36C25525Q0441_1.pdf

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

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WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

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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

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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

36C25525Q0441 07-25-2025

Buchanan, Lisa A/lisa.buchanan1@va.gov 913-946-1990 08-15-2025

15:00 CDT

36C255 Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

X 100

X

541690

$19 Million

N/A

X

36C255

Department of Veterans Affairs Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway

Leavenworth KS 66048

36C255

Financial Services Center http://www.fsc.va.gov/einvoice.asp

Austin TX

877-353-9791 512-460-5429

See CONTINUATION Page

Medical Physics Testing Harry S Truman Columbia VAMC & CBOC.

1. This solicitation is a request for quotes for Medical Physics Testing Services.

2. This solicitation is for a Five (5) Years IDIQ with five twelve(12) months Ordering Periods: 9/23/2025-9/22/2030 Individual task orders will be issued by the NCO 15 Contracting Office.

3. These services will be performed as detailed within the Performance Work Statement (PWS).

4. This soliication is 100% set aside for Service Disabled Veteran Owned Small Business (SDVOSBs).

5. This procurement is being competed in accordance with FAR Part 13 Simplified Acquisition Procedures.

6. Evaluation Criteria: Price, Technical Capability and Past Performance.

7. Questions are due no later than Monday, August 4, 2025.

8. IMPORTANT: Please refer to Addendum to FAR 52.212-1 Instructions to Offeror for additional instructions.

9. Wage Determination #2015-5079 Rev. 25 is incorporated

See CONTINUATION Page x X x One

Buchanan, Lisa A Contracting Officer

36C25525Q0441

Table of Contents

SECTION A

A.1 SF 1449 SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 PERFORMANCE WORK STATEMENT

B.3 PRICE/COST SCHEDULE

B.4 DELIVERY SCHEDULE

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL PRODUCTS

AND COMMERCIAL SERVICES (NOV 2023)

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

C.3 52.216-18 ORDERING (AUG 2020)

C.4 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.5 52.216-22 INDEFINITE QUANTITY (OCT 1995)

C.6 VAAR 852.242-71 ADMINISTRATIVE CONTRACTING OFFICER (OCT 2020) ... 33

C.7 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (JAN 2025) (DEVIATION FEB 2025)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL PRODUCTS AND

COMMERCIAL SERVICES (SEP 2023)

E.2 52.252-1 SOLICITATION PROVISIONS INCORPORATED BY REFERENCE (FEB

1998)

E.3 52.204-24 REPRESENTATION REGARDING CERTAIN TELECOMMUNICATIONS

AND VIDEO SURVEILLANCE SERVICES OR EQUIPMENT (NOV 2021)

E.4 52.204-29 FEDERAL ACQUISITION SUPPLY CHAIN SECURITY ACT

ORDERS—REPRESENTATION AND DISCLOSURES (DEC 2023)

E.5 52.212-2 EVALUATION—COMMERCIAL PRODUCTS AND COMMERCIAL

SERVICES (NOV 2021)

E.6 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL PRODUCTS AND COMMERCIAL SERVICES (MAY 2024) (DEVIATION

FEB 2025)

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

1. Contract Administration: All contract administration matters will be handled by the following individuals:

a. CONTRACTOR:

b. GOVERNMENT: Contracting Officer 36C255 Buchanan, Lisa A/lisa.buchanan1@va.gov

Network Contracting Office (NCO) 15 3450 S 4th Street Trafficway Leavenworth KS 66048

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

[X] 52.232-33, Payment by Electronic Funds Transfer—System For Award Management, or

[] 52.232-36, Payment by Third Party

3. INVOICES: Invoices shall be submitted in arrears:

a. Quarterly []

b. Semi-Annually []

c. Other [x] Monthly in arrears

4. GOVERNMENT INVOICE ADDRESS: All Invoices from the contractor shall be submitted electronically in accordance with VAAR Clause 852.232-72 Electronic Submission of Payment Requests.

Department of Veterans Affairs http://www.fsc.va.gov/einvoice.asp

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

AMENDMENT NO DATE

B.2 PERFORMANCE WORK STATEMENT

GENERAL REQUIREMENTS

The Harry S Truman VAMC(HSTVA) has a requirement for a board certified/eligible Diagnostic Medical Physicist to assist the HSTVA Radiation Safety Officer in the management of the VHA x-ray compliance program. A “qualified” Diagnostic Medical Physicist is an individual who is certified by the American Board of Radiology, American Board of Medical Physics, American Board of Health Physics, or the Canadian College of Physicists in Medicine.

