36C25226Q0155_1.docx

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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 04-01-2026 36C25226Q0155 02-26-2026 Dorr, Joni 414-844-4858 03-1 -2026 10:00 Department of Veterans Affairs 36C252 115 South 84th Street, Suite 101 Milwaukee WI 53214-1476 X X 541990 $19.5 Million N/A X Multiple VA Medical Centers See SOW for addresses

Department of Veterans Affairs 36C252 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 X See CONTINUATION Page Medical Physicist services for Clement J. Zablocki VA Medical Center, Oscar G. Johnson VA Medical Center, Milo C.

Huempfner CBOC, and John H. Bradley CBOC. This requirement will have a base year period of performance of 04/01/2026- 03/31/2027 and will include four (4) one-year options to be exercised at the discretion of the Government. Ultimate completion date will be 03/31/2031 with all exercised options.

This requirement is 100% set-aside for SDVOSB. All offerors must be certified in SBA and must meet small business size standards for NAICS 541990.

See CONTINUATION Page 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:

PURCHASE ORDER ADMINISTRATION

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

CONTRACTOR

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

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.

e. 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 13.5 Simplified Procedures for Certain Commercial Items in which simplified acquisition procedures in FAR Part 13 will be used. FAR Part 14 and 15 will not be used. 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 Wednesday, March 4, 2026 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 Contractor and contractor employees shall be subject to security clearances as outlined in VA Handbook 0710, VA Handbook 0735, VA Directive 0735 and in coordination with the facility point of contact. All Contractor employees are subject to the same level of investigation as VA employees who have access to VA Sensitive Information. The level of background investigation commensurate with the level of access needed to perform in accordance with the performance work statement is: Special Agreement Check (SAC). This requirement is applicable to all subcontractor personnel requiring the same access.

· SAC Fingerprints are required. FY26 SAC Fingerprints fees shall apply.

· Fees are the responsibility of the Contractor and shall be billed accordingly.

RECORDS MANAGEMENT OBLIGATIONS

Records Management Language for Contracts | National Archives

Record Retention & Storage Federal Records related to this policy, regardless of medium, shall be created, maintained, and dispositioned in accordance with the VHA Records Control Schedule (RCS) 10-1, General Records Schedule (GRS) or other NARA-approved records schedule, if applicable. Federal Records shall be stored per the National Archives & Records Administration (NARA) Facility Standards for Records Storage, as described in 36 Code of Federal Regulations (CFR) 1234.

Applicability This clause applies to all Contractors whose employees create, work with, or otherwise handle Federal records, as defined in Section B, regardless of the medium in which the record exists.

Definitions “Federal record” as defined in 44 U.S.C. § 3301, includes all recorded information, regardless of form or characteristics, made or received by a Federal agency under Federal law or in connection with the transaction of public business and preserved or appropriate for preservation by that agency or its legitimate successor as evidence of the organization, functions, policies, decisions, procedures, operations, or other activities of the United States Government or because of the informational value of data in them.

The term Federal record:

1. includes [Agency] records;

2. does not include personal materials;

3. applies to records created, received, or maintained by Contractors pursuant to their [Agency] contract;

4. may include deliverables and documentation associated with deliverables.

Requirements

1. Contractor shall comply with all applicable records management laws and regulations, as well as National Archives and Records Administration (NARA) records policies, including but not limited to the Federal Records Act (44 U.S.C. chs. 21, 29, 31, 33), NARA regulations at 36 CFR Chapter XII Subchapter B, and those policies associated with the safeguarding of records covered by the Privacy Act of 1974 (5 U.S.C. 552a). These policies include the preservation of all records, regardless of form or characteristics, mode of transmission, or state of completion.

2. In accordance with 36 CFR 1222.32, all data created for Government use and delivered to, or falling under the legal control of, the Government are Federal records subject to the provisions of 44 U.S.C. chapters 21, 29, 31, and 33, the Freedom of Information Act (FOIA) (5 U.S.C. 552), as amended, and the Privacy Act of 1974 (5 U.S.C. 552a), as amended and must be managed and scheduled for disposition only as permitted by statute or regulation.

