36C25220Q0097-002.docx
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36C25220Q0097
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
36C25220Q0097 11-22-2019 Teresa Beers-Wesolowski 414 844-4865 12-09-2019 12:00 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 325412 1250 Employees N/A X 36C252 Great Lakes Acquisition Center (GLAC) Department of Veterans Affairs 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476
Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 877-353-9791 512-460-5540
SEE CONTINUATION PAGE:
See CONTINUATION Page X X X Teresa Beers-Wesolowski
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: ______________________________________ (Contractor’s Name) ______________________________________ (Address) ______________________________________ (City-State-Zip) ______________________________________ (Point of Contact/Title)
PHONE NUMBER ______________________________________
E-MAIL ADDRESS ______________________________________
DUNS NUMBER NO. ______________________________________
| b. GOVERNMENT: | Teresa Beers-Wesolowski, Contracting Officer |
| Teresa.beers-wesolowski@va.gov | |
| 414-844-4865 | |
| DEPARTMENT OF VETERANS AFFAIRS | |
| GREAT LAKES ACQUISITION CENTER | |
| 115 S. 84TH ST., STE 100 |
MILWAUKEE WI 53214
2. CONTRACTOR REMITTANCE ADDRESS: All payments by the Government to the contractor will be made in accordance with:
52.232-33, Payment by Electronic Funds Transfer-- System for Award Management
3. INVOICES: Invoices shall be submitted in arrears in accordance with:
a. 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)
b. UPON ACCEPTANCE OF ITEMS
4. GOVERNMENT INVOICE ADDRESS: All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)
FACSIMILE, E-MAIL, AND SCANNED DOCUMENTS ARE NOT ACCEPTABLE FORMS OF SUBMISSION FOR PAYMENT REQUESTS.
For assistance setting up e-Invoice, the below information is provided:
* Vendors must register online at http://www.tungsten-network.com/veteransaffairs/
* Tungsten Network Setup Information: 1-866-340-4980
* Tungsten Network email: VA.Registration@tungsten-network.com
* FSC Vendor Support Section Contact: 1-877-353-9791
* FSC Vendor Support Section email: vafsccshd@va.gov
Vendors can inquire on the status of payments by accessing VIS at: https://www.vis.fsc.va.gov/login.aspx?ReturnUrl=%2fDefault.aspx
SPECIAL NOTES:
This is a 100% Small Business Set Aside limited to responsible parties with the ability to 100% meet the requirements set forth.
Prospective contractors must furnish the information listed herein with their quotations to ensure they receive full consideration.
CONTRACT ADMINISTRATION:
The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this contract. The Contractor shall communicate with the Contracting Officer on all matters pertaining to contract administration. Only the Contracting Officer is authorized to make commitment or issue changes that will affect price, quantity or quality of performance of this contract. In the event the Contractor effects any such change at the direction of any person other than the Contracting Officer, the change shall be considered to have been made without authority and no adjustment will be made in the contract price to cover any increase in cost incurred thereof.
CONTRACTING OFFICER’S POINT OF CONTACT (POC):
The designated Hines VAMC POC will be Krista Hagert.
The Hines VAMC POC will be designated to represent the Contracting Officer in furnishing technical guidance and advice regarding the work being performed under this contract. The foregoing is not to be construed as authorization to interpret or furnish advice and information to the Contractor relative to the financial or legal aspects of the contract. Enforcement of these segments is vested in and is the responsibility of the Contracting Officer.
ACQUISITION OF COMMERCIAL ITEMS:
This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 13.5 Simplified Procedures for Certain Commercial Items in which simplified acquisition procedures in FAR Part 13 will be used. FAR Part 14 and 15 will not be used.
EVALUATION/BASIS OF AWARD:
The Government will select the quote that represents the best benefit to the Government at a price that can be determined reasonable. The Government will evaluate price and past performance. These criteria are not listed in any relative order of importance.
After the solicitation closes, the Government will perform a comparative evaluation of the eligible quotes. All quotes must meet the minimum standards outline in this solicitation. For quotes that meet the minimum standards, the Government will perform a comparative evaluation by comparing quotes against one another to select the quote that best benefits the Government considering all factors. The VA will compare quotes against each other in an impartial and simplified manner based on FAR Part 13. Source selection techniques described in FAR part 15 will not be used.
Once the Government determines there is/are a contractor(s) that can provide the supplies that meet(s) the requirements of this request for quote, the Government reserves the right to communicate with only those contractors quoting the best-suited supply to address any remaining issues. The Government will evaluate quotes for award purposes by adding the total price for all options to the total price for the basic requirement.