The Contractor shall furnish all labor, material, supplies, equipment, and board certified/board eligible board certified/board eligible personnel to provide on-site diagnostic medical physics support or services for the Veterans Health Administration (VHA), under the terms and conditions stated herein and must adhere to VHA Directive 1129, dated Feb 04, 2015, VH1105.04, Fluoroscopy Safety, dated Dec 18, 2024, and VHA 1105.03 Mammography Program Standard, dated May 17, 2024, and unless otherwise agreed upon with the HSTVA Radiation Safety Officer or his designated alternate.

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

The physicist must provide documentation of current board certifications. Board Certifications documents will be reviewed by the HSTVA RSO for appropriateness. The medical physicist is expected to be an integral part of the HSTVA expanding x-ray compliance and imaging QA programs. Reviewing the HSTVA QA programs is expected to be part of the service of the physicist, for example, reviewing the CT protocol optimization notebooks for each CT unit or reviewing the QA data from fluoroscopy machines or Nuclear Medicine machines.

All data gathering will be performed by the medical physicist or by individuals who are working under the direct supervision of the medical physicist on location unless a variation is agreed to by the HSTVA RSO. Direct supervision shall mean that the boarded medical physicist is physically on the primary HSTVA facility property.

A working day shall be considered Monday through Friday, not counting Federal Holidays, unless agreed upon with the RSO. Work may be performed during normal off hours with adequate coordination with the HSTVA RSO. There will be no extra charge for working during normal off hours. For example, performing checks on equipment during early evening hours or a Saturday/Sunday when the patient workload is less, and the equipment is more readily available.

Unless otherwise stated, the costs of performing the functions below are expected to be part of the cost of this contract. This would include reviewing various aspects of the HSTVA QA program. The cost of travel is to be incorporated into the cost of work for the various aspects of this contract.

The actual number and types of imaging units required to be checked may vary. The HSTVA is in the process of acquiring additional and replacement imaging systems.

These additional imaging systems may or may not be located on the main HSTVA campus. New imaging systems that are acquired in the future which are located at offsite locations will be part of this contract. The cost of performing the various types of tasks should be based on a single machine and not on the total number that is anticipated. For example, the cost of performing an annual check for a Fluoroscopy unit regardless of the number of Fluoroscopy units on site, since the number may vary vs a reduced price per unit based upon a higher total of Fluoroscopy units. The price of performing an annual check on a fluoroscopy unit should be the same regardless of whether there is a single unit or whether there are ten units.

Depending on the actual type and age of the unit to be checked, some of the specifications may not be required. The actual number and types of imaging machines can vary as well as the extent of the scope of work that may be required for each machine. For example, not all dose ranges may be required to be checked for any or all of the fluoroscopy machines. Therefore, the cost should be based on the category of machine and the amount of data that will be collected and not solely on the individual machine. For example, a fluoroscopy machine requiring 3 sets of exposure settings verses a machine that is requiring 1 exposure setting.

In addition to the standard checks that are required by the ACR/VHA/JC, the physicist will also check the radiation output of each written fluoroscopy protocol for each specified machine. These fluoroscopy protocols are the written starting set up for the fluoroscopy machine. There may be a single written protocol or multiple protocols that would need to be checked for each fluoroscopy machine. These protocol checks are separate from any necessary protocols that would be required to perform annual machine checks or prior to clinical use checks. These protocols are to be checked prior to first clinical use, after repair of a component that effected radiation output, and during annual reviews.

Review of the technical QA program

The board certified/board eligible board certified/board eligible expert shall 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. The QA program includes CT, Fluoroscopy, Nuclear Medicine, PET/CT, Fluoroscopy, general diagnostic x-ray.

The physicist shall perform all work with his own equipment and phantoms unless agreed to ahead of time. All equipment shall be properly calibrated. The physicist shall produce the calibration certificates upon request to the RSO. The physicist is to provide reports in a format that is in accordance with VHA requirements which are required by the National Health Physics Program (NHPP). The NHPP is the VHA’s radiation regulators.

The medical physicist must be willing and able to provide phone and email consultation on radiation safety and related compliance issues on Nuclear Medicine, X-ray compliance and other modes of imaging to the HSTVA RSO. This shall be at no charge.

It is understood that terms of this contract may need to be altered due to changes of types of imaging equipment and or changes in HSTVA requirements.

