36C25221Q0140.docx

36C25221Q0140

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

36C25221Q0140 11-21-2020 Tim Rosenwald, Contract Specialist 414-844-4825 12-02-2020

1:00PM

CST

36C252 Department of Veterans Affairs Great Lakes Acquisition Center (GLAC) 115 S 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 621512 $16.5 Million N/A X 36C585 Department of Veterans Affairs Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain MI 49801 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 Contractor to provide Mobile MRI Services to the Oscar G.

Johnson VA Medical Center (Iron Mountain, MI) in accordance with the specifications, terms, and conditions contained herein.

This procurement is a 100% Service-Disabled Veteran-Owned Small-Businesses (SDVOSB) Set-aside. All SDVOSB offerors must be verified and listed in the Vendor Information Pages (VIP) at https://www.vip.vetbiz.va.gov/ as of the date the quote is submitted and prior to award.

See Price Schedule on pages 4 and 5 for pricing information.

X X

BECKY CINCOTTA

Contracting Officer

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. CONTRACT ADMINISTRATION matters will be handled by:

A. CONTRACTOR’S NAME/ADDRESS/CITY-STATE-ZIP (please print or type):

Point of Contact/Title: ____________________________________ Telephone Number: _______________________________________ Fax Number: ____________________________________________ Email: _________________________________________________ DUNS Number: __________________________________________ Federal Taxpayer Identification Number: _________________________________________

Email Address: ___________________________

B. GOVERNMENT:

Email: becky.cincotta@va.gov

Timothy Rosenwald, Contract Specialist Telephone: (414) 844-4825 Email: timothy.rosenwald@va.gov

Fax: (414) 844-4888

2. CONTRACTOR REMITTANCE ADDRESS:

All payments by the Government to the contractor will be made in accordance with Federal Acquisition Regulation (FAR) Clause 52.232-33, Payment by Electronic Funds Transfer - System for Award Management (31 U.S.C. 3332).

3. INVOICES:

In order to comply with the Improper Payment Elimination and Recovery Act of 2010 (IPERA), the VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Corporation e-Invoicing network, for submissions of all electronic invoices to VA. Tungsten Network electronic invoicing is free to all VA vendors. In order to submit electronic invoices, all VA vendors must register with Tungsten Network by submitting an email to Tungsten Network VA.Registration@tungsten-network.com or calling 1-877-752-0900 option 2 for Enrollment.

Contractor shall submit an electronic invoice by the tenth (10th) of the following month services were performed to the Veterans Affairs Financial Services Center (VAFSC) e-Invoice through the website at Tungsten https://authentication.tungsten-network.com/login. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at 1-877-489-6135.

The invoice sent to Tungsten Network shall reference the vendor name and address, customer name, contract number, appropriate obligation/funding order number, description of services provided & CPT code, price per scan, quantity of scans, the extended price, and the total invoice cost. Invoices shall also include any payment discount terms. A separate invoice, including the patient’s last name and ascension # of scan, date of service, CPT code, and quantity, shall be sent securely to the Contractor Officer’s Representative (COR) in order to validate invoices.

For questions regarding invoice receipt or payment, please call VAFSC directly at 1-877-353-9791. Payments shall be made monthly in arrears upon receipt of a properly prepared invoice.

4. POST AWARD ORIENTATION: The Contracting Officer may schedule a post award conference call for contract orientation purposes. Contractor is required to participate.

[End of Contract Administration Data]

B.2 SCHEDULE OF SUPPLIES/SERVICES AND PRICE

1. AUTHORITY:

This procurement is being conducted under the authority of Title 38 U.S.C. 8127(d) and in accordance with FAR 13.5 Simplified Acquisition for Certain Commercial Items. As such, the Government will utilize simplified procedures for soliciting competition, evaluation, award documentation, and notification. Contractor shall provide services in accordance with the terms, conditions, and prices contained herein. Responses are limited to Service-Disabled Veteran-Owned Small businesses that have been verified and are listed on the VIP website at https://www.vip.vetbiz.va.gov/ as of the date the offer is submitted.