TYPE OF CONTRACT: VA anticipates a Single Award, Firm-Fixed Price, Indefinite Delivery Indefinite Quantity (IDIQ) with a five (5) Year Ordering Period Contract based on the contents of this solicitation. The contractor shall propose a fixed price per monthly bundle/kit regardless of contents or delivery area.
SUPPLIES OR SERVICES AND PRICES/COSTS:
The Contractor shall provide Dialysis Kits for Hines VAMC patients in accordance with the pricing, terms and conditions contained herein.
Ceiling Amount for the entire life of the contract is $3,500,000.00 Contractor shall complete the Pricing Schedule included after the scope of work as a whole.
Contractor will submit up to three (3) recent and relevant contracts for the same or similar items and other references (including contract numbers, point of contact with telephone numbers, emails and other relevant information)
STATEMENT OF REQUIREMENTS
1. Description of Services/Supplies:
Contractor shall furnish all necessary supplies and equipment for Peritoneal Dialysis (PD) as prescribed for medical center use and direct delivery to beneficiaries of the Edward Hines Jr. VA Hospital, Hines, IL. The contractor is responsible for delivering all supplies under this contract directly to the beneficiary's location, as requested.
Contractor shall:
· Coordinate with the Home Peritoneal Dialysis Service at Hines to obtain required forms
· Provide delivery of all supplies to patients wherever they are physically located in the United States, including when patient is traveling
· Safeguard any patient information received as listed specifically in general section below.
· Contact each patient to ensure patient has received supplies
· Contact each patient to ensure supplies are adequate for the month or until next shipment arrives
· Guarantee on time delivery of all ordered supplies
· Price per patient monthly bundle/kit which will be one blanket price per kit regardless of contents.
· Supply quality products free from defects or recall.
· Provide bundle/kit tailored to specific patient’s needs. It may include all or any combination of the products listed below as ordered by the Home Peritoneal Dialysis Service clinical staff.
Note: As new products become available, list of products may change if discussed with Home Peritoneal Dialysis Service and Contracting Officer (CO).
| Description |
| Unit |
| Estimated Annual Usage |
| Personal Cycler Carrying Case |
| EA |
| 10 EA |
| Flexicap Disconnect Cap | |
| 30/CS | |
| 91 CS (2730 EA) |
| Minicap Disconnect w/PVP |
| 60/CS |
| 244 CS (14640 EA) |
| AMIA Cycler Lease |
| EA |
| 15 EA |
| 12 Ft DRAIN Ext Set |
| 30/CS |
| 10 CS (300 EA) |
| PLASTIC TAPE 1" |
| EA |
| 200 EA |
Paper Tape 1”
| EA |
| 200 EA |
| Cloth Tape 1” |
| EA |
| 200 EA |
| Betasept |
| EA |
| <10 |
| Tagaderm 4 x 4.75” |
| EA |
| <10 |
| Tape Transpore Plastic 1” |
| EA |
| <10 |
| IV Gauze Sponge 2x2 |
| 35/CS |
| 128 CS (4480 EA) |
| ULTRA CLAMP |
| 12/CS |
| 17 (204 EA) |
| GAUZE SPONGE 4 X 4 X 12 STERILE |
| 25/CS |
| 54 CS (1350 EA) |
| SURGICAL TAPE 1" |
| EA |
| 125 EA |
| FACE MASK ISOLATION |
| 50/CS |
| 125 CS (6250 EA) |
| APD Drain Manifold |
| 30/CS |
| 31 CS (930 EA) |
| Outlet Port Clamp/Short Nose |
| 12/CS |
| 3 CS (36 EA) |
| PD Cycler Rent |
| MO |
| 236 |
| Scale Digital LB / KG |
| EA |
| 12 |
| Scale Spring (100‐5000GM) |
| EA |
| 12 |
| Heating Pad‐King Size |
| EA |
| 12 |
| BP Unit DIG Auto ADLT CF |
| EA |
| 12 |
| IV Pole ‐ DBL HOOK |
| EA |
| 11 |
| Tape, Medipore Cloth 1” |
| EA |
| 25 EA |
| Effluent Sample Bags |
| 6/CS |
| 4 CS (24 EA) |
| Dianeal PD2 1.5% DEX 2L/2L ULTRABAG |
| 6/CS |
| 210 CS (1260 EA) |
| Dianeal PD2 2.5% DEX 2L/2L ULTRABAG |
| 6/CS |
| 485 CS (2910 EA) |
| Dianeal Low CA 1.5% 2/2L ULTRABAG 1.5% |
| CS |
| 115 CS (690 EA) |
| Dianeal Low CA 2.5% 2/2L ULTRABAG |
| 6/CS |
| 35 CS (210 EA) |
| Dianeal PD2 2.5% DEX 2.5L/3L ULTRABAG | |
| 5/CS | |
| 82 CS (410 EA) |
| Dianeal PD2 4.25% DEX 2L/2L ULTRABAG |
| 6/CS |
| 47 CS (282 EA) |
| Dianeal Low CA 2.5% DEX 2L/3L ULTRABAG |
| 4/CS |
| 6 CS (24 EA) |
| Dianeal Low CA 4.25% DEX 2L/3L |
| 4/CS |
| 6 CS (24 EA) |
| Dianeal Low CAl 4.25% DEX 2L/2L UB |
| 4/CS |
| 4 CS (16 EA) |
| Dianeal Low Cal 1.5% 2L/2L ULTRABAG 1.5% |
| 6/CS |
| 94 CS (564 EA) |
Dianeal Low CA 4.25% DEX 2L/3L PD Soln.
