S02 - 36C25224Q0502.docx

36C25224Q0502

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

UEI:

EFT:

PHONE:

FAX:

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

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

ARE

ARE NOT ATTACHED.

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

ARE

ARE NOT ATTACHED

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

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. NOV 2021)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES

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

None

556-25-1-2723-0004

Effective:

10-01-2024

07-01-2024 Joni Dorr 414-844-4858 07-11-2024 10:00 Central

Department of Veterans Affairs

GLAC (69D)

115 South 84th Street, Suite 101

Milwaukee WI 53214-1476

X

541690 $19 Million

N/A

Captain James A. Lovell Federal Health Care Center (FHCC)

3001 Green Bay Rd North Chicago IL 60064

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 Medical Physicist services for the Captain James A. Lovell Federal Health Care Center (FHCC) located in North Chicago, IL. This requirement will have a base year period of performance of 10/01/2024-09/30/2025 and will include four

(4) one-year options to be exercised at the discretion of the Government. Ultimate completion date will be 09/30/2029 with all exercised options.

This requirement is 100% set-aside for small business

See CONTINUATION Page 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:

PURCHASE ORDER ADMINISTRATION

All purchase order administration matters will be handled by the following individuals:

CONTRACTOR

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

Milwaukee, Wi 53214 joni.dorr@va.gov

CONTRACTOR REMITTANCE ADDRESS

All payments by the Government to the contractor will be made in accordance with FAR 52.232-33 PAYMENT BY ELECTRONIC FUNDS TRANSFER – SYSTEM FOR AWARD MANAGEMENT (OCT 2018)

INVOICES:

a. Invoices shall be submitted in arrears after each service 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.

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.

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

* 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.

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 Friday, July 5, 2024 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.

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.

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.

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 or Services

Contractor shall furnish all travel, 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 Captain James A. Lovell Federal Health Care Center (FHCC), 3001 Green Bay Rd, North Chicago, IL 60064. FHCC shall be comprised of units at both East and West Campuses. Contractor shall adhere to the terms and conditions stated herein and to the most recent versions of the VHA Handbook 1105.04, Fluoroscopy Safety, VHA Directive 1105.03 Mammography Program Procedures and Standards, VHA Handbook 1105.05 MRI Safety, and VHA Directive 1129 Radiation Protection for Machine Sources of ionizing Radiation.

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 FHCC radiation workers or patients to the Contracting Officer Representative (COR) or designee.

All work shall be solely 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 in Diagnostic Medical Physics or American Board of Health Physics.

MANDATORY SERVICES TO BE PERFORMED

The qualified Diagnostic Medical Physicist shall:

1. Perform annual inspections of imaging equipment which includes X-Ray, Fluoroscopy, Mammography, Nuclear Medicine, CT that shall include cone beam, Dental, and MRI to ensure compliance with the current American College of Radiology (ACR) and Mammography Quality Standards Act (MQSA) requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the Biomedical technician, COR, or designee prior to the qualified Diagnostic Medical Physicist leaving FHCC. The Biomedical technician shall escort the Diagnostic Medical Physicist at all times throughout FHCC. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact FHCC radiation workers or patients shall be reported to the COR or designee immediately upon discovery. A written report of the results shall be provided to the COR or designee within five (5) business days after completion of the inspection. All imaging equipment shall be inspected at least annually (1 year+/- 30 days).

2. Perform acceptance testing of all new or relocated imaging equipment prior to first clinical use. The acceptance testing shall comply with ACR or MQSA requirements. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the Biomedical technician, COR, or designee prior to the qualified Diagnostic Medical Physicist leaving FHCC. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the FHCC radiation workers or patients shall be reported to the COR or designee immediately upon discovery. A written report of the results shall be provided to the COR or designee within five (5) working days after completion of the inspection. The Medical Physicist shall be available to schedule the acceptance testing within one (1) week of notice.

3. Perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. The inspection shall be completed within 48 hours after FHCC contacts the Contractor. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the Biomedical technician, COR, or designee prior to the qualified Diagnostic Medical Physicist leaving FHCC. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the FHCC radiation workers or patients shall be reported to the COR or designee immediately upon discovery. A written report of the results shall be provided to the COR or designee within five (5) working days after performing of the inspection.

4. Provide phone and email consultation on radiation safety and related compliance issues as needed. The qualified Diagnostic Medical Physicist shall also attend the quarterly Radiation Safety Committee meeting via remote through telephone or Microsoft Teams.

5. Perform a review of patient skin doses for maximum possible and likely peak skin doses when procedure doses (single or cumulative) shall be at or exceed five (5) Gray (three (3) Gray of procedures when the beam is in one (1) position). The report shall provide information on clinical follow-up needed. The report shall be available within five (5) business days of notification of high dose.

