36C25721R0117 090721.pdf

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Q522--Therapeutic Medical Physicist Certified Medical Dosimetry
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36C25721R0117
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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

36C25721R0117 09-07-2021

Yomika Brock< Contracting Officer 9727080815 09-16-2021

4PM CDT

36C257 Department of Veterans Affairs NCO 17 North Texas Healthcare System Network Contracting Office 17 (NCO17) 124 E. Hwy 67, Suite 100 Duncanville TX 75137

X 100

X

561320

$30 Million

N/A

36C257

Department of Veterans Affairs VISN 17 North Texas Healthcare System ATTN: Radiation Oncology Service 4500 S. Lancaster Road Dallas TX 75216

36C257

Department of Veterans Affairs VISN 17 North Texas Healthcare System Network Contracting Office 17 (NCO17) 124 E Hwy 67 Ste 100 Duncanville TX 75137

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

The Contractor shall provide onsite Therapeutic Medical Physicist and Certified Medical Dosimetry services at the VA h

Veterans Health Care System (VANTHCS) in accordance with the PWS beginning on page 16.

$0.00 See CONTINUATION Page

YOMIKA BROCK

CONTRACTING OFFICER

36C25721Q1325

Table of Contents

SECTION A

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

SECTION B - CONTINUATION OF SF 1449 BLOCKS

B.1 CONTRACT ADMINISTRATION DATA

B.2 SCHEDULE OF SERVICES

B.3 PERFORMANCE WORK STATEMENT (PWS)

SECTION C - CONTRACT CLAUSES

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

2018)

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

C.3 52.204-21 BASIC SAFEGUARDING OF COVERED CONTRACTOR

INFORMATION SYSTEMS (JUN 2016)

C.4 52.216-4 ECONOMIC PRICE ADJUSTMENT—LABOR AND MATERIAL (JAN

2017)

C.5 52.216-18 ORDERING (AUG 2020)

C.6 52.216-19 ORDER LIMITATIONS (OCT 1995)

C.7 52.216-22 INDEFINITE QUANTITY (OCT 1995)

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

C.9 52.217-9 OPTION TO EXTEND THE TERM OF THE CONTRACT (MAR 2000) ... 59

C.10 52.228-5 INSURANCE—WORK ON A GOVERNMENT INSTALLATION (JAN

1997)

C.11 SUPPLEMENTAL INSURANCE REQUIREMENTS

C.12 52.232-19 AVAILABILITY OF FUNDS FOR THE NEXT FISCAL YEAR (APR

1984)

C.13 VAAR 852.212-70 PROVISIONS AND CLAUSES APPLICABLE TO VA

ACQUISITION OF COMMERCIAL ITEMS (APR 2020)

C.14 VAAR 852.237-75 KEY PERSONNEL (OCT 2019)

C.15 52.212-5 CONTRACT TERMS AND CONDITIONS REQUIRED TO IMPLEMENT

STATUTES OR EXECUTIVE ORDERS—COMMERCIAL ITEMS (JUL 2021)

SECTION D - CONTRACT DOCUMENTS, EXHIBITS, OR ATTACHMENTS

SECTION E - SOLICITATION PROVISIONS

E.1 52.212-1 INSTRUCTIONS TO OFFERORS—COMMERCIAL ITEMS (JUL 2021) 72

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

1998)

E.3 52.209-7 INFORMATION REGARDING RESPONSIBILITY MATTERS (OCT 2018)

E.4 52.216-1 TYPE OF CONTRACT (APR 1984)

E.5 52.233-2 SERVICE OF PROTEST (SEP 2006)

E.6 VAAR 852.233-70 PROTEST CONTENT/ALTERNATIVE DISPUTE RESOLUTION

(OCT 2018) ....................................................................... Error! Bookmark not defined.

E.7 VAAR 852.233-71 ALTERNATE PROTEST PROCEDURE (OCT 2018) ......... Error!

Bookmark not defined.

36C25721Q1325

E.8 VAAR 852.252-70 SOLICITATION PROVISIONS OR CLAUSES INCORPORATED

BY REFERENCE (JAN 2008) ........................................... Error! Bookmark not defined.

E.9 VAAR 852.273-74 AWARD WITHOUT EXCHANGES (JAN 2003)

E.10 52.212-2 EVALUATION—COMMERCIAL ITEMS (OCT 2014)

E.11 52.212-3 OFFEROR REPRESENTATIONS AND CERTIFICATIONS—

COMMERCIAL ITEMS (FEB 2021) (JUL 2020) (DEVIATION)

36C25721R0117

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: Name: ____________________________ POC Name: ____________________________ Address: ____________________________ City/State/Zip: ____________________________ Phone: ____________________________ Email: ____________________________

TIN: ____________________________

DUNS: ____________________________

b. GOVERNMENT: Contracting Officer

Yomika Brock Department of Veterans Affairs NCO 17 North Texas Healthcare System NCO 17 Network Contracting Activity 4500 S. Lancaster Road Dallas TX 75216 Yomika.brock@va.gov

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. 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.