| 6/CS |
| <10 |
| Dianeal Low CA 1.5% 5L/6L |
| 2/CS |
| 307 CS (614 EA) |
| Dianeal PD-2 1.5% DEX 2L/3L |
| 6/CS |
| 24 CS (144 EA) |
| Dianeal PD-2 1.5% DEX 5L/6L |
| 2/CS |
| 164 CS (328 EA) |
| Dianeal PD-2 2.5% DEX 5L/6L |
| 2/CS |
| 228 CS (456 EA) |
| Dianeal PD-2 4.25% DEX 5L/6L |
| 2/CS |
| 71 CS (142 EA) |
| Dianeal PD-2 1.5% DEX 6L/6L |
| 2/CS |
| 1356 CS (2712 EA) |
| Dianeal PD-2 2.5% DEX 6L/6L |
| 2/CS |
| 3632 CS (7264 EA) |
| Dianeal PD-2 4.25% DEX 6L/6L |
| 2/CS |
| 252 CS (504 EA) |
| Dianeal PD-2 Low CA 1.5% DEX 6L/6L |
| 2/CS |
| 42 CS (84 EA) |
| Dianeal PD-2 Low CA 2.5% DEX 6L/6L |
| 2/CS |
| 22 CS (44 EA) |
| Cycler Drainage Set (CS=15 PR) |
| 30/CS |
| 234 CS (7020 EA) |
| Extraneal Ultrabag 2L/3L |
| 6/CS |
| 43 CS (258 EA) |
| Extraneal PD2 2L/2L UB |
| 6/CS |
| <10 |
| Hand Sanitizer Gel |
| EA |
| 10 EA |
| Thermometer Digital |
| EA |
| 12 EA |
| Face Mask Yellow Pleated |
| 50/CS |
| 5 CS (250 EA) |
| Gloves, Nitrile Lrg |
| 100/CS |
| 11 CS (1100 EA) |
| Gloves, Nitrile Md |
| 100/CS |
| <10 |
| Gloves, Exam XL |
| 100/CS |
| <10 |
| Automated PD Set w/ Cassette 4 Prong |
| 30/CS |
| 216 CS (6480 EA) |
| Alcohol Prep Pads |
| BX |
| <10 |
| AMIA APD Cassette |
| 30/case |
| <10 |
| 12 FT PT EXT Easy Lock |
| 30/case |
| <10 |
| CAPD Disconnect Y-Set |
| 30/case |
| <10 |
| PD BELT |
| 3/box |
| <10 |
| Stay Safe/Luer Lock Adapter |
| EA |
| <10 |
| Locking Titanium Adapter |
| 5/case |
| 10 CS |
| Minicap extended Life PF Transfer Set 6” with Twist clamp |
| 6/case |
| 32 CS |
| Beta-CAP Clamp |
| EA |
| 80 cs |
| Under pads |
| CS |
| <10 |
| Amia Automated PD System Carrying case (hard) |
| EA |
| <10 |
Hines VA Clinical Staff shall:
· Notify contractor for new patient starts or need to put supplies on hold for patient condition/situation. Request sheet (Patient name, address, phone number, social security number, DOB, dialysis start date and provider NPI#), patient prescription and patient demographics sheet is faxed to contractor at time of request.
· Educate patients on peritoneal dialysis and determine follow-up schedule for patients per local/national guidelines.
· Communicate with contractor if supplies are missing or defective.
· Communicate with Contracting Officer Representative with any negative trends in performance or quality of supplies.
2. Point of Contact (POC) The Point of Contact (POC) will be determined at time of award. POC will provide Home Peritoneal Dialysis Service/Contractor the yearly obligation number for direct delivery beneficiaries. The contractor shall use the appropriate assigned obligation number for the months on all correspondence and invoices until new obligation number is assigned for the next option year is exercised IAW the contract.
3. Direct Deliveries:
Home Peritoneal Dialysis Service will contact the contractor by telephone and give a yearly obligation number for direct delivery beneficiaries. The contractor shall use the appropriate assigned obligation number for the year on all correspondence and invoices.
