36C25223Q0661_1.docx

36C25223Q0661

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

VOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

17b. CHECK IF REMITTANCE IS DIFFERENT AND PUT SUCH ADDRESS IN OFFER 18b. SUBMIT INVOICES TO ADDRESS SHOWN IN BLOCK 18a UNLESS BLOCK BELOW IS CHECKED

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

(Use Reverse and/or Attach Additional Sheets as Necessary)

25. ACCOUNTING AND APPROPRIATION DATA

26. TOTAL AWARD AMOUNT (For Govt. Use Only) 27a. SOLICITATION INCORPORATES BY REFERENCE FAR 52.212-1, 52.212-4. FAR 52.212-3 AND 52.212-5 ARE ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED.

27b. CONTRACT/PURCHASE ORDER INCORPORATES BY REFERENCE FAR 52.212-4. FAR 52.212-5 IS ATTACHED. ADDENDA

ARE

ARE NOT ATTACHED

28. CONTRACTOR IS REQUIRED TO SIGN THIS DOCUMENT AND RETURN _______________

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

DELIVER ALL ITEMS SET FORTH OR OTHERWISE IDENTIFIED ABOVE AND ON ANY

(BLOCK 5), INCLUDING ANY ADDITIONS OR CHANGES WHICH ARE

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

30a. SIGNATURE OF OFFEROR/CONTRACTOR 31a. UNITED STATES OF AMERICA (SIGNATURE OF CONTRACTING OFFICER) 30b. NAME AND TITLE OF SIGNER (TYPE OR PRINT) 30c. DATE SIGNED 31b. NAME OF CONTRACTING OFFICER (TYPE OR PRINT) 31c. DATE SIGNED

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

None 695-24-1-133-0004 Effective:

11-01-2023 36C25223Q0661 08-24-2023 Joni Dorr 414-844-4858 09-05-2023 10:00

CST

Department of Veterans Affairs

GLAC (69D)

115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 541690 $19 Million N/A X

VA

Illiana Health Care System 1900 E. Main St Danville IL 61832-5100 Department of Veterans Affairs

GLAC-MILWAUKEE (69D)

Great Lakes Acquisition Center - HC 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476

Department of Veterans Affairs Financial Services Center PO Box 149971 Austin TX 78714-9971 See CONTINUATION Page Diagnostic Medical Physicist to provide services and support to the VA Illiana Health Care System located in Danville, IL. Purchase Order shall be for a base year plus four (4) one-year options. Base year will have a period of performance of 11/01/2023-10/31/2024 with an ultimate completion date of 10/31/2028.

See continuation page See CONTINUATION Page X X X one Joni Dorr Contracting Officer

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 PURCHASE ORDER ADMINISTRATION DATA (continuation from Standard Form 1449)

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

1. PURCHASE ORDER ADMINISTRATION: All purchase order administration matters will be handled by the following individuals:

a. CONTRACTOR:

E-Mail Address:_________________________________________

Contractor’s past performance point of contact (if different than above):

b. GOVERNMENT: Joni Dorr, Contracting Officer Contracting Office Code: 36C252

Milwaukee, Wi 53214 joni.dorr@va.gov

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

a. FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

3. INVOICES:

a. Invoices shall be submitted after performed services in arrears in accordance with: 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Payments shall be made in arrears upon receipt of a properly prepared invoice.

c. The VA has mandated electronic invoice submission to the Veterans Affairs Financial Services Center (VAFSC). VAFSC has partnered with Tungsten Network 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 VA.Registration@Tungsten-Network.com or calling 1-877-489-6135 for Enrollment.

d. 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 https://portal.Tungsten-Network.com/Login.aspx. For questions regarding the submission of VA electronic invoices, Tungsten Network customer service may be contacted at 1-877-489-6135.

e. All invoices shall reference the vendor name and address, customer name, purchase order number, appropriate obligation/funding order number, description of services provided, quantity, unit price, and total invoice amount (any additional info). Invoices shall also include any payment discount terms.

4. GOVERNMENT INVOICE ADDRESS (See SF1449 Block 18):

a. All invoices from the contractor shall be submitted electronically in accordance with 852.232-72 ELECTRONIC SUBMISSION OF PAYMENT REQUESTS (NOV 2018)

b. Facsimile, e-mail, and scanned documents are not acceptable forms of submission for payment requests.

c. VA’s Electronic Invoice Presentment and Payment System – The Veterans Affairs Financial Services Center (VAFSC) uses a third-party contractor, Tungsten Network e-Invoice, to transition vendors from paper to electronic invoice submission. Please go to this website: http://www.tungsten-network.com/customer-campaigns/veterans-affairs-us/ to begin submitting electronic invoices, free of charge.

d. As of July 1, 2020, the VA10091 form has been eliminated and the VAFSC is requiring our vendors to update and add their information in the Customer Engagement Portal (CEP) at https://www.cep.fsc.va.gov/. This is for new vendors being added to FMS only.