The HSTVA is looking for pricing for a five (5) year IDIW with five twelve (12) months ordering periods. The HSTVA has the option of terminating the contract due to lack of performance of the medical physicist in accordance with FAR 52.212-4(m)

Mandatory Services to be Performed

a. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall perform imaging equipment (x-ray equipment, nuclear medicine cameras, PET/CT, cameras, and MRIs) inspections 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 service supervisor or RSO prior to the board certified/board eligible board certified/board eligible diagnostic 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 deficiency results shall be provided to the service supervisor and RSO within 5 working days after discovery. A comprehensive report shall be provided to the RSO within 30 days from the completion of the inspection. All imaging equipment, unless otherwise specified or required, shall be inspected at least annually, not to exceed 14 months.

b. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall perform acceptance testing of all new or relocated imaging equipment prior to first clinical use. The acceptance testing shall comply with the most current ACR or VHA standards, depending upon which one is the most stringent. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the board certified/board eligible board certified/board eligible diagnostic medical physicist leaving the facility. A written report of the deficiencies shall be provided to the service supervisor and RSO within 5 working days after discovery. 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 comprehensive report shall be provided to the RSO within 30 days from the completion of the inspection.

c. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall perform a full inspection of imaging equipment after repairs or modifications that may affect the radiation output or image quality. A lesser board certified/board eligible board certified/board eligible medical physicist can perform the inspection only if the individual is under the Direct Supervision of a boarded physicist. Any deficiencies or non-conformances discovered during the inspection shall be verbally communicated to the service supervisor or RSO prior to the board certified/board eligible board certified/board eligible diagnostic 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 deficiencies shall be provided to the service supervisor and RSO within 5 working days after performing of the inspection. A comprehensive report shall be provided to the RSO within 30 days from the completion of the inspection. Two no charge inspections per machine type shall be provided per ordering period.

d. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall provide consultation for additional services as needed, i.e., safety training or establishing an adequate QA program to meet VHA/HSTVA standards.

e. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall review CT protocol optimization and other HSTVA imaging QA programs at least annually at no additional charge during the annual equipment inspections. This is to be incorporated into the cost of the contract as part of the annual CT, Fluoroscopy, Diagnostic x-ray, and MRI reviews. QA review and training not associated with an annual inspection shall be considered a separate item if the review and training has been requested and arrangements made through the HSTVA RSO or his/her delegate.

f. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall provide shielding design calculations for each new, replaced, or relocated x-ray 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 board certified/board eligible board certified/board eligible 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 within 30 workings days after the shielding survey has been completed. The RSO has the option of performing the calculations and submitting them to the boarded medical physicist for review. This would be a line item as needed cost. Two no charge shielding calculations will be provided to the HSTVA per ordering period.

g. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall 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 board certified/board eligible board certified/board eligible diagnostic medical physicist shall review at least annually the QA program. A written report of the results shall be provided to the service supervisor or RSO within 30 working days after performing of the inspection. A QA program is expected on all x-ray and Nuclear Medicine systems.

h. The board certified/board eligible board certified/board eligible diagnostic medical physicist shall perform a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found. Depending on the circumstances, this could be done directly by the medical physicist or in cooperation with the RSO and/or his designate.

i. The physicist will work with the facility’s RSO or his designee in the establishing and maintenance of a comprehensive x-ray compliance safety program. This program will adhere to the requirements and expectations of the Joint Commission, the VHA’s National Health Physics Program (NHPP), and the internal requirements of the HSTVA.

j. The medical physicist shall perform an annual survey (not more than 14 months) of all diagnostic imaging equipment in accordance with the Joint Commission, and the NHPP VHA Directives particular to machine produced Ionizing radiation program, etc.

k. The medical physicist will be available for consultation by phone and email for issues such as patient and staff radiation exposures, radiation safety issues, machine QA etc. at no additional charge.

l. The medical physicist will assist in the review of CT protocols for optimization on at least a calendar year basis. This will include the PET/CT and SPECT/CT units if the units can perform diagnostic CT studies.

m. The medical physicist will be able to perform shielding calculations based upon NCRP 147. Shielding calculations shall be submitted to the RSO.

n. The medical physicist will be able to perform radiation surveys for shielding analysis if requested by RSO based upon NCRP 147. Survey reports shall be submitted to the RSO. The survey report will be submitted to the RSO within 14 calendar days of the survey being performed.

Equipment Inspections

The medical physicist shall conduct equipment inspections or quality control surveys of the imaging equipment listed below. The Medical Physicist shall ensure the imaging equipment’s compliance with applicable Federal regulations and ACR recommendations, and shall include, but not be limited to, monitoring the following basic performance characteristics. Criteria of inspections may change due to modifications from VHA/JC or HSTVA requirements. Two no charge inspections per machine type shall be provided per ordering period.

A. Radiographic and Fluoroscopic Equipment

Physics inspections 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 at least annually.