5. SECURE FAX: This fax is intended only for the use of the person or office to which it is addressed and may contain information that is privileged, confidential, or protected by law. All others are hereby notified that the receipt of this fax does not waive any applicable privilege or exemption for disclosure and that any dissemination, distribution, or copying of this communication is prohibited. If you have received this fax in error, please notify this office immediately at the telephone number listed above.

6. POST AWARD ORIENTATION: The Contracting Officer will schedule a post award orientation for contract orientation purposes as required by VA Acquisition Manual, Part M842.502-70.

mailto:Yomika.brock@va.gov http://www.fsc.va.gov/einvoice.asp

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

AMENDMENT NO DATE

B.2 SCHEDULE OF SERVICES

The Government intends to award a Fixed Price-Economic Price Adjustment contract for Therapeutic Medical Physics and Medical Dosimetrist services to a Service-Disabled Veteran Owned Small Business (SDVOSB). The Contractor shall furnish all personnel to provide services necessary to perform onsite Therapeutic Medical Physics and Medical Dosimetrist Services to eligible beneficiaries of the Department of Veterans Affairs North Texas Health Care System, (hereinafter referred to as VANTHCS).

All VA Radiation Oncology Services are accredited by American College of Radiology (ACR) and follow the standards & guidelines set forth by ACR. As such any Contractor providing on-site radiation oncology services must adhere to all the American College of Radiology Guidelines & Technical Standards for Radiation Oncology:

http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by- Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by- Modality/Medical-Physics

Place of Performance: Services shall be provided on site in Radiation Oncology Service, VAMC North Texas Healthcare System, Radiation Oncology Service located at 4500 S. Lancaster Road, Dallas TX 75216.

Pricing Instructions: The offeror is instructed to edit the number of Sub-Line Items (LIN) to correspond with the number of key personnel submitted for the line item number (LIN).

Contractor Offerors shall include the “title” of the personnel submitted. Other commercial health care Offerors shall identify by title/position or level of experience the key personnel submitted.

Also, renumber SUB-LINs if adding or removing Key Personnel.

The Contractor shall submit a minimum of six (6) key personnel to be credentialed and be available for scheduling to meet the requirements of the contract, as follows:

a. Chief Therapeutic Medical Physicist 1 (max) key personnel, with contingency plan

b. Therapeutic Medical Physicist: 2-3 personnel

c. Medical Dosimetrist: 1-3 key personnel

The solicitation requires an estimated 2080 hours for each of the three positions listed above.

Candidates must be submitted with each offerors’ submission. An offeror may submit more candidates for consideration; however, the Government will not be obligated to accept all candidates proposed if selected for award.

Task Order Procedures: The Contracting Officer shall award the base year contract and any option periods exercised annually thereafter. The Contracting Officer shall issue a separate task order for each option year exercised. The Contracting Officer shall place task orders against this IDIQ contract annually to fund each performance period. The task orders shall specify quantities of services for each period of performance and shall comply with FAR 52.216-18 and FAR 52.216-19.

FAR 52.216-4 Economic Price Adjustment: This clause applies to all line items below and will be implemented via option year modifications. The contractor shall be granted up to one (1) EPA submission per performance period. Supporting documentation for EPA shall be provided to the CO up to one (1) time per performance period, within 60 days prior to the effective date of each option period.

http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics

The contractor may submit a request for Economic Price Adjustment (EPA) using the format outlined provided by the Contracting Officer in accordance with FAR 52.216-4 and this paragraph up to one (1) time per performance period. The cost elements that are subject to requests for economic price adjustment are limited to the following: Hourly Rate.

The contractor shall request the EPA within 60 days of the requested effective date of the adjustment. Requests for adjustment under this clause cannot include indirect costs, profit or fees. The contractor must provide source documentation to the contracting officer at the time of the EPA request in support of all cost elements that are being requested for economic price adjustment.

Submitting documentation to support an EPA request does not guarantee that an option year will be exercised or that any or all of the proposed EPA elements will be approved. The contracting officer will review the request and supporting documentation and evaluate it in accordance with all applicable laws and regulations and the terms and conditions of the contract to determine allowability of the contractor’s proposed changes. The Contracting Officer reserves the right to request additional or alternative forms of documentation to support proposed changes.

