RFQ_-_36C25719Q0110.docx

36C25719Q0110

PAGE 1 OF

1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

6. SOLICITATION ISSUE DATE

a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

CODE

10. THIS ACQUISITION IS

UNRESTRICTED OR

SET ASIDE:

% FOR:

SMALL BUSINESS

HUBZONE SMALL

BUSINESS

SERVICE-DISABLED

VETERAN-OWNED

SMALL BUSINESS

WOMEN-OWNED SMALL BUSINESS

(WOSB) ELIGIBLE UNDER THE WOMEN-OWNED

SMALL BUSINESS PROGRAM

EDWOSB

8(A)

NAICS:

SIZE STANDARD:

11. DELIVERY FOR FOB DESTINA-

TION UNLESS BLOCK IS

MARKED

SEE SCHEDULE

12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

15. DELIVER TO

CODE

16. ADMINISTERED BY

CODE

17a. CONTRACTOR/OFFEROR

CODE

FACILITY CODE

18a. PAYMENT WILL BE MADE BY

CODE

TELEPHONE NO.

DUNS:

DUNS+4:

PHONE:

FAX:

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

SEE ADDENDUM

19.

20.

21.

22.

23.

24.

ITEM NO.

SCHEDULE OF SUPPLIES/SERVICES

QUANTITY

UNIT

UNIT PRICE

AMOUNT

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

25. ACCOUNTING AND APPROPRIATION DATA

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

ARE

ARE NOT ATTACHED.

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

ARE

ARE NOT ATTACHED

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

29. AWARD OF CONTRACT: REF. ___________________________________ OFFER

COPIES TO ISSUING OFFICE. CONTRACTOR AGREES TO FURNISH AND

DATED ________________________________. YOUR OFFER ON SOLICITATION

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

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

ADDITIONAL SHEETS SUBJECT TO THE TERMS AND CONDITIONS SPECIFIED

SET FORTH HEREIN IS ACCEPTED AS TO ITEMS:

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

AUTHORIZED FOR LOCAL REPRODUCTION

(REV. 2/2012)

PREVIOUS EDITION IS NOT USABLE

Prescribed by GSA - FAR (48 CFR) 53.212

7. FOR SOLICITATION

INFORMATION CALL:

STANDARD FORM 1449

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

SOLICITATION/CONTRACT/ORDER FOR COMMERCIAL ITEMS

671-19-1-086-0001 740-19-1-2044-0001

12-20-2018 Joseph A. Leyte 210-694-6315 01-02-2019

8:00 A.M. CST

36C257

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229

X

621512 $15 Million

X

N/A

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C)

San Antonio TX 78229-4401 36C257

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229

This is accomplished through the Tungsten Network located at:

http://www.fsc.va.gov/einvoice.asp This is mandatory and the sole method for submitting invoices.

(877) 353-9791

(512) 460-5540

See CONTINUATION Page See attached Statements of Work and Price/Cost Schedule.

Important Dates:

*RFQ Issued - 12/20/2018 *Questions Due - 12/27/2018 at 12:00 P.M. CST *Responses Due - 01/02/2019 at 8:00 A.M. CST *Anticipate Award - 01/7/2019

See CONTINUATION Page

Table of Contents

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 36C257 Juan R. Martinez

Department of Veterans Affairs VISN17 Network Contracting Activity 7400 Merton Minter Blvd. (10N17/90C) San Antonio TX 78229

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

3. INVOICES: Invoices shall be submitted 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.

This is accomplished through the Tungsten Network located at: http://www.fsc.va.gov/einvoice.asp. This is mandatory and the sole method for submitting invoices.

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

B.2 PRICE/COST SCHEDULE

ITEM INFORMATION

BASE YEAR

STX - Adverse Exposure Evaluation/Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Shielding Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Shielding Calculations performed.

STX - Quality Control for CT -DAP - Kerma Skin Exposure, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Participation in quarterly on-site review (4 meetings per year) of the technical Radimetrics QA program for all modalities.

