36C25820Q0003-001.docx

36C25820Q0003

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1. REQUISITION NO.

2. CONTRACT NO.

3. AWARD/EFFECTIVE DATE

4. ORDER NO.

5. SOLICITATION NUMBER

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a. NAME

b. TELEPHONE NO. (No Collect Calls)

8. OFFER DUE DATE/LOCAL

TIME

9. ISSUED BY

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10. THIS ACQUISITION IS

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% FOR:

SMALL BUSINESS

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BUSINESS

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VETERAN-OWNED

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WOMEN-OWNED SMALL BUSINESS

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TION UNLESS BLOCK IS

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12. DISCOUNT TERMS

13a. THIS CONTRACT IS A

RATED ORDER UNDER

DPAS (15 CFR 700)

13b. RATING

14. METHOD OF SOLICITATION

RFQ

IFB

RFP

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FACILITY CODE

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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

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ITEM NO.

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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

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

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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

36C25820Q0003 -2019 Sheri Eiri, Contract Specialist

(602) 795-4362 -0 -2019

12:00 PM

Department of Veterans Affairs NCO22-Gilbert Network Contracting 777 E. Missouri, Suite 300 Phoenix AZ 85014 X 541990 $16.5 Million N/A X New Mexico VA Healthcare System 1501 San Pedro, Albuquerque, NM Northern Arizona VA Healthcare System 500 State Hwy 89N Prescott AZ 86313 Department of Veterans Affairs NCO22-Gilbert Network Contracting 777 E. Missouri, Suite 300 Phoenix AZ 85014

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.

This solicitation is a 100% Total Veteran Owned Small Business Set aside. All contractors must have an active registration in SAM.GOV and VETBIZ.GOV.

The Northern Arizona VA Healthcare System (649) and New Mexico VA Healthcare System (501) requires Board Radiation Physicist Services.

The government anticipates a Single Award Firm-Fixed Price IDIQ Contract.

X 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 36C258 Department of Veterans Affairs NCO22-Gilbert Network Contracting 777 E. Missouri, Suite 300 Phoenix AZ 85014

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 NMVAHCS STATEMENT OF WORK

Performance Work Statement Radiation Physicist Services

New Mexico Veterans Affairs Healthcare System (NMVAHCS)

1. Introduction:

The New Mexico VA Healthcare System (NMVAHCS) has a need for continued a Radiation Physicist Services and consultation and training. The contractor shall provide quality control surveys and certifications of radiographic equipment.

2. Radiographic Equipment:

1) Three (3) Radiology & Fluoroscopy (R&F) units – each two x-ray tubes

2) Five (5) Digital X-ray Rooms (DR) – each one x-ray tubes

3) Two (2) Dexa Scan unit – one x-ray tube

4) One (1) Operating Room unit – one x-ray tube

5) One (1) Computed Tomography (CT) scanner – one x-ray tube

6) One (1) Computed Tomography (CT) dual source scanner – two x-ray tubes

7) One (1) PET/CT scanner – one x-ray tube

8) Two (2) Mammography units – one x-ray tube

9) Two (2) Catheterization Cath). Labs – each one x-ray tube

10) Two (2) Angiography (Angio) Labs – each one x-ray tube

11) Eight (8) Portable x-ray units – each one x-ray tube

12) Ten (10) C-Arms – each one x-ray tube

13) Fifteen (15) Dental units – each one x-ray tube

14) Three (3) Dental Panelipse units – each one x-ray tube

15) One (1) Nuclear Medicine Gamma Camera

16) Three (3) Nuclear Medicine SPECT/CT – each one x-ray tube

17) One (1) Magnetic Resonance Imaging (MRI) 3T

18) Two (2) Magnetic Resonance Imaging (MRI) 1.5T Total 63 Tubes

3. Required Services The Contractor shall provide an American Board of Radiology certified, Medical Physicist. The Radiation Physicist shall:

i. Be required to conduct an annual compliance survey of all New Mexico VA Health Care System with the skin entrance sticker where applicable to ensure compliance with the current Nuclear Regulatory Commission (NRC), American College of Radiology (ACR), and Mammography Quality Standards Act (MQSA) requirements. Change of times or dates must be coordinated with the above-mentioned department at least one week in advance. Provide written report of results to Radiology Service/Radiation Safety Office (RSO) within five (5) working days of performance of the survey.