Once the Contractor’s documentation is reviewed and evaluated, the Contracting Officer will notify the contractor of the status of the EPA request and what proposed costs (if any) were found to be unallowable. Should there be any disagreement with the Contracting Officer’s evaluation of the EPA request, the contractor must submit a response outlining those areas in which the contractor disagrees. The response must be provided to the Contracting Officer within seven (7) calendar days of notification of the anticipated unallowable costs. The CO is the approving authority for all EPA requests. All EPA requests are subject to availability of funds.

BASE: September 27, 2021 – September 26, 2022 (Subject to change based on award date.)

Line Item SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

0001 None Board Certified Chief Therapeutic Medical Physicist (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0001AA

Board Certified Chief Therapeutic Medical Physicist (on-call not required)

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

None 0001AB

Board Certified Chief Therapeutic Medical Physicist (on-call not required)

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

CLIN 0001 TOTAL FOR BASE TERM Hours

LINE

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

0002 None Board Certified Therapeutic Medical Physicist Services (on-call not required)

Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0002AA

Board Certified Therapeutic Medical Physicist (on-call not required)

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $________

None 0002AB

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

CLIN 0002 TOTAL FOR BASE TERM Hours $________________

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

0003 None Certified Medical Dosimetrist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 0003AA

Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

None 0003AB

Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

CLIN 0003 TOTAL FOR BASE TERM Hours $_________________

ALL CLINS TOTAL for BASE TERM: $_______________________

Option Year 1: September 27, 2022 – September 26, 2023 (Subject to change based on award date.)

LINE

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

1001 None Board Certified Chief Therapeutic Medical Physicist (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1001AA

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

None 1001AB

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

CLIN 1001 TOTAL FOR OPTION YEAR 1 Hours $_____________________

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

1002 None Board Certified Therapeutic Medical Physicist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1002AA

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $________

None 1002AB

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

CLIN 1002 TOTAL FOR OPTION YEAR 1 Hours $___________________

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

1003 None Board Certified Medical Dosimetrist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 1003AA

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $________

None 1003AB

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $________

CLIN 1003 TOTAL FOR OPTION YEAR 1 Hours $___________________

ALL CLINS TOTAL for OPTION YEAR 1 TERM: $_______________________

OPTION YEAR 2: September 27, 2023 – September 26, 2024 (Subject to change based on award date.)

LINE

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

2001 None Board Certified Chief Therapeutic Medical Physicist (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2001AA

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $_______

None 2001AB

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $_______

CLIN 2001 TOTAL FOR OPTION YEAR 2 Hours

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

2002 None Board Certified Therapeutic Medical Physicist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2002AA

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $________

None 2002AB

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF

EXPERIENCE: ____________

Hours $__/hr $_______

CLIN 2002 TOTAL FOR OPTION YEAR 2 Hours $___________________

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

2003 None Board Certified Medical Dosimetrist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 2003AA

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

None 2003AB

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

CLIN 2003 TOTAL FOR OPTION YEAR 2 Hours $___________________

ALL CLINS TOTAL for OPTION YEAR 2 TERM: $_______________________

Period of Performance: OPTION YEAR 3: September 27, 2024 – September 26, 2025 (Subject to change based on award date.)

LINE

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

3001 None Board Certified Chief Therapeutic Medical Physicist (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3001AA

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $________

None 3001AB

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

CLIN 3001 TOTAL FOR OPTION YEAR 3 Hours

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

3002 None Board Certified Therapeutic Medical Physicist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3002AA

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

None 3002AB

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

CLIN 3002 TOTAL FOR OPTION YEAR 3 Hours $___________________

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

3003 None Board Certified Medical Dosimetrist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 3003AA

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

None 3003AB

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

CLIN 3003 TOTAL FOR OPTION YEAR 3 Hours $___________________

ALL CLINS TOTAL for OPTION YEAR 3 TERM: $_______________________

Period of Performance: OPTION YEAR 4: September 27, 2025 – September 26, 2026 (Subject to change based on award date.)

LINE

ITEM SLIN

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

4001 None Board Certified Chief Therapeutic Medical Physicist (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4001AA

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

None 4001AB

Board Certified Chief Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

CLIN 3001 TOTAL FOR OPTION YEAR 4 Hours

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

4002 None Board Certified Therapeutic Medical Physicist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4002AA

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

None 4002AB

Board Certified Therapeutic Medical Physicist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

CLIN 4002 TOTAL FOR OPTION YEAR 4 Hours $___________________

Description Estimated Qty. Unit Unit Cost

Estimated Total Annual Cost

4003 None Board Certified Medical Dosimetrist Services (on-call not required)

2080 Hours DO NOT

PRICE

DO NOT

PRICE

KEY PERSONNEL

None 4003AA

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

None 4003AB

Board Certified Medical Dosimetrist

NAME: ____________

TITLE/LEVEL OF EXPERIENCE:

Hours $__/hr $_________

CLIN 4003 TOTAL FOR OPTION YEAR 4 Hours $___________________

ALL CLINS TOTAL for OPTION YEAR 4 TERM: $_______________________

TOTAL FOR THE BASE PLUS ALL FOUR (4) OPTIONS: $ _______________________

The Government shall only pay for the number of hours actually worked.