3. In accordance with 36 CFR 1222.32, Contractor shall maintain all records created for Government use or created in the course of performing the contract and/or delivered to, or under the legal control of the Government and must be managed in accordance with Federal law. Electronic records and associated metadata must be accompanied by sufficient technical documentation to permit understanding and use of the records and data.

4. [Agency] and its contractors are responsible for preventing the alienation or unauthorized destruction of records, including all forms of mutilation. Records may not be removed from the legal custody of [Agency] or destroyed except for in accordance with the provisions of the agency records schedules and with the written concurrence of the Head of the Contracting Activity. Willful and unlawful destruction, damage or alienation of Federal records is subject to the fines and penalties imposed by 18 U.S.C. 2701. In the event of any unlawful or accidental removal, defacing, alteration, or destruction of records, Contractor must report to [Agency]. The agency must report promptly to NARA in accordance with 36 CFR 1230.

5. The Contractor shall immediately notify the appropriate Contracting Officer upon discovery of any inadvertent or unauthorized disclosures of information, data, documentary materials, records, or equipment. Disclosure of non-public information is limited to authorized personnel with a need-to-know as described in the [contract vehicle]. The Contractor shall ensure that the appropriate personnel, administrative, technical, and physical safeguards are established to ensure the security and confidentiality of this information, data, documentary material, records and/or equipment is properly protected. The Contractor shall not remove material from Government facilities or systems, or facilities or systems operated or maintained on the Government’s behalf, without the express written permission of the Head of the Contracting Activity. When information, data, documentary material, records and/or equipment is no longer required, it shall be returned to [Agency] control or the Contractor must hold it until otherwise directed. Items returned to the Government shall be hand carried, mailed, emailed, or securely electronically transmitted to the Contracting Officer or address prescribed in the [contract vehicle]. Destruction of records is EXPRESSLY PROHIBITED unless in accordance with Paragraph (4).

6. The Contractor is required to obtain the Contracting Officer's approval prior to engaging in any contractual relationship (sub-contractor) in support of this contract requiring the disclosure of information, documentary material and/or records generated under, or relating to, contracts. The Contractor (and any sub-contractor) is required to abide by Government and [Agency] guidance for protecting sensitive, proprietary information, classified, and controlled unclassified information.

7. The Contractor shall only use Government IT equipment for purposes specifically tied to or authorized by the contract and in accordance with [Agency] policy.

8. The Contractor shall not create or maintain any records containing any non-public [Agency] information that are not specifically tied to or authorized by the contract.

9. The Contractor shall not retain, use, sell, or disseminate copies of any deliverable that contains information covered by the Privacy Act of 1974 or that which is generally protected from public disclosure by an exemption to the Freedom of Information Act.

10. The [Agency] owns the rights to all data and records produced as part of this contract. All deliverables under the contract are the property of the U.S. Government for which [Agency] shall have unlimited rights to use, dispose of, or disclose such data contained therein as it determines to be in the public interest. Any Contractor rights in the data or deliverables must be identified as required by FAR 52.227-11 through FAR 52.227-20.

11. Training. All Contractor employees assigned to this contract who create, work with, or otherwise handle records are required to take [Agency]-provided records management training. The Contractor is responsible for confirming training has been completed according to agency policies, including initial training and any annual or refresher training.

[Note: To the extent an agency requires contractors to complete records management training, the agency must provide the training to the contractor.]

Flow down of requirements to subcontractors

1. The Contractor shall incorporate the substance of this clause, its terms and requirements including this paragraph, in all subcontracts under this [contract vehicle], and require written subcontractor acknowledgment of same.

2. Violation by a subcontractor of any provision set forth in this clause will be attributed to the Contractor.

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 or services, including annual on-site radiation compliance evaluation and performance monitoring services of indicated equipment for the facilities of Clement J. Zablocki VA Medical Center (Milwaukee VAMC), 5000 W National Ave, Milwaukee, WI, the John H. Bradely VA Outpatient Clinic (Appleton CBOC), 10 Tri-Park Way, Appleton, WI, the Iron Mountain VA Medical Center (Iron Mt VAMC), 325 East H Street, Iron Mountain, MI 49801, and the Milo C. Huempfner VA Outpatient Clinic (Green Bay CBOC), 2851 University Avenue, Green Bay, WI 54311. Contractor shall adhere to the VHA Directive 1105.04, Fluoroscopy Safety, VHA Handbook 1105.05 MRI Safety, and VHA Directive 1129 Radiation Protection for Machine Sources of Ionizing Radiation.