This evaluation should include, but not be limited to, 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 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. Maximum output for all clinically used settings. (These will be the established written fluoroscopy protocols that is associated with each individual machine which are signed by the appropriate Service Chief or his designate.)

(14) Image receptor entrance exposure.

(15) Equipment radiation safety functions.

(16) Patient dose monitoring system calibration.

(17) Video and digital monitor performance.

(18) Digital image receptor performance.

(19) Grids used with portable x-ray units shall be imaged for uniformity.

B. Computed Radiography (CR) and Digital Radiography (DR)

Physics inspections of CR and DR equipment shall comply with the American Association of Physicist in Medicine (AAPM) Report Number 93, Acceptance Testing and Quality Control of Photostimulable Storage Phosphor Imaging Systems or most current AAPM report. The performance of CR and DR must be evaluated at least annually. This evaluation should include, but not be limited to, 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

The physics inspection shall conform to the current edition of the ACR Computed Tomography Quality Control Manual or the most current edition. The performance of each CT scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, 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.

D. Dental

The physics inspection shall conform to the Conference of Radiation Control Program Directors (CRCPD), Quality Control Recommendations for Diagnostic Radiography Volume 1 Dental Facilities July 2001 or most current edition. The performance of dental x-ray inspections shall be annually. This evaluation should include, but not be limited to, 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 CBCT unit

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

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

(3) Measure additional steps within the pattern to establish a response curve.

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

E. Mammography

The board certified/board eligible board certified/board eligible diagnostic medical physicist inspecting mammography equipment must meet the qualifications outlined in the MQSA and shall provide the facility with up-to-date documentation demonstrating the board certified/board eligible board certified/board eligible diagnostic medical physicist is MQSA qualified.

Inspections of mammography equipment must comply with the latest requirements posted on the ACR Web site for the manufacturer of the digital mammography unit being inspected and to the VA’s Mammography Directive and associated SOP’s. One no charge evalation per machine per ordering period.

(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.

F. MRI

The physics inspection shall conform to the most current edition of the ACR Magnetic Resonance Imaging Quality Control Manual. The performance of each MRI scanner shall be evaluated at least annually. This evaluation should include, but not be limited to, 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. PET

The physics inspection shall conform to the ACR PET Phantom Instructions for Evaluation of PET Image, ACR Nuclear Medicine Accreditation Program PET Module. For PET/CT units the CT must be inspected at least annually per Item C above. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Uniformity.

(2) Spatial resolution.

(3) SUV analysis.

For systems in which the CT portion of the PET/CT unit is capable of operating as a diagnostic CT unit, the CT portion is to conform to the standards of a standalone CT unit as required in section C.

H. Nuclear Medicine

The physics inspection shall conform to the ACR annual performance tests for nuclear medicine cameras. The performance of each nuclear medicine scanner shall be at least annually. This evaluation should include, but not be limited to, the following tests (as applicable).

(1) Intrinsic Uniformity: fail criteria: > 5.0%

(2) System Uniformity: fail criteria: > 5.0%

(3) Intrinsic or System Spatial Resolution: fail criteria: > 3.5 mm bars

(4) Relative Sensitivity: fail criteria: COV > 2.5%

(5) Energy Resolution: fail criteria: > 12%

(6) Count Rate Parameters: fail criteria

(7) Formatter/Video Display

(8) Overall System Performance for SPECT

(9) System Interlocks

J. Display Monitors

The physics inspection shall conform to the AAPM On-line Report No. 03, Assessment of Display Perform for Medical Imaging Systems. QA program for image display monitors, including DICOM GSDF calibration of monitors used for interpretation. The performance of each display monitor shall be evaluated initially, acceptance testing, and at least annually thereafter. This evaluation should include, but not be limited to, the following tests (as applicable).

Acceptance testing (Table 7 from AAPM On-line Report No. 03)

(a) Geometric distortions

(b) Reflection

(c) Luminance response

(d) Luminance dependencies

(e) Resolution

(f) Noise

(g) Veiling glare

(h) Chromaticity

Annual testing (Table 8c from AAPM On-line Report No. 03)

(a) Geometric distortions

(b) Reflection

(c) Luminance response

(d) Luminance dependencies

(e) Resolution

(f) Noise

(g) Veiling glare

(h) Chromaticity

Other duties:

The Diagnostic Medical Physicist oversees the HSTVA x-ray/imaging safety program in association with the HSTVA Radiation Safety Officer. The Medical Physicist will provide recommendations of how the HSTVA QA program should be set up with the appropriate record keeping. The Medical Physicist or his associate will provide periodic training and record review to help ensure that the HSTVA is in compliance with VHA and Joint Commission requirements for imaging.