When a VA beneficiary is accepted into the program to receive direct delivery of PD supplies, the patient’s prescription is faxed to the contractor with product name and quantities along with the patient’s clinical intake form/demographic sheet. Information requested from the contractor must be limited to only the information essential to perform the service/delivery of supplies.
It shall be the contractor's responsibility to coordinate with Home Peritoneal Dialysis Service (708-202-2783) the patient's authorized prescribed inventory levels and establish delivery schedules. The contractor shall contact the patient monthly (or as needed) to verify patient's requirements and set up delivery order. In the event a patient needs additional supplies after the monthly order is placed, the patient may contact the contractor via telephone and the contractor may use the mailing system to get supplies to the patient. The contractor is responsible for adhering to all mailing requirements in this matter.
4. Packing and Marking:
All containers are to be marked with the expiration date. All products must provide not less than an eighteen
(18) month expiration date. Cases are to be clearly marked, specifying content and handling methods.
5. Qualifications:
Offeror shall be the manufacturer or authorized dealer for the manufacturer of the product for which a quote will be provided.
6. Shipping:
All orders shall be shipped F.O.B. Destination, by common carrier, standard delivery within 3 to 5 days ARO (After Receipt of Order). The cost of any other designated shipping options (i.e., overnight, 2nd day, etc) by the VAH, Hines, IL, payment of such shall be the responsibility of the VAH, Hines, IL, contractor shall prepay and add to invoice.
7. Performance Monitoring Clinical staff from Hines VA will follow-up with patient to ensure they have received necessary supplies. Clinical staff will notify Contracting Officer Representative (COR)/Contracting Officer (CO) of patient’s receipt of items, missing supplies, delays in shipment or any performance issues of the contractor or supplies.
8. Privacy and Information Security
1. GENERAL
Contractors, 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 and information system security.
2. ACCESS TO VA INFORMATION AND VA INFORMATION SYSTEMS
a. A contractor/subcontractor shall request logical (technical) or physical access to VA information and VA information systems for their employees, subcontractors, and affiliates only to the extent necessary to perform the services specified in the contract, agreement, or task order.
b. All contractors, subcontractors, and third-party servicers and associates working with VA information are subject to the same investigative requirements as those of VA appointees or employees who have access to the same types of information. The level and process of background security investigations for contractors must be in accordance with VA Directive and Handbook 0710, Personnel Suitability and Security Program. The Office for Operations, Security, and Preparedness is responsible for these policies and procedures.
c. Contract personnel who require access to national security programs must have a valid security clearance. National Industrial Security Program (NISP) was established by Executive Order 12829 to ensure that cleared U.S. defense industry contract personnel safeguard the classified information in their possession while performing work on contracts, programs, bids, or research and development efforts. The Department of Veterans Affairs does not have a Memorandum of Agreement with Defense Security Service (DSS). Verification of a Security Clearance must be processed through the Special Security Officer located in the Planning and National Security Service within the Office of Operations, Security, and Preparedness.
d. Custom software development and outsourced operations must be located in the U.S. to the maximum extent practical. If such services are proposed to be performed abroad and are not disallowed by other VA policy or mandates, the contractor/subcontractor must state where all non-U.S. services are provided and detail a security plan, deemed to be acceptable by VA, specifically to address mitigation of the resulting problems of communication, control, data protection, and so forth. Location within the U.S. may be an evaluation factor.
e. The contractor or subcontractor must notify the Contracting Officer immediately when an employee working on a VA system or with access to VA information is reassigned or leaves the contractor or subcontractor’s employ. The Contracting Officer must also be notified immediately by the contractor or subcontractor prior to an unfriendly termination.
3. VA INFORMATION CUSTODIAL LANGUAGE
a. Information made available to the contractor or subcontractor by VA for the performance or administration of this contract or information developed by the contractor/subcontractor in performance or administration of the contract shall be used only for those purposes and shall not be used in any other way without the prior written agreement of the VA. This clause expressly limits the contractor/subcontractor's rights to use data as described in Rights in Data - General, FAR 52.227-14(d) (1).
b. VA information should not be co-mingled, if possible, with any other data on the contractors/subcontractor’s information systems or media storage systems in order to ensure VA requirements related to data protection and media sanitization can be met. If co-mingling must be allowed to meet the requirements of the business need, the contractor must ensure that VA’s information is returned to the VA or destroyed in accordance with VA’s sanitization requirements. VA reserves the right to conduct on site inspections of contractor and subcontractor IT resources to ensure data security controls, separation of data and job duties, and destruction/media sanitization procedures are in compliance with VA directive requirements.