MINIMUM/MAXIMUM: In accordance with FAR 16.504, the guaranteed minimum award for the entire contract performance period is $5,000. The maximum aggregate value of orders that can be placed under this contract is $7,200,000. The Government does not guarantee that it will place any orders under this contract in excess of the guaranteed minimum guaranteed award amount.

Inclusion of FAR 52.217-8, Option to Extend Services: The evaluation will assume that the prices for any option exercised under FAR 52.217-8, will be at the same rates as those in effect under the contract at the time the option is exercised. The evaluation will therefore assume that the addition of the price or prices of any possible extension or extensions under FAR 52.217-8 to the total price for the basic requirement and the total price for the priced options has the same effect on the total price of all proposals relative to each other, and will not affect the ranking of proposals based on price, unless, after reviewing the proposals, the Government determines that there is a basis for finding otherwise. The evaluation will consider the possibility that the option can be exercised at any time and can be exercised in increments of one to six months, but not for more than a total of six months during the life of the contract. This evaluation will not obligate the Government to exercise any option under FAR 52.217-8.

B.3 PERFORMANCE WORK STATEMENT (PWS)

1. GENERAL

SERVICES REQUIRED: The VA Radiation Oncology Services are accredited by ACR and follow the standards & guidelines set forth by American College of Radiology (ACR). As such any Contractor providing on-site radiation oncology services must adhere to all the American College of Radiology Guidelines & Technical Standards for Radiation Oncology:

A contractor providing on-site radiation oncology services must provide evidence the radiation oncology practice meets or exceeds the American College of Radiology Guidelines for Radiation Oncology. http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice- Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by- Modality/Medical-Physics

1.1. PLACE OF PERFORMANCE: Health Care Resources Services are to be provided to the VA North Texas Healthcare System, 4500 South Lancaster Road, Dallas, Texas.

Personnel will provide these services while physically on-site.

1.2. AUTHORITY: Title 38 USC 8153, Health Care Resources (HCR) sharing Authority, FAR

Part 12, and FAR Part 15.

1.3. Policy/Handbooks:

1.3.1. VA Directive 1663: Health Care Resources Contracting - Buying https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450

1.3.2. VHA Notice 2018-34 “Rescission of VHA Directive 2006-041 Veterans Health Care Service Standards” https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475

1.3.3. VHA Handbook 1100.17: National Practitioner Data Bank Reports -https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135

1.3.4. VHA Handbook 1100.19 Credentialing and Privileging -

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806

1.3.5. VHA Directive 2012-030 Credentialing of Health Care Professionals – https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815

1.3.6. VHA Handbook 1907.01 Health Information Management and Health Records:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088

1.3.7. VHA Directive 1156 Accreditation of VHA Radiation Oncology Services/Sections:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450

1.3.8. VHA Directive 1192.01: Seasonal Influenza Prevention Program https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472

1.3.9. VHA Directive 1220: Facility Procedure Complexity Designation Requirements to Perform Invasive Procedures In Any Clinical Setting:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365

1.3.10. VHA Directive 1414 Stereotactic Body Radiotherapy:

https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197 http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Practice-Guidelines-by-Modality/Radiation-Oncology http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics http://www.acr.org/Quality-Safety/Standards-Guidelines/Technical-Standards-by-Modality/Medical-Physics https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7475 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=2135 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=1806 https://vaww.va.gov/vhapublications/ViewPublication.asp?pub_ID=2815 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3088 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=7450 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5472 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8365 https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=8197

1.3.11. US Nuclear Regulatory Commission for management and use of radioactive materials for medical use and radiation safety requirements, to include (but not limited to) 10 CFR Parts 19, 20, 30, 33, 35, and 71 http://www.nrc.gov/reading-rm.html

1.3.12. Privacy Act of 1974 (5 U.S.C. 552a) as amended

http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm

1.4. DEFINITIONS/ACRONYMS

1.4.1. AAPM: American Association of Physics in Medicine

1.4.2. ACGME: Accreditation Council for Graduate Medical Education

1.4.3. ABR: American Board of Radiology

1.4.4. ACR: American College of Radiology (www.acr.org/)

1.4.5. ACO: Administrative Contracting Officer

1.4.6. ALARA: As Low as Reasonably Achievable (least & lowest radiation exposure possible)

1.4.7. AOA: American Osteopathic Association

1.4.8. ARRT(T): American Registry of Radiologic Technologists (T) in Radiation Therapy

1.4.9. BAA: Business Associate Agreement

1.4.10. CAMPEP: Commission on Accreditation of Medical Physics Educational

Programs (http://www.campep.org/default.asp)