ii. Review and analyze radiation exposure records throughout NMVAHCS, including Nuclear Medicine Service, Radiology Service, and ancillary services which have radiation workers and provide appropriate recommendation to reduce exposure to as low as reasonably achieve-able (ALARA). Provide results to Imaging Service and RSO within five (5) working days after review. To include initial testing of new and replacement x-ray imaging equipment, prior to first clinical use, as well as testing after repairs that may affect X-ray output or image quality.

iii. Perform radiation safety inspections on all imaging equipment providing final reports to Imaging Service/RSO within 5 days of completion of survey.

iv. Provide consultation for additional services as needed, i.e., safety training.

v. Review Computed Tomography (CT) protocol optimization once a year.

vi. Provide shielding design calculations for each new or replacement x-ray imaging system. The calculations for each shall conform to National Council on Radiation Protection & Measurements (NCRP) Report No. 147 or, for dental units, NCRP Report 145 and shall be documented in a written report, which includes a to-scale diagram showing adjacent areas.

vii. Establish a skin dose program.

viii. Review the radiation safety programs at NMVAHCS for all applicable services during each site visit.

ix. Evaluate technical Quality Assurance (QA)/Quality Control (QC) program (technique charts, repeat/reject analysis, monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA of CT, monitoring of dose metrics from fluoro studies) annually.

x. Provide emergency response/on call as needed.

xi. Provide emergency services and other services over and above the scope of the contract. COR will identify work and request quote from contractor. If the services are required, changes will be issued in writing and signed by the contracting officer. Only the Contracting Officer can issue changes to the contract.

xii. The contractor shall comply with all National, State and Federal, VA rules, laws and regulations and maintain compliance with Occupational Safety and Health Administration (OSHA), The Joint Commission (TJC), ACR, Food and Drug Administration (FDA), the Office of the Inspector General, the Nuclear Regulatory Commission, the National Health Physics Program, and the American College of Radiology and Mammography Quality Standards Act (MQSA).

xiii. The contractor shall ensure referenced equipment meets NRC/TJC compliance and all Federal and State rules, regulations and laws.

2. Radiation Survey: Contractor shall conduct quality control surveys and certifications of the radiographic equipment listed below. The Contractor shall ensure the radiographic equipment’s compliance with applicable federal and state regulatory requirements, and shall include, but not be limited to, monitoring the following basic performance characteristics:

A. All stationary, and mobile x-ray radiographic units, including dental units:

1) kV accuracy and reproducibility

2) Beam quality assessment (HVL)

3) Linearity of output as a function of mA and /or mAs

4) X-Ray Output

5) Tube Head leakage

6) Focal Spot Size

7) Scatter Radiation

8) Timer Accuracy

9) Reproducibility

10) Automatic exposure control performance

11) Entrance exposures for a phantom representing a “standard” patient and comparison to diagnostic reference levels

12) Collimation and beam alignment

13) Entrance Exposure Rate

14) Evaluation of grids for mobile radiographic units

15) Artifact Evaluation

16) For Direct Radiography (DR) radiographic systems, accuracy of exposure index

B. Computed Radiography (CR):

1) Relative Sensitivity Calibration Test

2) Shading Test

3) Contrast Evaluation

4) Sharpness Test

5) Laser Jitter Test

6) Image Noise/Artifact Test

7) Primary Erasure of Imaging Plate Test

8) Accuracy of Measurement Tools/Scale Test

9) System Linearity Test

10) Exposure index (International Electrotechnical Commission (IEC) or proprietary, e.g., “S” Number) Calibration.