c. Prior to termination or completion of this contract, contractor/subcontractor must not destroy information received from VA, or gathered/created by the contractor in the course of performing this contract without prior written approval by the VA. Any data destruction done on behalf of VA by a contractor/subcontractor must be done in accordance with National Archives and Records Administration (NARA) requirements as outlined in VA Directive 6300, Records and Information Management and its Handbook 6300.1 Records Management Procedures, applicable VA Records Control Schedules, and VA Handbook 6500.1, Electronic Media Sanitization. Self-certification by the contractor that the data destruction requirements above have been met must be sent to the VA Contracting Officer within 30 days of termination of the contract.
d. The contractor/subcontractor must receive, gather, store, back up, maintain, use, disclose and dispose of VA information only in compliance with the terms of the contract and applicable Federal and VA information confidentiality and security laws, regulations and policies. If Federal or VA information confidentiality and security laws, regulations and policies become applicable to the VA information or information systems after execution of the contract, or if NIST issues or updates applicable FIPS or Special Publications (SP) after execution of this contract, the parties agree to negotiate in good faith to implement the information confidentiality and security laws, regulations and policies in this contract.
e. The contractor/subcontractor shall not make copies of VA information except as authorized and necessary to perform the terms of the agreement or to preserve electronic information stored on contractor/subcontractor electronic storage media for restoration in case any electronic equipment or data used by the contractor/subcontractor needs to be restored to an operating state. If copies are made for restoration purposes, after the restoration is complete, the copies must be appropriately destroyed.
f. If VA determines that the contractor has violated any of the information confidentiality, privacy, and security provisions of the contract, it shall be sufficient grounds for VA to withhold payment to the contractor or third party or terminate the contract for default or terminate for cause under Federal Acquisition Regulation (FAR) part 12.
g. If a VHA contract is terminated for cause, the associated BAA must also be terminated and appropriate actions taken in accordance with VHA Handbook 1600.01, Business Associate Agreements. Absent an agreement to use or disclose protected health information, there is no business associate relationship.
h. The contractor/subcontractor must store, transport, or transmit VA sensitive information in an encrypted form, using VA-approved encryption tools that are, at a minimum, FIPS 140-2 validated.
i. The contractor/subcontractor’s firewall and Web services security controls, if applicable, shall meet or exceed VA’s minimum requirements. VA Configuration Guidelines are available upon request.
j. Except for uses and disclosures of VA information authorized by this contract for performance of the contract, the contractor/subcontractor may use and disclose VA information only in two other situations: (i) in response to a qualifying order of a court of competent jurisdiction, or (ii) with VA’s prior written approval. The contractor/subcontractor must refer all requests for, demands for production of, or inquiries about, VA information and information systems to the VA contracting officer for response.
k. Notwithstanding the provision above, the contractor/subcontractor shall not release VA records protected by Title 38 U.S.C. 5705, confidentiality of medical quality assurance records and/or Title 38 U.S.C. 7332, confidentiality of certain health records pertaining to drug addiction, sickle cell anemia, alcoholism or alcohol abuse, or infection with human immunodeficiency virus. If the contractor/subcontractor is in receipt of a court order or other requests for the above-mentioned information, that contractor/subcontractor shall immediately refer such court orders or other requests to the VA contracting officer for response.
l. For service that involves the storage, generating, transmitting, or exchanging of VA sensitive information but does not require C&A or an MOU-ISA for system interconnection, the contractor/subcontractor must complete a Contractor Security Control Assessment (CSCA) on a yearly basis and provide it to the COTR.
5. INFORMATION SYSTEM HOSTING, OPERATION, MAINTENANCE, OR USE
a. For information systems that are hosted, operated, maintained, or used on behalf of VA at non-VA facilities, contractors/subcontractors are fully responsible and accountable for ensuring compliance with all HIPAA, Privacy Act, FISMA, NIST, FIPS, and VA security and privacy directives and handbooks. This includes conducting compliant risk assessments, routine vulnerability scanning, system patching and change management procedures, and the completion of an acceptable contingency plan for each system. The contractor’s security control procedures must be equivalent, to those procedures used to secure VA systems. A Privacy Impact Assessment (PIA) must also be provided to the COTR and approved by VA Privacy Service prior to operational approval. All external Internet connections to VA’s network involving VA information must be reviewed and approved by VA prior to implementation.
b. Adequate security controls for collecting, processing, transmitting, and storing of Personally Identifiable Information (PII), as determined by the VA Privacy Service, must be in place, tested, and approved by VA prior to hosting, operation, maintenance, or use of the information system, or systems by or on behalf of VA. These security controls are to be assessed and stated within the PIA and if these controls are determined not to be in place, or inadequate, a Plan of Action and Milestones (POA&M) must be submitted and approved prior to the collection of PII.