e. For assistance setting up e-Invoice, the below information is provided:

i. * Tungsten Network e-Invoice Setup Information: 1-877-489-6135

* Tungsten Network e-Invoice email: VA.Registration@Tungsten-Network.com

* FSC e-Invoice Contact Information: 1-877-353-9791

* FSC e-invoice email: vafsccshd@va.gov

ACQUISITION OF COMMERCIAL ITEMS:

This Request for Quote (RFQ) solicitation is issued under the authority of FAR Part 12 Acquisition of Commercial Items and FAR Part 13 Simplified Acquisition Procedures. FAR Part 15 will not be used. The procedures in Part 12 used in conjunction with Part 13 allow the Government to procure services resembling those in the commercial marketplace and streamline the procurement process. From this RFQ, the Government intends to award a firm fixed price purchase order where the contractor provides a price that is not subject to any adjustment on the basis of the contractor’s cost experience in performing the purchase order.

5. RFQ QUESTIONS:

In order to maintain integrity of this solicitation and subsequent award date, all offerors are advised that any question and answer requests must be submitted in a written form via e-mail to the Contracting Officer joni.dorr@va.gov no later than Tuesday, August 29, 2023 at 10:00 am Local Time (Central). Contracting will issue a consolidated response via solicitation amendment to https://beta.sam.gov Contract Opportunities within 2 business days to all parties.

6. CONTRACTING OFFICER AUTHORITY:

The Contracting Officer is the only person authorized to approve changes or modify any of the requirements under this purchase order. The Contractor shall communicate with the Contracting Officer on all matters pertaining to purchase order administration. Only the Contracting Officer is authorized to make commitment or issue changes that will affect price, quantity or quality of performance of this purchase order. 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 purchase order price to cover any increase in cost incurred thereof.

7. IDENTIFICATION, PARKING, SMOKING AND VA REGULATIONS:

a. All VA property is considered Federal Property and all Federal laws are applicable.

b. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. The VA will not invalidate or make reimbursement for parking violations of the Contractor under any conditions.

c. All VA facilities are drug free. Possession of drugs, to include Marijuana and all Marijuana bi-products are prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

d. All contractor personnel are required to adhere to all VA rules and regulations.

e. Smoking is prohibited on the entire campus, both inside and outside the VA Facility

f. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

g. VHA DIRECTIVE 1192: This Veterans Health Administration (VHA) directive establishes policy and provides guidance for the prevention of seasonal influenza in VHA facilities through the vaccination or masking of health care personnel (HCP). AUTHORITY: Title 38 United States Code (U.S.C.) 7301(b), 7318(b). Contractor is responsible in ensuring that all aspects of this directive are implemented, including providing face masks and influenza vaccines for all employees working at a VA facility.

h. While on campus, all persons may be required to wear masks inside any VA Medical Center building, walking on the grounds, and while traveling in vehicles. Contractor shall confirm with COR before arrival of current mask mandate.

8. SECURITY & PRIVACY CONTROL:

The Authorization & Accreditation (A&A) requirements of VHA Handbook 6500.6 do not apply to this requirement, therefore, a Security Accreditation Package is not required. No A&A or MOU/ISA is required. Sensitive information exposure as part of this purchase order involves applicable security controls within the facility as part of the VA Information Security If there are any questions related to privacy, please have a member of your staff contact the VA Privacy Service at (202) 461-6309. If there are any questions related to the information security, please have a member of your staff contact the Office of Cyber Security at (304) 262-7733.

Visitor Passes:

Issuance of visitor passes is the responsibility and at the discretion of each Facility Director. Visitor passes may be issued to individuals requiring short-term access to a VA facility for a period not to exceed 15 days in a 365-day period. Visitor passes are issued on a daily basis and expire at the end of the day of issuance. Visitor passes are issued following, at a minimum, review of one valid and current State or Federal government issued photo ID. Visitors must be escorted in areas restricted to the general public.

B.2 STATEMENT OF WORK

Diagnostic Medical Physics Support

Contractor shall furnish all labor, material, supplies, equipment, and qualified personnel to provide on-site diagnostic Medical Physics support and services, including annual on-site radiation compliance evaluation and performance monitoring services for radiographic, fluoroscopic, dental, computerized tomography (CT), magnetic resonance imaging (MRI), bone density, and single photon emission computerized tomography (SPECT and SPECT/CT) modalities for the Veterans Administration (VA) Illiana Health Care System (Danville VAMC), 1900 E. Main St, Danville, IL 61832 and Peoria VA Community Based Outpatient Clinic (CBOC), 7717 North Orange Prairie Rd, Peoria, IL 61615. The Contractor shall adhere to the most recent VHA Directive 1105.04, Fluoroscopy Safety.