The current categories of imaging equipment are listed below. The statement of work will be amended as necessary to reflect new or modified equipment or changes in regulatory requirements and expectations. The number of fluoroscopy protocols is approximate and still in development. The actual number could be significantly lower or higher.

C-ARM Guerbet Hydra Vision DR CI121H695

C-ARM OEC Elite FAXXTE00937

C-ARM OEC Elite FAXXTE00938

C-ARM OEC Elite FBXXTE02497

C-ARM OEC Elite FBXXTE02498

C-Arm OEC 9900 Elite FBXXTE01609

C-Arm Phillips Azurion 470

CBCT Carestream CS 9600 NTPV7210146

CT Siemens Somatom Force (Sn Option) 76274

CT Siemens Somatom Edge 122244

CT Bi-Plane Phillips Phillips Xper FD10 (AP Tube) 722027178

CT Bi-Plane Phillips Phillips Xper FD10 (LAT Tube) 722027178

CT Bi-Plane Phillips Allura Xper FD20 (AP tube) (21)120

CT Bi-Plane Phillips Allura Xper FD20 (LAT tube) (21)120

CT Single-Plane Phillips Phillips Allura FD 20 722028914

DEXA Hologic QDR

Intra Oral Carestream CS 2200

Intra Oral Carestream CS 2200

Intra Oral Carestream CS 2200

Intra Oral Carestream CS 2200

Intra Oral Carestream CS 2200 HDXT045

Intra Oral Carestream CS 2200 HDXT055

Intra Oral Carestream CS 2200 HDXT046

Intra Oral Carestream CS 2200 HDXT041

Intra Oral Carestream CS 2200 HDXT043

Intra Oral Carestream CS 2200 HDXT042

Intra Oral Carestream CS 2200 HDXT044

Mammography Hologic Dimensions 3DM160101999

Mammography Mammography Secure View DX Monitors 2590313878

MRI Phillips Ingenia Ambition 1.5T 103820394

Panoramic Carestream Panoramic EAB9003

PET/CT GE Discovery PET

PET/CT GE Discovery CT GE ID: 573814PET

Portable GE Optima XR 220 DF2402100372WK

Portable GE Optima XR 220 DF2402100374WK

Portable GE Optima XR240AMX 1031816WK0

Portable GE Optima XR 220 DF2402000623WK

Portable GE Optima XR 220 DF2402000627WK

R/F GE Discovery 656 5397035

R/F - GE Discovery 656 573814R2

R/F - Fluoro Siemens Luminos Agile Max 63282

R/F - Radiographic Siemens Luminos Agile Max 449521956

SPECT/CT GE Optima 640 -SPECT 640W25379

SPECT/CT GE Optima 640 -SPECT 640Y25551

Federal Holidays observed by Harry S Truman Columbia VA are:

New Year’s Day Labor Day Martin Luther King Day Columbus Day

President’s Day Veterans’ Day Memorial Day Thanksgiving Day

Juneteenth Christmas Day Independence Day

Harry S Truman Columbia VA Health Care System Locations

Harry S Truman Columbia VAMC

800 Hospital Drive Columbia, MO 65201

Rolla CBOC

13063 Old Wire Road Rolla, MO 65401

B.3 PRICE/COST SCHEDULE

Note: The Government shall order the below specified minimum contract value of services and may order up to and including the below specified maximum contract value of services through task orders under this basic IDIQ contract for all ordering periods. The maximum amount under this contract is not guaranteed.

IDIQ contract Minimum TBD

IDIQ contract Maximum TBD

Only warranted Contracting Officers from the Department of Veterans Affairs Health Care System, Network Contracting Office 15 may place task orders against the IDIQ contract.

Period of Performance: ORDERING PERIOD ONE: 09/23/2025 - 09/22/2026

CLIN

NO. SUBCLINS Description Number of

Units Frequency EST

QTY

Proposed Unit Price

Estimated Total Annual Price

0001 None

Perform annual inspections as required on associated equipment.