c. Outsourcing (contractor facility, contractor equipment or contractor staff) of systems or network operations, telecommunications services, or other managed services requires certification and accreditation (authorization) (C&A) of the contractor’s systems in accordance with VA Handbook 6500.3, Certification and Accreditation and/or the VA OCS Certification Program Office. Government-owned (government facility or government equipment) contractor-operated systems, third party or business partner networks require memorandums of understanding and interconnection agreements (MOU-ISA) which detail what data types are shared, who has access, and the appropriate level of security controls for all systems connected to VA networks.
d. The contractor/subcontractor’s system must adhere to all FISMA, FIPS, and NIST standards related to the annual FISMA security controls assessment and review and update the PIA. Any deficiencies noted during this assessment must be provided to the VA contracting officer and the ISO for entry into VA’s POA&M management process. The contractor/subcontractor must use VA’s POA&M process to document planned remedial actions to address any deficiencies in information security policies, procedures, and practices, and the completion of those activities. Security deficiencies must be corrected within the timeframes approved by the government. Contractor/subcontractor procedures are subject to periodic, unannounced assessments by VA officials, including the VA Office of Inspector General. The physical security aspects associated with contractor/subcontractor activities must also be subject to such assessments. If major changes to the system occur that may affect the privacy or security of the data or the system, the C&A of the system may need to be reviewed, retested and re-authorized per VA Handbook 6500.3. This may require reviewing and updating all of the documentation (PIA, System Security Plan, Contingency Plan). The Certification Program Office can provide guidance on whether a new C&A would be necessary.
e. The contractor/subcontractor must conduct an annual self-assessment on all systems and outsourced services as required. Both hard copy and electronic copies of the assessment must be provided to the COTR. The government reserves the right to conduct such an assessment using government personnel or another contractor/subcontractor. The contractor/subcontractor must take appropriate and timely action (this can be specified in the contract) to correct or mitigate any weaknesses discovered during such testing, generally at no additional cost.
f. VA prohibits the installation and use of personally-owned or contractor/subcontractor-owned equipment or software on VA’s network. If non-VA owned equipment must be used to fulfill the requirements of a contract, it must be stated in the service agreement, SOW or contract. All of the security controls required for government furnished equipment (GFE) must be utilized in approved other equipment (OE) and must be funded by the owner of the equipment. All remote systems must be equipped with, and use, a VA-approved antivirus (AV) software and a personal (host-based or enclave based) firewall that is configured with a VA- approved configuration. Software must be kept current, including all critical updates and patches. Owners of approved OE are responsible for providing and maintaining the anti-viral software and the firewall on the non-VA owned OE.
g. All electronic storage media used on non-VA leased or non-VA owned IT equipment that is used to store, process, or access VA information must be handled in adherence with VA Handbook 6500.1, Electronic Media Sanitization upon: (i) completion or termination of the contract or (ii) disposal or return of the IT equipment by the contractor/subcontractor or any person acting on behalf of the contractor/subcontractor, whichever is earlier. Media (hard drives, optical disks, CDs, back-up tapes, etc.) used by the contractors/subcontractors that contain VA information must be returned to the VA for sanitization or destruction or the contractor/subcontractor must self-certify that the media has been disposed of per 6500.1 requirements. This must be completed within 30 days of termination of the contract.
h. Bio-Medical devices and other equipment or systems containing media (hard drives, optical disks, etc.) with VA sensitive information must not be returned to the vendor at the end of lease, for trade-in, or other purposes. The options are:
(1) Vendor must accept the system without the drive;
(2) VA’s initial medical device purchase includes a spare drive which must be installed in place of the original drive at time of turn-in; or
(3) VA must reimburse the company for media at a reasonable open market replacement cost at time of purchase.
(4) Due to the highly specialized and sometimes proprietary hardware and software associated with medical equipment/systems, if it is not possible for the VA to retain the hard drive, then;
(a) The equipment vendor must have an existing BAA if the device being traded in has sensitive information stored on it and hard drive(s) from the system are being returned physically intact; and
(b) Any fixed hard drive on the device must be non-destructively sanitized to the greatest extent possible without negatively impacting system operation. Selective clearing down to patient data folder level is recommended using VA approved and validated overwriting technologies/methods/tools. Applicable media sanitization specifications need to be pre- approved and described in the purchase order or contract.
(c) A statement needs to be signed by the Director (System Owner) that states that the drive could not be removed and that (a) and (b) controls above are in place and completed. The ISO needs to maintain the documentation.