The Contractor shall comply with radiation protection standards in 29 CFR 1910.1096 and immediately report any unsafe conditions with the potential to adversely impact the Danville VAMC radiation workers or patients to the Contracting Officer Representative (COR) and Radiation Safety Officer (RSO).

All work on site shall be performed by a qualified Diagnostic Medical Physicist. No technician work shall be allowed. A qualified diagnostic Medical Physicist shall be defined as a person who shall be certified by the American Board of Radiology (ABR) or American Board of Health Physics. The qualified Diagnostic Medical Physicist shall provide continuing evaluation experience of at least 20 CT units, 20 MRI units annually and 20 Nuclear Medicine units annually. The qualified Diagnostic Medical Physicist shall have the ability to operate units. A Danville VAMC technologist shall not operate the units for the Physicist. Identified training and experience documentation shall be available for review upon request and at initial submittal for this purchase order.

MANDATORY SERVICES TO BE PERFORMED

The qualified Diagnostic Medical Physicist shall:

a. Perform annual inspection of imaging equipment (X-Ray equipment, fluoroscopy equipment, Dental), Nuclear Medicine cameras (SPECT and SPECT/CT), CT units and MRI evaluations to ensure compliance with the current American College of Radiology (ACR) requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor, COR and RSO prior to the qualified Diagnostic Medical Physicist leaving the Danville VAMC. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the Danville VAMC radiation workers or patients shall be reported to the service supervisor, COR and RSO immediately upon discovery. A written report of the results shall be provided to the COR within ten (10) calendar days after completion of the inspection. All imaging equipment shall be inspected at least annually (+/- 14 days of previous inspection date).

b. Perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The Physicist shall be available to complete this inspection within two (2) business days after notice of repair. A verbal status condition shall be provided prior to departure and a written report of the results shall be provided to the COR within ten (10) calendar days after completion of the inspection.

c. Perform initial/baseline (more comprehensive than routine annual evaluation, as recommended by the ACR) testing of all new imaging equipment prior to first clinical use. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor and RSO prior to the qualified Diagnostic Medical Physicist leaving the Danville VAMC. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the Danville VAMC radiation workers or patients shall be reported to the RSO immediately upon discovery. A written report of the results shall be provided to the service supervisor or RSO within ten (10) calendar days after completion of the inspection. The Physicist shall be available to schedule initial/baseline testing within two (2) weeks of notice.

d. Attend Quarterly Radiation Safety Meetings via remote (Microsoft Teams)

e. Perform an annual audit of the diagnostic imaging program (all modalities) including QA/Quality Control (QC). A written report of the results shall be provided to the COR within ten (10) calendar days after completion of the review.

f. Provide phone and e-mail consultation on radiation safety and related compliance issues as needed.

EQUIPMENT

The qualified Diagnostic Medical Physicist shall conduct equipment evaluation or quality control surveys of the imaging equipment listed below. The qualified Diagnostic Medical Physicist shall ensure the imaging equipment’s compliance with applicable Federal regulations and ACR recommendations and shall include monitoring the following basic performance characteristics.

All equipment shall be located at VA Illiana Health Care System, except one X-Ray unit located in Peoria CBOC. Current equipment to be serviced (subject to change):

Danville, IL Rm: 121-58-D

SPECT

Danville, IL Rm: 109-58-D

SPECT

Room C-4 Radiographic

Danville, IL Rm: B58 RM 113 Radiographic/ Fluoroscopic

Danville, IL Rm: B58 RM 115 Radiographic

Danville, IL Rm: B58 RM 119 Radiographic/ Fluoroscopic

Danville, IL Rm: B58 RM 1174 Radiographic

Danville, IL Rm: B58 RM 524 Fluoroscopic

Danville, IL Rm: B58 RM 119 Radiographic

Danville, IL Rm: B98 RM 1174 Radiographic

Danville, IL Rm: B58 RM 117B Bone Density

Danville, IL Rm: B58 RM 117I

CT

Danville, IL Rm: B58 RM 117F

MRI

Danville, IL Rm: B98 RM 2044 Dental

Danville, IL Rm: B98 RM 2043 Dental

Danville, IL Rm: B98 RM 2041 Dental

Danville, IL Rm: B98 RM 2039 Dental

Danville, IL Rm: B98 RM 2036 Dental

Danville, IL Rm: B98 RM 2035 Dental

Danville, IL Rm: B98 RM 2033 Dental

Danville, IL Rm: B98 RM 2028 Dental

Danville, IL Rm: B98 RM 2034 Dental

Danville, IL Rm: B58 510C Pain C-arm Fluoroscopic

A. Radiographic and Fluoroscopic Equipment Evaluation of radiographic and fluoroscopic equipment shall comply with the most recent ACR Technical Standard for Diagnostic Medical Physics Performance Monitoring of Radiographic and Fluoroscopic Equipment. The performance of each radiographic and fluoroscopic unit shall be evaluated annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Integrity of unit assembly.