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 facility radiation workers or patients to the Contracting Officer Representative (COR) and/or Radiation Safety Officer (RSO).

All work on site must be performed by a qualified Diagnostic Medical Physicist or qualified Nuclear 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) in Diagnostic Medical Physics, American Board of Health Physics, or American Board of Medical Physics (ABMP) and be Magnetic Resonance Safety Expert (MRSE) certified. The qualified Diagnostic Medical Physicist must provide continuing experience of at least 20 CT units and 20 MRI units annually. A qualified Nuclear Medical Physicist shall be defined as a person who shall be certified by the American Board of Science in Nuclear Medicine, the American Board of Health Physics, and /or American Board of Radiology in Medical Nuclear Physics. The qualified Nuclear Medical Physicist must provide continuing experience of at least 20 Nuclear Medicine units annually. The qualified Diagnostic Medical Physicist and qualified Diagnostic Nuclear Medical Physicist must have the ability to operate units. A facility technician shall not operate the units for the physicist.

MANDATORY SERVICES TO BE PERFORMED

The qualified Diagnostic/Nuclear Medical Physicist shall:

1. Perform annual imaging equipment which includes X-Ray, Fluoroscopy, Nuclear Medicine, Computerized Tomography (CT), and Magnetic Resonance Imaging (MRI) 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/or RSO prior to the qualified Diagnostic Medical/Nuclear Physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility radiation workers or patients shall be reported to the service supervisor, COR and/or RSO immediately upon discovery. A written report of the results shall be provided to the COR within 15 calendar days after completion of the inspection. All imaging equipment shall be at least inspected annually (1 year +/- 30 calendar days).

2. Perform a full re-inspection to imaging equipment after repairs or modifications that may affect the radiation output or image quality. A verbal status condition shall be provided prior to departure. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility 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 15 calendar days after completion of the inspection. The Diagnostic/Nuclear Medical Physicist shall be available to complete this inspection within two (2) business days after notice of repair.

3. Perform initial/baseline testing that shall be more comprehensive than routine annual evaluation, as recommended by the ACR 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, COR and/or RSO prior to the qualified Diagnostic/Nuclear Medical Physicist leaving the facility. Deficiencies or non-conformances which represent unsafe conditions with the potential to adversely impact the facility 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 15 calendar days after completion of the inspection. The Diagnostic/Nuclear Medical Physicist shall be available to schedule initial/baseline testing within two (2) weeks of notice.

4. 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.

5. Perform an annual audit of the diagnostic imaging program that shall include all modalities and also include QA/quality control (QC). Diagnostic/Nuclear Medical Physicist shall provide a written report of the results shall be provided to the COR within 15 calendar days after completion of the review.

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

7. 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 RSO or designee within five (5) business days after the shielding survey has been completed.

8. Provide phone and email consultation on radiation safety and related compliance issues as needed.

9. Provide semi-annual Nuclear Medicine Regulatory Compliance Audits for the Iron Mountain VA Medical Center. The compliance audits shall meet Nuclear Regulatory Commission (NRC) standards.

10. Attend quarterly MRI Safety Committee meetings by phone or Microsoft Teams. The Diagnostic/Nuclear Medical Physicist must have MRSE board certification and participate as a member of the MRI Safety Committee.

EQUIPMENT

The Diagnostic/Nuclear 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 the Milwaukee VAMC, Appleton CBOC, Iron Mt VAMC, and the Green Bay CBOC. Current equipment to be serviced listed below. Detailed equipment list shall be provided upon request prior to services.

Note: 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. If new equipment shall be obtained, either through new purchase, upgrade, or replacement of existing equipment, that equipment may be added, and if applicable, the replaced equipment deleted, from the service Purchase Order as needed upon notification of the Contracting Officer to be documented in writing via a modification. All versions and replacement versions of current X-Ray, Fluoroscopy, Nuclear Medicine, CT, and MRI equipment shall be considered within scope for bilateral modification. Deleted equipment shall be credited in full if removed prior to any testing that has been performed.