6. Provide shielding design calculations for each new, replaced, or relocated X-Ray, Nuclear Medicine, and CT imaging system. The calculations for each shall comply with the National Council for Radiation Protection and Measurements (NCRP) Report No. 147, and, for dental units, NCRP Report No. 145, and shall be documented in a written report which includes a diagram showing adjacent areas. The qualified Diagnostic Medical Physicist shall perform a shielding survey to verify the structural shielding was installed per the shielding design report and complies with the design goals. A written report of the shielding survey shall be provided to the COR or designee within five (5) business days after the shielding survey has been completed.

7. Assist in the development of a comprehensive technical quality assurance (QA) program (e.g., technique charts, repeat/reject analysis monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA for CT, monitoring of dose metrics from fluoroscopy studies), which complies with ACR recommendations, for all modalities. The qualified Diagnostic Medical Physicist shall review at least annually the QA program. A written report of the results shall be provided to the COR or designee within five (5) business days after performing of the inspection.

EQUIPMENT INSPECTIONS

The qualified Diagnostic Medical Physicist shall conduct equipment inspections 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, at minimum, monitoring the following basic performance characteristics.

All equipment shall be located at FHCC. Current equipment to be serviced (list is subject to change as new equipment is installed but total number should remain the same. “One-for-one” equipment may be exchanged or replaced at no additional cost.):

West Campus

East Campus

A. Radiographic and Fluoroscopic Equipment Inspections 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 at least annually. This evaluation shall include, at minimum, the following tests (as applicable).

1. Integrity of unit assembly.

2. Collimation and radiation beam alignment.

3. Fluoroscopic system spatial resolution.

4. Automatic exposure control system performance.

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

6. Image artifacts.

7. Fluoroscopic phantom image quality.

8. kVp accuracy and reproducibility.

9. Linearity of exposure versus mA or mAs.

10. Exposure reproducibility.

11. Timer accuracy.

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

13. 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) must be documented for each measurement.]

14. Fluorographic (image recording) entrance exposure rate (or air kerma rate) for cine imaging, if performed and entrance exposure (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.) must be documented for each measurement.]

15. Image receptor entrance exposure.

16. Equipment radiation safety functions.

17. 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, the displays of cumulative air kerma and, if available, DAP.

18. Display monitor performance.

19. Digital image receptor performance.

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

21. 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 parameter).

Note: The information on entrance exposure rates (or air kerma rates) from fluoroscopy and from fluorography, in Items (13) and (14) 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) Inspections 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 at least 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. IP Throughput.

12. Positioning and Collimation Errors.

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

1. Review of Clinical Protocols.

2. Scout Prescription and Alignment Light Accuracy.

3. Image Thickness – Axial Mode.

4. Table Travel Accuracy.

5. Radiation Beam Width.

6. Low-Contrast Performance.

7. Spatial Resolution.

8. CT Number Accuracy.

9. Artifact Evaluation.

10. CT Number Uniformity.

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

12. Gray Level Performance of CT Acquisition Display Monitors.

13. Measures the radiation dose (in the form of volume computed tomography dose index (CTDI vol) produced by each diagnostic CT imaging system for the following four CT protocols: adult brain, adult abdomen, pediatric brain, and pediatric abdomen. If one or more of these protocols shall not be used by FHCC, other commonly used CT protocols may be substituted).

14. Image Uniformity

15. Slice position accuracy (when prescribed from a scout image)

16. High contrast resolution

17. Geometric or distance accuracy

D. Mammography Inspections shall meet the qualifications outlined in the most recent version of MQSA and shall provide FHCC with up-to-date documentation demonstrating the Diagnostic Medical Physicist shall be MQSA qualified. Inspections of mammography equipment shall comply with the latest requirements posted on the ACR Web site for the manufacturer of the digital mammography unit being inspected. Inspection items shall include, at minimum:

1. Mammographic Unit Assembly Evaluation.

2. Collimation assessment.

3. Artifact evaluation.

4. kVp accuracy and reproducibility.

5. Beam quality assessment – HVL measurements.

6. Evaluation of system resolution.

7. Automatic Exposure Control (AEC) function performance.

8. Breast entrance exposure, AEC reproducibility, and average glandular dose.

9. Radiation output rate.

10. Phantom image quality evaluation.

11. Signal–to–noise ratio and contrast–to noise ratio measurements.

12. View box luminance and room illuminance.

13. Review Workstation (RWS) tests.

E. Dental Inspections 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 inspections 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).

F. MRI

Inspection shall conform to 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. Inter-slice RF interference.