2. PURPOSE:

Contractor shall provide all management, labor, equipment, supplies, meds/drugs (including contrast), tools, and maintenance and repair of all Contractor furnished equipment (including the mobile trailer/scanner necessary to perform mobile Magnetic Resonance Imaging Services (MRI) at the Oscar G. Johnson VAMC (Iron Mountain VAMC) located at 325 East H Street, Iron Mountain, MI 49801. The resultant contract will be an Indefinite Delivery/Indefinite Quantity contract. The anticipated period of performance is January 1, 2021 through December 31, 2021, with four one-year options to extend through December 31, 2025.

3. GOVERNMENT’S MINIMUM & CEILING:

The VA attempts to be as accurate as possible when providing estimated quantities; however, actual quantities may vary from quantities listed in the Price Schedule. The Government’s guaranteed minimum to be ordered during the fiscal year in which the contract is awarded is $10,000.00. The Government’s ceiling amount of this contract is $4,500,000.00.

4. ORDERING:

Personnel from the Iron Mountain VAMC Imaging Department are the only individuals authorized to schedule MRIs. Orders may be faxed, telephoned, entered into a contractor ordering portal, or provided as daily schedules to the MRI Technologists along with physician instructions. An order under this contract for a MRI scan is considered placed when the scan is completed. The contractor will be paid the unit price for each complete scan performed.

5. PRICE SCHEDULE:

Contractor shall complete the Price Schedule with an all-inclusive unit price per scan for the base and all option periods.

Base Year: January 1, 2021 through December 31, 2021

Option Year One: January 1, 2022 through December 31, 2022

Option Year Two: January 1, 2023 through December 31, 2023

Option Year Three: January 1, 2024 through December 31, 2024

Option Year Four: January 1, 2025 through December 31, 2025

Total Estimated Contract Value (5-Years) $____________________ [End of Schedule of Supplies/Services and Price]

B.3 PERFORMANCE WORK STATEMENT

1. OVERVIEW OF SERVICES:

Contractor shall provide all management, labor, equipment, supplies, meds/drugs (including contrast), tools, and maintenance and repair of all Contractor furnished equipment (including the MRI mobile trailer/scanner) necessary to perform mobile MRI Services for the Iron Mountain VAMC. Services shall be provided a minimum of ten (10) hours per day, every Monday, Tuesday, Wednesday, except on federal holidays.

2. SUPPLIES:

Contractor shall be solely responsible for the procurement, receipt, storage, dispensing, administration, and safekeeping, of all supplies and med/drugs required in the performance of the services by the Contractor. The VA prefers use of Gadavist contrast. Approximately, 15-20 scans per month require contrast.

3. CONTRACTOR’S FURNISHED EQUIPMENT:

A. General: All equipment to be used during the performance of the contract must be FDA approved imaging equipment and placed at a location designated by the on-site Contracting Officer’s Representative (COR) at the Iron Mountain VAMC. Contractor will be required to make whatever adaptations are necessary to ensure that the Contractor’s equipment is compatible with the VA physical space and information systems. Iron Mountain VAMC has a designated mobile pad and dock (with data lines nearby) that connects to the facility.

B. MRI Mobile Trailer: Contractor shall furnish a handicapped accessible MRI Mobile Trailer where studies will be performed on equipment furnished by the Contractor. The entire offering of a MRI Mobile Trailer service shall meet all local, state, federal, industry, Joint Commission NEC, NFPA, VA, OSHA, and other applicable regulatory standards internal or external to the Iron Mountain VAMC. The MRI Mobile Trailer shall provide the space sufficient for the monitoring of sedated patients and conducting CPR and emergency code procedures, if needed. The MRI Mobile Trailer shall also have an intercom system between the control room and scanning room, CD-R burning capabilities as a backup to network transfer of data, and Optical Disk archival system. The patient data and optical disk is the property of the Iron Mountain VAMC. The MRI Mobile Trailer shall maintain a temperature to assure proper operation of the scanner without frequent calibration and patient comfort.