Milo C. Huempfner VA Outpatient Clinic (Green Bay CBOC) Equipment List

(12) Dental X-Ray Units

(1) Dental CBCT

(1) Digital X-ray Unit

(1) R/F X-Ray Unit

(3) Mobile C-arms

(1) Mobile X-Ray Unit

(1) CT

John H Bradley VA Outpatient Clinic (Appleton CBOC) Equipment List

(1) Digital X-Ray Unit

Clement J. Zablocki VA Medical Center (Milwaukee VAMC) Equipment List

(1) Bone Density (28 Dental X-Ray Units

(1) Dental CBCT

(2) Mobile Mini C-arms

(8) Mobile C-arms

(4) Mobile X-Ray Units

(2) MRI

(2) CT

(2) SPECT/CT

(7) R/F X-Ray Units

(4) Digital X-Ray Units

Oscar G. Johnson VA Medical Center (Iron Mt VAMC) Equipment List

(8) Dental X-Ray Units

(1) Dental CBCT

(1) CT

(1) SPECT/CT

(1) Bone Density

(2) Mobile X-Ray Units

(1) Mobile C-arm

(1) R/F X-Ray Unit

(2) Digital X-Ray Units

EQUIPMENT EVALUATION

The Diagnostic Medical/Nuclear Physicist shall conduct equipment evaluation or quality control surveys of the current imaging equipment. The Diagnostic/Nuclear Medical Physicist shall ensure the imaging equipment’s compliance with most current applicable Federal regulations and ACR recommendations, and shall include, at minimum, monitoring the following basic performance characteristics.

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

1. Integrity of unit assembly.

2. Collimation and radiation beam alignment.

3. Fluoroscopic system 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 artifact.

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

18. Video and digital 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.

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 must be evaluated annually. This evaluation should 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.

CT Scanners Evaluation of CT Scanners shall conform to the most recent ACR Computed Tomography Quality Control Manual. The performance of each CT scanner shall be evaluated annually. This evaluation should 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 must be within +/- 20% of the measured CTDIvol values).

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

14. CT Number Uniformity.

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

16. High contrast resolution

17. Geometric or distance accuracy

Dental Evaluation of Dental X-Ray shall conform to the most recent Conference of Radiation Control Program Directors (CRCPD) and Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental Facilities. The performance of Dental X-Ray evaluation shall be annually. This evaluation should 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).

Dental Cone Beam Computed Tomography (CBCT) 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 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 Statement of Work (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 Evaluation for Dental CBCT:

1. Radiation Output Reproducibility. 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 Accuracy. 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 Beam Width. 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 facility’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. Viewing Conditions. Assess the viewing conditions for the area in which the monitor used to evaluation the CBCT studies shall be located.

15. 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.

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

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

18. Review the black-white transition.

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

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

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

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

MRI

Evaluation of MRI 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 should 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.

12. Inter-slice RF interference.

13. Soft copy displays.

Nuclear Medicine Evaluation of Nuclear Medicine shall conform to the most recent ACR annual performance tests for Nuclear Medicine cameras. The performance of the Nuclear Medicine camera shall be annually. This evaluation should 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.

Display Monitors Annual performance evaluation shall include evaluation 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.

DOCUMENTATION/REPORTS

Documentation shall include detailed descriptions of each piece of equipment tested, all procedures performed, and the results. Documentation shall be provided electronically to the COR and/or RSO within 15 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, excluding Federal Holidays unless coordinated with COR and/or RSO prior to services. The service schedule shall be confirmed between the Contractor and COR and/or RSO prior to the first working day of the calendar month. The Diagnostic/Nuclear Medical Physicist 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:

Any other day specifically declared by the President of the United States to be a Federal Holiday.

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 Diagnostic/Nuclear Medical Physicist shall ensure timely response times to each facility. Communication and scheduling with the COR and/or RSO shall be via email or telephone for the following criteria:

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

Consultation The Diagnostic/Nuclear Medical Physicist shall provide consultation within five (5) business days of telephone or email notification from COR and/or RSO regarding questions or concerns.

Urgent On-Site Support The Diagnostic/Nuclear Medical Physicist shall provide urgent on-site support to facilities within two (2) business days of initial notification. The Diagnostic/Nuclear Medical Physicist shall respond with a phone call within 24 hours of receiving notification to COR and/or RSO of approximate date of arrival.