C. Computed Tomography or CT Scanners: The testing shall substantially conform to the 2012 ACR Computed Tomography Quality Control Manual. The testing of dosimetry shall include verification of the accuracy of displayed patient Ionizing Radiation dose (CTDIvol) values.

1) Review of Clinical Protocols

2) Scout Prescriptions and alignment Light Accuracy

3) Image Thickness – Axial Mode

4) Table Travel Accuracy

5) Radiation Beam Width

6) Low-Contrast Performance

7) Spatial Resolution

8) CT Number Accuracy

9) Artifact Evaluation

10) CT Number Uniformity

11) Dosimetry

12) Gray Level Performance of CT Acquisition Display Monitors

D. Fluoroscopes (Including, Interventional Radiology/Cardiac Catherization Lab, Electrophysiology (Ep) Lab, And Mobile C-Arms):

1) kVp accuracy and reproducibility

2) Beam Quality

3) Linearity

4) Reproducibility

5) Automatic exposure rate control performance

6) Fluoroscopy output (exposure rate or dose rate) for a phantom representing a “standard” patient

7) Fluoroscopy maximum dose rate

8) Collimator alignment

9) Safety evaluation

10) Cine output exposure rate or dose rate for a “standard” patient and maximum rate

11) High contrast spatial resolution

12) Low contrast spatial resolution

13) Image artifacts

14) Display monitor performance

15) Accuracy of indicated radiation doses metrics (air kerma at the reference point and Kerma Area Product (KAP))

Output for a phantom representing a “standard” patient and maximal output shall be measured for a variety of modes (continuous and pulsed, normal and mag modes, high dose rate mode, image recording modes, etc.). These shall include modes commonly used clinically. The report shall state the modes used for each measurement. For each C-arm fluoroscope, these data shall be placed in a table suitable for the operators of the fluoroscope.

E. Mammography: Ensures that facility is compliant with ACR, FDA, MQSA and Veterans Health Administration (VHA) standards. The federal MQSA exempts the VA from the requirements of the act. However, Public Law 104-262 requires VHA mammography facilities to meet the basic requirements of the MQSA. The VHA requirements are contained in VHA Handbook 1105.03, Mammography Program Procedures and Standards.

Documentation must be current and on site to ensure FDA/ACR compliance (Continuing Medical Education (CME), surveyed facilities with mammography, etc.). Inspections of digital mammography equipment must comply with the latest requirements posted on the ACR website for the manufacturer of the unit being inspected. Inspection items may include:

1) Mammographic Unit Assembly Evaluation

2) Collimation assessment

3) Artifact evaluation

4) kVp accuracy and reproducibility

5) Beam quality assessment – HVL measurements

6) Evaluation of system resolution

7) Automatic Exposure Control (AEC) function performance

8) Breast entrance exposure, AEC reproducibility and average glandular dose

9) Radiation output rate

10) Phantom image quality evaluation

11) Signal –to –noise ratio and contrast – to noise ratio measurements

12) Viewbox luminance and room illuminance

13) Review workstation (RWS) tests

F. For Magnetic Resonance Imaging (MRI): Perform initial survey/inspection and yearly review of MRI unit ensuring that unit meets ACR requirements to meet accreditation by the ACR.

1) Magnetic field homogeneity

2) Geometric accuracy

3) Inter-slice Radio Frequency (RF) interference

4) Slice position accuracy

5) High contrast resolution

6) RF coil performance

a. Volume coils’ signal to noise ratio

b. Volume coils’ image uniformity

c. Volume coils’ ghosting ratio

d. Phased array coils’ signal to noise ratio

e. Surface coils’ signal to noise ratio

7) Slice thickness accuracy

8) Low contrast detectability

9) Soft copy displays

10) Technologist’s QC program

11) Site phantom inventory

12) Site RF coil inventory

G. For all Bureau of Radiological Health (BRH) compliance tests, documentation of measured values used to certify compliance shall be provided.