C. MRI Scanner System: Contractor shall furnish a fully equipped 1.5 Tesla Large (70 cm) Bore MRI System designed to perform body, abdominal, neurological, vascular, and extremity/joint imaging. Contractor equipment shall include a minimum of 16 Channel imaging capabilities, not less than Gradient package (33MT/100 slew rate); Neuro, Angio, Cardiac, Body, Oncology, Ortho imaging capability with navigator sequence; Dicom compatibility; Work list; Storage; and a 550-pound support patient table. Coils supplied by the contractor shall include a 16 Channel Head Matrix, 16 Channel Neck Matrix, 16 Channel Body Matrix, 16 Channel Spine Matrix, Small CP Flex, Large CP Flex & interface, CP Extremity, Shoulder Array, and Phased Array Wrist. Contractor shall also provide a Pulse Oximeter and Power injector. Resultant images shall be of diagnostic quality. There should be no more than five returned studies per quarter.

D. Accessory Equipment: Contractor shall provide new hardware and software, and upgrade when new hardware/software becomes available (as long as performance is not adversely impacted), to ensure ability to read MRI images and create and export JPEG and MPEG files. Contractor shall also provide an IV contrast warmer.

E. Telecommunications: The mobile scanner system shall be equipped with an outlet connection capable of transmitting data and voice through a Government provided category five (5) cable. The Government will provide the connection required for the transmission of images, data and voice. The Contractor’s mobile scanner system must be able to connect to transmit all images to the VISTA Imaging application. The mobile scanner system must also be compatible with DICOM 3 imaging PACS standards (PACS interface contact person will be provided to the Contractor, if necessary).

F. Maintenance: Contractor shall be responsible for the proper maintenance of the mobile unit and MRI scanner so that it stays in good working order. Contractor will provide evidence of the required preventative maintenance and calibration of equipment as required by the manufacturer. The COR shall be allowed access to proof of maintenance during the performance of this contract.

Contractor shall provide a MRI system that maintains a minimum of 95% up-time performance rate, which is based on the normal MRI duty days and hours. No routine maintenance will be scheduled or performed such that it conflicts with the required schedules of the MRI unit, except to address emergency failures of the unit. Contractor shall provide an emergency telephone service line to be answered upon initial call, or if a message is left, the return call to the Iron Mountain VAMC shall be within 30 minutes of notification. Service response times to emergency failures shall be within two hours of notification.

In the event of equipment failure or unavailability of the MRI Mobile Trailer and/or equipment, the contractor shall make a sound effort to get the unit fully operational within 12 hours. Additionally, contractor shall make alternate accommodations for the VA for lost time resulting from defective workmanship or equipment failure. As a result of normal duty time lost during the downtime, the contractor may be required to work outside regular business hours and/or weekends, at no additional costs to the Government, to reduce patient backlog. VA personnel, including the COR, shall be notified immediately of any equipment malfunctions that would hinder the completion of the scans. In the event of a system failure, the contractor and VA Imaging Supervisor shall work cooperatively to remedy the situation as quickly as possible.

4. GOVERNMENT FURNISHED UTILITIES/SERVICES:

The Government will provide the following utilities/services to the Contractor if required for the operation of the mobile MRI unit.

1) Water

2) Electricity*

3) Telephone Line(s) **

4) Data Port

5) Housekeeping ***

* In accordance to the Original Equipment Manufacturers’ (OEM) electrical specifications. The Iron Mountain VAMC has 480-volt power. The mobile unit may remain on-site and connected to power at all times; however, the VA is not responsible for issues that may arise as a result.

** Use of a telephone extension while mobile unit is on-site in order to permit contractor personnel of the unit to make and receive telephone calls and to facilitate the movement of patients to and from the unit. Telephone calls placed and received by contractor personnel on the extension shall be restricted to the appropriate free dialing areas and long distance without charge to the VAMC. Contractor may be required to reimburse the VA for any unauthorized telephone calls placed or received by contractor personnel.

*** VA shall be held responsible for areas within the Iron Mountain VAMC facility prior to entrance of the MRI Mobile Trailer. Contractor shall be responsible for all housekeeping duties and responsibilities within the trailer itself to include responsibility for sharps and disposal thereof.

B. Contractor shall identify its contact person(s), who shall serve as liaison between the Contractor and the Iron Mountain VAMC, and who shall ensure that the Contractor performs services in accordance with contract specifications. The contractor’s liaison shall contact the COR and the Iron Mountain VAMC Imaging Supervisor for all delays and cancellations by the contractor immediately. The Contractor’s contact person(s) shall be available during the Iron Mountain VAMC Imaging Department’s administrative tour of duty from 6:00 a.m. to 6:00 p.m., Monday through Friday.