1.4.11. CDC: Centers for Disease Control and Prevention

1.4.12. CEU: Certified Education Unit

1.4.13. CMD: Certified Medical Dosimetrist

1.4.14. CME: Continuing Medical Education

1.4.15. CMS: Centers for Medicare and Medicaid Services

1.4.16. CO: Contracting Officer

1.4.17. COR: Contracting Officer’s Representative

1.4.18. COS: Chief of Staff

1.4.19. CPARS: Contractor Performance Assessment Reporting System

1.4.20. CPRS: Computerized Patient Recordkeeping System- electronic health record system used by the VA.

1.4.21. FSMB: Federation of State Medical Boards

1.4.22. Full Time Equivalent (FTE): VA’s definition for full time- working the equivalent of 80 hours every two weeks, 2080 hours per year. In calculating FTE, any hours not worked on national holidays shall not be included.

1.4.23. HHS: Department of Health and Human Services

1.4.24. HICPAC: Healthcare Infection Control Practices Advisory Committee- a federal advisory committee made up of 14 external infection control experts who provide advice and guidance to the CDC and the Secretary of HHS regarding the practice of health care http://www.nrc.gov/reading-rm.html http://www.nrc.gov/reading-rm.html http://www.justice.gov/oip/foia_updates/Vol_XVII_4/page2.htm http://www.acr.org/ http://www.campep.org/default.asp infection control, strategies for surveillance and prevention and control of health care associated infections in United States health care facilities.

1.4.25. HIPAA: Health Insurance Portability and Accountability Act

1.4.26. IGRT: Image Guided Radiation Therapy is the process of frequent two and three-dimensional imaging, during a course of radiation treatment, used to direct radiation therapy utilizing the imaging coordinates of the actual radiation treatment plan.

1.4.27. IMRT: Intensity Modulated Radiation Therapy is the process of delivering highly conformal radiotherapy to the tumor while sparing the surrounding normal tissues by varying radiation intensity across treatment portals.

1.4.28. IROC: Imaging and Radiation Oncology Core

1.4.29. ISO: Information Security Officer

1.4.30. MU: Monitor Unit is a measure of machine output of a linear accelerator in radiation therapy.

1.4.31. NHPP: National Health Physics Program- NHPP provides regulatory oversight for the Nuclear Regulatory Commission master materials license issued to VHA to include permitting for use of materials, on-site inspections, and investigations of allegations, medical events, and incidents. In addition, we provide oversight for machine sources of ionizing radiation used for radiation therapy. Finally, we provide assistance and technical information for uses of ionizing radiation for healthcare diagnosis and treatment and non-human biomedical research.

(http://www.patientcare.va.gov/NHPP.asp)

1.4.32. NROP: National Radiation Oncology Program

1.4.33. NRSC: National Radiation Safety Committee

1.4.34. POP: Period of Performance

1.4.35. PPD: Purified Protein Derivative

1.4.36. PWS: Performance Work Statement

1.4.37. QASP: Quality Assurance Surveillance Plan

1.4.38. QMP: Quality Management Program

1.4.39. SPE: Senior Procurement Executive

1.4.40. SRS: Stereotactic Radio Surgery: a minimally invasive form of surgical intervention which makes use of a three-dimensional coordinated system to locate small targets inside the body and to perform on them some action such as ablation, biopsy, lesion, injection, stimulation, implantation, radiosurgery (SRS) etc.

1.4.41. SBRT: Stereotactic Body Radiotherapy

1.4.42. TJC: The Joint Commission

1.4.43. TLD: Thermoluminescent Dosimeter- a device that measures radiation dose

1.4.44. TMP: Therapeutic Medical Physicist

1.4.45. VA: Department of Veterans Affairs

1.4.46. VANTHCS: Veterans Affairs North Texas Health Care System

1.4.47. VetPro: a federal web-based credentialing program for healthcare providers.

1.4.48. VHA: Veterans Health Administration

2. QUALIFICATIONS:

http://www.patientcare.va.gov/NHPP.asp

2.1. Chief Therapeutic Medical Physicists must be Board Certified in Medical Physics or Therapeutic Medical Physics by the ABR and maintain licensure with the Board of Licensure for Professional Medical Physicists, if applicable. Certification must be maintained throughout the contract POP. In the event that Contractor’s medical physicist(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification.

2.1.1. Medical Physicists must be Board certified in therapeutic physics. In the event that the Contractor’s medical physicist(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification.

2.1.2. Medical Dosimetrists must be Certified Medical Dosimetrists (CMD) certified by the Medical Dosimetrist Certification Board. In the event that the Contractor’s Medical Dosimetrist(s) is/are not directly employed by the treating facility, documentation must be provided to ensure adequate certification.