2. Collimation and radiation beam alignment.

3. Collimator light illuminance and edge contrast ratios.

4. Fluoroscopic system resolution.

5. Automatic exposure control system performance.

6. Fluoroscopic automatic brightness control performance (high-dose-rate, pulsed modes, field-of-view [FOV] variation).

7. Image artifact evaluation.

8. Fluoroscopic phantom image quality.

9. kVp accuracy and reproducibility.

10. Linearity of exposure versus mA or mAs.

11. Exposure reproducibility.

12. Timer accuracy.

13. Beam quality assessment (half-value layer).

14. Fluoroscopic entrance exposure. Fluoroscopic entrance exposure rate (or air kerma rate). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation [e.g., magnification mode, frame rate, and any other mode selected) shall be documented for each measurement.]

15. Fluorographic (image recording) entrance exposure rate (or air kerma rate) for cine imaging, if performed and entrance exposure rate (or air kerma) for spot images (if performed). Maximum output and output using a phantom representing a standard size patient for all clinically used settings. [The mode of operation (e.g., magnification mode, frame rate, etc.) shall be documented for each measurement.]

16. Image receptor entrance exposure.

17. Equipment radiation safety functions.

18. Patient dose monitoring system calibration. This includes, for radiographic systems, the metric of dose to the image receptor (IEC Exposure Index or proprietary index) and, for fluoroscopy systems, and the displays of cumulative air kerma and, if available, DAP.

19. Video and digital display monitor performance.

20. Digital image receptor performance.

21. Grids used with portable x-ray units shall be imaged for uniformity.

22. For radiographic units, measurement of entrance skin exposure (or air kerma) for a standard size patient for common radiographic projections and comparison to published diagnostic reference levels and achievable doses (e.g., ACR practice parameters).

Note: The information on entrance exposure rates (or air kerma rates) from fluoroscopy and from fluorography, in Items (14) and (15) above, for each fluoroscope, shall be in a format suitable for providing to the Physicians who operate the fluoroscope.

B. Computed Radiography (CR) and Digital Radiography (DR) Evaluation of CR and DR equipment shall comply with the most recent American Association of Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of Photostimulable Storage Phosphor Imaging Systems. The performance of CR and DR shall be evaluated annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Component and Imaging Plate Physical Inspection and Inventory.

2. Imaging Plate Dark Noise and Uniformity.

3. Exposure Indicator Calibration.

4. Linearity and Auto-ranging Response.

5. Laser Beam Function.

6. Limiting Resolution and Resolution Uniformity.

7. Noise and Low-Contrast Resolution.

8. Spatial Accuracy.

9. Erasure Thoroughness.

10. Aliasing/Grid Response.

11. Throughput.

12. Positioning and Collimation Errors.

C. CT Scanners Evaluation shall conform to the most recent ACR Computed Tomography Quality Control Manual. The performance of each CT scanner shall be evaluated annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Review of Clinical Protocols.

2. CT Protocol Optimization.

3. Scout Prescription and Alignment Light Accuracy.

4. Image Thickness – Axial Mode.

5. Table Travel Accuracy.

6. Radiation Beam Width.

7. Low-Contrast Performance.

8. Spatial Resolution.

9. CT Number Accuracy.

10. Artifact Evaluation.

11. Image Uniformity.

12. Dosimetry (the scanner displayed CTDIvol values shall be within +/- 20% of the measured CTDIvol values).

13. Gray Level Performance and uniformity of CT Acquisition Display Monitors.

D. Dental Evaluation shall conform to the most recent Conference of Radiation Control Program Directors (CRCPD), Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental Facilities. The performance of Dental X-Ray evaluation shall be annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Collimation.

2. Beam quality (half value layer).

3. Timer Accuracy and Reproducibility.

4. kVp Accuracy and Reproducibility.

5. mA or mAs Linearity.

6. Exposure Reproducibility.

7. Entrance Skin Exposure Evaluation.

8. Technique Chart Evaluation.

9. Image uniformity (artifact evaluation).

E. MRI

Evaluation shall conform to the most recent ACR Magnetic Resonance Imaging Quality Control Manual. The performance of each MRI scanner shall be evaluated annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Magnetic field homogeneity.

2. Geometric accuracy.

3. Slice position accuracy.

4. High-contrast resolution.

5. RF coil performance

a. Volume coils’ signal-to-noise ratio.

b. Volume coils’ image uniformity.

c. Volume coils’ ghosting ratio.

d. Phased array coils' signal-to-noise ratio.

e. Surface coils’ signal-to-noise ratio.