6. EXPECTATIONS:

MRI Technologists shall review the MRI paperwork to ensure accuracy of the exam protocol, time allotted, required labs, allergies, etc. If questions arise, MRI Technologist shall consult with the VA Radiologist or Iron Mountain VAMC Imaging Supervisor.

[End of Performance Work Statement]

B.4 SPECIAL CONTRACT REQUIREMENTS

1. SERVICES:

A. The services specified herein may be changed by written modification to this contract. The VA Contracting Officer will prepare the modification (reference FAR clause 52.212-4(c), Changes) and, prior to becoming effective, shall be signed by both parties. Only the Contracting Officer is authorized to make commitments or issue changes that 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 unauthorized and no adjustment will be made in the contract price to cover any increase in costs incurred as a result thereof.

B. This is a non-personal services contract as defined in FAR 37.101. There is no employer-employee relationship between the Government and the contractor or the contractor’s employee(s). Contractor personnel are not subject to the supervision and control of a Government officer or employee. Rather, contractor personnel perform their duties in accordance with the Performance Work Statement. Supervisory functions such as hiring, firing, directing, and counseling of contractor personnel are not performed by the Government. The healthcare provider who furnishes services under this contract is subject to Government technical oversight of the services. The Government retains the right to reject services for contractual non-performance.

C. The Government may evaluate the quality of professional and administrative services provided, but retains no control over the medical, professional aspects of services rendered.

D. Contractor is required to maintain medical liability insurance for the duration of this contract. Medical Liability insurance must cover the provider(s) for services in all states where services are rendered by the provider. Contractor must indemnify the Government for any liability producing act or omission by the contractor, its employees and agents occurring during contract performance.

E. The services to be performed by the contractor will be performed in accordance with VA policies, procedures, regulations, and the medical staff bylaws of each VA facility (copies and/or links will be provided upon request). In all cases, dignity of the patient shall be given the highest regard and the precepts of the American Hospital Association’s “Bill of Rights for Patients” shall be observed.

F. Contractor shall provide the required services listed herein throughout the contract period. Other necessary personnel for the operation of the services contracted for at the VA will be provided by the VA at levels mutually agreed upon which are compatible with the safety of the patient and personnel and with quality medical care programming.

G. Iron Mountain VAMC is a smoke free campus, which includes cigarettes, cigars, pipes, any other combustion of tobacco, e-cigarettes, vape pens and e-cigars. Contractor employees must adhere to this rule at all times.

H. Contractor shall, in writing, keep the Contracting Officer informed of any unusual circumstances in conjunction with the contract.

B. Availability of Funds during a Continuing Resolution: At the beginning of each new fiscal year (October 1st) the federal government or parts thereof may be operating under a Continuing Resolution and only be funded for a limited period of time rather than for the entire fiscal year. If, at any time, funds for this contract are provided under a Continuing Resolution (CR), funds will only be available for performance under this contract up to and including the expiration date of the CR, and any extension thereof. The Government's obligation for performance of this contract beyond that date is contingent upon the availability of appropriated funds from which payment for contract purposes can be made. No legal liability on the part of the Government for any payment may arise for performance under this contract beyond the expiration date of the CR, and any extension thereof, until funds are made available to the Contracting Officer for performance and until the Contractor receives notice of availability.

3. FEDERAL HOLIDAYS:

4. QUALIFICATIONS OF PERSONNEL:

A. MRI Technologists assigned by the contractor to perform the services covered by this contract shall have a full and unrestricted license and/or registered in a State, Territory, or Commonwealth of the United States or the District of Columbia. Technologists must be certified by the ARRT with an MRI Technologist Certification (RTR, MR). MRI Technologists prepare contrast materials that are used in MRI and general exams. Improper use or administration of the contrast materials runs the risk of patient mortality and, therefore, it is essential that a thorough understanding of the contrast material usage is possessed by those who prepare it. In addition, MRI Technologists must be continuously on the alert to the patient's condition and other disorders. Reactions on the part of the patient require immediate attention so that harm does not come to the patient. MRI Technologists shall be able to insert IV needles for administration of contrast material when necessary.

