ATTCH D - Vendor Questionnaire.docx
DOCX document 22 KB Posted
- Attached to
- Mobile MRI Trailer and Technician Federal contract opportunity
- Solicitation number
- 36C25725Q0043
About this file
This document is a Vendor Questionnaire for a Mobile MRI Trailer and Technician contract solicitation (Solicitation Number: 36C25725Q0043) issued by the Department of Veterans Affairs Veterans Health Administration. The questionnaire requires vendors to provide detailed information across 13 tasks related to the mobile MRI service, including equipment specifications, personnel qualifications, and technical submission requirements.
Key requirements include providing a mobile 1.5T MRI unit (5 years old or newer) with a high-performance gradient system, one primary and one alternate technologist, and comprehensive documentation of technologist credentials. Vendors must submit evidence of operators' licenses, technologist competency assessments, health examination records (including TB tests, chest X-rays, Hepatitis B immunity, and Varicella titer), and past performance information. The contract involves a mobile MRI lease with technologist services for the Central Texas Veterans Health Care System (CTVHCS) in Austin, TX, with the initial performance period starting 21 days after award.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 36C25725Q0043 0001_1 04.16.25 CONTRACT OPPORTUNITIES.pdf | ||
| 36C25725Q0043 0001 04.16.25.pdf | ||
| 36C25725Q0043.docx | DOCX document | |
| Attachment C Cover Letter.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment D – Vendor’s Questionnaire for Technical Evaluation For the Technical Evaluation, annotate the page in your proposal for each of the following:
Tasks 1 – 8 of the Statement of Work (SOW):
_____ Task 1: Period of Performance start: 21 days After Award:
_____ Task 2: Contractor shall provide one (1) technologist and one (1) alternate technologist.
Contractor shall be solely responsible for all driver and technologist staffing issues related to the operation of the mobile system. The Contractor shall assume all costs associated with training of personnel used to perform contracted services.
_____ Task 3: Contractor shall provide a mobile 1.5T MRI unit (5 years old or newer) (including scanner, acquisition and processing station, and physician viewing stations) with a high-performance gradient system for use at CTVHCS. Specific equipment and service requirements include (details provided on paragraph (4) of statement of work):
_____ Task 4: MAINTENANCE REQUIREMENTS (details provided on paragraph (5) of statement of work):
_____ Task 5: CONTRACTOR PERSONNEL QUALIFICATIONS/POLICIES (details provided on paragraph (7) of statement of work):
_____ Task 6: MOBILE UNIT EQUIPMENT SPECIFICATIONS: The following minimum performance characteristics of the equipment are required (detailed on paragraph (8) of statement of work) _____ Task 7: CONFORMANCE STANDARDS/REGULATORY ADHERENCE (details provided on paragraph (9) of statement of work):
_____ Task 8: TELECOMMUNICATIONS (details provided on paragraph (14) of statement of work):
_____ Task 9: QUALITY ASSURANCE MONITOR (details provided on paragraph (15) of statement of work):
_____ Task 10: Completed highlighted section of VAAR 852.219-75 on page 31 of RFQ (1449) document
_____ Task 11: If you have not completed the annual representations and certifications electronically at the System for Award Management (SAM) website, please complete paragraphs (c) through (o) of provision 52.212-3
_____ Task 12: Technical Submission and Qualifications: Specifically stating how the offeror intends to meet the requirements in the Statement of Work (SOW). A technical description of how the quote is offered in sufficient detail to evaluate compliance with the requirements in the solicitation.
Provide:
a) Copies of all applicable operators’ license(s) shall be provided with the quote.
b) Evidence of the proposed Technologist’s competency review shall be provided with the quote.
· Credentials and qualifications for the job.
· Current competency assessment checklist (an assessment of knowledge, skills, abilities, and behaviors required to perform a job correctly and skillfully; includes age-specific knowledge and skills required to provide care for certain patient populations, as appropriate.)
· Evidence of relevant continuing education for the last two years.
c) Evidence of Health examination records of all individuals performing work under this contract.
· Annual TB Skin Test and recent (within the last year) chest X-ray if there is a history of positive TB skin test.
· Hepatitis B immunity (hepatitis immune titer, if provider has had the series of shots; if no immunity, evidence that provider has started the Hepatitis B vaccination series.)
· Varicella titer if provider has not had chicken pox and has direct patient contact.
_____ Task 13: Past performance information, when included as an evaluation factor, to include recent and relevant contracts for the same or similar items and other references (including contract numbers, points of contact with telephone numbers and other relevant information):
/ / / / / / / End of Questionnaire / / / / / / /
File details come from the government source that posted it. Updated .