6. Slice thickness accuracy.

7. Low-contrast detectability.

8. Grey Level Performance and Uniformity of MRI AWS monitors.

9. Technologist’s QC program.

10. Site phantom inventory.

11. Site RF coil inventory.

F. Nuclear Medicine Evaluation shall conform to the ACR annual performance tests for nuclear medicine cameras. The performance of the nuclear medicine camera shall be annually. This evaluation shall include, at minimum, the following tests (as applicable):

1. Intrinsic Uniformity.

2. System Uniformity.

3. Intrinsic or System Spatial Resolution.

4. Relative Sensitivity.

5. Energy Resolution.

6. Count Rate Parameters: fail criteria.

7. Formatter/Video Display.

8. Overall System Performance for SPECT.

9. System Interlocks.

10. Dose Calibrators (Geometry, if applicable, Accuracy).

11. Center of Rotation.

12. Thyroid Uptake and Counting Systems.

H. Dental CBCT Acceptance and Performance Evaluation

Acceptance Testing Acceptance testing and measurements of air kerma at the isocenter for each kVp station for a range of clinically used mAs settings shall be performed initially when the CBCT unit shall be installed, and following any move of the CBCT to another area inside or outside the initial clinical site. This evaluation shall be to ensure that the equipment performance shall be in agreement with the manufacturer’s technical specifications.

Performance Evaluation Each CBCT unit shall undergo periodic quality control tests to insure that the performance of the machine has not significantly deteriorated and shall be operating within the manufacturer’s technical specifications. This performance evaluation shall be performed by a qualified expert annually, at intervals not to exceed 14 months, and after repairs to the CBCT unit that shall affect the radiation output or image quality.

Some manufacturers provide a phantom and procedures to perform machine specific quality assurance (QA) tests. In cases where the manufacturer provides a phantom and procedures to perform specific tests, but the tests shall not be included in this SOW, then the manufacturer’s machine-specific QA tests shall be performed in addition to the QA tests in this SOW.

Parameters for Acceptance and annual evaluation for Dental CBCT:

1. Radiation Output Reproducibility.

2. Radiation Output Accuracy.

3. kVp Accuracy.

4. kVp Repeatability.

5. kVp Reproducibility.

6. Beam quality.

7. Radiation Beam Width.

8. Image Quality.

9. Accuracy of Linear Measurements.

10. Accuracy of Patient Dose Metric Indication.

11. Patient Dose Assessment.

12. Review of the technical QA program.

13. Display Monitors - Perform a visual analysis of the SMPTE test pattern.

14. Viewing Conditions.

AUTHORIZED SERVICE

Only those services specified within the purchase order shall be authorized under this purchase order. Before performing any services that shall not be within scope of this purchase order, the COR and RSO shall be advised of the reasons for these additional services. If appropriate, the Contracting Officer, or his/her designee, may authorize the additional services under a separate purchase order. The Contractor shall be cautioned that only the Contracting Officer shall authorize additional services under this purchase order and that reimbursement shall not be made unless this prior authorization shall be obtained.

DOCUMENTATION/REPORTS

The Physicist Summary Report shall include detailed descriptions of each piece of equipment tested, all procedures performed, and the results. Documentation shall be provided electronically to the RSO and/or COR within ten (10) calendar days of services.

HOURS OF OPERATION

A schedule of service shall be established to be completed primarily during the normal working hours, 8:00 AM until 4:30 PM Local (Central) Time to the extent possible. Federal Holidays shall be exempt. The service schedule shall be confirmed between the Contractor and RSO prior to each service. Contractor shall be given some latitude to complete evaluation according to location and scope of service provided.

Federal Holidays observed by the VAMC that shall be exempt:

When a holiday falls on a Sunday, the following Monday shall be observed as a Federal Holiday by U.S. Government agencies. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

RESPONSE TIME

The Contractor shall ensure timely response times to Danville VAMC. Communication and scheduling shall be via email or telephone for the following criteria:

On-Site Support Contractor shall provide Medical Physicist services within (+/-) 14 business days of Danville VAMC notice of proposed availability. Contractor shall notify COR or designee of date prior to scheduling to confirm Danville VAMC availability.

Consultation Contractor shall provide consultation within five (5) business days of telephone or email notification from Danville VAMC regarding questions or concerns.

Urgent On-Site Support Contractor shall provide urgent on-site support to Danville VAMC within 14 business days of initial notification. Contractor shall respond with a phone call within 24 hours of receiving notification to COR or designee of approximate date of arrival.

FACILITY CHECK-IN REQUIREMENTS

The Contractor shall be required to initially report to the VA Police Service (Bldg. 102). VA Police Service shall issue a badge that shall expire after 12 hours. Upon receival of the badge, Contractor shall report to the Biomedical Engineering Service, building 102, Room 108F. Both check-ins shall be mandatory. When the service shall be completed, the Contractor shall document services rendered on a legible Physicist Summary report. The Contractor shall return to the same service and building to submit the Physicist Summary report to the COR for signature during normal working hours or leave the service ticket at the VA Police Service after hours.

SECURITY REQUIREMENTS

Contractor shall be escorted and responsible for ensuring that the identification badge or uniform insignia properly identifies his/her operators so that their identity and purpose can be readily ascertained when working throughout the medical center.