B. MRI Technologists shall also be CPR/BLS certified. Certifications must be obtained or issued by the American Heart Association (AHA), an organization recognized by the AHA, or Military Training Network (MTN). MRI Technologists are authorized to perform this life-saving act, if necessary.

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

D. Personnel assigned by the contractor to perform the services covered by this contract must be computer literate as patient documentation is directly input in the patient’s electronic medical record. Proficiency in the use of the Veterans Health Information Systems and Technology Architecture (VISTA) system and the Computerized Patient Record System (CPRS) is preferred.

E. Contractor must possess all licenses, permits, accreditation and certificates as required by law to perform these services. The Contractor must perform the required work in accordance with National Regulatory Commission (NRC) and Department of Nuclear Safety (DNS). All personnel must be competent and proficient to introduce contrast.

F. Any new requirements for mandatory education and/or competency reassessment, which occur during the contract period must be completed by the individual contractor employee(s) within the established timeframes.

G. The contracted individual(s) will be required to show two proofs of identification on their first day of work. Acceptable proofs of identification are listed below:

Acceptable PICTURE IDs:

· State-Issued Driver’s License

· State DMV-Issued ID Card

· US Passport

· Military ID/Dependents Card

· Foreign Passport

· Permanent Resident Card/Alien Registration Card w/Photo Acceptable NON-PICTURE IDs:

1. Social Security Card

1. Certified Birth Certificate

1. State Voter Registration Card

1. Native American Tribal Document

1. Certificate of US Citizenship

1. Certificate of Birth Abroad Issued by Dept. of State

H. Physical Requirements: The contractor must provide documentation that demonstrates that all contractor employees have a satisfactory health status including a current physical, which includes the following:

1) TUBERCULOSIS TESTING: Contractor shall provide proof of a negative TB Blood Test (also called interferon-gamma release assays (IGRA)) for all Contractor employees as a baseline. Two TB blood tests are approved by the FDA: the QuantiFERON – TB Gold In-Tube test (QFT-GIT) and the T-SPOT TB test (T-Spot). Subsequent testing is not required, unless the contractor employee has been exposed to someone with TB.

2) MEASLES, MUMPS, & RUBELLA TESTING: Contractors shall provide proof of immunity for all Contractor employees, i.e. at least 2 doses of vaccine are required or serologic evidence of immunity.

3) VARICELLA: Contractors shall provide proof of immunity for all Contractor employees, i.e. at least 2 doses of vaccine are required or serologic evidence of immunity.

4) TDAP (TETNUS/DIPTHERIA/PERTUSSIS): Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor employees. Boosters are required every 10 years.

5) INFLUENZA: Contractors shall provide proof that all Contractor employees have received the annual Influenza vaccine unless it is contraindicated. If the Contractor employees has a medical contraindication to the vaccine, they shall be required to wear a mask throughout the Influenza season in any VHA location, including both clinical and non-clinical areas. In additional the mask shall be worn during performance of their assigned duties and responsibilities. Contract employees in violation of this requirement may be removed from the providing services under the contract/task order.

6) MASKING FOR UNVACCINATED CONTRACT EMPLOYEE: Contract employees may remove the face mask only under the following circumstances:

- When eating or drinking (excluding elevators, hallways or common areas).

- When working in an enclosed office alone.

- When there are physical barriers or at least six feet of distance between the unvaccinated contract employee and any other contract employee, VA health care provider, patient; or other person; for example, when working in a cubicle with its open side at least six feet from anyone else.

- After existing the VHA facilities provided that at least six feet of distance between the unvaccinated contract employee and any other contract employee, VA health care provider, patient, or other person can be maintained.

7) HEPATITIS B: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor employees; provide their own Hepatitis B vaccination series (3 doses required) plus a serologic titer (1-2 months after final dose) to document immunity following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

8) SPECIAL NOTICE: COVID-19: Due to the current pandemic, Contractor employees who enter VHA facilities shall wear a mask (either personal or facility issued). Masks must be worn in all public and patient care areas throughout the VHA facilities.