2.1.3. Board Certified Chief Therapeutic Medical Physicist–Ph.D. Level: Must have at least five (5) years of documented post-board experience after board certification and at least three (3) years of continuous work experience within the last five (5) years to ensure the TMP’s experience is current and relevant.

Senior TMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.1.3.1. Five (5) years of experience - Documentation detailing experience in performing QA procedures.

2.1.3.2. Three (3) years of experience – Documentation detailing Therapeutic Medical Physics in a healthcare system that is ACR certified.

2.1.3.3. Three (3) years of experience - Varian Linear Accelerators: IX and Trilogy with Brain Lab Accessories following standards of TG-142

2.1.3.4. Three (3) years of experience -Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.1.3.5. Three (3) year of experience - Eclipse and Pinnacle treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53)

2.1.3.6. Three (3) years of experience - IMRT QA: MapCheck I/II (or equivalent.

2.1.3.7. Three (3) years of experience – Philips and Siemens CT Simulator (or equivalent) and following standards of TG-66

2.1.3.8. Three (3) years of experience - Using Superficial Cyberknife and Tomo/Radixact.

2.1.3.9. Three (3) years of experience – Using OSMS/Vison RT

2.1.3.10. Three (3) years of experience – Using Calypso

2.1.3.11. Three (3) years of experience – MOSAIQ

2.1.3.12. Three (3) years of experience – Precise Plan

2.1.3.13. Three (3) years of experience – MIM

2.1.3.14. Three (3) years of experience – MOBIUS

2.1.3.15. Three (3) years of experience - RadCalc

2.1.3.16. Successfully perform one (1) acceptance testing (i.e., work with vendor to ensure proper working condition during installation) on a linear accelerator.

2.1.3.17. Successfully perform one (1) commission of (i.e., gathered necessary measurements or data) a linear accelerator for a treatment planning system.

2.1.4. Board Certified Medical Physicist – MS Level: Candidate can either be Masters Level or PhD. Must have a minimum of five (5) years of continuous work experience in Radiation Oncology. Medical Physicist experience is current and relevant. Must be Board Certified with at least two years of continuous working experience within the last three years to ensure TMP’s experience is current and relevant. Junior TMP must also have the following minimum years of experience, expertise, and knowledge on the following procedures, equipment and software:

2.1.4.1. Two (2) years of experience – Documentation detailing experience in performing QA procedures.

2.1.4.2. One (1) year of experience – Documentation detailing Therapeutic Medical Physics in a healthcare system that is ACR certified.

2.1.4.3. One (1) year of experience - Varian Linear Accelerators: IX and Trilogy with Brain Lab Accessories following standards of TG-142

2.1.4.4. One (1) year of experience - Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.1.4.5. One (1) year of experience - Eclipse and Pinnacle treatment planning system; and ARIA record & verify system, including the following treatment modalities: 2D/3D Conformal, SRS, SRT, SBRT, and IMRT/VMAT (following standards of TG-53)

2.1.4.6. One (1) years of experience - IMRT QA: MapCheck I/II (or equivalent)

2.1.4.7. One (1) year of experience – Philips and Siemens CT Simulator (or equivalent) and following standards of TG-66

2.1.4.8. One (1) year of experience - Using Cyberknife and Tomo/Radixact

2.1.4.9. One (1) years of experience – Using OSMS/Vison RT

2.1.4.10. One (1) years of experience – Using Calypso

2.1.4.11. One (1) years of experience – MOSAIQ

2.1.4.12. One (1) year of experience – Precise Plan

2.1.4.13. One (1) years of experience – MIM

2.1.4.14. One (1) years of experience – MOBIUS

2.1.4.15. One (1) years of experience - RadCalc

2.1.5. Board Certified Medical Dosimetrist: Must be certified in medical dosimetry by the Medical Dosimetrist Certification Board (MDCB) with a minimum of five (5) years of continuous work experience in Radiation Oncology. CMD’s experience is current and relevant. CMD must also have the following minimum years of experience, expertise and knowledge on the following procedures, equipment and software:

2.1.5.1. Two (2) years of experience - Documentation detailing experience in performing QA procedures.

2.1.5.2. One (1) year of experience - Documentation detailing CMD experience in a healthcare system that is ACR certified.

2.1.5.3. One (1) year of experience - Varian Linear Accelerators: Novalis TX with Brain Lab or ExacTrac, TrueBeam with Rapid Arc (or equivalent).

2.1.5.4. One (1) years of experience - Image Guided Radiation Therapy (IGRT) including Cone Beam CT (following standards of TG-142).