COMPLIANCE WITH THE GENERAL SAFETY REGULATIONS

All Contractors and Subcontractors performing services for the Government shall comply with all Occupational Safety and Health Administration (OSHA), Nuclear Regulatory Commission (NRC), VA National Health Physics Program (NHPP), State, County and Municipal Safety and Occupational Health Standards, and any other applicable rules and regulations. Also, all Contractors and Subcontractors shall be held responsible for the safety of their employees and any unsafe acts or conditions that may cause injury or damage to any persons or property within and around the work site area under this purchase order.

SPECIAL CONDITIONS

No later than ten (10) calendar days after notification of award, and prior to the start of services, the Contractor shall provide to the COR a listing of its personnel that shall be certified by the American Board of Radiology in Diagnostic Medical Physics or American Board of Health Physics, and information regarding a contact person for this purchase order.

B.3 PRICE/COST SCHEDULE

ITEM INFORMATION

Diagnostic Medical Physicist Services and Support

Contract Period: Base POP Begin: 11-01-2023 POP End: 10-31-2024

PRINCIPAL NAICS CODE: 541690 - Other Scientific and Technical Consulting Services PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

Diagnostic Medical Physicist Services and Support

Contract Period: Option 1 POP Begin: 11-01-2024 POP End: 10-31-2025

PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

Diagnostic Medical Physicist Services and Support

Contract Period: Option 2 POP Begin: 11-01-2025 POP End: 10-31-2026

PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

Diagnostic Medical Physicist Services and Support

Contract Period: Option 3 POP Begin: 11-01-2026 POP End: 10-31-2027

PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

Diagnostic Medical Physicist Services and Support

Contract Period: Option 4 POP Begin: 11-01-2027 POP End: 10-31-2028

PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

B.4 DELIVERY SCHEDULE

1900 E. Main St.

Danville, IL 61832 5100

USA

Peoria VA Community Based Outpatient Clinic (CBOC) 7717 North Orange Prairie Rd Peoria, IL 61615

USA

11/01/2023-10/31/2024

1900 E. Main St.

Danville, IL 61832 5100

USA

Peoria VA Community Based Outpatient Clinic (CBOC) 7717 North Orange Prairie Rd Peoria, IL 61615

USA

11/01/2024-10/31/2025

1900 E. Main St.

Danville, IL 61832 5100

USA

Peoria VA Community Based Outpatient Clinic (CBOC) 7717 North Orange Prairie Rd Peoria, IL 61615

USA

11/01/2025-10/31/2026

1900 E. Main St.

Danville, IL 61832 5100

USA

Peoria VA Community Based Outpatient Clinic (CBOC) 7717 North Orange Prairie Rd Peoria, IL 61615

USA

11/01/2026-10/31/2027

1900 E. Main St.

Danville, IL 61832 5100

USA

Peoria VA Community Based Outpatient Clinic (CBOC) 7717 North Orange Prairie Rd Peoria, IL 61615

USA

11/01/2027-10/31/2028

SECTION C – CONTRACT (PURCHASE ORDER) CLAUSES

ADDENDUM to FAR 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

Clauses that are incorporated by reference (by Citation Number, Title, and Date), have the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available.

The following clauses are incorporated into 52.212-4 as an addendum to this contract:

C.1 52.252-2 CLAUSES INCORPORATED BY REFERENCE (FEB 1998)

This contract incorporates one or more clauses by reference, with the same force and effect as if they were given in full text. Upon request, the Contracting Officer will make their full text available. Also, the full text of a clause may be accessed electronically at this/these address(es):

https://www.acquisition.gov/browse/index/far https://www.va.gov/oal/library/vaar/ (End of Clause)

C.2 52.217-8 OPTION TO EXTEND SERVICES (NOV 1999)

The Government may require continued performance of any services within the limits and at the rates specified in the contract. These rates may be adjusted only as a result of revisions to prevailing labor rates provided by the Secretary of Labor. The option provision may be exercised more than once, but the total extension of performance hereunder shall not exceed 6 months. The Contracting Officer may exercise the option by written notice to the Contractor within five (5) calendar days before contract's performance period ends. The specified rates under this clause will be those rates in effect under the contract each time an option is exercised under this clause.

(End of Clause)

C.3 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000)

(a) The Government may extend the term of this contract by written notice to the Contractor within five (5) calendar days before contract's performance period ends; provided that the Government gives the Contractor a preliminary written notice of its intent to extend at least ten (10) calendar days before the contract expires. The preliminary notice does not commit the Government to an extension.

(b) If the Government exercises this option, the extended contract shall be considered to include this option clause.

(c) The total duration of this contract, including the exercise of any options under this clause, shall not exceed five (5) years.

