | eICU® New Site Implementation and Initial Perpetual Software License Procurement: The purpose of eICU® Phase B (new site implementation and initial perpetual software license procurement) is for the government to purchase the initial eICU® perpetual software licenses and all associated sub-licenses contracted by the government and for the contractor to complete all actions necessary to go live with Tele-ICU monitoring at an eICU® ready site. The contractor shall provide all project management and consultation support needed to successfully complete this phase to include clinical, technical and interface consultation to the government. The project management provided by the contractor shall include creation and management of the project timeline to include facilitation and planning of weekly (and ad hoc) meetings, task tracking, resources, critical path milestone management and activation planning. The contractor shall also provide the procedures for the clinical workflow process, communication, training support, technical data collection worksheets, system set up, technical training, technical acceptance testing and troubleshooting as required. In addition, the contractor shall provide all required interface specifications, mapping support, connectivity testing, functional testing, production testing, warranty meetings and onsite support for project management visits, clinical visits, technical acceptance testing and activation support.

Phase C | eICU® Initial Perpetual Software License Sustainment with Warranty (First Year Sustainment): The purpose of eICU® Phase C (initial perpetual software license sustainment) is for the contractor to provide all required sustainment support for eICU® perpetual software licenses procured in Phase B for a performance period of normally one (1) year which shall include all sub-licenses and proprietary interfaces (i.e. audio-visual capabilities, etc.) in accordance with the terms and conditions of this contract. eICU® support services provided by the contractor shall include new eCareManager® product releases as they are made generally available, such as scheduled product releases that include software enhancements, maintenance corrections and may include regulatory releases mandated by Federal regulations for which the timing requirements are different than the scheduled releases, and as needed software corrections that ensure the software performs in accordance with the contractor’s proprietary eICU® program documentation. The contractor shall also provide remote technical support for critical systems affecting system availability 24 hours a day, 7 days a week, as defined in the eICU® Customer Support Handbook and in accordance with the terms and conditions established in this contract. In addition, remote application support, troubleshooting and analysis for non-critical reported issues shall be provided by the contractor Monday through Friday from 7:00am to 7:00pm Eastern Standard Time. In order to successfully provide sustainment support, the contractor shall provide reports to the government as required which shall include but is not limited to quarterly benchmark reports for reporting services.

Phase D | eICU® Continued Perpetual Software License Sustainment (Second Year and Beyond): The purpose of eICU® Phase D (continued perpetual software license sustainment) is for the contractor to provide continued sustainment support for eICU® perpetual software licenses sustained in Phase C which shall include all sub-licenses and proprietary interfaces (i.e. audio-visual capabilities, etc.) in accordance with the terms and conditions of this contract. eICU® support services provided by the contractor shall include new eCareManager® product releases as they are made generally available, such as scheduled product releases that include software enhancements, maintenance corrections and may include regulatory releases, regulatory releases that are mandated by Federal regulations for which the timing requirements are different than the scheduled releases, and as needed software corrections that ensure the software performs in accordance with the contractor’s proprietary eICU® program documentation. The contractor shall also provide remote technical support for critical systems affecting system availability 24 hours a day, 7 days a week, as defined in the eICU® Customer Support Handbook and in accordance with the terms and conditions established in this contract. In addition, remote application support, troubleshooting and analysis for non-critical reported issues shall be provided by the contractor Monday through Friday from 7:00am to 7:00pm Eastern Standard Time. In order to successfully provide sustainment support, the contractor shall provide reports to the government as required which shall include but is not limited to quarterly benchmark reports for reporting services.

Please note that any paragraph in this PWS shaded in GREY is an acquisition life-cycle phase that is not being procured on this specific contract. In addition, please note that all background information related to the Tele-ICU program for VISN-10 and eICU® software capability is located within the appendices section of this PWS.

1.1. SCOPE SUMMARY. The contractor shall provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, other items and non-personal services necessary to perform eICU® new site implementation for the following locations as defined in this Performance Work Statement (PWS) with base and option periods for this requirement summarized as follows:

Base Period for PHASE B new site eICU® implementation at Richard L. Roudebush VAMC (IN):

PHASE B new site eICU® implementation for fifteen (15) total participating beds at Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10) with twelve (12) assigned to the intensive care unit (ICU) and three (3) audio-visual (A/V) only beds located in the emergency department (ED).