6. SECURITY INCIDENT INVESTIGATION
a. The term “security incident” means an event that has, or could have, resulted in unauthorized access to, loss or damage to VA assets, or sensitive information, or an action that breaches VA security procedures. The contractor/subcontractor shall immediately notify the COTR and simultaneously, the designated ISO and Privacy Officer for the contract of any known or suspected security/privacy incidents, or any unauthorized disclosure of sensitive information, including that contained in system(s) to which the contractor/subcontractor has access.
b. To the extent known by the contractor/subcontractor, the contractor/subcontractor’s notice to VA shall identify the information involved, the circumstances surrounding the incident (including to whom, how, when, and where the VA information or assets were placed at risk or compromised), and any other information that the contractor/subcontractor considers relevant.
c. With respect to unsecured protected health information, the business associate is deemed to have discovered a data breach when the business associate knew or should have known of a breach of such information. Upon discovery, the business associate must notify the covered entity of the breach. Notifications need to be made in accordance with the executed business associate agreement.
d. In instances of theft or break-in or other criminal activity, the contractor/subcontractor must concurrently report the incident to the appropriate law enforcement entity (or entities) of jurisdiction, including the VA OIG and Security and Law Enforcement. The contractor, its employees, and its subcontractors and their employees shall cooperate with VA and any law enforcement authority responsible for the investigation and prosecution of any possible criminal law violation(s) associated with any incident. The contractor/subcontractor shall cooperate with VA in any civil litigation to recover VA information, obtain monetary or other compensation from a third party for damages arising from any incident, or obtain injunctive relief against any third party arising from, or related to, the incident.
7. LIQUIDATED DAMAGES FOR DATA BREACH
a. Consistent with the requirements of 38 U.S.C. §5725, a contract may require access to sensitive personal information. If so, the contractor is liable to VA for liquidated damages in the event of a data breach or privacy incident involving any SPI the contractor/subcontractor processes or maintains under this contract. However, it is the policy of VA to forgo collection of liquidated damages in the event the contractor provides payment of actual damages in an amount determined to be adequate by the agency.
b. The contractor/subcontractor shall provide notice to VA of a “security incident” as set forth in the Security Incident Investigation section above. Upon such notification, VA must secure from a non-Department entity or the VA Office of Inspector General an independent risk analysis of the data breach to determine the level of risk associated with the data breach for the potential misuse of any sensitive personal information involved in the data breach. The term 'data breach' means the loss, theft, or other unauthorized access, or any access other than that incidental to the scope of employment, to data containing sensitive personal information, in electronic or printed form, that results in the potential compromise of the confidentiality or integrity of the data. Contractor shall fully cooperate with the entity performing the risk analysis. Failure to cooperate may be deemed a material breach and grounds for contract termination.
c. Each risk analysis shall address all relevant information concerning the data breach, including the following:
a) Nature of the event (loss, theft, unauthorized access);
(2) Description of the event, including:
(a) date of occurrence;
(b) data elements involved, including any PII, such as full name, social security number, date of birth, home address, account number, disability code;
(3) Number of individuals affected or potentially affected;
(4) Names of individuals or groups affected or potentially affected;
(5) Ease of logical data access to the lost, stolen or improperly accessed data in light of the degree of protection for the data, e.g., unencrypted, plain text;
(6) Amount of time the data has been out of VA control;
(7) The likelihood that the sensitive personal information will or has been compromised (made accessible to and usable by unauthorized persons);
(8) Known misuses of data containing sensitive personal information, if any;
(9) Assessment of the potential harm to the affected individuals;
(10) Data breach analysis as outlined in 6500.2 Handbook, Management of Security and Privacy Incidents, as appropriate; and
(11) Whether credit protection services may assist record subjects in avoiding or mitigating the results of identity theft based on the sensitive personal information that may have been compromised.
d. Based on the determinations of the independent risk analysis, the contractor shall be responsible for paying to the VA liquidated damages per affected individual to cover the cost of providing credit protection services to affected individuals consisting of the following:
(1) Notification;
(2) One year of credit monitoring services consisting of automatic daily monitoring of at least 3 relevant credit bureau reports;
(3) Data breach analysis;
(4) Fraud resolution services, including writing dispute letters, initiating fraud alerts and credit freezes, to assist affected individuals to bring matters to resolution;
(5) One year of identity theft insurance with $20,000.00 coverage at $0 deductible; and
(6) Necessary legal expenses the subjects may incur to repair falsified or damaged credit records, histories, or financial affairs.
8. SECURITY CONTROLS COMPLIANCE TESTING
On a periodic basis, VA, including the Office of Inspector General, reserves the right to evaluate any or all of the security controls and privacy practices implemented by the contractor under the clauses contained within the contract. With 10 working-day’s notice, at the request of the government, the contractor must fully cooperate and assist in a government-sponsored security controls assessment at each location wherein VA information is processed or stored, or information systems are developed, operated, maintained, or used on behalf of VA, including those initiated by the Office of Inspector General. The government may conduct a security control assessment on shorter notice (to include unannounced assessments) as determined by VA in the event of a security incident or at any other time.