Quantity is estimated. Reimbursement will be made on actual number of on-site reviews performed.

STX - Training provided by a Licensed Qualified Diagnostic Medical Physicist. Provide one-hour training as-needed on medical radiation producing equipment training to STVHCS medical staff.

Quantity is estimated. Reimbursement will be made on actual number of training sessions performed.

STX - Semi-Annual Medical Physics Evaluation/Certification for Phantom evaluation for PET Camera and Nuclear Medicine Cameras six (6) total, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of evaluations/Calculations performed.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Audie Murphy VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA San Antonio Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Frank Tejeda Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Randolph Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA North Central Federal Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Kerrville VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Harlingen VA Outpatient Clinic (HOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA Health Care Center at Harlingen (HCC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the McAllen Outpatient Clinic (MOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Laredo VA Outpatient clinic (LOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Outpatient Clinic (CCOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Specialty Clinic (CCSC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

BASE YEAR (NTE) TOTAL:

OPTION YEAR 1

STX - Adverse Exposure Evaluation/Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Shielding Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Shielding Calculations performed.

STX - Quality Control for CT -DAP - Kerma Skin Exposure, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Participation in quarterly on-site review (4 meetings per year) of the technical Radimetrics QA program for all modalities.

STX - Training provided by a Licensed Qualified Diagnostic Medical Physicist. Provide one-hour training as-needed on medical radiation producing equipment training to STVHCS medical staff.

STX - Semi-Annual Medical Physics Evaluation/Certification for Phantom evaluation for PET Camera and Nuclear Medicine Cameras six (6) total, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of evaluations/Calculations performed.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Audie Murphy VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA San Antonio Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Frank Tejeda Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Randolph Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA North Central Federal Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Kerrville VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Harlingen VA Outpatient Clinic (HOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA Health Care Center at Harlingen (HCC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the McAllen Outpatient Clinic (MOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Laredo VA Outpatient clinic (LOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Outpatient Clinic (CCOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Specialty Clinic (CCSC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

OPTION YEAR 1 (NTE) TOTAL:

OPTION YEAR 2

STX - Adverse Exposure Evaluation/Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Shielding Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Shielding Calculations performed.

STX - Quality Control for CT -DAP - Kerma Skin Exposure, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Participation in quarterly on-site review (4 meetings per year) of the technical Radimetrics QA program for all modalities.

STX - Training provided by a Licensed Qualified Diagnostic Medical Physicist. Provide one-hour training as-needed on medical radiation producing equipment training to STVHCS medical staff.

STX - Semi-Annual Medical Physics Evaluation/Certification for Phantom evaluation for PET Camera and Nuclear Medicine Cameras six (6) total, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of evaluations/Calculations performed.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Audie Murphy VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA San Antonio Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Frank Tejeda Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Randolph Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA North Central Federal Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Kerrville VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Harlingen VA Outpatient Clinic (HOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA Health Care Center at Harlingen (HCC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the McAllen Outpatient Clinic (MOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Laredo VA Outpatient clinic (LOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Outpatient Clinic (CCOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Specialty Clinic (CCSC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

OPTION YEAR 2 (NTE) TOTAL:

OPTION YEAR 3

STX - Adverse Exposure Evaluation/Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Shielding Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Shielding Calculations performed.

STX - Quality Control for CT -DAP - Kerma Skin Exposure, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Participation in quarterly on-site review (4 meetings per year) of the technical Radimetrics QA program for all modalities.

STX - Training provided by a Licensed Qualified Diagnostic Medical Physicist. Provide one-hour training as-needed on medical radiation producing equipment training to STVHCS medical staff.

STX - Semi-Annual Medical Physics Evaluation/Certification for Phantom evaluation for PET Camera and Nuclear Medicine Cameras six (6) total, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of evaluations/Calculations performed.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Audie Murphy VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA San Antonio Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Frank Tejeda Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Randolph Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA North Central Federal Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Kerrville VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Harlingen VA Outpatient Clinic (HOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA Health Care Center at Harlingen (HCC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the McAllen Outpatient Clinic (MOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Laredo VA Outpatient clinic (LOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Outpatient Clinic (CCOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Specialty Clinic (CCSC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

OPTION YEAR 3 (NTE) TOTAL:

OPTION YEAR 4

STX - Adverse Exposure Evaluation/Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Shielding Calculations in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Shielding Calculations performed.