Option One (1) for PHASE B new site eICU® implementation at Fayetteville VAMC (NC):

PHASE B new site eICU® implementation for six (6) participating beds at Fayetteville VAMC in North Carolina (VISN-6) assigned to the intensive care unit (ICU).

Option Two (2) for PHASE C initial eICU® warranty sustainment at Richard L. Roudebush VAMC (IN):

PHASE C initial eICU® warranty sustainment support for fifteen (15) total participating beds at Richard L.

Roudebush VAMC in Indianapolis Indiana (VISN-10) with twelve (12) assigned to the intensive care unit (ICU) and three (3) audio-visual (A/V) only beds located in the emergency department (ED)

Option Three (3) for PHASE C initial eICU® warranty sustainment at Fayetteville VAMC (NC):

PHASE C initial eICU® warranty sustainment support for six (6) participating beds at Fayetteville VAMC in North Carolina (VISN-6) assigned to the intensive care unit (ICU).

1.2. PERIOD OF PEFORMANCE. The overall period of performance for this not-to-exceed indefinite-delivery contract shall be from 11 May 2020 to 10 May 2022 for base and option periods summarized as follows:

Base Period for PHASE B new site eICU® implementation at Richard L. Roudebush VAMC (IN):

The contractor shall complete all new site implementation services within 6-months of the performance dates scheduled by the government representative(s) authorized by the contracting officer and provide the contractually required eICU® perpetual software licenses upon issuance of a fully executed contract task order.

Option One (1) for PHASE B new site eICU® implementation at Fayetteville VAMC (NC):

The contractor shall complete all new site implementation services within 6-months of the performance dates scheduled by the government representative(s) authorized by the contracting officer and provide the contractually required eICU® perpetual software licenses upon issuance of a fully executed contract task order.

Option Two (2) for PHASE C initial eICU® warranty sustainment at Richard L. Roudebush VAMC (IN):

The contractor shall provide one year of warranty sustainment support included with the eICU® perpetual software licenses and annual third-party APACHE and FDB sub-licenses previously purchased under the BASE PERIOD. The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”).

Option Three (3) for PHASE C initial eICU® warranty sustainment at Fayetteville VAMC (NC):

The contractor shall provide one year of warranty sustainment support included with the eICU® perpetual software licenses and annual third-party APACHE and FDB sub-licenses previously purchased under OPTION ONE. The period of performance for this effort shall be one-year from the effective date that this option was exercised (which shall also be considered the “go-live date”).

1.3. GENERAL REQUIREMENTS

1.3.1. Quality Control: The contractor shall develop and maintain an effective quality control program to ensure services are performed in accordance with this PWS. The contractor shall identify and define the management concept for ensuring compliance with all contract requirements. The contractor shall develop and implement procedures to identify, prevent, and ensure non-recurrence of defective services. The contractor will have an on-going quality assurance and /or quality improvement program designed to objectively and systematically measure, assess, and improve performance to enhance patient care and all patient care services. The contractor’s quality control program is the means by which the contractor assures that all work complies with the requirement of the contract. The contractor shall provide a copy of the QCP with their offeror as specified by the Contracting Officer and upon request thereafter. After acceptance of the quality control plan, the contractor shall immediately notify the contracting officer of any proposed changes to their quality control program and submit a change request in writing to the contracting officer. The contractor shall furnish copies of these records if requested by the Contracting Officer, COR or individual(s) designated by the COR and/or CO in writing.

1.3.2. Quality Assurance. The government shall evaluate the contractor’s performance under this contract in accordance with the Quality Assurance Surveillance Plan. This plan is primarily focused on what the Government must do to ensure that the contractor has performed in accordance with the performance standards. It defines how the performance standards will be applied, the frequency of surveillance, and the minimum acceptable defect rate(s):

1.3.3. Federally Recognized Holidays. The contractor is not anticipated but may be required to provide service on Federally recognized holidays in accordance with the terms and conditions established in this PWS to include but not limited to the following:

New Year’s Day Labor Day Martin Luther King Jr.’s Birthday Columbus Day President’s Day Veteran’s Day Memorial Day Thanksgiving Day Independence Day Christmas Day

1.3.4. Hours of Operation. The contractor shall perform the requirements as specified in this PWS in coordination with the authorized government representative specified by the contracting officer in writing.