Varied Varied EA

0002 None Annual review of protocols and QA program N/A 1 EA

0003 None Inspection services for acceptance testing for new units or relocation or major repair.

N/A 2 EA

0004 None Limited inspection following repair of unit NM camera, CT, MRI, PET/CT

N/A 2 EA

0005 None

Limited inspection following repair of , dental units, Radiographic units, DR or CT image receptors, Display Monitors for each inspection

N/A 2 EA

0006 None

Shielding design calculations for new, replaced or relocated X-ray imaging equipment per room

N/A 2 EA

0007 None MAMMOGRAPHY: As needed annual Tomographic, Upright Biopsy, DX Monitors

N/A 1 EA

008 None

Emergent on-site evaluation of mammography equipment following repair or upgrade

ORDERING PERIOD ONE TOTAL

Period of Performance: ORDERING PERIOD TWO: 09/23/2026 - 09/22/2027

CLIN

NO. SUBCLINS Description Number of

Units Frequency EST

QTY

Proposed Unit Price

Estimated Total Annual Price

1001 None

Perform annual inspections as required on associated equipment.

Varied Varied EA

1002 None Annual review of protocols and QA program N/A Annually EA

1003 None Inspection services for acceptance testing for new units or relocation or major repair.

N/A 2 EA

1004 None Limited inspection following repair of unit NM camera, CT, MRI, PET/CT

N/A 2 EA

1005 None

Limited inspection following repair of dental units, Radiographic units, DR or CT image receptors, Display Monitors for each inspection

N/A 2 EA

1006 None

Shielding design calculations for new, replaced or relocated X-ray imaging equipment per room

N/A 2 EA

1007 None MAMMOGRAPHY: As needed annual Tomographic, Upright

1008 None

Emergent on-site evaluation of mammography equipment following repair or upgrade

ORDERING PERIOD TWO TOTAL

Period of Performance: ORDERING PERIOD THREE: 09/23/2027 - 09/22/2028

NO. SUBCLINS Description Number of

Units Frequency EST

QTY

Proposed Unit Price

Estimated Total Annual Price

2001 None

Perform annual inspections as required on associated equipment.

Varied Varied EA

2002 None Annual review of protocols and QA program N/A Annually EA

2003 None Inspection services for acceptance testing for new units or relocation or major repair.

N/A 2 EA

2004 None Limited inspection following repair of unit NM camera, CT, MRI, PET/CT

N/A 2 EA

2005 None

Limited inspection following repair of dental units, Radiographic units, DR or CT image receptors, Display Monitors for each inspection

N/A 2 EA

2006 None

Shielding design calculations for new, replaced or relocated X-ray imaging equipment per room

N/A 2 EA

2007 None MAMMOGRAPHY: As needed annual Tomographic, Upright

2008 None

Emergent on-site evaluation of mammography equipment following repair or upgrade

ORDERING PERIOD THREE TOTAL

Period of Performance: ORDERING PERIOD FOUR: 09/23/2028 - 09/22/2029

NO. SUBCLINS Description Number of

Units Frequency EST

QTY

Proposed Unit Price

Estimated Total Annual Price

3001 None

Perform annual inspections as required on associated equipment.

Varied Varied EA

3002 None Annual review of protocols and QA program N/A Annually EA

3003 None Inspection services for acceptance testing for new units or relocation or major repair.

N/A 2 EA

3004 None Limited inspection following repair of unit NM camera, CT, MRI, PET/CT

N/A 2 EA

3005 None

Limited inspection following repair of dental units, Radiographic units, DR or CT image receptors, Display Monitors for each inspection

N/A 2 EA

3006 None

Shielding design calculations for new, replaced or relocated X-ray imaging equipment per room

N/A 2 EA

3007 None MAMMOGRAPHY: As needed annual Tomographic, Upright

3008 None

Emergent on-site evaluation of mammography equipment following repair or upgrade

ORDERING PERIOD FOUR TOTAL

Period of Performance: ORDERING PERIOD FIVE: 09/23/2029 - 09/22/2030

NO. SUBCLINS Description Number of

Units Frequency EST

QTY

Proposed Unit Price

Estimated Total Annual Price

4001 None

Perform annual inspections as required on associated equipment.

Varied Varied EA

4002 None Annual review of protocols and QA program N/A Annually EA

4003 None Inspection services for acceptance testing for new units or relocation or major repair.

N/A 2 EA

4004 None Limited inspection following repair of unit NM camera, CT, MRI, PET/CT

N/A 2 EA

4005 None

Limited inspection following repair of dental units, Radiographic units, DR or CT image receptors, Display Monitors for each inspection

N/A 2 EA

4006 None

Shielding design calculations for new, replaced or relocated X-ray imaging equipment per room

N/A 2 EA

4007 None MAMMOGRAPHY: As needed annual Tomographic, Upright

4008 None

Emergent on-site evaluation of mammography equipment following repair or upgrade

ORDERING PERIOD FIVE TOTAL

B.4 DELIVERY SCHEDULE

ITEM

NUMBER SHIPPING INFORMATION QUANTITY

DELIVERY

DATE

All line items

Harry S Truman Columbia VAMC

800 Hospital Drive

Columbia, MO 65201

Super CBOC Rolla MO

Varied As requested

SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL

PRODUCTS AND COMMERCIAL SERVICES (NOV 2023)