STX - Quality Control for CT -DAP - Kerma Skin Exposure, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of Adverse Exposure Evaluation/Calculations performed.

STX - Participation in quarterly on-site review (4 meetings per year) of the technical Radimetrics QA program for all modalities.

STX - Training provided by a Licensed Qualified Diagnostic Medical Physicist. Provide one-hour training as-needed on medical radiation producing equipment training to STVHCS medical staff.

STX - Semi-Annual Medical Physics Evaluation/Certification for Phantom evaluation for PET Camera and Nuclear Medicine Cameras six (6) total, in accordance with the Statement of Work.

Quantity is estimated. Reimbursement will be made on actual number of evaluations/Calculations performed.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Audie Murphy VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA San Antonio Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Frank Tejeda Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Randolph Dental Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA North Central Federal Clinic.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

STX - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Kerrville VA Medical Center.

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Harlingen VA Outpatient Clinic (HOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the VA Health Care Center at Harlingen (HCC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the McAllen Outpatient Clinic (MOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Laredo VA Outpatient clinic (LOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Outpatient Clinic (CCOPC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

VCB - Annual Diagnostic Medical Physics Services, in accordance with the Statement of Work, for equipment located at the Corpus Christi Specialty Clinic (CCSC).

The equipment list is subject to change throughout the life of the contract. Reimbursement is based on actual certifications and re-certifications performed. See attached itemized price sheet.

OPTION YEAR 4 (NTE) TOTAL:

TOTAL CONTRACT VALUE (NTE):

Page 1 of Page 1 of

SECTION C - CONTRACT CLAUSES

C.1 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (OCT 2018)

(a) The Contractor shall comply with the following Federal Acquisition Regulation (FAR) clauses, which are incorporated in this contract by reference, to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

(1) 52.203-19, Prohibition on Requiring Certain Internal Confidentiality Agreements or Statements (JAN 2017) (section 743 of Division E, Title VII, of the Consolidated and Further Continuing Appropriations Act, 2015 (Pub. L. 113-235) and its successor provisions in subsequent appropriations acts (and as extended in continuing resolutions)).

(2) 52.204–23, Prohibition on Contracting for Hardware, Software, and Services Developed or Provided by Kaspersky Lab and Other Covered Entities (Jul 2018) (Section 1634 of Pub. L. 115–91).

(3) 52.209-10, Prohibition on Contracting with Inverted Domestic Corporations (NOV 2015).

(4) 52.233-3, Protest After Award (Aug 1996) (31 U.S.C. 3553).

(5) 52.233-4, Applicable Law for Breach of Contract Claim (Oct 2004) (Public Laws 108-77 and 108-78 (19 U.S.C. 3805 note)).

(b) The Contractor shall comply with the FAR clauses in this paragraph (b) that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[X] (1) 52.203-6, Restrictions on Subcontractor Sales to the Government (Sept 2006), with Alternate I (Oct 1995) (41 U.S.C. 4704 and 10 U.S.C. 2402).

[] (2) 52.203-13, Contractor Code of Business Ethics and Conduct (OCT 2015) (41 U.S.C. 3509).

[] (3) 52.203-15, Whistleblower Protections under the American Recovery and Reinvestment Act of 2009 (JUN 2010) (Section 1553 of Pub. L. 111-5). (Applies to contracts funded by the American Recovery and Reinvestment Act of 2009.)

[X] (4) 52.204–10, Reporting Executive Compensation and First-Tier Subcontract Awards (Oct 2018) (Pub. L. 109–282) (31 U.S.C. 6101 note).

[] (5) [Reserved] [X] (6) 52.204–14, Service Contract Reporting Requirements (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[] (7) 52.204–15, Service Contract Reporting Requirements for Indefinite-Delivery Contracts (OCT 2016) (Pub. L. 111–117, section 743 of Div. C).