1.3.5. Place of Performance. The primary places of performance in which the contractor shall provide the requirements specified in this PWS are summarized as follows:

Richard L. Roudebush VAMC in Indianapolis Indiana (VISN-10)

Fayetteville VAMC in North Carolina (VISN-6)

1.3.6. Type of Contract and Task Orders. The government intends to award a single-award indefinite-delivery indefinite quantity (IDIQ) type contract for the effort specified herein. The base and option periods (if any) specified in the SCHEDULE OF SERVICES - PRICE SCHEDULE shall be exercised at the discretion of the government through the issuance of a task order for the entire period of performance. The authority that will be utilized to award this effort is FAR Part 13.5 (Simplified Procedures for Certain Commercial Items).

1.3.7. Security Requirements and Background Checks. All contractor employees shall comply with the security and background check requirements required by Federal, State, Local and the Department of Veterans Affairs to provide this service described in this PWS in support of this VA medical facility in the states of Pennsylvania and Maryland.

1.3.7.1. PHYSICAL Security: The contractor shall be responsible for safeguarding all government equipment, information and property provided for contractor use. At the close of each work period, government facilities, equipment, and materials shall be secured.

1.3.7.2. Key Control: Not Applicable.

1.3.7.3. Lock Combinations: Not Applicable.

1.3.7.4. Contractor Personnel Security Requirements | Background Checks and Information Security: The contractor, contractor personnel, subcontractors, and subcontractor personnel shall be subject to the same Federal laws, regulations, standards, and VA Directives and Handbooks as VA and VA personnel regarding information, information system security and background checks. Failure to comply with the contractor personnel security requirements may result in termination of the contract in accordance with Federal Acquisition Regulation (FAR) Part 49.

All contractor employees who require access to the Department of Veterans Affairs' contractor’s computer systems or have access to sensitive information shall be the subject of a background investigation. The contractor is encouraged to have its employee immediately download the background investigation packet from http://www.va.gov/vabackground_investigations upon notification of contract award. A contractor’s employee shall not commence working at VA under contract until the contractor and the Contracting Officer receive notification from the VA Office of Security and Law Enforcement (OSLE) that the contract employee’s application was received complete. A favorable adjudication from VA Office of Security and law Enforcement must be received for a contractor employee to continue contract performance. This requirement is applicable to all subcontractor personnel.

The contractor shall provide complete Background Investigation applications for all contract employees who have not completed the requirements for this contract to OSLE, promptly and in sufficient time to meet the contract performance or delivery schedule (or: within 30 calendar days after contract award). If a delay in the notification from OSLE to the contractor that a complete application has been received is due to the failure of the contractor to provide a complete application as soon as practicable (or within 30 calendar days) after contract award, this delay shall not excuse the contractor from meeting the contract performance or delivery schedule and may result in termination of the contract in accordance with FAR Part 49 with requirements summarized as follows:

1.3.7.4.1. Position Sensitivity. The position sensitivity has been designated as Low Risk.

1.3.7.4.2. Background Investigation. The level of background investigation commensurate with the required level of access is National Agency Check with written inquiries.

1.3.7.4.3. Contractor Responsibilities

1.3.7.4.3.1. The contractor shall bear the expense of obtaining background investigations. If the Office of Personnel Management (OPM) conducts the investigation, the contractor shall reimburse VA within 30 days. If timely payment is not made within 30 days from date of bill for collection, then VA shall deduct the cost incurred from the contractors 1st month’s invoice(s) for services rendered.

1.3.7.4.3.2. It is imperative for the contractor to provide, at the request of VA, a listing of contractor personnel performing services under the contract for the background investigation process to commence.

This list will include name (first, middle, last), social security number, date of birth; city, state, and country of birth.