Contractor employees will be screened for COVID-19, which, at a minimum, should include:

· Fever (in accordance with facility requirements)

· New or worsening cough or difficulty breathing

· New symptoms of COVID-19 are available at: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html

Contractor’s employees screening positive shall not be allowed to enter VHA facilities.

5. CREDENTIALING & PRIVILEGING:

A. Credentials Requested: An application package will be provided by the Credentialing Coordinator and shall be completed by the provider(s) working under this contract and returned within two weeks of receiving the application package. This includes: Facility-specific paperwork, curriculum vitae/resume, current references, signed release of information from candidate, licenses or certifications, CPR/BLS, competencies, statement that candidate does not have any physical or mental health condition that would adversely affect his/her ability to carry out assigned duties, and any additional credentialing and privileging forms.

B. Candidate will also be required to complete an application through the VetPro Internet process within two weeks of being enrolled in VetPro. Candidate will need to be enrolled in VetPro by VA personnel. The website address is: https://fcp.vetpro.org. Facility ID number is as follows: 585.

6. APPROVAL OF CONTRACTOR PERSONNEL:

A. The VA reserves the right to refuse acceptance of any contractor employee or subcontractor employee under this contract when that individual does not qualify under the requirements of VHA Handbook 1100.19 http://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2910 and/or the specific VA Hospital/Medical Center Policy on Credentialing and Privileging or fails to perform at the proficiency level expected by the VA Facility Director.

B. In addition, VA reserves the right to restrict the services or require dismissal any contractor employee or subcontractor employee under this contract, if personal or professional conduct jeopardizes patient care. Breaches of conduct include intoxication or debilitation resulting from drug use, theft, patient abuse, dereliction or negligence in performing directed tasks, physical or verbal abuse, or other conduct resulting in formal complaints by the patient(s). Standards of conduct shall mirror those prescribed by current federal personnel regulations. The Contracting Officer and the Contracting Officer’s Representative shall deal with issues raised concerning contract personnel’s conduct. The final decision maker on questions of acceptability is the Contracting Officer.

7. KEY PERSONNEL & PERSONNEL SUBSTITUTIONS:

A. It is essential that continuity of services be maintained to the maximum extent possible. Changes in contractor’s key personnel shall be kept to a minimum necessary to continue required performance and to provide adequate back-up personnel. The Contractor shall assign to this contract the following Key Personnel (MRI Technologists and Driver):

B. During the first ninety (90) days of performance, the contractor shall make NO changes of key personnel unless the change is necessitated by the individual’s illness, death, or termination of employment or if mutually agreed upon by the Contracting Officer and the contractor. The contractor shall notify the Contracting Officer, in writing, within 5 calendar days after the occurrence of any of these events and provide the information required by paragraph (b) below. After the initial 90-day period of the contract, the contractor shall submit the information required by paragraph (b) to the Contracting Officer at least 15 days prior to making any permanent substitutions. The Contracting Officer must approve all substitutions.

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

D. Prior to rendering services, substitutes must be credentialed and privileged by the medical facility and obtain a medical staff appointment, in accordance with VA Bylaws, Rules and Regulations.

8. HHS/OIG:

To ensure that the individuals providing services under the contract have not engaged in fraud or abuse regarding Sections 1128 and 1128A of the Social Security Act regarding federal health care programs, the contractor is required to check the Health and Human Services - Office of Inspector General (HHS/OIG), List of Excluded Individuals/Entities on the OIG Website (https://exclusions.oig.hhs.gov/) for each person providing services under this contract. The listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs. During the performance of this contract the contractor is prohibited from using any individual or business listed on the List of Excluded Individuals/Entities. Any healthcare provider or entity that employ or enter into contracts with excluded individuals or entities may have a Civil Monetary Penalty (CMP) imposed against them. By signing this offer, the Contractor certifies that all persons or entities listed in the contractor’s proposal have been compared against the OIG list and are NOT listed as of the date the offer was signed.

9. JOINT COMMISSION STANDARDS:

A. Although Joint Commission accreditation is not required, the contractor shall perform the required work in compliance with Joint Commission Standards. A copy of these standards may be obtained from Joint Commission, One Renaissance Blvd., Oakbrook Terrace, IL 60181.