[X] (8) 52.209-6, Protecting the Government's Interest When Subcontracting with Contractors Debarred, Suspended, or Proposed for Debarment. (OCT 2015) (31 U.S.C. 6101 note).

[X] (9) 52.209-9, Updates of Publicly Available Information Regarding Responsibility Matters (Oct 2018) (41 U.S.C. 2313).

[] (10) [Reserved] [] (11)(i) 52.219-3, Notice of HUBZone Set-Aside or Sole-Source Award (NOV 2011) (15 U.S.C. 657a).

[] (ii) Alternate I (NOV 2011) of 52.219-3.

[] (12)(i) 52.219-4, Notice of Price Evaluation Preference for HUBZone Small Business Concerns (OCT 2014) (if the offeror elects to waive the preference, it shall so indicate in its offer) (15 U.S.C. 657a).

[] (ii) Alternate I (JAN 2011) of 52.219-4.

[] (13) [Reserved] [X] (14)(i) 52.219-6, Notice of Total Small Business Set-Aside (NOV 2011) (15 U.S.C. 644).

[] (ii) Alternate I (NOV 2011).

[] (iii) Alternate II (NOV 2011).

[] (15)(i) 52.219-7, Notice of Partial Small Business Set-Aside (June 2003) (15 U.S.C. 644).

[] (ii) Alternate I (Oct 1995) of 52.219-7.

[] (iii) Alternate II (Mar 2004) of 52.219-7.

[X] (16) 52.219-8, Utilization of Small Business Concerns (Oct 2018) (15 U.S.C. 637(d)(2) and (3)).

[] (17)(i) 52.219-9, Small Business Subcontracting Plan (AUG 2018) (15 U.S.C. 637(d)(4)).

[] (ii) Alternate I (NOV 2016) of 52.219-9.

[] (iii) Alternate II (NOV 2016) of 52.219-9.

[] (iv) Alternate III (JAN 2017) of 52.219-9.

[] (v) Alternate IV (AUG 2018) of 52.219-9.

[] (18) 52.219-13, Notice of Set-Aside of Orders (NOV 2011) (15 U.S.C. 644(r)).

[X] (19) 52.219-14, Limitations on Subcontracting (JAN 2017) (15 U.S.C. 637(a)(14)).

[] (20) 52.219-16, Liquidated Damages—Subcontracting Plan (Jan 1999) (15 U.S.C. 637(d)(4)(F)(i)).

[] (21) 52.219-27, Notice of Service-Disabled Veteran-Owned Small Business Set-Aside (NOV 2011) (15 U.S.C. 657f).

[X] (22) 52.219-28, Post Award Small Business Program Rerepresentation (Jul 2013) (15 U.S.C 632(a)(2)).

[] (23) 52.219-29, Notice of Set-Aside for, or Sole Source Award to, Economically Disadvantaged Women-Owned Small Business Concerns (DEC 2015) (15 U.S.C. 637(m)).

[] (24) 52.219-30, Notice of Set-Aside for, or Sole Source Award to, Women-Owned Small Business Concerns Eligible Under the Women-Owned Small Business Program (DEC 2015) (15 U.S.C. 637(m)).

[X] (25) 52.222-3, Convict Labor (June 2003) (E.O. 11755).

[] (26) 52.222–19, Child Labor—Cooperation with Authorities and Remedies (JAN 2018) (E.O. 13126).

[X] (27) 52.222-21, Prohibition of Segregated Facilities (APR 2015).

[X] (28)(i) 52.222–26, Equal Opportunity (SEP 2016) (E.O. 11246).

[] (ii) Alternate I (FEB 1999) of 52.222-26.

[X] (29)(i) 52.222-35, Equal Opportunity for Veterans (OCT 2015) (38 U.S.C. 4212).

[] (ii) Alternate I (JULY 2014) of 52.222-35.

[X] (30)(i) 52.222-36, Equal Opportunity for Workers with Disabilities (JUL 2014) (29 U.S.C. 793).