1.3.7.4.3.3. The contractor or their employees shall submit a complete background investigation packet.

Additional guidance and information in completing the required forms, and examples of the forms, can be found at http://www1.va.gov/VABackground_Investigations/page.cfm?pg=2 . The following required forms must be submitted to the VA Office of Security and Law Enforcement before contract performance begins:

(i) Standard Form 85, Questionnaire for Non-Sensitive Positions

(ii) Optional Form 306, Declaration for Federal Employment

(iii) Standard Form 86A (EG), Continuation Sheet for Questionnaire

(iv) Electronic Fingerprint Form

1.3.7.4.4. The contractor and their sub-contractors assigned work under the contract are required to receive annual training on patient privacy as established by HIPAA statues. Training must meet VHA’s and the Department of Health and Human Services Standards for Privacy of Individually-identifiable health information. The contractor shall provide documented proof to the contracting officer that all employees assigned work and/or having access to Protected Health Information have received annual training through the VA Talent Management System (TMS) https://www.tms.va.gov identifying completion of TMS Course #10203 Privacy and HIPAA Training. For contractors and sub-contractors who do not have access to VHA computer systems, this requirement is met by receiving VHA National Privacy Training, other VHA approved privacy training or contractor furnished training that meets the requirements of the HHS standards.

1.3.7.4.5. Rules of Behavior for Automated Information Systems. Contractor personnel having access to VA Information Systems are required to read and their employees are required to read and sign Appendix D of VA Handbook 6500.6, Contractor Rules of Behavior prior to being granted access to VA Automated Information systems. The COR will provide, through the facility ISO, the Rules of Behavior to the contractor for the respective facility.

1.3.7.4.6. VA Information Security Awareness Training. Each contractor assigned work under the contract is required to complete TMS Course #10176 VA Privacy and Information Security Awareness and Rules of Behavior. The requirements for fulfilling this provision can be found VA Talent Management System (TMS) https://www.tms.va.gov . The contractor shall provide documented proof to the contracting officer that all contractor employees servicing a VA contract have received annual training.

1.3.8. Special Qualifications. The contractor shall provide qualified personnel as required by contract specifications to accomplish all services under this contract. The cognizant VA medical facility reserves the right to restrict any contractor employee from performing services under this contract who does not meet the required qualifications for the services they are required to perform, and who violates Federal, State or local regulations, or are identified as a potential threat to the security, safety, health and/or operational mission of the VA and its veteran population. The restriction of such contractor personnel shall not relieve the contractor from performing all the required services, in accordance with all terms, conditions, and schedule contained herein.

1.3.9. Post Award Conference/Periodic Progress Meetings. The contractor agrees to attend any post award conference convened by the contracting activity or contract administration office in accordance with Federal Acquisition Regulation Subpart 42.5. The contracting officer, Contracting Officers Representative (COR), and other Government personnel, as appropriate, may meet periodically with the contractor to review the contractor's performance. At these meetings the contracting officer will apprise the contractor of how the government views the contractor's performance and the contractor will apprise the Government of problems, if any, being experienced.

Appropriate action shall be taken to resolve outstanding issues. These meetings shall be at no additional cost to the government.

1.3.10. Contracting Officer’s Representative (COR). The (COR) if designated will be identified by separate letter issued by the cognizant government Contracting Officer. The COR monitors all technical aspects of the contract and assists in contract administration The COR is authorized to perform the following functions: assure that the contractor performs the technical requirements of the contract: perform inspections necessary in connection with contract performance: maintain written and oral communications with the Contractor concerning technical aspects of the contract: issue written interpretations of technical requirements, including Government drawings, designs, specifications: monitor Contractor's performance and notifies both the Contracting Officer and contractor of any deficiencies; coordinate availability of government furnished property, and provide site entry of contractor personnel. A letter of designation issued to the COR, a copy of which is sent to the contractor, states the responsibilities and limitations of the COR, especially with regard to changes in cost or price, estimates or changes in delivery dates. The COR is not authorized to change any of the terms and conditions of the resulting order.