(a) Inspection/Acceptance. The Contractor shall only tender for acceptance those items that conform to the requirements of this contract. The Government reserves the right to inspect or test any supplies or services that have been tendered for acceptance. The Government may require repair or replacement of nonconforming supplies or reperformance of nonconforming services at no increase in contract price. If repair/replacement or reperformance will not correct the defects or is not possible, the Government may seek an equitable price reduction or adequate consideration for acceptance of nonconforming supplies or services. The Government must exercise its post-acceptance rights—

(1) Within a reasonable time after the defect was discovered or should have been discovered;

and

(2) Before any substantial change occurs in the condition of the item, unless the change is due to the defect in the item.

(b) Assignment. The Contractor or its assignee may assign its rights to receive payment due as a result of performance of this contract to a bank, trust company, or other financing institution, including any Federal lending agency in accordance with the Assignment of Claims Act (31 U.S.C. 3727). However, when a third party makes payment (e.g., use of the Governmentwide commercial purchase card), the Contractor may not assign its rights to receive payment under this contract.

(c) Changes. Changes in the terms and conditions of this contract may be made only by written agreement of the parties.

(d) Disputes. This contract is subject to 41 U.S.C. chapter 71, Contract Disputes. Failure of the parties to this contract to reach agreement on any request for equitable adjustment, claim, appeal or action arising under or relating to this contract shall be a dispute to be resolved in accordance with the clause at Federal Acquisition Regulation (FAR) 52.233-1, Disputes, which is incorporated herein by reference. The Contractor shall proceed diligently with performance of this contract, pending final resolution of any dispute arising under the contract.

(e) Definitions. The clause at FAR 52.202-1, Definitions, is incorporated herein by reference.

(f) Excusable delays. The Contractor shall be liable for default unless nonperformance is caused by an occurrence beyond the reasonable control of the Contractor and without its fault or negligence such as, acts of God or the public enemy, acts of the Government in either its sovereign or contractual capacity, fires, floods, epidemics, quarantine restrictions, strikes, unusually severe weather, and delays of common carriers. The Contractor shall notify the Contracting Officer in writing as soon as it is reasonably possible after the commencement of any excusable delay, setting forth the full particulars in connection therewith, shall remedy such occurrence with all reasonable dispatch, and shall promptly give written notice to the Contracting Officer of the cessation of such occurrence.

(g) Invoice.

(1) The Contractor shall submit an original invoice and three copies (or electronic invoice, if authorized) to the address designated in the contract to receive invoices. An invoice must include—

(i) Name and address of the Contractor;

(ii) Invoice date and number;

(iii) Contract number, line item number and, if applicable, the order number;

(iv) Description, quantity, unit of measure, unit price and extended price of the items delivered;

(v) Shipping number and date of shipment, including the bill of lading number and weight of shipment if shipped on Government bill of lading;

(vi) Terms of any discount for prompt payment offered;

(vii) Name and address of official to whom payment is to be sent;

(viii) Name, title, and phone number of person to notify in event of defective invoice; and

(ix) Taxpayer Identification Number (TIN). The Contractor shall include its TIN on the invoice only if required elsewhere in this contract.

(x) Electronic funds transfer (EFT) banking information.

(A) The Contractor shall include EFT banking information on the invoice only if required elsewhere in this contract.

(B) If EFT banking information is not required to be on the invoice, in order for the invoice to be a proper invoice, the Contractor shall have submitted correct EFT banking information in accordance with the applicable solicitation provision, contract clause (e.g., 52.232-33, Payment by Electronic Funds Transfer—System for Award Management, or 52.232-34, Payment by Electronic Funds Transfer—Other Than System for Award Management), or applicable agency procedures.

(C) EFT banking information is not required if the Government waived the requirement to pay by EFT.

(2) Invoices will be handled in accordance with the Prompt Payment Act (31 U.S.C. 3903) and Office of Management and Budget (OMB) prompt payment regulations at 5 CFR part 1315.

(h) Patent indemnity. The Contractor shall indemnify the Government and its officers, employees and agents against liability, including costs, for actual or alleged direct or contributory infringement of, or inducement to infringe, any United States or foreign patent, trademark or copyright, arising out of the performance of this contract, provided the Contractor is reasonably notified of such claims and proceedings.