[] (ii) Alternate I (JULY 2014) of 52.222-36.

[X] (31) 52.222-37, Employment Reports on Veterans (FEB 2016) (38 U.S.C. 4212).

[X] (32) 52.222-40, Notification of Employee Rights Under the National Labor Relations Act (DEC 2010) (E.O. 13496).

[X] (33)(i) 52.222-50, Combating Trafficking in Persons (MAR 2015) (22 U.S.C. chapter 78 and E.O. 13627).

[] (ii) Alternate I (MAR 2015) of 52.222-50 (22 U.S.C. chapter 78 and E.O. 13627).

[X] (34) 52.222-54, Employment Eligibility Verification (OCT 2015). (E. O. 12989). (Not applicable to the acquisition of commercially available off-the-shelf items or certain other types of commercial items as prescribed in 22.1803.)

[] (35)(i) 52.223-9, Estimate of Percentage of Recovered Material Content for EPA-Designated Items (May 2008) (42 U.S.C.6962(c)(3)(A)(ii)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (ii) Alternate I (MAY 2008) of 52.223-9 (42 U.S.C. 6962(i)(2)(C)). (Not applicable to the acquisition of commercially available off-the-shelf items.)

[] (36) 52.223-11, Ozone-Depleting Substances and High Global Warming Potential Hydrofluorocarbons (JUN 2016) (E.O. 13693).

[] (37) 52.223-12, Maintenance, Service, Repair, or Disposal of Refrigeration Equipment and Air Conditioners (JUN 2016) (E.O. 13693).

[] (38)(i) 52.223-13, Acquisition of EPEAT®-Registered Imaging Equipment (JUN 2014) (E.O.s 13423 and 13514).

[] (ii) Alternate I (OCT 2015) of 52.223-13.

[] (39)(i) 52.223-14, Acquisition of EPEAT®-Registered Televisions (JUN 2014) (E.O.s 13423 and 13514).

[] (ii) Alternate I (JUN 2014) of 52.223-14.

[] (40) 52.223-15, Energy Efficiency in Energy-Consuming Products (DEC 2007)(42 U.S.C. 8259b).

[] (41)(i) 52.223-16, Acquisition of EPEAT®-Registered Personal Computer Products (OCT 2015) (E.O.s 13423 and 13514).

[] (ii) Alternate I (JUN 2014) of 52.223-16.

[X] (42) 52.223-18, Encouraging Contractor Policies to Ban Text Messaging While Driving (AUG 2011) [] (43) 52.223-20, Aerosols (JUN 2016) (E.O. 13693).

[] (44) 52.223-21, Foams (JUN 2016) (E.O. 13693).

[] (45) (i) 52.224-3, Privacy Training (JAN 2017) (5 U.S.C. 552a).

[] (ii) Alternate I (JAN 2017) of 52.224-3.

[] (46) 52.225-1, Buy American—Supplies (MAY 2014) (41 U.S.C. chapter 83).

[] (47)(i) 52.225-3, Buy American—Free Trade Agreements—Israeli Trade Act (MAY 2014) (41 U.S.C. chapter 83, 19 U.S.C. 3301 note, 19 U.S.C. 2112 note, 19 U.S.C. 3805 note, 19 U.S.C. 4001 note, Pub. L. 103-182, 108-77, 108-78, 108-286, 108-302, 109-53, 109-169, 109-283, 110-138, 112-41, 112-42, and 112-43.

[] (ii) Alternate I (MAY 2014) of 52.225-3.

[] (iii) Alternate II (MAY 2014) of 52.225-3.

[] (iv) Alternate III (MAY 2014) of 52.225-3.

[] (48) 52.225–5, Trade Agreements (AUG 2018) (19 U.S.C. 2501, et seq., 19 U.S.C. 3301 note).

[X] (49) 52.225-13, Restrictions on Certain Foreign Purchases (JUN 2008) (E.O.'s, proclamations, and statutes administered by the Office of Foreign Assets Control of the Department of the Treasury).