1.3.16. Key Personnel. The following personnel are considered key personnel by the government: Project Manager/Alternate Project Manager and Officer in Charge. The contractor shall provide a project manager who shall be responsible for the performance of the work. The name of this person and an alternate who shall act for the contractor when the manager is absent shall be designated in writing to the contracting officer. The project manager or alternate shall have full authority to act for the contractor on all contract matters relating to daily operation of this contract.

1.3.16.1. Personnel Roster. Within one (1) day of contract award, the contractor shall provide a list of all personnel that will perform services under this contract to the Contracting Officer (CO) that the CO shall forwarded to the requiring activity for review/action as appropriate. Thereafter, any changes to the personnel roster of the contractor shall be submitted to the CO within 24 hours of any change in staff. All personnel roster submissions shall include the following information:

Full Name Position and Title Assigned Responsibilities Qualifications and Professional Certifications Other information as requested by the COR and/or Contracting Officer

1.3.17 Identification of Contractor Employees. All contract personnel attending meetings, answering Government telephones, and working in other situations where their contractor status is not obvious to third parties are required to identify themselves as such to avoid creating an impression in the minds of members of the public that they are Government officials. They must also ensure that all documents or reports produced by contractors are suitably marked as contractor products or that contractor participation is appropriately disclosed.

1.3.18 Contractor Travel. All contractor required travel to fulfill the terms and conditions of this contract as specified herein shall be fully included within the agreed to price of this contract.

1.3.19 Other Direct Costs. Not Applicable.

1.3.20 Data Rights. The Government shall have unlimited rights to all VA specific documents, materials, unique source code and other government related data produced under this contract. The contractor shall comply with the terms and conditions established in FAR clause 52.227-19 (Commercial Computer Software License).

1.3.21 Organizational Conflict of Interest. The prime contractor and their sub-contractor personnel performing work under this contract may receive, have access to or participate in the development of proprietary or source selection information (e.g., cost or pricing information, budget information or analyses, specifications or work statements, etc.) or perform evaluation services which may create a current or subsequent Organizational Conflict of Interests (OCI) as defined in FAR Subpart 9.5. The contractor shall notify the Contracting Officer immediately whenever it becomes aware that such access or participation may result in any actual or potential OCI and shall promptly submit a plan to the Contracting Officer to avoid or mitigate any such OCI. The contractor’s mitigation plan will be determined to be acceptable solely at the discretion of the Contracting Officer and in the event the Contracting Officer unilaterally determines that any such OCI cannot be satisfactorily avoided or mitigated, the Contracting Officer may affect other remedies as he or she deems necessary, including prohibiting the contractor from participation in subsequent contracted requirements which may be affected by the OCI.

1.3.22 Phase-In /Phase-Out Period. Not Applicable

1.3.23. Other Pertinent Information or Special Considerations. The contractor shall not require access in general to any government facility (or facilities) to perform the software installation, maintenance and annual software sustainment support services described within this contract/task order. The contractor shall perform these software installation, maintenance and sustainment activities off-site via remote access from a secure location within an approved contractor facility. If the contractor requires access to any government facility to meet the terms and conditions of this contract, the contractor shall coordinate with the COR and CO as appropriate prior to any visit.

2. DEFINITIONS AND ACRONYMS

2.1. DEFINITIONS

BENEFICIARY. Veterans and other members determined to be eligible for benefits by the VA.

CONTRACT TASK ORDERS. Award of a funded contract task order for the appropriate period of performance is required prior to the commencement of any/all work in accordance with FAR part 16.506 as specified herein.

CONTRACTOR (OR PRIME CONTRACTOR). A vendor awarded a contract to provide specific supplies or service to the government. The term used in this contract refers to the prime contractor and its employees. The contractor is fully responsible for performance of their sub-contractor(s) and shall ensure that their subcontractor(s) are fully compliant with the terms and conditions of this contract at all-times.

CONTRACTING OFFICER. A person with authority to enter into, administer, and or terminate contracts, and make related determinations and findings on behalf of the government. Note: The only individual who can legally bind the government.

CONTRACTING OFFICER'S REPRESENTATIVE (COR). An employee of the U.S. Government appointed by the Contracting Officer to administer the contract.