H. Furnish a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found.

I. Furnish a measured skin entrance dose (in mR or mrem) for each x-ray tube tested using typical technique for the unit under typical tests.

J. Furnish radiation dose rate for each mode of operation for typical prolonged fluoroscopically guided invasive procedures performed on fluoro units.

K. Survey shall be conducted once per calendar year with the intervals between annual inspections not to exceed 14 months as scheduled at mutually agreed upon times between the Imaging Service/RSO and the contractor. Time of inspection is to be coordinated with the Imaging Service/RSO. Any equipment that is under repair at the time of inspection shall be scheduled for a later inspection at no additional expense to the Government. The annual written report is to be completed and submitted during the month of September for the base and option years of the contract, if the Government exercises the renewal option period.

4. Key Personnel All work shall commence within one week after receipt of telephonic, written or verbal notification and will proceed progressively without undue delay. All work shall be performed by competent physicists, experienced and qualified to work on the specific equipment, as described in the paragraph entitled “Qualified Personnel.” All work performed shall be in accordance with established commercial practices.

Key personnel will be identified in the proposal and shall be considered key personnel essential for the successful completion of the work performed under the contract. The contractor agrees that such personnel shall not be removed, diverted or replaced from the work without prior written approval of the Contracting Officer. The contractor shall submit written notice of proposed personnel changes to the Contracting Officer for approval at least thirty (30) business days in advance. No substitutions of key personnel shall be made during the initial 90 days of contract performance unless the key person leaves the employ of the company

All Radiation Physicists performing services under this contract shall be board certified or board eligible. Contractor shall provide certification documentation one document under Paragraph A or all documentation under Paragraph B:

A. Board Certified - Contractor shall provide certification from one of the following:

· American Board of Radiology,

· American Board of Medical Physics or

· American Board of Health Physics.

Certification must be maintained throughout the contract performance period. Personnel must have 2-5 years’ experience in Hospital Medical Physics. Contractor shall provide copies of certifications of all personnel working on this contract. Contractors to provide at least three (3) references to identify past or current contracts (including Federal, State, and local government and private) for efforts similar to the Government requirement. Indicate project location, amount, whether you were prime or subcontractor and dates of performance.

5. Management, Supervision and Training:

Contractor shall be responsible for supervising the daily services of their personnel provided under this Contract; and shall provide and document orientation and training programs for all employees regarding safety, equipment management, and patient confidentiality appropriate to the service provided. The Contractor shall have written policies and procedures regarding staff credentials. Contractor shall provide orientation to designated staff to agency policy and procedures. Updates and refreshers shall be provided upon request and when policy, procedures, or processes change. Contractor shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

6. Quality Control:

The Contractor shall develop a Quality Control Plan which will provide the Contractor’s strategy for monitoring performance internally, providing performance information to the Government, and reporting in compliance with the Performance Work Statement. Within the Quality Control Plan, the Contractor shall propose and maintain an established reporting system to promptly notify VA of any problems, issues, risks, or concerns with workflow performance, programmatic improvement, security, and schedule adherence. Quality control is the exclusive responsibility of the Contractor. The work performed under this contract shall be subject to evaluation by the Contracting Officer’s Representative (COR) in accordance with the contract terms and conditions.

7. Conformance:

A. The contractor shall comply with all State and Federal rules, laws and regulations and maintain compliance with Occupational Safety and Health Administration (OSHA), The Joint Commission (TJC), ACR, Food and Drug Administration (FDA), and MQSA.

8. Hours of Coverage and Holidays:

A. Normal hours of coverage are Monday through Friday from 8:00 am to 4:30 pm local time (Albuquerque, New Mexico) time. All service/repairs will be performed during normal hours of coverage unless requested or approved by the COR or his/her designee.