[] (50) 52.225–26, Contractors Performing Private Security Functions Outside the United States (OCT 2016) (Section 862, as amended, of the National Defense Authorization Act for Fiscal Year 2008; 10 U.S.C. 2302 Note).

[] (51) 52.226-4, Notice of Disaster or Emergency Area Set-Aside (Nov 2007) (42 U.S.C. 5150).

[] (52) 52.226-5, Restrictions on Subcontracting Outside Disaster or Emergency Area (Nov 2007) (42 U.S.C. 5150).

[] (53) 52.232-29, Terms for Financing of Purchases of Commercial Items (Feb 2002) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

[] (54) 52.232-30, Installment Payments for Commercial Items (JAN 2017) (41 U.S.C. 4505, 10 U.S.C. 2307(f)).

[X] (55) 52.232-33, Payment by Electronic Funds Transfer—System for Award Management (Oct 2018) (31 U.S.C. 3332).

[] (56) 52.232-34, Payment by Electronic Funds Transfer—Other than System for Award Management (Jul 2013) (31 U.S.C. 3332).

[] (57) 52.232-36, Payment by Third Party (MAY 2014) (31 U.S.C. 3332).

[] (58) 52.239-1, Privacy or Security Safeguards (AUG 1996) (5 U.S.C. 552a).

[] (59) 52.242-5, Payments to Small Business Subcontractors (JAN 2017)(15 U.S.C. 637(d)(12)).

[] (60)(i) 52.247-64, Preference for Privately Owned U.S.-Flag Commercial Vessels (Feb 2006) (46 U.S.C. Appx. 1241(b) and 10 U.S.C. 2631).

[] (ii) Alternate I (Apr 2003) of 52.247-64.

[] (iii) Alternate II (FEB 2006) of 52.247-64.

(c) The Contractor shall comply with the FAR clauses in this paragraph (c), applicable to commercial services, that the Contracting Officer has indicated as being incorporated in this contract by reference to implement provisions of law or Executive orders applicable to acquisitions of commercial items:

[] (1) 52.222-17, Nondisplacement of Qualified Workers (MAY 2014) (E.O. 13495).

[] (2) 52.222-41, Service Contract Labor Standards (AUG 2018) (41 U.S.C. chapter 67).

[] (3) 52.222-42, Statement of Equivalent Rates for Federal Hires (MAY 2014) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

[] (4) 52.222-43, Fair Labor Standards Act and Service Contract Labor Standards—Price Adjustment (Multiple Year and Option Contracts) (AUG 2018) (29 U.S.C. 206 and 41 U.S.C. chapter 67).

[] (5) 52.222-44, Fair Labor Standards Act and Service Contract Labor Standards—Price Adjustment (MAY 2014) (29 U.S.C 206 and 41 U.S.C. chapter 67).

[X] (6) 52.222-51, Exemption from Application of the Service Contract Labor Standards to Contracts for Maintenance, Calibration, or Repair of Certain Equipment—Requirements (MAY 2014) (41 U.S.C. chapter 67).

[] (7) 52.222-53, Exemption from Application of the Service Contract Labor Standards to Contracts for Certain Services—Requirements (MAY 2014) (41 U.S.C. chapter 67).

[] (8) 52.222-55, Minimum Wages Under Executive Order 13658 (DEC 2015).

[] (9) 52.222-62, Paid Sick Leave Under Executive Order 13706 (JAN 2017) (E.O. 13706).

[] (10) 52.226-6, Promoting Excess Food Donation to Nonprofit Organizations (MAY 2014) (42 U.S.C. 1792).

(d) Comptroller General Examination of Record. The Contractor shall comply with the provisions of this paragraph (d) if this contract was awarded using other than sealed bid, is in excess of the simplified acquisition threshold, and does not contain the clause at 52.215-2, Audit and Records—Negotiation.

(1) The Comptroller General of the United States, or an authorized representative of the Comptroller General, shall have access to and right to examine any of the Contractor's directly pertinent records involving transactions related to this contract.

(2) The…