FACILITY CHECK-IN REQUIREMENTS

The Diagnostic/Nuclear Medical Physicist shall contact the COR and/or RSO prior to performing services at each facility. Upon arrival, the Diagnostic/Nuclear Medical Physicist shall check in with the RSO per the instructions given in email or phone call communication. The Diagnostic/Nuclear Medical Physicist shall be escorted and shall be responsible to always wear visible identification while on the premises and follow all local visitor badging policies. The Contractor shall be responsible for insuring that the Diagnostic/Nuclear Medical Physicist is properly identified by a badge, so that their identity and purpose can be readily ascertained when working throughout the facilities.

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), 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 must provide to the COR and/or RSO a listing of its personnel that are certified by the American Board of Radiology in Diagnostic Medical Physics or Medical Nuclear Physics, American Board of Science in Nuclear Medicine 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 to:

Milwaukee VAMC Iron Mt VA Hospital Green Bay CBOC Appleton CBOC

Contract Period: Base POP Begin: 04-01-2026 POP End: 03-31-2027

PRINCIPAL NAICS CODE: 541990 - All Other Professional, Scientific, and Technical Services PRODUCT/SERVICE CODE: H258 - Equipment and Materials Testing - Communication, Detection, and Coherent Radiation Equipment

Medical Physicist Services to:

Iron Mt VA Hospital Green Bay CBOC Appleton CBOC

Contract Period: Option 1 POP Begin: 04-01-2027 POP End: 03-31-2028

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

Medical Physicist Services to:

Iron Mt VA Hospital Green Bay CBOC Appleton CBOC

Contract Period: Option 2 POP Begin: 04-01-2028 POP End: 03-31-2029

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

Medical Physicist Services to:

Iron Mt VA Hospital Green Bay CBOC Appleton CBOC

Contract Period: Option 3 POP Begin: 04-01-2029 POP End: 03-31-2030

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

Medical Physicist Services to:

Iron Mt VA Hospital Green Bay CBOC Appleton CBOC

Contract Period: Option 4 POP Begin: 04-01-2030 POP End: 03-31-2031

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

B.4 SERVICE SCHEDULE

5000 W National Ave Milwaukee, WI 53295 0001

USA

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 4760

USA

Milo C. Huempfner VA Outpatient Clinic 2851 University Avenue Green Bay, WI 54311 5855

USA

John H. Bradley VA Outpatient Clinic 10 Tri-Park Way Appleton, WI 54915 1658

USA

04/01/2026-03/31/2027

5000 W National Ave Milwaukee, WI 53295 0001

USA

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 4760

USA

Milo C. Huempfner VA Outpatient Clinic 2851 University Avenue Green Bay, WI 54311 5855

USA

John H. Bradley VA Outpatient Clinic 10 Tri-Park Way Appleton, WI 54915 1658

USA

04/01/2027-03/31/2028

5000 W National Ave Milwaukee, WI 53295 0001

USA

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 4760

USA

Milo C. Huempfner VA Outpatient Clinic 2851 University Avenue Green Bay, WI 54311 5855

USA

John H. Bradley VA Outpatient Clinic 10 Tri-Park Way Appleton, WI 54915 1658

USA

04/01/2028-03/31/2029

5000 W National Ave Milwaukee, WI 53295 0001

USA

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 4760

USA

Milo C. Huempfner VA Outpatient Clinic 2851 University Avenue Green Bay, WI 54311 5855

USA

John H. Bradley VA Outpatient Clinic 10 Tri-Park Way Appleton, WI 54915 1658

USA

04/01/2029-03/31/2030

5000 W National Ave Milwaukee, WI 53295 0001

USA

Oscar G. Johnson VA Medical Center 325 East H Street Iron Mountain, MI 49801 4760

USA

Milo C. Huempfner VA Outpatient Clinic 2851 University Avenue Green Bay, WI 54311 5855

USA

John H. Bradley VA Outpatient Clinic 10 Tri-Park Way Appleton, WI 54915 1658

USA

04/01/2030-03/31/2031

36C25226Q0155

SECTION C – CONTRACT (PURCHASE ORDER) CLAUSES