2.1.5.5. One (1) year of experience - Eclipse treatment planning system; and ARIA record & verify system, including the following treatment modalities: SRS, SRT, SBRT, and IMRT (following standards of TG-53)

2.1.5.6. One (1) year of experience - MapCheck and ArcCheck (or equivalent)

2.1.5.7. One (1) year of experience – Philips and Siemens CT Simulator (or equivalent)

2.2. Technical Proficiency - Contract provider (s) shall be technically proficient in the skills necessary to fulfill the government’s requirements, including the ability to speak, understand, read and write English fluently. Contractor shall provide documents upon request of the CO/COR to verify current and ongoing competency, skills, certification and/or licensure related to the provision of care, treatment and/or services performed.

Contractor’s provider (s) shall have knowledge of professional care theories, principles, practices, and procedures to serve radiation oncology patient population. Contractor’s provider (s) shall demonstrate knowledge of growth and development, and pathophysiology of disease processes specific radiation oncology patient population.

Contractor shall provide verifiable evidence of all educational and training experiences including any gaps in educational history for all contract provider (s) shall be responsible for abiding by the Facility's Medical Staff By-Laws, rules, and regulations (referenced herein) that govern medical staff behavior.

2.3. Continuing CEU (Other than physicians) Requirements: Contractor shall provide the COR copies of current CEUs as required or requested by the VAMC. Contractors registered or certified by national/medical associations shall continue to meet the minimum standards for CEU to remain current. CEU hours shall be reported to the COR for tracking.

2.4. Training (EHR and VA MANDATORY): Contractor shall meet all VA educational requirements and mandatory course requirements defined herein; all training must be completed by the contractor’s provider(s) as required by the VA. Other training may become required. VA will communicate any changes to the training requirement to the contractor.

Training (The following training is mandatory per VHACO for Contracted TMPs and CMDs)

Frequency Annual Hours

Active Threat Training Once 1 hour Government Ethics Once a year 1 hour Prevention of Workplace Harassment/No Fear Act Once 1.5 hour VHA MRI Safety Training Level 1 Training (all who enter MRI suites)

Once 1 hour

VA Core Values Training (ICARE Recommitment) Once 0.50 hour VA Privacy and Information Security Awareness and Rules of Behavior

Once a year 1 hour

VHA Privacy and HIPAA Focused Training Once a year 1 hour Patient Safety Once a year 1 hour Patient Rights Once a year 2 hour Patient Abuse Once a year 0.25 hour Prevention/Management of Disruptive Behavior/Violence Prevention Level I

Once 2 hour

SUX Infection Control and Blood Borne Pathogens Once 1 hour EHR Once 2 hour VISTA Imaging Once 2 hour

ARIA Once 2 hour

2.5. Standard Personnel Testing/Infection Control: The Contractor must provide documentation that demonstrates that all Contractor employees have a satisfactory health status, including a current physical and the below tests, per the CDC immunization recommendations for healthcare workers:

https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html. The required proof must be provided within 14 calendar days after contract award and prior to a TMPs’ performance of services under the contract.

2.5.1. Tuberculosis (TB) Testing: Contractor shall provide proof of a negative

TB Blood Test (also called interferon-gamma release assays or IGRA) for all Contractor employees as a baseline. Two TB blood tests are approved by the FDA: the Quantiferon – TB Gold In-Tube test (QFT-GIT) and the T- SPOT TB test (T-Spot). Subsequent testing is not required, unless the Contractor employee has been exposed to someone with TB. CDC recommendations for TB testing for health care personnel:

https://www.cdc.gov/tb/topic/infectioncontrol/healthcarepersonnel-faq.htm

2.5.2. TDaP (TETNUS/DIPTHERIA/PERTUSSIS): Contractors shall provide proof of 1 dose of Tdap vaccination for all Contractor employees. Boosters are required every 10 years.

2.5.3. Influenza: Contractors shall provide proof that all Contractor employees have received the annual Influenza vaccine unless it is contraindicated. If the Contractor employee has a medical contraindication to the vaccine, they are required to wear a mask during the Influenza season.

https://www.cdc.gov/vaccines/adults/rec-vac/hcw.html https://www.cdc.gov/tb/topic/infectioncontrol/healthcarepersonnel-faq.htm

2.5.4. Hepatitis B: Contractor shall provide evidence of completing and passing generic self-study blood-borne pathogen training for all Contractor employees; provide their own Hepatitis B vaccination series (3 doses required) plus a serologic titer (1-2 months after final dose) to document immunity following the hepatitis B vaccination series; maintain an exposure determination and control plan; maintain required records; and ensure that proper follow-up evaluation is provided following an exposure incident.

2.5.5. Measles, Mumps, & Rubella: Contractors shall provide proof of immunity for all Contractor employees, i.e., at least 2 doses of vaccine or serologic evidence of immunity.

2.5.6. Varicella: Contractors shall provide proof of immunity for all Contractor employees, i.e., at least 2 doses of vaccine or serologic evidence of immunity.