B. Federal Holidays observed are:

Any other day specifically declared by the President of the United States to be a Federal Holiday. When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

9. Identification, Parking, Smoking, and VA Regulations:

A. The Contractor's FSEs shall wear visible identification issued by NMVAHCS and/or VA Clinic Police Section at all times while on the premises of NMVAHCS and/or VA Clinic. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. NMVAHCS or VA Clinic will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any buildings at NMVAHCS or VA Clinic. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

10. Information Security:

B. In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the C&A requirements do not apply to this requirement, and Security Accreditation Package is not required. The nature of this requirement is technical; however, there is no information to be protected.

11. Other Pertinent Information:

A. Delivery of preventative maintenance shall be coordinated through the Chief of Imaging Services at:

New Mexico VA Healthcare System 1501 San Pedro SE Albuquerque, New Mexico 87108-5153 Name: TBD Telephone: TBD Email: TBD

12. Ordering Periods:

B.3 NAVAHCS STATEMENT OF WORK

Performance Work Statement Radiation Physicist Services

Northern Arizona VA Healthcare System (NAVAHCS) (649)

1. Introduction:

The Northern Arizona VA Healthcare System (NAVAHCS) has a need for continued a Radiation Physicist Services and consultation and training. The contractor shall provide quality control surveys and certifications of radiographic equipment and shall serve as a designated safety officer.

2. Radiographic Equipment

(649) Northern Arizona VA Healthcare System List of Equipment:

1) One R&F Unit – two x-ray tubes

2) Two General X-ray Units - two x-ray tubes

3) One CT scanner – two x-ray tubes (dual tube Siemens scanner)

4) One DEXA – one x-ray tube

5) Two Portable Units - two x-ray tubes

6) Seven Dental Units – seven x-ray tubes

7) One MRI scanner

8) Two Ultrasound Units

9) Two dual-head gamma cameras (nuclear medicine) Total 16 X-ray Tubes

3. Required Services

The Contractor shall provide an American Board of Radiology certified, Medical Physicist. The Radiation Physicist shall:

xiv. Review and analyze radiation exposure records throughout NAVAHCS, including Nuclear Medicine Service, Radiology Service, and ancillary services which have radiation workers and provide appropriate recommendation to reduce exposure to as low as reasonably achieve-able (ALARA). Provide results to Imaging Service and RSO within five (5) working days after review. To include initial testing of new and replacement x-ray imaging equipment, prior to first clinical use, as well as testing after repairs that may affect X-ray output or image quality.

xv. Perform radiation safety inspections on all imaging equipment providing final reports to Imaging Service/RSO within 5 days of completion of survey.

xvi. Provide consultation for additional services as needed, i.e., safety training.

xvii. Review Computed Tomography (CT) protocol optimization once a year.

xviii. Provide shielding design calculations for each new or replacement x-ray imaging system. The calculations for each shall conform to National Council on Radiation Protection & Measurements (NCRP) Report No. 147 or, for dental units, NCRP Report 145 and shall be documented in a written report, which includes a to-scale diagram showing adjacent areas.

xix. Establish a skin dose program.

xx. Review the radiation safety programs at NAVAHCS for all applicable services during each site visit.

xxi. Evaluate technical Quality Assurance (QA)/Quality Control (QC) program (technique charts, repeat/reject analysis, monitoring, monitoring of exposure indices to radiographic image receptors, QA program for display monitors, QA of CT, monitoring of dose metrics from fluoroscopy studies) annually.

xxii. Provide emergency response/on call as needed.

xxiii. Provide emergency services and other services over and above the scope of the contract. COR will identify work and request quote from contractor. If the services are required, changes will be issued in writing and signed by the contracting officer. Only the Contracting Officer can issue changes to the contract.