B. The Contractor will be responsible to ensure the contractor employees or subcontractors providing work on this contract are fully trained and completely competent to perform the required work. Contractor will gather all credentialing documents requested by the VA as well as any other documentation that the carrying out of this contract may require. However, the contractor is not able to nor is the contractor required to make clinical competence determinations on behalf of the VA.

1) Workers’ compensation

2) Professional liability insurance

3) Health examinations/immunizations/vaccinations

4) Income tax withholding, and

5) Social security payments.

B. The parties agree that the contractor, its employees, agents and subcontractors shall not be considered VA employees for any purpose.

C. The VA shall notify the Contractor of any significant communicable disease exposure as appropriate. The Contractor shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel (AIJC 1998: 26:2890354) for disease control. The Contractor shall provide follow up documentation of clearance to return to the workplace prior to contractor’s or subcontractor’s employee(s) return.

11. RECORD KEEPING – CONTRACTOR:

Contractor must establish a record keeping system of the number of scans performed for the VA.

12. MEDICAL RECORDS:

Clinical or other medical records of VA veteran patients treated by Contractor under this contract are VA records. Clinical or other medical records of VA beneficiaries that are released to the Contractor shall be returned to the VA after review. The VA will provide the Contractor with access to the patient’s medical records when necessary. The Contractor shall be responsible for the safekeeping of both the electronic and paper medical records (whichever is applicable). Patient Privacy Provisions and HIPAA regulations are applicable to the release of patient Information.

13. CONFIDENTIALITY OF PATIENT RECORDS:

A. The Contractor is a VA contractor and will assist in the provision of health care to patients seeking such care from or through VA. As such, the Contractor is considered as being part of the Department health care activity. Contractor is considered to be a VA contractor for purposes of the Privacy Act, Title 5 U.S.C. 552a. Further, for the purpose of VA records access and patient confidentiality, Contractor is considered to be a VA contractor for the following provisions: Title 38 U.S.C. 5701, 5705, and 7332. Therefore, Contractor may have access, as would other appropriate components of VA, to patient medical records including patient treatment records pertaining to drug and alcohol abuse, HIV, and sickle cell anemia, to the extent necessary to perform its contractual responsibilities. However, like other components of the Department, and not withstanding any other provisions of the sharing agreement, the Contractor is restricted from making disclosures of VA records, or information contained in such records, to which it may have access, except to the extent that explicit disclosure authority from VA has been received. The Contractor is subject to the same penalties and liabilities for unauthorized disclosures of such records as VA.

B. The records referred to above shall be and remain the property of VA and shall not be removed or transferred from VA except in accordance with U.S.C.552a (Privacy Act), 38 U.S.C. 5701 (Confidentiality of claimants records), 5 U.S.C. 552 (FOIA), 38 U.S.C. 5705 (Confidentiality of Medical Quality Assurance Records) 38 U.S.C. 7332 (Confidentiality of certain medical records) and federal laws, rules and regulations. Subject to applicable federal confidentiality or privacy laws, the Contractor, or their designated representatives, and designated representatives of federal regulatory agencies having jurisdiction over Contractor, may have access to VA’s records, at VA’s place of business on request during normal business hours, to inspect and review and make copies of such records.

14. HIPAA COMPLIANCE:

Contractor must adhere to the provisions of Public Law 104-191, Health Insurance Portability and Accountability Act (HIPAA) of 1996 and the National Standards to Protect the Privacy and Security of Protected Health Information (PHI). As required by HIPAA, the Department of Health and Human Services (HHS) has promulgated rules governing the security and use and disclosure of protected health information by covered entities, including the Department of Veterans Affairs (VA). Contractor is conducting health care, Mobile MRI services, on VA’s behalf - therefore, no BAA is required.

15. DESIGNATION OF CONTRACT REPRESENTATIVE:

A Contracting Officer’s Representative will be assigned to this contract. The COR will furnish 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. The extent and limitations of this designation will be provided in the COR Delegation Memo.

16. CONTRACT PERFORMANCE MONITORING:

A. Contractor's employee(s) shall report to the COR or the Imaging Supervisor, upon arrival at the VA Medical Center, room 2219.