4. Slice position accuracy.

5. High-contrast resolution

6. 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

7. Slice thickness accuracy

8. Low-contrast detectability

9. Soft copy displays

10. Technologist’s QC program

11. Site phantom inventory

12. Site RF coil inventory

G. Nuclear Medicine Inspections shall conform to the most recent ACR annual performance tests for nuclear medicine cameras. The performance of the nuclear medicine cameras 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. Display Monitors Annual performance evaluation shall include testing of image acquisition display monitors for maximum and minimum luminance, luminance uniformity, resolution, and spatial accuracy. The image acquisition display monitors for all associated units shall be tested.

I. Dental CBCT Acceptance and Performance Testing 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 testing shall be to ensure that the equipment performance shall be in agreement with the manufacturer’s technical specifications.

Performance Testing Each CBCT unit shall undergo periodic quality control tests to ensure that the performance of the machine has not significantly deteriorated and shall be operating within the manufacturer’s technical specifications. This performance testing shall be performed by annually, at intervals not to exceed 14 months, and after repairs to the CBCT unit that may 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 physics testing for Dental CBCT:

1. Radiation output Repeatability - Make four measurements of the air kerma at the isocenter at a clinically used setting. The measurements shall be less than +/-5% of the average of the five (5) measurements and the measurements shall be less than +/- 5% of the previous year’s measurement.

2. Radiation Output Reproducibility - Measure the air kerma at the isocenter for each kVp station and a range of clinically used mAs setting. Compare the results to the baseline values established at the initial acceptance testing. The values shall be +/-5% of the baseline.

3. kVp Accuracy - Measure the kVp at all clinically used settings. The measured kVp shall be +/-5% of the selected kVp.

4. kVp Repeatability - Make five (5) kVp measurements each for two clinically used kVp settings. All measured values shall be +/-5% of the mean kVp.

5. kVp Reproducibility - Measure the kVp at all available kVp settings. The measured values shall be +/-5% of the baseline.

6. Beam quality - Measure the half value layer (HVL) for aluminum. The minimum shall comply with most recent Section F.4.d of the Suggested State Regulations for Control of Radiation, Conference of Radiation Control Program Directors.

7. Radiation field of view (FOV) - Measure the width of the radiation field at the isocenter. The width of the beam shall be three (3) mm or 30% of the total nominal collimated width.

8. Image Quality - Image the phantom provided by the manufacturer or another suitable phantom. Assess high contrast spatial resolution, uniformity of transaxial images, and image noise. Imaging uniformity shall be assessed over the entire range of axial images.

9. Accuracy of Linear Measurements - Using images of an appropriate phantom, assess the accuracy of distance measurements.

10. Accuracy of Patient Dose Metric Indication - Assess the accuracy of the indicated dose metric (typically DAP).

11. Patient Dose Assessment - From a scan or scans using the FHCC’s standard techniques, record the dose metric (typically DAP) and compare to achievable levels and diagnostic reference levels (if available)

12. Review of the technical QA program - Review the technical QA program. The review shall include a trend analysis of the QA data. The results of the technical QA program review shall be included in the written report. Any trends that identify problems shall be included in the report along with recommended corrective actions.

13. Display Monitors - Perform a visual analysis of the Society of Motion Picture and Television Engineers (SMPTE) test pattern.

14. Display the test pattern on the imaging console. Set the display window width/level to the manufacturer-specified values for the pattern. Do not set the window/level by eye; doing so invalidates the procedure.

15. Examine the pattern to confirm that the gray level display in the imaging console shall be subjectively correct.

a. Review the line pair patterns in the center and at each of the corners.

b. Review the black-white transition.

c. Look for any evidence of “scalloping” (loss of bit depth) or geometric distortion.

16. Use a photometer to measure the maximum and minimum monitor brightness (0% and 100% steps)

17. Measure additional steps within the pattern to establish a response curve.

18. Measure the brightness near the center of the monitor and near all 4 corners (or all 4 sides, depending on the test pattern used).

19. Viewing Conditions - Assess the viewing conditions for the area in which the monitor used to evaluation the CBCT studies shall be located.

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 or designee 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 Diagnostic Medical 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 COR or designee within five (5) business days of services unless previously stated otherwise.

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, unless coordinated with COR or designee prior to services. Federal Holidays shall be exempt. The service schedule shall be confirmed between the Contractor and COR or designee 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 FHCC. Communication and scheduling with the COR or designee shall be via email or telephone for the following criteria:

On-Site Support Contractor shall provide Medical Physicist services within (+/-) five (5) business days of FHCC notice of proposed availability. Contractor shall notify COR or designee of date prior to scheduling to confirm FHCC availability.