(i) Payment.—

(1) Items accepted. Payment shall be made for items accepted by the Government that have been delivered to the delivery destinations set forth in this contract.

(2) Prompt payment. The Government will make payment in accordance with the Prompt Payment Act (31 U.S.C. 3903) and prompt payment regulations at 5 CFR part 1315.

(3) Electronic Funds Transfer (EFT). If the Government makes payment by EFT, see 52.212- 5(b) for the appropriate EFT clause.

(4) Discount. In connection with any discount offered for early payment, time shall be computed from the date of the invoice. For the purpose of computing the discount earned, payment shall be considered to have been made on the date which appears on the payment check or the specified payment date if an electronic funds transfer payment is made.

(5) Overpayments. If the Contractor becomes aware of a duplicate contract financing or invoice payment or that the Government has otherwise overpaid on a contract financing or invoice payment, the Contractor shall—

(i) Remit the overpayment amount to the payment office cited in the contract along with a description of the overpayment including the—

(A) Circumstances of the overpayment (e.g., duplicate payment, erroneous payment, liquidation errors, date(s) of overpayment);

(B) Affected contract number and delivery order number, if applicable;

(C) Affected line item or subline item, if applicable; and

(D) Contractor point of contact.

(ii) Provide a copy of the remittance and supporting documentation to the Contracting Officer.

(6) Interest.

(i) All amounts that become payable by the Contractor to the Government under this contract shall bear simple interest from the date due until paid unless paid within 30 days of becoming due. The interest rate shall be the interest rate established by the Secretary of the Treasury as provided in 41 U.S.C. 7109, which is applicable to the period in which the amount becomes due, as provided in (i)(6)(v) of this clause, and then at the rate applicable for each six-month period as fixed by the Secretary until the amount is paid.

(ii) The Government may issue a demand for payment to the Contractor upon finding a debt is due under the contract.

(iii) Final decisions. The Contracting Officer will issue a final decision as required by 33.211 if—

(A) The Contracting Officer and the Contractor are unable to reach agreement on the existence or amount of a debt within 30 days;

(B) The Contractor fails to liquidate a debt previously demanded by the Contracting Officer within the timeline specified in the demand for payment unless the amounts were not repaid because the Contractor has requested an installment payment agreement; or

(C) The Contractor requests a deferment of collection on a debt previously demanded by the Contracting Officer (see 32.607-2).

(iv) If a demand for payment was previously issued for the debt, the demand for payment included in the final decision shall identify the same due date as the original demand for payment.

(v) Amounts shall be due at the earliest of the following dates:

(A) The date fixed under this contract.

(B) The date of the first written demand for payment, including any demand for payment resulting from a default termination.

(vi) The interest charge shall be computed for the actual number of calendar days involved beginning on the due date and ending on—

(A) The date on which the designated office receives payment from the Contractor;

(B) The date of issuance of a Government check to the Contractor from which an amount otherwise payable has been withheld as a credit against the contract debt; or

(C) The date on which an amount withheld and applied to the contract debt would otherwise have become payable to the Contractor.

(vii) The interest charge made under this clause may be reduced under the procedures prescribed in FAR 32.608-2 in effect on the date of this contract.

(j) Risk of loss. Unless the contract specifically provides otherwise, risk of loss or damage to the supplies provided under this contract shall remain with the Contractor until, and shall pass to the Government upon:

(1) Delivery of the supplies to a carrier, if transportation is f.o.b. origin; or

(2) Delivery of the supplies to the Government at the destination specified in the contract, if transportation is f.o.b. destination.

(k) Taxes. The contract price includes all applicable Federal, State, and local taxes and duties.

(l) Termination for the Government's convenience. The Government reserves the right to terminate this contract, or any part hereof, for its sole convenience. In the event of such termination, the Contractor shall immediately stop all work hereunder and shall immediately cause any and all of its suppliers and subcontractors to cease work. Subject to the terms of this contract, the Contractor shall be paid a percentage of the contract price reflecting the percentage of the work performed prior to the notice of termination, plus reasonable charges the Contractor can demonstrate to the satisfaction of the Government using its standard record keeping system, have resulted from the termination. The Contractor shall not be required to comply with the cost accounting standards or contract cost principles for this purpose. This paragraph does not give the Government any right to audit the Contractor's records. The Contractor shall not be paid for any work performed or costs incurred which reasonably could have been avoided.

(m) Termination for cause. The Government may terminate this contract, or any part hereof, for cause in the event of any default by the Contractor, or if the Contractor fails to comply with any contract terms and conditions, or fails to provide the Government, upon request, with adequate assurances of future performance.