xxiv. The contractor shall comply with all National, State and Federal, VA rules, laws and regulations and maintain compliance with Occupational Safety and Health Administration (OSHA), The Joint Commission (TJC), American College of Radiology (ACR), Food and Drug Administration (FDA), the Office of the Inspector General, the Nuclear Regulatory Commission (NRC), and the National Health Physics Program (NHPP).

xxv. The contractor shall ensure referenced equipment meets NRC/TJC compliance and all Federal and State rules, regulations and laws.

xxvi. The Northern Arizona VA Healthcare System (NAVAHCS) (649) requires a designated radiation safety officer (RSO) position to oversee the management of a comprehensive Radiation Safety Program. This individual must be eligible to be named as the RSO in accordance with VA NHPP requirements on a radioactive license issued by the NRC. The RSO shall be responsible for implementing the NAVAHCS Radiation Safety Program to comply with NRC regulations and conditions of the NAVAHCS radioactive materials permit. The awardee shall organize and integrate all radiation safety processes throughout the NAVAHCS, protect the health of individuals from ionizing radiation, protect the environment from contamination of radioactive materials, and ensure compliance with local, state and federal regulations i.e., TJC, ACR, FDA, NHPP, and the NRC concerning radiation exposure and handling of radioactive materials based on requirements.

Radiation Survey: Contractor shall conduct quality control surveys and certifications of the radiographic equipment listed below. The Contractor shall ensure the radiographic equipment’s compliance with applicable federal and state regulatory requirements, and shall include, but not be limited to, monitoring the following basic performance characteristics:

A. All stationary, and mobile x-ray radiographic units, including dental units:

1) kV accuracy and reproducibility

2) Beam quality assessment (HVL)

3) Linearity of output as a function of mA and /or mAs

4) X-Ray Output

5) Tube Head leakage

6) Focal Spot Size

7) Scatter Radiation

8) Timer Accuracy

9) Reproducibility

10) Automatic exposure control performance

11) Entrance exposures for a phantom representing a “standard” patient and comparison to diagnostic reference levels

12) Collimation and beam alignment

13) Entrance Exposure Rate

14) Evaluation of grids for mobile radiographic units

15) Artifact Evaluation

16) For Direct Radiography (DR) radiographic systems, accuracy of exposure index

B. Computed Radiography (CR):

1) Relative Sensitivity Calibration Test

2) Shading Test

3) Contrast Evaluation

4) Sharpness Test

5) Laser Jitter Test

6) Image Noise/Artifact Test

7) Primary Erasure of Imaging Plate Test

8) Accuracy of Measurement Tools/Scale Test

9) System Linearity Test

10) Exposure index (International Electrotechnical Commission (IEC) or proprietary, e.g., “S” Number) Calibration.

C. Computed Tomography or CT Scanners: The testing shall substantially conform to the 2012 ACR Computed Tomography Quality Control Manual. The testing of dosimetry shall include verification of the accuracy of displayed patient Ionizing Radiation dose (CTDIvol) values.

1) Review of Clinical Protocols

2) Scout Prescriptions and alignment Light Accuracy

3) Image Thickness – Axial Mode

4) Table Travel Accuracy

5) Radiation Beam Width

6) Low-Contrast Performance

7) Spatial Resolution

8) CT Number Accuracy

9) Artifact Evaluation

10) CT Number Uniformity

11) Dosimetry

12) Gray Level Performance of CT Acquisition Display Monitors

D. Fluoroscopes (Including, Interventional Radiology/Cardiac Catherization Lab, Electrophysiology (Ep) Lab, And Mobile C-Arms):

1) kVp accuracy and reproducibility

2) Beam Quality

3) Linearity

4) Reproducibility

5) Automatic exposure rate control performance

6) Fluoroscopy output (exposure rate or dose rate) for a phantom representing a “standard” patient

7) Fluoroscopy maximum dose rate

8) Collimator alignment

9) Safety evaluation

10) Cine output exposure rate or dose rate for a “standard” patient and maximum rate