B. Monitoring of contractor’s performance shall be demonstrated through clinical and administrative record reviews. COR will be responsible for verifying contract compliance. The COR will designate appropriate VA personnel to monitor services through one or a combination of the following mechanisms:

1) Departments being served will monitor Contractor performance to ensure that services called for in the contract have been received by VA in a timely manner. Any incidents of Contractor noncompliance as evidenced by the monitoring procedures will be forwarded immediately to the Contracting Officer.

2) Documentation of services performed will be reviewed prior to certifying payment. The COR will perform periodic spot checks and document with the using service to ensure records monitoring. VA will pay only for services actually provided, and in strict accordance with the Price Schedule. Contract monitoring and recordkeeping procedures will be sufficient to ensure proper payment and allow audit verification that services were provided.

3) The using service, through the COR, will provide a written statement annually to the Contracting Officer to include a summary of Contractor actions and a statement that all requirements of the contract have been fulfilled as agreed. This summary evaluation will be submitted approximately 30 days prior to expiration of contract (and/or prior to election of option year renewals, if applicable).

C. Contractor's employee(s) may not certify bills for payment.

17. QUALITY ASSURANCE MONITORING:

A. Contractor shall have in place and maintain a Quality Control Program related to the Mobile MRI services covered under this contract. The results of all Quality Improvement activities performed by the Contractor involving VA patients will be shared with facility staff. This will include, but not be limited to, quality improvement plans, minutes of staff meetings where quality improvement has been discussed and which include practitioner-specific findings, conclusions, recommendations, written plans for actions taken in response to such conclusions and recommendations, and evaluation of those actions taken. Monitors should reflect at a minimum, issues related to quality care and appropriateness of referral.

B. Contractor shall perform services in accordance with the ethical, professional and technical standards of the healthcare industry as consistent with VA Policy, regulations and procedures. Personnel provided by the Contractor shall be technically proficient in the skills necessary to fulfill the Government's

C. The Contractor shall provide ongoing reviews of procedures, protocols, employee certification, patient follow-up and exam quality subject to guidelines established by State and Federal agency.

D. Copies of provider licensure are also required to be submitted annually to the COR. In addition, updated Joint Commission survey results for the contractor, if Joint Commission certified, shall be forwarded to the COR upon receipt.

E. The contractor will meet or communicate with the facility staff for process review and improvement of contract performance on an as needed basis.

F. Contractor shall maintain equipment service records to document performance reports and provide to the VA upon request.

G. Must participate in all VA drills (fire, tornado, active shooter, etc.).

H. Quality factors that VA may consider when monitoring quality of care may include, but are not limited to, availability of contract staff, security/privacy, infection control, patient satisfaction, adverse event reporting, quality of work, etc.

I. Reporting Adverse Events: The contractor shall have an established program to monitor 100% of adverse events (including patient injury or death, medication errors, drug reactions, or unusual situations in which the patient may be involved) associated with care of VA patients. The contractor shall collect and report the program information on a quarterly basis. The contractor shall notify the VA of adverse events (as defined above) involving VA patients during Mobile MRI services no later than 24 hours after the occurrence. The VA may review specific findings, conclusions, recommendations, written plans for corrective action taken in response to conclusions and recommendations and evaluation for those corrective actions.

J. These measures, standards, and monitoring procedures are illustrated in the following Performance Requirements Summary Matrix.

Performance Requirements Summary Matrix:

Method/Frequency Frequency

K. If contractor performance does not meet the Acceptable Quality level, the CO shall inform the contractor. This will normally be in writing unless circumstances necessitate verbal communication.

18. PROHIBITION OF CONTRACT PERFORMANCE OUTSIDE THE U.S.:

The entire performance of the contract shall be within the borders of the United States of America, the District of Columbia and/or Puerto Rico. The Contractor shall not access any VA data/information (for example, by remote computer access) from locations that are outside the above-stated borders. Furthermore, the Contractor shall not send, transfer, mail or otherwise transmit any VA data/information to locations outside the above-stated borders.

19. CONTRACTOR CERTIFICATION:

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

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

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

D. This certification concerns a matter within…