9. TRAINING
a. All contractor employees and subcontractor employees requiring access to VA information and VA information systems shall complete the following before being granted access to VA information and its systems:
(1) Sign and acknowledge (either manually or electronically) understanding of and responsibilities for compliance with the Contractor Rules of Behavior, Appendix E relating to access to VA information and information systems;
(2) Successfully complete the VA Cyber Security Awareness and Rules of Behavior training and annually complete required security training;
(3) Successfully complete the appropriate VA privacy training and annually complete required privacy training; and
(4) Successfully complete any additional cyber security or privacy training, as required for VA personnel with equivalent information system access [to be defined by the VA program official and provided to the contracting officer for inclusion in the solicitation document – e.g., any role-based information security training required in accordance with NIST Special Publication 800-16, Information Technology Security Training Requirements.]
b. The contractor shall provide to the contracting officer and/or the COTR a copy of the training certificates and certification of signing the Contractor Rules of Behavior for each applicable employee within 1 week of the initiation of the contract and annually thereafter, as required.
c. Failure to complete the mandatory annual training and sign the Rules of Behavior annually, within the timeframe required, is grounds for suspension or termination of all physical or electronic access privileges and removal from work on the contract until such time as the training and documents are complete.
RECORDS MANAGEMENT
1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.
2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.
3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.
4. Hines VA Healthcare Systems and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of VA Hines VA Healthcare Systems or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701.
In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to VA Hines VA Healthcare Systems. The agency must report promptly to NARA in accordance with 36 CFR 1230.
5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to VA Hines VA Healthcare Systems control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).
6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and VA Hines VA Healthcare Systems guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.
7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with VA Hines VAH Healthcare Systems policy.
8. The Contractor shall not create or maintain any records containing any non-public VA Healthcare Systems information that are not specifically tied to or authorized by the contract.
9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.
10. The VA Hines VA Healthcare Systems owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which VA Hines VA Healthcare Systems shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.
11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take VHA-provided records management training, Talent Management System (TMS) Item #3873736, Records Management for Records Officers and Liaisons. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.
B.1 PRICE/COST SCHEDULE
ITEM INFORMATION
| ITEM NUMBER |
| DESCRIPTION OF SUPPLIES/SERVICES |
| ESTIMATED |
QUANTITY
| UNIT |
| UNIT PRICE |
| AMOUNT |
| 165.00 |
| EA |
| __________________ |
| __________________ |
Home PD Bundle/Kit Contract Period: Option 1 POP Begin: 01-01-2020 POP End: 12-31-2020
| 15.00 |
| EA |
| __________________ |
| __________________ |
Equipment/Cycler only rental Contract Period: Option 1 POP Begin: 01-01-2020 POP End: 12-31-2020
| 165.00 |
| EA |
| __________________ |
| __________________ |
Home PD Bundle/Kit Contract Period: Option 2 POP Begin: 01-01-2021 POP End: 12-31-2021
| 15.00 |
| EA |
| __________________ |
| __________________ |
Equipment/Cycler only rental Contract Period: Option 2 POP Begin: 01-01-2021 POP End: 12-31-2021
| 165.00 |
| EA |
| __________________ |
| __________________ |
Home PD Bundle/Kit Contract Period: Option 3 POP Begin: 01-01-2022 POP End: 12-31-2022
| 15.00 |
| EA |
| __________________ |
| __________________ |
Equipment/Cycler only rental Contract Period: Option 3 POP Begin: 01-01-2022 POP End: 12-31-2022
| 165.00 |
| EA |
| __________________ |
| __________________ |
Home PD Bundle/Kit Contract Period: Option 4 POP Begin: 01-01-2023 POP End: 12-31-2023
| 15.00 |
| EA |
| __________________ |
| __________________ |
Equipment/Cycler only rental Contract Period: Option 4 POP Begin: 01-01-2023 POP End: 12-31-2023
| 165.00 |
| EA |
| __________________ |
| __________________ |
Home PD Bundle/Kit Contract Period: Option 5 POP Begin: 01-01-2024 POP End: 12-31-2024
| 15.00 |
| EA |
| __________________ |
| __________________ |
Equipment/Cycler only rental Contract Period: Option 5 POP Begin: 01-01-2024 POP End: 12-31-2024
ESTIMATED
GRAND TOTAL
SECTION C - CONTRACT CLAUSES
C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)
(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—
(1) Within a reasonable time after the defect was discovered or should have been discovered; and
(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.
(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.
(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.
(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at FAR 52.233-1, Disputes, which is incorporated herein by reference.
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