11) High contrast spatial resolution

12) Low contrast spatial resolution

13) Image artifacts

14) Display monitor performance

15) Accuracy of indicated radiation doses metrics (air kerma at the reference point and Kerma Area Product (KAP))

Output for a phantom representing a “standard” patient and maximal output shall be measured for a variety of modes (continuous and pulsed, normal and mag modes, high dose rate mode, image recording modes, etc.). These shall include modes commonly used clinically. The report shall state the modes used for each measurement. For each C-arm fluoroscope, these data shall be placed in a table suitable for the operators of the fluoroscope.

E. For Magnetic Resonance Imaging (MRI): Perform initial survey/inspection and yearly review of MRI unit ensuring that unit meets ACR requirements to meet accreditation by the ACR.

1) Magnetic field homogeneity

2) Geometric accuracy

3) Inter-slice Radio Frequency (RF) interference

4) Slice position accuracy

5) High contrast resolution

6) RF coil performance

a. Volume coils’ signal to noise ratio

b. Volume coils’ image uniformity

c. Volume coils’ ghosting ratio

d. Phased array coils’ signal to noise ratio

e. Surface coils’ signal to noise ratio

7) Slice thickness accuracy

8) Low contrast detectability

9) Soft copy displays

10) Technologist’s QC program

11) Site phantom inventory

12) Site RF coil inventory

F. For all Bureau of Radiological Health (BRH) compliance tests, documentation of measured values used to certify compliance shall be provided.

G. Furnish a follow-up inspection to verify compliance of any necessary corrective action performed to correct deficiencies found.

H. Furnish a measured skin entrance dose (in mR or mrem) for each x-ray tube tested using typical technique for the unit under typical tests.

I. Furnish radiation dose rate for each mode of operation for typical prolonged fluoroscopically guided invasive procedures performed on fluoro units.

J. Survey shall be conducted once per calendar year with the intervals between annual inspections not to exceed 14 months as scheduled at mutually agreed upon times between the Imaging Service/RSO and the contractor. Time of inspection is to be coordinated with the Imaging Service/RSO. Any equipment that is under repair at the time of inspection shall be scheduled for a later inspection at no additional expense to the Government. The annual written report is to be completed and submitted during the month of September for the base and option years of the contract, if the Government exercises the renewal option period.

4. Key Personnel

All work shall commence within one week after receipt of telephonic, written or verbal notification and will proceed progressively without undue delay. All work shall be performed by competent physicists, experienced and qualified to work on the specific equipment, as described in the paragraph entitled “Qualified Personnel.” All work performed shall be in accordance with established commercial practices.

Key personnel will be identified in the proposal and shall be considered key personnel essential for the successful completion of the work performed under the contract. The contractor agrees that such personnel shall not be removed, diverted or replaced from the work without prior written approval of the Contracting Officer. The contractor shall submit written notice of proposed personnel changes to the Contracting Officer for approval at least thirty (30) business days in advance. There shall be no changes to key personnel within the first 90 days of the contract. Changes to personnel may be made only, if the employee is no longer employed with the contractor.

All Radiation Physicists performing services under this contract shall be board certified or board eligible. Contractor shall provide certification documentation from one of the following:

Board Certified – the contractor shall provide certification from one of the following:

· American Board of Radiology,

· American Board of Medical Physics or

· American Board of Health Physics.

Certification must be maintained throughout the contract performance period. Personnel must have 2-5 years’ experience in Hospital Medical Physics. Contractor shall provide copies of certifications of all personnel working on this contract. Contractors to provide at least three (3) references to identify past or current contracts (including Federal, State, and local government and private) for efforts similar to the Government requirement. Indicate project location, amount, whether you were prime or subcontractor and dates of performance.