(End of Clause)

C.4 VAAR 852.201-70 CONTRACTING OFFICER'S REPRESENTATIVE (DEC 2022)

The Contracting Officer reserves the right to designate representatives to act for him/her in furnishing technical guidance and advice or generally monitor the work to be performed under this contract. Such designation will be in writing and will define the scope and limitation of the designee’s authority. A copy of the designation letter shall be furnished to the Contractor.

(End of Clause)

C.5 VAAR 852.203-70 COMMERCIAL ADVERTISING (MAY 2018)

The Contractor shall not make reference in its commercial advertising to Department of Veterans Affairs contracts in a manner that states or implies the Department of Veterans Affairs approves or endorses the Contractor’s products or services or considers the Contractor’s products or services superior to other products or services.

(End of Clause) C.6 VAAR 852.219-74 VA NOTICE OF TOTAL SET-ASIDE FOR CERTIFIED VETERAN-OWNED SMALL BUSINESSES (JAN 2023) (DEVIATION)

(a) Definition. For the Department of Veterans Affairs, ‘‘Veteran-owned small business or VOSB’’:

(1) Means a small business concern—

(i) Not less than 51 percent of which is owned by one or more Veterans or, in the case of any publicly owned business, not less than 51 percent of the stock of which is owned by one or more Veteran(s);

(ii) The management and daily business operations of which are controlled by one or more Veteran(s);

(iii) The business meets Federal small business size standards for the applicable North American Industry Classification System (NAICS) code identified in the solicitation document.

(iv) The business has been verified for ownership and control pursuant to 38 U.S.C. 8127 and 13 CFR 128, and is certified and listed in the SBA certification database at https://veterans.certify.sba.gov/; and

(v) The business agrees to comply with VAAR subpart 819.70 and Small Business Administration (SBA) regulations regarding small business size and government contracting, and the Veterans Small Business Certification Program at 13 CFR parts 121, 125, and 128.

(2) ‘‘Veteran’’ is defined in 38 U.S.C. 101(2).

(3) The term ‘‘small business concern’’ has the meaning given that term under section 3 of the Small Business Act (15 U.S.C. 632).

(4) The term ‘‘small business concern owned and controlled by Veterans’’ has the meaning given that term under section 3(q)(3) of the Small Business Act (15 U.S.C. 632(q)(3)), except that for a VA contract the firm must be certified and listed in the SBA certification database.

(5) The term “VOSB participant” or certified VOSB means a small business that has been certified as eligible to participate in the Veteran Small Business Certification Program and listed in the SBA certification database (see 13 CFR 128.102). It includes certified service-disabled veteran-owned small businesses (SDVOSBs).

(b) General. In order for a concern to submit an offer and be eligible for the award of a VOSB set-aside or sole source contract, the concern must qualify as a small business concern under the size standard corresponding to the NAICS code assigned to the contract and be certified and listed as a VOSB or SDVOSB participant in the certification database as set forth in 13 CFR 128.

(1) Offers received from entities that are not certified VOSBs or SDVOSBs and listed in the SBA certification database at the time of offer shall not be considered.

(2) Any award resulting from this solicitation shall be made only to a certified VOSB who is eligible at the time of submission of offer(s) and at time of award.

(3) The requirements in this clause apply to any contract, order or subcontract where the firm receives a benefit or preference from its designation as a VOSB, including set-asides, sole source awards, and evaluation preferences.

(c) Representation. Pursuant to 38 U.S.C. 8127(e), only certified VOSBs listed in the SBA certification database are considered eligible to receive award of a resulting contract. By submitting an offer, the prospective contractor represents that it is an eligible and certified VOSB as defined in this clause, 13 CFR 121, 125, and 128, and VAAR subpart 819.70.

(d) Agreement/LOS certification. When awarded a contract action, including orders under multiple-award contracts, a VOSB agrees that in the performance of the contract, the VOSB shall comply with requirements in VAAR subpart 819.70 and SBA regulations on small business size, and government contracting programs at 13 CFR parts 121 and 125, including the non-manufacturer rule and limitations on-subcontracting (LOS) requirements in 13 CFR 121.406(b) and 125.6. For the purpose of the limitations on subcontracting, only certified VOSBs listed in the SBA certification database, (including independent contractors) shall be considered eligible and/or ‘‘similarly situated’’ (i.e., a firm that has the same small business program status as the prime contractor). An otherwise eligible firm further agrees to comply with the required LOS certification requirements in this solicitation (see 852.219–75 and/or 852.219–76 as applicable). These requirements are summarized as follows:

(1) Services. In the case of a contract for services (except construction), the VOSB prime contractor will not pay more than 50% of the amount paid by the government to the prime for contract performance to firms that are not certified VOSBs listed in the SBA certification database (excluding direct costs to the extent they are not the principal purpose of the acquisition and the SDVOSB/ VOSB does not provide the service, such as airline travel, cloud computing services, or mass media purchases). When a contract includes both services and supplies, the 50 percent limitation shall apply only to the service portion of the contract.

(2) Supplies/products.