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

Urgent On-Site Support Contractor shall provide urgent on-site support to FHCC within five (5) 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 Diagnostic Medical Physicist shall contact the COR or designee prior to performing services at FHCC. Upon arrival, the Diagnostic Medical Physicist shall check in at the quarter deck, Building 133EF and a Biomedical technician shall notified and provide escort. The Contractor's FSE’s shall always wear visible identification while on the premises of FHCC and follow all local visitor badging policies.

SECURITY REQUIREMENTS

The Diagnostic Medical Physicists shall be escorted and responsible for ensuring that identification badge or uniform insignia properly identifies his/her operators so that their identity and purpose can be readily ascertained when working throughout FHCC. Services do not require access to any VA systems or VA sensitive information.

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

Medical Physicist Services

Purchase Order Period: Base POP Begin: 10-01-2024 POP End: 09-30-2025

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

Medical Physicist Services

Purchase Order Period: Option 1 POP Begin: 10-01-2025 POP End: 09-30-2026

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

Medical Physicist Services

Purchase Order Period: Option 2 POP Begin: 10-01-2026 POP End: 09-30-2027

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

Medical Physicist Services

Purchase Order Period: Option 3 POP Begin: 10-01-2027 POP End: 09-30-2028

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

Medical Physicist Services

Purchase Order Period: Option 4 POP Begin: 10-01-2028 POP End: 09-30-2029

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

B.4 SERVICES SCHEDULE

FHCC

3001 Green Bay Rd North Chicago, IL 60064 3048

USA

10/01/2024-09/30/2025

FHCC

3001 Green Bay Rd North Chicago, IL 60064 3048

USA

10/01/2025-09/30/2026

FHCC

3001 Green Bay Rd North Chicago, IL 60064 3048

USA

10/01/2026-09/30/2027

FHCC

3001 Green Bay Rd North Chicago, IL 60064 3048

USA

10/01/2027-09/30/2028

FHCC

3001 Green Bay Rd North Chicago, IL 60064 3048

USA

10/01/2028-09/30/2029

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 the 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 the 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 852.215-70 SERVICE-DISABLED VETERAN-OWNED AND VETERAN-OWNED SMALL BUSINESS EVALUATION FACTORS (JAN 2023) (DEVIATION)

(a) In an effort to achieve socioeconomic small business goals, VA shall evaluate offerors based on their service-disabled veteran-owned or veteran-owned small business certification status and their proposed use of eligible certified service-disabled veteran-owned small businesses (SDVOSBs) and certified veteran-owned small businesses (VOSBs) as subcontractors.

(b) Eligible and certified service-disabled veteran-owned small businesses offerors will receive full credit, and offerors qualifying as veteran-owned small businesses will receive partial credit for the certified Service-Disabled Veteran-Owned and Veteran-Owned Small Business Status evaluation factor. To receive credit, an offeror must be listed at the time of submission of offers and at time of award, as a certified SDVOSB/VOSB in the SBA certification database on the SBA Veteran Small Business Certification Program portal at https://veterans.certify.sba.gov/ (see 13 CFR 128) and be otherwise eligible in accordance with SBA size standards for the acquisition and limitations on subcontracting requirements set forth in SBA regulations (see 13 CFR 121, 125 and 128.).

(c) Non-Veteran offerors proposing to use certified SDVOSBs or VOSBs as subcontractors will receive some consideration under this evaluation factor. Offerors must state in their proposals the names of the certified SDVOSBs and VOSBs with whom they intend to subcontract and provide a brief description of the proposed subcontracts and the approximate dollar values of the proposed subcontracts. In addition, the proposed subcontractors must be listed at the time of submission of offers and at time of award, as a certified SDVOSB/VOSB in the SBA certification database.

(d) Pursuant to 38 U.S.C. 8127(g), any business concern that is determined by VA to have willfully and intentionally misrepresented a company’s SDVOSB/VOSB status is subject to debarment for a period of not less than five years. This includes the debarment of all principals in the business.

(End of Clause)

C.7 VAAR 852.215-71 EVALUATION FACTOR COMMITMENTS (OCT 2019)

(a) The offeror agrees, if awarded a contract, to use the service-disabled veteran-owned small businesses (SDVOSBs) or veteran-owned small businesses (VOSBs) proposed as subcontractors in accordance with 852.215–70, Service-Disabled Veteran-Owned and Veteran-Owned Small Business Evaluation Factors, or to substitute one or more SDVOSBs or VOSBs for subcontract work of the same or similar value.

(b) Pursuant to 38 U.S.C. 8127(g), any business concern that is determined by VA to have willfully and intentionally misrepresented a company’s SDVOSB/VOSB status is subject to debarment for a period of not less than five years. This includes the debarment of all principals in the business.

(End of Clause) C.8 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…