5. Management, Supervision and Training:

Contractor shall be responsible for supervising the daily services of their personnel provided under this Contract; and shall provide and document orientation and training programs for all employees regarding safety, equipment management, and patient confidentiality appropriate to the service provided. The Contractor shall have written policies and procedures regarding staff credentials. Contractor shall provide orientation to designated staff to agency policy and procedures. Updates and refreshers shall be provided upon request and when policy, procedures, or processes change. Contractor shall complete background investigations to ensure that employees do not have a record of criminal offenses or substantiated incidents of patient abuse; and, if required to perform their duties, employees are properly licensed and insured to operate motor vehicles.

6. Quality Control:

The Contractor shall develop a Quality Control Plan which will provide the Contractor’s strategy for monitoring performance internally, providing performance information to the Government, and reporting in compliance with the Performance Work Statement. Within the Quality Control Plan, the Contractor shall propose and maintain an established reporting system to promptly notify VA of any problems, issues, risks, or concerns with workflow performance, programmatic improvement, security, and schedule adherence. Quality control is the exclusive responsibility of the Contractor. The work performed under this contract shall be subject to evaluation by the Contracting Officer’s Representative (COR) in accordance with the contract terms and conditions.

7. Conformance:

The contractor shall comply with all State and Federal rules, laws and regulations and maintain compliance with Occupational Safety and Health Administration (OSHA), The Joint Commission (TJC), ACR, and Food & Drug Administration (FDA).

8. Hours of Coverage and Holidays:

C. Normal hours of coverage are Monday through Friday from 8:00 am to 4:30 pm local time (Albuquerque, New Mexico) time. All service/repairs will be performed during normal hours of coverage unless requested or approved by the COR or his/her designee.

D. Federal Holidays observed are:

Any other day specifically declared by the President of the United States to be a Federal Holiday. When one of the holidays falls on Sunday, the following Monday shall be observed as a Federal Holiday. When a holiday falls on a Saturday, the preceding Friday shall be observed as a Federal Holiday.

9. Identification, Parking, Smoking, and VA Regulations:

The Contractor's FSEs shall wear visible identification issued by NAVAHCS and/or VA Clinic Police Section at all times while on the premises of NAVAHCS and/or VA Clinic. It is the responsibility of the Contractor to park in the appropriate designated parking areas. Information on parking is available from the VA Police Section. NAVAHCS or VA Clinic will not invalidate or make reimbursement for parking violations of the Contractor under any conditions. Smoking is prohibited inside any buildings at NAVAHCS or VA Clinic. Possession of weapons is prohibited. Enclosed containers, including tool kits, shall be subject to search. Violations of VA regulations may result in citation answerable in the United States (Federal) District Court, not a local district, state, or municipal court.

10. Information Security:

In accordance with Appendix A, Handbook 6500.6 Checklist blocks 7, the C&A requirements do not apply to this requirement, and Security Accreditation Package is not required. The nature of this requirement is technical; however, there is no information to be protected.

11. Other Pertinent Information:

Delivery of preventative maintenance shall be coordinated through the Chief of Imaging Services at:

(649) Northern Arizona VA Healthcare System

500 HWY 89N

Prescott, Arizona 86313 Name: TBD Telephone: TBD Email: TBD

12. Ordering Periods:

Delivery Schedule See Section D Excel Spreadsheet for Contract Line Item Numbers 36C25820Q0003

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SECTION C - CONTRACT CLAUSES

C.1 52.212-4 CONTRACT TERMS AND CONDITIONS—COMMERCIAL ITEMS (OCT 2018)

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

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

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

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

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

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

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

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

(g) Invoice.

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

(i) Name and address of the Contractor;

(ii) Invoice date and number;

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

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

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

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

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

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

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

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

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

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

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

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

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

(i) Payment.—

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

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

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

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

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

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

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

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

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

(D) Contractor point of contact.

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

(6) Interest.

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

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

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

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

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

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

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

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

(A) The date fixed under this contract.

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

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

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

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

(C) The date on which an amount…