2.5.7. The VANTHCS shall notify the Contractor of any significant communicable disease exposures as appropriate. Contractors shall adhere to current CDC/HICPAC Guideline for Infection Control in health care personnel ( as published in American Journal for Infection Control- AJIC 1998; 26:289-354 http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf) for disease control.

Contractors shall provide follow up documentation of clearance to return to the workplace prior to their return.

2.6. Conflict of Interest: The Contractor and all contract provider (s) are responsible for identifying and communicating to the CO and COR conflicts of interest at the time of proposal and during the entirety of contract performance. At the time of proposal, the Contractor shall provide a statement which describes, in a concise manner, all relevant facts concerning any past, present, or currently planned interest (financial, contractual, organizational, or otherwise) or actual or potential organizational conflicts of interest relating to the services to be provided. The Contractor shall also provide statements containing the same information for any identified consultants or subcontractors who shall provide services. The Contractor must also provide relevant facts that show how it’s organizational and/or management system or other actions would avoid or mitigate any actual or potential organizational conflicts of interest. These statements shall be in response to the VAAR provision 852.209-70 Organizational Conflicts of Interest (Jan 2008) and fully outlined in response to the subject attachment in Section D of the solicitation document.

2.7. Citizenship related Requirements:

2.7.1. The Contractor certifies that the Contractor shall comply with any and all legal provisions contained in the Immigration and Nationality Act of 1952, As Amended; its related laws and regulations that are enforced by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor as these may relate to non-immigrant foreign nationals working under contract or subcontract for the Contractor while providing services to Department of Veterans Affairs patient referrals;

2.7.2. While performing services for the Department of Veterans Affairs, the Contractor shall not knowingly employ, contract or subcontract with an illegal alien; foreign national non-immigrant who is in violation their status, as a result of their failure to maintain or comply with the terms and conditions of their admission into the United States. Additionally, the Contractor is required to comply with all “E-Verify” requirements consistent with “Executive Order 12989” and any related pertinent Amendments, as well as applicable Federal Acquisition Regulations.

http://www.cdc.gov/hicpac/pdf/InfectControl98.pdf

2.7.3. If the Contractor fails to comply with any requirements outlined in the preceding paragraphs or its Agency regulations, the Department of Veterans Affairs may, at its discretion, require that the foreign national who failed to maintain their legal status in the United States or otherwise failed to comply with the requirements of the laws administered by Homeland Security, Immigration and Customs Enforcement and the U.S Department of Labor, shall be prohibited from working at the Contractor’s place of business that services Department of Veterans Affairs patient referrals; or other place where the Contractor provides services to veterans who have been referred by the Department of Veterans Affairs; and shall form the basis for termination of this contract for breach.

2.7.4. This certification concerns a matter within the jurisdiction of an agency of the United States and the making of a false, fictitious, or fraudulent certification may render the maker subject to prosecution under 18 U.S.C. 1001.

2.7.5. The Contractor agrees to obtain a similar certification from its subcontractors.

The certification shall be made as part of the offerors response to the RFP using the subject attachment in Section D of the solicitation document.

2.8. Annual Office of Inspector General (OIG) Statement: In accordance with HIPAA and the Balanced Budget Act (BBA) of 1977, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has established a list of parties and entities excluded from Federal health care programs. Specifically, the listed parties and entities may not receive Federal Health Care program payments due to fraud and/or abuse of the Medicare and Medicaid programs.

2.8.1. Therefore, Contractor shall review the HHS OIG List of Excluded

Individuals/Entities on the HHS OIG web site at http://oig.hhs.gov/exclusions/index.asp to ensure that the proposed contract provider (s) is not listed. Contractor should note that any excluded individual or entity that submits a claim for reimbursement to a Federal health care program, or causes such a claim to be submitted, may be subject to a Civil Monetary Penalty (CMP) for each item or service furnished during a period that the person was excluded and may also be subject to treble damages for the amount claimed for each item or service. CMP’s may also be imposed against the Contractor that employ or enter into contracts with excluded individuals to provide items or services to Federal program beneficiaries.

2.8.2. By submitting their proposal, the Contractor certifies that the HHS OIG List of Excluded Individuals/Entities has been reviewed and that the Contractors are and/or firm is not listed as of the date the offer/bid was signed.

2.9. Clinical/Professional Direction: The qualifications of Contractor personnel are subject to review by VA Medical Center COS or his/her clinical designee and approval by the Medical Center Director as provided in VHA Handbook 1100.19. Clinical/Professional direction of all clinical personnel covered by this contract will be provided by the VANTHCS COS and/or the Chief of the Service or his designee. A clinical COR may be appointed, however, only the CO is authorized to consider any contract modification request and/or make changes to the contract during the administration of the resultant contract.

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