(i) In the case of a contract for supplies or products (other than from a non-manufacturer of such supplies), the VOSB prime contractor will not pay more than 50% of the amount paid by the government to the prime for contract performance, excluding the cost of materials, to firms that are not certified VOSBs listed in the SBA certification database. When a contract includes both supply and services, the 50 percent limitation shall apply only to the supply portion of the contract.

(ii) In the case of a contract for supplies from a non-manufacturer, the VOSB prime contractor will supply the product of a domestic small business manufacturer or processor, unless a waiver as described in 13 CFR 121.406(b)(5) has been granted. Refer to 13 CFR 125.6(a)(2)(ii) for guidance pertaining to multiple item procurements.

(3) General construction. In the case of a contract for general construction, the VOSB prime contractor will not pay more than 85% of the amount paid by the government to the prime for contract performance, excluding the cost of materials, to firms that are not certified VOSBs listed in the SBA certification database.

(4) Special trade construction contractors. In the case of a contract for special trade contractors, no more than 75% of the amount paid by the government to the prime for contract performance, excluding the cost of materials, may be paid to firms that are not certified VOSBs listed in the SBA certification database.

(5) Subcontracting. A VOSB must meet the NAICS size standard assigned by the prime contractor and be listed in the SBA certification database to count as similarly situated. Any work that a first tier VOSB subcontractor further subcontracts will count towards the percent of subcontract amount that cannot be exceeded. For supply or construction contracts, the cost of materials is excluded and not considered to be subcontracted. When a contract includes both services and supplies, the 50 percent limitation shall apply only to the portion of the contract with the preponderance of the expenditure upon which the assigned NAICS is based. For information and more specific requirements, refer to 13 CFR 125.6.

(e) Required limitations on subcontracting compliance measurement period. A VOSB shall comply with the limitations on subcontracting as follows:

[X] By the end of the base term of the contract or order, and then by the end of each subsequent option period; or [] By the end of the performance period for each order issued under the contract.

(f) Joint ventures. A joint venture may be considered eligible as a VOSB if the joint venture complies with the requirements in 13 CFR 128.402 and the managing joint venture partner makes the representations under paragraph (c) of this clause. A joint venture agrees that, in the performance of the contract, the applicable percentage specified in paragraph (d) of this clause will be performed by the aggregate of the joint venture participants.

(g) Precedence. The VA Veterans First Contracting Program, as defined in VAAR 802.10, subpart 819.70, and this clause, takes precedence over any inconsistencies between the requirements of the SBA Veteran Small Business Certification Program and the VA Veterans First Contracting Program.

(h) Misrepresentation. Pursuant to 38 U.S.C. 8127(g), any business concern, including all its principals, that is determined by VA to have willfully and intentionally misrepresented a company’s VOSB status is subject to debarment from contracting with the Department for a period of not less than five years (see VAAR 809.406–2, Causes for Debarment).

(End of Clause) C.7 VAAR 852.219-75 VA NOTICE OF LIMITATIONS ON SUBCONTRACTING—CERTIFICATE OF COMPLIANCE FOR SERVICES AND CONSTRUCTION (JAN 2023) (DEVIATION)

(a) Pursuant to 38 U.S.C. 8127(l)(2), the offeror certifies that—

(1) If awarded a contract (see FAR 2.101 definition), it will comply with the limitations on subcontracting requirement as provided in the solicitation and the resultant contract, as follows:

(i) [X] Services. In the case of a contract for services (except construction), the contractor will not pay more than 50% of the amount paid by the government to it to firms that are not certified SDVOSBs listed in the SBA certification database as set forth in 852.219–73 or certified VOSBs listed in the SBA certification database as set forth in 852.219–74. Any work that a similarly situated certified SDVOSB/VOSB subcontractor further subcontracts will count towards the 50% subcontract amount that cannot be exceeded. Other direct costs may be excluded to the extent they are not the principal purpose of the acquisition and small business concerns do not provide the service as set forth in 13 CFR 125.6.

(ii) [] General construction. In the case of a contract for general construction, the contractor will not pay more than 85% of the amount paid by the government to it to firms that are not certified SDVOSBs listed in the SBA certification database as set forth in 852.219–73 or certified VOSBs listed in the SBA certification database as set forth in 852.219–74. Any work that a similarly situated certified SDVOSB/VOSB subcontractor further subcontracts will count towards the 85% subcontract amount that cannot be exceeded. Cost of materials are excluded and not considered to be subcontracted.

(iii) [] Special trade construction contractors. In the case of a contract for special trade contractors, the contractor will not pay more than 75% of the amount paid by the government to it to firms that are not certified SDVOSBs listed in the SBA certification database as set forth in 852.219–73 or certified VOSBs listed in the SBA certification database as set forth in 852.219–74. Any work that a similarly situated certified SDVOSB/VOSB subcontractor further subcontracts will count towards the 75% subcontract amount that cannot be exceeded.